{"id":35163,"date":"2019-10-31T22:02:40","date_gmt":"2019-10-31T19:02:40","guid":{"rendered":"https:\/\/prohoster.info\/blog\/udalenie-zubov-mudrosti-kak-eto-delaetsya\/"},"modified":"2019-10-31T22:02:40","modified_gmt":"2019-10-31T19:02:40","slug":"udalenie-zubov-mudrosti-kak-eto-delaetsya","status":"publish","type":"post","link":"https:\/\/prohoster.info\/sq\/blog\/novosti-interneta\/udalenie-zubov-mudrosti-kak-eto-delaetsya","title":{"rendered":"Heqja e dh\u00ebmb\u00ebve t\u00eb men\u00e7uris\u00eb. Si b\u00ebhet kjo?","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

\"Heqja
\nT\u00eb dashur miq, her\u00ebn e kaluar fol\u00ebm p\u00ebr lidhjen me dh\u00ebmb\u00ebt e men\u00e7uris\u00eb, kur duhet t'i hiqni dhe kur nuk duhet.<\/a><\/noindex> Sot, do t\u00eb flas n\u00eb detaje se si ndodh heqja e dh\u00ebmb\u00ebve \"t\u00eb destinuar\". Me ilustra. Prandaj, rekomandoj ve\u00e7an\u00ebrisht ata q\u00eb impresionohen leht\u00eb dhe grat\u00eb shtatz\u00ebna t\u00eb shtypin kombinimin e \u00e7el\u00ebsave \"Ctrl +\". Shaka.
\n<\/a><\/noindex>
\nSi fillon heqja e dh\u00ebmbit t\u00eb 8-t\u00eb, e gjithashtu, \u00e7do dh\u00ebmb tjet\u00ebr?<\/p>\n

Me anestezi.<\/p>\n

Pra:<\/p>\n

Anestezia (p\u00ebrmbushja e dhimbjes)<\/b><\/p>\n

\"Heqja
\n
\nP\u00ebr t\u00eb minimizuar ndjenjat e pak\u00ebndshme gjat\u00eb injeksionit, duhet t\u00eb trajtohet zona e injektimit me nj\u00eb xhel anestetik special. Kjo quhet anestezi aplikative. Ajo p\u00ebrdoret shum\u00eb shpesh n\u00eb stomatologjin\u00eb pediatrike, por ne e p\u00ebrdorim edhe n\u00eb pun\u00ebn ton\u00eb me t\u00eb rriturit. Si\u00e7 tregon praktika, ndjenjat e pak\u00ebndshme zvog\u00eblohen dhe ka edhe nj\u00eb shije t\u00eb k\u00ebndshme... ndonj\u00ebher\u00eb \u00ebsht\u00eb nj\u00eb g\u00ebzim.<\/p>\n

Kur hiqen dh\u00ebmb\u00ebt e nofull\u00ebs s\u00eb sip\u00ebrme, zakonisht mjafton q\u00eb t\u00eb b\u00ebhet nj\u00eb infilim me anestezik n\u00eb zon\u00ebn ku ndodhet dh\u00ebmbi q\u00eb do t\u00eb hiqet. Kjo kryhet me nj\u00eb shiring\u00eb speciale dhe anestezik\u00eb t\u00eb p\u00ebrzgjedhur dhe quhet anestezi infiltrative.<\/p>\n

\"Heqja
\n
\nKur hiqen dh\u00ebmb\u00ebt e nofull\u00ebs s\u00eb poshtme, n\u00eb p\u00ebrgjith\u00ebsi, anestezia infiltrative nuk \u00ebsht\u00eb e mjaftueshme (p\u00ebrve\u00e7 grupit frontal t\u00eb dh\u00ebmb\u00ebve, nga thoi deri n\u00eb thoi). Prandaj, teknika e anestezis\u00eb ndryshon pak \u2014 anesteziku, me an\u00eb t\u00eb nj\u00eb gjilp\u00ebr\u00eb t\u00eb gjat\u00eb, por shum\u00eb t\u00eb holl\u00eb, \u00e7on direkt tek grupi nervor q\u00eb \u00ebsht\u00eb p\u00ebrgjegj\u00ebs p\u00ebr inervimin e zonave p\u00ebrkat\u00ebse. Kjo anestezi lejon \"ndalimin\" e ndjeshm\u00ebris\u00eb jo vet\u00ebm n\u00eb zon\u00ebn e dh\u00ebmbit q\u00eb do t\u00eb hiqet, por edhe n\u00eb buz\u00eb, mjek\u00ebr, pjes\u00eb t\u00eb gjuh\u00ebs etj.<\/p>\n

