{"id":89,"date":"2023-02-14T13:03:21","date_gmt":"2023-02-14T13:03:21","guid":{"rendered":"https:\/\/new.vwdtest.com\/hu\/?page_id=89"},"modified":"2026-01-19T21:22:07","modified_gmt":"2026-01-19T21:22:07","slug":"vwd-and-denstistry","status":"publish","type":"page","link":"https:\/\/vwdtest.com\/hu\/vwd-and-denstistry\/","title":{"rendered":"VWD \u00c9S FOG\u00c1SZAT"},"content":{"rendered":"
\n
Az olyan v\u00e9rz\u00e9si rendelleness\u00e9gekkel k\u00fczd\u0151 betegek, mint a hemof\u00edlia vagy a von Willebrand-k\u00f3r (VWD)<\/a>, fokozottan ki vannak t\u00e9ve a sz\u00e1jv\u00e9rz\u00e9s kock\u00e1zat\u00e1nak, rutinszer\u0171 fog\u00e1szati ell\u00e1t\u00e1s sor\u00e1n is.1,2<\/sup> A v\u00e9rz\u00e9s fogmos\u00e1s vagy fogselyem haszn\u00e1lata ut\u00e1n is el\u0151fordulhat, \u00e9s a v\u00e9rz\u00e9st\u0151l val\u00f3 f\u00e9lelem megakad\u00e1lyozhatja a betegeket a j\u00f3 sz\u00e1jhigi\u00e9nia fenntart\u00e1s\u00e1ban \u00e9s a rendszeres fogorvosi ell\u00e1t\u00e1s ig\u00e9nybe v\u00e9tel\u00e9ben.2-4<\/sup> M\u00e9g azok a p\u00e1ciensek is, akik felkeresik fog\u00e1szati szolg\u00e1ltat\u00f3jukat, agg\u00f3dhatnak a fog\u00e1szati elj\u00e1r\u00e1sok sor\u00e1n kor\u00e1bban tapasztaltak miatt, illetve att\u00f3l tartanak, hogy esetleg nem kezelik \u0151ket.4<\/sup> R\u00e1ad\u00e1sul sok VWD-s beteget nem diagnosztiz\u00e1lnak, \u00e9s nincsenek tudat\u00e1ban annak, hogy v\u00e9rz\u00e9s\u00fck nem norm\u00e1lis.5<\/sup><\/h5>\n<\/div>\n\n\"VWD\r\n\n\n
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A v\u00e9rz\u00e9s kock\u00e1zata \u00e9s az ebb\u0151l ered\u0151 szorong\u00e1s hozz\u00e1j\u00e1rul a v\u00e9rz\u00e9si rendelleness\u00e9gben szenved\u0151 gyermekek \u00e9s serd\u00fcl\u0151k rossz fog\u00e1szati \u00e1llapot\u00e1hoz.2<\/sup> Megfelel\u0151 oktat\u00e1s \u00e9s kezel\u00e9s n\u00e9lk\u00fcl ezek a p\u00e1ciensek a gyakori \u00ednyv\u00e9rz\u00e9sek, az elhanyagolt fog\u00e1szati ell\u00e1t\u00e1s \u00e9s a roml\u00f3 sz\u00e1jhigi\u00e9nia \u00f6rd\u00f6gi k\u00f6r\u00e9be ker\u00fclhetnek.3<\/sup> Sz\u00e1jhigi\u00e9ni\u00e1juk \u00e9s \u00e9letmin\u0151s\u00e9g\u00fck v\u00e9delme \u00e9rdek\u00e9ben ezek a p\u00e1ciensek \u00e9s gondoz\u00f3ik er\u0151sen f\u00fcggenek egy megb\u00edzhat\u00f3 fog\u00e1szati szolg\u00e1ltat\u00f3t\u00f3l, aki oktat\u00e1st ny\u00fajt sz\u00e1mukra a megel\u0151z\u0151 ell\u00e1t\u00e1sr\u00f3l, \u00e9s rendszeres ellen\u0151rz\u00e9seket biztos\u00edt.<\/p>\n<\/div>\n\n

