Zaumoyo wamlomo

Ndikukufunirani zabwino zonse! Kodi mumapita kangati kwa mano? Ndipo ndikangati komwe akatswiri othandiza kuyeretsa pakamwa, kuyeretsa kwa tartar? Mumayang'anira bwanji thanzi lanu pakamwa? Ndine wokondwa kwambiri ngati mumatsatira izi mosamala ndipo mulibe mavuto akulu. Chifukwa chake nkhaniyo sikunena za inu. Lero, chidziwitsochi chikhala chothandiza kwa iwo omwe sanalingalirepo kuti matenda a shuga angayambitse mavuto ngakhale m'derali ndipo sanamvere chifukwa chisamaliro cham'kamwa ndi mano.

Muyenera kuti nonse mukudziwa kuyambira ubwana kuti mano akuyenera kuwukhira kawiri pa tsiku: m'mawa komanso musanagone. Koma ndani amachita izi? Kuyambira ndili mwana, sitimakonda kuchita izi ndipo sindimakonda kuzichita. Ngakhale ndichizolowezi chotere cha kutsuka mano komwe kumateteza mano anu ku caries, limodzi ndi zinthu zina. Amalimbikitsidwanso kawiri pachaka kuti azichita ukhondo pakamwa komanso kuyeretsa kuchokera ku tartar. Ndipo izi ndi chiyani? Inde, inde, kawiri pachaka, muyenera kupangira mano kumaso ndi kawiri pachaka kuti mumupime mayeso ndikuthandizira panthawi yake mano a carious.

Kusowa uku kumayimiriridwa chifukwa chakuti ife eni tokha titha kuyeretsa bwino chidacho kuchokera pakhosi la mano tsiku lililonse ndipo chimadziunjikira kumphepete kwenikweni kwamkamwa, kenako ndikusintha. Ndipo tartar ndi njira yachindunji yopita ku periodontitis ndi kutaya mano msanga. Kutha kwa mano kumakhudzanso chimbudzi, ndipo kudzakhudza mayamwidwe a zinthu zofunika mthupi, zomwe zimayambitsa matenda osiyanasiyana. Nayi unyolo wa maubale. Ndipo zonse zimayamba ndi chisamaliro chochepa cha mano.

Koma anthu omwe ali ndi matenda ashuga sangakhale ndi zovuta ndi mano awo, komanso mucosa wamlomo. Mavutowa atha kuyambitsidwa mwachindunji ndi matenda a shuga, kapena m'malo mwake, kuchuluka kwa shuga m'magazi, i.e. osakwaniritsidwa. Ngati matenda ashuga amalipiridwa kwathunthu, sipayenera kukhala zovuta za mucosal, kapena zomwe zingakhale zosiyana. Koma izi sizitanthauza kuti muyenera kusiya kuyang'anira ukhondo, koma m'malo mwake, yesetsani kupewa kuti pasakhale mavuto, chifukwa, monga mukudziwa, kudzipulumutsa kumakhala kokwera mtengo kwambiri.

Matenda am'mlomo wamkamwa ndi matenda a shuga

Mukudziwa kale kuti kufalikira kwa matenda a shuga kumapangitsa kuti ziwalo zonse ziwonongeke komanso kuti minyewa yamkamwa ndiyosiyana ndi izi. Chifuwa chamkamwa ndicho gawo loyamba la chimbudzi chonse. Thanzi lamatumbo athu onse limatengera mkhalidwe wamkamwa wamkamwa. Nawa mavuto omwe wodwala matenda ashuga angakhale nawo:

Periodontitis - Uku ndikutupa, kutupa, zilonda komanso magazi amkamwa omwe amamanga mano m'mabowo awo. Chifukwa cha kutupa, minyewa ndi minyewa zimafooka ndipo mano athanzi lathunthu limayamba kumasuka ndikutuluka.

Ndi shuga wambiri, pakamwa pouma nthawi zambiri pamachitika chifukwa cha kusagwira bwino kwa malovu a chinyezi. Chifukwa cha kusowa kwa malovu, omwe ali ndi mphamvu ya bactericidal ndi chinyezi, kuwotcha mucous membrane ndi mpweya woipa (halitosis) kumatha kuchitika. Mavuto ambiri a shuga ndi periodontitis.

Makosi a mano amawonekera ndipo amayamba kuyankha kutentha, kuzizira kapena wowawasa. Tsoka ilo, malinga ndi ziwerengero, matenda a periodontal amakhudza 50-90% ya odwala omwe alibe shuga.

Candidiasis - fungal matenda am`kamwa mucosa chifukwa bowa Candida albicans. Nthawi zonse pakakhala kuchuluka kwa glucose m'magazi, ndiye kuti glucose amawonekera m'magazi ambiri. Kuti muchotse bwino, candida imafunikira malo otentha komanso okoma, omwe amakhala mkati mwa pakamwa pa wodwalayo. Izi ndizowona makamaka kwa anthu omwe ali ndi mano ndipo sakonda kuyang'anitsitsa ukhondo wawo. Nthawi zina zimakhala zovuta kuchotsa bowa, ndipo popanda kupanga shuga m'magazi kumakhala kovuta kwambiri.

Caries Zimakhudza anthu nthawi zambiri osati kokha chifukwa amadya maswiti ambiri. Kwenikweni, vutoli limachulukira padziko lonse lapansi. Caries zimachitika pakakhala vuto la calcium-phosphorous metabolism, yemwenso imakhala yachilendo mu shuga. Pakakhala calcium yokwanira komanso fluorine wokwanira, enamel imakhala yosalimba ndipo imakhazikika mkati mwake, yomwe imadzazidwa ndi zinyalala za chakudya, ndipo mabakiteriya okhala ndi tizilombo tokhazikika amakhala pamenepo, chifukwa chomwe chotupa cha mano chimadzuka ndikuwopsa kwa pulpitis.

Kupewa Matenda a M'kamwa

Njira zazikulu zopewera matenda amkamwa ndi Normoglycemia. Kumbukirani kuti ngakhale muli ndi shuga wosakhazikika kapena wamagazi m'magazi, mumakhala pachiwopsezo chachikulu cha periodontitis ndi kutaya kwa mano athanzi, kutsekeka kwa mucosa ndi caries. Chifukwa chake, miyeso yochepetsera glucose amodzi munthawi yomweyo imateteza matenda onsewa.

Kuphatikiza apo, pali njira zina zowonjezera zaukhondo zomwe zimayenera kutsatidwa ndi wodwala aliyense yemwe ali ndi matenda ashuga. Nayi malamulo osavuta ndi odziwika:

• Kutsuka mano ndi kutsuka pakamwa panu pakudya. Ngati mulibe matenda amkamwa, odwala matenda ashuga amatha kugwiritsa ntchito chofinya cha pakatikati, chomwe chimachepetsa mano. Phala loti mugwiritse ntchito tsiku lililonse lisakhale ndi zinthu zophatikiza ma antibacterial, ma peroxides amphamvu okhala ndi choyeretsa, zinthu zopatsa mphamvu kwambiri.
• Ngati mano akutuluka magazi, muyenera kungopukuta mano ndi burashi yofewa. Pankhaniyi, muyenera kugwiritsa ntchito mano okhazikika pakulimbitsa, antibacterial ndi anti-kutupa. Thandizo ladzito liyenera kukhala ndi kusintha kosinthika komanso ma antiseptic. Madokotala amalimbikitsa kugwiritsa ntchito njirayi osaposa mwezi umodzi, pakuwonjezeka.
• Pambuyo kutsuka mano, odwala amachotsa zinyalala za chakudya m'malo opezekera pakati ndi mano. Koma muyenera kuchita izi mosamala kwambiri kuti musawononge mano.
• Njira yokwanira yosungira kupuma kwatsopano ndikugwiritsa ntchito ma rinsing agents. Zomwe zimagwiritsidwa ntchito zimapitilira kwa maola angapo.
• Kawiri pachaka, muzichita zoyera pakamwa ndikuyeretsa mano kuchokera ku tartar.

