Yu dɔn ɛva luk yu tit, ɔ yu pikin in tit, ɛn notis smɔl smɔl wayt, sɔntɛnde brawn spat? Sɔm pipul dɛn kin gɛt pen na dɛn bon ɛn jɔyn, ɛn dis kin mek i nɔ izi fɔ waka. Wan pan di rizin fɔ dɛn tin ya na bikɔs wi gɛt tumɔs wan minral we dɛn kɔl
fluoride na wi bɔdi. Na dat wi kin kɔl
fluorosis . Nɔr frayd, nɔr tink se dis na siriɔs sik we yu yɛri am. Lɛ wi tɔk bɔt dis simpul wan, di we we yu go ɔndastand.
Wetin rili na Fluorosis?
Fɔ tɔk am simpul wan, fluorosis na
wan sik we kin kam bikɔs ɔf bɔku bɔku fluoride na di bɔdi. Fluoride na wan minral we de na di wɔl we de na grɔn ɛn wata. Fɔ tɔk di kɔrɛkt tin, if i smɔl, i kin ɛp fɔ mek di tut nɔ rɔtin. Na dat mek yu go dɔn notis se sɔm tut paste dɛn gɛt fluoride. Bɔt, lɛk ɛnitin, if yu it am pasmak, dat kin ambɔg yu wɛlbɔdi. As dem se, "tu moch of enitin no gud." Ivin di wata we wi de drink gɛt sɔm fluoride. Dipen pan usay yu de, di fluoride we de na di wata we yu de yuz kin smɔl ɔ bɔku. Ɔganayzeshɔn dɛn lɛk di U.S. Department of Health and Human Services se di bɛst lɛvɛl fɔ fluoride na wi wata fɔ drink na lɛk 0.7 miligram (mg/L). Dis min se pan ɔl we i de ɛp fɔ mek yu tut nɔ rɔtin, i impɔtant fɔ mek yu balans we nɔ go mek yu gɛt ɔda wɛlbɔdi prɔblɛm.
Wetin na di kayn fluorosis?
Bɔku men kayn fluorosis de. Lɛ wi tek wan luk pan wetin dɛn bi:
Wetin na Dental Fluorosis?
Dis na di kayn we we wi kin si ɛn tɔk bɔt bɔku tɛm.
I kin afɛkt yu tit dɛn. Dis sik kin apin we yu it tumɔs fluoride, mɔ insay di fɔs et ia we yu de liv, we yu tit dɛn de fɔm. Dental Fluorosis kin kɔmɔt frɔm smɔl to siriɔs. Bɔt
nɔto sik we de mek pɔsin fil pen. Bɔku tɛm dɛn kin tek am as kɔsmɛtik prɔblɛm, we min se i kin afɛkt di we aw yu tit dɛn de luk. Bɔku tɛm, i nɔ kin rili afɛkt di we aw yu tit dɛn de wok ɔ di wɛlbɔdi.
Lɛ wi lan bɔt Skeletal Fluorosis
Dis na wan kayn we yu nid fɔ tek tɛm smɔl.
I kin afɛkt yu bon dɛn ɛn yu jɔyn dɛn. Dis kin gɛt bad bad tin fɔ du to yu ɔl yu wɛlbɔdi. Fɔ ɛgzampul
, ɔstioporosis ( wan sik we bon dɛn kin wik ɛn brok izi wan),
at at (jɔyn inflamɛns), ɛn jɔyn pen fɔ lɔng tɛm kin apin. Dis kכndyushכn kin apin we dεn de kכntinyu fכ it bכku fluoride fכ plεnti ia.
Wetin na Nɔn-skel Flɔrosis?
Dis na rili
di fɔs stej fɔ skel fluorosis. I kin mɔs afɛkt yu
dijestiv sistɛm (gastrointestinal tract) . Dis min se yu kin gɛt sɔm sayn dɛm lɛk bɛlɛ kramp, kɔnstipɛshɔn, dayarɛa, blo, ɛn nɔr kin want fɔ it.
Aw kɔmɔn tin fɔ gɛt fluorosis?
