Kambin Haƙori da Ya ɓace, Gada maras kyau, ko Cike Ciki: Gujewa Buri da Amintaccen Sake Siminti¶
Lambobin gaggawa sun bambanta da ƙasa. Wannan shafin yana amfani da 911, lambar ga Amurka da Kanada. Yawancin ƙasashe suna amfani da 112, 999, ko wata lamba. Nemo lambar don ƙasar ku.
Lokacin da kambi na dindindin ko kambin haƙori na zinariya, gada mai ƙayyadaddun raka'a, veneer, ko babban amalgam ko cikawar cikawa ba zato ba tsammani yayin da ake tauna abinci mai ɗaci ko fashe a buɗe cikin dare, gaggawar gaggawa ta ninka sau biyu: rayuwa kututturen hakori *** don dakatar da ciwon jijiya mai lanƙwasa, mamayewar ƙwayoyin cuta na ɓangaren haƙori, da saurin motsin haƙoran da ke kusa. A kowace shekara, sassan gaggawa na yin bronchoscopy na gaggawa don cire rawanin ƙarfe ko ain haƙoran da marasa lafiya suka yi ƙoƙarin "sa ba tare da siminti ba" ko kuma su yi barci tare da kwance a cikin bakinsu, sai dai kambi ya zamewa cikin muryar murya a cikin babban ɗakin murya na dama lokacin barci. Hakanan lalata shine jarabawar gida ta gama gari don manna kambi a kan haƙori mai rai ta amfani da ** cyanoacrylate (Super Glue / Krazy Glue): cyanoacrylate na gida yana fitar da zafi mai zafi da formaldehyde monomer wanda ke kashe ƙwayar haƙori ( wanda ba zai iya jurewa ba da ɓangaren litattafan almara, ɗanɗano da ɗanɗano da ɗanɗano kaɗan). likitan hakori ya ga tsadadden rawani a rabi don cire shi. Idan wani ya shaka kambin haƙora da gangan ko gada a cikin bututun iska kuma ya kamu da tari, hushi, stridor, ko wahalar numfashi, kira yankin ku. lambobin gaggawa nan da nan kuma ku biyo mu shake taimakon gaggawa yarjejeniya. Hakanan duba jagororin 'yan uwanmu akan ƙwanƙwasa hakora da raunin haƙora kuma Ludwig's angina da zurfafa zurfafan hakora.
Babban fifikonku shine ** dawo da kambi maras kyau, gada, ko guntun hakori daga bakinku nan da nan**, kada ku taɓa yin barci ko kwanta da rawanin da ba a haɗa shi da siminti ko kambi a cikin bakinku ba, gwada ko kambin har yanzu yana zaune da tsabta akan kututturen hakori mara kyau (** "Gwajin Dry-Fit Cizon Gwajin") ko farar man goge baki** a zaunar da wani kambi na ɗan lokaci a lokacin farkawa, sannan a ɗab'a ** man clove (eugenol)** a hankali tare da swab ɗin auduga kai tsaye zuwa kan dentin da ba a iya ganowa ba tare da ƙone gumakan da ke kewaye ba.
Yi wannan yanzu¶
- **Dauki sako-sako da kambi, gada, inlay, ko veneer daga bakinka nan da nan, kuma idan kana aiki a kan kwamin wanka, toshe magudanar ruwa ko kuma shimfiɗa tawul a kan kwano tukuna. Kurkura kambi a hankali a cikin kofi na ruwan dumi kuma adana shi a cikin akwati mai tsabta mai tsaftar filastik idan ba za a iya sake sake siminti ba.
- KADA ka yi barci, ka yi barci, ko ka kwanta tare da kambi mara siminti ko maras kyau, veneer, ko gada zaune a bakinka. rawanin da aka ɗora a wurin kawai ta hanyar miya, manne hakoran haƙora, ko rauni mai rauni zai iya tashi ya faɗo kai tsaye cikin trachea zuwa cikin huhu (* buri na jiki na baƙin ƙarfe ), yana haifar da ciwon huhu, rugujewar huhu, ko shakewa. Idan baku da simintin haƙora na ɗan lokaci mai kyau wanda ke riƙe kambi da ƙarfi ba tare da girgiza ba, ** cire rawanin daga bakinka kafin kwanciya barci sannan a ajiye shi a cikin akwati a tashar dare.
- *Ka duba cikin kambi da hakori a bakinka kafin yunƙurin mayar da kambin.
- Idan na cikin rawanin ya kasance maras kyau (watakila da simintin siminti na tsohon alli) kuma kututturen hakori mai siffar (abutment) yana nan tsaye a bakinki, za ku iya sake zama na dan lokaci.
- Idan kututturen haƙorin halitta da kansa ya tsinke a gunkin kuma ya makale da ƙarfi a cikin kambin (ko kuma idan tulin tushen ƙarfe na ƙarfe yana mannewa daga ƙasan rawanin), **KADA KADA KA YI KADA KA YI KOKARIN TUNKA KO KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA KUMA). bar shi a cikin akwati kuma ku ga likitan hakori da gaggawa.
