IAOMT na inganta haɗin lafiyar baki
Duk da yake likitocin kiwon lafiya sun yarda da cututtukan lokaci saboda rawar da take takawa a cikin cututtukan zuciya da ciwon sukari, har yanzu ba a iya fahimtar tasirin wasu hakora da haƙori da lafiyar jiki gaba ɗaya. Koyaya, tunda bakin ƙofa ne ga hanyar narkewar abinci, bai kamata ya zama abin mamaki ba cewa abin da ke faruwa a cikin ramin bakin yana tasiri ga sauran jiki (kuma akasin haka, kamar yadda yake a batun ciwon suga). Kodayake yana iya zama bayyane cewa yanayin haƙori da kayan aiki na iya tasiri kan tsarin ɗan adam duka, akwai cikakkiyar buƙata ga al'umman kiwon lafiya na yau da kullun, masu tsara manufofi, da jama'a su sami ilimi game da wannan gaskiyar.
Ilimin hakora na ilmin halitta da Haɗin Lafiyar Lafiya
Ilimin hakora na ilimin halittu ba wani keɓaɓɓiyar fannin likitan hakori bane, amma tsari ne na tunani da ɗabi'a wacce zata iya amfani da dukkan fuskokin likitan hakori da kuma kiwon lafiya gaba ɗaya: koyaushe neman mafi aminci, mafi ƙarancin hanya mai guba don cimma burin likitan hakora na zamani da na kiwon lafiya na zamani da kuma don gane mahimman alaƙa tsakanin lafiyar baki da lafiyar baki ɗaya. Ka'idojin likitan hakori na iya ba da labari da kuma kutsa kai tare da dukkan batutuwan tattaunawa a cikin kiwon lafiya, tunda lafiyar baki wani bangare ne na lafiyar dukkan mutum.
Kwararrun likitocin hakora sun karfafa aikin likitan mara hauka da amintaccen hakora da nufin taimakawa wasu su fahimci mene ne ma'anar wadannan kalmomin a aikace-aikace na asibiti:
- "Kyauta ba ta Mercury" kalma ce mai fa'ida da fa'idodi masu yawa, amma galibi tana nufin ayyukan hakora waɗanda ba su sanya cikewar amalgam na haƙori.
- "Mercury-safe" yawanci yana nufin ayyukan hakori waɗanda ke amfani da sabbin matakan kariya masu tsauri dangane da binciken kimiyya na yau da kullun don iyakance haɗuwa, kamar a batun cire abubuwan cikewar amalgam na haƙori na baya da maye gurbinsu da wanda ba na mercury ba madadin.
- "Halittu" ko "Biocompatible" Dentistry yawanci tana nufin hakora ayyuka da cewa amfani da mercury-free da Mercury-lafiya Dentistry yayin da kuma la'akari da tasirin da hakora yanayi, na'urorin, da jiyya a kan baka da kuma tsarin kiwon lafiya, ciki har da biocompatibility na hakori kayan da dabaru .
Baya ga la'akari da haɗarin cikewar mercury da kuma hadewa da kayan hakora (gami da amfani da rashin lafiyan da gwajin hankali), likitan hakora ya kara bayani kan karafa mai nauyi detoxification da chelation, abinci mai gina jiki da lafiyar jijiyar baka, kwalliyar baka, kasadar kamuwa da sinadarin fluoride na yau da kullun, fa'idodin ilimin zamani na zamani, tasirin jijiyoyin jijiyoyi akan lafiyar marasa lafiya, da kuma ganewar asali da kuma maganin neuralgia wanda ke haifar da ciwon sankarar ƙwaryar ƙafa (NICO) da kashin baya na osteonecrosis (JON).
A cikin membobinmu, likitocin hakoran IAOMT suna da matakai daban-daban na horo a cikin maras nauyi, amintaccen Mercury, da likitan hakora. Danna nan don morearin koyo game da ilmin likita.
