{"id":17793,"date":"2023-04-11T18:24:45","date_gmt":"2023-04-11T11:24:45","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=17793"},"modified":"2023-04-13T14:43:15","modified_gmt":"2023-04-13T07:43:15","slug":"tong-quan-ve-dung-dich-bom-rua-ong-tuy","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/11\/tong-quan-ve-dung-dich-bom-rua-ong-tuy\/","title":{"rendered":"T\u1ed5ng quan v\u1ec1 dung d\u1ecbch b\u01a1m r\u1eeda \u1ed1ng t\u1ee7y"},"content":{"rendered":"<p><strong>\u0110i\u1ec1u tr\u1ecb n\u1ed9i nha l\u00e0 qu\u00e1 tr\u00ecnh h\u00f3a-c\u01a1 h\u1ecdc nh\u1eb1m gi\u1ea3m thi\u1ec3u vi sinh v\u1eadt, v\u00f4 hi\u1ec7u h\u00f3a s\u1ea3n ph\u1ea9m c\u1ee7a ch\u00fang v\u00e0 tr\u00e1m b\u00edt k\u00edn kh\u00edt theo 3 chi\u1ec1u kh\u00f4ng gian \u0111\u1ec3 ng\u0103n ng\u1eeba s\u1ef1 t\u00e1i nhi\u1ec5m trong t\u01b0\u01a1ng lai. C\u00f9ng v\u1edbi s\u1ef1 h\u1ed7 tr\u1ee3 c\u1ee7a c\u00e1c d\u1ee5ng c\u1ee5 gi\u00fap l\u00e0m s\u1ea1ch c\u01a1 h\u1ecdc, vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c dung d\u1ecbch b\u01a1m r\u1eeda \u1ed1ng t\u1ee7y gi\u00fap \u0111i\u1ec1u tr\u1ecb t\u1ee7y \u0111\u1ea1t k\u1ebft qu\u1ea3 t\u1ed1i \u01b0u nh\u1ea5t.<\/strong><\/p>\n<figure id=\"attachment_17797\" aria-describedby=\"caption-attachment-17797\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-17797 size-full\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/image_2023-04-10_181354417-e1681125358654.png\" alt=\"bom-rua-ong-tuy\" width=\"300\" height=\"270\" \/><figcaption id=\"caption-attachment-17797\" class=\"wp-caption-text\">B\u01a1m r\u1eeda \u1ed1ng t\u1ee7y \u0111\u00f3ng vai tr\u00f2 trung t\u00e2m trong \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha<\/figcaption><\/figure>\n<ol>\n<li>\n<h2>M\u1ee5c \u0111\u00edch c\u1ee7a vi\u1ec7c b\u01a1m r\u1eeda \u1ed1ng t\u1ee7y<\/h2>\n<\/li>\n<\/ol>\n<ul>\n<li>Vi\u1ec7c l\u00e0m s\u1ea1ch ban \u0111\u1ea7u c\u1ee7a \u1ed1ng t\u1ee7y th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng c\u00e1ch d\u00f9ng d\u1ee5ng c\u1ee5 c\u01a1 h\u1ecdc, lo\u1ea1i b\u1ecf ph\u1ea7n l\u1edbn m\u00f4 ng\u00e0 m\u00f9n, m\u1ea3nh ng\u00e0 v\u1ee5n v\u00e0 vi sinh v\u1eadt, ho\u1eb7c v\u1eadt li\u1ec7u tr\u00e1m b\u00edt tr\u01b0\u1edbc \u0111\u00f3. N\u1ebfu kh\u00f4ng lo\u1ea1i b\u1ecf ph\u1ea7n l\u1edbn v\u1eadt li\u1ec7u n\u00e0y tr\u01b0\u1edbc ti\u00ean th\u00ec kh\u00f4ng th\u1ec3 l\u00e0m s\u1ea1ch th\u00eam \u0111\u01b0\u1ee3c. H\u1ec7 th\u1ed1ng file tay b\u1eb1ng th\u00e9p kh\u00f4ng g\u1ec9 ho\u1eb7c d\u00f9ng d\u1ee5ng c\u1ee5 quay Ni-Ti \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 th\u1ef1c hi\u1ec7n vi\u1ec7c l\u00e0m s\u1ea1ch c\u01a1 