ʻO nā mea maʻi manuahi i ka maʻi mellitus no ka hoʻokomo ʻana i ka prosthesis ma kahi e loaʻa ʻole ai ka niho, pono paha i nā ʻano ʻano like ʻole. Eia nō naʻe, aia he nui contraindications e hoʻokō i kēia kaʻina hana. No laila, he nui nā poʻe maʻi maʻi makemake i ka nīnau: hiki iā lākou ke hoʻokomo i nā maʻi hyperglycemia maʻi?
ʻO nā manaʻo o nā orthopedists, implantologists a me nā endocrinologists e ʻokoʻa i kēia pilikia. Eia kekahi, ʻokoʻa nā hopena noiʻi: i kekahi mau maʻi hānai nā niho hou i loaʻa i ka aʻa, e like me ka poʻe olakino, ʻoiai ma kekahi mau mea, he kapu ʻole ka mālama implantological.
No laila, me ka maʻi o ka maʻi maʻi, pono e hoʻokomo i ke kauka loea i nā niho. Ma hope o nā mea āpau, aia kekahi mau kumu i hoʻohālikelike ai i kahi maʻi hyperglycemia kahi contraindication pili i kēia kaʻina hana.
I nā hihia hea i pāpā ʻia ai nā hoʻokomo dental a ʻae ʻia i ka maʻi maʻi?
Nui nā kumu e hiki ai ke hana i ka hoʻonohonoho ʻana i kahi dant implant paʻakikī. No laila, i nā mea maʻi he nui ma hope o ke ʻano hana like, hemo ʻole o ka niho hou.
Hoʻomaopopo ka mālama ola pōpoki i ka maʻi lae o ka type 1 a me ke ʻano 2, me ka wai ʻole o ka insulin i ka pau ʻole, no ka mea ʻoi aku ka pilikia o ka hana ʻana o ka iwi. Eia kekahi, i nā maʻi maʻi maʻi, pinepine ka emi ʻana o ka ʻōnaehana pane, a wikiwiki lākou e luhi i ka wā o ka mālama niho.
Akā he aha nā mea e pili ana i ka maʻi diabetes a me nā mea nānā dental? E kau i nā mea kanu i ka hyperglycemia maʻi, pono e hui ʻia i nā ʻano o nā kūlana:
- I ka manawa holoʻokoʻa o ka implantation, pono e nānā ka mea maʻi e ka endocrinologist.
- Pono e uku ʻia ka maʻi maʻi, a me ka pilikia ʻole o ka metabolism ʻana o nā iwi.
- Ka hōʻole ʻia mai i ka ulaula a me ka waiʻona.
- ʻO ka wikiwiki ʻana i ka glycemia ma mua o ka hoʻokō ʻana a i ka wā hana hana ʻokoʻa ʻaʻole 7 mmol / L.
- ʻAʻohe maʻi maʻi maʻi maʻi ʻē aʻe e pale ai i ka implantation (lesions o ka National Assembly, nā maʻi thyroid, lymphogranulomatosis, hana hewa o ka ʻōnaehana hematopoietic, etc.).
- Pono ke kapu me nā kānāwai mālama āpau no ka mālama ʻana i ka waha waha.
I mea e pōmaikaʻi ai nā implantation dental, pono ka poʻe maʻi e ʻike i nā hiʻohiʻona o ka hana. No laila, ʻo ka lōʻihi o ka mālamaʻana i ka antibiotic i ka manawa postoperative e kū ma ka liʻiliʻi loa he 10 mau lā. I kēia hihia, he mea nui e kiaʻi mau i ka glycemia no laila ʻaʻole ana ʻo kāna mau kuhikuhi ma mua o 7-9 mmol / l i ka wā o ke ao.
Eia kekahi, ma hope o ka hana, pono ke kipa pinepine i ka dentist pono a hiki i ka wā hou kā toto ʻia. He mea pono e hoʻomanaʻo me ka maʻi diabetes, ka manawa o ka osseointegration e hoʻonui: i ka mahele haʻahaʻa - a hiki i ka 8 mau mahina, ka lalo - a hiki i 5 mau mahina.
