He nāwaliwali nā iwi o kāu keiki liʻiliʻi? He Rickets anei kēia? E ʻike kākou!

Ke nānā aku nei paha nā wāwae o kāu pēpē i kūlou iki? A i ʻole ke neʻe nei lākou a puni me ke ʻano ʻē i ko lākou hele ʻana? I kekahi manawa he mau hōʻailona kēia o kahi maʻi i kapa ʻia ʻo rickets, kahi i hoʻokumu ʻia e ka ulu pono ʻole ʻana o nā iwi i nā pēpē. Mai hopohopo, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī hou aku.

He aha nā Rickets?

I ka ʻōlelo maʻalahi, ʻo Rickets kahi maʻi e hoʻopilikia ai i nā iwi o kāu keiki, ʻo ia hoʻi ko lākou ulu ʻana. ʻO ka mea e hana ʻia, e palupalu a nāwaliwali nā iwi o ke keiki. A laila hiki i nā iwi ke kūlou maʻalahi, kūlou, a i kekahi manawa haki. E like me ka lepo i hoʻomaʻemaʻe ʻole ʻia, loli maʻalahi lākou i ke ʻano.

ʻO ke kumu nui ka nele o ka wikamina D.

ʻO ke kumu nui o ka ulu ʻana o Rickets ʻo ia ka nele o ka meaʻai i kapa ʻia ʻo Vitamin D. I kēia manawa ke noʻonoʻo nei ʻoe i ka mea e hana ʻia i kēia Vitamin D. Kōkua ka Vitamin D i ko mākou kino e omo i nā meaʻai koʻikoʻi ʻē aʻe i kapa ʻia ʻo Calcium a me Phosphorus. ʻO kēia Calcium a me Phosphorus nā mea nui loa no nā iwi ikaika a olakino. No laila, i ka wā ʻaʻole lawa ka Vitamin D i ke kino, ʻaʻole hiki i ke keiki ke omo pono i ka Calcium a me Phosphorus. A laila ʻaʻole e ulu ikaika nā iwi.

No hea mai kēia wikamina D?

ʻElua ala nui e loaʻa ai i kā mākou poʻe liʻiliʻi ka wikamina D: ka lā a me ka meaʻai.

Lā: Ua ʻike anei ʻoe i ka wā e hōʻike ʻia ai ko mākou ʻili i ka lā, hoʻopuka ia i ka wikamina D mai loko mai o ka ʻili. ʻAʻole anei he mea kupaianaha kēlā? Eia nō naʻe, ma kekahi mau ʻāina, ʻoi aku hoʻi ma nā wahi me ka liʻiliʻi o ka lā, ʻaʻole lawa ka wikamina D i ka poʻe ma kēia ʻano. Ma Sri Lanka, nui ko mākou lā, akā i kekahi manawa ʻaʻole paha mākou e hōʻike i kā mākou poʻe liʻiliʻi i ka lā, ʻoi aku hoʻi i ke kakahiaka. He mea nui loa ka lā liʻiliʻi.

Meaʻai: Loaʻa maoli i kekahi mau iʻa momona a me nā ʻaila iʻa ka wikamina D. Akā, he mea kakaikahi kēia mau meaʻai. Ma nā ʻāina he nui, ʻai ka poʻe i nā meaʻai i hoʻoikaika ʻia me ka wikamina D. Eia kekahi laʻana:

• Waiū a me nā huahana waiū
• Nā ʻano waiū pēpē
• Kekahi mau meaʻai palaoa
• Wai ʻalani

Akā e hoʻomanaʻo, he maʻi laha ʻole ka rickets akā hiki ke mālama ʻia. Inā he mau hopohopo kāu e pili ana i ka lawe ʻana o kāu keiki i ka huaora D, e kamaʻilio me kāu pediatrician.

He aha nā hōʻailona o ka maʻi rickets?

Hoʻonāwaliwali a palupalu nā iwi o ke keiki i ka maʻi rickets, e kūlou ai, e kekee ai, a loaʻa i kahi ʻano ʻē. E nānā kākou i kēia mau hōʻailona:

• Nā wāwae kūlou: ʻO kēia ka hōʻailona maʻamau. Me he mea lā ua kūlou nā wāwae i waho, e like me ke kakaka.
• ʻEha iwi:Hiki i ke keiki ke ʻōlelo ua ʻeha ko lākou mau iwi, a i ʻole e hōʻike paha i ka ʻeha ke hoʻopā ʻia.
• Nā pilikia niho: Hiki i kēia ke komo pū me ka lohi o ka niho, nā lua, a me ka nāwaliwali o ka enamel niho.
• Nā lohi o ka ulu ʻana: ʻAʻole paha e ulu aʻe ke kiʻekiʻe a i ʻole ke kaumaha o nā keiki e like me ka wikiwiki o nā keiki ʻē aʻe o ko lākou mau makahiki.
• Nāwaliwali o nā ʻiʻo: E nalowale paha ka hoihoi a me ka ikaika o ke keiki i ke kū ʻana, ka hele ʻana, a me ka pāʻani ʻana. Hiki ke ʻano palaualelo ke keiki.
• Nā ʻūhū: I kekahi mau hihia koʻikoʻi, inā hāʻule haʻahaʻa loa ka pae calcium i loko o ke koko, hiki ke hana ʻia kēia mau mea. Eia nō naʻe, he mea kakaikahi kēia.
• Pehu ʻana o ka iwi ʻaoʻao: ʻO kahi e pili ai nā iwi ʻaoʻao i ka iwi umauma waena (sternum) e pehu paha a like me kahi puʻupuʻu. Ua kapa ʻia hoʻi kēia he "rachitic rosary."
• Ke kūlou ʻano ʻē o ka iwi kuamoʻo a i ʻole nā ​​loli i ke ʻano o ke poʻo: E ʻike paha ʻoe i kahi kūlou ʻaoʻao o ka iwi kuamoʻo (scoliosis), a i ʻole kahi pālahalaha a i ʻole ka puka ʻana o ke poʻo.
• Nāwaliwali o nā ʻiʻo: Hiki ke manaʻo ʻia ke kino o ke keiki he palupalu ma kahi o ka ʻoʻoleʻa.
• Ka hoʻonui ʻana o nā kuli a me nā kuʻekuʻe wāwae (i nā kamaliʻi liʻiliʻi) a i ʻole ka hoʻonui ʻana o nā pulima lima (i nā pēpē kolo): Hiki ke ʻike ʻia kēia mau hono he nui a ʻoi aku ka laulā ma mua o nā keiki ʻē aʻe.

Inā manaʻo ʻoe ua loaʻa i kāu keiki kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​ʻoi aku ka maikaʻi e ʻike koke i ke kauka.

He aha nā kumu o nā rickets?

Aia kekahi mau kumu nui e hiki ke kōkua i ka ulu ʻana o nā rickets. E nānā kākou i kēlā me kēia.

Ka nele o ka wikamina D

ʻO kēia ke kumu maʻamau o ka rickets. Kāhea pū mākou i kēia he rickets nutritional. E like me kaʻu i ʻōlelo ai ma mua, he mea nui ka wikamina D no nā iwi o ke keiki e omo i ka calcium a me ka phosphorus. ʻO kēia mau meaola ka mea e pono ai nā iwi e ulu ikaika a olakino. No laila, inā ʻaʻole lawa ka wikamina D i ke keiki mai nā meaʻai a lākou e ʻai ai, hiki ke loaʻa ka hemahema o ka wikamina D. Hiki i kēia mau kumu ke kumu i kēia:

• Inā ʻaʻole hiki i ke keiki ke hoʻoheheʻe i ka waiū a me nā huahana waiū (Lactose intolerant): A laila e hoʻemi ʻia paha ka calcium a me ka wikamina D i loaʻa mai ka waiū.
• Inā ʻoe e ʻai i ka meaʻai mea kanu a vegan paha: No ka mea, ʻo ka nui o ka wikamina D ka loaʻa ʻana i nā meaʻai holoholona.
• Inā hānai waiū wale ʻia ʻoe i ka waiū umauma (ʻoi aku hoʻi no nā mahina ʻeono a ʻoi): He haʻahaʻa iki ka waiū umauma i ka wikamina D. No laila, paipai nā kauka e hāʻawi i nā mea hoʻohui wikamina D i nā pēpē hānai waiū.
• Inā loaʻa iā ʻoe kahi maʻi e kaupalena ana i ka lawe ʻana o kou kino i ka huaora D:Eia kekahi laʻana, nā maʻi ʻōpū e like me ka maʻi a Crohn, ka maʻi celiac, a i ʻole ka colitis ulcerative.

Eia kekahi, ʻo ka lawa ʻole o ka lā a me ka haʻahaʻa o ka calcium i ka meaʻai a ke keiki hiki ke hana i ka nele o ka wikamina D.

Nā ʻano hoʻoilina

He kūlana kakaikahi kēia. Eia nō naʻe, hiki i kekahi mau maʻi hoʻoilina ke hoʻopilikia i ka hiki o ke keiki ke omo i ka phosphorus a i ʻole ka huaora D. Aia kekahi mau kūlana hoʻoilina ʻē aʻe e hoʻopilikia i nā protein kikoʻī i hoʻohana ʻia e ke kino e hana i ka huaora D. Ua kapa ʻia kēia he hypophosphatemic rickets.

Nā kūlana olakino ʻē aʻe

Hiki ke hoʻoulu ʻia nā rickets e nā maʻi ʻē aʻe. ʻO nā keiki me kekahi mau maʻi kakaikahi, ʻoiai nā mea e pili ana i ke akepaʻa, nā puʻupaʻa, nā ʻōpū, a me nā māmā, hiki ke paʻakikī i ka omo ʻana i ka huaora D a me ka phosphorus.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i nā rickets?

