Koj puas paub txog 'lub neej' hauv koj cov hniav? Cia peb tham txog Cov Hniav Qhuav!

Koj puas tau xav paub tias muaj dab tsi nyob hauv koj cov hniav? Peb txhua tus paub tias cov hniav yog qhov chaw noj thiab luag ntxhi zoo nkauj. Tab sis ib tug hniav tsis yog ib yam khoom dawb xwb. Muaj ib feem tseem ceeb heev, muaj sia nyob hauv cov hniav. Qhov ntawd yog qhov peb yuav tham txog hnub no. Qhov ntawd yog cov hniav pulp , lossis raws li cov kws kho mob hu ua, "Tooth Pulp."

Cov Hniav Pulp yog dab tsi? Hais yooj yim xwb...

Hais yooj yim xwb, cov pulp yog txheej sab hauv tshaj plaws ntawm koj cov hniav. Nws zoo li cov pulp ntawm txiv maj phaub. Nws muaj cov hlab ntsha, cov hlab ntsha, cov hlwb tshwj xeeb, thiab ntau cov ntaub so ntswg sib txuas. Cov no yog cov uas muab cov as-ham rau koj cov hniav uas nws xav tau. Hauv lwm lo lus, nws yog cov pulp uas "ua rau" koj cov hniav muaj sia nyob .

Xav txog seb, muaj ob txheej tawv nyob rau sab nraud ntawm koj cov hniav - dentin thiab enamel . Ib yam li ib tug tub rog tiv thaiv ib lub teb chaws, ob txheej no tiv thaiv cov enamel hniav. Tab sis qee zaum, cov qhov, cov kab nrib pleb, lossis cov neeg sib tsoo lawv cov hniav thaum hmo ntuj, uas hu ua bruxism , tuaj yeem ua rau cov enamel hniav no tawm los. Yog tias qhov ntawd tshwm sim, nws yuav tsum tau kho.

Ua li cas rau cov hniav hauv cov hniav? Nws lub luag haujlwm yog dab tsi?

Cov kua hniav tsis yog ib yam dab tsi uas nyob hauv koj cov hniav xwb. Nws muaj ntau yam haujlwm tseem ceeb ua. Saib seb:

• Kev tiv thaiv los ntawm cov kab mob: Cov hlwb tiv thaiv kab mob hauv cov hniav, zoo li cov tub rog me me, tawm tsam cov kab mob uas nkag mus rau hauv qhov ncauj.
• Kev Ua Haujlwm ntawm Kev Xav: Cov hlab ntsha hauv cov hniav yog cov uas cia koj hnov ​​​​​​tej yam xws li txias, kub, thiab siab. Thaum muaj teeb meem nrog ib tug hniav, qhov mob kuj yog los ntawm cov hlab ntsha no. Qhov ntawd yog qhov qhia rau peb tias, "Muaj qee yam tsis ncaj ncees lawm ntawm no, saib."
• Kev tsim cov hniav cuav: Txheej nruab nrab ntawm koj cov hniav, hu ua dentin , yog ua los ntawm cov pulp no. Cov dentin no txhawb nqa cov enamel (txheej tawv sab nraud ntawm cov hniav) thiab tiv thaiv cov pulp.
• Kev tsim cov as-ham: Cov pulp tsim cov protein xws li albumin thiab fibrinogen , uas pab kom cov dentin noj qab nyob zoo.
• Dej noo: Cov hlab ntsha hauv cov hniav muab cov dej noo uas tsim nyog rau cov hniav. Qhov no txo ​​qhov kev pheej hmoo ntawm kev tawg hniav thiab ua rau cov hniav muaj zog thiab noj qab nyob zoo.

Xav txog nws li no: cov pulp zoo li "lub plawv" ntawm cov hniav. Yog tsis muaj nws, cov hniav tsis muaj sia.

Yog tias cov hniav tawm los ua li cas? Puas muaj kev phom sij?

