Kev kho pob txha tsis zoo tshwm sim thaum pob txha txhawb nqa koj cov hniav nqaim, ua rau koj cov hniav xoob xoob hauv lawv qhov chaw nyob. Yog tias tsis kho pob txha, koj yuav poob tag nrho koj cov hniav vim tias tsis muaj pob txha txaus los txhawb lawv. Cov pob txha poob feem ntau cuam tshuam nrog cov kab mob hauv qab no: teeb meem cov pos hniav loj heev (kab mob hauv kab noj hniav), pob txha, thiab hom II mob ntshav qab zib mellitus. Txawm hais tias kev phais feem ntau yuav tsum tau thim rov qab cov pob txha tseem ceeb, koj tuaj yeem tiv thaiv pob txha poob los ntawm kev tswj hwm kev kho hniav zoo thiab ntes cov cim thiab tsos mob ntawm pob txha poob thaum ntxov.
Cov kauj ruam
Txoj Kev 1 ntawm 3: Rov Qab Pob Zeb Poob Nrog Kev Pab Kho Mob
Kauj Ruam 1. Ua cov pob txha txhawm rau thim rov qab pob txha poob
Nws nyuaj heev kom loj hlob rov qab cov pob txha hniav uas twb tau ploj lawm. Tam sim no, tib txoj hauv kev kom thim rov qab cov pob txha tsis zoo yog ua cov pob txha pob txha. Thaum koj ua cov txheej txheem txheej txheem pob txha, koj tuaj yeem cia siab tias lub qhov txhab yuav zoo li ntawm 2 lub lis piam.
- Koj tus kws kho hniav yuav qhia rau koj tias koj yuav tsum tau tos 3-6 lub hlis ua ntej pom qhov tshwm sim ntawm cov txheej txheem pob txha.
- Kev siv pob txha txhawm rau thim rov qab cov pob txha tsis tuaj yeem muab faib ua peb hom txheej txheem tseem ceeb, tham hauv qab no.
Kauj Ruam 2. Tau txais cov pob txha osteogenesis-hom pob txha txhawm rau txhawb kev rov tsim cov pob txha
Hauv cov txheej txheem no, cov pob txha yuav raug coj los ntawm qhov chaw (thaj chaw ntawm koj lub puab tsaig, lub hauv pliaj, thiab lwm yam) thiab hloov mus rau thaj chaw uas koj muaj pob txha hniav puas. Cov pob txha ntawm cov pob txha uas tau hloov pauv yuav pib muaj ntau ntxiv thiab tsim cov pob txha tshiab los hloov cov pob txha uas tau ploj lawm.
- Noj cov pob txha los ntawm ib qho chaw hauv koj lub cev thiab cog nws rau hauv qhov chaw uas muaj pob txha poob yog tus qauv kub hauv kev cog pob txha.
- Cov txheej txheem no tso cai rau koj lub cev kom lees txais cov pob txha tshiab vim tias nws lees paub lawv li nws tus kheej.
- Kev hloov pauv ntawm cov pob txha pob txha feem ntau siv hauv osteogenesis.
Kauj Ruam 3. Tshawb xyuas cov pob txha osteoconduction txhawm rau txhawm rau txhawm rau txhim kho pob txha
Hauv cov txheej txheem no, kev cog pob txha tau cog rau qhov chaw uas muaj pob txha poob. Cov kev cog qoob loo no yuav siv ua lub scaffold qhov twg cov pob txha tsim cov hlwb (osteoblasts) tuaj yeem loj hlob thiab nce ntxiv.
- Ib qho piv txwv ntawm cov khoom siv scaffold yog iav bioactive.
- Ua ke nrog cov pob txha grafts, bioactive iav tau hloov pauv mus rau thaj chaw uas muaj pob txha poob, kom rov tsim kho cov pob txha hniav.
- Cov iav uas tsis muaj kab mob ua haujlwm no yog lub thav duab uas cov pob txha pob txha tuaj yeem loj hlob thiab tso pob txha. Lawv kuj tso cov kev loj hlob uas ua rau cov pob txha tsim cov hlwb zoo dua hauv kev tso pob txha.
