Bakuxelele
ukuba izinyo alinakukhutshelwa.
Singakunceda.
Amazinyo obulumko achaphazelekileyo, iingcambu ezicoliweyo, izigulana ezisebenzisa unyango lwe-anticoagulant, iimeko esele zilahliwe.
UGqr. Cozzolino uyamkela iindlela ezinzima nezinobungozi zokukhupha izinto ezivela kwihlabathi liphela.
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Ngubani owenza inkqubo yokukhupha?
Ityala ngalinye elinzima lotyando lilandelwa ngqo nguGqr . Fabio Cozzolino , alinikwanga abantu abasebenzisana nabo.
Uphumelele kwiDentistry and Dental Prosthetics ngembeko , ukunconywa ngembeko, kunye nembeko zokushicilela, kunye namava angaphezu kweminyaka engama-30 kwiklinikhi yotyando lomlomo, i-implantology, kunye ne-periodontology. Ukwanayo nePhD ekuvuseleleni amathambo. Uphuhlise indlela ye -EWF (Extraction Without Forceps) , echazwe kwijenali yesayensi iZerodonto kwaye wacaphula kwiWikipedia njengesalathiso sokukhupha amazinyo obulumko ngaphandle kwentlungu.
Kwiimeko zotyando ezintsonkothileyo, usebenzisa indlela esekelwe kuxilongo olucokisekileyo lwangaphambi kotyando: akukho nkqubo icwangcisiweyo ngaphandle kokuqonda kuqala ukuba yintoni engaphantsi kweentsini nethambo. Kwizigulana ezineengxaki ezibalulekileyo zenkqubo yomzimba, usebenzisana ngokusondeleyo neengcali.
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Amatyala anzima esiwasingathayo
Ayizizo zonke iimeko zokukhupha ezintsonkothileyo nezinobungozi eziphathwa ngendlela efanayo. Ezi zilandelayo, onokuzifunda kule bhokisi, zifuna ucwangciso lwe-radiological, izixhobo ezithile, kunye namava otyando aqinileyo. Kungale ndlela kuphela apho sinokuqhubeka khona ngokugqibeleleyo.
Amazinyo obulumko achaphazelekileyo
I-molar yesithathu ikwindawo ye-mesio-angular, ethe tye, okanye ekude. Ukusondela kwi-inferior alveolar nerve kuvavanywa kwi-CBCT ngaphambi kokuba kungenelele naluphi na ungenelelo.
Iingcambu ezibhityileyo okanye ezicoliweyo
Iingcambu ezifileyo, unyango lwangaphambili lwe-endodontic, okanye ukugoba okukhulu. Indlela yotyando ithintela ukwaphuka okubangela ukuba inkqubo ibe nzima.
Izigulana ezisebenzisa unyango lwe-anticoagulant
I-Warfarin, i-NOAC, i-ASA yedosi ephantsi. Ulawulo lwe-INR ngaphambi kotyando ngokubambisana nogqirha onyangayo, iinkqubo ezingqongqo ze-hemostasis zasekuhlaleni.
Guarda izixhobo esizisebenzisayo
Nantsi into esiyisebenzisayo kunyango lwethu lwamazinyo xa sikhupha amazinyo ngendlela enzima.
Indlela olu tyando olwenzeka ngayo
Ukukhupha amazinyo anzima kugqitywa kudala ngaphambi kokuba kuvuleke umlomo ukuze kwenziwe utyando. Indlela eqhelekileyo yeCozzolino Dental Practice kwiimeko ezinzima isekelwe ekuchanekeni nasekukhuselekeni okuphezulu.
Utyelelo lovavanyo
Uvavanyo lweklinikhi, imbali epheleleyo yezonyango, kunye nembali yamayeza zithathwa ngaphambi kokuba kuthathwe nantoni na.
Ukuxilongwa kwemifanekiso
I-OPT + CBCT esisiseko kwiimeko apho indawo yeengcambu ifuna imephu echanekileyo ye-3D yomjelo we-mandibular.
Isicwangciso sotyando esizinikeleyo
Ukukhetha indlela (njengendlela ye-atraumatic EWF), uhlobo lwe-anesthesia okanye i-sedation enokwenzeka, ulawulo lwe-pharmacological ngaphambi nasemva kotyando.
Iintlobo ezintathu zokukhupha izinto ezintsonkothileyo
Ukufakwa kwi-mucosa
Izinyo sele ligqibile ukukhula kodwa lihlala ligqunywe yi-tissue okanye i-tissue ngokupheleleyo. Le nkqubo ifuna ukunqunyulwa kancinci ukuze kuvele isithsaba, kulandele indlela yotyando olungenabungozi kangako nolungenabuhlungu.
Ukubandakanywa kwamathambo
Izinyo livaleleke ngokupheleleyo okanye kakhulu ngaphakathi kwesakhiwo sethambo le-mandibular okanye i-maxillary. Lifuna ucwangciso oluchanekileyo lwe-3D kunye nokusetyenziswa kwetekhnoloji ye-sonic ukwahlula amazinyo ngaphandle kokonakalisa i-inferior alveolar nerve.
