Gingivitis

I-gingivitis uhlobo oluvamile nolulula lwesifo sezihlunu, oluthiwa futhi yi-periodontal disease. Ibanga ukuvuvukala, ukubomvu, ukukhula nokuphuza kwe-gingiva yakho, okuyisigaba sezihlunu zakho ezizungezile isisekelo samazinyo akho. Kubalulekile ukuthatha i-gingivitis ngokungathi sína nokuyiphatha ngokushesha. I-gingivitis ayibangeli ukulahleka kwamathambo. Kodwa uma ingaphathwa, ingabangela isifo esinzima kakhulu sezihlunu, esibizwa nge-periodontitis, nokulahleka kwamazinyo.

Imbangela evamile kunazo zonke ye-gingivitis ukungagcini amazinyo akho nezihlunu zakho ezihlanzekile nezinempilo. Imikhuba emihle yempilo yomlomo, njengokuhlafuna okungenani kabili ngosuku, ukuhlanza imihla ngemihla nokuvakashela izinyanga zamagqirha njalo, kungasiza ukuvimbela nokubuyisela i-gingivitis.

I-gingivitis ingabangela amahlumela abomvu noma amnyama, avuvukile, abuhlungu futhi agaze kalula, ikakhulukazi uma ugeza amazinyo. Amahlumela aphilile aqine futhi apinkiwe. Ahambisana kahle namazinyo. Izimpawu ze-gingivitis zihlanganisa:

• Amahlumela avuvukile noma aqaqambile.
• Amahlumela abomvu noma amnyama, noma amahlumela amnyama kunokujwayelekile.
• Amahlumela agaze kalula uma ugeza noma uhlanza ngentambo.
• Amahlumela abuhlungu.
• Umoya omubi. Uma ubona noma iyiphi impango ye-gingivitis, cisha isikhathi sokuhlangana nodokotela wemazinyo ngokushesha okukhulu. Uma ufuna ukunakekelwa ngokushesha, amathuba akho okuqeda umonakalo ovela ku-gingivitis futhi ungabi ne-periodontitis. Udokotela wakho wemazinyo angase afune ukuba ubona i-periodontist uma izimpawu zakho zingathuthuki. Lo ngudokotela onolwazi oluthuthukile oqeqeshwe ekwelapheni izifo zamahlumela.

Isizathu esivame kakhulu sokuqala kwegingivitis ukungazinaki izinyo namagciwane, okwenza kube lula ukuba iplaque yakhe ezinyoni. Lokhu kubangela ukukhula kwamagciwane aseduze.

Nansi indlela iplaque engabangela ngayo igingivitis:

• Iplaque yakha ezinyoni zakho. Iplaque yifilimu enamathelayo engenambala. Yenziwe ikakhulukazi ngamabhaktheriya akha ezinyoni zakho ngemva kokudla i-starch noshukela ekudleni. Iplaque kufanele isuswe nsuku zonke ngoba yakha ngokushesha.
• Iplaque iphenduka i-tartar. Iplaque ehlala ezinyoni zakho ingaqina phansi komugqa wamagciwane ibe yi-tartar. Le tartar, eyaziwa nangokuthi yi-calculus, iqoqa amabhaktheriya. I-Tartar yenza iplaque ibe nzima ukususa, idala isivikelo samabhaktheriya futhi ikhungathekisa umugqa wamagciwane. Udinga ukuhlanzwa kwamazinyo ochwepheshe ukuze ususe i-tartar.
• Igingiva iyakhungatheka futhi ikhula. Igingiva yingxenye yamagciwane akho eduze kwesisekelo samazinyo akho. Uma iplaque ne-tartar zihlala isikhathi eside ezinyoni zakho, ziyakhungathekisa igingiva. Ngokuhamba kwesikhathi, amaciwane akho ayakukhula futhi agqeme kalula. Lokhu kubizwa ngokuthi igingivitis. Uma kungelaphiwa, igingivitis ingabangela ukubola kwamazinyo, i-periodontitis nokulahlekelwa kwamazinyo.

I-gingivitis ivamile, futhi noma ubani angayithola. Izinto ezingandisa ingozi yakho ye-gingivitis zifaka: Imikhuba emibi yokunakekela umlomo.\nUkubhema noma ukukhinyabeza utshaba.\nUbudala obukhulu.\umlomo owomile.\nUkondleka okubi, okuhlanganisa ukungatholi ivithamini C eyanele.\nUkulungisa amazinyo angafani kahle noma asekhonweni elibi, njengezinto ezigcwalisayo, amabhuloho, izimplanti zamagciwane noma ama-veneers.\nAmazinyo aqondile okunzima ukuwahlanza.\Isimo esinciphisa ukhuseleko lomzimba, njenge-leukemia, i-HIV / AIDS noma ukwelashwa komdlavuza.\Imithi ethile, njengephenytoin (Dilantin, Phenytek, nabanye) yezifo ze-epileptic kanye nabanye abaphambanisi be-calcium channel abasetshenziswa ekwelapheni i-angina, ukucindezeleka kwegazi eliphakeme nezinye izimo.\nUkushintsha kwamahomoni, njengalezo ezihlobene nokukhulelwa, isimiso somjikelezo wesikhathi noma ukusetshenziswa kwamapilisi okuvimbela ukukhulelwa.\ni-jini ethile.\Izimo zezokwelapha, njengezinye izifo ezibangelwa yi-viral kanye ne-fungal.

Ukugula kwezinsizi ezingaphathwe kungabangela isifo sezinsizi esisakazekela kumafutha nezitho ezisezantsi, okuthiwa yi-periodontitis. Lokhu kuyisimo esinzima kakhulu esingabangela ukulahleka kwamazinyo.

Isifo sezinsizi esiqhubekayo singahlobana nezifo ezithinta umzimba wonke, njengesiyezi, isifo sikashukela, isifo se-coronary artery, isifo sokuqhaqhazela kanye ne-rheumatoid arthritis.Ucwaningo oluthile lubonisa ukuthi amabhaktheriya abangela i-periodontitis angangena egazini lakho ngezingqimba zezinsizi, mhlawumbe athinte inhliziyo yakho, amaphaphu namanye amalungu omzimba wakho. Kodwa-ke, kuyadingeka ucwaningo olwengeziwe ukuze kuqinisekiswe ukuxhumana.

Umnyango wezinsizi, owaziwa nangokuthi yi-necrotizing ulcerative gingivitis noma i-NUG, uhlobo olukhulu lwegingivitis oluholela ezinsizeni ezibuhlungu, ezine-infection, eziphuma igazi kanye ne-ulcers. Umnyango wezinsizi awuvamile namuhla emazweni asathuthukile, yize uvame kakhulu emazweni asathuthuka anamahlalakhona amabi kanye nezimo zokuphila ezimbi.

Ukuvimbela igingivitis:

• Hlakulela ukunakekelwa komlomo okuhle. Lokho kusho ukugeza amazinyo akho imizuzu emibili okungenani kabili ngosuku—ekuseni nangaphambi kokulala—nokuhlanza ngentambo okungenani kanye ngosuku. Kungcono nakakhulu, geza ngemva kwesidlo ngasinye noma isnack noma njengoba udokotela wezinyo akukhuthaza. Ukuhlanza ngentambo ngaphambi kokugeza kususa izicucu zokudla eziqhekeke kanye nebhaktheriya.
• Iya kudokotela wezinyo njalo. Bheka udokotela wakho wezinyo noma umhlengikazi wezinyo njalo ukuze uhlanzwe, ngokuvamile njalo ngenyanga eziyi-6 kuya kweziyi-12. Uma unezingozi ezikhuphula amathuba akho okukhula kwe-periodontitis—njengokuba nomlomo owomile, ukuthatha imithi ethile noma ukubhema—ungadinga ukuhlanzwa okuqeqeshwe ngokuvamile. Izithombe ze-X-ray zonyaka ngamunye zingasiza ekutholeni izifo ezingabonakali ekuhlolweni kwamehlo kwezinyo nokubuka ushintsho empilweni yakho yezinyo.
• Thatha izinyathelo zokuphila impilo enempilo. Imikhuba efana nokudla okunempilo nokulawula ushukela egazini uma une-diabetes, isibonelo, kubalulekile ekusekeleni impilo yezinye.

