Te Hiranga o te Ārai i te Whara ki ngā Niho
Ko te whara niho he whara ki ngā niho, ki ngā kapia, ki ngā kiko tautoko rānei i puta mai i te pānga, te hinganga, ngā aituā, ētahi tikanga rānei. He tokomaha e whakaaro ana he raruraru "iti noa" te whara niho e puta ai te mamae wā poto noa iho. Heoi, ka nui ake te kino o te pānga: mai i ngā pakaru ngawari ki te matenga o ngā io, te rerekētanga o te tae o te niho, ki te ngaronga tūturu o te niho. Nō reira, he mea nui te mārama ki te hiranga o te karo i te whara niho me te mōhio me pēhea te ārai i tēnei, mō ngā tamariki me ngā pakeke.
He aha te Whara Niho?
Kāore te whara niho e tohu tonu i te niho whati, i te niho marere rānei. I roto i te mahi niho, ka taea e te whara te whakauru i ngā momo āhuatanga, tae atu ki te niho pakaru, te whati wāhanga, te niho neke (luxation), te niho marere, tae atu ki te niho kua marere katoa mai i tōna pūnga (avulsion). Hei tāpiri, ka taea hoki te whara i ngā kiko e karapoti ana i te niho, pērā i ngā kapia, ngā ngutu, me te kauae.
Ka puta ohorere pea te whara, pērā i te aituā waka, te whara hākinakina, te hinganga rānei. Heoi anō, ka taea hoki te whakanui ake i te whara, pērā i te ngau i ngā mea pakeke, te whakatuwhera i ngā kete ki ō niho, te ngaungau huka rānei. Ka taea e ngā whara iti e maha tonu te whakararu i te tinana, ā, he maha ngā wā kāore e kitea kia kino rawa te āhua.
He aha me karo ai i te whara o ngā niho?
He mea nui te karo i ngā whara niho nā te mea ehara ngā niho i te "taputapu ngaungau" noa iho. He mea nui tā rātou mahi ki te āhua, ki te kōrero, ki te hauora o te nakunaku, me te kounga whānui o te oranga. Engari, he maha ngā wā ka puta mai ngā raruraru i te whara niho, ehara i te mea he ataahua anake, engari he mahi me te hinengaro hoki.
Anei ētahi o ngā take matua me ārai wawe tonu te whara o ngā niho.
1. Ka taea e te whara te whakararuraru tuturu
Kāore ngā niho tuturu i rite ki te kiri, ka taea te "ora" katoa i muri i te whara. Mēnā ka whati te niho, ka pakaru rānei, ka uru ki te paparanga o roto (dentin) tae noa ki te io (pulp), ka taea te tuturu te kino. Ahakoa he pakaru ngawari, he uaua ki te kite, ka taea te huri hei whati nui ina pēhia te niho i ia rā.
I ētahi wā, ka mate te io o te niho i te whara. Nō reira, ka mangu te niho, ka pakarukaru, ā, me rongoa te awa pakiaka. Mena he kino rawa te kino, ko te otinga anake ko te tango me te whakakapi ki te mea tāpiri, ki te niho rūpahu rānei.
2. Te Mōrearea o te Mate Pāwera me te Mamae Roa
Ka taea e te whara te whakatuwhera i te ara mō ngā huakita ki te tomo ki roto i ngā kiko o roto o te niho. Ka taea e ngā kapiti iti te mahi hei ara mō ngā huakita, ka piki ake te mōrearea o te mate pulp me ngā whewhe. Ka taea e te pakiaka niho kua pangia te mamae, te pupuhi o ngā kapia, tae atu ki te kirika.
Ki te kore e rongoatia, ka kore e taea e ngā mate te whakararuraru i ngā mahi anake, engari ka kino hoki te wheua e tautoko ana i ngā niho. I ētahi wā, ka horapa ngā mate niho ki ngā kiko o te kanohi me te kaki, ā, ka noho pea hei āhuatanga ohorere hauora.
3. Pānga ki te Ataahua me te Whakapono ki a Ia Anō
He maha ngā wā ka kitea tonutia ngā niho o mua kua whati, kua nekehia, kua kore rānei te tae nā te whara. Ka pāngia te whakapono ki a ia anō e ngā huringa o te menemene, inā koa i roto i ngā tamariki me ngā taiohi e whakawhanake ana i tō rātou tuakiri. Ko te manukanuka mō te menemene, te kōrero, te taunekeneke pāpori rānei he taumahatanga hinengaro nui.
Ko te tiaki i ngā niho mai i te whara he tikanga anō hoki kia mau te āhua me te whakamarie i te wā e noho tahi ana.
4. Ka Tino Teitei Ngā Utu Tiaki
He iti ake te utu mō te ārai i te rongoā. He maha ngā wā ka hiahiatia he tikanga pēnei i te whakakī, te here ataahua, te karauna, te rongoā pakiaka, te whakapiri niho mō ngā niho pakarukaru, tae atu ki te pokanga, te tāpiri rānei i ngā niho tāpiri. Hei tāpiri, tera pea e hiahiatia he nui atu i te kotahi tikanga anake mō te rongoā, engari tera pea e hiahiatia he rongoā auau mō te wā roa.
Mā te karo i te whara, ka taea te whakaiti i te mōrearea o ngā whakapaunga nui me te roa o te maimoatanga.
5. Ka taea e te whara te whakararuraru i te tipu me te whakaritenga o ngā niho o ngā tamariki
Mō ngā tamariki, ka pāngia ngā niho tuturu e tipu ana i raro i te whara o ngā niho tuatahi. Ka taea e te pānga pakari te whakararuraru i te hanganga o te enamel, ka puta ake ngā niho tuturu me ngā ira mā/parauri, he āhua rerekē, he tūranga tipu rerekē rānei.
