Cov Kev Kho Aub Kom Noj - Kev Kho Kab Mob Rau Cov Dev

2024 Tus sau: Daisy Haig | [email protected]. Kawg hloov kho: 2023-12-17 03:09

Kho Hniav Cuav hauv cov dev

Kev kuaj hniav yog ib yam mob uas cov hniav tawv ua rau kom cov hniav lwj. Thaum kuaj hniav caries tsis pom muaj hauv cov tsiaj hauv tsev, nws tshwm sim thiab yuav tsum tau saib xyuas. Kev tshawb fawb xyoo 1988, tau tshaj tawm hauv Phau Ntawv Xov Xwm Veterinary Dentistry, pom tias 5.3 feem pua ntawm cov dev uas muaj ib xyoos los yog laus dua muaj ib lossis ntau dua lub qhov txhab mob, nrog 52 feem pua ntawm cov pab pawg ntawd muaj qhov txhab ob sab sib luag. Caries tuaj yeem cuam tshuam rau cov hniav lossis cov hauv paus hniav ntawm cov hniav, thiab tau faib ua cov pob zeb-thiab-fissure caries, lub ntsej muag du-caries, lossis cov cag ntoo. Tsis muaj tus paub tias yug, lub hnub nyoog, lossis poj niam txiv neej yuav muaj kev pheej hmoo.

Cov xwm txheej lossis kab mob tau piav qhia hauv tsab xov xwm kho mob no tuaj yeem cuam tshuam rau ob tus dev thiab miv. Yog tias koj xav paub ntau ntxiv txog seb tus kab mob no cuam tshuam rau miv li cas, thov mus saib nplooj ntawv no hauv PetMD chav saib xyuas kev noj qab haus huv.

Cov tsos mob thiab Hom

• Tsis yooj yim (li los ua pom meej) du-caries zoo li thaj tsam ntawm npub, txhawm rau dawb-txha hniav laus
• Lub cev tsis meej nyob rau saum npoo ntawm cov yas los yog cag yuav pom tseeb, thiab yuav ua kom pom tsaus nti, muag muag thiab lwj hniav - txheej tsuas nyob hauv qab hnab looj tes

Ua rau

Caries yog tshwm sim los ntawm cov kab mob fermenting carbohydrates rau ntawm tus hniav. Qhov kev nquag no ua rau cov kua qaub tsim tawm ntawm kev ua kom cov txha hniav laus thiab hniav hniav sib tsoo. Ua raws li kev qhia tawm tshiab, cov organic sib npaug ntawm cov hniav yog zom los ntawm cov kab mob hauv qhov ncauj thiab / lossis cov qe ntshav dawb. Kev noj qab haus huv ntawm cov hniav yog nyob ntawm qhov sib pauv tsis tu ncua ntawm cov txha hniav laus thiab kua dej ntawm lub qhov ncauj, yog li thaum muaj lub sijhawm ntev ntawm kev khaws cov khoom noj uas muaj cov hmoov sib xyaw thiab kab mob ntawm cov hniav, thiab cov xwm txheej no ua rau kom muaj cov ntxhia ploj, cov hniav yuav pov tseg rau kev txhim kho caries. Thaum ntxov caries yuav rov qab los ntawm kev rov ua dua mineralization, tab sis thaum cov roj ntsha protein ntau tsaus muag, lub qhov txhab tsis tuaj yeem hloov kho. Txawm hais tias tsuas yog ib qho hniav tau ua puas tsuaj, yuav tsum tau saib xyuas kom tiv thaiv cov hniav ntxiv, vim tias cov hniav nyob ze nrog cov caries uas tau tsim muaj qhov pheej hmoo ntawm kev mob txhab.

Qee qhov muaj qhov pheej hmoo pheej hmoo uas yuav txhawb tau kev txhim kho caries yog thaum cov hniav sib xyaw nruj heev ua ke, uas ua rau lub ntsej muag du-caries; thiab thaum sib sib zog nqus nruab nrab ntawm cov hniav thiab cov pos hniav ua rau cov kab mob sib sau ua ke. Fermenting carbohydrates yuav siv qhov chaw nyob hauv cov hnab ris no, cuam tshuam kev puas tsuaj tsawg ntawm cov hniav, ze rau cov hauv paus hniav. Tab sis, nws yog qhov chaw uas cov hniav sab saum toj thiab hauv qab tuaj ntsib ntawm tus hniav loj tshaj plaws, nyob rau hauv lub qhov ntawm cov hniav, uas cov hniav caries feem ntau nthuav dav. Kev loj hlob ntawm puab qhov chaw ntawm tus hniav, thiab sib sib zog nqus qhov uas tus hniav sib chwv, yuav muab cov kaus hniav pov tseg rau qhov caries. Zuag qhia tag nrho kev noj qab haus huv thiab kev noj haus tau ua lub luag haujlwm hauv kev txhim kho caries. Cov tsiaj uas tsis muaj cov ntxhia ntxaug ntxaws, muaj pH muaj kua qaub qis, kev noj zaub mov hauv lub cev muaj protein ntau, thiab kev tu lub qhov ncauj tsis huv yog txhua qhov muaj feem yuav ua kab noj hniav.

