Kuphatikiza Kwaumoyo Pakamwa ndi Tizilombo ta mano

IAOMT imalimbikitsa kuphatikiza kwaumoyo wamkamwa

Ngakhale matenda amtundu wa periodontal amavomerezedwa ndi azachipatala chifukwa chazovuta zake zamtima ndi matenda ashuga, zovuta zamankhwala ena am'mano ndi zida zathupi lathupi lathunthu siziyenera kuzindikirika kwambiri. Komabe, popeza pakamwa ndiye njira yolowera m'mimba, siziyenera kudabwitsa kuti zomwe zimachitika mkamwa zimakhudza thupi lonse (komanso mosemphana ndi matenda ashuga). Ngakhale zitha kuwoneka zowonekeratu kuti mano ndi zida zingakhudze dongosolo lonse la anthu, pali kufunika koonekeratu kwa akatswiri azachipatala, opanga mfundo, komanso anthu kuti aphunzitsidwe za izi.

Biological Dentistry ndi Oral Health Integration

Madokotala azitsamba siopadera kwa ma mano, koma malingaliro ndi malingaliro omwe angagwire ntchito pazochitika zonse zamano ndi chisamaliro chazachipatala: nthawi zonse kufunafuna njira yotetezeka, yopanda poizoni yokwaniritsira zolinga zamankhwala amakono Zaumoyo wamasiku ano ndi kuzindikira kulumikizana kofunikira pakati paumoyo wam'kamwa ndi thanzi lathunthu. Malangizo azachipatala amatha kudziwa komanso kulumikizana ndi mitu yonse yakukambirana pankhani yazaumoyo, popeza kukhala bwino pakamwa ndi gawo lofunikira laumoyo wa munthu yense.

Madokotala a mano amalimbikitsa kugwiritsa ntchito mano opangira mankhwala a mercury komanso otetezedwa ndi mercury ndipo amayesetsa kuthandiza ena kumvetsetsa tanthauzo la mawuwa pakugwiritsa ntchito mankhwala:

• "Wopanda Mercury" ndi liwu lokhala ndi tanthauzo lambiri, koma limatanthawuza machitidwe amano omwe samayika zodzola za mercury zamadzimadzi.
• "Mercury-safe" nthawi zambiri amatanthawuza machitidwe amano omwe amagwiritsa ntchito njira zatsopano komanso zotetezera potengera kafukufuku waposachedwa wa sayansi kuti achepetse kuwonekera, monga ngati atachotsa mano amadzimadzi omwe analipo kale ndikuwasinthanitsa ndi mercury njira zina.
• Mankhwala a "Biological" kapena "Biocompatible" nthawi zambiri amatanthauza machitidwe amano omwe amagwiritsa ntchito mankhwala opangira mankhwala a mercury komanso otetezedwa ndi mercury polingalira za momwe mano, zida, ndi chithandizo chamankhwala am'kamwa ndi machitidwe, kuphatikiza kusakanikirana kwa zida zamankhwala ndi maluso .

Kuphatikiza pa kulingalira kwa kuopsa kwakudzazidwa kwa mercury ndi kusakanikirana kwa zida zamano (kuphatikiza kugwiritsa ntchito kuyesedwa kwa ziwengo ndi kuzindikira), mano opangira tizilombo amapanganso kutulutsa poizoni ndi chelation, zakudya zamagulu ndi thanzi pakamwa, kuopsa kokhala ndi timadzi timene timayendera ndi timadzi tokoma, maubwino am'machiritso amtundu wa periodontal, mphamvu yothandizidwa ndi mizu yolimbana ndi thanzi la wodwala, komanso kuzindikira ndi kuchiza matenda amitsempha amtundu wa osteonecrosis (NICO) ndi nsagwada osteonecrosis (JON).

Mwa mamembala athu, madokotala a mano a IAOMT ali ndi magawo osiyanasiyana ophunzitsira mano a mercury, otetezedwa ndi mercury, komanso mano. Dinani apa kuti Dziwani zambiri zamankhwala achilengedwe.

