Pafupifupi anthu onse omwe ali ndi matenda ashuga amamvetsetsa kuti matenda amtunduwu amakhudza thupi lonse, koma si onse amene amadziwa kuti vuto lokhala ndi matenda ashuga limafunikira chidwi. Si za mano okha, komanso zambiri za mano.
Momwe shuga ndi mkamwa zimagwirizirana
Malinga ndi kafukufuku omwe adachitika ku department of Therapeutic Dentistry and Propaedeutics of Dental Diseases of Perm State Medical University mu 2009-2016 * ,oposa theka la odwala sakudziwa kuti matenda ashuga amakhudza thanzi la mano, pafupifupi theka la odwala samvetsa kuti mkhalidwe wa periodontal (minofu yozungulira dzino, kuphatikizira chingamu) zimatengera kuchuluka kwa shuga m'magazi.
Ndi matenda a shuga, kukana kwathunthu kwa thupi kumatenda kumachepa. Ndi njira yoyendetsedwa bwino ndi matendawa, kuchuluka kwa shuga kumangowonjezera m'mwazi, komanso malovu - kumakhala kokoma komanso kosangalatsa, mulingo wa acid mkamwa umakwera. Malo oterewa ndiabwino kwambiri pakukula kwa ma virus. Zotsatira zake, zolembera ndi tartar zimapangidwa pam mano, kuwola kwa mano kumachitika, matenda osiyanasiyana otupa a mucosa amkamwa ndi ziwalo zina zimayamba. Choyipa chachikulu ndikubwezeretsedwa kwa shuga kwa nthawi yayitali komanso ukhondo wowuma mkamwa ndi mano. Popeza matenda a shuga amakhala ndi vuto la mitsempha ya magazi, amakhala ovuta kapena sangathe kulimbana ndi ntchito yawo yayikulu - kupereka timinofu, ife timakambirana za mano ndi mkamwa, ndi mpweya komanso michere. Pamodzi, izi zikufotokozera mawonekedwe apadera a anthu omwe ali ndi matenda ashuga ku matenda a chingamu komanso chithandizo chovuta cha matenda awa.
Zatsimikiziridwa mwasayansi kuti pali mgwirizano wapakati pa matenda apakati ndi matenda ashuga: shuga imayambitsa periodontitis ** ndi matenda ena otupa ndi opatsirana a m'kamwa, ndipo periodontitis imapangitsa njira ya matenda ashuga ndikuletsa shuga.
Mukachulukitsa chithandizo cha periodontitis kwa nthawi yayitali, kuchepa kwamatenda kumatha kuyamba, mwayi wa atherosulinosis ndi kuwonongeka kwa mtima ndi mitsempha ya magazi kumakulirakulira. Izi zimawonjezera chiopsezo cha kugwidwa ndi matenda a mtima, endocarditis (kutupa kwamkati wamtima), matenda a impso ndi chiwindi.
Nkhani yabwino ndiyakuti ngati wodwala alandira chithandizo chamankhwala chovuta kwambiri, magazi ake amathanso kuyenda bwino.
"Pambuyo poti matenda a pakamwa a wodwalayo achotsedwa pamlingo wa matenda ashuga, matendawo amayambiranso kulipiridwa. Tichotsa kutupa ndikuyambitsa mano, tidzatumiza wodwala kwa endocrinologist kuti amvetsetse vuto lake Mothandizana ndi endocrinologist, timakwanitsa zotsatira zodabwitsa - Mlingo wa insulini umachepetsedwa, thanzi lathu lonse limasintha, ndipo moyo umasintha kwambiri, "atero dotolo wamano, katswiri wamkulu wa gulu lapamwamba L. Yudmila Pavlovna Gridneva kuchokera ku Samara Dental Clinic No. 3 ya SBIH.
Kodi "gamu" imadwala bwanji komanso
Zina mwa matenda a chingamu omwe nthawi zambiri amakhudza anthu omwe ali ndi matenda a shuga ndi gingivitis ndi periodontitis.