Dental Fluorosis na wan kɔmɔn sik wae dɛn kin si ɔlsay na di wɔl. Dɛn se lɛk 23% pan di pipul dɛm na kɔntri lɛk Amɛrika gɛt dis sik. Bɔt, Skel Fluorosis nɔ kin bɔku na kɔntri dɛn lɛk Amɛrika. Bɔt i kɔmɔn (endemic) na sɔm pat dɛn na Eshia ɛn Afrika. Ɛspɛshali na India ɛn Chaina, dɛn kin ripɔt bɔku pipul dɛn we sik. E tranga fɔ tɔk ɔmɔs pipul dɛn na di wɔl gɛt dis skel fluorosis. Bɔt wan stɔdi sho se 94 pan 445 pipul dɛn we bin de na say we gɛt bɔku fluoride bin gɛt dis sik. Naw, luk, na bɔku pat dɛn na Amɛrika, di fluoride lɛvɛl na di wata smɔl pas di 0.7 miligram pan wan lita (mg/L) we wi bin dɔn tɔk bɔt. Na dat mek bɔku lokal gɔvmɛnt dɛn de de ad fluoride to wata fɔ drink. Bɔt na ɔda pat dɛn na di wɔl, fɔ ɛgzampul, sɔm pat dɛn na Eshia ɛn Afrika, di wata we de ɔnda grɔn gɛt bɔku bɔku fluoride. Insay India, dɛn se di avɛrej fluoride kɔnsɛntreshɔn na wata we dɛn de drink na lɛk 2.37 miligram pan wan lita (mg/L). na sɔm ples dεm, dεn bin ripot di lεvεl dεm we hכy lεk 9.22 miligram pan wan lita (mg/L). So, pipul dɛm wae de liv na dɛn kayn eria ya kin gɛt bɔrku risk fɔ gɛt fluorosis.
Insay Sri Lanka, sɔm say dɛn de bak, mɔ na di dray zon, usay dɛn nid fɔ tink bɔt di fluoride lɛvɛl na di wata. So, i rili impɔtant fɔ no di wata we de kɔmɔt na yu eria.
Wetin na di sayn dɛm fɔ Fluorosis?
Di sayn dɛm kin difrɛn difrɛn wan fɔ di kayn fluorosis wae yu gɛt. Jɛnɛral wan, di mɔ yu de gɛt fluoride, na di mɔ yu sik kin tranga.
Di simptom dɛm fɔ Dental Fluorosis
Di wangren sayn fɔ di dental fluorosis na
we di tut in kɔlɔ de chenj. Dis kɔlɔ we kin chenj kin difrɛn difrɛn wan bay aw di sik kin tranga. Dɛntist dɛn kin yuz dɛn wɔd ya fɔ klas am:
- Kwɛstyɔn: Na sɔm wayt spat dɛn nɔmɔ we rili layt ɛn sɔm wayt spat dɛn .
- i rili mild: Layt wayt spat dεm we de kכba less dan 25% pan di tut sεf.
- Mild: Layt wayt spat dεm we de kכba less dan 50% pan di tut sεf.
- mכdarεt: Wait כ layt brawn spat dεm na mכr dan 50% pan di tut sεf.
- Siriɔs:Wait, layt brawn, ɔ dak brawn spat ɔlsay na yu tit. Yu tit dɛn kin gɛt smɔl smɔl pit dɛn bak ɔ di ɛnamel kin luk lɛk se i dɔn pwɛl.
Di simptom dɛm fɔ Skel ɛn Nɔn-skel Fluorosis
Di fɔs simptom dɛm wae gɛt fɔ du wit nɔ-skel fluorosis kin inklud:
As di sik de wɔs ɛn di sayn dɛm fɔ skel fluorosis bigin fɔ sho, yu kin gɛt dɛn tin ya:
- Bɔn dɛn we kin brok
- Bon ɛn spɛnal difɔmiti
- Mild cognitive impairment - dat na, sכm sכm impεryans pan tin dεm lεk mεmכri εn atεnshכn
- Maylopathy - pen we de kכz bay we dεn kכmpresh di spεnal kכd
- Osteosclerosis - di bon dεm we de tik we nכ de nכmal
- Radikulopati - pen we de kam bikɔs ɔf wan pinched nerve na di spayna
- Rash na di skin
- Di prɔblɛm dɛn we pɔsin kin gɛt we i de slip
Wetin na di tin dɛn we kin mek pɔsin gɛt fluorosis?
Fluorosis kin kam
we yu it fluoride pasmak. Dis min se yu de swɛla tumɔs fluoride fɔ lɔng tɛm. di we aw dis kin apin kin difrεn dipכnt pan di kayn fluorosis.
