Ngaba wakha waba neentlungu zamazinyo ezinganyamezelekiyo? Mhlawumbi ukhe waziva uqhaqhazeliswa ngumbane xa usela amanzi abandayo okanye utya into emnandi. Sihlala sicinga ukuba ezi ntlungu zamazinyo zibangelwa ngumngxuma. Yiyo loo nto, kodwa kukho isizathu esinzulu saloo nto. Isizathu esiphambili sale nto kukonakala kwenxalenye ebuthathaka kakhulu nebalulekileyo yezinyo lethu, 'i-tooth pulp'. Namhlanje, siza kuthetha ngale nxalenye ibaluleke kakhulu yezinyo, efana negazi lobomi lezinyo.
Yintoni kanye kanye i-pulp yezinyo?
Ngamafutshane, i-pulp yintliziyo yezinyo. Le yinxalenye eyenza izinyo lakho "liphile." Yila zicubu zithambileyo, ezifana nejeli ngaphakathi kwezinyo. Ngaphakathi, kukho imithambo-luvo enika imvakalelo ezinyweni, imithambo yegazi enika ukondla izinyo, iintlobo zeeseli ezikhethekileyo, kunye nezicubu ezininzi ezinxibelelanayo.
Khawuthelekelele amazinyo ethu efana nekhokhonathi.
- Iingqukuva eziqinileyo phezulu - yi-enamel yezinyo leyo.
- I-pulp engaphantsi kwayo yinxalenye yezinyo ebizwa ngokuba yi-dentin.
- Kwaye amanzi ekhokhonathi ngaphakathi - kunjalo, inxalenye ebalulekileyo, ebalulekileyo yezinyo ibizwa ngokuba yi-pulp.
Ezi layers zimbini zangaphandle, i-enamel kunye ne-dentin, zisebenza njengesixhobo sokukhusela i-pulp ebuthathaka. Kodwa imingxunya, imifantu emazinyweni, okanye nomkhwa wokutshixiza amazinyo ebusuku (i-bruxism) zingonakalisa ezi layers zokukhusela kwaye ziveze i-pulp. Kulapho ke iingxaki ziqala khona.
Yeyiphi inkonzo enikezelwa yile pulp kwizinyo?
I-pulp yezinyo yenza imisebenzi emininzi ebalulekileyo kumazinyo ethu. Ayisiyonto ithambileyo nje kuphela.
| Umsebenzi | Kalula nje... |
|---|---|
| Ukhuseleko kwiibhaktheriya | Iiseli zomzimba ezikwi-pulp zifumana kwaye zilwa neentsholongwane ezingena emazinyweni, njengomkhosi omncinci emazinyweni. |
| Inkqubo enobuzaza | Imithambo-luvo ekwi-pulp ivakalelwa kukuba ishushu, ibanda, kwaye ixinezelekile. Le ntlungu yiyo ekuxelela ukuba, "Kukho into engalunganga apha, qaphela." |
| Imveliso yeDentin | I-dentin, umaleko ophakathi wezinyo, yenziwe ngale pulp. Yi-dentin exhasa i-enamel kwaye ikhusela i-pulp. |
| Ukubonelela ngesondlo | Imithambo yegazi ekwipulp inika izondlo ezifunekayo ukugcina i-dentin isempilweni. |
| Ukugcinwa komswakama | Imithambo yegazi inika izinyo umswakama ofunekayo. Oku kugcina izinyo lingomi kwaye liqhekeke, kwaye kuligcina lomelele. |
Kuza kwenzeka ntoni xa i-pulp yezinyo iveziwe?
Kulapho kufuneka silumke kakhulu khona. Khawucinge ukuba unembobo encinci ezinyweni zakho, kwaye awuyinaki kangako. Kancinci kancinci, lembobo iya nzulu, igqobhoza i-enamel eqinileyo kunye ne-dentin phezulu ize ingene ngaphakathi. Kwenzeka ntoni ngoku? I-pulp ebigcinwe ngononophelo ngaphakathi iyavezwa.
Iintsholongwane ezisemlonyeni wakho ngoku zinetheko lomtshato. Ziya ngqo empumlweni zize zibangele usulelo. Le nkqubo yenzeka ngolu hlobo:
1. Iintsholongwane ezingena kwi-pulp: Iintsholongwane zingena kwi-pulp ngesithuba okanye ngenkangala yezinyo.
2. Ukudumba kwe-pulp: I-pulp iyadumba xa iintsholongwane zihlasela. Oku sikubiza ngokuba yi-`(Pulpitis)`.
3. Intlungu Yamazinyo: Oku kudumba kunokubangela ukuba imithambo-luvo engaphakathi ivuthe, nto leyo enokubangela ukuba ube nentlungu yamazinyo enganyamezelekiyo.
