Ngaba wakha waphawula amabala amancinci amhlophe okanye ngamanye amaxesha amdaka emazinyweni akho okanye kumazinyo omntwana wakho? Ngaba wena okanye umntu omthandayo uneentlungu ezingachazekiyo zamalungu okanye emathanjeni ezenza kube nzima ukuhamba? Ezi ngxaki zihlala zibangelwa yiminerali eninzi ebizwa ngokuba yifluoride emzimbeni wakho. Le meko yaziwa ngokuba yiFluorosis . Nceda ungoyiki—nangona ivakala ngathi yezonyango, siza kuyichaza ngokulula ukuze uqonde ukuba yintoni na kwaye ichaphazela njani impilo yakho eNirogi Lanka.
Yintoni kanye kanye iFluorosis?
Ngamafutshane, i-Fluorosis yimeko ebangelwa kukutya i-fluoride eninzi kakhulu ixesha elide. I-Fluoride yiminerali yendalo efumaneka emhlabeni nasemanzini. Kwimilinganiselo emincinci, elawulwayo, iluncedo kuba inceda ekuthinteleni ukubola kwamazinyo, yiyo loo nto uyibona njengesithako esiqhelekileyo kwii-toothpastes ezininzi. Nangona kunjalo, njengayo nayiphi na into, into eninzi elungileyo inokuba yingozi. Njengoko intetho endala isithi, "ukulinganisela kubalulekile," kwaye oko kuyasebenza nakwi-fluoride.
Kwanamanzi owaselayo ane-fluoride. Ngokuxhomekeke kwindawo okuyo, amanqanaba e-fluoride kumthombo wakho wamanzi anokwahluka kakhulu. Iingcali zempilo ngokubanzi zicebisa inqanaba elifanelekileyo elimalunga ne-0.7 milligrams ngelitha (mg/L) emanzini okusela ukuze kubekho ulungelelwano olugqibeleleyo—olubonelela ngokwaneleyo ukukhusela amazinyo akho ngelixa uphepha naziphi na iziphumo ezibi empilweni.
Ziziphi iintlobo zeFluorosis?
Kukho iintlobo ezimbalwa eziphambili zeFluorosis. Makhe sizijonge:
Yintoni i-Dental Fluorosis?
Olu lolona hlobo luqhelekileyo esidibana nalo. Luchaphazela amazinyo akho. Luvela ngokukodwa kwiminyaka esibhozo yokuqala yobomi—xa amazinyo akho ahlala ehleli esakhiwa—ukuba utya i-fluoride eninzi. I-Dental Fluorosis inokwahluka ukusuka kwencinci kakhulu ukuya kwembi kakhulu. Nangona kunjalo, ayisiyongxaki ibuhlungu. Ngokuqhelekileyo iphathwa njengengxaki yobuhle malunga nokubonakala kwamazinyo kwaye ayichaphazeli ukusebenza okanye impilo yamazinyo akho iyonke.
Ukuqonda i-Skeletal Fluorosis
Le yimeko enzulu ngakumbi efuna unyango. Ichaphazela amathambo namalungu akho. Kwiminyaka emininzi yokusebenzisa i-fluoride egqithisileyo, inokukhokelela kwiingxaki zempilo eziyingozi, ezifana ne -Osteoporosis (amathambo abuthathaka, aqhekekileyo), i-Arthritis (ukudumba kwamalungu), kunye nentlungu engapheliyo yamalungu.
Yintoni i-Non-skeletal Fluorosis?
Cinga ngale nto njengesibonakaliso sokuqala kwesigaba esihlala siphambi kweengxaki zamathambo. Ichaphazela kakhulu indlela yakho yokugaya ukutya , nto leyo ekhokelela kwiimpawu ezifana nokuqaqamba kwesisu, ukuqhina, urhudo, ukudumba, kunye nokulahlekelwa ngumdla wokutya.
Ixhaphake kangakanani iFluorosis?
I-Dental Fluorosis yingxaki yehlabathi. Kumazwe afana ne-USA, ichaphazela malunga nama-23% abantu.
Nangona kunjalo, i-Skeletal Fluorosis ayifumaneki lula kumazwe aphuhlileyo njenge-USA kodwa isaqhubeka ixhaphakile kwiindawo ezithile zase-Asia nase-Afrika. I-India ne-China zibika inani eliphezulu lamatyala. Nangona izibalo ezichanekileyo zehlabathi kunzima ukuzilandelela, olunye uphando lufumanise ukuba kubantu abangama-445 abahlala kwindawo enomlinganiselo ophezulu we-fluoride yendalo, abantu abangama-94 babenesi sifo.