Zoo li peb tau tham ua ntej lawm, cov hniav tuaj yeem tawm los vim muaj qhov, cov hniav tawg, lossis lwm yam xwm txheej. Yog tias cov hniav raug nthuav tawm li no, qhov muaj feem yuav kis tus kab mob ntau dua. Zoo li tso lub qhov rooj qhib thiab tus tub sab tuaj yeem tawg. Yog tias tus kab mob no tsis raug kho, nws tuaj yeem kis mus rau lwm qhov ntawm lub qhov ncauj thiab lub cev.

Nov yog li cas nws tshwm sim:

• Thaum koj cov hniav tawm hauv lub qhov (socket), cov kab mob ntawm koj lub qhov ncauj yuav maj mam nkag mus rau hauv lub qhov (socket).
• Qhov no ua rau cov hniav o, uas txhais tau tias nws o.
• Qhov o no yog qhov ua rau mob hniav.
• Thaum tus kab mob zuj zus tuaj, cov hniav pib tuag.
• Qee zaum tus kab mob no tuaj yeem kis mus rau lwm qhov ntawm lub qhov ncauj thiab thaj tsam lub puab tsaig.

Yog tias cov hniav raug nthuav tawm thiab tsis kho, nws tuaj yeem ua rau muaj mob hnyav, qee zaum ua rau tuag taus. Nov yog qee qhov mob:

• Kab mob hauv qhov ncauj
• Mob pob txha hauv lub hlwb
• Meningitis - o ntawm cov ntaub so ntswg uas npog lub hlwb
• Mob Sinusitis
• Kev kis kab mob ntawm cov nqaij nyob ib puag ncig lub qhov muag (Orbital Cellulitis)
• Cavernous Sinus Thrombosis - Qhov no yog cov ntshav txhaws uas tsim nyob rau hauv cov hlab ntsha uas txuas mus rau lub hlwb.

Tsis txhob txhawj, tej yam no tsuas tshwm sim yog tias koj tsis kho lawv. Yog vim li ntawd nws thiaj li tseem ceeb heev uas yuav tsum mus ntsib kws kho hniav sai li sai tau thaum koj muaj teeb meem hniav.

Cov hniav pulp ua los ntawm dab tsi?

Cov hniav yog ib qho pob zoo li jelly. Sab hauv nws, nrog rau cov ntaub so ntswg sib txuas, muaj cov hauv qab no:

• Cov hlab ntsha
• Cov hlab ntsha
• Odontoblasts - cov hlwb uas tsim cov dentin
• Fibroblasts - cov hlwb uas ua cov ntaub so ntswg sib txuas
• Histiocytes - ib hom hlwb tiv thaiv kab mob
• Macrophages - cov hlwb uas "noj" cov kab mob thiab pov tseg
• Mast cells - cov hlwb uas koom nrog kev ua xua thiab o
• Cov hlwb ntshav - cov hlwb uas tsim cov tshuaj tiv thaiv kab mob

Cov hniav no nyob hauv ib lub qhov hauv cov hniav. Peb hu lub qhov no ua lub qhov pulp . Muaj peb qhov tseem ceeb rau lub qhov no:

• Chav Pulp: Qhov no yog qhov tseem ceeb sab saud ntawm cov hniav sab hauv lub kaus mom (qhov saum toj ntawm cov pos hniav).
• Cov Pob Ntseg Hniav : Cov no yog cov pob me me uas nthuav tawm los ntawm lub qhov (pulp chamber) mus rau qhov chaw zom hniav.
• Cov kwj deg radicular : Cov no yog cov kwj deg uas txuas ntxiv los ntawm lub pulp chamber mus rau hauv paus hniav, mus txog rau hauv paus apex (tip).

Cov hniav pulp zoo li cas?

Feem ntau cov hniav uas noj qab nyob zoo muaj xim liab-liab. Nws kuj zoo li hniav.

Cov mob dab tsi uas feem ntau cuam tshuam rau cov hniav?

Muaj ntau yam mob sib txawv uas cuam tshuam rau cov pos hniav. Cov mob tseem ceeb yog:

• Mob pulpitis
• Kev puas tsuaj ntawm cov nqaij ntawm lub cev
• Kev ua kom cov hniav tawv tawv

Tam sim no cia peb saib txhua yam no kom meej me ntsis.

