Cishe bonke abantu abanesifo sikashukela bayaqonda ukuthi lokhu kugula kuthinta isimo somzimba wonke, kodwa akubona bonke abantu abazi ukuthi i-cavity yomlomo yesifo sikashukela idinga ukunakwa okwengeziwe. Akukona mayelana namazinyo kuphela, kodwa nangaphezulu ngezinsini.
Isifo sikashukela nempilo yomlomo ihlobene kanjani
Ngokusho kocwaningo olwenziwe eMnyangweni we-Therapeutic Dentistry and Propaedeutics of Dental Diseases of Perm State Medical University ngo-2009-2016 *, ngaphezu kwengxenye yesithathu yeziguli abazi ukuthi isifo sikashukela sithinta impilo yamazinyo, cishe isigamu seziguli asiqondi ukuthi isimo se-periodontal (izicubu ezizungeze izinyo, kufaka izinsini) kungahle kuncike ezingeni likashukela osegazini.
Isifo sikashukela, ukumelana okuphelele komzimba ezifweni kuyancipha. Ngenkambo yesifo elawulwa ngendlela engeyiyo, amazinga kashukela akhuphuki egazini kuphela, kodwa nangamathe - kuba mnandi futhi abe ne-viscous, izinga le-acidity emlonyeni likhuphuke. Imvelo enjalo ifaneleka kakhulu ukukhula kwamagciwane. Ngenxa yalokhu, i-plaque ne-tartar zakheka emazinyweni, ukubola kwamazinyo kwenzeka, izifo ezahlukahlukene zokuvuvukala ze-mucosa zomlomo namanye izicubu ziqala ukukhula. Okubi kakhulu ngesinxephezelo sesifo sikashukela esimpofu isikhathi eside nokuhlanzeka ngomlomo okungekuhle. Njengoba i-mellitus yesifo sikashukela imvamisa iba nomthelela ongemuhle empilweni yemithambo yegazi, iba yimbi noma ingakwazi ukubhekana nomsebenzi wayo oyinhloko - ukuhlinzeka ngezicubu, kithi sikhuluma ngezinsini nangomlomo we-mucosa, onomoya-mpilo nezakhi zomzimba. Ngokubambisana, lokhu kuchaza isimo esikhethekile sabantu abanesifo sikashukela ezifweni zezinsini kanye nokwelashwa okunzima kwalezi zifo.
Kufakazelwe ngokwesayensi ukuthi kunobudlelwano obusondelene nobabili phakathi kwezifo zesifo sikashukela nesifo sikashukela: isifo sikashukela sivusa i-periodontitis ** nezinye izifo ezithathelwanayo nezihlasela umgogodla womlomo, futhi i-periodontitis iyinkimbinkimbi yenkambo yesifo sikashukela futhi iphazamisa ushukela.
Uma uhlehlisa ukwelashwa kwe-periodontitis isikhathi eside, ukuvuvukala okuhleliwe kungahle kube khona, amathuba okuthi isifo sokuqina kwemithambo yegazi nokulimala kwenhliziyo nemithambo yegazi kukhuphuke. Lokhu kukhulisa ubungozi bokushaywa unhlangothi nokuhlaselwa yisifo senhliziyo, i-endocarditis (ukuvuvukala kolwelwesi lwangaphakathi lwenhliziyo), izifo zezinso nezinso.
Izindaba ezimnandi ukuthi uma isiguli sesithole ukwelashwa okuxakile komlomo, izibalo zegazi lakhe zizothuthuka.
"Ngemuva kokuba inqubo engapheliyo esisemlonyeni wesiguli isuswe esigabeni sikashukela, lesi sifo siyabuyiselwa. Ngemuva kokususa ukuvuvukala sinikeze nezincomo zamazinyo, sizothumela isiguli kudokotela we-endocrinologist ukuthi aqonde ukuthi yini okungalungile ngohlelo lwakhe Ngokubambisana ne-endocrinologist, sithola imiphumela emangalisayo - imithamo ye-insulin incishisiwe, inhlala-kahle iyathuthukiswa, futhi nezinga lempilo lithuthukiswa kakhulu, ”kusho udokotela wamazinyo, udokotela ojwayelekile wesigaba esiphakeme u-L. U-Yudmila Pavlovna Gridneva ovela eSamara Dental Clinic No. 3 we-SBIH.
Yini "izinsini" zigula futhi kanjani
Phakathi kwezifo zezinsini ezihlasela kakhulu abantu abanesifo sikashukela yi-gingivitis ne-periodontitis.
