Ese ufite utudomo tw'umweru/umukara ku menyo yawe? Ushobora kuba utazi ko ari fluorosis! Reka tubiganireho!

Ese wigeze ureba amenyo yawe, cyangwa amenyo y'umwana wawe, ukabona utudomo duto tw'umweru, rimwe na rimwe tw'umukara? Hari abantu bagira ububabare mu magufwa no mu ngingo zabo, bigatuma bigorana kugenda. Imwe mu mpamvu zibitera ni uko dufite imyunyu ngugu myinshi yitwa fluoride mu mibiri yacu. Ni cyo twita fluorosis . Ntugatinye, ntugatekereze ko iyi ari indwara ikomeye iyo uyumvise. Reka tubiganireho mu buryo bworoshye, mu buryo ushobora kumva.

Fluorosis ni iki mu by'ukuri?

Muri make, fluorosis ni indwara iterwa na fluoride nyinshi mu mubiri. Fluoride ni imyunyu ngugu isanzwe iboneka mu butaka no mu mazi. Mu by'ukuri, mu rugero ruto, ifasha kwirinda kwangirika kw'amenyo. Niyo mpamvu ushobora kuba warabonye ko amenyo amwe na amwe arimo fluoride. Ariko, kimwe n'ibindi byose, irenze urugero ishobora kwangiza ubuzima bwawe. Nk'uko bivugwa, "kurenze urugero rw'ikintu icyo ari cyo cyose si byiza." Ndetse n'amazi tunywa arimo fluoride. Bitewe n'aho utuye, ingano ya fluoride mu mazi ukoresha ishobora kuba iri hasi cyangwa irenga. Imiryango nka Minisiteri y'Ubuzima n'Imirimo ya Leta Zunze Ubumwe za Amerika ivuga ko urwego rwiza rwa fluoride mu mazi yacu yo kunywa ruri hafi miligarama 0.7 (mg/L). Ibi bivuze ko nubwo bifasha kugabanya kwangirika kw'amenyo, ni ngombwa kugira uburinganire budatera ibindi bibazo by'ubuzima.

Ni ubuhe bwoko bwa fluorosis?

Hari ubwoko bwinshi bw'ingenzi bwa fluorosis. Reka turebere hamwe ibyo ari byo:

Fluorosis y'amenyo ni iki?

Ubu ni bwo bwoko tubona kandi tuvugaho kenshi. Bugira ingaruka ku menyo yawe. Iyi ndwara ibaho iyo unyoye fluoride nyinshi, cyane cyane mu myaka umunani ya mbere y'ubuzima bwawe, igihe amenyo yawe arimo kuvuka. Fluorosis y'amenyo ishobora kuva ku yoroshye kugeza ku ikomeye. Ariko si indwara ibabaza. Akenshi ifatwa nk'ikibazo cyo kwisiga, bivuze ko igira ingaruka ku kuntu amenyo yawe asa. Akenshi ntabwo igira ingaruka zikomeye ku mikorere cyangwa ubuzima bw'amenyo yawe.

Reka twige ku ndwara ya Skeletal Fluorosis

Ubu bwoko bw'indwara ugomba kwitondera cyane. Bugira ingaruka ku magufwa yawe n'ingingo. Ibi bishobora kugira ingaruka mbi ku buzima bwawe muri rusange. Urugero , indwara ya osteoporosis ( indwara aho amagufwa acika intege kandi agacika vuba), rubagimpande (kubyimba ingingo), no kubabara ingingo igihe kirekire. Iyi ndwara ibaho iyo umuntu anyoye fluoride nyinshi mu myaka myinshi.

Fluorosis idakoresha amagufwa ni iki?

Iki ni cyo cyiciro cya mbere cya fluorosis y'amagufwa. Gifata cyane cyane inzira y'igogora (inzira y'igifu) . Ibi bivuze ko ushobora kugira ibimenyetso nko kuribwa mu gifu, kuribwa mu nda, impiswi, kubyimba no kubura ubushake bwo kurya.

Indwara ya fluorosis ikunze kugaragara gute?

Indwara ya fluorosis y'amenyo ni indwara ikunze kugaragara ku isi yose. Bivugwa ko hafi 23% by'abaturage bo mu gihugu nka Amerika bafite iyi ndwara. Ariko, Skeletal Fluorosis ni gake cyane mu bihugu nka Amerika. Ariko, ikunze kugaragara (ikunze kugaragara) mu bice bimwe na bimwe bya Aziya na Afurika. Cyane cyane mu Buhinde no mu Bushinwa, abarwayi benshi baravugwa. Biragoye kuvuga neza umubare w'abantu ku isi bafite iyi ndwara ya fluorosis y'amagufwa. Ariko, ubushakashatsi bumwe bwagaragaje ko abantu 94 kuri 445 bari mu gace gafite fluorosis nyinshi bari bafite iyi ndwara. Noneho, reba, mu bice byinshi bya Amerika, urugero rwa fluorosis mu mazi ruri munsi ya miligarama 0.7 kuri litiro (mg/L) zavuzwe haruguru. Niyo mpamvu abayobozi benshi bo muri ako gace bongera fluorosis mu mazi yo kunywa. Ariko, mu bindi bice by'isi, urugero, mu bice bya Aziya na Afurika, amazi karemano yo mu butaka arimo fluorosis nyinshi. Mu Buhinde, impuzandengo ya fluorosis mu mazi yo kunywa bivugwa ko ari hafi miligarama 2.37 kuri litiro (mg/L). Hari aho byagaragaye ko urugero rugera kuri miligarama 9.22 kuri litiro (mg/L). Bityo, abantu batuye muri utwo duce bafite ibyago byinshi byo kurwara indwara ya fluorosis. Muri Sri Lanka, hari n'uturere tumwe na tumwe, cyane cyane mu gace k'umugezi, aho urugero rwa fluoride mu mazi rugomba kwitabwaho. Kubwibyo, ni ngombwa cyane kumenya amasoko y'amazi yo mu gace utuyemo.

Ni ibihe bimenyetso bya Fluorosis?

Ibimenyetso biratandukanye bitewe n'ubwoko bwa fluorosis ufite. Muri rusange, uko uhura na fluoride nyinshi, niko ibimenyetso byawe bishobora gukomera.

Ibimenyetso bya Fluorosis y'amenyo

Ikimenyetso cyonyine cy’indwara y’amenyo ni uguhinduka kw’ibara ry’amenyo. Uku guhinduka kw’ibara gutandukanye bitewe n’uburemere bw’indwara. Abaganga b’amenyo bakoresha amagambo akurikira kugira ngo bayishyire mu byiciro:

• Ikibazo: Hari utudomo duke tw’umweru tworoshye cyane n’utudomo duke tw’umweru .
• Yoroshye cyane: Uduheri tw'umweru tworoshye dutwikira munsi ya 25% by'iryinyo.
• Ibyinshi: Uduheri tw'umweru tworoshye dutwikira munsi ya 50% by'amenyo.
• Iringaniye: Uduheri tw'umweru cyangwa umukara woroshye ku buso bw'amenyo burenga 50%.
• Bikabije:Uduce tw'umweru, umukara woroshye, cyangwa umukara wijimye ku rundi ruhande rw'amenyo yawe. Amenyo yawe ashobora kandi kugira utwobo duto cyangwa amenyo ashobora gusa n'aho yashaje.

Ibimenyetso bya Fluorosis y'amagufwa n'iy'amagufwa atari yo

Ibimenyetso bya mbere bifitanye isano n'indwara ya fluorosis idafata amagufwa bishobora kuba birimo:

• Kubabara mu nda
• Kubyimba
• Impatwe
• Impiswi
• Ububabare n'ubukomere bw'ingingo
• Kubabara umugongo
• Gutakaza imitsi
• Isesemi no kuruka

Uko indwara irushaho gukomera kandi ibimenyetso bya fluorosis y'amagufwa bitangira kugaragara, ushobora guhura n'ibi bikurikira:

• Amagufwa yavunitse
• Ubusembwa bw'amagufwa n'umugongo
• Ubumuga bwo mu mutwe buciriritse - ni ukuvuga ubumuga buto mu bintu nko kwibuka no kwita ku bintu
• Mielopathy - ububabare buterwa no gukanda uruti rw'umugongo
• Osteosclerosis - ukwiyongera kudasanzwe kw'amagufwa
• Radiculopathy - ububabare buterwa no gupfunyika k'umutsi mu ruti rw'umugongo
• Uduheri ku ruhu
• Indwara zo gusinzira

Ni izihe mpamvu zitera fluorosis?

Fluorosis iterwa no kunywa fluoride nyinshi. Ibi bivuze ko unywa fluoride nyinshi mu gihe kirekire. Uburyo ibi bibaho buratandukanye bitewe n'ubwoko bwa fluorosis. Fluorosis y'amenyo ibaho iyo amenyo y'umwana ahoraho akiri gukura munsi y'ishinya, iyo fluoride nyinshi ihora iterwa. Ibi bishobora guterwa no kunywa amazi cyangwa ibikomoka ku mata bifite fluoride nyinshi, cyangwa kumira amenyo menshi ya fluoride. Fluorosis y'amagufwa n'iy'amagufwa ibaho iyo umuntu w'imyaka iyo ari yo yose anywa fluoride nyinshi mu gihe cy'imyaka myinshi. Ibi bishobora guterwa no kunywa amazi arimo fluoride nyinshi, cyangwa guhora unywa ibinyobwa nk'icyayi n'ikawa bikozwe mu mazi arimo fluoride nyinshi.

Ibintu bishobora gutera indwara ya fluorosis

Ikintu gishobora gutera ibyago ni ikintu cyongera amahirwe yo kurwara indwara runaka. Ibi bikurikira ni ibintu bishobora gutera indwara ya fluorosis:

• Kuba mu gace gafite fluoride nyinshi mu mazi yo munsi y'ubutaka.
• Ubusanzwe ingano ya fluoride mu mazi yo kunywa irenga miligarama 0.7 kuri litiro (mg/L).
• Kumira amenyo menshi ya fluoride buri gihe. (Kumira amenyo make cyane nta kibazo. Ariko, kumira amenyo menshi mu gihe kirekire bishobora gutera fluorosis.)
• Gutanga amata y'uruhinja arimo fluoride avanze n'amazi arimo fluoride igihe kirekire. (Niba ukoresha amata y'uruhinja arimo fluoride, uyakore n'amazi adafite fluoride. Niba ukoresha amazi arimo fluoride, shakisha amata y'uruhinja adafite fluoride.)

Bimwe mu bikoresho byo mu rugo, nk'ibifunga, amavuta yo kwisiga, n'imashini isukura umukungugu w'umwuka, birimo fluorocarbons. Abantu bahumeka ibi binyabutabire baba bafite ibyago byinshi byo kurwara fluorosis y'amagufwa n'iy'amagufwa. Gusinda ibi binyabutabire bishobora gutera indwara yo gucika intege, arrhythmia, ndetse no gupfa mu buryo butunguranye.

Niba waratwawe n'ibi bintu kandi ukaba ukeneye ubufasha bwo gukira, ni ngombwa cyane gushaka inama cyangwa inama z'abaganga zikwiye.

Ni gute indwara ya Fluorosis ipimwa?

Umuganga w'amenyo ashobora gusuzuma indwara ya fluorosis y'amenyo mu gihe cyo gupimwa amenyo buri gihe. Hari igihe ashobora no gufata X-rays y'amenyo yawe kugira ngo amenye izindi ndwara. Fluorosis y'amagufwa n'itari yo ishobora kugorana kuyisuzuma kuko ibimenyetso byayo bisa n'iby'izindi ndwara nyinshi. Bityo rero abaganga bakunze gukora ibizamini bike. Ibi bishobora kuba birimo:

• Ibizamini byo gusuzuma amagufwa yawe. Urugero birimo X-rays , CT scans (Computed Tomography scans) , n'ibipimo by'ubucucike bw'amagufwa (DXA) .
• Gupima amaraso kugira ngo harebwe urugero rwa fluoride mu maraso yawe.
• Isuzuma ry'inkari kugira ngo harebwe urugero rwa fluoride mu nkari zawe.

Ni ubuhe buryo bwo kuvura indwara ya fluorosis?

Uburyo bwo kuvura fluorosis buratandukanye bitewe n'ubwoko bwa fluorosis ufite. Gukira fluorosis y'amenyo bishobora gukosorwa hakoreshejwe ubuvuzi bw'amenyo bwo kwisiga. Uburyo bwo kuvura fluorosis y'amagufwa burushaho kugorana. Biterwa n'ibintu byinshi, cyane cyane uburemere bw'ibimenyetso ndetse n'ibice by'umubiri byafashwe n'iyo ndwara.

