Izahluko
Isingeniso
[00:00:05 – 00:00:45]U-Eon Engelbrecht wamukela abalaleli futhi wethula uDkt Clifford Yudelman, ehlanganisa ukuhlolwa komlomo owomile okungapheli (i-xerostomia) nokuthi kungani amathe ebalulekile ekuthokomaleni komlomo.
Izimbangela Ezinkulu Zomlomo Owomile
[01:08 – 05:17]UDkt Yudelman uchaza izigebengu ezine ezihamba phambili—ukuphelelwa amanzi emzimbeni, imithi evamile, ukuphazamiseka komzimba okuzenzakalelayo njenge-Sjögren’s syndrome, nemisebe yekhanda nentamo—ebonisa ngayinye ngezibonelo zangempela zokuphila.
Imiphumela Yempilo Yomlomo
[05:25 – 07:20]Ukuncipha kwamathe kuphakamisa ingozi yomgodi, kuthikameza ukukhuluma nokugwinya, futhi kumema izifo ze-candida. Ukoma okungelashiwe kungaholela nasekugcineni umuthi we-canal ukwelashwa uma ukubola kuqhubeka.
Imithi Nemibandela Yezokwelapha
[08:36 – 10:20]Ama-diuretics, ama-antihypertensives, ama-antidepressants kanye nezimo ezifana nesifo sikashukela noma i-Parkinson's zikhethwa ngokukhethekile ngenxa yemiphumela yazo engemihle yokomisa, namathiphu okubuyekeza imiyalelo kadokotela minyaka yonke.
Ukuxilongwa kwe-Xerostomia
[10:31 – 15:52]Kusukela ekuhlolweni “kokwehla kwamazolo” kwezindebe ezingashukunyiswa kuya kumathuluzi okulinganisa ukugeleza kwamathe kanye nokudluliselwa okukhethekile, abasingathi baveza izindlela ezingokoqobo odokotela bamazinyo abaqinisekisa ngazo ubukhali nezimbangela eziwumsuka.
Imikhuba Nemikhiqizo Okufanele Uyigweme
[15:59 – 17:58]Ukugeza imilomo okusekelwe otshwaleni, ukubhema, i-caffeine eningi kanye nokuphefumula ebusuku komile—futhi kungaqinisa umoya omubi.
Amasu Okusiza Ekhaya
[18:06 – 20:58]Ukuhogela okuncane kwamanzi, ama-ice chips, i-xylitol gum, amajeli amathe e-OTC kanye nama-humidifiers ekamelo lokulala kunikeza ukunethezeka okusheshayo kuyilapho kusekela ukuvuselelwa kabusha kwemvelo.
Lapho Kufanele Ufune Ukunakekelwa Kochwepheshe
[21:08 – 23:57]Ukoma okungapheli, amaqoqo amasha emigodini emisha noma ukuzwa komlomo oshisayo kuyizimpawu ezibomvu zokubhukha ukuvakasha kwamazinyo ukuze kungenelele okuthile.
Ukwelashwa Kwasehhovisi
[24:09 – 26:53]Amathreyi angokwezifiso okubuyisela amaminerali, ama-sialogogue kadokotela, isivuseleli se-laser sezinga eliphansi kanye nemijovo evelayo ye-PRF kusiza ukubuyisela ukusebenza kwezindlala ezimweni ezinenkani.
Ukuvikela Amazinyo Nezinsini Isikhathi Eside
[27:02 – 29:14]Sebenzisa okunamathiselwe okune-fluoride ephezulu, ukuvanisha ngekota kanye nokuhlanza kwezinyanga ezintathu ukuze ugweme ukubola nokubola. izinsini ezophayo.
Imikhuba Ephezulu Yansuku zonke
[29:24 – 29:58]I-trio kaDkt Yudelman: phatha amanzi, hlafuna i-xylitol gum futhi ubuyekeze imithi minyaka yonke ukuze unciphise imiphumela emibi yokomisa.
Ukubonisana Kwamahhala Kwevidiyo
[30:09 – 31:42]I-OptiSmile inikezela ngosizo lwefoni lwemizuzu engama-30 kunoma ubani onomlomo owomile ophazamisa ukuphila—okuphelele ngokubuyekezwa komlando wezokwelapha nezeluleko eziqondene nawe.
I-Outro
[33:34 – 35:23]Ababungazi baphinda imininingwane eyinhloko, bagcona isiqephu seviki elizayo se-acid reflux, futhi bakhumbuze abalaleli ukuthi babhalisele ukuhlakanipha okwengeziwe kwamazinyo nokonga.