Kev kuaj mob

Nws muaj tsib thawj theem ntawm tus kab mob pathology:

• Theem 1: kho mob tsuas yog txha hniav laus xwb
• Theem 2: kho mob nthuav dav rau hauv txhab hniav; pulp chamber tsis koom nrog
• Theem 3: kho mob txuas ntxiv mus rau hauv cov ntawv pulp
• Theem 4: cov qauv kev puas tsuaj ntawm cov yas
• Theem 5: feem ntau ntawm cov yas ploj; cag tshuav

Tus kws kho tsiaj yuav tsum kuaj xyuas koj cov dev cov hniav rau txha hniav laus lub ntsej muag, uas yuav ua rau pom hniav cuav, thiab tseem yuav kuaj qhov chaw ruaj khov ntawm cov hniav cuav. Cov hniav suab nrov yog ib qho nyuaj, thiab yuav tsis zam rau tus kws tshawb nrhiav hniav, whereas hniav nyiaj hniav kub tau mos thiab yuav tuaj yeem ua rau lub cuab yeej ntse.

Yog hais tias tus hniav ntawv raug nthuav tawm, thiab tsis muaj qhov nyob ruaj khov, koj tus kws kho mob yuav saib qhov ua rau qhov tsis zoo no. Yas kev tawg, kev coj ua tsis zoo, saib xyuas lub ntsej muag, lossis extrinsic staining tuaj yeem yog qee qhov ua tau. Yog hais tias tus mob tau nce mus rau caries, thiab tshwj xeeb tshaj yog tias nws tau hloov zuj zus hauv qab cov pos hniav-kab mus rau lub hauv paus ntawm tus hniav, kev rho tawm ntawm tus hniav yuav yog qhov feem ntau daws qhov kev daws teeb meem.

Kev Kho Mob

Muaj ntau ntau theem rau kev kho hniav caries:

• Theem 1 lossis 2: tshem tawm cov hniav txhab hniav uas tsis muaj hniav thiab tsis muaj txheej txheem uas tsis pom zoo, tom qab ntawd rov muab lub taub hau nrog amalgam (kev kho mob ib txwm), kev sib xyaw ua ke, lossis ntxig khoom hloov
• Theem 3: kev kho tus hniav txha hniav thiab cag hniav yuav tsum ua ntej kev kho dua tshiab
• Theem 4 lossis 5: kev rho tawm tsuas yog qhov kev kho mob kho tau. Kev sib sib zog nqus ntawm lub ntsej muag ntawm maxillary thawj hniav puas qhov chaw nws ntsib lwm cov hniav yuav tau sau nrog lub qhov-thiab-fissure sealant kom tsis txhob caries kev txhim kho.

Yog tias qhov xwm txheej raug cais ua qhov tsis yooj yim (pib) caries, koj tus kws kho tsiaj yuav siv cov kua roj fluoride, lossis cov tshuaj fluoride-tso tawm cov txhab hniav. Yog tias nws tau nce zuj zus mus rau cov cag ntoo, koj tus kws kho tsiaj yuav kuaj ntxiv qhov mob ntawm tus hniav kom pom tias cov pos hniav tuaj yeem tswj tau, thiab cov kev txum tim rov qab tso saum cov pos hniav. Kev kho kom zoo tuaj yeem ua kom tiav, tab sis kev nthuav tawm yuav kho tau txoj kev xaiv rau ntau cov hniav nrog lub hauv paus caries. Yog tias tsuas yog ib lub hauv paus ntawm tus hniav uas muaj ntau tshaj ib lub hauv paus yog carious, kev nthuav tawm ntawm cov cag cuam tshuam nrog kev kho mob ntawm cov hauv paus hniav ntxiv yog tseem muaj kev xaiv. Cov neeg mob uas muaj kev pheej hmoo siab (xws li cov neeg muaj qhov nruj nruj ua kom hniav) feem ntau yuav xav tau daim ntawv thov lub qhov tshum-thiab-fissure sealant ntawm cov hniav ntxiv. Leem hniav yog qhov tshwj xeeb tshaj yog, thiab tej zaum tsim nyog, rau cov hniav uas nyob rau hauv tus hniav, lossis cov hniav, uas twb tau tsim caries. Tus kws kho tsiaj yuav pab koj ua ib daim phiaj xwm tswv yim rau kev hloov kho ntawm cov phom sij txaus ntshai.

Nyob thiab Tswj

Yog tias tus kws kho tsiaj tau pom tias nws yuav tsum tau khiav lag luam ntawm ib lossis ntau dua ntawm koj tus dev cov hniav, koj yuav tsum tau rov qab nrog koj tus dev dua tsawg kawg rau lub hlis tom qab rau kev kuaj mob tom qab thiab xoo hluav taws xob, thiab tom qab ntawd ib xyoos ib zaug, lossis raws li lub sijhawm nthuav qhia. Nws yog ib qho tseem ceeb uas ua rau kev tu lub qhov ncauj ib txwm muaj, uas suav nrog kev txhuam, thiab ntxiv dag zog rau cov hniav cov khoom ua si thiab kev kho, vim tias cov dev uas tau cuam tshuam los ntawm tus hniav no yuav muaj ntau dua ib tus neeg mob caries. Kev noj zaub mov zoo noj uas muaj txiaj ntsig nyob rau hauv carbohydrates, thiab txhawb kev noj qab haus huv pH hauv lub qhov ncauj, nrog rau kev kuaj xyuas cov hniav tas li kom saib xyuas qhov chaw tshiab (tsawg kawg hauv lub lis piam), yuav mus raws txoj hauv kev los pab koj tus dev kom txhua, lossis feem ntau, ntawm cov hniav nws tau yug los nrog.