Ubuhlungu Bolwimi, I-Periodontitis

IPeriodontitis yisifo esinzima samagingi esingabangela ukulahleka kwamazinyo, ukulahleka kwamathambo nezinye izinkinga zempilo ezingathi sína.

IPeriodontitis (per-e-o-don-TIE-tis), ebizwa nangokuthi isifo samagingi, luyisifo esinzima samagingi olonakalisa izicubu ezithambile ezingqongile amazinyo. Uma ingalashwa, i-periodontitis ingabhubhisa ithambo elisekela amazinyo akho. Lokhu kungabangela amazinyo ukuthi ahlale, noma kube ukwehluleka kwamazinyo.

IPeriodontitis ivamile kodwa ngokuvamile ingathintelwa. Ngokuvamile iphuma ekungakunaki umlomo namazinyo akho. Ukuze usize ukuvimbela i-periodontitis noma uthuthukise amathuba akho okwelashwa okuphumelelayo, hlala ugeza okungenani kabili ngosuku, uhlanze ngentambo yokuhlanza amazinyo nsuku zonke futhi uthole ukuhlolwa kweminyaka yonke kwelwemi.

Amagciwane aphilile aqinile futhi ahambisana kahle namazinyo. Umbala wamagciwane aphilile ungase uhluke. Angase ahluke kusuka opinki olukhanyayo kubantu abathile kuya kopinki olukhulu nobhovu kwabanye. Izimpawu ze-periodontitis zingafaka:

• Amagciwane avuvukile noma aqaqambile.
• Amagciwane obomvu obakhanya, obomvu obukhulu noma obomvu obumnyama.
• Amagciwane azizwa ebuhlungu uma athintwa.
• Amagciwane aphepha kalula.
• Ibrashi yamagqolo ebukeka ipinki ngemva kokuhlambulula amazinyo akho.
• Ukukhipha igazi uma ugeza noma uhlanza amazinyo akho.
• Umoya omubi ongayeki.
• Uboya phakathi kwamazinyo akho namagciwane.
• Amazinyo aphumule noma ukulahleka kwamazinyo.
• Ukukoma okuhlungu.
• Izindawo ezintsha ezakha phakathi kwamazinyo akho ezibukeka njengezingxande ezimnyama.
• Amagciwane asusa amazinyo akho, enza amazinyo akho abonakale emade kunokujwayelekile, okuthiwa yi-receding gums.
• Ushintsho endleleni amazinyo akho ahambisana ngayo uma ukuma. Landela isimiso esikhethiwe yi-dentist yakho sokuhlola okuvamile. Uma uqaphela noma iyiphi impango ye-periodontitis, yenza i-aphoyintimenti nodokotela wemazinyo ngokushesha okukhulu. Uma uthola ukunakekelwa ngokushesha, amathuba akho okuphinda ubuyekelele umonakalo ovela ku-periodontitis.

Emasimini amaningi, ukuthuthukiswa kwe-periodontitis kuqala nge-plaque. I-plaque iyifilimu enamathelayo eyenziwe ikakhulukazi ngamabhaktheriya. Uma ingalashwa, nanka ukuthi i-plaque ingathuthuka kanjani ngokuhamba kwesikhathi iye e-periodontitis:

