Ha hring i nei tawh em? Periapical abscess chungchang hi han sawi ila!

Ha na tak, tuar thei tawh lo khawpa na i nei tawh em? A nih loh leh i ha i khawih emaw, chaw i ei emaw hian natna i nei em? A chang chuan ha bul ah natna hrik a awm chuan hetiang hi a thleng thin a, chu chu ha hring ang mai a ni. Vawiin hian chutiang dinhmun chu kan sawi dawn a, ha zungpuiah chuan pus-filled abscess, medically chuan `` periapical abscess '' an ti a ni.

He Periapical Abscess hi eng nge ni?

A awlsam zawngin sawi ila, periapical abscess chu i ha zung vel a lo awm , pus-a khat sac te tak te a ni. Hetiang thil hi engtin nge a lo awm tih i hria em? Kan ka chhunga bacteria tha lo te chu ha chhungah hian cavity emaw crack emaw hmangin ha chhungah an lut thin. Chumi hnuah chuan ha chhunga tissue nem tak , pulp . He natna hi zawi zawiin ha zung thlengin a darh a, chumi hnuah ha chhehvel tissue-ah a darh leh thin.

Ngaihtuah teh, kan in chung lamah khur a awm chuan tui a luang lut ang a, bangte chu a hnim ang. Ha hrual tê tê pawh hian bacteria a luhchilh a, harsatna lian tak a thlen thei a ni.

Enkawl loh chuan he natna hi i taksa hmun dangah a darh thei a, a châng chuan natna khirh tak, nunna atana hlauhawm tak a thlen thei bawk . Chuvangin hetiang hian abscess i nei nia i hriat chuan damdawi lam thurawn lak nghal a pawimawh.

Periodontal abscess leh periapical abscess inthlauhna

Tunah chuan heng pahnih hi a inang vek niin i ngai mai thei, a dik em? A danglamna tlem a awm. Ha chhungah `(Periapical Abscess)` a lo awm a, ha zungpuiah a lo awm a. Mahse ha chhungah hian `(Periodontal Abscess)` a lo awm thin. Heng pahnih zingah hian a chi khat ber chu `(Periapical Abscess)` a ni a, chu chu ha bul atanga lo piang a ni.

Hei hi eng symptoms nge ni?

``Periapical Abscess`` chhinchhiahna hi mi hrang hrangah a inang lo thei a, mahse a lan chhuah dan tlangpui thenkhat a awm a:

• Chaw ei lai emaw, ha i hrual lai emawa natna: A chhungril atanga mi pakhatin a seh che ang maiin a lang thei.
• Ha hring emaw, khaw lum leh lum avanga natna:Ice cream chi khat ei emaw, tea lum in emaw pawhin ha natna a tizual thei.
• Ha natna tuar theih loh, na tak, na tak: Hei hi mi tam takin an tawn ber a ni. A chang chuan a natna hi a na lutuk a, zanah pawh i muhil thei lo.
• Natna beng, kawr emaw, hmuiah emaw a darh: Ha chauh ni lovin, he natna hi a chhehvelah pawh a darh thei a ni.
• Khawsik: Taksaah natna hrik a awm avangin khawsik i nei thei.
• Thâwk rimchhia (Halitosis) emaw, ka chhunga thlum lo emaw: Pus hian ka thlum a tidanglam thei a, rimchhia a siam thei bawk.
• Kawr emaw, kawr hnuai emawa lymph node hring: Hengte hi taksain natna a do hunah a hring thei.
• Facial swelling : Infection a darh chuan hmai a natna lam chu a hring thei.
• Thâwk harsa emaw, ei harsa emaw : Hei hi a lan chhuah dan pawi zawk a ni. Hei hi natna hrik chu rilruah a darh chuan a thleng thei a ni . Hetiang a nih chuan damdawi in pan nghal tur a ni.

A chang chuan he abscess hi a puak nghal thei bawk. Chutiang a nih chuan rang takin natna i nei tlem thei a, i kaah pawh thlum tha lo tak i nei thei bawk. Mahse chu chuan hri kai chu a bo tawh tihna erawh a ni lo. Enkawlna atan ha enkawltu i pan ngei ngei tur a ni.

A tam zawkah chuan Periapical Abscess hian rilru hahna leh natna a thlen thin. Amaherawhchu, mi thenkhat chuan he natna hi engmah hrehawmna awm lovin an nei thei a ni. I natna lan chhuah dan dang, khawsik, thawk tha lo, emaw, a hring emaw i neih chuan ha na lo pawh nise ha enkawltu pan tur a ni.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Sawi tawh angin hei hi a chhan ber chu bacteria infection a ni. Kan ka chhunga bacteria te hi ha pulp-ah hian cavity, crack emaw fracture emaw hmangin an lut thin. Chumi hnuah chuan natna chu ha zung leh a chhehvel tissue-ah a darh ta a ni.

