I-Periodontitis

I-Periodontitis ukuvuvukala nokutheleleka kwemigudu namathambo asekela amazinyo.

I-Periodontitis yenzeka lapho ukuvuvukala noma ukutheleleka kwezinsini (gingivitis) kwenzeka futhi kungalashwa. Ukutheleleka nokuvuvukala kusakazeka kusuka ezinsinini (gingiva) kuye emigudwini nasethanjeni elisekela amazinyo. Ukulahlekelwa ukwesekwa kubangela ukuba amazinyo akhululeke futhi ekugcineni aphume. I-Periodontitis iyimbangela eyinhloko yokulahleka kwamazinyo kubantu abadala. Lesi sifo asijwayelekile ezinganeni ezincane, kepha siyanda phakathi neminyaka yentsha.

I-plaque ne-tartar zakha ngaphansi kwamazinyo. Ukuvuvukala okuvela kulesi sakhi kubangela ukuthi "iphakethe" noma igebe elingavamile, lakheke phakathi kwezinsini namazinyo. Leli phakethe ligcwalisa ngoqwembe oluningi, i-tartar, nama-bacteria. Ukuvuvukala kwezicubu ezithambile kubamba uqweqwe ephaketheni. Ukuqhubeka nokuvuvukala kuholela ekulimaleni kwezicubu nethambo elizungeze izinyo. Ngoba uqwembe luqukethe amabhaktheriya, kungenzeka ukutheleleka, futhi ithumba lamazinyo nalo lingakhula. Lokhu futhi kwandisa izinga lokubhujiswa kwamathambo.

Izimpawu ze-periodontitis zifaka:

• Iphunga elibi lokuphefumula (i-halitosis)
• Izinsini ezibomvu ngokugqamile noma ngokubomvu ngokunsomi
• Izinsini ezibukeka zicwebezela
• Izinsini eziphuma kalula igazi (lapho zihluzwa noma zixubha)
• Izinsini ezithambile uma zithintwa kepha azinabuhlungu ngenye indlela
• Amazinyo axegayo
• Izinsini ezivuvukile
• Izikhala phakathi kwamazinyo nezinsini
• Ukushintsha amazinyo
• Okuphuzi, okuluhlaza okwesibhakabhaka noma okumhlophe okufakwa kanzima emazinyweni akho
• Ukuzwela kwamazinyo

Qaphela: Izimpawu zokuqala zifana ne-gingivitis (ukuvuvukala kwezinsini).

Udokotela wamazinyo uzohlola umlomo wakho namazinyo. Izinsini zakho zizoba ntofontofo, zivuvuke futhi zibe bomvu ngokunsomi. (Izinsini ezinempilo zibomvana futhi ziqinile.) Ungase ube noqwembe kanye ne-tartar emazinyweni akho, futhi amaphakethe asezinsinini zakho anganwetshwa. Ezimweni eziningi, izinsini azinabuhlungu noma zithambile kancane, ngaphandle uma kukhona ithumba lamazinyo. Izinsini zakho zizoba nethenda lapho ubheka amaphakethe akho nge-probe. Amazinyo akho angase axege futhi izinsini zingadonswa emuva, kuveze isisekelo samazinyo akho.

Ama-x-ray wamazinyo akhombisa ukulahleka kwethambo elisekelayo. Zingakhombisa nokufakwa kwemali kwe-tartar ngaphansi kwezinsini zakho.

Inhloso yokwelashwa ukunciphisa ukuvuvukala, ukususa amaphakethe ezinsinini zakho, nokuphatha noma yiziphi izimbangela zesifo sezinsini.

Izindawo ezilukhuni zamazinyo noma imishini yamazinyo kufanele zilungiswe.

Hlanza amazinyo akho kahle. Lokhu kungabandakanya ukusetshenziswa kwamathuluzi ahlukahlukene ukukhulula nokususa i-plaque ne-tartar emazinyweni akho. Ukuphehla nokuxubha kuhlale kudingeka ukuze kunciphise ubungozi besifo sezinsini, noma ngabe sekuhlanzwe izinyo lochwepheshe. Udokotela wamazinyo wakho noma owokuhlanzeka uzokukhombisa ukuthi ungabrasha kanjani futhi uvule kahle. Ungasizakala ngemithi efakwa ngqo ezinsinini nasemazinyweni akho. Abantu abane-periodontitis kufanele bahlanzwe amazinyo njalo ezinyangeni ezintathu.

Ukuhlinzwa kungadingeka ukuze:

• Vula futhi uhlanze amaphakethe ajulile ezinsinini zakho
• Yakha ukusekelwa kwamazinyo axegayo
• Susa izinyo noma amazinyo ukuze inkinga ingabi yimbi kakhulu futhi isabalale emazinyweni aseduze

Abanye abantu bakuthola kungakhululeki ukususwa kocwecwe lwamazinyo ezinsinini ezivuthayo. Ungadinga ukuba ndikindiki ngale nqubo. Ukopha nokuthamba kwezinsini kufanele kuphele kungakapheli amasonto amathathu kuya kwayi-4 yokwelashwa.

Udinga ukwenza ibhulashi lasekhaya ngokucophelela futhi uphonsa impilo yakho yonke ukuze inkinga ingabuyi.

Lezi zinkinga zingenzeka:

• Ukutheleleka noma ithumba lezicubu ezithambile
• Ukutheleleka kwamathambo emihlathi
• Ukubuya kwe-periodontitis
• Ithumba lezinyo
• Ukuphela kwamazinyo
• Ukuqaqamba kwamazinyo (ukuphuma ngaphandle) noma ukuguquka
• Umsele womlomo

Bheka udokotela wamazinyo wakho uma unezimpawu zesifo sezinsini.

Ukuhlanzeka ngomlomo kuyindlela engcono yokuvimbela i-periodontitis. Lokhu kufaka hlangana ukuxubha amazinyo ngokuphelele nokuhlanza amazinyo, kanye nokuhlanzwa kwamazinyo okujwayelekile. Ukuvimbela nokwelapha i-gingivitis kunciphisa amathuba okuba ne-periodontitis.

IPyorrhea - isifo sezinsini; Ukuvuvukala kwezinsini - okubandakanya ithambo

• I-Periodontitis
• I-Gingivitis
• Ukwakheka kwamazinyo

Chow AW. Ukutheleleka komlomo, intamo nenhloko. Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. IMandell, iDouglas kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 64.

UDommisch H, Kebschull M. I-periodontitis engapheli. Ku: Newman MG, Takei HH, Klokkevold PR, Carranza FA, eds. I-Clinical Periodontology kaNewman noCarranza. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2019: isahluko 27.

I-Pedigo RA, i-Amsterdam JT. Umuthi womlomo. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 60.