• I-plaque yenza amazinyo akho lapho ama-starch nama-shuga ekudleni ehlangana namabhaktheriya avame ukutholakala emlonyeni wakho. Ukugeza amazinyo akho kabili ngosuku nokuhlanza kanye ngosuku kususa i-plaque, kodwa i-plaque ibuya ngokushesha.
• I-plaque ingaqina ngaphansi komgca wezinsizi zakho ibe yitartar uma ihlala emazinweni akho. I-Tartar kunzima ukuyisusa. Awukwazi ukuyisusa ngokuhlanza nokukhipha - udinga ukuhlanzwa kwamazinyo ochwepheshe ukuze uyisuse. Ngenxa yokuthi i-plaque ne-tartar zigcwele amabhaktheriya, uma zihlala isikhathi eside emazinweni akho, ziyalimaza kakhulu.
• I-plaque ingabangela i-gingivitis, uhlobo oluthambile lwegciwane lezinsizi. I-Gingivitis ukucasuka nokuvuvukala kwezinsizi ezizungezile isisekelo lamazinyo akho. I-Gingiva iyelinye igama lezinsizi. I-Gingivitis ingaphendulwa ngokwelashwa kochwepheshe nokunakekelwa komlomo okuhle ekhaya, kodwa kuphela uma ikwelashwe ngokushesha ngaphambi kokuba ulahlekelwe yithambo.
• Ukucabangela okuqhubekayo kwezinsizi nokuvuvukala, okuthiwa ukucasuka, kungabangela i-periodontitis. Ekugcineni lokhu kubangela ukuba kube nemigodi ejulile phakathi kwezinsizi zakho namazinyo. Le migodi igcwele i-plaque, i-tartar namabhaktheriya futhi iba juqu ngokuhamba kwesikhathi. Uma ingalashwa, lezi zifo ejulile zibangela ukulahleka kwezicubu nethambo. Ekugcineni ungalahlekelwa yilinye noma ngaphezulu kwamazinyo. Futhi, ukucasuka okuqhubekayo kungakhathaza uhlelo lwakho lokulwa nezifo, kubangele ezinye izinkinga zempilo.

Izici ezingakwandisa ingozi yakho yokuhlaselwa yi-periodontitis zihlanganisa:

• Gingivitis.
• Imikhuba emibi yokunakekela impumulo.
• Ukubhema noma ukukhinyabeza utshaba.
• Ukushintsha kwamahomoni, njengalezo ezihlobene nokukhulelwa noma ukuqeda ukuba khona kwesikhathi.
• Ukusetshenziswa kwezidakamizwa zokuzilibazisa, njengokubhema i-marijuana noma i-vaping.
• Ukukhuluphala.
• Ukondleka okubi, kufaka phakathi amazinga aphansi e-vitamin C.
• I-Genetics.
• Imithi ethile ebangela umlomo owomile noma ukushintsha kwezinye.
• Izimo ezithoba ukhuselo lomzimba, njenge-leukemia, i-HIV / AIDS kanye nokwelashwa komdlavuza.
• Izifo ezithile, njengokusabela kweswekile, i-rheumatoid arthritis ne-Crohn's disease.

I-periodontitis ingabangela ukulahleka kwamazinyo. Iintsholongwane ezibangela i-periodontitis zingangena egazini lakho ngeempawu zegciwane, mhlawumbi zithinte ezinye iindawo zomzimba wakho. Ngokomzekelo, i-periodontitis ihlobene nesifo sempumlo, isifo se-rheumatoid arthritis, isifo se-coronary artery, ukuzalwa kwangaphambi kwexesha kunye nobunzima obuphantsi bokuzalwa, kunye neengxaki zokulawula ushukela egazini kwisifo sikashukela.

Indlela engcono kakhulu yokuvimbela i-periodontitis ukuba nomkhuba wokunakekela umlomo namazinyo akho. Qala le ndlela usencane uqhubeke nayo impilo yakho yonke.

• Ukukhathalela komlomo okuhle. Lokhu kusho ukugeza amazinyo akho imizuzu emibili okungenani kabili ngosuku—ekuseni nangaphambi kokulala—nokuklebula okungenani kanye ngosuku. Ukuklebula ngaphambi kokugeza kuzokusiza ukususa izicucu zokudla neentsholongwane eziqalile ukuqina. Ukukhathalela komlomo okuhle kugcina amazinyo namagxolo akho ehlanzekile futhi kususe iintsholongwane ezibangela isifo se-periodontal.
• Ukuvakashela izinyanga zamazinyo njalo. Bona izinyanga zamazinyo zakho njalo ukuze zihlambulule, ngokuvamile njalo ngenyanga ezi-6 kuya kwezi-12. Uma unezingozi ezikhuphula amathuba akho okuba ne-periodontitis—njengokuba nomlomo owomile, ukuthatha imithi ethile noma ukubhema—ungase udinga ukuhlanzwa okuqeqeshwe ngokwengeziwe.

