Wake waba nethumba lezinyo? Ake sixoxe ngethumba elivela e-periapical!

Wake waba nobuhlungu bezinyo obubi kangangokuthi wawungasakwazi ukububekezelela? Noma uzizwa ubuhlungu uma uthinta izinyo lakho noma uhlafuna ukudla? Ngezinye izikhathi lokhu kwenzeka uma kukhona ukutheleleka empandeni yezinyo, okufana nethumba. Namuhla sizokhuluma ngesimo esinjalo, ithumba eligcwele ubomvu empandeni yezinyo, elibizwa ngokwezokwelapha ngokuthi " ithumba le-periapical ".

Iyini le Periapical Abscess?

Kalula nje, ithumba le-periapical liyisikhwama esincane, esigcwele ubomvu esakheka nxazonke kwempande yezinyo lakho. Uyazi ukuthi lokhu kwenzeka kanjani? Amagciwane amabi emilonyeni yethu angena ngezinyo ngembobo noma ngoqhekeko ezinyoni. Bese ethelela izicubu ezithambile ngaphakathi kwezinyo, okuthiwa i-pulp . Lokhu kutheleleka kusakazeka kancane kancane empandeni yezinyo bese kuba sezicutshini ezizungeze izinyo.

Cabanga nje, kufana nokuthi uma kukhona imbobo ophahleni lwendlu yethu, amanzi azongena futhi amanzise izindonga. Ngisho nokuqhekeka okuncane ezinyweni kungabangela ukuthi amagciwane angene futhi kubangele inkinga enkulu.

Uma kungelashwa, lokhu kutheleleka kungasakazekela kwezinye izingxenye zomzimba wakho, ngezinye izikhathi kuholele ezimweni ezimbi kakhulu nezisongela ukuphila . Ngakho-ke uma ucabanga ukuthi unethumba elinjengaleli, kubalulekile ukufuna iseluleko sezokwelapha ngokushesha.

Umehluko phakathi kwe-abscess ye-periodontal kanye ne-abscess ye-periapical

Manje ungase ucabange ukuthi lezi ezimbili ziyafana, akunjalo? Kunomehluko omncane. `(Periapical Abscess)` yakheka ngaphakathi kwezinyo, empandeni yezinyo. Kodwa `(Periodontal Abscess)` yakheka emazinyweni. Kulawa amabili, uhlobo oluvame kakhulu yi-`(Periapical Abscess)`, eyakha empandeni yezinyo.

Ziyini izimpawu zalokhu?

Izimpawu ze-"Periapical Abscess" zingase zihluke kumuntu nomuntu, kodwa kunezinye izimpawu ezivamile:

• Ubuhlungu lapho uhlafuna ukudla noma uhlanganisa amazinyo: Kungase kuzwakale sengathi othile ukuluma ngaphakathi.
• Ukuba ndikindiki kwamazinyo noma ubuhlungu emakhazeni nasekushiseni:Ngisho nokudla ucezu lwe-ayisikhilimu noma ukuphuza itiye elishisayo kungenza ubuhlungu bezinyo bube bubi nakakhulu.
• Ubuhlungu bamazinyo obungabekezeleleki, obukhulu, nobuhlabayo: Lolu uphawu oluyinhloko abantu abaningi abaluzwayo. Ngezinye izikhathi ubuhlungu bungaba bukhulu kangangokuthi awukwazi ngisho nokulala ebusuku.
• Ubuhlungu busakazekela endlebeni, entanyeni, noma emhlathini: Akukhona nje ukuthi izinyo libuhlungu, kodwa lobu buhlungu bungasakazekela nasezindaweni ezizungezile.
• Umkhuhlane: Ungaba nomkhuhlane ngoba kukhona ukutheleleka emzimbeni.
• Umoya omubi (i-Halitosis) noma ukunambitheka okubi emlonyeni: Ubomvu bungashintsha ukunambitheka komlomo futhi bubangele iphunga elibi.
• Ama-lymph node avuvukele entanyeni noma ngaphansi kwekhwapha: Lawa angavuvukala lapho umzimba ulwa nokutheleleka.
• Ukuvuvukala kobuso : Uma ukutheleleka kusakazeka, uhlangothi oluthintekile lobuso lungase luvuvuke.
• Ubunzima bokuphefumula noma ukugwinya : Lolu uphawu olubi kakhulu. Lokhu kungenzeka uma ukutheleleka kusakazekela emphinjeni . Uma lokhu kwenzeka, kufanele uye esibhedlela ngokushesha.

