Koj puas tau muaj mob hniav uas tsis tuaj yeem ua tau? Tej zaum koj tau hnov lub hluav taws xob poob thaum koj haus dej txias lossis noj ib yam dab tsi qab zib. Peb feem ntau xav tias qhov mob hniav no yog los ntawm qhov chaw. Qhov ntawd yog qhov tseeb, tab sis muaj qhov laj thawj tob dua rau nws. Qhov laj thawj tseem ceeb rau qhov no yog kev puas tsuaj rau ib feem tseem ceeb ntawm peb cov hniav, 'cov hniav pulp'. Hnub no, peb yuav tham txog qhov tseem ceeb tshaj plaws ntawm ib tug hniav, uas zoo li cov ntshav ntawm ib tug hniav.
Lub pulp ntawm ib tug hniav yog dab tsi tiag?
Hais yooj yim xwb, cov pulp yog lub plawv ntawm cov hniav. Qhov no yog qhov uas ua rau koj cov hniav "muaj sia." Nws yog cov nqaij mos mos, zoo li jelly hauv cov hniav. Sab hauv, muaj cov hlab ntsha uas muab kev xav rau cov hniav, cov hlab ntsha uas muab kev noj qab haus huv rau cov hniav, cov hlwb tshwj xeeb, thiab ntau cov nqaij sib txuas.
Xav txog tias peb cov hniav zoo li txiv maj phaub.
- Cov pob txha tawv nyob rau sab saum toj - qhov ntawd yog cov hniav enamel.
- Cov pulp hauv qab nws yog ib feem ntawm cov hniav hu ua dentin.
- Thiab cov dej txiv maj phaub sab hauv - yog lawm, qhov tseem ceeb, qhov tseem ceeb ntawm cov hniav hu ua pulp.
Ob txheej sab nraud no, enamel thiab dentin, ua haujlwm zoo li lub cuab yeej los tiv thaiv cov pulp uas rhiab heev. Tab sis qhov khoob, tawg hauv cov hniav, lossis txawm tias tus cwj pwm ntawm kev sib tsoo koj cov hniav thaum hmo ntuj (bruxism) tuaj yeem ua rau cov txheej tiv thaiv no puas tsuaj thiab nthuav tawm cov pulp. Thaum ntawd cov teeb meem pib.
Cov pulp no muab kev pabcuam dab tsi rau cov hniav?
Cov pulp ntawm cov hniav ua ntau yam haujlwm tseem ceeb rau peb cov hniav. Nws tsis yog tsuas yog ib feem mos xwb.
| Txoj Haujlwm | Hais yooj yim xwb... |
|---|---|
| Kev tiv thaiv los ntawm cov kab mob | Cov qe ntshav dawb hauv cov hniav nrhiav thiab tawm tsam cov kab mob uas nkag mus rau hauv cov hniav, zoo li ib pab tub rog me me hauv cov hniav. |
| Cov txheej txheem rhiab heev | Cov hlab ntsha hauv lub pulp hnov qhov kub, txias, thiab siab. Qhov mob no yog qhov qhia rau koj tias, "Muaj qee yam tsis raug ntawm no, ua tib zoo mloog." |
| Kev tsim cov hniav | Cov dentin, uas yog txheej nruab nrab ntawm cov hniav, yog tsim los ntawm cov pulp no. Nws yog cov dentin uas txhawb nqa cov enamel thiab tiv thaiv cov pulp. |
| Muab kev noj haus zoo | Cov hlab ntsha hauv cov hniav muab cov as-ham uas xav tau los ua kom cov dentin noj qab nyob zoo. |
| Kev khaws cia dej noo | Cov hlab ntsha muab cov dej noo uas tsim nyog rau cov hniav. Qhov no ua rau cov hniav tsis qhuav thiab tawg, thiab ua kom nws ruaj khov. |
Yuav ua li cas yog tias cov hniav pulp raug nthuav tawm?
