Uyazi 'ngokuphila' okungaphakathi kwezinyo lakho? Ake sixoxe nge-Tooth Pulp!

Wake wazibuza ukuthi yini engaphakathi kwezinyo lakho? Sonke siyazi ukuthi amazinyo akhona ukuze adle futhi amomotheke kahle. Kodwa izinyo akuyona nje into emhlophe. Kukhona ingxenye ebaluleke kakhulu, ephilayo ngaphakathi kwezinyo. Yilokho esizokhuluma ngakho namuhla. Yilokho i-pulp yezinyo , noma njengoba odokotela bekubiza kanjalo, "i-Tooth Pulp."

Kuyini i-Tooth Pulp? Kalula nje...

Kalula nje, i-pulp iyingqimba engaphakathi kakhulu yezinyo lakho. Ifana ne-pulp ye-coconut. Iqukethe imizwa, imithambo yegazi, amangqamuzana akhethekile, kanye nezicubu eziningi ezixhumanisayo. Yilezi ezinikeza izinyo lakho izakhamzimba ezizidingayo. Ngamanye amazwi, yi-pulp "eyenza" izinyo lakho liphile .

Cabanga nje, kunezingqimba ezimbili eziqinile ngaphandle kwamazinyo akho - i-dentin ne -enamel . Njengoba nje isosha livikela izwe, lezi zingqimba ezimbili zivikela i-enamel yamazinyo. Kodwa ngezinye izikhathi, izimbobo, imifantu, noma abantu abagaya amazinyo abo ebusuku, okubizwa ngokuthi i-bruxism , kungabangela ukuthi le enamel yamazinyo iphume. Uma lokho kwenzeka, idinga ukwelashwa.

Kwenzekani esikhumbeni sezinyo? Iyini imisebenzi yaso?

I-pulp yamazinyo akuyona nje into ehlala ngaphakathi kwezinyo. Inemisebenzi eminingi ebalulekile okufanele yenziwe. Bheka:

• Ukuvikelwa kumagciwane: Amangqamuzana omzimba angaphakathi kwe-pulp yezinyo, njengamasosha amancane, alwa namagciwane angena emlonyeni.
• Umsebenzi wezinzwa: Imizwa esesiphundu sezinyo yiyo ekuvumela ukuthi uzwe izinto ezinjengokubanda, ukushisa, kanye nokucindezela. Uma kunenkinga ngezinyo, ubuhlungu bubangelwa yilezi zinzwa. Yilokho okusitshela ukuthi, "Kukhona okungahambi kahle lapha, bheka."
• Ukwakheka kwe-dentin: Ungqimba oluphakathi lwezinyo lakho, olubizwa ngokuthi i-dentin , lwakhiwe ngaleli pulp. Le dentin isekela i-enamel (ungqimba olungaphandle oluqinile lwezinyo) futhi ivikela i-pulp.
• Ukukhiqizwa kwezakhamzimba: I-pulp ikhiqiza amaprotheni afana ne -albumin kanye ne-fibrinogen , okusiza ukugcina i-dentin iphilile.
• Umswakama: Imithambo yegazi engaphakathi kwezinyo inikeza umswakama odingekayo ezinyoni. Lokhu kunciphisa ingozi yokuphuka kwamazinyo futhi kugcina izinyo liqinile futhi liphilile.

Cabanga ngale ndlela: ulwelwesi lufana "nenhliziyo" yezinyo. Ngaphandle kwalo, izinyo alinakuphila.

Kwenzekani uma i-pulp yezinyo iphuma? Ingabe iyingozi?

Njengoba sesixoxile ngaphambili, i-pulp yamazinyo ingaphuma ngenxa yezimbobo, amazinyo aqhekekile, noma ezinye izingozi. Uma i-pulp ivezwa kanje, amathuba okuba izinyo litheleleke aphezulu kakhulu. Kufana nokushiya umnyango uvulekile futhi isela lingangena ngenkani. Uma lokhu kutheleleka kungelashwa, kungasakazekela kwezinye izingxenye zomlomo nomzimba.

Nakhu ukuthi kwenzeka kanjani:

• Uma izinyo lakho liphuma embotsheni, amabhaktheriya asuka emlonyeni wakho azongena kancane kancane embotsheni.
• Lokhu kubangela ukuthi i-pulp yezinyo ivuvuke, okusho ukuthi iyavuvukala.
• Lokhu kuvuvukala yikho okubangela ubuhlungu bamazinyo.
• Njengoba ukutheleleka kuqhubeka, i-pulp yezinyo iqala ukufa.
• Ngezinye izikhathi lokhu kutheleleka kungasakazekela kwezinye izingxenye zomlomo kanye nendawo yomhlathi.