Okulotshiweyo
[0:05 – 0:45] Eon Engelbrecht
Siyakwamukela futhi kokuthi 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, futhi silapha imizuzu embalwa elandelayo ukuze singene sijule emhlabeni wokunakekelwa kwamazinyo ngokombono womthengi. Manje namuhla, uDkt Yudelman ubhekana nomlomo owomile ongapheli—lokho owubangelayo, ukuthi ulimaza kanjani amazinyo nezinsini, nezindlela ezisekelwe ebufakazini zokuthola impumuzo futhi uvikele nokumamatheka kwakho. Ngakho-ke asicwilise phakathi. UDkt Yudelman, wamukelekile futhi.
[0:46 – 0:55] Dr Clifford Yudelman
Ngiyabonga. Ngiyabonga. Futhi kulabo abangakaze balalele uhlelo ngaphambilini, akusiyo imizuzu embalwa, ngokuvamile imizuzu engu-20 kuya kwengu-30, ngakho-ke linda.
[0:55 – 1:08] Eon Engelbrecht
Akukho kuningi. Idlula ngokushesha okukhulu. Ngakho-ke uDkt Yudelman, umlomo owomile—iziphi izimbangela ezivame kakhulu zomlomo owomile okungapheli?
[1:08 – 5:17] Dr Clifford Yudelman
Ngakho kuhle kakhulu hhayi nganoma yiluphi uhlobo. Esokuqala esifika emqondweni, esesikhulume ngaso muva nje, ukuphelelwa amanzi emzimbeni ngenxa yokungaphuzi uketshezi olwanele noma ukuba ne-caffeine noma utshwala obuningi. Lokhu kunganciphisa ukukhiqizwa kwamathe.
Futhi ngike ngasho ngaphambili, ngicabanga ukuthi iningi lethu eNingizimu Afrika liphelelwe amanzi emzimbeni. Uma siyothulisa isiguli noma sibheka amazinyo, umlomo awugcwali amathe, wome kakhulu. Futhi ngenkathi ngizilolongela eMelika nase-Australia, lapho abantu behambahamba ne-Evian yabo yamalitha amabili futhi bephuza amanzi usuku lonke...
Ngisho nanamuhla, sithola abantu baseMelika abaningi e-OptiSmile, balala emuva, bavula umlomo wabo, kufanele ubheke futhi udinga ukumuncwa umile ngoba banamathe amaningi kakhulu—ngoba baphuza amanzi amaningi. Ngakho yebo, okuyinhloko ukuphelelwa amanzi emzimbeni, ngicabanga.
Futhi okulandelayo yiziguli eziningi ezingontanga yami—ngizoba neminyaka engu-65 maduze—ngizikhulumela mina, ngidla imishanguzo yomfutho wegazi. Ngenhlanhla, anginawo ama-antidepressants, kodwa ama-antidepressants amakhulu. Futhi-ke kuba nokungezwani komzimba okuningi nama-antihistamine, ngisho nalawo angawozeli—konke lokhu kungenza umlomo wakho wome, ikakhulukazi ezinye zezithuthukisi zemizwa noma ama-antidepressants.
Ngakho-ke uma unomlomo owomile futhi usanda kushintsha imithi noma unikezwe imithi, ungangena ku-Google noma ku-ChatGPT futhi uvele ubheke ukuthi iyini imiphumela emibi. Kwesinye isikhathi uvele uphumelele futhi ikakhulukazi ngokuphuza amanzi amaningi, lokho kungasiza. Sizongena kwezinye izinto ongazenza ngemva kwesikhashana.
Futhi esinye isifo esizimele esihlobene nokuthile okufana nesifo samathambo futhi sibizwa nge-Sjögren's syndrome, ebhalwe ukuthi SJOGREN, Sjögren's syndrome. Futhi lokhu akulimazi ngokuqondile izindlala zamathe kuphela, okuholela ekomeni okungapheli—kuyinto embi kakhulu—kodwa futhi kungaholela ekubeni amehlo ome nokome kwenye indawo. Futhi akusona isimo esimnandi.
Ngiye ngaba neziguli ezine-Sjögren's. Futhi okokugcina engifuna ukukusho—ngiqinisekile ukuthi baningi abanye—ukuthi uma uke waba nemisebe eqondise ekhanda nasentanyeni yakho, uma uke wasuswa umdlavuza endaweni ethile ebusweni bakho, bangase benze imisebe futhi lokho kungacekela phansi izicubu zakho zamathe futhi izimpawu zivele ngesikhathi noma ngokushesha ngemva kokwelashwa.
