Koj puas muaj teeb meem nrog koj lub pob txha puab tsaig? Cia peb tham txog Osteonecrosis of the Jaw (ONJ)!

Koj puas tau muaj mob hauv koj lub qhov ncauj uas tsis zoo tom qab rho hniav lossis phais hniav, ua rau koj lub puab tsaig pom? Los yog koj puas muaj mob thiab o hauv koj lub qhov ncauj tas li, tsis paub meej, tshwj xeeb tshaj yog nyob rau hauv thaj tsam puab tsaig? Qhov no yuav yog ib qho mob uas peb yuav tham txog hnub no hu ua Osteonecrosis of the Jaw (ONJ) , ib qho mob uas tsis tau xav txog tab sis tseem ceeb heev uas yuav tsum paub txog. Tsis txhob txhawj, cia peb tham txog nws yooj yim.

Kab mob onychomycosis ntawm lub puab tsaig (ONJ) ​​no yog dab tsi?

Hais yooj yim xwb, ONJ yog thaum cov hlwb hauv koj lub pob txha puab tsaig tuag . Qhov no yog vim tias pob txha tsis tau txais ntshav txaus. Xav txog nws, txhua qhov ntawm peb lub cev xav tau ntshav kom ciaj sia. Yog li ntawd, yog tias cov ntshav mus rau ib feem ntawm lub pob txha puab tsaig tsis muaj, cov hlwb ntawd yuav maj mam pib tuag. Cov kws kho mob kuj hu qhov mob no ua "osteonecrosis ." "Osteo" txhais tau tias pob txha, thiab "necrosis" txhais tau tias tuag. Qee zaum nws kuj hu ua "avascular necrosis," uas txhais tau tias tuag vim tsis muaj ntshav los ntawm cov hlab ntsha.

Feem ntau tshwm sim yog tias muaj ib qho qhov me me lossis ib lub qhov hauv cov pos hniav, ua rau pom lub puab tsaig. Thaum qhov no raug qhib, cov pob txha pib tuag vim nws tsis muaj ntshav mus los.

Tus mob no feem ntau tshwm sim li cas?

Tus kab mob ONJ yeej tsis tshua muaj. Txawm li cas los xij, nws tuaj yeem pom muaj nyob rau hauv cov neeg uas noj qee hom tshuaj (peb yuav tham txog lawv tom qab) uas siv los ua kom cov pob txha muaj zog ua kev kho mob rau qee hom mob qog noj ntshav (mob qog noj ntshav kis mus rau lwm qhov). Qhov no txhais tau tias kwv yees li ob ntawm txhua 100 tus neeg mob qog noj ntshav uas noj cov tshuaj no muaj feem yuav mob qog noj ntshav. Cov neeg uas tsis muaj mob qog noj ntshav thiab tsis noj cov tshuaj no kuj tuaj yeem mob qog noj ntshav, tab sis nws tsis tshua muaj.

Puas yog ONJ thiab osteomyelitis zoo ib yam?

Ob qho no yog cov mob uas mob uas cuam tshuam rau pob txha caj qaum. Tab sis ONJ thiab osteomyelitis yog ob yam sib txawv. Osteomyelitis yog kev kis kab mob pob txha los ntawm cov kab mob lossis cov pwm. Thaum tus kab mob no mus txog pob txha caj qaum, nws tuaj yeem ua rau muaj cov tsos mob zoo ib yam li ONJ. Txawm li cas los xij, osteomyelitis feem ntau ua rau kub taub hau , thaum ONJ feem ntau tsis ua. Cov kws kho mob tsuas tuaj yeem kuaj mob los ntawm kev kuaj ntshav.

Yog li qhov no puas zoo ib yam li osteoradionecrosis?

