Kodi munayamba mwaonapo madontho ang'onoang'ono oyera kapena nthawi zina abulauni pa mano anu kapena mano a mwana wanu? Kodi inuyo kapena wokondedwa wanu mukukumana ndi kupweteka kosamvetsetseka kwa mafupa kapena mafupa komwe kumapangitsa kuyenda kukhala kovuta? Mavutowa nthawi zambiri amayamba chifukwa cha mchere wochuluka wotchedwa fluoride m'thupi lanu. Matendawa amadziwika kuti Fluorosis . Musachite mantha—ngakhale zikumveka ngati matenda, tikambirana mwachidule kuti mumvetse bwino zomwe zili komanso momwe zimakhudzira thanzi lanu ku Nirogi Lanka.
Kodi kwenikweni Fluorosis ndi chiyani?
Mwachidule, Fluorosis ndi vuto lomwe limayamba chifukwa chomwa fluoride yambiri kwa nthawi yayitali. Fluoride ndi mchere wachilengedwe womwe umapezeka m'nthaka ndi m'madzi. Muyeso wocheperako, umathandiza chifukwa umathandiza kupewa kuwola kwa mano, ndichifukwa chake umawonedwa ngati chinthu chofala mu mankhwala ambiri otsukira mano. Komabe, monga momwe zilili ndi chilichonse, chinthu chabwino kwambiri chingakhale chovulaza. Monga mwambi wakale umanenera, "kuchepetsa thupi ndikofunikira," ndipo zimenezo n'zoona ndi fluoride.
Ngakhale madzi omwe mumamwa ali ndi fluoride. Kutengera ndi komwe muli, kuchuluka kwa fluoride m'madzi anu kumatha kusiyana kwambiri. Akuluakulu azaumoyo nthawi zambiri amalimbikitsa kuchuluka kwa 0.7 milligrams pa lita imodzi (mg/L) m'madzi akumwa kuti mukhale ndi thanzi labwino—kupatsa mano anu okwanira komanso kupewa mavuto aliwonse pa thanzi lanu.
Kodi mitundu ya fluorosis ndi iti?
Pali mitundu ikuluikulu ingapo ya matenda a Fluorosis. Tiyeni tiwone izi:
Kodi Fluorosis ya Mano ndi Chiyani?
Uwu ndi mtundu wofala kwambiri womwe timakumana nawo. Umakhudza mano anu. Umachitika makamaka m'zaka zisanu ndi zitatu zoyambirira za moyo wanu—pamene mano anu okhazikika akadali kupangika—ngati mutamwa fluoride yambiri. Fluorosis ya mano imatha kuyambira yofatsa kwambiri mpaka yoopsa. Komabe, si vuto lopweteka. Nthawi zambiri limaonedwa ngati vuto lokongoletsa mano malinga ndi mawonekedwe a mano ndipo nthawi zambiri silimakhudza ntchito yonse kapena thanzi la mano anu.
Kumvetsetsa Fluorosis ya Chigoba
Uwu ndi matenda oopsa kwambiri omwe amafunika thandizo lachipatala. Amakhudza mafupa ndi mafupa anu. Kwa zaka zambiri mukamamwa fluoride yambiri, izi zingayambitse mavuto azaumoyo monga Osteoporosis (mafupa ofooka, osalimba), Nyamakazi (kutupa kwa mafupa), ndi kupweteka kosatha kwa mafupa.
Kodi Fluorosis Yopanda Chigoba ndi Chiyani?
Ganizirani izi ngati chizindikiro choyambirira chomwe nthawi zambiri chimayambitsa mavuto a mafupa. Zimakhudza kwambiri njira yanu ya m'mimba , zomwe zimapangitsa kuti mukhale 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 vuto la padziko lonse lapansi. M'mayiko ngati USA, amakhudza pafupifupi 23% ya anthu.
Komabe, Skeletal Fluorosis ndi yosowa kwambiri m'maiko otukuka monga USA koma ikadali yofala m'madera ena a Asia ndi Africa. India ndi China anena kuti chiwerengero cha anthu omwe ali ndi matendawa ndi chachikulu kwambiri. Ngakhale kuti ziwerengero zenizeni padziko lonse lapansi n'zovuta kuzitsatira, kafukufuku wina adapeza kuti mwa anthu 445 omwe amakhala m'dera lomwe lili ndi fluoride yambiri yachilengedwe, anthu 94 adadwala matendawa.
M'madera ambiri ku USA, kuchuluka kwa fluoride mwachilengedwe kuli pansi pa chizindikiro cha 0.7 mg/L, ndichifukwa chake machitidwe ambiri amadzi am'mizinda amasintha kuchuluka kwa fluoride. Mosiyana ndi zimenezi, m'madera ena a Asia ndi Africa, madzi apansi panthaka amakhala ndi fluoride yambiri mwachilengedwe. Mwachitsanzo, madera ena ku India amanena kuti kuchuluka kwa fluoride ndi 2.37 mg/L, ndipo nthawi zina, kufika pa 9.22 mg/L. Ku Sri Lanka, makamaka m'madera ouma, ndikofunikira kudziwa kuchuluka kwa fluoride m'madzi anu am'deralo. Kudziwa komwe madzi anu amachokera ndi gawo lofunika kwambiri pakusunga thanzi la banja lanu.
Kodi zizindikiro za fluorosis ndi ziti?
Zizindikiro zimasiyana malinga ndi mtundu wa Fluorosis komanso nthawi yomwe munthu wakhudzidwa nayo. Pamene mukumwa fluoride yambiri, kuopsa kwa zizindikiro kungatsatire.
Zizindikiro za Fluorosis ya Mano
Chizindikiro cha matenda a mano otchedwa Dental Fluorosis ndi kusintha kwa mtundu wa mano. Malinga ndi kuopsa kwake, madokotala a mano amaika mano m'magulu motere:
- Zokayikitsa: Madontho oyera kapena madontho oyera omwe ndi ofewa kwambiri.
- Wofatsa kwambiri: Malo ang'onoang'ono, oyera osawonekera bwino omwe amaphimba pansi pa 25% ya pamwamba pa dzino.
- Wofatsa: Malo oyera omwe amaphimba pansi pa 50% ya pamwamba pa dzino.
- Pakati: Madontho oyera kapena ofiirira omwe amaphimba pamwamba pa dzino loposa 50%.
- Zoopsa: Madontho oyera, a bulauni wopepuka, kapena a bulauni wakuda. Muthanso kuwona madontho pamwamba kapena mawonekedwe owonongeka a dzino.
Zizindikiro za Fluorosis ya Chigoba ndi Yosakhala ya Chigoba
Zizindikiro zoyambirira za fluorosis yopanda mafupa zingaphatikizepo:
- Kupweteka m'mimba
- Kutupa
- Kudzimbidwa
- Kutsegula m'mimba
- Kupweteka kwa mafupa ndi kuuma kwa mafupa
- Kupweteka kwa msana
- Kutaya minofu
- Kusanza ndi kusanza
Pamene vutoli likupita patsogolo ndipo zizindikiro za Skeletal Fluorosis zikuonekera, mungakumane ndi izi:
- Kusweka kwa mafupa
- Kufooka kwa mafupa ndi msana
- Kulephera kuzindikira bwino (mavuto ndi kukumbukira kapena kuyang'ana kwambiri)
- Myelopathy (ululu wa mitsempha chifukwa cha kupsinjika kwa msana)
- Osteosclerosis (kuuma/kuchuluka kwa mafupa kosazolowereka)
- Radiculopathy (ululu woyambitsidwa ndi mitsempha ya msana yopanikizika)
- Kutupa pakhungu
- Matenda ogona
Kodi ndi zinthu ziti zomwe zimayambitsa matenda a fluorosis?
Fluorosis imayamba chifukwa cha kumwa kwambiri fluoride. Izi zikutanthauza kuti kwa nthawi yayitali, mwakhala mukumwa fluoride yambiri. Momwe vutoli limakulira zimasiyana malinga ndi mtundu wa fluorosis yomwe mukukumana nayo.
Matenda a mano otchedwa Fluorosis amapezeka mwa ana aang'ono pamene mano awo okhazikika akupangikabe pansi pa nkhama. Ngati atamwa fluoride yochuluka panthawiyi, ingayambitse vutoli. Mavuto ambiri ndi monga kumwa madzi kapena kumwa mkaka waufa wokhala ndi fluoride yambiri, kapenanso kumeza mankhwala otsukira mano okhala ndi fluoride yambiri.
