Wake waphawula amabala amancane amhlophe noma ngezinye izikhathi ansundu emazinyweni akho noma emazinyweni engane yakho? Ingabe wena noma othandekayo wakho uzwa ubuhlungu obungachazeki bamalunga noma amathambo okwenza kube nzima ukuhamba? Lezi zinkinga zivame ukubangelwa ukwanda kweminerali ebizwa ngokuthi i-fluoride emzimbeni wakho. Lesi simo saziwa ngokuthi i-Fluorosis . Sicela ungesabi—nakuba kuzwakala kuyisifo, sizokuchaza kalula ukuze uqonde ukuthi kuyini nokuthi kuthinta kanjani impilo yakho eNirogi Lanka.
Iyini ngempela i-Fluorosis?
Kalula nje, i-Fluorosis yisimo esibangelwa ukudla i-fluoride eningi kakhulu isikhathi eside. I-Fluoride iyiminerali etholakala ngokwemvelo enhlabathini nasemanzini. Ngobuningi obuncane, obulawulwayo, empeleni inenzuzo ngoba isiza ekuvimbeleni ukubola kwamazinyo, yingakho uyibheka njengesithako esivamile kuma-toothpaste amaningi. Kodwa-ke, njenganoma yini, into enhle kakhulu ingaba yingozi. Njengoba isisho sakudala sithi, "ukulinganisela kubalulekile," futhi lokho kuyiqiniso nange-fluoride.
Ngisho namanzi owaphuzayo aqukethe i-fluoride. Kuye ngokuthi ukuphi, amazinga e-fluoride emthonjeni wakho wamanzi angahluka kakhulu. Iziphathimandla zezempilo ngokuvamile zincoma izinga elifanele elingama-milligram angu-0.7 ngelitha (mg/L) emanzini okuphuza ukuze uthole ibhalansi ephelele—okunikeza okwanele ukuvikela amazinyo akho ngenkathi ugwema noma yimiphi imiphumela emibi empilweni.
Yiziphi izinhlobo ze-fluorosis?
Kunezinhlobo ezimbalwa eziyinhloko ze-Fluorosis. Ake sizibheke:
Kuyini i-Dental Fluorosis?
Lolu uhlobo oluvame kakhulu esihlangana nalo. Luthinta amazinyo akho. Luvela ikakhulukazi eminyakeni eyisishiyagalombili yokuqala yokuphila—lapho amazinyo akho ahlala njalo esakheka—uma udla i-fluoride eningi kakhulu. I-Dental Fluorosis ingahluka kusukela kwencane kakhulu kuya kwembi kakhulu. Kodwa-ke, akuyona inkinga ebuhlungu. Ngokuvamile iphathwa njengokukhathazeka kobuhle mayelana nokubonakala kwamazinyo futhi ngokuvamile ayithinti ukusebenza noma impilo yamazinyo akho.
Ukuqonda i-Skeletal Fluorosis
Lesi yisimo esibucayi kakhulu esidinga ukunakekelwa kwezokwelapha. Sithinta amathambo namalunga akho. Eminyakeni eminingi yokusebenzisa i-fluoride ngokweqile, kungaholela ezinkingeni zempilo eziyingozi, njenge- Osteoporosis (amathambo abuthakathaka, aqhekekayo), i-Arthritis (ukuvuvukala kwamalunga), kanye nobuhlungu bamalunga obungapheli.
Kuyini i-Non-skeletal Fluorosis?
Cabanga ngalokhu njengesibonakaliso sokuqala esivame ukuba ngaphambi kwezinkinga zamathambo. Kuthinta kakhulu indlela yakho yokugaya ukudla , okuholela ezimpawini ezifana nokuqaqamba kwesisu, ukuqunjelwa, uhudo, ukuqunjelwa, kanye nokulahlekelwa yisifiso sokudla.
I-Fluorosis ivame kangakanani?
I-Dental Fluorosis iyisimangaliso somhlaba wonke. Emazweni afana ne-USA, ithinta cishe abantu abangu-23%.
Kodwa-ke, i-Skeletal Fluorosis ayivamile kakhulu emazweni athuthukile njenge-USA kodwa isatholakala ezindaweni ezithile zase-Asia nase-Afrika. I-India ne-China zibika inani eliphezulu lamacala. Nakuba izibalo zomhlaba wonke zinzima ukuzilandela, olunye ucwaningo luthole ukuthi kubantu abangu-445 abahlala endaweni ene-fluoride ephezulu yemvelo, abantu abangu-94 bahlushwa yilesi simo.
