Ukunakekelwa kwamazinyo ngokuvamile kuvame ukukhohlwa indlela yokuphila enempilo. Kubantu abanesandulela ngculaza, ukunakekelwa kwamazinyo okujwayelekile akukhona nje kuphela ukhiye wokugcina umlomo omuhle womlomo kodwa futhi nokuvikela umzimba wakho wonke ezifweni, kufaka phakathi izinhliziyo , amaphaphu nobuchopho.
Kwabanye, kukhona futhi ukukhathazeka mayelana nokuphepha kwezinqubo zamazinyo noma ekusakazeni noma ukuthola i-HIV.
Ingabe lokhu kukhathazeka ngempela futhi kukhona yini okufanele uyenze ukuvimbela ukutheleleka?
Imigomo Yempilo Yamazinyo e-HIV
Abantu abaningi kakhulu bathatha impilo yabo yamazinyo kalula kuze kube yilapho bethola izinyosi noma izinhlungu eziphazamisa impilo yabo yansuku zonke. Yize lokhu kuyiqiniso kubantu abaningi, abantu abanamasosha omzimba ababuthakathaka basengozini enkulu. Izilonda, isifo sezinsini, nokubola kwamazinyo yizo zonke izimo ezingabangela ukugula okukhulu uma zisakazeka emlonyeni futhi zisakaze kuwo wonke umzimba.
Ngakolunye uhlangothi, izifo zomlomo ngokuvamile ziyizibonakaliso zokuqala eziphathelene nokutheleleka okuhlobene negciwane lesandulela ngculazi futhi zivame ukuhlinzekela izifo eziqhubekayo. Ezinye zezifo zomlomo ezivame kakhulu zihlanganisa:
- I-Candidiasis (thrush) , okuvame ukuwuphawu lokuqala lokutheleleka ngegciwane lesandulela ngculaza kanye nokutheleleka kwesigaba esilandelayo esingasetshenziswa njengesimo esichaza i- AIDS lapho sisakaza kuwo wonke umzimba.
- I-Herpes simplex (i-HSV) , ejwayelekile kubantu ababili abanegciwane lesandulela ngculazi nabangenalo igciwane, kodwa futhi ingahlukaniswa njengesimo sokuchaza i-AID uma ihlala isikhathi esingaphezulu kwenyanga noma iveza emaphashini, i-bronchi, noma i-oophagus.
- I-leukoplakia yezinyosi zomlomo (OHL) , okungaba yizibikezelo zezifo ezithuthukayo kubantu abane-HIV abangenasandulela.
- Izifo ze-bacterial periodontal, ezinye zazo (njenge-necrotizing ulcerative periodontitis) zihlotshaniswa nokuqhubekela phambili kwe-immune collapse.
Ukuqaphela ukukhathazeka kwezempilo ngomlomo ekuqaleni kuvumela ukwelashwa ngaphambi kokuba izinkinga ziqhubekela phambili kwezinye izinkinga ezinkulu.
Izinqubo Zamazinyo Eziphephile Kangakanani?
Ukudokotela kwamazinyo kwakudedelwa ekuqaleni kwesifo sengculazi lapho kuphakanyiswa ukuthi igciwane lingasakazwa ngemishini yamazinyo engcolile. Izimangalo ezinjalo zafakwa ekuqapheliseni komphakathi ngoJanuwari 1990 lapho owesifazane wasePennsylvania okuthiwa uKimberly Bergalis uthi unesandulela ngculaza ngemuva kokuba nemikhosi emibili esuswe udokotela wamazinyo uDkt David Acer ngoDisemba 1987.
Icala liyaqhubeka liphikisana kakhulu, ngokuphenya kokuqala kubonisa ukufana kwezakhi zofuzo ezigulini zeziguli ezinhlanu zase-Acer ezazingenayo i-HIV. Kodwa-ke, ukungabaza kuqhubeka njengoba isikhathi phakathi kokuchayeka nokuthuthukiswa kwesifo sengculaza sasincane (kancane kunamaphesenti angaphezu kwabayisishiyagalombili abantu abaye bafika e-AIDS ngalesi sikhathi). Ukwengeza, uBergalis wehlulekile ukubika izifo ezithathelwana ngocansi abe nazo ngaphambi kokufaka izicelo zakhe.
Ngokufanayo, ngo-2013, udokotela wamazinyo waseTulsa, uScott Harrington, wamangalelwa ngemikhuba engeyona oyinyumba abanye ababesabayo okungenzeka babeke engozini yeziguli ezingu-7 000 engozini ye-HIV nesifo sofuba.
