Kua pāngia koe e te mamae niho nui, ā, kāore e taea te manawanui? Tērā pea ka pāngia koe e te mamae nui i a koe e pā ana ki te niho, e ngaungau ana rānei i tāu kai? He maha ngā wā ka tohu ēnei tohu i tētahi mate kei raro, arā, he whewhe kei te pūtake o te niho. I tēnei rā, e hiahia ana mātou ki te kōrero mō tēnei mate—e mōhiotia ana i roto i te rongoā ko te whewhe periapical —ki Nirogi Lanka.
He aha te Puku Periapical?
He whakarāpopototanga noa iho, he putunga waipara te whewhe periapical e puta mai ana i te pito o te pūtake o tō niho. Me pēhea tēnei e tupu ai? Ka taea e ngā huakita kino i roto i tō waha te tomo ki roto i te niho mā roto i te kōhao, i te kapiti rānei. Mai i reira, ka pangia e rātou te kiko ngohengohe i roto, e mōhiotia ana ko te pulp , ā, ka heke ki te pito o te pūtake me ngā kiko e karapoti ana.
Whakaarohia he turuturu i roto i tō tuanui; ahakoa he kōhao iti noa iho ka taea e te wai te mimiti ki roto, ka pakaru ai ngā pakitara i roto i te wā. Ka taea e te kōhao iti te tuku i ngā huakita ki roto, ka arahi atu ki tētahi raruraru hauora nui atu.
Ki te kore e rongoatia tika, ka horapa pea tēnei mate ki ētahi atu wāhanga o tō tinana, ka arahi pea ki ngā raruraru morearea . Ki te whakapae koe he whēwhe tōu, he mea nui kia rapu tonu koe i te tiaki niho.
Te rerekētanga i waenga i te Periodontal Abscess me te Periapical Abscess
He ngāwari te whakapoauau i ngā mea e rua, engari he rerekētanga kei reira. Ka puta he whēwhe periapical i roto i te niho e tata ana ki te pito o te pakiaka, ko te whēwhe periodontal ia ka puta i roto i te kiko kapia e karapoti ana i te niho. O ngā mea e rua, ko te whēwhe periapical te mea tino kitea.
He aha ngā tohu?
Ahakoa he rerekē ngā tohu, ko ngā tohu tino kitea o te whēwhe periapical ko:
- Mamae nui i te wā e ngaungau ana, e ngau ana rānei: Tērā pea ka rite ki te wero koi i roto i tō niho.
- Te aro ki te wera me te makariri: Ka taea e te inu tī wera, te kai aihikirīmi rānei te whakararuraru nui.
- Te mamae niho e kore e taea te whakamanawanui, te mamae hoki: Koinei te tohu tino kitea, i ētahi wā ka nui rawa te mamae ka whakararuraru i tō moe.
- Mamae e horapa ana: Ka horapa pea te mamae ki tō taringa, kauae, ki tō kaki rānei.
- Te kirika: Tērā pea ka pāngia tō tinana e te kirika i a ia e whawhai ana ki te mate.
- Te manawa kino, te reka kino rānei i roto i te mangai: Nā te rerenga o te pūkahukahu.
- Ngā kōpū waikura pupuhi: Ka pupuhi pea ēnei repe i roto i tō kaki, i raro rānei i tō kauae i te mea e whawhai ana tō tinana ki te mate.
- Pupuhi kanohi: Tērā pea ka pupuhi te taha kua pāngia o tō mata.
- Te uaua ki te manawa, ki te horomi rānei: He tohu kino tēnei. Mēnā ka horapa te mate ki te korokoro, rapua tonutia he awhina hauora ohorere.
I ētahi wā, ka pakaru pea te whewhe, ka heke ohorere te mamae, ka puta he wai kakara kino i roto i tō waha. Kaua e pohehe he whakaora tēnei. Me whiwhi tonu koe i te maimoatanga niho ngaio.
Ahakoa he mamae te nuinga o ngā whewhe, ko ētahi kāore pea e mamae. Mena he kirika tōu, he haunga te manawa, he pupuhi rānei, me toro atu ki te taote niho ahakoa kei te mamae koe.
He aha tēnei ka tupu ai? Ngā take
E ai ki te kōrero, ko te tino take he mate kitakita e uru ana ki te penupenu mā roto i ngā poka, i ngā whati rānei o te niho, ā, ka tae atu ki te pito o te pakiaka me ngā kiko e karapoti ana.
Ko wai kei te mōrearea nui ake?
Ko ngā āhuatanga mōrearea mō te whakawhanake i te whēwhe periapical ko:
- Te koretake o te akuaku o te waha: Mā te kore e parai i ngā niho, te kore rānei e horoi i waenganui i ngā niho ka nui ake te mōrearea o te pirau.
- Waha maroke (Xerostomia): Ko te huware te parepare tūturu o tō waha; ki te iti te rere o te huware, ka ngāwari ake te whakatipu i ngā huakita.
