Лікування флюсу у дитини: що робити, перша допомога, симптоми і причини

Лікування флюсу у дитини: що робити, перша допомога, симптоми і причини

Флюс у дитини. Що робити?

Що являє собою флюс

Флюс – це кілька застаріла назва, яке поширене тільки в побутовому спілкуванні. У сучасній стоматології така патологія має назву периостит. яке і відображає всю суть захворювання.

Периостит – гнійне запалення окістя, яка покриває кістку верхньої або нижньої щелепи. У міру розвитку патологічного процесу, ураження перестає носити локальний характер і поширюється на інші тканини – на поверхні ясен з’являється гнійник.

На фото: флюс у дитини 7 років

Причини появи флюсу

Поява такого захворювання в дитячому віці найчастіше пов’язано з проникненням у тканини інфекції, яка і провокує розвиток гнійного процесу. Причин цьому може бути декілька:

Глибокий карієс. Відомо, що молочні зуби менш щільні в порівнянні з постійними, тому виникнення навіть незначного кариозного дефекту здатне за найкоротший час викликати глибоке проникнення інфекції. Маленькі діти мають звичку пробувати на смак практично всі навколишні предмети. Це стає причиною травмування слизових оболонок ясен. І якщо в таку ранку потрапляють хвороботворні мікроорганізми, то через особливості імунної відповіді дитячого організму ймовірність появи периостита дуже висока. Дітям у віці 2-4 роки достатньо важко ретельно дотримуватися гігієни порожнини рота і правильно чистити зубки. Скупчення нальоту і частинок їжі в ясенних кишенях може викликати їх запалення з подальшим поширенням його вглиб тканин. Іноді флюс з’являється після видалення зуба при наявності джерела інфекції в роті: каріозних порожнин, гнійного гінгівіту, ангіни. Патогенні мікроорганізми легко проникають всередину ясна через відкриту рану і на фоні зниженого імунітету викликають сильне запалення. Вкрай рідко, але периостит може виникати як ускладнення при гнійних запаленнях з іншою локалізацією, коли інфекція потрапляє в окістя з кров’ю.

Основні симптоми і прояви

У перші дні розвитку запального процесу дитина пред’являє скарги на помірні болі в роті. Десна в місці запалення незначно набрякає і стає гиперемированной. Діти у віці до 3 років можуть ставати примхливими, відмовлятися від прийняття їжі. Найчастіше ця стадія захворювання залишається непоміченою, а її перші прояви батьки списують на погану поведінку малюка.

У міру розвитку гнійного процесу стан дитини стає важче. Болі набувають інтенсивний пульсуючий характер. На яснах формується гнійний осередок вигляді невеликого освіти білястого кольору на червоному набряклому фоні. Внаслідок активного запалення розвивається значний набряк м’яких тканин обличчя. Якщо флюс з’являється на верхній щелепі, то такий набряк може розташовуватися не тільки на щоці, а й поширюється на околоушную область і очей. Якщо локалізація флюсу на нижній щелепі, то набряклість тканин може зачіпати і шийну область.

Страждає загальний стан малюка і піднімається температура (іноді до досить високих цифр), дитина пред’являє скарги на слабкість, відсутність апетиту.

Можливі ускладнення флюсу

Дуже часто батьки недооцінюють серйозність у дітей такого захворювання як флюс. Однак ця патологія чревата вкрай серйозними ускладненнями, які можуть навіть загрожувати життю малюка.

Абсцес – формування великого гнійного вогнища, межі якого поширюються за межі окістя. Іноді такі гнійники можуть прориватися назовні в області ясен або навіть щоки з утворенням свищів, з яких постійно тече гній. Флегмона – поширення гнійного запалення на сусідні анатомічні області. Важке наслідок флюсу, при якому дуже високий ризик розвитку сепсису – зараження крові, часто приводить до загибелі. Загибель зачатків постійних зубів, що призводить до адентії. Серйозне запалення всередині ясна може поширитися на область зачатка постійного зуба і викликати його пошкодження або загибель. В результаті цього при зміні молочного зубного ряду не відбудеться прорізування корінних зубів, що потребують протезування вже в юному віці.

Запідозрити розвиток ускладнень не важко. Зазвичай на тлі лікування після розтину флюсу симптоми швидко починають стихати. У дитини через кілька годин знижується температура, зменшується набряк, а місце розрізу практично не болить. Але якщо лихоманка не проходить, а больовий синдром лише наростає, то це привід до повторного екстреного зверненню за медичною допомогою, тому швидше за все мають місце запальні ускладнення.

Лікування

Лікування флюсу у дітей повинно проводитися строго під наглядом лікаря. При цьому лікувальна тактика у однорічне немовля і дитини 7 років може розрізнятися через те, перед природною зміною молочного прикусу можливе видалення тимчасового зуба, що вкрай небажано до віку 5-6 років.

У таких випадках рідко виходить обійтися без операції. Досить часто доводиться вдаватися до хірургічного способу лікування – розкриття флюсу з повним видаленням всіх гнійних мас і дренуванням вийшла порожнини. Це дозволяє як зняти гострий біль, так і запобігти повторному формування флюсу.

