Thuốc điều trị bệnh viêm nướu răng

Thuoc dieu tri

benh viem ni/du rang

B^nh vidm nufdu rdng

Btfnh vidm nfldu rdng (cdn gpi

Id vidm ldi) Id mOt b^nh 1^ rang

mi|ng rdt thfldng gfip d nfldc ta,

gdy dnh hfldng dtfn sdc khde va

ntfu khdng dilu tri kip thdi se dan

dtfn btfnh nha chu, ldm mat rdng

do xfldng vd cac md lidn ktft quanh

chfin rdng hi phd hQy.

NguySn nhdn chu ytfu gay ra

btfnh vidm nfldu rdng Id sfl hinh

thdnh mdng bdm d rdng.

Cdc mdng bdm Id mdt htfn hdp

gtfm thdc dn, vi khudn vd nfldc

bpt tao thdnh vd se bdm vfio chfin

rfing sau khi dn. Theo thdi gian,

cdc mdng bdm ndy sg tich tu dan

ddn, trd ngn cdng (gpi Id vdi rdng)

vd Id ndi tri^ ngu cua vi khudn, tiet

ra cdc ddc ttf gdy vidm nfldu rdng.

Ngodi ra, cdn cd cdc nguyen

nhdn khde:

• Do ve sinh rang mieng kem;

• Do thoi quen hut thuoc;

• Sfl thay dtfi ndi titft ttf trong

Cd thi nhfl phu nfl trong thdi ky

mang thai hay sau man kinh...

• Do hg miin dich hi suy ytfu

d ngfldi mdc benh ddi thdo dfldng,

b^nh AIDS, bdnh ung thfl;,.

• Do tac dung phu cua mot stf

loai thutfe khdng histamin, thutfc

chtfng trdm cam... ldm giam titft

nfldc bpt (cd vai trd ldm sach vi

khuan), ndn tao dilu kidn cho sfl

phdt triln cua vi khudn.

Binh thfldng nfldu rdng cd mdu

hdng nhat, chac khde. Khi nfldu

rdng bi vidm, se xuat hipn cdc

tiH^u chUCng sau:

• Nfldu rdng sitog, dd, dau;

• Nfldu rdng mem, khdng bdm

chdc chfin rdng;

• Chdy mdu d nfldu rdng (thfldng

xuat hi$n sau khi ddnh rdng);

• Hdi thd hdi...

V$ sinh ring ml$ng vi khim rSng djnh kjf li tji$n f^ip bio vi rdng hOu hiiu

THU6C & SCC KH6 E stf 489 (I.12.20I3)

-» DS. MAI XUAN DONG

Thutf'c dil u tri

bpnh viem ntfdu ran g

a> Cdc dung dich sdc miing: giup

vd sinh rang midng, trong thdnh

phan thfldng cd chfla cdc chdt

khdng khuan nhu ehlorhexidin,

hexetidin, zin gluconat, chlorin

dioxid.. se lam sach khoang migng,

loai bo cdc mang ham vd vi khudn

ra khdi mieng.

>-Nhdm thudc khdng sinh

(beta-lactam, roaerolid...): cd tac

dung ditft vi khudn tni ngu d nfldu

rdng, thfldng dflpc sd dung trong

dilu tri vidm nfldu rfing.

Sfl ktft hdp cua spiramycin

(khdng sinh nhdm macrolid) vdi

metronidazol (khdng sinh cd

tfic dung di^t vi khudn ky khi),

mang lai hi$u qud trong dilu tri

mdt stf bdnh ly rfing mi$ng nhfl

bdnh vidm nfldu rfing, nha chu,

sfiu rfing...

>-Nhdm thudc khdng viim non￾steroid (ibuprofen, acid mefenamic,

diclophenac, meloxicam...): ldm

gidm cdc tri$u chflng sifng, dtf, dau

cua vidm nfldu rdng.

i^Nhdm thudc corticosteroid

CprednisoloD, dexamethason...) cd

tinh khdng vidm manh, dilu tri

hipu qud cac trigu chdng sflng, dd,

dau cua vidm nfldu rdng.

Cdn luu y: khdng dfldc sd dung

nhdm thutfc khdng vidm non-steroid

va nhdm thutfc corticosteroid cho

ngfldi cd tiln sd vidm lodt da ddy.

i^Nhdm thudc gidm dau thdng

thudng (paracetamol, aspirin...)

thfldng dfldc sd dung dl ldm gidm

tripu chdng dau do vidm nfldu.

Ngodi vipc dieu tri bdng thutfc,

vide phdng ngifa bpnh nhflv^ sinh

rdng mitfng thfit ttft, khtfng hut

thutfe, di khdm rfing diu ddn...

Id nhdng bi§n phfip quan trpng

giup phdng trdnh dfldc bpnh viem

nfldu rdng. ^