Ubaba wami ongasekho - waphila cishe iminyaka engama-95 - kwathi lapho eseneminyaka engama-80, waba nemisebe ohlangothini olulodwa lobuso bakhe ngemuva kokukhishwa umdlavuza futhi wasinda kahle ekuhlinzweni nasemisebeni. Kodwa ngeshwa, kwamnika umlomo owomile kakhulu, ikakhulukazi ohlangothini olwalunemisebe.
Futhi kusukela ekubeni namazinyo anempilo kakhulu kukho konke ukuphila kwakhe kuze kube yiminyaka engu-80, eminyakeni embalwa elandelayo, ngenxa yomlomo owomile, walahlekelwa inqwaba yemiqhele namabhuloho amadala futhi wagcina—nakuba kwakungafanele ufakwe izimila ngemva kwanoma yiluphi uhlobo lwemisebe—wayenochwepheshe abahle kakhulu eGoli futhi bafaka izimila futhi bakwazi ukumbuyisela wonke amazinyo akhe. Kodwa ngokusobala-ke izimila aziboli njengamazinyo emvelo.
Kodwa yebo, lokho kusohlangothini lomuntu siqu—ngibonile ukuthi i-radiotherapy noma ukwelashwa ngemisebe kungenzani ematheni omuntu.
[5:17 – 5:25] Eon Engelbrecht
Futhi uDkt Yudelman, ukuncipha kwamathe kuyithinta kanjani impilo yakho yomlomo nokunethezeka?
[5:25 – 7:20] Dr Clifford Yudelman
Yebo, njengoba ngishilo, kwandisa kakhulu ingozi yakho ye-cavities noma caries. Amathe akho alokhu ebhoboza noma iyiphi i-asidi efika emazinyweni akho, futhi kukhona amaminerali ematheni akho abalulekile ekuvuseleleni uqweqwe lwakho lwamanzi. Ngisho, imvelo iyamangalisa.
Une-calcium ne-phosphate nanoma yini oyidingayo ematheni ukuze umise amazinyo akho ekuncibilikeni. Ngakho siwadinga ngempela amathe ukuze sibe namazinyo anempilo. Ngokusobala kwenza inkulumo nokugwinya kube nzima kakhulu.
Ngakho njengoba amathe egcoba izicubu zakho, ayasiza ekugayeni ukudla kwakho. Futhi uma uzama ukuhlafuna into ngomlomo owomile kakhulu, awukwazi ngisho nokuyigwinya. Kufanele uphuze amanzi amancane.
Futhi sonke siyazi ukuthi kunjani uma uthukile futhi wome umlomo futhi ungakwazi ukukhuluma ngoba ulimi lwakho lunamathela ophahleni lomlomo wakho. Akumnandi. Bese kuba nezifo zomlomo—izinto ezifana ne-candida, okuwuhlobo lwe-yeast organism evame kakhulu, ikakhulukazi kubantu asebekhulile abanomlomo owomile, ngoba ithanda indawo eyomile engenawo wonke amathe akho, anamaprotheni e-antimicrobial kuwo.
Ingxenye embi kakhulu yayo, ubaba ayevame ukuyithola, ukungakhululeki kwe-mucosal-okusho ukuthi isikhumba emlonyeni wakho sizwa sengathi siyavutha futhi siyasha. Futhi kuvame kakhulu lapho ifilimu evikelayo—amathe akho—ingewona nje amanzi kuphela, kodwa inamafinyila kancane futhi imboza yonke into kahle kakhulu.
Siwathatha kalula amathe uze ube nomlomo owomile. Konke kuhle kakhulu ukuba nomlomo owomile ihora noma amabili. Kodwa ungacabanga unomlomo owomile unomphela? Kuyinto embi kakhulu.
[7:20 – 7:21] Eon Engelbrecht
Yebo, kufanele kube kubi kakhulu.
[7:22 – 7:25] Dr Clifford Yudelman
Kuleyonothi, ngizophuza amanzi. Nginomlomo owomile.
[7:26 – 7:52] Eon Engelbrecht
Yebo. Futhi, umlomo owomile nawo uvamile kubantu abakhathazekile. Uma ujwayele ukuba novalo noma uvalo, lokho kungenye yezimpawu ozozibona—ikakhulukazi ake sithi usendaweni yokukhuluma esidlangalaleni futhi kufanele ukhulume inkulumo enkulu manje phambi kwabantu abaningi, uzoqaphela ukuthi umlomo wakho wome ngendlela emangalisayo.