Mob pulpitis

Mob pulpitisKab mob pulpitis yog qhov o lossis o ntawm cov hniav. Qhov no tshwm sim thaum cov kab mob, xws li cov kab mob, nkag mus rau hauv cov txheej dentin thiab nkag mus rau hauv cov hniav. Thaum qhov no tshwm sim, nws feem ntau ua rau tsis xis nyob thiab mob hauv cov hniav. Qee zaum, qhov mob no tuaj yeem kav ntev.

Kab mob pulpitis tuaj yeem kho tau (reversible pulpitis) lossis tsis kho tau (irreversible pulpitis) . Kab mob pulpitis kho tau yog ib qho mob me me uas yuav zoo dua yog tias kho tau zoo dua. Kab mob pulpitis kho tsis tau yog ib qho mob hnyav uas yuav tsis zoo dua yog tias kho tsis tau zoo dua. Qhov mob hnyav no tuaj yeem ua rau cov hniav tuag, uas hu ua pulp necrosis .

Kev puas tsuaj ntawm cov nqaij ntawm lub cev

Kev tuag ntawm cov hniav yog kev tuag ntawm cov hniav. Tom qab cov hniav tuag lawm, koj yuav tsis hnov ​​​​​​mob lossis tsis xis nyob lawm. Txawm tias koj xav tias, "Auj, zoo, tam sim no nws tsis mob lawm," qhov teeb meem tseem tsis tau xaus.

Yog tias tsis kho, cov pulp necrosis tuaj yeem ua rau muaj kua qaub sib sau ua ke sab hauv thiab ib puag ncig cov hniav. Qhov no hu ua mob hniav abscess . Hom kab mob no tuaj yeem kis mus rau lwm qhov ntawm lub qhov ncauj thiab lub cev. Yog li ntawd, nws tsis yog lub tswv yim zoo kom tos kom txog thaum qhov mob ploj mus.

Kev ua kom cov hniav tawv tawv

Muaj ib txhia neeg tuaj yeem muaj cov calcium uas nyob hauv lawv cov hniav, zoo li cov limescale hauv cov kav dej. Cov ua rau qhov no yog kev laus thiab kev raug mob hniav.

Tab sis muaj tej yam tsis tshua muaj, tej yam mob nkeeg kuj ua rau muaj kev pheej hmoo ntawm cov calcium uas nyob hauv cov hniav. Piv txwv li, qee yam yog:

• Kab mob raum
• Kab mob plawv
• Kab mob Paget ntawm pob txha
• Hyperparathyroidism - kev ua haujlwm ntau ntxiv ntawm cov qog parathyroid
• Dentin Dysplasia - ib qho kab mob caj ces uas cuam tshuam rau cov hniav
• Mob pob qij txha
• Dentinogenesis Imperfecta - ib qho kab mob uas cuam tshuam rau kev loj hlob ntawm cov hniav

Feem ntau, cov calcium uas tso rau hauv cov hniav tsis tas yuav kho tshwj xeeb. Txawm li cas los xij, yog tias cov hniav uas muaj cov calcium no kis tau kab mob, kev kho mob hauv paus hniav yuav tsum tau ua kom cawm tau cov hniav.

Cov kws kho hniav kuaj xyuas seb cov hniav puas noj qab haus huv li cas?

Cov kws kho hniav ua ntau yam kev kuaj xyuas seb koj cov pos hniav puas noj qab nyob zoo lossis tsis noj qab nyob zoo. Cov kev kuaj tseem ceeb yog:

Kev Ntsuas Cov Nqaij Npuas

Kev kuaj cov hniav yog ib txoj kev kuaj uas siv qhov kub txias los xyuas seb koj cov hniav puas noj qab haus huv. Hauv txoj kev kuaj no, koj tus kws kho hniav muab ib yam khoom txias tso rau ntau qhov chaw hauv koj lub qhov ncauj. Tom qab ntawd lawv hais kom koj ntsuas qhov mob ntawm qhov ntsuas ntawm 1 txog 10. Lawv kuj ntsuas seb nws siv sijhawm ntev npaum li cas rau qhov tsis xis nyob pib thiab nws siv sijhawm ntev npaum li cas rau nws ploj mus.

