Ngaba wakha waba nethumba lamazinyo? Makhe sithethe ngethumba elihlala lisezinyaweni!

Ngaba wakha waba nentlungu yamazinyo eyayibuhlungu kangangokuba wawungasakwazi ukuyinyamezela? Okanye uziva iintlungu xa uchukumisa izinyo lakho okanye uhlafuna ukutya? Ngamanye amaxesha oku kwenzeka xa kukho usulelo engcanjini yezinyo, into efana nethumba. Namhlanje siza kuthetha ngemeko enjalo, ithumba elizaliswe bububovu engcanjini yezinyo, ngokwezonyango elibizwa ngokuba yi-" periapical abscess ".

Yintoni le Periapical Abscess?

Ngamafutshane, ithumba elihlala lisesiswini lincinci, ligcwele ubovu elenzeka ingcambu yezinyo lakho. Uyazi ukuba oku kwenzeka njani? Iintsholongwane ezimbi emilonyeni yethu zingena ngezinyo ngesithuba okanye ngenkangala yezinyo. Emva koko zosulela izicwili ezithambileyo ngaphakathi kwezinyo, ezibizwa ngokuba yi-pulp . Olu sulelo lusasazeka kancinci kancinci luye ingcambu yezinyo luze luye kufikelela kwizicubu ezijikeleze izinyo.

Khawucinge nje, kufana nokuba kukho umngxuma eluphahleni lwendlu yethu, amanzi aya kuvuza aze amanzise iindonga. Nokuba kukho umngxuma omncinci ezinyweni unokubangela ukuba iintsholongwane zingene kwaye zibangele ingxaki enkulu.

Ukuba ayinyangwa, olu sulelo lunokusasazeka luye kwezinye iindawo zomzimba wakho, ngamanye amaxesha lukhokelele kwiimeko ezinzulu nezisongela ubomi . Ngoko ke ukuba ucinga ukuba unethumba elinje, kubalulekile ukufuna ingcebiso kagqirha ngokukhawuleza.

Umahluko phakathi kwe-periodontal abscess kunye ne-periapical abscess

Ngoku unokucinga ukuba ezi zimbini ziyafana, akunjalo? Kukho umahluko omncinci. `(Periapical Abscess)` yenzeka ngaphakathi kwezinyo, kwingcambu yezinyo. Kodwa `(Periodontal Abscess)` yenzeka emazinyweni. Kwezi zimbini, uhlobo oluqhelekileyo yi`(Periapical Abscess)`, eyenzeka kwingcambu yezinyo.

Zithini iimpawu zoku?

Iimpawu ze-"Periapical Abscess" zinokwahluka kumntu nomntu, kodwa kukho ezinye iimpawu eziqhelekileyo:

• Intlungu xa uhlafuna ukutya okanye uqinisa amazinyo: Kusenokuvakala ngathi kukho umntu okuluma ngaphakathi.
• Ukuba ndindisholo kwamazinyo okanye intlungu yokubanda nobushushu:Ukutya iqhekeza le-ayisikhrim okanye ukusela iti eshushu kunokubangela ukuba intlungu yamazinyo ibe mandundu.
• Intlungu yamazinyo enganyamezelekiyo, enzima, nehlabayo: Olu luphawu oluphambili olufunyanwa ngabantu abaninzi. Ngamanye amaxesha intlungu inokuba nkulu kangangokuba awukwazi nokulala ebusuku.
• Intlungu isasazeka endlebeni, entanyeni, okanye emhlathini: Ayipheleli nje ekubeni izinyo libuhlungu, kodwa le ntlungu inokusasazeka nakwiindawo ezingqongileyo.
• Umkhuhlane: Ungafumana umkhuhlane kuba kukho usulelo emzimbeni.
• Umlomo ombi (iHalitosis) okanye incasa embi emlonyeni: Ubovu bunokutshintsha incasa yomlomo bubangele ivumba elibi.
• Ii-lymph nodes ezidumbileyo entanyeni okanye phantsi kwekhwapha: Ezi zinokudumba xa umzimba ulwa nosulelo.
• Ukudumba kobuso : Ukuba usulelo lusasazeka, icala elichaphazelekayo lobuso linokudumba.
• Ubunzima bokuphefumla okanye ukuginya : Olu luphawu olubi kakhulu. Oku kunokwenzeka ukuba usulelo lusasazeka emqaleni . Ukuba oku kuyenzeka, kufuneka uye esibhedlele ngoko nangoko.