Nov yog qhov uas peb yuav tsum tau ceev faj heev. Xav txog tias koj muaj ib lub qhov me me hauv koj cov hniav, thiab koj tsis tau ua tib zoo saib xyuas nws. Maj mam, lub qhov no mus tob dua, tho qhov enamel thiab dentin uas muaj zog nyob rau sab saum toj thiab mus txog sab hauv. Tam sim no muaj dab tsi tshwm sim? Cov pulp uas tau khaws cia zoo sab hauv tau raug nthuav tawm.
Cov kab mob hauv koj lub qhov ncauj tam sim no muaj ib tog sib yuav. Lawv mus ncaj qha rau ntawm cov pulp thiab ua rau muaj kev kis kab mob. Cov txheej txheem no tshwm sim zoo li no:
1. Cov kab mob nkag mus rau hauv cov hniav: Cov kab mob nkag mus rau hauv cov hniav los ntawm qhov chaw lossis qhov tawg hauv cov hniav.
2. Mob o ntawm daim tawv nqaij: Daim tawv nqaij yuav o tuaj thaum muaj kab mob nkag mus rau hauv. Qhov no yog qhov peb hu ua '(Pulpitis)'.
3. Mob hniav: Qhov o no tuaj yeem ua rau cov hlab ntsha sab hauv khaus, ua rau koj mob hniav heev.
4. Kev Tuag Ntawm Cov Hniav: Thaum tus kab mob loj zuj zus, cov ntshav uas mus rau cov hniav tsis ntws thiab cov hniav pib tuag. Qhov xav tsis thoob yog, thaum lub sijhawm no, koj qhov mob hniav yuav ploj mus tam sim ntawd. Tab sis qhov ntawd tsis yog ib qho zoo. Nws txhais tau tias cov hlab ntsha sab hauv tuag lawm.
5. Kev kis tus kab mob: Cov nqaij tuag yog qhov chaw zoo rau cov kab mob. Los ntawm qhov ntawd, lawv tuaj yeem mus rau hauv paus hniav thiab kis tus kab mob mus rau lub puab tsaig thiab cov nqaij ib puag ncig. Qhov no yog qhov ua rau muaj qhov txhab hniav.
Thaum cov hniav raug kab mob, nws tsis yog tsuas yog cov hniav xwb. Yog tias tsis kho kom zoo, qhov kab mob tuaj yeem loj hlob mus rau qhov mob hnyav uas tuaj yeem cuam tshuam rau tag nrho lub cev los ntawm cov ntshav.
Yog tias tsis kho, muaj ntau yam mob uas tsis tshua muaj tab sis yuav ua rau tuag taus:
- Kab mob hauv qhov ncauj
- Mob pob txha hauv lub hlwb
- Kab mob hlwb
- Kab mob Sinus (Purulent Sinusitis)
Txawm hais tias cov no yog cov xwm txheej tsis tshua muaj, qhov no qhia peb tias kev kis kab mob hniav tsis yog ib yam dab tsi uas yuav tsum tau saib yooj yim.
Cov kab mob dab tsi uas feem ntau cuam tshuam rau lub pulp?
Pulpitis: kev mob ntawm lub pulp
Qhov no yog qhov o, lossis o, uas tshwm sim thaum cov khoom zoo li cov kab mob nkag mus rau hauv cov hniav. Qhov no ua rau muaj cov tsos mob xws li mob hniav thiab ua rau mob hniav ntau ntxiv. Muaj ob hom '(Pulpitis)'.
- Kab mob Pulpitis uas rov qab kho tau: Qhov no yog ib hom mob me me xwb. Nws kho tau yooj yim los ntawm kev kho mob yooj yim, xws li tshem tawm qhov lwj thiab txhaws hniav. Cov pulp hniav yuav rov qab zoo li qub.
- Kab mob Pulpitis uas kho tsis tau: Qhov no yog ib qho mob o loj heev uas ua rau puas tsuaj loj heev. Nws kho tsis tau nrog kev kho mob. Cov nqaij ntawm daim tawv nqaij tau mus txog qhov uas nws tsis tuaj yeem cawm tau. Qhov mob no thaum kawg ua rau cov nqaij tuag (Pulp Necrosis).