Gingivitis - Ino ndi gawo loyambirira la periodontitis. Ngati munthu anyalanyaza ukhondo waumwini osafuna kuyeretsa mano kwa dokotala wamano, mafomu olemba pamalire ndi mano ndi mano. Kukhalapo kwake, komanso malo achonde omwe atchulidwa kale kuti kakulidwe ka majeremusi okhala ndi shuga wambiri, kumatsutsa kufinya kwamkamwa kuzungulira mano. Ndi matendawa, zimakhala ndi mano sizivutika, chifukwa chake, ngati mumayang'anitsitsa gingivitis munthawi yake, matendawa amatha kusinthidwa. Zizindikiro za gingivitis ndikutuluka magazi pang'ono kwamatumbo, komwe kumawonekera osati kutsuka mano, komanso pakudya, "mkamwa wamagazi" ndi fungo losasangalatsa limatuluka mkamwa mwanu, lomwe pang'onopang'ono limakhala ndi kupweteka, kutsekeka kwa mano, komanso kumva mano.
Periodontitis - bakiteriya yotupa chingamu matenda - amapezeka gingivitis, pomwe wodwalayo sankaonana ndi dokotala panthawi. Zimakhudza osati mano okha, komanso minyewa yafupa ndi gawo pakati pa muzu wa dzino ndi fupa, lomwe limasunga dzino m'malo. M'kamwa pang'onopang'ono "imachoka" ku dzino, ndikupangika pakhungu. Imakhala ndi zinyalala za chakudya komanso zolembera zomwe munthu sangathe kudziyeretsa, ndipo kutupa kumakulirakulira, nthawi zambiri pamakhala mafinya, omwe amawoneka ndikulimbikira m'mphepete mwa mano, mumakhala fungo lamphamvu kuchokera mkamwa. Inde, chingamu chimatupa, chimasanduka chofiyira, kutuluka magazi komanso kupweteka. Zotsatira zake, dzino limamasulidwa, limasunthidwa, ndipo ngati chithandizo sichinayambike nthawi, imatha kugwa. Mu gawo pachimake, periodontitis limodzi ndi kutentha kwambiri, kufooka wamba, kufooka. Periodontitis nthawi zambiri imakhudza madera angapo nthawi imodzi.
Matenda a periodontitis amatha kuphatikizidwa ndi fungal (candidiasis) stomatitis (zilonda pamlomo wamkamwa) ndi lichen planus (kukokoloka ndi zilonda pa mucous membrane), ndipo odwala amakhala ndi vuto lakumva.
Momwe mungachiritsire nkhama za matenda ashuga
Nthawi zambiri, matenda a chingamu amayamba ndi ukhondo, zomwe zimayambitsa matenda ashuga. Mulimonse momwe mano ndi mano zilili, ndikofunikira kuwasisita kamodzi patsiku, kugwiritsa ntchito malaya am'mano ndi mawonekedwe apadera mukatha kudya.
Ngati muli ndi matenda a chingamu, muyenera kufunsa dokotala wamano. Ngati matendawa ali pachimake, muyenera kupita kukaonana ndi dokotala pafupifupi nthawi imodzi m'miyezi itatu. Pambuyo pakuchiritsa matenda, maulendo amatha kuchepetsedwa kamodzi pamwezi uliwonse.
Pambuyo pofufuza momwe khomo lam'kamwa limakhalira, dokotala amatha kuchiza ma caries, komanso kupangira opangira mano - akatswiri nthawi zambiri a ultrasound - kuchotsa zolengeza. Ndikofunikanso kuyeretsa matumba a periodontal, ngati alipo, ndikuchepetsa kutupa. Kwa izi, anti-yotupa ndi mankhwala opitilira muyeso, maantibayotiki, mankhwala othandizira mabala amatha kuperekedwa. Ngati nthendayo sinali pachimake, njira zolimbitsa thupi zomwe cholinga chake ndicho kubwezeretsa magaziwo kuzinthu zam'kamwa zitha kutsimikizika.
Pakachitika kuti palibe njira imodzi yomwe ili pamwambapa imathandizira, kuyimitsa njira zowonongera m'mkamwa kungafune thandizo la dokotala wochita maxillofacial. M'malo ake ogwiritsira ntchito zida zamitundumitundu, njira zosiyanasiyana, mwachitsanzo, ndikusinthanitsa gawo la thanzi ndikudwala.
Kudontha kumatha kugwiritsidwa ntchito kulimbikitsa mano otayirira, koma pokhapokha patatha kachilomboka. Ntchito zomangira zapadera komanso zosachotsa - matayala - amalumikiza mano osunthika ndi okhazikika ndikuwakhazikitsa.
Pambuyo kukhazikika kwa boma lamkati lamkati kuti lilowetse kuyamwa, zonse ziwiri zomwe zimavala zovala zamkati ndikuyika zokukhira ndizotheka.
