Lihlooho
Selelekela
[00:00:00]Eon Engelbrecht e tsebisa Ngaka Clifford Yudelman ho tsoa OptiSmile ho buisana ka hore na tahlehelo ea masapo a postmenopausal e ama joang mohlahare, marenene le bophelo bo botle ba meno.
Osteoporosis le Bophelo bo Botle ba Mehlahare
[00:00:58]Osteoporosis e fokotsa bolelele ba masapo a alveolar, e bakang meno a hlephileng le ho theoha ha marenene. Tloaelo tlhahlobo ea meno ka X-ray e bohlokoa bakeng sa ho lemoha kapele.
Meriana le Kotsi ea Pholiso
[00:02:13]Li-bisphosphonates tsa Oral le IV le denosumab li ka baka necrosis ea mohlahare. Bakuli ba lokela ho etsa liteko tsa meno pele ba qala meriana ena.
Matshwao a Tlhokomediso a Tlhokomediso
[00:05:03]Bakuli ba postmenopausal ba ka 'na ba e-ba le meno a hlephileng, maikutlo a utloahalang, kapa ho fola butle. Tsena e ka ba matšoao a pele a ho fokotseha ha masapo a masapo.
Ho lekola Bophelo bo Botle ba Marapo Ngakeng ea meno
[00:06:48]Lingaka tsa meno li hlahloba histori ea bongaka, DEXA e hlahloba, 'me e sebelise X-rays kapa CBCT ho lekola boima ba masapo, haholo-holo pele ho kenngoa kapa ho buuoa.
Tšebelisano Pakeng tsa Phekolo ea Meno le Osteoporosis
[00:08:25]Li-implants li ka susumetsa lesapo, empa tlhokomelo e tlameha ho nkoa nakong ea li-extracts, haholo-holo ka basebelisi ba bisphosphonate. Ho ruruha ho sa foleng ho mpefatsa tahlehelo ea masapo.
Mekhoa ea Thibelo ea Bophelo bo Botle ba Marapo a Molomo
[00:10:16]Sebelisa borashe ba meno bo bonolo, PRF, le laser therapy. Khafetsa ho hloekisa meno le litlhahlobo li thusa ho hlokomela liphetoho tsa masapo.
Ho Rala Li-implants tse nang le Boikoetliso ba Marapo a Tlase
[00:12:59]Moralo o ikhethileng oa ho kenya li-implant o ka kenyelletsa li-implants tse khethehileng, pholiso e telele, kapa ho qoba li-implants ka botlalo ho bakuli ba kotsing e kholo.
Keletso ea Lijo le Tlatsetso
[00:14:44]Calcium, Vithamine D, le phekolo ea phetoho ea li-hormone li tšehetsa bophelo ba masapo. Qoba lino tse nang le asiti tse fokolisang enamel le lesapo.
Ketelo ea Meno khafetsa bakeng sa Bakuli ba Osteoporotic
[00:18:26]Bakuli ba lokela ho etela likhoeli tse ling le tse ling tse 6 - kapa khafetsa haeba ho na le tahlehelo ea masapo kapa lefu la marenene. Li-X-ray tsa kamehla li bohlokoa.
Keletso e kaholimo ho Bakuli ba amehileng
[00:19:52]Etsa bonnete ba tšebelisano pakeng tsa ngaka ea meno le ngaka. OptiSmile e fana ka dijithale le ditherisano tsa mahala inthaneteng ho tataisa merero ea tlhokomelo ea motho ka mong.
Tse ling
[00:22:30]hape u ba etele Optismile.co.za kapa WhatsApp 071 140 0396 ho behela lipuisano. Lula u le malala-a-laotsoe mabapi le bophelo bo botle ba molomo nakong ea ho khaotsa ho ilela khoeli le ka mor'a eona.
tlaleho
[Eon Engelbrecht – E-Radio-SA] (0:05 – 0:43)
Rea u amohela ho Boloka Chelete ea Hao, Boloka Meno a Hao, podcast ea pele moo bohelehele bo kopanang le lingaka tsa meno, ka kotloloho ho tsoa ho litsebi. Ke 'na Eon, 'me ke boetse ke kopantsoe ke Ngaka Clifford Yudelman oa OptiSmile, a re thusa ho utulla tsohle tseo o hlokang ho li tseba.