Kwimimandla emininzi yase-USA, amanqanaba e-fluoride yendalo angaphantsi kophawu lwe-0.7 mg/L, yiyo loo nto iinkqubo ezininzi zamanzi zikamasipala zilungisa amanqanaba e-fluoride. Ngokwahlukileyo koko, kwiindawo zase-Asia nase-Afrika, amanzi angaphantsi komhlaba agcwele amanqanaba aphezulu e-fluoride ngokwemvelo. Umzekelo, eminye imimandla eIndiya ixela ubuninzi be-2.37 mg/L, kwaye kwezinye iimeko, bufikelela kwi-9.22 mg/L. NaseSri Lanka, ngakumbi kwiindawo ezomileyo, kubalulekile ukuba uqaphele amanqanaba e-fluoride kumthombo wamanzi wasekuhlaleni. Ukwazi apho amanzi akho avela khona linyathelo elibalulekileyo ekugcineni impilo yosapho lwakho.
Zithini iimpawu zeFluorosis?
Iimpawu ziyahluka ngokuxhomekeke kuhlobo lweFluorosis kunye nexesha lokudibana nayo. Njengoko utya ifluoride ngakumbi, ubukhali beempawu buya kulandela.
Iimpawu zeFluorosis yamazinyo
Uphawu lwe-Dental Fluorosis kukutshintsha kombala wamazinyo. Ngokuxhomekeke kubukhali bawo, oogqirha bamazinyo bayihlela ngolu hlobo lulandelayo:
- Okungathandabuzekiyo: Amabala amhlophe abuthathaka kakhulu okanye amabala amhlophe .
- Ubuthambile kakhulu: Iindawo ezimhlophe ezincinci, ezingacacanga ezigubungela ngaphantsi kwama-25% omphezulu wezinyo.
- Ubuthambileyo: Iindawo ezimhlophe ezigubungela ngaphantsi kwama-50% omphezulu wezinyo.
- Phakathi: Amabala amhlophe okanye amdaka agqume ngaphezulu kwama-50% omgangatho wezinyo.
- Inzima: Ibala elimhlophe, elimdaka okhanyayo, okanye elimdaka obumnyama ngokubanzi. Ungaphawula nokuqhekeka komphezulu okanye ukubonakala okugugileyo nokuwohlokileyo kwe-enamel yamazinyo.
Iimpawu zeFluorosis yeSkeletal kunye neNon-skeletal
Iimpawu zokuqala ze-Non-skeletal Fluorosis zingabandakanya:
- Intlungu yesisu
- Ukudumba
- Ukuqhinwa
- Urhudo
- Intlungu kunye nokuqina kwamalungu
- Umqolo obuhlungu
- Ukuphelelwa yimisipha
- Isicaphucaphu nokuhlanza
Njengoko imeko iqhubeka kwaye iimpawu ze-Skeletal Fluorosis zibonakala, unokufumana oku kulandelayo:
- Ukuqhekeka kwamathambo
- Ukukhubazeka kwamathambo kunye nomqolo
- Ukuphazamiseka kwengqondo okuncinci (iingxaki ngememori okanye ukugxila)
- I-Myelopathy (intlungu yemithambo-luvo ngenxa yokucinezelwa kwentambo yomqolo)
- I-Osteosclerosis (ukuqina/ubunzima obungaqhelekanga bamathambo)
- I-Radiculopathy (intlungu ebangelwa yi-nerve yomqolo ecinezelweyo)
- Ukuqhambuka kwesikhumba
- Iingxaki zokulala
Zithini izizathu zeFluorosis?
I-Fluorosis ibangelwa kukutya i-fluoride egqithisileyo. Oku kuthetha ukuba ixesha elide, ubusela amanqanaba aphezulu e-fluoride. Indlela le meko ekhula ngayo iyahluka ngokuxhomekeke kuhlobo lwe-fluorosis oyifumanayo.
I-Dental Fluorosis yenzeka kubantwana abancinci ngelixa amazinyo abo asisigxina esakheka phantsi kweentsini. Ukuba batya i-fluoride eninzi ngeli xesha, inokubangela le meko. Izinto ezixhaphakileyo ziquka ukusela amanzi okanye ukutya ubisi oluyimpuphu olunomthamo ophezulu we-fluoride, okanye nokuginya i-toothpaste eninzi ene-fluoride eninzi.
