So wo sẽ awu fi mu? Momma yensua pulp necrosis ho ade!

So wo sẽ ayɛ wo yaw kɛse pɛn? Ɛtɔ mmere bi a, efi ase sɛ ɛse a ɛyɛ yaw ketewaa bi na afei ɛbɛyɛ nea wontumi nnyina ano. Wɔ tebea horow a ɛtete saa mu no, ebia na ɔfã a ɛho hia wɔ wo sẽ mu, a ɛyɛ wo sẽ no, asɛe. Ɛnnɛ yɛrebɛka tebea yi a wɔfrɛ no pulp necrosis , anaa sɛnea nnuruyɛfo frɛ no no ho asɛm.

Dɛn ankasa ne Pulp Necrosis?

Sɛ yɛbɛka no tiawa a, pulp necrosis yɛ ntini a ɛho hia a ɛwɔ wo sẽ mu, pulp . Susuw ho hwɛ, ɛse nyɛ ɔbotan kɛkɛ. Wɔfrɛ ɔfã fitaa a ɛyɛ den a ɛwɔ ɛse no atifi no enamel . Wɔ saa enamel yi ase no, na aduru a wɔde yɛ aduru no wɔ. Eyi tu mmirika kɔ fam kosi ɛse no ntini so. Wɔ saa aduru yi mu no, mogya ntini , ntini, ne nkwammoaa ahorow pii a ɛboa ma ɛse no kɔ so nya apɔwmuden wɔ hɔ. Te sɛ dua ntini no, saa akutu yi ma ɛse no nya ahoɔden na ɛma ɛtra ase. Enti sɛ ɔfã yi wu a, ɔhaw no fi ase.

Ɔkwan bɛn so na saa tebea yi (Pulp Necrosis) ba?

Eyi te saa efisɛ ɛse no mu ntini no nwu prɛko pɛ. Ɛkɔ so wɔ akwan horow so.

Fa no sɛ wowɔ tokuru bi wɔ wo sẽ mu, anaa nea yɛfrɛ no abura, anaasɛ mpaapaemu ketewaa bi wɔ wo sẽ mu. Nea ɛba ne sɛ ɛnyɛ den sɛ mmoawa a wɔwɔ w’anom benya ɔkwan bi a wɔbɛfa so akɔ aduru no mu. Sɛ saa mmoawa yi kɔ mu a, akisikuru no fi ase hohoro na ɛdan kɔkɔɔ. Yɛfrɛ eyi ɔfe anaa sɛnea ntini ho nnuruyɛfo frɛ no no , pulpitis .

Nsõ wɔ tumi a ɛyɛ nwonwa a ɛma wɔsa wɔn ho yare fi saa tebea yi mu (Pulpitis). Nanso, sɛ yebu yɛn ani gu so na yɛansa a, (Pulpitis) bɛsɛe nkakrankakra na awiei koraa no, ɛse no mu ntini bewu, na wɔfrɛ no (Pulp Necrosis). Eyi mu nneɛma atitiriw abiɛsa na ɛwɔ hɔ:

1. Reversible Pulpitis: Saa bere yi de, ɛse no mu ntini asɛe, nanso ennya nwui. Sɛ ntini ho oduruyɛfo tumi siesie sẽ no, hyɛ mu ma, na ɔsɔ ano a, wobetumi asan de ɛse no akɔ ne tebea a na ɛte kan no mu. Eyi taa de ɛyaw a ano yɛ den ba bere a ɔredi, anom, anaa ɔredi biribi a ɛyɛ nwini anaa nea ɛyɛ dɛ no, nanso ɛkɔ ntɛm. Nneɛma a ɛyɛ hyew ho nkate biara nni hɔ.

2. Pulpitis a Wontumi Nsakra: Ɛha yi, ɔfe no mu ayɛ den kɛse. Ɛse no ntumi nnya yare bio. Ɛyaw no mu yɛ den kɛse. Ebetumi ayɛ ɛyaw a ɛyɛ kusuu, ɛyaw a ɛyɛ yaw, anaa ɛyaw a ano yɛ den. Ebia ɛbɛkyɛ simma fã (sikɔne 30) anaa nea ɛboro saa bere a wɔde ahyɛ nneɛma a ɛyɛ nwini, ɛyɛ hyew, anaa nea ɛyɛ dɛ mu no.

