Kua roa te whakamahinga o te rongoā rama ā-waha, arā, ngā hihi laser iti me ngā hihi LED, i roto i te mahi niho. Hei tētahi o ngā peka hauora ā-waha e tino rangahauhia ana, mā te rapu tere i runga ipurangi (mai i te tau 2016) ka kitea he mano tini o ngā rangahau mai i ngā whenua o te ao, me ētahi atu rau i ia tau.
He rerekē te kounga o ngā rangahau i tēnei mara, mai i ngā whakamātautau tuatahi ki ngā rangahau matapo-rua e whakahaeretia ana e te placebo. Ahakoa te whānuitanga o ngā rangahau pūtaiao me te whakamahinga haumanu whānui, kāore anō kia horapa te rongoā rama i te kāinga mō ngā raruraru ā-waha, mō ngā take maha. Me tīmata te tangata ki te mahi rongoā rama ā-waha i te kāinga?
Te akuaku o te waha: he rite te whakaora rama whero ki te paraihe niho?
Ko tētahi o ngā kitenga whakamiharo i puta mai i te tirotiro i ngā tuhinga ko te whakaiti i te maha o ngā huakita waha me ngā biofilm e te rongoā mārama i ngā roangaru motuhake. I ētahi wā, engari kāore i te katoa, he nui ake i te paraihe niho/horoi waha noa.
Ko ngā rangahau i mahia i tēnei wāhanga e aro nui ana ki ngā huakita e tino pāngia ana e te pirau/ngā poka niho (Streptococci, Lactobacilli) me ngā mate niho (enterococci – he momo huakita e hono ana ki ngā whewhe, ngā mate pakiaka me ētahi atu). Ko te rama whero (te rama whero rānei, te whānuitanga 600-1000nm) te āhua nei he āwhina ki ngā raruraru arero mā, ārero pania rānei, ka puta mai i ētahi mea tae atu ki te rewena me te huakita.
Ahakoa he mea tīmatanga tonu ngā rangahau huakita i tēnei wāhanga, he mea whakamere ngā taunakitanga. E tohu ana hoki ngā rangahau i ētahi atu wāhanga o te tinana i tēnei mahi a te rama whero hei ārai i ngā mate. Kua tae ki te wā hei tāpiri i te rongoā rama whero ki tō tikanga akuaku waha?
Te aro o ngā niho: ka āwhina te rama whero?
He ahotea te whai niho tairongo, ā, ka whakaiti tika i te kounga o te oranga – kāore e taea e te tangata e pangia ana te pārekareka ki ngā mea pēnei i te aihikirīmi me te kawhe. Ahakoa te manawa noa mā te waha ka mamae pea. He tairongo te nuinga o te hunga e pangia ana ki te makariri, engari he tokoiti he tairongo wera, he mea kino ake i te nuinga o te wā.
He maha ngā rangahau mō te rongoā i ngā niho tairongo (arā, te mate pāwera ki te niho) me te mārama whero me te mārama whero-whero, ā, he hua whakamere ngā hua. Ko te take i hiahia ai ngā kairangahau ki tēnei mea i te tīmatanga, nā te mea he rerekē ki te paparanga enamel o ngā niho, ka ora anō te paparanga dentin i te roanga o te ora mā te tukanga e kiia nei ko te dentinogenesis. E whakapono ana ētahi he kaha te mārama whero ki te whakapai ake i te tere me te whai huatanga o tēnei tukanga, me te mahi ki te whakapai ake i te pākia o ngā niho i roto i ngā odontoblast – arā, ngā pūtau i roto i ngā niho e kawenga ana mō te dentinogenesis.
Ki te kore he whakakī, he mea tauhou rānei e aukati ana, e whakararuraru rānei i te hanga o te niho, he mea whakamere te tirotiro i te maimoatanga rama whero i roto i tāu pakanga ki ngā niho tairongo.
