Talooyinka borotokoolka IAOMT ee ku saabsan ka-qaadista amalgam waxaa loo yaqaan 'Technique Removal Technique' oo loo yaqaan 'Safe Mercury Amalgam Removal Technique' (SMART). Xusuusnow in SMART loo soo bandhigay sidii talooyin loo soo saaray. Xirfadleyda ruqsad haysta waa inay ku dhaqmaan go'aankooda ku saabsan xulashooyinka daaweynta gaarka ah ee looga faa'iideysan karo dhaqankooda. Talooyinka borotokoolka SMART waxaa ka mid ah tallaabooyinka soo socda, oo halkan lagu taxay oo leh cilmi baaris cilmiyeed: 

Griffin Cole, DDS oo fulinaysa Farsamadii Meel Amni ee Meerkurida Amalgam

Talooyinka borotokoolka meesha looga saarayo amalgam ee IAOMT waxaa dhowaan la cusbooneysiiyey July 19, 2019. Sidoo kale, julaay 1, 2016, talooyinka borotokoolka IAOMT waxaa si rasmi ah loogu beddelay Technique Ka-saarista Ammaan ee Amaska ​​Amarka (SMART), iyo koorso tababar oo loogu talagalay IAOMT ilkaha in lagu aqoonsado SMART ayaa la bilaabay.

Dhamaan dib u soo celinta ilkaha ilkaha waxay ka kooban yihiin ku dhowaad 50% meerkuri,1 iyo warbixinnada iyo cilmi-baaristu way iswaafaqsan yihiin in buuxintani ay sii daayaan uumiga meerkuri.2-16

Cilmi baaris cilmiyeed ayaa muujineysa in amalgam ilkaha amalgam ay soo bandhigeyso xirfadlayaasha ilkaha, shaqaalaha ilkaha, bukaanka ilkaha, iyo / ama uurjiifka siideynta meerkurida uumiga, walxaha meerkuri kujira, iyo / ama noocyada kale ee sumowga meerkurida.4-48

Intaas waxaa sii dheer, uumiga meerkuriga waxaa la ogyahay in laga sii daayo buuxinta ilkaha meerkurida amalgam ee heerarka sare inta lagu jiro cadayashada, nadiifinta, ilkaha oo la ruxo, calalinta, iwm.5, 14, 15, 24, 30, 49-54 iyo meerkuriga sidoo kale waxaa loo yaqaan in la sii daayo inta lagu jiro meelaynta, bedelka, iyo ka saarista meerkurida ilkaha buuxinaysa ee amalgam.2, 25, 28, 29, 32, 36, 41, 45, 46, 55-60

Adeegsiga caddaynta cilmiyaysan ee la heli karo, IAOMT waxay soo saartay talooyin ballaadhan oo xagga nabadgelyada ah oo looga saarayo waxyaabaha jira ee ilkaha meerkurida buuxiya, oo ay ku jiraan tallaabooyin ilaalin oo faahfaahsan oo loo adeegsanayo hawsha. Talooyinka IAOMT waxay ku dul dhiseen farsamooyin dhaqameedka amalgam-ka-saarista ee amniga leh sida isticmaalka maaskarada, waraabka biyaha, iyo nuugista mugga sare iyadoo lagu kaabayo istiraatiijiyaddan caadiga ah dhowr tillaabo oo dheeri ah oo ilaalin ah, oo loo baahan yahay taas oo dhowaan uun lagu aqoonsaday cilmi-baaris cilmiyeed.