h\u1ecdc n\u00e0y, nh\u01b0ng kh\u00f4ng c\u00f3 d\u1ee5ng c\u1ee5 n\u00e0o c\u00f3 th\u1ec3 l\u00e0m s\u1ea1ch \u1ed1ng t\u1ee7y ho\u00e0n to\u00e0n khi s\u1eed d\u1ee5ng m\u1ed9t m\u00ecnh. Ch\u00fang ch\u1ec9 gi\u00fap t\u1ea1o ra m\u1ed9t &#8221; kho\u1ea3ng kh\u00f4ng gian&#8221; s\u1ebd \u0111\u01b0\u1ee3c l\u00e0m s\u1ea1ch b\u1eb1ng ch\u1ea5t t\u1ea9y r\u1eeda \u0111\u1ec3 t\u1ea1o ra hi\u1ec7u qu\u1ea3 l\u00e0m s\u1ea1ch.<\/li>\n<li>M\u1ed9t ph\u1ea7n \u0111\u00e1ng k\u1ec3 c\u1ee7a th\u00e0nh \u1ed1ng t\u1ee7y v\u1eabn kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea1m \u0111\u1ebfn b\u1edfi c\u00e1c k\u1ef9 thu\u1eadt s\u1eed d\u1ee5ng d\u1ee5ng c\u1ee5 c\u01a1 h\u1ecdc v\u00e0 vi\u1ec7c t\u1ea9y r\u1eeda c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c coi l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u00ednh \u0111\u1ec3 l\u00e0m s\u1ea1ch v\u00e0 kh\u1eed tr\u00f9ng nh\u1eefng khu v\u1ef1c n\u00e0y c\u1ee7a h\u1ec7 th\u1ed1ng \u1ed1ng t\u1ee7y. Tuy nhi\u00ean, nh\u1eefng b\u00e1o c\u00e1o g\u1ea7n \u0111\u00e2y \u0111\u00e3 c\u00f9ng \u0111\u01b0a ra k\u1ebft lu\u1eadn r\u1eb1ng l\u00e0m s\u1ea1ch v\u00e0 kh\u1eed tr\u00f9ng ph\u1ea7n l\u1ed7 ch\u00f3p c\u1ee7a \u1ed1ng t\u1ee7y v\u1edbi c\u00e1c ch\u1ea5t b\u01a1m r\u1eeda \u1ed1ng t\u1ee7y (nh\u01b0 natri hypochlorit) l\u00e0 kh\u00f4ng hi\u1ec7u qu\u1ea3 tr\u1eeb khi \u1ed1ng t\u1ee7y \u0111\u01b0\u1ee3c m\u1edf r\u1ed9ng ph\u00f9 h\u1ee3p.<\/li>\n<li>Nh\u01b0 v\u1eady, b\u01a1m r\u1eeda \u0111\u00f3ng vai tr\u00f2 trung t\u00e2m trong \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha. Trong v\u00e0 sau khi s\u1eed d\u1ee5ng d\u1ee5ng c\u1ee5 c\u01a1 h\u1ecdc, c\u00e1c ch\u1ea5t b\u01a1m r\u1eeda th\u00fac \u0111\u1ea9y vi\u1ec7c lo\u1ea1i b\u1ecf c\u00e1c vi khu\u1ea9n, t\u1ed5 ch\u1ee9c m\u00f4 c\u00f2n s\u00f3t l\u1ea1i v\u00e0 m\u1ea3nh ng\u00e0 v\u1ee5n trong l\u00f2ng \u1ed1ng t\u1ee7y b\u1eb1ng d\u00f2ng ch\u1ea3y th\u1ee7y l\u1ef1c. Ch\u1ea5t b\u01a1m r\u1eeda c\u00f2n gi\u00fap ng\u0103n ch\u1eb7n m\u00f4 c\u1ee9ng v\u00e0 m\u00f4 m\u1ec1m b\u1ecbt k\u00edn v\u00f9ng cu\u1ed1ng v\u00e0 \u0111\u1ea9y v\u1eadt li\u1ec7u nhi\u1ec5m tr\u00f9ng ra quanh cu\u1ed1ng.<\/li>\n<li>M\u1ed9t s\u1ed1 dung d\u1ecbch b\u01a1m r\u1eeda h\u00f2a tan \u0111\u01b0\u1ee3c c\u1ea3 m\u00f4 h\u1eefu c\u01a1 v\u00e0 v\u00f4 c\u01a1 trong \u1ed1ng t\u1ee7y. Th\u00eam v\u00e0o \u0111\u00f3, m\u1ed9t s\u1ed1 lo\u1ea1i h\u00f3a ch\u1ea5t c\u00f3 kh\u1ea3 n\u0103ng kh\u00e1ng khu\u1ea9n v\u00e0 ch\u1ee7 \u0111\u1ed9ng gi\u1ebft ch\u1ebft vi khu\u1ea9n v\u00e0 men c\u1ee7a n\u00f3 khi ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi ch\u00fang<\/li>\n<li>Tuy