Ua ʻike anei ʻoe i nā kiko keʻokeʻo liʻiliʻi a i ʻole nā kiko ʻeleʻele i kekahi manawa ma kou mau niho a i ʻole nā niho o kāu keiki? Ke ʻike nei ʻoe a i ʻole kahi mea aloha i ka ʻeha hui a iwi paha i wehewehe ʻole ʻia e paʻakikī ai ka hele wāwae? Hiki ke hoʻopili pinepine ʻia kēia mau pilikia i ka nui o kahi mineral i kapa ʻia ʻo fluoride i loko o kou kino. Ua kapa ʻia kēia ʻano ʻo Fluorosis . E ʻoluʻolu, mai hopohopo—ʻoiai ke kani nei he lapaʻau, e wehewehe mākou iā ia i mea e hiki ai iā ʻoe ke hoʻomaopopo i ke ʻano o ia mea a pehea e pili ai i kou olakino ma Nirogi Lanka.
He aha maoli ka Fluorosis?
I ka ʻōlelo maʻalahi, ʻo ka Fluorosis kahi maʻi i hoʻokumu ʻia e ka ʻai ʻana i ka nui o ka fluoride i kahi manawa lōʻihi. ʻO ka Fluoride kahi mineral kūlohelohe i loaʻa i ka lepo a me ka wai. I nā liʻiliʻi liʻiliʻi, he mea pono maoli ia no ka mea kōkua ia i ka pale ʻana i ka pala o ka niho, ʻo ia ke kumu e ʻike ai ʻoe he mea maʻamau ia i loko o nā toothpastes he nui. Eia naʻe, e like me nā mea āpau, hiki i ka nui o kahi mea maikaʻi ke lilo i mea ʻino. E like me ka ʻōlelo kahiko, "ʻo ke kaulike ke kī," a he ʻoiaʻiʻo nō hoʻi ia no ka fluoride.
Aia ka fluoride i loko o ka wai āu e inu ai. Ma muli o kou wahi, hiki ke ʻokoʻa loa nā pae fluoride i loko o kāu kumu wai. Manaʻo pinepine nā luna olakino i kahi pae kūpono o 0.7 milligrams i ka lita (mg/L) i ka wai inu e hoʻokō i ke kaulike kūpono—e hāʻawi ana i ka lawa e pale ai i kou mau niho me ka pale ʻana i nā hopena maikaʻi ʻole i ke olakino.
He aha nā ʻano o ka Fluorosis?
Aia kekahi mau ʻano nui o Fluorosis. E nānā kākou iā lākou:
He aha ka Fluorosis niho?
ʻO kēia ke ʻano maʻamau a mākou e ʻike ai. Hoʻopilikia ia i kou mau niho. Loaʻa ia i nā makahiki ʻewalu mua o ke ola—i ka wā e hoʻokumu mau ana kou mau niho paʻa—inā ʻoe e ʻai nui i ka fluoride. Hiki i ka Dental Fluorosis ke ʻano mai ka ʻoluʻolu loa a i ka koʻikoʻi. Eia naʻe, ʻaʻole ia he ʻano ʻeha. Hoʻomaopopo pinepine ʻia ia he hopohopo hoʻonaninani e pili ana i ke ʻano o nā niho a ʻaʻole ia e hoʻopilikia pinepine i ka hana holoʻokoʻa a i ʻole ke olakino o kou mau niho.
Ke Hoʻomaopopo ʻana i ka Fluorosis Skeletal
He ʻano koʻikoʻi kēia e pono ai ke kōkua lapaʻau. Hoʻopilikia ia i kou mau iwi a me nā hono. I loko o nā makahiki he nui o ka lawe nui ʻana i ka fluoride, hiki iā ia ke alakaʻi i nā pilikia olakino maikaʻi ʻole, e like me ka Osteoporosis (nā iwi palupalu a palupalu), Arthritis (ka mumū o nā hono), a me ka ʻeha mau o nā hono.
He aha ka Fluorosis ʻole-iwi?