I-Fluorosis yamathambo kunye ne-Non-skeletal inokwenzeka nakubani na ubudala ukuba utya amanqanaba aphezulu e-fluoride rhoqo kangangeminyaka eliqela. Oku kudla ngokunxulunyaniswa nokusela amanzi ane-fluoride eninzi okanye ukusela iti okanye ikofu rhoqo elungiselelwe ngamanzi anjalo.
Izinto Ezibangela Umngcipheko We-Fluorosis
Izinto ezinobungozi zizinto ezibangela amathuba okuba ube nesifo. Nazi izinto eziphambili ezibangela i-Fluorosis:
- Ukuhlala kwindawo apho amanzi angaphantsi komhlaba anezinga eliphezulu le-fluoride.
- Ukusebenzisa amanzi ane-fluoride ngokuqhelekileyo ingaphezulu kwe-0.7 milligrams ngelitha (mg/L).
- Ukuginya rhoqo intlama yamazinyo ene-fluoride. (Nangona intlama encinci idla ngokungabangeli bungozi, ukuginya intlama eninzi ixesha elide kunokukhokelela kwi-Fluorosis.)
- Ukulungiselela ubisi lweentsana ngamanzi ane-fluoride eninzi ixesha elide. (Ukuba usebenzisa ubisi lweentsana, cinga ngokusebenzisa amanzi angenayo i-fluoride ukuyixuba. Ngokwahlukileyo koko, ukuba amanzi akho ane-fluoride eninzi, khangela ubisi lweentsana olungenayo i-fluoride.)
Ezinye iimveliso zasekhaya, ezifana nezitywini, izinto zokuthambisa, kunye nezicoci zothuli lomoya, ziqulethe ii-fluorocarbons. Abantu abaphefumla (befutha) ezi mveliso basengozini enkulu yokufumana i-Skeletal and Non-skeletal Fluorosis. Ukusebenzisa ezi mveliso gwenxa kunokukhokelela ekuxhuzuleni, ukungasebenzi kakuhle kwentliziyo, kwanokufa ngequbuliso.
Ukuba wena okanye umntu omaziyo unengxaki yokusebenzisa iziyobisi okanye ufuna uncedo lokuyeka, kubalulekile ukufuna iingcebiso zonyango okanye iinkonzo zokunika iingcebiso ngoko nangoko. Kwimeko kaxakeka, nceda uqhagamshelane ne-911 okanye iinkonzo zikaxakeka zasekuhlaleni.
Ifunyaniswa njani i-fluorosis?
Ugqirha wamazinyo unokubona i-Dental Fluorosis ngexesha lokuhlolwa kwamazinyo rhoqo. Kwezinye iimeko, ii-X-ray zinokuthathwa ukuze kuthintelwe ezinye iingxaki zamazinyo.
Ukuchonga i-Fluorosis yeSkeletal kunye neNon-skeletal kunzima kakhulu kuba iimpawu zayo zihlala zifana nezinye iimeko. Ugqirha wakho unokufuna ukwenza uvavanyo oluninzi, olunokuquka:
- Uvavanyo lokujonga amathambo akho, olufana nee-X-ray , ii-CT scans (i-Computed Tomography) , kunye novavanyo loxinano lwamathambo (i-DXA) .
- Uvavanyo lwegazi ukuze kulinganiswe amanqanaba e-fluoride egazini emzimbeni wakho.
- Uvavanyo lomchamo ukuze kuhlolwe ubungakanani befluoride kumchamo wakho.
Ziziphi iindlela zonyango lwe-fluorosis?
Unyango luxhomekeke kuhlobo lwe-Fluorosis onayo. I-Dental Fluorosis idla ngokulungiswa ngonyango lwamazinyo olusebenzisa ubuhle , ngelixa unyango lwe-Skeletal Fluorosis lunzima ngakumbi kwaye luxhomekeke kubukhali beempawu zakho kunye nokuba umzimba wakho uchaphazeleka kangakanani.
Ukunyanga i-Fluorosis yamazinyo
Ukuba une-Dental Fluorosis, ugqirha wakho wamazinyo angacebisa enye yezi ndlela zilandelayo zokuhombisa:
- Ukumhlophe kwamazinyo: Ugqirha wakho wamazinyo ufaka ijeli yokumhlopheza amazinyo akho ixesha elithile . Oku kukhanyisa i-enamel, kunceda ukudibanisa amabala e-fluorosis nombala wendalo wamazinyo akho. Oku kudla ngokusetyenziswa kwiimeko ezithambileyo.