Sehlooho sa kajeno ke kamoo tahlehelo ea masapo a postmenopausal e ka amang mohlahare oa hao, marenene, esita le li-implants tsa meno - le seo u ka se etsang ho boloka meno le masapo a hao a le matla. Kahoo ha re ikakhele ka setotsoana.
Ngaka Yudelman, amohela hape.
[Dr Clifford Yudelman – OptiSmile] (0:43 – 0:57)
Kea leboha. Ke leboha ha o mphile morao. Ho monate ho bua le uena hape.
Ee, re labalabela ho tsoela pele le li-podcasts tse 10 tse tlang. Kajeno ke nomoro ea 71 - re tla ba palo ea 80 pele u e tseba.
[Eon Engelbrecht – E-Radio-SA] (0:58 – 1:08)
E kgabane. Ngaka Yudelman, ke batla ho qala ka ho u botsa, lefu la ho fokola ha masapo le ama joang ho teteana ha masapo a mohlahare le bophelo bo botle ba meno ka kakaretso?
[Dr Clifford Yudelman – OptiSmile] (1:09 – 2:12)
Ho na le lintlha tse 'maloa tsa bohlokoa tse lokelang ho etsoa. Osteoporosis e fokotsa se bitsoang bolelele ba masapo a alveolar - ke lesapo le pota-potileng meno a hau.
Haeba u lahleheloa ke leino, lesapo leo lea nyamela. Kahoo alveolar bone ke lesapo le tšehetsang le pota-potileng leino le leng le le leng. Ha e fokotseha, e lebisa ho eketseha ha leino ho sisinyeha le ho pepeseha ha metso - kapa ho putlama.
Liphuputso li bonts'itse hore basali ba postmenopausal ba nang le masapo a fokolang a tlase ba na le li-cortices tse tšesaane haholo tsa mandibular - ke botenya ba mohlahare oa bona ho X-ray. Tahlehelo ena e ka potlakisa ho theoha ha marinini le ho thatafatsa phekolo ea marenene.
Litaba tse monate ke hore, li-X-ray tse tloaelehileng li ka bontša liphetoho tsena nako e telele pele matšoao a hlaha.
[Eon Engelbrecht – E-Radio-SA] (2:13 – 2:21)
Ho lokile. Hona ke meriana efe ea lefu la masapo e atisang ho ama lisele tsa molomo kapa pholiso?
[Dr Clifford Yudelman – OptiSmile] (2:22 – 5:02)
Tse atileng haholo ke li-bisphosphonates tsa molomo - tseo ke lithethefatsi tse fuoang bakuli ba bangata ba nang le lefu la ho fokola ha masapo.
Kotsi e ka sehloohong ke ntho e bitsoang mohlahare necrosis - ka botsebi MRONJ - osteonecrosis e amanang le meriana ea mohlahare. Haeba u sebelisa meriana ena 'me u ntšitsoe leino, lesapo le ka shoa 'me la se ke la fola hantle.
Ke ka lebaka leo ngaka e sebetsang ka potlako e tla fetisetsa mokuli ho ngaka ea meno pele e qala meriana ena - ho etsa bonnete ba hore lisebelisoa leha e le life tse ntšitsoeng kapa metso ea metso li sebetsanoa pele.
E 'ngoe ke denosumab - ho thata ho e bitsa, empa e na le kotsi e kholo ea MRONJ.
Ebe ho na le li-bisphosphonate tsa intravenous tse sebelisetsoang mofetše - tse nang le kotsi e kholo ka ho fetisisa, 'me ka kakaretso re qoba li-implants ka botlalo maemong ao.
