Thandizo la kuwala kwapakamwa, monga ma lasers otsika ndi ma LED, lakhala likugwiritsidwa ntchito m'mano kwazaka zambiri.Monga imodzi mwanthambi zophunziridwa bwino kwambiri zaumoyo wapakamwa, kusaka mwachangu pa intaneti (monga 2016) kumapeza maphunziro masauzande ambiri ochokera kumayiko padziko lonse lapansi ndi mazana ena chaka chilichonse.
Ubwino wa maphunziro mu gawoli umasiyana, kuchokera ku mayesero oyambirira kupita ku maphunziro olamulidwa ndi placebo akhungu.Ngakhale kuti kafukufuku wasayansi ndi wofala kwambiri, chithandizo chamankhwala chapakhomo pakamwa sichinafalikire, pazifukwa zosiyanasiyana.Kodi anthu ayenera kuyamba kuchita chithandizo chamankhwala pakamwa kunyumba?
Ukhondo wamkamwa: kodi chithandizo cha kuwala kofiyira chikufanana ndi kutsuka mano?
Chimodzi mwazodabwitsa zomwe zapeza pakuwunika zolembazo ndikuti chithandizo chopepuka pamafunde enaake amachepetsa kuchuluka kwa mabakiteriya amkamwa ndi ma biofilms.Nthawi zina, koma osati zonse, mokulirapo kuposa kutsuka mkamwa / kutsuka mkamwa pafupipafupi.
Maphunziro omwe amachitika m'derali nthawi zambiri amangoyang'ana mabakiteriya omwe amakhudzidwa kwambiri ndi kuwonongeka kwa mano / zibowo (Streptococci, Lactobacilli) ndi matenda a mano (enterococci - mtundu wa mabakiteriya omwe amalumikizidwa ndi abscesses, matenda a ngalande ndi ena).Kuwala kofiyira (kapena infrared, 600-1000nm range) kumawoneka kuti kumathandiza ndi vuto la lilime loyera kapena lokutidwa, zomwe zimatha kuyambitsidwa ndi zinthu zingapo kuphatikiza yisiti ndi mabakiteriya.
Ngakhale kuti maphunziro a bakiteriya m'derali akadali oyambirira, umboni ndi wosangalatsa.Kafukufuku m'madera ena a thupi amasonyezanso ntchito iyi ya kuwala kofiira popewa matenda.Kodi ndi nthawi yoti muwonjezere chithandizo cha kuwala kofiyira pazochitika zanu zaukhondo wamkamwa?
Kukhudzika kwa dzino: kodi kuwala kofiira kungathandize?
Kukhala ndi dzino lopweteka kumakhala kovuta ndipo kumachepetsa mwachindunji moyo wabwino - munthu wovutikayo sangathenso kusangalala ndi zinthu monga ayisikilimu & khofi.Ngakhale kungopuma m’kamwa kungayambitse ululu.Anthu ambiri omwe ali ndi vutoli amakhala ndi chidwi chozizira, koma ochepa amakhala ndi mphamvu zotentha zomwe nthawi zambiri zimakhala zovuta kwambiri.
Pali maphunziro angapo okhudza kuchiza mano osamva (aka dentini hypersensitivity) ndi kuwala kofiira ndi infrared, ndi zotsatira zosangalatsa.Chifukwa chomwe ofufuza adachita chidwi ndi izi ndi chifukwa mosiyana ndi kusanjikiza kwa enamel ya mano, wosanjikiza wa dentin amabwereranso moyo wonse kudzera munjira yotchedwa dentinogenesis.Ena amakhulupirira kuti kuwala kofiyira kungathe kuwongolera liwiro komanso mphamvu ya njirayi, kuyesetsa kukonza kagayidwe kake mu odontoblasts - maselo am'mano omwe amayambitsa dentinogenesis.
Pongoganiza kuti palibe chinthu chodzaza kapena chachilendo chomwe chingalepheretse kupanga ma dentin, chithandizo cha kuwala kofiyira ndichinthu chosangalatsa kuyang'ana pankhondo yanu ndi mano osamva.