Zomwe ndizotsukira mano

Ndiyenera kunena nthawi yomweyo kuti mano a mano omwe amalengezedwa nthawi zonse pa TV ndipo amagulitsidwa kwambiri m'masupikisano sakuyenera kwenikweni kwa wodwala yemwe ali ndi vuto lakumwa. Pankhaniyi, muyenera kugwiritsa ntchito mankhwala othandizira pakamwa omwe mungagule, mwachitsanzo, m'zipatala zamano.

Zida zamtundu wakampani ya Avanta - DIADENT ilinso ndi katundu waluso komanso wachindunji. Kampaniyo imapereka mzere wathunthu wazinthu zothandizira kusamalira pakamwa makamaka kwa odwala matenda a shuga. Pali zinthu zochepa mzere, kotero ndilankhula zambiri za chilichonse.

Mutha kugwiritsa ntchito mankhwala otsuka dzino kuti muzisamalira tsiku lililonse komanso kutsuka. DiaDent Nthawi Zonse. Matani awa ndi abwino chifukwa ali ndi zovuta komanso zoteteza kutulutsa. Izi ndi zovuta za methyluracil, kachilombo ka oats ndi allantoin, kamene kamatha kusintha kagayidwe kazinthu kagayidwe ka matenda ka periodontal, kamalimbitsa chitetezo chamthupi, ndikuthandizira kulimbitsa minofu.

Kuphatikiza apo, mankhwalawa amaphatikizapo gawo la antiseptic (thymol), lomwe limatsimikizira kupewa matenda a chingamu. Yogwira fluoride imathandiza kulimbitsa enamel wa mano ndipo imalepheretsa kuwola kwa mano.

Mavuto akachitika kale ndipo pali kutupa kosalekeza, muyenera kutsuka mano anu ndi kuwaza ndi mawu ake ochiritsa. Mano oterowo amayenera kugwiritsidwa ntchito kwakanthawi kochepa kuti pasakhale kusokoneza. Nthawi zambiri, masabata awiri ndi okwanira kuti mavuto amlomo atha. Kuchotsa mano DiaDent Asset Muli ndi antiseptic - chlorhexidine, yemwe ali ndi antimicrobial katundu ndipo amaletsa mapangidwe a zolembera.

Kuphatikiza apo, ilinso ndi astringent, antiseptic tata (aluminium lactate, mafuta ofunikira, thymol), omwe amapereka he hetaticatic. Ndipo alpha-bisabolol imakhala ndi mphamvu yolimbitsa mtima, imayendetsa njira za kukonzanso ndikulimbikitsa kuchira kwazomwe zimakhala zowonongeka.

Madokotala a mano amalimbikitsa kugwiritsa ntchito kusamba pamlomo, koma owerengeka amawagwiritsa ntchito konse. Masewera - izi zili ngati fungo lomaliza mu pentalo lajambulalo, popanda kuti utoto uja sukanamalizidwa. Chifukwa chake, thandizo latsamba limangopereka mpweya watsopano kwa nthawi yayitali, komanso limawongolera mulingo wamisala, komanso kukhala ndi katundu wotsutsana ndi kutupa ndi antiseptic.

Mwachizolowezi, yankho limapangidwa ndi kuphatikizira kwa mankhwala ochokera ku zitsamba zamankhwala: rosemary, chamomile, akavalo, tchire, nettle, mankhwala a ndimu, anakweranso, oats. Mutha kugwiritsa ntchito nadzatsuka DiaDent Nthawi Zonse tsiku ndi tsiku nthandizoDiaDent Asset, pakakhala mavuto akulu mkamwa.

Masewera a Rinse DiaDent Nthawi zonse amakhala ndi mankhwala azitsamba ndi triclosan ya antibacterial. Ndipo DiaDent Active rinse imakhala ndi mafuta ofunika a bulugamu ndi mtengo wa tiyi, he hetaticatic chinthu (aluminium lactate) ndi antimicrobial triclosan.

Zatsopano kwa kampani ndi gamu mankhwala DiaDent. Mafuta amenewa amapatsidwa mankhwala owuma kwambiri a mucous membrane, i.e., kuphwanya malovu, komanso kupuma movutikira. Itha kugwiritsidwa ntchito tsiku lililonse pambuyo kutsuka mano kuti muteteze ku matenda a bakiteriya ndi mafangasi (gingivitis, periodontitis, candidiasis). Zosakaniza: biosol, yoletsa kupukusa kwa mabakiteriya oyambitsa mabakiteriya ndi mafangasi, betaine, kupukutira mkatikati mwa patsekeke, kupangitsa kuti kupendekeka kwamitsempha, methyl salicylate menthol, yomwe iyendetse magazi m'matumbo, imathandizira njira yochira, ili ndi mphamvu ya insgesic, komanso imapangitsa kuti pakhale patsekeke.

Monga momwe zidakhalira, ndi matenda a shuga, osati mitsempha yamagazi yokha yomwe imavutika, komanso ziwalo zowuma zamkamwa, zomwe zimafunikira chisamaliro chapadera komanso, ngati pakufunika, chithandizo. Zokwanira Mutha kuwerenga kufotokozera kwa zinthu zamakampani a DIADENT a Avanta pa tsamba lovomerezeka(dinani pa ulalo) ndipo mutha kudziwa kuti ndi mumzinda uti komanso komwe mungagule zinthu izi. Mwa njira, osati m'mafakitala, komanso m'masitolo a pa intaneti osasiya nyumba.

Ndi izi, ndikufuna kumaliza kumaliza kusamalira pakamwa za matenda ashuga ndikukulimbikitsani kuti musamalire mano anu moyenera. Zatsopano sizingakule, koma si zonse ...

Ngati wina sakudziwa, ndiye kuti Novembara 14 ndi Tsiku la World Diabetes. Chilankhulo changa sindikufuna kukuthokozani patsikuli, ndatsala pang'ono kulemba tchuthi, chifukwa palibe chikondwerero :) Koma ndikufuna kuti anthu onse abwino asamayimbe "osayendayenda" poyesa kukhazikitsa moyo wokhala ndi mnansi wopanda ulemu ngati uyu matenda ashuga. Chachikulu ndi malingaliro abwino komanso kukhumudwa, komwe ndi koipa kuposa tchimo lachivundi. Kuti mutsimikizire izi, ndikufuna kunena fanizo limodzi lomwe ndimalikonda kwambiri:

Zaka zambiri zapitazo, Mdyerekezi adaganiza zodzitama ndikuyika zida zonse zaukadaulo wake. Anazipinda mosamala m'bokosi lowonetsera galasi ndikuzilemba kuti zilembedwe kuti aliyense adziwe kuti ndi chiyani komanso mtengo wake.

Zinali zopereka bwanji! Apa panali Dagger wochititsa chidwi wa Envy, ndi Hammer of Wrath, ndi Msampha wa Dyera. Pamashelufu zida zonse za Mantha, Kunyada ndi Chidani zinaikidwa mwachikondi. Zida zonse zimagona pamapilo okongola ndipo zimakondedwa ndi mlendo aliyense ku Gahena.

Ndipo pakatalifu kakang'ono panali kachitsulo kakang'ono, kosazungulira komanso kopindika matabwa kokhala ndi dzina loti "Despondency." Modabwitsa, zimawononga ndalama zambiri kuposa zida zina zonse zomwe zimaphatikizidwa.

Atafunsidwa chifukwa chake Mdyerekezi amayamikira kwambiri nkhaniyi, anayankha:

"Ili ndiye chida chokhacho mu zida zanga za nkhondo zomwe ndingadalire ngati wina aliyense alibe mphamvu." - Ndipo adasokoneza mwachikondi matabwa. "Koma ndikakwanitsa kuyiyendetsa mumutu wa munthu, amatsegula chitseko ndi zida zina zonse ..."

