I ha i sil laiin sink chhunga thisen tlem i hmuh chuan i mangang em? A nih loh leh, chhan hriat lohvin i hmui thisen chhuak i hmu em? Mi tam tak chuan hei hi an hnawl fo a, “A pangngai mai mai,” tiin an ngaihtuah fo thin. Mahse, thisen chhuahna chu a takah chuan i taksa atanga hriselna lama harsatna awm thei chungchangah vaukhânna chhinchhiahna pawimawh tak a ni thei a ni. He thuziak ah hian Nirogi Lanka hmanga i nuihzatthlakna i enkawl tha zawk theih nan gums thisen chhuah chhan te hi han chhui ila.
Engvangin nge i hmuiah thisen a chhuah? A chhante chu engte nge ni?
Gums thisen chhuah chhan pakhat chauh a awm lo; tam tak an awm. A tlangpuiin he natna hi hmui hriselna lam thil nen a inzawm thei a, mahse i taksa hmun danga systemic health conditions atanga lo chhuak pawh a ni thei bawk. Heng chhante hi chiang takin han then ila.
| Gums Thisen chhuahna chhan pawimawh tak tak | |
|---|---|
| 1. Ha leh hmui hriselna chhan | |
| Oral Hygiene tha lo | Brush tha i tih loh chuan ei tur chi hrang hrang a tang a, chu chuan i gumline-ah bacteria layer (plaque) a lo awm thei a ni. Hei hi gum natna thlentu ber a ni. |
| Gingivitis natna (gingivitis) a awm | Hei hi gum natna hmasa ber a ni. A chhinchhiahna tlangpui chu ha i sil hian a sen, a hring, leh thisen chhuah te a ni. |
| Periodontitis natna (Periodontitis) a awm | Gingivitis hi enkawl loh a nih chuan he natna khirh takah hian a kal zel a, chutah chuan i ha thlawptu ruh leh tissue te chu a chhia a, i ha a tizau thei a ni. |
| Meizial zuk | Meizial zuk hian thisen kalna tur a tikhawlo a, chu chuan ha natna vei theihna a tipung hle. |
| 2. Systemic hriselna dinhmun | |
| Zunthlum natna (Diabetes Mellitus) a ni | Diabetes hian i taksain natna a do theihna a tichhe thei a, chu chuan gum issues a nei awlsam zawk a ni. |
| Hormone inthlak danglamna | Puberty, naupai, menopause laia hormone inthlak danglamna hian i hmui chu a ti sensitive zawk a, thisen a chhuah awlsam phah thei bawk. |
| Vitamin tlakchhamna a awm | Vitamin C leh Vitamin K tlakchhamna hi hmui thisen chhuahna nen a inzawm tlat a ni. |
| Thisen tithianghlimtu Damdawi | Lung natna atana anticoagulants pek hian thisen chhuah theihna a tipung thei a ni. |
| Thisen lama harsatna awm thei | Thisen zam tichhe thei dinhmun, Hemophilia emaw Thrombocytopenia emaw ang chi. |
| Leukemia natna (Leukemia) a ni | Thisen cell cancer chi khat angin, thisen chhuah hi a chang chuan presenting symptom a ni thei. |
Engtin nge in lamah hei hi i enkawl theih ang?
In lama i tih theih tur step awlsam tak tak a awm a, chu chuan gum bleeding a ti tlem thei ang. Mahse, khawngaihin hre reng ang che: thisen chhuak chu kar hnih aia rei a awm chuan , Nirogi Lanka emaw, i awmna hmuna clinic emaw-a ha enkawltu professional i zawt tur a ni.
- Ni khatah vawi hnih brush thin ang che:Fluoride toothpaste hmangin minute hnih tal brush la, a bik takin chaw ei kham leh mut hmain brush rawh.
- Ha hring hring (soft-bristled toothbrush) hmang rawh: Ha hring hring hian ha hring (gum tissue) nalh tak tak a tichhia thei a; brush nem tak i thlang fo thin.
- Nitin floss: I brush-in a thlen theih lohna ha inkar atanga ei tur bawlhhlawh paih chhuahna kawng tha ber chu flossing hi a ni.
- Warm salt water rinses: Ni khatah vawi hnih atanga vawi thum tui glass khata chi teaspoon chanve inzawmkhawma silfai hian a hring leh inflammation a tiziaawm thei a ni.
- Meizial zuk loh tur: Meizial zuk bânsan hi i hmui leh i hriselna zawng zawng tana i tih theih ṭha ber a ni.
- Ei leh in inthlau tak ei: Vitamin C (orange, guavas, lemon) leh Vitamin K (spinach, cabbage, leh hnah hring dang) tamna ei tur ngaihtuah rawh.
