Alveolitis na hakori shine mafi yawan rikitarwa bayan cirewar hakori. Akwai nau'ikan busassun soket guda uku: busassun soket, soket ɗin suppurative, wanda ke ɗauke da majigi, da soket ɗin osteic patchy, yana shafar kashi kuma yana bayyana kusan mako na uku bayan hakar. Ba a fahimci musabbabin su ba, amma suna da alaƙa da rashin waraka, don haka ga wata matsala da ke da alaƙa da gudan jinin da ya kamata ya yi da zarar an cire haƙori. Akwai jiyya; Busassun soket, wanda ya fi kowa yawa, yakan ci gaba da sauri zuwa ga farfadowa bayan kwanaki goma. Analgesics za su yi nufin rage zafi, wanda zai iya zama mai tsanani. za a yi amfani da maganin rigakafi a wasu lokuta.

Ma'anar busassun soket

Alveolitis na hakori wani rikitarwa ne da ke faruwa bayan an cire hakori. Wannan kamuwa da cuta yana shafar soket, wanda shine rami na jaw wanda aka sanya hakori a ciki.

Wadannan alveolitis bayan hakar suna faruwa ne saboda kumburin bangon alveolus. Busashen soket ya fi zama ruwan dare bayan haƙoran haƙoran hikima, musamman na mandible, wato na muƙamuƙi na ƙasa.

Dalilan bushewar soket

Akwai nau'o'i uku na alveolitis: busassun soket, socket suppurative, da patchy osteitic alveolitis (wanda ke da alaƙa da kamuwa da ƙwayar kashi). Ilimin ilimin ilimin su ya kasance batun tambaya, saboda ƴan binciken da ake samu. 

Alveolitis, duk da haka, an bayyana shi ta hanyar rashin samuwar ɗigon jini wanda, da zarar an cire hakori, ya kamata ya ba da damar warkarwa.

Busassun soket, ko busassun soket, shine mafi yawan nau'in alveolitis, sabili da haka rikitarwa bayan cirewa. Har yanzu ba a ba da cikakken bayani game da cututtukan da ke haifar da cutar ba, ka'idoji guda uku suna ƙoƙarin bayyana dalilan:

• Yana iya kasancewa yana da alaƙa da rashin samuwar gudan jini, saboda rashin isasshen jini a kusa da alveolus, musamman ma a matakin mandible, kashi wanda ke samar da muƙamuƙi na ƙasa. 
• Hakanan yana iya zama saboda rashin daidaituwar ɗigon jini bayan raunin da ya faru bayan cirewar hakori.
• Ana iya haifar da shi a ƙarshe ta hanyar lysis na gudan jini. Wannan ita ce ka'idar da aka fi rabawa. Wannan lysis, ko fibrinolysis, saboda enzymes (sunadarai masu iya haifar da halayen sinadarai), wanda aka samu a cikin kogon mucosa na baka, musamman. Hakanan za'a iya kunna shi ta hanyar tsarin kashi da aka samar ta hanyar cirewa, da kuma ta hanyar ƙwayoyin cuta a cikin rami na baka, kamar su. Treponema denticola. Bugu da kari, kwayoyi irin su magungunan kashe kumburi da maganin hana haihuwa na baka, ko ma taba, suna kunna wannan fibrinolysis. 

Suppurative alveolus yana faruwa ne ta hanyar kamuwa da cuta ta soket, ko kuma gudan jini da aka samu bayan an cire shi. An fifita shi da:

• rashin asepsis (kariya da hanyoyin hana kamuwa da cuta);
• kasancewar jikin waje kamar tarkacen kashi, hakori, ko tartar;
• cututtuka da suka riga sun wanzu kafin hakar, ko bayyana bayan hakar;
• kamuwa da cuta daga hakora masu kusa;
• rashin tsaftar baki.

A karshe, patchy osteic alveolite (ko 21st day cellulitis) yana faruwa ne ta hanyar kamuwa da ƙwayar ƙwayar ƙwayar cuta (sabon nama da aka samu bayan tabo, kuma ƙananan tasoshin jini suna ba da ruwa sosai). Muhimmancinsa? Yana faruwa kusan mako na uku bayan cire hakori. Ana iya horar da shi ta:

• kasancewar abubuwan waje, kamar tarkacen abinci.
• rashin dacewar amfani da magungunan da ba na steroidal anti-inflammatory ba (NSAIDs) bayan tiyata.