Ndi chisangalalo ndi chisamaliro, Dilyara Lebedeva

>>> Pezani Zolemba Zatsopano za Matenda Ati Triclosan ndi owopsa thanzi, amathandizira kuyambika kwa CANCER ndipo amalepheretsa kugwira ntchito kwa chithokomiro cha chithokomiro. Ichi ndi deta yasayansi, pali nkhani pamutuwu pabulogu yanga. Aluminium - imathandizira mawonekedwe a khansa ya m'mawere. Pali njira zachilengedwe zoyeretsera zamkamwa ndikuchotsa zolembera, chimodzi chimakhala chikuwunda (kuyamwa) mafuta aliwonse azamasamba, ndipo ngati mukuwonjezera madontho angapo amafuta akhungu la chitowe, ndiye kuti ndimatsenga.Ngati simunazindikire, ndiye kuti zopangidwa ndi triclosan zitha kugwiritsidwa ntchito kwa masabata awiri okha pochiza, osati kupewa. Kuchepetsa kwakanthawi kotere sikungayambitse kupsinjika kwa chithokomiro ndipo makamaka khansa. Ndikuvomereza kuti sopo wa tsiku ndi tsiku kapena mankhwala opaka mano okhala ndi antibacterial othandizira ali kale ochulukirapo. Zikadakhala zamphamvu monga momwe mukunenera, ndiye kuti zitha kugwiritsidwa ntchito bwino pakuchita opareshoni kukonza manja ndi zida, koma madokotala ochita opaleshoni amagwiritsa ntchito njira zosiyanasiyana. Pafupifupi, anthu aku America amatha kutha kuthamanga ndikupanga njovu kuchokera ku ntchentche, pomwe amatha kupeza ndalama kapena kungobwereka ndalama kwa munthu wina popanda kufuna. Zochitika zaposachedwa mdziko lapansi zikutsimikizira izi koposa kamodzi) Sindingawalangize kuti azidalira chilichonse.Dilyara, zikomo kwambiri chifukwa cha nkhaniyi! Munalemba kale za mzere wa mankhwala a Avanta. Patatha sabata limodzi ndikugwiritsa ntchito mano ndikutsuka "DiaDent Regular" magazi amataya. Ndimagwiritsa ntchito pafupipafupi.Zikomo, Dilyara. Chilichonse chomwe anatiuza mophweka komanso momveka bwino momwe tingatetezere mano athu mu shuga.Dilyarochka, wokondedwa, usiku wabwino! Zikomo kwambiri chifukwa cha malangizo anu. Chidendene chidachiritsa zikomo kwa inu, tsopano sizabwino kuchita manyazi kuvula nsapato zanu. Amameta miyendo ya mwamuna wake - palibe matenda ashuga, koma pali vuto ndi zidendene zong'ambika. Ndidalangiza apongozi anga, ndili wokondwa kwambiri ndi anzanga ... Koma chachikulu ndichakuti adafunsa endocrinologists precinct (madokotala 4 adasintha kuchipatala changa kwa chaka chimodzi) ndipo palibe amene adanenapo chilichonse! Tsopano ndasamalira kamwa yanga ndikuyipangira kwa ena.Zikomo, Dilyara, potisamalira! Ndinagwiritsanso ntchito dzino la mano ndikutupa mumkamwa wamkamwa, ndimakhuta. Ndimagwiritsanso ntchito mafuta awoko ndi phazi, ndimawakonda.Zikomo, Dilyara! Zolemba zanu nthawi zonse zimakhala mutu woyenera kwa ine lero. Zikomo chifukwa cha chisamaliro ndi upangiri.Zikomo, Dilyara! Kwa zolemba zanu ndi maupangiri! Ndimagwiritsanso ntchito mankhwala a Avanta. Monga choncho. Inde, munthu ayenera kuwerenga mosamala malangizo ogwiritsa ntchito. Zabwino zonse kwa inu! Zambiri, ValentineMfundo zazikulu

• Matenda amlomo ndi ena mwa matenda ofala kwambiri osakhudzana ndi matenda (NCDs) ndipo amakhudza anthu m'miyoyo yawo yonse, kupangitsa kupweteka ndi kusasangalala komanso kufooka ngakhale kufa.
• Malinga ndi kafukufuku wapadziko lonse wa 2016 Global Burden of Disease Survey, theka la anthu padziko lonse lapansi (anthu 3.58 biliyoni) ali ndi matenda apakamwa, ndipo makhola amano a mano okhazikika ndi omwe ali ambiri pakati pa zovuta zachipatala.
• Matenda owopsa a periodontal (chingamu), omwe angayambitse kuchepa kwa mano, akuwonetseredwa kuti ndi nthenda yayikulu kwambiri padziko lonse lapansi.
• Kuthetsa mano kwambiri ndi edentulism (kusowa kwa mano achilengedwe) ndi zina mwazomwe zimayambitsa zaka khumi zatayika chifukwa cha kulumala (YLD) m'maiko ena ochita ndalama zambiri.
• M'mayiko ena ku Western Pacific, khansa ya pakamwa (khansa ya pakamwa ndi pakamwa) ndi amodzi mwa mitundu itatu yodziwika bwino ya khansa.
• Chithandizo cha mano ndiokwera mtengo - m'maiko ambiri olemera kwambiri, pafupifupi, 5% ya ndalama zonse zokhudzana ndi chithandizo chaumoyo ndi 20% ya ndalama zothandizira kuchipatala.
• M'mayiko omwe amapeza ndalama zochepa komanso apakatikati (LMICs), kufunikira kwaumoyo wamkamwa kumaposa kuchuluka kwa machitidwe azachipatala.
• Padziko lonse lapansi komanso m'miyoyo yonse ya anthu, pali kusiyana pakati pa chitetezo chamlomo mkati komanso pakati pa magulu osiyanasiyana. Zomwe zimadziwika ndi chikhalidwe cha anthu zimakhudzanso thanzi pakamwa.
• Zowopsa zomwe zimayambitsa matenda opatsirana pakamwa, monga mitundu ina yayikulu ya NCD, zimaphatikizapo zopanda thanzi, zakudya za shuga kwambiri, kugwiritsa ntchito fodya, komanso kumwa mowa mwauchidakwa.
• Kukhala ndiukhondo wosakwanira pakamwa komanso kudziwonetsera mosakwanira kwa mankhwala a fluoride kumawononga thanzi la pakamwa.

Matenda ndi zikhalidwe zamkamwa

Kwambiri kulemera kwa matenda amlomo kumachitika chifukwa cha matenda asanu ndi awiri ndi zikhalidwe zamkamwa. Izi zikuphatikiza mano a mano, matenda amkati (matenda amkamwa), matenda a oncological amkamwa, kuwonetsera kwamkati kachilombo ka HIV, kuvulala kwam'kamwa ndi mano, milomo yoyamwa ndi pakamwa, ndi zina zilizonse. Pafupifupi matenda ndi mikhalidwe zonse zimalephera kapena kuthandizidwa poyambirira.

Malinga ndi kafukufuku wapadziko lonse wa 2016 Global Burden of Disease Survey, anthu osachepera 3.58 biliyoni padziko lapansi ali ndi matenda amlomo, ndipo makhola amano a mano okhazikika ndi omwe ali ambiri pakati pa zovuta zachipatala 2.

M'malo ambiri a LMIC okhala ndi kutukuka kwakumidzi ndi kusintha kwa malo okhala, kuchuluka kwa matenda amakamwa kumapitilirabe kuwonjezeka chifukwa cha kuthekera kosakwanira kwa mankhwala ophatikizira fluoride komanso kusakwanira kupeza chithandizo cham'kamwa choyambirira. Kutsatsa kosokoneza shuga, fodya ndi mowa kumabweretsa kuchuluka kwa zakudya zopanda thanzi.