Ngamanye amaxesha eli thumba lingaqhuma ngequbuliso. Ukuba oku kuyenzeka, ungaziva iintlungu zingabi ninzi kwaye umlomo wakho ungabi nancasa imbi. Kodwa oko akuthethi ukuba usulelo alusekho. Ngokuqinisekileyo kufuneka ubone ugqirha wamazinyo ukuze ufumane unyango.

Uninzi lwexesha, iPeriapical Abscess ibangela ukungakhululeki kunye nentlungu. Nangona kunjalo, abanye abantu banokuba nale meko ngaphandle kwentlungu. Ukuba unezinye iimpawu, ezinje ngomkhuhlane, umoya onukayo, okanye ukudumba, bonana nogqirha wamazinyo nokuba akukho ntlungu.

Kutheni oku kusenzeka? Zithini izizathu?

Njengoko bekutshiwo ngaphambili, unobangela oyintloko woku kusulelwa yintsholongwane. Iintsholongwane emilonyeni yethu zingena kwi-pulp yezinyo ngesithuba, umngxuma, okanye ukuqhekeka. Emva koko usulelo lusasazeka luye kungena kwingcambu yezinyo nakwizicubu ezijikelezileyo.

Ngubani onokuba nethuba elikhulu lokufumana le meko?

Kukho izinto ezininzi ezinokubangela umngcipheko ezinokubangela ukuba kubekho i-"Periapical Abscess":

• Ucoceko lomlomo nolwamazinyo olubi: Izinto ezifana nokungahlambi amazinyo akho nokungahlambi phakathi kwamazinyo akho zinokubangela ukubola kwamazinyo kunye nomngcipheko ophezulu wokufumana usulelo olufana nolu.
• Ukungabikho kwamathe (umlomo owomileyo – `(Xerostomia)`) : Amathe yindlela yendalo yokuzikhusela emlonyeni wethu. Xa amathe enciphile, kulula ukuba iintsholongwane zikhule.
• Ukutya rhoqo ukutya okuneswekile kunye neziselo: Iswekile kukutya okulungileyo kwiintsholongwane. Ukutya nokusela iswekile eninzi kwandisa umngcipheko wokubola kwamazinyo.

Zeziphi iingxaki ezinokwenzeka ukuba azinyangwa?

Le yinto abantu abaninzi abayithatha lula. Ukuba awuyinanzi njengentlungu yamazinyo encinci, i-"Periapical Abscess" inokubangela iingxaki ezinkulu.

• Usulelo lunokusasazeka luye emhlathini.
• Ingasasazeka kwezinye iindawo zentloko nentamo.
• Ngamanye amaxesha, usulelo lunokungena egazini luze lubangele imeko esongela ubomi ebizwa ngokuba yi-'Sepsis' , apho usulelo lusasazeka emzimbeni wonke.

Ngoko ke, musa ukuyityeshela neyona nto incinci. Khumbula ukuba ingxaki yamazinyo ayinakuchaphazela izinyo kuphela kodwa nomzimba wonke.

Uyibona njani le nto?

Oogqirha bamazinyo basebenzisa iindlela ezimbini eziphambili ukuchonga "iPeriapical Abscess":

1. Uvavanyo lwamazinyo: Ugqirha uza kuhlola amazinyo akho neentsini zakho ngononophelo. Usenokucofa kancinci izinyo elirhanelekayo ukuze abone ukuba liyasabela na kuxinzelelo.

2. Ii-X-reyi zamazinyo: Kuthathwa i-X-reyi yezinyo elinentsholongwane. Oku kungabonisa ukuba usulelo lusasazeke kangakanani kwaye umonakalo owenzekileyo ujikeleze ingcambu yezinyo.

3. I-CT scan yamazinyo: Kwezinye iimeko, ingakumbi ukuba kukho ukurhaneleka kokuba usulelo lusasazeke entanyeni, ugqirha wakho unokuyalela i-CT (Computed Tomography) scan. Oku kunokubonelela ngombono womlomo wakho onemilinganiselo emithathu (3D), okukuvumela ukuba uqonde ngcono ubungakanani bosulelo.

