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თუ ორსულად ხართ და კბილი აგტკივდათ

თარიღი: 03 ოქტომბერი, 2022

ორსულად ხართ და კბილი აგტკივდათ?

პირის ღრუს რა დაავადებები მძაფრდება ორსულობის პერიოდში?

შეიძლება თუ არა ორსულობის დროს კბილის ამოღება ან დაბჟენა?

როგორ უნდა მოუაროს ორსულმა პირის ღრუს?

ამ და სხვა მნიშვნელოვან შეკითხვაზე სტომატოლოგი, ეკატერინე მაღრაძე გვესაუბრება:

პირის ღრუს რა დაავადებები მძაფრდება ორსულობის პერიოდში?
ორსულებში ყველაზე გავრცელებული დაავადებები არის პაროდონტის დაავადება და კარიესი. ორგანიზმში მიმდინარე ჰორმონალური ცვლილებების გამო, ორსულები ხშირად უჩივიან ღრძილებიდან სისხლდენას და უსიამოვნო სუნს პირის ღრუდან, რაც ღრძილების ანთებისთვის არის დამახასიათებელი. პირის ღრუში იმატებს PH-ის დონე, რაც ხელს უწყობს კარიესის სწრაფ განვითარებას.

საჭიროა თუ არა ორსულობის პერიოდში სტომატოლოგთან ვიზიტი, პროფილაქტიკის მიზნით?
მითი იმის შესახებ, რომ ორსულობის პერიოდში არ შეიძლება სტომატოლოგთან ვიზიტი, მცდარია. ორსულები ხშირად ერიდებიან სტომატოლოგთან მისვლას, რაც მდგომარეობას ამძიმებს. კონსულტაცია აუცილებელია რამდენჯერმე, რათა მოხდეს პირის ღრუს დათვალიერება, მდგომარეობის შეფასება, პაციენტის ინფორმირება, საჭირო და აუცილებელი პრობლემების მოცილება, ან დროებით მათი შეჩერება.

როგორ უნდა ავიცილოთ თავიდან ორსულობის დროს კარიესი, გინგივიტი, პარადონტიტი, სისხლდენა ღრძილებიდან?
თუ პაციენტი რეგულარულად იტარებს სტომატოლოგთან კონსულტაციას, იღებს ინფორმაციას პირის ღრუს მოვლასთან დაკავშირებით და ითვალისწინებს ყოველივე ამას, ნაკლებად ემუქრება ზემოთ აღნიშნული დაავადებები, რომლებიც მატულობს მშობიარობის შემდეგ, თუ მათზე დროულად არ ვიზრუნებთ.

შეიძლება თუ არა კბილის ამოღება ან დაბჟენა ორსულობის დროს?
კბილების მკურნალობისთვის ყველაზე კარგი პერიოდი ორსულობის მეორე ტრიმესტრია (3-დან 6-თვემდე). თუმცა, უამრავი შემთხვევაა, როდესაც პაციენტს აქვს ჩივილები I ან III ტრიმესტრში. ამ შემთხვევაში, განსაკუთრებული სიფრთხილით ხდება მისი კონსულტაცია და მკურნალობა, გინეკოლოგთან შეთანხმებით. ვიტამინების და კალცის პრეპარატის დანიშვნაც გინეკოლოგთან შეთანხმებით ხდება.

შეიძლება თუ არა ორსულისთის კბილის ადგილობირივი საანესთეზიო საშუალებების გამოყენება?
თანამედროვე ანესთეტიკები იძლევიან იმის საშუალებას, რომ მოხდეს მათი გამოყენება ორსულობის და ლაქტაციის პერიოდში. უმეტეს შემთხვევაში გამოიყენება ანესთეტიკები ეპინეფრინის (ადრენალინის) გარეშე.

როგორ უნდა მოუაროს ორსულმა პირის ღრუს?
პირის ღრუს ჰიგიენას დიდი მნიშვნელობა აქვს ორსულობის პერიოდში. ხშირად პაციენტი აღნიშნავს ტოქსიკოზის არსებობას და ღებინების შეგრძნების გამო უჭირს კბილების გახეხვა. დათვალიერებით აღენიშნება ნადები, ქვები, ღრძილებიდან სისხლდენა და უსიამოვნო სუნი პირის ღრუდან. შესაბამისად იწყება პრობლემები. ბჟენებთან დაკავშირებით ვითარდება მეორადი კარიესი. პაციენტს ესაჭიროება რჩევა-დარიგება პირის ღრუს ჰიგიენის შესახებ:
- კბილებს ვიხეხავთ ყოველი ჭამის შემდეგ;
- ჯაგრისს ვცვლით 2-3 თვეში ერთხელ;
- ხშირად ვესტუმროთ სტომატოლოგს.