Ngezinye izikhathi leli thumba lingaqhuma ngokuzumayo. Uma lokhu kwenzeka, ungase uzizwe ubuhlungu bunciphile futhi ungabi nambitheki kahle emlonyeni wakho. Kodwa lokho akusho ukuthi ukutheleleka sekuphelile. Kufanele nakanjani ubone udokotela wamazinyo ukuze uthole ukwelashwa.

Esikhathini esiningi, i-Periapical Abscess ibangela ukungakhululeki nobuhlungu. Kodwa-ke, abanye abantu bangaba nalesi simo ngaphandle kobuhlungu. Uma unezinye izimpawu, njengomkhuhlane, umoya onuka kabi, noma ukuvuvukala, bheka udokotela wamazinyo noma ngabe akukho buhlungu.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Njengoba kushiwo ngaphambili, imbangela eyinhloko yalokhu ukutheleleka ngamagciwane. Amabhaktheriya asemilonyeni yethu angena esikhumbeni sezinyo, kungaba ngembobo, ukuqhekeka, noma ukuphuka. Lokhu kutheleleka bese kusakazekela empandeni yezinyo kanye nezicubu ezizungezile.

Ubani onamathuba amaningi okuthola lesi simo?

Kunezici eziningana eziyingozi ezingaba nomthelela ekwakhiweni kwe-"Periapical Abscess":

• Ukungahlanzeki komlomo namazinyo: Izinto ezifana nokungaxubhi amazinyo akho nokungahlanzi phakathi kwamazinyo akho zingaholela ekuboleni kwamazinyo kanye nengozi enkulu yokuthola izifo ezinjengalezi.
• Ukuntuleka kwamathe (umlomo owomile – `(Xerostomia)`) : Amathe ayindlela yemvelo yokuzivikela emlonyeni wethu. Uma amathe enciphile, kulula ukuthi amagciwane akhule.
• Ukudla njalo ukudla okunoshukela neziphuzo: Ushukela uwukudla okuhle kwamagciwane. Ukudla nokuphuza ushukela omningi kwandisa ingozi yokubola kwamazinyo.

Yiziphi izinkinga ezingaba khona uma zingelashwa?

Lokhu kuyinto abantu abaningi abayithatha kalula. Uma ungayinaki njengobuhlungu obuncane bamazinyo, "i-Periapical Abscess" ingadala izinkinga ezinkulu.

• Ukutheleleka kungasakazekela ethanjeni lomhlathi.
• Ingasakazekela kwezinye izingxenye zekhanda nentamo.
• Ngezinye izikhathi, ukutheleleka kungangena egazini futhi kubangele isimo esisongela ukuphila esibizwa ngokuthi i-'Sepsis' , lapho ukutheleleka kusakazeka khona emzimbeni wonke.

Ngakho-ke, ungashalazeli ngisho nento encane kakhulu. Khumbula ukuthi inkinga yamazinyo ingathinta hhayi izinyo kuphela kodwa nomzimba wonke.

Ukubona kanjani lokhu?

Odokotela bamazinyo basebenzisa izindlela ezimbili eziyinhloko ukuhlonza "i-Periapical Abscess":

1. Ukuhlolwa kwamazinyo: Udokotela uzohlola ngokucophelela amazinyo nezinsini zakho. Angase athinte kancane izinyo elisolisayo ukuze abone ukuthi liyazwela yini ekucindezelweni.

2. Ama-X-ray amazinyo: Kuthathwa i-X-ray yezinyo elithelelekile. Lokhu kungabonisa kahle ukuthi ukutheleleka sekusakazeke kangakanani nokuthi umonakalo owenzekile uzungeze impande yezinyo.

3. Ukuskena kwe-CT yamazinyo: Kwezinye izimo, ikakhulukazi uma kukhona ukusola ukuthi ukutheleleka sekusakazekele entanyeni, udokotela wakho angase akucele ukuskena kwe-CT (Computed Tomography). Lokhu kungakunikeza umbono womlomo wakho onezinhlangothi ezintathu (3D), okukuvumela ukuthi uqonde kangcono izinga lokutheleleka.