Luluphi unyango lwale nto?

Unyango lwe-`(Periapical Abscess)` luxhomekeke ekubeni usulelo lusasazeke kangakanani. Kukho iindlela ezahlukeneyo zonyango eziphambili:

• Iiantibiotics : Ugqirha wakho unokukunika ii-antibiotics ukuthintela ukusasazeka kosulelo nokulawula usulelo emzimbeni wakho. Kodwa khumbula, ii-antibiotics zodwa aziyi kunyanga ngokupheleleyo usulelo. Kuya kufuneka unyange nezinyo elibangele usulelo.
• Ukusikwa kunye nokuphuma kwamanzi: Kule nkqubo, ugqirha wenza ukusika okuncinci kwindawo apho ubomvu buqokelele khona aze akhuphe ubomvu. Emva koko indawo ihlanjwa kakuhle ngesisombululo se-saline esingenazintsholongwane. Ngamanye amaxesha, umbhobho omncinci webhurabha (umbhobho) unokufakwa kwindawo yokusikwa ukuze kuvunyelwe naluphi na ubomvu obuseleyo ukuba buphume iintsuku eziliqela.
• Unyango lweNtsimbi yeZinyo: Kwiimeko ezininzi, eyona ndlela ilungileyo yokusindisa izinyo kukuba nomjelo weengcambu . Kule meko, kwenziwa umngxuma omncinci phezulu kwezinyo, kwaye kusetyenziswa izixhobo ezikhethekileyo ukususa ngokupheleleyo i-pulp enesifo kunye nobovu ngaphakathi kwezinyo. Emva koko izinyo liyacocwa kakuhle kwaye lihlanjululwe, kwaye ingcambu izaliswe ngezinto ezikhethekileyo ezifana nerabha ezibizwa ngokuba yiGutta-percha. Oku kuthintela izinyo ekubeni losuleleke kwakhona. Kwiimeko ezininzi, isithsaba samazinyo, isigqubuthelo esenziweyo esibekwa phezu kwezinyo, siyafuneka ukukhusela izinyo emva komjelo weengcambu.
• Ukukhupha Izinyo: Ngamanye amaxesha, ukuba usulelo lunzima kwaye akukho ndlela yokusindisa izinyo, ugqirha wakho unokucebisa ukuba kukhutshwe izinyo. Kule meko, izinyo elichaphazelekayo lisuswa ngononophelo ngokusika izicwili ezijikeleze lona. Ngamanye amaxesha, kunokwenziwa i-graft yamathambo amazinyo ukunciphisa ukulahleka kwethambo emhlathini emva kokuba izinyo likhutshiwe. Ngaphambi kokuba kukhutshwe izinyo, ugqirha wakho uya kuthetha nawe malunga neendlela ezikhoyo zokutshintsha izinyo (umz., iibridge zamazinyo, ii-implants zamazinyo).

Ingancitshiswa njani le meko?

Nangona kungenakwenzeka ukuthintela ngokupheleleyo uphuhliso lwePeriapical Abscess, kukho izinto esinokuzenza ukunciphisa umngcipheko:

• Landela imikhwa emihle yokucoca umlomo: Hlamba amazinyo akho kabini ngemini ubuncinane imizuzu emibini usebenzisa i-toothpaste ene-fluoride. Sebenzisa i-dental floss ukucoca phakathi kwamazinyo akho.
• Sela amanzi ane-fluoride: I-Fluoride iqinisa amazinyo.
• Nciphisa ukutya neziselo ezineswekile: Ukunciphisa ukutya neziselo ezineswekile kunokunceda ekuthinteleni ukubola kwamazinyo .
• Bona ugqirha wamazinyo ukuze uhlolwe kwaye ucoceke: Kubaluleke kakhulu ukuba uhlolwe amazinyo ubuncinane kanye ngonyaka, okanye ngexesha elicetyiswa ngugqirha wakho. Ngale ndlela, naziphi na iingxaki zinokuchongwa kwaye zinyangwe kwangoko xa ziqala.

Ungahlala ixesha elingakanani ngaphandle konyango?