Duhet t\u00eb theksohet se gjat\u00eb dhe menj\u00ebher\u00eb pas realizimit t\u00eb anestezis\u00eb mund t\u00eb shfaqen nj\u00eb s\u00ebr\u00eb fenomenesh interesante \u2014 intensifikim i rrahjeve t\u00eb zemr\u00ebs, dridhje t\u00eb ekstremiteteve, nj\u00eb ndjenj\u00eb e paqart\u00eb ankthi. Shum\u00eb pacient\u00eb fillojn\u00eb t\u00eb panikojn\u00eb p\u00ebr k\u00ebt\u00eb arsye. Por nuk ka nevoj\u00eb t\u00eb panikosni! K\u00ebto jan\u00eb efekte an\u00ebsore t\u00eb shumic\u00ebs s\u00eb anestezik\u00ebve modern\u00eb dhe kalojn\u00eb vet\u00eb brenda 10-15 minutash.<\/p>\n

Mir\u00eb, anestezia \u00ebsht\u00eb b\u00ebr\u00eb! Tani duhet t\u00eb sigurohemi \u2014 a \u00ebsht\u00eb realizuar me sukses?<\/p>\n

Vendet q\u00eb n\u00eb ideale duhet t\u00eb ndjehen t\u00eb mpira jan\u00eb t\u00eb p\u00ebrmendur m\u00eb lart. Po ashtu, me ndihm\u00ebn e nj\u00eb instrumenti t\u00eb posa\u00e7\u00ebm dhe duke shtypur mishin n\u00eb zon\u00ebn e dh\u00ebmbit t\u00eb operuar, ne p\u00ebrcaktojm\u00eb, n\u00ebse jan\u00eb ende ndjenja dhimbjeje apo jo. E vetmja gj\u00eb q\u00eb duhet t\u00eb ndihet \u00ebsht\u00eb ndjesia se \"di\u00e7ka\" prek mishin. K\u00ebshtu, ndjesit\u00eb taktile mbeten, por ato t\u00eb dhimbjes tashm\u00eb nuk ekzistojn\u00eb.<\/p>\n

M\u00eb pas, veprimet tona ndryshojn\u00eb n\u00eb var\u00ebsi t\u00eb llojit t\u00eb dh\u00ebmbit t\u00eb men\u00e7uris\u00eb q\u00eb kemi p\u00ebrball\u00eb.<\/p>\n

\"Heqja
\n
\nDh\u00ebmbi i men\u00e7uris\u00eb i mb\u00ebrthyer<\/b><\/p>\n

\"Heqja
\n
\n\"Heqja
\n
\nZakonisht, k\u00ebto jan\u00eb dh\u00ebmb\u00ebt e tet\u00eb m\u00eb t\u00eb v\u00ebshtir\u00eb p\u00ebr t'u hequr nga t\u00eb tjer\u00ebt.<\/p>\n

Tani, ne kemi b\u00ebr\u00eb anestezin\u00eb n\u00eb fush\u00ebn operative. \u00c7far\u00eb ndodh tani?<\/p>\n

Ai \u00ebsht\u00eb n\u00ebn mish! Pra, marrim n\u00eb dor\u00eb nj\u00eb kirurg dhe b\u00ebjm\u00eb nj\u00eb prerje t\u00eb holl\u00eb n\u00eb zon\u00ebn e dh\u00ebmbit q\u00eb do t\u00eb hiqet. K\u00ebshtu, krijohet nj\u00eb akses n\u00eb dh\u00ebmbin e men\u00e7uris\u00eb q\u00eb do t\u00eb hiqet. Ai ndahet nga indet p\u00ebrreth me an\u00eb t\u00eb instrumenteve t\u00eb posa\u00e7me, dhe tani mund t\u00eb vler\u00ebsojm\u00eb vizualisht pozicionin e tij dhe t\u00eb zgjedhim metod\u00ebn p\u00ebr heqjen.<\/p>\n

