Yuav luag txhua tus neeg uas muaj ntshav qab zib to taub tias qhov mob no cuam tshuam rau qhov mob ntawm tag nrho lub cev, tab sis tsis yog txhua tus paub tias lub qhov ncauj ntawm cov ntshav qab zib yuav tsum muaj kev saib xyuas ntau ntxiv. Nws tsis yog hais txog hniav xwb, tab sis kuj ntau ntxiv txog cov pos hniav.
Ntshav qab zib thiab lub qhov ncauj huv li cas
Raws li kev tshawb nrhiav los ntawm Lub Tsev Haujlwm Saib Xyuas Kev Kho Hniav thiab Propaedeutics ntawm Cov Tshuaj Kho Hniav ntawm Perm State Medical University xyoo 2009-2016 *, ntau dua li ib feem peb ntawm cov neeg mob tsis paub tias mob ntshav qab zib muaj feem xyuam rau kev kho hniav, txog li ib nrab ntawm cov neeg mob tsis nkag siab tias qhov mob ncig (cov nqaij mos ncig hniav, suav nrog cov pos hniav) yuav nyob ntawm theem ntawm cov piam thaj hauv cov ntshav.
Nrog rau ntshav qab zib, tag nrho cov kev tawm tsam ntawm lub cev mus rau kis tau tus mob txo qis. Nrog txoj kev tswj hwm tsis zoo ntawm tus kabmob, cov ntshav qab zib nce ntxiv tsis tsuas yog hauv cov ntshav, tab sis kuj ua rau qaub ncaug - nws ua qab zib thiab khov, qib ntawm acidity hauv lub qhov ncauj nce. Xws li ib puag ncig zoo rau cov kev loj hlob ntawm cov microbes. Raws li qhov tshwm sim, cov quav hniav thiab tartar yog tsim nyob rau ntawm cov hniav, hniav lwj tshwm sim, ntau yam kab mob ntawm lub qhov ncauj thiab lwm yam nqaij. Qhov tshwj xeeb tshaj yog mob hnyav nrog cov nyiaj pab ntshav qab zib kom tsawg thiab tu cev tsis muaj qhov ncauj yog cov pos hniav. Txij li thaum mob ntshav qab zib mellitus feem ntau tsis zoo cuam tshuam rau kev noj qab haus huv ntawm cov hlab ntsha, lawv yuav ua tsis zoo los yog tsis tuaj yeem tiv thaiv lawv lub luag haujlwm tseem ceeb - muab cov ntaub so ntswg, nyob rau hauv peb cov ntaub ntawv peb tab tom tham txog cov pos hniav thiab lub qhov ncauj ntawm lub qhov ncauj, nrog oxygen thiab cov khoom noj muaj txiaj ntsig. Ua ke, qhov no piav qhia txog kev tshwj xeeb ntawm cov neeg mob ntshav qab zib rau cov pos hniav thiab cov kev kho mob nyuaj ntawm cov kab mob no.
Nws tau raug pov thawj tias tau muaj kev sib raug zoo ntawm cov kab mob ncig thiab ntshav qab zib: mob ntshav qab zib provokes periodontitis ** thiab lwm yam mob thiab cov kab mob sib kis ntawm lub qhov ncauj, thiab periodontitis ua rau mob ntshav qab zib thiab tswj tsis tau qab zib.
Yog tias koj ncua kev kho mob ntev ntev, mob qog ntshav yuav muaj peev xwm tshwm sim, qhov ntxim nyiam ntawm atherosclerosis thiab kev puas tsuaj rau lub plawv thiab cov hlab ntsha yuav nce ntxiv. Qhov no nce ntawm kev pheej hmoo ntawm mob stroke thiab lub plawv nres, endocarditis (mob rau sab hauv ob sab phlu ntawm lub plawv), mob raum thiab mob siab.
Qhov xov xwm zoo yog tias tus neeg mob tau txais kev kho lub qhov ncauj ntau ntxiv, nws cov ntshav yuav zoo tuaj.
"Tom qab cov txheej txheem mob ntev hauv cov neeg mob lub qhov ncauj tawm ntawm theem mob ntshav qab zib, cov kab mob hauv qab yuav tau them nyiaj. Tom qab peb tshem tawm qhov mob thiab muab cov lus qhia kho hniav, peb yuav xa tus neeg mob mus rau endocrinologist kom nkag siab qhov tsis raug ntawm nws lub tswvyim. Kev koom tes nrog tus kws kho mob endocrinologist, peb ua tiav cov txiaj ntsig zoo - cov tshuaj insulin raug txo qis, kev noj qab haus huv tag nrho tau zoo dua, thiab lub neej zoo dua qub, "lub neej kho mob tau hais txog." Yudmila Pavlovna Gridneva los ntawm Samara Dental Clinic No. 3 ntawm SBIH.
Dab tsi thiab "cov pos hniav" mob li cas
Ntawm cov kab mob ntawm cov pos hniav uas feem ntau cuam tshuam rau cov neeg muaj ntshav qab zib yog mob gingivitis thiab periodontitis.
Mob caj dab - Nov yog thawj ntu ntawm pom tus mob no. Thaum ib tug neeg tsis saib xyuas kev tu cev thiab tsis nrhiav kev tu hniav tas li los ntawm kws kho hniav, cov quav hniav nyob ntawm ciam ntawm cov hniav thiab pos hniav. Nws lub xub ntiag, nrog rau qhov twb hais txog qhov muaj txiaj ntsig zoo rau kev loj hlob ntawm cov microbes nrog cov piam thaj siab, provokes ib qho kis ntawm cov pos hniav ncig ntawm cov hniav. Nrog rau tus kab mob no, cov nqaij mos ntawm cov hniav tsis raug kev txom nyem, yog li, yog tias koj mob siab rau mob caj pas rau lub sijhawm, tus kab mob tuaj yeem hloov rov qab. Cov cim ntawm gingivitis yog ua rau cov pos hniav los ntshav ntau me ntsis, uas ua rau nws tus kheej tsis yog thaum txhuam koj cov hniav xwb, tab sis thaum noj mov, "tom qab ntshav" thiab tsis hnov tsw tsw tshwm sim hauv koj lub qhov ncauj, uas maj mam ntxiv los ntawm qhov mob, pos hniav liab, thiab hniav.
Hlwb sij hawm - cov kab mob ntawm cov pos hniav mob - muaj peev xwm los ntawm mob gingivitis, uas tus neeg mob tsis tau sab laj nrog kws kho mob raws sijhawm. Nws cuam tshuam tsis zoo rau cov pos hniav ncig ntawm cov hniav xwb, tab sis kuj tseem ua rau cov leeg thiab pob txha ntawm cov hauv paus hniav thiab cov pob txha, uas tuav tus hniav nyob hauv qhov chaw. Cov pos hniav maj mam “txav mus deb” los ntawm tus hniav, thiaj li hu ua lub hnab tshos. Nws nthuav cov zaub mov khib nyiab thiab cov quav hniav uas ib tus neeg tsis muaj peev xwm ntxuav nws tus kheej, thiab qhov mob hnyav ntxiv, feem ntau muaj pus, uas pom thaum nias ntawm ntug ntawm cov pos hniav, muaj tus ntxhiab tsw tsw ntawm lub qhov ncauj. Yog lawm, cov pos hniav yuav o, hloov liab, ntshav thiab mob. Raws li qhov tshwm sim, tus hniav tau loosened, hloov pauv, thiab, yog tias kev kho mob tsis tau pib hauv lub sijhawm, nws yuav poob tawm. Hauv theem mob, mob ncig ua ke nrog kub taub hau heev, dav dav tshwm sim, tsis muaj zog. Periodontitis feem ntau cuam tshuam rau ntau thaj chaw ib zaug.
Ntev mob tuaj yeem ua ke nrog cov mob fungal (candidiasis) stomatitis (kev mob rau lub qhov ncauj ntawm qhov ncauj) thiab lichen planus (kev yaig thiab mob rau ntawm cov qog ua kua), thiab cov neeg mob tau saj tsis txaus siab.
Yuav kho cov pos hniav li cas rau ntshav qab zib
Feem ntau, cov kab mob pos hniav pib nrog kev tu cev tsis zoo, uas yog muaj ntshav qab zib ua lub luag haujlwm tseem ceeb. Nyob rau hauv qhov xwm txheej twg ntawm cov hniav thiab cov pos hniav, nws yog qhov yuav tsum tau txhuam lawv tsawg kawg ob zaug hauv ib hnub, siv cov hlua dig hniav thiab cov tshuab tshwj xeeb tom qab txhua pluas noj.
Yog tias koj muaj kab mob pos hniav, koj yuav tsum sab laj nrog koj tus kws kho hniav. Yog tias tus kabmob muaj mob, koj yuav tsum tau mus ntsib kws kho mob li ntawm 1 zaug hauv peb hlis. Tom qab ua kom qhov xwm txheej tsis zoo, kev mus ntsib yuav raug txo mus rau ib zaug txhua rau lub hlis.
Tom qab ntsuas tus mob ntawm lub qhov ncauj kab mob, tus kws kho mob tuaj yeem kho caries, ntxiv rau kev txhuam hniav ua haujlwm - feem ntau ua rau ultrasound - kom tshem tawm cov quav thiab cov leeg tawm. Nws kuj tseem yuav tsum tau tu qhov ncig ntawm lub hnab ris, yog tias muaj, thiab txo qhov mob. Rau qhov no, tiv thaiv kev tiv thaiv thiab mob siab, tshuaj tua kab mob, tshuaj kho qhov txhab tuaj yeem kho. Yog tias tus kabmob tsis nyob rau theem mob, cov txheej txheem ntawm lub cev kev kho mob txhawm rau kho kom muaj ntshav rov qab mus rau cov ntaub so ntswg ntawm lub qhov ncauj kab mob tuaj yeem kho tau.
Yog tias tsis muaj cov kev hais los saum no pab, cheem kev rhuav tshem txoj hauv kev ntawm cov pos hniav yuav xav tau kev pab los ntawm kws phais neeg maxillofacial. Hauv nws cov arsenal muaj ntau txoj hau kev, piv txwv li, hloov lub thawb ntawm cov pos hniav los rau tus neeg mob.
Kev sib xyaw ua ke tuaj yeem siv los ua kom cov hniav xoob, tab sis tsuas yog tom qab tau o mob. Cov kev tsim tshwj xeeb uas tshem tau thiab tsis txav tau - cov log tsheb - txuas cov hniav txav nrog cov sawv khov kho thiab txhim kho qhov chaw.
Tom qab lub cev ruaj khov ntawm lub xeev ntawm lub qhov ncauj kom hloov cov hniav cuav, ob leeg hnav cov caj dab thiab kev txhim kho kev cog hniav yog qhov ua tau.
Hmoov tsis zoo, tsis muaj cov vitamins tshwj xeeb lossis cov zaub mov uas tuaj yeem txhawb kev noj qab haus huv ntawm cov hniav thiab pos hniav.
"Nws yog qhov yuav tsum tau ua kom ruaj khov ntawm cov mob hauv qab. Yog tias tus neeg mob noj cov vitamins kom them nyiaj rau ntshav qab zib thiab ntxiv dag zog rau lub cev, qhov xwm txheej ntawm lub qhov ncauj yuav zoo dua. Yog tias muaj teeb meem ntawm lub qhov ncauj ntawm qhov ncauj, tus neeg mob ntshav qab zib yuav tsum sab laj tsis yog kws kho hniav xwb, tab sis kuj yog tus kws kho mob endocrinologist thiab kws kho mob. tus nqi kho ntshav qab zib, "hais tias tus kws kho mob hniav Lyudmila Pavlovna Gridneva.
Cov neeg mob ntshav qab zib yuav tsum to taub tias, txawm tias lawv pib muaj kab mob pos hniav sai dua li cov tib neeg muaj ntshav qabzib ntau, nws tseem yoo tsis tau. Piv txwv li, txawm tias mob tshaj plaws hauv lub cev tuaj yeem tshwm sim hauv ib xyoos lossis ntev dua, thiab mob ncig yog ntau lub sijhawm ntev dua. Dua li ntawm qhov no, koj yuav tsum tsis txhob laug sijhawm mus ntsib tus kws kho hniav - txawm tias yog kev tiv thaiv, tsis txhob hais txog cov teeb meem no thaum muaj dab tsi thab koj. Qhov sai sai tus kab mob yog "ntes tau", ntau txoj hauv kev thiab muaj peev xwm txwv nws thiab txawm kho nws.
Yuav ua li cas tswj cov pos hniav mob hauv tsev
Lub luag haujlwm rau tus neeg mob lub qhov ncauj noj qab haus huv tsis yog nrog tus kws kho hniav nkaus xwb, tab sis kuj tseem ceeb tshaj rau tus neeg mob. Kev mus ntsib kws kho mob kom raws sij hawm, kev siv raws li txhua qhov nws pom zoo, nrog rau kev nyiam huv yuav pab kom sai tswj tus kab mob. Nyob rau hauv tsis muaj qhov tsis muaj peev xwm koj tuaj yeem tos kom txog thaum nws "hla los ntawm nws tus kheej", lossis tau nqa mus nrog cov kev kho mob hauv zej zog. Kev xaiv tsis raug, lawv tuaj yeem tsuas ua rau qhov xwm txheej tsis zoo. Tib yam siv rau cov khoom siv tu cev. Yog tias muaj kab mob pos hniav, tshwj xeeb tshaj yog thaum exacerbation, nws yog qhov tsim nyog yuav tsum tso tseg cov dej cawv ziab uas ua kom cov hnoos qeev qhuav.
Nws yog qhov zoo dua los siv cov khoom lag luam tshwj xeeb tsim rau cov neeg muaj ntshav qab zib, piv txwv li, ib txoj kab ntawm DIADENT cov khoom lag luam los ntawm Lavxias lub tuam txhab AVANTA. Kev txhuam hniav kom nquag thiab nquag thiab cov dej yaug thiab Nquag mus los ntawm DIADENT tau raug pom zoo rau cov tsos mob nram qab no:
- qhov ncauj qhuav
- tsis zoo ntawm cov leeg thiab cov pos hniav;
- nce hniav zoo nkauj;
- ua pa tsw phem;
- ntau caries;
- nce kev pheej hmoo ntawm kev tsim kev kis mob, nrog rau cov kab mob fungal, kab mob.
Rau kev saib xyuas txhua yam ntawm lub qhov ncauj kab mob nrog o thiab los ntshav ntawm cov pos hniav, nrog rau lub sijhawm ua kom mob pos hniav ntau ntxiv, Cov Tshuaj Txhuam Hniav Kom Siv Kom Huv thiab Raum Pab yog npaj. Ua ke, cov neeg sawv cev no muaj lub hwj chim zoo, pab txo kev mob thiab ntxiv dag zog rau cov nqaij mos ntawm lub qhov ncauj. Ua ib feem ntawm cov tshuaj txhuam hniav Active, cov tshuaj tiv thaiv kab mob uas tsis ua kom cov nqaij mos ua kom qhuav thiab tiv thaiv qhov tshwm sim ntawm cov quav hniav yog ua ke nrog kev siv tshuaj tua kab mob thiab hemostatic ntawm cov roj yam tseem ceeb, aluminium lactate thiab thymol, ntxiv rau cov tshuaj soothing thiab rov ua dua tshiab los ntawm cov chaw muag tshuaj chamomile. Rinser Khoom Siv los ntawm DIADENT series muaj cov astringents thiab cov tshuaj tiv thaiv kab mob, ntxiv nrog rau kev tiv thaiv kev tiv thaiv ntawm eucalyptus thiab tshuaj yej tsob ntoo roj.
* A.F. Verbovoy, L.A. Sharonova, S.A. Burakshaev E.V. Kotelnikova. Cov cib fim tshiab rau kev tiv thaiv kev hloov pauv ntawm daim tawv nqaij thiab qhov ncauj ntawm qhov mob ntshav qab zib. Tsev kho mob Magazine, 2017
** IDF DIABETES ATLAS, Yim Yim Xyoo 2017
