So wo ba kumaa no nnompe a ɛyɛ mmerɛw? So eyi yɛ Rickets? Momma yenhu!

So wo ba no nan te sɛ nea akotow kakra? Anaasɛ sɛ wɔnantew a, wɔkyinkyin wɔ ɔkwan a ɛnteɛ so? Ɛtɔ mmere bi a eyinom betumi ayɛ tebea bi a wɔfrɛ no rickets a nnompe a ennyin yiye wɔ nkokoaa mu no ho sɛnkyerɛnne. Mma ɛnhaw wo, yɛbɛka eyi ho asɛm akɔ akyiri.

Dɛn ne Rickets?

Sɛ yɛbɛka no tiawa a, Rickets yɛ tebea a ɛka wo ba nnompe, kyerɛ sɛ, ne nyin. Nea ɛba ne sɛ abofra no nnompe yɛ mmerɛw na ɛyɛ mmerɛw. Afei ɛnyɛ den sɛ nnompe no tumi kotow, kotow, na ɛtɔ mmere bi mpo a abubu. Te sɛ dɔte a wɔanhyew no, ɛnyɛ den sɛ wɔbɛsakra wɔn nsusuwii.

Nea ɛde ba titiriw ne vitamin D a enni nipadua no mu.

Ade titiriw nti a Rickets nya ne aduannuru a wɔfrɛ no Vitamin D a enni hɔ.Afei woresusuw nea ɛba saa Vitamin D yi so Vitamin D boa yɛn nipadua ma ɛtwetwe aduannuru afoforo a ɛho hia a wɔfrɛ no Calcium ne Phosphorus. Saa Calcium ne Phosphorus yi ne nneɛma a ɛho hia sen biara ma nnompe a ɛyɛ den na ɛwɔ apɔwmuden. Enti, sɛ Vitamin D nni nipadua no mu a, abofra no ntumi nnye Calcium ne Phosphorus yiye. Afei nnompe no nnyin den.

Ɛhe na vitamin D yi fi?

Akwan titiriw abien na yɛn mma nkumaa fa so nya vitamin D: owia hann ne aduan.

Owia hann: So wunim sɛ sɛ yɛn honam ani hwɛ owia hann a, ɛma vitamin D fi honam ani. So ɛno nyɛ nwonwa? Nanso, wɔ aman bi mu, titiriw wɔ mmeae a owia hann kakraa bi na ɛwɔ hɔ no, nkurɔfo nnya vitamin D a ɛdɔɔso wɔ saa kwan yi so. Wɔ Sri Lanka no, yɛwɔ owia hann pii, nanso ɛtɔ mmere bi a, ebia yɛremfa yɛn mma nkumaa no nkɔ owia no mu sɛnea ɛsɛ, titiriw anɔpa. Owia hann kakra ho hia yiye.

Aduan: Mpataa a srade wom ne mpataa mu ngo bi fi awosu mu wɔ vitamin D. Nanso saa nnuan yi ho yɛ na. Wɔ aman pii so no, nkurɔfo di nnuan a wɔahyɛ no den a vitamin D. Sɛ nhwɛso no:

• Nufusu ne nufusu a wɔde yɛ nneɛma
• Nkokoaa aduan ahorow a wɔde ma
• Aburow bi a wɔde yɛ aduan
• Orange nsu a wɔde yɛ

Nanso kae sɛ rickets yɛ tebea a ɛntaa nsi nanso wotumi sa. Sɛ wowɔ biribi a ɛhaw wo wɔ vitamin D a wo ba no di ho a, hwɛ hu sɛ wo ne wo mmofra oduruyɛfo bɛkasa.

Dɛn ne Rickets ho sɛnkyerɛnne ahorow?

Rickets ma abofra nnompe yɛ mmerɛw na ɛyɛ mmerɛw, na ɛma ɛkotow, ɛyɛ kronkron, na ɛyɛ soronko. Momma yɛnhwɛ nea ɛyɛ sɛnkyerɛnne ahorow yi:

• Nan a wɔakotow: Eyi ne sɛnkyerɛnne a ɛtaa ba. Ɛte sɛ nea nan no abɔ akɔ abɔnten, te sɛ agyan.
• Nnompe mu yaw: .Ebia abofra no bɛka sɛ wɔn nnompe yɛ wɔn yaw, anaasɛ sɛ wɔde wɔn nsa ka wɔn a, ebetumi ada ɛyaw adi.
• Nsõ ho haw ahorow: Eyinom betumi ayɛ sẽ a ɛkyɛ, sẽ mu ntokuru, ne sẽ mu ntini a ɛyɛ mmerɛw.
• Onyin a ɛkyɛ: Ebia mmofra rennyin anaasɛ wɔn mu duru renkɔ soro ntɛmntɛm te sɛ mmofra afoforo a wɔne wɔn bɔ tipɛn.
• Ntini mu mmerɛwyɛ: Ebia abofra no ani nnye ne ho ne n’ahoɔden wɔ gyinabea, nantew, ne agodie mu. Ebia ɛbɛyɛ te sɛ nea abofra no ayɛ mmerɛw.
• Akisikuru: Wɔ tebea horow bi a emu yɛ den mu no, sɛ calcium dodow a ɛwɔ mogya no mu no so tew dodo a, eyinom betumi aba. Nanso, eyi yɛ ade a ɛntaa nsi.
• Rib end swelling: Beae a mpampam no ne mfinimfini nufu dompe (sternum) no bom no betumi ahonhon na ayɛ te sɛ kɔndua. Wɔsan frɛ eyi sɛ "rachitic rosary."
• Akyi berɛmo no a ɛyɛ kurukuruwa a ɛnteɛ anaasɛ nsakrae a ɛba ti nhwi no nsusuwii mu: Wubetumi ahu akyi berɛmo no a ɛyɛ kurukuruwa wɔ nkyɛnkyɛn (scoliosis), anaasɛ ti no ayɛ tratraa anaasɛ ɛpuepue wɔ ɔkwan a ɛnteɛ so.
• Ntini a ɛyɛ mmerɛw: Ebia abofra no nipadua bɛte nka sɛ ayɛ mmerɛw mmom sen sɛ ɛbɛyɛ den.
• Nkotodwe ne nansoaa a ɛtrɛw (wɔ mmofra a wɔretu mmirika mu) anaasɛ nsateaa a ɛtrɛw (wɔ nkokoaa a wɔrewea mu): Ebia saa nkwaa yi yɛ akɛse na ɛtrɛw sen mmofra afoforo.

Sɛ wususuw sɛ wo ba no wɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara sɛnea wubetumi.

Dɛn na ɛde rickets ba?

Nneɛma atitiriw pii wɔ hɔ a ebetumi ama obi anya rickets. Momma yɛnhwɛ emu biara.

Vitamin D a enni nipadua mu

Eyi ne ade a ɛtaa de rickets ba. Yɛsan frɛ eyi sɛ aduannuru mu rickets. Sɛnea madi kan aka no, vitamin D ho hia na ama abofra no nnompe atumi atwe calcium ne phosphorus. Saa aduannuru yi ne nea nnompe hia na ama anyin ayɛ den na anya apɔwmuden. Enti, sɛ abofra bi nnya vitamin D a ɛdɔɔso mfi nnuan a odi mu a, vitamin D a enni no betumi aba. Nneɛma a edidi so yi betumi de eyi aba:

• Sɛ abofra no ntumi nwe nufusu ne nufusu mu nneɛma (Lactose intolerant): Afei calcium ne vitamin D a efi nufusu mu no so betumi atew.
• Sɛ wudi aduan a ɛnyɛ afifide anaa vegan koraa a: Efisɛ wohu vitamin D kɛse wɔ mmoa nnuan mu.
• Sɛ woma wo nufu nkutoo (titiriw bɛboro asram 6): Vitamin D sua kakra wɔ nufusu mu Enti, nnuruyɛfo kamfo kyerɛ sɛ wɔmfa vitamin D nka nkokoaa a wɔma wɔn nufu.
• Sɛ wowɔ aduruyɛ mu tebea bi a ɛmma wo nipadua no ntumi nnye vitamin D a:Sɛ nhwɛso no, dwensɔtwaa mu nyarewa te sɛ Crohn yare, celiac yare, anaa ulcerative colitis.

Nea ɛka ho no, owia a wɔmfa nni dwuma sɛnea ɛsɛ ne calcium a onni wɔ abofra no aduan mu nso betumi ama vitamin D a onni.

Awosu mu nneɛma

Eyi yɛ tebea a ɛntaa nsi. Nanso, awosu mu nyarewa bi betumi asiw abofra tumi kwan sɛ ɔbɛtwe phosphorus anaa vitamin D. Awosu mu tebea afoforo wɔ hɔ a ɛka protein pɔtee bi a nipadua no de yɛ vitamin D. Wɔfrɛ eyinom hypophosphatemic rickets.