  • Kalasooca amalgam waa in si sax ah loo rakibaa, looga faa'iideystaa, loona dayactiraa si loo ururiyo qashinka meerkurida meerkuriga si aan loogu sii deynin wasakhda ka timi xafiiska ilkaha.25-61
  • Qol kasta oo meesha laga saaro meerkurida buuxinteeda waa inay lahaataa sifeyn ku filan meesha,29-74 taas oo u baahan nidaam sifeyn heer sare ah (sida aaladda afka laga qaato ee aerosol vacuum) oo awood u leh inay ka saarto uumiga meerkuriga iyo walxaha amalgam-ka ah ee la soo saaray inta lagu guda jiray ka saarista hal ama in ka badan meerkurida.45, 77
  • Haddii ay suurtagal tahay, daaqadaha waa in la furaa si loo yareeyo meerkurida ku jirta hawada.29-77
  • Bukaanka waxaa la siin doonaa dhuxul, chlorella, ama xayeysiis la mid ah si uu u luqluqo una liqo hawsha ka hor (haddii bukaanku diido mooyee ama ay jiraan waxyaabo kale oo diidmo ah oo ka dhigaya tan caafimaad ahaan mid aan habboonayn).77, 80, 81
  • Dharka difaaca iyo daboolka dhakhtarka ilkaha,25, 45 shaqaalaha ilkaha,25, 45 iyo bukaanka45 waa inuu jiraa. Dhammaan dadka qolka ku jira waa in la ilaaliyaa maxaa yeelay tiro aad u tiro ah oo ka mid ah walxaha la soo saaray intii lagu jiray howsha ayaa ka fogaan doona ururinta aaladaha nuugista.36, 45 Waxaa la muujiyey in qaybahaas ay ka faafin karaan bukaanka afkiisa una gudbi karaan gacmaha, gacmaha, wajiga, laabta iyo qeybaha kale ee shaqaalaha ilkaha iyo anatomy ee bukaanka.45
  • Galoofyada nitrile non-latex waa in ay isticmaalaan dhakhtarka ilkaha iyo dhamaan shaqaalaha ilkaha ee qolka.45, 46, 77, 82-83
  • Gaashaanka wajiga iyo timaha / madaxa oo la daboolo waa inay ka faa'iideystaan ​​dhakhtarka ilkaha iyo dhammaan shaqaalaha ilkaha ee qolka ku jira.45, 77, 80
  • Ama maaskaro si sax ah loo xiray, maaskaro fasalka neefsashada lagu qiimeeyay in lagu qabto meerkuri ama cadaadis togan, maaskaro si fiican u xiran oo bixisa hawo ama oksijiin waa inay xirtaan dhakhtarka ilkaha iyo dhammaan shaqaalaha ilkaha ee qolka ku jira.36, 45, 76, 77
  • Si loo ilaaliyo maqaarka bukaanka iyo dharkiisa, jidh buuxa, xayndaab aan la mari karin, iyo sidoo kale madax / weji / qoorta oo buuxda oo ka hooseysa / hareeraha biyo xidheenka, ayaa loo baahan yahay in laga faa’iideysto.45, 77, 80
  • Hawada ama oksijiinta dibedda ah ee la soo mariyo maaskaro sanka loogu talagalay bukaanka sidoo kale waxay u baahan tahay in laga faa'iideysto si loo hubiyo in bukaanku uusan neefsanayn uumiga uumiga ama walxaha amalgam inta lagu gudajiro hawsha.45, 77, 80 Cannula sanka ayaa ah mid la aqbali karo oo loogu talagalay ujeedkan illaa iyo inta sanka bukaanku uu gebi ahaanba ku daboolan yahay caqabad aan la mari karin.
  • Dam ilkaha74-76, 84-87 taas ayaa lagu sameeyaa maadada non-latex nitrile45, 77, 83 waa in la dhigaa oo si habboon loogu xiraa bukaanka afkiisa.
  • Kaaliyaha candhuufta waa in la hoos dhigaa biyo xireenka ilkaha si loo yareeyo soo-gaadhista meerkuri ee bukaanka.45, 77
  • Inta lagu jiro ka saarista amalgam, dhakhtarka ilkaha waa inuu adeegsadaa aaladda afka laga qaato ee aerosol oo aad ugu dhow goobta qalliinka (ie, labo ilaa afar inji oo afka bukaanka u jirta) si loo yareeyo soo-gaadhista meerkurida.45, 88
  • Daad-gureynta xawaaraha sare waxay soo saartaa soo qabasho wanaagsan markii lagu rakibay aaladda Nadiifinta,45, 87 taas oo aan qasab ahayn laakiin laga door bidaayo.
  • Qadar fara badan oo biyo ah si loo yareeyo kuleylka45, 74, 76, 77, 86, 89-91 iyo qalab daadgureyn xawaare sare leh oo caadi ah si loo qabto dheecaannada meerkurida25, 29, 45, 74-77, 86, 90, 91 waxaa looga baahan yahay inay yareeyaan heerarka meerkuriga ee daarmaya.46
  • Amalgam wuxuu u baahan yahay in loo kala gooyo qaybo isla markaana laga saaro qaybo badan oo suurtagal ah,45, 74, 77, 80 adoo adeegsanaya carbide dhexroor yar oo dhexroor ah.29, 86
  • Marka hawsha ka saarida la dhammeeyo, bukaanka afkiisa waa in si fiican biyo loogu sifeeyaa77, 80 ka dibna lagu maydhay qashin dhuxul ah, chlorella ama xayeysiis la mid ah.81
  • Dhakhaatiirta ilkaha waa inay u hogaansamaan xeerarka federaalka, gobolka, iyo deegaanka ee wax ka qabanaya sida saxda ah ee loo maareeyo, loo nadiifiyo, iyo / ama loo qubo waxyaabaha meerkuri ku sumoobeen, dharka, qalabka, sagxadaha qolka, iyo sagxadda xafiiska ilkaha.
  • Inta lagu jiro furitaanka iyo dayactirka dabinnada nuugista ee qalliinnada ama qaybta ugu weyn ee nuugista, shaqaalaha ilkaha waa inay ka faa'iideystaan ​​qalabka ilaalinta shakhsi ahaaneed ee habboon ee kor lagu soo sheegay.

Waxaa muhiim ah in la ogaado in taxaddar ahaan amni ahaan, IAOMT aysan ku talinaynin in la buuxiyo buuxinta dumarka uurka leh ama naas nuujinaya iyo in IAOMT aysan ku talinaynin in shaqaalaha ilkaha ee uurka leh ama dhaqanka naas nuujinta ay ka shaqeeyaan khalkhal galinta aaladaha buuxinta (oo ay ku jiraan ka saaristooda).

Si aad wax badan uga ogaato SMART iyo inaad aragto fiidiyowyada SMART oo si ficil ahaan ah loogu dhaqmayo, booqo www.thesmartchoice.com

Si aad wax uga ogaatid xaqiiqooyinka ku saabsan meerkuriga ilkaha IAOMT, booqo:  https://iaomt.org/resources/dental-mercury-facts/

tixraacyada

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