3. Pulp Necrosis: Nsu a Ɛyɛ Fɛ:Eyi ne ɔfã a etwa to. Ntini a ɛwɔ pulp no mu no awu koraa. Ade a ɛyɛ nwonwa wɔ ha ne sɛ ɛtɔ mmere bi a ebia worente awɔw, ɔhyew, anaa dɛ a ɛyɛ dɛ biara nka efisɛ ntini a ɛwɔ ɛse no mu no awu. Nanso, sɛ sẽ ho oduruyɛfo no bɔ sẽ no brɛoo a, ebia wobɛte yaw.

Ade a ɛho hia sen biara: Sɛ wɔannya ɔyare mmoawa yi a, ebetumi atrɛw akɔ akyiri asen sẽ ntini no, akɔ wo hwene dompe, wo kɔn, ne wo moma so mpo. Sɛ ɛba saa a, ebetumi ayɛ tebea a asiane wom paa, kae.

Saa tebea yi (Pulp Necrosis) abu so dɛn?

Pulp Necrosis yɛ tebea a ɛtaa ba sen sɛnea ebia wususuw. Nanso ɛyɛ den sɛ yɛbɛka nnipa dodow pɔtee a wonya bi. Nanso, yebetumi anya adwene a ɛyɛ den denam ntini mu ayaresa dodow a yɛbɛhwɛ so . Efisɛ, mpɛn pii no, wɔyɛ ntini mu ayaresa sɛ aduru a wɔde sa pulp necrosis. Sɛnea Amerika Endodontist Fekuw kyerɛ no, afe biara wɔyɛ ntini mu yare bɛyɛ ɔpepem 15! Saa dodow yi yɛ nea ɛho hia wɔ Sri Lanka nso.

Dɛn ne eyi ho sɛnkyerɛnne? Yɛyɛ dɛn hu no?

Nsɛnkyerɛnne atitiriw a ɛkyerɛ sɛ obi sẽ yɛ akisikuru ne ne sẽ a ɛyɛ mmerɛw ne sẽ a ɛyɛ yaw ne sɛnea ɛte nka . Nanso, ɛyaw ne nkate a wote nka no su betumi ayɛ soronko a egyina tebea a yɛaka ho asɛm wɔ atifi hɔ no so.

• Wɔ pulpitis a wotumi dannan mu no:
• Sɛ obi nom biribi a ɛyɛ nwini anaa odi biribi a ɛyɛ dɛ a, ebetumi ama wate yaw bere tiaa bi a ano yɛ den , nanso efi hɔ ntɛm.
• Mpɛn pii no, menyɛ obi a ɔte nka kɛse wɔ nneɛma a ɛyɛ hyew ho.

• Sɛ ɛba sɛ obi anya ahurututu mu yare a wontumi nsakra a:
• Eyi betumi ayɛ ɛyaw a ɛba fam , ɛyaw a ɛbɔ denneennen , anaa ɛyaw a ano yɛ den .
• Ɛyaw no betumi atra hɔ sikani 30 anaa nea ɛboro saa bere a wode biribi a ɛyɛ nwini, ɛyɛ hyew, anaa nea ɛyɛ dɛ ahyɛ w’anom akyi. Ɛtɔ mmere bi a, ɛyɛ yaw bere mpo a wotra ase dinn kɛkɛ no.

• Sɛ ɛse no mu ntini wu (Pulp Necrosis): .
• Esiane sɛ ɛse ntini no awu wɔ ha nti, ebia worente nka biara wɔ awɔw, ɔhyew, anaa dɛ a ɛyɛ dɛ ho .
• Nanso, sɛ oduruyɛfo no bɔ sẽ no a, ebia wobɛte ɛyaw bi.
• Ɛtɔ da bi a, ɛse no kɔla tumi sesa na mpo ɛyɛ tuntum kakra.
• Ebia ntini a atwa ɛse no ho ahyia no ahonhon na ayɛ akisikuru.