Fluorosis ya mafupa ndi yopanda mafupa imatha kuchitika pa msinkhu uliwonse ngati mutamwa fluoride yambiri nthawi zonse kwa zaka zingapo. Izi nthawi zambiri zimagwirizanitsidwa ndi kumwa madzi okhala ndi fluoride yambiri kapena kumwa tiyi kapena khofi nthawi zonse wokonzedwa ndi madzi otere.
Zinthu Zoopsa Zokhudza Fluorosis
Zinthu zomwe zimayambitsa matenda a Fluorosis ndi zinthu zomwe zimawonjezera mwayi wanu woti mudwale matenda enaake. Nazi zinthu zofunika kwambiri zomwe zimayambitsa matenda a Fluorosis:
- Kukhala m'dera lomwe madzi apansi panthaka ali ndi fluoride wambiri.
- Kumwa madzi okhala ndi fluoride nthawi zambiri kumakhala kokwera kuposa 0.7 milligrams pa lita imodzi (mg/L).
- Kumeza mankhwala otsukira mano okhala ndi fluoride nthawi zambiri. (Ngakhale kuti kumwa mankhwala ochepa nthawi zambiri sikuvulaza, kumeza mankhwala ambiri kwa nthawi yayitali kungayambitse matenda a Fluorosis.)
- Kukonzekera mkaka wa ana aang'ono ndi madzi okhala ndi fluoride wambiri kwa nthawi yayitali. (Ngati mugwiritsa ntchito mkaka wa ana aang'ono, ganizirani kugwiritsa ntchito madzi opanda fluoride kuti musakanize. Mosiyana ndi zimenezi, ngati madzi anu ali ndi fluoride wambiri, funani mkaka wa ana wopanda fluoride.)
Zinthu zina zapakhomo, monga zotsekera, mafuta odzola, ndi zotsukira fumbi la mpweya, zimakhala ndi ma fluorocarbon. Anthu omwe amapuma (huff) zinthuzi ali pachiwopsezo chachikulu chotenga matenda a Skeletal and Non-skeletal Fluorosis. Kugwiritsa ntchito molakwika zinthuzi kungayambitsenso khunyu, kusakhazikika kwa mtima, komanso imfa yadzidzidzi.
Ngati inu kapena munthu amene mumamudziwa akuvutika ndi kugwiritsa ntchito mankhwala osokoneza bongo kapena akufunika thandizo kuti asiye, ndikofunikira kupeza upangiri wa akatswiri azachipatala kapena upangiri nthawi yomweyo. Pakagwa mwadzidzidzi, chonde imbani 911 kapena ogwira ntchito zadzidzidzi am'deralo.
Kodi matenda a fluorosis amachiritsidwa bwanji?
Dokotala wa mano nthawi zambiri amatha kuzindikira matenda a mano otchedwa Dental Fluorosis akamayesedwa mano nthawi zonse. Nthawi zina, X-ray ingatengedwe kuti iwonetsetse kuti palibe matenda ena a mano.
Kuzindikira Fluorosis ya Chigoba ndi Yosakhala ya Chigoba n'kovuta kwambiri chifukwa zizindikiro zake nthawi zambiri zimafanana ndi matenda ena. Dokotala wanu angafunike kuyesa kangapo, komwe kungaphatikizepo:
- Mayeso ojambulira kuti muone mafupa anu, monga X-ray , CT scans (Computed Tomography) , ndi Bone density tests (DXA) .
- Kuyezetsa magazi kuti muone kuchuluka kwa fluoride m'magazi mwanu.
- Kusanthula mkodzo kuti muwone kuchuluka kwa fluoride mumkodzo wanu.
Kodi mankhwala a fluorosis ndi ati?
Chithandizo chimadalira mtundu wa Fluorosis yomwe muli nayo. Fluorosis ya mano nthawi zambiri imachiritsidwa kudzera mu cosmetic dentistry , pomwe kuchiza Skeletal Fluorosis kumakhala kovuta kwambiri ndipo kumadalira kuopsa kwa zizindikiro zanu komanso kuchuluka kwa thupi lanu komwe kwakhudzidwa.