Mamae niho: he rite te rama whero ki te mamae mamae noa?
Kua rangahaua pai te rongoā rama whero mō ngā mamae. He pono tēnei mō ngā niho, pērā i ngā wāhi katoa o te tinana. Inaa, ka whakamahia e ngā tākuta niho ngā taiaho iti i roto i ngā whare hauora mō tēnei kaupapa.
E kī ana ngā kaitautoko, ehara i te mea ko ngā tohu mamae anake te āwhina a te mārama, engari he āwhina anō hoki ki te rongoā i te take (e ai ki te kōrero i mua – arā, ka patu pea i ngā huakita me te hanga anō i ngā niho, me ētahi atu).
Ngā Whītiki Niho: he whai hua te rongoā mārama ā-waha?
Ko te nuinga o ngā rangahau katoa i roto i te mara o te whakaora rama ā-waha e aro ana ki te tiaki niho. Kāore i te miharo te hiahia o ngā kairangahau ki tēnei, nā te mea he taunakitanga kei te piki ake te tere o te nekehanga o ngā niho i roto i te hunga whai whīra niho ina whakamahia te rama whero. Ko te tikanga o tēnei mā te whakamahi i tētahi taputapu whakaora rama tika, ka taea e koe te whakakore wawe i ō whīra niho, ā, ka hoki anō ki te kai me te oranga.
E ai ki te kōrero i runga ake nei, ko te rama whero mai i tētahi taputapu tika ka āwhina pea ki te whakaiti i te mamae, koinei te pānga taha nui me te pānga taha noa o te maimoatanga orthodontic. Tata ki te katoa e mau ana i ngā whītiki niho ka pāngia e te mamae ngawari ki te mamae nui i roto i ō rātou mangai, tata ki te rā katoa. Ka pā kino tēnei ki ngā kai ka takaia e rātou ki te kai, ā, ka whakawhirinaki pea ki ngā rongoā whakamamae mamae tuku iho pērā i te ibuprofen me te paracetamol. He whakaaro whakamere te whakaora rama, ā, kāore i te whakaarohia whānuitia hei āwhina pea i te mamae o ngā whītiki niho.
Te pakaru o ngā niho, ngā kapia me ngā wheua: he pai ake te tūponotanga o te whakaora mā te rama whero?
He maha ngā take ka pā ai te kino ki ngā niho, ki ngā kapia, ki ngā hononga me ngā wheua e tautoko ana i aua niho, tae atu ki te pirau tūturu, te whara tinana, te mate kapia me te pokanga whakatō. Kua kōrerohia i runga ake nei mō te rama whero ka taea te whakaora i te paparanga dentin o ngā niho, engari kua whakaatuhia hoki he pai mō ēnei atu wāhi o te waha.
He maha ngā rangahau e tirotiro ana mēnā ka taea e te rama whero te tere ake te whakaora i ngā patunga me te whakaiti i te mumura o ngā kapia. Ko ētahi rangahau e titiro ana ki te kaha ki te whakapakari i ngā wheua periodontal me te kore e hiahiatia he pokanga. Inaa, kua rangahaua pai te rama whero me te rama infrared i ētahi atu wāhi o te tinana hei whakapai ake i te kiato o te wheua (mā te taunekeneke ki ngā pūtau osteoblast – ngā pūtau e kawenga ana mō te hanga wheua).
Ko te ariā matua e whakamārama ana i te whakaora mārama e kī ana, i te mutunga ka hua ake ngā taumata ATP pūtau teitei ake, ka taea ai e ngā osteoblast te mahi i ā rātou mahi matua motuhake (te hanga i te matrix collagen me te whakakī i te kohuke wheua).
He pēhea te mahi a te rama whero i roto i te tinana?
