Utano hwemazino huzhinji hunokanganwa hupenyu hwehupenyu hwakanaka. Kune munhu ane hutachiona hweHIV, kuchengetedza mazino nguva dzose hakusi chete chinhu chinokosha kuchengetedza zvakanaka mouth heath asiwo kudzivirira muviri wako wose kubva kune zvirwere, kusanganisira iyo yemwoyo , mapapu, uye uropi.
Kune vamwe, panewo zvakare kunetseka pamusoro pekuchengetedzwa kwemazino maitiro kana kupararira kana kuwana HIV.
Ndezvipi izvo zvinokonzera uye pane chimwe chinhu chaunofanira kuva uchiita kuti udzivirire utachiona?
Zvinangwa zveDental Health mune HIV
Vanhu vakawanda vanotora hutano hwavo hwemazino vashoma kusvikira vawana rinoti kana ronda rinopesana nehupenyu hwezuva nezuva. Kunyange zvazvo ichi chiri chokwadi kune vanhu vose, vanhu vane utachiona hwakasimba hwemasimba vari pangozi chaiyo. Zvironda, chirwere chegum, uye kuora kwezino zvose zvinogona kukonzera chirwere chakakomba kana ichipararira kubva pamuromo uye chichiparadzira mumuviri wose.
Zvimwe, zvirwere zvemuromo zvinowanzova zviratidzo zvekutanga zvehutachiona hwehutachiona hweHIV uye zvinowanzoshanda sechirongwa chekuwedzera zvirwere. Zvimwe zvezvakawanda zvinowanikwa mumuromo zvinosanganisira:
- Candidiasis (thrush) , iyo inowanzova chiratidzo chokutanga chekutapukira kweHIV pamwe chete nehutachiona hwekupedzisira-hutachiona hunogona kuenzaniswa sehutachiona hweAIDS apo huchapararira mumuviri wose.
- Herpes simplex (HSV) , iyo inowanzoonekwa kune vose vane HIV uye vasina vanhu vane hutachiwana, asi inogonawo kuiswa seAID-defining condition kana ichigara kwenguva inopfuura mwedzi kana kuisa mumapapu, bronchi, kana sophagus.
- Chirwere chinonzi Oral hairy leukoplakia (OHL) , iyo inogona kuva inofanirwa yehutachiona hunoenderera mberi kune vanhu vasina kutapurirwa HIV.
- Zvirwere zvepacterial periodontal, dzimwe dzaro (kufanana necrotizing ulcerative periodontitis) dzinobatanidzwa nekufambira mberi kwekudzivirira kwekudzivirira muviri.
Kuziva kushushikana kwehutano hwemuromo pakutanga kunobvumira kurapwa matambudziko asati aenda kune mamwe, zvinetso zvakanyanya.
Ndezvipi Zvakachengeteka Maitiro Emeno?
Dentistry yakasvibiswa kare kare muhosha yeAIDS apo yakarongerwa kuti hutachiona hunogona kupararira kuburikidza nemishonga yakasvibiswa yemeno. Kutaura kwakadaro kwakapiwa mukuziva kwevanhu munaJanuary 1990 apo mumwe mukadzi wePennsylvania anonzi Kimberly Bergalis akati aive ane utachiwana hweHIV mushure mekunge ane miviri miviri yakabviswa nachiremba wemazino Dr. David Acer muna December 1987.
Nyaya yacho inoramba ichikakavhiringidza zvakanakisisa, nekutsvaga kwekutanga kuratidza hutano hwakafanana mumavirusi evashanu vaimbova Acer varwere vane HIV. Zvisinei, kusava nechokwadi kunopfuurira sezvo nguva iri pakati pekutsanangurwa kwekutsvaga uye kukura kweAIDS yakanga iri shoma shoma (pasi pezana kubva muzana yevanhu vakapfuurira kuAIDS munguva ino). Uyezve, Bergalis akakundikana kuudza zvirwere zvepabonde zvaive nazvo pamberi pekugara kwezvaaida.
Saizvozvowo, mugore ra2013, Tulsa-dentist-dentist anonzi Scott Harrington akapomerwa mhosva isiri yakaora iyo vamwe vaitya vaigona kuisa vazhinji vanomwe varwere varo pangozi yeHIV uye hepatitis.