- KADA KA YI AMFANI DA Super Glue (cyanoacrylate), Glue Gorilla, epoxy, itacen itace, ko mannen gida a cikin bakinka. Cyanoacrylate adhesives suna da guba ga tubules na hakori masu rai (suna kashe jijiya a cikin hakori don haka za ku buƙaci tushen tushen), hana haɓakar hakori daidai, kuma idan digo yana gudana tare tsakanin haƙoranku.
- Yi gwajin "Dry-Fit Bite Test" da farko, sannan a sake zaunar da kambi mara kyau ta amfani da OTC Temporary Dental Cement (Zinc Oxide), Adhesive Denture, Vaseline, ko Plain Tothpaste. "tsawo" ko bugawa farko. Cire kambin, sanya ** ƙaramin digon hatsi na OTC zinc-oxide na siminti na wucin gadi (kamar Dentemp, Temparin, ko DenTek) kewaye da bangon ciki, danna kambi da ƙarfi akan hakori, ** ciza a kan kushin gauze mai ɗanɗano ko wanka na mintuna 2**, sannan a matse ciminti.
- Idan rawanin ya ɓace ko ya karye, ko kuma idan cikowar ta faɗo ta bar rami mai raɗaɗi, a kwantar da hankalin haƙoran haƙora tare da Man Clove (Eugenol) sannan a rufe kogon da OTC Temporary Filling Material ko Sugarless Gum. dentin (kaucewa gumi da harshe) na tsawon dakika 10 don kwantar da jijiyar, sannan a danna ball na OTC zinc-oxide/calcium-sulfate wucin gadi mai cika putty (Cavit, Dentemp, ko Toofypegs), ** orthodontic wax**, ko mai laushin ciwon sukari da tauna sanyi zuwa cikin iska.
Abin da za ku yi idan kun hadiye ko shakar kambin hakori da gangan
- Idan an shaka rawanin (Aspirated into the Airway): Tari mai muni kwatsam, ƙwanƙwasa, shaƙatawa, sautin numfashi (stridor), ciwon ƙirji, ko ƙarancin numfashi lokacin da kambin ya koma baya yana nufin kambi na iya shiga cikin makogwaro, trachea, ko bronchus. Jeka Sashen Gaggawa na Asibiti mafi kusa (ko kira 911/112/999) don gaggawar x-ray mai ƙirji da wuyansa** da gaggawa ** cirewar bronchoscopic**.
- Idan an hadiye rawanin (An shigar da shi cikin Ciki) tare da tari ZERO ko matsalar numfashi: Ko da kun ji cikakkiyar lafiya, ** duba likita don X-ray na ciki / ƙirji guda ɗaya** don tabbatar da kambi yana cikin ciki (kuma ba a kwantar da shi cikin ƙwayar huhu ba). Da zarar an tabbatar da shi a cikin ciki, kambi guda ɗaya mai santsi yana wucewa ba tare da lahani ba ta hanyar gastrointestinal a cikin stool a cikin ** 2 zuwa 7 days ** a cikin fiye da 98% na lokuta (ko da yake marasa lafiya za su iya zaɓar su dawo da shi ta amfani da abin da za a iya zubar da su ta hanyar yin amfani da filastik commode strainer ("hat"). ** Banda:** Idan kuka hadiye gada mai kaifi da yawa, rawani mai kaifi mai fitowar ƙarfe, ko fayil ɗin endodontic**, nemi gwajin gaggawa na likita nan da nan domin kaifi gefuna na iya ratsa maƙogwaro ko ƙaramar hanji.