Kauj Ruam 4. Sim osteoconduction los txhawb kev loj hlob ntawm tes
Hauv cov txheej txheem no, cov pob txha pob txha, xws li Demineralized Bone Matrix (DBM), los ntawm cadavers thiab pob txha pob txha tau hloov pauv mus rau thaj chaw uas muaj pob txha hniav puas. DBM grafts yuav ua rau cov qia hlwb loj tuaj qhov twg tsis muaj pob txha, thiab cov qia hlwb no yuav hloov pauv mus rau hauv osteoblasts (cov pob txha tsim cov hlwb). Cov osteoblasts no yuav kho cov pob txha tsis zoo thiab yuav tsim cov pob txha hniav tshiab. Txawm hais tias qee qhov kev tshawb fawb txhawb kev siv DBM grafts, kev tshawb fawb ntxiv yuav tsum tau ua los txiav txim seb nws puas muaj txiaj ntsig.
- Kev siv DBM grafts los ntawm cadavers yog raug cai thiab nyab xeeb. Ua ntej qhov kev hloov pauv tshwm sim, txhua qhov kev txiav tawm yuav raug muab ntxuav kom huv.
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Tom qab ua kom ntseeg tau tias nws nyab xeeb rau kev hloov pauv, cov pob txha pob txha yuav raug kuaj xyuas seb nws puas haum rau lub cev ntawm tus neeg txais.
Qhov no yog qhov tseem ceeb kom ntseeg tau tias kev hloov pauv yuav tsis raug lees paub los ntawm koj lub cev
Kauj Ruam 5. Ua kom tob tob kom tshem tau tus kab mob ua rau pob txha poob
Kev ua kom tob tob lossis tsis yog phais hauv paus yog txheej txheem ntxuav huv, feem ntau xav tau yog tias koj muaj ntshav qab zib. Lub sijhawm txheej txheem no, thaj chaw hauv paus ntawm cov hniav raug ntxuav kom huv kom tshem tawm qee qhov hauv paus uas tau kis los ntawm cov kab mob uas ua rau cov pob txha poob. Feem ntau tom qab ntsuas qhov tob, kab mob ntawm cov pos hniav yuav raug tswj thiab tsis muaj kev txhim kho pob txha ntxiv lawm.
- Yog tias koj muaj ntshav qab zib koj yuav muaj kev kho tsis zoo thiab xav tau kev tiv thaiv kab mob ntxiv xws li tshuaj tua kab mob thiab tshuaj tua kab mob qhov ncauj.
- Koj tuaj yeem tau txais tshuaj doxycycline 100mg/hnub rau 14 hnub. Qhov no them nyiaj rau koj lub cev tsis muaj zog tiv thaiv kab mob.