E noʻonoʻo i kēia ma ke ʻano he hōʻailona mua e hōʻike pinepine ana i nā pilikia iwi. Hoʻopilikia nui ia i kou ʻōpū gastrointestinal , e alakaʻi ana i nā hōʻailona e like me ka ʻōpū ʻeha, ka paʻa ʻana o ka ʻōpū, ka maʻi diarrhea, ka pehu ʻana, a me ka nalowale o ka makemake.
Pehea ka maʻamau o ka Fluorosis?
He mea nui ka fluorosis niho ma ka honua holoʻokoʻa. Ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa, hoʻopilikia ia ma kahi o 23% o ka heluna kanaka.
Eia nō naʻe, he mea kakaikahi loa ka Skeletal Fluorosis ma nā ʻāina holomua e like me ʻAmelika Hui Pū ʻIa akā ke noho nei maʻamau ma kekahi mau wahi o ʻAsia a me ʻApelika. Hōʻike ʻo India a me Kina i ka nui o nā hihia. ʻOiai he paʻakikī ke hahai i nā helu helu honua pololei, ua ʻike ʻia kekahi noiʻi mai loko mai o 445 poʻe e noho ana ma kahi me ka nui o ka fluoride kūlohelohe, 94 mau kānaka i loaʻa i kēia maʻi.
Ma nā wahi he nui o ʻAmelika Hui Pū ʻIa, aia nā pae fluoride maoli ma lalo o ka māka 0.7 mg/L, ʻo ia ke kumu e hoʻoponopono ai nā ʻōnaehana wai kūlanakauhale he nui i nā pae fluoride. I ka ʻaoʻao ʻē aʻe, ma nā ʻāpana o ʻAsia a me ʻApelika, ua hoʻopiha maoli ʻia ka wai honua me nā pae kiʻekiʻe o ka fluoride. No ka laʻana, hōʻike kekahi mau wahi ma India i nā ʻano o 2.37 mg/L, a i kekahi mau hihia, a hiki i ka 9.22 mg/L. Ma Sri Lanka pū kekahi, ʻoi aku hoʻi ma nā wahi maloʻo, he mea nui e makaʻala i nā pae fluoride i loko o kāu kumu wai kūloko. ʻO ka ʻike ʻana i kahi i loaʻa ai kou wai he hana koʻikoʻi ia i ka mālama ʻana i ke olakino o kou ʻohana.
He aha nā hōʻailona o ka maʻi Fluorosis?
ʻOkoʻa nā hōʻailona ma muli o ke ʻano o ka Fluorosis a me ka lōʻihi o ka hōʻike ʻana. Ke piʻi aʻe kāu lawe ʻana i ka fluoride, hiki ke hahai mai ka koʻikoʻi o nā hōʻailona.
Nā Hōʻailona o ka Fluorosis Niho
ʻO ka hōʻailona o ka Dental Fluorosis ka hoʻololi ʻana o ka niho. Ma muli o ke koʻikoʻi, hoʻokaʻawale nā niho niho penei:
- He mea kānalua: Nā kiko keʻokeʻo palupalu loa a i ʻole nā kiko keʻokeʻo .
- ʻAʻoluʻolu loa: Nā wahi keʻokeʻo liʻiliʻi a ʻālohilohi e uhi ana i lalo o 25% o ka ʻili niho.
- ʻAʻole nui: Nā wahi keʻokeʻo e uhi ana i ka emi ma mua o 50% o ka ʻili niho.
- Kaulike: Nā kiko keʻokeʻo a ʻeleʻele paha e uhi ana ma mua o 50% o ka ʻili niho.
- Koʻikoʻi: ʻO ka laha nui ʻana o ke keʻokeʻo, ʻeleʻele māmā, a ʻeleʻele paha. E ʻike paha ʻoe i ka lua ʻana o ka ʻili a i ʻole ke ʻano i ʻino ʻia a palaho o ka enamel niho.
