ʻO ka maʻi periodontal kahi maʻi kakaʻikahi. Akā, huikau pinepine me maʻi wā maʻi - ka lua o ka maʻi waha maʻamau, ma hope koke o ka pala o ka niho. Hōʻike ʻia ia e ka mumū o nā ʻiʻo e hoʻopuni ana i ka niho - periodontium… Akā, ʻo ka maʻi periodontal kahi pōʻino ʻōnaehana i kēia mau ʻiʻo, he maʻi koʻikoʻi loa ia. Hiki ke hoʻonui a hele pū ʻia me nā maʻi ʻē aʻe, e like me ka maʻi hormonal, diabetes mellitus, hypovitaminosis, emi ʻana o ka pale ʻana, etc.
Nā kumu o ka maʻi periodontal
Piʻi ka pilikia o ka maʻi periodontal me ka makahiki. Aia nō hoʻi i nā kūlana ʻāina o ka noho ʻana, ka meaʻai, ke kūlana pili kanaka, ka lāhui a me ke kāne (ʻoi aku ka maʻalahi o nā kāne i kēia ʻano). Hiki iā ʻoe ke nānā i kahi loulou ma waena o ke koʻikoʻi o ka maʻi periodontal a me ka hoʻomaʻemaʻe waha maikaʻi ʻole.
ʻO ka manawa pinepine, pili ka mumū o ka ʻiʻo a me ka ʻiʻo periodontal me ka plaque niho ma ka ʻili o nā niho, no ka mea, ʻo 90% o ia mea he bacteria. ʻOi aku ka nui o nā waiho ʻana ma ka ʻili o nā niho, ʻoi aku ka nui o ka bacteria e hōʻino i nā ʻāʻī a me nā hale periodontal ʻē aʻe.
Eia kekahi, pili pū ʻia nā maʻi gingival e Karaka He papa niho mineral i loaʻa ma ka ʻili o nā niho, ma luna a ma lalo o ka ʻāʻī. ʻO nā scaffolds mineral o ka calculus ke kumu e pili loa ai ka plaque i nā ʻiʻo (ʻo ka ʻili o ka plaque coarse e hāpai i ka hōʻiliʻili ʻana o ka plaque ola) a he hopena pathogenic pololei i nā niho a me ka hale a puni. ʻO nā wahi i maʻalahi loa i ka helu ʻana, ʻo ia ka ʻili niho a puni ka puka o nā ʻalani kohu, nā ʻili niho ʻole (nā mea hoʻopiha piha, prosthetics, etc.).
ʻO nā kumu ʻē aʻe e hiki ai ke hoʻonāukiuki i ke ʻano o ka maʻi periodontal ʻo ka nui a me ka ʻike o ka saliva, overhanging a i ʻole ka hoʻopiha piha ʻana, nā mea prosthetic kīnā ʻole, ka hanu ʻana ma ka waha, nā hemahema anatomical i ka waha waha, traumatic occlusion, kekahi mau irritations - chemical, thermal, allergic. a me ka ʻōnaehana (maʻi maʻamau, no ka laʻana, immunological, hormonal, metabolic)[1].
Nā hōʻailona o ka maʻi periodontal
ʻO nā hōʻailona maʻamau o ka maʻi periodontal, ʻo ia ke kahe koko, ka leucorrhoea, ka ʻāʻī, ka lohi ʻana o ka ʻāʻī mai nā niho, a me ka ʻike ʻana o ka namu mai ka ʻāʻī. Hiki ke ʻokoʻa nā niho o ka mea maʻi, a i ʻole, neʻe paha. I kekahi manawa, ʻaʻole ʻike ʻia ka loli ʻana o ka wahi i ka nānā ʻana, akā ʻike ʻia i ka wā e nahu ai a nau paha. Hiki ke noʻonoʻo ʻia he hōʻailona o ka maʻi periodontal.
Pono e hoʻomaopopo ʻaʻole ia e ʻike koke ʻia. I kekahi manawa hiki ke ulu ka maʻi no nā makahiki, me ka ʻole o ka hoʻomaʻamaʻa ʻana iā ia iho, a i ʻole me ka lawe ʻole ʻana i ka pilikia nui i ke kanaka me kāna mau hōʻailona.[4].
