Hukumar Kula da Abinci da Magunguna ta Amurka (FDA) ta dauki mataki kuma tana iyakance alamun inestible fluoride kari a yaraKungiyar ta daina ba da shawarar su ga yara 'yan kasa da shekaru uku da kuma takura su, daga wannan shekarun zuwa gaba, zuwa lokuta masu haɗari masu yawa, wanda ke wakiltar canji daga ayyukan da aka yi a baya wanda ya dauke su daga watanni shida.
Canjin ya zo ne bayan nazarin shaidun kuma tare da taka tsantsan: maimakon yawan tunawa da waɗannan samfuran, hukumar ta yi magana. wasiƙun gargaɗi ga kamfanoni huɗu ta yadda za su iya daidaita tallan su zuwa sabon iyaka. FDA tana adana man goge baki na fluoride, wanke baki, da kuma jiyya a cikin ma'auni, yayin da Ƙungiyar Dental ta Amurka (ADA) ta yi jayayya cewa akwai manyan haɗari lokacin da ake amfani da fluoride a cikin allurai da kwararru suka ba da shawarar.
Me ainihin ke canzawa a Amurka?
A cewar mai gudanarwa, abubuwan da ake amfani da su na fluoride na baka ba su zama zaɓi na yau da kullun ba kuma yanzu za a keɓe su don kawai. yara da babban yiwuwar cavitiesmusamman a wuraren da ke da ƙananan matakan fluoridation a cikin ruwa. Shawarar tana ƙara ƙirar sarrafawa akan samfuran da aka rarraba a cikin allunan, lozenges da za'a iya taunawa, ko digo.
FDA ta fitar da sabon bincike yana kwatanta iyakance amfanin hakoran jarirai Hakanan yana nuna yuwuwar damuwa na aminci masu tasowa, kamar sauye-sauye ga microbiome na gut, canjin nauyi, da tasiri akan fahimi. A cikin layi daya, ta aika da samfurin wasiƙa zuwa ga likitocin haƙori da sauran ƙwararrun kiwon lafiya suna buƙace su da su sake duba takardunsu na waɗannan kari.
Hukumar ta nuna cewa ayyukanta ba su kai ga man goge baki da wanke baki tare da fluoride Haka kuma ga varnishes ko gels da aka yi amfani da su a cikin ofishin likitan hakora, waɗanda ke da magunguna. A kowane hali, tuna cewa yin amfani da wuce gona da iri na iya haifar da fluorosis na hakori (tabo ko canza launin), wani abu da aka riga aka lura da shi kuma hukumar da kanta ta gane.
ADA ta karyata wasu yanke shawara kuma ta kiyaye cewa, a matakan da likitocin hakora suka nuna, fluoride shine kayan aiki mai tasiri akan lalata hakori tare da ingantaccen bayanin martaba. Ƙungiyoyin ƙwararrun kuma sun yi gargaɗi game da yuwuwar haɓakar lalacewar haƙori a yankunan karkara tare da ƙarancin ruwa mai ƙarancin ruwa idan damar samun matakan rigakafi ya ragu.
Hatsari da fa'idodi a ƙarƙashin bincike
Hankalin da ke bayan canjin ƙa'ida ya ta'allaka ne ga daidaita fa'idar da shaida ta nuna tana da girman kai a wasu ƙungiyoyi tare da alamun aminci waɗanda ke buƙatar kulawaHukumar da kanta ta yi bayanin cewa, kamar yadda sinadarin fluoride ke taimakawa wajen sarrafa kwayoyin cuta a baki, shanyewarta na iya gyara microbiota na hanji, wanda zai iya haifar da illa fiye da yanayin baki.
Littattafan da FDA ta ambata sun ƙunshi sakamako daban-daban: sake dubawa waɗanda ba su sami fa'ida ba a cikin haƙoran farko da sauran waɗanda, a ƙarƙashin wasu yanayi, suna nuna rage cavities a cikin yaraYarjejeniyar ta tabbata akan ingancin amfani da waje (manna, wanke baki, varnish) kuma cewa fluoride yana inganta haɓakar enamel.
Wani muhimmin batu shine hakori fluorosisWannan tasirin yana hade da wuce haddi na tsarin tsarin yayin haɓaka enamel. Ko da yake shi ne yawanci m da kuma kwaskwarima, da FDA kawo shi a matsayin hasara a yi la'akari lokacin kimantawa da takardar sayen magani na kari a matasa shekaru.
Tasiri a wuraren da ke da ƙarancin fluoridation da karatun Turai
A cikin al'ummomin da ruwa low fluoride abun cikiLikitocin hakora sun yi gargadin cewa tsaurara hanyoyin samun kari ba tare da daukar matakan ramawa ba na iya kara rubewar hakori. A Turai, inda ruwan fluoridation na ruwa ba shi da yawa fiye da na Amurka, abin da aka fi mayar da hankali kan rigakafin ya kasance a tarihi a kan aikace-aikacen da ake amfani da shi da kuma ilimin lafiyar baki.
Ga Spain, matakin FDA ba shi da wani tasiri kai tsaye, amma yana bayarwa siginar manufofin tsari Ana iya la'akari da waɗannan binciken ta Hukumar Kula da Magunguna da Kayayyakin Lafiya ta Spain (AEMPS), sabis na kiwon lafiya na yanki, da ƙungiyoyin kimiyya lokacin sabunta shawarwari. A aikace, a cikin saitin mu, ana ba da fifikon sinadarin fluoride, kuma ana keɓance abubuwan da ake amfani da su na baka gabaɗaya ga mutane masu haɗari da ke bin ƙwararrun ƙima.
Mabuɗin mahimmanci ga iyalai da likitocin haƙori
Idan aka ba da sabon yanayin, babban shawarar shine Guji maganin kai tare da abubuwan da ake buƙata na fluoride A cikin yara, tuntuɓi likitan hakori na yara ko likitan yara idan akwai haɗarin cavities kuma bi. shawarwari don hana matsalolin hakoriJagoran da aka keɓance ya kamata yayi la'akari da ɗaukacin bayyanar fluoride (ruwa, gishiri, man goge baki) da matsayin lafiyar baki.
A cikin shawarwari, ƙwararru na iya ƙarfafa dabarun da Topical shisshigi (varnishes, gels) da ilimi game da tsabta da abinci, wanda ya kasance ginshiƙan rigakafin. Inda ingancin ruwa ke da mahimmanci, yana da kyau a yi la'akari da madadin gida tare da tabbacin aminci da inganci.
Muhawarar da aka bude a Amurka tana sabunta ma'auni tsakanin m amfani da hankali Idan aka ba da siginar aminci masu tasowa, wannan yana ƙarfafa ingantaccen tsarin kula da Turai da Spain: ba da fifiko ga amfani da fluoride mai mahimmanci, keɓantaccen tsarin jiyya, da dogaro da mafi kyawun shaidar da ake samu yayin la'akari da mahallin kowane mai haƙuri.
