Kua kite koe i ngā ira iti mā, i ētahi wā he parauri rānei i ō niho, i ngā niho rānei o tāu tamaiti? Kei te pāngia koe, e tō whanaunga rānei e te mamae o ngā hononga, o ngā wheua rānei, ā, he uaua ki te hikoi? He maha ngā wā ka pāngia ēnei raruraru e te nui rawa o te kohuke e kiia nei ko te fluoride i roto i tō tinana. E mōhiotia ana tēnei mate ko te Fluorosis . Kaua e mataku—ahakoa he āhua haumanu te ahua, ka whakamāramahia e mātou kia mārama ai koe he aha te mea, me pēhea hoki te pānga ki tō hauora i Nirogi Lanka.
He aha rawa te Fluorosis?
Ki te kī māmā noa, ko te Fluorosis he mate e puta mai ana i te nui rawa o te fluoride e kainga ana i roto i te wā roa. Ko te fluoride he kohuke tūturu e kitea ana i roto i te oneone me te wai. I roto i ngā rahinga iti, he mea whai hua, nā te mea ka āwhina i te ārai i te pirau niho, koia te take e kitea ai he wāhanga noa i roto i te maha o ngā paraihe niho. Heoi, pērā i ngā mea katoa, ka kino pea te nui rawa o te mea pai. E ai ki te kōrero tawhito, "ko te whakaōrite te mea nui," ā, e tika ana hoki tēnei mō te fluoride.
Ahakoa te wai e inuhia ana e koe, kei roto i te wai te fluoride. I runga i te wāhi kei reira koe, ka rerekē pea ngā taumata o te fluoride i roto i tō puna wai. Ko te tikanga, ka tūtohu ngā mana hauora kia 0.7 mirikaramu ia rita (mg/L) te taumata pai rawa atu i roto i te wai inu kia taurite pai ai—kia nui ai hei tiaki i ō niho me te karo hoki i ngā pānga kino ki te hauora.
He aha ngā momo o te Fluorosis?
He iti noa ngā momo matua o te Fluorosis. Me titiro tātou ki ēnei:
He aha te Fluorosis niho?
Koinei te momo tino kitea. Ka pā ki ō niho. Ka puta i ngā tau tuatahi e waru o te oranga—i te wā e hanga tonu ana ō niho tuturu—mēnā ka nui rawa te fluoride e horomia ana e koe. Ka rerekē te fluorosis niho mai i te tino ngawari ki te kino. Heoi, ehara i te mate mamae. I te nuinga o te wā ka whakaarohia he āwangawanga whakapaipai e pā ana ki te āhua o ngā niho, ā, kāore e pā ki te mahi whānui, ki te hauora rānei o ō niho.
Te Mārama ki te Pūhaumāota Angaiwi
He mate kino rawa atu tēnei e hiahia ana kia tirohia e te rata. Ka pā ki ō wheua me ō hononga. I roto i ngā tau maha o te kai nui o te fluoride, ka arahi pea ki ngā raruraru hauora kino, pērā i te Osteoporosis (ngoikore, pakarukaru ngā wheua), te Arthritis (mumura hononga), me te mamae hononga mau tonu.
He aha te Fluorosis Kore-Angaanga?
Whakaarohia tēnei hei tohu tīmatanga e pā ana ki ngā raruraru angaiwi. Ka pā nui ki tō ara kai , ka puta ai ngā tohu pēnei i te mamae o te puku, te mate korere, te pupuhi, me te kore hiahia kai.
He pēhea te noa o te mate pūrotu?
He āhuatanga puta noa i te ao te mate niho kōwhai. I ngā whenua pēnei i te USA, tata ki te 23% o te taupori e pāngia ana e tēnei mate.
Heoi, he tino onge te mate pūhā o te angaanga i ngā whenua whakawhanake pērā i te USA, engari kei te noho tonu hei mate urutā i ētahi wāhi o Āhia me Āwherika. Ko Īnia me Haina ngā whenua e whakaatu ana i te maha o ngā keehi. Ahakoa he uaua ki te whai i ngā tatauranga tika o te ao, i kitea i roto i tētahi rangahau i roto i te 445 tāngata e noho ana i tētahi rohe he nui te kukū o te pūhā maori, e 94 ngā tāngata i pāngia e tēnei mate.