Tsis yog, qhov ntawd yog ib zaj dab neeg txawv. Osteoradionecrosis yog ib qho mob uas tuaj yeem tshwm sim rau cov neeg uas tau txais kev kho mob hluav taws xob rau mob qog noj ntshav taub hau lossis caj dab. Kev kho mob hluav taws xob tuaj yeem ua rau cov hlab ntsha uas muab ntshav rau cov pob txha puas tsuaj. Cov pob txha ces tuag yam tsis muaj ntshav. Qhov no yog qhov tseeb tshwj xeeb yog tias koj tau rho hniav tawm tom qab kev kho mob hluav taws xob.

Cov tsos mob ntawm kev tuag ntawm pob txha puab tsaig yog dab tsi?

Yog tias koj nyuam qhuav ua ib yam dab tsi rau koj cov hniav (piv txwv li, rho hniav, txhaws hniav), koj yuav hnov ​​mob rau thaj chaw uas tau ua. Tej zaum ib txhia neeg yuav tsis muaj tsos mob dab tsi thaum xub thawj.

Cov tsos mob ntawm ONJ feem ntau muaj xws li:

• Mob lub puab tsaig
• Cov hniav xoob
• Cov qhov ncauj mob - tshwj xeeb tshaj yog cov uas tsis kho
• Cov kua tawm zoo li kua qaub los ntawm cov pos hniav thiab qhov ncauj
• Cov pos hniav o
• Qee zaum lub puab tsaig raug nthuav tawm los ntawm cov pos hniav (Pob txha nthuav tawm)

Xav txog seb, koj tau rho ib tug hniav tawm, lossis tau phais me me rau ib tug hniav. Tab sis yog tias qhov chaw ntawd tsis tau kho zoo txawm tias tom qab ntau lub lis piam, thiab muaj ib daim pob txha tawm ntawm nws, nws yuav yog ONJ.

Vim li cas onychomycosis ntawm lub puab tsaig (ONJ) ​​tshwm sim?

Feem ntau ONJ tshwm sim tom qab rho hniav, cog hniav, lossis lwm yam kev phais pob txha puab tsaig. Feem ntau, cov nqaij ntawm cov pos hniav yuav tsum kho sai sai thiab npog pob txha. Txawm li cas los xij, hauv ONJ, qhov no tsis tshwm sim thiab pob txha puab tsaig raug nthuav tawm. Tom qab ntawd, cov pob txha uas raug nthuav tawm yuav tsis muaj ntshav ntws, thiab cov hlwb pob txha pib tuag.

Txawm li cas los xij, tsis tshua muaj, ONJ tuaj yeem tsim tau yam tsis muaj laj thawj pom tseeb.

Leej twg muaj feem yuav mob ONJ ntau dua?

Txawm hais tias leej twg los xij tuaj yeem mob ONJ, qee tus neeg muaj feem yuav mob ntau dua.

• Bisphosphonates: Cov no yog ib hom tshuaj uas muab rau kom qeeb qeeb kev poob pob txha thiab ua kom pob txha muaj zog. Cov neeg uas noj bisphosphonates intravenously (IV) los txo cov pob txha puas tsuaj los ntawm mob qog nqaij hlav metastatic thiab tiv thaiv pob txha tawg muaj kev pheej hmoo siab dua. Cov kev tshawb fawb tau qhia tias cov neeg uas noj bisphosphonates noj rau cov mob xws li osteoporosis muaj kev pheej hmoo tsawg dua.
• Muaj hnub nyoog tshaj 65 xyoo.
• Kev kho mob siv tshuaj kho mob qog noj ntshav.
• Muaj mob ntshav qab zib (Diabetes Mellitus).
• Lub ntsej muag tawg lossis raug mob.
• Kab mob periodontal, tshwj xeeb tshaj yog periodontitis hnyav.
• Kev siv tshuaj corticosteroids ntev.
• Qee cov kab mob viral, xws li shingles.
• Haus luam yeeb.
• Hnav cov hniav cuav (tshwj xeeb tshaj yog cov uas tsis haum zoo).

Yuav kuaj mob ONJ no li cas?

