{"id":3591,"date":"2019-10-15T09:52:03","date_gmt":"2019-10-15T09:52:03","guid":{"rendered":"https:\/\/medentis.ro\/?p=3591"},"modified":"2022-03-17T07:37:45","modified_gmt":"2022-03-17T07:37:45","slug":"alaptarea-si-mersul-la-dentist","status":"publish","type":"post","link":"https:\/\/medentis.ro\/de\/2019\/10\/15\/alaptarea-si-mersul-la-dentist\/","title":{"rendered":"Al\u0103ptarea \u0219i mersul la dentist"},"content":{"rendered":"<p>Am ales s\u0103 scriem despre acest subiect, \u00eentruc\u00e2t am primit mai multe \u00eentreb\u0103ri dac\u0103 este permis\u0103 al\u0103ptarea dup\u0103 radiografia dentar\u0103 \u0219i\/sau anestezia \u00een timpul vizitei la stomatolog.<\/p>\n<p>At\u00e2t perioada de sarcin\u0103, c\u00e2t \u0219i cea de al\u0103ptare pot impune probleme de s\u0103n\u0103tate dentar\u0103 pentru mam\u0103, \u00eentruc\u00e2t sunt perioade care consum\u0103 \u201dresursele\u201d acesteia. A\u0219a cum <a href=\"https:\/\/medentis.ro\/2019\/10\/15\/stomatolog-in-timpul-sarcinii\/\" target=\"_blank\" rel=\"noopener noreferrer\">am mai scris deja, \u00een timpul sarcinii<\/a>, perioada optim\u0103 pentru tratamentele dentare este al doilea trimestru de sarcin\u0103, cu precizarea c\u0103 urgen\u021bele se trateaz\u0103 oric\u00e2nd cu precau\u021bie.<\/p>\n<p>Recomand\u0103m s\u0103 trata\u021bi problemele imediat ce apar, pentru c\u0103 orice problem\u0103 dentar\u0103 se poate agrava foarte u\u0219or \u0219i repede \u0219i pute\u021bi ajunge la complica\u021bii nenecesare. Nu a\u0219tepta\u021bi un num\u0103r de luni, p\u00e2n\u0103 termina\u021bi cu al\u0103ptatul pentru a rezolva situa\u021biile dentare!<\/p>\n<h3>Se poate al\u0103pta dup\u0103 tratamente dentare cu anestezie local\u0103?<\/h3>\n<p>DA<\/p>\n<h3>E nevoie s\u0103 se am\u00e2ne al\u0103ptarea sau s\u0103 se arunce primul lapte dup\u0103 anestezia dentar\u0103?<\/h3>\n<p>NU<\/p>\n<p>Iat\u0103 \u0219i de ce:<\/p>\n<ul>\n<li>anestezia local\u0103 ac\u021bioneaz\u0103 doar la nivel local (doar \u00een zona dintelui la care s- a lucrat), ceea ce \u00eenseamn\u0103 niveluri nesemnificative ale substan\u021bei \u00een s\u00e2ngele mamei, deci niveluri \u0219i mai mici \u00een laptele matern.<\/li>\n<li>timpii de \u00eenjum\u0103t\u0103\u021bire sunt relativ scur\u021bi, ceea ce \u00eenseamn\u0103 c\u0103, de multe ori, \u00een cazul anestezicelor locale uzuale, substan\u021ba activ\u0103 a fost metabolizat\u0103 par\u021bial sau chiar total p\u00e2n\u0103 c\u00e2nd mama ajunge acas\u0103.<\/li>\n<li>substan\u021bele anestezice utilizate \u00een stomatologie sunt folosite \u0219i \u00een opera\u021biile de cezarian\u0103 sau anestezie epidural\u0103 (la na\u0219terile vaginale), \u00een concentra\u021bii \u0219i doze mai mari dec\u00e2t la dentist, iar al\u0103ptarea este permis\u0103 \u0219i chiar indicat\u0103 imediat dup\u0103 na\u0219tere.<\/li>\n<\/ul>\n<p>Mecanismul prin ajunge substan\u021ba din anestezia local\u0103 \u00een laptele matern:<\/p>\n<ol>\n<li>Absorb\u021bia \u00een s\u00e2ngele mamei &#8211; care se face lent, \u00eentruc\u00e2t altfel nu \u0219i-ar men\u021bine efectul anestezicul. A\u0219adar avem o prim\u0103 diluare lent\u0103 a substan\u021bei \u00een s\u00e2ngele matern.<\/li>\n<li>Substan\u021ba trece din s\u00e2nge \u00een ficatului mamei &#8211; unde se metabolizeaz\u0103, ceea ce \u00eenseamn\u0103 c\u0103 mai departe pleac\u0103 metaboli\u021bi ai substan\u021bei ini\u021biale.<\/li>\n<li>\u00cen final, doar mai pu\u021bin de 0,1% din substan\u021ba ini\u021bial\u0103 ajunge \u00een celulele ce produc laptele matern.<\/li>\n<\/ol>\n<p>Substan\u021bele uzuale folosite \u00een anestezia dentar\u0103 sunt:<\/p>\n<ul>\n<li>mepivacaina;<\/li>\n<li>lidocaina:<\/li>\n<li>bupivacaina;<\/li>\n<li>articaina;<\/li>\n<li>novocaina \/ procaina;<\/li>\n<li>protoxidul de azot (numit \u0219i \u201dgaz ilariant\u201d &#8211; folosit \u00een <a href=\"https:\/\/medentis.ro\/2019\/08\/12\/inhalosedarea-10-beneficii\/\" target=\"_blank\" rel=\"noopener noreferrer\">inhalosedare<\/a>);<\/li>\n<\/ul>\n<p>Pentru a fi \u0219i mai sigure, pute\u021bi verifica, \u00eempreun\u0103 cu medicul stomatolog, substan\u021bele folosite \u00een baze de date interna\u021bionale recunoscute precum <a href=\"http:\/\/www.e-lactancia.