- Ukubopha amazinyo: Ugqirha wakho wamazinyo usebenzisa i-composite resin enemibala yezinyo ukugquma amabala e-fluorosis, aze abumbe aze apolishe amazinyo ukuze agqibelele ngokwendalo.
- Iiveneers zamazinyo: Ezi ziigobolondo ezibhityileyo, ezenziwe ngokwezifiso ezenziwe nge-resin okanye i-porcelain ezigubungela umphezulu wangaphambili wamazinyo akho. Ezi zifuna imifanekiso yamazinyo ukuqinisekisa ukuba alingana kakuhle.
- Izithsaba zamazinyo: Isigqubuthelo esenziwe ngokwezifiso esigquma lonke izinyo lakho. Ukuqinisekisa ukuba isithsaba silingana kakuhle, kuya kufuneka kususwe intwana encinci ye-enamel yakho yendalo.
- I-Enamel microabrasion: Ugqirha wakho wamazinyo ususa umaleko omncinci kakhulu we-enamel yamazinyo ukuze asuse uninzi lwamabala e-fluorosis yomphezulu. Rhoqo, oogqirha bamazinyo benza amazinyo amhlophe emva koko ukuqinisekisa ukuba anombala ofanayo.
Ukunyanga i-Fluorosis ye-Skeletal kunye ne-Non-skeletal
Injongo ephambili kukususa umthombo we-fluoride egqithisileyo. Kufuneka uqinisekise ukuba amanzi akho okusela awana-fluoride. Ungasebenzisa iinkqubo ezifana ne -reverse osmosis , i-distillation , okanye izihluzi zekhabhoni ezisebenzayo . (Qaphela: Amanzi abilayo awayisusi i-fluoride, kuba ayitshisi ubushushu.)
Ukongeza, ugqirha wakho unokucebisa:
- Ii-Anabolic steroids: Ezi zinokunceda ukulawula iimpawu ezinxulumene noxinano lwamathambo.
- I-Calcium kunye neVithamin D: Ezi zinto zinceda ekuxhaseni impilo yamathambo kwaye zinokuchaphazela nendlela amathumbu akho afunxa ngayo i-fluoride.
- Ii-NSAID (iziyobisi ezichasene nokuvuvukala ezingezizo ii-steroidal):Ezi zinceda ekulawuleni iintlungu kunye nokudumba okunxulunyaniswa neSkeletal Fluorosis.
Olu luhlu aluphelelanga; ugqirha wakho uza kuyila isicwangciso sonyango esilungiselelwe iimfuno zakho ezithile eNirogi Lanka okanye kumboneleli wakho wezempilo wasekuhlaleni.
Ngaba i-Fluorosis ingathintelwa?
Eyona ndlela ilungileyo yokuthintela i-Fluorosis kukulawula umlinganiselo we-fluoride oyithathayo. Nazi iingcebiso ezimbalwa:
- Nxibelelana negunya lamanzi lendawo yakho okanye isebe elifanelekileyo ukuze uqonde imithetho ye-fluoride kwindawo okuyo.
- Hlola amanzi akho equla okanye amanzi kamasipala ukuze ubone ukuba angakanani na amanqanaba e-fluoride.
- Hlala unolwazi malunga namanqanaba oxinzelelo lwe-fluoride kummandla okuwo.
Ukuze ukhusele umntwana wakho kwingozi ye-fluorosis, kubalulekile ukujonga ngononophelo indlela atya ngayo i-fluoride. Nangona kubalulekile ukuthintela ukuvezwa kakhulu kwe-fluoride, kufuneka uqinisekise ukuba umntwana wakho ufumana isixa esaneleyo ngelixa amazinyo akhe esakhula. Ukufumana olu lungelelwaniso kubalulekile ekuxhaseni impilo yakhe yexesha elide.
Yintoni omele uyilindele xa uphila ne-fluorosis?
I-fluorosis yamazinyo idla ngokuba nembono entle, kuba idla ngokuba yingxaki yokuhombisa kunokuba ibe yingxaki eyingozi. Unyango lwamazinyo lwanamhlanje lunokulungisa indlela ebonakala ngayo.