Uburyo bwo kuvura indwara ya Fluorosis y'amenyo

Niba ufite fluorosis y'amenyo, amenyo yawe ashobora kukugira inama yo kuvura ubwiza bw'amenyo:

• Gusukura amenyo: Umuganga w'amenyo azashyira gel yo gusukura amenyo mu gihe runaka . Iyi gel izamura amenyo yawe, bityo ihuze n'utudomo twa fluorosis. Iyi gel ikunze gukoreshwa mu kuvura indwara zoroshye za fluorosis.
• Guhuza amenyo: Muri ubu buryo, umuganga w'amenyo akoresha resin ivanze n'amenyo kugira ngo atwikire amabara ya fluorosis. Hanyuma amenyo ahinduka neza kandi agasa neza.
• Udupira tw’amenyo: Utu dupira tworoheje dukozwe muri resin cyangwa porcelain dutwikira amenyo yawe. Kubera ko utwo dupira twakorewe buri wese ku giti cye, amenyo afatwa kugira ngo amenyekane ko ari ingano ikwiranye n’ibyo ukeneye.
• Amakamba y'amenyo: Aya ni n'imipfundikizo y'amenyo yakorewe ku giti cyawe. Atwikira iryinyo ryawe ryose. Kugira ngo ikamba rikwire neza, hagomba gukurwaho akantu gato k'amenyo yawe karemano.
• Ugutera amenyo mu buryo bwa enamel microabrasion: Muri ubu buryo, umuganga w'amenyo akuramo agace gato cyane k'amenyo yawe. Ibi bishobora gukuraho amabara menshi ya fluorosis. Akenshi, abaganga banakora umweru nyuma yo gutera amenyo mu buryo bwa enamel microabrasion kugira ngo bahuze ibara ry'amenyo yawe.

Uburyo bwo kuvura indwara ya Fluorosis y'amagufwa n'iy'amagufwa atari yo

Intego nyamukuru ni ukurandura inkomoko y'ikibazo. Kugira ngo ubigereho, ugomba gukuramo fluoride mu mazi yawe yo kunywa. Ushobora gukoresha uburyo nka reverse osmosis , distillation , cyangwa activated carbon filters kugira ngo uyungurure amazi yawe. (Amazi abira ntabwo azabikora. Nubwo guteka bikuraho imyanda mu mazi, fluoride si ikintu gishobora gusenywa n'ubushyuhe, kandi irakomeye cyane.) Byongeye kandi, abaganga bashobora gutanga inama ku buryo bwo kuvura nk'ubu:

• Steroids zikora anabolic:Iyi miti ishobora kugabanya ibimenyetso bya osteoporosis.
• Kalisiyumu na Vitamine D: Ibi byombi bishobora kugabanya ubucucike bw'amagufwa iyo bikoreshejwe hamwe. Bishobora kandi kugira ingaruka ku buryo ufata fluoride mu mara yawe.
• NSAIDs (Imiti irwanya ububyimbirwe itari iya steroide): Iyi miti ifasha mu kugabanya ububabare no kubyimba biva ku ndwara ya fluorosis y'amagufwa.

Uru si urutonde rwuzuye. Muganga wawe azagukorera gahunda yo kuvura ijyanye n'ibyo ukeneye.

Ese indwara ya Fluorosis ishobora kwirindwa?

Uburyo bwonyine bwo kwirinda fluorosis ni ukugenzura ingano ya fluoride unywa. Dore inama nke:

• Baza inama y'amazi yo mu gace utuyemo cyangwa ikigo kibishinzwe ku bijyanye n'amategeko n'amabwiriza agenga kongeramo fluoride mu mazi mu gace utuyemo.
• Genzura urugero rwa fluoride mu mazi y'ibigega byawe cyangwa amazi yo mu mujyi.
• Menya byinshi ku bijyanye n'ingano ya fluoride mu gace utuyemo.