Akwahosan tebea afoforo a ɛhyɛ ase

Nyarewa afoforo nso betumi de akisikuru aba. Mmofra a wɔwɔ tebea horow bi a wɔntaa nhu, titiriw nea ɛfa mmerɛbo, asaabo, dwensɔtwaa, ne ahurututu ho no betumi ayɛ den sɛ wɔbɛtwe vitamin D ne phosphorus.

Hena na ɔwɔ asiane kɛse sɛ obenya rickets?

Nokwarem no, abofra biara betumi anya aduannuru mu akisikuru. Nanso, akuw bi wɔ asiane mu kakra. Momma yɛnhwɛ nnipa ko a wɔyɛ:

• Nkokoaa a wɔma wɔn nufu nkutoo (titiriw bɛboro asram 6): Sɛnea madi kan aka no, ɛsɛ sɛ wɔma nkokoaa a wɔma wɔn nufu nkutoo no vitamin D a wɔde ma wɔn.
• Nkokoaa ne mmofra nkumaa a wɔadi fi asram 6 kosi asram 24 (mfe 2): Mfe a wɔadi yɛ asiane a ɛho hia yiye a ɛma obi nya rickets. Eyi ne bere a mmofra renyin ntɛmntɛm.
• Nkokoaa a wɔawo wɔn ntɛm: Akokoaa no sie vitamin D bere a ɔwɔ awotwaa mu, titiriw wɔ asram abiɛsa a atwam no mu. Enti, sɛ wɔwo akokoaa no ntɛm a, vitamin D dodow a wɔkora so no sua.
• Mmofra a wɔn honam ani yɛ tuntum: Esiane sɛ melanin a ɛkɔ soro wɔ honam ani nti, bere a egye ansa na honam ani ayɛ vitamin D afi owia hann mu no kɔ soro.
• Mmofra a wonnya owia hann tẽẽ a ɛdɔɔso: Owia hann a ɛfa mfɛnsere mu ba no siw ultraviolet B (UVB) mframa a ɛma vitamin D no bi ano. Enti ɛyɛ papa sɛ wode wo ba bɛkɔ abɔnten na wode simma 10-15 akɔ owia hann a ano yɛ den mu, bɛyɛ anɔpa 9-10 (nanso ɛnyɛ awiabere owia mu).

Enti sɛ wo ba kumaa no ka akuw yi mu biako ho a, ɛbɛyɛ papa sɛ wobɛhwɛ yiye kakra wɔ vitamin D ho.

Sɛ wɔansa rickets a, dɛn na ɛba? (Nsɛnnennen a ɛba) .

Ɛwom sɛ rickets yɛ yare a wotumi sa de, nanso ɛho hia sɛ wɔsa no ntɛm ara sɛnea wobetumi. Sɛ wɔansa a, rickets a emu nyɛ den mpo betumi de ɔhaw ahorow a ɛtra hɔ kyɛ a ebetumi aka nnompe no nyin aba. Nsɛnnennen a ebetumi aba no bi ne:

• Nnompe a ɛpaapae: Nnompe yɛ mmerɛw na ebetumi abubu ntɛm.
• Ɛyaw a enni sabea:Ebia ɛyaw kɔ so wɔ nnompe no mu.
• Nnompe mu dɛmdi: Ebia nnompe no nsusuwii bɛsakra koraa. Sɛ nhwɛso no, ebia nan a wɔakotow anaa akyi a wɔakotow bɛkɔ so atra hɔ.
• Nsõ ho haw ahorow: sẽ a ɛkyɛ, sẽ mu ntini a ɛyɛ mmerɛw, asiane a ɛwɔ hɔ sɛ sẽ betumi atutu.
• Stunting: Abofra no tenten betumi ayɛ mmerɛw.

Ɛno nti na ɛho hia sɛ wokɔ oduruyɛfo nkyɛn bere a woahu sɛ obi anya rickets ho sɛnkyerɛnne ara pɛ no. Sɛ wohu ntɛm a, wobetumi asiw nsɛnnennen yi ano kɛse.

Ɔkwan bɛn so na nnuruyɛfo hu sɛ obi anya rickets?

