Kev kho hniav alveolitis yog qhov teeb meem feem ntau tom qab tshem cov hniav. Muaj peb hom ntawm lub qhov (socket) qhuav: qhuav qhov (suppurative socket), suppurative socket, uas muaj cov kua paug, thiab lub qhov (socket) patchy osteic, cuam tshuam cov pob txha thiab tshwm nyob ib ncig ntawm peb lub lis piam tom qab rho tawm. Lawv cov laj thawj tseem to taub tsis zoo, tab sis lawv txuas nrog kev kho tsis zoo, thiab yog li ntawd muaj teeb meem cuam tshuam nrog cov ntshav txhaws yuav tsum tau tsim thaum tus hniav raug tshem tawm. Muaj kev kho mob; Lub qhov (socket) qhuav, los ntawm qhov ntau tshaj plaws, feem ntau nce mus rau qhov rov qab los tom qab kaum hnub. Analgesics yuav pab txo qhov mob, uas tuaj yeem mob siab heev. Cov tshuaj tua kab mob yuav siv tau rau qee kis.

Lub ntsiab lus ntawm lub qhov (socket) qhuav

Kev kho hniav alveolitis yog ib qho teeb meem uas tshwm sim tom qab muab cov hniav rho tawm. Cov kab mob no cuam tshuam rau lub qhov (socket), uas yog lub puab tsaig kab noj hniav uas muab cov hniav tso.

Cov alveolitis tom qab rho tawm yog vim o ntawm phab ntsa ntawm lub alveolus. Lub qhov (socket) qhuav yog ntau dua tom qab rho tawm cov hniav ntse, thiab tshwj xeeb tshaj yog cov mandible, uas yog hais txog lub puab tsaig qis.

Ua rau lub qhov (socket) qhuav

Muaj peb hom kab mob alveolitis: qhov (socket) qhuav, suppurative socket, thiab patchy osteitic alveolitis (txuas mus rau kab mob ntawm cov pob txha). Lawv etiology tseem yog ib qho ntawm cov lus nug, raws li ob peb txoj kev tshawb fawb muaj. 

Lub alveolitis yog, txawm li cas los xij, piav qhia los ntawm qhov tsis zoo ntawm cov ntshav txhaws uas, thaum cov hniav raug tshem tawm, yuav tsum tso cai kho.

Lub qhov (socket) qhuav, lossis lub qhov (socket) qhuav, yog hom mob alveolitis feem ntau, thiab yog li cov teeb meem tom qab rho tawm. Nws pathogenesis tseem tsis tau elucidated tag nrho, peb theories sim piav qhia qhov ua rau:

• Nws tuaj yeem cuam tshuam rau qhov tsis muaj cov ntshav txhaws, vim muaj cov ntshav tsis txaus nyob ib ncig ntawm lub alveolus, thiab tshwj xeeb tshaj yog nyob rau theem ntawm mandible, cov pob txha uas ua rau lub puab tsaig qis. 
• Nws kuj tuaj yeem yog vim qhov ua tsis tiav ntawm cov ntshav txhaws tom qab kev raug mob tom qab tshem cov hniav.
• Thaum kawg nws tuaj yeem tshwm sim los ntawm lysis ntawm cov ntshav txhaws. Qhov no yog qhov kev sib qhia dav tshaj plaws. Qhov no lysis, los yog fibrinolysis, yog vim enzymes (proteins muaj peev xwm ua rau cov tshuaj tiv thaiv), pom nyob rau hauv kab noj hniav ntawm qhov ncauj mucosa, tshwj xeeb tshaj yog. Nws tseem tuaj yeem ua haujlwm los ntawm cov pob txha mechanism tsim los ntawm kev rho tawm, thiab tseem los ntawm cov kab mob hauv lub qhov ncauj, xws li Treponema denticola. Tsis tas li ntawd, cov tshuaj xws li tshuaj tiv thaiv kab mob thiab tshuaj tiv thaiv qhov ncauj, lossis txawm tias haus luam yeeb, qhib qhov fibrinolysis. 