Ezindaweni eziningi zase-USA, amazinga e-fluoride yemvelo angaphansi kuka-0.7 mg/L, yingakho izinhlelo eziningi zamanzi zikamasipala zilungisa amazinga e-fluoride. Ngokuphambene nalokho, ezingxenyeni zase-Asia nase-Afrika, amanzi angaphansi komhlaba agcwele ngokwemvelo amazinga aphezulu e-fluoride. Isibonelo, ezinye izifunda eNdiya zibika amazinga angu-2.37 mg/L, kanti kwezinye izimo, aphezulu njengo-9.22 mg/L. NaseSri Lanka, ikakhulukazi ezindaweni ezomile, kubalulekile ukuqaphela amazinga e-fluoride emthonjeni wamanzi wendawo yakho. Ukwazi ukuthi amanzi akho avelaphi kuyisinyathelo esibalulekile ekugcineni impilo yomndeni wakho.
Ziyini izimpawu ze-fluorosis?
Izimpawu ziyahlukahluka kuye ngohlobo lwe-Fluorosis kanye nesikhathi sokuchayeka. Njengoba uphuza i-fluoride, ubuhlungu bezimpawu bungalandela.
Izimpawu ze-Dental Fluorosis
Uphawu oluphawulekayo lwe-Dental Fluorosis ukushintsha kombala wamazinyo. Kuye ngobukhulu bawo, odokotela bamazinyo bahlukanisa lokhu kanje:
- Okungabazayo: Amabala amhlophe abuthakathaka kakhulu noma amabala amhlophe .
- Ubumnene kakhulu: Izindawo ezimhlophe ezincane, ezingacacile ezimboze ngaphansi kwama-25% obuso bezinyo.
- Okuthambile: Izindawo ezimhlophe ezimboze ngaphansi kuka-50% wobuso bezinyo.
- Okumaphakathi: Amabala amhlophe noma ansundu akhanyayo amboze ngaphezu kuka-50% wobuso bezinyo.
- Okubi kakhulu: Ukusabalala kombala omhlophe, onsundu okhanyayo, noma onsundu omnyama. Ungase futhi uqaphele ukuqhekeka kobuso noma ukubukeka okugugile nokugugile kwe-enamel yezinyo.
Izimpawu ze-Fluorosis ye-Skeletal kanye ne-Non-skeletal
Izimpawu zokuqala ze-Non-skeletal Fluorosis zingase zihlanganise:
- Ubuhlungu besisu
- Ukuqunjelwa
- Ukuqunjelwa
- Uhudo
- Ubuhlungu nokuqina kwamalunga
- Ukuhlungu obusemhlane
- Ukulahlekelwa yimisipha
- Isicanucanu nokuhlanza
Njengoba isimo siqhubeka futhi izimpawu ze-Skeletal Fluorosis zibonakala, ungase ubhekane nalokhu:
- Ukuphuka kwamathambo
- Ukukhubazeka emathanjeni nasemgogodleni
- Ukukhubazeka okuncane kwengqondo (izinkinga ngenkumbulo noma ukugxila)
- I-Myelopathy (ubuhlungu bezinzwa obubangelwa ukucindezelwa komgogodla)
- I-Osteosclerosis (ukuqina/ukuqina kwamathambo okungavamile)
- I-Radiculopathy (ubuhlungu obubangelwa umthambo womgogodla ocindezelwe)
- Ukuqhuma kwesikhumba
- Izinkinga zokulala
Ziyini izimbangela ze-Fluorosis?
I-Fluorosis ibangelwa ukuphuza i-fluoride ngokweqile. Lokhu kusho ukuthi isikhathi eside, ubulokhu udla amazinga aphezulu e-fluoride. Indlela lesi simo esikhula ngayo iyahlukahluka kuye ngohlobo lwe-fluorosis obhekene nayo.
I-Dental Fluorosis yenzeka ezinganeni ezincane ngenkathi amazinyo azo ahlala njalo esakheka ngaphansi kwezinsini. Uma zidla i-fluoride eningi kakhulu phakathi nalesi sigaba, ingabangela lesi simo. Izimbangela ezivame kakhulu zifaka phakathi ukuphuza amanzi noma ukudla ubisi oluyimpuphu olunokuqukethwe okuphezulu kwe-fluoride, noma ngisho nokugwinya umuthi wokuxubha ogcwele i-fluoride.