He natna hi tuin nge vei tam zawk?

``Periapical Abscess`` lo awm theihna tur hian risk factor engemaw zat a awm a:

• Kawng leh ha faina \ha lo: Ha sil loh leh ha inkar tihfai loh ang chi thilte hian ha a ti chhe thei a, hetiang natna hrik kai theihna a tipung thei bawk.
• Saliva tlakchham (kawng vawt – `(Xerostomia)`) : Saliva hi kan ka chhunga natural defense system a ni. Saliva a tlem chuan bacteria tan a awlsam zawk.
• Chaw leh in tur thlum tam tak ei tam: Sugar hi bacteria tan chaw tha tak a ni. Sugar ei leh in tam lutuk hian ha a tihchhiat theihna a tipung a ni.

Enkawl loh chuan eng harsatna nge awm thei?

Hei hi mi tam takin an ngaih pawimawh loh thil a ni. Ha natna tenau anga i ngaihthah chuan ``Periapical Abscess'' hian harsatna lian tak a thlen thei a ni.

• Infection hi jawbone-ah a darh thei a ni.
• Chumi hnuah chuan lu leh kawr hmun dangah a darh thei a ni.
• A châng chuan, thisenah a lutin nunna atana hlauhawm tak `Sepsis` tih a thlen thei a, chutah chuan natna chu taksa pum puiah a darh chhuak thei a ni.

Chuvangin, thil tenawm ber pawh ngaihthah suh. Ha harsatna hian ha chauh ni lovin taksa pumpui a nghawng thei tih hre reng ang che.

Engtin nge hei hi i hriat chian?

Ha enkawltu te chuan ``Periapical Abscess'' hriat theihna tur kawng lian pahnih an hmang a:

1. Ha exam: Doctor in i ha leh i hmui te uluk takin a enfiah ang. Ha rinhlelh awm chu zawi zawiin a tap thei a, pressure a sensitive em tih a en thei bawk.

2. Ha X-ray: Ha natna hrik X-ray lak a ni. Hei hian natna hi eng chen nge a darh tawh tih leh ha zung vel a chhiatna eng nge thleng tih chiang takin a tarlang thei a ni.

3. Dental CT scan: A then phei chuan, a bik takin a kawr thlenga hri kai nia rinhlelhna a awm chuan, i doctor chuan CT (Computed Tomography) scan a ti mai thei. Hei hian i hmui chu three-dimensional (3D)-in a hmu thei a, chu chuan natna kai zau zawng chu i hrethiam zawk thei a ni.

Hei hi eng enkawl dan nge ni ang?

`(Periapical Abscess)` enkawl dan chu hri kai a darh tawh danah a innghat a ni. Enkawlna kawng hrang hrang a awm a, chungte chu:

• Antibiotics : I doctor chuan natna darh zel tur tihtawp nan leh i taksaa natna hrik awm dan tur thunun nan antibiotics a pe thei ang. Mahse, antibiotics chauh hian natna chu a tidam vek dawn lo tih hre reng ang che. Tin, natna thlentu ha pawh i enkawl a ngai dawn a ni.
• Incision leh drainage: Hetiang tih danah hian doctor chuan zun a khawlkhawmna hmunah hian incision te tak te a siam a, chu chu a chhuah tir thin. Chumi hnuah chuan sterile saline solution hmangin uluk takin an silfai thin. A châng chuan, rubber tube (drain) te tak te chu incision-ah hian dah theih a ni a, chu chuan ni engemaw zat chhung chu zun la awm zawng zawng chu a chhuah theih nan a ni.
• Root Canal Therapy: A tam zawkah chuan ha chhanchhuah dan tha ber chu root canal neih hi a ni . Hemiah hian ha chung lamah khur te tak te siam a ni a, ha chhunga hri kai pulp leh pus awmte chu paih vek nan hmanraw bik hman a ni. Chumi hnuah chuan ha chu uluk takin an tifai a, hrik an paih a, a zung chu rubber ang chi thil bik Gutta-percha an tih hmangin an khat a ni. Hei hian ha chu a kai leh tawh loh nan a veng a ni. A tam zawkah chuan ha zung (root canal) hnua ha venhimna atan ha chunga khuhna siam, artificial covering dah a ngai bawk.
• Ha lakchhuah: A chang chuan, natna a nasat a, ha chhanchhuah dan tur a awm loh chuan, i doctor chuan ha lakchhuah a rawt mai thei. Chutah chuan ha natna chu uluk takin a chhehvel tissue te chu cut chhuakin an la chhuak thin. A châng chuan ha lak chhuah hnua hmui ruh hloh tihtlem nan ha ruh (dental bone graft) pawh tih theih a ni. Ha lakchhuah hmain i doctor chuan ha thlak dan tur (e.g., dental bridge, dental implants) chungchang a sawipui ang che.