Iyini indlela yokwelapha lokhu?

Ukwelashwa kwe-`(Periapical Abscess)` kuncike ekutheni ukutheleleka sekusakazeke kangakanani. Kunezindlela eziningana zokwelapha eziyinhloko:

• Ama-antibiotic : Udokotela wakho angase akunike ama-antibiotic ukuvimba ukutheleleka ukuthi kungasabalali futhi alawule ukutheleleka emzimbeni wakho. Kodwa khumbula, ama-antibiotic kuphela ngeke alaphe ukutheleleka ngokuphelele. Kuzodingeka futhi welaphe izinyo elibangele ukutheleleka.
• Ukusikwa kanye nokuphuma kwamanzi: Kule nqubo, udokotela wenza ukusikwa okuncane endaweni lapho ubomvu buqoqe khona bese ekhipha ubomvu. Indawo bese ihlanzwa kahle ngesisombululo se-saline esingenamagciwane. Ngezinye izikhathi, ipayipi elincane lerabha (i-drain) lingafakwa ku-incision ukuze kuvunyelwe noma yikuphi ubomvu obusele ukuthi buphume izinsuku eziningana.
• Ukwelashwa Ngemisele Yezimpande: Ezimweni eziningi, indlela engcono kakhulu yokusindisa izinyo ukuba nomsele wezimpande . Kulokhu, kwenziwa imbobo encane phezulu kwezinyo, bese kusetshenziswa izinto ezikhethekile ukususa ngokuphelele ulwelwesi olunegciwane kanye nobomvu ngaphakathi kwezinyo. Izinyo bese lihlanzwa kahle futhi lihlanzwe ngamagciwane, bese impande igcwaliswa ngezinto ezikhethekile ezifana nerabha ezibizwa ngokuthi i-Gutta-percha. Lokhu kuvimbela izinyo ukuthi lingaphinde litheleleke. Ezimweni eziningi, umqhele wamazinyo, isembozo sokwenziwa esibekwa phezu kwezinyo, uyadingeka futhi ukuvikela izinyo ngemva komsele wezimpande.
• Ukukhishwa Kwamazinyo: Ngezinye izikhathi, uma ukutheleleka kukhulu futhi kungekho ndlela yokusindisa izinyo, udokotela wakho angase ancome ukukhishwa kwamazinyo. Kulokhu, izinyo elithintekile lisuswa ngokucophelela ngokusika izicubu ezizungezile. Ngezinye izikhathi, kungenziwa ukufakelwa kwamathambo amazinyo ukuze kuncishiswe ukulahlekelwa yithambo emhlathini ngemva kokukhishwa kwezinyo. Ngaphambi kokuba izinyo likhishwe, udokotela wakho uzokhuluma nawe ngezinketho ezitholakalayo zokufaka esikhundleni sezinyo (isib., amabhuloho amazinyo, ukufakwa kwamazinyo).

Lesi simo singancishiswa kanjani?

Nakuba kungenakwenzeka ukuvimbela ngokuphelele ukuthuthukiswa kwe-Periapical Abscess, kunezinto esingazenza ukuze sinciphise ingozi:

• Landela imikhuba emihle yokuhlanzeka komlomo: Hlanza amazinyo akho kabili ngosuku okungenani imizuzu emibili ngomuthi wokuxubha oqukethe i-fluoride. Sebenzisa i-dental floss ukuhlanza phakathi kwamazinyo akho.
• Phuza amanzi aqukethe i-fluoride: I-fluoride iqinisa amazinyo.
• Nciphisa ukudla neziphuzo ezinoshukela: Ukunciphisa ukudla neziphuzo ezinoshukela kungasiza ekuvimbeleni ukubola kwamazinyo .
• Bona udokotela wamazinyo ukuze ahlolwe futhi ahlanzwe: Kubaluleke kakhulu ukuhlolwa kwamazinyo okungenani kanye ngonyaka, noma ngesikhathi esinconywe udokotela wakho. Ngale ndlela, noma yiziphi izinkinga zingatholakala futhi ziphathwe ngokushesha nje lapho ziqala.

Ungahlala isikhathi esingakanani ngaphandle kokwelashwa?

