Ke hopohopo iki nei hoʻi ʻoe ke ʻike ʻoe i nā ʻōpala koko ma kāu palaki niho a i ʻole ka holoi waha? Ke nānā aku nei kou mau ʻāʻī i ka ʻulaʻula a me ka pehu ke nānā ʻoe i ke aniani? A i ʻole he hanu ʻino mau kou? ʻO kēia paha nā hōʻailona mua o ka maʻi ʻāʻī. Akā, mai hopohopo. He ʻano kēia e hoʻopilikia ai i nā poʻe he nui. ʻO ka mea nui loa, aia nā lāʻau lapaʻau maikaʻi no ia. I kēia lā, e kamaʻilio kākou e pili ana i kēia maʻi ʻāʻī a me kona lāʻau lapaʻau.
No ke aha e loaʻa ai kēia maʻi ʻāʻī?
I ka ʻōlelo maʻalahi, hoʻokumu ʻia ka maʻi ʻāʻī e kahi ʻili o nā bacteria e kūkulu ana ma luna o ka ʻili o ko mākou mau niho. Kāhea mākou i kēia plaque . He ʻili melemele a pipili. Ke hoʻomaʻemaʻe pono ʻole mākou i ko mākou mau niho, paʻakikī kēia plaque a lilo e like me ka pōhaku. Ua kapa ʻia ʻo tartar .
ʻO kēia kahi e hoʻoulu ai ka bacteria i loko o ka ʻāʻī a me ka tartar i kahi maʻi i loko o ko kākou ʻāʻī. I ka wā mua, lilo nā ʻāʻī i ʻulaʻula, pehu, a kahe ke koko. Kāhea mākou i kēia maʻi he gingivitis . ʻO kēia ka hoʻomaka ʻana o ka maʻi ʻāʻī.
ʻO ka mea maikaʻi loa, hiki ke ho'ōla loa ʻia kēia maʻi gingivitis. ʻO ka mea wale nō e pono ai, ʻo ia ka hoʻomaʻemaʻe pono ʻana e ke kauka niho a me ka hoʻomaʻamaʻa pono ʻana i kou mau niho.
Akā inā mākou e hoʻowahāwahā i kēia, e lilo ka maʻi i mea ʻino aʻe. Ua kapa ʻia ʻo ia ʻo Periodontitis . I kēia manawa, hele ka maʻi mai nā ʻāʻī a i ka iwi ʻā a puni ka niho. Hoʻokumu kēia i nā hakahaka ma waena o ka niho a me nā ʻāʻī, a i ʻole nā ʻeke periodontal . Hōʻiliʻili hou aku ka bacteria i loko o kēia mau hakahaka, e hoʻonui ana i ka maʻi. I ka hopena, hiki i ka niho ke wehe a hāʻule paha.
He aha nā lāʻau lapaʻau no ka maʻi ʻāʻī?
Inā makemake ʻoe i kahi lāʻau lapaʻau maʻalahi ʻole a i ʻole ke ʻoki ʻana, pili ia i kekahi mau kumu. No ka laʻana, ke kahua o kou maʻi ʻāʻī, kou olakino waha holoʻokoʻa, a me kou hiki ke hahai i nā ʻōlelo aʻoaʻo a kāu kauka niho ma hope o ka lāʻau lapaʻau.
ʻElua ʻano nui o ka lāʻau lapaʻau:
1. Nā Lapaʻau ʻoki ʻole
2. Nā Hana Lapaʻau
E nānā kākou i ka papa ma lalo nei e hoʻomaopopo pono ai i kēia mau ʻano lapaʻau.