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A fog\u00e1szati szolg\u00e1ltat\u00f3k szerepe<\/h3>\n<\/div>\n\n
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Fog\u00e1szati szolg\u00e1ltat\u00f3k\u00e9nt egyed\u00fcl\u00e1ll\u00f3 helyzetben van ahhoz, hogy seg\u00edtsen azonos\u00edtani azokat a betegeket, akiknek el\u0151ny\u00f6s lehet a v\u00e9rz\u00e9si rendelleness\u00e9g tov\u00e1bbi diagnosztikai \u00e9rt\u00e9kel\u00e9se. Sok ember sz\u00e1m\u00e1ra a helyi fogorvos az egyetlen rendszeres kapcsolat a helyi eg\u00e9szs\u00e9g\u00fcgyi rendszerrel.2<\/sup> R\u00e1ad\u00e1sul a fogh\u00faz\u00e1s gyakran az els\u0151 m\u0171t\u00e9t \u2013 \u00e9s \u00edgy a legnagyobb v\u00e9rz\u00e9scsillap\u00edt\u00e1st ig\u00e9nyl\u0151 kih\u00edv\u00e1s \u2013 sok beteg sz\u00e1m\u00e1ra. Ez\u00e9rt az ilyen elj\u00e1r\u00e1s alatt vagy ut\u00e1n fell\u00e9p\u0151 t\u00falzott v\u00e9rz\u00e9s lehet az els\u0151 alkalom egy fel nem ismert v\u00e9rz\u00e9si rendelleness\u00e9g diagnosztiz\u00e1l\u00e1s\u00e1ra.<\/p>\n<\/div>\n\n

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A VWD diagnosztiz\u00e1l\u00e1sa tov\u00e1bbra is kih\u00edv\u00e1st jelent\u0151 feladat a tudatoss\u00e1g hi\u00e1nya \u00e9s a diagnosztikai munka \u00f6sszetetts\u00e9ge miatt.5<\/sup> Ha nemr\u00e9giben v\u00e1ratlan v\u00e9rz\u00e9st \u00e9szlelt valamelyik beteg\u00e9n\u00e9l, javasoljuk, hogy v\u00e9geztesse el beteg\u00e9vel v\u00e9rz\u00e9si teszt\u00fcnket<\/a>. A teszt megmutatja, hogy indokoltak-e tov\u00e1bbi vizsg\u00e1latok \u2013 \u00e9s esetleg megv\u00e1ltoztathatja p\u00e1ciense \u00e9let\u00e9t!<\/p>\n<\/div>\n\n

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Mivel a v\u00e9rz\u00e9si rendelleness\u00e9gben szenved\u0151 betegek a v\u00e9rz\u00e9st\u0151l val\u00f3 f\u00e9lelm\u00fckben elker\u00fclhetik a fog\u00e1szati ellen\u0151rz\u00e9seket, \u00f6szt\u00f6n\u00f6zni kell a rendszeres kontrollvizsg\u00e1latokat a p\u00e1ciensek sz\u00e1j\u00fcregi eg\u00e9szs\u00e9g\u00e9nek \u00e9s \u00e9letmin\u0151s\u00e9g\u00e9nek v\u00e9delme \u00e9rdek\u00e9ben.4<\/sup> Azon fogorvosok sz\u00e1m\u00e1ra, akik v\u00e9rz\u00e9si rendelleness\u00e9ggel rendelkez\u0151 betegeket k\u00edv\u00e1nnak kezelni, szakirodalmi aj\u00e1nl\u00e1sok \u00e1llnak rendelkez\u00e9sre.3-6<\/sup><\/p>\n<\/div>\n\n