4. Ukufa Kweempundu: Njengoko usulelo luqhubeka, ukuhanjiswa kwegazi kwimpundu kuyayeka kwaye impundu iqala ukufa. Okumangalisayo kukuba, ngeli xesha, iintlungu zamazinyo zisenokuphela ngequbuliso. Kodwa oko akuyonto ilungileyo. Kuthetha ukuba umthambo ongaphakathi ufile.
5. Ukusasazeka kosulelo: Impuphu efileyo yindawo entle yokuzalela iintsholongwane. Ukusuka apho, zinokuhamba ziye kwingcambu yezinyo zize zisasaze usulelo emhlathini nakwizicwili ezingqongileyo. Yiyo le nto ibangela ithumba lamazinyo.
Xa i-pulp yezinyo isulelekile, ayipheleli nje kwizinyo kuphela. Ukuba ayinyangwa kakuhle, usulelo lunokukhula lube yimeko embi kakhulu enokuchaphazela umzimba wonke ngegazi.
Ukuba ayinyangwa, kukho iimeko ezininzi ezingaqhelekanga kodwa ezisongela ubomi ezinokwenzeka:
- I-Oral Sepsis
- Ithumba lobuchopho
- I-Meningitis
- Usulelo lweSinus (iPurulent Sinusitis)
Nangona ezi ziziganeko ezingaqhelekanga, oku kusibonisa ukuba ukosuleleka kwamazinyo asinto ifanele ithathwe lula.
Ziziphi izifo eziqhelekileyo ezichaphazela i-pulp?
I-Pulpitis: Ukudumba kwe-pulp
Oku kukudumba, okanye ukudumba, okwenzeka xa iintsholongwane okanye ezinye izinto zingena kwi-pulp. Oku kubangela iimpawu ezifana nokuqaqamba kwamazinyo kunye nokwanda kokuziva. Kukho iintlobo ezimbini ze-"Pulpitis".
- I-Reversible Pulpitis: Olu luhlobo lokuvuvukala oluncinci. Lunganyangeka ngonyango olulula, olufana nokususa ukubola nokugcwalisa izinyo. I-pulp iya kubuyela esiqhelweni.
- I-Irreversible Pulpitis: Le yintsholongwane ebuhlungu kakhulu eyonakalisa kakhulu. Ayinakuphiliswa ngonyango. I-pulp ifikelele kwinqanaba apho ingenakusindiswa khona. Le meko ekugqibeleni ikhokelela ekufeni kwe-pulp (i-Pulp Necrosis).
I-Pulp Necrosis: Ukufa kwe-pulp
Oku kuthetha ukuba intlama yezinyo ifile ngokupheleleyo. Xa oku kusenzeka, ungaziva ukhululekile kwiintlungu zezinyo lakho. Kodwa ungakhohliswa. Usulelo lusebenza ngaphakathi. Ukuba alunyangwa, oku kunokubangela ukuba ubovu buqokeleleke engcanjini yezinyo buze bube lithumba.
Ukufakwa kwecalcium kwi-pulp (i-Dental Pulp Calcification)
Abanye abantu bakhula ii-calcium deposits ezincinci (calcifications) kwi-pulp yamazinyo abo. Izizathu eziphambili zoku kukwaluphala kunye nokwenzakala kwezinyo. Uninzi lwexesha, oku akudingi nyango. Nangona kunjalo, ukuba izinyo elinee-calcium deposits lisulelekile, unyango lweengcambu lunokufuneka ukuze lugcinwe.
Ugqirha uyijonga njani impilo yempuphu?
Ugqirha wakho wamazinyo usebenzisa iimvavanyo ezininzi ukuze afumanise imeko yepulp.
- Uvavanyo lwePulp: Oku kuquka ukufaka into ebandayo kwiqhekeza elincinci lekotoni uze ulibeke ezinyweni zakho. Emva koko uza kubuzwa malunga nentlungu oyivayo, ukuba ibikho ixesha elingakanani, kwaye kuthatha ixesha elingakanani ukuba intlungu iphele ukuze kuqinisekiswe ukuba ipulp "iyaphila" okanye "ifile."
- Ii-X-reyi zamazinyo: Uvavanyo lwe-X-reyi lunokubonisa ngokucacileyo ubunzulu bokubola kwamazinyo nokuba usulelo lusasazeke na ingcambu yezinyo okanye umhlathi.
Luluphi unyango lomonakalo wepulp?