Zojambula m'mano

Mano am'mano amayamba pamene kachilombo kakang'ono ka biofilm (zolengeza) kamene kamapangidwa pansi pameno kamatulutsa mashubu omasuka omwe amapezeka muzakudya ndi zakumwa kukhala zidulo zomwe zimasungunula enamel ya mano ndi minofu yolimba pakapita nthawi. Ndi kumwa kosalekeza kwamasamba ambiri a shuga aulere, kuwonetsedwa kosafunikira kwa mankhwala osakanikirana ndi michere popanda kuwachotsa pafupipafupi ma biofilm, mawonekedwe a mano amawonongedwa, omwe amathandizira kupanga mapangidwe amkati ndi zowawa, zimakhudzanso moyo wamtundu womwe umakhudzana ndi thanzi pakamwa, ndipo, pambuyo pake, kumabweretsa kuchepa kwa mano komanso matenda.

Matenda a Periodontal (chingamu)

Matenda a Periodontal amakhudza minofu yomwe imazungulira ndikuthandizira mano. Izi nthawi zambiri zimayenderana ndi magazi kapena kutupa kwa mano (gingivitis), ululu, ndipo nthawi zina fungo loipa. Mwanjira yoopsa kwambiri, kulekanitsa mano ndi mano ndikuthandizira mafupa kumabweretsa "matumba" ndi kumasula mano (periodontitis). Mu 2016, matenda oopsa a periodontal, omwe angayambitse kuchepa kwa mano, adakhala matenda oyamba 11 padziko lapansi. Zomwe zimapangitsa kukula kwa matenda a periodontal ndizosakwanira pakamwa ndikugwiritsanso ntchito fodya 3.

Kutaya mano

Caries amano ndi matenda a periodontal ndizomwe zimayambitsa kuchepa kwa mano. Kuwonongeka kwamano kwambiri ndi edentulism (kusowa kwathunthu kwa mano achilengedwe) kuli ponseponse ndipo makamaka amadziwika pakati pa okalamba. Kuthetsa mano kwambiri ndi edentulism ndi zina mwazomwe zimayambitsa khumi za olumala Zaka (YLD) m'maiko ena opeza bwino chifukwa cha anthu okalamba 2.

Khansa yapakamwa

Khansa ya pakamwa imaphatikizapo khansa ya milomo ndi malo ena onse amkamwa ndi oropharynx. Kafukufuku wapadziko lonse wokhudzana ndi khansa yapakamwa (khansa yamlomo ndi yamlomo) ndi milandu 4 pa anthu 100,000. Nthawi yomweyo, m'malo osiyanasiyana padziko lapansi chizindikirochi chimasiyana - kuchokera pamilandu 0 yosungidwa mpaka milandu 20 pa anthu 100,000. Khansa ya pakamwa ndiyofala kwambiri pakati pa abambo ndi okalamba, ndipo kufala kwake kumadalira kwambiri chikhalidwe ndi chuma.

M'mayiko ena a ku Asia ndi Pacific, khansa ya pakamwa ndi amodzi mwa mitundu itatu yodziwika bwino ya khansa 4. Kugwiritsa ntchito fodya, mowa ndi mtedza wa catechu (betel nati) ndi chimodzi mwazomwe zimayambitsa khansa ya pakamwa 5.6. M'madera monga North America ndi Europe, kuchuluka kwa ma khansa omwe amapezeka pakati pa achinyamata kukuchuluka chifukwa cha matenda “oopsa” omwe amayamba chifukwa cha papillomavirus 6.7.

Zowonetsera zamkati mwamatenda a HIV

30-80% ya anthu omwe ali ndi kachilombo ka HIV ali ndi mawonekedwe owonetsa 8, mitundu yake yomwe imadalira kwambiri zinthu monga kuthekera kwa chithandizo chokwanira cha antiretroviral therapy (ART).

Mawonekedwe amkati akuphatikizira matenda a fungus, bakiteriya kapena ma virus, omwe mumamwa candidiasis ndiwofala kwambiri, nthawi zambiri ndiye chizindikiro choyamba cha matenda adakali m'munsi. Zilonda zokhudzana ndi kachilombo ka HIV pamkamwa zimayambitsa kupweteka komanso kusasangalala, zimayambitsa pakamwa pouma komanso zoletsa kudya, ndipo nthawi zambiri zimayambitsa matenda.

Kuzindikira koyambirira kwa zotupa zapamlomo zokhudzana ndi kachirombo ka HIV kungathandize kuzindikira matenda omwe ali ndi kachirombo ka HIV, kuthamangitsa matenda, kudziwikiratu chitetezo cha mthupi, komanso kulandira chithandizo chanthawi yake. Kuchiza ndi kuwongolera zotupa zak pakamwa zokhudzana ndi kachilombo ka HIV zimatha kukonza thanzi la pakamwa, moyo wabwino, komanso thanzi la 9

Zowawa kumkamwa ndi mano

Zowawa pamlomo wamkamwa ndi mano ndizovulala kwa mano ndi / kapena zolimba kapena zofewa zimakhala chifukwa cha kukhudzika mkati ndi kuzungulira pakamwa komanso mkati mwa khomo 10. Kuchuluka kwa kuvulala kwameno konse (mkaka komanso kwamuyaya) kuli pafupifupi 20% 11. Zomwe zimayambitsa kuvulala pamkamwa ndi mano zimatha kukhala mkhalidwe wamkamwa wamkamwa (malocclusion momwe nsagwada yapamwamba imaphwanya kwambiri nsagwada yam'munsi), zinthu zachilengedwe (mwachitsanzo malo osatetezeka komanso masukulu), machitidwe owopsa, komanso chiwawa 12. Kuthandizira kuvulala kotereku ndikokwera mtengo komanso kotenga nthawi ndipo nthawi zina kumatha kubweretsa kuwonongeka kwa mano ndi zotsatira za mapangidwe a nkhope, kukulitsa kwa malingaliro ndi moyo wabwino.

Noma ndi matenda a necrotic omwe amakhudza ana a zaka 2-6 omwe ali ndi vuto la kuperewera kwa zakudya komanso matenda opatsirana, amakhala mu umphawi wadzaoneni komanso amakhala ndi chitetezo chamthupi chofooka.

Nome ndiofala kwambiri kum'mwera kwa Sahara ku Africa, koma kawirikawiri milandu yamatendawa imanenedwanso ku Latin America ndi Asia. Naome amayamba ndi zotupa zofinya zam'mimba. Kutupa koyambirira kwamkamwa kumayamba ndi ulcerative gingivitis, yomwe imapita patsogolo mwachangu, ndikuwononga minofu yofewa, kenako ndikuphatikizanso zolimba komanso khungu lolimba.

Malinga ndi kuyerekezera kwa WHO, mu 1998, milandu yatsopano 140,000 ya kapena 13 inachitika. Popanda chithandizo, amapha 90% ya milandu. Maina osankhidwa akapezeka m'mayambiriro oyambirira, chitukuko chawo chitha kuima mwachangu mothandizidwa ndi ukhondo woyenera, mankhwala opha tizilombo komanso kukonza thanzi. Chifukwa cha kuzindikira koyambirira kwa mayina, kuvutika, kulumala ndi kufa zitha kupewedwa. Anthu opulumuka amakhala ndi vuto lodana ndi nkhope, kuvutika pakulankhula ndi kudya komanso kusalidwa ndi anzawo ndipo amafunika opaleshoni yovuta komanso kukonza 13.

