Chiwombankhanga

Zamkati

• Kodi chingamu n'chiyani?
• Mitundu ya chingamu biopsies
• Zolemba zazing'ono
• Chidwi chodabwitsa
• Zolemba zamagulu
• Sambani biopsy
• Kodi kuyesa kwa chingamu kumagwiritsidwa ntchito bwanji?
• Kukonzekera chingamu biopsy
• Zomwe mungayembekezere mukamayesa chingamu
• Kukonzekera dera
• Zowonongeka kapena zozizwitsa zotseguka
• Zosakaniza zokhala ndi singano zabwino
• Zosakaniza zapakati pa singano
• Sambani biopsy
• Kodi kuchira kuli bwanji?
• Kodi pali zoopsa zilizonse za chingamu?
• Zotsatira za chingamu

Kodi chingamu n'chiyani?

Chiseyeye ndi njira yachipatala yomwe dokotala amachotsera minofu yanu m'kamwa mwanu. Chitsanzocho chimatumizidwa ku labotale kukayezetsa. Gingiva ndi liwu lina lonena za chingamu, motero chingamu chimatchedwanso gingival biopsy. Minofu ya gingival ndi minofu yomwe imazungulira ndikuthandizira mano anu.

Madokotala amagwiritsa ntchito chingamu kuti adziwe zomwe zimayambitsa matope. Izi zimatha kuphatikizira khansa yapakamwa komanso zotupa zopanda khansa kapena zotupa.

Mitundu ya chingamu biopsies

Pali mitundu ingapo ya chingamu biopsies.

Zolemba zazing'ono

Njira yochepetsera chingamu ndiyo njira yofala kwambiri ya chingamu. Dokotala wanu amachotsa gawo lazinthu zokayikitsa ndikuziyang'ana pa microscope.

Katswiri wa zamatenda amatha kudziwa ngati pali maselo a khansa muminyewa ya chingamu yomwe yachotsedwa. Atha kutsimikiziranso komwe maselo amachokera, kapena ngati afalikira ku chingamu kuchokera kwina kulikonse mthupi lanu.

Chidwi chodabwitsa

Pakati pa chingamu chodabwitsa, dokotala wanu akhoza kuchotsa kukula konse kapena chotupa.

Biopsy yamtunduwu imagwiritsidwa ntchito potulutsa chotupa chochepa chomwe chimakhala chosavuta kufikira. Dokotala wanu akuchotsa kukula ndi zina mwazinyama zomwe zili pafupi.

Zolemba zamagulu

Zomwe zimayambitsa matenda ndi njira zomwe dokotala amalowetsa singano kudzera pakhungu lanu. Pali mitundu iwiri yosiyana: biopsy singano yoyambira ndi singano yoyambira singano.

Chida chabwino cha singano chimagwira bwino ntchito zotupa zomwe zimawoneka mosavuta. Chida chachikulu cha singano chimapereka minofu yambiri kuposa singano yabwino ya singano. Izi zitha kukhala zofunikira pakafunika minofu yambiri kuti dokotala adziwe.

Sambani biopsy

Brashi biopsy ndi njira yosavomerezeka. Dokotala wanu amatenga minofu ndikutsuka mwamphamvu burashi kumalo osazolowereka a chingamu chanu.

Brashi biopsy nthawi zambiri ndimadongosolo loyamba la dokotala ngati zizindikilo zanu sizikufuna kuti zisachitike mwachangu. Amagwiritsidwa ntchito poyesa koyamba.

Ngati zotsatira za mayeserowa zikuwonetsa maselo kapena khansa yomwe ikukayikitsa kapena yachilendo, dokotala wanu atha kupanga chiwonetsero chazomwe zingachitike kuti atsimikizire kuti ali ndi matenda.

Kodi kuyesa kwa chingamu kumagwiritsidwa ntchito bwanji?

Kuyezetsa chingamu pamatenda osazolowereka kapena okayikitsa. Dokotala wanu angakulimbikitseni kuti muthandizire kuzindikira:

• chilonda kapena chotupa pa chingamu chanu chomwe chimatenga nthawi yopitilira milungu iwiri
• chigamba choyera kapena chofiira pa chingamu chanu
• Zilonda zam'mimbamo
• kutupa kwa chingamu chanu komwe sikupita
• kusintha m'kamwa mwanu komwe kumayambitsa mano kapena mano ovekera

Chiwopsezo chingagwiritsidwenso ntchito limodzi ndi mayeso oyerekeza kuti awulule gawo la khansa ya chingamu yomwe ilipo kale. Kuyesa kuyerekezera kumaphatikizapo X-rays, CT scan, ndi MRI scans.

