Txhais los ntawm Greek, lo lus caries yog txhais ua "rotting". Tam sim no, muaj 400 caries theories hauv ntiaj teb. Tau kawg, ntawm lawv muaj ib qho kev pom zoo tshaj plaws thiab feem ntau lees paub hauv txhua lub tebchaws hauv ntiaj teb, thiab peb yuav tham txog nws - qhov no. Nws lub ntsiab yog tias caries yog txheej txheem ntawm demineralization ntawm enamel (thiab tom qab ntawd dentin). Demineralization ntawm cov ntaub so ntswg nyuaj, uas yog, lawv cov kev puas tsuaj, tshwm sim nyob rau hauv qhov kev txiav txim ntawm cov organic acids - lactic, acetic, pyruvic, citric thiab lwm yam - uas yog tsim nyob rau hauv lub qhov ncauj kab noj hniav thaum lub sij hawm tawg ntawm cov zaub mov carbohydrates. Fermentation tsis tshwm sim los ntawm nws tus kheej, tab sis nyob rau hauv tus ntawm cov kab mob ntawm qhov ncauj. Tias yog vim li cas kev tu kom zoo thiab ua kom zoo yog qhov tseem ceeb hauv kev tiv thaiv kab mob. Raws li txoj cai, cov txheej txheem carious tuaj yeem xav txog, piv txwv li, cov nyhuv ntawm cov organic acid ntawm cov ntxhia. Piv txwv li, cov nyhuv ntawm cov kua qaub ntawm marble los yog lwm yam inorganic teeb meem. Tab sis qhov cuam tshuam yog tas li, mus sij hawm ntev, thoob plaws hauv lub neej ntawm tus neeg mob.
Muaj cov suab thaj, cov carbohydrates ua kom zoo thiab cov carbohydrates ceev (tab sis tsis yog nyob rau hauv kev nkag siab ntawm cov carbohydrates ceev uas lawv qee zaum hais txog, xa mus rau glycemic Performance index, thiab carbohydrates uas tau dhau los ua cov txheej txheem sai ntawm fermentation hauv qhov ncauj vim raug rau salivary amylase. ) raug lees paub tias yog cariogenic mus rau qhov loj. Qhov tseeb no tuaj yeem tsis lees paub thiab tsis quav ntsej ntxiv lawm. Piv txwv li, lawv feem ntau sim txiav cov menyuam yaus tawm ntawm cov khoom qab zib, tab sis ntawm no koj yuav tsum tau nrog cov khoom qab zib, piv txwv li, zib ntab thiab hnub, ntuj chocolate, txiv hmab txiv ntoo, raisins thiab cov neeg tsis noj nqaij zoo sib xws thiab tsuas yog cov khoom noj qab zib zoo li no tsis muaj. muaj peev xwm cariogenic li caramel, muaj suab thaj, qabzib phoov thiab ntau, ntau ntxiv, uas peb yuav faib ua cov khoom qab zib tsis zoo.
Txhua leej txhua tus nkag siab zoo txog qhov tsis muaj txiaj ntsig qhov no tsis yog rau qhov hnyav thiab cov ntaub so ntswg adipose (vim tias nws yuav ua rau muaj kev nce hauv cov rog, tab sis peb yuav tsum nco ntsoov tias adipocytes, ib chav tsev ntawm cov ntaub so ntswg adipose, tuaj yeem loj hlob los ntawm 40 npaug! ), Tab sis kuj rau cov hniav enamel. Qee lub sij hawm nws tseem ceeb heev kom nco ntsoov txog cov teeb meem carbohydrates, koom nrog lawv nrog lub sijhawm tsis zoo ntawm qhov hnyav nce thiab nrhiav tau cov hniav caries. Kev noj cov carbohydrates zoo los ntawm cov zaub thiab txiv hmab txiv ntoo, cereals, thiab lwm yam tsis tau ua rau cov txheej txheem carious sai.
100% ntawm lub ntiaj teb no cov pej xeem raug kev txom nyem los ntawm caries. Tab sis lub sijhawm ntawm kev siv zog yog qhov tseem ceeb thiab nws yuav ua li cas rau cov neeg mob sib txawv nrog cov yam ntxwv ntawm kev noj haus sib txawv. Hauv chav kawm thiab kev siv ntawm caries, nws yog ib txwm ua kom paub qhov txawv ntawm cov hauv qab no:
1 - noj zaub mov (ntau npaum li cas hauv cov txheej txheem carbohydrates thiab noj qab nyob zoo carbohydrates);
2 - kev tu cev ntawm qhov ncauj (kev ua kom raug thiab siv txhuam hniav);
3 - caj ces;
4 - sijhawm;
5 – zaus mus ntsib kws kho hniav, tau kawg.
Txawm hais tias tag nrho cov pej xeem ntawm lub ntiaj teb no raug kev txom nyem los ntawm caries nyob rau hauv lawv lub neej, peb muaj peev xwm ua txhua yam kom lub zaus thiab kev siv ntawm cov txheej txheem no mus rau ib tug tsawg kawg nkaus. Koj tsuas yog yuav tsum tshem tawm qhov tsis ncaj ncees lawm refined carbohydrates yog tias tsim nyog. Yog tias koj yog ib tus neeg tsis noj nqaij nyoos, neeg tsis noj nqaij, lossis tsuas yog vegan, ces feem ntau koj cov zaub mov zoo sib npaug lossis koj nyob rau theem ntawm nws qhov normalization. Nws yog ib qho nyuaj rau ua neej tsis muaj khoom qab zib, thiab rau qee qhov nws tsis yooj yim sua. Tab sis tag nrho cov ntsiab lus yog tias cov khoom qab zib yuav tsum raug, ces cov nqaij tawv tawv ntawm cov hniav yuav tsis raug kev txom nyem, daim duab yuav khaws cia, thiab, ntxiv rau, yuav muaj cov piam thaj txaus hauv cov ntshav.
Kev tu kom zoo yuav tsum tsis txhob muab tso tseg thiab yuav tsum tau noj cov zaub mov kom txaus los txhawb kom salivation thiab ntxuav nws tus kheej ntawm lub qhov ncauj.
Tsis txhob hnov qab mus rau tus kws kho hniav, thiab tom qab ntawd qhov tsis kaj siab tshaj plaws uas ua rau koj ntshai yog caries superficial thiab nruab nrab caries thiab cov txheej txheem qis carious feem ntau.
Alina Ovchinnikova, PhD, kws kho hniav, kws phais neeg, kws kho hniav.