I jawbone-ah harsatna i nei em? Osteonecrosis of the Jaw (ONJ) ​​chungchang hi han sawi ila!

Ha lakchhuah emaw, ha zai emaw hnua i hmuiah hliam, a dam lo va, i hmui ruh chu a lang chhuak tawh em? A nih loh leh, i hmuiah, a bik takin i hmui hmunah, sawifiah theih loh khawpa natna leh hliam i nei reng em? Hei hi vawiin a kan sawi tur Osteonecrosis of the Jaw (ONJ) ​​tih hi a ni thei a, chu chu beisei loh deuh mahse hriat a pawimawh hle. Ngaihtuah buai suh, awlsam takin sawi ila.

He onychomycosis of the jaw (ONJ) ​​hi eng nge ni?

A awlsam zawngin, ONJ chu i jawbone chhunga cell te an thih hian a ni . Hei hi ruh hian thisen a hmuh tlem vang a ni. Ngaihtuah teh, kan taksa peng tin hian dam khawchhuah nan thisen a mamawh a ni. Chuvangin jawbone hmun khata thisen supply a tawp chuan chuta cell te chu zawi zawiin an thi tan ang. Doctor-te chuan he natna hi "osteonecrosis " tiin an sawi bawk. "Osteo" tih hian ruh a kawk a, "necrosis" tih hian thihna a kawk bawk. A chang chuan "avascular necrosis" an ti bawk a, chu chu thisen kalna kawng kaltlanga thisen kal theih loh vanga thihna tihna a ni.

A awm tlangpui chu hmuiah hliam te tak te emaw, khur emaw a lo awm a, chu chuan hmui ruh chu a pholang a ni. Hei hi a lan chhuah chuan ruh chu thisen supply a neih loh avangin a thi tan thin.

Hetiang dinhmun hi engtiang chiahin nge a awm?

ONJ hi a takah chuan chutiang chuan a awm lo. Mahse, damdawi chi hrang hrang (a hnuah kan sawi leh ang) cancer chi hrang hrang (metastatic cancer) enkawlna atana ruh tihchakna atana hman thinte zingah hmuh tur a awm. Chumi awmzia chu cancer vei 100 zinga pahnih velin hetiang damdawi ei hian an vei theihna chance an nei tihna a ni. Cancer vei lo leh chutiang damdawi ei lote pawhin an vei thei a, mahse a tlem hle.

ONJ leh osteomyelitis hi thil inang an ni em?

Heng pahnih hi natna khirh tak tak, jawbone tichhe thei an ni. Mahse ONJ leh osteomyelitis hi thil chi hrang hrang pahnih a ni. Osteomyelitis hi ruh natna hi bacteria emaw fungi emaw avanga lo awm a ni. He natna hian jawbone a thlen chuan ONJ ang chi symptoms a nei thei a ni. Mahse, osteomyelitis hian khawsik a thlen fo thin , ONJ erawh chuan a thlen lo tlangpui thung. Doctor-te chuan thisen test hmangin natna hrik an hriat theih chauh a ni.

Chuti a nih chuan hei hi osteoradionecrosis nen a inang em?

Ni lo, chu chu thawnthu dang a ni. Osteoradionecrosis hi lu emaw kawr cancer avanga radiation therapy hmanga enkawl tawhte zingah a lo awm thei a ni. Radiation therapy hian ruh thlenga thisen petu thisen kalna kawngte a tichhe thei a ni. Chumi hnuah chuan ruhte chu thisen tel lovin an thi ta a ni. Hei hi radiation therapy hnua ha lakchhuah tawh i nih chuan a dik hle.

Jaw bone thihna symptoms te chu engte nge ni?

Tun hnaia i ha-ah thil i tihsak a nih chuan (e.g., ha lakchhuah, ha tihfai) a nih chuan, a tihna hmunah hian natna i nei thei a ni. Mi thenkhat chuan a tir lamah symptom an nei lo mai thei.

ONJ natna lan chhuah dan tlangpui chu:

• Jaw na a na
• Ha hring (loose ha) a awm
• Kawng na - a bik takin a dam lo
• Gums leh hmui atanga pus ang maia chhuak
• Gums a hring chhuak
• A chang chuan jawbone hi gums kaltlangin a lang chhuak thin (Exposed bone) .