Ithemba le-skeletal fluorosis lixhomekeke kakhulu ekubeni ifunyaniswa kwangoko kangakanani. Okukhona uyeka ukutya i-fluoride egqithisileyo, kokukhona amathuba akho okuchacha ixesha elide kunye nokulawula iimpawu zakho.
Ihlala ixesha elingakanani i-fluorosis?
Ngokubanzi, i-fluorosis ayisiyonto inokuthi iguqulwe; xa isenzeka, utshintsho oluvela emazinyweni okanye emathanjeni luhlala luhleli. Nangona kunjalo, ezinye izifundo zibonisa ukuba unyango lwezonyango lunokunceda ekunciphiseni iimpawu ze-skeletal fluorosis. Nangona kunjalo, umlinganiselo wokuphucuka uxhomekeke kakhulu kubukhali beempawu zakho ngexesha lokuxilongwa.
Ungayilawula njani impilo yakho?
Ukuba une-fluorosis okanye uhlala kwindawo apho ixhaphake khona, eyona ndlela ilungileyo kukuhlala unolwazi. Yazi amanqanaba e-fluoride achanekileyo emanzini akho okusela. Wakuba unalo olu lwazi, ungenza izigqibo ezifanelekileyo malunga nempilo yakho kunye nentlalo-ntle yosapho lwakho.
Ufanele uye nini kugqirha?
Ukuba ukrokrela ukuba wena okanye umntwana wakho une-dental fluorosis, cwangcisa idinga nogqirha wamazinyo ukuze nixoxe ngeendlela ezikhoyo zokuhombisa kunye nonyango.
Ukongeza, ukuba ufumana iimpawu ze-skeletal fluorosis ngequbuliso—ezifana nokucaphuka, iintlungu ezingapheliyo zamalungu, okanye ukwaphuka kwamathambo rhoqo—nceda udibane nogqirha wakho ngoko nangoko. Banokwenza uvavanyo lokuxilongwa olufunekayo ukuze bafumane unobangela oyintloko.
Kwimilinganiselo emincinci, i-fluoride iyaqinisa amazinyo kwaye ikhusela ekuboleni, kodwa ukutya kakhulu kunokuba yingozi. Ulwazi lunamandla. Eyona ndlela ilungileyo yokuthintela i-fluorosis kukuhlala unolwazi. Vavanya umthombo wakho wamanzi kwaye uqhagamshelane negunya lamanzi lasekuhlaleni malunga nemigaqo-nkqubo ye-fluoridation kwindawo okuyo. Ukuba unenkxalabo ethile malunga nendlela i-fluoride echaphazela ngayo impilo yakho, thetha nogqirha wakho eNirogi Lanka.
Izinto ezibalulekileyo kweli nqaku
Ukushwankathela, nazi iingongoma ezibalulekileyo ekufuneka uzikhumbule:
- I-Fluorosis yimeko ebangelwa kukutya i-fluoride eninzi ngokuhamba kwexesha.
- Kukho iintlobo ezimbini eziphambili: i-Dental Fluorosis (echaphazela amazinyo) kunye ne-Skeletal Fluorosis (echaphazela amathambo kunye namalungu).
- I-fluorosis yamazinyo idla ngokubonakala njengamabala amhlophe okanye amdaka emazinyweni; ayinabuhlungu kwaye inokulawulwa ngononophelo lwamazinyo oluhle.
- I-skeletal fluorosis iyingozi kakhulu kwaye inokukhokelela kwiintlungu zamalungu kunye nomngcipheko ophezulu wokuqhekeka kwamalungu.
- Ukuhlala unolwazi malunga nomxholo we-fluoride emanzini akho okusela yeyona ndlela ilungileyo yokuzikhusela.
- Lumka xa abantwana beginya i-toothpaste ene-fluoride ngexesha lokukhula kwamazinyo abo.
- Ukuba ubona naziphi na iimpawu ezixhalabisayo, funa ingcebiso kagqirha ngokukhawuleza.
Khumbula, i-fluoride yiminerali esiyidingayo ngomlinganiselo olawulwayo. Ingxaki ivela kuphela xa isetyenziswa kakhulu. Ngokuhlala unolwazi kwaye unolwazi, unokukhusela impilo yakho kunye nempilo yabantwana bakho.
I-Fluorosis, i-Fluoride, Ukutshintsha kombala wamazinyo, Izifo zamathambo, Amanzi okusela, Impilo yamazinyo, iiminerali