Tabbacin Bukatar Hadin Lafiyar Lafiyar baki
Yawancin rahotanni na baya-bayan nan sun tabbatar da gaggawa ga lafiyar baki don kasancewa cikin kyakkyawan yanayin kiwon lafiyar jama'a. A zahiri, Healthy People 2020, wani aiki ne na Ofishin Rigakafin Cututtuka da Inganta Lafiya na gwamnatin Amurka, ya gano wani muhimmin yanki na inganta lafiyar jama'a: don ƙara wayar da kan jama'a game da mahimmancin lafiyar baka ga lafiyar gaba ɗaya da lafiyarta.1
Aya daga cikin dalilan wannan buƙatar da ake buƙata shine Miliyoyin Amurkawa suna da ciwon haƙora, cututtukan periodontal, matsalolin numfashi na rashin bacci, ɓarkewar leɓe da faranta, ciwon baki da fuska, da ciwon daji na baki da na pharyngeal..2 Illolin da ke tattare da waɗannan yanayin maganganun suna da yawa. Misali, cutar lokaci-lokaci abu ne mai hadari ga ciwon sukari, cututtukan zuciya, cututtukan numfashi, bugun jini, haihuwa da wuri, da ƙananan nauyin haihuwa.3 4 5 Bugu da ƙari, matsalolin lafiyar baki a cikin yara na iya haifar da ƙarancin kulawa, wahala a makaranta, da kuma batun abinci da barci.6 Hakanan, matsalolin lafiyar baka a cikin tsofaffi na iya haifar da nakasa da raguwar motsi.7 Waɗannan su ne 'yan misalai kaɗan na sanannun tasirin rashin lafiyar baka a kan lafiyar gaba ɗaya.
A cikin su Rahoton 2011 Ci gaban Lafiyar Baki a Amurka, Cibiyar Magunguna (IOM) ta bayyana wajibcin haɗin gwiwar masu haɗin gwiwar kiwon lafiya a fili. Baya ga inganta kulawar marasa lafiya, an fahimci hadewar lafiyar baki tare da sauran fannoni a matsayin hanyar rage kudin kiwon lafiya.8 Bugu da ari, hukumar ta IOM ta yi gargadin cewa rabuwa da kwararrun likitocin hakori da sauran kwararrun likitocin ba daidai ba yana tasiri lafiyar marasa lafiya.9 Mafi daidaito, Shugaban Kwamitin kan Lafiyar Lafiyar Richard Krugman ya ce: “Tsarin lafiyar baka har yanzu ya dogara ne da na gargajiya, keɓaɓɓen tsarin kula da haƙori a tsarin aikin masu zaman kansu — samfurin da ba koyaushe ke amfani da ɓangarorin Amurkawa ba. da kyau. ”10
An tabbatar da gaskiyar marasa lafiyar da ke jimre da sakamako mai cutarwa sakamakon cire lafiyar baka daga shirye-shiryen likita a cikin wasu rahotanni. A cikin wani sharhin da aka buga a cikin Jaridar Amirka ta Lafiya ta Jama'a, Leonard A. Cohen, DDS, MPH, MS, ya bayyana cewa marasa lafiya suna wahala lokacin da babu wata haɗi tsakanin likitan hakora da likita.11 Abin sha'awa, an bayar da rahoton cewa marasa lafiya suna son a haɗa wannan haɗin, kamar yadda masu bincike suka lura: "Kamar yadda sha'awar kula da lafiyar haɗin kai da kuma amfani da ƙarin hanyoyin da za a iya amfani da su ta hanyar masu amfani ya ci gaba da haɓaka, damuwa ya karu cewa a sanar da ƙwararrun likitocin sosai. game da lafiyar haɗin kai ta yadda za su iya kulawa da marasa lafiya yadda ya kamata. ”12