Nā Hōʻailona o ka Fluorosis Skeletal a me Non-skeletal
ʻO nā hōʻailona mua o ka Fluorosis Non-skeletal e komo pū me:
- ʻEha ʻōpū
- Pehu ʻana
- Ka paʻa ʻana o ka ʻōpū
- Ka maʻi pākī
- ʻEha a me ka ʻoʻoleʻa o nā hono
- ʻEha hope
- Ka hoʻopau ʻana i nā ʻiʻo
- Ka luaʻi a me ka luaʻi
I ka holomua ʻana o ke kūlana a me ka hōʻike ʻana o nā hōʻailona Skeletal Fluorosis, hiki iā ʻoe ke ʻike:
- Nā haki iwi
- Nā ʻano kīnā i nā iwi a me ke kolamu kuamoʻo
- Ka hemahema o ka noʻonoʻo (nā pilikia me ka hoʻomanaʻo a i ʻole ka nānā ʻana)
- Myelopathy (ʻeha aʻalolo ma muli o ke kaomi ʻana o ke kaula spinal)
- ʻO ka Osteosclerosis (ka paʻakikī/ka nui ʻole o nā iwi)
- ʻO Radiculopathy (ʻeha i hana ʻia e ke aʻalolo spinal i hoʻopaʻa ʻia)
- ʻŌhū ʻili
- Nā maʻi hiamoe
He aha nā kumu o ka Fluorosis?
Hoʻokumu ʻia ka fluorosis e ka nui o ka fluoride i lawe ʻia. ʻO ke ʻano kēia, ua ʻai ʻoe i nā pae kiʻekiʻe o ka fluoride i loko o kahi manawa lōʻihi. ʻOkoʻa ke ʻano o ka ulu ʻana o kēia maʻi ma muli o ke ʻano o ka fluorosis āu e ʻike nei.
Loaʻa ka Dental Fluorosis i nā keiki ʻōpio ʻoiai e hana mau ana ko lākou mau niho mau loa ma lalo o nā ʻāʻī. Inā ʻai lākou i ka nui o ka fluoride i kēia wā, hiki iā ia ke kumu o ke ʻano. ʻO nā hewa maʻamau ka inu ʻana i ka wai a i ʻole ka ʻai ʻana i ka waiū pauka me ka nui o ka fluoride, a i ʻole ke ale ʻana i ka nui o ka toothpaste waiwai i ka fluoride.
Hiki ke loaʻa ka Fluorosis iwi a me ka Fluorosis ʻole iwi i kēlā me kēia makahiki inā ʻoe e ʻai mau i nā pae kiʻekiʻe o ka fluoride no kekahi mau makahiki. Hoʻopili pinepine ʻia kēia me ka inu ʻana i ka wai fluoride kiʻekiʻe a i ʻole ka inu mau ʻana i ke kī a i ʻole ke kofe i hoʻomākaukau ʻia me ia wai.
Nā Kumu Pilikia no ka Fluorosis
ʻO nā mea pilikia nā mea e hoʻonui ai i kou hiki ke loaʻa i kahi maʻi. Eia nā kumu nui no ka Fluorosis:
- Ke noho nei i kahi i loaʻa ai ke kiʻekiʻe o ka fluoride i ka wai honua.
- ʻO ka ʻai ʻana i ka wai me ka nui o ka fluoride ma mua o 0.7 milligrams no ka lita (mg/L).
- ʻO ka moni pinepine ʻana i nā nui he nui o ka toothpaste i hoʻokumu ʻia i ka fluoride. (ʻOiai ʻo nā liʻiliʻi he mea ʻino ʻole ia, ʻo ka moni ʻana i nā nui he nui i ka wā lōʻihi e hiki ke alakaʻi i ka Fluorosis.)
- Ke hoʻomākaukau ʻana i ka waiū pēpē me ka wai fluoride kiʻekiʻe no ka manawa lōʻihi. (Inā ʻoe e hoʻohana i ka waiū pēpē, e noʻonoʻo e hoʻohana i ka wai fluoride-free e kāwili ai. I ka ʻaoʻao ʻē aʻe, inā loaʻa i kāu wai ka fluoride kiʻekiʻe, e ʻimi i ka waiū pēpē ʻaʻohe fluoride.)