Haeba u se u ntse u sebelisa li-bisphosphonates tsa molomo, "letsatsi la phomolo la lithethefatsi" (ho emisa meriana) ha le e-s'o bontšoe ho fokotsa kotsi. Ka hona, kalafo ea meno e lokela ho etsoa pele e qala.
Haeba sena se sebetsa ho uena, 'm'ao, kapa 'mangoane oa hau - etsa tlhahlobo e felletseng ea meno, haholo-holo ka X-ray ea 3D, pele u noa meriana. Ho bolokehile haholo ka tsela eo.
[Eon Engelbrecht – E-Radio-SA] (5:03 – 5:16)
Mme Ngaka Yudelman, na ho na le matšoao a lemosang a pele ao bakuli ba postmenopausal ba lokelang ho a ela hloko melomong ea bona?
[Dr Clifford Yudelman – OptiSmile] (5:16 – 6:47)
E, ka sebele. Ntle le matšoao a tloaelehileng a ho khaotsa ho ilela khoeli, basali ba ka ’na ba hlokomela hore meno a ikutloa a hlephile kapa a sisinyeha - ntle le matšoao a lefu la marenene.
Likheo li ka qala ho hlaha pakeng tsa meno, haholo-holo ha ho theoha ha moruo. Kutloelo-bohloko ho serame kapa lipompong le tsona li ka eketseha.
'Me haeba pholiso e lieha ka mor'a ho hloekisoa ho tebileng kapa ho ntšoa - le ntle le ho noa meriana - seo e ka ba sesupo sa mathata a motheo a masapo.
Re atisa ho nahana ka lefu la ho fokola ha masapo e le "ho robeha ha letheka", empa tahlehelo ea mohlahare ke ea sebele haholo, 'me hangata e hlaha pele molomong.
[Eon Engelbrecht – E-Radio-SA] (6:48 – 6:56)
Hona u lekola bophelo ba masapo joang nakong ea tlhahlobo ea meno? U sheba eng?
[Dr Clifford Yudelman – OptiSmile] (6:56 – 8:24)
Ntlha ea pele, re hlahloba histori ea bongaka ka botlalo. Basali ba bangata ba thathamisa "osteoporosis" empa eseng meriana, kahoo re lula re botsa.
Re boetse re kopa sephetho sa bona sa masapo kapa liphetho tsa DEXA, kapa re ikopanye le ngaka ea bona ha ho hlokahala.
Ebe re hlahloba X-rays - haholo-holo panoramic kapa bitewings - ho hlahloba tahlehelo ea masapo. Bakeng sa linyeoe tse rarahaneng, re sebelisa CBCT 3D scan ho fumana litekanyo tse nepahetseng tsa boima ba masapo le boima ba 'mele.
Haeba motho a e-na le osteopenia - ho fokola ha masapo empa a e-s'o be le lefu la ho fokola ha masapo - re hlokolosi haholo ka li-implants le liopereishene, 'me re ka khothaletsa moralo oa pele ho phekolo kapa ho sebelisana le ngaka ea bona.
[Eon Engelbrecht – E-Radio-SA] (8:25 – 8:33)
Na phekolo ea meno e hlile e ka ama tsoelo-pele ea lefu la ho fokola ha masapo - kapa ka tsela e fapaneng?
[Dr Clifford Yudelman – OptiSmile] (8:33 – 10:15)
E, ka litsela tse seng kae. Mohlala o mong ke ho kenya ts'ebetsong - ka linako tse ling re beha moqhaka oa nakoana ka mor'a ho kenngoa ho eketsang khatello e khanyang, e ka susumetsang ho hōla ha masapo.
Empa haeba motho a sebelisa li-bisphosphonates, li-extractions li tlameha ho ba hlokolosi haholo - haholo-holo ho etsoa ke setsebi - ho qoba necrosis.
Hape, ho ruruha ha marinini ho sa foleng ho lebisa ho fokotseng masapo. Ke ka lebaka leo bohloeki bo botle ba molomo le bohloeki ba kamehla bo leng bohlokoa haholo maemong ana.
[Eon Engelbrecht – E-Radio-SA] (10:16 – 10:29)
Ke mekhoa efe ea thibelo e ka sireletsang lesapo la molomo ho bakuli ba nang le lefu la ho fokola ha masapo?
[Dr Clifford Yudelman – OptiSmile] (10:30 – 12:59)
Borashe ba meno bo bonolo ke ba bohlokoa - esita le ka borashe ba motlakase, re khothaletsa lihlooho tse bonojoana.
Bakuli ba bang ba rua molemo ho lirinse tsa chlorhexidine, haholo-holo haeba ramatiki e ama dexterity.
Re boetse re sebelisa li-laseser tsa boemo bo tlase, PRF (platelet-rich fibrin) ho tsoa maling a hau ho khothaletsa pholiso, le balebeli ba loma ho thibela ts'oaetso e amanang le bruxism.
Bakuli ba boetse ba lokela ho ba le li-X-ray khafetsa - likhoeli tse ling le tse ling tse 12 ho isa ho tse 18 ho fapana le lilemo tse ling le tse ling tse 3 - ho latela liphetoho tsa masapo.
[Eon Engelbrecht – E-Radio-SA] (12:59 – 13:09)
Moralo oa ho kenya li-implant o lokela ho fetoloa joang bakeng sa motho ea nang le masapo a fokolang?
[Dr Clifford Yudelman – OptiSmile] (13:09 – 14:43)
Haeba motho a le mothating oa ho qala li-bisphosphonates, re ka potlakisa ho kenya li-implant pele - kapa ra lebisa ho ngaka ea periodontist bakeng sa kalafo e etsoang sethaleng ka ho hlomathisa masapo.
Re boetse re khetha li-implants tse etselitsoeng ho kopanya osseointegration hantle ka har'a masapo a sekiselitsoeng le ho lumella nako e telele ea ho folisa - likhoeli tse 3 ho isa ho tse 4 kapa ho feta.
Empa ho bakuli ba seng ba ntse ba sebelisa li-bisphosphonates tsa IV, hangata re qoba li-implants ka ho feletseng.
[Eon Engelbrecht – E-Radio-SA] (14:44 – 14:54)
Na ho na le malebela a lijo kapa a tlatsetso a tšehetsang bophelo ba masapo le meno?
[Dr Clifford Yudelman – OptiSmile] (14:54 – 17:58)
Ho joalo, 'me ke batla ho sebetsana le kalafo ea "hormone replacement therapy" (HRT) hape.
Thuto eo ea khale e hokahanyang HRT le kankere ea matsoele le lefu la pelo e ne e fosahetse - 'me kajeno re tseba HRT e hlile e ka sireletsa khahlanong le tahlehelo ea masapo, Alzheimer's, tahlehelo ea mesifa le lefu la pelo.
Patch ea estrogen (e fetotsoeng habeli ka beke) le pilisi ea progesterone (haeba u ntse u e-na le popelo ea hau) li bolokehile, li sebetsa hantle ebile li theko e tlaase.
Ha e le li-supplement:
- Calcium: 1200 mg ka letsatsi
- Vithamine D: 2000 IU
- Mohlomong vithamine K2
Hape, ho hlafuna litholoana le meroho (joaloka liapole le lihoete) ho thusa ho matlafatsa masapo.
Qoba lino tse nang le asiti joalo ka metsi a benyang, li-sodas tsa lijo, le lero la lamunu le seng la nnete - tsena li ka ntša calcium menong le masapong a hau.
[Eon Engelbrecht – E-Radio-SA] (18:26 – 18:36)
Motho ea nang le lefu la ho fokola ha masapo o lokela ho etela ngaka ea meno hangata hakae?
[Dr Clifford Yudelman – OptiSmile] (18:37 – 19:40)
Bonyane likhoeling tse ling le tse ling tse 6. Empa haeba u na le lefu la marenene kapa ho fetoha ha masapo ka potlako, ho ka hlokahala likhoeli tse ling le tse ling tse 3.
