E na makamaka, i ka manawa hope a kaua i kamailio ai A i kēia lā e haʻi aku wau iā ʻoe i nā kikoʻī a me nā kikoʻī āpau pehea e lawe ʻia ai ka wehe ʻana o nā niho "sentenced". Me nā kiʻi. No laila, paipai wau i ka poʻe i manaʻo nui a me nā wahine hāpai e kaomi i ka hui kī "Ctrl +". Hoʻohenehene.
Ma hea kahi e hoʻomaka ai ka wehe ʻana o ka 8, a ma ke kumu, hoʻomaka kekahi niho ʻē aʻe?
Me ka anesthesia.
No laila:
Anesthesia (hoʻomaha ʻeha)
I mea e hōʻemi ai i ka ʻeha i ka wā o kahi injection, pono ʻoe e mālama i ka pūnaewele injection me kahi gel anesthetic kūikawā. ʻO kēia ka mea i kapa ʻia ʻo topical anesthesia. Hoʻohana pinepine ʻia i ka dentistry pediatric, akā hoʻohana pū mākou i ka hana ʻana me nā pākeke. E like me ka hōʻike ʻana o ka hoʻomaʻamaʻa, ʻoi aku ka liʻiliʻi o nā manaʻo maikaʻi ʻole, a ʻoluʻolu ka ʻono ... ma ka liʻiliʻi o kekahi ʻano hauʻoli.
I ka wehe ʻana i nā niho mai ka ʻāʻī o luna, e like me ke kānāwai, ua lawa ka infiltration maʻalahi o ka anesthetic i kahi o ka niho i wehe ʻia. Lawe ʻia ia me ka hoʻohana ʻana i kahi syringe kūikawā me nā anesthetics i koho ʻia a kapa ʻia ʻo infiltration.
I ka wehe ʻana i nā niho ma ka ʻāwae lalo, ʻaʻole lawa ka infiltration anesthesia (koe naʻe ka hui mua o nā niho, mai ka canine a hiki i ka canine). No laila, hoʻololi iki ka ʻenehana anesthesia - ʻo ka anesthetic, me ka hoʻohana ʻana i ka nila lōʻihi akā lahilahi loa, ua hoʻopili pololei ʻia i ka puʻupuʻu nerve kuleana no ka innervation o nā wahi i makemake ʻia. ʻO kēia anesthesia e hiki ai iā ʻoe ke "hoʻopau" i ka naʻau ʻaʻole wale ma kahi o ka niho i wehe ʻia, akā ma ka lehelehe, ka ʻauwae, ka ʻāpana o ke alelo, etc.
Pono e hoʻomaopopo ʻia i ka wā a ma hope koke o ka anesthesia, hiki ke ʻike ʻia kekahi mau mea hoihoi - hoʻonui i ka puʻuwai puʻuwai, haʻalulu o nā lālā, kahi manaʻo hopohopo ʻole. Hoʻomaka ka nui o nā maʻi e hopohopo no kēia. Akā ʻaʻohe pono e hopohopo! ʻO kēia nā hopena ʻaoʻao o ka hapa nui o nā anesthetics hou a hele wale i loko o 10-15 mau minuke.
ʻAe, ua pau ka anesthesia! I kēia manawa pono ʻoe e hōʻoia ua hoʻokō pono ʻia?
ʻO kēlā mau wahi i kūpono i ka helu ʻia ma luna. Eia kekahi, me ka hoʻohana ʻana i kahi mea hana kūikawā a me ke kaomi ʻana i ka gum ma kahi o ka niho i hana ʻia, e hoʻoholo mākou inā mau ka ʻeha a ʻaʻole paha. ʻO ka mea wale nō e manaʻo ʻia ʻo ke ʻano o "kekahi mea" e hoʻopā ana i ka ʻōpala. ʻO ia hoʻi, mālama mau ʻia nā manaʻo tactile, akā ʻaʻohe ʻeha.
A laila ʻokoʻa kā mākou hana ma muli o ke ʻano o ka niho naʻauao a mākou e hana nei.
niho naʻauao i pā
ʻO kēia nā ʻewalu paʻakikī loa e wehe i waho o nā mea ʻē aʻe.
Ua helu mākou i ke kahua ʻoki. He aha ka hope?