Aia kekahi mau huahana hale, e like me nā mea hoʻopaʻa, nā mea hoʻoluʻu, a me nā mea hoʻomaʻemaʻe lepo ea, i nā fluorocarbons. ʻO ka poʻe e hanu ana i kēia mau huahana, ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka Skeletal a me ka Non-skeletal Fluorosis. ʻO ka hoʻohana hewa ʻana i kēia mau huahana hiki ke alakaʻi i nā hopu ʻana, nā arrhythmias puʻuwai, a me ka make koke.
Inā ʻoe a i ʻole kekahi āu i ʻike ai e hakakā nei me ka hoʻohana ʻana i nā mea ʻona a i ʻole pono i ke kōkua e hoʻōki, he mea nui e ʻimi koke i ka ʻōlelo aʻoaʻo lapaʻau loea a i ʻole nā lawelawe aʻoaʻo. I kahi pilikia, e ʻoluʻolu e kelepona i ka 911 a i ʻole kāu mau lawelawe pilikia kūloko.
Pehea e ʻike ʻia ai ka Fluorosis?
Hiki i ke kauka niho ke ʻike i ka Dental Fluorosis i ka wā o ka nānā ʻana i nā niho maʻamau. I kekahi mau hihia, hiki ke lawe ʻia nā kukuna X e kāpae i nā maʻi niho ʻē aʻe.
ʻOi aku ka paʻakikī o ka ʻike ʻana i ka Fluorosis Skeletal a me Non-skeletal no ka mea hoʻohālikelike pinepine kāna mau hōʻailona i nā kūlana ʻē aʻe. Pono paha kāu kauka e holo i kekahi mau hoʻokolohua, hiki ke komo pū me:
- Nā hoʻāʻo kiʻi e nānā i kou mau iwi, e like me nā X-ray , CT scans (Computed Tomography) , a me nā hoʻāʻo density bone (DXA) .
- Nā hoʻāʻo koko e ana i nā pae fluoride serum i loko o kou kino.
- Urinalysis e loiloi i ka nui o ka fluoride i loko o kāu mimi.
He aha nā lāʻau lapaʻau no ka Fluorosis?
Aia ka lāʻau lapaʻau i ke ʻano o ka Fluorosis āu e loaʻa ai. Hoʻoponopono pinepine ʻia ka Dental Fluorosis ma o ka hana niho hoʻonaninani , ʻoiai ʻoi aku ka paʻakikī o ka mālama ʻana i ka Skeletal Fluorosis a hilinaʻi ia i ke koʻikoʻi o kāu mau hōʻailona a me ka nui o kou kino i hoʻopilikia ʻia.
Ka mālama ʻana i ka fluorosis niho
Inā loaʻa iā ʻoe ka Dental Fluorosis, hiki i kāu kauka niho ke ʻōlelo i kekahi o nā kaʻina hana hoʻonani:
- Hoʻokeʻokeʻo niho: Hoʻopili kāu kauka niho i kahi gel hoʻokeʻokeʻo i kou mau niho no kekahi manawa kikoʻī . Hoʻomālamalama kēia i ka enamel, e kōkua ana i ka hoʻohui ʻana i nā ʻila fluorosis me ke kala o kou niho maoli. Hoʻohana pinepine ʻia kēia no nā hihia ʻoi aku ka maʻalahi.
- Hoʻopaʻa niho: Hoʻohana kāu kauka niho i kahi resin composite kala niho e uhi i nā ʻili fluorosis, a laila hoʻoponopono a hoʻopili i nā niho no kahi hoʻopau kūlohelohe.
- Nā veneers niho: He mau pūpū lahilahi kēia, i hana ʻia me ka resin a i ʻole ka porcelain e uhi ana i ka ʻili mua o kou mau niho. Pono kēia i nā paʻi niho e hōʻoia i kahi kūpono.
- Nā Lei Niho: He uhi i hana kūikawā ʻia e hoʻopuni ana i kou niho holoʻokoʻa. I mea e kūpono ai ke lei niho, pono e wehe ʻia kahi liʻiliʻi o kou enamel maoli.
- ʻEnamel microabrasion: Wehe kāu kauka niho i kahi papa lahilahi loa o ka enamel niho e hoʻopau i ka hapa nui o nā ʻōpala fluorosis. I ka manawa pinepine, hana nā kauka niho i ka hoʻokeʻokeʻo niho ma hope e hōʻoia i kahi kala like.
