Kodi muli ndi mawanga oyera/ofiirira pa mano anu? Mwina simukudziwa kuti ndi fluorosis! Tiyeni tikambirane za izi!

Kodi munayang'anapo mano anu, kapena mano a mwana wanu, ndipo munaona madontho ang'onoang'ono oyera, nthawi zina abulauni? Anthu ena amamva kupweteka m'mafupa ndi m'malo olumikizirana mafupa, zomwe zimapangitsa kuti kuyenda kukhale kovuta. Chimodzi mwa zifukwa izi ndichakuti tili ndi mchere wambiri wotchedwa fluoride m'thupi lathu. Ndicho chimene timachitcha fluorosis . Musachite mantha, musaganize kuti uwu ndi matenda aakulu mukamva. Tiyeni tikambirane za izi mosavuta, mwanjira yomwe mungamvetse.

Kodi kwenikweni Fluorosis ndi chiyani?

Mwachidule, fluorosis ndi vuto lomwe limayamba chifukwa cha kuchuluka kwa fluoride m'thupi. Fluoride ndi mchere wachilengedwe womwe umapezeka m'nthaka ndi m'madzi. Kunena zoona, pang'ono, umathandiza kupewa kuwola kwa mano. Ndicho chifukwa chake mwina mwazindikira kuti mankhwala ena otsukira mano ali ndi fluoride. Komabe, monga china chilichonse, kuchuluka kwake kungakhale kovulaza thanzi lanu. Monga mwambi umanenera, "kuchuluka kwa chilichonse sikwabwino." Ngakhale madzi omwe timamwa ali ndi fluoride. Kutengera komwe mumakhala, kuchuluka kwa fluoride m'madzi omwe mumagwiritsa ntchito kungakhale kotsika kapena kokwera. Mabungwe monga Unduna wa Zaumoyo ndi Utumiki wa Anthu ku US amati kuchuluka kwa fluoride m'madzi athu akumwa ndi pafupifupi 0.7 milligrams (mg/L). Izi zikutanthauza kuti ngakhale kumathandiza kuchepetsa kuwola kwa mano, ndikofunikira kukhala ndi thanzi labwino lomwe silimayambitsa mavuto ena azaumoyo.

Kodi mitundu ya fluorosis ndi iti?

Pali mitundu ikuluikulu ingapo ya fluorosis. Tiyeni tiwone zomwe zili:

Kodi Fluorosis ya Mano ndi Chiyani?

Uwu ndi mtundu wa matenda omwe timawaona komanso kuwalankhula nthawi zambiri. Umakhudza mano anu. Matendawa amapezeka mukadya fluoride wochuluka, makamaka pazaka zisanu ndi zitatu zoyambirira za moyo wanu, pamene mano anu akupangika. Dental Fluorosis imatha kukhala yofatsa mpaka yoopsa. Koma si vuto lopweteka. Nthawi zambiri limaonedwa ngati vuto la kukongola, zomwe zikutanthauza kuti limakhudza mawonekedwe a mano anu. Nthawi zambiri silikhudza kwambiri ntchito kapena thanzi la mano anu.

Tiyeni tiphunzire za Skeletal Fluorosis

Uwu ndi mtundu womwe muyenera kusamala nawo pang'ono. Umakhudza mafupa ndi mafupa anu. Izi zitha kukhala ndi zotsatirapo zoipa pa thanzi lanu lonse. Mwachitsanzo , osteoporosis ( vuto lomwe mafupa amafooka ndikusweka mosavuta), nyamakazi (kutupa kwa mafupa), ndi kupweteka kwa mafupa kwa nthawi yayitali kumatha kuchitika. Vutoli limachitika ngati munthu akumwa fluoride yambiri kwa zaka zambiri.

Kodi Fluorosis Yopanda Chigoba ndi Chiyani?

Imeneyi ndi nthawi yoyambirira ya skeletal fluorosis. Imakhudza kwambiri kugaya chakudya (m'mimba) . Izi zikutanthauza kuti mungakumane ndi zizindikiro monga kupweteka m'mimba, kudzimbidwa, kutsegula m'mimba, kudzimbidwa, komanso kusowa chilakolako cha chakudya.

Kodi matenda a fluorosis ndi ofala bwanji?