N\u00ebse dh\u00ebmbi nuk \u00ebsht\u00eb dal\u00eb, dometh\u00ebn\u00eb, di\u00e7ka e pengon at\u00eb. Ky \"di\u00e7ka\" do t\u00eb pengoj\u00eb edhe heqjen e tij, dhe ky \"di\u00e7ka\" mund t\u00eb jet\u00eb dh\u00ebmbi fqinj, nj\u00eb pjes\u00eb kockore etj. Megjithat\u00eb, nuk mund t\u00eb heqim edhe dh\u00ebmbin e shtat\u00eb p\u00ebr t'u \u00e7uar deri te dh\u00ebmbi i men\u00e7uris\u00eb, apo jo?<\/p>\n

Prandaj, ne e ndajm\u00eb dh\u00ebmbin n\u00eb pjes\u00eb. Me an\u00eb t\u00eb nj\u00eb instrumenti t\u00eb posa\u00e7\u00ebm me nj\u00eb shpejt\u00ebsi rrotullimi t\u00eb 150,000 rrotullimesh n\u00eb minut\u00eb \u2014 kjo nuk \u00ebsht\u00eb nj\u00eb k\u00ebnd i thjesht\u00eb, por as turbin\u00eb. E fundit, p\u00ebr t'u p\u00ebrdorur p\u00ebr heqjen e dh\u00ebmb\u00ebve, \u00ebsht\u00eb jasht\u00ebzakonisht e pap\u00ebrshtatshme, sepse me 500,000 rrotullime n\u00eb minut\u00eb, \u00ebsht\u00eb e leht\u00eb t\u00eb djeg\u00ebsh gjith\u00e7ka me flak\u00eb t\u00eb tmerrshme, e po ashtu, me ajrin nga dysheku i ftohjes, mund t\u00eb provokosh edhe emfizem\u00eb n\u00eb gjysm\u00ebn e fytyr\u00ebs. Pra, p\u00ebr heqjen duhet t\u00eb zgjidhni instrumentet e duhura, nuk ka vend p\u00ebr detaje dhe kompromise. Duhet t\u00eb mendoni nj\u00ebqind her\u00eb para se t\u00eb hiqni k\u00ebto dh\u00ebmb\u00eb problematik n\u00eb kabinetin stomatologjik n\u00eb nj\u00eb karrige n\u00eb klubin fshatar n\u00eb kooperativ\u00ebn \"Depo t\u00eb Pjeshkuara\".<\/p>\n

\"Heqja
\n
\nNj\u00eb instrument kirurgjik i ve\u00e7ant\u00eb p\u00ebr heqjen e dh\u00ebmb\u00ebve t\u00eb men\u00e7uris\u00eb. Rrotullohet me shpejt\u00ebsin\u00eb e duhur, siguron momentin e nevojsh\u00ebm t\u00eb rrotullimit, nuk djeg indet dhe nuk provokon emfizem\u00eb. N\u00eb kirurgji, ne p\u00ebrdorim vet\u00ebm k\u00ebto pajisje.<\/i><\/p>\n

Pra, ne e ndajm\u00eb dh\u00ebmbin n\u00eb 2-3 pjes\u00eb p\u00ebr ta hequr at\u00eb me kujdes dhe pa d\u00ebmtuar indet p\u00ebrreth. Dh\u00ebmb\u00ebt zakonisht hiqen me an\u00eb t\u00eb \"elevatorit\" (n\u00eb imazhin e majt\u00eb). K\u00ebrcinjt\u00eb, t\u00eb cil\u00ebt t\u00eb gjith\u00eb i lidhin me heqjen, n\u00eb fakt p\u00ebrdoren shum\u00eb rrall\u00eb.<\/p>\n

Tani, d\u00ebmti u hoq. Tani do t\u00eb b\u00ebjm\u00eb pastrimin e vendit t\u00eb dh\u00ebmbit nga \"grumbujt\" dhe copa t\u00eb vogla dh\u00ebmbi q\u00eb mund t\u00eb ken\u00eb mbetur. P\u00ebrdorim kuret\u00ebn.<\/p>\n

