Ngaba uyazi 'ngobomi' obungaphakathi kwezinyo lakho? Masithethe ngeTooth Pulp!

Ngaba wakha wazibuza ukuba yintoni engaphakathi kwezinyo lakho? Sonke siyazi ukuba amazinyo akhona ukuze atye kwaye ancume kakuhle. Kodwa izinyo alikho nje into emhlophe. Kukho inxalenye ebaluleke kakhulu, ephilayo ngaphakathi kwezinyo. Yiloo nto siza kuthetha ngayo namhlanje. Yiyo leyo i-tooth pulp , okanye njengoko oogqirha beyibiza, "i-Tooth Pulp."

Yintoni iTooth Pulp? Ngamafutshane...

Ngamafutshane, i-pulp yeyona maleko ingaphakathi yezinyo lakho. Ifana ne-pulp yekhokhonathi. Iqulethe imithambo-luvo, imithambo yegazi, iiseli ezikhethekileyo, kunye nezicubu ezininzi ezinxibelelanayo. Ezi zezona zinto zibonelela izinyo lakho ngezondlo ezizidingayo. Ngamanye amazwi, yi-pulp "eyenza" izinyo lakho liphile .

Khawucinge nje, kukho iileya ezimbini eziqinileyo ngaphandle kwamazinyo akho - i-dentin kunye ne-enamel . Njengokuba isosha likhusela ilizwe, ezi leya zimbini zikhusela i-enamel yamazinyo. Kodwa ngamanye amaxesha, imingxunya, imifantu, okanye abantu abagaya amazinyo ebusuku, okubizwa ngokuba yi-bruxism , kunokubangela ukuba le enamel yamazinyo iphume. Ukuba oko kuyenzeka, kufuneka inyangwe.

Kwenzeka ntoni kwi-tooth pulp? Zithini imisebenzi yayo?

I-dental pulp ayisiyonto nje ehleli ngaphakathi kwezinyo. Inemisebenzi emininzi ebalulekileyo ekufuneka yenziwe. Jonga:

• Ukukhuselwa kwiibhaktheriya: Iiseli zomzimba ezingaphakathi kwempumlo yezinyo, njengamajoni amancinci, zilwa neentsholongwane ezingena emlonyeni.
• Umsebenzi weemvakalelo: Imithambo-luvo ekwi-pulp yezinyo yiyo ekuvumela ukuba uzive izinto ezinje ngokubanda, ubushushu, kunye noxinzelelo. Xa kukho ingxaki ngezinyo, intlungu nayo ibangelwa yile mithambo-luvo. Yiyo loo nto isixelela ukuba, "Kukho into engalunganga apha, khangela."
• Ukwakheka kwe-dentin: Umaleko ophakathi wezinyo lakho, obizwa ngokuba yi-dentin , wenziwe ngale pulp. Le dentin ixhasa i-enamel (umaleko ongaphandle oqinileyo wezinyo) kwaye ikhusela i-pulp.
• Ukuveliswa kwezondlo: I-pulp ivelisa iiproteni ezifana ne -albumin kunye ne-fibrinogen , ezinceda ukugcina i-dentin isempilweni.
• Ukufuma: Imithambo yegazi ekwi-pulp yezinyo inika umswakama ofunekayo ezinyweni. Oku kunciphisa umngcipheko wokuphuka kwamazinyo kwaye kugcina izinyo lomelele kwaye lisempilweni.

Cinga ngale ndlela: intlama ifana "nentliziyo" yezinyo. Ngaphandle kwayo, izinyo alinabomi.

Kuza kwenzeka ntoni xa i-pulp yezinyo iphuma? Ingaba iyingozi?

Njengoko besitshilo ngaphambili, i-pulp yamazinyo ingaphuma ngenxa yemingxuma, amazinyo aqhekekileyo, okanye ezinye iingozi. Ukuba i-pulp ivezwe ngolu hlobo, amathuba okuba izinyo losuleleke aphezulu kakhulu. Kufana nokushiya ucango luvuliwe kwaye isela lingangena. Ukuba olu sulelo alunyangwa, lunokusasazeka kwezinye iindawo zomlomo nomzimba.

Nantsi indlela eyenzeka ngayo:

• Xa izinyo lakho liphuma kwisokisi, iintsholongwane ezisuka emlonyeni wakho ziya kungena kancinci kancinci kwisokisi.
• Oku kubangela ukuba i-pulp yezinyo idumbe, nto leyo ethetha ukuba iyavuvukala.
• Oku kudumba kuko okubangela intlungu yamazinyo.
• Njengoko usulelo luqhubeka, i-pulp yezinyo iqala ukufa.
• Ngamanye amaxesha olu sulelo lunokusasazeka kwezinye iindawo zomlomo kunye nomhlathi.