Milomo yotseka ndi mkamwa

Milomo yotsekemera ndi chamkamwa ndi matenda opatsirana omwe amakhudza milomo ndi milomo yamkamwa, mwina padera (70%), kapena ngati gawo limodzi la matenda omwe amakhudza oposa chikwi chatsopano padziko lapansi. Ngakhale kutengera kwa chibadwa ndi gawo lofunikira pakubala kwawoko, zinthu zina zomwe zitha kuchitika zimaphatikizapo zakudya zopanda pake za amayi, kusuta fodya komanso kumwa mowa, komanso kunenepa kwambiri pa nthawi ya pakati 14. Mayiko omwe amalandira ndalama zochepa amakhala ndi chiwerengero chachikulu cha kufa kwa 15. Ndi chithandizo choyenera cha milomo yotsekemera komanso pakamwa, kukonzanso kwathunthu ndikotheka.

Ma NCD ndi zinthu zomwe zimayambitsa ngozi

Matenda ambiri ndi mikhalidwe yamkamwa yam'magazi imakhala ndi zoopsa zomwezo (kugwiritsa ntchito fodya, kumwa mowa ndi zakudya zopanda thanzi) zokhala ndi zovuta zinayi za NCD (matenda amtima, khansa, matenda opumira komanso matenda ashuga).

Kuphatikiza apo, ubale udanenedwa pakati pa matenda ashuga komanso kukula ndi kupitilira kwa periodontitis 16.17.

Komanso, pali mgwirizano wapakati pakati pa kudya kwambiri shuga ndi shuga, kunenepa kwambiri komanso mano a mano.

Zosayenerana pamlingo wa Health Oral

Kusavomerezeka pamlingo waumoyo wamlomo kumakhazikitsidwa pazochitika zosiyanasiyana zachilengedwe, zamakhalidwe, zamaganizidwe, zochitika zandale komanso zomwe zimapanga "momwe anthu amabadwira, amakulira, amakhala, amagwira ntchito komanso amakhala ndi zaka zambiri" - omwe amatchedwa atsimikizira 18.

Matenda amkamwa am'mimba amakhudza mosawerengeka anthu osauka komanso osatetezeka. Pali kulumikizana kwamphamvu ndikukhazikika pakati pa chikhalidwe cha anthu pazachuma (ndalama, malo antchito ndi maphunziro) ndi kuchuluka komanso kuopsa kwa matenda amlomo. Ubalewu umawonedwa mu moyo wonse - kuyambira paubwana mpaka ukalamba - komanso pakati pa anthu okhala m'maiko apamwamba, apakati komanso otsika kwambiri. Chifukwa chake, kusalingana pamlingo waumoyo wamlomo kumawerengedwa kuti ndi kosapeweka ndipo amadziwika kuti ndi osayenera komanso osaloledwa m'gulu lamakono la 19.

Kupewa

Chipsinjo cha matenda am'kamwa ndi zina zina za NCD zitha kuchepetsedwa kudzera pachipata chothandiza anthu pangozi.

• kulimbikitsa chakudya chamagulu:

• otsika mu shuga aulere kuti muteteze kukhazikika kwa mano a mano, kuchepera mano ndi zina za NCD zokhudzana ndi thanzi,
• kudya kwambiri zipatso ndi ndiwo zamasamba zomwe zingathandize poteteza khansa ya pakamwa,

• Kuchepetsa kusuta, kugwiritsa ntchito fodya wosuta fodya, kuphatikizapo kutafuna katemera, komanso kumwa mowa kuti muchepetse khansa yapakamwa, nthenda yam'mimba komanso kuchepa kwa mano, komanso
• kulimbikitsa kugwiritsa ntchito zida zodzitchinjiriza mukamasewera ndi kuyenda pamagalimoto oyendetsa magalimoto kuti muchepetse ngozi za kuvulala kwamaso.

Kuphatikiza pazowopsa zomwe zimachitika ku NCDs, kuti tipewe matenda amkamwa komanso kuchepetsa kusiyana pakati paumoyo wamlomo, ndikofunikira kuchitapo kanthu pazotsatira zosayenera za mankhwala ophatikizira a fluoride ndi zingapo zomwe zimatsimikizira zaumoyo.

Zola zameno zitha kupewedwa makamaka ndikusungunuka kwa fluoride kosalekeza pamkamwa. Zotsatira zoyenera za mankhwala ophatikizira fluoride zitha kupezeka kuchokera kuzinthu zosiyanasiyana, monga madzi akumwa osinthika, mchere, mkaka ndi mano. Ndikulimbikitsidwa kuti musambe mano anu kawiri patsiku ndi mano okhala ndi fluoride (1000 mpaka 1500 ppm) 20. Kudziwitsidwa kwakanthawi kokwanira pazinthu zophatikizana kwambiri za fluoride kumabweretsa kuchepetsedwa kwakukulu kwa kuchuluka ndi kufalikira kwa ma caries amano pazaka zilizonse.

Zosagwirizana pamiyeso yaumoyo wamlomo zimayenera kuchepetsedwa pothana ndi zodziwika bwino zaumoyo pogwiritsa ntchito njira zingapo zapamwamba pamlingo wapamwamba, sekondale, ndi pulayimale, monga fluoridation yamadzi, malamulo ogulitsa ndikulimbikitsa zakudya zotsekemera kwa ana, ndikuyambitsa misonkho pazakumwa zotsekemera. Kuphatikiza apo, kulimbikitsa malo athanzi ngati mizinda yathanzi, ntchito zathanzi, komanso masukulu opititsa patsogolo thanzi ndikofunikira kuti pakhale malo abwino olimbikitsira thanzi pakamwa.

Njira yaumoyo komanso Kuphunzira zaumoyo padziko lonse (UHC)

Kugawidwa kosagwirizana kwa akatswiri azaumoyo komanso kusowa kwa zipatala zoyenera m'maiko ambiri kumatanthauza kuti kupeza chithandizo chamankhwala choyambira pakamwa nthawi zambiri kumakhala kosakwanira. Zowerengeka zonse za achikulire omwe ali ndi zofunikira zokhudzana ndi thanzi pakamwa zimasiyana kuchokera pa 35% omwe ali ndi ndalama zochepa komanso 60% m'maiko otsika kwambiri mpaka 75% m'maiko opeza apakati ndi 82% m'maiko. phindu lalikulu 22. M'malo ambiri a LMIC, kufunikira kwa thanzi pakamwa kumaposa kuchuluka kwa machitidwe azachipatala. Zotsatira zake, kuchuluka kwakukulu kwa anthu omwe ali ndi matenda amlomo samalandira chithandizo, ndipo zofunikira zambiri za wodwala zimakhalabe zopanda pake. Kuphatikiza apo, ngakhale m'maiko olemera kwambiri, chithandizo chamankhwala chovala mano ndiokwera mtengo - pafupifupi, chimakhala ndi 5% ya chithandizo chonse chaumoyo 23 ndi 20% ya ndalama zogulira zaumoyo kuchokera ku ndalama zanu 24.

Malinga ndi tanthauzo la WHO, HEI imatanthawuza kuti "anthu onse ndi madera onse amalandila chithandizo chomwe amafunafuna popanda kukumana ndi mavuto azachuma" 25. Poganizira tanthauzo ili, pofuna kukwaniritsa zonse zathanzi, ndikofunikira kuonetsetsa:

1. ntchito zazikuluzikulu zaumoyo wamlomo,
2. zothandizira pantchito yaumoyo wamlomo, zomwe zimayang'ana kwambiri zofuna za anthu komanso kuchitapo kanthu potsatira zaumoyo waumoyo,
3. chitetezo cha ndalama komanso mwayi wowonjezereka wa bajeti ya 26.

Ntchito za WHO

Njira zothandiza kwambiri zaumoyo wa anthu pakuchiza matenda am'kamwa zimaphatikizira kuphatikiza njira zochizira matenda ena a NCD komanso madongosolo a boma. WHO Global Oral Health Program imadzigwirizanitsa ndi Global Agenda ya NCDs ndi Shanghai Declaration on Health Promotion pansi pa 2030 Agenda for Sustainable Development 27.