Necrosis ntawm daim tawv nqaij: kev tuag ntawm daim tawv nqaij
Qhov no txhais tau tias cov pulp ntawm cov hniav tuag tag lawm. Thaum qhov no tshwm sim, koj yuav xav tias qhov mob hauv koj cov hniav ploj mus. Tab sis tsis txhob cia li raug dag. Tus kab mob ua haujlwm los ntawm sab hauv. Yog tias tsis kho, qhov no tuaj yeem ua rau cov kua qaub sib sau ua ke ntawm cov hauv paus hniav thiab ua rau muaj qhov txhab.
Kev tso calcium hauv cov hniav (Dental Pulp Calcification)
Muaj ib txhia neeg muaj cov calcium me me uas nyob hauv lawv cov hniav. Cov ua rau qhov no yog kev laus thiab kev raug mob rau cov hniav. Feem ntau, qhov no tsis tas yuav kho. Txawm li cas los xij, yog tias cov hniav uas muaj cov calcium no kis tau kab mob, tej zaum yuav tsum tau kho cov hauv paus hniav kom cawm tau nws.
Tus kws kho mob kuaj xyuas seb lub pulp puas noj qab haus huv li cas?
Koj tus kws kho hniav siv ntau qhov kev kuaj los txiav txim siab qhov xwm txheej ntawm cov pulp.
- Kev Kuaj Hniav: Qhov no suav nrog kev siv cov tshuaj txias rau ib daim paj rwb me me thiab muab tso rau ntawm koj cov hniav. Tom qab ntawd lawv yuav nug koj txog qhov mob uas koj hnov, nws tau mob ntev npaum li cas lawm, thiab nws siv sijhawm ntev npaum li cas kom qhov mob ploj mus kom paub tseeb tias cov hniav puas "muaj sia" lossis "tuag lawm."
- Duab X-ray ntawm cov hniav: Kev kuaj duab X-ray tuaj yeem qhia meej meej qhov tob ntawm cov hniav lwj thiab seb qhov kab mob puas tau kis mus rau hauv paus hniav lossis lub puab tsaig.
Kev kho mob rau kev puas tsuaj ntawm cov pulp yog dab tsi?
Thaum cov hniav lwj, muaj ntau txoj kev kho mob uas siv tau los cawm cov hniav yam tsis tas rho tawm. Cov no yog ua los ntawm cov kws kho hniav dav dav thiab cov kws kho mob endodontists uas tshwj xeeb hauv kev cawm cov hniav.
| Kev Kho Mob | Koj ua li cas rau qhov no? | Leej twg feem ntau ua nws? |
|---|---|---|
| Kev phais lub ntsws | Tsuas yog cov nqaij uas muaj kab mob nyob rau sab saum toj (lub kaus mom) ntawm cov hniav thiaj li raug tshem tawm, nrog rau qhov lwj ntawm cov hniav. Cov nqaij uas noj qab nyob zoo hauv cov hauv paus hniav tseem tshuav. Tom qab ntawd muab cov khoom txhaws rau hauv cov hniav. | Feem ntau siv los kho cov hniav menyuam, tab sis qee zaum siv los cawm cov hniav tas mus li. |
| Kev phais tshem cov hlwb ntawm lub cev | Tag nrho cov pulp sab hauv lub kaus hniav thiab cov hauv paus hniav raug tshem tawm, sab hauv raug ntxuav kom huv si, thiab tom qab ntawd muab ib yam khoom uas lub cev nqus tau rau hauv. | Qhov no feem ntau ua rau cov hniav menyuam. Yog tias muaj cov hniav tas mus li, qhov no yog thawj kauj ruam hauv kev kho cov hauv paus hniav. |
| Kev Kho Mob Hauv Paus | Qhov no zoo ib yam li kev phais tshem cov hniav uas muaj kab mob hauv cov hniav. Tag nrho cov hniav uas muaj kab mob hauv cov hniav raug tshem tawm, lub qhov (canal) sab hauv raug ntxuav kom huv si, ua kom zoo li cov hniav, tua kab mob, thiab muab cov khoom siv tshwj xeeb los txhaws thiab kaw kom ruaj. | Kev kho mob kom cawm tau cov hniav tas mus li (cov hniav laus) uas muaj cov kua hniav uas kis kab mob lossis tuag lawm. Feem ntau, yuav muab lub kaus mom hniav tso rau tom qab kev kho mob no los tiv thaiv cov hniav. |
Hauv qee txoj kevYog tias qhov kev lwj lossis kev puas tsuaj loj heev uas tsis tuaj yeem txuag tau nrog cov kev kho mob no, qhov kev xaiv kawg yog rho hniav tawm. Yog li ntawd, koj tus kws kho mob yuav piav qhia rau koj cov kev xaiv los ua kom tiav qhov sib txawv, xws li choj hniav lossis cog hniav.