Ukuba intlama yezinyo iveziwe kwaye ayinyangwa, inokukhokelela kwiimeko ezinzulu, ngamanye amaxesha ezisongela ubomi. Nazi ezinye zezi meko:

• I-Oral Sepsis
• Ithumba lobuchopho
• I-Meningitis - ukudumba kwee-membrane ezigubungela ubuchopho
• I-Purulent Sinusitis
• Usulelo lwezicubu ezijikeleze iliso (i-Orbital Cellulitis)
• I-Cavernous Sinus Thrombosis - Eli lihlwili legazi elenzeka kwimithambo yegazi edibana nengqondo.

Ungakhathazeki, ezi zinto zenzeka kuphela ukuba awuzinyangi. Yiyo loo nto kubaluleke kakhulu ukubona ugqirha wamazinyo kwangoko xa unengxaki yamazinyo.

Yenziwe ngantoni i-pulp yamazinyo?

I-pulp yamazinyo ifana nejeli. Ngaphakathi kuyo, kunye nezicubu ezinxibelelanayo, kukho oku kulandelayo:

• Imiva
• Ivazi yegazi
• Ii-Odontoblasts - iiseli ezenza i-dentin
• Ii-Fibroblasts - iiseli ezenza izicubu ezidityanisiweyo
• IiHistiocytes - uhlobo lweseli yomzimba yokuzikhusela
• IiMacrophages - iiseli "ezitya" iintsholongwane kunye nenkunkuma
• Iiseli zeMast - iiseli ezibandakanyeka kwi-allergies kunye nokuvuvukala
• Iiseli zeplasma - iiseli ezivelisa ii-antibodies

Le pulp yezinyo ikwindawo engaphakathi kwezinyo. Lo mgodi siwubiza ngokuba yi-pulp cavity. Kukho iindawo ezintathu eziphambili zalo mgodi:

• Igumbi leempumlo: Le yinxalenye ephezulu yezinyo ngaphakathi kwesithsaba (inxalenye engaphezulu kwentsini).
• Iimpondo zePulp : Ezi ziinxalenye ezincinci eziphuma kwigumbi lepulp ziye kumphezulu wokuhlafuna wezinyo.
• IiRadicular Canals : Ezi ziitshaneli ezisuka kwigumbi le-pulp ziye kufikelela kwingcambu yezinyo, ziye kuthi ga kwincopho yengcambu (incam).

Injani i-pulp yamazinyo?

Impumlo yezinyo ephilileyo idla ngokuba nombala obomvu-opinki. Ikwamile okwezinyo.

Ziziphi iimeko eziqhelekileyo ezichaphazela i-tooth pulp?

Kukho iimeko ezahlukeneyo zempilo ezinokuchaphazela iintsini. Ezona ziphambili zezi:

• I-Pulpitis
• I-Pulp Necrosis
• Ukulungiswa kwePulp yamazinyo

Ngoku makhe sijonge nganye kwezi nkcukacha zincinci.

I-Pulpitis

I-PulpitisI-pulpitis kukudumba okanye ukudumba kwe-pulp yezinyo. Oku kwenzeka xa iintsholongwane, ezifana neentsholongwane, zingena kwi-dentin layer zize zingene kwi-pulp. Xa oku kusenzeka, kudla ngokubangela ukungakhululeki kunye nentlungu ezinyweni. Ngamanye amaxesha, le ntlungu inokuba yinto engapheliyo.

I-Pulpitis inokuba yinto enokuguqulelwa (i-reversible pulpitis) okanye ingabi nakuguqulwa (i-irreversible pulpitis) . I-Reversible pulpitis kukudumba okuncinci okuya kuba ngcono xa kunyangwa. I-Irreversible pulpitis kukudumba okukhulu okungade kuphucuke xa kunyangwa. Le meko inzima inokukhokelela ekufeni kwe-pulp yezinyo, ebizwa ngokuba yi -pulp necrosis .

I-Pulp Necrosis

I-Pulp necrosis kukufa kwe-pulp yezinyo. Emva kokuba i-pulp ifile, usenokungasaziva ntlungu okanye ukungakhululeki. Nokuba ucinga, "Owu, kulungile, ngoku ayibuhlungu," ingxaki ayikapheli.

