Izahluko
Isingeniso
[00:00:00]U-Eon Engelbrecht wethula uDkt Clifford Yudelman ovela I-OptiSmile ukuxoxa ngokuthi ukulahleka kwamathambo kwangemva kokuya esikhathini kuyithinta kanjani impilo yomhlathi, ushingamu, nokufakwa kwamazinyo.
I-Osteoporosis kanye Nempilo Yomhlathi
[00:00:58]I-osteoporosis yehlisa ukuphakama kwamathambo e-alveolar, okubangela amazinyo axegayo kanye nokwehla kwezinsini. Umjikelezo ukuhlolwa kwamazinyo nge-X-ray kubalulekile ukuze kutholakale ngokushesha.
Imithi kanye Nengozi Yokuphulukisa
[00:02:13]Ama-bisphosphonates omlomo kanye ne-IV kanye ne-denosumab angabangela i-necrosis yomhlathi. Iziguli kufanele zihlolwe amazinyo ngaphambi kokuqala le mithi.
Izimpawu Eziyisixwayiso Ozozibuka
[00:05:03]Iziguli ze-postmenopausal zingase zibe namazinyo axegayo, ukuzwela, noma ukuphulukiswa kancane. Lezi kungaba izinkomba zakuqala zokuncishiswa kwamathambo.
Ukuhlola Impilo Yamathambo Kudokotela Wamazinyo
[00:06:48]Odokotela bamazinyo bahlola umlando wezokwelapha, i-DEXA scan, futhi basebenzise ama-X-ray noma i-CBCT ukuze bahlole ukuminyana kwamathambo, ikakhulukazi ngaphambi kokufakelwa noma ukuhlinzwa.
Ukusebenzisana Phakathi Kokwelashwa Kwamazinyo kanye Ne-Osteoporosis
[00:08:25]Izimila zingashukumisa amathambo, kodwa kufanele kuqashelwe ngesikhathi sokukhishwa, ikakhulukazi ngabasebenzisi be-bisphosphonate. Ukuvuvukala okungapheli kwandisa ukulahleka kwamathambo.
Amasu Okuvimbela Impilo Yamathambo Omlomo
[00:10:16]Sebenzisa izixubho ezithambile, i-PRF, nokwelashwa nge-laser. Njalo ukuhlanza amazinyo nokuhlola kusiza ukuqapha izinguquko zamathambo.
Ukuhlela Izimila ezinokuminyana Kwamathambo Aphansi
[00:12:59]Ukuhlelwa kokufakelwa okwenziwe ngendlela oyifisayo kungase kuhlanganise okokufakelwa okukhethekile, ukuphulukiswa isikhathi eside, noma ukugwema ukufakwa ngokuphelele ezigulini ezisengozini enkulu.
Iseluleko Sokudla Nesengezo
[00:14:44]I-calcium, i-Vitamin D, kanye ne-hormone replacement therapy isekela impilo yamathambo. Gwema iziphuzo ezine-asidi ezenza buthaka koqweqwe lwawo namathambo.
Ukuvakashela Kwamazinyo Imvamisa Yeziguli Zamathambo
[00:18:26]Iziguli kufanele zivakashele njalo ezinyangeni eziyisi-6 - noma kaningi uma kukhona ukulahleka kwamathambo okusebenzayo noma isifo sezinsini. I-X-ray evamile ibalulekile.
Izincomo eziphezulu zeziguli ezikhathazekile
[00:19:52]Qinisekisa ukusebenzisana phakathi kukadokotela wamazinyo nodokotela. I-OptiSmile inikeza idijithali futhi khulula kokubonisana online ukuqondisa izinhlelo zokunakekelwa komuntu siqu.
I-Outro
[00:22:30]Vakashela optismile.co.za noma WhatsApp 071 140 0396 ukuze ubhukhe ukubonisana. Hlala umatasa ngempilo yomlomo ngesikhathi nangemva kokunqamuka kokuya esikhathini.