v\u1eady, v\u00e0i lo\u1ea1i dung d\u1ecbch c\u00f3 th\u1ec3 ch\u1ee9a \u0111\u1ed9c t\u00ednh ti\u1ec1m t\u00e0ng khi tr\u00e0n ra quanh cu\u1ed1ng. M\u1ed9t dung d\u1ecbch b\u01a1m r\u1eeda l\u00fd t\u01b0\u1edfng c\u1ea7n c\u00f3 t\u1ea5t c\u1ea3 ho\u1eb7c h\u1ea7u h\u1ebft c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m t\u00edch c\u1ef1c nh\u01b0ng kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ee9a m\u1ed9t t\u00ednh n\u0103ng g\u00e2y h\u1ea1i n\u00e0o.<\/li>\n<li>C\u1ea7n ph\u1ed1i h\u1ee3p c\u00e1c dung d\u1ecbch b\u01a1m r\u1eeda theo tr\u00ecnh t\u1ef1 th\u00edch h\u1ee3p v\u00e0 ch\u00ednh x\u00e1c \u0111\u1ec3 g\u00f3p ph\u1ea7n v\u00e0o th\u00e0nh c\u00f4ng c\u1ee7a \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha<\/li>\n<\/ul>\n<ol start=\"2\">\n<li>\n<h2>Y\u00eau c\u1ea7u c\u1ee7a m\u1ed9t dung d\u1ecbch b\u01a1m r\u1eeda l\u00fd t\u01b0\u1edfng<\/h2>\n<\/li>\n<\/ol>\n<ul>\n<li>Kh\u00e1ng khu\u1ea9n ph\u1ed5 r\u1ed9ng<\/li>\n<li>H\u1ed7 tr\u1ee3 vi\u1ec7c lo\u1ea1i b\u1ecf m\u00f4 ho\u1ea1i t\u1eed ra kh\u1ecfi h\u1ec7 th\u1ed1ng \u1ed1ng t\u1ee7y<\/li>\n<li>Kh\u1ea3 n\u0103ng h\u00f2a tan m\u00f4 ho\u1ea1i t\u1eed ho\u1eb7c m\u1ee7n ng\u00e0<\/li>\n<li>\u0110\u1ed9c t\u00ednh th\u1ea5p<\/li>\n<li>Kh\u1ea3 n\u0103ng b\u00f4i tr\u01a1n<\/li>\n<li>\u0110\u1eb7c t\u00ednh x\u00f3i m\u00f2n b\u1ec1 m\u1eb7t th\u1ea5p, ch\u1ea3y t\u1edbi \u0111\u01b0\u1ee3c n\u01a1i m\u00e0 d\u1ee5ng c\u1ee5 kh\u00f4ng t\u1edbi \u0111\u01b0\u1ee3c<\/li>\n<li>S\u00e1t khu\u1ea9n hi\u1ec7u qu\u1ea3 h\u1ec7 th\u1ed1ng \u1ed1ng t\u1ee7y<\/li>\n<li>Ph\u00f2ng ch\u1ed1ng s\u1ef1 t\u1ea1o th\u00e0nh c\u1ee7a c\u00e1c l\u1edbp ng\u00e0 m\u00f9n trong qu\u00e1 tr\u00ecnh t\u1ea1o h\u00ecnh b\u1eb1ng d\u1ee5ng c\u1ee5 ho\u1eb7c h\u00f2a tan ch\u00fang ngay khi t\u1ea1o th\u00e0nh<\/li>\n<li>B\u1ea5t ho\u1ea1t n\u1ed9i \u0111\u1ed9c t\u1ed1 c\u1ee7a vi khu\u1ea9n<\/li>\n<li>Kh\u00f4ng k\u00edch th\u00edch m\u00f4 s\u1ed1ng, kh\u00f4ng \u0111\u1ed9c, \u00edt c\u00f3 ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng<\/li>\n<li>T\u00ednh c\u00f3 s\u1eb5n, kinh t\u1ebf, d\u1ec5 s\u1eed d\u1ee5ng v\u00e0 t\u00ednh thu\u1eadn ti\u1ec7n, d\u1ec5 b\u1ea3o qu\u1ea3n<\/li>\n<\/ul>\n<ol start=\"3\">\n<li>\n<h2>Ch\u1ee9c n\u0103ng c\u1ee7a dung d\u1ecbch b\u01a1m r\u1eeda<\/h2>\n<\/li>\n<\/ol>\n<ul>\n<li>T\u00e1c d\u1ee5ng r\u1eeda tr\u00f4i (l\u1ea5y b\u1ecf ng\u00e0 m\u00f9n)<\/li>\n<li>Gi\u1ea3m ma s\u00e1t v\u1edbi d\u1ee5ng c\u1ee5 trong qu\u00e1 tr\u00ecnh t\u1ea1o h\u00ecnh \u1ed1ng t\u1ee7y (b\u00f4i tr\u01a1n)<\/li>\n<li>D\u1ec5 d\u00e0ng l\u1ea5y b\u1ecf ng\u00e0 v\u1ee5n<\/li>\n<li>H\u00f2a tan m\u00f4 v\u00f4 c\u01a1 (ng\u00e0 