Dɛn ne nneɛma atitiriw a ɛde tebea yi (Pulp Necrosis) ba?

Nea ɛde eyi ba titiriw ne akisikuru , anaa sẽ a ɛporɔw. Yɛn mu dodow no ara benya abura wɔ yɛn asetra mu bere bi. Sɛ wɔanhu eyinom na wɔansa ntɛm a, ebetumi ama mmoawa akɔ sẽ no mu.

Nneɛma afoforo pii nti:

• Ɛse a apaapae: Sɛnea ofie fasu mu mpaapaemu ma nkoekoemmoa tumi wea mu no, saa ara na ɛse a ɛpaapae betumi ama mmoawa akɔ sẽ no mu. Ɛtɔ mmere bi a, aniwa ntumi nhu mpaapaemu yi.
• Nsõ ho nhyehyɛe: Sɛ wɔsa ɛse koro no ara mpɛn pii, anaasɛ sɛ ayaresa bi antumi a, ɛda adi sɛ ɛse no benya Pulp Necrosis.
• Apirakuru: Sɛ ɛse bi bɔ denneennen, sɛ nhwɛso no bere a wɔredi agumadi anaa akwanhyia bi a, ebetumi ada ne sẽ no adi. Sɛ ɛnte saa a, mogya a ɛkɔ akisikuru no mu no betumi atwa, na ama ntini no awu.
• Nsõ mu aduru a asɛe: Nnipa binom hohoro wɔn sẽ denneennen dodo. Anaasɛ wɔn bi wɔ hɔ a wɔwɔ su sɛ wɔbɛyam wɔn sẽ anadwo (Bruxism) . Esiane nneɛma a ɛte sɛɛ nti, ade a ɛbɔ ɛse no ho ban, kyerɛ sɛ, enamel no, sɛe. Afei, ɛnyɛ den sɛ mmoawa fi sẽ no mu fi saa mmeae a asɛe no.

Ɔkwan bɛn so na wohu saa tebea yi (Pulp Necrosis)?

Sɛ wo sẽ yɛ wo yaw anaasɛ wo ho yɛ wo hyew a, ɛsɛ sɛ wudi kan kɔ wo sẽ ho oduruyɛfo nkyɛn. Sɛ osusuw sɛ wo sẽ mu ntini no wɔ ɔyare mmoawa a, obetumi de wo akɔ edodontist, ntini ho oduruyɛfo a ne ho akokwaw wɔ ɔhaw ahorow a ɛfa wo sẽ mu ntini ho ayaresa mu .

Nsõ ho aduruyɛfo ne ntini a ɛwɔ akyi ho animdefo de nhwehwɛmu ahorow pii di dwuma de hu tebea yi (pulp necrosis):

• Electric pulp testing: Wɔ eyi mu no, afiri ketewaa bi de anyinam ahoɔden a ɛyɛ fɛ yiye kɔ wo sẽ mu. Sɛ wutumi te nka a, na aduru no da so ara te ase. Sɛ pulp necrosis aba a, worente anyinam ahoɔden a ɛrebɔ no nka.
• Ɔhyew anaa awɔw sɔhwɛ: Wɔ sɔhwɛ yi mu no, wɔde biribi a ɛyɛ hyew anaa awɔw gu wo sẽ so. Oduruyɛfo no nso bebisa nkate biara a wote nka bere a wudidi anaa wonom nsa no ho asɛm.
• Nse a wobɛbɔ: Oduruyɛfo no de adwinnade ketewaa bi bɛbɔ wo sẽ brɛoo ahwɛ sɛ wote ɛyaw bi anaa.
• X-ray: Wo sẽ ho X-ray ma wo duruyɛfo hu sɛnea wo sẽ ne wo hwene dompe no te. Saa mfonini ahorow yi betumi akyerɛ abura, abura, anaa aduru biara a ɛwɔ mu a ɔyare mmoawa wɔ mu.

Ɔkwan bɛn so na wɔsa? Dɛn ne nneɛma a wubetumi apaw?