Bungwe la WHO Global Oral Health Program limathandizira maiko a Amembala m'malo awa:

• Kukhazikitsa ndi kufalitsa zida zoyenera zokomera anthu kuti apititse patsogolo kudzipereka kwa thanzi pakamwa pakati pa omwe akupanga mfundo ndi ena okhudzidwa ndi dziko lonse lapansi.
• kukulitsa luso komanso thandizo laukadaulo kumayiko othandizira njira yothandizira kuzungulira kwa moyo ndi njira zochepetsera kumwa kwa shuga, kuwongolera kugwiritsa ntchito fodya ndikulimbikitsa kugwiritsa ntchito mano okhala ndi fluoride ndi zina zonyamula, motsimikiza magulu osauka komanso ochezeka
• Kuthandizira kulimbikitsa machitidwe azaumoyo wamlomo kudzera pakugwiritsa ntchito njira yathanzi ya anthu onse yomwe imayang'ana zofunikira za anthu monga gawo la chisamaliro chaumoyo (PHC),
• kulimbikitsa njira zothandizira pakamwa komanso kuwunika kosakanikirana, kuphatikiza kuyesa kwa ma NCD ena, kuti akope chidwi chake ndikuwonetsa vutoli ndikuwunika momwe mayiko akuwonekera.

Zikalata zaumboni

2. GBD 2016 Matenda ndi Zowonongeka ndi Ma Collaborators a Prevalence. Chiwopsezo cha dziko lonse, cha zigawo, ndi dziko, kuchuluka, ndi zaka zinakhala ndi kulemala kwamatenda 328 ndi kuvulala kwamayiko 195, 1990-2016: kusanthula kwadongosolo kwa Global Burden of Disease Study 2016. Lancet. 2017,390 (10,100): 1211-1259.

3. Petersen PE, Bourgeois D, Ogawa H, Estupinan-Day S, Ndiaye C.Ulemu wapadziko lonse wamatenda am'kamwa komanso zowopsa pakamwa.Bull World Health Organ. 2005,83(9):661-669.

4. Ferlay J EM, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F. Global Cancer Observatory: Khansa Lero. Lyon, France: International Agency for Research on Khansa. Yofalitsidwa 2018.Yaperekedwa 14 Seputembara, 2018.

5. Mehrtash H, Duncan K, Parascandola M, et al. Kutanthauzira kafukufuku wapadziko lonse lapansi ndi ndondomeko za betel quid ndi areca nati.Lancet Oncol. 2017.18 (12): e767-e775.

6. Warnakulasuriya S. Amayambitsa khansa yapakamwa - kuyang'ana kwa mikangano. Br Dent J. 2009,207(10):471-475.

7. Mehanna H, Beech T, Nicholson T, et al. Kuwonekera kwa papillomavirus yaanthu mu khansa yam'mimba komanso nonoropharyngeal khansa - kuwunika mwatsatanetsatane ndikusanthula kwa meta panthawi ndi dera. Mutu Nkhosi. 2013,35(5):747-755.

8. Reznik DA. Kuwonetsera pakamwa kwa matenda a HIV. Top HIV Med. 2005,13(5):143-148.

9. Wilson D NS, Bekker L-G, Potton M, Maartens G (ed). Handbook of HIV Medicine. Cape Town Oxford University Press Southern Africa, 2012.

10. Lam R. Epidemiology ndi zotsatira za kuvulala kwamano kwambiri: kuwunikira mabuku. Aust Dent J. 2016.61 Suppl 1: 4-20.

11. A Petti S, Glendor U, Andersson L. World kuvulala kwamano ndikuwopseza kwambiri, kuwunika meta-Anthu mabiliyoni amoyo avulala kwambiri mano. Dent Traumatol. 2018.

12. Glendor U. Aetiology ndi zoopsa zokhudzana ndi kuvulala kwamano - kupenda kolemba. Dent Traumatol.2009,25(1):19-31.

13. Ofesi ya World Health Organisation ya Africa. Bulosha lazidziwitso kuti muzindikire koyambirira ndi kusamalira kapena. Yofalitsidwa 2017. Ikupezeka pa 15 February, 2018.

14. Mossey PA, Little J, Munger RG, Dixon MJ, Shaw WC. Milomo yotseka ndi mkamwa. Lancet. 2009,374(9703):1773-1785.

15. Modell B. Epidemiology of Oral Clefts 2012: An International Perspective Cobourne MT (ed): Cleft Lip ndi Palate. Epidemiology, Aetiology ndi Chithandizo. . Vol 16. Basel: Front Oral Biol. Karger., 2012.

16. Taylor GW, Borgnakke WS. Matenda a Periodontal: Kuyanjana ndi matenda a shuga, kuwongolera kwa glycemic ndi zovuta. Disal Oral.2008,14(3):191-203.

17. Sanz M, Ceriello A, Buysschaert M, et al. Umboni wasayansi pazakulumikizana pakati pa matenda opatsirana ndi matenda ashuga: Lipoti la Consensus ndi malangizo amisonkhano yolumikizana ya matenda aposachedwa ndi matenda ashuga ndi International Diabetes Federation ndi European Federation of Periodontology. J Clin Periodontol. 2018,45(2):138-149.

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24. OECD. Zaumoyo pakuwunikira 2017: Zizindikiro za OECD. Yofalitsidwa 2017. Ikupezeka pa 15 February, 2018.

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26. Fisher J, Selikowitz HS, Mathur M, Varenne B. Kulimbikitsa thanzi pakamwa kuti likhale loti pakhale thanzi. Lancet. 2018.

The Link Pakati pa Type 2abetes ndi Oral Health> Matenda a shuga amakhudza mphamvu ya thupi lanu yogwiritsa ntchito shuga kapena shuga m'magazi kuti ipange mphamvu. Matenda a shuga amatha kuyambitsa zovuta zambiri, kuphatikizapo kuwonongeka kwa mitsempha, matenda amtima, stroke, matenda a impso, ngakhale khungu. Vuto linanso lathanzi labwino ndi matenda a chingamu komanso mavuto ena okhudza mkamwa.

Malinga ndi American Diabetes Association, anthu omwe ali ndi matenda a shuga ali pachiwopsezo chachikulu cha gingivitis, matenda a chingamu, komanso periodontitis (matenda oopsa a chingamu ndi mafupa owonongeka). Matenda a shuga amakhudza kuthekera kwanu kulimbana ndi mabakiteriya omwe angayambitse matenda a chingamu.

Matenda a shuga amaphatikizidwa ndi chiwopsezo chowonjezereka cha matenda otupa, monga matenda a fungus. Kuphatikiza apo, anthu omwe ali ndi matenda a shuga amatha kukhala ndi pakamwa pouma. Izi zimaphatikizidwa ndi chiopsezo chowonjezeka cha zilonda zamkamwa, zilonda zam'mimba, matenda amkati ndi matenda ameno.

Zomwe phunziroli likuti

Kafukufuku wa 2013 mu magazini ya BMC Oral Health adasanthula anthu 125 omwe ali ndi matenda a shuga a mtundu wa 2. Ofufuzawo anayeza zina kuphatikizapo mano osoweka, matenda a periodontal, komanso kuchuluka kwa magazi komwe kumatuluka m'mano.

Kafukufukuyu adawonetsa kuti kuphatikiza kwa anthu omwe amakhala ndi shuga kwa nthawi yayitali, kuthamanga kwamagazi m'magazi awo, kukwera kwake hemoglobin A1C (woyezera shuga wapakati wamiyezi itatu), ndiye kuti ayenera kukhala ndi matenda osachiritsika ndi magazi a mano .