Matenda a mano otchedwa Fluorosis ndi matenda ofala padziko lonse lapansi. Akuti pafupifupi 23% ya anthu m'dziko ngati America ali ndi vutoli. Komabe, Skeletal Fluorosis ndi yosowa kwambiri m'maiko ngati America. Komabe, ndi yofala (yofala) m'madera ena a Asia ndi Africa. Makamaka ku India ndi China, odwala ambiri amanenedwa. N'zovuta kunena kuti ndi anthu angati padziko lonse omwe ali ndi skeletal fluorosis. Komabe, kafukufuku wina adapeza kuti anthu 94 mwa anthu 445 omwe anali m'dera lomwe lili ndi fluoride yambiri anali ndi vutoli. Tsopano, taonani, m'madera ambiri a America, fluoride m'madzi ndi yocheperapo kuposa 0.7 milligrams pa lita (mg/L) yomwe yatchulidwa kale. Ichi ndichifukwa chake akuluakulu ambiri am'deralo amawonjezera fluoride m'madzi akumwa. Komabe, m'madera ena a dziko lapansi, mwachitsanzo, m'madera ena a Asia ndi Africa, madzi achilengedwe okhala pansi pa nthaka ali ndi fluoride yambiri. Ku India, kuchuluka kwa fluoride m'madzi akumwa akuti ndi pafupifupi 2.37 milligrams pa lita (mg/L). M'malo ena, milingo yokwana 9.22 milligrams pa lita imodzi (mg/L) yanenedwa. Chifukwa chake, anthu okhala m'malo otere ali pachiwopsezo chachikulu chotenga matenda a fluorosis. Ku Sri Lanka, kulinso madera ena, makamaka m'malo ouma, komwe milingo ya fluoride m'madzi iyenera kuganiziridwa. Chifukwa chake, ndikofunikira kwambiri kudziwa magwero a madzi m'dera lanu.

Kodi zizindikiro za fluorosis ndi ziti?

Zizindikiro zimasiyana malinga ndi mtundu wa fluorosis yomwe muli nayo. Kawirikawiri, mukakumana ndi fluoride yambiri, zizindikiro zanu zimatha kukhala zoopsa kwambiri.

Zizindikiro za Fluorosis ya Mano

Chizindikiro chokha cha matenda a mano otchedwa dental fluorosis ndi kusintha kwa mtundu wa mano. Kusintha kwa mtundu kumeneku kumasiyana malinga ndi kuopsa kwa vutoli. Madokotala a mano amagwiritsa ntchito mawu otsatirawa poika m'magulu:

• Zokayikitsa: Madontho ochepa oyera opepuka kwambiri ndi madontho ochepa oyera .
• Zofewa kwambiri: Madontho oyera opepuka omwe amaphimba pansi pa 25% ya pamwamba pa dzino.
• Wofatsa: Madontho oyera opepuka omwe amaphimba pansi pa 50% ya pamwamba pa dzino.
• Pakati: Madontho oyera kapena ofiirira pang'ono pamwamba pa dzino loposa 50%.
• Zoopsa:Madontho oyera, ofiirira pang'ono, kapena ofiirira akuda pamwamba pa mano anu. Mano anu angakhalenso ndi mabowo ang'onoang'ono kapena enamel ingawoneke ngati yatha.

Zizindikiro za Fluorosis ya Chigoba ndi Yosakhala ya Chigoba

Zizindikiro zoyambirira zokhudzana ndi fluorosis yopanda mafupa zingaphatikizepo:

• Kuwawa kwam'mimba
• Kutupa
• Kudzimbidwa
• Kutsegula m'mimba
• Kupweteka kwa mafupa ndi kuuma kwa mafupa
• Kupweteka kwa msana
• Kutaya minofu
• Kusanza ndi kusanza

Pamene vutoli likuipiraipira ndipo zizindikiro za skeletal fluorosis zikuyamba kuonekera, mungakumane ndi zotsatirazi:

• Kusweka kwa mafupa
• Kufooka kwa mafupa ndi msana
• Kulephera kuzindikira bwino - ndiko kuti, kulephera pang'ono pazinthu monga kukumbukira ndi kusamala
• Myelopathy - ululu woyambitsidwa ndi kupsinjika kwa msana
• Osteosclerosis - kukhuthala kwa mafupa kosazolowereka
• Radiculopathy - ululu womwe umabwera chifukwa cha kupsinjika kwa mitsempha m'msana
• Kutupa pakhungu
• Matenda ogona

Kodi zimayambitsa matenda a fluorosis ndi ziti?