Umboni Wosowa Kulumikizana Kwaumoyo Pakamwa

Malipoti angapo aposachedwa atsimikizira kuti kuchitapo kanthu kuti thanzi la m'kamwa liphatikizidwe bwino ndi thanzi la anthu. M'malo mwake, a Healthy People 2020, projekiti yaofesi yaboma yaku US ku Office of Prevention and Health Promotion, yatchula gawo lofunikira pakukweza thanzi la anthu: kukulitsa kuzindikira zakufunika kwa thanzi pakamwa paumoyo wathunthu.¹

Chifukwa chimodzi chodziwitsa izi ndikuti mamiliyoni aku America ali ndi caries, matenda a periodontal, kupuma kosagona bwino, kung'ambika kwa milomo ndi mkamwa, kupweteka mkamwa ndi kumaso, komanso khansa yapakamwa ndi pharyngeal..²  Zotsatira zakomwe zimachitika pakamwa ndizochuluka kwambiri. Mwachitsanzo, matenda a periodontal ndi chiopsezo cha matenda ashuga, matenda amtima, matenda opumira, sitiroko, kubadwa msanga, ndi zolemera zochepa.^{3 4 5}  Kuphatikiza apo, mavuto azaumoyo mwa ana atha kubweretsa kusowa chidwi, zovuta kusukulu, komanso nkhani yazakudya komanso tulo.⁶  Komanso, mavuto azaumoyo pakamwa mwa okalamba atha kubweretsa kulemala ndikuchepetsa kuyenda.⁷  Izi ndi zitsanzo zochepa chabe pazotsatira zodziwika za zovuta zaumoyo pakamwa paumoyo wathunthu.

Mwawo lipoti 2011 Kupititsa patsogolo Thanzi Lamlomo ku America, Institute of Medicine (IOM) idawunikira zakufunika kwa mgwirizano pakati pa akatswiri azaumoyo. Kuphatikiza pakukonza chisamaliro cha odwala, kuphatikiza kwaumoyo wam'kamwa ndi machitidwe ena kunadziwika ngati njira yochepetsera ndalama zothandizira.⁸  Kuphatikiza apo, IOM idachenjeza kuti kulekanitsidwa kwa akatswiri a mano ndi ena azaumoyo zoipa zimakhudza thanzi la odwala.⁹  Makamaka, Tcheyamani wa Komiti Yoona za Umoyo Pakamwa Richard Krugman adati: "Njira zamankhwala pakamwa zimadalirabe chithandizo chazachipatala, chapadera chomwe sichimagwira mbali zonse za anthu aku America bwino. ”¹⁰

Chowonadi cha odwala omwe akukumana ndi zotsatirapo zoyipa chifukwa chakumwa m'kamwa sanatulutsidwe pulogalamu yamankhwala chatsimikizika mu malipoti ena. Mu Ndemanga yofalitsidwa mu Buku Lopatulika la Umoyo Wathanzi, Leonard A. Cohen, DDS, MPH, MS, adalongosola kuti odwala amavutika pakakhala kuti palibe mgwirizano pakati pa dotolo ndi dokotala.¹¹  Chochititsa chidwi n'chakuti, akuti odwala akufuna kulumikizidwa kumeneku, monga momwe ofufuza ananenera: "Popeza chidwi pantchito yothandizira zaumoyo komanso kugwiritsa ntchito njira zochiritsira ndi zowonjezera za ogula zikupitilira kukula, kuda nkhawa kwawonjezera kuti akatswiri azaumoyo azidziwitsidwa mokwanira zokhudza thanzi labwino kuti athe kusamalira bwino odwala. ”¹²