Izinyo kufutshane nomthambo
Iingcambu zikufutshane okanye zidibene ngqo nomjelo wemithambo-luvo ongaphantsi kwe-alveolar. Le meko ifuna uphando lwe-CBCT ngaphambi kotyando ukuze kudweliswe indlela yemithambo-luvo kwaye isebenze ngokhuseleko olupheleleyo.
Ukongeza ekukhutshweni kwamazinyo achaphazelekileyo, uvavanyo lwamazinyo achaphazelekileyo lunokufuneka.
Singakunceda, siyawamkela namatyala anzima.
Ulawulo emva kotyando
Iiyure zokuqala ezingama-24
Kwiiyure ezilandela utyando, kubalulekile ukukhuthaza ukwakheka kwamahlwili ngokufanelekileyo. Kucetyiswa ukusebenzisa umkhenkce rhoqo, njengoko kunjalo nangokutshaya, utywala, kunye nokuhlamba umlomo ngamandla, ukuze kuthintelwe ukuphazamisa indawo enyangiweyo.
Isondlo: Kwiintsuku ezimbalwa zokuqala, khetha ukutya okuthambileyo, okubandayo okanye okushushu, uphephe ukutya okuneziqholo.
Ukuphumla kunye nomsebenzi
Kuphephe ukwenza umthambo onzima kunye nemidlalo kwiiyure zokuqala ezingama-48 ukuthintela utshintsho kuxinzelelo lwegazi kunye nokopha. Kucetyiswa ukuba uhlolwe iintsuku ezisi-7, ukususwa komthungo, kunye nokulandelelana. Abasebenzi baya kufumaneka ngefowuni kwiintsuku zokuqala ezimbalwa emva kotyando.
I-Terapia farmacologica
Sela amayeza okubulala iintlungu okanye ii-antibiotics amiselweyo ngokulandela imiyalelo namaxesha acetyisiweyo luphando, ngaphandle kokulinda ukuba intlungu ibe qatha.
Ulawulo lokudumba
Ukudumba okanye ukudumba okuncinci yindlela eqhelekileyo yokusabela ekudumbeni kwaye kufikelela kwinqanaba eliphezulu kwiiyure ezingama-24 ukuya kuma-72, emva koko kuphele ngokuzenzekelayo kwiintsuku ezilandelayo.
Ulawulo lwaManqaku
Ukuba imithungo ifakiwe, iya kuhlolwa okanye isuswe ngexesha lotyelelo olulandelayo olucwangcisiweyo kwiintsuku ezisi-7 emva kotyando, ngaphandle kokuba kusetyenziswa imithungo efunxwayo.
Ziziphi iingozi ezinxulumene nokukhupha izinto ezintsonkothileyo?
Iingozi eziphambili ziquka ukusondela kwizakhiwo ezinobuthathaka zomzimba, ezifana ne-inferior alveolar nerve yamazinyo asezantsi (umngcipheko we-paresthesia yexeshana okanye esisigxina) okanye i-maxillary sinus yamazinyo angaphezulu (umngcipheko wonxibelelwano lwe-oro-antral). Nangona kunjalo, ukusetyenziswa ngokucwangcisiweyo kwe-3D diagnostics (CBCT) kunye ne-selective sonic handpieces kunciphisa kakhulu la manani omngcipheko, kuqinisekisa ukhuseleko oluphezulu lwezicubu ezinobuthathaka.
I-Domande Frequenti (FAQ)
Uphononongo oluntsonkothileyo lokukhupha
Izinyo lobulumko elichaphazelekileyo
"Iiofisi ezintathu zindixelele ukuba umthambo wam usondele kakhulu kumthambo kwaye kufuneka ndiye esibhedlele. UGqr. Cozzolino wenze i-CT scan, wandichazela imeko, waza watyanda eofisini yakhe ngaphandle kwengxaki."
Isigulana esisebenzisa unyango lwe-warfarin
"Ndineminyaka ndisebenzisa iCoumadin, kwaye akukho mntu wayefuna ukundichukumisa. Baqhagamshelane nogqirha wentliziyo, bajongana ne-INR yam, baza bachaza yonke into inyathelo ngenyathelo. Unyango emva kokuhlinzwa lwalugqibelele."
Iqhekeza leengcambu eziseleyo
"Ingcambu yaphukile ngexesha lokuzama ukukhupha ingca endala. Iminyaka emibini yokoyika, kodwa ekugqibeleni ndenze isigqibo. Utyando lwathatha imizuzu engama-40, kwaye ukuchacha akuzange kwenzeke."
Ngaba ufuna ukukhutshwa kwamazinyo?
Fumanisa indlela le ndlela inikezelwe ekukhupheni izinto ezinzima enokwenza ngayo amava akho akhawuleze, akhuseleke kwaye angabi buhlungu.