Angazi noma ukubonile lokhu, Dkt Yudelman, kodwa lokho nakanjani...
[7:52 – 7:53] Dr Clifford Yudelman
Amaphesenti ayikhulu.
[7:53 – 7:59] Eon Engelbrecht
Yebo. Bese kuba nzima ukukhuluma ke, uyazi. Kubi nje. Ufuna nje ukuphuza okuthize, uyazi.
[8:01 – 8:04] Dr Clifford Yudelman
Okungenani-ke unezaba ezinhle zokuthi ubaleke.
[8:05 – 8:06] Eon Engelbrecht
Ngizokwenza lokho.
[8:06 – 8:25] Dr Clifford Yudelman
Abantu abaningi bayesaba ukukhuluma esidlangalaleni kunokwesaba ukufa noma ukuza kudokotela wamazinyo. Ngicabanga ukuthi ikhuluma esidlangalaleni, bese kuba udokotela wamazinyo, bese efa, bese kuba ngubani owaziyo-amasoka, izintombi, amakhosikazi akudala. Yebo.
[8:25 – 8:35] Eon Engelbrecht
Nembile. Ngifuna futhi ukukubuza, Dokotela, yimiphi imithi noma izimo zezokwelapha okufanele ziphakamise ukukhathazeka?
[8:36 – 10:20] Dr Clifford Yudelman
Ama-diuretics. Kaningi abantu badla ama-diuretics ukusiza ngomfutho wegazi noma abantu abavuvukala imilenze neminye imithi yenhliziyo. Ngakho-ke okusho ukuthi kunemithi ehlukene yokusiza ngomfutho wegazi ophezulu esibalule futhi enciphisa umthamo wamanzi ngokuvamile emzimbeni wakho futhi enciphisa ukugeleza kwamathe akho.
Bese kuba nezimo zemizwa njengesifo sikaParkinson, lapho ingxenye yesimiso sakho sezinzwa ingasebenzi kahle futhi ezingase ziphazamise noma zivimbele izindlala zakho ekukhipheni amathe anele. Esinye ngeshwa esivame kakhulu isifo sikashukela, esithinta umzimba wakho futhi abantu bavame ukuphelelwa amanzi. Bangena kakhulu endlini yangasese uma bengaphuzi amanzi anele ngoba esinye sezimpawu zokuqala zesifo sikashukela wukuya endlini yangasese kaningi kunabanye abantu abaseduze kwakho futhi ukoma kakhulu nokuphuza amanzi amaningi ngaso sonke isikhathi.
Ngakho uma uphuza amanzi amaningi futhi uya endlini yangasese futhi unomlomo owomile, lokho kungase kube uphawu lokuthi udinga ukuhlola ushukela wakho futhi wenze ne-HbA1c—ukuhlolwa kwe-hemoglobin okukutshela ukuthi ushukela egazini lakho ubuphezulu kakhulu yini ezinyangeni ezintathu ezidlule. Lokho kuhle ukukhumbula. Futhi-ke nokushintsha kwama-hormone e-post-menopausal, ebesikhuluma ngakho ngesonto eledlule, kodwa ngokuyisisekelo ngemuva kokunqamuka kokuya esikhathini, lokho kunganciphisa ukugeleza kwamathe ngokuhamba kwesikhathi. Bathole ukuthi ikakhulukazi uma ungekho ekushintsheni ama-hormone, ngakho-ke kunesinye isizathu esihle sokuthola ukuthi ungazuza yini ngokushintshwa kwama-hormone.
[10:20 – 10:31] Eon Engelbrecht
Kulungile. Bese uqhubeka, Dkt Yudelman, ububona kanjani ubulukhuni nomthombo we-xerostomia, uma ngiphimisa kahle lokho?
[10:31 – 15:52] Dr Clifford Yudelman
Yebo, lelo igama lezokwelapha lomlomo owomile: “xerostomia,” elisuka kwelesiGrikhi elithi “xero” elisho owomile, nelithi “stomia” elisho umlomo. Ngakho-ke ukubuyekezwa okuphelele komlando wezokwelapha kanye nemithi kuzokhomba noma yiziphi izidakamizwa ezibangela umlomo owomile noma izifo zesistimu. Kubalulekile ukuxoxa ngakho nodokotela wamazinyo.
