Abubuwan da ke haifar da hakori a cikin ciwon sukari na mellitus, wanda ya ƙunshi shigar da prosthesis a wurin da babu hakori, ana iya buƙata a fannoni daban-daban. Koyaya, akwai abubuwa da yawa da yawa don aiwatar da irin wannan hanyar. Sabili da haka, mutane da yawa masu ciwon sukari suna sha'awar wannan tambayar: shin suna iya samun isassun ƙwayar cuta don cututtukan hawan jini?
Ra'ayoyi na orthopedist, implantologists da endocrinologists bambanta kan wannan batun. Haka kuma, sakamakon binciken ma ya banbanta: a wasu masu ciwon sukari sabbin hakora suna da tushe, kamar yadda suke cikin mutane masu lafiya, yayin da a wasu kuma, ake sanya magani a jiki.
Sabili da haka, tare da ciwon sukari, ƙwararren likitan likitanci ya kamata ya saka hakora. Bayan haka, akwai wasu dalilai da yawa waɗanda ke sa hyperglycemia na kullum da keɓaɓɓiyar contraindication ga wannan hanyar.
A cikin waɗanne halaye ne aka haramta shigar da haƙori da halatta a cikin ciwon sukari?
Akwai dalilai da yawa waɗanda zasu iya sa shigar da likitan haƙori. Don haka, a cikin yawancin marasa lafiya bayan irin wannan hanya, an lura da kin amincewa da sabon hakori.
Hakanan ana iya ganin rayuwa mara kyau a cikin nau'in 1 da nau'in ciwon sukari na 2, tare da ƙarancin insulin, tunda a wannan yanayin ne ake samun lalacewar tsarin ƙashi. Bugu da ƙari, a cikin masu ciwon sukari, tsarin amsawar rigakafi yana raguwa sau da yawa, kuma suna sauri su gaji yayin aikin hakori.
Amma a cikin waɗanne lokuta ne masu ciwon sukari da kuma abubuwan cizon haƙori? Don shigar da implants a cikin na kullum hyperglycemia, da yawa yanayi dole ne a hadu:
- Duk tsawon lokacin ɗaukar ciki, yakamata a lura da mai haƙuri ta hanyar endocrinologist.
- Yakamata a rama masu ciwon sukari, kuma yakamata a sami rikici a metabolism din kashi.
- Nuna shan taba sigari da barasa.
- Yin azumi na glycemia kafin tiyata da lokacin aikin zane ya zama bai wuce 7 mmol / L ba.
- Mai ciwon sukari bai kamata ya sami wasu cututtukan da ke hana shigo da jijiyoyin jiki ba (cututtukan Majalisar Dokokin ƙasa, cutar thyroid, lymphogranulomatosis, rashin aiki na tsarin ƙwayar cuta, da sauransu).
- Yarda da duk ka'idodin tsabta don kula da lafiyar mahaifa wajibi ne.
Domin hakoran hakori su yi nasara, dole ne marassa lafiya su lura da fasalin aikin. Don haka, tsawon lokacin maganin rigakafi a cikin bayan aikin ya kamata a kalla kwanaki 10. A wannan yanayin, yana da mahimmanci a kula da cutar ta glycemia a koyaushe domin alamunsa ba su wuce 7-9 mmol / l yayin rana.
Bugu da kari, bayan aikin, yawan ziyartar likitan hakora wajibi ne har sai an dauki sabon sashin gaba daya. Zai dace a tuna cewa tare da ciwon sukari, lokacin osseointegration yana ƙaruwa: a cikin babban muƙamuƙi - har zuwa watanni 8, ƙananan - har zuwa watanni 5.
Tun da masu ciwon sukari suna da raunin ƙwayar cuta, bai kamata ku rush tare da aiwatar da budewar kwayar ba. Haka kuma, shigarwar tare da sanyawa nan take bai kamata ayi amfani da shi ba.
Abubuwan da ke Shafar Nasarar Isar Da Nasara a cikin Cutar sankara
Sakamakon ingantaccen aikin shine ya shafi gogewa da nau'in cutar. Sabili da haka, idan cutar ta tsawanta, to da alama kin amincewa da abinda aka dasa. Koyaya, tare da saka idanu mai kyau game da yanayin, shigarwar cikin ciwon sukari shine mafi yawan lokuta zai yiwu.
Idan mai ciwon sukari ya manne da tsarin rage yawan sukari, to kuwa yiwuwar kyakkyawar rayuwa ta hakorin wucin gadi yana ƙaruwa sosai da daidaitattun wakilai na haɓaka. Tare da ciwon sukari mara kyau da kuma waɗanda ke nuna ci gaba da ilimin insulin, ba a bada shawarar shigarwar abubuwa ba. Haka kuma, tare da nau'in cutar ta farko, an jure da haƙoran haƙora fiye da wanda ke ɗauke da ciwon sukari na 2, saboda wannan nau'in cutar sau da yawa yana faruwa a cikin sikirin.
