Ua lohe ka nui o kākou i ka ʻōlelo 'nā ilo niho'? I kekahi manawa, ke inu ʻoe i kahi wai anuanu, mae kou mau niho, a i ʻole ke ʻai ʻoe i kahi mea ʻono, ʻeha kou mau niho mai loko mai. Hiki i kēia ke lilo i mau hōʻailona mua o ka palaho niho a i ʻole nā lua. He mea maʻamau loa kēia. Hiki i nā mea a pau mai kahi keiki liʻiliʻi a i kahi ʻelemakule ke loaʻa i kēia maʻi. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano maoli, pehea e ulu ai, a pehea e pale aku ai a mālama i kahi minoʻaka olakino a nani.
He aha maoli ka lua?
I ka ʻōlelo maʻalahi, he lua ka lua i loko o ka niho. Hoʻokumu ʻia ia e ka pala o ka niho. He uhi paʻakikī ko ko mākou mau niho a pale i kapa ʻia ʻo ka enamel. ʻO kēia ka mea a mākou e kapa ai. Hoʻopau mālie ʻia kēia enamel a hoʻopau ʻia e kekahi mau waikawa i loko o ko mākou waha, ka mea e hana ai i kēia mau lua, a i ʻole nā lua.
ʻO kekahi inoa lapaʻau ko kēia, ʻo ia hoʻi ʻo "Dental Caries." Hiki iā mākou ke pale aku i kēia maʻi i kahi nui ma ka hoʻomaʻemaʻe waha maikaʻi a me ka nānā mau ʻana i nā niho.
He aha nā ʻano nui o nā lua?
Hiki i kēia pala niho ke hoʻomaka ma kekahi ʻili o ka niho. Aia kekahi mau ʻano nui ma muli o kahi e loaʻa ai. E nānā kākou i ko lākou ʻano.
| ʻAno lua | He wehewehe maʻalahi e pili ana i ia mea |
|---|---|
| ʻO ka ʻino ʻana o ka ʻili laumania | He ʻano ulu lohi kēia e hoʻoheheʻe ana i ka enamel o nā niho. Hiki ke pale ʻia a i kekahi manawa hoʻohuli ʻia ma ka palaki pono ʻana i kou mau niho a me ka mālama ʻana i kou waha i ka maʻemaʻe. ʻO ka maʻamau, ulu kēia ʻano pala ma waena o nā niho i ka poʻe ma ko lākou mau makahiki he 20. |
| Ka pala o ka lua a me ka māwae | He mau lua kēia a me nā lua i hana ʻia ma luna o nā niho kahi a mākou e nau ai i ka meaʻai. Hiki iā lākou ke hoʻopilikia i ke alo o nā niho hope. Hoʻomaka pinepine kēia ʻano i ka wā ʻōpio a ulu koke. |
| Palaho aʻa | ʻOi aku ka nui o ka loaʻa ʻana o kēia ʻano maʻi ʻāʻī i nā pākeke me nā ʻāʻī e emi ana i ko lākou ʻelemakule ʻana. Ke emi nā ʻāʻī, hōʻike ʻia nā aʻa o nā niho. ʻOi aku ka maʻalahi o kēia i ka hōʻino ʻia e nā bacteria a me nā waikawa. Hiki ke paʻakikī kēia ke pale aku a me ka mālama ʻana. |
ʻO wai ka mea i kūpono loa e loaʻa i nā lua?
ʻO ka ʻoiaʻiʻo, hiki i kekahi o kēlā me kēia makahiki ke loaʻa ka pala niho. Akā , ʻoi aku ka maʻamau i waena o nā keiki ʻōpio. ʻO ke kumu o kēia, ʻaʻole pinepine nā keiki ʻōpio e palaki pono i ko lākou mau niho a me ka pinepine a ʻai nui i nā meaʻai a me nā mea inu momona.
Eia kekahi, hiki ke ulu nā lua i nā pākeke. I kekahi manawa, hiki i kahi niho i hoʻopiha ʻia i kou wā kamaliʻi ke hoʻomaka hou e pala a puni nā kihi. Eia kekahi, ʻoi aku ka nui o ka poʻe pākeke e loaʻa nā ʻāʻī e emi ana. A laila hiki i nā aʻa o ka niho ke puka i waho, e ʻae ana i ka bacteria e hōʻiliʻili a hana i ka pala.