Bishiyar yanke shawara: kambi da ya ɓace, karyewar haƙori a cikin kambi, gada maras kyau, ko ɓarna na cikawa¶
flowchart TD
A["Kambin hakori, gada, veneer, ko ciko sun yi sako-sako ko fadowa"] --> B{"Shin mara lafiyar ya haɗiye ko ya shaƙa guntun?"}
B -->|Yes: Coughing, wheezing, choking, or swallowed sharp bridge/post| C["Asibitin nan da nan ED: Chest da X-ray na ciki don kawar da buri na buroshi ko GI perforation"]
B -->|No: Piece is safely in hand (or harmlessly lost filling)| D{"Bincika kambi/prosthesis da hakori a baki"}
D -->|Natural tooth core or metal post broke off inside the crown (gums are flat)| E["Karyawar hakori / bayan gazawar: KAR KA yi ƙoƙarin sake siminti"]
D -->|Crown is hollow inside AND shaped tooth stump is intact in mouth| F["Kambi mara inganci: mai lafiya don sake siminti na gida na wucin gadi"]
D -->|Porcelain Veneer (thin front shell) fell off| G["Ajiye veneer lafiya a cikin akwati mai santsi; KAR a sake siminti da farin farin siminti mai kauri"]
D -->|Filling (silver amalgam or white composite) fell out leaving a hole| H["Buɗe rami tare da fallasa tubules na haƙoran haƙora"]
E --> I["Adana kambi + yanki na hakori a cikin akwati; kare danyen danko / tushen tare da kakin zuma na orthodontic idan kaifi; ziyarar gaggawar hakori"]
F --> J["Tsaftace tsohuwar tarkace daga cikin kambi; Yi Gwajin Cizon Cizon Busashe A Haƙori"]
J --> K{"Shin cizon ya rufe gaba ɗaya lebur kuma yana jin al'ada yayin bushewa?"}
K -->|No: Crown rocks, sits too high, or hits opposing tooth first| L["Bar kambi daga baki (musamman lokacin barci) don hana buri ko karaya; ga likitan hakori"]
K -->|Yes: Seats flush and bite feels normal| M["Aiwatar da ƙaramin digo na OTC Zinc-Oxide Siminti na wucin gadi (ko Vaseline/man goge haƙori yayin farke); cizo a kan gauze 2 min; wuce haddi mai tsabta"]
H --> N["Kurkura da ruwan gishiri mai dumi; Dabba a hankali tare da Man Clove (eugenol) akan swab auduga; shirya tare da OTC Fill na wucin gadi Putty ko danko maras sukari"]
Kwatankwacin asibiti na gaggawa na prosthesis na hakori da amintattun kayan wucin gadi¶
| Prosthesis ko Nau'in Cika | Me Yasa Ya Kasa | Za ku iya sake zaunar da shi a gida? | Mafi kyawun kayan aikin wucin gadi na OTC / Gida | Kayayyakin da aka haramta | Matsakaicin Amintaccen Jinkirta Kafin Likitan Haƙori |
|---|---|---|---|---|---|
| ** Kambi Guda Daya (Gold, Porcelain-Fused-to-Metal, ko Zirconia) Tare da Kututturen Haƙori** | Wanke tsohon siminti na tsawon shekaru, tauna alewa mai ɗaki/caramel, ko niƙan hakori na dare (bruxism). | EH (idan a ciki kuma ya wuce gwajin Cizon Dry-Fit). | ** Zabi na farko: ** ** OTC Zinc-Oxide / Calcium-Sulfate Simintin Haƙori na ɗan lokaci** (* Dentemp , Temparin, DenTek). ** Zabi na Biyu (Lokacin Rana kawai):* Man shafawar hakora (Fixodent/Poligrip), manna mai kauri na ** farar man goge baki**, ko Vaseline. | ** Super Glue (cyanoacrylate)**, Gorilla Glue, epoxy, ƙusa manne, zafi manne. Kada a yi barci da rawanin da aka yi da Vaseline kawai ko man goge baki. | 2 zuwa kwanaki 7 (hakoran hakora kuma suna fashewa cikin kwanaki idan an bar su ba a fallasa su, yana sa kambi na dindindin ya daina dacewa). |
| Crown tare da Karshe kututturen Haƙori na Halitta ko Ƙarfe Manne a ciki | Rushewar da aka yi akai-akai (* caries*) yana tausasa jijiya a ƙarƙashin rawanin, ko tushen canal ya karye tushen. | A'A. Babu wani kututturen haƙori na sama da ya rage wanda zai riƙe rawanin, kuma tura sandar ƙarfe a baya cikin tushen tushen yana haifar da rarrabuwar tushen ko buri. | **Bari rawanin waje *** a cikin akwati mai wuya. Idan tushen tushe mai kaifi a cikin danko ya toka harshen, rufe gefen danko da ** orthodontic wax ** ko kuma ciko na wucin gadi. | Duk wani yunƙuri na manna ko murƙushe rawanin baya a cikin tushen tushen. | 24 zuwa sa'o'i 72 (kimanin gaggawa don haɓakawa na ainihi, tsayin rawani, ko cirewa). |
