Njengodokotela bamazinyo abanomqondo ophilayo, silwela ukufeza yonke imigomo yodokotela bamazinyo besimanje ngenkathi sinyathela kancane ngangokunokwenzeka ezindaweni zeziguli zethu eziphilayo. Ngakho-ke ngenkathi sisebenzela ukukhulisa amandla, ukuqina, ukunethezeka nama-esthetics, sifuna ukunciphisa ubuthi, ukuvuselelwa komzimba kanye nengcindezi ye-galvanic.
Izinto zokubuyisela esizisebenzisayo namuhla zonke zenziwe kucatshangelwa “abantu abaningi”. Abantu abaningi bangakwazi ukubekezelela ubuthi obuncane, ukuvuselelwa komzimba, nokucindezeleka kwe-galvanic. Kodwa-ke, kukhona abangaphandle, futhi mhlawumbe amanani abo ayakhula, abangakwazi ukumelana nalezo zingcindezi kanye nokunye. Ukuvama kokuzwela kwamakhemikhali amaningi (MCS) kuye kwabikwa ukuthi kuphakathi kuka-12 no-33% kubantu abaningi, kanti aba-2 kuya ku-6% baye batholakala benjalo.
Kunesisekelo esibhalwe kahle esingokomzimba se-MCS. Ukuhlukahluka kofuzo kushiya abanye abantu benama-enzyme angasebenzi kahle ezindleleni ezibucayi zokuqeda ubuthi, njenge-methylation, i-phase-2 conjugation, ukunciphisa i-glutathione ene-oxidized, ukuthuthwa kwe-membrane, nokunye. Umphumela uba ukuthi abakwazi ukukhipha amakhemikhali abachayeke kuwo ngokuphumelelayo futhi empeleni banoshevu. Abanye abacwaningi baye basikisela ukuthi zikhona izingxenye ezingokwengqondo kulesi sifo. Ngokuqinisekile okuhlangenwe nakho kwe-MCS kuholela ekwesabeni ukuchayeka ezinhliziyweni zalezi ziguli, kuhlanganise nokwesaba izinto ezisetshenziswa amazinyo.
Ngaphezu kwalokho, kunenani elibalulekile labantu abaguliswa ngokweqile noma abasabela ngokungemthetho kumakhemikhali asendaweni yabo. Lesi simo sisukela kokungaphatheki kahle komzimba kwangempela kuya kokuthile okufana nokungezwani nokudla okungaguquki. Kuholela ezinhlobonhlobo ze-idiosyncratic, ukusabela komzimba komuntu ngamunye kakhulu kubantu abathintekayo.
Laba bantu bavame ukuzazi ukuthi bangobani, futhi babonga kakhulu lapho udokotela wabo wamazinyo evuma inkinga lapho ebanikeza amazinyo. Phela, abantu bangakwazi ukulawula ukuzwela kokudla ngokushintshanisa ukudla kwabo, kodwa abakwazi ukushintshanisa ukugcwaliswa kwamazinyo okufakelwa afakwe unomphela. Ngokuzijwayeza ukuhlola ukuhambelana kwe-biocompatibility komuntu ngamunye kanye nokwenza ezinye izinqumo zomqondo ojwayelekile, singakwazi (cishe) njalo ukuthola inhlanganisela yezinto ezisebenza kahle zokubuyisela ezizokwazi ukwenza umsebenzi. Singakwazi ukulungisa amazinyo futhi, ngesikhathi esifanayo, sisize iziguli zethu zigweme ubuthi, ukuzivikela komzimba, kanye nengcindezi ye-galvanic, futhi, kubaluleke kakhulu, sizinikeze ukuthula kwengqondo.
Ngasikhathi sinye, "abantu abaningi" bayazuza ezingeni elifanayo lokunakekelwa, noma ngabe bengazi, noma bengazi ukuthi banobucayi bemakhemikhali.
Abalingisi ababi
Izinto ezimbalwa ezijwayelekile zamazinyo aziphaphathekile ngokuphelele futhi akufanele neze zisetshenziswe. I-Mercury amalgam – 'kusho i-nuff, kodwa ungakhohlwa ukubaluleka kwamasu okuvimbela ngokucophelela lapho uwasusa ukuze uvikele isiguli, udokotela, nabasebenzi ekuchayekeni kwe-mercury phakathi nenqubo.