Wo mmofra oduruyɛfo bedi kan abisa wo w’abusua akwahosan ho abakɔsɛm ne wo ba no yare no ho sɛnkyerɛnne. Wobebisa wo ba no akwahosan nyinaa, aduan a odi, ne owia hann a ɔde di dwuma nso ho asɛm. Afei, oduruyɛfo no bɛyɛ nipadua mu nhwehwɛmu. Nanso, ebia ebehia sɛ wɔyɛ nhwehwɛmu kakraa bi bio de si so dua sɛ wɔahu yare no.

Sɔhwɛ ahorow bɛn na wɔde di dwuma?

Ebia wo ba no duruyɛfo bɛyɛ nhwehwɛmu ahorow yi mu biako anaa nea ɛboro saa:

• X-ray: Eyinom betumi akyerɛ nsakrae pɔtee a ɛba wɔ rickets mu, te sɛ nnompe a wɔde cupping, tete, ne bowing no pefee.
• Mogya mu nhwehwɛmu: Eyinom tumi hwɛ vitamin D, calcium, ne phosphorus dodow, ne enzyme bi a wɔfrɛ no alkaline phosphatase (ALP) (a ɛkɔ soro wɔ rickets mu) ne parathyroid hormone (PTH) dodow.
• Nsu mu nhwehwɛmu: Eyi nso betumi ama woanya calcium ne phosphorus dodow a efi nipadua no mu no ho adwene.

Ɔkwan bɛn so na wɔsa Rickets?

Mpɛn pii no, vitamin D a enni nipadua mu na ɛde rickets ba Enti, wɔsa rickets a ahoɔden wom sɛnea edidi so yi:

• Vitamin D ne Calcium a wɔde bɛka ho: Ayaresa no fi ase denam Vitamin D ne Calcium a abofra no di so no so. Ɛsɛ sɛ wɔma abofra no nnuan a Vitamin D ne Calcium pii wom, te sɛ aburow, nufusu, kyiisi, yogurt, nkesua a wɔayam, ne mpataa a srade wom. Mmofra oduruyɛfo no nso bɛkyerɛw Vitamin D (mpɛn pii no Vitamin D3) ne Calcium a wɔde ma no da biara da.
• Owia hann: Esiane sɛ wo ba no honam ani fi awosu mu nya vitamin D bere a owia bɔ no nti, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ fa wo ba no nkɔ abɔnten kakra na fa owia hann nkɔ no. Anɔpa owia hann ye sen biara.
• Bracing anaa Oprehyɛn a Wɔyɛ:Mpɛn pii no, abofra nnompe ankasa bɛteɛ bere a bere kɔ so no denam vitamin D ne calcium so. Nanso, sɛ nnompe no mu dɛmdi a emu yɛ den bi wɔ hɔ a, ebia ɛho behia sɛ wɔde nhama a wɔde hyɛ nnompe no mu na ama wɔasiesie sɛnea nnompe no abɔ no. Ɛntaa mma koraa sɛ ebia ɛho behia sɛ wɔyɛ oprehyɛn a wɔde siesie.

Susuw ho hwɛ, sɛnea afifide ketewaa bi wow a nsu nni hɔ no, saa ara na nnompe yɛ mmerɛw bere a vitamin D nni hɔ no. Sɛnea afifide san nyin yiye bere a wɔma no nsu ne aduannuru no, saa ara na sɛ wɔma abofra nnompe bio sɛ ​​wɔma no vitamin D ne calcium a.

Sɛ wo ba no nya rickets esiane awosu mu yare anaa akwahosan tebea foforo nti a, wo mmofra oduruyɛfo de wo bɛkɔ oduruyɛfo titiriw bi nkyɛn, te sɛ mmofra ntini ho ɔyaresafo anaa nephrologist.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wo ba wɔ saa sɛnkyerɛnne yi bi a, kɔ mmofra oduruyɛfo nkyɛn a ɛnkyɛ :

• Sɛ wowɔ ayaresa tebea anaa yare bi a ɛmma nipadua no ntumi mfa vitamin D nni dwuma a.
• Rickets ho sɛnkyerɛnne, titiriw sɛ wuhu nneɛma te sɛ nsateaa a ɛtrɛw, wo nansoaa, anaa nkotodwe, wo nan a woakotow, ɛyɛ den sɛ wobɛnantew, ne nyin a ɛyɛ mmerɛw a.
• Sɛ abofra no taa ka sɛ wɔn nnompe yɛ wɔn yaw anaasɛ ɛda ɛyaw adi bere a wɔde wɔn nsa aka no a.

Sɛ wuhu nneɛma a ɛte sɛɛ a, nyansa wom sɛ wobɛkɔ oduruyɛfo nkyɛn a worenkyɛ.