| ** Kafaffen gadar Unit Multi-Unit (2+ Anchor Crowns Rike Haƙoran Ƙarya)** | Wankan siminti akan hakoran anga daya ko biyu (* abutments*). Sau da yawa ƙarshen ɗaya yakan zo sako-sako yayin da ɗayan ƙarshen ya tsaya ciminti. | ** Idan gaba daya kashe & m: *** Ee, tare da OTC siminti na wucin gadi.; Idan har karshen daya yana ciminti: A hankali a latsa baya a wurin kuma a guji tauna a wancan bangaren; likitan hakori dole ne ya matsa/sashe shi. | ** OTC Zinc-Oxide Siminti na wucin gadi ** (idan gada ta fito gaba daya). Idan wani bangare ya kwance a gefe ɗaya, danna ** orthodontic wax ** akan saƙon gefe don kiyaye abinci. | Ja da ƙarfi ko ƙwanƙwasa da filaye a kan gadar da har yanzu ke da siminti akan haƙoran anka ɗaya (zai karya haƙoran anka mai kyau). | 2 zuwa 5 days (tsira da plaque da suka makale a ƙarƙashin wani sako-sako da ƙarshen gada suna saurin ruɓe haƙorin anga). |
| ** Rufin Lantarki (Bakin Haƙori na Gaba)** | Debonding na guduro siminti bayan cizon abinci mai wuya da haƙoran gaba. | Gabaɗaya A'A** (sai dai idan na ɗan gajeren sa'o'i na gaggawa na zamantakewa ta amfani da ƙaramin digo na mannen haƙora). | Ajiye veneer a cikin akwati mai kauri mai layi. Tausasa kowane gefen haƙori mai kauri tare da ** orthodontic wax **. | ** Farin siminti na wucin gadi na zinc-oxide na wucin gadi** (ya yi kama da fari mai alli ta hanyar siraren siraran siraɗi kuma yana da wahala a tsaftace shi daga ƙaƙƙarfan siminti mai laushi ba tare da fashe veneer ba). | 2 zuwa kwanaki 7 (likitan hakora ya sake gyarawa kuma yana ɗaure rigar da ba ta dace ba tare da resin da aka warkar da haske). |
| ** Cikawar da ta ɓace ko fashe (Amalgam, Composite, Inlay, ko Onlay)** | Rushewar na biyu a kusa da cika tabo ko cizon ramin rami mai wuya. | Kada a tura sako-sako da karfen cikowa a ciki (zai fado a hadiye shi); a maimakon haka, shirya buɗaɗɗen ramin tare da cikawa na ɗan lokaci. | ** Zabi na farko: ** ** OTC Zinc-Oxide / Eugenol Nau'in Ciki na ɗan lokaci ** (* Cavit , * Dentemp , Temparin). Zabi na biyu: Orthodontic kakin zuma ko tausasa ** cingam mara sikari. | Canko mai ciwon sukari (fakitin da aka tace sucrose kai tsaye cikin bututun hakori da aka fallasa, yana haifar da zafin osmotic mai raɗaɗi), aspirin da aka niƙa akan gumi. | 2 zuwa kwanaki 7 (ko a cikin sa'o'i 24 idan ciwon bugu ba zato ba tsammani ya nuna pulpitis). |
Me yasa kututturen hakori da ba a rufe ba yana jin zafi sosai kuma yana canzawa cikin kwanaki¶
Lokacin da kambi ko zurfin cikawa ya fito daga haƙori mai mahimmanci (mai rai)* (hakorin da ba a taɓa samun tushen tushen ba), shakar iska a cikin ɗaki ko shan ruwan sanyi yana haifar da zafin harbi:
1. Hydrodynamic Theory of Exposed Dentinal Tubules¶
Don dacewa da kambi akan hakori, likitan haƙori a baya ya aske kariya ta waje ** enamel enamel *, yana barin ainihin rayuwa dentin. - 30,000 Buɗaɗɗen Buɗaɗɗen Ƙaƙƙarfan Ƙaƙƙarfan Buɗaɗɗiyar Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwaƙwalwa na Ƙaƙwalwa na Ƙaƙwalwa na Ƙaƙwalwa na Ƙaƙwalwa na Ƙarƙashin Ƙarƙashin Ƙaƙwalwa na Ƙaƙwalwar Ƙaƙwalwa na Ƙaƙwalwa ) yana gudana ta hanyar dubban tashoshi masu cike da ruwa ( tubules na hakori *) suna gudana a radially daga saman da aka fallasa zuwa cikin ɗakin ɗakin ɗakin ɗakin ɗakin ɗakin ɗakin ɗakin ɗakin ɗakin ɗakin*. - ** Brannstrom's Hydrodynamic Mechanism* Lokacin da iska mai sanyi, ruwan sanyi, osmotic sugar, ko farce ya taɓa kututturen hakori mara kyau, ruwa a cikin waɗannan buɗaɗɗen tubules guda 30,000 ya yi kwangila ko kuma ya juya waje, yana jan kai tsaye a kan ** A-delta zafin jijiyar jijiyoyi ** a cikin ɓangaren litattafan almara. Idan ba a fallasa na kwanaki, streptococci na baka yana ƙaura zuwa cikin tubules zuwa ɗakin ɓangaren litattafan almara, yana haifar da ** pulpitis wanda ba zai iya jurewa b ko ƙurar hakori.
2. Me Yasa Hakora Ke Shift da Fashewa Cikin Kwanaki Idan Ka Bar Kambi¶
Ko da haƙoran ku yana da tushen tushen kuma yana jin ** zafi ba zero ** lokacin da rawanin ya faɗi ba, barin kambi a cikin aljihun tebur na tsawon makonni 1 zuwa 3 yana haifar da matsalar injiniya: - ** Adawa da Haƙori Super-Eruption da Mesial Drift:** A cikin ** 3 zuwa 7 days ** na rasa kambi, haƙoran maƙwabta sun fara karkata zuwa cikin sarari mara kyau (** mesial ko distal distal drift ), kuma haƙori na gaba akan ɗayan muƙamuƙi yana farawa cikin rata ( super-eruption ). - Domin ana niƙa rawanin hakori zuwa juriya na 20 zuwa 50 micrometers, ko da rabin milimita na haƙori yana canzawa sama da makonni 1 zuwa 2 yana nufin ** kambin asali naka ba zai ƙara komawa kan haƙorin ba. Sanya kambi na ɗan lokaci da siminti na OTC zinc-oxide yana riƙe da sarari a buɗe har zuwa alƙawarin likitan ku.