I-nickel yokungezwani komzimba ivame kakhulu kubantu kangangokuthi ukusetshenziswa kwayo emtholampilo wamazinyo kuyacasula. Ngeshwa, ngenxa yomehluko ekuphenduleni kokuzivikela komzimba phakathi kwesikhumba kanye ne-mucosa, ingxube ye-nickel efanayo engenza isikhumba somuntu siphume uma sisetshenziswa icici ngeke sibangele ukuqubuka emlonyeni. Ngakho-ke kunzima ukukhomba inkinga esobala ngezinto. Kodwa iphakamisa izinga eliphelele lokusebenza kabusha komzimba emzimbeni futhi akufanele isetshenziswe.
Lokhu kungabaza ukuphepha kwemiqhele yensimbi engagqwali, ikakhulukazi inhlobonhlobo yeNiCro. Futhi, i-nickel namanye ama-alloys ensimbi angabalulekile avame ukufaka isandla ngokungalingani kugesi we-galvanic emlonyeni.
Ukuvuselelwa komzimba
Izinto zokwakha amazinyo ezifakwe emazinyweni ziveza ukuvezwa kwesistimu, okusho ukuthi kungenzeka ukuphendula komzimba. Amalebhu amabili emitholampilo ahlinzeka "ngokuhlolwa kokuhambisana kwe-serum" kwezinto zokwenziwa kwamazinyo, okubandakanya ukuhlola i-serum yegazi ngama-antibody asevele ekhona kuzinsimbi namakhemikhali angaphezu kwe-140 atholakala ezintweni zamazinyo. Ikhemikhali ngayinye ibekwa ngokuya ngokuthi idala ama-clumps ku-serum noma cha. Uma ihlangana, kune-antibody emelene nayo. Uma ingekho i-clump, ayikho i-antibody esabelayo.
Uhlelo lwe-computer lube seluhlanganisa lezo zingxenye zibe izinkulungwane zemikhiqizo yamagama. Uma kukhona ikhemikhali esebenzayo emkhiqizweni, imakwa futhi ibhalwe ukuthi ayamukeleki. Womabili amalebhu ahlinzeka ngebhukwana lemiphumela ngegama lomkhiqizo nangesigaba.
Amalebhu amabili yilawa:
I-Elisa / Act Biotechnologies, www.izamela.com, 800-553-5472 (ayitholakali okwesikhashana kuze kube uJulayi 2023).
Amalebhu eBiocomp, www.biocomplabs.com, 800-331-2303
Womabili amalebhu anamawebhusayithi afundisa kakhulu futhi azimisele ukuxoxa ngamasu awo nezinto azithandayo.
Imizila yokuhambisana yeSerum
Ngemva kokunquma ukuthi iyiphi ilebhu ofuna ukuyisebenzisa, thola izinsiza zokuhlola, noma zithunyelwe ngokuqondile esigulini ngasinye. Nikeza isiguli incwadi kadokotela yokudonsa igazi ngaphandle uma wenza lokho ngokwakho. Isiguli sithatha ikhithi siyiyise elebhu yegazi eseduze, njenge-Quest Diagnostics, Labcor, noma isibhedlela sendawo. Isiguli sigcwalisa amaphepha afakiwe futhi sihlanganisa isheke. Ilebhu yegazi idonsa ishubhu elilodwa legazi, ilungise i-serum efriziwe, futhi ihambise ubusuku bonke isampula kulebhu yokuhambisana. Kungcono ukudweba isampula ekuqaleni kwesonto, ukuze i-Biocomp noma i-Clifford ikwazi ukuyithola ngaphambi kwempelasonto. Womabili amalebhu ayashesha ekubuyiseleni imiphumela kuwe.
IClifford Consulting Lab nayo izogcina uhlu lwezinto ozithandayo, bese imiphumela yalabo izovela ekhasini lokuqala lombiko.
Ubani okufanele ahlolwe? Amanye amalungu ethu ahlola zonke iziguli ezintsha, kanti amanye ahlola kuphela lawo anezinkinga ezibhaliwe ze-MCS. Lokho kuwucingo lokwahlulela lomtholampilo.
Ama-lens amaningi
Okugulayo noma okubucayi kakhudlwana esigulini, kulapho bedinga ukuqinisekiswa okuningi ngokuphepha kwezinto zethu. Empeleni, umehluko phakathi kwezinhlanganisela eziningi zamanje mncane, futhi akunandaba ukuthi usebenzisa ziphi iziguli ezinempilo. Esigulini se-MCS sangempela, noma esisolwayo, noma esinovalo, kunamalensi amaningi angalethwa ukuthwala umbuzo wokuhambisana.