Ukuthola ukuthi uyabe une-periodontitis nokuthi iyakabiqine kangakanani, udokotela wezinyo angase:

• Buyekeze umlando wakho wezokwelapha ukuthola noma yiziphi izinto ezingahlotshaniswa nezimpawu zakho. Isibonelo sibandakanya ukubhema noma ukuthatha imithi ethile ebangela umlomo owomile.
• Hlola umlomo wakho ukubona ukuqongelelana kwe-plaque ne-tartar bese uhlola ukuphuma kwegazi okulula.
• Linganisa ukujula kwamaphokithi phakathi kwesikhumba sakho namazinyo ngokubeka umlawuli omncane obizwa ngokuthi yi-dental probe phakathi kwamazinyo akho nomugqa wesikhumba. Amaphokithi alinganiswa ezindaweni eziningi ezikhishini zakho eziphezulu nasezansini. Emilonyeni enempilo, ukujula kwamaphokithi kuvame ukuba phakathi kwama-1 nama-3 millimeters (mm). Amaphokithi ajulile kune-4 mm angase abonise i-periodontitis. Amaphokithi ajulile kune-5 mm awanakususwa kahle ngenhlalakahle ejwayelekile.
• Thatha izithombe ze-X-ray zezinyo ukuhlola ukulahleka kwamathambo ezindaweni lapho udokotela wezinyo ebona khona amaphokithi ajulile.

Udokotela wezinyo angase anikeze isigaba nesilinganiso se-periodontitis ngokuya ngokuthi isifo siyakabiqine kangakanani, ukuyincaza kokwelapha, izinto ezikufaka engozini nempilo yakho. Khona-ke kwenziwa uhlelo lokwelapha.

Ukwelashwa kungenziwa yidokotela wamazinyo noma i-periodontist. I-periodontist ngudokotela wamazinyo oqeqeshwe ekwelapheni izifo zezinsizi. Uthisha wezinyo angasebenza nodokotela wakho wamazinyo noma i-periodontist njengengxenye yohlelo lwakho lokwelashwa. Umgomo wokwelashwa ukuhlanza kahle izikhwama ezizungezile amazinyo nokuvimbela ukulimala kwensizi ezungezile namathambo. Unethuba elihle kakhulu lokwelashwa okuphumelelayo uma futhi unezindlela zansuku zonke zokunakekela umlomo omuhle, uphatha izimo zempilo ezingathinta impilo yamazinyo bese uyeka ukusebenzisa utshaba. Uma i-periodontitis ingathuthuki, ukwelashwa kungase kuhilele izinqubo ezingathinti kangako, okuhlanganisa:

• Ukukala. Ukukala kususa i-tartar kanye nebhaktheriya ebusweni bamazinyo akho nangaphansi komugqa wezinsizi zakho. Kungase kwenziwe ngezinsimbi, i-laser noma idivayisi ye-ultrasonic.
• Ukulungiswa komsuka. Ukulungiswa komsuka kululamisa ubuso bomsuka. Lokhu kusiza ukuvimbela ukwakheka okuqhubekayo kwe-tartar kanye nebhaktheriya. Kusiza futhi izinsizi zakho zihlangane namazinyo akho futhi.
• Ama-antibiotic. Ama-antibiotic aphezulu noma amilomo angasiza ekulawuleni ukutheleleka kwebhaktheriya. Ama-antibiotic aphezulu angafaka ama-mouth rinses e-antibiotic noma ukubeka ijeli ene-antibiotic ezikhwameni zezinsizi. Ngezinye izikhathi ama-antibiotic omilomo adingeka ukuze asuse ibhaktheriya ebangela ukutheleleka.