Cov duab X-ray ntawm cov hniav

Ntxiv rau qhov kev kuaj xyuas cov pulp, koj tus kws kho hniav yuav thaij duab X-ray ntawm koj cov hniav. Cov duab X-ray no tuaj yeem pab txiav txim siab seb qhov kab mob puas tau kis mus rau lwm qhov chaw.

Cov kev kho mob uas feem ntau siv rau cov kab mob ntawm cov hniav yog dab tsi?

Muaj ntau txoj kev tseem ceeb uas siv los kho cov teeb meem ntawm cov pos hniav:

• Kev phais lub ntsws
• Kev phais tshem cov hlwb ntawm lub cev
• Kev Kho Mob Hauv Paus

Txawm hais tias feem ntau ntawm cov kev kho mob no yog ua los ntawm cov kws kho hniav dav dav, qee zaum koj yuav raug xa mus rau tus kws kho mob endodontist , tus kws kho mob uas tshwj xeeb hauv kev txuag cov hniav.

Kev phais lub ntsws

Kev phais mob pulpotomy yog ib qho kev kho mob uas ua rau ntawm ib tug hniav uas tseem "muaj sia nyob." Qhov no txhais tau tias koj tseem muaj kev xav hauv cov hniav, thiab cov pulp tseem tsis tuag.

Hauv kev kho mob no, tus kws kho hniav lossis tus kws kho qhov txhab hniav tsuas yog tshem tawm cov nqaij lwj hauv lub kaus hniav (qhov saum toj ntawm cov pos hniav). Qhov me me hauv cov hauv paus hniav tseem zoo li qub. Tom qab ntawd, cov hniav raug muab tshuaj tshwj xeeb los tiv thaiv nws thiab txo qhov kev pheej hmoo ntawm kev rov kis kab mob.

Feem ntau pulpotomy ua rau cov hniav menyuam, tab sis qee zaum nws kuj tuaj yeem pab cawm cov hniav tas mus li.

Kev phais tshem cov hlwb ntawm lub cev

Kev phais tshem cov hniav cuav yog kev tshem tag nrho cov hniav cuav tawm ntawm cov hniav, suav nrog cov hauv paus hniav. Tom qab ntawd tus kws kho hniav yuav ntxuav thiab tua kab mob hauv chav hniav cuav thiab cov cag hniav kom huv si. Thaum kawg, cov qhov hniav yuav raug muab cov khoom uas nqus tau los ntim rau hauv.

Kev phais tshem cov hniav hauv lub hlwb kuj feem ntau ua rau cov hniav menyuam. Rau cov neeg laus, kev phais tshem cov hniav hauv lub hlwb yog thawj kauj ruam hauv kev kho cov hauv paus hniav .

Kev Kho Mob Hauv Paus

Kev kho mob hauv paus hniav zoo ib yam li kev phais tshem cov hniav cuav. Hauv ob qho tib si, cov hniav cuav raug tshem tawm. Txawm li cas los xij, hauv kev phais tshem cov hniav cuav, tus kws kho hniav lossis tus kws kho mob endodontist yuav ntxuav, kho kom zoo nkauj, thiab sau cov hniav cuav hauv cov hauv paus hniav kom huv si. Feem ntau, kuj tseem muaj lub kaus mom hniav los tiv thaiv cov hniav.

Yog tias kev kho mob tsis tuaj yeem cawm tau tus hniav yuav ua li cas?

Cov kws kho hniav siv cov kev kho mob xws li pulpotomy, pulpectomy, thiab kev kho mob hauv paus hniav kom cawm koj cov hniav ntuj kom tsis txhob muaj kab mob. Txawm li cas los xij, yog tias cov hniav lwj lossis puas tsuaj loj heev, koj tus kws kho hniav yuav tsum rho cov hniav tawm. Yog tias xav tau rho ib tug hniav tawm, koj tus kws kho hniav yuav nrog koj tham txog lwm txoj hauv kev, xws li choj hniav lossis cog hniav .