Jagorar mataki-mataki: yadda ake tsaftacewa cikin aminci, dacewa da gwaji, da kuma sake gyara kambi mara kyau na ɗan lokaci a gida¶
Mataki 1: Tsaftace Ciki na Crown da Tutun Haƙori¶
- Yi aiki akan ** tebur ko kwandon wanka tare da toshe magudanar ruwa kuma an jera shi da tawul ɗin hannu**.
- Duba cikin rami mai zurfi na kambi a ƙarƙashin haske mai haske kuma ** a hankali a shafa ko goge kowane tsoho, farar siminti ko abinci** ta amfani da buroshin katako ko buroshin haƙori tare da ruwan dumi.
- A hankali goge kututturen hakori da aka fallasa a bakinka tare da buroshin haƙori mai laushi da ** zafin jiki (digiri 37 Celsius / 98.6 Fahrenheit) ruwan dumi ** don cire barbashi abinci.
Mataki na 2: Gwajin Cizon Cizon Busassun Wajibi (Kafin Ƙara Duk wani Siminti)¶
Kafin saka kowane siminti a cikin rawanin, gwada zama a bushe don tabbatar da daidaitawa da dacewa:
- Lura da siffa: saman ** na waje (kunci ko lebe)** yawanci yana da tsayi kadan kuma yana da lankwasa, yayin da saman ciki (harshe) ya fi guntu.
- Ki dora rawanin da ba komai a ciki a kan kututturen hakori sannan rufe muƙamuƙi tare a hankali da sauƙi:
- WUCE: Tambin yana zamewa sosai akan hakori ba tare da ya girgiza ba, sannan idan ka rufe bakinka, duk sauran hakoran ka na baya suna tabawa a lokaci daya.
- RASHI: Tambin yana jin ** tsayi da yawa (babban cizo), yana buga haƙoran da ke gaba da juna sannan ya buɗe sauran haƙoran, ko kuma ya juyo a hankali. Idan ya fadi gwajin bushe-bushe, sake duba tarkacen boye a cikin kambi; Idan har yanzu yana zaune da tsayi sosai ko kuma ya yi rawar jiki, KAR a sanya siminti ko sanya shi, saboda cizon babban rawani na iya * raba tushen hakori a tsaye.
Mataki na 3: Aiwatar da siminti na wucin gadi na OTC Zinc-Oxide (Ba da yawa)¶
- Sayi simintin gyaran gyare-gyaren hakori na wucin gadi ** kan-da-counter** (Dentemp, Temparin Max, DenTek, ko TempBond). Yana saita da miya a cikin hatimi mai ƙarfi, yana fitar da eugenol mai kwantar da hankali, kuma ** ya kasance mai laushi sosai wanda likitan hakori zai iya kashe shi cikin daƙiƙa 30**.
- A bushe cikin kambi tare da auduga, kuma a goge kututturen hakori da gauze.
- Yi amfani da siminti kaɗan kawai: Ki ɗora ɗan ƙaramin adadin (girman kananan hatsin shinkafa ko kan ashana) sannan a shafa mai bakin ciki a bangon gefen ciki* na kambi mara kyau. Kada a tattara dukkan ƙoƙon rami mai cike da siminti, saboda cikawa yana haifar da matsa lamba na hydraulic wanda ke hana rawanin zama har ƙasa.
Mataki na 4: Zauna Kambi, Ciji a kan Gauze mai ɗanɗano, da Tsabtace wuce gona da iri¶
- Sanya kambi a kan haƙori a cikin yanayin da aka yi, tura shi ƙasa da yatsa, sannan ** ciji da ƙarfi akan kushin gauze mai naɗewa ko tsabtace rigar wanka na tsawon mintuna 2 zuwa 3 cikakke**.
- Yi amfani da ** haƙoran haƙori na itace *** don cire siminti a hankali a kusa da abin wuyan gumline.
- Yadda ake floss din ba tare da an ja da kambi ba: Za a zame floss ɗin haƙora tsakanin rawanin da haƙorin maƙwabta don share siminti da ya wuce gona da iri, sannan KADA KADA KADA KA KYAUTA floss ɗin sama ta wurin tuntuɓar; A maimakon haka, a bar ƙarshen ɗaya kuma ** cire floss ɗin tsaye a gefe ta gefen kunci **.