Tsoka ilo, palibe mavitamini kapena michere yapadera yomwe ingathandize thanzi la mano ndi mano.
"Ndikofunikira kukhazikitsa matenda oyamba. Ngati wodwala atenga mavitamini kuti athe kulipira matenda a shuga ndikulimbitsa thupi lonse, zomwe zimachitika ndi mkamwa zimayambira. Ngati pali zovuta pamlomo wamkamwa, munthu wodwala matenda a shuga ayenera kufunsa dotolo wamano, komanso adokotala a endocrinologist ndi dokotala. kulipira matenda a shuga, "atero dokotala wa mano a Lyudmila Pavlovna Gridneva.
Anthu omwe ali ndi matenda ashuga ayenera kumvetsetsa kuti, ngakhale amatenga matenda a chingamu mwachangu kuposa anthu omwe amakhala ndi shuga wambiri, sichinathe mwachangu. Mwachitsanzo, ngakhale periodontitis yovuta kwambiri imatha kumatha chaka chimodzi kapena kuposerapo, ndipo matenda a periodontal amakhala nthawi yayitali. Ngakhale izi, simuyenera kuchedwetsa kupita kwa dotolo wamano - ngakhale pofuna kupewa, osanenapo zazochitikazo pamene china chake chikukuvutitsani. Matendawa "atangogwidwa", mwayi ndi mwayi woletsa ngakhale kuchira.
Momwe mungakhalire wathanzi kunyumba
Udindo wokhudza thanzi la pakamwa la wodwala sili kokha ndi wamano, komanso makamaka ndi wodwalayo. Kuyendera kwa panthawi yake kwa dokotala, kukhazikitsa bwino malingaliro ake, komanso ukhondo kuthandizira kuthana ndi matendawa mwachangu. Palibe chifukwa choti mungadikire mpaka "kudutsa palokha", kapena kutengedwa ndi mankhwala wowerengeka. Akasankhidwa molakwika, amatha kungokulitsa zinthu. Zomwezo zimagwiranso ntchito pazinthu zaukhondo. Pankhani ya matenda a chingamu, makamaka mukachulukana, ndikofunikira kusiya ziphuphu zouma zomwe zimayimitsa nembanemba ya mucous.
Ndikwabwino kugwiritsa ntchito zinthu zopangidwa makamaka kwa anthu odwala matenda ashuga, mwachitsanzo, mzere wa zopangidwa ndi DIADENT kuchokera ku kampani yaku Russia AVANTA. Zopangira mano komanso zogwira ntchito pafupipafupi komanso ma rinses omwe amagwira ntchito ndi okhazikika kuchokera pamzere wa DIADENT amalimbikitsidwa pazizindikiro izi:
- kamwa yowuma
- kuchiritsa koyipa kwa mucosa ndi mano;
- kuchuluka kwa dzino;
- mpweya woipa;
- ma caries ambiri;
- chiopsezo chotenga matenda, kuphatikizapo fungal, matenda.
Kwa chisamaliro chokwanira chamkamwa pakamwa ndi kutupa ndi magazi m'matumbo, komanso munthawi yakukokomeza kwa matenda a chiseye, njira ya Toothpaste Active ndi Rinse Aid cholinga chake. Pamodzi, othandizira awa ali ndi mphamvu yothandizira antibacterial, amachepetsa kutupa ndikulimbitsa minofu yofewa mkamwa. Monga gawo la dzino lothandizira, gawo lothandizira antibacterial lomwe silimawuma mucous nembanemba ndipo limalepheretsa kuchitika kwa plaque imaphatikizidwa ndi antiseptic ndi hemostatic zovuta zamafuta ofunikira, aluminium lactate ndi thymol, komanso yotonthoza komanso yotulutsa kuchokera ku mankhwala a chamomile. Rinser Asset kuchokera ku DIADENT mndandanda uli ndi zinthu zamagetsi komanso ma antibacterial, omwe amathandizira ndi anti-yotupa zovuta za eucalyptus ndi mafuta a mtengo wa tiyi.
* A.F. Verbovoy, L.A. Sharonova, S.A. Burakshaev E.V. Kotelnikova. Mipata yatsopano yolepheretsa kusintha pakhungu ndi mucosa pakamwa mu shuga. Magazini ya Clinic, 2017
** IDF DIABETES ATLAS, Chiwonetsero Chachisanu ndi Chimodzi 2017