Nā ʻano maʻi periodontal
ʻEkolu degere o ke kaumaha o kēia maʻi.
- maʻalahi;
- awelika;
- kaumaha.
He mea nui e hoʻolohe i ka ʻoiaʻiʻo o ka maʻi periodontal he maʻi lōʻihi. I kona hoʻomohala ʻana, hele ʻo ia ma nā pae he nui. ʻO ka pae mua ka gingivitis - ka ʻāʻī o ka ʻāʻī. I loko o kēia wā, ʻāʻī ka ʻāʻī, aia ka manaʻo e lilo ana lākou.
ʻIke ʻia ke koko o ka ʻāʻī ma hope. Loaʻa i kekahi poʻe maʻi ka ʻeha ʻāʻī i ka wā e palaki ai i ko lākou niho a ʻai i nā meaʻai paʻa.
Akā ma muli o ka paʻakikī ʻole o ka ʻeha, nui nā maʻi e hoʻopanee i ka hele ʻana i ke kauka. ʻOi loa inā nalowale ka ʻeha ma hope o ʻelua a ʻekolu mau lā. ʻO ka maʻamau, ʻimi ka poʻe maʻi i ka mālama niho i ka wā e hōʻike ʻia ai ke kumu o ka niho a i ka wā e puka mai ai kahi ʻīwī gingival niho. I kēia wā, hoʻonui pinepine ʻia ke koko a me nā ʻeha.
Nā pilikia o ka maʻi periodontal
Inā waiho ʻia ka maʻi periodontal me ka mālama ʻole ʻia, hiki i nā exacerbations a me nā pilikia olakino.
- ʻO nā ʻōpū ʻāʻī hou (ʻeha, purulent abscesses).
- Hoʻonui ʻia ka pōʻino i ka ligament periodontal (ʻiʻo e hoʻopili ai i ka niho i ke kumu).
- ʻO ka pōʻino a me ka nalo ʻana o ka iwi alveolar (ka iwi i loko o ka ʻāwae e paʻa ai ke kumu o ka niho).
- Hōʻailona i nā kūkaʻi.
- Loose niho.
- Ka poho o na niho[3].
Kāohi i ka maʻi periodontal
ʻO ka mea nui loa i ka pale ʻana i ka maʻi periodontal ʻo ia ka hoʻomaʻemaʻe waha kiʻekiʻe, ʻo ia ka hoʻomaʻemaʻe pono ʻana i nā niho, ka hoʻohana ʻana i nā mea pīpī wai no ka waha, nā pulupulu kūikawā e hoʻomaʻemaʻe i ka hakahaka ma waena o nā niho, kahi nānā niho i kēlā me kēia 6 mahina. no nā kānaka olakino, a i kēlā me kēia 4 mahina no ka poʻe i loaʻa ka maʻi maʻi. ka maʻi periodontal, a me ka wehe mau ʻana o ka plaque.
Pono e hoʻomanaʻo ʻia ʻaʻole i ʻike ʻia a mālama ʻole ʻia, ʻoiai ma ka pae mua, hiki i ka maʻi ke alakaʻi i ka hoʻihoʻi nui o nā ʻiʻo o ka waha waha a me ka nalowale o nā niho. I nā pae hope o ka maʻi, pono paha ka hoʻomaʻamaʻa ʻokiʻoki, ʻo ia ka mea e ʻoi aku ka pilikia o ka mea maʻi.[2].
Pono ka pale ʻana i ka hoʻoponopono ʻana i nā kumu ʻē aʻe e hōʻino ai i ka maʻemaʻe waha. No ka laʻana, hoʻopiha hewa ʻole a i ʻole nā mea prosthetic, he mea nui nō hoʻi e noʻonoʻo i nā pilikia me ka occlusion a i ʻole nā hemahema niho ʻē aʻe (no ka laʻana, orthodontic).
ʻO kekahi ala maikaʻi e pale aku ai i ka maʻi, ʻo ia ka mālama ʻana i ke ola olakino a me ka meaʻai kūpono. Pono e hoʻokomo i ka meaʻai i nā mea kanu, nā huaʻai, ka palaoa holoʻokoʻa, nā protein olakino.