I-Fluorosis yamathambo kanye nengeyona eyamathambo ingenzeka kunoma yimuphi ubudala uma udla amazinga aphezulu e-fluoride njalo eminyakeni eminingana. Lokhu kuvame ukuhlotshaniswa nokuphuza amanzi ane-fluoride ephezulu noma ukuphuza itiye noma ikhofi njalo elungiselelwe ngamanzi anjalo.
Izici Eziyingozi Zokubangela I-Fluorosis
Izici eziyingozi ziyizinto ezandisa amathuba akho okuthola isimo. Nazi izici ezibalulekile ze-Fluorosis:
- Ukuhlala endaweni lapho amanzi angaphansi komhlaba enamazinga aphezulu e-fluoride.
- Ukusebenzisa amanzi ane-fluoride eningi ngokuvamile ingaphezu kwama-milligram angu-0.7 ngelitha (mg/L).
- Ukugwinya njalo inani elikhulu lomuthi wokuxubha one-fluoride. (Nakuba inani elincane livame ukungabi nangozi, ukugwinya inani elikhulu isikhathi eside kungaholela ku-Fluorosis.)
- Ukulungiselela ifomula yosana ngamanzi ane-fluoride ephezulu isikhathi eside. (Uma usebenzisa ifomula yosana, cabanga ukusebenzisa amanzi angenayo i-fluoride ukuze uyixube. Ngakolunye uhlangothi, uma amanzi akho ene-fluoride ephezulu, funa ifomula yosana engenayo i-fluoride.)
Eminye imikhiqizo yasekhaya, njengezinto zokuvala, izinto zokugcoba, kanye nezihlanzi zothuli lomoya, iqukethe ama-fluorocarbon. Abantu abaphefumula (bahudula) le mikhiqizo basengozini enkulu yokuthola i-Skeletal and Non-skeletal Fluorosis. Ukusebenzisa kabi le mikhiqizo kungaholela nasekuqulekeni, ukushaya kwenhliziyo, ngisho nokufa ngokuzumayo.
Uma wena noma othile omaziyo enenkinga yokusebenzisa izidakamizwa noma edinga usizo ukuze ayeke, kubalulekile ukufuna iseluleko sezokwelapha noma izinsizakalo zokwelulekwa ngokushesha. Esimweni esiphuthumayo, sicela uxhumane no-911 noma izinsizakalo eziphuthumayo zasendaweni.
I-Fluorosis itholakala kanjani?
Udokotela wamazinyo ngokuvamile angakwazi ukubona i-Dental Fluorosis ngesikhathi sokuhlolwa kwamazinyo okuvamile. Kwezinye izimo, ama-X-ray angase athathwe ukuze kunqunywe ezinye izimo zamazinyo.
Ukuxilonga i-Fluorosis ye-Skeletal kanye ne-Non-skeletal kuyinkimbinkimbi kakhulu ngoba izimpawu zayo zivame ukulingisa ezinye izimo. Udokotela wakho kungadingeka enze izivivinyo eziningana, ezingafaka:
- Ukuhlolwa kwezithombe ukuhlola amathambo akho, njenge -X-ray , i-CT scans (i-Computed Tomography) , kanye nokuhlolwa kokuqina kwamathambo (i-DXA) .
- Ukuhlolwa kwegazi ukuze kulinganiswe amazinga e-fluoride egazini emzimbeni wakho.
- Ukuhlolwa komchamo ukuze kuhlolwe inani le-fluoride emchameni wakho.
Yiziphi izindlela zokwelapha i-fluorosis?
Ukwelashwa kuncike ohlotsheni lwe-Fluorosis onayo. I-Dental Fluorosis ivame ukuxazululwa ngodokotela bamazinyo abahle , kanti ukwelapha i-Skeletal Fluorosis kuyinkimbinkimbi kakhulu futhi kuncike ebunzimeni bezimpawu zakho nokuthi umzimba wakho uthinteke kangakanani.
