Ubuvuzi bw'urumuri rwo mu kanwa, mu buryo bwa laser na LED zo mu rwego rwo hasi, bumaze imyaka ibarirwa muri za mirongo bukoreshwa mu buvuzi bw'amenyo. Nk'imwe mu mashami yizewe cyane ku buzima bw'amenyo, ubushakashatsi bwihuse kuri interineti (kuva mu 2016) busangamo ubushakashatsi ibihumbi n'ibihumbi buturutse mu bihugu hirya no hino ku isi, n'ubundi bubarirwa mu magana buri mwaka.
Ubwiza bw'ubushakashatsi muri uru rwego buratandukanye, kuva ku igeragezwa rya mbere kugeza ku bushakashatsi bubiri bugenzurwa na placebo. Nubwo ubushakashatsi bwa siyansi bwagutse kandi bukoreshwa cyane mu buvuzi, ubuvuzi bw'urumuri mu rugo ku bibazo byo mu kanwa ntabwo bukwirakwira hose, kubera impamvu zitandukanye. Ese abantu bagombye gutangira gukora ubuvuzi bw'urumuri mu kanwa mu rugo?
Isuku yo mu kanwa: ese uburyo bwo kuvura urumuri rutukura bugereranywa no koza amenyo?
Kimwe mu byavumbuwe bitangaje cyane mu gusuzuma inyandiko ni uko uburyo bwo kuvura hakoreshejwe urumuri ku bunini bw'urumuri runaka bugabanya umubare wa bagiteri zo mu kanwa n'ibipimo bya biofilm. Mu bihe bimwe na bimwe, ariko atari byose, ku rugero runini kuruta koza amenyo buri gihe/gukaraba mu kanwa.
Ubushakashatsi bwakorewe muri uru rwego muri rusange bwibanda kuri bagiteri zikunze kugira uruhare mu kwangirika kw'amenyo / imiyoboro (Streptococci, Lactobacilli) n'indwara z'amenyo (enterococci - ubwoko bwa bagiteri bufitanye isano n'ibisebe, indwara z'imiyoboro y'amazi n'izindi). Umucyo utukura (cyangwa infrared, uburebure bwa 600-1000nm) usa nkaho ufasha mu bibazo by'ururimi rwera cyangwa rufite ibara ry'umweru, bishobora guterwa n'ibintu byinshi birimo umusemburo na bagiteri.
Nubwo ubushakashatsi ku mikorobe muri aka gace bukiri ubw'ibanze, ibimenyetso birashishikaje. Ubushakashatsi mu bindi bice by'umubiri nabwo bwerekana ko urumuri rutukura rukora mu kwirinda indwara. Ese igihe kirageze ngo wongereho uburyo bwo kuvura urumuri rutukura mu isuku yo mu kanwa kawe?
Kumenya amenyo: ese urumuri rutukura rushobora gufasha?
Kugira iryinyo rigoye cyane bitera imihangayiko kandi bigabanya ubuzima bwiza - umuntu urwaye ntaba akibasha kwishimira ibintu nka ice cream na kawa. Ndetse no guhumeka mu kanwa gusa bishobora gutera ububabare. Abantu benshi barwaye bafite ubukonje, ariko bake bafite ubushyuhe bukabije, akenshi bukaba bubi cyane.
Hari ubushakashatsi bwinshi bwakozwe ku kuvura amenyo yoroshye (azwi nka dentin hypersensitivity) hakoreshejwe urumuri rutukura n'urumuri rwa infrared, kandi ibisubizo bishimishije byatanzwe. Impamvu abashakashatsi bashishikajwe nabyo mbere ni uko bitandukanye n'urwego rw'amenyo rwa enamel, urwego rw'amenyo mu by'ukuri ruhora rwongera kubaho mu buzima binyuze mu buryo bwitwa dentinogenesis. Bamwe bizera ko urumuri rutukura rufite ubushobozi bwo kunoza umuvuduko n'imikorere y'iyi nzira, rugakora ku kunoza metabolism mu turemangingo tw'amenyo - uturemangingo two mu menyo dushinzwe dentinogenesis.
Dufashe ko nta kintu cyuzuye cyangwa ikintu cy’amahanga gishobora kubuza cyangwa kubangamira ikorwa rya dentin, kuvura urumuri rutukura ni ikintu gishimishije cyo gusuzuma mu ntambara yawe n’amenyo yoroshye.