Uma i-pulp yezinyo ivezwa futhi ingelashwa, ingaholela ezimweni ezimbi kakhulu, ngezinye izikhathi ezisongela ukuphila. Nazi ezinye zezimo:

• I-Oral Sepsis
• Ithumba Lobuchopho
• I-Meningitis - ukuvuvukala kwezicubu ezimboze ubuchopho
• I-Purulent Sinusitis
• Ukutheleleka kwezicubu ezizungeze inhlamvu yeso (i-Orbital Cellulitis)
• I-Cavernous Sinus Thrombosis - Lokhu kuyisivimbelo segazi esakheka emthanjeni wegazi oxhumanisa nobuchopho.

Ungakhathazeki, lezi zinto zenzeka kuphela uma ungazilaphi. Yingakho kubaluleke kakhulu ukubona udokotela wamazinyo ngokushesha nje lapho unenkinga yamazinyo.

Yenziwe ngani i-pulp yezinyo?

I-pulp yezinyo iyisicubu esifana nejeli. Ngaphakathi kwayo, kanye nezicubu ezixhumeneyo, kukhona okulandelayo:

• Imizwa
• Imithambo yegazi
• Ama-odontoblast - amaseli enza i-dentin
• Ama-Fibroblast - amaseli akha izicubu ezixhumanisayo
• Ama-Histiocyte - uhlobo lweseli lokuzivikela komzimba
• Ama-Macrophage - amaseli "adla" amagciwane kanye nemfucuza
• Amaseli e-Mast - amaseli ahilelekile ekuguleni nasekuguleni
• Amaseli e-plasma - amaseli akhiqiza ama-antibodies

Le pulp yezinyo itholakala emgodini ongaphakathi kwezinyo. Sibiza le pulp ngokuthi umgodi we-pulp . Kunezingxenye ezintathu eziyinhloko zale pulp:

• Igumbi Lokuhlinza: Lena yingxenye eyinhloko engenhla yezinyo ngaphakathi komqhele (ingxenye engenhla kwensini).
• Izimpondo Zezinyo : Lezi yizimbotshana ezincane ezisuka ekamelweni le-pulp ziye endaweni yokuhlafuna izinyo.
• Imisele Emikhulu : Lezi yimisele esukela ekamelweni le-pulp yehle iye empandeni yezinyo, kuze kufike esiqongweni sempande (isihloko).

Ibukeka kanjani i-tooth pulp?

I-pulp yezinyo enempilo ivame ukuba nombala obomvu-opinki. Ibuye ibe sesimweni sezinyo.

Yiziphi izimo ezivamile ezithinta i-tooth pulp?

Kunezimo eziningana zezokwelapha ezingathinta izinsini. Eziyinhloko yilezi:

• I-Pulpitis
• I-Pulp Necrosis
• Ukwakheka Kwe-Dental Pulp Calcification

Manje ake sibheke ngayinye yalezi ngemininingwane ethe xaxa.

I-Pulpitis

I-PulpitisI-pulpitis ukuvuvukala noma ukuvuvukala kwe-pulp yezinyo. Lokhu kwenzeka lapho amabhaktheriya, njengebhaktheriya, engena ongqimbeni lwe-dentin bese engena e-pulp. Uma lokhu kwenzeka, ngokuvamile kubangela ukungakhululeki nobuhlungu ezinyoni. Ngezinye izikhathi, lobu buhlungu bungaba buhlala njalo.

I-pulpitis ingaba yinto eguquguqukayo (i-pulpitis eguquguqukayo) noma i-inversible (i-pulpitis eguquguqukayo) . I-pulpitis eguquguqukayo ukuvuvukala okuncane okuba ngcono ngokwelashwa. I-pulpitis eguquguqukayo ukuvuvukala okukhulu okungabi ngcono ngokwelashwa. Lesi simo esibi singaholela ekufeni kwe-pulp yezinyo, okubizwa ngokuthi i-pulp necrosis .

I-Pulp Necrosis

I-pulp necrosis ukufa kwe-pulp yezinyo. Ngemva kokuba i-pulp isifile, ungase ungabe usazizwa ubuhlungu noma ukungakhululeki. Ngisho noma ucabanga ukuthi, "Kulungile, manje akubuhlungu," inkinga ayikapheli.

Uma ingelashwa, i-pulp necrosis ingabangela ubomvu buqoqeke ngaphakathi naseduze kwezinyo. Lokhu kubizwa ngokuthi i-dental abscess . Lolu hlobo lokutheleleka lungasakazeka kwezinye izingxenye zomlomo nomzimba. Ngakho-ke, akuwona umqondo omuhle ukulinda nje kuze kube yilapho ubuhlungu buphela.