Fluorosis imayamba chifukwa chomwa fluoride yambiri. Izi zikutanthauza kuti mumameza fluoride yambiri kwa nthawi yayitali. Momwe izi zimachitikira zimasiyana malinga ndi mtundu wa fluorosis. Fluorosis ya mano imachitika pamene mano a mwana okhazikika akadali kukula pansi pa chingamu, pamene fluoride yambiri imalowetsedwa nthawi zonse. Izi zitha kuchitika chifukwa cha kumwa madzi kapena mkaka wokhala ndi fluoride yambiri, kapena chifukwa chomeza mankhwala otsukira mano a fluoride ambiri. Fluorosis ya mafupa ndi yopanda mafupa imachitika munthu wa msinkhu uliwonse akamamwa fluoride yambiri kwa zaka zingapo. Izi zitha kuchitika chifukwa chomwa madzi okhala ndi fluoride yambiri, kapena chifukwa chomwa zakumwa nthawi zonse monga tiyi ndi khofi zopangidwa ndi madzi okhala ndi fluoride yambiri.

Zinthu zomwe zimayambitsa matenda a fluorosis

Chinthu choopsa ndi chinthu chomwe chimawonjezera mwayi wokhala ndi vuto linalake. Izi ndi zinthu zomwe zimayambitsa fluorosis:

• Kukhala m'dera lomwe lili ndi fluoride wambiri m'madzi apansi panthaka.
• Kuchuluka kwa fluoride m'madzi akumwa nthawi zambiri kumakhala kopitilira 0.7 milligrams pa lita imodzi (mg/L).
• Kumeza mankhwala otsukira mano okhala ndi fluoride wambiri nthawi zonse. (Kumeza pang'ono kwambiri n'kwabwino. Komabe, kumeza kwambiri kwa nthawi yayitali kungayambitse fluorosis.)
• Kupatsa mkaka wa ana wokhala ndi fluoride wosakanizidwa ndi madzi okhala ndi fluoride kwa nthawi yayitali. (Ngati mugwiritsa ntchito mkaka wokhala ndi fluoride, pangani ndi madzi opanda fluoride. Ngati mugwiritsa ntchito madzi okhala ndi fluoride, yang'anani mkaka wa ana wopanda fluoride.)

Zinthu zina zapakhomo, monga zotsekera, mafuta odzola, ndi zotsukira fumbi la mpweya, zimakhala ndi ma fluorocarbon. Anthu omwe amapuma mankhwala amenewa ali pachiwopsezo chachikulu chotenga matenda a fluorosis m'mafupa ndi m'mafupa. Kuledzera ndi mankhwala amenewa kungayambitse khunyu, kusakhazikika kwa mtima, komanso imfa yadzidzidzi.

Ngati muli ndi chizolowezi chogwiritsa ntchito zinthuzi ndipo mukufuna thandizo kuti muchiritse, ndikofunikira kwambiri kufunafuna upangiri woyenera wa dokotala kapena upangiri.

Kodi matenda a fluorosis amachiritsidwa bwanji?

Dokotala wa mano amatha kuzindikira matenda a mano pamene akukuyezani mano nthawi zonse. Nthawi zina, angatengenso X-ray ya mano anu kuti apeze matenda ena. Matenda a mafupa ndi osakhudzana ndi mafupa amatha kukhala ovuta kuwazindikira chifukwa zizindikiro zake zimafanana ndi za matenda ena ambiri. Chifukwa chake madokotala nthawi zambiri amafunika kuchita mayeso angapo. Izi zingaphatikizepo:

• Mayeso ojambulira kuti muone mafupa anu. Zitsanzo zikuphatikizapo X-ray , CT scans (Computed Tomography scans) , ndi ma bone density tests (DXA) .
• Kuyezetsa magazi kuti muwone kuchuluka kwa fluoride mu seramu yanu.
• Kusanthula mkodzo kuti muwone kuchuluka kwa fluoride mumkodzo wanu.

Kodi mankhwala a fluorosis ndi ati?

Chithandizo cha fluorosis chimasiyana malinga ndi mtundu wa fluorosis yomwe muli nayo. Dental fluorosis ikhoza kukonzedwa ndi cosmetic dentistry. Chithandizo cha skeletal fluorosis ndi chovuta kwambiri. Zimatengera zinthu zingapo, makamaka kuopsa kwa zizindikiro komanso ziwalo za thupi zomwe zakhudzidwa.