Aia ma lalo o ke kāʻei! No laila, lawe mākou i kahi scalpel ma ko mākou mau lima a hana i kahi ʻoki maʻalahi ma kahi o ka niho i wehe ʻia. Hoʻokumu kēia i ka hiki ke wehe i ka niho naʻauao. Hoʻokaʻawale ʻia ia mai nā ʻiʻo a puni me ka hoʻohana ʻana i nā mea hana kūikawā, a i kēia manawa hiki iā mākou ke nānā ʻike i kona kūlana a koho i kahi ʻenehana wehe.
Inā ʻaʻole hū ka niho, ʻo ia hoʻi, ke pale nei kekahi mea. ʻO kēia "mea" e hoʻopilikia pū i kona wehe ʻana, a ʻo kēia "mea" hiki ke lilo i niho e pili ana, kahi iwi iwi, a pēlā aku.
No laila, hoʻokaʻawale mākou i ka niho i mau ʻāpana. Ke hoʻohana nei i kahi kikoʻī kūikawā me ka wikiwiki ʻokiʻoki o 150 rpm - ʻaʻole kēia he ʻoki kihi maʻalahi, akā ʻaʻole naʻe he ʻoki turbine. ʻO ka hope, ma ke ala, he mea makemake ʻole e hoʻohana no ka wehe ʻana i nā niho, no ka mea ma 000 rpm he maʻalahi ke puhi i nā mea āpau me ka lapalapa ahi, a me ka ea mai ka nozzle hoʻomaha hiki iā ʻoe ke hoʻoulu i ka emphysema ma luna o ka hapalua o kou mau maka. Ma keʻano laulā, pono ʻoe e koho i nā mea hana pono no ka wehe ʻana; ʻaʻohe mea liʻiliʻi a i ʻole hoʻopaʻapaʻa ma aneʻi a ʻaʻole hiki. A pono ʻoe e noʻonoʻo i hoʻokahi haneli mau manawa ma mua o ka wehe ʻana i kēlā mau niho pilikia i loko o kahi keʻena niho noho hoʻokahi ma kahi hui kuaʻāina ma ka mahiʻai hui "Half-Empty Bins".
ʻO ka ʻokiʻoki kūikawā no ka wehe ʻana i nā niho naʻauao. Hoʻololi i ka alapine kūpono, hāʻawi i ka torque kūpono, ʻaʻole e puhi i ka ʻiʻo a i ʻole e hoʻonui i ka emphysema. Ma ke kaʻina hana, hoʻohana wale mākou i ia mau mea hana.
No laila, hoʻokaʻawale mākou i ka niho i 2-3 mau ʻāpana i mea e wehe pono ai a me ka ʻeha liʻiliʻi i nā ʻiʻo a puni. A wehe ʻia nā niho me ka hoʻohana ʻana i ka "elevator" (ma ke kiʻi ma ka hema). ʻO nā Forceps, ka mea a nā mea a pau e hoʻopili ai me ka wehe ʻana, ua hoʻohana pinepine ʻia.
ʻAe, ua wehe ʻia ka niho. A laila, hoʻomaʻemaʻe mākou i ke kumu niho mai ka "sawdust" a me nā ʻāpana niho liʻiliʻi i koe. Ke hoʻohana nei i kahi curette.
I ka wehe ʻana i nā niho naʻauao, ʻaʻohe mea biomaterial i hoʻohana ʻia; hoʻopiha ʻia ka lua i kahi koko koko ma kāna iho, lawa kēia no ka ho'ōla maʻamau.
Eia kekahi, "hoʻokuʻu" i nā biomaterials i loko o ka lua hiki ke hoʻopili i ke kaʻina hana ho'ōla, no laila e hana ʻia ke kaʻina hana hou ma ke ʻano maoli a me ka maʻalahi, ʻaʻole hoʻi e like me ka manaʻo o kekahi mau kauka.
Wehe ʻia nā niho i hoʻopilikia ʻia me ka hoʻohana ʻana i ka elevator, ʻaʻole me ka forceps, e like me ka poʻe i maʻa i ka noʻonoʻo.