Binciken busassun soket

Likitan hakori ne zai iya yin gwajin cutar alveolitis na hakori, musamman ta hanyar tabbatar da cewa babu gudan jini a soket na hakori da aka cire.

• Busasshen soket yana faruwa a cikin 'yan sa'o'i kadan, ko har zuwa kwanaki biyar bayan an cire hakori. Alamun farko na iya ba da fifiko ga ganewar asali, kamar gajiya da raɗaɗi.
• Suppurative alveolitis yana faruwa a matsakaicin kwanaki biyar bayan hakar, kuma ana iya gano cutar ta musamman idan zazzabi na 38 zuwa 38,5 ° C yana tare da zafi, ƙasa da zafi fiye da yanayin busassun soket.
• Za a yi gwajin cutar osteic alveolitis a cikin yanayin zazzabi, kuma daga 38 zuwa 38,5 ° C, kuma tare da ciwon da ya dage har tsawon makonni biyu.

Mutanen da abin ya shafa

Busassun soket shine mafi yawan rikitarwa na cirewar hakori: ya shafi kashi 1 zuwa 3% na marasa lafiya waɗanda aka cire su cikin sauƙi, kuma 5 zuwa 35% na marasa lafiya bayan cirewar tiyata.

Maudu’in da ya fi fuskantar hadarin tasowa mafi yawan nau’in busasshen soket, busasshen soket, an bayyana shi a matsayin mace, mai shekaru 30 zuwa 50, a cikin damuwa, shan maganin hana haihuwa, kuma tsaftar baki ya kai matsakaita zuwa mara kyau. Haɗarin yana ƙara ƙaruwa gare ta idan haƙorin da za a cire shi ne molar muƙamuƙi na ƙasa - ko haƙorin hikima.

Mummunan yanayin aseptic yayin aiki shine babban haɗarin busasshen soket, kamar yadda rashin tsabtar baki yake. Bugu da kari, mata sun fi kamuwa da shi, musamman wajen shan maganin hana haihuwa.

Babban alamun busassun soket

Busashen soket yana faruwa bayan ƴan sa'o'i kaɗan, kuma har zuwa kwanaki biyar bayan cirewar hakori. Babban alamarsa yana da alamar zafi na bambance-bambancen tsanani. Waɗannan wasu lokuta ƙanana ne, cututtuka masu raɗaɗi, waɗanda ke haskakawa zuwa kunne ko fuska. Amma galibi, waɗannan raɗaɗin suna da ƙarfi kuma suna ci gaba. Kuma sun kasance sun kasance marasa kula da matakin 1 ko ma matakin 2 analgesics.

Daga cikin sauran alamominsa:

• zazzaɓi kaɗan (ko zazzaɓi), tsakanin 37,2 da 37,8 ° C;
• kadan gajiya;
• rashin barci mai alaka da ciwo mai tsanani;
• warin baki (ko halitosis);
• Ganuwar tantanin halitta mai launin toka-fari, mai matukar damuwa don taɓawa;
• kumburi da rufi a kusa da soket;
• wari mara kyau daga soket akan swabbing.

Yawancin lokaci, gwajin x-ray ba zai bayyana komai ba.

Babban alamun alveolitis suppurativa

Suppurative alveolitis yawanci yana faruwa kwanaki biyar bayan cire hakori. Raɗaɗin ba su da ƙarfi fiye da busassun soket; kurame ne, kuma suna bayyana ta hanyar motsa jiki.

Sauran alamominsa:

• zazzabi tsakanin 38 da 38,5 ° C;
• pathological girma na lymph nodes (wanda ake kira tauraron dan adam lymphadenopathy);
• kumburi na vestibule (ɓangaren labyrinth na kasusuwa na cikin kunnen ciki), ko an haɗa shi da fistula a cikin mucous membrane a kusa da soket;
• soket ɗin yana cike da gudan jini, yana da launin ruwan kasa ko baƙar fata. Socket din ya yi jini, ko kuma ya bar kura ya fito.
• ganuwar tantanin halitta suna da hankali sosai;
• a kasan soket, kashi, hakori ko tarkacen tartaric ana yawan samun su.
• Ci gaban ba zai iya warwarewa nan da nan ba, kuma yana iya haifar da rikitarwa, irin su osteic alveolitis.