So wobetumi asiw Rickets ano?

Yiw, koraa! Nneɛma bi wɔ hɔ a yebetumi ayɛ de asiw aduannuru mu rickets ano.

"Sɛ worema wo ba no nufu nkutoo a, ɛsɛ sɛ woma no vitamin D a wɔde ma no da biara. Eyi te saa efisɛ nufusu mu nufusu nni vitamin D a ɛdɔɔso ma wo ba no nnompe a ɛrenyin no. Nkokoaa dodow no ara hia vitamin D3 bɛyɛ International Units (IU) 400 da biara. Nanso eye sɛ wubebisa wo mmofra oduruyɛfo no dodow pɔtee a wo ba no hia ho asɛm. "

"Sɛnea ɛbɛyɛ na wɔasiw aduannuru mu rickets ano wɔ mmofra a wɔanyinyin mu no, ɛho hia sɛ wɔma wɔn nnuan ahorow a vitamin D pii wom. Mpataa ahorow bi (titiriw salmon, trout, ne sardines) wɔ vitamin D pii. Afei nso, wɔde vitamin D ahyɛ nnuan pii mu. Nufusu, akutu nsu, ne aburow bi a wɔde vitamin D ahyɛ mu den. Ebia wo ba no duruyɛfo nso bɛkamfo akyerɛ sɛ ɔnnom vitamin D a wɔde ka ho."

"Afei nso, nnuruyɛfo kamfo kyerɛ sɛ fa wo ba no hyɛ owia hann bi mu. Esiane sɛ honam ani ma wonya vitamin D bere a owia hann bɔ no nti, ɛno ne ɔkwan foforo a yɛbɛfa so anya aduannuru a ɛho hia yi. Nanso, vitamin D dodow a yenya fi owia hann mu no betumi ayɛ soronko a egyina nneɛma te sɛ yɛn mantam, wim tebea, honam ani kɔla, ne nnuru a wɔde bɔ ho ban fi owia ho a wɔde di dwuma so. Ebia mmofra pii rentumi nnya vitamin D a ɛdɔɔso mfi owia hann nkutoo mu."

"Nanso, wontumi nsiw rickets a efi awosu mu tebea bi mu ba no ano. Sɛ woanyinsɛn anaasɛ woreyɛ nhyehyɛe sɛ wubenyinsɛn na wowɔ abusua abakɔsɛm a ɛfa rickets ho a, ebia wobɛpɛ sɛ wususuw ho sɛ wo ne awosu mu ɔfotufo bi bɛkasa. Ebia wɔbɛkamfo akyerɛ nso sɛ wɔnyɛ awosu mu nhwehwɛmu."

Me ba no benya rickets akosi bere bɛn?

Wobetumi asa aduannuru mu rickets wɔ adapɛn anaa asram kakraa bi mu, a egyina sɛnea abofra no tebea no mu yɛ den so. Ɛsɛ sɛ sɛnkyerɛnne dodow no ara – sɛ nhwɛso no, nnompe mu yaw ne ntini mu mmerɛwyɛ – tu mpɔn wɔ adapɛn kakraa bi akyi bere a wɔafi ayaresa ase no. Ɛsɛ sɛ vitamin D a wonnya nso tu mpɔn wɔ adapɛn asia kosi awotwe ntam. Sɛ wo ba no nnompe no kotow anaasɛ ɛyɛ kurukuruwa bi a, ebetumi agye asram pii, anaa afe biako mpo ansa na ne ho atu mpɔn. Ebia eyi ankasa befi hɔ, anaasɛ ebia ebehia sɛ wɔde braces anaa oprehyɛn yɛ.

"Sɛ wo ba no rickets fi akwahosan tebea a ɛnyɛ aduannuru a, wobetumi asa vitamin D a enni no. Nanso, sɛ wɔsa mpo a, tebea a ɛwɔ ase no betumi ayɛ nkwa nna nyinaa. Wo mmofra oduruyɛfo (ne animdefo afoforo, sɛ ɛho hia a) bɛboa wo ne wo ba no ma moatumi adi tebea no ho dwuma na moatra ase."

Dɛn ne adwene/nkɔmhyɛ a ɛwɔ hɔ ma mmofra a wɔwɔ rickets?