Xa intlama yezinyo isulelekile, kukho iindlela ezahlukeneyo zonyango ezinokusetyenziswa ukusindisa izinyo ngaphandle kokulikhupha. Ezi zenziwa ngoogqirha bamazinyo abaqhelekileyo kunye noogqirha be-endodontists abagxile ekusindiseni amazinyo.
| Unyango | Wenza ntoni ngale nto? | Ngubani odla ngokwenza oku? |
|---|---|---|
| I-Pulpotomy | Kuphela yi-pulp enesifo ekwindawo ephezulu (isithsaba) yezinyo esuswayo, kunye nenxalenye ebolileyo yezinyo. I-pulp ephilileyo engaphakathi kwingcambu yezinyo iyasala. Emva koko izinyo lizaliswa ngezinto zokuzalisa. | Idla ngokusetyenziselwa ukunyanga amazinyo omntwana, kodwa ngamanye amaxesha isetyenziselwa ukugcina izinyo elihlala lihleli. |
| Utyando lwePulpectomy | I-pulp yonke engaphakathi kwesithsaba kunye nengcambu yezinyo iyasuswa, ingaphakathi licocwe kakuhle, emva koko lizaliswa yinto enokufunxwa ngumzimba. | Oku kudla ngokwenziwa nakwizinyo losana. Kwimeko yezinyo elihlala lihleli, eli linyathelo lokuqala lonyango lweengcambu. |
| Unyango lweNtsolo yeNtsolo | Oku kufana nokuhlinzwa kwe-pulpectomy. I-pulp yonke enesifo ngaphakathi kwezinyo iyasuswa, umngxuma (umjelo) ongaphakathi ucociwe kakuhle, umile, ucocwe ngeentsholongwane, kwaye uzaliswe ngezinto ezikhethekileyo zokuzalisa kwaye uvalwe. | Unyango lokukhusela amazinyo asisigxina (amazinyo amadala) ane-pulp eyosulelekileyo okanye efileyo. Rhoqo, kubekwa isithsaba emva kolu nyango ukukhusela izinyo. |
Ngandlela thileUkuba ukubola okanye umonakalo unzima kakhulu ukuba ungawusindisa ngezi ndlela zonyango, ukhetho lokugqibela kukukhupha izinyo. Kwimeko enjalo, ugqirha wakho uya kukuchazela iindlela zokuvala isikhewu, njengebhulorho yamazinyo okanye i-dental implant.
Singayigcina njani imisipha yamazinyo ethu isempilweni?
Eyona ndlela ilungileyo yokuthintela zonke ezi ngxaki kukugcina umlomo usempilweni.
- Hlamba amazinyo akho ubuncinane kabini ngemini nge-fluoride toothpaste kunye nebrashi yamazinyo ethambileyo.
- Sebenzisa i-dental floss okanye iibhrashi zamazinyo ukuze ucoce amazinyo akho ubuncinane kanye ngemini .
- Ndwendwela ugqirha wamazinyo ngexesha elicwangcisiweyo ukuze uhlolwe kwaye ucoce amazinyo akho.
- Ukuba unesiko lokutshixiza amazinyo ebusuku, nxiba isithinteli somlomo njengoko ugqirha wakho eyalele.
- Sela amanzi amaninzi.
Imibuzo emibini abantu abaninzi abanayo
Ngaba i-pulp esusiweyo iya kukhula kwakhona?
Hayi. Ngokwemvelo, i-pulp ayikhuli kwakhona emva konyango lweengcambu. Endaweni yoko, ugqirha uzalisa umngxuma ongenanto ngokuzalisa okukhethekileyo. Kodwa izazinzulu ngoku zenza uphando malunga nokuba kunokwenzeka na ukukhulisa i-pulp kwakhona kusetyenziswa "iiseli ze-dental pulp stem." Ukuba iphumelele, kunokwenzeka ukuba i-pulp entsha ikhule ibe lizinyo elinentsholongwane kwixesha elizayo.
Ngaba izinyo linokubakho ngaphandle kwe-pulp?
Ewe. Xa izinyo lilahlekelwa ligazi, lithathwa njengelifileyo. Oku kungenzeka ngokwendalo ngenxa yosulelo, okanye kunokwenzeka xa sisusa i-pulp ngexesha lonyango lweengcambu.
Nangona izinyo elingenayo i-pulp "lingaphili," linokusebenza ngokuqhelekileyo ngaphandle kweengxaki. Oko kuthetha ukuba usenokwenza izinto ezifana nokuhlafuna ukutya ngalo kuba ingcambu yezinyo isanamathele ngokuqinileyo kumhlathi.
Umyalezo Wokuya Ekhaya
- Impumlo yezinyo yinxalenye 'yobomi' nebalulekileyo yezinyo. Kubaluleke kakhulu ukuyikhusela.
- Musa ukuyityeshela nokuba lizinyo elibuhlungu okanye ukuba buhlungu kancinci. Sisilumkiso esivela emzimbeni wakho.
- Nokuba intlama yezinyo yonakele, ukuba inyangwa ngokukhawuleza, izinyo linokusindiswa ngaphandle kokukhutshwa.
- Unyango lweengcambu zeengcambu akufuneki woyike. Lunyango oluxabisekileyo lokusindisa izinyo lakho lendalo.
- Eyona ndlela ingcono yokuphepha konke oku kukulandela imikhwa efanelekileyo yokucoca umlomo kwaye undwendwele ugqirha wamazinyo ngexesha.
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