- Chlorhexidine yaug kuj tseem tuaj yeem muab tshuaj tua kab mob ua lub luag haujlwm rau cov pos hniav loj. Koj yuav raug hais kom yaug nrog 10 milliliters (0.34 fl oz) ntawm 0.2% chlorhexidine (Orahex®) rau 30 vib nas this rau 14 hnub. [3]
Kauj Ruam 6. Muaj tshuaj kho cov tshuaj estrogen los tiv thaiv pob txha
Estrogen tuaj yeem pab tiv thaiv kev mob pob txha thiab tswj cov ntsiab lus ntxhia hauv koj cov pob txha, los ntawm kev ua kom koj pob txha poob qis. Kev kho cov tshuaj Hormone tuaj yeem txo koj txoj kev pheej hmoo mob plawv thiab pob txha pob txha. Txawm hais tias qee qhov kev tshawb fawb txhawb nqa kev siv tshuaj estrogen rau kev mob pob txha, qhov kev kho mob no ua rau muaj kev pheej hmoo ntawm ntshav txhaws, mob qog noj ntshav ntawm lub mis thiab mob hauv tsev, thiab mob plawv. Muaj ob peb txoj hauv kev kom tau txais kev kho tshuaj estrogen, uas cov hauv qab no yog qhov feem ntau:
- Estrace: 1-2 mg txhua hnub rau 3 lub lis piam
- Premarin: 0.3 mg ib hnub rau 25 hnub
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Cov hauv qab no yog cov tshuaj estrogen ntawm daim tawv nqaij uas tseem siv hauv kev kho tshuaj estrogen. Cov thaj no tau hnav rau ntawm lub plab, hauv qab lub duav:
- Alora
- Climara
- Estraderm
- Vivelle-Dot
Txoj Kev 2 ntawm 3: Tiv Thaiv Kev Mob Pob Txha
Kauj Ruam 1. Tiv thaiv kom tsis txhob pob txha hniav los ntawm kev saib xyuas qhov ncauj huv
Txhawm rau zam kom tsis txhob siv cov txheej txheem pob txha kim kim, tiv thaiv cov hniav pob txha poob los ntawm qhov tshwm sim. Tiv thaiv nws yog qhov yooj yim haum, yog tias koj ua cov kauj ruam tsim nyog. Txhua yam koj yuav tsum ua txhawm rau tswj hwm qhov ncauj huv huv yog ua raws ob peb kauj ruam yooj yim:
- Txhuam koj cov hniav kom huv si txhua txhua tom qab noj mov - Txhuam koj cov hniav tsawg kawg ob zaug ib hnub tuaj yeem tiv thaiv kab mob pos hniav. Kev txhuam hniav tshem tawm cov quav hniav uas yog lub luag haujlwm rau cov kab mob pos hniav thiab pob txha hniav tsis zoo.
- Plooj tom qab txhuam hniav. Flossing tshem tawm cov quav hniav uas tsis tshem tawm los ntawm kev txhuam. Nws yog ib qho tseem ceeb uas koj yuav tsum tau siv cov hlua tom qab txhuam hniav vim tias tej zaum yuav muaj cov quav hniav uas tseem nyob hauv koj cov hniav uas tsis tau ncav cuag los ntawm qhov txhuam ntawm koj cov txhuam.
Kauj Ruam 2. Mus ntsib koj tus kws kho hniav tsis tu ncua kom tu hniav kom huv
Hniav lwj yog ib qho ua rau ua rau cov pob txha tsis zoo. Cov hniav lwj tuaj yeem tiv thaiv tau los ntawm kev mus ntsib koj tus kws kho hniav tas li kom tau txais kev tu kom huv thiab kho hniav zoo.
- Txhawm rau khaws koj cov pob txha hniav, koj yuav tsum ua kom koj cov hniav noj qab nyob zoo.
- Mus ntsib koj tus kws kho hniav txhua rau rau lub hlis rau kev tu tas li, yuav tsum muaj txhawm rau txhawm rau tswj hwm qhov ncauj huv.
- Kev sab laj nrog koj tus kws kho hniav ua rau nws saib xyuas koj lub qhov ncauj noj qab haus huv thiab tiv thaiv kev txhim kho cov pos hniav.
- Xoo hluav taws xob tuaj yeem raug coj los qhia meej thaj tsam ntawm cov pob txha poob hniav.
- Yog tias koj plam koj li kev kuaj hniav ib txwm muaj, koj tsuas tuaj yeem paub txog pob txha poob ntawm theem thaum nws yuav tsis thim rov qab.
Kauj Ruam 3. Siv tshuaj txhuam hniav fluoride thaum txhuam hniav
Cov tshuaj txhuam hniav fluoride tuaj yeem tiv thaiv koj cov hniav thiab cov pos hniav los ntawm cov pob txha poob los ntawm, muab cov zaub mov tsim nyog rau koj cov pob txha thiab cov hniav txha hniav laus.
- Kev siv cov tshuaj fluoride ntau dua li cov tshuaj txhuam hniav tsis pom zoo, vim nws yuav ua rau muaj teeb meem kev noj qab haus huv ntxiv.