Odokotela bezinyo bavame ukuxilonga igingivitis ngokusekelwe ku:

• Ukuhlola umlando wakho wezinyo kanye nowempilo neemeko ezingase zifake isandla ezimpahleni zakho.
• Ukubuka amazinyo akho, amagxolo, umlomo nolimi ukuze kubonwe izimpawu zeplaque, ukuvuvukala noma ukukhula.
• Ukuqapha ukujula kwesikhwama sesikhala esiphakathi kwamagxolo akho namazinyo. I-probe yezinyo ifakwa eduze kwesinyo sakho ngaphansi komugqa wamagxolo akho, ngokuvamile ezindaweni eziningi emlonyeni wakho. Emlonyeni ophilile, ukujula kwesikhwama kuphakathi kwama-1 nama-3 millimeters (mm). Izikhwama ezinjengoba zinga-4 mm noma ngaphezulu zingasho ukuba unegciwane lamagxolo.
• Izithombe ze-X-ray zezinyo ukuze kuhlolwe ukulahleka kwamathambo ezindaweni lapho odokotela bezinyo bebona khona izikhwama ezijulile.
• Ezinye izivivinyo uma kudingeka. Uma kungacaci ukuthi yini ebangelwe igingivitis yakho, udokotela wakho wezinyo angakuncoma ukuthi uthole ukwelashwa kwezokwelapha ukuze kuhlolwe ezinye izimo zempilo. Uma isifo sakho samagxolo siqhubeke, udokotela wakho wezinyo angakudlulisa kudiodontist. Lo ngudokotela wezinyo onolwazi oluphezulu oqeqeshwe ekwelapheni izifo zamagxolo.

Ukuphathwa okusheshayo kuvame ukubuyisela izimpawu ze-gingivitis futhi kuvimbele ukuba kube yisifo esibi segila nelahleko lezinye. Unethuba elikhulu lokuphathwa okuphumelelayo uma futhi uqeqesha ukunakekelwa komlomo okuhle nsuku zonke bese uyeka ukusebenzisa utshaba.

Ukukhathalelwa kwe-gingivitis kwezobuchwepheshe kuhlanganisa:

• Ukuhlanza kwamazinyo. Ukuhlanza kwakho kokuqala kwezobuchwepheshe kuzoba ukususa zonke izindawo ze-plaque, i-tartar nemikhiqizo yobaktheriya. Le nqubo iyaziwa njengokukala nokulinganisa impande. Ukukala kususa i-tartar kanye nabaktheriya ebusweni bamaqhawe akho nangaphansi kwamagila akho. Ukulinganisa impande kususa imikhiqizo yobaktheriya eyenziwe ukukhula nokucasuka, futhi kululamise ubuso bempande. Lokhu kukhuthaza ukwakheka okwengeziwe kwe-tartar kanye nabaktheriya, futhi kuvumela ukuphulukiswa okuhle. Inqubo ingase yenziwe ngezinsimbi, i-laser noma idivayisi ye-ultrasonic.
• Ukulungisa okudingekayo kwamazinyo. Amazinyo aqondile noma ama-crowns, ama-bridges noma ukulungiswa kwamazinyo okungafanele kungacasula amagila akho futhi kwenze kube nzima ukususa i-plaque ngesikhathi sokukhathalela komlomo nsuku zonke. Uma izinkinga zamaqhawe akho noma ukulungiswa kwamazinyo kudlala indima ku-gingivitis yakho, udokotela wamazinyo angase akukhuthaze ukulungisa lezi zinkinga.
• Ukukhathalela okuqhubekayo. I-gingivitis ivame ukuhlanzwa ngemuva kokuhlambalaza okuhle kwezobuchwepheshe - uma nje uqhubeka nokukhathalela okuhle komlomo ekhaya. Udokotela wamazinyo uzakusiza ukuhlela uhlelo oluphumelelayo ekhaya nesheduli yokuhlola okuvamile nokuhlanza.

Uma ulandela iziphakamiso zedokotela wakho futhi uhlanza futhi uhlanza amazinyo akho njalo, inyama yegila enempilo kufanele ibuye ezinsukwini noma emaviki.