I roto i ngā rohe maha o te USA, kei raro iho i te tohu 0.7 mg/L ngā taumata o te fluoride tūturu, koia te take e whakarerekē ai ngā pūnaha wai ā-rohe i ngā taumata fluoride. I tua atu, i ētahi wāhi o Āhia me Āwherika, he nui ngā taumata fluoride o te wai whenua i te wai. Hei tauira, ko ētahi rohe i Īnia e whakaatu ana i te kukū o te 2.37 mg/L, ā, i ētahi wā, tae atu ki te 9.22 mg/L. I Sri Lanka anō hoki, inā koa i ngā rohe maroke, he mea nui kia mōhio koe ki ngā taumata fluoride i roto i tō puna wai ā-rohe. Ko te mōhio ki te pūtake o tō wai he taahiraa nui ki te pupuri i te hauora o tō whānau.
He aha ngā tohu o te mate Fluorosis?
Ka rerekē ngā tohu i runga i te momo o te mate pūhā me te roa o te pānga. I te pikinga ake o te kai pūhā, ka piki ake pea te kaha o ngā tohu.
Ngā Tohu o te Fluorosis Niho
Ko te tohu o te Niho Fluorosis ko te rerekētanga o te tae o ngā niho. I runga i te kaha o te mate, ka whakarōpūhia e ngā tākuta niho penei:
- He pātai: He tino ngoikore ngā ira mā, ngā ira mā rānei .
- Tino ngāwari: He iti, he mā, he pōuriuri ngā wāhi e kapi ana i raro i te 25% o te mata o te niho.
- Ngāwari: He mā ngā wāhi e kapi ana i raro i te 50% o te mata o te niho.
- Waenga: He ira mā, he parauri mārama rānei e kapi ana i te 50% o te mata o te niho.
- Tino kino: He whānui te horapa o te tae mā, parauri mārama, parauri pouri rānei. Tērā pea ka kite koe i ngā poka i te mata, i te āhua kua memeha, kua tawhito rānei o te enamel niho.
Ngā Tohu o te Pūhaumāota Angaiwi me te Pūhaumāota Kore-Angaiwi
Ko ngā tohu o te wā tōmua o te Fluorosis Kore-Angaanga ko:
- Mamae puku
- Pupuhi
- Te kōroke
- Korere
- Te mamae me te pakari o ngā hononga
- Mamae tuara
- Te ngoikore o te uaua
- Whakapairuaki me te ruaki
I te haere whakamua o te mate, me te puta mai o ngā tohu o te Skeletal Fluorosis, ka pāngia pea koe e:
- Ngā whati wheua
- Ngā āhua rerekē o ngā wheua me te tuaiwi
- He ngoikore ngawari o te hinengaro (ngā raruraru ki te mahara, ki te arotahi rānei)
- Myelopathy (mamae io nā te pēhanga o te taurakira)
- Osteosclerosis (te whakapakeketanga/te matotorutanga rerekē o ngā wheua)
- Radiculopathy (mamae i puta mai i te pēhanga o te io tuaiwi)
- Ponana kiri
- Ngā mate moe
He aha ngā take o te mate Fluorosis?
Ka puta te mate pūhaumāota i te nui rawa o te kai pūhaumāota. Ko te tikanga tēnei, mō te wā roa, kua roa koe e kai ana i te nui o te pūhaumāota. Ka rerekē te whanaketanga o tēnei mate i runga i te momo pūhaumāota e pāngia ana koe.
Ka pā te mate pūhā niho ki ngā tamariki nohinohi i te mea kei te hanga tonu ō rātou niho tuturu i raro i ngā kapia. Mēnā ka nui rawa te pūhā e horomia ana e rātou i tēnei wā, ka pā mai pea tēnei mate. Ko ētahi o ngā take noa ko te inu wai, te kai miraka paura rānei he nui te pūhā, te horomitanga rānei i te nui rawa o te paraihe niho he nui te pūhā.