Zambiri kuchokera ku chingamu, komanso zomwe zapezeka pakuyesa kujambula, zitha kuthandiza dokotala kuti adziwe khansa ya chingamu mwachangu. Matenda omwe adapezeka kale amatanthauza zipsera zochepa pochotsa zotupa komanso kupulumuka kwambiri.

Kukonzekera chingamu biopsy

Nthawi zambiri, simuyenera kuchita zambiri kukonzekera chiseyeye cha chingamu.

Uzani dokotala wanu ngati mutenga mankhwala aliwonse akuchipatala, mankhwala owonjezera, kapena mankhwala azitsamba. Kambiranani momwe angagwiritsire ntchito mayeso musanayesedwe komanso mutatha.

Mankhwala ena angakhudze zotsatira za chingamu. Izi zikuphatikiza mankhwala omwe amakhudza magazi oundana, monga owonda magazi, komanso mankhwala osagwiritsa ntchito zotupa (NSAIDs), monga aspirin kapena ibuprofen.

Dokotala wanu akhoza kukupatsani malangizo apadera ngati mutamwa mankhwala aliwonse.

Muyenera kusiya kudya kwa maola angapo chisanafike chingamu chanu.

Zomwe mungayembekezere mukamayesa chingamu

Kafukufuku wa chingamu amapezeka nthawi zambiri kuchipatala kapena kuofesi ya dokotala. Dokotala wamankhwala, dotolo wamankhwala, periodontist, kapena dotolo wamkamwa nthawi zambiri amachita izi. Wolemba periodontist ndi dokotala wamankhwala yemwe amagwiritsa ntchito matenda okhudzana ndi nkhama ndi minofu ya pakamwa.

Kukonzekera dera

Choyamba, dokotala wanu amatenthetsa minofu ya chingamu ndi china chake chapamwamba, monga kirimu. Kenako adzabaya mankhwala oletsa ululu m'deralo kuti muchepetse chingamu chanu. Izi zikhoza kuluma. M'malo mwa jakisoni, dokotala wanu angasankhe kupopera mankhwala otsekemera m'matumba anu.

Dokotala wanu atha kugwiritsa ntchito cholepheretsa tsaya kuti zizikhala zosavuta kufikira pakamwa panu ponse. Chida ichi chimathandizanso kuyatsa mkamwa mwako.

Ngati malo a chilondacho ndi ovuta kufikira, mutha kulandira anesthesia wamba. Izi zidzakugwetsani tulo tofa nato pamachitidwe onsewa. Mwanjira imeneyi, dokotala wanu amatha kuyenda pakamwa panu ndikufika m'malo ovuta osakupweteketsani.

Zowonongeka kapena zozizwitsa zotseguka

Ngati mukukhala ndi biopsy yotsegula kapena yotsegulira, dokotala wanu amatulutsa khungu pang'ono pakhungu. Mutha kumva kupsinjika kapena kusapeza bwino pang'ono panthawiyi. Mankhwala omwe dokotala wanu amagwiritsa ntchito ayenera kukutetezani kuti musamve kuwawa kulikonse.

Electrocauterization itha kukhala yofunikira kuti magazi asiye kutuluka. Njirayi imaphatikizapo kugwiritsa ntchito mphamvu yamagetsi kapena laser kusindikiza mitsempha yamagazi. Nthawi zina, dokotala wanu amagwiritsa ntchito timitengo kuti atseke malo otseguka ndikufulumizitsa kuchira. Nthawi zina zokopa zimatha kuyamwa. Izi zikutanthauza kuti amasungunuka mwachilengedwe. Ngati sichoncho, muyenera kubwerera pafupifupi sabata kuti achotsedwe.