Але хірургічне лікування це один з етапів терапії. Відвідавши стоматолога, батьки дитини повинні продовжити лікувальні заходи в домашніх умовах, які будуть включати прийом призначеного лікарем антибіотика, полоскання порожнини рота розчинами антисептиків і застосування засобів народної медицини.

На фото: лікування флюсу у дитини в кабінеті стоматолога

Лікування будинку

У перші кілька днів після відвідування стоматолога, коли больовий синдром ще може турбувати малюка, необхідно приймати протизапальні препарати (парацетамол, Ібуфен ®), які допомагають як прибрати біль, так і сприяють швидкому стихання запального процесу.

Важливим моментом в домашньому лікуванні є використання розчинів антисептиків для обробки порожнини рота. Чим саме полоскати рот дитині підкаже стоматолог, ми ж наведемо лише можливі варіанти лікування, які можна використовувати навіть у маленької дитини.

Водний розчин хлоргексидину. Використовується готовий аптечний препарат, яким полощуть рот 3-4 рази на день (після їжі і перед нічним сном). Він має потужну антисептичну дію, але при цьому не подразнює слизові оболонки рота. Розчин фурациліну. Можна приготувати його будинку (1 таблетка на 0,5 літра води) або купити вже готовий засіб. Полоскання рота проводять до 5 разів на добу (бажано робити це після прийняття їжі). Мірамістин згубний для мікроорганізмів і добре знімає запалення. Рекомендується полоскати рот 10 мл розчину 3-4 рази на добу. Однак препарат не можна використовувати до трирічного віку.

Полоскання рота будь-яким з перерахованих коштів дитина повинна проводити строго під контролем дорослих, щоб уникнути нещасних випадків. Курс лікування повинен тривати до повного стихання всіх проявів і загоєння гнійної порожнини.

Лікування народними засобами

Рецепти народної медицини добре доповнюють традиційне лікування. Проте з такими методами необхідно бути обережними у зовсім маленьких дітей, а для лікування малюків віком до 2 років краще їх не використовувати зовсім.

Розчин соди. Такий засіб володіє хорошим протизапальну дію. Чайну ложку сухого порошку питної соди розчиняють у великій чашці теплої кип’яченої води і дають полоскати дитині рот 3-4 рази на день після прийняття їжі. Ефект від лікування можна підсилити йодом, додавши кілька крапель його в розчин для полоскання. Настоянка прополісу також відмінно знімає запалення і має антисептичну дію. Для обробки порожнини рота 5 крапель настоянки розчиняють у теплій воді об’ємом 200 мл і полощуть рот 2-3 рази на день. Відвари трав. Лікарські рослини, такі як ромашка, календула, череда є природними натуральними антисептиками і швидко знімають навіть сильне запалення. Вони дозволяють як вилікувати саме захворювання, так і попередити розвиток його ускладнень. Готують відвари щодня, для чого 2 столові ложки суміші трав наполягають в півлітра окропу. Полощуть отриманими відварами рот 4-5 разів на добу до повного одужання.

Лікування гомеопатією

Гомеопатичні препарати також можуть використовуватися на додаток до основного лікування. Не можна намагатися вилікувати у дитини флюс тільки гомеопатією, оскільки такі кошти грають лише допоміжну роль. Всі призначення повинні робитися тільки лікарем-гомеопатом.

Перша допомога при флюсі у дитини

При перших же симптомах флюсу у дитини необхідно якомога швидше звернутися до дитячого стоматолога. Однак якщо дорога займе якийсь час, можна самому надати дитині першу допомогу.

Протизапальні препарати, такі як Ібуфен ® або парацетамол допоможуть зняти гострий біль, високу температуру і послабити запалення. Для того, щоб зняти набряк, можна дати дитині антигістамінний засіб у дозі, відповідної віку (наприклад, супрастин, Парлазін). Непогано зніме біль і набряк тканин холодний компрес, прикладений на область запалення. Категорично заборонено намагатися розкрити гнійник самостійно. Це може спровокувати зараження крові і подальше поширення інфекції. Якщо зубний флюс лопнув самостійно, ні в якому разі не можна намагатися видавити його гнійний вміст. Це може викликати важкі ускладнення.

Категорично заборонено гріти флюс або використовувати мазь Вишневського, оскільки такі дії можуть посилити запальний процес і прискорити розвиток ускладнень.

Профілактика

Флюс, як і будь-яке інше дитяче захворювання легше попередити, ніж потім лікувати. Відомий лікар Комаровський віддає перевагу профілактиці запальних захворювань порожнини рота з самого раннього віку:

    Регулярне відвідування кабінету стоматолога для планових оглядів і санації навіть найдрібніших каріозних порожнин. Повноцінне лікування всіх вогнищ інфекції в дитячому організмі. Батьківський контроль за дотриманням дитиною якісної гігієни порожнини рота. Виконання профілактичних призначень лікаря після видалення зубів.

Лише дотримання таких простих правил може гарантувати надійний захист як від зубного флюсу, так і від інших запальних хвороб порожнини рота.

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