Chotupa chowopsa - chomwe chiri ndi momwe zimachitikira

Zamkati

• Zizindikiro zazikulu
• Momwe mankhwalawa amachitikira

Dothigerous cyst ndi imodzi mwazotupa zodziwika bwino kwambiri zamankhwala opangira mano ndipo zimachitika pakakhala kusungunuka kwamadzimadzi pakati pazipangidwe za mano osasunthika monga mnofu wa dzino ndi korona, womwe ndi gawo la dzino lomwe limawonekera pakamwa. Dzino lomwe silinaphulike kapena kuphatikizidwa ndi lomwe silinabadwe ndipo lilibe malo pachimake cha mano.

Chotupachi chimapezeka kwambiri m'mano otchedwa ma molars achitatu, omwe amadziwika kuti mano anzeru, koma amathanso kuphatikizira mano a canine ndi premolar. Dzino lanzeru ndilo dzino lotsiriza kubadwa, nthawi zambiri lili pakati pa 17 ndi 21 wazaka, ndipo kubadwa kwake kumachedwa ndipo nthawi zambiri kumakhala kupweteka, popeza nthawi zambiri amalangizidwa ndi dokotala kuti achotse dzino asanakule msanga. Dziwani zambiri za mano anzeru.

Chotupacho chimakhala chofala kwambiri pakati pa amuna azaka zapakati pa 10 ndi 30, chimachepa pang'onopang'ono, sichikhala ndi zisonyezo ndipo sichowopsa, ndipo chimatha kuchotsedwa mosavuta pochita opareshoni, malinga ndi malangizo a dotolo.

Zizindikiro zazikulu

Chotupa chotsekeracho nthawi zambiri chimakhala chaching'ono, chopanda mphamvu ndipo chimangopezeka pamayeso azolowera. Komabe, ngati kukula kukukula kumatha kuyambitsa zizindikilo monga:

• Ululu, kuwonetsa njira zopatsira;
• Kutupa kwanuko;
• Dzanzi kapena kumva kulasalasa;
• Kusamutsidwa mano;
• Kusapeza bwino;
• Kupunduka kumaso.

Kupezeka kwa khungu lotentha kumapangidwa ndi X-ray, koma kuyerekezera sikokwanira nthawi zonse kumaliza matendawa, chifukwa pa radiograph mawonekedwe a cyst amafanana ndi matenda ena, monga keratocyst ndi ameloblastoma, mwachitsanzo, omwe ndi chotupa chomwe chimamera m'mafupa ndi mkamwa ndipo chimayambitsa zizindikiro zikakhala zazikulu kwambiri. Mvetsetsani chomwe ameloblastoma ndi momwe matendawa amapangidwira.

Momwe mankhwalawa amachitikira

Chithandizo cha chotupa chowopsa chimachitidwa opaleshoni ndipo chitha kupyola mu nyukiliya kapena marsupialization, yomwe imasankhidwa ndi dokotala wa mano kutengera msinkhu wa munthu ndi kukula kwa chotupacho.

Enucleation nthawi zambiri ndiyo njira yosankhira dotolo wamankhwala ndipo imafanana ndikuchotsa kwathunthu kwa chotupacho ndi dzino lophatikizidwa. Ngati dotolo wa mano akuwona kutuluka kwa dzino, kungochotsa pang'ono khoma la chotupacho kumachitika, kulola kuphulika. Ndi chithandizo chotsimikizika popanda kufunikira njira zina zopangira opaleshoni.

Marsupialization imachitika makamaka pamatumba akulu kapena zotupa zomwe zimakhudza nsagwada, mwachitsanzo. Njirayi siyowopsa kwenikweni, chifukwa imagwiridwa kuti ichepetse kuthamanga mkati mwa chotupacho mwakhetsa madzi, motero kuchepetsa kuvulala.