Kua pāngia koe e te mamae niho kino rawa atu, ā, kāore e taea e koe te manawanui? E mamae ana rānei koe ina pā atu koe ki tō niho, ina ngaungau kai rānei? I ētahi wā ka pā tēnei ina he mate kei te pūtake o te niho, he rite ki te whēwhe. I tēnei rā ka kōrero tātou mō tētahi āhua pēnei, he whēwhe kī tonu i te pūkahukahu kei te pūtake o te niho, e kiia ana i roto i te rongoā he " wēwhe periapical ".
He aha tēnei Puku Periapical?
He māmā noa iho, he pēke iti, kī tonu i te pūhā te whewhe periapical e hanga ana i te taha o te pūtake o tō niho. E mōhio ana koe me pēhea tēnei? Ka uru ngā huakita kino i roto i ō tātou waha ki roto i te niho mā roto i te kōhao, i te kapiti rānei o te niho. Kātahi ka pangia te kiko ngohengohe i roto i te niho, e kiia nei ko te pulp . Ka horapa haere tēnei mate ki te pūtake o te niho, kātahi ki ngā kiko e karapoti ana i te niho.
Whakaarohia, me te mea he kōhao kei te tuanui o tō tātou whare, ka turuturu te wai ki roto, ka mākū ngā pakitara. Ahakoa he kapiti iti noa iho i te niho, ka taea e te huakita te tomo mai, ā, ka puta he raruraru nui.
Ki te kore e rongoatia, ka horapa pea tēnei mate ki ētahi atu wāhanga o tō tinana, ā, ka arahi pea ki ngā mate kino, mōrearea hoki . Nō reira, ki te whakaaro koe he whēwhe pēnei tōu, he mea nui kia rapu tohutohu hauora tonu.
Te rerekētanga i waenga i te abscess periodontal me te abscess periapical
Tērā pea kei te whakaaro koe he rite tonu ēnei e rua, tika? He rerekētanga iti noa iho. Ka puta he `(Periapical Abscess)` i roto i te niho, i te pūtake o te niho. Engari ka puta he `(Periodontal Abscess)` i roto i ngā niho. O ēnei e rua, ko te momo tino noa ko te `(Periapical Abscess)`, e puta ana i te pūtake o te niho.
He aha ngā tohu o tēnei?
He rerekē pea ngā tohu o te "Periapical Abscess" i ia tangata, i ia tangata, engari he maha ngā tohu e kitea whānuitia ana:
- Te mamae i te ngaungau kai, i te kōpiri rānei i ō niho: Tērā pea ka rite ki te ngau a tetahi i roto i a koe.
- Te ngoikore o ngā niho, te mamae rānei i te makariri me te wera:Ahakoa te kai i tētahi wahi aihikirīmi, te inu tī wera rānei, ka kino rawa atu te mamae o ngā niho.
- He mamae niho tino kino, e kore e taea te whakamanawanui: Koinei te tohu matua e pāngia ana e te tini o te tangata. I ētahi wā ka tino kino te mamae, ā, kāore e taea e koe te moe i te pō.
- Te horapa o te mamae ki te taringa, ki te kaki, ki te kauae rānei: Ehara i te mea ko te niho anake te mamae, engari ka horapa hoki tēnei mamae ki ngā wāhi e karapoti ana.
- Kirika: Ka pāngia koe e te kirika nā te mea he mate kei roto i te tinana.
- Te manawa kino (Halitosis) te reka kino rānei i te waha: Ka taea e te pūhā te whakarerekē i te reka o te waha, ā, ka puta he haunga kino.
- Ngā kōpū waikura pupuhi i te kaki, i raro rānei i te kēkē: Ka pupuhi pea ēnei ina whawhai te tinana ki te mate.
- Pupuhi kanohi : Ki te horapa te mate, ka pupuhi pea te taha o te mata e pāngia ana.
- Te uaua ki te manawa, ki te horomi rānei : He tohu kino ake tēnei. Ka pā pea tēnei mēnā ka horapa te mate ki te korokoro . Mēnā ka pā tēnei, me haere tonu koe ki te hōhipera.
I ētahi wā ka pakaru ohorere tēnei whewhe. Mēnā ka puta tēnei, tērā pea ka iti haere te mamae, ka pā mai he reka kino ki tō waha. Engari , ehara i te mea kua kore te mate. Me toro atu koe ki te tākuta niho hei rongoā.
I te nuinga o te wā, ka pāngia e te mamae me te kore whakamarie te puku periapical. Heoi, ka pāngia ētahi tāngata e tēnei mate me te kore mamae. Mena kei a koe ētahi atu tohumate, pērā i te kirika, te manawa haunga, te pupuhi rānei, tirohia te tākuta niho ahakoa kāore he mamae.
He aha tēnei e tupu nei? He aha ngā take?
E ai ki te kōrero i mua ake nei, ko te tino take o tēnei he mate huakita. Ka uru ngā huakita i roto i ō tātou waha ki roto i te pūmua o te niho mā roto i te kōhao, te kapiti, te whati rānei. Kātahi ka horapa te mate ki te pūtake o te niho me ngā kiko e karapoti ana.
Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei mate?
He maha ngā āhuatanga mōrearea ka whai wāhi ki te whanaketanga o te "Periapical Abscess":
- Ko te kore e pai te akuaku o te waha me te niho: Ko ngā mahi pēnei i te kore parai i ō niho me te kore horoi i waenganui i ō niho ka arahi pea ki te pirau o ngā niho me te piki ake o te mōrearea ki te whakawhanake i ngā mate pēnei.
- Te korenga o te huware (waha maroke – `(Xerostomia)`) : He pūnaha ārai taiao te huware i roto i tō tātou waha. Mēnā he iti te huware, ka māmā ake te tipu o ngā huakita.
- Te kai pinepine i ngā kai me ngā inu huka: He kai pai te huka mō ngā huakita. Mā te kai me te inu nui rawa i te huka ka nui ake te tūponotanga o te pirau niho.
He aha ngā raruraru ka puta mai mēnā kāore e rongoatia?
He mea tēnei e kore e arohia e te tini. Ki te kore e arohia he mamae niho noa iho, ka pā mai he raruraru nui ki te "Periapical Abscess".
- Ka horapa pea te mate ki te kauae.
- Kātahi ka horapa ki ētahi atu wāhanga o te upoko me te kaki.
- I ētahi wā, ka uru te mate ki roto i te toto, ka puta he mate morearea e kiia nei ko te 'Sepsis' , ka horapa te mate puta noa i te tinana.
Nō reira, kaua e warewarehia te mea iti rawa. Kia maumahara ko te raruraru niho ka pā ki te niho, ehara i te mea ko te tinana anake.
Me pēhea koe e mōhio ai ki tēnei?
E rua ngā tikanga matua e whakamahia ana e ngā tākuta niho hei tautuhi i te "Periapical Abscess":
1. Whakamātautau niho: Ka āta tirohia e te tākuta ō niho me ō kapia. Tērā pea ka pato mārire ia ki te niho whakapae kia kite ai mēnā he tairongo ki te pēhanga.
2. Ngā hihi-X niho: Ka tangohia he hihi-X o te niho pangia. Mā tēnei ka taea te whakaatu tika i te horapa o te mate me te kino kua pā ki te pūtake o te niho.
3. Matawai CT niho: I ētahi wā, inā koa mēnā kei te whakapaetia kua horapa te mate ki te kaki, ka tono pea tō tākuta i tētahi matawai CT (Tomography Rorohiko). Mā tēnei ka taea te whakarato i tētahi tirohanga toru-ahu (3D) o tō waha, kia pai ake ai tō mārama ki te whānuitanga o te mate.
He aha te rongoā mō tēnei?
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 he paturopi hei aukati i te horapa o te mate, hei whakahaere hoki i te mate i roto i tō tinana. Engari kia maumahara, kāore e taea e ngā paturopi anake te whakaora i te mate. Me rongoā anō hoki e koe te niho i puta ai te mate.
- Te tapahi me te tango wai: I tēnei tikanga, ka tapahia e te tākuta he wahi iti ki te wāhi i kohia ai te pū, ā, ka tangohia te pū. Kātahi ka horoia pai te wāhi ki te wai tote parakore. I ētahi wā, ka whakanohoia he ngongo rapa iti (he waikeri) ki te tapahi kia taea ai e te pū e toe ana te tango wai mō ētahi rā.
- Te Whakaora i te Pūtake o te Niho: I te nuinga o te wā, ko te huarahi pai ki te whakaora i te niho ko te whai i te pūtake o te niho. I roto i tēnei, ka hangaia he kōhao iti ki te tihi o te niho, ā, ka whakamahia he taputapu motuhake hei tango katoa i te penupenu me te waikura kua pangia i roto i te niho. Kātahi ka horoia rawatia te niho, ka patu huakitahia, ā, ka whakakīia te pūtake ki tētahi rauemi motuhake 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 hoki he karauna niho, he uhi hangai e whakatakotoria ana ki runga i te niho, hei tiaki i te niho i muri i te pūtake o te niho.
- Te Tango Niho: I ētahi wā, mēnā he kino te mate, ā, kāore he huarahi hei whakaora i te niho, ka tūtohu pea tō tākuta kia tangohia te niho. I tēnei, ka tangohia marietia te niho kua pāngia mā te tapahi i te kiko e karapoti ana. I ētahi wā, ka mahia he hononga wheua niho hei whakaiti i te ngaronga o te wheua i roto i te kauae i muri i te tangohanga o te niho. I mua i te tangohanga o te niho, ka kōrero tō tākuta ki a koe mō ngā kōwhiringa e wātea ana hei whakakapi i te niho (hei tauira, ngā piriti niho, ngā tāpiringa niho).
Me pēhea te whakaiti i tēnei āhuatanga?
