Kanal kumu

ʻO ke aʻa aʻa kahi hana niho e mālama ai i ka niho ma ka lawe ʻana i nāʻiʻo a make a make paha a me nā bacteria mai loko o ka niho.

E hoʻohana kahi dentist i kahi gel topical a me kahi nila e kau ai i ka lāʻau numbing (anesthetic) a puni ka niho ʻino. ʻIke paha ʻoe i kahi ʻōkuʻu liʻiliʻi ke hoʻokomo ʻia ʻana o ka nila.

A laila, e hoʻohana kāu kauka niho i kahi drill liʻiliʻi e hemo i kahi ʻāpana o ka ʻaoʻao luna o kāu niho e hōʻike i ka pulp. Kāhea ʻia kēia he komo.

Hana ʻia ʻo Pulp i nā aʻalolo, nā kīʻaha koko, a me nā mea hoʻopili. Loaʻa ia i loko o ka niho a holo i nā aʻa niho a hiki i ka iwi ā iwi. Hāʻawi ʻo Pulp i ke koko i kahi niho a ʻae iā ʻoe e ʻike i nā ʻano e like me ka mahana.

Lawe ʻia ka pulp maʻi me nā pono hana i kapa ʻia he faila. Hoʻomaʻemaʻe ʻia nā auwai (nā ala liʻiliʻi i loko o ka niho) a hoʻomaʻemaʻe ʻia me ka hopena disinfecting. Hoʻokomo ʻia nā lāʻau i loko o ka wahi e ʻike pono i ka hoʻoneʻe ʻia ʻana o nā mikamina a pale aku i ka maʻi hou. Ke hoʻomaʻemaʻe ʻia ka niho, hoʻopiha ʻia nā auwai me kahi mea paʻa.

Hiki ke hoʻopaʻa ʻia ka ʻaoʻao luna o ka niho me kahi mea palupalu, kūlohelohe. Ke hoʻopiha ʻia ka niho me kahi mea paʻa mau, e kau ʻia kahi kalaunu hope loa ma luna.

Hāʻawi ʻia ʻoe iā antibiotic e mālama a pale i ka maʻi.

Hana ʻia kahi aʻa aʻa inā loaʻa ʻoe i kahi maʻi e hoʻopili i ka pulp o kahi niho. ʻO ka maʻamau, aia ka ʻeha a me ka pehu ma ia wahi. Hiki i ka maʻi ke hopena o ka nahā niho, ka lua, a i ʻole ka ʻeha. ʻO ia paha kahi hopena o kahi ʻeke hohonu i ka wahi gum ma kahi o kahi niho.

Inā ʻo kēia ka hihia, pono e nānā kahi loea kahua niho i ʻike ʻia he endodontist. Kaukaʻi ʻia i ke kumu o ka maʻi a me ke koʻikoʻi o ka palaho, hiki ke hoʻopakele ʻia ka niho a ʻaʻole paha.

Hiki i kahi aʻa aʻa ke mālama i kou niho. Me ka ʻole o ka mālama ʻana, ʻinoʻino paha ka niho a pono e hemo. Pono ka muli o ke aʻa e ukali ʻia e kahi hoʻihoʻi mau. Hana ʻia kēia i mea e hoʻihoʻi i ka niho i kona ʻano maoli a me ka ikaika i hiki iā ia ke kū i ka ikaika o ka nau.

ʻO nā pilikia kūpono o kēia kaʻina hana:

• ʻO ka maʻi i kou aʻa niho (abscess)
• Lilo o ka niho
• Poino nerve
• Haki niho

Pono ʻoe e ʻike i kāu kauka niho ma hope o ke kaʻina hana e ʻike pono ua hala ka maʻi. E lawe ʻia kahi kukuna niho. Pono nā mākaʻi niho maʻamau. No nā mākua, ke ʻano maʻamau kēia he kipa ʻelua i ka makahiki.

Loaʻa paha iā ʻoe kahi ʻeha a ʻeha paha ma hope o ke kaʻina hana. ʻO kahi lāʻau anti-inflammatory counter-over-the-counter, e like me ibuprofen, hiki ke kōkua i ka hōʻoluʻolu.

Hiki i ka hapanui o ka poʻe ke hoʻi i kā lākou hana maʻamau i ka lā like. A hiki i ka piha ʻana o ka niho a uhi ʻia paha me ka lei aliʻi, pono ʻoe e hōʻalo i ka nau ʻana i ka wahi ma kahi.

Hopena endodontic; Mākala canal therapy

Pūnaewele ʻAmelika ʻo Endodontists. Ka mālama ʻana i ke aʻa aʻa: He aha ke aʻa aʻa? www.aae.org/patients/root-canal-treatment/what-is-a-root-canal/. Loaʻa iā Malaki 11, 2020.

Nesbit SP, Noho J, Moretti A, Gerdts G, Boushell LW, Barrero C. ʻĀpana kikoʻī o ka mālama ʻana. I: Stefanac SJ, Nesbit SP, eds. ʻIke a me nā hoʻolālā hoʻomaʻamaʻa ʻana ma Dentistry. ʻEkolu huaʻōlelo. St Louis, MO: Elsevier; 2017: chap 10.

Renapurkar SK, Abubaker AO. ʻIke a me ka mālama ʻana i nā ʻeha dentoalveolar. I: Fonseca RJ, hoʻoponopono. ʻOki kino waha a me Maxillofacial. ʻEkolu huaʻōlelo. St Louis, MO: Elsevier; 2018: chap 6.