Ka pā te mate pūhāora angaanga me te mate pūhāora kore-angaanga i ngā tau katoa mēnā ka horomia e koe he nui te pūhāora i roto i ngā tau maha. He maha ngā wā ka honoa tēnei ki te inu wai he nui te pūhāora, ki te inu tī, kawhe rānei i whakaritea ki taua wai.
Ngā Take Mōrearea mō te Fluorosis
Ko ngā āhuatanga mōrearea he āhuatanga e whakanui ake ana i te tūponotanga o te whakawhanaketanga o tētahi mate. Anei ngā āhuatanga matua mō te mate pūkahukahu:
- Te noho ki tētahi rohe he nui te nui o te pūkōwhai i roto i te wai whenua.
- Te kai i te wai he nui ake te kukū o te fluoride i te 0.7 mirikaramu ia rita (mg/L).
- Te horomitanga pinepine i te nui o te paraihe niho he mea hanga ki te fluoride. (Ahakoa he iti noa te rahinga kāore e kino, ko te horomitanga o te nui i roto i te wā roa ka arahi ki te Fluorosis.)
- Te whakarite i te miraka pēpi me te wai he nui te pūhaumāota mō te wā roa. (Mēnā kei te whakamahi koe i te miraka pēpi, whakaarohia te whakamahi i te wai kore-pūhaumāota hei whakaranu. I tetahi atu taha, mēnā he nui te pūhaumāota kei roto i tō puna wai, rapua te miraka pēpi kāore he pūhaumāota.)
Kei roto i ētahi hua o te whare, pērā i ngā hiri, ngā hinu whakahinuhinu, me ngā kaihoroi puehu hau, ngā warowaihā fluoro. Ko te hunga e hongi ana i ēnei hua he nui ake te mōrearea ki te whakawhanake i te Fluorosis angaanga me te kore-angaanga. Mā te whakamahi hē i ēnei hua ka arahi pea ki ngā mate hopuhopu, ngā arrhythmias o te ngakau, tae atu ki te mate ohorere.
Mena kei te raru koe, kei te hiahia āwhina rānei tētahi e mōhio ana koe ki te whakamutu i te whakamahi matū, he mea nui kia rapu tonu koe i ngā tohutohu hauora ngaio, i ngā ratonga tohutohu rānei. Mēnā he āhuatanga ohorere, whakapā atu ki te 911, ki tō ratonga ohorere ā-rohe rānei.
Me pēhea te tautuhi i te mate Fluorosis?
I te nuinga o te wā ka taea e te taote niho te tautuhi i te mate niho fluorosis i te wā e tirotirohia ana te niho. I ētahi wā, ka tangohia pea he hihi-X hei whakakore i ētahi atu mate niho.
He uaua ake te tātaritanga i te Fluorosis angaanga me te kore-angaanga nā te mea he rite tonu ngā tohu ki ētahi atu mate. Me whakahaere pea e tō tākuta ētahi whakamātautau, tae atu ki:
- Ngā whakamātautau whakaahua hei tirotiro i ō wheua, pērā i ngā hihi-X , ngā karapa CT (Tomography Rorohiko) , me ngā whakamātautau kiato wheua (DXA) .
- Ngā whakamātautau toto hei ine i ngā taumata o te fluoride i roto i tō tinana.
- Te tātaritanga mimi hei aromatawai i te nui o te fluoride i roto i tō mimi.
He aha ngā maimoatanga mō te Fluorosis?
Ko te maimoatanga e whakawhirinaki ana ki te momo Fluorosis kei a koe. Ko te Fluorosis niho ka arohia mā te mahi niho whakapaipai , ko te maimoatanga ia o te Skeletal Fluorosis he uaua ake, ā, e whakawhirinaki ana ki te kaha o ō tohu me te nui o tō tinana e pāngia ana.
Te rongoā i te fluorosis niho
Mena he Dental Fluorosis tōu, ka tūtohu pea tō tākuta niho i tētahi o ngā tikanga whakapaipai e whai ake nei:
- Te whakama i ngā niho: Ka pania e tō tākuta niho he kirimi whakama ki ō niho mō tētahi wā kua whakaritea . Ka whakamāramahia e tēnei te enamel, ka āwhina ki te whakakotahi i ngā paru fluorosis ki te tae tūturu o ō niho. He mea noa tēnei mō ngā mate ngawari.