Kuchiza Fluorosis ya Mano
Ngati muli ndi matenda a mano otchedwa Dental Fluorosis, dokotala wanu wa mano angakulangizeni njira imodzi mwa izi:
- Kuyeretsa mano: Dokotala wanu wa mano amapaka gel yoyeretsa mano anu kwa nthawi inayake . Izi zimathandiza kuti enamel iwoneke bwino, zomwe zimathandiza kusakaniza madontho a fluorosis ndi mtundu wachilengedwe wa mano anu. Izi zimagwiritsidwa ntchito nthawi zambiri pa milandu yofatsa.
- Kulumikiza mano: Dokotala wanu wa mano amagwiritsa ntchito utomoni wopangidwa ndi utoto wofanana ndi dzino kuti aphimbe mabala a fluorosis, kenako amaumbika ndikupukuta mano kuti akhale okongola mwachilengedwe.
- Ma veneer a mano: Awa ndi zipolopolo zopyapyala zopangidwa ndi utomoni kapena porcelain zomwe zimaphimba kutsogolo kwa mano anu. Izi zimafuna kuti mano anu azioneka bwino.
- Korona za mano: Chophimba mano chomwe chimaphimba dzino lanu lonse. Kuti koronayo igwire bwino ntchito, pang'ono pa enamel yanu yachilengedwe iyenera kuchotsedwa.
- Enamel microabrasion: Dokotala wanu wa mano amachotsa gawo lochepa kwambiri la enamel ya mano kuti achotse mabala ambiri a pamwamba pa fluorosis. Nthawi zambiri, madokotala a mano amayeretsa mano pambuyo pake kuti atsimikizire kuti mtundu wake ndi wofanana.
Kuchiza Fluorosis ya Chigoba ndi Yosakhala ya Chigoba
Cholinga chachikulu ndikuchotsa gwero la fluoride yochulukirapo. Muyenera kuonetsetsa kuti madzi anu akumwa alibe fluoride. Mutha kugwiritsa ntchito njira monga reverse osmosis , distillation , kapena activated carbon filters . (Dziwani: Madzi otentha sachotsa fluoride, chifukwa imakhazikika pa kutentha.)
Kuonjezera apo, dokotala wanu angakulimbikitseni kuti:
- Ma steroid a anabolic: Izi zingathandize kuthana ndi zizindikiro zokhudzana ndi kuchulukana kwa mafupa.
- Calcium ndi Vitamini D: Izi zimathandiza kuti mafupa akhale olimba komanso zingakhudze momwe matumbo anu amayamwira fluoride.
- Mankhwala oletsa kutupa (NSAIDs) (Nonsteroidal anti-inflammatory drugs):Izi zimathandiza kuchepetsa ululu ndi kutupa komwe kumayenderana ndi Skeletal Fluorosis.
Uwu si mndandanda wonse; dokotala wanu adzapanga dongosolo la chithandizo logwirizana ndi zosowa zanu ku Nirogi Lanka kapena kwa dokotala wanu wapafupi.
Kodi Fluorosis ingapewedwe?
Njira yabwino yopewera matenda a Fluorosis ndi kuchepetsa kuchuluka kwa fluoride yomwe mumamwa. Nazi malangizo ochepa:
- Funsani akuluakulu a zamadzi a m'dera lanu kapena dipatimenti yoyenera kuti mumvetse malamulo okhudza fluoride m'dera lanu.
- Yesani madzi anu a m'chitsime kapena a m'boma kuti muwone ngati muli ndi fluoride wambiri.
- Dziwani zambiri za kuchuluka kwa fluoride m'dera lanu.
Kuti muteteze mwana wanu ku chiopsezo cha fluorosis, ndikofunikira kuyang'anira mosamala momwe amamwa fluoride. Ngakhale ndikofunikira kupewa kupezeka kwa fluoride yambiri, muyeneranso kuonetsetsa kuti mwana wanu walandira kuchuluka kokwanira pamene mano ake akukula. Kupeza bwino kumeneku ndikofunikira kwambiri kuti akhale ndi thanzi labwino kwa nthawi yayitali.
Kodi muyenera kuyembekezera chiyani mukakhala ndi fluorosis?
Matenda a mano otchedwa fluorosis nthawi zambiri amakhala ndi mawonekedwe abwino, chifukwa nthawi zambiri amakhala vuto la kukongola osati vuto loipa. Mankhwala amakono a mano amatha kuthana ndi mawonekedwe ake.