Mpɛn pii no, anidaso a mmofra a wɔwɔ aduannuru mu yare no nya no ye yiye. Sɛ wɔsa wɔn yare a, mpɛn pii no, wɔn tebea no fi hɔ koraa wɔ adapɛn anaa asram kakraa bi mu. Mmofra dodow no ara a wɔsa wɔn aduannuru mu akisikuru no ho tɔ wɔn koraa na wonyin bɛyɛ mpanyimfo a wɔwɔ apɔwmuden.

"Sɛ nneɛma afoforo wɔ hɔ a ɛde rickets ba a, nea ɛbɛba no begyina yare anaa tebea pɔtee a wo ba no wɔ so. Nanso, wɔ nsɛm pii mu no, mmofra a wɔwɔ rickets te sɛ eyi betumi atra ase a edi mũ, apɔwmuden a wɔde ayaresa titiriw ma."

Nsonsonoe bɛn na ɛda Rickets ne Osteomalacia ntam?

Osteomalacia yɛ tebea a ɛte sɛ Rickets wɔ mpanyimfo mu. Sɛ yɛbɛka no tiawa a, Rickets yɛ nnompe a ɛyɛ mmerɛw wɔ mmofra mu, bere a Osteomalacia yɛ nnompe a ɛyɛ mmerɛw wɔ mpanyimfo mu. Nea ɛde abien no nyinaa ba titiriw ne vitamin D a enni nipadua no mu. Rickets ka mmofra nnompe a ɛrenyin no, enti ɛde sɛnkyerɛnne ahorow a ɛda nsow te sɛ nan a wɔakotow ba. Mpanyimfo nni saa sɛnkyerɛnne pɔtee yi (nan a wɔakotow) efisɛ wɔn nnompe anyin koraa. Nanso, wɔn nnompe nso yɛ wɔn yaw, na wɔn nnompe a ayɛ mmerɛw na abubu no tumi bubu ntɛmntɛm.

Ɛnyɛ wo nko ara, nya mmoa.

Sɛ wuhu sɛ wo ba no nan akotow anaa ne nsateaa atrɛw a, kɔ mmofra oduruyɛfo nkyɛn ntɛm ara. Wobetumi ahwɛ sɛ ɛyɛ rickets anaa. Ebia eyi bɛyɛ te sɛ nea ɛyɛ hu, nanso ɛyɛ tebea a wotumi sa. Saa bere yi de, bisa wo duruyɛfo no akuw a wɔboa mmofra a wɔwɔ rickets ne wɔn mmusua ho asɛm. Sɛ wo ne afoforo a wɔanya osuahu a ɛte saa ara bɛbɔ no betumi ayɛ nkuranhyɛ fibea kɛse ama wo ne wo ba. Ebetumi nso aboa wo ma woasua akwan foforo a eye a wobɛfa so adi wo ba tebea no ho dwuma.

Nkrasɛm a ɛho hia sen biara a ɛsɛ sɛ wode kɔ fie

Enti, Maame ne Paapa, Rickets nyɛ biribi a ɛsɛ sɛ wosuro, nanso ɛnyɛ biribi a ɛsɛ sɛ wobu no adewa nso.

• Vitamin D ho hia na ama nnompe a ɛyɛ den anyin wɔ mmofra mu.
• Wobetumi asiw rickets ano denam owia hann a wɔde wɔn ho bɛhyɛ mu (titiriw anɔpa), nnuan a vitamin D pii wom a wobedi (te sɛ mpataa, nufusu, nkesua a wɔayam), ne sɛ ɛho hia a, wɔbɛnom vitamin D a wɔde ma sɛnea oduruyɛfo kyerɛ no so.
• Ɛho hia yiye sɛ wɔde vitamin D a wɔde gu mu ma nkokoaa a wɔma wɔn nufu nkutoo (titiriw wɔn a wɔadi boro asram 6) bere a woakɔ oduruyɛfo nkyɛn awie no.
• Sɛ wuhu sɛnkyerɛnne ahorow te sɛ nan a woakotow, nantew a ɛkyɛ, nnompe a ɛyɛ yaw, anaa nyin yiye a, hwɛ hu sɛ wobɛkɔ mmofra oduruyɛfo nkyɛn.

Kae sɛ, sɛ wohu wo ba ntɛm na wɔsa no yare yiye a, ebetumi ama wanya daakye a ɛyɛ den na ɛyɛ den. Wo ba kumaa no serew yɛ yɛn anigye kɛse!

` Rickets, vitamin D, calcium, mmofraberem nnompe, nnompe nyin, nufu a wɔde ma, owia hann