Ade a ɛho hia sen biara a ɛsɛ sɛ wuhu ne sɛ, sɛ ntini a ɛwɔ aduru no mu no wu pɛ a, wontumi nsan nnya nkwa bio . Enti, ɛsɛ sɛ oduruyɛfo no yi ntini a awu no. Sɛ wannyɛ saa a, ɔyare mmoawa no betumi atrɛw akɔ akyiri na asɛe nneɛma pii.

Ayaresa abien titiriw na ɛwɔ hɔ:

1. Ntini mu Ntini mu Ayaresa:Nsõ ho aduruyɛfo a wɔyɛ no daa ne ntini a ɛwɔ akyi no nyinaa betumi ayɛ saa ayaresa yi. Nea ɛka eyi ho ne sɛ wobeyi sẽ a awu no afi hɔ, asiesie ntini a ɛwɔ ɛse no mu no yiye, na afei wɔde ade titiriw bi ahyɛ ntini a ɛda mpan no ma na wɔakata so. Adapɛn kakraa bi akyi ansa na ɛse no ayɛ yiye no, oduruyɛfo no taa de abotiri , kyɛw a ɛkata ɛse no so. Eyi bɛhyɛ ɛse no den.

2. Tooth removal / Extraction: Eyi hwehwɛ sɛ woyi ɛse no koraa. Sɛ woyi wo sẽ wie a, wo ne wo duruyɛfo nka akwan horow a wubetumi afa so de ɛse a wɔayɛ te sɛ nea wɔde hyɛ sẽ mu anaa nea wɔde hyɛ sẽ mu ananmu .

Ɛtɔ mmere bi a, sɛ woregye bere tenten ansa na woasa a, ebia wo duruyɛfo bɛkyerɛw wo nnuru a ekum ɔyare mmoawa na ama ɔyare no antrɛw. Nanso kae sɛ ɛnyɛ nnuru a ekum ɔyare mmoawa ne ade titiriw a wɔde sa eyi. Wɔyɛ bere tiaa mu ano aduru ara kwa.

Dɛn ne nsɛnnennen a ebetumi afi pulp necrosis mu aba?

Nsɛnnennen ba bere a ɔyare mmoawa a ɛwɔ ɛse no mu no trɛw no. Sɛ ɔyare mmoawa yi du ɛse no ntini ano a, akisikuru betumi ayɛ wɔ hɔ. Eyi yɛ yaw paa.

Nsɛnnennen afoforo pii wɔ hɔ a asiane wom:

• (Ludwig Angina): Eyi yɛ ɔyare a emu yɛ den a ɛtrɛw kɔ ntini a ɛyɛ mmerɛw a ɛwɔ tɛkrɛma ase no mu na ɛkɔ kɔn mu. Ebetumi mpo ama ayɛ den sɛ ɔbɛhome.
• Mediastinitis: Eyi yɛ ɔyare mmoawa a ɛtrɛw kɔ baabi a atwa akwaa ahorow a ɛwɔ koko no ho ahyia no. Eyi nso betumi de nkwa ato asiane mu.
• Osteomyelitis of the jaw: Wɔ eyi mu no, ɔyare no trɛw kɔ anom dompe no ankasa mu.

Saa nsɛnnennen yi yɛ aniberesɛm yiye, na ɛno nti na ɛho hia sɛ wɔhwehwɛ ayaresa bere a sẽ ho haw bi aba ara pɛ no.

Yɛbɛyɛ dɛn asiw tebea yi ano (Pulp Necrosis)?

Ano aduru a eye sen biara ne sɛ wubesiw wo sẽ ano na woama wo sẽ ayɛ yiye. Wubetumi ayɛ nea edidi so yi:

• Brush wo sẽ mprenu da biara. Ɛyɛ papa sɛ wode aduru a wɔde sew sẽ a fluoride wom bedi dwuma.
• Fa floss gu wo sẽ ntam da biara da. Eyi yi aduan mu nneɛma nketenkete fi mmeae a brɔs a wɔde sew sẽ ntumi nkɔ hɔ no.
• Kɔ sẽ ho oduruyɛfo nkyɛn bere ne bere mu na ɔnhwɛ wo sẽ na ɔnhohoro. Mpɛn pii no ɛyɛ adwene pa sɛ anyɛ yiye koraa no wobɛkɔ pɛnkoro asram 6 biara.
• Sɛ wuhu sɛnkyerɛnne biara, te sɛ ɛse foforo a ɛyɛ yaw anaasɛ ɛyɛ mmerɛw a, mmu w’ani ngu so na ka kyerɛ wo duruyɛfo ntɛm ara.
• Sɛ woyam wo sẽ anadwo (teeth grinding / bruxism) , susuw ho sɛ wode anadwo awɛmfo bedi dwuma . Wubetumi abisa wo duruyɛfo no eyi ho asɛm.

Dɛn na yebetumi ahwɛ kwan daakye wɔ Pulp Necrosis asɛm no mu?

Sɛ wuhu tebea yi ntɛm na wunya ayaresa a ɛfata a, w’adwene ye paa. Ɛse a wɔayɛ no ntini mu yare mpo betumi atra hɔ mfe pii, sɛ wɔhwɛ no yiye a.

Nanso, sɛ ɔyare no trɛw kɔ wo hwene, wo kɔn, anaa wo moma so a, ebetumi ayɛ aniberesɛm. Bere bi a atwam no, na tebea horow yi de nkwa to asiane mu. Nanso, esiane nnuru a ekum ɔyare mmoawa a wɔatu mpɔn, X-ray ne scanning mfiridwuma a ɛkɔ anim, ne oprehyɛn akwan horow nti, hokwan a ɛwɔ hɔ sɛ obi benya ahoɔden afi tebea horow yi mu no akɔ soro kɛse.

Bere bɛn na ɛsɛ sɛ mekɔ nsensan ho oduruyɛfo nkyɛn?

Sɛ wo sẽ yɛ wo yaw biara , anaasɛ wo sẽ te nka sɛ awɔw, ɔhyew, anaa dɛ te a , mmu w’ani ngu so na kɔ wo sẽ ho oduruyɛfo nkyɛn ntɛm ara . Sɛ wohu tebea horow te sɛ pulpitis ne pulp necrosis ntɛm na wɔsa no a, ebetumi asiw ɔyare mmoawa no ano na antrɛw na ɛbɛtew asiane a ɛwɔ hɔ sɛ obenya nsɛnnennen a emu yɛ den no so.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Okay, enti mewɔ anidaso sɛ seesei woanya ntease pa wɔ nea yɛkaa ho asɛm nnɛ (Pulp Necrosis) no ho.

Sɛ yɛbɛka no tiawa a, pulp necrosis yɛ ntini a nkwa wom a ɛwɔ wo sẽ mu, pulp no wu. Nea ɛde eyi ba titiriw ne ɛse no mu akisikuru ne apirakuru a wɔansa.

Kae:

• Sɛ wo sẽ yɛ wo yaw anaasɛ wo ho yɛ wo hyew a, mmu w’ani ngu so . Kɔ oduruyɛfo nkyɛn ntɛm ara.
• Ebia ayaresa no bi ne ntini mu ayaresa anaasɛ sẽ a woyi .
• Ayaresa a wɔyɛ no ntɛm ho hia , efisɛ sɛ ɔyare no trɛw a, nsɛnnennen a asiane wom betumi aba.
• Ɔkwan a eye sen biara a wobɛfa so asiw eyi ano ne sɛ wobɛhwɛ wo sẽ yiye . Brush ne floss mprenu da biara, na kɔ kɔhwɛ wo sẽ daa.

Wo sẽ ne w’agyapade a ɛsom bo sen biara. Enti hwɛ wɔn. Sɛ wowɔ nsɛmmisa foforo bi a, hwɛ hu sɛ wo ne wo sẽ ho oduruyɛfo bɛkasa. Ɔserew a ahoɔden wom ma obiara!

` Pulp Necrosis, Nsõ a ɛyɛ yaw, Ntini mu Ntini mu Ayaresa, Ntini mu Ntini, Nsõ Akwahosan, Ntini mu Nyarewa