Uma unohlu lwezinto ezamukelekayo ezivela kuhlolo lwe-Biocomp noma lwe-ELISA olungena ohlwini lwakho lwezinketho zomtholampilo, ungase unikeze isiguli isampula elingokomzimba lokugcwaliswa okuhlongozwayo noma umqhele, njll., ukuze siziyise ekhaya futhi sizizame ngokwazo, imfashini ebuyiseleka emuva ngokuphelele. Bakhumbuze ukuthi le nto iphumelele ukuhlolwa kwegazi, futhi ubatshele ukuthi bayibambe esihlathini imizuzu embalwa noma amahora ambalwa futhi babone ukuthi ukusabela okujwayelekile kuyaqala yini. Ukuthepha isampula esikhumbeni kungaba ukuhlolwa okuvezayo, kodwa isilawuli esingenalutho kufanele sihambisane nakho.
Abanye abantu babhalisela izindlela “eziphelele”, njengokuhlola imisipha noma ukuhlolwa kwe-electrodermal. Isiguli singathatha isampula yakho yomzimba siye komunye udokotela, futhi, kulolu hlobo lokuqinisekisa. (Kuyasiza uma umazi omunye udokotela ngoba, ngezikhathi ezithile, ukusebenzisana nomuntu ongakuqondi ukunakekelwa kwamazinyo kungaholela ekudidekeni okwengeziwe kunokucaca okwengeziwe.)
Kungakhathaliseki ukuthi ingakanani ingxenye engokwengqondo ekuzweleni amakhemikhali, ukwenza zonke lezi zinyathelo zokuhlola ukuhambisana kuzohamba ibanga elide ekuqinisekiseni leso siguli esizwelayo futhi kuqashelwe uhlelo lwaso lwenkolelo.
Ekugcineni, wena, njengodokotela wamazinyo onelayisensi, kufanele unqume izinga lakho lokunethezeka futhi ulungise amasu akho ngokufanele.
Izinkinga ngezinsimbi
Izinsimbi zine-allergenic engaphezulu kunalokho esikunikeza isikweletu ngakho. Ngabe ukhona okhumbulayo etshelwa esikoleni samazinyo ukuthi abuze iziguli, ikakhulukazi abesifazane, uma isikhumba sabo siqhamuka nobucwebe? Zimbalwa kakhulu iziguli ezike zibike ukuthi zicelwe lokho ngudokotela wamazinyo.
Kungenzeka kakhulu kunangaphambili ukwenza amazinyo amahle ngaphandle kokusebenzisa noma yiziphi izinsimbi nhlobo, kodwa ngezinye izikhathi sisawadinga. Ezinye izinsimbi, ezidume kakhulu nge-nickel, zizodala i-contact dermatitis, noma ukuqubuka kwesikhumba, lapho zichayeka, futhi lezi zitholwa kalula umlando kanye nokuhlolwa kwe-serum. Ezinye izinsimbi, ezidume kakhulu nge-titanium, azisoze zenze ukuqubuka kwesikhumba kodwa zingaholela kokunye ukubonakaliswa kohlobo lwe-IV olubambezelekile lwe-hypersensitivity, imbangela ecashile kakhulu ye-malaise, nezinye izimpawu ezingacacile, ezihlukahlukene.
Ezigulini ohlela inqubo ye-prosthodontic esekelwe ensimbi, ikakhulukazi uma kunomlando wokuzwela kwensimbi, ukuhlolwa okuveza kakhulu ukuhlolwa kwe-Melisa (www.melisa.org). Lokhu kuphela ukuhlolwa okuzokhombisa ukuzwela kwe-titanium. (Kulabo abahloliwe, bangu-4% kuphela abaye bathola ukuthi bane-titanium kuMelisa.)
I-Melisa ifushane ngokuthi "memory lymphocyte activation," futhi kuthatha amashubhu egazi amane kuya kwayisithupha ukuthola amangqamuzana anele. Amaseli ahlukanisiwe futhi akhuliswa nge-antigen okusolwayo futhi aqatha i-thymidine. Ukwanda kweseli, ukuthathwa kwe-radioactivity, kanye nezinguquko ze-morphological kuthathwa njengobufakazi bokuphendula. Ukuhlolwa kukaMelisa kwenziwa ngudokotela wezifo zomzimba uVera Stejskal, PhD, waseSweden, obekade eyisikhulumi njalo emihlanganweni ye-IAOMT.