Suppurative alveolus yog tshwm sim los ntawm superinfection ntawm lub qhov (socket), los yog cov hlab ntsha tsim tom qab rho tawm. Nws yog nyiam los ntawm:

• tsis muaj asepsis (kev ceev faj thiab cov txheej txheem tiv thaiv kab mob);
• muaj lub cev txawv teb chaws xws li pob txha, hniav, los yog tartar khib nyiab;
• kab mob uas twb muaj lawm ua ntej lub extraction, los yog tshwm sim tom qab extraction;
• kis kab mob los ntawm cov hniav uas nyob ib sab;
• tu qhov ncauj tsis zoo.

Thaum kawg, patchy osteic alveolite (los yog 21st hnub cellulitis) yog tshwm sim los ntawm superinfection ntawm cov ntaub so ntswg granulation (cov ntaub so ntswg tshiab tsim tom qab caws pliav, thiab hnyav heev los ntawm cov hlab ntsha me). Nws qhov tshwj xeeb? Nws tshwm sim nyob ib ncig ntawm peb lub lis piam tom qab tshem tawm cov hniav. Nws tuaj yeem raug cob qhia los ntawm:

• muaj cov khoom txawv teb chaws, xws li cov khoom khib nyiab.
• Kev siv tsis tsim nyog ntawm nonsteroidal anti-inflammatory tshuaj (NSAIDs) tom qab phais.

Kev kuaj mob ntawm lub qhov (socket) qhuav

Nws yog tus kws kho hniav uas tuaj yeem ua qhov kev kuaj mob ntawm cov hniav alveolitis, tshwj xeeb yog los ntawm kev lees paub qhov tsis muaj ntshav txhaws hauv lub qhov (socket) ntawm cov hniav uas tau muab tshem tawm.

• Lub qhov (socket) qhuav tshwm sim ob peb teev, lossis txog li tsib hnub tom qab muab cov hniav rho tawm. Cov tsos mob thaum ntxov tuaj yeem pom zoo rau nws qhov kev kuaj mob, xws li qaug zog thiab mob lub sijhawm.
• Suppurative alveolitis tshwm sim nyob rau nruab nrab tsib hnub tom qab rho tawm, thiab nws qhov kev kuaj mob tuaj yeem ua tau tshwj xeeb yog kub taub hau ntawm 38 txog 38,5 ° C nrog mob, tsis tshua mob siab dua li ntawm cov qhov (socket) qhuav.
• Kev kuaj mob ntawm patchy osteic alveolitis yuav ua tau thaum kub taub hau, kuj yog los ntawm 38 txog 38,5 ° C, thiab kuj nrog rau qhov mob uas tau ua rau ib ob lis piam.

Cov neeg txhawj xeeb

Lub qhov (socket) qhuav yog qhov teeb meem feem ntau ntawm kev kho hniav: nws muaj kev txhawj xeeb txog 1 txog 3% ntawm cov neeg mob uas tau txais kev tshem tawm yooj yim, thiab 5 mus rau 35% ntawm cov neeg mob tom qab phais tshem tawm.

Cov kev kawm feem ntau muaj kev pheej hmoo ntawm kev tsim cov feem ntau ntawm lub qhov (socket) qhuav, lub qhov (socket) qhuav, tau piav qhia tias yog poj niam, hnub nyoog 30 txog 50 xyoo, nyob rau hauv kev ntxhov siab, noj tshuaj tiv thaiv qhov ncauj, thiab nws qhov ncauj huv si yog nruab nrab rau cov neeg pluag. Qhov kev pheej hmoo yog tag nrho qhov siab dua rau nws yog tias cov hniav yuav tsum tau muab rho tawm yog molar ntawm lub puab tsaig qis - lossis cov hniav ntse.

Cov mob aseptic tsis zoo thaum lub sijhawm ua haujlwm yog qhov muaj feem cuam tshuam loj rau lub qhov (socket) qhuav, xws li kev tu lub qhov ncauj tsis zoo. Tsis tas li ntawd, cov poj niam muaj kev pheej hmoo rau nws, tshwj xeeb tshaj yog thaum noj tshuaj tiv thaiv kab mob hauv qhov ncauj.