Ha i la chhuak a, a nih loh leh ha i surgery tenau tak i nei tih han ngaihtuah teh. Mahse kar engemaw zat hnuah pawh a hmun chu a dam tha lo a, ruh chi khat a lo chhuak a nih chuan ONJ a ni thei.

Engvangin nge onychomycosis of the jaw (ONJ) ​​hi a lo awm?

ONJ hi ha lakchhuah, ha dahna emaw, jawbone surgery dang emaw hnuah a awm fo thin. A tlangpuiin gum tissue hi a dam thuai tur a ni a, ruh chu a khuh tur a ni. Mahse, ONJ-ah chuan hetiang hi a thleng lo va, jawbone chu a lang chhuak ta a ni. Tichuan, ruh langsar chu thisen kal theihna a hloh a, ruh cell te chu an thi tan ta a ni.

Mahse, a tlem hle a, ONJ hi a chhan chiang tak awm lovin a lo awm thei a ni.

Tute nge ONJ vei theihna chance sang zawk?

Tu pawhin ONJ vei thei mahse, mi thenkhat chu an hlauhawm zawk.

• Bisphosphonates: Hei hi damdawi chi khat a ni a, ruh tlakchhamna tihziaawmna leh ruh tichaktu damdawi chi khat a ni. Metastatic cancer vanga ruh chhiatna tihziaawmna tur leh ruh ruh tliak loh nan bisphosphonates intravenous (IV) ei thinte chu an hlauhawm zawk. Zirna hrang hrangah chuan osteoporosis ang chi natna atana oral bisphosphonates ei thinte hian an hlauhawmna a hniam zawk tih hmuhchhuah a ni.
• Kum 65 chunglam a nih vang a ni.
• Chemotherapy hmanga enkawl a ni.
• Zunthlum (Diabetes Mellitus) nei.
• Hmai tliak emaw hliam emaw.
• Periodontal natna, a bik takin periodontitis na tak.
• Hun rei tak chhunga corticosteroid hman.
• Viral infection thenkhat, shingles ang chi te.
• Meizial zuk.
• Ha lem vuah (a bik takin a in fit tha lo).

Engtin nge he ONJ condition hi hmuhchhuah a nih?

I dentist emaw oral surgeon emaw chuan i symptoms a zirin ONJ hi a ringhlel thei.A pawimawh ber chu harsatna i neih nia i hriat veleh dentist pan vat hi a ni a, a bik takin a chunga kan sawi tak risk factors i neih chuan.

Kar 8 aia rei jawbone a lo lang tawh chuan ONJ chhinchhiahna pawimawh tak a ni. I natna hmuhchhuah leh enkawl hma chuan i hmui ruh leh ha i chhanchhuah theihna a sang zawk.

ONJ natna hi eng stage nge ni?

ONJ hi stage pali (0 atanga 3) ah then theih a ni. Stage 0 hi a na lo ber a, stage 3 hi a na ber a ni. I doctor chuan i natna hmuhchhuah hunah eng stage nge i neih tih a hrilh ang che.

• Stage 0: Intravenous bisphosphonates i ei a, jaw na i nei a, mahse jaw bone exposed i nei lo. ONJ symptom dang a awm lo. Hetiang dinhmunah hian i symptoms hi gum natna dang, periodontitis .
• Stage 1: Jawbone chu a lang chhuak a, mahse natna leh symptom dang a awm lo.
• Stage 2: Jawbone a lang chhuak a, a natna, hmui a hring, leh natna hrik a awm tih hriat a ni.
• Stage 3: Stage 2-a symptom zawng zawng a awm vek a, chubakah ruh thihna chu sinus leh hmai hmun dangah a darh tawh bawk.

He ONJ condition hi engtin nge enkawl a nih?

ONJ hi oral surgeon leh prosthodontist-te enkawl a ni a, anni hian ha leh jaw condition complex tak takah an specialise a ni. Natna dinhmun a zirin enkawl dan tur a inang lo.