Iwo omwe sananene za kudziyang'anira mosamala kwakanthawi kwawo anali atatsala pang'ono kukhala ndi mano osowa kuposa omwe amagwira ntchito kuti azilamulira shuga.

Zowopsa Zowopsa

Anthu ena omwe ali ndi matenda a shuga ali pachiwopsezo chachikulu cha matenda am'mlomo kuposa ena. Mwachitsanzo, anthu omwe samayang'anira magazi a shuga amatha kupeza matenda a chingamu.

Kuphatikiza apo, ngati mumasuta komanso kudwala matenda ashuga, mumakhala ndi chiopsezo chachikulu chokhala ndi pakamwa kuposa munthu yemwe ali ndi matenda ashuga komanso osasuta.

Malinga ndi National Institute of Health, mankhwala opitilira 400 akuphatikizidwa ndi pakamwa louma. Izi zimaphatikizapo mankhwala omwe amagwiritsidwa ntchito pochiza matenda amanjenje kapena a neuropathy. Mutha kufunsa dokotala kapena wamankhwala ngati mankhwala anu angakulitse chiopsezo cha pakamwa pouma. Ngati ndi kotheka, dokotala wamano amatha kuyikiratu zotsekemera pakamwa, zomwe zingachepetse zizindikiro za pakamwa pouma. Ma makeke wopanda shuga kuti athetse pakamwa pouma amapezeka ndimalo ogulitsa m'masitolo ambiri.

Zizindikiro za Machenjezo

Matenda a mpumulo ogwirizana ndi matenda a shuga sikuti nthawi zonse amayambitsa zizindikiro. Pazifukwa izi, ndikofunikira kuchita ndikusankha madokotala a mano nthawi zonse Komabe, pali zina zomwe zingasonyeze kuti mukukumana ndi matenda a chingamu. Mulinso:

magazi m`kamwa, makamaka pamene kutsuka kapena kukulira

• Zosintha momwe mano anu amawonekera kuti akuphatikizana (kapena "kuluma kolakwika")
• kupuma movutikira, ngakhale mutatsuka
• chotsani mano, omwe amatha kupangitsa kuti mano anu azioneka aatali kapena okulirapo
• mano osatha omwe amayamba kumva kutuluka
• chingamu chofiyira kapena chotupa
• Kupewa

Njira zabwino zopewera zovuta zokhudzana ndi matenda ashuga m'mano anu a mano ndikuwongolera kwambiri shuga. Yang'anani shuga yanu yamagazi pafupipafupi ndipo dziwitsani dokotala ngati simungathe kuwongolera kuchuluka kwanu ndi zakudya, mankhwala a pakamwa, kapena insulin.

Muyenera kusamalanso mano anu poyendera mano anu pafupipafupi, kutsuka mano komanso kuyendera mano anu. Muyenera kulumikizana ndi dotolo wamano ngati mukufuna kupita pafupipafupi kuposa kawiri pachaka. Ngati mukuwona zizindikiro zilizonse zokuchenjezani za matendawa, funsani dokotala wanu nthawi yomweyo.

Yang'anani pakamwa panu kuti mupeze zodwala mwezi uliwonse. Izi zimaphatikizapo kupeza madera owuma kapena malo oyera pakamwa. Kuthetsa magazi kumakhalanso nkhawa.

Ngati mwakonza njira yotsatsira mano popanda kuyang'anitsitsa shuga wanu wamagazi, mungafunike kuchedwetsa njirayo ngati siwadzidzidzi. Izi ndichifukwa choti chiopsezo chanu chotenga kachilomboka pambuyo pa njirayi chikuwonjezeka ngati shuga lanu lamwazi lili kwambiri.

Chithandizo cha matenda ashuga omwe amalumikizidwa ndi khomo lamkamwa zimatengera momwe alili komanso kuuma kwake.

Mwachitsanzo, matenda a periodontal amatha kuthandizidwa ndi njira yotchedwa kukweza ndi mizu. Iyi ndi njira yozama yoyeretsera yomwe imachotsa tartar kuchokera pamwamba komanso pansi pa mzere. Dokotala wamano amatha kukupatsirani mankhwala othandizira.

Pafupipafupi, anthu omwe ali ndi matenda opindika a periodontal amafunika kuchitidwa opaleshoni. Izi zitha kupewa kuchepa kwa mano.

Zokhudza matenda a shuga pamikhalidwe ya milomo yamkamwa

Zinthu zazikulu zomwe zimakhudza kwambiri thanzi lam'mlomo wamkati mwa odwala matenda a shuga ndi monga:

• shuga wambirim'magazi. Izi zimathandizira kukula kwa ma virus komanso, chifukwa chake, acidity pamlomo wamkati, yomwe imatsogolera kuwonongeka kwa enamel ya mano,
• yafupika kukana matenda. Izi zimathandizira kukulitsa kutupa, komwe kumakhudza mkhalidwe wamkamwa ndi minyewa yofewa yamkamwa.

Zotsatira zake, odwala omwe samayang'anira shuga wamagazi nthawi zambiri amakhala ndi periodontitis, yomwe nthawi zambiri imapangitsa kuti mano asokonezeke. Kuti mupewe izi chifukwa cha matendawa, ndikofunikira kuwonetsetsa kuwunika kwa shuga kunyumba pogwiritsa ntchito glucometer ndikugwiritsa ntchito mankhwala othandizira omwe amapangidwira poyang'anira kukhudzidwa kwa matenda osokoneza bongo.

Malamulo 6 okhudzana ndi matenda ashuga amkamwa

Kuyendera mano pafupipafupi

Anthu odwala matenda ashuga amafunika kuwunika mano nthawi zonse kuti apewe mavuto omwe angatenge ngati atenga fungal. Nthawi yomweyo, dokotala wamano ayenera kudziwitsidwa za matenda ake kuti athe kusintha momwe amathandizira ndikusankha njira zamankhwala zopangidwira odwala omwe ali ndi matenda ashuga. Mwachitsanzo, odwala omwe akuchitidwa opaleshoni yamano ayenera kufunikira maantibayotiki kuti apewe matenda. Asanachitidwe opareshoni, wodwala matenda ashuga ayenera kusintha nthawi yakudya ndi mlingo wa insulin. Komanso pamenepa, ndikofunikira kukhazikika kwa shuga.

Kuwunikira pakamwa

Itanani dokotala nthawi yomweyo ngati mupeza zizindikiro zotsatirazi: kufupika, kutupika, kutulutsa magazi ndi mpweya wambiri m'mkamwa, kuchepa kwake, kupumira kwakapena, kutsekemera kwachilendo pakamwa, mafinya m'dera pakati pa mano ndi mano, mano otayirira kapena kusintha kwa malo awo mwachitsanzo, ndikaluma, kusintha kwa mawonekedwe oyamwa pang'ono.

Kupukutira ndi kupukusa patali tsiku lililonse

Odwala omwe ali ndi matenda ashuga amafunika kutuluka tsiku ndi tsiku ndikusamba mano chilichonse mukatha kudya. Izi zimathandiza kupewa matenda komanso zovuta zina. Chitani zokonda pamamutu ofewa. Zotsatira zothandiza kwambiri zimatha kupezeka ndikutsuka mano mukamagwira burashi pakona madigiri 45 kuchokera pa chingamu. Poterepa, ndikofunikira kuti mupange kuyenda mofewa, kukonza mawonekedwe onse a mano. Lilime limafunikanso kuyeretsedwa, ndiye kuti mumachotsa mabakiteriya mkati mwake ndikupatsanso mpweya wabwino. Pakukutira, imayenera kusunthira mmbuyo ndi pansi mbali zonse za mano ndikukhudza m'munsi mwa dzino lililonse kuti muyeretse chakudya ndi majeremusi. Mabulashi apakatikati amathandizira kupanga maluwa okongola a mano.

