{"id":77,"date":"2025-02-13T12:39:44","date_gmt":"2025-02-13T10:39:44","guid":{"rendered":"https:\/\/sisu.ut.ee\/hambatraumad\/?page_id=77"},"modified":"2025-03-18T13:07:02","modified_gmt":"2025-03-18T11:07:02","slug":"kuidas-teostada-jaavhamba-replantatsiooni","status":"publish","type":"page","link":"https:\/\/sisu.ut.ee\/hambatraumad\/kuidas-teostada-jaavhamba-replantatsiooni\/","title":{"rendered":"Kuidas teostada j\u00e4\u00e4vhamba suhu tagasi asetamist ehk replantatsiooni?"},"content":{"rendered":"<ol start=\"1\" class=\"wp-block-list\">\n<li>Leida avulseerunud j\u00e4\u00e4vhammas \u00fcles.\u00a0<\/li>\n\n\n\n<li>V\u00f5imalusel loputada hamba alveooli f\u00fcsioloogilise lahusega (eelk\u00f5ige tervishoiut\u00f6\u00f6taja poolt teostatav).\u00a0<\/li>\n\n\n\n<li>V\u00f5tta kinni ainult hamba krooniosast (valge laiem osa). Hamba juurepinda ei tohi katsuda, sest sellel olevad periodontaalligamendi (PDL) rakud m\u00e4ngivad olulist rolli hamba taas\u00fchinemises alveooli kudedega. PDL rakkude kahjustumine m\u00f5jutab hamba prognoosi.\u00a0<\/li>\n\n\n\n<li>Kui juur on puhas, teostada kohene repositsioon ehk hamba tagasi asetamine.\u00a0<\/li>\n\n\n\n<li>Kui hamba peal on n\u00e4ha mustust, loputada hammast paar sekundit f\u00fcsioloogilise lahuse, piima v\u00f5i kannatanu s\u00fcljega. Avulseerunud hammast ei tohi desinfitseerida ja mehaaniliselt puhastada. Teostada kohene repositsioon.\u00a0<\/li>\n\n\n\n<li>Motiveerida vigastatut asetama hammast ettevaatlikult oma kohale tagasi v\u00f5i teha seda ise (vt Foto 3).\u00a0<\/li>\n\n\n\n<li>Kui hammas on tagasi asetatud, paluda vigastatul hammustada marlitampooni v\u00f5i salvr\u00e4tti, et hammas p\u00fcsiks suus paigal (vt Foto 4).\u00a0<\/li>\n\n\n\n<li>Kui hamba tagasi asetamine \u00f5nnestus, siis vigastatu peab ise p\u00f6\u00f6rduma hambaarstile esimesel v\u00f5imalusel, soovituslikult 24 tunni jooksul.\u00a0<\/li>\n<\/ol>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>Soovituslikud t\u00e4iendavad tegevused, kui olete tervishoiut\u00f6\u00f6taja:\u00a0<\/strong><\/p>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li>Vajadusel peatada verejooks ja kontrollida teiste vigastuste suhtes.\u00a0<\/li>\n\n\n\n<li>Ordineerida prof\u00fclaktiline antibakteriaalne ravi.\u00a0<\/li>\n\n\n\n<li>Vajadusel teetanuse prof\u00fclaktika.\u202f\u00a0<\/li>\n<\/ol>\n\n\n\n<p><strong>Juhised kannatanule:\u00a0<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Kodus pehme jahe dieet 2 n\u00e4dalat.\u00a0<\/li>\n\n\n\n<li>M\u00e4luda vastassuupoolega.\u00a0\u00a0<\/li>\n\n\n\n<li>Hammast mitte katsuda, torkida.\u00a0\u00a0<\/li>\n\n\n\n<li>Hammaste pesemist 2x p\u00e4evas peab j\u00e4tkama.\u00a0<\/li>\n\n\n\n<li>M\u00e4\u00e4rida 0,20% kloorheksidiini sisaldava geeliga v\u00f5i loputa kloorheksidiini sisaldava suuveega (nt PerioKin) 2 n\u00e4dala jooksul: 30 sekundit iga 12 tunni j\u00e4rel 2 n\u00e4dala jooksul.\u00a0\u00a0<\/li>\n\n\n\n<li>Hoiduda spordist ja f\u00fc\u00fcsilisest koormusest.\u202f\u00a0<\/li>\n<\/ul>\n\n\n\n<p><strong>T\u00e4iendav info: Tervisekassa infomaterjal \u201eHambatraumad\u201c<\/strong>\u00a0<a href=\"https:\/\/www.tervisekassa.ee\/infomaterjalid\/hambatraumad\" target=\"_blank\" rel=\"noreferrer noopener\">Hambatraumad | Tervisekassa<\/a>\u00a0<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p><strong>Hea teada!<\/strong>\u00a0J\u00e4\u00e4vhamba hambasompu tagasiasetamine on lihtne ja ei vaja tuimestust ning seda peaks iga inimene oskama (ja julgema) teha \u2013 hambajuur kuulub hambasompu ning l\u00e4heb sinna kergesti sisse, kui proovida.\u00a0<\/p>\n\n\n\n<p><strong>Pane t\u00e4hele!