Yuav ua li cas kom cov hniav noj qab nyob zoo?

Txoj kev zoo tshaj plaws los ua kom koj cov hniav noj qab haus huv yog ua raws li kev coj ua zoo ntawm kev tu cev qhov ncauj:

• Txhuam koj cov hniav tsawg kawg yog ob zaug hauv ib hnub nrog txhuam hniav mos mos thiab tshuaj txhuam hniav uas muaj fluoride.
• Ntxuav cov hniav ntawm koj cov hniav tsawg kawg ib zaug ib hnub nrog cov xov paj hniav ib txwm muaj, cov pas ntoo hniav , lossis cov txhuam hniav interproximal .
• Mus ntsib kws kho hniav tsis tu ncua kom kuaj xyuas thiab ntxuav koj cov hniav.
• Yog koj zom koj cov hniav thaum hmo ntuj, siv lub cuab yeej tiv thaiv qhov ncauj .
• Haus dej ntau.

Cov hniav puas rov qab loj hlob dua?

Ntawm chav kawm, cov nqaij ntawm cov hniav tsis rov qab loj hlob. Qhov no txhais tau tias yog koj tus kws kho hniav tshem cov nqaij ntawm cov hniav thaum lub sijhawm kho cov hauv paus hniav, nws yuav tsis loj hlob dua. Hloov chaw, qhov chaw hauv cov hniav yuav puv nrog cov khoom siv txhaws hniav.

Tam sim no, cov kws tshawb fawb tab tom tshawb nrhiav seb lawv puas tuaj yeem rov cog cov hniav hauv cov kua qaub los ntawm kev siv cov hlwb noob hu ua cov hlwb noob hniav hauv cov kua qaub . Yog tias ua tiav, cov kws kho hniav yuav muaj peev xwm rov cog cov kua qaub tshiab hauv cov hniav uas muaj kab mob yav tom ntej.

Puas yog ib tug hniav "nyob" tau yam tsis muaj cov hauv paus hniav?

Thaum ib tug hniav poob nws cov ntshav, nws "tuag." Qhov no tuaj yeem tshwm sim ntuj tsim vim muaj kev kis kab mob, lossis nws tuaj yeem tshwm sim thaum tus kws kho mob tshem cov pulp thaum lub sijhawm kho cov hauv paus hniav.

Ib tug hniav tsis tuaj yeem "nyob" yog tsis muaj cov hauv paus hniav - tab sis nws tuaj yeem ua haujlwm tau zoo li yav dhau los.

Qhov ntawd txhais tau tias, txawm tias cov hniav poob qhov kev xav los xij, koj tseem siv tau nws los noj mov thiab luag nyav.

Nqa cov lus mus tsev

Yog li, qhov tseem ceeb tshaj plaws uas yuav tsum nco ntsoov los ntawm qhov peb tau tham txog hnub no yog tias cov hniav yog ib feem tseem ceeb heev ntawm koj cov hniav uas ua rau nws "muaj sia nyob." Nws muaj cov hlab ntsha, cov hlab ntsha, thiab ntau lub hlwb uas pab kom cov hniav noj qab haus huv. Qee zaum, cov hniav tuaj yeem kis kab mob vim yog qhov khoob lossis lwm yam kev puas tsuaj. Yog tias koj tau txais kev kho mob sai, koj tuaj yeem tua cov kab mob thiab tiv thaiv kev kis kab mob. Txhawm rau txo koj qhov kev pheej hmoo ntawm cov kab mob ntsig txog cov hniav, mus ntsib koj tus kws kho hniav tsis tu ncua thiab xyaum ua kom huv si hauv tsev. Tom qab ntawd koj tuaj yeem muaj lub ntsej muag luag ntxhi zoo nkauj thiab noj qab haus huv!

` Cov hniav hauv cov hlab ntsha, Kev noj qab haus huv ntawm cov hniav, Mob ntsws hauv cov hlab ntsha, Cov hauv paus hniav, Mob hniav, Kev noj qab haus huv ntawm qhov ncauj