Akukho xesha lichanekileyo lokwenza oku. Kwabanye abantu, imeko inokuba mandundu kwiiveki ezimbalwa, kwabanye, ingathatha iinyanga. Nangona kunjalo, ukulibazisa unyango kwandisa umngcipheko weengxaki ezinzulu nezisongela ubomi ezifana ne-"Sepsis". Ngoko ke, ukuba uneempawu, musa ukulibazisa.

Ufanele uye nini kugqirha wamazinyo?

Ukuba ucinga ukuba uneempawu ze-`(Periapical Abscess)`, bonana nogqirha wamazinyo ngokukhawuleza. Okukhona ufumana unyango ngokukhawuleza, kokukhona amathuba okusindisa izinyo angcono kwaye amathuba okuba neengxaki anciphe.

Ufanele uye nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba uneempawu ezilandelayo, yiya kwigumbi likaxakeka ngokukhawuleza:

• Ifiva
• Ukuziva ubanda kwaye uqhaqhazela (Ukugodola)
• Isicaphucaphu okanye ukuhlanza
• Intlungu ebuhlungu engapheziyo nangona usela amayeza

Oku kuthetha ukuba usulelo luye lwaba lubi kakhulu kwaye luqala ukuchaphazela amanye amalungu omzimba.

Yeyiphi imibuzo omele uyibuze ugqirha?

Ukuba une-`(Periapical Abscess)`, kulungile ukubuza ugqirha wakho le mibuzo:

• Ndifumana phi i-`(Periapical Abscess)`?
• Ingaba usulelo lusasazekile? Ukuba kunjalo, lusasazeke kangakanani?
• Ngaba kufuneka ndithathe amayeza okubulala iintsholongwane?
• Ngaba izinyo lam lingasindiswa?
• Ziziphi iindlela zonyango endinazo?
• Ukuba kufuneka kukhutshwe izinyo, zeziphi iindlela onokuzisebenzisa ukuze ulitshintshe?

Kuthatha ixesha elingakanani ukuba eli thumba lenzeke?

Impendulo yalo mbuzo iyahluka kumntu nomntu. Eminye imingxunya ingakhula ngosuku olunye okanye ezimbini. Eminye ingakhula ungazi nokuba kwenzeka ntoni kangangeeveki okanye iinyanga. Ukuba ubona into eyahlukileyo emlonyeni wakho okanye uvakalelwa kukuba kukho into engalunganga, bonana nogqirha wamazinyo ngokukhawuleza.

Ngaba ithumba elinje lingavela emva konyango lwe-`(Root Canal)`?

Ewe, inokwenzeka. Kodwa uninzi lwexesha ayisebenzi. Ukuba iintsholongwane zibuyela emazinyweni ngexesha lonyango, okanye ukuba kuthatha ixesha elide ukufumana umqhele emva kokuphuma komjelo weengcambu, inokosulelwa kwakhona. Nokuba kukho ukwaphuka kwengcambu, ngamanye amaxesha inokosulelwa kwakhona. Ukuba oko kuyenzeka, ugqirha wakho unokucebisa ukuba kukhutshwe umjelo weengcambu wesibini okanye kukhutshwe.

Ngaba ithumba lamazinyo lingabangela iimpawu ze-sinus?

Ewe, inokwenzeka. Ukuba izinyo lakho elinentsholongwane likwindawo engasemva komhlathi wakho ongasentla, likufutshane nemingxuma yomoya kumacala omabini empumlo yakho (`Maxillary Sinuses`). Emva koko usulelo olukwizinyo lunokusasazeka nakwezo mingxuma `(Sinus)`. Yiyo loo nto, nokuba unentlungu encinci yamazinyo, ungalibazi, kwaye ubone ugqirha ngokukhawuleza.

Okokugqibela, izinto ekufuneka uzikhumbule

Ithumba elivela kwi-periapical ligciwane elikhula ngengcambu yezinyo. Lidla ngokuba buhlungu, kodwa ngamanye amaxesha lingabi buhlungu. Ukuba ucinga ukuba unale meko, kubalulekile ukubona ugqirha wamazinyo ngoko nangoko. Ukufumana unyango kwangethuba kunokunceda ukuthintela ukuba usulelo lungasasazeki kwezinye iindawo zomlomo wakho nomzimba wakho. Impilo yakho isezandleni zakho!