| ʻAno lapaʻau | ʻO ka lāʻau lapaʻau a me nā mea e hana ʻia ma laila |
|---|---|
| Nā Lapaʻau ʻAʻole ʻoki kino | |
| Ka hoʻomaʻemaʻe niho maʻamau (Dental Prophylaxis) | ʻO kēia ka hoʻomaʻemaʻe niho a mākou e loaʻa pinepine ai mai ke kauka niho ma kahi o ʻelua manawa i ka makahiki. Hoʻopau kēia i ka plaque a me ka tartar mai ka ʻili o nā niho. He mea hōʻoluʻolu nui kēia no ka poʻe me ka gingivitis. |
| Hoʻomaʻemaʻe hohonu (Scaling a me Root Planning) | He hoʻomaʻemaʻe hohonu kēia ma mua o ka hoʻomaʻemaʻe maʻamau. Hoʻopau ia i ka plaque a me ka tartar i hōʻiliʻili ʻia ma luna o ke aʻa o ka niho, ma lalo o ka laina ʻāʻī. Hoʻomaʻemaʻe pū ia i ka ʻili aʻa o ka niho, kahi e hōʻemi ai i ka manawa kūpono o ka bacteria e kū hou mai. E mae wale kou mau ʻāʻī i kēia kaʻina hana i ʻole ʻoe e ʻeha. |
| Lapaʻau Antibiotic | I kekahi manawa, e hoʻohana ke kauka niho i nā lāʻau antibiotic me nā lāʻau lapaʻau ʻē aʻe. Hiki ke waiho ʻia kēia mau mea ma ka hakahaka ma waena o ka niho a me ka ʻāʻī (ʻeke periodontal) ma ke ʻano he gel kūikawā a i ʻole chip. Pepehi kēia i nā bacteria. |
| Lapaʻau Periodontal Laser | Hoʻohana kēia i kahi kukuna laser liʻiliʻi e wehe i nā ʻiʻo maʻi a me nā bacteria ma lalo o nā ʻāʻī. ʻO ka pōmaikaʻi o kēia, ʻaʻohe pono e ʻoki a humuhumu paha e like me ke ʻoki kino kuʻuna. |
| Nā Hana Lapaʻau | |
| ʻO ke ʻoki ʻana i ka ʻeke / ka hoʻemi ʻana i ka ʻeke | Hana ʻia kēia no ka poʻe me ka maʻi koʻikoʻi. Maanei, hana ʻia kahi ʻoki liʻiliʻi ma ka ʻāʻī, hoʻoneʻe iki ʻia ka ʻāʻī mai ka niho aku, a hoʻomākaukau ʻia ke aʻa o ka niho i loko i ʻike maopopo ʻia. A laila, wehe ʻia nā pulp hohonu a pau, a hoʻomākaukau ʻia ka iwi i hōʻino ʻia. ʻO ka hope loa, hoʻihoʻi ʻia ka ʻāʻī i kona kūlana mua a humuhumu ʻia. |
| Hoʻopili iwi | Hana ʻia kēia lāʻau lapaʻau inā ua ʻino ka iwi ʻauwae a puni ka niho ma muli o ka maʻi ʻāʻī. Pili kēia i ka hoʻopiha ʻana i ka hakahaka me kahi ʻāpana iwi i lawe ʻia mai ou aku, kahi iwi i hoʻomaʻemaʻe ʻia mai kekahi kanaka ʻē aʻe, a i ʻole kahi mea iwi hana. Kōkua kēia i ke kino e kūkulu i ka iwi hou. |
| Hoʻopili ʻana i ka ʻāʻī | Hana ʻia kēia ke emi nā ʻāʻī a hōʻike ʻia nā aʻa o ka niho (Gum Recession). Maanei, ua kau ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo i lawe ʻia mai kou lehelehe a i ʻole kekahi ʻiʻo ʻē aʻe ma kahi i emi ai nā ʻāʻī a humuhumu ʻia. |
He aha nā pono o ka lāʻau lapaʻau?
Inā ʻaʻole mālama ʻia, hiki i ka maʻi ʻāʻī ke hōʻeha nui. Hiki i ka maʻi ke hoʻomau, e alakaʻi ana i ka nalowale o ka iwi a me ka nalowale ʻana o ka niho. No laila, ʻo ka loaʻa ʻana o ka lāʻau lapaʻau i ka manawa kūpono e kōkua iā ʻoe:
- Hoʻopau ʻia nā bacteria pathogenic i loko o ka waha.
- Ua pau ka heheʻe ʻana o ka iwi ʻauwae.