r\u0103ng)<\/li>\n<li>Th\u1ea5m t\u1edbi c\u00e1c v\u00f9ng ngo\u1ea1i vi c\u1ee7a \u1ed1ng t\u1ee7y m\u00e0 d\u1ee5ng c\u1ee5 kh\u00f4ng t\u1edbi \u0111\u01b0\u1ee3c<\/li>\n<li>H\u00f2a tan c\u00e1c ch\u1ea5t h\u1eefu ph\u1ee9c h\u1ee3p ng\u00e0 \u2013 t\u1ee7y<\/li>\n<li>Ti\u00eau di\u1ec7u vi khu\u1ea9n v\u00e0 men c\u1ee7a ch\u00fang<\/li>\n<li>Kh\u00f4ng k\u00edch \u1ee9ng hay \u0111e d\u1ecda m\u00f4 quanh cu\u1ed1ng, kh\u00f4ng \u0111\u1ed9c t\u00ednh, kh\u00f4ng l\u00e0m y\u1ebfu c\u1ea5u tr\u00fac r\u0103ng<\/li>\n<\/ul>\n<ol start=\"4\">\n<li>\n<h2>C\u00e1c dung d\u1ecbch b\u01a1m r\u1eeda \u1ed1ng t\u1ee7y<\/h2>\n<\/li>\n<\/ol>\n<ul>\n<li>Natri hypochloride. Th\u00f4ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u1edf n\u1ed3ng \u0111\u1ed9 3%, l\u00e0 dung d\u1ecbch b\u01a1m r\u1eeda duy nh\u1ea5t h\u00f2a tan m\u00f4 v\u00f4 c\u01a1 s\u1ed1ng v\u00e0 ho\u1ea1i t\u1eed<\/li>\n<li>C\u00e1c ch\u1ea5t t\u1ea1o chelat: EDTA (etylen diamine tetra acetate) 37% th\u01b0\u1eddng \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn, ch\u1ec9 c\u00f3 t\u00e1c d\u1ee5ng tr\u00ean m\u00f4 calci h\u00f3a m\u00e0 kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng tr\u00ean m\u00f4 s\u1ed1ng v\u00e0 m\u1ea3nh h\u1eefu c\u01a1<\/li>\n<li>Chlorhexidine 2%, t\u00e1c d\u1ee5ng t\u1ed1t tr\u00ean vi khu\u1ea9n gram d\u01b0\u01a1ng h\u01a1n l\u00e0 gram \u00e2m, kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng h\u00f2a tan m\u00f4 ho\u1ea1i t\u1eed<\/li>\n<li>Oxy gi\u00e0: gi\u1ea3i ph\u00f3ng oxy \u0111\u1ea9y c\u00e1c th\u00e0nh ph\u1ea7n m\u00f4 ho\u1ea1i t\u1eed ra kh\u1ecfi h\u1ec7 th\u1ed1ng \u1ed1ng t\u1ee7y.<\/li>\n<li>C\u00e1c ch\u1ea5t l\u00e0m tr\u01a1n: g\u1ed3m RC-Prep v\u00e0 Glyde v\u1edbi th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 peroxide urea<\/li>\n<li>B\u01a1m r\u1eeda b\u1eb1ng s\u00f3ng si\u00eau \u00e2m<\/li>\n<\/ul>\n<p><em>C\u00e1c dung d\u1ecbch b\u01a1m r\u1eeda \u1ed1ng t\u1ee7y \u0111\u1ec1u c\u00f3 nh\u1eefng \u01b0u v\u00e0 nh\u01b0\u1ee3c \u0111i\u1ec3m ri\u00eang, tuy nhi\u00ean, khi k\u1ebft h\u1ee3p v\u1edbi nhau v\u1edbi m\u1ed9t tr\u00ecnh t\u1ef1 ch\u00ednh x\u00e1c s\u1ebd l\u00e0m t\u0103ng hi\u1ec7u qu\u1ea3 c\u1ee7a qu\u00e1 tr\u00ecnh b\u01a1m r\u1eeda \u1ed1ng t\u1ee7y, g\u00f3p ph\u1ea7n v\u00e0o th\u00e0nh c\u00f4ng c\u1ee7a \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha.<\/em><\/p>\n<p>Ngu\u1ed3n tham kh\u1ea3o<\/p>\n<ol>\n<li>Lussi A, Portmann P, Nussb\u00e4cher U, et al. Comparison of two devices for root canal cleansing by the noninstrumentation technology.\u00a0<em>J Endod<\/em>. 1999;25:9-13.