- Siv tshuaj txhuam hniav raws cov tshuaj fluoride ib hnub ib zaug los txhuam koj cov hniav, txwv tsis pub siv cov tshuaj txhuam hniav ib txwm muaj.
- Tsis txhob siv tshuaj txhuam hniav uas muaj tshuaj fluoridated rau cov menyuam hnub nyoog qis dua 10 xyoo.
Kauj Ruam 4. Ua kom koj tau txais cov calcium ntau ntxiv los txhawb kev noj qab haus huv ntawm pob txha
Calcium yog cov zaub mov tseem ceeb rau kev noj qab haus huv ntawm tag nrho koj cov pob txha, suav nrog koj cov hniav. Cov khoom noj uas muaj calcium ntau thiab cov tshuaj calcium ua kom ntseeg tau tias koj lub cev tau txais cov calcium txaus tsim nyog los txhim kho thiab ntxiv dag zog rau koj cov pob txha thiab cov hniav, ua rau koj cov pob txha ntom ntom thiab txo koj txoj kev pheej hmoo ntawm pob txha hniav puas thiab pob txha puas.
- Cov khoom noj xws li mis nyuj muaj roj tsawg, yogurt, cheese, zaub ntsuab thiab kua mis muaj nplua nuj nyob hauv calcium thiab tseem ceeb rau kev saib xyuas cov hniav thiab pob txha muaj zog.
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Calcium kuj tseem muaj nyob hauv cov ntsiav tshuaj ntxiv.
Noj 1 ntsiav tshuaj (Caltrate 600+) tom qab noj tshais thiab 1 ntsiav tshuaj tom qab noj hmo. Yog tias koj tsis nco ib koob, noj sai li sai tau thaum koj nco nws
Kauj Ruam 5. Ua kom ntseeg tau tias koj tau txais cov vitamin D txaus los nqus koj cov calcium kom raug
Noj cov tshuaj vitamin D ntxiv lossis tau txais lub hnub kom ntseeg tau tias koj muaj qib vitamin D zoo hauv koj lub cev. Vitamin D pab ua kom koj cov pob txha ntom ntom los ntawm kev pab koj lub cev nqus thiab khaws cov calcium hauv koj lub cev.
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Txhawm rau txiav txim siab tias koj tab tom muaj kev tsis txaus vitamin D, nug koj tus kws kho mob yog tias koj tuaj yeem kuaj ntshav txhawm rau ntsuas cov vitamin D hauv koj cov ntshav.
- Qhov tshwm sim tsawg dua 40ng/ml qhia tias tsis muaj vitamin D txaus hauv koj cov ntshav.
- Qhov pom zoo ntawm cov vitamin D hauv koj cov ntshav yog 50 ng/ml.
- Noj 5, 000 IU ntawm cov vitamin D ntxiv txhua hnub.
Txoj Kev 3 ntawm 3: Nkag Siab Qhov Raug Raug Cai thiab Cuam Tshuam Cov tsos mob Thaum Ntxov
Kauj Ruam 1. Paub txog cov cim thiab cov tsos mob ntawm cov pob txha hniav tsis zoo los hais qhia nws kom zoo
Kev kho pob txha poob hauv nws cov theem pib yog qhov nyuaj rau pom tsuas yog saib ntawm koj cov hniav. Cov kws kho hniav feem ntau xav tau cov duab hluav taws xob lossis CT-Scan kom pom tias koj pob txha puas ntsoog. Yog tias koj tsis tau sab laj nrog koj tus kws kho hniav ntev, muaj feem yuav koj tsuas yog paub tias koj muaj pob txha hniav poob thaum lub sijhawm nws hnyav dua.