Ukwakheka Kwe-Dental Pulp Calcification

Abanye abantu bangakha ama-calcium deposits emazinyweni abo, afana ne-limescale emapayipini amanzi. Izimbangela eziyinhloko zalokhu ukuguga kanye nokulimala kwamazinyo.

Kodwa ezimweni ezingavamile, izimo ezithile zempilo zingandisa nengozi yokufakwa kwe-calcium esikhunjeni sezinyo. Ezinye izibonelo yilezi:

• Isifo sezinso
• Isifo senhliziyo
• Isifo se-Paget sethambo
• I-Hyperparathyroidism - ukwanda komsebenzi we-parathyroid gland
• I-Dentin Dysplasia - isifo esithinta amazinyo ngofuzo
• I-Gout
• I-Dentinogenesis Imperfecta - isifo esithinta ukukhula kwamazinyo

Ezimweni eziningi, ukufakwa kwe-calcium ebhodleleni lezinyo akudingi ukwelashwa okukhethekile. Kodwa-ke, uma izinyo eline-calcium enjalo litheleleka, ukwelashwa kwezimpande kungadingeka ukuze kusindiswe izinyo.

Odokotela bamazinyo bahlola kanjani impilo ye-pulp yezinyo?

Odokotela bamazinyo benza izivivinyo eziningana ukuze bahlole ukuthi izinsini zakho ziphilile noma cha. Eziyinhloko yilezi:

Ukuhlolwa Kwe-Pulp

Ukuhlolwa kwe-pulp inqubo esebenzisa amazinga okushisa abandayo ukuhlola impilo ye-pulp yezinyo lakho. Kule nqubo, udokotela wamazinyo wakho ubeka into ebandayo ezindaweni ezahlukene emlonyeni wakho. Bese bekucela ukuthi ulinganise ubuhlungu esikalini esingu-1 kuya ku-10. Baphinde balinganise ukuthi kwathatha isikhathi esingakanani ukuthi ukungakhululeki kuqale nokuthi kwathatha isikhathi esingakanani ukuthi kuphele.

Ama-X-ray amazinyo

Ngaphezu kokuhlolwa kwe-pulp, udokotela wamazinyo wakho uzothatha ama-X-ray amazinyo akho. La ma-X-ray angasiza ekunqumeni ukuthi ukutheleleka sekusakazekele kwezinye izindawo.

Yiziphi izindlela zokwelapha ezivamile zezifo ze-tooth pulp?

Kunezindlela eziningana eziyinhloko ezisetshenziswa ukwelapha izinkinga zezinsini:

• Ukuhlinzwa kwe-Pulpotomy
• Ukuhlinzwa kwe-Pulpectomy
• Ukwelashwa Kwezimpande Zemisele

Nakuba iningi lalezi zindlela zokwelapha zenziwa odokotela bamazinyo abajwayelekile, ngezinye izikhathi ungathunyelwa kudokotela we-endodontist , udokotela ogxile ekulondolozeni amazinyo.

Ukuhlinzwa kwe-Pulpotomy

I-pulpotomy inqubo eyenziwa ezinyweni "ezisaphila." Lokhu kusho ukuthi usenomuzwa ezinyweni, futhi i-pulp ayikafi.

Kulokhu kwelashwa, udokotela wamazinyo noma udokotela we-endodontist ususa kuphela izicubu ezibolile ngaphakathi kwekhanda lezinyo (ingxenye engaphezulu komugqa wezinsini). Ingxenye encane engaphakathi kwempande yezinyo ihlala ingashintshi. Ngemuva kwalokho, izinyo ligcwaliswa ngomuthi okhethekile wokulivikela nokunciphisa ingozi yokutheleleka kabusha.

I-pulpotomy ivame ukwenziwa emazinyweni ezingane, kodwa ngezinye izikhathi ingasiza futhi ekusindiseni izinyo elihlala njalo.

Ukuhlinzwa kwe-Pulpectomy

Ukususwa kwe-pulp kuhilela ukususa yonke i-pulp ezinyweni, okuhlanganisa nezimpande. Udokotela wamazinyo ube esehlanza futhi abulale amagciwane kahle egumbini le-pulp kanye nemisele yezimpande. Ekugcineni, imigodi igcwaliswa ngezinto ezimuncwayo.

Ukususwa kwe-pulpectomy kuvame ukwenziwa emazinyweni ezingane. Kwabantu abadala, ukususwa kwe-pulpectomy kuyisinyathelo sokuqala ekwelashweni kwezimpande zemisele .

