Periodontitis

ʻO Periodontitis ka mumū a me ka maʻi o nā ligament a me nā iwi e kākoʻo i nā niho.

Hana ʻia ka Periodontitis ke hiki a laha ʻole ka maʻi o nā gum (gingivitis) a mālama ʻole ʻia. Hoʻolahalaha ka maʻi a me ka mumū mai nā gums (gingiva) i nā ligament a me ka iwi e kākoʻo i nā niho. ʻO ka loaʻa ʻole o ke kākoʻo ke kumu e hemo ai nā niho a hāʻule hope loa. ʻO Periodontitis ke kumu kumu o ka nalo ʻana o nā niho i nā mākua. ʻAʻole maʻamau kēia maʻi i nā keiki ʻōpio, akā hoʻonui ʻia ia i nā makahiki ʻōpio.

Kūkulu ka plaque a me ka tartar ma ke kumu o nā niho. ʻO ka hoʻohaunaele mai kēia kūkulu ʻana ke kumu i kahi "ʻeke," a hakahaka paha, e hana ma waena o nā gum a me nā niho. Hoʻopiha kēia ʻeke me ka plake, tartar, a me nā bacteria. Māhele ka ʻōhū palupalu i ka pā i loko o ka ʻeke. ʻO ka hoʻomau mau ʻana e alakaʻi i ka hōʻino o nā aʻa a me ka iwi e pili ana i ka niho. Ma muli o ka maʻi i loaʻa ka bacteria i ka maʻi koʻohune, aia paha ka maʻi, a ulu pū kekahi ka abscess niho. Hoʻonui kēia i ka helu o ka luku iwi.

Nā ʻōuli o ka periodontitis me:

• ʻAno hanu ʻino (halitosis)
• Nā pulu ʻulaʻula a ʻulaʻula ʻulaʻula paha
• ʻO nā gum i ʻālohilohi ke nānā aku
• Pākuʻi i kahe maʻalahi (ke flossing a palu paha)
• ʻO nā gum i palupalu ke hoʻopā ʻia akā ʻaʻole ʻeha nā ʻano ʻē aʻe
• Loose niho
• Gums pehu
• Nā hakahaka ma waena o nā niho a me nā niho
• Hoʻololi niho
• Yellow, ʻeleʻele omaomao a keʻokeʻo waiho paʻa i kou mau niho
• Nānā niho

Hoʻomaopopo: ʻO nā ʻōuli mua e like me ka gingivitis (ka huhū o nā gum).

E nānā ana kāu kauka niho i kou waha a me kou mau niho. E palupalu, pehu, a poniʻulaʻula kou mau gum. (ʻĀwī a paʻa paʻa nā gums olakino.) Loaʻa paha iā ʻoe ka pālaki a me ka tartar ma ke kumu o kou mau niho, a hoʻonui ʻia nā ʻeke i kāu mau ʻāʻī. I ka hapanui o nā hihia, ʻaʻohe ʻeha nā gums a i ʻole palupalu wale, ke ʻole ʻo kahi abscess o ka niho. E palupalu kāu mau gum i ka nānā ʻana i kāu ʻeke me kahi probe. Lohe paha kou mau niho a huki ʻia paha nā kāʻei i hope, e hōʻike ana i ke kumu o kou mau niho.

Hōʻike nā niho x-ray i ka nalo ʻana o ka iwi kākoʻo. Hōʻike paha lākou i nā waihona tartar ma lalo o kāu mau gum.

ʻO ka pahuhopu o ka mālama ʻana e hōʻemi i ka mumū, hemo i kāu ʻeke, a mālama i nā kumu kumu o ka maʻi gum.

Pono e hoʻoponopono hou i nā papa o nā niho a me nā mīkini kahua niho.

E hoʻomaʻemaʻe maikaʻi i kou mau niho. Pili paha kēia i ka hoʻohana ʻana o nā pono like ʻole e hoʻokuʻu a hemo i ka pā a me ka tartar mai kou mau niho. Pono mau ka Flossing a me ka palaki ʻana e hōʻemi i kou makaʻu no ka maʻi gum, ʻoiai ma hope o ka hoʻomaʻemaʻe niho ʻana o ka ʻoihana. E hōʻike kāu kauka niho a hoʻomaʻemaʻe paha iā ʻoe pehea e palaki ai a floss pono ai. Hiki paha iā ʻoe ke pōmaikaʻi i nā lāʻau i kau pono ʻia i kāu gum a me kou mau niho. Pono nā kānaka me ka periodontitis e hoʻomaʻemaʻe niho ʻoihana i kēlā me kēia 3 mahina.

Pono paha ke ʻoki kino e:

• Wehe a hoʻomaʻemaʻe i nā ʻeke hohonu i loko o kāu mau kikina
• E kūkulu i ke kākoʻo no nā niho kuho
• Wehe i kahi niho a niho paha i ʻole e hōʻino ka pilikia a pāhola i nā niho kokoke

ʻIke kekahi poʻe i ka lawe ʻia ʻana o ka niho niho mai nā gums i hōʻoluʻolu ʻole ʻia e ʻoluʻolu ʻole. Pono paha ʻoe e ʻōlohelohe i kēia kaʻina hana. Pono e hele ka hele a me ka palupalu o nā gum i loko o 3 a 4 mau pule o ka mālama ʻana.

Pono ʻoe e hana pono i ka palaki ʻana i ka home a me ka flossing no kou ola holoʻokoʻa i hoʻi ʻole ka pilikia.

Hiki ke hana i kēia mau pilikia:

• ʻO ka maʻi a abscess paha o ka mea palupalu
• ʻO ka maʻi o nā iwi ā
• Hoʻi o ka periodontitis
• Niho abscess
• Nalo ka niho
• Pākuʻi niho (kuʻi ʻana) a i ʻole hoʻololi
• Waha ʻauwaha

E ʻike i kāu kauka niho inā loaʻa iā ʻoe nā hōʻailona o ka maʻi gum.

ʻO ka hoʻomaʻemaʻe waha maikaʻi ka ala maikaʻi loa e pale ai i ka periodontitis. Hoʻopili pū kēia me ka palaki ʻana o ka niho a me ka flossing, a me ka hoʻomaʻemaʻe niho ʻoihana maʻamau. ʻO ka pale ʻana a me ka mālama ʻana i ka gingivitis e hōʻemi ai i kou makaʻu o ke kūkulu ʻana i ka periodontitis.

Pyorrhea - maʻi gum; ʻO ka hoʻohaunaele o nā gum - pili i ka iwi

• Periodontitis
• Gingivitis
• Anatomi niho

ʻO Chow AW. Nā maʻi o ka waha waha, ka ʻāʻī, a me ke poʻo. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas a me Bennett's Principal a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 64.

ʻO Dommisch H, Kebschull M. Perioditis maʻi. I: Newman MG, Takei HH, Klokkevold PR, Carranza FA, eds. ʻO Newman lāua ʻo Carranza's Periodontology Clinical. 13th ed. Piladelapia, PA: Elsevier; 2019: chap 27.

ʻO Pedigo RA, ʻAmelekona JT. Lapaʻau waha. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 60.