I-Gingivitis - Lesi yisigaba sokuqala kwe-periodontitis. Lapho umuntu engayinaki inhlanzeko yomuntu siqu futhi angafuni ukuhlanzwa njalo kwamazinyo kudokotela wamazinyo, amafomu e-plaque emngceleni wamazinyo nezinsini. Ukuba khona kwayo, kanye nendawo evundile esekhulunywe ngayo yokukhula kwamagciwane ngoshukela ophezulu, kuvusa ukuvuvukala kwephuzu kwezinsini ezungeze amazinyo ngamanye. Ngalesi sifo, izicubu zamazinyo azihlupheki, ngakho-ke, uma unaka i-gingivitis ngesikhathi, lesi sifo singabuyiselwa emuva. Izimpawu ze-gingivitis ukopha okusesilinganisweni kwezinsini, okuzibonakalisa hhayi kuphela lapho uxubha amazinyo akho, kepha futhi nangesikhathi sokudla, kuvela “umvalo wegazi” nephunga elingathandeki emlonyeni wakho, elihambisana kancane kancane nobuhlungu, ukumunca izinsini nokuzwela amazinyo.
I-Periodontitis - isifo se-gumivitis sokuvuvukala - sivela gingivitis, lapho isiguli singazange sibonane nodokotela ngesikhathi. Akuthinti kuphela izinsini ezungeze amazinyo, kodwa nezicubu zamathambo kanye ne-ligament phakathi kwempande yezinyo nethambo, elibambe izinyo endaweni yalo. Ijamu kancane kancane “lisuka” lisuka izinyo, kwakhiwa into okuthiwa yiphakethe. Iqongelela imfucumfucu yokudla ne-plaque ukuthi umuntu akakwazi ukuzihlanza, kanti ukuvuvukala kuyafuthelana, kuvame ukuba nokuvela kobomvu, okubonakala lapho ucindezela onqenqemeni lwezinsini, kunephunga elinamandla elivela emlonyeni. Impela, izinsini ziyajuluka, ziphenduke zibomvu, kuphume igazi futhi kubuhlungu. Ngenxa yalokhu, izinyo liyathukululwa, lisuswe, futhi, uma ukwelashwa kungaqalwa ngesikhathi, kungahle kuphume. Esigabeni esibuhlungu, i-periodontitis ihambisana nomkhuhlane ophakeme, i-malaise ejwayelekile, ubuthakathaka. I-Periodontitis ivame ukuthinta izindawo eziningana ngasikhathi sinye.
I-periodontitis engamahlalakhona ingahlanganiswa ne-fungal (candidiasis) stomatitis (ulceration on the mucosa womlomo) kanye ne-lichen planus (ukuguguleka kwezilonda nezilonda kulwelwesi lwama-mucous), futhi iziguli zinenkinga yokunambitha.
Ungalapha kanjani izinsini zesifo sikashukela
Imvamisa, isifo sezinsini siqala ngokuhlanzeka komuntu siqu, esimweni sikashukela esidlala indima ebalulekile. Kunoma ikusiphi isimo amazinyo nezinsini, kubalulekile ukuwaxubha okungenani kabili ngosuku, sebenzisa i-floss yamazinyo kanye nama-conditioners akhethekile ngemuva kokudla ngakunye.
Uma unesifo sezinsini, kufanele uthintane nodokotela wamazinyo. Uma lesi sifo sikhulu, kuzodingeka uvakashele udokotela cishe isikhathi esingu-1 ezinyangeni ezintathu. Ngemuva kokushintsha lesi simo, ukuvakasha kungancishiswa kube kanye njalo ezinyangeni eziyisithupha.
Ngemuva kokuhlola isimo se-cavity yomlomo, udokotela angaphatha ama-caries, kanye nokuxubha kwamazinyo ochwepheshe - imvamisa i-ultrasound - ukususa i-plaque ne-tartar. Kuyadingeka futhi ukuhlanza amaphakethe we-periodontal, uma ekhona, futhi unciphise ukuvuvukala. Kulokhu, izidakamizwa ezilwa nokuvuvukala nezinamandla kakhulu, ama-antibiotics, izidakamizwa zokwelapha amanxeba zingabekwa. Uma lesi sifo singekho esigabeni esibuhlungu, izinqubo zomzimba ezihlose ukubuyisela ukulethwa kwegazi ezicutshini zomgogodla womlomo zingabekwa.
Esimweni lapho ayikho kulezi zindlela ezingenhla ezisiza, ukumisa inqubo ebhubhisayo ezinsinini kungadinga usizo lodokotela ohlinzayo maxillofacial. Embusweni wakhe kunezindlela ezahlukahlukene, ngokwesibonelo, ukudlulisa isigaba sezinsini esinempilo singene esigulini.
Ukuphrinta kungasetjenziselwa ukuqinisa amazinyo okuphela, kepha kuphela ngemuva kokususwa kokuvuvukala. Izakhiwo ezikhethekile ezingasuswayo nezingasuswayo - amathayi - xhuma amazinyo ashukumisayo nabasimi ngokuqinile bawalungisa endaweni.