Dental Fluorosis kin apin we pikin in pɔrmɛnt tit dɛn stil de gro ɔnda di gam, we dɛn de kɔntinyu fɔ it tumɔs fluoride. Dis kin bi we yu drink wata ɔ milk prodakt we gɛt bɔku fluoride, ɔ we yu swɛla bɔku bɔku fluoride tut paste.
Skel ɛn Nɔn-skel Fluorosis kin apin we pɔsin we gɛt ɛni ej it tumɔs fluoride fɔ sɔm ia. Dis kin bi bay we yu de drink wata we gɛt bɔku fluoride, ɔ we yu de kɔntinyu fɔ drink tin dɛn lɛk ti ɛn kɔfi we dɛn mek wit wata we gɛt bɔku fluoride.
Risk factors fɔ divɛlɔp fluorosis
Risk factor na sɔmtin wae de mek yu gɛt mɔr chans fɔ gɛt sɔm kayn sik. Dɛn tin ya na tin dɛn we kin mek pɔsin gɛt fluorosis:
- Fɔ liv na say we gɛt bɔku bɔku fluoride na wata we de ɔnda grɔn.
- di fluoride we de insay wata we yu de drink kin pas 0.7 miligram pan wan lita (mg/L).
- Fɔ swɛla bɔku bɔku fluoride tut paste ɔltɛm. (Fɔ swɛla smɔl smɔl, i nɔ bad. Bɔt if yu swɛla bɔku bɔku tin fɔ lɔng tɛm, dat kin mek yu gɛt fluorosis.)
- Fɔ gi pikin fɔmula we gɛt fluoride we dɛn miks wit wata we gɛt fluoride fɔ lɔng tɛm. (If yu de yuz fɔmula we gɛt fluoride, mek am wit wata we nɔ gɛt fluoride. If yu de yuz wata we gɛt fluoride, luk fɔ fɔmula we nɔ gɛt fluoride fɔ pikin dɛn.)
Sɔm tin dɛn we dɛn kin yuz na os, lɛk tin dɛn we dɛn kin yuz fɔ silin, tin dɛn we dɛn kin yuz fɔ mek lɔbrik, ɛn tin dɛn we dɛn kin yuz fɔ klin di dɔst na di briz, gɛt fluorocarbon. Pipul dεm wae de inhal dεn kεmεkal dεm ya de pan risk fכ gεt skel εn nכn skel fluorosis. If pɔsin drɔnk wit dɛn kemikal ya, i kin mek i gɛt sik, i kin mek i nɔ ebul fɔ blo fayn, ɛn i kin ivin mek i day wantɛm wantɛm.
If yu dɔn adikshɔn to dɛn tin ya ɛn nid ɛp fɔ mek yu wɛl, i rili impɔtant fɔ go to dɔktɔ ɔ advays we fit yu.
Aw dɛn kin no se pɔsin gɛt Fluorosis?
Dɛntist kin no se i gɛt
dɛnt fluorosis we dɛn de du dɛnt ɛgzam ɔltɛm. Sɔntɛnde, dɛn kin tek
ɛkstrem rayt na yu tit bak fɔ mek dɛn nɔ no ɔda tin dɛn we de apin.
Skel ɛn Nɔn-skel Fluorosis kin at fɔ no smɔl bikɔs in sayn dɛm kin tan lɛk bɔrku ɔda sik dɛm. So bɔku tɛm, dɔktɔ dɛn kin gɛt fɔ du sɔm tɛst dɛn. Dɛn tin ya kin bi:
- Imej tɛst fɔ chɛk yu bon dɛn. Sɔm ɛgzampul dɛn na X-ray , CT skan (Computed Tomography scans) , ɛn bon density test (DXA) .
- Blɔd tɛst fɔ chɛk di lɛvɛl we di fluoride de na yu sɛrum.
- Urinalysis fɔ chɛk di lɛvɛl we di fluoride de na yu urine.
Wetin na di tritmɛnt dɛm fɔ fluorosis?
Di tritmɛnt fɔ fluorosis kin difrɛn difrɛn wan bay di kayn fluorosis we yu gɛt. Dɛn kin kɔrɛkt di dɛnt fluorosis wit kɔsmɛtik dɛntist. Tritmɛnt fɔ skel fluorosis na smɔl mɔ kɔmplikɛt. E kin dipen pan sɔm tin dɛm, mɔr lɛk aw de sik kin tranga ɛn us pat na di bɔdi kin afɛkt.