Ukuba ayinyangwa, i-pulp necrosis inokubangela ukuba ubovu buqokelele ngaphakathi nangaphandle kwezinyo. Oku kubizwa ngokuba yi-dental abscess . Olu hlobo losulelo lunokusasazeka kwezinye iindawo zomlomo nomzimba. Ke ngoko, ayilocebo lilungileyo ukulinda de intlungu iphele.

Ukulungiswa kwePulp yamazinyo

Abanye abantu banokuba ne-calcium deposits emazinyweni abo, efana ne-limescale kwimibhobho yamanzi. Eyona nto ibangela oku kukwaluphala kunye nokulimala kwamazinyo.

Kodwa kwiimeko ezingaqhelekanga, ezinye iimeko zempilo zinokunyusa umngcipheko wokufakwa kwekhalsiyam kwi-pulp yamazinyo. Eminye imizekelo yile:

• Isifo sezintso
• Isifo sentliziyo
• Isifo sePaget sethambo
• I-Hyperparathyroidism - ukwanda komsebenzi we-parathyroid gland
• I-Dentin Dysplasia - isifo esichaphazela amazinyo ngokwemfuza
• Igawuthi
• I-Dentinogenesis Imperfecta - isifo esichaphazela ukukhula kwamazinyo

Kwiimeko ezininzi, iidiphozithi zekhalsiyam kwi-pulp yezinyo azidingi naluphi na unyango olukhethekileyo. Nangona kunjalo, ukuba izinyo elinediphozithi zekhalsiyam ezinjalo lisulelekile, unyango lweengcambu lunokufuneka ukuze kusindiswe izinyo.

Oogqirha bamazinyo bayijonga njani impilo ye-tooth pulp?

Oogqirha bamazinyo benza uvavanyo oluninzi ukujonga ukuba iintsini zakho ziphilile okanye aziphilile. Ezona ziphambili zezi:

Uvavanyo lwePulp

Uvavanyo lwepulp yinkqubo esebenzisa amaqondo obushushu abandayo ukujonga impilo yepulp yezinyo lakho. Kule nkqubo, ugqirha wamazinyo ubeka into ebandayo kwiindawo ezahlukeneyo emlonyeni wakho. Emva koko bakucela ukuba ulinganisele intlungu kwisikali esiqala ku-1 ukuya kwi-10. Bakwalinganisa ukuba kuthathe ixesha elingakanani ukuba ukungonwabi kuqale kwaye kuthathe ixesha elingakanani ukuba kuphele.

Ii-X-reyi zamazinyo

Ukongeza kuvavanyo lwe-pulp, ugqirha wamazinyo uza kuthatha ii-X-ray zamazinyo akho. Ezi X-ray zinokunceda ekuqinisekiseni ukuba usulelo lusasazeke kwezinye iindawo.

Ziziphi iindlela eziqhelekileyo zonyango lwezifo ze-tooth pulp?

Kukho iindlela ezininzi eziphambili ezisetyenziswayo ukunyanga iingxaki zeentsini:

• I-Pulpotomy
• Utyando lwePulpectomy
• Unyango lweNtsolo yeNtsolo

Nangona uninzi lwale nyango lwenziwa ngoogqirha bamazinyo abaqhelekileyo, ngamanye amaxesha ungathunyelwa kwi- endodontist , ugqirha ochwephesha ekusindiseni amazinyo.

I-Pulpotomy

I-Pulpotomy yinkqubo eyenziwa kwizinyo "elisaphila." Oku kuthetha ukuba usenemvakalelo emazinyweni, kwaye i-pulp ayikafi.

Kolu nyango, ugqirha wamazinyo okanye ingcali ye-endodontist isusa kuphela izicubu ezibolileyo ngaphakathi kwentloko yezinyo (inxalenye engaphezulu komgca wentsini). Inxalenye encinci engaphakathi kwingcambu yezinyo ihlala injalo. Emva koko, izinyo lizaliswa ngamayeza akhethekileyo okulikhusela nokunciphisa umngcipheko wokosuleleka kwakhona.

I-Pulpotomy idla ngokwenziwa kumazinyo omntwana, kodwa ngamanye amaxesha inokunceda ukugcina izinyo elihlala lihleli.

Utyando lwePulpectomy

Utyando lwe-pulpectomy lubandakanya ukususa yonke i-pulp emazinyweni, kuquka neengcambu. Emva koko ugqirha wamazinyo ucoca aze abulale iintsholongwane kwigumbi le-pulp kunye neengcambu zeengcambu. Ekugqibeleni, imingxuma izaliswa ngezinto ezinokufunxwa.

I-pulpectomy ikwasetyenziswa kakhulu kumazinyo omntwana. Kubantu abadala, i-pulpectomy linyathelo lokuqala kunyango lweengcambu zamazinyo .