Amalebhu amaningana emhlabeni wonke enza lokhu kuhlola futhi asohlwini lwewebhusayithi yawo. Ilebhu eyodwa eNyakatho Melika yenza iMelisa: Pharmasan Laboratory, www.pharmasan.com, I-715-294-1705.
Ukugwema ukushuba komlomo
Ngaphandle kwamandla azo okuvusa i-immune reactivity, izinsimbi nazo zisebenza ngogesi. I-oral galvanism sekukhulunywe ngayo iminyaka engaphezu kwe-100, kodwa odokotela bamazinyo bayishaya indiva kanye nemiphumela yako.
Uyasikhumbula isikali se-electromotive esivela kumakhemikhali angajwayelekile? Uyalikhumbula iwashi lamazambane, lapho isipikili sethusi nesipikili se-zinc esinamathele kuzambane kwenza ugesi owanele ukusebenzisa iwashi ledijithali?
Nazi ezinye izinombolo zamandla ezimele (i-hydrogen electrode ejwayelekile) yezinsimbi ezijwayelekile zamazinyo:
Lokhu kusho ukuthi igolide ne-titanium kuhlanganiswe ndawonye ngamathe afana ne-electrolyte kunethuba lokudala ibhethri elingaphezu kwamavolthi amathathu! (Lokhu kwenziwe lula kakhulu, hamba ubuze usokhemisi wokugqwala!) Kodwa uma ucabangela ukuthi isimiso sezinzwa sisebenza emandleni olwelwesi lwama-volts angu-0.140, ugesi ovela ezinsimbini zamazinyo olwenziwa ngokungahleliwe noma ngokungalindelekile ngokusebenzisa izakhiwo ze-anatomical kanye nezikhala zinganqoba ukulawulwa kwe-neuronal evamile. Ngokuvamile ukubonakaliswa kuwubuhlungu bendawo noma ithoni ye-muscle ephakanyisiwe ngokungafanele - njengokucindezeleka komhlathi, i-TMJ, ikhanda lesikhashana, isikhumba sesikhumba ngenxa ye-vasoconstriction ephansi, njll.
Kungani izindaba ezihamba phambili zisavela ezinsukwini zakudala zabafundi? Bengisebenzela umtholampilo ohlinzwa ngomlomo we-ER ngelinye iSonto ntambama ngenkathi kungena owesifazane ongenakhaya, odidekile. Isikhalo sakhe kwakuwukuthi ama-alien emasosweni andizayo ayethumela imisebe yobuthi ebusweni bakhe, futhi ayendlala ingalo yakhe. Ngabona ukuthi kufanele kube nesizathu sokuba abe semtholampilo wami, ngakho ngambheka emlonyeni. Wayenezinhlobonhlobo ezijwayelekile zokubuyiselwa kwensimbi, eminye imiqhele engeyona igugu, eminye imiqhele yegolide, ukugcwaliswa kwe-amalgam, konke kufakwe amazinyo okufakelwa ensimbi. Wawucishe ubone izinhlansi uma eluma. “Imisebe yobuthi evela emkhathini!” Ngathi akakhiphe ingxenye bese eluma. “Ayikho imisebe yobuthi!” Buyisela ingxenye. “Imisebe yobuthi evela emkhathini!”
Gwema imisebe yobuthi evela emkhathini. Ungabi nesibindi ngokuxuba izinsimbi emilonyeni yabantu. Izinga elidala ngezinsuku zegolide bekuyoba ukwenza konke ukubuyisela emlonyeni womuntu, kuhlanganise nezinhlaka ezikhiphekayo, kusukela ku-alloy efanayo ephakeme kanye nokungaxubi izinsimbi nhlobo. Manje sesingakhetha amazinyo okufakelwa asekelwe enayiloni avumelana nezimo, imiqhele namabhuloho enziwe ngeceramic, ngisho nezifakelo ze-ceramic - zonke izindlela zamanje ezingezona ezensimbi esibusiswe ngazo njengamanje kanye nazo zonke izindlela esingenza ngazo imisebenzi yethu kuyilapho sihamba kancane kancane phakathi kwethu. izimpilo zeziguli.
USteve Koral, DMD, MIAOMT