Aia ka ʻōpala i kahi. A laila hui mākou i nā ʻaoʻao o ka ʻeha a kau i nā humuhumu i ʻole e komo ka meaʻai i loko o ka ʻeha, ʻaʻole nui ke koko, a wikiwiki hoʻi ka hoʻōla ʻana. Akā i ka manawa like, ʻaʻole pono e paʻa nā humuhumu, no ka mea, hiki ke koko nui ka ʻeha i nā hola XNUMX mua. A inā ʻaʻole ʻoe e hana i kahi kahe, ulu pinepine ka edema.
Ma hope o ka wehe ʻana, kau ʻia nā sutures resorbable (absorbable) ma ka lua; ʻo ka pinepine ʻaʻole pono e wehe ʻia. Akā hoʻokahi nā mea a pau.
niho semi-retinated
Ma ke kumu, ʻaʻole ʻokoʻa ke ʻano o ka wehe ʻana i kēlā niho me ka wehe ʻana i kahi niho i hoʻopili ʻia. Akā, ma ke ʻano he kānāwai, ʻoi aku ka maʻalahi, no ka mea ʻaʻole hohonu ka niho. ʻO nā ʻanuʻu nui he ʻano like: anesthesia, hana i ke komo ʻana i ka niho (a i kekahi manawa hiki iā ʻoe ke hana me ka ʻole o ka ʻokiʻoki), ʻokiʻoki (māhele i ka niho i nā ʻāpana) a, ʻoiaʻiʻo, wehe i nā niho i nā ʻāpana.
Ma hope o ka wehe ʻana i ka niho semi-impacted haʻahaʻa, kau ʻia nā sutures ma ke kumu; ma kahi o nā niho naʻauao o luna, ʻaʻole pono mau nā sutures.
niho dystopic
ʻO ka wehe ʻana i kēlā mau niho hiki ke kapa ʻia he hihia maʻalahi ke hoʻohālikelike ʻia me nā mea ʻē aʻe, akā inā he kumu pololei ka niho. A laila hiki ke lawe koke ʻia ka wehe ʻana. Akā kakaikahi loa ia mau maʻi lapaʻau. A ke nānā nei mākou i ke kiʻi, ʻike mākou i nā makau, ʻaʻole nā aʻa, me ke kaomi kūpono, hiki ke haki wale. He 2 mau aʻa maʻamau, a ma kēia hihia, pono mākou e hoʻokaʻawale i hoʻokahi aʻa mai kekahi me ka hoʻohana ʻana i ka mea hana like - ʻo ka piko "hoʻoulu". A wehe pono i kēlā me kēia aʻa i kahi kaʻawale. ʻO ka hoʻomaka a me ka pau ʻana o ka wehe ʻana o ia mau niho ua like ia me nā mea ʻē aʻe.
Poha piha ka niho a kū i ka niho
E like me kā mākou i ʻike ai mai , waiho mākou i kēlā mau niho ma kahi. Pono lākou i ka mālama a me ka nānā ʻana, e like me nā niho maʻamau.
A hiki nō hoʻi ...
... ʻo ia nā niho naʻauao e ālai i nā niho e pili ana a pale i ka hū ʻana maʻamau. Ma ia mau hihia, e hoʻouna ʻia nā mea maʻi i ke kauka lapaʻau e ka orthodontist.
ʻOiaʻiʻo, pono e wehe ʻia ka germ o ka niho ʻewalu. He hana maʻalahi a ʻoluʻolu kēia.
E nānā i nā kiʻi. Aia ka ʻokoʻa o ʻekolu pule ma waena o luna a me lalo. Uaʻike maopopoʻia mai iā lākou ma hope o ka weheʻana i nā kumu mua o nāʻewalu a me ka "unblocking", hoʻomaka koke nā nihoʻehiku e ulu.
Wehe ʻia ka niho akamai. Ua māʻona ka mea maʻi. Akā ʻaʻole hiki mai ka leʻaleʻa. ʻO ia hoʻi, ka wā postoperative.
Ma hope o ka wehe ʻana i nā niho 8, pono ʻoe e hahai i nā ʻōlelo koʻikoʻi:
- ʻAʻole pono ʻoe e holoi a wela paha i ka wahi o ka niho i unuhi ʻia me kekahi mea. E poina a mai hoʻolohe i nā ʻōlelo aʻo e like me "pono ʻoe e holoi me kahi tincture o nā ʻili manō a me nā ʻōpala mammoth." ʻAʻole! ʻAʻole hiki ke hana i kēia. No ke aha mai? A ʻo nā mea a pau no kēlā ʻano koko koko, e like me kā mākou i ʻike mua ai, pono e noho i loko o ka lua a pale iā ia, hiki ke holoi maʻalahi. A e hoʻi hou mākou i ka ʻulaʻula like a, no laila, i ka ho'ōla lōʻihi.