- Koj tuaj yeem soj ntsuam qee qhov kev hloov pauv yog tias koj raug mob pob txha poob. Cov kev hloov pauv no tshwm sim vim tias koj cov pob txha tau nqaim thiab txhawb koj cov hniav kom tsis zoo. Nco ntsoov tias cov kev hloov pauv no tsuas yog txhim kho dhau lub sijhawm:
- Flaring ntawm cov hniav
- Kev tsim cov chaw nyob nruab nrab ntawm cov hniav
- Cov hniav hnov xoob thiab tuaj yeem txav ntawm ib sab mus rau ib sab
- Tilting ntawm cov hniav
- Kev hloov ntawm cov hniav
- Koj qhov kev xav txawv txawv piv rau ua ntej
Kauj Ruam 2. Nkag siab tias kab mob pos hniav loj yog qhov ua rau pob txha hniav puas
Periodontitis lossis kab mob pos hniav hnyav, tshwm sim los ntawm cov kab mob pom hauv cov quav hniav, ua rau pob txha hniav tsis zoo. Cov kab mob muaj nyob hauv cov quav hniav nyob ntawm koj cov pos hniav thiab tso cov co toxins uas ua rau koj cov pob txha nqaim.
Ib qho ntxiv, koj lub cev tiv thaiv kab mob tuaj yeem ua rau pob txha poob qis vim nws tab tom tua cov kab mob. Qhov no yog vim tias koj lub cev tiv thaiv kab mob zais cov tshuaj (piv txwv li, matrix metalloproteinases, IL-1 beta, prostaglandin E2, TNF-alpha) uas tuaj yeem txhawb nqa pob txha poob
Kauj Ruam 3. Paub tias mob ntshav qab zib ua rau muaj kev pheej hmoo ntawm pob txha poob
Ntshav qab zib yog kab mob uas tshwm sim los ntawm kev ua tsis zoo ntawm kev tsim cov tshuaj insulin (Hom I) thiab tiv thaiv insulin (Hom 2). Ob hom ntshav qab zib muaj kev cuam tshuam rau kev noj qab haus huv ntawm qhov ncauj. Cov neeg txom nyem los ntawm ntshav qab zib feem ntau muaj teeb meem cov pos hniav uas tuaj yeem ua rau pob txha hniav puas.
- Cov neeg uas muaj ntshav qab zib yog hyperglycemic, lossis muaj ntshav qab zib ntau ntxiv uas txhawb nqa kev loj hlob ntawm cov kab mob uas ua rau poob pob txha.
- Cov neeg uas muaj ntshav qab zib tau ua rau lub cev tiv thaiv tsis zoo vim tias lawv cov qe ntshav dawb tsis muaj zog, ua rau lawv muaj feem kis tau yooj yim dua.
Kauj Ruam 4. Nco ntsoov tias pob txha txha ua rau pob txha tsis muaj zog thiab pob txha poob
Osteoporosis yog kab mob feem ntau pom muaj nyob hauv cov poj niam hnub nyoog tshaj 60 xyoo, nyob qhov twg cov pob txha ntog tsawg. Qhov kev txo qis no yog vim qhov tsis sib xws hauv cov calcium-phosphate equilibrium uas pab tswj cov ntsiab lus ntxhia ntawm cov pob txha, ua ke nrog qib qis hauv cov tshuaj estrogen.
Kev txo qis hauv pob txha tag nrho kuj cuam tshuam rau cov pob txha hniav, ua rau nws muaj kev pheej hmoo rau pob txha poob
Kauj Ruam 5. Nco ntsoov tias kev tshem cov hniav tuaj yeem ua rau pob txha poob
Cov pob txha hniav feem ntau ntsws sai li sai tau thaum koj plam koj cov hniav. Tom qab tshem tawm cov hniav, cov ntshav khov yuav tsim thiab cov qe ntshav dawb mus rau qhov chaw uas koj tus hniav tau nyob yav dhau los txhawm rau tshem thaj tsam ntawm cov kab mob thiab cov nqaij puas. Ob peb lub lis piam tom qab, cov cell tshiab yuav mus rau thaj tsam txuas ntxiv cov txheej txheem tshem tawm no. Cov hlwb (osteons) no tuaj yeem txhawb kev tsim cov pob txha.
