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January 17, 2025
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Ukutheleleka kwamazinyo, okubizwa nangokuthi ukutheleleka kwemilomo noma ama-abscesses, kwenzeka lapho ibhaktheriya ingena futhi ikhule esicaphukweni esithambile ngaphakathi kwelinyo. Lokhu kuvame ukwenzeka ngenxa yeziwombe ezingaphathwe, isifo sezinye, noma ukulimala kwelinyo. Ukutheleleka kwamazinyo kungabangela izinkinga ezinzima; kungabangela ubuhlungu obukhulu, ukukhuluphala, futhi, kwezinye izimo, izinkinga zempilo ezinzima uma kungaphathwa ngokushesha.
I-abscess yemilomo iyisikhwama se-pus esenziwa ngenxa yokutheleleka. Ingabonakala eceleni komsuka welinyo noma ezinye ezinye. Izimpawu ezivamile zihlanganisa ubuhlungu obungapheli lwelinyo, ukusabela ezimweni ezishisayo noma ezipholile, ukukhuluphala ebusweni noma ezinye, no-kunambitheka okubi noma ukunuka emlonyeni.
Ukukhathazeka okukhulu ngokutheleleka kwamazinyo ukuthi kuthatha isikhathi esingakanani ukuba yingozi—ngokukhethekile, \"kuthatha isikhathi esingakanani ukuba ukutheleleka kwelinyo kube yingozi eyingozi?\" Lokhu kungase kuzwakale kuyesabekayo, kepha iqiniso liwukuthi uma ungatholi ukwelashwa ngokushesha, izinkinga zingaqala ukubonakala ezinsukwini ezimbalwa kuya emavikini. Ukutheleleka kungasakazeka futhi kuthonye amandla abalulekile.
Ukutheleleka kwelinyo, okubizwa nangokuthi i-abscess yemilomo, kuyisimo esibangelwa ukungena kwe-bacteria ezindaweni ezingaphakathi zelinyo noma ezicaphukweni ezizungezile. Lokhu kutheleleka kuvame ukwenzeka e-pulp, ephakathi kwelinyo, noma eduze komsuka, okuholela ekwakheni i-pus.
a. Izinhlobo Zokutheleleka Kwezinyo
Ukutheleleka kwamazinyo kuhlukaniswe izinhlobo ezintathu eziyinhloko:
I-Periapical Abscess: Lokhu kwenzeka eceleni komsuka welinyo futhi yilona uhlobo oluvamile lokutheleleka kwelinyo.
I-Periodontal Abscess: Itholakala ezinye eduze komsuka welinyo, lo mbono uvame ukuxhumene nesifo sezinye esithuthukile.
I-Gingival Abscess: Lokhu kuthuthuka esicaphukweni sezinye futhi kuvame ukubangelwa izinto zangaphandle noma ukulimala kwezinye.
Lapho ibhaktheriya ifinyelela ezindaweni ezingaphakathi zelinyo, iyalanda futhi iqala ukuvuvukala. Ngokuhamba kwesikhathi, i-pus iqoqwa endaweni etheleleke, ibangele ukucindezela nobuhlungu obukhulu. Uma kungaphathwa, ukutheleleka kungasakazeka ngaphezu kwelinyo kuya kwezinye izingxenye zomzimba.
Ukutheleleka kwamazinyo kungalimaza impilo yomlomo kanye nempilo yonke. Akukuthinti nje ilizinyo elithintekile kodwa futhi kungabangela izinkinga zesimiso, okwenza ukutholakala kwangaphambi kwesikhathi nokuphathwa kube yinto ebalulekile.
Ukushiya ukutheleleka kwelinyo kungaphathwa kungabangela izinkinga ezinzima zomlomo nesimiso. Ngenkathi ubuhlungu nokukhuluphala kungase kubonakale kuhlangene ekuqaleni, ukutheleleka kungasakazeka futhi kubangele izingozi ezinkulu zempilo. Ngezansi ziningi zeziphumo ezingaba khona zokunakekelwa kokutheleleka kwelinyo:
Ibhaktheriya ingasakazeka kumazinyo aseduze, ezinye, nasethambekeni lejaw, ibangele umonakalo owengeziwe nokwehluleka kwamazinyo aseduze. Lesi simo sivame ukubizwa ngokuthi i-osteomyelitis lapho ithonya ithambekeni.