Akukho sikhathi esiqondile salokhu. Kwabanye abantu, lesi simo singase sibe sibi kakhulu emavikini ambalwa, kwabanye, kungathatha izinyanga. Kodwa-ke, ukubambezeleka kokwelashwa kwandisa ingozi yezinkinga ezinkulu nezisongela ukuphila njenge-"Sepsis". Ngakho-ke, uma unezimpawu, ungalibali.

Kufanele ubonane nini nodokotela wamazinyo?

Uma ucabanga ukuthi unezimpawu ze-`(Periapical Abscess)`, bheka udokotela wamazinyo ngokushesha. Uma uthola ukwelashwa ngokushesha, amathuba okusindisa izinyo aba mancane futhi mancane amathuba okuba nezinkinga.

Kufanele uye nini e-Emergency Treatment Unit (ETU) ?

Uma unezimpawu ezilandelayo, iya ekamelweni eliphuthumayo ngokushesha:

• Imfiva
• Ukuzizwa ubanda futhi uqhaqhazela (Ukugodola)
• Isicanucanu noma ukuhlanza
• Ubuhlungu obukhulu obungapheli naphezu kokuthatha imithi

Lokhu kusho ukuthi ukutheleleka sekukubi kakhulu futhi sekuqala ukuhlasela ezinye izingxenye zomzimba.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma une-`(Periapical Abscess)`, kuwumqondo omuhle ukubuza udokotela wakho le mibuzo:

• Nginayo kuphi i-`(Periapical Abscess)`?
• Ingabe ukutheleleka sekusabalele? Uma kunjalo, kuze kube nini?
• Ingabe ngidinga ukuthatha ama-antibiotic?
• Ingabe izinyo lami lingasindiswa?
• Yiziphi izindlela zokwelapha enginazo?
• Uma kudingeka kukhishwe izinyo, yiziphi izinketho zokulishintsha?

Kuthatha isikhathi esingakanani ukuthi leli thumba lakheke?

Impendulo yalo mbuzo iyahlukahluka kuye ngomuntu nomuntu. Amanye ama-caries angakhula ngosuku olulodwa noma ezimbili. Amanye angakhula ngaphandle kokuthi uqaphele amasonto noma izinyanga. Uma ubona okuthile okuhlukile emlonyeni wakho noma uzizwa sengathi kukhona okungahambi kahle, bheka udokotela wamazinyo ngokushesha.

Ingabe ithumba elinjengaleli lingavela ngemva kokwelashwa nge-`(Root Canal)`?

Yebo, kungenzeka. Kodwa isikhathi esiningi akwenzeki. Uma amabhaktheriya ebuyela ezinyweni ngesikhathi sokwelashwa, noma uma kuthatha isikhathi eside ukuthola umqhele ngemva kokuphuma komsele wezimpande, angaphinde atheleleke. Ngisho noma kukhona ukuphuka kwezimpande, ngezinye izikhathi angaphinde atheleleke. Uma lokho kwenzeka, udokotela wakho angase ancome ukuthi kukhishwe umsele wesibili wezimpande noma kukhishwe.

Ingabe ithumba lamazinyo lingabangela izimpawu ze-sinus?

Yebo, kungenzeka. Uma izinyo lakho elithelelekile litholakala ngemuva komhlathi wakho ongaphezulu, liseduze nemigodi yomoya ezinhlangothini zombili zekhala lakho (`Ama-Maxillary Sinuses`). Khona-ke ukutheleleka okusezinyweni kungasakazekela nakuleyo migodi ye-`(Sinus)`. Yingakho, noma ngabe unobuhlungu obuncane bamazinyo, ungabunaki, futhi ubone udokotela ngokushesha okukhulu.

Okokugcina, izinto okufanele uzikhumbule

Ithumba elivela e-periapical liwukutheleleka okusakazeka ezimpandeni zezinyo. Ngokuvamile libuhlungu, kodwa ngezinye izikhathi lingangabi buhlungu. Uma ucabanga ukuthi unalesi simo, kubalulekile ukubona udokotela wamazinyo ngokushesha. Ukuthola ukwelashwa kusenesikhathi kungasiza ekuvimbeleni ukutheleleka ukuthi kusakazekele kwezinye izingxenye zomlomo wakho nomzimba wakho. Impilo yakho isezandleni zakho!