Dzino likundiwawa: kuwala kofiira kofanana ndi mankhwala oletsa ululu?
Thandizo la kuwala kofiira kumaphunziridwa bwino pazovuta za ululu.Izi ndi zoona kwa mano, monganso kwina kulikonse m'thupi.M'malo mwake, madokotala amagwiritsira ntchito ma lasers otsika m'zipatala pazifukwa zomwezi.
Othandizira amanena kuti kuwala sikumangothandiza ndi zizindikiro za ululu, ponena kuti kumathandiza pamagulu osiyanasiyana kuti athetse chifukwa (monga tafotokozera kale - zomwe zingathe kupha mabakiteriya & kumanganso mano, ndi zina zotero).
Ma braces a mano: chithandizo cham'kamwa chopepuka chothandiza?
Maphunziro ambiri athunthu m'munda wamankhwala opepuka akamwa amayang'ana pa orthodontics.N'zosadabwitsa kuti ochita kafukufuku ali ndi chidwi ndi izi, chifukwa pali umboni wakuti kuthamanga kwa dzino mwa anthu omwe ali ndi zingwe kungathe kuwonjezeka pamene kuwala kofiira kukugwiritsidwa ntchito.Izi zikutanthauza kuti pogwiritsa ntchito chida choyenera chothandizira kuwala, mutha kuchotsa zingwe zanu mwachangu ndikuyamba kusangalala ndi chakudya ndi moyo.
Monga tafotokozera pamwambapa, kuwala kofiira kuchokera ku chipangizo choyenera kungathandize kuchepetsa ululu, womwe ndi wofunika kwambiri komanso wodziwika bwino wa mankhwala a orthodontic.Pafupifupi aliyense amene amavala zingwe amamva kupweteka pang'ono kapena koopsa mkamwa, pafupifupi tsiku lililonse.Izi zitha kusokoneza zakudya zomwe akonzekera kudya ndipo zingayambitse kudalira mankhwala oletsa ululu monga ibuprofen ndi paracetamol.Thandizo lopepuka ndi losangalatsa komanso losaganiziridwa kawirikawiri kuti lithandizire kupweteka kwa zingwe.
Kuwonongeka kwa mano, chingamu ndi mafupa: mwayi wabwino wochiritsidwa ndi kuwala kofiyira?
Kuwonongeka kwa mano, nkhama, minyewa ndi mafupa omwe amawathandiza, amatha kuchitika pazifukwa zosiyanasiyana, kuphatikizapo kuwonongeka kwachilengedwe, kuvulala kwakuthupi, matenda a chingamu & opaleshoni yoika thupi.Talankhula pamwambapa za kuwala kofiyira komwe kumatha kuchiritsa kusanjikiza kwa mano koma kwawonetsanso lonjezo kumadera ena amkamwa.
Kafukufuku wambiri amayang'ana ngati kuwala kofiira kungathe kufulumizitsa machiritso a zilonda ndi kuchepetsa kutupa m'kamwa.Kafukufuku wina amayang'ananso kuthekera kolimbitsa mafupa a periodontal popanda kufunikira kwa opaleshoni.M'malo mwake, kuwala kofiira ndi kowoneka bwino kumaphunziridwa bwino kwina kulikonse pathupi ndicholinga chofuna kuwongolera kachulukidwe ka mafupa (mwakuti amalumikizana ndi ma cell a osteoblast - maselo omwe amachititsa kuti mafupa apangidwe).
Lingaliro lotsogola lomwe limafotokoza za chithandizo chopepuka limati pamapeto pake limatsogolera kumagulu apamwamba a ATP, kulola ma osteoblasts kuchita ntchito zawo zapadera (zomanga matrix a collagen ndikudzaza ndi mchere wamfupa).
Kodi kuwala kofiira kumagwira ntchito bwanji mthupi?