<\/li>\n<li>Siqueira JF Jr, R\u00f4\u00e7as IN, Santos SR, et al. Efficacy of instrumentation techniques and irrigation regimens in reducing the bacterial population within root canals.\u00a0<em>J Endod<\/em>. 2002;28:181-184.<\/li>\n<li>Siqueira JF Jr, Ara\u00fajo MC, Garcia PF, et al. Histological evaluation of the effectiveness of five instrumentation techniques for cleaning the apical third of root canals.\u00a0<em>J Endod<\/em>. 1997;23:499-502.<\/li>\n<li>Baugh D, Wallace J. The role of apical instrumentation in root canal treatment: a review of the literature.\u00a0<em>J Endod<\/em>. 2005;31:333-340.<\/li>\n<li>Khademi A, Yazdizadeh M, Feizianfard M. Determination of the minimum instrumentation size for penetration of irrigants to the apical third of root canal systems.\u00a0<em>J Endod<\/em>. 2006;32:417-420.<\/li>\n<li>Baker NA, Eleazer PD, Averbach RE, et al. Scanning electron microscopic study of the efficacy of various irrigating solutions.\u00a0<em>J Endod<\/em>. 1975;1:127-135.<\/li>\n<li>Sedgley C, Applegate B, Nagel A, et al. Real-time imaging and quantification of bioluminescent bacteria in root canals in vitro.\u00a0<em>J Endod<\/em>. 2004;30:893-898.<\/li>\n<li>Valera MC, Cardoso FG, Chung A, et al. Comparison of different irrigants in the removal of endotoxins and cultivable microorganisms from infected root canals.\u00a0<em>ScientificWorldJournal<\/em>. 2015;2015:125636.<\/li>\n<li>White RR, Hays GL, Janer LR. Residual antimicrobial activity after canal irrigation with chlorhexidine.\u00a0<em>J Endod<\/em>. 1997;23:229-231.<\/li>\n<li>Rasimick BJ, Nekich M, Hladek MM, et al. Interaction between chlorhexidine digluconate and EDTA.\u00a0<em>J Endod<\/em>. 2008,34:1521-1523.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>\u0110i\u1ec1u tr\u1ecb n\u1ed9i nha l\u00e0 qu\u00e1 tr\u00ecnh h\u00f3a-c\u01a1 h\u1ecdc nh\u1eb1m gi\u1ea3m thi\u1ec3u vi sinh v\u1eadt, v\u00f4 hi\u1ec7u h\u00f3a s\u1ea3n ph\u1ea9m c\u1ee7a ch\u00fang v\u00e0 tr\u00e1m b\u00edt k\u00edn kh\u00edt theo 3 chi\u1ec1u kh\u00f4ng gian \u0111\u1ec3 ng\u0103n ng\u1eeba s\u1ef1 t\u00e1i nhi\u1ec5m trong t\u01b0\u01a1ng lai. C\u00f9ng v\u1edbi s\u1ef1 h\u1ed7 tr\u1ee3 c\u1ee7a c\u00e1c d\u1ee5ng c\u1ee5 gi\u00fap l\u00e0m s\u1ea1ch c\u01a1 h\u1ecdc, [&hellip;]<\/p>\n","protected":false},"author":35,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[28,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>T\u1ed5ng quan v\u1ec1 dung d\u1ecbch b\u01a1m r\u1eeda \u1ed1ng t\u1ee7y - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u01a1m r\u1eeda \u1ed1ng t\u1ee7y \u0111\u00f3ng vai tr\u00f2 trung t\u00e2m trong \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha. 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