He aha nā hōʻailona o ka pala niho?
I ka wā mua, i ka wā e hōʻino ʻia ai ka enamel o ka niho, ʻaʻohe ʻeha a i ʻole nā hōʻailona ʻē aʻe. Hoʻomaka ʻoe e ʻike i nā hōʻailona ke komo ka palaho i loko o ka enamel a komo i loko o nā papa o loko o ka niho, i kapa ʻia ʻo "Dentin" a me "Pulp".
ʻO nā hōʻailona nui kēia:
- Hanu ʻino a i ʻole ka ʻono ʻino i loko o ka waha.
- Nā ʻāʻī koko a i ʻole nā hōʻailona ʻē aʻe o ka maʻi ʻāʻī.
- Pehu maka.
- ʻEha niho a ʻeha waha paha.
- Ka mae ʻana o nā niho i ka wā e ʻai ai i nā meaʻai a me nā mea inu anu a wela paha.
ʻO ka mea nui loa, mai kali a ʻike ʻia ka ʻeha niho. I ka manawa e ʻeha ai ʻoe, ua pālahalaha paha ka pōʻino. ʻOi aku ka maikaʻi o ka ʻike ʻana iā ia i ka wā mua.
Nā pae o ka palaho niho
ʻAʻole hiki koke mai ka pala o nā niho. He hana mālie ia e hana ʻia ma kekahi mau ʻanuʻu.
| Kahua | He aha ka mea e hana ʻia a me nā hōʻailona |
|---|---|
| 1. Hoʻohemo ʻana i nā mineral | ʻO kēia ke kahua mua. I ka nalowale ʻana o nā minelala i loko o ka enamel niho, ʻike paha ʻoe i nā kiko liʻiliʻi, keʻokeʻo, a me ka ʻōka ma ka niho. Inā mālama ʻia ma kēia wahi, hiki ke hoʻohuli ʻia. |
| 2. Palaho ʻana o ka enamel | Inā ʻaʻole mālama ʻia, e hoʻomau ka palaho a e haki hou ka enamel. I kēia manawa, e ʻike paha ʻoe i kahi lua liʻiliʻi i loko o ka niho. Hiki i kēlā wahi keʻokeʻo ke lilo i kala ʻeleʻele māmā. |
| 3. Palaho o ka niho | ʻO Dentin ka papa ma lalo o ka enamel. He palupalu loa ia ma mua o ka enamel. No laila, ke hiki aku ka bacteria i kēia papa, ʻoi aku ka wikiwiki o ka palaho. I kēia manawa, e hoʻomaka paha ʻoe e manaʻo i kahi ʻano ʻūlū i kou mau niho. Hiki i ka ʻōpala ma ka niho ke lilo i kala ʻeleʻele. |
| 4. Ka pōʻino o ka pulp | ʻO ka ʻāpana o loko o ka niho i kapa ʻia ʻo ka pulp. ʻO kēia kahi e loaʻa ai nā aʻalolo a me nā kīʻaha koko. Ke hiki ka palaho i kēia wahi, e hoʻomaka ʻoe e ʻeha nui. Hiki i nā ʻāʻī a puni ka niho ke lilo i ʻulaʻula a pehu. Hiki i ka niho ke lilo i ʻeleʻele ʻeleʻele a ʻeleʻele paha. |
| 5. Niho ʻeha | Inā ʻaʻole mālama ʻia, hiki i ka palaho niho hohonu ke lilo i maʻi. Hoʻokumu ʻia kahi abscess piha i ka pus a puni ke aʻa o ka niho (periapical abscess). Hiki i ka ʻeha ke pālahalaha i ka ʻāwae a me ka maka. Aia paha ka pehu o ka maka a me nā lymph node pehu i ka ʻāʻī. Hiki ke lilo i mea weliweli. Hiki i ka maʻi ke pālahalaha i nā ʻiʻo a puni a, i nā hihia kakaikahi, i ka lolo a i ke koko paha (sepsis). |
No ke aha e loaʻa ai iā kākou nā lua? He aha ke kumu?
