Dislocation ntawm cov hniav: hom, kev kho mob, cov duab

Yuav luag txhua leej txhua tus tsawg kawg ib zaug nyob rau hauv nws lub neej yog ib tug neeg mob kho hniav chaw ua hauj lwm. Feem ntau cov feem ntau, peb yuav mus cuag kws kho mob thaum caries nce mus txog ib tug kev loj hlob uas pib qhov mob, uas muaj peev xwm tsis zam lub txim rau. Mus saib ib tug kws kho hniav, thiab yog hais tias tsim nyog tuav hniav cuav los yog kom hniav zoo nkauj qhov ncauj mob. Tab sis muaj tej lub sij hawm thaum cov neeg mob tuaj rau hauv lub txais tos vim hais tias muaj yog ib tug dislocation ntawm cov hniav. Yuav ua li cas hom ntawm pathology, txawm yog vim li cas, muaj, thiab seb koj puas yuav tau ko? Ntawm no yog cov lus nug no peb yuav sim teb.

Yuav ua li cas yog dislocated hniav

Yog hais tias tus hniav yog deflected los ntawm nws cov axis txheeb ze rau lub chaw rau lwm cov hniav, nws puas yuav tau hais lus xws li pathology. Thaum lub sij hawm dislocation ua kev puas tsuaj rau ligaments, uas ua rau yus mus rau ib tug ua haujlwm ntawm tus hniav.

Nyob rau hauv feem ntau muaj yog dislocated hniav rau sab sauv lub puab tsaig, tej zaum yuav ua tau nyob rau hauv qab.

Precipitating yam tseem ceeb ntawm dislocation

Raws li ntau yam tau ua raws li ua xws kev raug mob. Sprains thiab pob txha lov ntawm cov hniav nyob rau hauv cov menyuam yaus thiab cov neeg laus yuav tshwm sim rau cov nram qab yog vim li cas:

1. Thaws. Nws yog tsis tsim nyog tias ib tug neeg tau muab rau lub puab tsaig, nws yog tau mus muab qho kev raug mob tom qab ntog los ntawm ib tug lub tsheb kauj vab thaum muaj ib tug kev sib tsoo los yog tej kev huam yuaj. Feem ntau raug kev txom nyem los ntawm tej kev raug mob kev ncaws pob xws li hockey. Feem ntau cov feem ntau cuam tshuam yog cov pem hauv ntej cov hniav.
2. Yog hais tias cov hniav tsis txawv nyob rau hauv lawv lub zog raws li ib tug tshwm sim ntawm tej yam pathologies, xws li periodontitis, ces txhob txwm khoom khoom nyob rau hauv tus hniav thaum lub sij hawm mastication tej zaum yuav raug nyob rau hauv dislocation.
3. Yuav raug unprofessional cov kws kho hniav uas sib zog heev thaum lub sij hawm kev kho mob thiab cov cuab yeej provoked dislocated hniav.
4. Tsis tau phem kuj tseem ua kab mob, piv txwv li, yog tias raws li ib tug raj mis opener siv lawv tus kheej cov hniav los yog keej ntawm walnuts.

ntawm ntau yam dislocations

Tej kev poob plig yuav ua tau ntawm ob peb hom:

1. Ib tug ib nrab dislocation ntawm tus hniav. Tsiag ntawv los ntawm kev ua txhaum cai ntawm cov kev ntseeg ntawm ncig poob plig rau lub pulp. Nrog rau qhov no raug mob yog tseem muaj ib tug caij nyoog ntawm tus hniav rov qab mus rau hauv qhov chaw. Nws tsis tau poob tawm ntawm lub qhov, tsuas lo los ntawm nws cov axis.
2. Sau kom tiav dislocation ntawm tus hniav. Nws tshwm sim feem ntau nyob rau hauv lub qaum puab tsaig uas tus hniav yog yuav luag ntog tawm ntawm lub alveoli. Thaum bounce apart xws poob plig tej zaum yuav txawm tawg ntawm lub puab tsaig los yog hniav.
3. Kev dislocation ntawm tus hniav. Tej dislocation yog suav tias yog lub feem ntau txaus ntshai, vim muaj ntau yam cov ntaub so ntswg kev puas tsuaj. Raws li ib tug tshwm sim, ib tug loj feem dag zog yuam yog tswvcuab sib sib zog nqus rau hauv tus hniav socket. Peb yuav tau ua hauj lwm nyuaj rau rov ib tug zoo nkauj luag ntxhi.