Koj tus kws kho hniav lossis kws phais qhov ncauj yuav xav tias muaj ONJ vim koj cov tsos mob.Qhov tseem ceeb tshaj plaws yog mus ntsib kws kho hniav sai li sai tau thaum koj xav tias koj muaj teeb meem, tshwj xeeb yog tias koj muaj cov yam txaus ntshai uas tau hais los saum toj no.

Yog tias lub pob txha puab tsaig tau raug nthuav tawm ntau tshaj 8 lub lis piam, nws yog ib qho cim tseem ceeb ntawm ONJ. Thaum koj kuaj pom thiab kho sai npaum li cas, koj yuav muaj feem ntau dua los cawm koj lub pob txha puab tsaig thiab cov hniav.

Cov theem ntawm tus kab mob ONJ yog dab tsi?

Kab mob ONJ muaj plaub theem (0 txog 3). Theem 0 yog theem tsis hnyav heev, thiab theem 3 yog theem hnyav tshaj plaws. Koj tus kws kho mob yuav qhia rau koj paub tias koj muaj theem twg thaum koj kuaj pom tias muaj kab mob no.

• Theem 0: Koj tab tom noj cov tshuaj bisphosphonates hauv cov hlab ntsha, mob lub puab tsaig, tab sis tsis pom pob txha ntawm lub puab tsaig. Tsis muaj lwm yam tsos mob ntawm ONJ. Nyob rau theem no, koj cov tsos mob yuav yog los ntawm lwm yam kab mob ntawm cov pos hniav, xws li periodontitis .
• Theem 1: Lub puab tsaig raug nthuav tawm, tab sis tsis muaj mob lossis lwm yam tsos mob.
• Theem 2: Lub puab tsaig tau nthuav tawm, thiab muaj cov cim qhia tias mob, cov pos hniav o, thiab muaj kab mob.
• Theem 3: Tag nrho cov tsos mob ntawm theem 2 muaj, ntxiv rau kev tuag ntawm pob txha tau kis mus rau cov sinuses thiab lwm qhov ntawm lub ntsej muag.

Yuav kho tus mob ONJ no li cas?

Cov kws phais qhov ncauj thiab cov kws kho hniav prosthodontists kho ONJ, uas tshwj xeeb hauv cov teeb meem hniav thiab lub puab tsaig nyuaj. Cov kev xaiv kho mob sib txawv nyob ntawm theem ntawm tus kab mob.

Kev Kho Mob Rau Theem 0

Thaum lub sijhawm no, tus kws kho mob saib xyuas cov tsos mob thiab pab tswj lawv.

• Cov tshuaj tua kab mob
• Tshuaj tua kab mob hauv qhov ncauj
• Cov tshuaj mob

Kev Kho Mob Rau Theem 1

Ntawm no, tus kws kho mob yuav khawb cov pob txha tuag uas raug nthuav tawm. Qhov no hu ua "debridement." Qhov no tiv thaiv kev tuag ntxiv ntawm cov pob txha thiab pab kom cov pos hniav zoo dua ntawm cov pob txha. Tom qab ntawd koj yuav tau txais tshuaj tua kab mob, tshuaj tua kab mob, thiab tshuaj ntxuav qhov ncauj tshwj xeeb.

Kev Kho Mob Rau Theem 2 thiab Theem 3

Nyob rau theem no, yuav tsum tau phais kom tshem tawm cov pob txha puab tsaig tuag thiab cov hniav uas txuas rau nws. Qee cov nqaij noj qab haus huv kuj raug tshem tawm kom paub tseeb tias tsis muaj cov hlwb mob nyob. Nyob rau theem 3, yuav tsum tau phais cais kom tshem tawm cov pob txha tuag uas tau kis mus rau qhov ntswg. Tom qab phais, koj yuav tsum siv cov tshuaj ntxuav qhov ncauj tshwj xeeb, tshuaj tua kab mob, thiab tshuaj tua kab mob.

Peb puas tuaj yeem tiv thaiv peb tus kheej ntawm ONJ?