Uma une-periodontitis ephambili, ungase udinga ukuhlinzwa kwamazinyo, njengokulandelayo:

• Ukuhlinzwa kwe-flap, okuthiwa futhi ukuhlinzwa kokunciphisa iphokethe. I-periodontist yakho yenza ukucutshungulwa ezinsizini zakho ukuze igoqe ngokucophelela ithusi. Lokhu kubonisa imizuzu yamazinyo ukuze kube khona ukukala nokulungiswa komsuka okuphumelelayo. Ngenxa yokuthi i-periodontitis ivame ukubangela ukulahleka kwamathambo, ithambo elingaphansi lingase libukezwe kabusha ngaphambi kokuthi ithusi lezinsizi lihlanganiswe kabusha. Ngemva kokwelapha, kulula ukuhlanza izindawo ezizungezile amazinyo akho nokugcina insizi enempilo.
• Ukufakelwa kwethusi elithambile. Uma ulahlekelwa yithusi lezinsizi, umugqa wezinsizi zakho uya phansi, ubonisa ezinye imizuzu yamazinyo akho. Ungase udinga ukuba nezinye zethusi elilimaziwe liqinisekiswe. Lokhu kuvame ukwenziwa ngokususa inani elincane lethusi emaphethelweni omkhulu womlomo wakho noma usebenzisa ithusi elivela kwenye imithombo yabadonsela futhi ulihlanganise endaweni ethintekayo. Lokhu kungasiza ekuthintekeni kokulahleka kwezinsizi, ukumboza imizuzu ebonakalayo nokunika amazinyo akho ukubukeka okuhle.
• Ukufakelwa kwamathambo. Le nqubo yenziwa uma i-periodontitis ibhubhisa ithambo eliphakathi komsuka wamazinyo. Ukufakelwa kungase kwenziwe ngezicucu ezincane zamathambo akho, noma ithambo lingase lenziwe ngezinto ezakhiwe noma zinikezwe. Ukufakelwa kwamathambo kusiza ukuvimbela ukulahleka kwamazinyo ngokuqinisisa izinyo lakho endaweni. Kusebenza futhi njengeplatform yokukhula kabusha kwamathambo emvelo.
• Ukubuyiselwa kwethusi eliqondiswayo. Lokhu kuvumela ukukhula kabusha kwamathambo abhubhisiwe yibhaktheriya. Endleleni eyodwa, udokotela wakho ubeka uhlobo oluhlukile lwefabhrikhi phakathi kwamathambo akhona nezinyo lakho. Izinto zivimbela ithusi elingafuneki ekuthuthukeni endaweni yokwelapha, kuvumela ithambo likhule kabusha esikhundleni salo.
• Amaprotheni ashukumisa ithusi. Enye indlela ihilela ukusebenzisa ijeli ekhethekile emuzwini wamazinyo alimaziwe. Lejeli iqukethe amaprotheni afanayo atholakala ekwakheni i-enamel yamazinyo futhi ikhuthaza ukukhula kwamathambo nethusi oluphilile.

Zama lezi zindlela ukunciphisa noma ukuvimbela i-periodontitis:

• Hlehlisa amazinyo kabili ngosuku noma, kungcono nakakhulu, ngemuva kwesidlo ngasinye noma i-snack.
• Sebenzisa ibrashi yezinyawo ezinwebeka futhi uyishintshe okungenani njalo ngenyanga ezintathu.
• Cabanga ngokusebenzisa ibrashi yezinyawo kagesi, okungase kube nomphumela omuhle ekususeni i-plaque ne-tartar.
• Sebenzisa i-floss nsuku zonke. Uma kunzima ukusebenzisa i-floss yezinyawo ejwayelekile, zama umnikazi we-floss. Ezinye izinketho zihlanganisa izibrashi ze-interdental, ama-water flossers noma izinto zokuhlanza ezihlangene eziklanywe ukuhlanza phakathi kwamazinyo akho. Xoxa nodokotela wakho wezinyawo noma umhlengikazi wezinyawo mayelana nalokho okusebenza kangcono kuwe.
• Sebenzisa ukugeza umlomo ukusiza ukunciphisa i-plaque phakathi kwamazinyo akho, uma kunconywe udokotela wakho wezinyawo.
• Thola ukuhlanzwa okujwayelekile kwezinyawo ngokuhlelelwa okunconywe udokotela wakho wezinyawo.
• Ungabhemi noma uginye utshaba.