I-Gingivitis (ukuvuvukala kwezinsini) ezinjeni

I-Gingivitis Ezinjeni Okubalulekile

1. I-Gingivitis ezinjeni ibonakala ngokubomvu kwezinsini, iphunga elibi eliphuma emlonyeni, nobuhlungu lapho udla ukudla okuqinile.

2. Isizathu esivame kakhulu isifo samazinyo. Okungajwayelekile kakhulu yi-viral, fungal, autoimmune nezinye izimbangela.

3. Imvamisa, i-gingivitis ivela ngendlela engapheli ngokuqhubeka kancane kwesifo.

4. Ukwelashwa kuhloswe ukuqeda ukutheleleka, ukuphulukiswa kwezicubu ezonakalisiwe.

Izimpawu ze-Gingivitis

Ezimweni eziningi, lesi sifo sikhula kancane kancane futhi asinazo izimpawu zomtholampilo ezinzima. Ekuqaleni, kungaphawulwa kuphela izinsini ezibomvu zenja. Akufanele kube nezinye izinguquko enhlalakahleni evamile. Ngaphezu kwalokho, ngokuqhubekayo, izinsini zingase zibe buhlungu, inja izoqala ukudla kakhulu, ibe yinto ekhethiwe kakhulu ekudleni. Uzoqaphela ikakhulukazi ukudla okomile, njengoba kulimaza izinsini kakhulu. Uyabona ukuthi inja isondela kanjani endishini yokudla, ihlezi igobile, kodwa ayidli. Lapho izinsini zilimale, inja ingase ikhale. Ngenxa yokungondleki kahle, isilwane esifuywayo sizolahlekelwa isisindo.

Izimpawu eziyinhloko ze-gingivitis zihlanganisa:

1. umngcele obomvu ezinsini emngceleni ngamazinyo;

2. ukuvuvukala nokuvuvukala kwezinsini;

3. izinsini zokopha;

4. ukuqhiya amathe;

5. inani elikhulu le-plaque emnyama ephuzi noma ensundu emazinyweni;

6. iphunga elithile elingathandeki noma eli-purulent eliphuma emlonyeni;

7. ukukhishwa kwe-purulent endaweni yamazinyo nezinsini.

Isithombe se-gingivitis ezinjeni

Ukuhlukaniswa kwe-gingivitis

Akukho ukuhlukaniswa okuqondile kwesifo sezinsini ezinjeni. Singahlukanisa ngokwemibandela izinhlobo ezilandelayo ze-gingivitis.

I-gingivitis enamandla

Ibonakala ngokuqala okukhulu kwezimpawu, ukuwohloka okubukhali kwesimo sesilwane, ukwenqaba ukudla, ukushisa okukhulu. Kungenzeka kakhulu ukuthi esimweni esinjalo kuyodingeka ukubheka imbangela ebangela impilo embi. Okokuqala, udinga ukunaka izimbangela ezibangelwa amagciwane.

I-gingivitis engapheli

Izimo eziningi ze-gingivitis zenzeka ngendlela engapheli. Ukubonakaliswa komtholampilo ngokuvamile kukhawulelwe ekubomvu kwezinsini, ubuhlungu obumaphakathi, kanye nephunga elibi. Inhlalakahle yesilwane esifuywayo akufanele ishintshwe kakhulu.

I-gingivitis yendawo

Ifomu lendawo libonakala ngokuvela kokuvuvukala kuphela endaweni encane elinganiselwe ye-gum surface, ngokuvamile ngenxa yokuhlukumezeka noma isifo sezinyo.

I-gingivitis ejwayelekile

Izibonakalisa njengokuvuvukala kwendawo yonke yezinsini enjeni. Ungabona ububomvu, ukuvuvukala nokuvuvukala kuzo zonke izingxenye zomlomo womlomo. Ngokuvamile kubukeka njengomngcele obomvu emaphethelweni amazinyo.

Gingivitis Hypertrophic

Ibonakala ngokukhula ngokweqile kwezicubu zezinsini. Izinsini zingawavala kakhulu amazinyo. Kufanele ihlukaniswe ne-dysplastic gingival hypertrophy kwezinye izinhlobo zezinja. Ngokwesibonelo, abashayisibhakela.

Yiziphi izici ezihambisana nentuthuko?

Izifo zamazinyo nezinsini zivame ukutholakala ezinjeni ezindala. Izinja zohlobo oluncane nazo zivame ukuba nezinkinga zamazinyo, izinguquko ezinkulu ezenzeka ngisho zisencane kakhulu. Izifo ezibangelwa amagciwane kanye ne-autoimmune zingathinta isilwane sanoma ibuphi ubudala.