- Te honohono niho: Ka whakamahia e tō tākuta niho he kapia hiato tae-niho hei uhi i ngā paru fluorosis, kātahi ka hangaia, ka whakakanapahia hoki ngā niho kia puta he āhua tūturu.
- Ngā whakakikorua niho: He anga angiangi ēnei, he mea hanga ki te kapia, ki te porcelain rānei, e kapi ana i te mata o mua o ō niho. Me tā te niho kia tino tau ai.
- Ngā karauna niho: He uhi ritenga hei taupoki i tō niho katoa. Kia tika ai te urunga o te karauna, me tango he iti o te enamel tūturu o tō niho.
- Te whakakoi i te enamel: Ka tangohia e tō tākuta niho tētahi paparanga angiangi rawa o te enamel niho hei whakakore i te nuinga o ngā paru fluorosis o te mata. He maha ngā wā ka whakama ngā tākuta niho i muri mai kia ōrite ai te tae.
Te rongoā i te Fluorosis angaanga me te kore-angaanga
Ko te whāinga matua he whakakore i te pūtake o te nui rawa o te fluoride. Me whakarite kia kore he fluoride i roto i tō wai inu. Ka taea e koe te whakamahi i ngā pūnaha pēnei i te osmosis whakamuri , te whakahoro , ngā tātari waro whakahohe rānei. (Kia mahara: Kāore te wai kohua e tango i te fluoride, nā te mea he pumau ki te wera.)
Hei tāpiri, ka tūtohu pea tō tākuta:
- Ngā steroids anabolic: Ka āwhina pea ēnei ki te whakahaere i ngā tohu e pā ana ki te kiato o te wheua.
- Konupūmā me te Huaora D: Ka āwhina ēnei ki te tautoko i te hauora o te wheua, ā, ka pā pea ki te mimiti o te fluoride i roto i tō puku.
- Ngā NSAID (Nonsteroidal anti-inflammatory drugs):Ka āwhina ēnei ki te whakahaere i te mamae me te pupuhi e pā ana ki te Skeletal Fluorosis.
Ehara tēnei i te rārangi katoa; mā tō tākuta e whakawhanake he mahere maimoatanga e hāngai ana ki ō hiahia motuhake i Nirogi Lanka, i tō kaiwhakarato hauora ā-rohe rānei.
Ka taea te ārai i te mate pūhā?
Ko te huarahi pai hei ārai i te mate pūhā ko te whakahaere i te nui o te pūhā. Anei ētahi tohutohu:
- Whakawhitiwhiti kōrero ki tō mana whakahaere wai ā-rohe, ki tō tari rānei e tika ana, kia mārama ai koe ki ngā ture mō te whākōkōwai i tō rohe.
- Me whakamātauria tō wai puna, tō wai puna wai ā-rohe rānei mō ngā taumata o te pūhaumāota.
- Kia mōhio tonu koe ki ngā taumata o te kukū o te fluoride i tō rohe.
Hei tiaki i tāu tamaiti i te mōrearea o te mate fluorosis, he mea nui kia āta aroturukihia te nui o te fluoride e kainga ana e rātou. Ahakoa he mea nui kia āraihia te nui rawa o te fluoride, me whakarite hoki kia whiwhi tāu tamaiti i te nui e tika ana i a ia e whanake ana ōna niho. Ko te kimi i tēnei taurite te mea nui hei tautoko i tōna hauora mō te wā roa.
He aha ngā mea e tika ana kia tumanakohia e koe ina noho tahi koe me te fluorosis?
He pai te āhua o te mate niho fluorosis, nā te mea he āwangawanga āhua noa iho, kaua ki te mate kino. Ka taea e ngā maimoatanga niho hou te whakatika i tōna āhua.
Ko te tirohanga mō te mate pūkawai angaanga e whakawhirinaki ana ki te tere o te tautuhi i tōna mate. Mā te wawe o te whakamutu i te kai nui o te pūkawai, ka nui ake te tūponotanga mō te ora roa me te whakahaere i ō tohumate.