A bayyane yake cewa marasa lafiya da masu yin aiki tare suna fa'idantar da juna daga ingantacciyar hanya don lafiyar baka da lafiyar jama'a. Na farko, yanayin lafiyar baki na iya zama nuni ga wasu matsalolin kiwon lafiya da suka haɗa da ƙarancin abinci mai gina jiki, cututtukan tsari, cututtukan ƙwayoyin cuta, cututtukan rigakafi, raunin da ya faru, da wasu nau'o'in cutar kansa.13 Na gaba, marasa lafiya da ke jimre da cututtukan cututtuka daga yanayin lafiyar baka kamar cututtuka, ƙwarewar sinadarai, TMJ (cututtukan haɗin gwiwa na zamani), ciwon craniofacial, da rikicewar bacci na iya amfana daga haɗin gwiwar masu sana'a. Hakanan an yi kira ga irin wannan haɗin gwiwa dangane da rikicewar maganganu daga maganin kansa da sauran magunguna14 kuma dangane da kayan da zasu iya haduwa dashi.15 Kasancewa tsakanin halittu yana da mahimmanci musamman saboda cututtukan hakoran hakoran hakora na iya haifar da tarin maganganu na yau da kullun game da lafiya16 kuma yana tasiri kusan Amurkawa miliyan 21 a yau.17 Koyaya, waɗannan ƙididdigar na iya zama mafi girma saboda binciken da aka yi kwanan nan da rahotanni sun nuna cewa rashin lafiyar ƙarfe na ta ƙaruwa.18 19
Mahimman Ingantawa don Haɗa Lafiyar Lafiyar Baka
Duk waɗannan yanayi da ƙari suna ba da shaida cewa al'amuran lafiyar baka dole ne su zama gama gari a cikin ilimin likita da horo. Saboda makarantun hakori da ilimi gaba daya ya bambanta da makarantun likitanci da ci gaba da ilimi, likitoci, ma'aikatan jinya, da sauran masu sana'a na kiwon lafiya galibi ba su da masaniya game da kula da lafiyar baki, gami da amincewa da cututtukan baka.20 A gaskiya ma, an bayar da rahoton cewa kawai 1-2 hours a kowace shekara na shirye-shiryen magani na iyali ana ba su don ilimin lafiyar hakori.21
Rashin ilimi da horo yana da fa'idodi masu yawa ga lafiyar jama'a. Baya ga duk yanayin da yanayin da aka ambata a sama, wasu sakamakon bazai zama bayyananne ba. Misali, akasarin marasa lafiya masu koke-koken hakori da sassan gaggawa na asibiti (ED) ke gani yawanci suna fama da ciwo da kamuwa da cuta, kuma rashin ilimin ED game da lafiyar baki an ambata a matsayin mai ba da gudummawa don dogaro da dogaro da kuma juriya na kwayoyin.22
Wannan rashin wayewar ya bayyana ne saboda rashin dama. Duk da yake masu koyon aikin sun nuna sha'awa da horo game da lafiyar baka, wannan batun a al'adance ba a gabatar da shi a tsarin karatun likitanci.23 Koyaya, an sami kwarin gwiwa kan canje-canje, kamar su Shugaban Kwamitin kan Lafiyar Lafiyar Maganar Richard Krugman: “Ya kamata a kara himma don tallafa wa ilimi da horar da dukkan kwararru a fannin kiwon lafiya a fannin kula da lafiyar baki da kuma inganta bambance-bambance, na hadin gwiwa. hanyoyin.24
Encouragementarfafawa don irin waɗannan canje-canje na gaggawa yana bayyana yana yin tasiri. Wasu misalan sabbin samfuran zamani da tsari suna kirkirar wata sabuwar makoma a hadewar lafiyar baki da lafiyar jama'a. IAOMT wani bangare ne na wannan sabuwar makomar kuma yana inganta hadin kai tsakanin likitocin hakora da sauran kwararrun likitocin domin marasa lafiya su sami karin lafiya.