Bincike ya kuma nuna cewa shigar da implants ya kasance mafi nasara a cikin wadancan marasa lafiya wadanda a baya sun sami horo na tsabtace tsabtacewa da tsabtacewa na baka, da nufin shawo kan cutar ta baki. Don dalilai iri ɗaya, ana bada shawarar maganin rigakafi ga masu ciwon sukari kafin tiyata.
Za a rage nasarar nasarar implant idan mai haƙuri yana da:
- cututtuka;
- caries;
- ilimin halittar jini na jini da zuciya;
- xerostomia;
- periodontitis a cikin ciwon sukari.
Yana da kyau sanin cewa ƙirar ƙwanƙwalwar yana tasiri iyawar zanen rubutun. An ba da fifiko na musamman ga sigoginsu, don haka kada su yi tsayi da yawa (ba su wuce 13 mm ba) ko gajere (ƙarancin ƙasa da mm 10).
Domin kada ya haifar da rashin lafiyan, kuma kada ya keta abubuwan nuna inganci da adadi na yau, ya kamata a sanya kayan kwalliya na cobalt ko gwal na nickel-chromium. Bugu da kari, kowane ƙira dole ne ya cika dukkan buƙatun don daidaita ma'aunin kaya.
Yana da mahimmanci a lura cewa akan ƙananan muƙamin, yawan nasarar rayuwar tsintsiya yana da girma sama da na sama. Sabili da haka, wannan yakamata a la'akari da likitocin likitan orthopedic wadanda suke kokarin yin silar hakora.
A lokaci guda, masu ciwon sukari ya kamata su tuna cewa saboda rikice-rikice na rayuwa, osseointegration, idan aka kwatanta da mutane masu lafiya, yana tsawan lokaci (kimanin watanni 6).
Shiri da shigarwa na implants
Ana aiwatar da tsarin shigar da abubuwan kwantar da hankali a cikin ciwon sukari da kuma cikin mutum mai lafiya. Amma tare da ƙwayar cuta na kullum, ana bada shawara don zaɓin likita wanda ya sami goguwa tare da masu ciwon sukari, saboda dole ne ya fahimci duk haɗarin kuma yayi aiki da hankali kamar yadda zai yiwu.
Za a iya ba wa mara lafiya cikakken kayan maye don kamuwa da cutar sankara tare da jinkirin ɗaukar aiki (ana sanya prosthess kawai lokacin da aka dasa implants), ko kuma wata hanya tare da saukarwa kai tsaye bayan shigarwa. Amma gabaɗaya, zaɓin hanyar shine prerogative na likita, dangane da bayanan bincike.
Kafin a fara aiki da hakori, dole ne a gwada mara lafiyar don yau, fitsari da jini. Ya kamata ka kuma nemi shawara tare da endocrinologist da therapist.
Preparationarin shiri don shigar da haƙori a cikin cututtukan siga kamar haka:
- tsabtatawa na baka kogo.
- Ingantaccen gogewar watanni 2-3 kafin shigarwar;
- idan ya cancanta, an cire plaque daga hakora, an cire sassaka abubuwa da duwatsu;
- ganewar asali daga cikin kasusuwan muƙamula (ya bayyana cututtukan ɓoye kuma yana ba ka damar tantance inganci da adadi na ƙashin ƙashi).
Yana da mahimmanci cewa aikin yana da hankali kamar yadda zai yiwu tare da ƙarancin nama. Wannan ya zama dole don hanzarta farfadowa da kuma hana sakamakon da ba a so. Sabili da haka, yana da kyau a zaɓi invan hanyoyi kaɗan na ɓarnar ƙwaƙwalwa na haƙoran haƙoran haƙora na wucin gadi, wanda zai yuwu ne kawai a yanayin shigarwar tare da saukarwa kai tsaye.
Bayan aikin haƙori, masu ciwon sukari suna buƙatar sarrafa glycemia su sosai a hankali. Matsakaicin sukari a cikin jini daga yatsa shine 5.5-6.1 mmol l. Kari akan haka, yakamata a sha maganin rigakafi na kimanin kwanaki 12, kula da tsabtace baki sannan ku ziyarci likita kowane kwana 2-3 bayan shigarwa. A lokaci guda, yana da matukar mahimmanci a daina shan sigari.
Yana da kyau sanin cewa ciwon sukari a cikin ilimin haƙoran haƙora na buƙata ba ƙaramar kuɗin kashe kuɗaɗe ba, tunda tare da irin wannan cutar babu garantin cewa shigarwar za ta zama tushen. Haka kuma, koda shiri da hankali da kuma biyan bashin cututtukan da suke haifarwa baya iya cirewa haƙurin haƙoran mutum.
Sabili da haka, duk masu ciwon sukari, musamman a gaban cututtukan concomitant, suna cikin haɗari. Saboda haka, nasarar maganin jiyya ba koyaushe ya dogara da cancantar likitan haƙori ba.
Matsakaicin farashin abun talla yana daga 35 zuwa 40 dubu rubles. Kudin shigarwa kusan 20,000 rubles ne.
Cikakkun bayanai game da kayan aikin prosthetics don ciwon sukari zai gaya wa kwararrun daga bidiyo a wannan labarin.