Kubabara amenyo: urumuri rutukura rugereranywa n'imiti isanzwe igabanya ububabare?
Ubuvuzi bw'urumuri rutukura bwizewe neza ku bibazo by'ububabare. Ibi ni ukuri ku menyo, kimwe n'ahandi hose mu mubiri. Mu by'ukuri, abaganga b'amenyo bakoresha imirasire yo mu bwoko bwa laser yo hasi mu mavuriro kubera iyo mpamvu.
Abashyigikiye bavuga ko urumuri rudafasha gusa ibimenyetso by'ububabare, bavuga ko mu by'ukuri rufasha ku nzego zitandukanye mu kuvura icyabiteye (nk'uko byavuzwe haruguru - bishobora kwica bagiteri no kongera kubaka amenyo, n'ibindi).
Gutera amenyo: ubuvuzi bw'urumuri rwo mu kanwa bufite akamaro?
Inyinshi mu bushakashatsi bwakozwe mu rwego rwo kuvura amenyo hakoreshejwe urumuri rwo mu kanwa bwibanda ku kuvura amenyo. Ntibitangaje kuba abashakashatsi bashishikajwe n'ibi, kuko hari ibimenyetso bigaragaza ko umuvuduko wo kugenda kw'amenyo ku bantu bafite ibyuma bishobora kwiyongera iyo bashyizeho urumuri rutukura. Ibi bivuze ko ukoresheje igikoresho gikwiye cyo kuvura amenyo, ushobora gukuraho ibyuma byawe vuba kandi ukongera kwishimira ibiryo n'ubuzima.
Nkuko byavuzwe haruguru, urumuri rutukura ruvuye ku gikoresho gikwiye rushobora gufasha kugabanya ububabare, ari na yo ngaruka zikomeye kandi zikunze kugaragara zo kuvura amenyo. Hafi ya buri wese wambaye ibyuma bifasha mu kuvura amenyo, agira ububabare buri hagati y’ububabare n’uburemere mu kanwa, hafi ya buri munsi. Ibi bishobora kugira ingaruka mbi ku biribwa bateguye kurya kandi bishobora gutuma barya imiti gakondo igabanya ububabare nka ibuprofen na parasetamol. Ubuvuzi bworoheje ni igitekerezo gishimishije kandi kidakunze gutekerezwaho kugira ngo gifashe kugabanya ububabare buterwa n’ibyuma bifasha mu kuvura amenyo.
Kwangirika kw'amenyo, ishinya n'amagufwa: amahirwe yo gukira hakoreshejwe urumuri rutukura ni meza kurushaho?
Kwangirika kw'amenyo, ishinya, imitsi n'amagufwa biyishyigikira bishobora guterwa n'impamvu zitandukanye, harimo kwangirika bisanzwe, gukomereka ku mubiri, indwara y'ishinya no kubagwa implant. Twavuze haruguru ku bijyanye n'urumuri rutukura rushobora gukiza amenyo y'amenyo ariko kandi byagaragaje ko ari byiza kuri izi ngingo zindi zo mu kanwa.
Ubushakashatsi bwinshi bureba niba urumuri rutukura rushobora kwihutisha gukira kw'ibikomere no kugabanya ububyimbirwe mu ishinya. Hari n'ubushakashatsi bureba ubushobozi bwo gukomeza amagufwa yo mu ishinya hatabayeho kubagwa. Mu by'ukuri, urumuri rutukura n'urumuri rwa infrared byombi byigwa neza ahandi ku mubiri hagamijwe kunoza ubucucike bw'amagufwa (bivugwa ko bikorana n'uturemangingo twa osteoblast - uturemangingo dushinzwe gukora amagufwa).
Igitekerezo nyamukuru gisobanura uburyo bwo kuvura hakoreshejwe urumuri kivuga ko amaherezo butuma urugero rwa ATP mu turemangingo rwiyongera, bigatuma osteoblasts zikora imirimo yazo yihariye (yo kubaka collagen matrix no kuyuzuzamo imyunyungugu y'amagufwa).
Urumuri rutukura rukora gute mu mubiri?