Izifo ze-Periodontal

Isizathu esivame kakhulu sesifo sezinsini ezinjeni isifo se-periodontal. Izinhlobo zezinja ezincane zijwayele lokhu, njengeYorkshire Terrier, Toy Poodle, Toy Terrier, Miniature Spitz, Chihuahua nabanye. Izinhlobo zezinja ezimaphakathi nezinkulu zigula kancane noma lapho sezikhulile. Ukunqwabelana koqweqwe emazinyweni kunomthelela ekwandeni kokuzala kwamagciwane. Amagciwane abhubhisa izicubu zamazinyo nezinsini, abangele izilonda kanye nokukhishwa kwe-purulent. I-plaque ekugcineni iphenduka i-tartar enkulu, elimaza nezinsini futhi ibangele ukuthi zivuvuke.

Ukulimala

Izinja eziningi zingabalandeli abakhulu bokuhlafuna izinto ezihlukahlukene ezinzima. Okuthandwa kakhulu yizinduku, abanye bathola namathambo. Indawo eqinile, ecijile yento ingalimaza ushingamu. Izingcezu zezinti namathambo zivame ukubhajwa ezinsinini naphakathi kwamazinyo, okubangela ukuvuvukala nobuhlungu obungapheli. Kule ndawo, amabhaktheriya aqala ukwanda kakhulu, isilonda se-purulent sivela. Ngemva kokulimala, ungabona ngokushesha ukuthi izinsini zenja zivuvukele futhi zibomvu, igazi lingageleza.

Izinto zamakhemikhali

Ukungena kwamakhemikhali, njengama-acids nama-alkali, emgodini womlomo wenja nakho kubangela ukuvuvukala. Ukwelashwa kufanele kuqale ngokushesha ngokugeza okuningi kwezicubu ezithintekile.

Izifo ezibangelwa amagciwane

Ngokuvamile ezinjeni ezincane ungathola isifo esifana ne-viral papillomatosis. Ibonakala ngokulimala kwezinsini (ngezinye izikhathi nolimi, i-pharynx ngisho nesikhumba) kanye nokwakheka kokukhula kwesici ngendlela ye-cauliflower. Ngokumelene nalesi sizinda, ukuthuthukiswa kokuvuvukala kungenzeka. Lesi sifo sibuhlungu futhi singadlula ngaphandle kokwelashwa phakathi nezinyanga ezingu-3, ​​ngezinye izikhathi ngokukhula okuphawulekayo, ukususwa kokuhlinzwa kuyadingeka.

I-hepatitis ethathelwanayo kanye ne-canine distemper nazo ziyizifo lapho i-gingivitis ingaba enye yezimpawu. Amagciwane athelela amangqamuzana e-epithelial, izicubu zezinsini nazo zingabandakanyeka kule nqubo. Kodwa ukulimala kwezinsini kuyingxenye yenqubo evamile, ngakho ukwelashwa kufanele kuqala kuqondiswe kuwo wonke umzimba.

Izifo zefungal

Ziyivelakancane, zivame kakhulu emazweni aseMelika. I-Candidiasis ibangelwa ukhunta Candida albicans futhi ithinta imbobo yomlomo, kuhlanganise nezinsini. Kuvame kakhulu ezinjeni ezingenawo amandla omzimba kanye nasezilwaneni ezithatha izidakamizwa zesikhathi eside ezivimbela ukuzivikela komzimba. Ngokuvamile kubonakala njengezilonda ezimise ngendlela engavamile ezizungezwe ukuvuvukala. I-Aspergillosis ingenye uhlobo lwesikhunta esivame ukuthinta indlela yokuphefumula yesilwane, kodwa futhi singangena emgodini womlomo, okuzobonakala ngokuvuvukala kwezinsini enja.

Izifo ezizenzakalelayo

Izifo ezifana ne-pemphigus vulgaris kanye ne-bullous pemphigoid ngokuvamile ziba nezimpawu ezijwayelekile. Kodwa esinye sezibonakaliso zabo kungase kube i-gingivitis. Izifo zibangelwa amasosha omzimba. Ngesizathu esithile, amangqamuzana omzimba aqala ukubheka izicubu ze-epithelial njengezingaphandle futhi azihlasele. Kukhona ukuvuvukala, izilonda, ukuguguleka, kuhlanganise nezinsini zenja.

I-acute necrotizing ulcerative gingivitis

I-gingivitis enzima ayivamile kakhulu. Kubonakaliswa ukuvuvukala kwezinsini, kuze kube sekufeni kwezicubu. Ibhaktheriya i-Fusibacterium fusiformis noma i-spirochetes (Borellia spp.) kucatshangwa ukuthi iyimbangela. Uma kungenjalo, lesi sifo asifundwa kancane.