Khona-ke empeleni singakukala amathe akho. Ngangivame ukuba—e-Australia kwakuyinto enkulu kakhulu—babesithengisela la makhithi futhi saba nenqwaba yezivivinyo esasingakwazi ukuzenza. Ngiqinisekile ukuthi basekhona odokotela bamazinyo abazohlola amathe. Sithole ukuthi akushintshile kakhulu ukwelashwa. Nxa kungene umuntu wome umlomo acabange ukuthi mhlawumbe umlomo womile kanti unatha amanzi amanengi kanti udla amaphilisi, uyazi sasingamfakazela ukuthi umlomo womile ngokwenza eminye yalemihlola.
Ngakho enye yazo ifana nalapho uhlafuna khona ingcina enganambithekisiwe, futhi ulokhu uphimisela enkomishini yokulinganisa bese ubona ukuthi mangaki amamililitha amathe ongawakhiqiza ngomzuzu owodwa noma ngaphezulu kwemizuzu emibili. Bese sizokwenza nokuhlolwa kwe-pH kusampula yamathe kanye nokuhlolwa kokubhafa…
Okunye okuvame kakhulu engikwenzayo ukuhlola ukuphelelwa amanzi emzimbeni kanye nemithi lapho isiguli silele sifulathele ngilukhiphe udebe lwaso lwangezansi lulukhiphe ngaphakathi, ngilubambe phansi udebe lwaso olungezansi, bese ngilumisa udebe lwaso. Ngemuva kwemizuzwana embalwa, kufanele kube namathonsi amazolo akheka ngaphakathi kodebe lwakho olungezansi. Uma unomlomo owome kakhulu, uvele ubukeke njengephepha lethishu - lihlala lomile. Kodwa uma ugcwele amanzi futhi ungekho kule mithi, uma wenza lokho kuhlola, ubona amathe ephuma ebusweni besikhumba. Lokho kubizwa ngokuthi amathe angavuselelwanga - lawo ngamathe agcina umlomo wakho umuhle futhi unomswakama.
Naleyo oyithola ngokuhlafuna ushingamu noma ngokufaka ulamula olimini lwakho ivuselela amathe. Isenzo sokuhlafuna sibangela ukuthi izindlala ze-parotid zifinyele futhi zikhiphe amathe amaningi emlonyeni wakho. Kukhona nezindlala ngaphansi kolimi lwakho. Ngakho lezo zindlala ezinkulu zonke zithinteka emisebeni yemisebe nemithi. Uyangizwa ukuthi ngiyazifela ngendaba. Uma sibheka emlonyeni wakho, ngokuvamile, lapho ngibuyisela othile ukuba ayohlolwa, uma umlomo wakhe ungagcwali ngamathe ngemva kwemizuzu embalwa, ngingase ngime ngithi, “O, awuwaphuzi amanzi amaningi, akunjalo?” noma “Awuzange usho noma yimiphi imithi, ingabe uqinisekile ukuthi awuthathi noma yimiphi imithi ebangela umlomo owomile?”
Njalo nje othile uthi, “O yebo, dokotela, ngisanda… ngabhema ukhula, ngethemba ukuthi kulungile,” noma enye into ebangela umlomo owomile — incwadi kadokotela noma okungeyona incwadi kadokotela. Siphinde sibheke izimpawu zokuqhekeka noma amabala amhlophe, okungaba i-candida. Singase sibhekisele kumaphaneli egazi noma imaging, noma kudokotela ohlinzayo ngomlomo noma i-periodontist ngezimo ze-autoimmune ezifana ne-Sjögren's. EKapa, isibonelo, sibhekisa kuSolwazi Jos Hiller wasenyuvesi ngamacala anzima.
[15:52 – 15:58] Eon Engelbrecht
Dr Yudelman, yimiphi imikhuba noma imikhiqizo yansuku zonke eyenza umlomo wakho owomile ube mubi kakhulu?
[15:59 – 17:58] Dr Clifford Yudelman
Ngivame ukutusa abantu ukuthi basebenzise i-mouthwash ngaphandle kotshwala noma bagweme i-mouthwash ngokuphelele. Noma yiluphi uhlobo lwe-Listerine olunotshwala lungakhumula noma yimuphi umswakama osele futhi lwenze ukungakhululeki kube kubi nakakhulu. Ukubhema kudume kabi ngokubangela umlomo owomile. Futhi uma uphuza ikhofi eliningi - amakhofi amabili noma amathathu ngosuku cishe awamabi kakhulu, kodwa i-caffeine eningi ephuma kumakhofi amaningi noma iziphuzo zamandla njenge-Red Bull ingabangela ukoma.