- Nalowale ka hanu ʻino (halitosis) .
- Hoʻololi ʻia nā ʻāʻī ʻulaʻula, pehu, a ʻeha i nā ʻāʻī olakino .
- Hiki iā ia ke hōʻemi i ka pilikia o nā maʻi koʻikoʻi ʻē aʻe e like me ka hahau ʻana a me ka maʻi puʻuwai .
He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?
ʻEhia ka lōʻihi e ho'ōla ai?
Aia kēia i ka lāʻau i loaʻa iā ʻoe. Inā he mea ia e like me ka hoʻomaʻemaʻe hohonu (Scaling a me Root Planing), ʻaʻole pono ʻoe e hoʻomaha nui. Eia nō naʻe, inā ua hana ʻia ʻoe i ke ʻoki ʻana (Flap surgery, Bone graft), hiki ke hala ma kahi o hoʻokahi a ʻehā pule e ho'ōla piha ai.
Pehea e mālama ai i kou mau niho ma hope o ka lāʻau lapaʻau?
E hāʻawi aku kāu kauka niho iā ʻoe i kahi hoʻonohonoho o nā kuhikuhi kūikawā ma hope o ka mālama ʻana. He mea nui loa ia e hahai pololei i kēlā mau kuhikuhi.
E hoʻomanaʻo, ʻaʻole hiki ke ho'ōla ʻia ka maʻi ʻāʻī. ʻO ka mea wale nō e hiki ke hana ʻia , ʻo ia ke kāohi iā ia.Wale nō. ʻO ke ʻano o nā lāʻau lapaʻau e kāohi i ka maʻi. Akā inā ʻaʻole ʻoe e mālama i ka hoʻomaʻemaʻe waha kūpono ma ka home, hiki i ka bacteria ke ulu hou a e hāʻule hou ʻoe i kahi like āu i noho ai.
No laila, e hoʻolilo i kēia mau mea i mea maʻamau:
- E palaki pono i kou mau niho i ʻelua a ʻekolu paha manawa i ka lā . ʻO ka palaki ʻana ma kahi kihi 45-degere i nā ʻāʻī e hiki ke kōkua i ka wehe ʻana i nā bacteria i paʻa ma hope o nā ʻāʻī.
- ʻO ka hoʻohana ʻana i ka floss i hoʻokahi manawa i ka lā e wehe ai i nā ʻāʻī liʻiliʻi i hiki ʻole i kāu pulumu niho ke hiki aku.
- E hoʻohana i ka wai holoi waha antibacterial ʻelua i ka lā. E koho i hoʻokahi i loaʻa ʻole ka waiʻona.
- E hele i ke kauka niho a e hoʻomaʻemaʻe i kou mau niho i nā manawa i hoʻonohonoho ʻia . No kekahi poʻe, ua lawa ia i ʻelua manawa i ka makahiki, akā no ka poʻe me ka maʻi koʻikoʻi, pono paha e hele i kēlā me kēia ʻekolu mahina.
Leka Lawe-Home
- ʻO ke kahe koko ʻana o nā ʻāʻī, ka pehu ʻana, a me ka hanu ʻino he mau hōʻailona ia o ka maʻi ʻāʻī. Inā ʻike ʻoe i kēia mau mea , e ʻike koke i ke kauka niho.
- Inā waiho ʻole ʻia ka maʻi ʻāʻī, hiki i nā niho ke wehe a hāʻule i waho.
- Hiki ke ho'ōla loa ʻia ka Gingivitis i kona mau wā mua, no laila he mea nui loa e ʻimi koke i ka lāʻau lapaʻau.
- ʻAʻole hiki ke ho'ōla ʻia ka maʻi ʻāʻī, hiki ke mālama wale ʻia. Ma waho aʻe o ka mālama ʻoihana, he mea nui like kou hoʻomaʻemaʻe i kēlā me kēia lā ma ka home.
- Inā kānalua ʻoe he maʻi ʻāʻī kou, mai hoʻāʻo e mālama iā ʻoe iho ma ka home, akā e ʻimi pono i ka ʻōlelo aʻo mai kāu kauka niho .
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