Zosakaniza zokhala ndi singano zabwino

Ngati mukukhala ndi singano yoyenda mwachisawawa, dokotala wanu amaika singano kudzera pachilonda pakhungu lanu ndikutulutsa maselo ena. Atha kubwereza njira yomweyi m'malo osiyanasiyana mdera lomwe lakhudzidwa.

Zosakaniza zapakati pa singano

Ngati mukukhala ndi singano yokhotakhota, dokotala wanu amasindikiza tsamba laling'ono m'malo ozungulira. Singanoyo imadula gawo la khungu lokhala ndi malire ozungulira. Kukoka pakatikati pa dera, dokotala wanu amatenga pulagi, kapena pachimake, cha maselo.

Mutha kumva phokoso laphokoso kapena lotulutsa phokoso kuchokera ku singano yodzaza masika pamene nyererezo zatulutsidwa. Palibe magazi ochulukirapo pamasamba pamtundu uwu wa biopsy. Malowa amachiritsidwa nthawi zambiri osasoka.

Sambani biopsy

Ngati mukukhala ndi bulashi biopsy, mwina simungafunike mankhwala oletsa kupweteka apakhungu kapena am'deralo patsamba lino. Dokotala wanu adzapukuta burashi mwamphamvu motsutsana ndi malo osazolowereka a chingamu chanu. Mutha kumangokhala ndi magazi ochepa, osamva bwino, kapena kupweteka munthawi imeneyi.

Popeza kuti njirayi ndi yosavomerezeka, simusowa zolumikizira pambuyo pake.

Kodi kuchira kuli bwanji?

Mukamaliza kusanthula chingamu, dzanzi m'kamwa mwanu limatha pang'onopang'ono. Mutha kuyambiranso ntchito zanu zachizolowezi ndi zakudya tsiku lomwelo.

Mukachira, tsambalo limatha kukhala lowawa masiku angapo. Dokotala wanu akhoza kukupemphani kuti musapewe kutsuka pamalowo kwa sabata limodzi. Ngati mwalandira zoluka, mungafunikire kubwerera kwa dokotala kapena mano kuti akazichotse.

Lumikizanani ndi dokotala ngati m'kamwa mwanu:

• kutuluka magazi
• kutupa
• khalani ndi zilonda kwa nthawi yayitali

Kodi pali zoopsa zilizonse za chingamu?

Kutuluka magazi kwa nthawi yayitali komanso matenda m'kamwa ndi ngozi ziwiri, koma zowopsa, za chingamu.

Lumikizanani ndi dokotala ngati mukumva:

• Kutaya magazi kwambiri pamalo opezeka biopsy
• Kupweteka kapena kupweteka komwe kumatenga nthawi yayitali kuposa masiku ochepa
• kutupa kwa chingamu
• malungo kapena kuzizira

Zotsatira za chingamu

Zitsanzo zazinyama zomwe zimatengedwa mukamafufuza chingamu zimapita ku labotale yamatenda. Dokotala wamankhwala ndi dokotala yemwe amadziwika bwino pofufuza za minofu. Afufuza za biopsy pansi pa microscope.

Wodwalayo azindikiritsa zizindikilo zilizonse za khansa kapena zovuta zina ndikupanga lipoti la dokotala wanu.

Kuphatikiza pa khansa, zotsatira zosadziwika kuchokera ku chingamu zimatha kuwonetsa:

• Amyloidosis wokhazikika. Izi ndizomwe mapuloteni achilendo, otchedwa amyloids, amamangirira m'ziwalo zanu ndikufalikira mbali zina za thupi lanu, kuphatikiza m'kamwa mwanu.
• Thrombotic thrombocytopenic purpura (TTP). TPP ndi matenda osowa magazi, omwe amatha kupha omwe angayambitse magazi m'kamwa.
• Zilonda zam'kamwa kapena matenda opatsirana.

Ngati zotsatira za brashi biopsy yanu ikuwonetsa maselo okhwima kapena khansa, mungafunike kupendekera kamodzi kapena kamodzi kuti mutsimikizire matendawa musanayambe chithandizo.

Ngati biopsy yanu ikuwonetsa khansa ya chingamu, dokotala wanu amatha kusankha njira yothandizirana potengera khansa. Kuzindikira koyambirira kwa khansa ya chingamu kumatha kutsimikizira kuti muli ndi mwayi wabwino wothandizidwa bwino ndikuchira.