Tritmɛnt fɔ di Dental Fluorosis
If yu gɛt dental fluorosis, yu dɛntist kin tɛl yu fɔ du wan pan dɛn kɔsmɛtik tritmɛnt ya:
- Fɔ mek yu tit wayt: Yu dɛntist go put wan jel fɔ blech yu tit fɔ sɔm tɛm. Dis jel go mek yu tut inεmεl layt, we go mek i mach di fluorosis spat dεm. Bɔrku tɛm dɛn kin yuse dis fɔ trit smɔl smɔl kes dɛm wae gɛt fluorosis.
- Dental bonding: Insay dis we, di dɛntist de yuz wan kɔmpɔzit rɛsin we gɛt tut kɔlɔ fɔ kɔba di fluorosis stɛyn dɛn. Dɔn dɛn kin shep di tit dɛn ɛn polish dɛn te dɛn dɔn fayn fayn wan.
- Dental veneers: Dis na tint shel we dɛn mek wit resin ɔ porcelain we de kɔba di fɔs say dɛn na yu tit. Bikɔs dɛn kin mek vinɛs fɔ ɛnibɔdi, dɛn kin tek dɛnt impreshɔn fɔ mek shɔ se dɛn gɛt di rayt saiz fɔ wetin yu nid.
- Tit krawn: Dɛn tin ya na tut kap dɛn bak we dɛn mek bay dɛnsɛf. Dɛn kin kɔba yu wan ol tut. Fɔ mek di krawn fit fayn, yu fɔ pul smɔl pan yu natura l tut inɛmel.
- Enamel microabrasion: Insay dis prosidur, di dɛntist de pul wan rili tin layt pan yu tut inamel. Dis kin pul bɔku fluorosis stɛyn dɛn. Bɔku tɛm, dɔktɔ dɛn go du bak fɔ mek yu tit wayt afta dɛn dɔn yuz di ɛnamel maykroabrashɔn fɔ mek yu tit dɛn kɔlɔ ivin.
Tritmɛnt fɔ Skel ɛn Nɔn-skel Fluorosis
Di men gol na fɔ pul di say we di prɔblɛm kɔmɔt. Fɔ du dis, yu nid fɔ pul di fluoride na di wata we yu de drink. Yu kin yuz we dɛn lɛk
rivas osmosis ,
distileshɔn , ɔ
aktivɛt kabɔn filta fɔ filta yu wata. (We yu bɔyl wata nɔ go du dis. Pan ɔl we we yu bɔyl, i kin pul dɔti tin dɛn na wata, fluoride nɔto sɔntin we ɔt kin brok, ɛn i rili strɔng.) Apat frɔm dat, dɔktɔ dɛn kin tɛl yu fɔ du tritmɛnt dɛn lɛk:
- Anabolik stɛroyd dɛn: .Dɛn mɛrɛsin ya kin ridyus di sayn dɛm fɔ ɔstioporosis.
- Kalsiɔm ɛn Vitamin D: Dɛn tu tin ya kin mek di bon dɛn nɔ bɔku we dɛn tek dɛn togɛda. Dɛn kin afɛkt bak di we aw yu de tek fluoride na yu intestinal.
- NSAID (Nonsteroidal anti-inflammatory drugs): Dɛn mɛrɛsin ya kin ɛp fɔ kɔntrol di pen ɛn swel we kin kam wit skel fluorosis.
Dis nɔto wan kɔmplit list. Yu dɔktɔ go mek yu tritmɛnt plan fɔ wetin yu nid.
Yu tink se dɛn kin ebul fɔ mek dɛn nɔ gɛt Fluorosis?
Di wangren we fɔ mek yu nɔ gɛt fluorosis na fɔ kɔntrol di amount of fluoride we yu de it. Na sɔm advays dɛn ya:
- Chek wit yu lokal wata bɔd ɔ wan rilevɛns ɛjɛnsy bɔt di lɔ ɛn rigyuleshɔn dɛn bɔt fɔ ad fluoride to wata na yu eria.
- Chek di fluoride lɛvɛl na yu wɛl wata ɔ munisipaliti wata sapɔt.
- Fɛn ɔda tin dɛn bɔt di bɔku bɔku fluoride we de na yu eria.
Fɔ mek yu pikin nɔ gɛt bɔku fluorosis, tek tɛm wit di kayn fluoride we i gɛt.
Yu fɔ avɔyd fɔ gi yu pikin tumɔs fluoride, ɛn mek shɔ se dɛn gɛt di rayt amount di tɛm we di tit de kɔmɔt. Dis balans rili impɔtant fɔ yu pikin in wɛlbɔdi.