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\u00c1ltal\u00e1ban a VWD-ben szenved\u0151 betegek fog\u00e1szati kezel\u00e9se hasonl\u00f3 a hemof\u00edli\u00e1s betegek\u00e9hez.3<\/sup> A rutinszer\u0171, nem seb\u00e9szeti kezel\u00e9sek t\u00f6bbs\u00e9ge biztos\u00edthat\u00f3 az \u00e1ltal\u00e1nos fogorvosi gyakorlatban hematol\u00f3gussal folytatott konzult\u00e1ci\u00f3t k\u00f6vet\u0151en, k\u00fcl\u00f6n\u00f6sen enyhe VWD-ben szenved\u0151 betegekn\u00e9l.3<\/sup> Csak k\u00f6zepesen s\u00falyos vagy s\u00falyos betegs\u00e9gben \u00e9s invaz\u00edv fog\u00e1szati munk\u00e1ban szenved\u0151 betegek kezel\u00e9s\u00e9t kell k\u00f3rh\u00e1zi k\u00f6r\u00fclm\u00e9nyek k\u00f6z\u00f6tt \u00e9s kezel\u00e9si terv szerint v\u00e9gezni.3-6<\/sup><\/p>\n<\/div>\n\n

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A legk\u00f6zelebbi hemof\u00edlia kezel\u0151 k\u00f6zpont<\/a> megkeres\u00e9s\u00e9hez kattintson ide<\/a>. VWDtest.com\/hu tov\u00e1bbi inform\u00e1ci\u00f3kat ny\u00fajt a VWD etiol\u00f3gi\u00e1j\u00e1r\u00f3l<\/a>, diagnosztiz\u00e1l\u00e1s\u00e1r\u00f3l<\/a> \u00e9s menedzsel\u00e9s\u00e9r\u0151l<\/a>, valamint betekint\u00e9st ny\u00fajt a VWD-ben szenved\u0151 betegek tipikus \u00fatj\u00e1ba.<\/p>\n<\/div>\n\n

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Referenci\u00e1k<\/h6>\n<\/div>\n\n
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    \n
  1. de Wee EM, et al. Thromb Haemost<\/em> 2012; 108:683-92.<\/li>\n<\/div>\n\n
    \n
  2. Brown MC et al. Haemophilia <\/em>2022; 28:73-9.<\/li>\n<\/div>\n\n
    \n
  3. Anderson JAM et al. Br Dent J<\/em> 2013; 215:497-504.<\/li>\n<\/div>\n\n
    \n
  4. Kalsi H et al. Haemophilia<\/em> 2012; 18:510-5.<\/li>\n<\/div>\n\n
    \n
  5. Corrales-Medina FF et al. Blood Rev<\/em><\/a> <\/a><\/em>2023; 58:101018.<\/li>\n<\/div>\n\n
    \n
  6. WFH guidelines for dental treatment of patients with inherited bleeding disorders; https:\/\/elearning.wfh.org\/resource\/guidelines-for-dental-treatment-of-patients-with-inherited-bleeding-disorders\/<\/a>; last accessed Nov 2022.<\/li>\n<\/div><\/ol>\n<\/div>","protected":false},"excerpt":{"rendered":"

    Az olyan v\u00e9rz\u00e9si rendelleness\u00e9gekkel k\u00fczd\u0151 betegek, mint a hemof\u00edlia vagy a von Willebrand-k\u00f3r (VWD), fokozottan ki vannak t\u00e9ve a sz\u00e1jv\u00e9rz\u00e9s kock\u00e1zat\u00e1nak, rutinszer\u0171 fog\u00e1szati ell\u00e1t\u00e1s sor\u00e1n is.1,2 A v\u00e9rz\u00e9s fogmos\u00e1s vagy fogselyem haszn\u00e1lata ut\u00e1n is el\u0151fordulhat, \u00e9s a v\u00e9rz\u00e9st\u0151l val\u00f3 f\u00e9lelem megakad\u00e1lyozhatja a betegeket a j\u00f3 sz\u00e1jhigi\u00e9nia fenntart\u00e1s\u00e1ban \u00e9s a rendszeres fogorvosi ell\u00e1t\u00e1s ig\u00e9nybe v\u00e9tel\u00e9ben.2-4 M\u00e9g […]<\/p>\n","protected":false},"author":1,"featured_media":233,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false},"acf":[],"yoast_head":"\nVWD \u00c9S FOG\u00c1SZAT - Hungary<\/title>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"VWD \u00c9S FOG\u00c1SZAT - 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