Anthu odwala matenda ashuga omwe akufuna kuchepetsa chiopsezo chokhala ndi periodontitis ayenera kugwiritsa ntchito mankhwala opatsirana pogonana kuti apewe matenda oyambitsidwa ndi bakiteriya. Zonunkhira zam'kamwa za odwala matenda ashuga sayeneranso kukhala ndi shuga. Kupanda kutero, angathandizire kudwala.

Chungamu chopanda shuga

Chungamu chopanda shuga ndi chinthu chinanso chomwe chitha kukhala chopindulitsa kwa anthu odwala matenda ashuga. Kupatula apo, vuto limodzi lalikulu ndi matendawa limachulukitsa kamwa yowuma. Nthawi zambiri zimachitika ndikumwa mankhwala a shuga komanso shuga wambiri. Mwa kulimbikitsa ntchito ya tiziwalo tamadonthono, kutafuna chingamu kuthandizira kuthetsa vutoli. Pakamwa pakamwa kumalimbikitsa kuwonongeka kwa enamel ya mano ndi mabakiteriya komanso matenda, omwe amatha kukhudza minofu ya mano pansi pa mano ndikupangitsa kuti mano asatayike. Ndipo malovu amatha kuchepetsa mphamvu ya ma virus. Sankhani chingamu chopanda shuga, mwinanso kugwiritsa ntchito kwake kungapangitse kuchuluka kwa shuga wamagazi ndi kuchuluka kwa mabakiteriya, omwe angawononge thanzi lanu lamkamwa.

Mouthwash

Kupangira mano anu ndi chovala kumino sikokwanira, chifukwa amapanga 25% yokha ya mkamwa, pomwe mabakiteriya omwe amayambitsa matenda amkamwa amakhala palilime, pakamwa, komanso mkati mwa masaya. Kugwiritsa ntchito muzimutsuka mukamakuphwanya kumakupatsani mwayi woti muyere pafupifupi pakamwa ponse. Komabe, si onse ma rins omwe amagwiranso ntchito mofananamo.

LISTERINE ® ndi zida zothandiza kwambiri poyeretsa pakamwa.

Izi ndiye zokhazokha zokha zomwe zili ndi mafuta ofunikira, omwe amakupatsani mwayi kuti muwongolere kukula kwa mabakiteriya pamlomo wamkati chifukwa cha kachitidwe ka antibacterial. Zimatsimikiziridwa mwachipatala kuti LISTERINE ® Total Care:

• Amathandizira thanzi
• amawononga mpaka 99.9% mabakiteriya oyipa mkatikati mwa kamwa 1,
• amachepetsa mapangidwe opanga ndi 56% ogwira kuposa kungotsuka mano 2,
• amateteza kuyera kwa mano,
• amathetsa zomwe zimayambitsa matenda a halitosis,
• Imathandizira kupewa kuwola kwa mano.

LISTERINE ® Total Care imavomerezedwa ndi akatswiri azachipatala aku Russia kuti agwiritse ntchito tsiku lililonse kawiri pa tsiku. Amateteza maola atatu pakamwa ndipo samakhumudwitsa momwe microflora 4 imakhalira.

1. Zabwino D. et al. Kuyerekeza antibacterial zochita za antiseptic pakamwa kutsutsana ndi isogenic planktonic mitundu ndi biofilmsChizimbamangochin.Zolemba za Clinical Periodontology. Julayi 2001.28 (7): 697-700.
2. Charles et al.Kuyerekeza ntchitoantiseptic pakamwa ndi mankhwala otsukira mano motsutsana ndi zolengeza / gingivitis: kafukufuku wa miyezi 6.Journal of the American Dental Society. 2001, 132,670-675.
3. Zabwino D. et al.Kuyerekeza antibacterial zochita za antiseptic rinsespakamwa kamakhala ndi mafuta ofunikira maola 12 mutatha kugwiritsa ntchito masabata awiri.Clinical Periodontology Journal. Epulo 2005.32 (4): 335-40.
4. Minakh G.E. et al. Mphamvu ya miyezi 6 yogwiritsa ntchito antimicrobial muzimutsitsa pa microflora ya tartar.Nyuzipepala "Clinical Periodontology". 1989.16: 347-352.

Kodi pali kulumikizana pakati pa matenda a chingamu ndi matenda ashuga?

Pafupifupi anthu 4 miliyoni aku Russia omwe akuvutika matenda ashugamungadabwe kudziwa za zovuta zosayembekezereka zomwe zimachitika ndi vutoli. Kafukufuku akuwonetsa kuti kufalikira kwa matenda a chiseyeye kwa odwala matenda a shuga, ndikuwonjezera matenda oopsa a chingamu pamndandanda wazovuta zina zokhudzana ndi matenda a shuga, monga matenda a mtimasitiroko ndipo matenda a impso.

Kafukufuku watsopano akuwonetsanso kuti ubale pakati pa matenda oopsa a chingamu ndi matenda ashuga ndi njira ziwiri. Sikuti anthu omwe ali ndi matenda ashuga okha ndi omwe angatengere matenda oopsa a chingamu, komanso matenda oopsa a chingamu amatha kukhala ndi mwayi wothandizira chiwonetsero cha glucose ndikuthandizira matenda a shuga. Kafukufuku akuwonetsa kuti anthu omwe ali ndi matenda ashuga ali pachiwopsezo chachikulu cha mavuto. ukhondo pakamwamonga gingivitis (gawo loyambirira la matenda a chingamu) ndi periodontitis (matenda oopsa a chingamu). Anthu omwe ali ndi matenda ashuga ali ndi chiwopsezo chachikulu cha matenda oopsa a chingamu chifukwa nthawi zambiri amatenga matenda oyambitsidwa ndi bakiteriya, ndipo amatha kuyesetsa kulimbana ndi mabakiteriya omwe amalowa m'mkamwa.

Zambiri zokhudzana ndi matenda a chingamu ndi mano, komanso ukhondo wamlomo zimatha kupezeka patsamba lanu. Onlinezub. Kukhala ndi thanzi labwino pakamwa ndi gawo limodzi la thanzi lanu. Kumbukirani kupukuta mano ndi maluwa bwino, ndikuyendera mano anu kuti akakuwonaninso.

Ngati ndili ndi matenda ashuga, kodi ndili pachiwopsezo cha mavuto a mano?

Ngati kuchuluka kwa glucose m'magazi anu kulibe bwino, mumatha kudwala matenda amtundu kwambiri komanso kutaya mano ochulukirapo kuposa omwe alibe matenda ashuga. Monga matenda onse, matenda a chiseyeye kwambiri amatha kuchititsa kuti shuga ayambike ndipo kasamalidwe ka shuga kitha kukhala kovuta.

Kodi ndingapewe bwanji vuto la mano omwe amachitika ndi matenda ashuga?

Choyamba magazi magazi. Kusamalira mano anu ndi mano, komanso kuwayendera pafupipafupi kwa miyezi isanu ndi umodzi. Kuti muthane ndi matenda otupa, fungal matenda, onetsetsani kuti mukudwala matenda ashuga, pewani kusuta ndipo ngati muvala mano, chotsani ndikutsuka tsiku ndi tsiku. Kuyendetsa bwino shuga wamagazi kumathandizanso kupewa kapena kutsekemera pakamwa pouma komwe kumayambitsa matenda ashuga.

Anthu omwe ali ndi matenda ashuga ali ndi zosowa zapadera ndipo dokotala wamano ayenera kukhala okonzeka kukwaniritsa zosowa - ndi thandizo lanu. Dziwitsani dokotala wamano wanu kuti akuuzeni zakusintha kwanu ndi chithandizo chilichonse chomwe mwalandira. Patani njira iliyonse yovuta mano ngati shuga wanu wamagazi sili bwino.

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