- Kai nui te huka: Ko te huka te wahie mō ngā huakita, ka piki ake te tūponotanga o te pirau niho.
Ka aha mēnā ka waihotia kia kore e rongoatia?
Kaua e whakahawea ki te mamae niho pumau. Ki te kore e tirotirohia, ka arahi pea te whēwhe periapical ki ngā raruraru nui:
- Ka horapa pea te mate ki te kauae.
- Tērā pea ka horapa atu ki ētahi atu wāhanga o tō upoko me tō kaki.
- Ka taea e te mate te uru ki roto i tō toto, ka puta ai te sepsis, he mate morearea e horapa ai te mate puta noa i tō tinana.
Kaua rawa e warewarehia ngā raruraru niho. Kia maumahara kāore te raruraru o tō niho e noho noa i te niho anake; ka pā ki tō tinana katoa.
Me pēhea te tautuhi i tōna mate?
E rua ngā huarahi matua e whakamahia ana e ngā tākuta niho hei tautuhi i te Abscess Periapical:
1. Whakamātautau niho: Ka āta tirohia e tō tākuta niho ō niho me ō kapia. Tērā pea ka pato mārire rātou ki te niho whakapae hei tirotiro mēnā he tairongo ki te pēhanga.
2. Ngā hihi-X niho: Mā te tango hihi-X o te niho pangia, ka taea e tō tākuta niho te whakatau tika i te whānuitanga o te mate me te aromatawai i tetahi kino ki te wheua e karapoti ana i te pūtake niho.
3. Matawai CT niho: I ētahi wā, inā koa kei te āwangawanga kua horapa te mate ki te kaki, ka tono pea tō tākuta niho i tētahi matawai CT (Tomography Rorohiko). Mā tēnei ka puta he tirohanga 3D o tō waha, ka mārama ake ai te kaha o te mate.
He aha ngā kōwhiringa maimoatanga?
Ko te maimoatanga mō te Periapical Abscess e whakawhirinaki ana ki te horapa o te mate. He maha ngā kōwhiringa maimoatanga matua:
- Ngā Paturopi : Tērā pea ka tohua e tō tākuta niho he rongoā paturopi hei āwhina i te aukati i te horapa haere o te mate, me te whakahaere i te mate pūnaha. Heoi, kia mahara kāore e taea e ngā rongoā paturopi anake te whakaora i tēnei mate. Me whiwhi koe i te maimoatanga mō te niho i puta ai te mate.
- Te tapahi me te tango i te wai: I tēnei tikanga, ka tapahia e te tākuta niho he wahi iti ki te wāhi i kohia ai te pūkahukahu hei tango i te wai. Muri iho, ka horoia pai te wāhi ki te wai tote parakore. I ētahi wā, ka waiho pea he waikeri rapa iti ki roto i te tapahi mō ētahi rā kia mau tonu ai te tango i te pūkahukahu e toe ana.
- Te Whakaora i te Pūtake o te Niho: He maha ngā wā, ko te huarahi pai ki te whakaora i te niho ko te Whakaora i te Pūtake o te Niho. Ka hangaia e tō tākuta niho he kōhao iti ki te karauna o te niho, ā, mā te whakamahi i ngā taputapu motuhake, ka tangohia katoatia te penupenu me te waikura kua pangia i roto. Kātahi ka horoia pai te niho, ka patu huakitahia, ā, ka whakakīia ki te rauemi rite ki te rapa e kiia nei ko te gutta-percha. Mā tēnei ka ārai i te niho kei pangia anō. I te nuinga o te wā, ka hiahiatia he karauna niho i muri mai hei tiaki i te niho kua whakahokia mai.
- Te Tango Niho: I ētahi wā, mēnā he kino te mate, ā, kāore e taea te whakaora i te niho, ka tūtohu pea tō tākuta niho kia tangohia te niho. I tēnei wā, ka whakangāwarihia te kiko e karapoti ana i te niho e pāngia ana, ā, ka tangohia marietia te niho. I ētahi wā, ka mahia he hononga wheua niho hei whakaiti i te ngaronga o te wheua i roto i te kauae. I mua i te tangohanga, ka matapakihia e tō tākuta niho ngā kōwhiringa mō te whakakapi i te niho, pērā i ngā piriti niho, ngā tāpiringa niho rānei.
Me pēhea te whakaiti i te mōrearea o te whakawhanaketanga o tēnei mate?
Ahakoa kāore e taea te ārai katoa i te Periapical Abscess, ka taea e koe te mahi i ngā mahi hei whakaiti i tō mōrearea:
- Kia mau ki te akuaku o te waha: Paraia ō niho kia rua ngā wā i te rā, mō ngā meneti e rua, mā te whakamahi i te paraihe niho kei roto he pūhaumāota. Whakamahia he miro niho hei horoi i waenganui i ō niho.