N\u00eb heqjen e dh\u00ebmb\u00ebve t\u00eb men\u00e7uris\u00eb nuk p\u00ebrdoren biomateriale, vendi plot\u00ebsohet vet\u00eb nga nj\u00eb mpiksje gjaku, e cila \u00ebsht\u00eb mjaft e mjaftueshme p\u00ebr sh\u00ebrimin normal.<\/p>\n

M\u00eb shum\u00eb se kaq, \"shtyrja\" e biomaterialeve n\u00eb vendin e dh\u00ebmbit mund t\u00eb komplikohet procesi i sh\u00ebrimit, prandaj lejoni q\u00eb procesi i rigjenerimit t\u00eb ndodhi natyrsh\u00ebm dhe thjesht\u00eb, e jo si\u00e7 sugjerojn\u00eb disa doktor\u00eb.<\/p>\n

\"Heqja
\n
\nDh\u00ebmb\u00ebt e mbuluar zakonisht hiqen me nj\u00eb elevatore, dhe jo me pinc\u00eb, si\u00e7 mendojn\u00eb shum\u00eb.<\/i><\/p>\n

Mpiksja \u00ebsht\u00eb n\u00eb vend. Tani i afrojm\u00eb skajet e plag\u00ebs dhe v\u00ebm\u00eb qepje q\u00eb t\u00eb mos hyj\u00eb ushqim n\u00eb plag\u00eb, t\u00eb mos gjakos\u00eb shum\u00eb dhe t\u00eb sh\u00ebrohet m\u00eb shpejt. Por n\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb, qepjet nuk duhet t\u00eb jen\u00eb shum\u00eb t\u00eb ngushta, sepse plaga mund t\u00eb gjakos\u00eb ndjesh\u00ebm n\u00eb dit\u00ebt e para. Dhe n\u00ebse nuk krijojm\u00eb nj\u00eb dalje, shpesh zhvillohen \u00ebnjtje.<\/p>\n

\"Heqja
\n
\nPas heqjes, n\u00eb vendin e dh\u00ebmbit vendosen qepje resorbohen (q\u00eb shp\u00ebrb\u00ebhen), p\u00ebr m\u00eb tep\u00ebr, shpesh nuk \u00ebsht\u00eb nevoja t'i hiqni ato. Por gjith\u00e7ka \u00ebsht\u00eb individuale.<\/i><\/p>\n

Dh\u00ebmb i gjysm\u00eb i mbuluar<\/b><\/p>\n

\"Heqja
\n
\n\"Heqja
\n
\nN\u00eb parim, metoda e heqjes s\u00eb nj\u00eb dh\u00ebmbi t\u00eb till\u00eb nuk ndryshon nga heqja e nj\u00eb dh\u00ebmbi t\u00eb plot\u00eb t\u00eb mbuluar. Por, zakonisht, kalon pak m\u00eb leht\u00eb, sepse dh\u00ebmbi nuk ndodhet aq thell\u00eb. Etapat kryesore, n\u00eb thelb, jan\u00eb t\u00eb nj\u00ebjta: anestezia, krijimi i qasjes n\u00eb dh\u00ebmb (ndonj\u00ebher\u00eb mund ta kalojm\u00eb pa prerje), fragmentimi (ndarja e dh\u00ebmbit n\u00eb copa) dhe, n\u00eb vet\u00eb thelb, heqja e dh\u00ebmbit n\u00eb copa.<\/p>\n

Pas heqjes s\u00eb dh\u00ebmbit t\u00eb posht\u00ebm gjysm\u00eb t\u00eb mbuluar, n\u00eb vendin e dh\u00ebmbit vendosen qepje; n\u00eb zon\u00ebn e dh\u00ebmb\u00ebve t\u00eb sip\u00ebrm t\u00eb men\u00e7uris\u00eb, vendosja e qepjeve nuk \u00ebsht\u00eb gjithmon\u00eb e domosdoshme.<\/p>\n