Ndizachidziwikire kuti odwala ndi akatswiri amapindulanso ndi njira yothandizirana yathanzi laumoyo komanso thanzi la anthu. Choyamba, thanzi la m'kamwa lingakhale chisonyezo cha mavuto ena azaumoyo kuphatikiza kuperewera kwa zakudya, matenda amachitidwe, matenda a tizilombo tating'onoting'ono, matenda amthupi, kuvulala, ndi mitundu ina ya khansa.¹³  Chotsatira, odwala omwe akupirira zizindikilo zoyipa zamatenda am'kamwa monga matenda, kukhudzika kwamankhwala, TMJ (zovuta zamalumikizidwe a temporomandibular), kupweteka kwa craniofacial, ndi zovuta zakugona atha kupindula ndi mgwirizano wapakati pa akatswiri. Kugwirizana kotereku kwafunikanso pokhudzana ndi zovuta zam'kamwa zochokera kuchipatala ndi mankhwala ena¹⁴ ponena za zinthu zosagwirizana.¹⁵  Kugwirizana kwa biocompact ndikofunikira kwambiri chifukwa chifuwa cha mano cha mercury chimatha kubweretsa madandaulo angapo okhudzana ndi thanzi¹⁶ ndikukhudza anthu aku America okwana 21 miliyoni masiku ano.¹⁷  Komabe, ziwerengerozi zitha kukhala zazikulu kwambiri chifukwa kafukufuku waposachedwa ndi malipoti akuwonetsa kuti ziwengo zachitsulo zikukula.^{18 19}

Zowonjezera Zofunikira pakuphatikizika Kwaumoyo Wamlomo

Zonsezi komanso zina zimapereka umboni woti zovuta zam'kamwa ziyenera kukhala zofala kwambiri pamaphunziro azachipatala. Chifukwa sukulu zamano ndi maphunziro ndizosiyana kotheratu ndi masukulu azachipatala komanso maphunziro opitilira, madokotala, manesi, ndi akatswiri ena azaumoyo nthawi zambiri samadziwa zamankhwala am'kamwa, kuphatikiza kuzindikira matenda am'kamwa.²⁰  M'malo mwake, zakhala zikunenedwa kuti maola 1-2 okha pachaka amalandila mapulogalamu amankhwala am'banja omwe amaphunzitsidwa zaumoyo wamano.²¹

Kuperewera kwamaphunziro ndi maphunziro kumakhudza kwambiri thanzi la anthu. Kuphatikiza pa zikhalidwe zonse zomwe zatchulidwa pamwambapa, zotsatira zina mwina sizingakhale zowonekera. Mwachitsanzo, odwala ambiri omwe ali ndi madandaulo amano omwe amawoneka ndi madipatimenti azadzidzidzi kuchipatala (ED) nthawi zambiri amakhala ndi ululu ndi matenda, ndipo kusowa kwa chidziwitso cha ED chokhudza thanzi la mkamwa kwatchulidwa ngati zothandizira kuti opiate kudalira ndi kukana kwa maantibayotiki.²²

Kusazindikira uku kumawoneka ngati chifukwa chosowa mwayi. Pomwe akatswiri awonetsa chidwi ndi maphunziro okhudzana ndi thanzi la m'kamwa, mutuwu sikunaperekedwe m'maphunziro azachipatala.²³  Komabe, kusintha kwakulimbikitsidwa, monga wapampando wa Komiti ya Oral Health Initiative Richard Krugman: "Zoyenera kuchitidwa kuti zithandizire maphunziro ndi maphunziro a akatswiri onse azaumoyo pakamwa ndi kulimbikitsa magulu osiyanasiyana, ogwirira ntchito limodzi akuyandikira.²⁴

Chilimbikitso chakusintha mwachangu uku chikuwoneka kuti chikuyambitsa. Zitsanzo zina zatsopano za mitundu ndi mafelemu omwe alipo akupanga tsogolo latsopano pakuphatikizika kwaumoyo wamkamwa komanso pagulu. IAOMT ndi gawo la tsogolo latsopanoli ndipo limalimbikitsa mgwirizano pakati pa madotolo ndi akatswiri ena azaumoyo kuti odwala athe kukhala ndi thanzi labwino.