No ka mea he maʻi metabolic ka maʻi maʻi, ʻaʻole pono ʻoe e holo me ke kaʻina o ka wehe i ka implant. Eia kekahi, ʻaʻole pono e hoʻohana i ka implantation me ka hoʻouka koke ʻana.
ʻO nā mea e hoʻopiʻi i ka pōpō hine manuepae i ka hoʻomehana ma ka maʻi maʻi
Loaʻa ka hopena maikaʻi i ka hana ma ke ʻike a me ke ʻano o ka maʻi. No laila, ʻoi aku ka lōʻihi o ka maʻi, ʻoi aku ka kiʻekiʻe o ka haʻalele ʻana o ka implant. Eia nō naʻe, me ka mālama pono ʻana i ke kūlana, implantation i ka maʻi diabetes mea pinepine pinepine.
Inā pili kahi maʻi maʻi i ka mea e hoʻohaʻahaʻa ai i ke kō, a laila hiki i ke kīloi o ke ola maikaʻi ʻana o ka niho ʻokiʻoki e hoʻonui nui ʻia ma mua o nā mea maʻi hypoglycemic maʻamau. Me ka maʻi mauloʻi e mālama ʻole ʻia ana a me nā mea e hōʻike ʻia nei i ka hoʻomehana ʻia o ka insulin, ʻaʻole ʻia nā mea hoʻokomo. Eia kekahi, me ka ʻano o ka maʻi mua, ka hoʻokaʻa ʻana o ka hana niho niho i ʻoi aku ka maikaʻi ma mua o ka diabetes type 2, no ka mea, ke ʻano pinepine kēia ʻano o nā maʻi i kahi ʻano ʻōmaʻomaʻo.
Ua hōʻike ʻia nā haʻawina ʻo ka hoʻokomo ʻana o nā implants i ʻoi aku ka pōmaikaʻi i kēlā mau maʻi i loaʻa iā lākou i hoʻomaʻamaʻa hoʻomaʻemaʻe ʻia a me ka hoʻomaʻemaʻe ʻana i ka ʻōpū o ka waha, i manaʻo ʻia e kāohi i ka ʻōpū o nā puʻupuʻu waha i loko o ka waha. No ka like like, pono nā antimicrobial no ka maʻi maʻi ma mua o ka hoʻomaʻemaʻe.
Hoʻomaka ka pōmaikaʻi o ka maʻi implant inā ua: ʻo ka mea maʻi:
- maʻi lēpela;
- caries;
- ke ala o nā kīʻaha koko a me ka puʻuwai;
- xerostomia;
- periodontitis i ka maʻi diabetes.
He mea kūpono ia e maopopo ana e pili ana i ka hoʻolālā o ka implant i hiki ke hana i kāna hana. Hāʻawi ʻia ka mea koʻikoʻi i ko lākou mau pākahi, no laila ʻaʻole lākou i lōʻihi loa (ʻaʻole iʻoi aku ma mua o 13 mm) a i ka pōkole (ʻaʻole i emi iho ma lalo o 10 mm).
I mea ʻaʻole e hoʻonāukiuki i kahi hopena kūlohelohe, a me ka hōʻino ʻole ʻia i nā hōʻailona kikoʻī a me ka nui o ka mau mākaʻu, nā mea noi no nā maʻi maʻi e hana ʻia nā mea kolo a i nā nickel-chromium alloys. Eia kekahi, pono e hoʻokō kekahi hoʻolālā āpau i nā koi a pau no ke kaupaʻa ʻana ma nā ukana kūpono.
He mea nui ia e hoʻomaopopo ana ma luna o ka iwi haʻahaʻa ʻoi ka nui o ka loaʻa ʻana o ka pōmaikaʻi o nā implants, ʻoi aku ka kiʻekiʻe ma mua. No laila, pono e noʻonoʻo i kēia ʻoihana e nā mea lapaʻau orthopedic i ke ʻano o ka hoʻohālikelike ʻana i nā ʻoihana kūloko.
I ka manawa like, pono ke hoʻomanaʻo i ka maʻi maʻi ma muli o nā maʻi metabola, osseointegration, hoʻohālikelike ʻia me nā poʻe olakino, a ʻoi aku ka wikiwiki (ma kahi o 6 mau mahina).