Okulotshiweyo
[Eon Engelbrecht – E-Radio-SA] (0:05 – 0:43)
Siyakwamukela ku-Londoloza Imali Yakho, Yonga Amazinyo Akho, i-podcast eya phambili lapho ilukuluku lihlangana nodokotela bamazinyo, ngokuqondile kusukela kochwepheshe. Ngingu-Eon, futhi ngiphinde ngajoyinwa uDkt Clifford Yudelman wase-OptiSmile, osisiza ukuthi sembule konke odinga ukukwazi.
Isihloko sanamuhla sithi ukulahleka kwamathambo kwangemva kokuya esikhathini kungawuthinta kanjani umhlathi wakho, izinsini zakho, ngisho nezimila zakho zamazinyo - nokuthi yini ongayenza ukuze ugcine kokubili amazinyo akho namathambo akho eqinile. Ngakho ake sicwilise phakathi.
Dkt Yudelman, wamukelekile futhi.
[Dr Clifford Yudelman – OptiSmile] (0:43 – 0:57)
Ngiyabonga. Ngiyabonga ngokungibuyisela. Kuhle ukukhuluma nawe futhi.
Yebo, ngibheke ngabomvu ukuqhubeka namaphodikhasti ayi-10 alandelayo. Namuhla inombolo 71 — sizoba kunombolo 80 ngaphambi kokuthi wazi.
[Eon Engelbrecht – E-Radio-SA] (0:58 – 1:08)
Kuhle kakhulu. UDkt Yudelman, ngifuna ukuqala ngokukubuza, i-osteoporosis ikuthinta kanjani ukuminyana kwamathambo omhlathi kanye nempilo yakho yonke yamazinyo?
[Dr Clifford Yudelman – OptiSmile] (1:09 – 2:12)
Kunamaphuzu ambalwa abalulekile okumele uwaveze. I-osteoporosis yehlisa lokho okubizwa ngokuthi ukuphakama kwethambo le-alveolar - lelo yithambo elizungeze amazinyo akho.
Uma ulahlekelwa izinyo, lelo thambo liyanyamalala. Ngakho ithambo le-alveolar liyithambo elisekelayo elizungeze izinyo ngalinye. Uma iba mncane, iholela ekwandeni kokuhamba kwamazinyo kanye nokuchayeka kwezimpande - noma ukwehla komnotho.
Ucwaningo luye lwabonisa ukuthi abesifazane abangemva kokuya esikhathini abanokuqina kwamathambo aphansi banama-mandibular cortices azacile kakhulu - lokho kuwugqinsi lomhlathi wabo ku-X-ray. Lokhu kulahlekelwa kungasheshisa ukuwohloka kwezinsini futhi kube nzima ukwelapha izinsini.
Izindaba ezinhle ukuthi, ama-X-ray avamile angabonisa lezi zinguquko isikhathi eside ngaphambi kokuba izimpawu ziqale.
[Eon Engelbrecht – E-Radio-SA] (2:13 – 2:21)
Kulungile. Futhi yimiphi imithi ye-osteoporosis evame ukuba nomthelela ezicutshini zomlomo noma ekwelapheni?
[Dr Clifford Yudelman – OptiSmile] (2:22 – 5:02)
Okuvame kakhulu ama-bisphosphonates omlomo - leyo imithi enikezwa iziguli eziningi ezine-osteoporosis.
Ingozi eyinhloko into ebizwa ngokuthi i-necrosis yomhlathi - ngokobuchwepheshe i-MRONJ - i-osteonecrosis yomhlathi ehlobene nemithi. Uma ukule mithi futhi ukhishwe izinyo, ithambo lingafa ngokoqobo futhi lingapholi kahle.
Kungakho udokotela osebenzayo ezodlulisela isiguli kudokotela wamazinyo ngaphambi kokuqala le mithi - ukuze aqinisekise ukuthi noma yikuphi ukukhishwa noma izimpande zezimpande ziphathwa kuqala.
Enye i-denosumab - okunzima ukuyisho, kodwa inengozi enkulu nakakhulu ye-MRONJ.
Bese kuba nama-bisphosphonates e-intravenous asetshenziselwa umdlavuza - lawo athwala ubungozi obukhulu, futhi ngokuvamile sigwema ukufakwa ngokuphelele kulezo zimo.