<\/strong> Kui j\u00e4\u00e4vhamba repositsioon ei ole kohe v\u00f5imalik (n\u00e4iteks kui vigastatu on teadvuseta v\u00f5i ei ole koost\u00f6\u00f6v\u00f5imeline ja ise keeldub esmaabist), asetada hammas f\u00fcsioloogilise lahuse, piima v\u00f5i kannatanu s\u00fclje sisse ja teha repositsioon v\u00f5i suunata hambaarsti juurde esimesel v\u00f5imalusel.\u202f\u202fKui j\u00e4\u00e4vhammas on asetatud tagasi rohkem kui 15 minuti jooksul, suureneb risk t\u00fcsistustele. Sellest hoolimata on repositsioon alati n\u00e4idustatud hoolimata trauma ajast.\u202f\u00a0<\/p>\n\n\n\n<p><strong>Vees ei tohi avulseerunud hammast hoida!<\/strong>\u00a0<\/p>\n<\/blockquote>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"955\" height=\"639\" src=\"https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/887\/Screenshot-2025-02-13-at-12.38.09.png\" alt=\"\" class=\"wp-image-78\" srcset=\"https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/887\/Screenshot-2025-02-13-at-12.38.09.png 955w, https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/887\/Screenshot-2025-02-13-at-12.38.09-300x201.png 300w, https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/887\/Screenshot-2025-02-13-at-12.38.09-768x514.png 768w\" sizes=\"auto, (max-width: 955px) 100vw, 955px\"><figcaption class=\"wp-element-caption\"><em>Foto 3. Hamba oma kohale tagasi asetamine krooniosast kinni hoides<\/em><\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"955\" height=\"639\" src=\"https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/887\/Screenshot-2025-02-13-at-12.38.49.png\" alt=\"\" class=\"wp-image-79\" srcset=\"https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/887\/Screenshot-2025-02-13-at-12.38.49.png 955w, https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/887\/Screenshot-2025-02-13-at-12.38.49-300x201.png 300w, https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/887\/Screenshot-2025-02-13-at-12.38.49-768x514.png 768w\" sizes=\"auto, (max-width: 955px) 100vw, 955px\"><figcaption class=\"wp-element-caption\"><em>Foto 4. Hammustada marlit v\u00f5i salvr\u00e4tti, et hoida hammast \u00f5iges asendis<\/em><\/figcaption><\/figure>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Soovituslikud t\u00e4iendavad tegevused, kui olete tervishoiut\u00f6\u00f6taja:\u00a0 Juhised kannatanule:\u00a0 T\u00e4iendav info: Tervisekassa infomaterjal \u201eHambatraumad\u201c\u00a0Hambatraumad | Tervisekassa\u00a0 Hea teada!\u00a0J\u00e4\u00e4vhamba hambasompu tagasiasetamine on lihtne ja ei vaja tuimestust ning seda peaks iga inimene oskama (ja julgema) teha \u2013 hambajuur kuulub hambasompu ning l\u00e4heb &#8230;<\/p>\n","protected":false},"author":9,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-77","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/sisu.ut.ee\/hambatraumad\/wp-json\/wp\/v2\/pages\/77","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sisu.ut.ee\/hambatraumad\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sisu.ut.ee\/hambatraumad\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sisu.ut.ee\/hambatraumad\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/sisu.ut.ee\/hambatraumad\/wp-json\/wp\/v2\/comments?post=77"}],"version-history":[{"count":7,"href":"https:\/\/sisu.ut.ee\/hambatraumad\/wp-json\/wp\/v2\/pages\/77\/revisions"}],"predecessor-version":[{"id":276,"href":"https:\/\/sisu.ut.ee\/hambatraumad\/wp-json\/wp\/v2\/pages\/77\/revisions\/276"}],"wp:attachment":[{"href":"https:\/\/sisu.ut.ee\/hambatraumad\/wp-json\/wp\/v2\/media?parent=77"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}