Nui nā kumu no kēia. Penei ke kaʻina hana:
1. Ke kōpaʻa a me ka bacteria: Ke ʻai ʻoe i nā meaʻai a me nā mea inu i loaʻa ke kō a me ka starch (nā huaʻai, nā mea ʻono, ka berena, nā biscuits, nā mea inu ʻono, ka waiū), ʻai nā bacteria i loko o ko kākou waha iā lākou.
2. Ka hana ʻakika: Hoʻololi nā bacteria i kēia mau kalapona i nā waikawa.
3. Ka Hoʻokumu ʻia ʻana o ka Plaque: Hoʻohui pū ʻia nā bacteria, nā waikawa, nā ʻāpana meaʻai, a me ka lawai e hana i kahi ʻili pipili i kapa ʻia ʻo ka plaque niho. Hoʻopaʻa ʻia kēia ma luna o nā niho.
4. Ka hoʻoheheʻe ʻana o ka enamel:Ke palaki pono ʻole kākou a hoʻohana i ka floss i ko kākou mau niho, hoʻoheheʻe mālie nā waikawa i loko o kēia mau toothpaste i ka enamel niho, e hana ana i nā lua a i ʻole nā lua.
Nā kumu pilikia no ka hoʻomohala ʻana i nā lua
Hiki i kekahi mau mea ke hoʻonui i kou pilikia o ka pala niho:
- Waha maloʻo (Xerostomia): Hiki i kekahi mau maʻi a i ʻole kekahi mau lāʻau lapaʻau (e like me nā antidepressants) ke hoʻemi i ka hana ʻana o ka lawai.
- Nā ʻano ʻai: ʻAi pinepine ʻana i nā meaʻai momona a me nā meaʻai māmā ma waena o nā pāʻina nui.
- Moʻolelo ʻohana: Inā loaʻa i kou ʻohana ka maʻi pala niho, hiki paha iā ʻoe ke piʻi aʻe ka pilikia.
- Nā ʻāʻī e emi ana: ʻO kēia ke kumu e hōʻike ʻia ai ke aʻa o nā niho.
- Lapaʻau maʻi kanesa: Inā ua loaʻa iā ʻoe ka radiation therapy ma ke poʻo a me ka ʻāʻī.
Pehea e ʻike ai ke kauka niho i kahi lua?
ʻO ke ala maikaʻi loa e ʻike koke ai i kēia, ʻo ia ke ʻike ʻana i kāu kauka niho ma ka liʻiliʻi ʻelua i ka makahiki no ka nānā ʻana. E hoʻohana ke kauka niho i nā mea hana kūikawā e nānā i kou mau niho. ʻO ka niho me kahi lua e palupalu ma mua o ka niho maʻamau ke hoʻopā ʻia me ka mea hana.
Eia kekahi, hiki i ke kauka niho ke hana i nā kukuna X-niho. Hiki i kēia mau kukuna X ke ʻike maopopo i nā lua i ʻike ʻole ʻia ma ka ʻili o ka niho, e like me nā mea ma waena o nā niho a ma lalo paha o nā ʻāʻī.
He aha nā lāʻau lapaʻau no nā lua?
ʻO ke ʻano o ka mālama ʻana ma muli o ka nui o kou pala niho.