Izvo zvinotevera zvemashoko ezveshumo zvinotyisa zvinotyisa pamusoro pengozi yeHIV mune mazino maitiro, izvo zvakangoerekana zvichinyorwa apo mamwe mitsara inoratidza kuti 89 veHarrington varwere vakanga vabvumirana nehepatitis C, vashanu vakanga vabvumirana nehepatitis B, uye vana vakaongororwa neHIV.
Kutaura zvazviri, kuongorora mazita ekurapa kwevashandi vakaratidza kuti chiitiko chimwechete chekutapurirana kwevarwere kusvika kune vane chirwere cheHitpatitis C chakaitika semugumisiro wezviitiko zvisina kunaka zveHarrington. (Hepatitis C inopararira, hutachiona hwehutachiona hunonyanyobatanidzwa nehuwandu hwekushaiwa nenyuchi.)
Kunyange zvazvo izvi zvisingarevi kuti hakuna ngozi yekutapurirwa kweHIV, maitiro ezvemishonga anowanzoonekwa sokuti haatomboiti.
Kutaura zvazviri, kune humwe hutano hwechiremba wezvechiremba anotapukirwa nemurwere ane HIV kune dzimwe nzira.
Mune dzimwe nyika, kune mimwe mitemo inokanganisa varwere vanokundikana kuzivisa mamiriro avo eHIV . Kunyange zvazvo mitemo yakadaro inofungidzirwa isati yamboitika, inoratidza nzira iyo vose varwere navanachiremba vanogona kuderedza njodzi yehutachiwana, kusanganisira:
- Munhu anotenda pachavo akajekeswa nehutachiwana hwekuda kwehutachiona panguva yehurukuro yemuromo anogona kusarudza kutora HIV pre-exposure prophylaxis (PEP) , chirwere chemazuva makumi maviri nemasere emishonga inorwisa mabhakitiriya inogona kuderedza mukana wehutachiona. PEP chirongwa chinowanikwawo kune vashandi vehutano .
- Vanhu vane hutachiona hweHIV vanogona kuderedza kusagadzikana kwavo nekudzivisa zvachose chirwere ichi nekushandiswa kwekubatanidza antiretroviral therapy.
- Kurasikirwa kwemazino pamwe chete nekuomerera zvakasimba kumichero inogona kuwedzera kuderedza ngozi.
Kuchengeta Utano Hwako hweMeno
Kuramba uchienda kunechiremba wemazino chinhu chinokosha chekuchengetedza hutano hwakanaka hwemazino. Asi kunyange kana iwe usingakwanisi kutora mazino nguva dzose, pane zvinhu zvaunogona kuita kumba kuti uchengetedze mazino ane utano hwakanaka, kusanganisira:
- Bhura nguva dzose uye zvakanaka kanomwe kaviri zuva rimwe nerimwe uchishandisa bhuku rinotsvaga kana magetsi. Iva nechokwadi chokuti bristles rezino rako rinononoka kudzivisa kushungurudzika kune gum tissue. Uye yeuka kuti zvinyoronyoro shandura rurimi rwako, zvakare.
- Kuputika nguva dzose uye nenzira yakarurama kunobvisa chidimbu chinowedzera pakati pemeno uye chinodzivirira kufambiswa kwemazino, mazamu, uye maronda.
- Mishonga inorwisa mishonga inopinza inogona kuwedzera kudzivirirwa kubva kubhakitiriya uye kutapukirwa kwebhakitiriya. Zvakakosha, zvisinei, kuziva kuti muromo unoshambidza usatora nzvimbo yekushongedza nekuputika asi kunotsigira hutano hwakanaka hwehutano hwehutano.
> Sources:
> Brown, D. "The 1990 Florida Dental Investigation: Dzidziso Nechokwadi". Annals Internal Medicine : 124 (2): 255-256.
> Moise, K. "Tulsa Amai Dentist Aparadzira Hepatitis C, Vatungamiri Vehutano vanoti." ABC News; Svondo 18, 2013.
> Oklahoma State Department of Health. "Vatano Vezvehutano Vanotaura Zvitsva zveHarrington Investigation." Tulsa, Oklahoma; Gumiguru 17, 2013.