Mākaukau a me ka hoʻonohonoho ʻana i nā mea hoʻokomo
ʻO ke kaʻina o ka hoʻonā ʻana i nā mea hoʻokomo i ka maʻi maʻi e lawe ʻia ana e like me ke kanaka olakino. Akā me ka maʻi maʻi hyperglycemia, ua ʻōlelo ʻia e koho i ke kauka i ʻike i ka hana pū me ka maʻi maʻi maʻi maʻi, no ka mea, pono iā ia e hoʻomaopopo i nā āpau āpau a hana ma ke akahele like.
Hiki ke hāʻawi ʻia ka mea maʻi i kahi implantation maʻamau no ka maʻi maʻi me ka ukana lohi (waiho ʻia nā prostheses inā hoʻokomo wale ʻia nā mea kanu), a i ʻole kahi hana me ka hoʻouka koke koke ma hope o ke kau ʻana. Akā i ka mea maʻamau, ke koho o ke kaʻina hana ʻo ka prerogative o ke kauka, ma muli o ka ʻike diagnostic.
Ma mua o kahi hana dental, pono e hoʻāʻo ʻia ka mea maʻi no ka lawena, ka waiū a me ke koko. Pono ʻoe e kamaʻilio me kahi endocrinologist a me nā mea lapaʻau.
Pēlā ka hoʻomākaukau ʻana no ka hoʻopili dental ʻana i ka maʻi maʻi ma lalo nei.
- maʻemaʻe o ka waha waha;
- hoʻonuiʻia i ka brush 2-3 mau mahina ma mua o ka implantation;
- inā pono, lawe ʻia ka plake mai nā niho, lawe ʻia nā ʻanoous a me nā pōhaku;
- ka hana ʻana i ka ʻaʻa kuʻi (hōʻike i nā maʻi huna a hiki iā ʻoe ke nānā i ka maikaʻi a me ka nui o ka iwi iwi).
He mea nui ia e akahele ʻia ka hana ma ka hiki ke hōʻemi ʻia o nā ʻili kino. Pono kēia e hoʻomaikaʻi i ka hoʻoponopono hou a i ʻole i nā hopena i kūpono ʻole. No laila, ʻoi aku ke koho i nā hana hoʻopunipuni minimally e hoʻopili ai i nā niho kūlohelohe, aia wale nō ke hiki i kahi hihia implantation me ka ukana koke.
Ma hope o kahi hana dental, pono e mālama ka maʻi maʻi i ka glycemia i ka nui loa. ʻO ke kumu o ke kō i loko o ke koko mai ka manamana lima ʻo 5.5-6.1 mmol l. Eia kekahi, pono e lawe i nā antibiotika no nā lā he 12, e nānā pono i ka hoʻomaʻemaʻe waha a kipa i ke kauka i kēlā me kēia 2-3 mau lā ma hope o ke kau ʻana. I ka manawa like, he mea nui loa e hoʻōki i ka ulaula.
He mea kūpono ke hoʻomaopopo no ka maʻi maʻi palapika e koi ʻole i nā kumukūʻai kālā liʻiliʻi, ʻoiai me kēlā maʻi like ʻole ke ʻano kumu ʻole ke kumu o ka implant. Eia nō naʻe, ʻo ka hoʻomākaukau e mālama pono a me ka uku o ka maʻi lalo, ʻaʻole hiki ke hoʻokaʻawale loa i ka hōʻole ʻana o kekahi niho niho.
No laila, aia ka maʻi āpau āpau, ma mua o ke alo o nā maʻi concomitant. No laila, ʻo ka kūleʻa o nā hana implant ʻaʻole e hilinaʻi mau i nā mea i aʻo ʻia o ka dentist.
ʻO ka kumukūʻai kumukūʻai o kahi implant mai 35 a 40 tausani mau rubles. ʻO ke kumukūʻai hoʻonohonoho e pili ana iā 20,000 rubles.
Nā kikoʻī e pili ana i nā hiʻohiʻona o ka prosthetics no ka maʻi diabetes e haʻi i ka loea i ke wikiō ma kēia ʻatikala.