Ukuphefumula ngomlomo, ikakhulukazi ngesikhathi sokulala, kungenza umlomo wakho wome kakhulu. Senze isiqephu sokuqopha izindebe zondebe noma umlomo nesokuhona kanye ne-apneea yokulala. Ukuhlola ikhala lakho yi-ENT uma une-allergies engapheli noma ama-polyps ekhala kubalulekile - phefumula ngekhala lakho, hhayi ngomlomo wakho.
Ukudla okulula okunoshukela noma okune-acidic kuzonamathela emazinyweni akho - amathe aphansi kanye noshukela kuyindlela yokwenza inhlekelele. Uma umlomo wakho womile ngesizathu esisodwa noma esinye, ushukela kanye ne-asidi zishintsha ingozi yokubola phezulu.
[17:59 – 18:06] Eon Engelbrecht
Kulungile. Bese kuthi uDkt Yudelman, yimaphi amakhambi asekhaya ahlinzeka ngokukhululeka okungcono kakhulu?
[18:06 – 20:58] Dr Clifford Yudelman
Ukuphuza njalo amanzi - phatha ibhodlela bese uswayipha njalo emizuzwini eyi-10 ukuya kweyi-15. Ungagcina amanzi ebhodleleni le-spray bese uhlanza umlomo wakho. Ama-ice chips noma iqhwa elichotshoziwe kungasiza.
Engikuthandayo i-xylitol gum engenashukela - Orbit Professional nanoma iyiphi i-xylitol gum - evuselela amathe futhi esiza ekuvimbeleni izimbotshana.
Qaphela amalozenge omphimbo adayiswa njengamakhambi omlomo owomile - empeleni angamaswidi, futhi ngike ngabona iziguli esezikhulile zithola imigodi enzima ngokusetshenziswa njalo.
Izinto ezithatha indawo yamathe ezitolo sezithuthukile - amajeli nezifutho ezine-glycerine nezinye izinhlanganisela zilingisa amathe emvelo. Ziyinqaba ekuqaleni kodwa zigcoba umlomo kangcono kunamanzi. Ubaba ongasekho wayethembele kubo.
Ebusuku, cabanga nge-humidifier. Ngilala ngomshini we-CPAP onomswakama owakhelwe ngaphakathi kanye neshubhu elishisayo — awukho umlomo owomile lapho ngivuka. Abasebenzisi abaningi be-CPAP beqa isimswakama futhi babhekane nokoma.
[20:59 – 21:07] Eon Engelbrecht
Yebo. Ngifuna futhi ukukubuza, isiguli kufanele sifune nini ngempela ukwelashwa komlomo owomile?
[21:08 – 23:57] Dr Clifford Yudelman
Uma ube nomlomo owomile isikhathi esingaphezu kwamaviki amabili naphezu kokuzama lezi zinyathelo, bona udokotela wakho wamazinyo. Qala ngoku-Googling imithi yakho, kodwa engcono kune-Google i-ChatGPT enemodeli yokucabanga okuphezulu - icele izinsiza ezisekelwa ijenali esikhundleni samawebhusayithi angahleliwe.
Uma udokotela wakho wamazinyo ebona imigodi engachazeki - uhambe unyaka ngaphandle kokubola futhi manje unemigodi eyisithupha - khuluma ngomlomo wakho owomile. Uma ubona izifo zemvubelo njengama-candida patches, noma ukungakhululeki kwe-mucosal okuzwakala njengokuvutha, noma uma inkulumo nokugwinya kuba nzima, leyo yindawo yokunakwa kochwepheshe.
Abafake amazinyo okufakelwa badinga ukunakwa ikakhulukazi - amathe ahlinzeka ngokumunca amazinyo okufakelwa, njengamaslayidi amabili engilazi anethonsi lamanzi phakathi kwawo. Umlomo owomile = izindawo ezibuhlungu zamazinyo okufakelwa. Bonana nodokotela wamazinyo ngaphambi kokuba abe buhlungu.
[23:57 – 24:08] Eon Engelbrecht
Yebo, kuzwakala kungakhululekile. Ngitshele, Dkt Yudelman, yiziphi izindlela zokwelapha zasehhovisi ozinikezayo ze-xerostomia eqhubekayo noma umlomo owomile?
[24:09 – 26:53] Dr Clifford Yudelman
Ngaphandle kwalokho esesikushilo, singenza amathreyi enziwe ngokwezifiso e-tooth mousse (GC Tooth Mousse) ane-fluoride, i-calcium, ne-phosphate - uwagqokise njengamathreyi a-bleaching kodwa ngejeli yokubuyisela amaminerali.