- A dakata ** Minti 30 zuwa 60 kafin cin abinci, tauna kishiyar bakinka, sannan a guji abinci mai danko ko tauri.
Yadda ake amfani da Clove Oil (Eugenol) da OTC Fill na wucin gadi don Buɗaɗɗen Cavity¶
1. Safe Application of Clove Oil (Eugenol)¶
** Man cloves ** ya ƙunshi 80% zuwa 90% ** eugenol , ainihin kayan aiki mai aiki da ake amfani da shi a cikin ƙwararru Zinc Oxide Eugenol (ZOE) kayan aikin kwantar da hankali don toshe tashoshin sodium mai ƙarfi-gated akan filayen jijiya na pulpal da hana prostaglandins. - ___*__**_* _* __**Man_al_clove_ __**____ Zuba digo-duka a cikin gumaka ko harshenki yana haifar da farar wuta ** ƙwayar ƙwayar ƙwayar ƙwayar cuta. - Hanyar aikace-aikacen Q-Tip madaidaiciya:* A sa digo 1 na kantin magani ** man kanumfari (eugenol)** a kan saucer (wanda ba za a iya diluted da man zaitun 2 ba), a taɓa ** auduga swab (Q-tip)** ga mai, ** a goge swab ɗin a kan tawul ɗin takarda kai tsaye sannan a fallasa shi da sauri. Dentin hakori ko a cikin rami na rami ** na 10 zuwa 15 seconds.
2. Rufe Ramin tare da Cikowar OTC na ɗan lokaci ko ƙoƙon da ba shi da sukari¶
Mirgine ball mai girman fis na OTC Material Filling Material (Dentemp, Temparin, Cavit,ko DenTek), danna shi a cikin rami na rami, cizo a hankali don siffanta shimfidar saman, sannan a goge wuce gona da iri tare da swab mai danshi. Idan an rufe kantin magani, a rufe ramin da ** orthodontic wax ** ko kuma tausasa ** cingam mara-sugar** (ba a taɓa yin sukari ba).
Jajayen tutoci waɗanda ke nufin kuna buƙatar likitan haƙori na gaggawa ko Sashen Gaggawa nan take
- Maganin jini ja ko ruwan hoda a tsakiyar hakorin da ya karye ("Pink Spot" pulp Exposure): Idan hakori ko cikowa ya karye sosai ta yadda za ka ga wata 'yar karamar digo ja ko ruwan hoda mai haske* a cikin tsakiyar digon rawaya (ko digon jini da ke fitowa daga tsakiyar hakori da kansa, ba danko ba), karaya ya bude dakin ****. Kada a tattara sinadarai masu ban haushi kai tsaye a kan jijiyar zubar jini da ta fallasa; Ɗauki ibuprofen na baka + acetaminophen kuma duba likitan hakora a cikin sa'o'i 24 don mahimmancin murfin ɓangaren litattafan almara ko tushen tushen.
- Ciwon haƙori mai ɗagawa wanda ke tayar da ku daga barci ko kuma ya daɗe bayan shan zafi mai zafi: Taƙaitaccen zafi mai zafi wanda ke ɗaukar daƙiƙa 2 zuwa 5 lokacin da iska mai sanyi ta kama haƙoran da ba a rufe ba yana al'ada ** reversible dentinal sensitivity**. Kwatsam, bugun jini, zafi mai zafi wanda ke farawa da kansa, yana daɗaɗawa tare da zafi, ko kiyaye ku da dare yana nufin ** cutar kumburin da ba za ta iya jurewa ba ko ƙwayar ƙashin ƙuri'a** na buƙatar maganin tushen canal ko cirewa.
- ** Fuska, kunci, ido, ko kumburin gindi, zazzabi, ko wahalar haɗiye/buɗe baki (Trismus):** Jeka Sashen Gaggawa na Asibiti da gaggawa don kawar da yaduwar odontogenic cellulitis ko Ludwig ta angina.
Lambobin gaggawa na yanki da ka'idojin hukumar¶
- Amurka da Kanada: Danna 911 nan take idan an shaka rawani ko gada tare da tari, hushi, ko shakewa. Don sake dawo da siminti na gaggawa ko ciwon hakori ba tare da alamun iska ba, tuntuɓi likitan haƙori na gaggawa ko bi ** American Dental Association (ADA)** jagororin: yi amfani da siminti na wucin gadi na zinc-oxide na wucin gadi ko danko mara sukari, ba Super Glue ba, kuma kar a taɓa yin barci tare da kambi mara-cimented a baki.
- United Kingdom: Dial 999 ga duk wani da ake zargin buri na iska ko yada kumburin fuska/wuyansa. Don kambi na gaggawa da ya ɓace tare da ciwo mai tsanani ko zubar jini lokacin da likitan haƙori na yau da kullum ya rufe, kira NHS 111 don yin rajista zuwa Cibiyar Kula da Haƙori na gaggawa ta NHS**. Bi ** Jagoran Gaggawa na Haƙori na NHS ***: Kayan aikin gyaran hakori na ɗan lokaci (Toofypegs, Dentemp) daga kantin magani ana iya amfani da su don sake zama rawanin ramukan ko cika abubuwan da suka ɓace har sai likitan hakori ya gani.