Ka mālama ʻana i ka maʻi periodontal i ka lāʻau lapaʻau
ʻO ka maʻamau, mālama ʻia ka maʻi periodontal i ʻekolu mau manawa. Loaʻa iā lākou nā ana penei:
ʻO I - ka pae mua, kahi e wehe ʻia ai nā kumu o ka maʻi
I kēia wā, pono e hahai ʻia nā hana mālama waha maʻalahi e wehe i ka plaque a me ka tartar a loaʻa ka maʻemaʻe waha.
- Hana i ka hoʻomaʻemaʻe niho ʻoihana ma ke kauka niho (e wehe i nā waihona niho a pau).
- E lawe i nā palaka niho ma nā wahi i hōʻiliʻili ʻia ai ka pā niho.
- Hoʻopau i nā mea hoʻonāukiuki.
- E aʻo i ka mālama ʻoihana i kou waha waha.
- E mālama i ka maʻemaʻe waha ma ka home.
Pono e hoʻohana i kēia mau mea hana:
- nā mea hana mīkini no ka wehe ʻana i ka plaque (ultrasound, aerosol);
- mea hana lima;
- nā mea hana mīkini no ka wehe ʻana i nā pā palupalu a me nā stains (sandblasting device);
- nā mea hana hoʻoliʻiliʻi (nā ʻōlelo aʻoaʻo lāʻau, nā ʻāpana, nā paʻi poli, a pēlā aku)
II - Ka hana hoʻoponopono, kahi e pono ai e wehe i nā koena o ka maʻi
I kēia wā, hana nā poʻe maʻi i nā kaʻina hana e hoʻoponopono a hoʻoponopono hou i nā hale periodontal i poino. Kuhi ʻia kēia mau kaʻina hana i ke kūkulu hou ʻana i nā hale i hōʻino ʻia ma muli o ka maʻi a me ka mālama ʻana i nā niho - nā hale periodontitis.
III - Māhele kākoʻo i nā hopena lapaʻau
Nā kipa niho, hoʻomaʻemaʻe niho ʻoihana, lāʻau lapaʻau, lāʻau lapaʻau[1].
Nā huahana pono no ka maʻi periodontal
ʻO ka mea mua, pono ka poʻe i loaʻa i ka maʻi periodontal e hoʻokomo i ka ʻai i nā huaʻai a me nā mea kanu e like me ka hiki. Nui nā kumu nui no kēia. ʻO ka mea mua, e kōkua lākou e hoʻopiha i ke koena o nā huaora a me nā meaʻai i loko o ke kino. ʻO ka lua, he mea hoʻomaʻamaʻa maikaʻi nā meaʻai paʻa no nā niho nāwaliwali a me nā ʻāʻī. A ʻo ka fiber i loko o lākou ka mea e pono ai ke kino a kōkua i ka ʻōpū e hana pono. I ka nahu ʻana, pono e hoʻāʻo e puʻunaue like i ka ukana ma luna o ka lua waha i loaʻa i nā wahi āpau ka manawa e hana ikaika ai.
E nānā pono i nā citrus, kāloti, bele pepa. He waiwai kēia mau meaʻai i nā huaora A a me C, he mau kōkua kūpaʻa i ka hakakā ʻana i ka maʻi periodontal.
ʻO ka lua o ka meaʻai meaʻai nui e kōkua i ka hoʻoikaika ʻana i kou ʻāʻī a me nā niho, ʻo ia nā huahana waiu. E ho'āʻo e hoʻonui i kaʻai me ka cheese cheese, ka waiū, kaʻaila kawa, ka cheese. Inā maoli lākou, ʻoi aku ka maikaʻi. A no laila e komo ka calcium e like me ka hiki, mai hōʻole ʻoe iā ʻoe iho e hele i ka ea hou ma lalo o ka lā.
Laau kuʻuna no ka maʻi periodontal
- 1 No ka hoʻoikaika ʻana i nā niho me ka maʻi periodontal, pono ia e inu i ka wai ʻuala maka hou. E hoʻomaʻemaʻe i kou waha ma hope o ka inu ʻana, no ka mea, he hopena maikaʻi ʻole ka wai ʻuala i ka enamel niho.