Kunemithi kadokotela efana ne-pilocarpine ekhulisa ukugeleza kwamathe, kodwa leyo mithi ngiyidlulisela kochwepheshe abafana noDkt Jonathan Dutoy, udokotela we periodontist.
I-Photobiomodulation (i-low-level laser therapy) ezindlala zamathe kanye ngesonto imizuzwana engama-30 ikhombise isithembiso — kubhekiselwa kodokotela bamazinyo abasebenzisa i-laser njengoDkt Brian Scherr eKapa.
Imijovo ye-Platelet-rich fibrin (PRF) ezindlala zamathe iyisivivinyo kodwa ingasiza ezimeni ezinzima - phenya igazi lakho, jova ingxenye ye-fibrin ukuze uvuse izindlala.
[26:53 – 27:01] Eon Engelbrecht
Bese kuthi-ke uDkt Yudelman, iziguli zingawavikela kanjani amazinyo nezinsini kuyilapho amathe ephansi ngempela?
[27:02 – 29:14] Dr Clifford Yudelman
Sebenzisa i-fluoride toothpaste kabili ngosuku futhi uvele ukhafule, ungawashazi. Kwamanye amazwe sinikeza umuthi wokuxubha one-fluoride ephezulu (Prevident 5000); endaweni sisebenzisa i-Tooth Mousse. Ungawuhlikihla ngemva kokuxubha nokuvungula, uswayiphe bese uwushiya uvuliwe.
Thola ivanishi echwepheshile ye-fluoride njalo ngemva kwezinyanga ezintathu futhi ucabangele amavanishi engilazi e-ionomer ezindaweni ezisengozini - akhipha i-fluoride futhi angakhumbuza imigodi yokuqala.
Ungaphuthelwa ukuhlolwa — odokotela bamazinyo abajaha noma abeqa izihibe zokukhulisa bangase baphuthe ukubola ngaphambi kwesikhathi. Hlanza amazinyo njalo ezinyangeni ezintathu kunalezo eziyisithupha uma unomlomo owomile.
[29:14 – 29:23] Eon Engelbrecht
Kulungile, bese ekugcineni, Dkt Yudelman, yimuphi umkhuba wakho owodwa ongcono kakhulu wokuvimbela noma ukuphatha umlomo owomile isikhathi eside?
[29:24 – 29:58] Dr Clifford Yudelman
Nginezintathu: phatha futhi ngiphuze amanzi njalo ngemva kwemizuzu eyi-10-15, sebenzisa i-xylitol gum noma ama-lozenges, futhi ubuyekeze imithi yakho minyaka yonke nodokotela wakho ukuze ushintshe noma yini ebangela ukoma uma kungenzeka.
[29:58 – 30:08] Eon Engelbrecht
Kulungile, bese ngikholwa futhi ukuthi abalaleli bangabhukha izingxoxo zevidiyo zamahhala nawe uma bezwa ukuthi umlomo owomile uphazamisa impilo yabo yansuku zonke.
[30:09 – 31:42] Dr Clifford Yudelman
Yebo, ngokuqinisekile. Sinikeza imizuzu engu-30 yokubonisana ngevidiyo yamahhala, ngokuvamile ezigulini ezingaphandle kwedolobha ezicabangela ukuvakasha kwabasehhovisi. Sithola iziguli eLangebaan, Hermanus, eGoli naphesheya kwezilwandle imbala. Senza imizuzu engu-90 yokubonisana okujulile kwedijithali okuhlanganisa ama-X-ray e-3D, izikena, izithombe ngehora nesigamu cishe ngama-R3,400, kodwa ukubonisana ngevidiyo akuphoqelekile, akukhokhiswa.
Iziguli zigcwalisa umlando wazo wezokwelapha ogcwele, zithumele izithombe, futhi sirekhoda lapho sibonisana khona — isikhathi esisemthethweni sokubonana ngocingo, hhayi nje ingxoxo ye-WhatsApp. Uma kukhona ofuna ukuzama, lalela i-podcast yethu ngokubonisana ngevidiyo.
[31:43 – 31:46] Eon Engelbrecht
Yebo, baningi. Singakwazi ukubhekisela kubo ngaso sonke isikhathi.
[31:49 – 31:50] Dr Clifford Yudelman
Kuhle lokho.
[31:50 – 31:51] Eon Engelbrecht
Kuhle kakhulu.