- Hoʻopau i ka hana kino no ka liʻiliʻi o 2-3 mau lā. He aha ke kumu? A no ka ʻoiaʻiʻo ma lalo o ka ukana, ke piʻi nei ke kaomi (ʻae, ʻae, ʻoiai me Arnold Schwarzenegger lāua ʻo Rocco Siffredi !!!), a, ʻoiai ʻo ka mea hou, ʻaʻole i hoʻokumu ʻia ka clot, hiki ke hoʻomaka ka ʻeha. e hoola, a e hoola ino.
- Hoʻokuʻu pū mākou i ka wela nui o ke kino. ʻAʻole ʻae ʻia nā sauna, ʻauʻau mahu, ʻauʻau wela. Hoʻopili pū kēia mau mea a pau i ke koko.
- Mai ʻai a pau ka maʻi maʻi. A i ʻole, ʻoi aku ka paʻakikī o ka nahu ʻana i kou lehelehe, alelo a i ʻole ka pāpālina a ʻike ʻole ʻoe he kiʻekiʻe loa. ʻO kēia ma kahi o 2-3 mau hola. A maikaʻi loa - anu, pōloli, maluhia no nā lā mua.
- Akā, i ka manawa hea kou lima i ka meaʻai?, - pono ʻoe e nau wale ma ka ʻaoʻao e kū pono ana i ka wehe ʻana i mea e hōʻemi ai i ka komo ʻana o ka meaʻai i loko o ka lua.
- Mai poina e pili ana i ka holoi ʻana i kou niho! Pono e palaki i kou mau niho, ʻoi aku ka maikaʻi me ka pulupulu niho palupalu, i ʻole e hōʻeha i ka wahi o ka niho i unuhi ʻia. A mai poina ʻaʻole i laila ka niho, no laila ke hana pono nei mākou me ka pulupulu ma kēia wahi. A! Pono! Mai ho'āʻo e hoʻomaʻemaʻe i ka pā keʻokeʻo e uhi i nā ʻāʻī ma kahi o ka niho i unuhi ʻia. ʻAʻole kēia he PUS! ʻO FIBRIN kēia! ʻO ka Protein, kahi e hōʻike ai i ka ho'ōla maʻamau o ka lua.
- Hāʻawi ʻia ka hau ma hope o ka unuhi ʻana i nā niho.. Manaʻo ʻia e kau i ka papalina ma kahi o ka niho i unuhi ʻia no ke koena o ka lā. Ma kahi o 15-20 mau minuke i kēlā me kēia hola. Hoʻokahi like i mea e hōʻemi ai i ka pehu. Akā,ʻaʻole ponoʻoe e lawe nui iʻole e hoʻokuʻu i kou puʻu a me nā lymph nodes (inā mālamaʻoe i ka hau ma kahi kūponoʻole, aiʻole kahi āu e makemake ai, akā no ka lōʻihi).
Ma waho aʻe o kēia mau ʻōlelo aʻoaʻo, kau ʻia nā lāʻau lapaʻau, i kapa ʻia he lāʻau antibacterial a me anti-inflammatory therapy. ʻO kēia ma muli o ka maʻalahi o ka wahi o nā niho 8, a ʻaʻole mākou makemake i kēia. Me ka lawe ʻana i nā lāʻau lapaʻau, hele maikaʻi nā yoghurts kūlohelohe a me nā huahana waiū fermented ʻē aʻe - mai poina e kākoʻo i ka microflora intestinal.
Inā lawe pololei ʻia ka lawe ʻana, a hahai ka mea maʻi i nā ʻōlelo aʻoaʻo a pau a hahai i nā ʻōlelo a ke kauka, a laila haʻahaʻa loa nā pilikia o nā hoʻopiʻi postoperative.
E noho ʻoe!
Me ka mahalo, Andrey Dashkov.
Source: www.habr.com