Tērā pea he mea rerekē te rangahau i te rongoā mārama mō te nuinga o ngā raruraru hauora waha, ki te kore koe e mōhio ki te tikanga. E whakaarohia ana ko te mārama whero me te mārama tata-whero te mea nui ki te mahi i ngā mitochondria o ngā pūtau, ka hua ake he nui ake te whakaputanga pūngao (ATP). Ko tētahi pūtau he mitochondria, i roto i te ariā, ka kite i ētahi painga mai i te rongoā mārama tika.
He mea nui te whakaputa pūngao mō te ora me te hanganga/mahi o ngā pūtau. Ina koa, ka wehewehea e te mārama whero te waikura hauota mai i ngā ngota pākia o te cytochrome c oxidase i roto i ngā mitochondria.He 'hormone ahotea' te waikura hauota nā te mea ka whakawhāitihia te whakaputanga pūngao – ka whakakorehia tēnei pānga e te mārama whero.
E whakaarohia ana kei reira ētahi atu taumata e whai hua ai te mārama whero, pērā i te whakapai ake i te kukū o te mata o te cytoplasm o te pūtau, te tuku i ngā rahinga iti o ngā momo hāora tauhohe (ROS), me ētahi atu, engari ko te mea matua ko te whakanui ake i te hanga ATP mā te aukati i te hauota hauota.
Ko te mārama tino pai mō te rongoā mārama ā-waha?
Kua whakaatuhia te whai huatanga o ngā roangaru maha, tae atu ki te 630nm, 685nm, 810nm, 830nm, me ētahi atu. He maha ngā rangahau e whakataurite ana i ngā taiaho ki ngā rama LED, e whakaatu ana i ngā hua ōrite (ā, i ētahi wā, he pai ake) mō te hauora o te waha. He iti ake te utu o ngā rama LED, he utu hoki mō te whakamahi i te kāinga.
Ko te whakaritenga matua mō te rongoā rama ā-waha ko te kaha o te mārama ki te uru ki roto i ngā kiko o te paparinga, kātahi ka uru ki roto hoki i ngā kapia, te enamel me ngā wheua. Ka āraia e te kiri me te kiko o te mata te 90-95% o te mārama e tomo mai ana. Nō reira, me whai pūtake mārama kaha ake mō ngā LED. Ko ngā rama ngoikore ka pā noa ki ngā raruraru o te mata; kāore e taea te whakakore i ngā mate hohonu ake, te rongoā i ngā kapia, ngā wheua me ngā niho molar he uaua ki te tae atu.
Mena ka taea e te mārama te uru ki roto i te nikau o tō ringaringa, ka pai pea te uru ki roto i ō paparinga. He hohonu ake te uru o te mārama whero i te mārama whero, ahakoa ko te kaha o te mārama te mea nui hei uru.
Nō reira, he mea tika kia whakamahia te rama LED whero/whero-whero mai i tētahi pūtake kukū (50 – 200mW/cm², neke atu rānei te kaha o te hiko). Ka taea te whakamahi i ngā taputapu iti ake te kaha, engari ka nui ake te wā whai hua o te whakamahinga.
Ko te mutunga
Mārama whero, mārama pūwhero rāneie tirotirohia ana mō ngā wāhanga rerekē o te niho me te kapia, me te tirotiro anō hoki i te maha o ngā huakita.
Ko ngā roangaru e tika ana ko te 600-1000nm.
Kua whakamātauhia ngā rama LED me ngā rama laser i roto i ngā rangahau.
He mea tika kia tirohia te rongoā mārama mō ngā mea pēnei i; ngā niho tairongo, te mamae niho, ngā mate pāwera, te akuaku waha whānui, te pakaru o ngā niho/kapia…
Tērā pea ka hiahia te hunga whai whitiki niho ki ētahi o ngā rangahau.
E rangahauhia ana ngā rama whero me ngā rama pōkākā mō te whakaora rama ā-waha. E hiahiatia ana ngā rama kaha ake kia uru ki roto i ngā paparinga/kaupā.