- Ƙungiyar Tarayyar Turai: Kiran kira 112 don gaggawar hanyar iska. Kowace ƙasa memba ta EU tana aiki a ƙarshen mako da dare ** Ayyukan Haƙori na gaggawa ** (Service de garde dentaire a Faransa, Zahnärztlicher Notdienst a Jamus, Urgencias dentales a Spain).
- ** Ostiraliya da New Zealand:** Kiran kira 000 a Ostiraliya ko 111 a cikin New Zealand don bala'in buri na iska. Bi ** Ƙungiyar Haƙoran haƙora ta Australiya (ADA)** jagora: kiyaye kambi mai tsabta da aminci, yi amfani da siminti na wucin gadi na kantin magani ko Vaseline kawai yayin farke idan ya yi daidai da tsafta, sannan a nemi sake siminti na hakori cikin 'yan kwanaki kafin haƙori ya faru.
- Indiya, Japan, Koriya ta Kudu, da Asiya-Pacific:** Kiran kira 112/108 a Indiya, 119 a Japan da Koriya ta Kudu, 995 a Singapore, ko 999 a cikin Malesiya da Hong Kong don buƙatun gaggawa, ko ziyarci sashin haƙori na sa'o'i 24 na haƙori/maxillofacial.
Tambayoyin da ake yawan yi¶
Me yasa yake da haɗari don yin barci da rawanin haƙora maras kyau ko siminti a cikin bakinka?¶
Lokacin da kuka farka, harshenku da makogwaron ku suna jujjuya su akai-akai idan kambin haƙori maras kyau ya ƙaura daga wurin. Lokacin da kuka yi barci kuma kuna kwance, duk da haka, hanyar iska ta sama da haɗiye suna shakatawa. Kambin da ke zaune a kwance akan haƙori, ko kuma da miya, Vaseline, ko man goge baki, zai iya tashi cikin sauƙi yayin barci kuma ya zamewa kai tsaye ya wuce igiyoyin muryar ku zuwa cikin huhunku (burin jiki na waje). Neman kambi na ƙarfe ko adon yana haifar da ciwon huhu da rugujewar huhu, yana buƙatar asibiti na gaggawa na bronchoscopy a ƙarƙashin maganin sa barci don cire shi daga cikin huhu. Idan ba a riƙe kambi mai ƙarfi ta hanyar simintin haƙora na ɗan lokaci, koyaushe cire shi daga bakinka kafin yin barci.
Me yasa ba za ku taɓa amfani da Super Glue (cyanoacrylate) don manna kambin hakori ko karyewar haƙori a ciki ba?¶
Super Glue (cyanoacrylate) yana haifar da matsaloli uku masu tsanani a cikin baki: (1) Yana da guba mai guba ga hakori mai rai, yayin da ruwa monomer ya shiga cikin ƙananan ƙwayoyin haƙori a cikin ɗakin jijiya, yana haifar da zafi da sakin kayan fashewar formaldehyde wanda ke kashe jijiyar hakori kuma yana haifar da kumburi mai raɗaɗi da ke buƙatar tushen tushe; (2) Yana saitawa nan take akan tuntuɓar danshi kafin ka iya cizon da kyau, yana kulle kambi a cikin ɗan karkatacce, babban matsayi wanda ke lalata maka cizo; da (3) Ba kamar simintin haƙora na zinc-oxide ba, Super Glue ba zai iya narkar da shi cikin sauƙi ta likitan haƙori ba, galibi yana tilasta likitan haƙori ya yanke ya lalata kambi mai tsada.
Wadanne kayan gida zan iya amfani da su cikin aminci don riƙe kambi a wurin na 'yan sa'o'i idan an rufe kantin magani?¶
Idan rawanin ku yana da rami a ciki, ya dawo daidai da kututturen haƙorin ku, kuma ya wuce gwajin bushe-bushe, zaɓi mafi kyaun siminti na ɗan lokaci na zinc-oxide na wucin gadi daga kantin magani. Idan an rufe kantin magani kuma kuna buƙatar riƙe kambi a wurin da rana yayin farke, zaku iya sutura cikin cikin kambi tare da ɗan ƙaramin kirim mai mannewa akan-da-counter (kamar Fixodent ko Poligrip), ɗanɗano mai kauri na farin gari-da-ruwa ko farar man goge baki, ko jelly petroleum (Vaseline). Ka tuna cire rawanin kafin barci idan ka yi amfani da Vaseline ko man goge baki kawai.