Ezinye izifo zesistimu

Izifo ezihlukahlukene zesistimu zomzimba zingaholela okwesibili ekuveleni kwe-gingivitis. Esinye sezifo ezivame kakhulu ukwehluleka kwezinso. Ngenxa yalokho, uremia kwenzeka ezimweni eziningi. I-uremia iholela ekuvuvukeni kwezinsini ezinjeni, kanye nezilonda ezihlathini nolimi. Kucatshangwa ukuthi imbangela yayo ukuwohloka kwe-urea yegazi kulezi zindawo.

Isifo sikashukela singaholela ku-gingivitis. Umshini oqondile awaziwa, kodwa kukholakala ukuthi lokhu kungenxa yokwehla kwezinga lokugeleza kwamathe kanye noshintsho ekwakhekeni kwamakhemikhali awo. Izilonda emlonyeni womlomo kunzima ukwelapha, njengoba isifo sikashukela siholela ekwelapheni okubi kwazo zonke izicubu.

Ama-neoplasms womlomo womlomo

Ngokuvamile, kutholakala isimila ezinsini ezinjeni - ukwakheka kwe-volumetric yezicubu. Ngokuvamile, lokhu kwakheka i-epulis - ukukhula okuhle kwezicubu zezinsini. I-Epulis ingaholela ekuvuvukeni kwezinsini, kodwa ezimweni eziningi, i-gingivitis, ngokuphambene nalokho, kwenzeka ngaphambili. Izimo eziningi zokwakheka okubi emgodini womlomo nazo ziye zachazwa (isibonelo, i-squamous cell carcinoma, i-fibrosarcoma, njll.). Zibonakaliswa ukuvuvukala kwezinsini enjeni, ubuhlungu endaweni yomlomo. Ukwelashwa kuqukethe ukususwa kwesimila, ukuqinisekiswa kwe-histological. Isinyathelo esilandelayo kungenzeka kube ukwelashwa ngamakhemikhali.

Diagnostics

Ezimweni eziningi, iqiniso lokuthi inja inezinsini ezivuthayo, abanikazi baziqaphela ngokwabo ekhaya. Ungabona iphunga elingathandeki emlonyeni, ukubomvu kwezinsini, ngezinye izikhathi kukhona ubuhlungu obucacile ngesikhathi sokudla. Ekuqokweni kukadokotela, ukuhlolwa okubukwayo kwanele ukwenza ukuxilongwa kokuqala kwe-gingivitis. Kodwa kungase kudingeke ucwaningo olwengeziwe ukuze kutholakale imbangela. Uma kusolwa imvelo yegciwane, i-PCR iyathathwa noma i-ELISA iyenziwa. Uma kusolwa i-pathogen ye-fungal, kuzodingeka ukuthi kuthathwe i-smear kusuka ezilonda zocwaningo lwamasiko, okungukuthi, ukuhlwanyela. Ukuthola izifo ezizimele ezimweni eziningi kunzima, ngoba azikho izivivinyo eziqondile kubo, futhi ukuhlolwa kwe-histological yezicubu ezonakalisiwe kungadingeka. Uma kusolwa isifo se-systemic, isilwane sizonikezwa ukuhlolwa kwegazi okujwayelekile kanye ne-biochemical, futhi i-ultrasound yesisu izotuswa. Uma usola isifo sikashukela, uzodinga ukukala izinga le-glucose egazini nomchamo. Kodwa ezimweni eziningi, imbangela gingivitis namanje isifo periodontal. Ukuze uqonde ukuthi yimaphi amazinyo awonakele nokuthi kwenzekani kuwo, i-x-ray yamazinyo ithathwa, ezimweni ezinzima, i-tomography ehlanganisiwe inganconywa.

Ukwelapha I-Gingivitis Ezinjeni

Ukuze uthole indlela efanele yokwelapha i-gingivitis enja, kuyadingeka ukuthola imbangela ebangele lokho. Lokhu kungase kudinge ukuhlolwa okwengeziwe njengoba kuchazwe esigabeni sokuxilonga. Uma ukuxilongwa sekuvele kusungulwe, udokotela uzobeka izinqubo ezidingekayo kanye nezidakamizwa.

Usizo lwezilwane

Uma kutholakala ukuvuvukala kwezinsini, ukwelashwa kuyodingeka kunoma yikuphi. Ekuqaleni, isifo sezinsini enja asibonakali njengento eyingozi, kodwa ngokuhamba kwesikhathi sizothuthuka, isilwane esifuywayo sizothola ubuhlungu obuqhubekayo. Ezimweni ezithuthukile, ukutheleleka kungaholela ekwakhiweni kabusha kwamathambo omhlathi. Futhi, ungakhohlwa ukuthi ukuvuvukala okungapheli kuyisidingo sokuvela kwezicubu ezinomdlavuza. Ezimweni eziningi, isifo sezinsini ezinjeni sizophathwa nge-ultrasonic tartar yokuhlanza. Ngokwemithetho, le nqubo ingenziwa kuphela ngaphansi kwe-anesthesia, ngaphandle kwalokho akunakwenzeka ukuqinisekisa ikhwalithi edingekayo yokuhlanza. I-plaque ne-tartar itholakala ebusweni bonke bezinyo, ngisho nangaphansi kwezinsini. Inja imane nje ayikwazi ukubekezelela ngokuthula ngenxa yokwesaba nobuhlungu, kunengozi enkulu yokukhishwa kwamalunga kusukela ekulungiseni okunamandla. Wonke amazinyo abolile kufanele akhishwe, ngaphandle kwalokho ukuphindeka akunakugwenywa. Ngemuva kokuhlanza, amazinyo ayapholishwa ukuze abushelelezi futhi anciphise izinti ze-plaque esikhathini esizayo. Uma ukuvuvukala okubanzi nobomvu kutholakala ngesikhathi sokuhlanza, ama-antibiotic angase anconywe. Uma kutholakala imbangela ethathelwanayo noma ye-autoimmune, ukwelashwa kuzogxila ekuxazululeni leyo nkinga kuqala. Ngezinye izikhathi kungenziwa kuphela ngaphansi kokulawula, kodwa kungelapheki ngokuphelele.

Ekhaya

Ezigabeni zokuqala, ukwelashwa kwe-gingivitis kungenziwa ngokwakho ekhaya, kodwa cishe uzodinga ukuvakashela udokotela. Uma uthola ubomvu obuncane bezinsini, ungaqala ukugeza ngesisombululo se-Chlorhexidine noma i-Miramistin, i-decoction ye-chamomile nayo ifanelekile - izosiza ngokwengxenye ukususa ukutheleleka. Uma i-gum isopha, ungasebenzisa i-decoction ye-oki bark, inezici ze-astringent futhi izosiza okwesikhashana ukumisa ukopha. Ukugeza umlomo wenja yakho:

1. Dweba isisombululo esidingekayo kusipetu. Kungcono ukulungiselela isisombululo esiningi, njengoba kunethuba lokuthi ezinye zazo zizophela phansi ohlelweni lokulwa nesilwane esifuywayo esesabekayo.

2. Tshekisa ikhanda lenja phansi bese uvula umlomo wayo.

3. Qondisa i-jet yesisombululo emazinyweni nasezinsini, kodwa ukuze isisombululo singaweli emphinjeni, kodwa sigeleze phansi. Zonke izixazululo ezihlongozwayo ngeke zibangele izinkinga uma zingena esiswini, kodwa ngaphansi kwengcindezi eqinile, inja ingase ihogele uketshezi ngephutha, olungangena emaphashini.

4. Hlanza zonke izindawo zamazinyo nezinsini, unake ngokukhethekile izindawo ezithintekile.

Ukudla

Ngesikhathi sokwelashwa, inja izodinga ukushintsha ukudla okujwayelekile. Ukudla okuqinile kuzocasula izinsini, kubangele ubuhlungu, futhi kuvimbele izilonda ukuba ziphole. Kufanele ushintshele ekuphakeleni okumanzi osekwenziwe, noma uqale ukucwilisa ukudla okomile ngaphambili emanzini afudumele ukuze kuthambe kube uginindela. Lapho uphakela ukudla kwemvelo, zonke izingcezu ezinzima nezinkulu kufanele zichotshozwe noma zibiliswe. Ukuququda emathanjeni, izinti nezinye izinto kumele kukhishwe ngokuphelele.

Ukuvimbela i-gingivitis

Ukuvimbela okungcono kakhulu ukuxubha amazinyo njalo ngebhulashi elikhethekile lezilwane kanye nokunamathisela. Inqubo enjalo kufanele iqalwe kusukela ebudlwaneni okungenani kanye njalo ezinsukwini ezi-1. Ukuxubha amazinyo akho kusiza ekususeni uqweqwe lwesikhumba kanye nesifo ngesikhathi esifanele futhi kuvimbele ukuthi lingakhuli libe yi-tartar enkulu. Ukuvinjelwa kwezifo ezibangelwa amagciwane kufika ekugomeni okuphelele kwaminyaka yonke, okuhlanganisa ukuvikelwa, okuhlanganisa ngokumelene ne-viral hepatitis kanye ne-canine distemper. Ngeshwa, akukho ukuvimbela izinqubo ze-autoimmune kanye ne-oncology. Ukuhlolwa komtholampilo kwaminyaka yonke kungasiza ekugwemeni ukuthuthukiswa kwezifo zesistimu.

Izimpendulo zemibuzo evame ukubuzwa

Okthoba 24 2021

Kubuyekezwe: Okthoba 26, 2021