Ukwelapha i-Fluorosis Yamazinyo
Uma une-Dental Fluorosis, udokotela wakho wamazinyo angase ancome enye yalezi zinqubo zobuhle ezilandelayo:
- Ukucwebezela amazinyo: Udokotela wakho wamazinyo ufaka ijeli yokucwebezela emazinyweni akho isikhathi esithile . Lokhu kukhanyisa i-enamel, kusiza ukuhlanganisa amabala e-fluorosis nombala wakho wemvelo wamazinyo. Lokhu kuvame ukusetshenziswa ezimweni ezingatheni kakhulu.
- Ukubopha amazinyo: Udokotela wakho wamazinyo usebenzisa i-resin ehlanganisiwe enombala wezinyo ukumboza amabala e-fluorosis, bese ebumba futhi epholisha amazinyo ukuze aqede ngendlela yemvelo.
- Ama-veneer amazinyo: Lawa amagobolondo amancane, enziwe ngokwezifiso enziwe nge-resin noma i-porcelain amboza ubuso bangaphambili bamazinyo akho. Lawa adinga ukushicilelwa kwamazinyo ukuqinisekisa ukuthi alingana kahle.
- Imiqhele yamazinyo: Isembozo esenziwe ngokwezifiso esimboza lonke izinyo lakho. Ukuqinisekisa ukuthi umqhele ulingana kahle, inani elincane le-enamel yakho yemvelo kuzodingeka lisuswe.
- I-enamel microabrasion: Udokotela wakho wamazinyo ususa ungqimba oluncane kakhulu lwe-enamel yamazinyo ukuze kususwe amabala amaningi e-surface fluorosis. Ngokuvamile, odokotela bamazinyo benza amazinyo abe mhlophe ngemva kwalokho ukuqinisekisa ukuthi umbala uyafana.
Ukwelapha i-Fluorosis Yamathambo Nengawo Amathambo
Umgomo oyinhloko ukususa umthombo we-fluoride eningi. Kumelwe uqinisekise ukuthi amanzi akho okuphuza awana-fluoride. Ungasebenzisa izinhlelo ezifana ne -reverse osmosis , i-distillation , noma izihlungi ze-carbon ezisebenzayo . (Qaphela: Amanzi abilayo awasusi i-fluoride, njengoba izinzile ekushiseni.)
Ngaphezu kwalokho, udokotela wakho angancoma:
- Ama-steroid e-Anabolic: Lawa angasiza ekulawuleni izimpawu ezihlobene nokuqina kwamathambo.
- I-Calcium ne-Vitamin D: Lokhu kusiza ukusekela impilo yamathambo futhi kungathinta nendlela amathumbu akho amunca ngayo i-fluoride.
- Ama-NSAID (izidakamizwa ezingezona eze-steroidal ezilwa nokuvuvukala):Lokhu kusiza ekulawuleni ubuhlungu nokuvuvukala okuhambisana ne-Skeletal Fluorosis.
Lolu akulona uhlu oluphelele; udokotela wakho uzokwakha uhlelo lokwelashwa oluhambisana nezidingo zakho ezithile eNirogi Lanka noma kumhlinzeki wakho wezempilo wendawo.
Ingabe i-Fluorosis ingavinjelwa?
Indlela engcono kakhulu yokuvimbela i-Fluorosis ukulawula inani eliphelele le-fluoride oyidlayo. Nazi amathiphu ambalwa:
- Xhumana neziphathimandla zamanzi zasendaweni noma umnyango ofanele ukuze uqonde imithethonqubo ye-fluoride endaweni yakini.
- Hlola amanzi akho omthombo noma amanzi kamasipala ukuze ubone amazinga e-fluoride.
- Hlala unolwazi mayelana namazinga okuhlushwa kwe-fluoride esifundeni sakho.
Ukuze uvikele ingane yakho engcupheni ye-fluorosis, kubalulekile ukuqapha ukudla kwayo i-fluoride ngokucophelela. Nakuba kubalulekile ukuvimbela ukuchayeka ngokweqile kwe-fluoride, kufanele futhi uqinisekise ukuthi ingane yakho ithola inani elanele ngenkathi amazinyo ayo ekhula. Ukuthola lokhu kulinganisela kubalulekile ekusekeleni impilo yayo yesikhathi eside.
Yini okufanele uyilindele uma uphila ne-fluorosis?
I-fluorosis yamazinyo ngokuvamile inombono omuhle, njengoba ngokuvamile iyinkinga yobuhle kunokuba ibe yisimo esiyingozi. Ukwelashwa kwamazinyo kwanamuhla kungabhekana ngempumelelo nokubukeka kwayo.