Hei hi i ngaihthah chuan eng nge thleng ang?
Hei hi i hriselna atan a pawimawh hle. Thisen chhuak gums chu thil tenawm anga i enkawl chuan periodontitis ang chi underlying condition chu a zual zel ang.
Hun a kal zel a, periodontitis hian i ha chhehvel ruh leh tissue te chu a ti hmin a, chu chuan ha a ti hrual a, a tawpah chuan ha a bo vek a ni. Tin, thawk hah reng reng hi harsatna awm fo a ni.
Hei hi han ngaihtuah teh: i hmui thisen chhuak chu zunthlum ang chi systemic issue chhinchhiahna a nih chuan, i hmui ngaihthah chuan a hnuaia natna awm pawh hi enkawl lohvin a kal zel thei tihna a ni. He symptom hi ngaihthah ngai suh.
Engtikah nge doctor i hmuh ngei ang?
Thisen chhuahna nasa tak, thunun theih loh, natna nasa tak, emaw, khawsik i neih chuan damdawi lam emaw, ha lam emaw enkawl vat rawh. Emergency a nih chuan 911 ah biak emaw, i hnai ber hospital emergency department ah emaw zawh theih a ni.
Tun hnaia i brush technique i thlak danglam emaw, i brush nasa lutuk emaw a nih chuan a chang chuan thisen chhuak tlem hmuh hi thil pangngai a ni. A tlangpuiin hei hi ni khat emaw ni hnih emaw chhungin a reh thin. Mahse, a hnuaia thilte hi i hriat chuan ha enkawltu emaw, i primary care physician emaw i pan nghal tur a ni:
- I hmui atanga thisen chhuak hi a chhan chiang tak awm lovin a awm fo thin.
- In lama hmui thianghlimna enkawlna mumal tak kar hnih hnuah pawh thisen chhuah a tawp lo.
- I hmui chu a sen nasa hle a, a hring emaw, a na emaw a ni.
- I thawkrimna (halitosis) reng reng i nei.
- I ha chu a hlim hmel hle.
- Gum bleeding i nei a, chu chu systemic symptoms te nen a inzawm a, chu chu hahna, khawsik lo lang leh thin, emaw malaise te a ni.
- Thu pawimawh: Thisen chhuak nasa tak, thunun theih loh i neih chuan Emergency Department (ED) hnai ber pan nghal la, 911 ah call rawh.
I doctor chuan hei hi gum disease vang nge, a hnuaia hriselna dinhmun dang vang a nih leh nih loh a enfiah ang che. A tul chuan thisen test tir turin an ti thei a, a bulpui ber hriat theih nan leh Nirogi Lanka atanga enkawlna ruahmanna tha ber an pe thei che a ni.
Key Takeaways te pawh a awm
👩🏽 ⚕️ Zawhna tam tak (FAQs) .
💬 Eng condition nge Bosentan (Tracleer) hi a bik taka pek a nih?
Hei hi damdawi bik a ni a, natna tlanglawn tan a ni lo. Pulmonary Arterial Hypertension (PAH) enkawlna atan hman a ni a, chu chu nunna atana hlauhawm tak a ni a, chu chu thinlung atanga lung lam panna thisen kalna kawngte a zim a, a khauh a, thisen sang hlauhawm tak a thlen a, chu chuan thinlung leh lung a tichhe thei a ni. Heng vessels te hi relax tir turin Endothelin Receptor Antagonist angin a thawk a ni.
💬 Engtin nge Bosentan hian lung chhunga thisen kalna kawngte a tih hahdam theih nan hna a thawh?
Lung thisen kalna kawng a zim hi ‘Endothelin-1’ atanga lo chhuak a ni fo thin a, hei hi i taksain a pianphung atanga siam chemical a ni a, PAH vei te zingah a tam lutuk a ni. Bosentan hian he chemical atanga signal dawngtu receptor (ETA leh ETB) te chu block-in hna a thawk a ni. Heng receptor te hi tha taka a block avangin vessels te chu a constricting lo a, an relax (vasodilation) a, lungs-a thisen kal chu pressure him zawkin a tichak bawk.
💬 Bosentan nena inzawm Black Box Warnings te chu engte nge ni?
Vaukhânna pawimawh ber chu he damdawi hi naupai laiin hman khap tlat a ni a, nau piangsual lian tak tak a thlen theih avangin. Chubakah, Bosentan hian liver chhiatna nasa tak (hepatotoxicity) a keng tel a, hei vang hian damlote chu enkawlna hun chhung zawngin thisenah liver enzymes enfiah reng a ngai a ni.