Yog, qee yam nws ua tau.

• Tswj kom muaj kev noj qab haus huv ntawm qhov ncauj: Txhuam hniav, siv xov txhuam hniav, thiab siv xov txhuam hniav txhua hnub.Nws yog ib qho tseem ceeb heev uas yuav tsum mus kuaj hniav tas mus li.
• Yog koj muaj kab mob ntawm cov pos hniav, kho kom zoo.
• Qhov tseem ceeb tshaj plaws: Yog tias koj noj tshuaj tiv thaiv kev nqus hniav (piv txwv li bisphosphonates), nco ntsoov qhia rau koj tus kws kho hniav. Nws tuaj yeem xaiv cov kev kho mob uas tsis ua rau mob rau koj cov teeb meem hniav. Piv txwv li, yog tias koj xav tau rho hniav tawm, nws yog qhov zoo dua los kho cov hauv paus hniav .

Nco ntsoov, qhia rau koj tus kws kho hniav txog cov tshuaj uas koj noj tuaj yeem txo qhov kev pheej hmoo ntawm ONJ.

Yav tom ntej yuav zoo li cas rau ib tus neeg uas muaj ONJ?

Kev kuaj mob thiab kev kho mob thaum ntxov tuaj yeem pab tiv thaiv ONJ kom tsis txhob hnyav zuj zus thiab khaws cov pob txha puab tsaig. Thaum ntxov, ntau tus neeg rov zoo los ntawm kev kho mob tsis tas phais. Txawm li cas los xij, yog tias tus kab mob hnyav zuj zus, nws tuaj yeem ua rau poob pob txha puab tsaig thiab cov hniav.

Thaum twg koj yuav tsum mus ntsib kws kho mob?

Yog koj muaj ib qho ntawm cov tsos mob no, mus ntsib kws kho mob, tshwj xeeb yog kws kho hniav, tam sim ntawd:

• Los ntshav, liab, lossis o ntawm cov pos hniav.
• Nyuaj nqos zaub mov.
• Mob puab tsaig.
• Cov hniav xoob.

Koj yuav tsum nug koj tus kws kho mob li cas?

Koj tuaj yeem nug cov lus nug ntawm tus kws kho mob zoo li no:

• Kuv ua tau dab tsi los tiv thaiv kuv tus kheej ntawm ONJ?
• Kuv yuav tsum tau ntxuav kuv cov hniav ntau npaum li cas?
• Vim li cas kuv thiaj li muaj ONJ?
• Kuv nyob rau theem twg ntawm ONJ?
• Kuv puas yuav tsum tau phais?

Thaum kawg, tej yam uas yuav tsum nco ntsoov ...

Kev poob hniav thiab pob txha puab tsaig yog ib qho txaus ntshai heev. Tab sis yog tias koj muaj feem yuav mob ONJ vim yog kev kho mob qog noj ntshav lossis lwm yam, nws yog ib qho tseem ceeb uas yuav tsum nrog ib tus kws kho hniav uas koj ntseeg siab ua haujlwm. Koj tus kws kho hniav tuaj yeem qhia koj yuav ua li cas kom huv si hauv qhov ncauj hauv tsev. Lawv kuj tuaj yeem kho cov teeb meem hniav thiab cov pos hniav yam tsis ua rau koj muaj feem yuav mob ONJ ntau ntxiv.

Yog tias koj muaj tej yam tsos mob txawv txawv xws li mob lub puab tsaig, hniav xoob, noj mov tsis tau, hais lus tsis tau, lossis nqos tsis tau, mus ntsib kws kho hniav tam sim ntawd. Ua sai sai yuav pab tau koj cov hniav, pob txha, thiab cov pos hniav.

Kev tuag ntawm pob txha ntawm lub puab tsaig, ONJ, mob lub puab tsaig, teeb meem hniav, kab mob ntawm cov pos hniav, bisphosphonates, kev kho mob qog noj ntshav