Ngemuva kokuzinza kwesimo somgodi womlomo ukuze ungene endaweni yokubekwa kwamazinyo, womabili ama-prostheses nokufaka ukufakwa kokufakelwa kungenzeka.
Ngeshwa, awekho amavithamini noma amaminerali akhethekile angaxhasa impilo yamazinyo nezinsini.
"Kuyadingeka ukuzinza lesi sifo esiyimbangela. Uma isiguli sithatha amavithamini ukunxephezela isifo sikashukela futhi siqinisa isimo jikelele somzimba, isimo ngomnwe womlomo sizothuthuka. Uma kunezinkinga ngesifo somlomo wesibeletho, umuntu onesifo sikashukela akafanele abonane nodokotela wamazinyo kuphela, kepha nodokotela oyi-endocrinologist nodokotela isinxephezelo sikashukela, ”kusho udokotela wamazinyo uLyudmila Pavlovna Gridneva.
Abantu abanesifo sikashukela kudingeka baqonde ukuthi, yize behlakulela isifo sezinsini ngokushesha kunabantu abanamazinga e-glucose ajwayelekile, akusashesha. Isibonelo, ngisho ne-periodontitis enolaka kakhulu ingaba nokukhula kungakapheli unyaka noma ngaphezulu, futhi isifo se-periodontal sinenkathi emide kaningana. Ngaphandle kwalokhu, akufanele uhlehlise ukuvakasha kudokotela wamazinyo - noma ngenhloso yokuvimbela, ungasasho lawo macala lapho okuthile kukuhlupha. Ngokushesha lapho lesi sifo "sibanjwa", amathuba namathuba amaningi okuwuvimba futhi uselaphe.
Ungayigcina kanjani impilo yezinsini ekhaya
Isibopho sempilo yomlomo wesiguli asigcineki kudokotela wamazinyo kuphela, kodwa ikakhulu ngesiguli. Ukuvakasha ngesikhathi kudokotela, ukufezekiswa okunembile kwazo zonke izincomo zakhe, kanye nenhlanzeko kuzosiza ukuthatha ngokushesha lesi sifo. Akunakusebenza ukuthi ungalinda kuze kube "kudlula yodwa", noma uthathe amakhambi abantu. Uma kukhethwe ngokungalungile, bangadonsa isimo kuphela. Kwenzeka okufanayo nasemikhiqizweni yokuhlanzeka. Uma kwenzeka unesifo sezinsini, ikakhulukazi ngesikhathi sokugcwala, kuyadingeka ukushiya i-rinses eyomisa utshwala eyomisa ulwelwesi lwama-mucous.
Kungcono ukusebenzisa imikhiqizo eyenziwe ngokukhethekile kubantu abanesifo sikashukela, ngokwesibonelo, umugqa wemikhiqizo ye-DIADENT evela enkampanini yaseRussia AVANTA. Izinyo lezinyo elisebenzayo nelijwayelekile kanye nama-rinses asebenzayo nasebenza njalo kusuka kulayini we-DIADENT anconyelwe lezi zimpawu ezilandelayo:
- umlomo owomile
- ukuphulukiswa okungahambi kahle kwe-mucosa kanye nezinsini;
- ukuzwela kwezinyo okwandisiwe;
- umoya omubi;
- ama-caries amaningi;
- ingozi eyandayo yokuthola izifo ezithathelwanayo, kufaka phakathi isikhunta, izifo.
Ukunakekelwa okuphelele komgogodla womlomo ngokuvuvukala nokopha kwezinsini, kanye nezikhathi zokwanda kwezifo zezinsini, i-Toothpaste Active neRunse Aid kuhloswe ngalo. Ngokubambisana, la ma-ejenti anomphumela onamandla we-antibacterial, anciphisa ukuvuvukala futhi aqinise izicubu ezithambile zomlomo. Njengengxenye yamazinyo Asebenzayo, isakhi se-antibacterial esingomisi ulwelwesi lwe-mucous futhi esivimba ukwenzeka kwe-plaque kuhlanganiswa ne-antiseptic kanye ne-he hetaticatic yamafutha abalulekile, i-aluminium lactate ne-thymol, kanye nokukhipha okuvuselelayo nokuvuselela amandla okusuka ekhemisi i-chamomile. I-Rinser Asset evela ochungechungeni lwe-DIADENT iqukethe ama-astringents nezakhi ze-antibacterial, ezihlanganiswe yinkimbinkimbi yokulwa nokuvuvukala ye-eucalyptus namafutha omuthi wetiyi.
* A.F. I-Verbovoy, L.A. ISharonova, S.A. IBurakshaev E.V. Kotelnikova. Amathuba amasha wokuvimbela ushintsho esikhunjeni kanye ne-mucosa yomlomo kushukela. Umagazini Wezempilo, 2017
** IDF DIABETES ATLAS, Eight Edition 2017