Chithandizo cha Fluorosis ya Mano

Ngati muli ndi vuto la dental fluorosis, dokotala wanu wa mano angakulangizeni chimodzi mwa izi:

• Kuyeretsa mano: Dokotala wanu wa mano adzagwiritsa ntchito jeli yoyeretsa mano anu kwa nthawi inayake . Jeli iyi idzawunikira enamel ya mano anu, kuti igwirizane ndi mawanga a fluorosis. Nthawi zambiri imagwiritsidwa ntchito pochiza matenda ofatsa a fluorosis.
• Kulumikiza mano: Mu njira imeneyi, dokotala wa mano amagwiritsa ntchito utomoni wopangidwa ndi utoto wofanana ndi dzino kuti aphimbe mabala a fluorosis. Kenako manowo amapangidwa ndi kupukutidwa bwino.
• Ma veneer a mano: Awa ndi zipolopolo zopyapyala zopangidwa ndi utomoni kapena porcelain zomwe zimaphimba kutsogolo kwa mano anu. Popeza ma veneer amapangidwa mwamakonda kwa munthu aliyense, zizindikiro za mano zimatengedwa kuti zitsimikizire kuti ndi zazikulu zoyenera zosowa zanu.
• Makorona a mano: Awa ndi ma hood opangidwa mwapadera. Amaphimba dzino lanu lonse. Kuti korona igwirizane bwino, pang'ono pa enamel ya mano anu achilengedwe muyenera kuchotsedwa.
• Kuchotsa mano m'mano: Mu njira iyi, dokotala wa mano amachotsa gawo lochepa kwambiri la mano anu. Izi zimatha kuchotsa mabala ambiri a fluorosis. Nthawi zambiri, madokotala amachitanso kuyeretsa mano pambuyo pa kuchotsa mano m'mano m'mano kuti agwirizane ndi mtundu wa mano anu.

Chithandizo cha Fluorosis ya Chigoba ndi Yosakhala ya Chigoba

Cholinga chachikulu ndikuchotsa gwero la vutoli. Kuti muchite izi, muyenera kuchotsa fluoride m'madzi anu akumwa. Mutha kugwiritsa ntchito njira monga reverse osmosis , distillation , kapena activated carbon filters kuti musefe madzi anu. (Madzi otentha sangachite izi. Ngakhale kuwiritsa kumachotsa zinyalala m'madzi, fluoride si chinthu chomwe chingasweke ndi kutentha, ndipo ndi champhamvu kwambiri.) Kuphatikiza apo, madokotala angakulimbikitseni mankhwala monga:

• Ma steroid a Anabolic:Mankhwalawa amatha kuchepetsa zizindikiro za matenda a osteoporosis.
• Calcium ndi Vitamini D: Izi ziwirizi zimatha kuchepetsa kukhuthala kwa mafupa zikagwiritsidwa ntchito pamodzi. Zingakhudzenso momwe mumayamwira fluoride m'matumbo anu.
• NSAIDs (mankhwala oletsa kutupa omwe si a steroidal): Mankhwalawa amathandiza kuchepetsa ululu ndi kutupa komwe kumabwera chifukwa cha skeletal fluorosis.

Iyi si mndandanda wathunthu. Dokotala wanu adzakonza dongosolo la chithandizo lomwe likugwirizana ndi zosowa zanu.

Kodi Fluorosis ingapewedwe?

Njira yokhayo yopewera fluorosis ndikuwongolera kuchuluka kwa fluoride yomwe mumamwa. Nazi malangizo angapo:

• Funsani bungwe la madzi lapafupi kapena bungwe loyenera za malamulo okhudza kuwonjezera fluoride m'madzi m'dera lanu.
• Yang'anani kuchuluka kwa fluoride m'madzi anu a m'chitsime kapena m'madzi a m'boma.
• Dziwani zambiri za kuchuluka kwa fluoride m'dera lanu.

Kuti mwana wanu achepetse chiopsezo cha matenda a fluorosis, samalani ndi kuchuluka kwa fluoride komwe akukumana nako. Muyenera kupewa kupatsa mwana wanu fluoride wochuluka, ndipo onetsetsani kuti akupeza mlingo woyenera panthawi yomwe mano ake akuyamba kumera. Kuchuluka kumeneku n'kofunika kwambiri pa thanzi la mwana wanu.