- Inumia he wai kei roto te fluoride: Ka āwhina te fluoride ki te whakapakari i ō niho.
- Whakaitihia ngā kai me ngā inu huka: Mā te whakaiti i te kai i ngā mea reka ka ārai i te pirau o ngā niho .
- Haere ki tō tākuta niho mō ngā tirotiro me ngā horoinga auau: He mea nui kia toro atu koe ki tō tākuta niho i te iti rawa i te kotahi i te tau, i runga rānei i te taunakitanga, kia kitea ai, kia rongoā wawe ai hoki ngā raruraru.
Kia pēhea te roa ka taea e koe te tatari me te kore he maimoatanga?
Kāore he wā tika mō te wā. Mō ētahi, ka kino haere pea te āhua i roto i ētahi wiki, mō ētahi atu ia, ka roa pea ngā marama. Heoi, mā te whakaroa i te maimoatanga ka nui ake te tūponotanga o ngā raruraru morearea pērā i te sepsis. Kaua e whakaroa mēnā kei te pāngia koe e ngā tohu.
Āhea koe me toro atu ki te taote niho?
Ki te whakapae koe kei a koe ngā tohu o te Periapical Abscess, me toro atu ki te taote niho tonu. Mā te maimoatanga wawe ka pai ake te tūponotanga o te whakaora i tō niho, ā, ka whakaiti i te tūponotanga o ngā raruraru.
Āhea koe me haere ki te Tari Mate Urutā?
Mena ka pāngia koe e tētahi o ngā tohu e whai ake nei, haere tonu ki te tari whawhati tata:
- Kirika
- Ngā makariri
- Whakapairuaki , ruaki rānei
- Mamae nui e kore e memeha mā te rongoā
E whakaatu ana ēnei tohu kua kino haere te mate, ā, kua tīmata te pā ki ētahi atu wāhanga o tō tinana.
He aha ngā pātai me pātai atu koe ki tō tākuta niho?
Mena he Periapical Abscess tōu, he mea pai kia pātai atu koe ki tō tākuta niho i ēnei pātai e whai ake nei:
- Kei hea tonu te wāhi o te whēkau?
- Kua horapa te mate? Mena kua horapa, kia pēhea te tawhiti?
- Me whai rongoā paturopi ahau?
- Ka taea te whakaora i taku niho?
- He aha aku kōwhiringa maimoatanga?
- Mena me tango te niho, he aha ngā huarahi hei whakakapi?
Kia pēhea te roa ka puta he whēwhe?
He rerekē te whakautu i ia tangata, i ia tangata. Ka taea e ētahi whewhe te puta i roto i te rā kotahi, i ngā rā e rua rānei. Ko ētahi ka tupu puku mō ngā wiki, mō ngā marama rānei, kāore koe e mōhio. Ki te kite koe i ētahi huringa i roto i tō waha, ki te kore rānei e pai te āhua o tētahi mea, kaua e whakaroa ki te whakarite i tētahi wā hui ki tō tākuta niho.
Ka taea tonu te puta he whēwhe i muri i te pokanga pakiaka?
Āe, tera pea, ahakoa he mea onge noa iho. Ka pā mai anō te mate urutā mēnā ka hoki anō ngā huakita ki roto i te niho i te wā e rongoatia ana, mēnā rānei ka roa te wā i mua i te whakatakotoranga o te karauna ki te niho kua tangohia te pakiaka. Ka taea hoki e te whati pakiaka te arahi ki te mate urutā. Mēnā ka tupu tēnei, ka tūtohu pea tō tākuta niho kia tangohia te pakiaka, kia tangohia rānei. I Nirogi Lanka, ko te hauora o ō niho mō te wā roa te mea nui ki a mātou.
Ka taea e te whewhe niho te whakaputa i ngā tohumate o te sinus?
Āe, ka taea. Mena kei roto i tō kauae o runga te niho pangia ki te taha o muri, kei te tata ōna pakiaka ki ō ihu maxillary. Ka horapa pea te mate o te niho ki roto i ēnei ihu. Koia mātou ka tohutohu atu kia kaua rawa e warewarehia te mamae iti o te niho - me toro atu ki te taote niho i te wā tonu.
Ngā whakaaro whakamutunga
He mate pāwera te whēwhe periapical e karapoti ana i te pūtake o tō niho. Ahakoa he maha ngā wā ka mamae, i ētahi wā karekau he mamae. Ki te whakaaro koe he mate pēnei tōu, he mea nui kia kite tonu koe i te tākuta niho. Mā te maimoatanga wawe ka ārai i te horapa o te mate ki ētahi atu wāhanga o tō waha, o tō tinana rānei. Mēnā he āhuatanga ohorere o te niho, tēnā toro atu ki te tari ohorere o te hōhipera tata. I Nirogi Lanka, e whakapono ana mātou kei roto i ō ringaringa tō hauora!