Dh\u00ebmb i distopuar<\/b><\/p>\n

\"Heqja
\n
\n\"Heqja
\n
\nHeqja e dh\u00ebmb\u00ebve t\u00eb till\u00eb mund t\u00eb quhet nj\u00eb rast m\u00eb i leht\u00eb krahasuar me t\u00eb tjer\u00ebt, por vet\u00ebm n\u00eb rast se dh\u00ebmbi ka nj\u00eb rr\u00ebnj\u00eb t\u00eb drejtp\u00ebrdrejt\u00eb. At\u00ebher\u00eb heqja mund t\u00eb kaloj\u00eb mjaft shpejt. Por raste t\u00eb tilla klinike ndodhin mjaft rrall\u00eb. Dhe, duke par\u00eb foto, ne shohim maja, e jo rr\u00ebnj\u00ebt q\u00eb, n\u00ebn presion t\u00eb duhur, mund t\u00eb thyen. Rr\u00ebnj\u00ebt zakonisht jan\u00eb 2, dhe n\u00eb nj\u00eb rast t\u00eb till\u00eb, ne vet\u00ebm duhet t\u00eb ndajm\u00eb nj\u00eb rr\u00ebnj\u00eb nga tjetra me ndihm\u00ebn e t\u00eb nj\u00ebjtit instrument \u2014 nj\u00eb k\u00ebnd t\u00eb \"rritjes\". Dhe me kujdes, t\u00eb nxjerrim \u00e7do nj\u00eb nga rr\u00ebnj\u00ebt ve\u00e7 e ve\u00e7. Fillimi dhe p\u00ebrfundimi i heqjes s\u00eb dh\u00ebmb\u00ebve t\u00eb till\u00eb \u00ebsht\u00eb e nj\u00ebjt\u00eb si me t\u00eb gjith\u00eb t\u00eb tjer\u00ebt.<\/p>\n

Dh\u00ebmb i plot\u00eb i dal\u00eb dhe i vendosur n\u00eb radh\u00ebn e dh\u00ebmb\u00ebve<\/p>\n

Si\u00e7 e d\u00ebshmuam nga artikulli i m\u00ebparsh\u00ebm<\/a><\/noindex>, ne i l\u00ebm\u00eb k\u00ebta dh\u00ebmb\u00eb n\u00eb vend. I duhen vet\u00ebm kujdes dhe v\u00ebzhgim, si n\u00eb rastin e dh\u00ebmb\u00ebve t\u00eb zakonsh\u00ebm.<\/p>\n

Dhe ndonj\u00ebher\u00eb ndodh...<\/b><\/p>\n

\u2026 q\u00eb dh\u00ebmb\u00ebt e men\u00e7uris\u00eb bllokojn\u00eb dh\u00ebmb\u00ebt e tjer\u00eb dhe nuk i lejojn\u00eb ata t\u00eb dalin normalisht. N\u00eb raste t\u00eb tilla, pacient\u00ebt shkojn\u00eb te kirurgu me rekomandimin nga ortodonti.<\/p>\n

\"Heqja
\n
\nNatyrisht, duhet t\u00eb hiqet embrioni i dh\u00ebmbit t\u00eb tet\u00eb. Kjo \u00ebsht\u00eb nj\u00eb operacion relativisht i thjesht\u00eb dhe komod.<\/p>\n

Shikoni fotografit\u00eb. Nd\u00ebrmjet dh\u00ebmb\u00ebve t\u00eb sip\u00ebrm dhe atyre t\u00eb posht\u00ebm \u2014 diferenca \u00ebsht\u00eb tre jav\u00eb. D\u00edku duket qart\u00eb se pas heqjes s\u00eb embrioneve t\u00eb dh\u00ebmb\u00ebve t\u00eb tet\u00eb dhe \"\u00e7blokimit\", dh\u00ebmb\u00ebt e shtat\u00eb menj\u00ebher\u00eb filluan t\u00eb rriten.<\/p>\n

Dh\u00ebmbi i men\u00e7uris\u00eb \u00ebsht\u00eb hequr. Pacienti \u00ebsht\u00eb i k\u00ebnaqur. Por gj\u00ebja m\u00eb arg\u00ebtuese \u00ebsht\u00eb akoma p\u00ebrpara. Pik\u00ebrisht \u2014 periudha post-operative.<\/p>\n

Pas heqjes s\u00eb dh\u00ebmb\u00ebve t\u00eb tet\u00eb, duhet t\u00eb ndiqni rekomandime strikte:<\/b><\/p>\n