Ahakoa kāore e taea te ārai katoa i te whanaketanga o te `(Periapical Abscess)`, tera ētahi mea ka taea e tātou te mahi hei whakaiti i te mōrearea:
- Whāia ngā tikanga pai mō te akuaku waha: Paraia ō niho kia rua ngā wā i te rā, mō te iti rawa i te rua meneti me te paraihe niho kei roto he fluoride. Whakamahia he miro niho hei horoi i waenganui i ō niho.
- Inuhia he wai kei roto te fluoride: Ka whakapakari te fluoride i ngā niho.
- Whakaitihia ngā kai me ngā inu huka: Mā te whakaiti i te nui o ngā kai me ngā inu huka ka āwhina i te ārai i te pirau o ngā niho .
- Tirohia he tākuta niho mō te tirotiro me te horoi: He mea tino nui kia tirohia ō niho i te iti rawa kotahi i te tau, i te wā rānei i tohua e tō tākuta. Mā tēnei, ka taea te tautuhi me te rongoā i ngā raruraru ina tīmata.
Kia pēhea te roa ka taea e koe te noho me te kore maimoatanga?
Kāore he wā tika mō tēnei. Mō ētahi tāngata, ka kino haere pea te āhua i roto i ētahi wiki, mō ētahi atu, ka roa pea ngā marama. Heoi, mā te whakaroa i te maimoatanga ka nui ake te tūponotanga o ngā raruraru kino, e morearea ai te ora pērā i te "Sepsis". Nō reira, ki te pāngia koe e ngā tohu, kaua e whakaroa.
Āhea koe me toro atu ki te taote niho?
Ki te whakaaro koe kei a koe ngā tohu o te `(Periapical Abscess)`, me toro atu ki te tākuta niho tonu. Ko te wawe o te maimoatanga, ka nui ake te tūponotanga ka ora te niho, ā, ka iti ake te tūponotanga ka pā mai ngā raruraru.
Āhea koe me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?
Mena kei a koe ngā tohu e whai ake nei, haere tonu ki te rūma whawhati tata:
- Kirika
- Te mātao me te wiri (Chills)
- Whakapairuaki , ruaki rānei
- Mamae nui e kore e memeha ahakoa te tango rongoā
Ko te tikanga o tēnei kua kino haere te mate, ā, kua tīmata te pā ki ētahi atu wāhanga o te tinana.
He aha ngā pātai me pātai atu koe ki te tākuta?
Mena he `(Periapical Abscess)` tōu, he mea pai kia pātai atu koe ki tō tākuta i ēnei pātai:
- Kei hea te `(Periapical Abscess)`?
- Kua horapa te mate? Mena kua horapa, kia pēhea te tawhiti?
- Me tango e au ngā rongoā paturopi?
- Ka taea te whakaora i taku niho?
- He aha ngā kōwhiringa maimoatanga kei a au?
- Mena me tango he niho, he aha ngā huarahi hei whakakapi?
Kia pēhea te roa ka puta ai tēnei whewhe?
He rerekē te whakautu ki tēnei pātai i ia tangata, i ia tangata. Ka taea e ētahi poka te puta i roto i te rā kotahi, i ngā rā e rua rānei. Ko ētahi ka puta kāore koe e mōhio mō ngā wiki, mō ngā marama rānei. Ki te kite koe i tētahi mea rerekē i roto i tō waha, ki te rongo rānei koe he mea hē, me toro atu ki te taote niho i taua wā tonu.
Ka taea te puta he whewhe pēnei i muri i te maimoatanga `(Root Canal)`?
Ae, ka taea. Engari i te nuinga o te wā kāore. Ki te hoki mai ngā huakita ki roto i te niho i te wā e rongoatia ana, ki te roa rawa rānei te wā e hiahiatia ai te karauna i muri i te poka pakiaka, ka taea e ia te pangia anō. Ahakoa he whati pakiaka, ka taea e ia te pangia anō i ētahi wā. Ki te tupu tēnā, ka tūtohu pea tō tākuta kia rua ngā poka pakiaka, kia tangohia rānei.
Ka taea e te whewhe niho te whakaputa i ngā tohu o te sinus?
Āe, ka taea. Mena kei muri i tō kauae o runga tō niho pangia, e tata ana ki ngā kōhao hau i ia taha o tō ihu ('Ngā Sinuse Maxillary'). Kātahi ka horapa te mate o te niho ki aua kōhao '(Sinus)'. Koia rā, ahakoa he iti noa te mamae o tō niho, kaua e warewarehia, me toro atu ki te tākuta i te wā e taea ai.
Hei whakamutunga, ngā mea hei maumahara
He mate pāwera te whēwhe periapical e tupu ana i te taha o te pūtake o te niho. He mamae tonu, engari i ētahi wā kāore he mamae. Ki te whakaaro koe kei a koe tēnei mate, he mea nui kia toro atu koe ki te tākuta niho i taua wā tonu. Mā te whiwhi maimoatanga wawe ka āwhina i te ārai i te horapa o te mate ki ētahi atu wāhanga o tō waha me tō tinana. Kei ō ringaringa tō hauora!











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