Me zai faru idan na hadiye kambi na hakori da gangan lokacin da na ci abinci?¶
Na farko, idan kuna da tari, hushi, ƙarancin numfashi, ko ciwon ƙirji, je wurin gaggawa nan da nan don yin X-ray na ƙirji don tabbatar da cewa kambi bai sauko da bututun iska a cikin huhu ba. Ko da kuna da alamun numfashi na sifili, ana ba da shawarar yin X-ray na likita mai sauri don tabbatar da kambi yana cikin cikin ku. Da zarar cikin ciki, rawanin haƙora mai santsi guda ɗaya yana wucewa ta hanji mara lahani kuma yana fitowa a cikin stool ɗinku cikin kwanaki 2 zuwa 7 a cikin sama da kashi 98 na mutane. Idan ka dawo da kambi ta amfani da abin da za a iya zubar da filastik bayan gida, likitan likitan hakora na iya tsabtace shi ta hanyar ultrasonically, bakara shi a cikin wani babban matsi na tururi autoclave, da kuma ciminti shi kai tsaye zuwa kan hakori.
Har yaushe zan jira ganin likitan hakori idan rawanina ya fadi amma hakorina bai yi rauni ba ko kadan?¶
Ko da a baya haƙori yana da tushen tushen kuma yana jin zafi, ya kamata ku ga likitan haƙori a cikin kwanaki 2 zuwa 7 (kuma ku sa kambi tare da simintin haƙori na wucin gadi a halin yanzu idan ya dace lafiya). Ba a gyara haƙoran ku a cikin kankare; ba tare da kambi yana riƙe da ainihin sarari akan haƙoran maƙwabta da haƙoran da ke gaba da juna a ɗayan muƙamuƙi ba, haƙoran da ke kusa da su sun fara karkata zuwa ciki kuma haƙoran da ke gaba da juna ya fara girma ƙasa (super-fashewa) cikin kwanaki 3 zuwa 7 kawai. Idan ka bar kambi a cikin aljihun tebur na makonni 2 ko 3, haƙoranka za su canza zuwa isa wanda kambi na asali ba zai sake dawowa ba.
Ta yaya zan yi amfani da man ƙwanƙwasa don cikawa na ɓacewa ko haƙori mara kambi ba tare da ƙone guma na ba?¶
Man ƙwalwa ya ƙunshi eugenol, ainihin abin da likitocin likitan hakora ke amfani da shi a cikin maganin kwantar da hankali na wucin gadi, amma mai tsaftataccen mai zai haifar da ƙona sinadari mai raɗaɗi idan an ɗigo a jikin ruwan hoda ko kuma harshen ku. Kada a taba zuba digon man tafarnuwa a bakinka. Madadin haka, sai a sa digo ɗaya na man albasa a cikin tasa (wanda ba za a iya haɗe shi da digo biyu na man zaitun ba), a taɓa swab ɗin auduga (Q-tip) a kan mai, goge swab ɗin a kan nama don da kyar ya daɗe, sannan a taɓa tip kai tsaye kuma na musamman akan dentin haƙoran da aka fallasa rawaya ko a cikin rami na rami na daƙiƙa 10 kafin a rufe ramin da sukari na wucin gadi.
Tushen da jagorar hukuma¶
- Ƙungiyar Haƙoran haƙora ta Amurka (ADA, Amurka): Sharuɗɗan Kula da Haƙori na Gaggawa na Baki: Rage Rage, Fashe Haƙora, Rashin Cikewa, da Amfani da Man Clove (Eugenol).
- Ma'aikatar Kiwon Lafiya ta Kasa (NHS, United Kingdom) & Shirin Haƙori na Haƙori na Scotland (SDCEP): * Gudanar da Matsalolin Haƙori: Jagorar Ma'aikatan Kiwon Lafiya da Ƙwararrun Kula da Haƙori na Gaggawa (Rasa Madowa, Crowns, and Veneers)*.
- International Association of Dental Traumatology (IADT): Guidelines for the Evaluation and Management of Traumatic Dental Injuries and Crown Fractures.
- Ƙungiyar Haƙori ta Australiya (ADA, Ostiraliya): Taimakon Farko na Haƙori: Yadda ake Karɓar Haƙori, Kambun Kambi, ko Ciki Mai Karye.
- ** Ƙungiyar Amirka don Ciwon Gastrointestinal Endoscopy (ASGE) & American Thoracic Society (ATS):** Sharuɗɗan Clinical don Ciwon Jiki na Ƙasashen Waje da Buƙatun Tracheobronchial na Prostheses Dental.
Ɗauki kwas ɗin taimakon farko da ƙwararrun kuma tuntuɓi kwararru
Wannan jagorar tana ba da ƙwarewar gaggawa da ilimin taimakon gaggawa na hakori na ɗan lokaci kuma baya maye gurbin ƙwararrun kulawa daga likitan hakori ko likita mai lasisi. Don koyan ƙwarewa mai amfani a cikin shaƙa taimako, gaggawar hanyar iska, da taimakon gaggawa na gaggawa, ɗauki kwas ɗin taimakon farko ta hanyar Red Cross, St John Ambulance, ko mai ba da horo na gida.