| ʻAno lapaʻau | He aha kāu e hana ai me kēia? |
|---|---|
| Nā Lapaʻau Fluoride | Hana ʻia kēia i nā pae mua o ka palaho. Hiki i ka Fluoride ke kōkua i ka hoʻoikaika ʻana i ka enamel i hōʻino ʻia (remineralization). Hiki i kēia ke hoʻohuli i ka palaho. Hiki i ke kauka niho ke ʻōlelo aku i nā toothpaste fluoride kūikawā a me nā holoi waha. |
| Nā hoʻopihapiha niho | Ke loaʻa kahi lua i ka niho, e ʻeli ke kauka niho i ka ʻāpana palaho a hoʻopiha i ka lua me kahi mea kūikawā. Hiki i kēia ke lilo i resin composite kala niho a i ʻole amalgam kālā. |
| Lapaʻau Aʻa Aʻa | Hana ʻia kēia lāʻau lapaʻau inā ua hiki ka pala i ka pulp o ka niho a ke kumu nei i ka ʻeha nui. Maanei, wehe ʻia ka pulp a me nā aʻalolo i loaʻa i ka maʻi i loko o ka niho, hoʻomaʻemaʻe pono ʻia ka ʻaoʻao o loko, a hoʻopiha ʻia ka niho me kahi mea kūikawā a uhi ʻia. Hiki i kēia ke hoʻopakele i ka niho me ka ʻole o ka wehe ʻana. |
| Ka Unuhi Niho | Inā nui loa ka pōʻino o ka niho a nui loa ka palaho e hiki ʻole ke hoʻōla ʻia e nā lāʻau lapaʻau i luna, pono paha e unuhi ʻia a wehe ʻia ka niho. Ma hope o kēlā, hiki ke kau ʻia kahi niho hana i kapa ʻia ʻo "Dental Bridge" a i ʻole "Dental Implant" i loko o ka hakahaka. |
Pehea e hiki ai iā ʻoe ke pale aku i kēia? (Kāohi ʻana)
ʻOi aku ka maikaʻi o ka pale ʻana ma mua o ka hoʻōla ʻana. No laila, e hana pono i kēia mau mea e pale aku ai i ka pala o nā niho.
- E palaki i kou mau niho i ʻelua manawa i ka lā: E palaki i kou mau niho i ke kakahiaka a ma mua o ka moe ʻana i ka pō me ka toothpaste fluoride a me ka palaki niho palupalu. Inā hiki, ʻoi aku ka maikaʻi o ka palaki ʻana ma hope o kēlā me kēia ʻai.
- E hōʻemi i nā meaʻai ʻono a me nā mea ʻono: E hōʻemi i kāu ʻai ʻana i nā mea ʻono, nā biscuits, a me nā mea inu ʻono i ka hiki.
- E hoʻohana i ka floss niho: E holoi i ka floss i kēlā me kēia lā e wehe i nā ʻāpana meaʻai a me nā plaque niho i paʻa ma waena o kou mau niho.
- Nā nānā niho maʻamau: E kipa aku i ke kauka niho ma ka liʻiliʻi hoʻokahi manawa i kēlā me kēia 6 mahina e nānā i kou mau niho.
- Nā Sila Niho: He uhi pale i hoʻopili ʻia i nā ʻili nau o nā niho hope, ʻoi aku hoʻi i nā keiki. Hoʻōki kēia i ka paʻa ʻana o ka meaʻai a pale i ka palaho.
Āhea ʻoe e ʻike ai i ke kauka niho?
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e ʻike pono i ke kauka niho:
- Inā e kahe ana ke koko o kou ʻāʻī.
- Inā paʻakikī ke nau i ka meaʻai.
- Inā he mau hōʻailona o ka maʻi (kuni, pehu).
- Inā pehu ka maka.
- Inā he ʻeha niho a ʻeha waha paha kou.
Leka Lawe-Home
- ʻOiaʻiʻo, ʻai nā ilo i nā niho, ʻo ia hoʻi, ʻo nā waikawa i hana ʻia e ka bacteria e hoʻoheheʻe i ka enamel niho a hana i nā lua.
- ʻOiai ʻaʻohe ʻeha i nā pae mua, e makaʻala i nā hōʻailona e like me ka mae ʻana o ka niho, nā kiko keʻokeʻo a ʻeleʻele paha. Mai kali a ulu ka ʻeha.
- ʻO ka pale ʻana ka lāʻau lapaʻau maikaʻi loa. E palaki i kou mau niho i ʻelua manawa i ka lā me ka toothpaste fluoride, floss, a e kaupalena i nā meaʻai kō.
- Ma ka ʻike ʻana i kahi kauka niho ma ka liʻiliʻi i hoʻokahi manawa i kēlā me kēia 6 mahina no ka nānā ʻana i nā niho, hiki iā ʻoe ke ʻike i nā lua ma mua o ka lilo ʻana i pilikia nui a mālama iā lākou me nā lāʻau maʻalahi.
- Inā ʻike ʻoe i kekahi mau loli, ʻeha, a i ʻole ka mae ʻana o kou mau niho, e kamaʻilio me kāu kauka niho e pili ana i ia mea.
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