Umbono we-skeletal fluorosis uncike kakhulu ekutheni isheshe itholakale. Uma uyeka ngokushesha ukudla i-fluoride eningi, amathuba akho okululama isikhathi eside nokulawula izimpawu zakho ayanda.
I-fluorosis ihlala isikhathi esingakanani?
Ngokuvamile, i-fluorosis akuyona into engaphindwa iguqulwe; uma seyenzekile, izinguquko zomzimba emazinyweni noma emathanjeni zihlala njalo. Kodwa-ke, ezinye izifundo ziphakamisa ukuthi ukwelashwa kwezokwelapha kungasiza ekunciphiseni izimpawu ze-skeletal fluorosis. Nokho, izinga lokuthuthuka lincike kakhulu ebunzimeni bezimpawu zakho ngesikhathi sokuxilongwa.
Ungayiphatha kanjani impilo yakho?
Uma une-fluorosis noma uhlala endaweni lapho ivame khona, indlela engcono kakhulu ukuhlala unolwazi. Yazi amazinga aqondile e-fluoride emanzini akho okuphuza. Uma usunalo lolu lwazi, ungenza izinqumo ezinamandla mayelana nempilo yakho kanye nenhlalakahle yomndeni wakho.
Kufanele ubonane nini nodokotela?
Uma usola ukuthi wena noma ingane yakho ine-dental fluorosis, hlela i-aphoyintimenti nodokotela wamazinyo ukuze nixoxe ngezinketho zobuhle kanye nokwelashwa ezitholakalayo.
Ngaphezu kwalokho, uma uzwa izimpawu eziphuthumayo ze-skeletal fluorosis—njengesicanucanu, ubuhlungu obuqhubekayo bamalunga, noma ukuphuka kwamathambo njalo—sicela uxhumane nodokotela wakho ngokushesha. Bangenza izivivinyo zokuxilonga ezidingekayo ukuze bathole imbangela eyinhloko.
Ngobuningi obuncane, i-fluoride iqinisa amazinyo futhi ivikele ekuboleni, kodwa ukudla ngokweqile kungaba yingozi. Ulwazi lunamandla. Indlela engcono kakhulu yokuvimbela i-fluorosis ukuhlala unolwazi. Hlola umthombo wamanzi wakho bese uthintana neziphathimandla zamanzi zasendaweni yakho mayelana nezinqubomgomo ze-fluoridation endaweni yakini. Uma unenkinga ethile mayelana nokuthi i-fluoride iyithinta kanjani impilo yakho, khuluma nodokotela wakho eNirogi Lanka.
Izinto Ezibalulekile Ezithathwe Kulesi Sihloko
Ngamafuphi, nanka amaphuzu abaluleke kakhulu okufanele uwakhumbule:
- I-Fluorosis yisimo esibangelwa ukuphuza i-fluoride ngokweqile ngokuhamba kwesikhathi.
- Kunezinhlobo ezimbili eziyinhloko: i-Dental Fluorosis (ethinta amazinyo) kanye ne-Skeletal Fluorosis (ethinta amathambo namalunga).
- I-fluorosis yamazinyo ivame ukubonakala njengamabala amhlophe noma ansundu emazinyweni; ayinabuhlungu futhi ingalawulwa ngokunakekelwa kwamazinyo okuhle.
- I-skeletal fluorosis iyingozi kakhulu futhi ingaholela ebuhlungwini bamalunga kanye nengozi eyengeziwe yokuqhekeka kwamalunga.
- Ukuhlala unolwazi ngokuqukethwe kwe-fluoride emanzini akho okuphuza kuyindlela engcono kakhulu yokuzivikela.
- Qaphela ukuthi izingane zigwinya umuthi wokuxubha one-fluoride ngesikhathi sezikhula amazinyo.
- Uma ubona noma yiziphi izimpawu ezikukhathazayo, funa iseluleko sezokwelapha ngokushesha.
Khumbula, i-fluoride iyiminerali esiyidingayo ngobuningi obulawulwayo. Inkinga iphakama kuphela uma itholakala kakhulu. Ngokuhlala uqaphile futhi unolwazi, ungavikela impilo yakho kanye nempilo yezingane zakho.
I-Fluorosis, i-Fluoride, Ukushintsha Kombala Kwamazinyo, Izifo Zamathambo, Amanzi Okuphuza, Impilo Yamazinyo, Amaminerali