Stage 0 tan enkawlna tur

Hetih lai hian doctor chuan symptoms te chu a enfiah a, control turin a pui bawk.

• Antibiotics damdawi a ni
• Antiseptic hmanga hmui silfai
• Natna tidamtu

Stage 1-na atana enkawl dan

Hetah hian doctor chuan ruh cell thi langsar tak takte chu a hrual chhuak a. Hei hi "debridement" an ti a. Hei hian ruh thih belh zel tur a veng a, ruh chungah gums te chu a dam leh theih nan a pui bawk. Chumi hnuah chuan antibiotics, natna tidamtu leh hmui silna bik pek i ni ang.

Stage 2 leh Stage 3 enkawlna

Hetiang dinhmunah hian operation tih a ngai a, chu chu a hmui ruh thi leh a chhunga ha inzawmte chu lakchhuah a ngai a ni. Tissue hrisel thenkhat pawh lakchhuah a ni a, chu chu natna cell a awm loh nan a ni. Stage 3-ah chuan ruh thi, hnar chhunga darh tawh chu lakchhuah nan operation hran siam theih a ni. Surgery zawhah chuan hmui silna bik, antibiotics, leh painkillers te i hman a ngai dawn a ni.

ONJ lakah hian kan inveng thei ang em?

Ni e, eng emaw chen chu a theih a ni.

• Kawng hriselna tha tak vawng reng rawh: Nitin brush, floss, leh floss te hmang thin ang che .Ha enfiah tura kal chhunzawm zel a pawimawh hle.
• Gum disease i neih chuan uluk takin enkawl tir rawh.
• A pawimawh ber: Anti-resorptive damdawi (e.g. bisphosphonates) i ei a nih chuan i ha enkawltu hnenah hrilh ngei ang che. Chumi hnuah chuan i ha harsatnate tan chuan damdawi invasive lo zawk a thlang thei ang. Entirnan, ha lak chhuah a ngai a nih chuan root canal treatment tih ai chuan a tha zawk.

I damdawi ei tur chungchang i dentist hriattir hian ONJ vei theihna nasa takin a tihziaawm thei tih hre reng ang che.

ONJ vei tan chuan hmalam hun eng nge awm?

A hmaa hriatchhuah leh enkawl hian ONJ a nasat loh nan a pui thei a, jawbone pawh a humhim thei bawk. A tir lamah chuan mi tam tak chu nonsurgical treatment hmangin an dam leh thin. Amaherawhchu, natna a lo nasat phawt chuan, ke ruh leh ha a hloh phah thei a ni.

Engtikah nge doctor i hmuh ang?

Heng symptoms te hi i neih chuan doctor, a bik takin dentist pan nghal rawh:

• Thisen chhuak, a sen emaw, a hring emaw.
• Chaw ei harsa.
• Jaw na a na.
• Ha hring (loose ha) a awm.

I doctor hnenah eng zawhna nge i zawh tur?

Doctor hnenah hetiang zawhna hi i zawt thei ang:

• ONJ laka inven nan eng nge ka tih theih ang?
• Engzat nge ka ha ka tihfai tur?
• Engvangin nge ONJ hi ka lo neih?
• ONJ eng stage-ah nge ka awm?
• Surgery ka mamawh dawn em?

A tawp berah chuan thil hriat reng tur...

Ha leh hmui ruh hloh hi thil hlauhawm tak a ni. Mahse cancer enkawlna emaw thil dang vang emawa ONJ vei theihna i neih chuan ha enkawltu rintlak tak nena thawh dun a pawimawh hle. I ha enkawltu chuan in lama hmui thianghlimna tha tak neih dan tur a zirtir thei che a ni. Ha leh hmui lama harsatna te pawh ONJ vei theihna tipung lovin an enkawl thei bawk.

Thil danglam tak tak, hmui na, ha hrual, ei leh in, thusawi, ei leh in lama harsatna te i neih chuan ha doctor pan nghal rawh. Thil tih thuai hian i ha, ruh leh i hmui venhimna kawngah kawng thui tak a zawh thei a ni.

` Jaw ruh thihna, ONJ, hmui na, ha harsatna, ha natna, bisphosphonates, cancer enkawlna