Uma usuvele usebenzisa ama-bisphosphonates omlomo, “iholide lezidakamizwa” (ukumisa isikhashana umuthi) alikaboniswa ukunciphisa ubungozi. Ngakho-ke, noma yikuphi ukwelashwa kwamazinyo kufanele kwenziwe ngaphambi kokuwaqala.
Uma lokhu kuthinta wena, umama wakho, noma u-anti wakho - thola ukuhlolwa kwamazinyo okuphelele, okungcono ngama-X-ray e-3D, ngaphambi kokuthatha imithi. Kuphephe kakhulu ngaleyo ndlela.
[Eon Engelbrecht – E-Radio-SA] (5:03 – 5:16)
Futhi uDkt Yudelman, yiziphi izimpawu eziyisixwayiso zangaphambi kwesikhathi okufanele iziguli zangemuva kokuya esikhathini kufanele ziqaphele emilonyeni yazo?
[Dr Clifford Yudelman – OptiSmile] (5:16 – 6:47)
Yebo, nakanjani. Ngaphandle kwezimpawu ezivamile zokunqamuka kokuya esikhathini, abesifazane bangase babone amazinyo ezizwa exega noma enyakaza - ngaphandle kwezimpawu zesifo sezinsini.
Izikhala zingaqala ukukhula phakathi kwamazinyo, ikakhulukazi njengoba ukwehla komnotho kwenzeka. Ukuzwela emakhazeni noma amaswidi nakho kungakhula.
Futhi uma ukuphulukiswa kubambezeleka ngemuva kokuhlanza okujulile noma ukukhishwa - ngisho ngaphandle kokuthola imithi - lokho kungase kube uphawu lwezinkinga eziyisisekelo zamathambo.
Sivame ukucabanga nge-osteoporosis njengokuthi "i-hip fracture", kodwa ukulahlekelwa kwethambo lomhlathi kungokoqobo, futhi kuvame ukuvela kuqala emlonyeni.
[Eon Engelbrecht – E-Radio-SA] (6:48 – 6:56)
Futhi uyihlola kanjani impilo yamathambo ngesikhathi sokuhlolwa kwamazinyo? Ufunani?
[Dr Clifford Yudelman – OptiSmile] (6:56 – 8:24)
Okokuqala, sidlula emlandweni wezokwelapha ngokucophelela. Abesifazane abaningi babala “i-osteoporosis” kodwa hhayi imithi, ngakho sihlala sibuza.
Futhi sicela ukuskena amathambo abo noma imiphumela ye-DEXA, noma sithinte nodokotela wabo uma kudingeka.
Bese sihlola ama-X-ray - ikakhulukazi i-panoramic noma i-bitewings - ukuhlola ukulahleka kwamathambo. Ezimweni eziyinkimbinkimbi, sisebenzisa i-CBCT 3D scan ukuze sithole izilinganiso ezinembile zevolumu yethambo nokuminyana.
Uma othile ene-osteopenia - ukuminyana okuphansi kwamathambo kodwa ongakabi yi-osteoporosis - siqapha kakhulu ngokufaka izimila nokuhlinzwa, futhi singase sincome ukuhlela kwangaphambili kokwelashwa noma ukusebenzisana nodokotela wabo.
[Eon Engelbrecht – E-Radio-SA] (8:25 – 8:33)
Ingabe ukwelashwa kwamazinyo empeleni kungathonya ukuqhubeka kwe-osteoporosis - noma ngokuphambene nalokho?
[Dr Clifford Yudelman – OptiSmile] (8:33 – 10:15)
Yebo, ngezindlela ezimbalwa. Isibonelo esisodwa ukulayisha okusebenzayo - ngezinye izikhathi sibeka umqhele wesikhashana ngemva kokufakelwa okwengeza ukucindezela kokukhanya, okungakhuthaza ukukhula kwamathambo.
Kodwa uma othile esebenzisa ama-bisphosphonates, ukukhishwa kufanele kuqaphe kakhulu - okungcono kwenziwe uchwepheshe - ukugwema i-necrosis.