Babban bayyanar cututtuka na patchy osteic alveolitis

Plot na osteic alveolitis yana haifar da sama da duka a cikin ciwo mai tsanani a cikin kwanaki goma sha biyar bayan hakar. Wannan ciwon yana tare da:

• zazzabi na 38 zuwa 38,5 ° C;
• wani lokacin rashin iya buɗe bakinka (ko trismus);
• asymmetry na fuska, saboda cellulitis a kusa da ƙananan muƙamuƙi, wato, kamuwa da kitsen fuska;
• wani ciko daga cikin vestibule;
• gaban ko a'a na yoyon fitsari.
• X-ray, gaba ɗaya, yana nuna ɓarna kashi (wani guntun kashi wanda ya rabu, kuma ya rasa jijiyar jini da ciki). Wani lokaci kuma, wannan x-ray ba zai bayyana komai ba.

Za a iya yin juyin halitta don kawar da ma'aikaci, in babu magani. Hakanan zai iya haifar da ƙarin rikice-rikice masu yaduwa.

Maganin busassun soket ya ƙunshi rage jin zafi, by analgesics. Warkar da jiki, ko juyin halitta na kai tsaye ga magani, gabaɗaya yana faruwa bayan kamar kwanaki goma. Lokacin da za a iya gajarta idan an yi wa mara lafiya magani.

Wannan busasshiyar soket shine mafi yawan lokuta, kuma ya zama gaggawa a likitan haƙori: don haka an gwada ƙa'idodin, ba da damar warkewa. Gwaje-gwaje biyu, alal misali, tawagar sun gudanar da su daga cibiyar tuntuba da odonto-stomatological na Abidjan kuma sun ƙunshi:

• Aiwatar da riguna a cikin soket, dangane da bacitracin-neomycin hade da eugenol.
• Aiwatar da suturar ciprofloxacin (a cikin sigar digon kunnensa) zuwa soket mai raɗaɗi.

Maganin yana nufin warkar da soket.

A gaskiya ma, jiyya don busassun soket sun fi duk kariya (wanda ya ƙunshi ainihin kawar da abubuwan da za su iya haifar da su). Su kuma curative:

• Maganin warkarwa na suppurative da osteitic alveolitis ya dogara ne akan tsarin tsarin rigakafi, maganin analgesics, da kulawa na gida, kamar kurkura da saline ko maganin antiseptik, da suturar intra-alveolar.
• Don suppurative alveolitis, idan ana kula da gida sosai da wuri, kuma idan babu zazzabi, takardar sayan maganin rigakafi ba lallai ba ne.
• Don busassun soket, ƙwayoyin rigakafi da yawa, waɗanda aka yi amfani da su kaɗai ko a haɗe tare da wasu abubuwa daban-daban, sun wanzu, mafi shawarar shine tetracycline da clindamycin. Duk da haka, Afssaps baya bada shawarar yin amfani da maganin rigakafi, a cikin yawan jama'a, ko a cikin marasa lafiya marasa lafiya, don maganin busassun soket; ta ba da shawarar shi kawai a lokuta na babban haɗarin endocarditis mara kyau, har sai mucosal warkar.

Bugu da kari, muhimmin man da ake zubawa a cikin man kayan lambu, kamar man zaitun ko man kwakwa, kuma a ajiye a kan soket, a cewar wasu marasa lafiya, zai rage zafi, ko ma ya warkar da busasshen soket. Duk da haka, dole ne a kula don tsoma wannan man kabewa. Wannan mahimmancin man fetur shine, saboda haka, maganin rigakafi na halitta, herbalists sunyi imani. Duk da haka, bai kamata a bai wa mata masu juna biyu da yara ba, ko maye gurbin wasu magungunan da likitan hakori ya tsara.

Kyakkyawan tsaftar baki gabaɗaya kafin hanya, da kuma kyakkyawan yanayin aseptic yayin hakar suna daga cikin mahimman abubuwan kariya ga busassun soket.

Domin gujewa busasshen busasshen busasshen, wanda ke da zafi sosai, sai a bi shawarar da likitan hakora ya bayar bayan cire hakori, kamar:

• ci gaba da damfara akan soket kuma canza shi akai-akai, na tsawon awanni 2 zuwa 3. Wannan zai inganta samuwar jini;
• kada ku kurkura bakinku da yawa;
• kar a tofa;
• kula lokacin da ake goge hakora, kuma ku guji shafa kusa da soket na hakori da aka cire;
• kada ku wuce harshen da aka yi hakar;
• a tauna daga wurin da aka ciro hakori;
• a ƙarshe, ya kamata a guji shan taba na akalla kwanaki uku.