Dislocation yuav pom raws li nws tus kheej raug mob, thiab tej zaum kuj yuav nrog nws cov lus los ntawm ib tug pob txha lov ua ntawm lub crown los yog hauv paus, thiab nyob rau hauv loj heev zaum thiaj paub hais tias ib tug tawg puab tsaig. Muab qhov zoo ntawm kev raug mob, tus kws kho mob yuav muab kev txiav txim thiab xaiv cov tactics ntawm kev kho mob.

symptomatology sprains

Ntau yam kev raug mob txawv ntawm nws tus kheej thiab nws cov ces. cov tsos mob ntawm ib qho kev tsis tiav dislocation ntawm tus hniav feem ntau yog qhia tau hais tias cov nram qab no:

• Muaj yog ib tug ntse mob, uas tej zaum yuav exacerbated thaum lub sij hawm noj mov.
• Yog hais tias koj saib nyob rau ntawm tus hniav, lub crown muaj ib tug atypical qhov chaw, nws tsis kam rau sab. Thaum koj sim mus ntxias kom cov hniav hauv paus zog yog cai.
• Tsis tau kaw nws lub puab tsaig zoo thiab kaw lub qhov ncauj, muaj ib tug mob mob.
• Ntawm qhov chaw ntawm kev raug mob koj yuav saib tau doog ntawm daim tawv nqaij. Nyob rau qhov no cov tsos mob yuav cov niam txiv xav tias dislocation ntawm cov mis nyuj hniav nyob rau hauv cov me nyuam. Yog hais tias ib tug me nyuam poob, nws yog tsim nyog los ua tib zoo xyuas lub qhov ncauj kab noj hniav, tshwj xeeb tshaj yog thaum hais lus ntawm cov ntshav.
• Cov hniav yuav dhau mobile. Ib txhia yuav sim mus txeeb nws, tab sis nws yuav tsum tsis txhob yuav ua li cas.
• Muaj o ntawm ob daim di ncauj, cov pos hniav, yog tias koj kov nws, qhov mob yog muaj.
• Yog hais tias koj muab ib daim duab, koj yuav saib tau lub hauv paus shortening ntawm lub puas hniav.

Yog hais tias lub qis pob txha yog tag nrho, cov cim muaj raws li nram no:

• Tej dislocation ntawm tus hniav (cov yees duab tej zaum yuav ib tug pov thawj ntawm hais tias) nrog los ntshav los ntawm lub alveoli, qhov twg tus hniav yog.
• Mob nyob rau hauv lub cheeb tsam ntawm kev raug mob.
• Tshwm hais lus impediment.
• Lub transformation ntawm cov pos hniav, yog li nws yog pom o, hematoma.

Yog hais tias muaj yog ib tug dislocation ntawm lub nyob rau hniav, cov nram qab no cov tsos mob:

• Mob heev ntawm qhov chaw ntawm kev puas tsuaj.
• Muaj yog ib tug me me ntshav qhov puas hniav.
• Tus Neeg Mob nyuaj mus clench koj cov hniav.
• Tsis muaj kiag li lawm nws yuav kom meej meej pom tias tus hniav qhov siab tau poob nyob rau hauv loj.
• Mobility yog tsis tuaj kiag li, vim hais tias cov jawbone nrees fixes cov hniav. Thaum koj sim mus ntxias nws, tus mob yog tsis muaj.
• Cov pos hniav ua o.