Ukutheleleka okuqhubekayo kungabangela ukuthuthukiswa kwesikhwama esigcwele i-fluid, noma i-cyst, eduze kwelinyo elithintekile. Ngokuhamba kwesikhathi, lokhu kungalimaza ithambekeni nezinye izicaphukweni, kudingeka ukususwa ngokusebenza.
Lokhu kuyinkinga engavamile kodwa ebuhlungu kwenzeka lapho ukutheleleka kusakazeka ezicaphukweni ezithambile ngaphansi kolimi nejaw. Kungabangela ubunzima ekuphefumuleni nasekugeleni, kudingeka ukunakekelwa kwesikhathi esiphuthumayo.
Ukutheleleka emazinyweni aphezulu kungasakazeka ku-sinuses, kubangele isimo esaziwa ngokuthi i-sinusitis. Lokhu kubangela ukungaphefumuli, izingcindezi, nokungakhululeki okwengeziwe.
Ukutheleleka kwelinyo kungangena egazini futhi kube yingozi ye-sepsis, isimo esiyingozi esimiso esiphawulwa ngokuvuvukala okubanzi nokusebenza okungalungile kwamandla. Lokhu kudinga ukungena esibhedlela ngokushesha.
Ibhaktheriya evela ekuthelelekeni kwelinyo ingahamba ngegazi liye kwamandla abalulekile, okungenzeka kube yingozi ye-endocarditis (ukutheleleka kokugqoka kwenhliziyo) noma ukutheleleka kwe-lung.
Ukukhuluphala okusakazekayo ebusweni, entanyeni, noma ngisho nasesifubeni kungabonisa ukuthi ukutheleleka kusakazeka ezindaweni ezibalulekile, njengendlela yokuphuma emoyeni, engalimaza ukuphefumula.
Ubunzima ekuphefumuleni noma ekugwinyeni buveza ukuthi ukutheleleka kufinyelele ezicaphukweni ezijulile, okungenzeka kube yingozi ye-Ludwig’s angina, edinga ukunakekelwa kwesikhathi esiphuthumayo.
Ukuthuthumela okuphezulu okuqhubekayo okuhambisana nokuthuthumela kungabonisa ukuthi ukutheleleka kuyisimiso futhi kuya e-sepsis, isimo esibuhlungu esidinga ukunakekelwa kwesikhathi esiphuthumayo.
Ukukhathala okukhulu noma ubuthakathaka, kanye nezinye izimpawu, kungabonisa ukuthi ukutheleleka kuqeda ukuvikela komzimba, isiluleko sokuhlanganyela kwesistimu.
Ukushisa kwenhliziyo okwandayo noma ukwehla okungazelelwe kokucindezela kwegazi kuyizimpawu ze-sepsis, lapho impendulo yomzimba ekuthelelekeni iqala ukuthonya ukusebenza kwamandla.
Ukuphazamiseka, ukuphazamiseka, noma ubunzima bokuhlala uqaphile kuyizimpawu ezinkulu zokuthi ukutheleleka kungabangela ukwehla kwamazinga oksijini noma ukugcwala kwegazi ebuchosheni.
Uma ubuhlungu bukhulu noma buqhubeka ngemuva kokuqala ukwelashwa, kungabonisa ukuthi ukutheleleka akuphathwe kahle futhi kungase kuqhubeke.
Ukutheleleka kwamazinyo, noma ama-abscesses emilomo, kwenzeka lapho ibhaktheriya ingena ezindaweni ezingaphakathi zelinyo noma ezicaphukweni ezizungezile, okuholela ekwakheni i-pus nokuvuvukala. Ukutheleleka kwamazinyo okungaphathwe kungakhuphuka, kubangele izinkinga ezinjengokutheleleka kwe-sinus, umonakalo wethambekeni, i-Ludwig’s angina, noma izimo ezingozi ezinjenge-sepsis.
Izimpawu zokuthi ukutheleleka kwelinyo kungaba yingozi eyingozi zihlanganisa ukukhuluphala okudlula ijaw, ubunzima ekuphefumuleni, ukuthuthumela okuphezulu, ukushisa kwenhliziyo okusheshayo, noma ukuphazamiseka. Ukutholakala kwangaphambi kwesikhathi nokuphathwa ngokushesha—njenge-antibiotics, ukopha, noma i-root canal—kubalulekile ukuvimbela izingozi ezinkulu zempilo. Ukufuna ukunakekelwa kwemilomo ngesikhathi esifanele kuqinisekisa ukuthi impilo yomlomo kanye nempilo yonke ihlala ivikelekile.
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