Ka mālama ʻana i ka Fluorosis Skeletal a me Non-skeletal
ʻO ka pahuhopu nui ka hoʻopau ʻana i ke kumu o ka fluoride keu. Pono ʻoe e hōʻoia i ka ʻole o ka fluoride i kāu wai inu. Hiki iā ʻoe ke hoʻohana i nā ʻōnaehana e like me ka osmosis hoʻohuli , ka distillation , a i ʻole nā kānana kalapona i hoʻāla ʻia . (Nānā: ʻAʻole wehe ka wai paila i ka fluoride, no ka mea, he kūpaʻa ia i ka wela.)
Eia kekahi, hiki i kāu kauka ke ʻōlelo i kēia mau mea:
- Nā steroid anabolic: Hiki i kēia ke kōkua i ka hoʻokele ʻana i nā hōʻailona e pili ana i ka nui o ka iwi.
- Kalipuna a me ka Wikamina D: Kōkua kēia i ke olakino o ka iwi a hiki ke hoʻopili i ke ʻano o ka omo ʻana o kou ʻōpū i ka fluoride.
- Nā NSAID (nā lāʻau anti-inflammatory nonsteroidal):Kōkua kēia i ka hoʻokele ʻana i ka ʻeha a me ka pehu e pili ana me ka Skeletal Fluorosis.
ʻAʻole kēia he papa inoa piha; na kāu kauka e hoʻomohala i kahi hoʻolālā lapaʻau i kūpono i kāu mau pono kikoʻī ma Nirogi Lanka a i ʻole kāu mea mālama ola kūloko.
Hiki ke pale ʻia ka Fluorosis?
ʻO ke ala maikaʻi loa e pale aku ai i ka Fluorosis ʻo ia ka mālama ʻana i kāu lawe ʻana i ka fluoride āpau. Eia kekahi mau ʻōlelo aʻoaʻo:
- E kūkākūkā me kāu luna wai kūloko a i ʻole ke keʻena kūpono e hoʻomaopopo i nā lula fluoride ma kou wahi.
- E hoʻāʻo ʻia kāu wai luawai a wai wai paha o ke kūlanakauhale no nā pae fluoride.
- E noho maopopo e pili ana i nā pae fluoride ma kou wahi.
I mea e pale ai i kāu keiki mai ka pilikia o ka fluorosis, he mea nui e nānā pono i kā lākou lawe ʻana i ka fluoride. ʻOiai he mea nui e pale aku i ka nui o ka fluoride, pono ʻoe e hōʻoia e loaʻa ana i kāu keiki kahi nui kūpono i ka wā e ulu ana ko lākou mau niho. ʻO ka loaʻa ʻana o kēia kaulike ke kī i ke kākoʻo ʻana i ko lākou olakino lōʻihi.
He aha kāu e manaʻo ai i kou wā e noho ana me ka fluorosis?
ʻO ka maʻamau, he ʻano maikaʻi ka fluorosis niho, no ka mea, he mea hoʻonaninani ia ma mua o kahi kūlana ʻino. Hiki i nā lāʻau lapaʻau niho hou ke hoʻoponopono pono i kona helehelena.
ʻO ka nānā ʻana no ka fluorosis skeletal e hilinaʻi nui ʻia i ka wā mua o ka ʻike ʻia ʻana. ʻO ka wikiwiki o kou hoʻōki ʻana i ka lawe ʻana i ka fluoride nui, ʻoi aku ka maikaʻi o kou manawa no ka hoʻōla lōʻihi a me ka mālama ʻana i kāu mau hōʻailona.
Pehea ka lōʻihi o ka fluorosis?
Ma keʻano laulā, ʻaʻole hiki ke hoʻihoʻi ʻia ka fluorosis; ke hana ʻia, mau loa nā loli kino i nā niho a i ʻole nā iwi. Eia nō naʻe, hōʻike kekahi mau noiʻi e hiki i ka lāʻau lapaʻau ke kōkua i ka hōʻoluʻolu ʻana i nā hōʻailona o ka fluorosis skeletal. Eia nō naʻe, ʻo ka nui o ka hoʻomaikaʻi ʻana, e hilinaʻi nui ʻia i ke koʻikoʻi o kāu mau hōʻailona i ka manawa o ka hōʻoia ʻana.