Kodi mungayembekezere chiyani mukakhala ndi fluorosis?

Zotsatira za matenda a mano nthawi zambiri zimakhala zabwino, chifukwa si vuto loopsa. Zingathe kukonzedwa ndi chithandizo cha mano. Zotsatira za matenda a mafupa zimadalira momwe mumadziwira msanga. Mukasiya kumwa fluoride mwachangu, mwayi wochira nthawi yayitali umakhala wabwino.

Kodi fluorosis imatenga nthawi yayitali bwanji?

Kawirikawiri, fluorosis si vuto lotha kuchiritsidwa. Izi zikutanthauza kuti, ikachitika, siitha. Kafukufuku wina wasonyeza kuti chithandizo chingathandize kuchepetsa zizindikiro za skeletal fluorosis. Koma zimatengera momwe zizindikiro zanu zilili zowopsa poyamba.

Kodi ndimadzisamalira bwanji?

Ngati muli ndi fluorosis, kapena ngati mukukhala m'dera lomwe matendawa amapezeka kawirikawiri, chinthu chabwino kwambiri chomwe mungachite ndikudziwitsidwa. Dziwani kuchuluka kwa fluoride m'madzi omwe mumamwa. Mukadziwa kuchuluka kwa fluoride, mutha kupanga zisankho zolondola zokhudza thanzi lanu.

Kodi muyenera kupita kwa dokotala liti?

Ngati mukuganiza kuti muli ndi vuto la mano, pitani kwa dokotala wa mano kuti akuthandizeni ndi njira zina zochiritsira. Komanso, ngati mwadzidzidzi muyamba zizindikiro za skeletal fluorosis, monga nseru, kupweteka kwa mafupa, kapena kusweka kwa mafupa pafupipafupi, muyenera kuuza dokotala wanu. Iye akhoza kuchita mayeso kuti apeze chomwe chikuyambitsa.

Fluoride pang'ono, imalimbitsa mano athu ndikuteteza kuti asawole. Koma kuchuluka kwambiri kungakhale kovulaza. Chidziwitso ndi mphamvu. Njira yabwino yopewera fluoride ndikudziwa. Yang'anani komwe madzi anu akuchokera. Dziwani malamulo omwe ali m'dera lanu okhudza kuwonjezera fluoride m'madzi. Ngati muli ndi mafunso enieni okhudza momwe fluoride imakhudzira thanzi lanu, lankhulani ndi dokotala wanu.

Chinthu chofunika kwambiri kukumbukira kuchokera munkhaniyi (Uthenga Wopita Nawo Kunyumba)

Chabwino, kuchokera pa zomwe takambirana, izi ndi zinthu zofunika kwambiri zomwe muyenera kukumbukira:

• Fluorosis ndi vuto lomwe limayamba chifukwa cha kuchuluka kwa fluoride m'thupi.
• Pali mitundu iwiri ikuluikulu: Dental Fluorosis (yomwe imakhudza mano) ndi Skeletal Fluorosis (yomwe imakhudza mafupa ndi mafupa).
• Matenda a mano otchedwa dental fluorosis amayambitsa mawanga oyera/ofiirira pa mano, koma sapweteka. Angathe kukonzedwa ndi mankhwala okongoletsa mano.
• Matenda a Skeletal Fluorosis ndi oopsa pang'ono ndipo angayambitse kupweteka kwa mafupa komanso kusweka kwa mafupa.
• Chofunika kwambiri ndikudziwa kuchuluka kwa fluoride m'madzi omwe mumamwa.
• Samalani kuti musameze mano otsukira mano okhala ndi fluoride pamene ana anu akuyamba kumera mano.
• Ngati muli ndi zizindikiro zilizonse, funsani upangiri wa dokotala nthawi yomweyo.

Kumbukirani, fluoride ndi chinthu chomwe timafunikira pang'ono. Vuto ndi kupeza fluoride wochuluka. Chifukwa chake, ndikofunikira kuti tonse tidziwe izi ndikuteteza thanzi lathu ndi la ana athu. Fluorosis, Fluoride, Mabala a Mano, Matenda a Mafupa, Madzi akumwa, Thanzi la Mano, Mineral