Qhov no dislocation yog tshwj xeeb yog txaus ntshai rau cov me nyuam uas muaj mis nyuj hniav, txij li thaum, ces sib sib zog nqus mus rau hauv lub puab tsaig, lub crown yuav raug mob lub rudiments ntawm mus tas li cov hniav. Lawv ces loj hlob puas los yog tej zaum yuav tsis tshwm sim.

Cov kev txaus ntshai ntawm dislocation ntawm cov hniav nyob rau hauv cov me nyuam

Cov me nyuam yog heev mobile, yog li no raug mob rau lawv - yog tsis yooj yim dua. Thiab thaum twg koj xav txog hais tias qhov no yuav tshwm sim nyob rau hauv thaum ntxov thaum yau thaum tseem muaj mis nyuj cov hniav, los yog txawm tsis muaj los xav.

Yog hais tias xws raug mob tshwm sim, ntau cov niam txiv ntseeg tau hais tias nws yog tsim nyog urgently mus muab tus hniav nyob rau hauv qhov chaw. Tab sis tej kws kho hniav tsis yeej ib txwm pom zoo nrog hais tias, tshwj xeeb tshaj yog yog tias ib tug me nyuam cov hniav thiab dislocation tsis cuam tshuam thiab tsis ua mob rau tus me nyuam.

Niam thiab dads yuav tsum paub hais tias xws li ib tug kho raws yog tsis pom zoo kom kho koj tus kheej. Koj yuav ua tau teeb meem zuj zus thiab ua rau mob heev tus me nyuam. Yog hais tias nws los txog rau ib tug me nyuam cov hniav, qhov ntau yog li ntawd, vim hais tias cov pos hniav yog twb pib ntawm mus tas li cov hniav, uas yuav ua rau muaj teeb meem rau.

Nws yog zoo dua mus ntsib ib tug kws paub thiab kom daws tau nrog nws pab, yuav ua li cas pab tau tus me nyuam.

Thawj pab tom qab dislocation ntawm tus hniav

Thaum tau txais daim ntawv ntawm tej qho kev raug mob (seb tus me nyuam yog los yog neeg laus), koj yuav tsum tau sai li sai tau yuav nyob rau hauv tus kws kho hniav lub rooj zaum, tab sis thawj kauj ruam tseem ceeb heev:

• Yog hais tias tau, tshem tawm cov ntshav.
• Nws yog txwv tsis pub mus thov siab rau qhov kev raug mob rau ntawm qhov chaw los yog ncaj qha rau ntawm cov hniav. Tsis xav kom nyias muaj nyias kev mus sim muab tso rau lub hniav nyob rau hauv nws qhov chaw.
• Los ntawm sab plhu los ntawm cov raug mob hniav yuav ua rau ib yam dab tsi txias.
• Yog hais tias lub dislocation ntawm lub tag nrho, mam li ua ib tug tampon, tab sis tsis paj rwb.
• Thaum ua ntawv thov ib tug siab ntaub qhwv nws yuav tsum tsis txhob khaws cia rau ntau tshaj li 15 feeb.

Ib txhia ntseeg tias ib zaug muaj yog xws li ib tug kev poob plig, koj yuav tsum tshem tawm cov hniav. Tab sis ib tug uas tsim nyog tus kws resorts mus xws li ib twg tsis tshua muaj, tsuas yog thaum muaj teeb meem loj indications, uas yuav tsum tau los sib tham li hauv qab no.

Kev kho hniav dislocation

Yog hais tias paub hais tias dislocation ntawm tus hniav, kev kho mob yuav nyob ntawm seb ib tug ntau yam ntawm kev raug mob, tus neeg mob lub hnub nyoog, raws li zoo raws li thaum nws los txog rau ib tug me nyuam, cov neeg kawm ntawv ntawm kev puas tsuaj thiab tsim ntawm mus tas li cov hniav nyob rau hauv cov pos hniav. Rau kev nyob rau hauv thawj qhov chaw yog ib tug teeb meem uas ua kom tus hniav, tab sis qhov no yuav yog nyob ntawm seb muaj ntau yam, thiab muaj xws li ib tug xov tooj ntawm yuav tsum tau ntsuas:

1. Hniav Rov qab mus rau starting txoj hauj lwm. Yuav kom qhov no kawg, txawv txoj kev, nyob ntawm seb lub dislocation yuav siv tau.
2. Yog hais tias muaj yog ib tug dislocation ntawm lub kev hniav, kev kho mob yuav ib tug thawj zaug rov qab mus rau nws cov thawj qhov chaw, yog tias ua tau. Yog hais tias xws li ib raug mob nyob rau hauv ib tug me nyuam cov hniav, qhov ntau feem ntau, yog hais tias tus me nyuam yog ntau tshaj li 2 xyoos, nws yog muab tshem tawm.
3. Ib tug ib nrab dislocation ntawm tus hniav yooj yim rov qab mus rau nws lub rooj zaum. Ua li no, siv ib tug ntau yam ntawm designs, thiab ces tsau.

Mus tshem ntawm tsis tiav dislocation

tsis tiav dislocation hniav kev kho mob yog txo mus rau raws cov txheej txheem:

1. Reposition tus hniav, uas yog, rov qab mus rau nws qhov chaw.
2. Kuas nyuas siv zug tiv thaiv xaav.
3. kev tu cev raws cai.

Thaum tus hniav yog teem rau nws rightful qhov chaw, nws yuav tsum tau tsau. Ua li no, siv ib tug ntau yam ntawm cov cuab yeej:

• Binding hniav nyias mos bronze thiab txhuas hlau. Qhov no manipulation yog tau yog hais tias tus neeg raug mob ib tug muaj tseeb tom thiab cov uas nyob ib sab hniav ruaj khov. Qhov no txoj kev nws muaj nws drawbacks: lub complexity ntawm tus txheej txheem thiab tsis muaj kev txhav fixation.
• Overlay tsheb npav hlau. Nws tseem ceeb heev kom muaj ib tug ruaj khov mus ib txhis dentition thiab nyob ib sab hniav.
• Kev siv cov kappa-bus, nws yog los ntawm cov yas.
• Koj siv tau ntawm cov hniav-nadesnevye log tsheb, yog hais tias tsis ib tug xov tooj ntawm txhim khu kev qha abutment hniav.
• Nyob rau hauv tej rooj plaub, kws kho hniav yog tig mus rau puas cov ntaub ntawv rau kev kho cov hlau arches los yog log tsheb.

Tom qab fixation, xws li ib tug tsim yog feem ntau nyob rau hauv lub qhov ncauj kab noj hniav rau txog ib lub hlis. Tus kws kho mob yuav piav qhia hais tias nyob rau hauv no lub sij hawm nws yog ib qho tseem ceeb rau qhov ncauj kom tiv thaiv kab mob txheej txheem.

Therapy tiav dislocation

Yog hais tias qhov kev raug mob tau coj mus rau ib tug ua tiav dislocation ntawm tus hniav, nws yuav muaj cov nram qab kev kho mob:

1. Tshem cov sis plawv hniav thiab kwj dej filling.
2. hniav replantation.
3. Fixation.
4. Kevcai sparing noj cov zaub mov.

Thaum lub sij hawm qhov kev xeem, tus kws kho mob ua tib zoo tshuaj xyuas lub qhov ntawm tus hniav thiab ntsuas txoj kev ntseeg. Replantation yog tau los yog tsis nyob rau hauv ob peb yam tseem ceeb:

• tus neeg mob lub hnub nyoog.
• mob ntawm tus hniav.
• Ib ntus los yog mus li lawm hniav.
• Lub hauv paus ntawm lub zoo-tsim los yog tsis.

Tom qab sau tus raws pib hniav replantation. Nws yuav ua tau ib tug ib tug-theem, thaum tus hniav tam sim ntawd muab tso rau hauv qhov chaw thiab splinted nws. Tab sis tej zaum ncua replantation, ces tus hniav yog muab tso rau hauv ib tug tshwj xeeb tshuaj, thiab xa nyob rau hauv lub tub yees. Ob peb hnub tom qab npaj mus rau nws rov qab mus rau qhov chaw.

replantation txheej txheem muaj raws li nram no cov kauj ruam:

1. hniav kev npaj.
2. Ua qhov dej.
3. Replantation ntawm tus hniav thiab nws fixation.
4. Therapy tom qab phais.