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">e-lactancia<\/a> sau <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK501922\/\" target=\"_blank\" rel=\"noopener noreferrer\">Toxnet-Lactmed<\/a>.<\/p>\n<h3>Este permis tratamentul cu antibiotic pentru probleme dentare dac\u0103 al\u0103ptez?<\/h3>\n<p>DA<\/p>\n<p>Atunci c\u00e2nd vorbim de un abces dentar sau o infec\u021bie local\u0103, antibioticele sunt necesare. \u0218i \u00een acest caz, se pot alege variante de antibiotice compatibile cu al\u0103ptarea, verificate \u00een bazele de date de care am amintit mai sus.<\/p>\n<h3>Este permis tratamentul cu antiinflamatoare c\u00e2nd al\u0103ptez?<\/h3>\n<p>DA<\/p>\n<p>Se pot folosi antiinflamatoare precum: ibuprofen, paracetamol, algocalmin, ketoprofen (dac\u0103 e mai grav).<\/p>\n<h3>Se poate al\u0103pta dup\u0103 radiografie sau tomografie dentar\u0103?<\/h3>\n<p>DA<\/p>\n<p>Aceste proceduri sunt compatibile cu al\u0103ptarea. Iar la <a href=\"https:\/\/www.facebook.com\/clinicamedentis\/\" target=\"_blank\" rel=\"noopener noreferrer\">Clinica Medentis<\/a> avem un centru de radiologie ultramodern, ce beneficiaz\u0103 de func\u021bia ULTRA LOW DOSE\u00a0 care scade doza de radia\u021bie cu p\u00e2n\u0103 la 77% \u00a0oferind, \u00een acela\u0219i timp, o calitate superioar\u0103 a imaginii.<\/p>\n<h3>CONCLUZIE:<\/h3>\n<p><strong><em>Este permis \u0219i chiar recomandat s\u0103 merge\u021bi la stomatolog oric\u00e2nd ave\u021bi nevoie, chiar \u0219i \u00een timpul perioadei de al\u0103ptare. Dup\u0103 anestezie nu este nevoie s\u0103 am\u00e2na\u021bi al\u0103ptarea sau s\u0103 arunca\u021bi laptele. Pute\u021bi s\u0103 lua\u021bi antibiotice \u0219i antiinflamatoare (dac\u0103 este necesar), iar acestea nu afecteaz\u0103 copilul.<\/em><\/strong><\/p>\n<p>Pentru program\u0103ri v\u0103 rug\u0103m s\u0103 suna\u021bi la num\u0103rul +4 0749272841, de luni p\u00e2n\u0103 vineri \u00eentre orele 8 \u0219i 20. Ne g\u0103si\u021bi \u00een str. Herman Oberth, nr. 41, Media\u0219.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Am ales s\u0103 scriem despre acest subiect, \u00eentruc\u00e2t am primit mai multe \u00eentreb\u0103ri dac\u0103 este permis\u0103 al\u0103ptarea dup\u0103 radiografia dentar\u0103 \u0219i\/sau anestezia \u00een timpul vizitei la stomatolog. At\u00e2t perioada de sarcin\u0103, c\u00e2t \u0219i cea de al\u0103ptare pot impune probleme de s\u0103n\u0103tate dentar\u0103 pentru mam\u0103, \u00eentruc\u00e2t sunt perioade care consum\u0103 \u201dresursele\u201d acesteia. A\u0219a cum am mai [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":3596,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[41,211],"tags":[143,145,144,146,72,142],"class_list":["post-3591","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","category-utile","tag-alaptare","tag-analgezice","tag-anestezie","tag-antibiotice","tag-dentist","tag-radiografie"],"_links":{"self":[{"href":"https:\/\/medentis.ro\/de\/wp-json\/wp\/v2\/posts\/3591","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medentis.ro\/de\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medentis.ro\/de\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medentis.ro\/de\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/medentis.ro\/de\/wp-json\/wp\/v2\/comments?post=3591"}],"version-history":[{"count":0,"href":"https:\/\/medentis.ro\/de\/wp-json\/wp\/v2\/posts\/3591\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medentis.ro\/de\/wp-json\/wp\/v2\/media\/3596"}],"wp:attachment":[{"href":"https:\/\/medentis.ro\/de\/wp-json\/wp\/v2\/media?parent=3591"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medentis.ro\/de\/wp-json\/wp\/v2\/categories?post=3591"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medentis.ro\/de\/wp-json\/wp\/v2\/tags?post=3591"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}