Futhi, ukuvuvukala kwezinsini okungapheli kuholela ekulahlekelweni kwamathambo. Kungakho inhlanzeko yomlomo engenasici kanye nokuhlanza okujwayelekile ochwepheshe kubaluleke kakhulu kulezi zimo.
[Eon Engelbrecht – E-Radio-SA] (10:16 – 10:29)
Imaphi amasu okuvimbela angavikela ithambo lomlomo ezigulini ezine-osteoporosis?
[Dr Clifford Yudelman – OptiSmile] (10:30 – 12:59)
Izixubho ezithambile ziwukhiye - futhi ngisho namabhulashi kagesi, sincoma amakhanda athambile kakhulu.
Ezinye iziguli ziyazuza kumarinse e-chlorhexidine, ikakhulukazi uma isifo sokuqaqamba kwamalunga sithinta i-dexterity.
Siphinde sisebenzisa amalaser asezingeni eliphansi, i-PRF (i-platelet-rich fibrin) evela egazini lakho ukuze sikhuthaze ukuphulukiswa, kanye nonogada baluma ukuze kuvinjwe ukuhlukumezeka okuhlobene ne-bruxism.
Iziguli kufanele futhi zibe nama-X-reyi avamile - njalo ezinyangeni eziyi-12 kuya kweziyi-18 esikhundleni seminyaka emi-3 - ukulandelela izinguquko zamathambo.
[Eon Engelbrecht – E-Radio-SA] (12:59 – 13:09)
Ukuhlelwa kokufakelwa kufanele kushintshwe kanjani kumuntu onokuqina kwamathambo aphansi?
[Dr Clifford Yudelman – OptiSmile] (13:09 – 14:43)
Uma othile esezoqala ama-bisphosphonates, singasheshisa ukufakwa kokufakelwa kuqala - noma sibhekisele kudokotela we-periodontist ukuze alashwe ngesiteji ngokuxhunyelelwa amathambo.
Siphinde sikhethe izimila eziklanyelwe i-osseointegration engcono ethanjeni elonakele futhi sivumele izikhathi zokuphulukisa ezinde — izinyanga ezi-3 kuya kwezi-4 noma ngaphezulu.
Kodwa ezigulini esezivele ziku-IV bisphosphonates, ngokuvamile sigwema ukufakwa ngokuphelele.
[Eon Engelbrecht – E-Radio-SA] (14:44 – 14:54)
Noma yimaphi amathiphu okudla noma angeziwe asekela impilo yamathambo namazinyo?
[Dr Clifford Yudelman – OptiSmile] (14:54 – 17:58)
Yebo, futhi ngifuna ukubhekana ne-hormone replacement therapy (HRT) futhi.
Lolo cwaningo oludala oluxhumanisa i-HRT nomdlavuza webele nesifo senhliziyo lwalunamaphutha - futhi namuhla siyazi ukuthi i-HRT empeleni ingavikela ekulahlekelweni kwamathambo, i-Alzheimer's, ukulahlekelwa kwemisipha, nesifo senhliziyo.
Isiqephu se-estrogen (esishintshwa kabili ngesonto) kanye nephilisi le-progesterone (uma usenesibeletho sakho) kuphephile, kuyasebenza, futhi kuyathengeka.
Mayelana nama-supplements:
- I-calcium: 1200 mg / ngosuku
- I-Vitamin D: 2000 IU
- Kungenzeka ukuthi i-Vitamin K2
Futhi, ukuhlafuna izithelo ezine-fibrous kanye nemifino (njengama-apula nezaqathi) kusiza ukuvuselela amathambo.
Gwema iziphuzo ezine-acidic njengamanzi acwebileyo, amasoda okudla, namajusi awolintshi mbumbulu - lokhu kungakhipha i-calcium emazinyweni nasemathanjeni akho.
[Eon Engelbrecht – E-Radio-SA] (18:26 – 18:36)
Umuntu one-osteoporosis kufanele avakashele kaningi kangakanani udokotela wamazinyo?
[Dr Clifford Yudelman – OptiSmile] (18:37 – 19:40)
Okungenani njalo ezinyangeni eziyisi-6. Kodwa uma unesifo sezinsini noma ukushintsha amathambo okusheshayo, njalo ngemva kwezinyanga ezi-3 kungase kudingeke.
Ama-X-ray njalo ezinyangeni eziyi-12 kuya kweziyi-18, kanye nokuvakashela kwenhlanzeko izikhathi ezi-3-4 ngonyaka uma kukhona ukuvuvukala.
Ngokungafani nomuntu oneminyaka engu-25 enempilo, umuntu onesifo sokukhumuzeka kwamathambo angalahlekelwa amathambo ngokushesha - ngakho ukuqapha okuseduze kubalulekile.
[Eon Engelbrecht – E-Radio-SA] (19:41 – 19:51)
Futhi ekugcineni, yisiphi isincomo sakho esiphezulu ezigulini zangemuva kokuya esikhathini ezithintekayo ngokumamatheka kwazo nempilo yamathambo?
[Dr Clifford Yudelman – OptiSmile] (19:52 – 22:15)
Qiniseka ukuthi udokotela wakho wamazinyo nodokotela bayaxhumana - ikakhulukazi uma kuhileleke ukuhlinzwa noma imithi.
Kwa-OptiSmile, sinikeza ukubonisana kwedijithali kwemizuzu engu-90, okuhlanganisa izikena ze-CBCT 3D. Size sisebenzisa i-AI ukulandelela amazinga ethambo ngokuhamba kwesikhathi.
Uma kudingeka, sibhekisela kodokotela abaphezulu be-periodontists noma abahlinza ngomlomo eKapa, eGoli, nanoma yikuphi lapho uzinze khona.
Futhi ungakhohlwa — sinikeza ukubonisana kwamahhala kwemizuzu engama-30 ukuze siqondise noma ubani ongaqiniseki ukuthi aqale kuphi. Vele ufinyelele.
[Eon Engelbrecht – E-Radio-SA] (22:30 – 22:55)
Ukuze uthole ukubhuka, vakashela optismile.co.za noma WhatsApp 071 140 0396.
UDkt Yudelman, ngiyabonga futhi!
Umshwana wokuzihlangula: Okuqukethwe okuhlinzekwe kule podcast, “Yonga Imali Yakho Yonga Amazinyo Akho” ngeMisombuluko Yezokwelapha, okwezinjongo zolwazi nezemfundo kuphela. Akuhloselwe ukusebenza njengeseluleko samazinyo noma sezokwelapha. Imibono nemibono evezwe uDkt. Clifford Yudelman kanye nanoma yiziphi izihambeli zenzelwe ukugqugquzela ukuqonda kangcono impilo yamazinyo, izinyathelo zokuvimbela, kanye nempilo enhle evamile, kodwa akufanele kuhunyushwe njengezincomo zamazinyo ezichwepheshile noma zezokwelapha.UDkt. U-Clifford Yudelman akahloli, akalaphi, noma anikeze ngamasu okuvimbela anoma yiziphi izimo zezempilo ngokuqondile ngale podcast. Le nkundla ayithatheli indawo yokunakekelwa komuntu siqu nezeluleko ezinikezwa udokotela wamazinyo onelayisensi noma uchwepheshe wezokunakekelwa kwezempilo. Sikhuthaza kakhulu abalaleli bethu ukuthi baxhumane nabahlinzeki babo bamazinyo ukuze babhekane nezidingo zempilo yamazinyo ngabanye kanye nezinto ezibakhathazayo.Ulwazi olwabiwe lapha luhlose ukunika abalaleli amandla olwazi mayelana nempilo yamazinyo kodwa akufanele lusetshenziswe njengesisekelo sokwenza izinqumo ezihlobene nempilo ngaphandle kosizo lwezempilo. isiqondiso sochwepheshe. Umhlinzeki wakho wokunakekelwa kwamazinyo ungumthombo ongcono kakhulu weseluleko mayelana namazinyo akho kanye nempilo yakho iyonke. Sicela uhlale ucela iseluleko sikadokotela wakho wamazinyo noma abanye ochwepheshe bezempilo abaqeqeshiwe mayelana nanoma yimiphi imibuzo noma okukukhathazayo mayelana nempilo yakho yamazinyo.
