I-Anetheasia isebenzisa inaliti yamazinyo, ukuchelela kusetshenziswa inaliti yamazinyo, inaliti yamazinyo ukwelapha umsele wezimpande.
A.Izinaliti zokubulala izinzwa nezinaliti zokunisela zamazinyo zingamathuluzi asetshenziswa kakhulu ekuxilongeni amazinyo nokwelashwa.Badlala indima ebalulekile ekuhlinzweni kwamazinyo nokwelashwa.Imiyalo yabo kanye nokusetshenziswa kwabo kuchazwe ngezansi.
1. Imiyalelo kanye nokusetshenziswa kwezinaliti zokubulala izinzwa zamazinyo:
1. Imiyalo yokusetshenziswa:
Izinaliti zamazinyo ezibulala izinzwa ngokuvamile zenziwe ngensimbi engagqwali futhi zinejika elithile ukuze udokotela enze imijovo eqondile ezungeze amazinyo.Ngaphambi kokusetshenziswa, i-disinfection iyadingeka ukuze kuqinisekiswe ukuhlanzeka kanye nobunyumba benaliti.
2. Inhloso:
Izinaliti ze-anesthesia yamazinyo zisetshenziselwa ikakhulukazi ukunikeza i-anesthesia yendawo ezigulini.Ngesikhathi sokuhlinzwa kwamazinyo noma ukwelashwa, udokotela uzojova izidakamizwa ezibulala izinzwa ezinsinini zesiguli noma izicubu ze-periodontal ukuze athole izinzwa.Ichopho lenaliti yokubulala izinzwa lincane futhi lingangena ngokunembile esicutshini, okuvumela izidakamizwa ezibulala izinzwa ukuthi zingene ngokushesha endaweni okuhloswe ngayo, ngaleyo ndlela zehlise ubuhlungu besiguli.
2. Imiyalelo kanye nokusetshenziswa kwezinaliti zokuchelela amazinyo:
1. Imiyalo yokusetshenziswa:
Izinaliti zokuchelela amazinyo ngokuvamile zenziwe ngensimbi engagqwali futhi zibe nomgqomo omude, omncane kanye nesirinji.Ngaphambi kokusetshenziswa, i-disinfection iyadingeka ukuze kuqinisekiswe ukuhlanzeka kanye nobunyumba benaliti.Isirinji ngokuvamile ithweswe iziqu ukuze udokotela akwazi ukulawula ngokunembile inani lesixazululo sokunisela esisetshenziswayo.
2. Inhloso:
Izinaliti zokunisela zamazinyo zisetshenziselwa ukuhlanza nokugeza amazinyo kanye nezicubu ze-periodontal.Ngesikhathi sokwelashwa kwamazinyo, udokotela angase adinge ukusebenzisa ama-rinses ukuze ahlanze indawo yezinyo, izinsini, amaphakethe e-periodontal nezinye izindawo ukuze asuse amagciwane nezinsalela futhi akhuthaze impilo yomlomo.Inaliti encane yenaliti yokunisela ingajova ngokunembile uketshezi lokunisela endaweni edinga ukuhlanzwa, ngaleyo ndlela ifeze imiphumela yokuhlanza kanye nokubulala amagciwane.
Fingqa:
Izinaliti ze-anesthesia yamazinyo nezinaliti zokunisela zamazinyo zingamathuluzi avame ukusetshenziswa ekuxilongweni kwamazinyo nokwelashwa.Zisetshenziselwa i-anesthesia yendawo kanye nokuhlanza nokunisela ngokulandelana.Izinaliti ze-anesthesia yamazinyo zingajova ngokunembile izidakamizwa zokubulala izinzwa ukuze kuncishiswe ubuhlungu besiguli;izinaliti zokunisela zamazinyo zingajova ngokunembile uketshezi lokunisela ukuze kuhlanzeke futhi kubulawe amagciwane amazinyo kanye nezicubu ze-periodontal.Odokotela badinga ukunaka ukubulawa kwamagciwane kanye nokuphathwa kwe-aseptic lapho usebenzisa la mathuluzi ukuze baqinisekise ukuphepha nokusebenza ngempumelelo kokwelashwa.
B.Imiyalelo yokusebenzisa inaliti yamazinyo ekwelapheni komsele wempande:
1. Ukulungiselela:
- Qinisekisa ukuthi inaliti yamazinyo ayinyumba futhi isesimweni esihle ngaphambi kokusetshenziswa.
- Lungiselela izinto ezidingekayo zokwelapha umsele wezimpande, njengezinzwa zendawo, idamu lenjoloba, namafayela amazinyo.
2. Izinzwa:
- Faka i-anesthesia yendawo esigulini usebenzisa inaliti yamazinyo.
- Khetha igeji efanele kanye nobude benaliti ngokusekelwe kukwakheka kwesiguli kanye nezinyo elilashwayo.
- Faka inaliti endaweni oyifunayo, njengengxenye yezinyo noma i-palatal, futhi uyithuthuke kancane kancane ize ifike endaweni okuqondiswe kuyo.
- Funa ukuhlola igazi nanoma yiziphi izimpawu zokujova emithanjeni ngaphambi kokujova ikhambi elibulala izinzwa.
- Jova ikhambi lokubulala izinzwa kancane futhi kancane, uqinisekise ukunethezeka kwesiguli kuyo yonke inqubo.
3. Ukufinyelela nokuhlanza:
- Ngemva kokuthola i-anesthesia eyanele, dala ukufinyelela ohlelweni lomsele wempande usebenzisa ukubhoboza amazinyo.
- Sebenzisa amafayela wamazinyo ukuze uhlanze futhi ulolonge umsele wempande, ukhiphe izicubu ezithelelekile noma ze-necrotic.
- Phakathi nenqubo yokuhlanza, nisela ngezikhathi ezithile umsele wempande ngesisombululo esifanelekile sokunisela usebenzisa inaliti yamazinyo.
- Faka inaliti emgodini wempande, uqinisekise ukuthi ifinyelela ekujuleni okufunayo, bese unisela ngobumnene umsele ukuze ukhiphe udoti futhi ubulale amagciwane endaweni.
4. Obturation:
- Ngemuva kokuhlanza nokubunjwa komsele wempande, sekuyisikhathi sokuvala.
- Sebenzisa inaliti yamazinyo ukuletha isivalo se-root canal noma izinto zokugcwalisa emseleni.
- Faka inaliti ku-canal bese ujova kancane isivalo noma into yokugcwalisa, uqinisekise ukumbozwa okuphelele kwezindonga zomsele.
- Khipha noma iyiphi impahla eyeqile futhi uqinisekise uphawu olufanele.
5. Ngemuva kokwelashwa:
- Ngemva kokuqeda ukwelashwa komgudu wempande, susa inaliti yamazinyo emlonyeni wesiguli.
- Lahla inaliti esetshenzisiwe esitsheni esibukhali ngokweziqondiso ezifanele zokulahla imfucuza yezokwelapha.
- Nikeza isiguli imiyalelo yangemva kokwelashwa, okuhlanganisa noma yimiphi imithi edingekayo noma izikhathi zokulandelela.
Qaphela: Kubalulekile ukulandela imigomo efanele yokulawula ukutheleleka kanye nokugcina indawo eyinyumba kuyo yonke inqubo yokwelashwa komsele.