X-rays likhoeli tse ling le tse ling tse 12 ho isa ho tse 18, 'me u etela bohloeki ka makhetlo a 3-4 ka selemo haeba ho na le ho ruruha.
Ho fapana le motho ea lilemo li 25 ea phetseng hantle, motho ea nang le lefu la ho fokola ha masapo a ka lahleheloa ke lesapo ka potlako - kahoo ho bohlokoa ho beha leihlo.
[Eon Engelbrecht – E-Radio-SA] (19:41 – 19:51)
'Me qetellong, tlhahiso ea hau e holimo ke efe bakeng sa bakuli ba postmenopausal ba amehileng ka pososelo ea bona le bophelo bo botle ba masapo?
[Dr Clifford Yudelman – OptiSmile] (19:52 – 22:15)
Etsa bonnete ba hore ngaka ea meno le ngaka ea hau ba buisana - haholo-holo haeba ho ameha opereishene kapa meriana.
Ho OptiSmile, re fana ka lipuisano tsa dijithale tsa metsotso e 90, ho kenyeletsoa le liskena tsa CBCT 3D. Re bile re sebelisa AI ho lekola maemo a masapo ka nako.
Haeba ho hlokahala, re bua ka lingaka tse hloahloa tsa periodontal kapa lingaka tsa molomo tse Cape Town, Joburg, kapa kae kapa kae moo u lulang teng.
'Me u seke oa lebala - re fana ka lipuisano tsa mahala tsa metsotso e 30 ho tataisa mang kapa mang ea sa tsebeng hore na a qale hokae. Nanabela feela.
[Eon Engelbrecht – E-Radio-SA] (22:30 – 22:55)
Bakeng sa lipehelo, etela Optismile.co.za kapa WhatsApp 071 140 0396.
Ngaka Yudelman, kea leboha hape!
Boitlhotlhollo: Litaba tse fanoeng podcast ena, "Boloka Chelete ea Hao Boloka Meno a Hao" ka Mantaha oa Bongaka, ke tsa merero ea tlhahisoleseling le thuto feela. Ha e reretsoe ho sebetsa e le keletso ea meno kapa ea bongaka. Litlhaloso le maikutlo a hlalositsoeng ke Dr. Clifford Yudelman le baeti leha e le bafe li etselitsoe ho matlafatsa kutloisiso e molemo ea bophelo bo botle ba meno, mehato ea thibelo, le bophelo bo botle ka kakaretso, empa ha ea lokela ho hlalosoa e le litsebi tsa litsebi tsa meno kapa tsa bongaka. Clifford Yudelman ha a hlahlobe, a phekola, kapa a fana ka maano a thibelo bakeng sa maemo afe kapa afe a bophelo ka kotloloho ka podcast ena. Sethala sena ha se nkele sebaka sa tlhokomelo ea motho ka mong le likeletso tse fanoang ke ngaka ea meno e nang le lengolo kapa setsebi sa bophelo bo botle. Re khothaletsa ka matla bamameli ba rona ho buisana le bafani ba bona ba tlhokomelo ea meno ho sebetsana le litlhoko tsa bophelo bo botle ba meno le matšoenyeho.Boitsebiso bo arolelanoang mona bo ikemiselitse ho matlafatsa bamameli ka tsebo mabapi le bophelo bo botle ba meno empa ha ea lokela ho sebelisoa e le motheo oa ho etsa liqeto tse amanang le bophelo bo botle ntle le ho etsa liqeto tse nepahetseng. tataiso ea litsebi. Mofani oa hau oa tlhokomelo ea meno ke mohloli o molemo ka ho fetisisa oa keletso mabapi le meno le bophelo bo botle ka kakaretso. Ka kopo, lula u batla keletso ho ngaka ea meno kapa litsebi tse ling tse tšoanelehang tsa bophelo bo botle mabapi le lipotso leha e le life kapa lintho tse u tšoenyang ka bophelo ba hau ba meno.