Unyango lweNtsolo yeNtsolo

Unyango lweengcambu lufana nokuhlinzwa kwe-pulpectomy. Kuzo zombini iimeko, i-pulp yezinyo iyasuswa. Nangona kunjalo, kumjelo weengcambu, ugqirha wamazinyo okanye ugqirha we-endodontist ucoca, abumbe, aze azalise imijelo engaphakathi kwingcambu yezinyo. Rhoqo, kubekwa nesithsaba samazinyo ukukhusela izinyo.

Kuthekani ukuba unyango alukwazi ukusindisa izinyo?

Oogqirha bamazinyo basebenzisa unyango olufana ne-pulpotomy, i-pulpectomy, kunye nonyango lweengcambu zamazinyo ukusindisa amazinyo akho endalo kwizifo. Nangona kunjalo, ukuba izinyo lonakele kakhulu okanye lonakele, ugqirha wamazinyo unokufuneka akhuphe izinyo. Ukuba kufuneka kukhutshwe izinyo, ugqirha wamazinyo uya kuthetha nawe ngezinye iindlela, ezifana ne-dental bridge okanye i-dental implant .

Ungayigcina njani i-pulp yamazinyo isempilweni?

Eyona ndlela ilungileyo yokugcina amazinyo akho esempilweni kukulandela imikhwa emihle yokucoca umlomo:

• Hlamba amazinyo akho ubuncinane kabini ngemini, usebenzisa ibhrashi yamazinyo ethambileyo kunye nentlama yamazinyo equlethe i-fluoride.
• Coca phakathi kwamazinyo akho ubuncinane kanye ngemini nge- dental floss eqhelekileyo, ii-dental picks , okanye iibrashi eziphakathi kwamazinyo .
• Yiya kugqirha wamazinyo rhoqo ukuze uhlolwe kwaye ucoce amazinyo akho.
• Ukuba utshixiza amazinyo ebusuku, sebenzisa isithinteli somlomo .
• Sela amanzi amaninzi.

Ngaba i-pulp yamazinyo iyakhula kwakhona?

Ngokwemvelo, i-pulp yamazinyo ayikhuli kwakhona. Oku kuthetha ukuba ukuba ugqirha wamazinyo uyisusa i-pulp ngexesha lonyango lweengcambu, ayiyi kuphinda ikhule. Endaweni yoko, indawo engaphakathi kwezinyo izaliswe zizinto zokugcwalisa amazinyo.

Okwangoku, izazinzulu zenza uphando malunga nokuba zingayikhulisa na i-pulp yamazinyo zisebenzisa ii-stem cells ezibizwa ngokuba zii-dental pulp stem cells . Ukuba ziphumelele, oogqirha bamazinyo banokukwazi ukukhulisa i-pulp entsha kumazinyo anesifo kwixesha elizayo.

Ngaba izinyo "lingaphila" ngaphandle kwengcambu yezinyo?

Xa izinyo lilahlekelwa yigazi, "liyafa." Oku kunokwenzeka ngokwendalo ngenxa yosulelo, okanye kunokwenzeka xa ugqirha esusa i-pulp ngexesha lonyango lweengcambu.

Izinyo alinakuphila ngaphandle kwengcambu yezinyo - kodwa lingasetyenziswa njengangaphambili.

Oko kuthetha ukuba, nokuba izinyo lilahlekelwa luvakalelo, usenokulisebenzisa ukutya nokuncuma.

Umyalezo oya ekhaya

Ngoko ke, eyona nto ibalulekileyo ekufuneka uyikhumbule kwinto esithethe ngayo namhlanje kukuba i-pulp yinxalenye ebaluleke kakhulu yezinyo lakho eliligcina "liphila." Iqulethe imithambo-luvo, imithambo yegazi, kunye neeseli ezininzi ezinceda ukugcina izinyo liphilile. Ngamanye amaxesha, i-pulp inokosuleleka ngenxa yemingxuma okanye omnye umonakalo. Ukuba ufumana unyango ngokukhawuleza, ungayibulala intsholongwane kwaye uyeke ukusasazeka kosulelo. Ukunciphisa umngcipheko wezifo ezinxulumene ne-pulp, bona ugqirha wamazinyo rhoqo kwaye uziqhelise iindlela ezilungileyo zokucoca umlomo ekhaya. Emva koko unokuba noncumo oluhle nolunempilo!

Impumlo yamazinyo , Impilo yamazinyo, I-Pulpitis, Umjelo weengcambu, Intlungu yamazinyo, Impilo yomlomo