Yiziphi Izinkinga Zengozi?
Umbuzo: Izifo Zama-Periodontal - Ingabe Iziguli Zama-Arthritis Zizungeze Kakhulu?
Abacwaningi baye bahlola ukuthi kukhona ubukhona besifo se-periodontal nesifo se-rheumatoid arthritis . Iyini isifo se-periodontal? Yiziphi izici eziyingozi zokuthuthukisa isifo se-periodontal? Zikhona yini izimpawu zokuxwayisa ngezifo ze-periodontal? I-arthritis ye-rheumatoid ihlobene kanjani nesifo se-periodontal?
Impendulo:
Kuyini Izifo ZasePeriodontal?
Isifo se-Periodontal ngokuyinhloko ukutheleleka kwezicubu ezisekela amazinyo. Phakathi kwezinyo nezinsini, kunesakhiwo esenziwe nge-v esibizwa ngokuthi i-sulcus. Ukuhlaselwa kwezifo ze-Periodontal ngaphansi kwesigamu se-gum esitokisini futhi kungabangela ukunamathiswa kwezinyo nezinso ezisekelayo ukudiliza. Njengoba izicubu zonakaliswa kakhulu, i-sulcus iyavela ephaketheni. Ngezifo ezinzima ze-periodontal, iphaketheni lingaba lujulile.
I-Gingivitis ne-periodontitis yizigaba ezimbili zezifo ze-periodontal. I-Gingivitis ibhekwa njengesimo esibi kakhulu sesifo se-periodontal - sithinta kuphela izinsini futhi siyabuyiselwa. I-Periodontitis ibhekwa njengeyingozi nakakhulu kune-gingivitis. I-gingivitis engenakulinganiswa ingaholela ku-periodontitis.
Yiziphi Izingozi Zezifo Ze-Periodontal?
Ngokusho kwe-American Dental Association, kunezici ezithile ezandisa ingozi yokuthuthukisa isifo se-periodontal.
Ukuba nesifo se-systemic kungenye yalezi zinto eziyingozi. I-arthritis ye-rheumatoid isifo sesistimu-okusho ukuthi singathinta izitho zomzimba.
Izingozi zengozi ye-periodontal zifaka:
- ukubhema noma ukuhlafuna ugwayi
- ukuba nesifo sesistimu
- ukuthatha izinhlobo ezithile zemithi, kuhlanganise ne- steroids
- ukuba nebhuloho enokulingana okungalungile
- amazinyo agwegwe
- ukugcwaliswa okuye kwaba okuxekethile noma okungaqondile
- besebenzisa izisu zokubeletha ngomlomo
- ukukhulelwa
Yiziphi Izimpawu Eziyisixwayiso Zesifo Se-Periodontal?
Kungenzeka ukuthi ungabi nesixwayiso sokuthi uthuthukisa isifo se-periodontal. Yingakho ukuhlolwa kwamazinyo avamile kubalulekile. Uma uhamba kuphela kudokotela wamazinyo uma unamazinyo, ungahle ulahlekelwe izibonakaliso zezifo zokuqala zesikhathi lapho udokotela wamazinyo wakho azokwazi ukukugcina.
Izimpawu zokuxwayisa zezifo zesikhashana zihlanganisa:
- izinsini ezazilula kalula (isibonelo, lapho uxubha amazinyo)
- obomvu, ithenda, noma izinsini ezivuvukile
- izinsini eziye zadlula noma zaxosha amazinyo
- inkinga ephikisanayo nokuphefumula okubi noma ukunambitheka okubonakala kungekho
- amazinyo okuxekethile
- shintsha ekulumeni kwakho
- shintsha ngokuhambisana namazinyo omzimba
I-Arthritis ye-Rheumatoid iboshelwe kanjani ku-Periodontal Disease?
Ngo-June 2001, i- Journal of Periodontology ibike ngesifundo se-Australia esabandakanya abantu abangu-130. Kulabo abathintekayo, abangu-65 babenesifo samathambo e-rheumatoid arthritis. Labo abane-arthritis ye-rheumatoid bebaphindwe kabili ukuthi babe nesifo se-periodontal esilinganiselwe ukuze kube nokulahlekelwa kwesibindi esinamandla kunelabo abangenayo i-arthritis ye-rheumatoid. Iqembu le-rhumatoid lalinamazinyo angu-11.6 alahlekile ngokwesilinganiso uma kuqhathaniswa namazinyo angu-6.7 alahlekile eqenjini elingewona ama-rheumatoid.