Cov tsos mob tseem ceeb ntawm lub qhov (socket) qhuav

Lub qhov (socket) qhuav tshwm sim tom qab ob peb teev, thiab txog li tsib hnub tom qab tshem cov hniav. Nws cov tsos mob tseem ceeb yog cim los ntawm qhov mob ntawm qhov sib txawv. Cov no yog qee zaum me me, qhov mob tsis tu ncua, uas tawm mus rau pob ntseg lossis lub ntsej muag. Tab sis feem ntau, cov mob no khaus thiab tsis tu ncua. Thiab lawv dhau los ua tsawg thiab tsawg dua rau qib 1 lossis txawm tias qib 2 analgesics.

Ntawm nws lwm cov tsos mob:

• kub taub hau me ntsis (los yog febrile), ntawm 37,2 thiab 37,8 ° C;
• qaug zog me ntsis;
• insomnia cuam tshuam nrog mob hnyav;
• ua tsis taus pa (los yog halitosis);
• greyish-dawb cell phab ntsa, rhiab heev rau kov;
• o ntawm cov kab mob nyob ib ncig ntawm lub qhov (socket);
• foul tsw ntawm lub qhov (socket) ntawm swabbing.

Feem ntau, kev kuaj x-ray yuav tsis qhia dab tsi.

Cov tsos mob tseem ceeb ntawm alveolitis suppurativa

Suppurative alveolitis feem ntau tshwm sim tsib hnub tom qab tshem tawm cov hniav. Cov mob tsis tshua mob siab dua rau lub qhov (socket) qhuav; lawv lag ntseg, thiab tshwm sim los ntawm impulses.

Nws lwm yam tsos mob:

• kub taub hau ntawm 38 thiab 38,5 ° C;
• pathological o ntawm lymph nodes (hu ua satellite lymphadenopathy);
• o ntawm lub vestibule (ib feem ntawm pob txha labyrinth ntawm lub pob ntseg), txawm tias tsis cuam tshuam nrog lub fistula nyob rau hauv lub mucous daim nyias nyias nyob ib ncig ntawm lub qhov (socket);
• lub qhov (socket) muaj cov ntshav txhaws, muaj xim av lossis xim dub. Lub qhov (socket) los ntshav, los yog cia cov kua paug tawm tuaj.
• cov phab ntsa ntawm tes yog rhiab heev;
• nyob rau hauv qab ntawm lub qhov (socket), cov pob txha, cov hniav los yog tartaric khib nyiab feem ntau pom.
• Txoj kev loj hlob tsis tuaj yeem daws nws tus kheej, thiab tuaj yeem ua rau muaj teeb meem, xws li patchy osteic alveolitis.

Cov tsos mob tseem ceeb ntawm patchy osteic alveolitis

Daim phiaj ntawm osteic alveolitis tshwm sim saum toj no tag nrho hauv qhov mob tsis tu ncua thaum lub sijhawm kaum tsib hnub tom qab rho tawm. Qhov mob no yog nrog los ntawm:

• kub taub hau ntawm 38 mus rau 38,5 ° C;
• Qee zaum qhov tsis muaj peev xwm qhib koj lub qhov ncauj (lossis trismus);
• asymmetry ntawm lub ntsej muag, vim cellulitis nyob ib ncig ntawm lub puab tsaig sab, uas yog, ib tug kab mob ntawm cov rog ntawm lub ntsej muag;
• ib tug filling ntawm lub vestibule;
• lub xub ntiag los tsis yog ntawm daim tawv nqaij fistula.
• X-ray, feem ntau, qhia txog pob txha sequestration (ib pob txha tawg, thiab tau poob nws vascularization thiab nws innervation). Qee zaum, ib yam nkaus, qhov x-ray no yuav tsis qhia dab tsi.

Kev hloov pauv tuaj yeem ua tiav rau kev tshem tawm cov sequestrant, thaum tsis muaj kev kho mob. Nws kuj tuaj yeem ua rau muaj mob hnyav dua.

Kev kho mob ntawm lub qhov (socket) qhuav feem ntau muaj kev mob nyem, by tshuaj kho mob. Kev kho lub cev, lossis kev hloov pauv ntawm tus kheej mus rau kev kho, feem ntau tshwm sim tom qab li kaum hnub. Lub sij hawm uas yuav luv yog tias tus neeg mob tau kho.

Lub qhov (socket) qhuav no yog nyob deb ntawm ntau zaus, thiab ua rau muaj xwm txheej ceev hauv kev kho hniav: raws li txoj cai tau sim, cia nws kho. Ob qhov kev sim tau, piv txwv li, ua los ntawm pab pawg los ntawm Abidjan kev sib tham thiab odonto-stomatological chaw kho mob thiab suav nrog:

• Siv cov hnav khaub ncaws sab hauv lub qhov (socket), raws li bacitracin-neomycin ua ke nrog eugenol.
• Siv ib qho hnav khaub ncaws ntawm ciprofloxacin (hauv nws daim ntawv pob ntseg) rau qhov mob.

Kev kho mob yog tsom rau kev kho lub qhov (socket).

Qhov tseeb, cov kev kho mob rau lub qhov (socket) qhuav yog saum toj no tag nrho cov kev tiv thaiv (suav nrog qhov tseem ceeb ntawm kev tshem tawm qhov ua tau). Lawv kuj yog curative:

• Kev kho mob ntawm suppurative thiab osteitic alveolitis yog raws li kev kho kab mob tshuaj tua kab mob, tshuaj tua kab mob, thiab kev saib xyuas hauv zos, xws li yaug nrog cov tshuaj ntsev los yog tshuaj tua kab mob, thiab kev hnav khaub ncaws sab hauv alveolar.
• Rau cov kab mob suppurative alveolitis, yog tias kev saib xyuas hauv zos tau ua ntxov ntxov, thiab thaum tsis muaj kub taub hau, tsis tas yuav tshuaj tshuaj tua kab mob.
• Rau lub qhov (socket) qhuav, ntau cov tshuaj tua kab mob, siv ib leeg lossis ua ke nrog lwm yam tshuaj, muaj nyob, qhov pom zoo tshaj plaws yog tetracycline thiab clindamycin. Txawm li cas los xij, Afssaps tsis pom zoo kom siv cov tshuaj tua kab mob, nyob rau hauv cov pej xeem, los yog nyob rau hauv cov neeg mob immunocompromised, rau kev kho mob ntawm qhuav socket; nws pom zoo tsuas yog thaum muaj kev pheej hmoo siab ntawm kab mob endocarditis, kom txog thaum cov mucosal kho.

Tsis tas li ntawd, cov roj tseem ceeb ntawm clove diluted nyob rau hauv cov roj zaub, xws li txiv roj roj lossis txiv maj phaub roj, thiab tso rau ntawm lub qhov (socket), yuav, raws li qee tus neeg mob, txo qhov mob, lossis txawm kho lub qhov (socket) qhuav. Txawm li cas los xij, kev saib xyuas yuav tsum tau ua kom dilute cov roj clove no. Cov roj tseem ceeb no yog, yog li ntawd, tshuaj tua kab mob ntuj, herbalists ntseeg. Txawm li cas los xij, nws yuav tsum tsis txhob muab rau cov poj niam cev xeeb tub thiab menyuam yaus, lossis hloov lwm yam kev kho mob uas kws kho hniav tau sau tseg.

Kev tu lub qhov ncauj zoo tag nrho ua ntej tus txheej txheem, nrog rau cov mob aseptic zoo thaum lub sij hawm rho tawm yog ib qho tseem ceeb tiv thaiv kev tiv thaiv lub qhov (socket) qhuav.

Txhawm rau kom tsis txhob qhuav lub qhov (socket), uas yog mob heev, cov lus qhia los ntawm kws kho hniav tom qab tshem cov hniav yuav tsum tau ua raws li nruj me ntsis, xws li:

• khaws lub compress ntawm lub qhov (socket) thiab hloov tsis tu ncua, rau 2 mus rau 3 teev. Qhov no yuav txhawb kev tsim cov ntshav txhaws;
• tsis txhob yaug koj lub qhov ncauj ntau dhau;
• tsis txhob ntov;
• saib xyuas thaum txhuam koj cov hniav, thiab tsis txhob txhuam ze rau ntawm lub qhov (socket) ntawm cov hniav tshem tawm;
• tsis txhob hla tus nplaig qhov chaw muab rho tawm;
• zom kom deb ntawm qhov chaw uas cov hniav tau muab rho tawm;
• Thaum kawg, kev haus luam yeeb yuav tsum zam tsawg kawg peb hnub.