Isibhamu sabezindaba esilandelayo sabangela ukwesaba mayelana nengozi ye-HIV emisebenzini yamazinyo, okwakudlalwa lapho iminye imibiko isikisela ukuthi iziguli ezingu-89 zeHarrington zithole isivumelwano sokushona kwesibindi C, ezinhlanu zatholakale nesifo se-hepatitis B, kanti ezine zihlolwe nge-HIV.
Eqinisweni, ukuhlolwa kofuzo lwezibonelo zegciwane kuqinisekisile ukuthi umcimbi owodwa kuphela wokudluliselwa kwesineke kuya kwesiguli segciwane lesifo sofuba se-hepatitis C okwenzeke ngenxa yemikhuba engalungile kaHarrington. (I-Hepatitis C iyisifo esithathelwanayo, esithwala igazi esithinte ngokuyinhloko ukutholakala kwesinaliti esabelwe.)
Nakuba lokhu kungaphakamisi ukuthi akukho engozini yokudlulisela i-HIV, izinqubo zamazinyo ngokuvamile zibhekwa njengengozi ephansi.
Eqinisweni, kunomthelela omkhulu wodokotela wamazinyo obhekene nesiguli esinegciwane lesandulela ngculaza kunanoma iyiphi enye indlela.
Kwamanye amazwe athi, kukhona ngisho nemithetho yokweqa iziguli ezihluleka ukudalula isimo sabo se-HIV . Ngenkathi imithetho enjalo ibhekwa njengesikhathi esingaphansi kwesikhathi, iveza ukuthi iziguli zombili nezidokotela zinganciphisa kanjani ingozi yokutheleleka, kubandakanya:
- Umuntu okholelwa ukuthi utholakale nge-HIV ngenxa yokushintshaniswa kwegazi ngesikhathi senqubo yomlomo angakhetha ukuthatha i- HIV ngaphambi-exposure prophylaxis (i-PEP) , inkambo yezinsuku ezingu-28 zemithi elwa nezidambisigciwane ezinganciphisa amathuba okutheleleka. Izinqubo ze-PEP nazo zikhona kubasebenzi bezempilo .
- Abantu abanegciwane lesandulela ngculaza banganciphisa ukutheleleka kwabo ngokucindezela ngokugcwele igciwane ngokusetshenziswa kokuhlanganiswa kwe-antiretroviral.
- Ukuthengwa kwamazinyo okulahla kanye nokunamathela ngokuqinile emisebenzini yokuzalisa inzalo kungaphinde kunciphise ingozi.
Ukulondoloza Impilo Yakho Yamazinyo
Ukuya njalo kudokotela bamazinyo kuyisici esibalulekile sokugcina impilo enhle yamazinyo. Kodwa ngisho noma ungakwazi ukuthola ukuvakashelwa kwamazinyo avamile, kunezinto ongayenza ekhaya ukuze ugcine amazinyo enempilo, kuhlanganise:
- Shayela njalo futhi ngokufanele okungenani kabili ngosuku ngalunye usebenzisa ibhuloho yamazinyo noma ngesandla. Qinisekisa ukuthi ama-crystals of yourothbrush akho athambile ukugwema ukuhlukumezeka kumathisamu we-gum. Futhi khumbula ukuphulukisa ngomusa ulimi lwakho, futhi.
- Ukukhuphula njalo futhi kususe ngokufanele i- plaque eyakha phakathi kwamazinyo futhi ivimbela ukuthuthukiswa kwezinsini ezivuvukile, izikhala, nezilonda ..
- Ama-rinses omlomo angama-antibiotic anganikeza ukuvikeleka okungeziwe kuma-bacteria nokutheleleka kwamagciwane. Kubalulekile, kodwa, ukuphawula ukuthi umlomo uhlambalazi ungabeki esikhundleni sokuxubha nokushaya indiza kodwa kunalokho usekele yonke imikhuba emihle yokuhlanzeka ngomlomo.
> Imithombo:
> Brown, D. "Investigation Dental Florida yama-1990: Inkolelo neqiniso". Ama-Annal of Medicine yangaphakathi : 124 (2): 255-256.
> Moise, K. "I-Tulsa wamazinyo asakaza isifo sofuba esibhedlela, izikhulu zezeMpilo zithi." Izindaba ze-ABC; Ngo-September 18, 2013.
> UMnyango Wezempilo we-Oklahoma State. "Iziphathimandla zezeMpilo zithembisa imiphumela emisha yokuPhenywa kweHarrington." Tulsa, Oklahoma; Ngo-Okthoba 17, 2013.