Engtin nge he dinhmun hi tihziaawm theih ang?

Periapical Abscess lo awm tur hi pumpelh vek theih ni lo mah se, a hlauhawmna tihziaawmna tur thil kan tih theih a awm a:

• Oral hygiene habit tha tak zawm rawh: Ni khatah vawi hnih minute hnih tal fluoride awmna toothpaste hmangin ha silfai thin ang che. Ha inkar tihfai nan dental floss hmang ang che.
• Fluoride awmna tui in tur: Fluoride hian ha a tichak a.
• Chaw leh in tur thlum tamna tihtlem: Chaw leh in tur thlum tlem hian ha a tichhe thei a ni .
• Ha enkawltu hnenah check-up leh tihfai tur: Kum khatah vawi khat tal, emaw, doctor-in a rawt hun chhung emawa ha enfiah a pawimawh hle. Hetiang hian harsatna eng pawh chu a intan veleh hriatchhuah leh enkawl theih a ni.

Eng chen nge enkawl lovin i awm theih ang?

Hemi atan hian hun bituk chiah a awm lo. Mi thenkhat tan chuan kar tlemte hnuah a na zual thei a, thenkhat tan chuan thla tam tak a daih thei bawk. Mahse, enkawlna tihkhawtlai hian ``Sepsis'' ang chi harsatna lian tak, nunna atana hlauhawm tak tak a thlen theihna a tipung a ni. Chuvangin, symptoms i neih chuan tihkhawtlai suh.

Engtikah nge ha enkawltu i hmuh ang?

`(Periapical Abscess)` symptom i neih nia i hriat chuan dentist pan nghal rawh. Enkawlna i hmuh hma chuan ha i chhanchhuah theihna chance a sang a, harsatna a thlen theihna a tlem bawk.

Engtikah nge Emergency Treatment Unit (ETU) ah i kal ang ?

A hnuaia symptoms te hi i neih chuan emergency room-ah kal nghal rawh:

• Khawsik
• Khua a vawt leh khur (Chills) .
• Nausea emaw, luak chhuak emaw
• Damdawi ei chung pawha reh ngai lo natna nasa tak

Chungte chu hri kai chu a na hle tawh a, taksa peng dang a nghawng tan tawh tihna a ni.

Doctor hnenah eng zawhna nge i zawh tur?

`(Periapical Abscess)` i neih chuan doctor hnenah heng zawhnate hi zawh a tha ang:

• Khawiah nge `(Periapical Abscess)` ka neih?
• Infection hi a darh tawh em? A nih chuan eng chen nge?
• Antibiotics ka ei a ngai em?
• Ka ha hi chhandam theih a ni em?
• Eng enkawlna kawng nge ka neih?
• Ha lak chhuah a ngai a nih chuan, a thlak dan tur chu engte nge ni?

He abscess hi eng chen nge a lo awm?

He zawhna chhanna hi mi tin a inang lo. Cavities thenkhat chu ni khat emaw ni hnih emaw chhungin a lo awm thei. Mi dangte chu i hriat loh pawhin kar tam tak emaw, thla tam tak emaw chhung chu an lo thanglian thei a ni. I kâah thil danglam tak i hmuh emaw, thil dik lo nia i hriat emaw chuan, rang lovah ha enkawltu pan hmasa phawt ang che.

`(Root Canal)` enkawl hnuah hetiang abscess hi a lo awm thei ang em?

Ni e, a thleng thei. Mahse a tam zawkah chuan a ni lo. Enkawl laiin bacteria hi ha chhungah a lut leh a nih chuan, a nih loh leh root canal hnua crown neih hun rei lutuk a nih chuan a kai leh thei a ni. Root fracture awm pawh nise, a chang chuan a kai leh thei a ni. Chutiang a nih chuan i doctor chuan second root canal emaw extraction emaw a rawt thei ang.

Ha hring hian sinus symptoms a thlen thei em?

Ni e, a thleng thei. I ha natna vei chu i hmui chunglam hnung lamah a awm a nih chuan i hnar sir lehlama boruak (`Maxillary Sinuses`) hnaih ber a ni. Tichuan ha chhunga natna chu chutiang `(Sinus)` cavities-ah pawh a darh thei a ni. Chuvang chuan, ha natna tenau i nei a nih pawhin ngaihthah suh la, a rang thei ang bera doctor pan rawh.

A tawp berah chuan thil hriat reng tur

Periapical abscess chu ha zung vel atanga natna hrik lo awm a ni. A na fo thin a, a chang chuan a na lo thei bawk. Hetiang natna hi i nei nia i hriat chuan ha enkawltu pan nghal a pawimawh. Enkawlna lak hmasak hian i ka leh taksa hmun dangah natna a darh loh nan a pui thei a ni. I hriselna chu i kutah a awm!