Thaum cov txheej txheem yog nqa tawm replantation hniav, kwv yees li 1.5-2 lub hlis engraftment tau nyob rau hauv ob peb lub scenarios:

1. Engraftment hom thawj nro. Qhov no hom yog feem ntau dej siab rau cov hniav thiab tus neeg mob, tiam sis nws yuav yog nyob ntawm seb cov nqi ncig ntaub so ntswg.
2. Engraftment ntawm lub hom ntawm cov pob txha fusion. Qhov no yuav tshwm sim tau yog hais tias muaj yog ib tug kev puas tsuaj rau lub ncig ntaub so ntswg, ntawm chav kawm, qhov no yog tsis yog ib tug dej siab tshwm sim.
3. tau ib tug tov hom zoo tau cai ncig-fibrous pob txha.

Feem ntau, yog tias ib tug hniav replantation tom qab raug mob ua yuav luag tam sim ntawd, ces lub hauv paus tsawg kawg raug kev puas tsuaj thiab hniav yuav raug cawm dim rau ib ntev lub sij hawm. Tab sis yog hais tias nws yuav siv sij hawm ib tug ntev lub sij hawm ntawm tau txais daim ntawv dislocation, nws feem ntau yog xaus replantation gradual resorption ntawm lub hauv paus thiab nws tiav kev puas tsuaj.

Kho dislocated kev hniav

Ces nrog kev nyuaj heev yog hais tias tus ib nrab dislocation ntawm mus tas li hniav, nyob rau hauv tus, yog ib qho yooj yim mus tu. Ib cov kws txawj xav mus tos tej lub sij hawm, vam hais tias yuav ua li cas txawj hniav rov qab nyob rau hauv nws qhov chaw. Tab sis qhov no, yog tias ua tau, tsuas yog tias tus me nyuam cov hniav thaum lub extension yog vim tus tsim ntawm lub hauv paus.

Thaum ib tug hluas uas muaj hnub nyoog, yog hais tias muaj Vuam ntawm ntiav, self-promotion yog tseem tau, muab hais tias nws yog tsis tshaj lub tsim ntawm lub hauv paus thiab muaj lub kab cheeb tsam. Cov thawj cov cim qhia ntawm no phenomenon tau cai tsis ntxov tshaj li 2-6 lub lis piam tom qab raug mob.

Yog hais tias muaj cov cim qhia ntawm o, nws yog tsim nyog los trepan hniav thiab tshem tawm cov lub pulp.

Yog hais tias dislocation kev yuav luag tag submerged crown ntawm tus hniav mus rau hauv cov pos hniav, nws tus kheej-nomination yog tsis zoo li, raws li zoo raws li lub xub ntiag ntawm o thiab foci ntawm kab mob nyob rau hauv lub periapical ntaub so ntswg.

Tom qab raug mob reposition kev hniav muaj peev xwm yuav nqa tawm yuav luag tam sim ntawd los yog tsis pub dhau 3 hnub. Trepanning crowns thiab purification ntawm lub sis plawv hniav yog nqa tawm tom qab tus hniav yog nrees ntsia tau rau hauv qhov dej.

Yog hais tias lub crown yog ntiav submerged, nws yog tej zaum yuav siv sis khoom siv rau nws extension. Thaum tsaug uas raug hniav tsim nyog mus rau chaw uasi rau kev phais txoj kev ntawd ces nws twb tau muab tso rau hauv lub tshuab. Qhov no manipulation yuav tsum tau nqa tawm sai li sai tau tom qab raug mob, vim rau 5-6 hnub npaj ankylosis.

Koj muaj peev xwm mus rau lwm txoj kev: los tshem tawm cov kev hniav, thiab ces nqa tawm replantation.