Ukwelashwa Kwezimpande Zemisele

Ukwelashwa ngemisele yezimpande kufana nokuhlinzwa kwe-pulpectomy. Kuzo zombili izimo, i-pulp yezinyo iyasuswa. Kodwa-ke, emgudwini wezimpande, udokotela wamazinyo noma udokotela we-endodontist uhlanza kahle, abumbe, futhi agcwalise imisele engaphakathi kwempande yezinyo. Ngokuvamile, umqhele wamazinyo nawo ubekwa ukuze uvikele izinyo.

Kuthiwani uma ukwelashwa kungakwazi ukusindisa izinyo?

Odokotela bamazinyo basebenzisa izindlela zokwelapha ezifana ne-pulpotomy, i-pulpectomy, kanye nokwelashwa kwezimpande ukuze basindise amazinyo akho emvelo ekuthelelekeni. Kodwa-ke, uma izinyo libolile kakhulu noma lonakele, udokotela wamazinyo wakho kungase kudingeke ukuthi akhiphe izinyo. Uma kudingeka kukhishwe izinyo, udokotela wamazinyo wakho uzokhuluma nawe ngezinye izindlela, njengebhuloho lamazinyo noma ukufakwa kwamazinyo .

Ungayigcina kanjani i-pulp yamazinyo iphilile?

Indlela engcono kakhulu yokugcina amazinyo akho ephilile ukulandela imikhuba emihle yokuhlanzeka komlomo:

• Hlanza amazinyo akho okungenani kabili ngosuku ngebhulashi lamazinyo elithambile kanye namazinyo okuxubha amazinyo aqukethe i-fluoride.
• Hlanza phakathi kwamazinyo akho okungenani kanye ngosuku nge- dental floss ejwayelekile, ama-dental picks , noma amabhulashi aphakathi kwamazinyo .
• Bonana nodokotela wamazinyo njalo ukuze uhlolwe futhi uhlanzwe amazinyo akho.
• Uma ugedla amazinyo ebusuku, sebenzisa isivikelo somlomo .
• Phuza amanzi amaningi.

Ingabe i-tooth pulp iyakhula futhi?

Ngokwemvelo, i-pulp yezinyo ayiphinde ikhule. Lokhu kusho ukuthi uma udokotela wamazinyo esusa i-pulp ngesikhathi sokwelashwa kwezimpande, ngeke iphinde ikhule. Kunalokho, isikhala esingaphakathi kwezinyo sigcwele izinto zokugcwalisa amazinyo.

Njengamanje, ososayensi baphenya ukuthi bangakwazi yini ukukhulisa kabusha i-pulp yamazinyo besebenzisa amaseli okuqala abizwa ngokuthi amaseli okuqala e-pulp yamazinyo . Uma bephumelela, odokotela bamazinyo bangakwazi ukukhulisa kabusha i-pulp entsha emazinyweni athelelekile esikhathini esizayo.

Ingabe izinyo "lingaphila" ngaphandle kwempande yezinyo?

Uma izinyo lilahlekelwa igazi, "liyafa." Lokhu kungenzeka ngokwemvelo ngenxa yokutheleleka, noma kungenzeka uma udokotela esusa ulwelwesi ngesikhathi sokwelashwa ngezimpande.

Izinyo alikwazi "ukuphila" ngaphandle kwempande yezinyo - kodwa lingasebenza njengakuqala.

Lokho kusho ukuthi, noma ngabe izinyo lilahlekelwa umuzwa, usengalisebenzisa ukudla nokumamatheka.

Umyalezo oya nawo ekhaya

Ngakho-ke, into ebaluleke kakhulu okufanele uyikhumbule kulokho esikhulume ngakho namuhla ukuthi i-pulp iyingxenye ebaluleke kakhulu yezinyo lakho eliligcina "liphila." Iqukethe imizwa, imithambo yegazi, kanye namaseli amaningi asiza ukugcina izinyo liphilile. Ngezinye izikhathi, i-pulp ingatheleleka ngenxa yemigodi noma omunye umonakalo. Uma uthola ukwelashwa ngokushesha, ungabulala amagciwane futhi uvimbele ukusabalala kokutheleleka. Ukuze unciphise ingozi yezifo ezihlobene ne-pulp, bona udokotela wamazinyo njalo futhi usebenzise imikhuba emihle yokuhlanzeka komlomo ekhaya. Khona-ke ungaba nokumamatheka okuhle nokunempilo!

` I-pulp yezinyo, Impilo yamazinyo, I-Pulpitis, Umsele wezimpande, Ubuhlungu bamazinyo, Impilo yomlomo