Pehea e hiki ai iā ʻoe ke mālama i kou olakino?
Inā loaʻa iā ʻoe ka fluorosis a noho paha i kahi ʻāina kahi i maʻamau ai, ʻo ke ala maikaʻi loa ka noho ʻana me ka ʻike. E ʻike i nā pae fluoride pololei i loko o kāu wai inu. Ke loaʻa iā ʻoe kēia ʻike, hiki iā ʻoe ke hoʻoholo i nā hoʻoholo e pili ana i kou olakino a me ka pono o kou ʻohana.
Āhea ʻoe e ʻike ai i ke kauka?
Inā kānalua ʻoe he fluorosis niho kou a i ʻole kāu keiki, e hoʻonohonoho i kahi manawa me kāu kauka niho e kūkākūkā i nā koho hoʻonani a me nā koho lapaʻau.
Eia kekahi, inā ʻike koke ʻoe i nā hōʻailona o ka fluorosis skeletal—e like me ka nausea, ka ʻeha mau o ke ami, a i ʻole ka haki pinepine o ka iwi—e ʻoluʻolu e nīnau koke aku i kāu kauka. Hiki iā lākou ke hana i nā hoʻokolohua diagnostic e pono ai e ʻike i ke kumu.
I nā liʻiliʻi liʻiliʻi, hoʻoikaika ka fluoride i nā niho a pale i ka palaho, akā hiki i ka lawe nui ʻana ke lilo i mea ʻino. ʻO ka ʻike ka mana. ʻO ke ala maikaʻi loa e pale aku ai i ka fluorosis, ʻo ia ka noho ʻana me ka ʻike. E hoʻāʻo i kāu kumu wai a kūkākūkā me kāu luna wai kūloko e pili ana i nā kulekele fluoridation ma kou wahi. Inā he mau hopohopo kikoʻī kāu e pili ana i ka hopena o ka fluoride i kou olakino, e kamaʻilio me kāu kauka ma Nirogi Lanka.
Nā Manaʻo Koʻikoʻi mai kēia ʻatikala
I ka hōʻuluʻulu ʻana, eia nā kumu nui e pono ai ʻoe e hoʻomanaʻo:
- ʻO ka Fluorosis kahi maʻi i hoʻoulu ʻia e ka lawe nui ʻana o ka fluoride i ka lōʻihi o ka manawa.
- ʻElua ʻano nui: Dental Fluorosis (e hoʻopilikia ana i nā niho) a me Skeletal Fluorosis (e hoʻopilikia ana i nā iwi a me nā hono).
- Hoʻike pinepine ʻia ka fluorosis niho ma ke ʻano he mau kiko keʻokeʻo a ʻeleʻele paha ma nā niho; ʻaʻohe ʻeha a hiki ke mālama ʻia ma o ka mālama niho hoʻonani.
- He ʻoi aku ka koʻikoʻi o ka fluorosis skeletal a hiki ke alakaʻi i ka ʻeha o nā hono a me ka hoʻonui ʻia o ka pilikia o nā haki.
- ʻO ka noho ʻana e ʻike e pili ana i ka nui o ka fluoride i loko o kou wai inu kou pale maikaʻi loa.
- E makaʻala i nā keiki e moni ana i ka toothpaste fluoride i ko lākou mau makahiki ulu niho.
- Inā ʻike ʻoe i kekahi mau hōʻailona e hopohopo ai, e ʻimi koke i ke kōkua lapaʻau.
E hoʻomanaʻo, he mineral ka fluoride a mākou e pono ai i nā nui i kāohi ʻia. Kū mai ka pilikia me ka nui o ka hōʻike ʻana. Ma ka noho makaʻala a me ka ʻike, hiki iā ʻoe ke pale i kou olakino a me ke olakino o kāu mau keiki.
Fluorosis, Fluoride, ʻOle ke kala o nā niho, Nā maʻi iwi, Wai inu, Ola kino niho, Nā minelala