Zitha kuwoneka zachilendo kuti chithandizo chopepuka chimaphunziridwa pazovuta zonse zamkamwa, ngati simukudziwa makina ake.Kuwala kofiira ndi pafupi ndi infrared kumaganiziridwa kuti kumachita makamaka pa mitochondria ya maselo, zomwe zimatsogolera kupanga mphamvu zazikulu (ATP).Selo lililonse lomwe lili ndi mitochondria, mwalingaliro, liwona kupindula ndi chithandizo choyenera cha kuwala.
Kupanga mphamvu ndikofunikira pa moyo komanso kapangidwe kake / magwiridwe antchito a ma cell.Makamaka, kuwala kofiira photodissociates nitric oxide kuchokera ku cytochrome c oxidase metabolism mamolekyulu mkati mwa mitochondria.Nitric oxide ndi 'stress hormone' chifukwa imachepetsa kupanga mphamvu - kuwala kofiira kumatsutsa izi.
Palinso milingo ina yomwe kuwala kofiira kumaganiziridwa kuti kumagwira ntchito, monga mwina kuwongolera kuthamanga kwa cytoplasm ya cell, kutulutsa mitundu yocheperako ya okosijeni (ROS), ndi zina, koma choyambirira ndikukulitsa kupanga kwa ATP kudzera mu nitric oxide. kuletsa.
Kuwala koyenera kwamankhwala owunikira pakamwa?
Mafunde osiyanasiyana amasonyezedwa kuti ndi othandiza, kuphatikizapo 630nm, 685nm, 810nm, 830nm, etc. Maphunziro angapo amayerekezera lasers ndi ma LED, omwe amasonyeza zotsatira zofanana (ndipo nthawi zina zapamwamba) za thanzi labwino pakamwa.Ma LED ndi otsika mtengo, chifukwa amatha kugwiritsidwa ntchito kunyumba.
Chofunikira chofunikira pakuchiritsa kwapakamwa ndikutha kwa kuwala kulowa m'mafupa a tsaya, ndikulowanso mkamwa, enamel ndi mafupa.Khungu ndi minofu ya surace imatchinga 90-95% ya kuwala komwe kukubwera.Magwero amphamvu a kuwala kotero ndikofunikira pokhudzana ndi ma LED.Zipangizo zopepuka zocheperako zitha kungokhudza zinthu zapamtunda;osatha kuthetsa matenda ozama, kuchiza m'kamwa, mafupa ndi zovuta kufikira mano a molar.
Ngati kuwala kungalowe m'dzanja la dzanja lanu kumlingo wina kudzakhala koyenera kulowa m'masaya anu.Kuwala kwa infrared kumalowa mozama pang'ono kuposa kuwala kofiyira, ngakhale mphamvu ya kuwalako nthawi zonse imakhala chinthu chofunikira kwambiri pakulowa.
Zingawoneke zoyenera kugwiritsa ntchito kuwala kwa LED kofiira/kwa infrared kuchokera ku gwero lokhazikika (50 - 200mW/cm² kapena kachulukidwe kamphamvu kwambiri).Zida zamagetsi zotsika zitha kugwiritsidwa ntchito, koma nthawi yogwiritsira ntchito ingakhale yokwera kwambiri.
Mzere wapansi
Kuwala kofiira kapena infraredimafufuzidwa pazigawo zosiyanasiyana za dzino ndi chingamu, komanso kuwerengera mabakiteriya.
Mafunde oyenerera ndi 600-1000nm.
Ma LED ndi ma lasers amatsimikiziridwa mu maphunziro.
Thandizo lopepuka ndiloyenera kuyang'ana zinthu monga;mano osamva, kupweteka kwa mano, matenda, ukhondo wamkamwa nthawi zambiri, kuwonongeka kwa dzino / chingamu…
Anthu omwe ali ndi zingwe zolimba angakondedi kafukufuku wina.
Ma LED ofiira ndi a infrared onse amaphunziridwa kuti azichiritsa pakamwa.Nyali zamphamvu zimafunikira pakulowa kwa tsaya/mkamwa.
Nthawi yotumiza: Oct-10-2022