Chiyembekezo cha matenda a skeletal fluorosis chimadalira kwambiri momwe matendawa amapezekera msanga. Mukasiya kumwa fluoride mwachangu, mwayi wanu wochira kwa nthawi yayitali komanso kuthana ndi zizindikiro zanu umawonjezeka.
Kodi fluorosis imatenga nthawi yayitali bwanji?
Kawirikawiri, fluorosis si vuto lotha kuthetsedwa; ikachitika, kusintha kwa mano kapena mafupa kumakhala kosatha. Komabe, kafukufuku wina akusonyeza kuti chithandizo chamankhwala chingathandize kuchepetsa zizindikiro za fluorosis ya mafupa. Komabe, kukula kwa kusintha kumadalira kwambiri kuopsa kwa zizindikiro zanu panthawi yodziwira matendawa.
Kodi mungasamalire bwanji thanzi lanu?
Ngati muli ndi fluorosis kapena mukukhala m'dera lomwe matendawa amapezeka kawirikawiri, njira yabwino ndiyo kukhala ndi chidziwitso chokwanira. Dziwani kuchuluka kwa fluoride m'madzi anu akumwa. Mukakhala ndi chidziwitsochi, mutha kupanga zisankho zoyenera zokhudza thanzi lanu komanso moyo wa banja lanu.
Kodi muyenera kupita kwa dokotala liti?
Ngati mukuganiza kuti inu kapena mwana wanu ali ndi vuto la mano, konzani nthawi yokumana ndi dokotala wanu wa mano kuti mukambirane za njira zodzikongoletsera komanso chithandizo chomwe chilipo.
Kuphatikiza apo, ngati mukumva zizindikiro za skeletal fluorosis mwadzidzidzi—monga nseru, kupweteka kosalekeza kwa mafupa, kapena kusweka kwa mafupa pafupipafupi—chonde funsani dokotala nthawi yomweyo. Akhoza kuchita mayeso ofunikira kuti adziwe chomwe chimayambitsa vutoli.
Fluoride pang'ono, imalimbitsa mano ndipo imateteza kuti asawole, koma kumwa kwambiri kungakhale kovulaza. Chidziwitso ndi champhamvu. Njira yabwino yopewera fluoride ndikukhala ndi chidziwitso. Yesani madzi omwe mumachokera ndipo funsani akuluakulu a madzi am'deralo za mfundo zoyendetsera fluoride m'dera lanu. Ngati muli ndi nkhawa zinazake zokhudza momwe fluoride imakhudzira thanzi lanu, lankhulani ndi dokotala wanu ku Nirogi Lanka.
Mfundo Zofunika Kwambiri Kuchokera M'nkhaniyi
Mwachidule, nazi mfundo zofunika kwambiri zomwe muyenera kukumbukira:
- Fluorosis ndi vuto lomwe limayamba chifukwa cha kudya kwambiri fluoride pakapita nthawi.
- Pali mitundu iwiri ikuluikulu: Dental Fluorosis (yomwe imakhudza mano) ndi Skeletal Fluorosis (yomwe imakhudza mafupa ndi mafupa).
- Matenda a mano otchedwa fluorosis nthawi zambiri amakhala ngati mawanga oyera kapena abulauni pa mano; sapweteka ndipo amatha kuchiritsidwa ndi chisamaliro cha mano chokongoletsa.
- Matenda a skeletal fluorosis ndi oopsa kwambiri ndipo angayambitse kupweteka kwa mafupa komanso chiopsezo chowonjezeka cha kusweka kwa mafupa.
- Kudziwa zambiri za kuchuluka kwa fluoride m'madzi anu akumwa ndiye njira yabwino kwambiri yodzitetezera.
- Samalani ana akameza mankhwala otsukira mano okhala ndi fluoride pa nthawi yomwe mano awo akukula.
- Ngati muwona zizindikiro zilizonse zokhudzana ndi matendawa, funsani thandizo lachipatala mwamsanga.
Kumbukirani, fluoride ndi mchere womwe timafunikira pang'onopang'ono. Vutoli limabwera pokhapokha ngati mutakhala ndi fluoride yambiri. Mukadziwa bwino komanso kudziwa zambiri, mutha kuteteza thanzi lanu komanso thanzi la ana anu.
Fluorosis, Fluoride, Kusintha kwa Mtundu wa Dzino, Matenda a Mafupa, Madzi a Kumwa, Thanzi la Mano, Mchere