Peb yuav ua li cas kom peb cov hniav noj qab nyob zoo?
Txoj kev zoo tshaj plaws los tiv thaiv tag nrho cov teeb meem no yog kev noj qab haus huv ntawm qhov ncauj kom zoo.
- Txhuam koj cov hniav tsawg kawg yog ob zaug hauv ib hnub nrog cov tshuaj txhuam hniav uas muaj fluoride thiab txhuam hniav mos mos.
- Siv cov xov paj ntxuav hniav los yog cov txhuam hniav interdental los ntxuav cov hniav ntawm koj cov hniav tsawg kawg ib zaug ib hnub .
- Mus ntsib kws kho hniav raws sijhawm teem tseg kom kuaj xyuas thiab ntxuav koj cov hniav.
- Yog koj muaj tus cwj pwm zom koj cov hniav thaum hmo ntuj, hnav lub npog qhov ncauj raws li koj tus kws kho mob qhia.
- Haus dej ntau.
Ob lo lus nug uas ntau tus neeg muaj
Cov pulp uas raug tshem tawm puas yuav loj hlob rov qab?
Tsis yog. Ntawm chav kawm, cov pulp tsis loj hlob rov qab tom qab kev kho mob hauv paus hniav. Hloov chaw, tus kws kho mob sau cov qhov khoob nrog ib qho tshwj xeeb filling. Tab sis cov kws tshawb fawb tam sim no tab tom tshawb nrhiav seb puas muaj peev xwm rov qab cog cov pulp siv "cov hlwb ntawm cov hniav." Yog tias ua tiav, nws yuav ua tau kom cog cov pulp tshiab rau hauv cov hniav uas muaj kab mob yav tom ntej.
Puas muaj hniav uas tsis muaj pulp?
Yog. Thaum ib tug hniav poob nws cov ntshav, nws suav tias yog "tuag lawm." Qhov no tuaj yeem tshwm sim ntuj tsim vim yog kev kis kab mob, lossis nws tuaj yeem tshwm sim thaum peb tshem cov pulp thaum lub sijhawm kho cov hauv paus hniav.
Txawm hais tias ib tug hniav uas tsis muaj cov pulp tsis "muaj sia," nws tuaj yeem ua haujlwm li qub yam tsis muaj teeb meem. Qhov ntawd txhais tau tias koj tseem tuaj yeem ua tej yam xws li zom zaub mov nrog nws vim tias cov hauv paus hniav tseem txuas ruaj khov rau lub puab tsaig.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov pulp ntawm cov hniav yog qhov 'txoj sia' thiab 'tseem ceeb' ntawm cov hniav. Nws yog ib qho tseem ceeb heev uas yuav tsum tiv thaiv nws.
- Tsis txhob tsis quav ntsej txawm tias mob hniav me me los yog mob qhov ncauj me ntsis. Nws yog ib qho lus ceeb toom los ntawm koj lub cev.
- Txawm tias cov hniav puas lawm los xij, yog kho sai sai, tus hniav yuav raug cawm dim yam tsis tas yuav rho tawm.
- Kev kho cov hauv paus hniav tsis yog ib yam dab tsi uas yuav tsum ntshai. Nws yog ib qho kev kho mob muaj txiaj ntsig zoo los cawm koj cov hniav ntuj.
- Txoj hauv kev zoo tshaj plaws kom tsis txhob muaj qhov no yog ua raws li kev tu cev qhov ncauj kom huv thiab mus ntsib kws kho hniav raws sijhawm.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus