Removal o ke akamai niho i loko o ka iwi ā lalo: hiʻona, ka hopena

Nā kumu o nā niho i hana i loko o ke au o fetal kūpono 'ana, a me ka mea hope, o ka naauao niho, ke hoʻoholo' ia kā lākou e ulu ai a me ka pele i ka makahiki o 17-25 makahiki. "Ewalu" i kekahi ke ia he maoli hoʻomāinoino 'no ka mea, he nui ua io i keʻoki lāʻau lapaʻau kaʻina hana i kapaia o ka wehe' ana o ka naauao niho ma ka lalo iwi ā.

He aha nō i nā hiʻona o ka 'ole o ka walu o ka niho, a pehea smoothly hana i ka wehe'? E mākou pani ma ka anu u.

Ka 'ole o ka walu o ka niho. retraction

Naauao niho, a me ka mea ua kapaia ewalu - maʻamau niho 'ole mea'ālike ia a pau na mea e ae. Akā, loaʻa nō kekahi oko ao i mea like kiʻiona hiʻona a me atypical ano ke kumu:

• ke akamai niho 'Aʻole e lawelawe i kekahi hana o ke kahua niho kahua. Kona nā māna e haawe mea like i Aʻohe;
• ia mea devoid o kekahi abutment me kaʻaoʻao distal, a hiki alakai i kūpono pele;
• Ewalu no hoi, ua ole, hoʻokomo - he kamaiki niho, i ka hoomakaukau ana i ke kūlana no ka mea physiological pele;
• aʻa i loko o ka walu o ka niho hiki e he okoa helu - mai kekahi wā splicing ia lŘlŘ mau, mai ka elima, he mea hiki ole ke hooholo i ka helu Penei nō;
• kekahi hiʻona ua noʻonoʻo i na aa e loa uma, a no ka hana ana o ka naauao niho - Waladema aole hana.

A ua loaʻa kona inoa i ke aloha a hiki i ka ke akamai niho makahiki, i ka wā i pele - 18-25 makahiki. Ka wā a pau 28 niho lawe lākou wahi i loko o ka dentition, me ka iwakāluakumamāwalu wale e ole i lawa ka makahiki, a ua haawi ia ia e like me ka mālama i kēia pathology. E like me ka hopena - he huikau pio ana o ke akamai niho. No ola a me ka huikau kaʻina i wahi i ka poʻe ma hope o 30 makahiki.

Hewa lua niho hana i ka helu o nā hana a he leo. E like me ka mea mau throbbing eha ano hoomainoino e kamaiʻilio ana a me ka olelo ana, discomfort i loko o ka waha. A, retraction hiki i pohupani hale o ka dentition i loko o ka frontal aina, niho,ʻoiai, papillomas a me periodontitis.

Features walu o ka niho pōpilikia 'ana. Removal o ke akamai niho i loko o ka iwi ā lalo

Terms a teething aoao no kēlā me kēia kanaka, akā, nā kauka niho waiho aku wehe walu o ka niho, i ka wā āna i ka ola, e pale aku complications.

Removal o ke akamai niho i loko o ka iwi ā lalo i kona mau ano. Kahua niho surgeon hanaʻia ka hana hoʻohana kūikawā kahua niho forceps no ka niho i loko o ka mandible - i paa hou mai la i na papalina. Ma lalo o anesthesia ka dentist hana mahele gingival mucosa a? Eou ka puka i loko o ka iwi. Inā pono, i ka lei o ka niho i hookiia mai i loko o kekahi mau'āpana boron a kūikawā pā hōkū. Ke alveolar pono kau ka lapaʻauʻia, a ka mea, ua sutured.

Kēia kaʻina hana o ka safest - minimizes ke kamepiula i ka ino e pili niho, iwi a me ka mucosa.

Ka lōʻihi like 'ole o ka hana mai ka 30 a hiki i 50 minuke. Ka wā malaila mea hoike no ka wehe 'ana o kekahi mau ka naauao nihoʻoki kino ua hana i ka wā mawaena o 3 pule. Lapaʻau o nā kahua niho 'oihana, i ka hoʻomaʻemaʻe a me nā kahua niho hana hiki ke lawe mai i loko o 2-4 pule, mai ka lā mai o ka wehe' ana o ka ewalu.

Physiologically ewalu i loko o ka iwi ā lalo hiki i hou aa ma mua i ka luna. Lākou pōpilikia 'ana i ka poe ola, a me ka painless. Ka naau kupono o ke kaʻina hana no ka ka mea i ka iwi o ka iwi ā lalo mea denser, a me complications e like me fractures i emi, he pono ole.

No kona wehe 'ana o ka mea haʻahaʻa ka naauao niho E e ukali ana mahope kaʻina hana:

• physiotherapy i kūpono: flyuktoorizatsiya;
• holoi ku una antiseptics;
• palapala noi o maoli lau nahele: lāʻauʻoka wauke, Aloe;
• ku una, nicaaieaʻokoʻa antiseptic hoomakaukau (Furacilinum "Geksoralom") a me decoctions o nā lāʻau ikiʻai a i Anati-hoʻoʻino waiwai (kumu wahine, St. John ka wort, chamomile, lāʻauʻoka wauke);
• me ka nui eha - analgesics (makaukau "nimulid" 1 papa).

Loa nāʻikepili no ka hoopau ana o ka walu o ka niho

Aia mau loa a me ka pili nāʻikepili no ka pōʻalo o ka walu o ka niho. I kekahi manawa, pono e wehe i ka naauao niho? Nani, ka make o ka iwi'aʻaʻa, sepsis - kekahi o ka mau loa nāʻikepili. Ka papa i ke inā e mau keʻano o ka hanaʻana i loko o moʻolelo o ka lua:

• osteomyelitis o ka iwi ā - i loko o kēia maʻi niho ana kōkua hoʻomaʻemaʻe i ka ipu ahi, a cessation o ka hoʻoʻino kaʻina;
• ka make ana o ka niho kalaunu: Inc i lapuwale ia i ka pāpale aliʻi hapa ua lilo i ke kiʻekiʻe o ka iwi pōpilikia 'ana, ke'ōlelo mai kōkua i ke ahonui o ka kulana, a e ole i kekahi hewa;
• huʻi periodontitis - ina ke kumu o ka periodontitis mea he akamai niho, kona pōpilikia 'ana i mea inevitable no ka piha ke ola.

Pili nāʻikepili no ka hoopau ana o ka walu o ka niho

Ka mea, he mau loa contraindications. Ano, i ka helu i ka hoahanau:

• he retraction (hikiʻole i ka maʻamau pele);
• odontogenic sinusitis;
• niho prosthesis;
• e hoopalupalu ana i ka niho aa ona;
• fracture o ke kumu, a me ka lei o ka niho;
• malocclusion;
• 'aʻe' ana o ke kumu bifurcation.

Ma ka 'ē aʻe hihia e leka uila i ka dentist e pale ai complications?

• Akamai niho, a hoʻomaka i ka pele, iki i ka buccal mucosa. Ikaika aku ae hookaawale hiki aku ai i ka'aʻaiawāʻana, a laila ulcers. I ka wā o ka meaola ua predisposed i ka maʻi 'aʻai, i ke kaʻina hana hiki hoʻomōhala i loko o malignantʻeho papalina mucous membranes. E pale ia, oe, e hele i ka hoʻomalu, a wehe i ka niho. Inā ke kaʻina e holo, a ua he hou ho okumu, oe e kukakuka pu me ka oncologist. Dentist mea haʻawina iʻeho, ua i koi 'ia e hoouna aku oe ma ka hoʻomalu.
• Wela ai ka naauao niho i ka hotbed o infectious pathological keʻano o ka hanaʻana. Pathogenic microorganisms ke komo i ke koko, lymph, a hohola iho la ma ke kino, e kauoha ana sepsis - koko kaʻapu kōheoheo. He He ana mea nui e hiki ka hopena ma lethal.
• Purulent aat i hiki i maʻiʻaʻai o ke kino - kona kaʻawahia. Man hoʻonāwaliwali, he mea apathy, a me ka ikaika luhi, ua hoʻemi noʻonoʻo haʻawina, hoomanao deteriorates. Ua hoʻomanawanui iki mai paha i mau e i ka pololeiʻike, ma muli o ia ka mea i ka niho i loko o ka maʻi kahua o ka li nui mea,ʻaʻole nui kou manaʻo a me ka malama ole i hoʻohuoiʻia.

Hou mai ka walu o ka niho wehe

I loko nō enehana kēia, a 'Imi hoʻohana i ka lālā o ka lāʻau lapaʻau - dentistry, ke loaa wā ma hope o kaʻoki kino i wahi no kēlā me kēia okoa. I ka poʻe hewa nui mea mea i ka manao o kou naauao niho - wehe. Ke Hawaii photo lalo mea hiki ke hooiaio ia, aohe mea i ia e makau ana i ka poe ua hoʻoholo ihola i ka pakele ana i ka discomfort ho okumu ia maʻewalu.

Experience kiʻekiʻe kbps kahuna lapaau a me painkillers ana ke hoʻoponopono i nā pilikia pili me ka pathology o ka dentition.

Ma hope o retraction o ke akamai niho hiki ke hoʻohana i ka helu o ka mea pono keia mau koi o ka poe akamai i:

• Inā ma ka lā ( 'ole 1-2 lā) ma hope o ka wehe' ana o ka naauao niho haanou ana, aole ia e hele, e mea hiki ke hoʻohana i ke kī eke. Ana ia mea e pono ai i ka alveolar lua a me ka malama ana a ka mea dries. Tannins iloko o kī, paipai koko clotting, a me ka caffeine? Ienoai aa koko holo. No ka mea, aia no he kokololio ka eha ho'ōla.
• E ho'ēmi i mea ukiuki loa, a hōʻeleu i ka wa e noho, he mea hiki, e holoiʻia ia i kou waha me ka brine. E hana i kēia, hoike mai 1 teaspoon o ka paʻakai i loko o ke aniani o ka wai, a holoiʻia ia i ka waha kekahi mau manawa o ka lā.
• Ma ka hihia i ka wa e pono e pili hau i kona papalina ma hope hoopau eha aching. Kēia 'ano ua ālai edema, a relievesʻeha ma muli o ke vasoconstriction.
• Iloko o ka hiamoe, i ka poo e e hookiekieia - ia kekahi ho'ēmi i kā ka pilikia o ka edema.
• Nui aʻe ana ma hope o ka niho pōʻalo naʻauao E ole lakou e koiia mai e loa ana wela a me ka paa ai.
• I ke ahiahi, i ka eha, piʻi pū, no ka mea, kokoke i ka moe kau oe e pono ai nā mea a pau: gauze, pulupulu, painkillers.
• Kekahi manawa ma hope o ka hana, mai e hoʻohana aku ka mauʻu na i ka inu. Holo i ka mea, ho okumu, he ahonui a loaa keʻano o ka hanaʻana pahee nā'aʻaʻa puni alveolar niho pōʻalo punawai. Oia deleterious 'ole i kekahi uahi paka a me ka waiʻona - hookaawale ia no ka wā o ke ola.

E mālama nei huikauʻoki kino, e wehe i ewalu niho

He aha ka huikau pōʻalo o ke akamai niho, a me ka mea ia i kekahi hana okoa, mai ka maʻamau kaʻina hana?

Huikau wehe 'ana o ka naauao niho komo ai i ka hoʻohana' ana o? Eou, stitching eha a me ka paa ana na pauku. Loa pinepine keia haule ke kaʻina hana no ka hopena i hōʻike niho akamai niho a papamoe hoʻoponoponoʻana o Kamehameha, e like me keia radiographs.

Iwi mea pono e okioki i ka mea e extract i ka niho a me kona kumu. Ke hana ua hana ma lalo o anesthesia. Ia mau hana i lawe mai wale nō i loko o ka oihanaʻoki lāʻau lapaʻau i kaʻaeʻana me nā aliʻi e kāpae ka pololei a me nā rula o antiseptics.

Hai? Eaia ua hana 2-3 lā ma hope oʻoki kino. Ke hoomanawanui noi absorbable sutures, a i wehe 'ia ma hope o ka piha kuʻi nukeliu o kaʻeha lua penei.

I ka hoʻomanaʻo o ka

1. Incision a me ka poe mai ka iwi pahee'aʻaʻa pili gingiva.
2. I oloʻia i ka iwi, e moe ana ma luna o ka weheʻia niho.
3. Pōʻalo o alveolar punawai.
4. Stitching eha.

Ma hope o ke kaʻina hana, ke dentist hoowahawaha i sterile gauze swab pono me ka hemostatic Agena (heparin). Tampon kuha ma hope o 15 minuke, e pale ulu mea koʻohune.

Ua UaʻAʻole pono e ka uahi ma hope o ke kaʻina hana, wela inu, komo i loko o kaumaha physical ka hana. Inā e pili ana e pili ana i ke kiekie ana wela ma hope o ka wehe 'ana o ka naauao niho, ke kauka prescribes antipyretics a me ka hou-hookolokolo aku la ia ma kekahi dentist.

Postoperative complications

Ka oi pilikia ka wehe 'ana o ke akamai niho i loko o ka iwi ā lalo? Ka hopena o kaʻoki kino hiki e no kekahiʻike makaʻole, a no kekahi e huli hoʻi ka eha, a me ka ikaika huakaʻi i ke kauka.

• Kekahi o na hoopii mua ma hope o kona wehe 'ia mai ke kahe ana ke koko puka. He mea maʻamau, no laila, e like me ka wā o nā capillaries a me ka meaʻuʻuku hakina moku krovonosnye. Ma hope o kekahi mau hola o kēia complication i wahi, a ina ole, alaila, pono e hoopili i ka puka gauze.
• Infiltrirovanie i suppuration punawai. Kēia ia lŘlŘ no kekahi mau kumu: hoʻokō 'ole' e hooko me ka maʻemaʻe, he apana nahaha o ka niho, a pinepine ia lŘlŘ ma hope o ka huikauʻoki kino, e wehe i ewalu mau kui ia ia.
• Hole ma hope o ka wehe 'ana o ka naauao niho e komo i ke koko clot, i lawe kekahi i ka hoola ana o ka eha. Clot resorption hiki aku ai i kaʻeha i loko o ka waha he mea he ino ono, e hoʻomaka li nui o ka nui aʻe ana, a alveoli.
• A pono no i ka walu o ka niho pōʻalo edema. Ke hoomanawanui complains o ke koko, nīnūnē nani. Keia mea aie a hiki i ka make ana o ka'aʻaʻa puni ka niho. Lumia o kaʻawaʻawa loa, akā, inā i kaʻeho mea uuku nui, ka mea e hiki mai ia ma luna o lākou iho ma hope o kekahi mau lā. No ka wehe 'ana o ka edema hoʻohana hau - ua pili i ka papalina i oi aku mamua o 10 minuke. Inā hoʻokano pilikia, a laila, Kamuela i ka wela lapaau. E mālamaʻoukou i mehana iaia? Aaaoaeuiuo no ma kahi o 20 minuke, a e ka wanaao ae o 10 minuke. Kākaʻikahi ka, akā, e hana i ka nani ua kena ae la ia e ka allergy i painkillers. Ma keia hihia, lawe allergy lapaʻauʻia - histamines.
• Next complication - paresthesia. Ma lalo o paresthesia maopopo numbness o ke alelo, ka chin, luna a lalo lehelehe. Nui aʻe ana ma hope o ka niho pōʻalo naauao, ke lilo pā lonoaʻili. Kēia ia lŘlŘ ka wā ka hana ua lawe mai a kokoke i ka lehalehu t nā aʻalolo. Loa kaʻawaʻawa loa complication akā, ala i loko o kekahi mau lā a me ka pule ma hope o hoopau ana. Ma na hihia o ka 'inoʻino loa i ka lehalehu t nā aʻalolo paresthesia hiki lilo maʻi.
• Alveolitis kena ae la ma ke alo o ka mea nui maʻi hoʻoʻino kaʻina hana i loko o ka pahee'aʻaʻa puni ka niho causal. Kēia i ia i ke alo o periodontitis a maloʻo punawai ma hopeʻoki kino. Wehewehe aku ma ka loa eha, halitosis, i kapa komo iā ia punawai me ka penaʻana. Ua hiki e huikau ma ka cellulitis a abscess. He He complication nani nui e pono haukapila lapaau

Removal o ke akamai niho i loko o ka iwi ā lalo ke pakele i na pilikia. I loko nō o ka complications, i mea hiki ke kāhea i ka hana 'ole ai', e mea maikaʻi e akoakoa ai iʻoki lāʻau lapaʻau kāu kiʻina hana a me nā kiʻi pohaku uinihepa, o ka excruciating eha a me ka nui hopena no ka mea'ē aʻe, oi pono keia mau mea a me ka ooieoeiiaeuiuo niho.

Pain hoouka mua wehe i ka

Painless wehe 'ana o ka naauao niho - anesthesia a kūloko anesthesia. Ma kēia hana no ka eha kokua mua wehe i nā niho, nā kauka niho hoʻohana he kūloko anesthetic. Wale i loko o pohihihi keia hihia, ke kaʻina hana ua hana ma lalo o kekahi mau anesthesia na keiki. Iki no ka mea, ua oi susceptible e makaʻu ana i kahua niho kani, a e ka mea hiki ole ke hana i ka maʻamau niho pōʻalo mai punawai keiki.

Ma mua o ka hana no ka heleʻana i ka walu o ka niho i loko o ka mandible, kūloko anesthesia anesthetize i ka puni'aʻaʻa ma ka pahu kui. E hana i kēia, hoʻohana 'ai', "Novocaine," "Dikain", "Trimekain" "Lidocaine". Nō hoʻi, i nā anesthesia ua hoʻohana ', ina ka nui lua ma hope o kona wehe' ana o ke akamai niho.

Ma ka hihia o ka hoʻomanawanui ka loa ko mākou hopohopo mua o ka kaʻina hana hoʻohana malimali Luna: nitrous'okesaside, ku una, a intravenous kiaha dala malimali.

Ka loa ka hoʻokō intravenous kiaha dala, ka mea, i ka lōʻihi a me ka hohonu hopena. Akā, ma mua ana oe e kukakuka pu me ka hoʻomalu, a loaʻa mai ina he mea he allergy i ka kekahi lāʻau a me kona eiiiiiaiou.

Contraindications i ka wehe 'ana o ka naauao niho

Contraindications i ka wehe 'ana i ka walu o ka niho i loko o ka iwi ā lalo,ʻaʻole no ka nui loa. Akā, loaʻa nā nuances i pono ka uku noonoo ana i ke kaʻina hana.

Nā kauka niho a me ka lapaau mai e waiho aku i ka lawe ana i ka wehe 'ana o ka niho i loko o ka kēia hihia.

• Au i nei iʻoki kino ma ka naau, a me myocardial infarction;
• huʻi infectious maʻi (SARS, maʻi palū, herpes);
• maʻi maʻi o ka mea'ōnaehana mānowai koko oihana;
• pilikia a me ka digestive'āpana;
• kiʻekiʻe ke koko;
• ekolu lā ma mua menstruation a me ka wa;
• i hāpai keiki.

Mau contraindications mea ole loa, a ma lalo o ka hooponopono ana o ke kauka hiki ke lawe mai i ke kaʻina hana o ka walu o ka niho pōʻalo ma mandible.

Loaʻana, a me ka complications holo i ka wehe 'ana o ke akamai niho i loko o ka iwi ā lalo. Pane hōʻike i ka moku'āina ma hope o ka hana ua hou koke, i nā aeʻeha nalo discomfort i loko o ka waha. 'Eleu akamai niho pōʻalo ua ālai' ka mālama luna 'hopena no ka moʻolelo o ka lua, a me ka pau meaola.