Nō reira, me aro nui ki ngā whara niho o ngā tamariki. Mā te ārai i ngā whara ka ārai i ngā raruraru tiaki niho me ngā raruraru ataahua a meake nei.
Ngā Take Noa o te Whara Niho
Ka taea e te whara niho te puta i roto i ngā āhuatanga maha, inā koa:
– Te hinga i a koe e tākaro ana (he mea noa tēnei i roto i ngā tamariki).
– Ngā aituā i te wā e eke pahikara ana, e eke motopaika ana, e motuka ana rānei.
– Ngā tukinga i ngā wā e takaro ana i ngā hākinakina pā pērā i te whutupaoro, te poitūkohu, ngā mahi toi whawhai, te hoki, te whutupōro rānei.
– Te whanonga o te ngau i ngā whao, te ngaungau i te hukapapa, i ngā pene, i ētahi atu mea mārō rānei.
– Te whakatuwhera i ngā pounamu, te takai, te tapahi rānei i te miro he niho ōna.
– Te ngau niho (bruxism) e hua ai te microtrauma e toe ana.
– Ngā totohe, ngā mahi tutu tinana rānei.
Mā te mōhio ki ngā tino take e tino kitea ana ka āwhina i a tātou ki te whakarite i ngā mahi ārai e tika ana.
Ngā Huarahi Whai Hua hei Ārai i te Whara Niho
Ehara i te mea uaua te ārai i ngā whara niho, engari me mārama, me whai tikanga pumau hoki.
1. Whakamahia he pare waha i a koe e whakakorikori ana.
He tino taunakihia ngā ārai waha mō ngā hākinakina e kaha ana te pānga. Ka mimiti i te pēhanga, ā, ka tiaki i ngā niho mai i te whati, i te pakaru rānei. Ko ngā ārai waha i hangaia e te tākuta niho he mea whakamarie ake, he mea whai hua ake i ngā hua noa, e hokona kore utu ana, ahakoa he pai ake ngā mea e rua i te kore rawa he ārai.
2. Kaua e Whakamahi i ngā Niho hei "Utauta"
Kaua e huakina te taupoki o te pounamu, kaua e haehae i te takai, kaua hoki e tapahia he mea ki ō niho. He maha ngā wā ka puta he kapiti iti ka nui haere i roto i tēnei tikanga. Whakamahia ngā taputapu tika pērā i te kutikuti, i te whakapuare pounamu rānei.
3. Kia tūpato ki ngā kai mārō rawa
Mā te ngaungau i ngā poraka hukapapa, i ngā monamona mārō, i ngā wheua matotoru rānei ka nui ake te tūponotanga o te whati o ngā niho, inā koa i ngā niho kua whakakīia, kua whakahokia rānei. Ki te hiahia koe ki te kai i ngā kai mārō, me mahi kia tūpato, ā, kaua e pēhia ō niho.
4. Whakakorea te whanonga o te huri niho (Bruxism)
Ki te oho ake koe i te ata me te mamae o te kauae, te ānini, te pakaru rānei o ngā niho, tera pea he bruxism tōu. Tērā pea ka tūtohu tō tākuta niho i tētahi tiaki pō hei whakaiti i te pēhanga ki ō niho, hei ārai hoki i te whati.
5. Waihangahia he Taiao Haumaru mō ngā Tamariki
Mō ngā tamariki, ko te ārai i ngā whara ko te tirotiro i te wā e takaro ana, te mau potae i te wā e eke pahikara ana, me te whakarite kia kore e pahekeheke ngā papa. I tētahi tau, ka taea hoki te ako i ngā tamariki kia kaua e oma i te wā e kuhu ana i ngā mea ki roto i ō rātou waha.
Me aha mēnā ka puta he whara?
Ahakoa te tūpato, ka taea tonu te whara. Mā te mahi tere me te tika ka taea te whakaora i te niho.
– Ki te whati te niho: tiakina ngā kongakonga niho (mēnā he niho), horoia ki te wai ma, ka haere tonu ki te taote niho.
– Ki te mea kua marere, kua nekeneke rānei te niho: kaua e rūrūtia ki tō arero, ki tō ringaringa rānei, ā, me tirotiro tonu.
– Ki te taka te niho (niho tuturu): pupurihia te karauna o te niho (kaua te pakiaka), horoia wawe mēnā he paru, kātahi ka ngana ki te whakauru anō ki te putanga mēnā ka taea, rongoatia rānei ki roto i te miraka/wai tote, ka toro atu ki te taote niho tonu. He mea nui te wā hei whakaora i te niho.
Mō ngā niho pēpi, he rerekē pea te maimoatanga, nō reira he mea nui tonu te toro atu ki te taote niho i taua wā tonu mō te maimoatanga tika.
Whakamutunga
He mea nui te karo i te whara o ngā niho hei pupuri i te hauora o te waha, te ārai i te mamae me te mate, te pupuri i te ataahua o te ataata, me te karo i ngā utu maimoatanga utu nui. Ka taea te whara niho i ngā wā katoa, ahakoa nā ngā aituā, nā ngā mahi noa iho rānei o ia rā. Mā te mau i ngā taputapu tiaki i te wā hākinakina, te karo i te whakamahi i ō niho hei taputapu, te aro ki te bruxism, me te waihanga i tētahi taiao haumaru, ka taea te whakaiti i te mōrearea o te whara.
Hei whakamutunga, ehara i te mea ko te parai noa i ngā wā katoa te mea nui mō te ataata hauora, engari ko te tiaki hoki i ō niho mai i te pānga me ngā āhuatanga kino. Mēnā ka puta he whara, rapua tonutia he āwhina ngaio hei ārai i ngā kino atu, hei whakanui ake hoki i ō tupono ki te whakaora i tō niho.