Abanye ososayensi bakhombisa ukuthi amasosha omzimba nokuvuvukala okungapheli kubamba iqhaza kokubili kwesifo samathambo nesifo se-periodontal. Abanye ososayensi baphikisa ukuthi ingabe i-arthritis yethonya le-rheumatoid inokuhamba, ukuhamba okuhamba phambili , nokudonswa kwebhuku kwenza kube nzima ukugubha futhi ukushayela kahle futhi ngaleyo ndlela kube nomthelela ekuhlanzekeni komlomo. Ucwaningo lubonisa ukuthi kwakungenalo umehluko emigodini yokubeka amazinyo amazinyo okuba nesifo sofuba noma ababambiqhaza bezingcingo.
Olunye ucwaningo oluqhutshwa eNyuvesi yaseSao Paulo, isikhungo esikhulu semfundo ephakeme kanye nocwaningo eBrazil, sasesicwaninga isifo se-periodontal kwiziguli ezingama-39 zesifo sofuba samathambo kanye nabantu abangu-22 abanempilo.
Bathola ukuthi iziguli zesifo se-rheumatoid izifo ezinamazinyo ambalwa, ukusabalala okuphakeme kwamasayithi ane-plaque yamazinyo, amazinyo amaningi ane-okunamathiselwe okunamathiselwe okuthuthukisiwe. Kwakungekho umehluko ekuphumeni kwegingivitis emaqenjini amabili esifundweni saseBrazil.
Izifundo eziye zaqhathanisa nezifo ze-periodontal kubantu abaphilile ezigulini ze- arthritis ezincane (i-rheumatoid arthritis ezigulini ezineminyaka engu-16 ubudala nangaphansi) zathola ukuthi iziguli ezingamantombazane ezincane zine-arthritis zalahlekelwa isikhathi eside ngisho noma zinamazinga afanayo we-plaque negazi. Lokhu kubonisa ukuthi inhlangano phakathi kwesifo se-periodontal nesifo samathambo esifundazweni sikhona neziguli ezincane.
Kuyathakazelisa ukuthi esinye isifundo sabonisa ukuthi iziguli ezilahlekelwa yithemba elibi kakhulu ezihlobene nezifo ze-periodontal nazo zinezinkinga eziningi zesifo esivela ku-rheumatoid arthritis ngokwezingxenyana ezivuvukalayo, ama-questionnaire wokuhlola imibuzo yezempilo, amazinga e-CRP , kanye namanani okudoba . I-CRP kanye namazinga okudlula izidakamizwa kukhona izinkomba zokuvuvukala. Ukubambisana phakathi kwesifo samathambo kanye nesifo se-periodontal kungase kuhlangane nenkinga engavamile, eyinkimbinkimbi yokuvuvukala okungalawulwa ngokomthetho.
Imithombo:
Ubuhlobo phakathi kwe-arthritis ye-rheumatoid ne-periodontitis. I-Mercado FB et al. Journal of Periodontology. June 2001.
http://www.joponline.org/doi/abs/10.1902/jop.2001.72.6.779
Izifo ze-Periodontal (Gum). I-American Dental Association. Ifinyelele ngo-4/27/2008.
http://www.ada.org/public/topics/periodontal_diseases.asp
Izimo ze-Periodontal kwiziguli ezine-arthritis ye-juvenile idiopathic. Miranda LA et al. Journal of Periodontology Clinic. Novemba 2003.
http://www.blackwell-synergy.com/doi/abs/10.1034/j.1600-051X.2003.00406.x
Isimo se-Periodontal kwiziguli ezine-arthritis ye-rheumatoid. Ishi E et al. Ucwaningo Lwezomlomo lwaseBrazil. NgoJanuwari - Mashi 2008.
http://www.scielo.br/scielo.php?script=sci_abstract&pid=S1806-83242008000100013&lng=en&nrm=iso&tlng=en