Kugira ngo ugabanye ibyago byo kurwara fluorosis ku mwana wawe, witondere ingano ya fluoride ahura nayo. Ugomba kwirinda guha umwana wawe fluoride nyinshi, kandi urebe neza ko abona ingano ikwiye mu gihe cyo kumera amenyo. Iyi ngano ni ingenzi cyane ku buzima bw'umwana wawe.

Ni iki wakwitega mu gihe ubana n'indwara ya fluorosis?

Ingaruka za Fluorosis y'amenyo ubusanzwe ziba nziza, kuko atari indwara mbi. Ishobora gukosorwa no kuvurwa amenyo. Ingaruka za Fluorosis y'amagufwa y'amenyo biterwa n'uburyo uyibonye vuba. Uko uhagarika gufata fluoride vuba, niko amahirwe yo gukira igihe kirekire aba menshi.

Indwara ya fluorosis imara igihe kingana iki?

Muri rusange, indwara ya fluorosis si indwara ishobora gusubizwa inyuma. Ni ukuvuga ko iyo ibaye, ntabwo ishira. Hari ubushakashatsi bwagaragaje ko kuvura bishobora kongerera ibimenyetso bya fluorosis y'amagufwa ku rugero runaka. Ariko biterwa n'uburemere bw'ibimenyetso byawe kuva ku ntangiriro.

Nitwara nte?

Niba ufite fluorosis, cyangwa niba utuye mu gace kakunze kugaragaramo, ikintu cyiza wakora ni ukumenya amakuru. Menya neza ingano ya fluoride iri mu mazi unywa. Umaze kumenya izo ngero, ushobora gufata ibyemezo bisobanutse ku buzima bwawe.

Ni ryari ukwiye kujya kwa muganga?

Niba utekereza ko ufite fluorosis y'amenyo, gana muganga w'amenyo kugira ngo muganire ku buryo bwo kuvura. Nanone, niba ugize ibimenyetso bya fluorosis y'amagufwa mu buryo butunguranye, nko kugira isesemi, kubabara ingingo, cyangwa kuvunika amagufwa kenshi, ugomba kubimenyesha muganga. Ashobora gukora ibizamini kugira ngo amenye icyabiteye.

Mu rugero ruto, fluoride ikomeza amenyo yacu kandi ikayarinda kubora. Ariko iyo irenze urugero ishobora kwangiza amenyo. Ubumenyi ni imbaraga. Uburyo bwiza bwo kwirinda fluoride ni ukuba maso. Reba aho amazi aturuka. Menya amategeko yo mu gace utuyemo yerekeye kongeramo fluoride mu mazi. Niba ufite ibibazo byihariye ku bijyanye n'uko fluoride igira ingaruka ku buzima bwawe, vugana na muganga wawe.

Ikintu cy'ingenzi cyo kwibuka muri iyi nkuru (Ubutumwa bwo kujyana mu rugo)

Noneho rero, ukurikije ibyo twavuze, ibi ni byo bintu by'ingenzi ugomba kwibuka:

• Fluorosis ni indwara iterwa n'ubwinshi bwa fluoride mu mubiri.
• Hari ubwoko bubiri bw'ingenzi: Dental Fluorosis (ifata amenyo) na Skeletal Fluorosis (ifata amagufwa n'ingingo).
• Indwara ya Fluorosis y'amenyo itera utudomo tw'umweru/umukara ku menyo, ariko nta bubabare igira. Ishobora gukosorwa hakoreshejwe uburyo bwo kwisiga.
• Indwara ya fluorosis y'amagufwa irakomeye cyane kandi ishobora gutera ububabare bw'ingingo no kuvunika amagufwa.
• Igikuru ni ukumenya ingano ya fluoride mu mazi unywa.
• Witondere kumira umuti w'amenyo ufite fluoride mu gihe abana bawe barimo kumera amenyo.
• Niba ufite ibimenyetso, shaka ubufasha bwa muganga ako kanya.

Wibuke ko fluoride ari ikintu dukeneye mu rugero. Ikibazo ni ukuyikoresha cyane. Rero, ni ngombwa ko twese tubimenya kandi tukarinda ubuzima bwacu n'ubw'abana bacu. Fluorosis, Fluoride, Amabara y'amenyo, Indwara z'amagufwa, Amazi yo kunywa, Ubuzima bw'amenyo, Imyunyu ngugu