[31:51 – 32:29] Dr Clifford Yudelman
Lena kwakuyinombolo 72. Yebo, kunjalo. Sibheke ngabomvu isonto elizayo. Sinezihloko ezinhle ezisazovela. Ubungacabanga ukuthi ngabe ngiphelelwe izinto engingazisho, kodwa ngithola imibono eyengeziwe. Ngaso sonke isikhathi ngibona isiguli futhi sinombuzo othile noma kukhona othize… Ngibhala inothi bese ngicabanga, “O, kufanele ngenze i-podcast kulokho.” Ngesonto elizayo, sizokhuluma nge-acid reflux nokuthi iwathinta kanjani amazinyo akho, ukuthi ibangela kanjani ukuguguleka kwamazinyo.
[32:29 – 32:30] Eon Engelbrecht
Awu yebo.
[32:30 – 32:33] Dr Clifford Yudelman
Kuyakhanya lokho. Iba nesi qiniseko. Yebo. Shuna.
[32:33 – 32:34] Eon Engelbrecht
Ngibheke phambili kulokho.
[32:34 – 32:35] Dr Clifford Yudelman
Ngokuvamile akuxilongwa.
[32:35 – 32:48] Eon Engelbrecht
Yebo. Kumnandi. Ikukhombisa nje, heyi, mayelana nezihloko, ukuthi umhlaba ungakanani—umhlaba wamazinyo. Kumane nje… kungumhlaba omkhulu, omkhulu kakhulu, umhlaba wamazinyo.
[32:49 – 33:18] Dr Clifford Yudelman
Yebo, ngiyafunda ngaso sonke isikhathi. Ngiye esifundweni ngoLwesine olwedlule mayelana nezimonyo zamazinyo kanye ne-digital smile design nokunye. Nakuba ngangazi izinto eziningi eziyisisekelo, ufunda okuthile ngaso sonke isikhathi. Futhi ngemva kweminyaka engu-42, ngihlala ngifunda futhi ngicwaninga kwamanye amaphodikhasti ethu. Hhayi-ke, ngicwaninga wonke umuntu futhi ngifunda ku-podcast yami njengoba sihamba kanjalo.
[33:18 – 33:29] Eon Engelbrecht
Impela, kuyamangaza lokho. Yebo, usifundisa sonke futhi sikwazisa kakhulu. Ngakho-ke siyabonga futhi ngokuhlanganyela nathi lapha ku-Save Your Money, Save Your Amazinyo, Dr Yudelman.
[33:29 – 33:33] Dr Clifford Yudelman
Ngiyabonga ngokuba nami. Futhi kuze kube yisonto elizayo, yiba nenhle.
[33:34 – 34:17] Eon Engelbrecht
Nawe. Futhi sibonga kakhulu kubalaleli bethu ngokuhlanganyela nathi. Khumbula ukubhalisa nokwabelana nge-podcast yethu, ikakhulukazi epulatifomu ye-Spotify. Futhi sibonga kakhulu kubalaleli bethu ngokusilalela nokuba nathi. Futhi khumbula, ngenkathi silwela ukukunikeza imininingwane ebalulekile, hlala uthintana nochwepheshe wakho wamazinyo ukuze uthole iseluleko esifanelana nempilo yakho siqu. Futhi ungakhohlwa ukubhalisa ukuze uthole izingxoxo ezengeziwe ezikhanyisayo. Hlanganyela nathi ngesonto elizayo njengoba siqhubeka nokuhlola umgwaqo othakazelisayo futhi wezempilo yamazinyo kanye nolwazi lwezezimali. Kuze kube yileso sikhathi, hlala ugcwele amanzi futhi uqhubeke umomotheka.
[34:38 – 35:23] Mmemezeli
Thola umhlaba wobuhle bamazinyo nge-OptiSmile. Hlanganyela nathi nge-podcast yamasonto onke ehlanganisa uDkt Clifford Yudelman, uchwepheshe ongumakadebona oneminyaka engama-40 yolwazi lwamazinyo kuwo wonke amazwekazi amane. Thola ulwazi oluyingqayizivele kanye nezeluleko zamazinyo ezingochwepheshe ngokuvakashela i-OptiSmile.co.za ukuze uthole izindatshana ezikhanyisa indlela eya empilweni yomlomo ephelele. Uma ufuna ukunakekelwa kwamazinyo okungenakuqhathaniswa eKapa, thintana ne-OptiSmile noma ubhukhe ngokuqondile ku-inthanethi ku-OptiSmile.co.za. I-OptiSmile, lapho ubuchwepheshe bomhlaba wonke buhlangabezana nokunakekelwa kwasendaweni.
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.