- 2 Ponoʻoe e hoʻoulu i ka meli me ka paʻakai kuni i ka ratio o 3: 1 a iʻole 2: 1. E hui maikaʻi i kēia mau meaʻelua, e hoʻonā i ka paʻakai, e'ōwili i ka pōpō meli a me ka paʻakai, e hoʻokomo i loko o ka lima lima maʻemaʻe a me ka hamo. kou mau niho me ia.
- 3 Kōkua ka ʻoʻa i ka hoʻomāmā. He kōkua nō hoʻi e hoʻopau i ke koko. No ka hana ʻana i kēia, e hoʻomākaukau i kahi decoction o 2 punetēpē o ka pauka oak, 1 punetēpē o ka pua linden. E ninini i kahi teaspoon o kēia huiʻana me kahi aniani o ka wai wela i hoʻolapalapaʻia, e wela i ke ahi no 3 mau minuke, a laila eʻoluʻolu, kānana. E holoi i kou waha me ka hupa mahana.
- 4 ʻO kahi ʻano ʻē aʻe no ka hoʻokahe koko: e ninini i kahi spoonful o ka lau ʻupena i ʻoki ʻia me kahi aniani o ka wai paila, waiho no 30 mau minuke, a laila kānana a lawe ʻia e like me ka infusion. Ua lawa ka inu ʻana i ka hapalua aniani o kēia wai ʻekolu manawa i ka lā ma hope o ka ʻai.
- 5 Inā pilikia ʻoe e nā abscesses purulent, pono ʻoe e hoʻomākaukau i kahi hui no ka ʻauʻau waha. No ka hana ʻana i kēia, hoʻohui i kahi kīʻaha o ka lāʻau maloʻo o Pochuy Knotweed, kahi aniani o ka wai paila. E waiho no 2 mau hola, a laila kānana. Pono e hana ʻia nā ʻauʻau me ka infusion wela. Hiki iā ʻoe ke lawe ma ka waha - 0.3 kīʻaha ʻekolu manawa i ka lā ma mua o ka ʻai ʻana [4].
ʻO nā meaʻai pōʻino a pōʻino no ka maʻi periodontal
No ka pale ʻana i ka maʻi periodontal, pono ʻoe e haʻalele i nā meaʻai meaʻai hiki ke hoʻopili i ka ʻāʻī a hoʻonāukiuki i ke ʻano o ka plaque ma nā niho. ʻO kēia nā ʻōpala, nā mea ʻono, nā ʻano mea ʻono a me nā huahana palaoa. ʻOi aku ka maikaʻi e hōʻemi i ka ʻai ʻana i ke kī, kofe. Hoʻopaʻa ʻia ka puhi paka.
A ʻo ka mea maoli, he mea nui ka nānā mau ʻana me ke kauka niho, e palaki pono i kou mau niho i ʻelua manawa i ka lā e pale aku ai i ka hoʻokumu ʻana o ka plaque a me ka hōʻiliʻili ʻana o ka bacteria ma nā niho.
Hoʻohana ʻia nā mea āpau me ka ʻole o kā mākou ʻae palapala mua ʻia.
ʻAʻole kuleana ke alakaʻi no nā hoʻāʻo ʻana e noi i kahi papa kuhikuhi, ʻōlelo aʻo a papaʻai paha, a ʻaʻole nō hoʻi e hoʻohiki i ka ʻike i kuhikuhi ʻia e kōkua a hōʻeha paha iā ʻoe iho. E akahele a nīnau mau i ke kauka kūpono.
E nānā!
ʻAʻole kuleana ke alakaʻi no nā hoʻāʻo e hoʻohana i ka ʻike i hāʻawi ʻia, a ʻaʻole ia e hoʻohiki ʻaʻole e hōʻeha iā ʻoe iho. ʻAʻole hiki ke hoʻohana i nā mea e kuhikuhi ai i ka lāʻau lapaʻau a hana i kahi kuhi. E nīnau mau i kāu kauka loea.