Bishobora gusa n'ibitangaje kuba uburyo bwo kuvura urumuri bwigwa ku bibazo byose by'ubuzima bw'amenyo, niba utazi uburyo bukoreshwa. Umucyo utukura n'urumuri rwa infrared bivugwa ko bikora cyane cyane kuri mitochondria y'uturemangingo, biganisha ku gukora ingufu nyinshi (ATP). Uturemangingo twose dufite mitochondria, mu by'ukuri, tuzabona inyungu zimwe na zimwe mu buryo bwo kuvura urumuri bukwiye.
Gutanga ingufu ni ingenzi ku buzima no ku miterere/imikorere y'uturemangingo. By'umwihariko, urumuri rutukura rutandukanya okiside nitrike na molekile za cytochrome c oxidase metabolism muri mitochondria.Oxyde nitrike ni 'hormone itera stress' kuko igabanya imbaraga zitangwa - urumuri rutukura rukuraho iyi ngaruka.
Hari izindi nzego urumuri rutukura rutekereza ko rukoraho, nko kunoza ubushyuhe bw'ubuso bwa cytoplasm y'uturemangingo, kurekura ubwoko buke bwa ogisijeni ikora (ROS), nibindi, ariko icya mbere ni ukongera umusaruro wa ATP binyuze mu gukumira okiside nitrique.
Urumuri rwiza rwo kuvura urumuri rwo mu kanwa?
Ubunini butandukanye bw'uburebure bw'urumuri bwagaragaye ko bufite akamaro, harimo 630nm, 685nm, 810nm, 830nm, nibindi. Ubushakashatsi bwinshi bwagereranije imirasire ya laser na LED, igaragaza ibisubizo bingana (kandi rimwe na rimwe byiza) ku buzima bw'amenyo. LED zirahendutse cyane, zikaba zihendutse gukoreshwa mu rugo.
Igisabwa cy'ingenzi mu kuvura urumuri rwo mu kanwa ni ubushobozi bw'urumuri bwo kwinjira mu ishinya, hanyuma rukagera no mu ishinya, mu ishinya no mu magufwa. Uruhu n'inyama zo mu maso biziba 90-95% by'urumuri rwinjira. Bityo rero, amasoko akomeye y'urumuri ni ngombwa ku bijyanye n'amatara ya LED. Ibikoresho by'urumuri rudakomeye byagira ingaruka gusa ku bibazo byo hejuru; ntibishobora gukuraho indwara zimbitse, kuvura ishinya, amagufwa no kugera ku menyo y'amenyo bikagorana.
Niba urumuri rushobora kwinjira mu kiganza cyawe ku rugero runaka, bizaba byiza kwinjira mu matama yawe. Urumuri rwa infrared rwinjira mu bujyakuzimu bunini gato kurusha urumuri rutukura, nubwo imbaraga z'urumuri ari zo zihora ari zo kintu cy'ingenzi mu kwinjira.
Bityo, byaba byiza gukoresha urumuri rwa LED rutukura/rufite infrarouge ruturutse ahantu hanini (50 – 200mW/cm² cyangwa hejuru y’ingufu). Ibikoresho by’ingufu nke birashobora gukoreshwa, ariko igihe cyo gukoresha neza cyaba kinini cyane.
Umurongo w'ibanze
Itara ritukura cyangwa infraredikorerwaho ubushakashatsi ku bice bitandukanye by'amenyo n'ishinya, no ku bijyanye n'umubare wa bagiteri.
Uburebure bw'umurambararo bujyanye n'ubu ni 600-1000nm.
Ibyuma bya LED na laser byagaragaye mu bushakashatsi.
Uburyo bwo kuvura bworoheje ni ngombwa kubanza gusuzuma ibintu nk'ibi bikurikira: amenyo yoroshye, ububabare bw'amenyo, indwara zandura, isuku yo mu kanwa muri rusange, kwangirika kw'amenyo/ishinya…
Abantu bafite ibyuma bikingira umubiri nta gushidikanya ko bashishikajwe n'ubushakashatsi bumwe na bumwe.
Amatara y'umutuku n'ay'urumuri rwa infrared byombi byigwa ku bijyanye n'urumuri rwo mu kanwa. Amatara akomeye arakenewe kugira ngo umuntu yinjire mu ishinya cyangwa mu musaya.