Kia pēhea te roa o te mate o te fluorosis?
I te nuinga o te wā, ehara te mate fluorosis i te mate e taea te whakakore; ina puta, ka pumau tonu ngā huringa ā-tinana ki ngā niho, ki ngā wheua rānei. Heoi, e kī ana ētahi rangahau ka taea e te maimoatanga haumanu te āwhina i te whakamama i ngā tohu o te mate fluorosis angaanga. Heoi, ko te nui o te whakapainga e whakawhirinaki ana ki te kaha o ō tohu i te wā e tautuhia ai.
Me pēhea e taea ai e koe te whakahaere i tō hauora?
Mena kei te pāngia koe e te mate fluorosis, kei te noho rānei koe i tētahi rohe e kitea whānuitia ana tēnei mate, ko te huarahi pai ko te noho mōhio. Kia mōhio ki ngā taumata o te fluoride i roto i tō wai inu. Kia whiwhi koe i ēnei mōhiotanga, ka taea e koe te whakatau whai mana mō tō hauora me te oranga o tō whānau.
Āhea koe me toro atu ki te tākuta?
Ki te whakapae koe he mate niho fluorosis tōu, tō tamaiti rānei, whakaritea he wā hui ki tō tākuta niho hei matapaki i ngā kōwhiringa whakapaipai me ngā kōwhiringa maimoatanga e wātea ana.
Hei tāpiritanga, ki te pāngia koe e ngā tohu ohorere o te mate kōwhai angaanga – pērā i te whakapairuaki, te mamae tonu o ngā hononga, te whati wheua pinepine rānei – tēnā whakapā atu ki tō tākuta tonu. Ka taea e rātou te mahi i ngā whakamātautau tātaritanga e tika ana hei tautuhi i te pūtake.
Ahakoa he iti noa te nui o te fluoride, ka whakapakari ngā niho, ā, ka ārai i te pirau, engari ka kino pea te nui rawa o te kai. Ko te mātauranga te mana. Ko te huarahi pai ki te ārai i te fluorosis ko te noho mōhio. Whakamātauria tō puna wai, ka kōrero ki tō mana whakahaere wai ā-rohe mō ngā kaupapa here whakapūnga fluoride i tō rohe. Mena he āwangawanga motuhake āu mō te pānga o te fluoride ki tō hauora, kōrero ki tō tākuta i Nirogi Lanka.
Ngā Whakaaro Matua o tēnei tuhinga
Hei whakarāpopototanga, koinei ngā mea tino nui hei maumahara māu:
- Ko te fluorosis he mate e puta mai ana i te nui rawa o te fluoride e kainga ana i roto i te tinana i roto i te wā roa.
- E rua ngā momo matua: Ko te Fluorosis niho (e pā ana ki ngā niho) me te Fluorosis angaiwi (e pā ana ki ngā wheua me ngā hononga).
- He maha ngā wā ka puta te mate niho kōwhai he mā, he parauri rānei ngā ira i runga i ngā niho; kāore he mamae, ā, ka taea te whakahaere mā te tiaki niho ataahua.
- He kino ake te mate wheua kōwhai, ā, ka mamae pea ngā hononga me te nui ake o te mōrearea o ngā whati.
- Ko te noho mōhio ki te nui o te fluoride i roto i tō wai inu te mea pai rawa atu hei ārai i a koe.
- Kia tūpato ki ngā tamariki e horomia ana te paraihe niho whai fluoride i a rātou e tipu haere ana ō rātou niho.
- Ki te kite koe i ētahi tohu whakararuraru, rapua wawetia he tohutohu hauora.
Kia maumahara, he kohuke e hiahiatia ana e tātou te fluoride i roto i ngā rahinga kua whakawhāitihia. Ka puta noa te raruraru mēnā ka nui rawa te pānga. Mā te noho mataara me te noho mōhio, ka taea e koe te tiaki i tō hauora me te hauora o āu tamariki.
Te Pūhaumāota, Te Pūhaumāota, Te Hurihanga o te Tae o ngā Niho, Ngā Mate Wheua, Te Wai Inu, Te Hauora o ngā Niho, Ngā Kohuke