Nyob rau hauv tej rooj plaub, tib txoj kev - mus tshem tawm ib tug hniav

Yog hais tias tus neeg mob mus rau tus kws kho hniav nrog ib tug dislocation ntawm tus hniav, tus kws kho mob txiav txim siab tshem tawm nws nyob rau hauv lub xub ntiag ntawm lub nram qab no predisposing yam:

1. Nws pom loj o. Yuav kom daws tau qhov teeb meem no, siv cov kev cog hniav, yog hais tias nws los txog rau ib tug me nyuam, lawv yuav tsum tau ib ntus, thiab xaiv constants rau cov neeg laus.
2. Raug Mob cai tom qab mob loj heev pob txha puas tsuaj.
3. Yog hais tias muaj yog ib tug dislocation ntawm tus me nyuam cov hniav. Tab sis muaj yog kev tsis sib haum ntawm cov kws kho mob, ib co ntseeg tau hais tias kom muaj tus hniav rau txhua yam, thaum lwm tus neeg yog ntseeg nyob rau hauv lub rov qab tsim nyog.

Nyob rau hauv txhua rooj plaub, yuav ua rau ib tug txiav txim txog qhov kev tshem tawm ntawm tus hniav yuav tsum tau ib tug kws kho mob tom qab ib tug meej kev soj ntsuam ntawm qhov teeb meem no, txiav txim degree ntawm complexity ntawm kev raug mob thiab hauv lub xeev ntawm cov kev kho hniav system.

Puas yuav ua tau kom tsis txhob tau txais daim ntawv ntawm tej kev raug mob

Ntawm cov hoob kawm, nws yog tsis yooj yim sua kom raug txim lawv tus kheej kiag li ntawm cov dislocation ntawm tus hniav, vim hais tias cov me nyuam tub los ua pov thawj nws innocence nyob rau hauv ib tug sib ntaus yuav lav tsis tau tias yuav tsis tau txais ib tug muaj zog tshuab rau lub puab tsaig. Tab sis koj muaj peev xwm coj lwm yam kev ntsuas uas yuav txo txoj kev pheej hmoo ntawm kev raug mob:

1. Ceev faj mus kom ze rau xaiv cov khoom noj uas yog noj.
2. Mus rau lub khw thiab yuav ib lub raj mis opener, tsis txhob sim lawv lub zog nyob rau hauv cov hniav.
3. Nrib pleb ceev tsis tas cov hniav, koj yuav siv tau cov cuab yeej rau tes.
4. Tej Qhov Ncauj Tu tsis tau tsis muaj mob, tab sis nws tsis tuaj kawm ntawv yuav ua rau ib tug weakening ntawm pob txha tsim. Cov quav hniav ua rau gradual weakening thiab kev puas tsuaj ntawm cov hniav enamel.
5. Noj cov khoom uas txiv hmab txiv ntoo thiab zaub, lawv yuav tsis cia li zoo huv si hniav ntawm cov quav hniav, tab sis kuj yuav ntxiv dag zog rau lawv.

Zoo nkauj hniav - nws tsis yog tsuas yog noj qab haus huv, tab sis kuj zoo nkauj. Puas los yog caws maum hniav ua rau peb txaj muag ntawm lawv luag. Kom tsis txhob no, koj yuav tsum ua raws tu qhov ncauj zoo thiab saib xyuas ntawm lawv cov hniav. Thaum xub thawj siab ib muag nws nkawd hais tias lawv muaj zog thiab lawv yuav tsis ntshai dab tsi, tab sis nws puv tawm, ib tug raj mis qhib tej zaum yuav nyob rau hauv tsis ua hauj lwm. Nws yog ib qho tseem ceeb rau qhia cov me nyuam los ntawm ib tug thaum ntxov muaj hnub nyoog saib xyuas lawv Zubkov, ces, raws li cov laus, lawv yuav tsis zaum rau cov sij hawm nyob rau hauv ib tug queue ntawm tus kws kho hniav lub chaw ua hauj lwm. Tiv thaiv koj cov hniav los ntawm sprains, cia koj luag ci!