Wetin fɔ ɛkspɛkt we yu de liv wit fluorosis?
Di tin we kin kɔmɔt frɔm Dental Fluorosis kin fayn, bikɔs i nɔto bad bad tin. Dɛn kin kɔrɛkt am wit dɛnt tritmɛnt. Di autkam fɔ Skeletal Fluorosis dipen pan aw yu de no am kwik kwik wan.
Di kwik we yu stɔp fɔ it fluoride, na di mɔ yu go gɛt chans fɔ wɛl fɔ lɔng tɛm. Aw lɔng fluorosis kin las?
in jεnarכl, fluorosis nכto wan kכndyushכn we dεn kin rivashכn. Dat min se, wans i apin, i nɔ de go. Sɔm stɔdi dɔn sho se tritmɛnt kin mek di sayn dɛm fɔ skel fluorosis bɛtɛ to sɔm mak. Bɔt i dipen pan aw yu sik dɛn kin tranga fɔ bigin.
Aw a kin kia fɔ misɛf?
If yu gɛt fluorosis, ɔr if yu de na say usay i kɔmɔn, di bɛst tin we yu go du na
fɔ tɛl yu. No gud gud wan ɔmɔs fluoride de insay di wata we yu de drink. Wae yu no dεn lεvεl dεm, yu kin disayd fכ yu hεlth fayn fayn wan.
Ustɛm yu fɔ go to dɔktɔ?
If yu tink se yu gɛt dental fluorosis, go to yu dɛntist fɔ tɔk bɔt aw fɔ trit yu. Dɔn bak, if yu gɛt sɔm sayn dɛn we de sho se yu gɛt skel fluorosis wantɛm wantɛm, lɛk fɔ nɔs, yu jɔyn pen, ɔ yu bon dɛn kin brok ɔltɛm, yu fɔ tɛl yu dɔktɔ. I kin rɔn tɛst fɔ no di tin we mek i apin.
If fluoride smɔl, i kin mek wi tit strɔng ɛn protɛkt dɛn fɔ mek dɛn nɔ rɔtin. Bɔt if yu du am tumɔs, dat kin ambɔg yu. No na pawa. Di bɛst we fɔ mek yu nɔ gɛt fluorosis na fɔ no. Chek di wata we yu de pul. Fɛn ɔda tin dɛn bɔt di lɔ dɛn we de na yu eria bɔt aw fɔ ad fluoride to wata. If yu gɛt patikyula kwɛstyɔn bɔt aw fluoride kin afɛkt yu wɛlbɔdi, tɔk to yu dɔktɔ.
Di tin we impɔtant pas ɔl fɔ mɛmba frɔm dis atikul (Take-Home Message)
Okay, so, frɔm wetin wi dɔn tɔk bɔt, dɛn tin ya na di impɔtant tin dɛn we yu nid fɔ mɛmba:
- Fluorosis na wan sik we de kam bikɔs ɔf di bɔku bɔku fluoride na di bɔdi.
- tu men kayn dεm de: Dental Fluorosis (we de afekt di tit dεm) εn Skeletal Fluorosis (we de afekt di bon dεm εn di joyn dεm).
- Dental Fluorosis kin mek yu gɛt wayt/brawn spat na di tit, bɔt i nɔ kin mek yu fil pen. Dɛn kin kɔrɛkt am wit kɔsmɛtik tritmɛnt dɛn.
- Skel Fluorosis kin tranga smɔl ɛn i kin mek yu jɔyn pen ɛn bon dɛn brok.
- Di tin we impɔtant pas ɔl na fɔ no di kayn fluoride we de insay di wata we yu de drink.
- Tek tɛm fɔ swɛla fluoride tut paste we yu pikin dɛn de pul dɛn tit.
- If yu gɛt ɛni sayn, go to dɔktɔ wantɛm wantɛm.
Mɛmba se, fluoride na sɔntin we wi nid we wi nɔ gɛt bɛtɛ trɛnk. Di prɔblɛm na fɔ gɛt tumɔs pan am. So, i impɔtant fɔ mek wi ɔl no bɔt dis ɛn protɛkt wi yon ɛn wi pikin dɛn wɛlbɔdi.
Fluorosis, Fluoride, Tut Steyn, Bɔn Sik, Wata fɔ Drink, Dental Wɛlbɔdi, Minral
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