ʻOiaʻiʻo, hiki i kekahi keiki ke loaʻa i ka rickets nutritional. Eia nō naʻe, aia kekahi mau hui i kahi pilikia kiʻekiʻe iki. E nānā kākou iā lākou:

• Nā pēpē i hānai ʻia me ka waiū umauma wale nō (ʻoi aku hoʻi no nā mahina ʻeono a ʻoi): E like me kaʻu i ʻōlelo ai ma mua, pono e hāʻawi ʻia nā pēpē i hānai ʻia me ka waiū umauma i kahi mea hoʻohui wikamina D.
• Nā pēpē a me nā keiki liʻiliʻi ma waena o 6 mahina a me 24 mahina (2 makahiki): He mea nui ka makahiki no ka loaʻa ʻana o nā rickets. ʻO kēia ka manawa e ulu wikiwiki ai nā keiki.
• Nā pēpē hānau mua ʻole: Mālama ka pēpē i ka wikamina D i loko o ka ʻōpū, ʻoi aku hoʻi i nā mahina ʻekolu i hala. No laila, inā hānau mua ʻia ka pēpē, haʻahaʻa ka nui o ka wikamina D i mālama ʻia.
• Nā keiki me ka ʻili ʻeleʻele: Ma muli o ka hoʻonui ʻia o ka hana ʻana o ka melanin i loko o ka ʻili, hoʻonui ʻia ka manawa e pono ai no ka ʻili e hana i ka huaora D mai ka lā.
• ʻO nā keiki i loaʻa ʻole ka lawa o ka lā pololei: ʻO ka lā e komo mai ana ma nā puka makani e ālai ana i kekahi o nā kukuna ultraviolet B (UVB) e hana ana i ka huaora D. No laila he manaʻo maikaʻi e lawe i kāu keiki i waho a hoʻolilo i 10-15 mau minuke i ka lā ʻālohilohi, ma kahi o 9-10 am (akā, ʻaʻole i ka lā awakea).

No laila, inā no kekahi o kēia mau hui kāu keiki liʻiliʻi, he mea maikaʻi e akahele iki aʻe e pili ana i ka wikamina D.

He aha ka mea e hana inā ʻaʻole mālama ʻia nā rickets? (Nā pilikia)

ʻOiai he maʻi hiki ke mālama ʻia ka rickets, he mea nui e mālama koke iā ia. Inā ʻaʻole mālama ʻia, hiki i nā rickets liʻiliʻi ke hana i nā pilikia lōʻihi e hiki ke hoʻopilikia i ka ulu ʻana o ka iwi. ʻO nā pilikia e hiki mai ana:

• Nā haki iwi: He nāwaliwali nā iwi a hiki ke haki maʻalahi.
• ʻEha mau loa:Aia paha he ʻeha mau ma nā iwi.
• Nā kīnā iwi: Hiki ke loli mau ke ʻano o nā iwi. Eia kekahi laʻana, hiki ke waiho ʻia nā wāwae kūlou a i ʻole ke kua kūlou.
• Nā pilikia niho: lohi ka ulu ʻana o nā niho, nāwaliwali ka enamel niho, hoʻonui ʻia ka pilikia o nā lua.
• Ka ʻōʻō ʻana o ke kino: Hiki ke ʻōʻō ʻia ke kiʻekiʻe o ke keiki.

ʻO ia ke kumu he mea nui e ʻike koke i ke kauka ke ʻike ʻoe i nā hōʻailona o ka rickets. Inā ʻike mua ʻia, hiki ke pale nui ʻia kēia mau pilikia.

Pehea e ʻike ai nā kauka i nā rickets?

E nīnau mua kāu kauka pediatric iā ʻoe e pili ana i ka mōʻaukala olakino o kou ʻohana a me nā hōʻailona o kāu keiki. E nīnau pū lākou e pili ana i ke olakino laulā o kāu keiki, ka ʻai, a me ka ʻike ʻana i ka lā. A laila, e hana ke kauka i kahi hoʻokolokolo kino. Eia nō naʻe, pono paha lākou e hana i kekahi mau hoʻokolohua hou aʻe e hōʻoia i ka hōʻailona.

He aha nā hoʻokolohua i hoʻohana ʻia?

Hiki i ke kauka o kāu keiki ke hana i hoʻokahi a ʻoi aku paha o kēia mau hoʻokolohua:

• Nā kukuna X: Hiki i kēia ke hōʻike maopopo i nā loli kikoʻī o nā rickets, e like me ke kīʻaha ʻana, ka haki ʻana, a me ke kūlou ʻana o nā iwi.
• Nā hoʻāʻo koko: Hiki i kēia ke nānā i nā pae huaora D, calcium, a me ka phosphorus, a me nā pae o kahi enzyme i kapa ʻia ʻo alkaline phosphatase (ALP) (ka mea i hoʻokiʻekiʻe ʻia i nā rickets) a me ka parathyroid hormone (PTH).
• Nā hoʻāʻo mimi: Hiki i kēia ke hāʻawi i kahi manaʻo o ka nui o ka calcium a me ka phosphorus i hoʻokuʻu ʻia mai ke kino.

Pehea e mālama ʻia ai nā Rickets?

Hoʻokumu pinepine ʻia ʻo Rickets e ka nele o ka wikamina D. No laila, mālama ʻia nā rickets nutritional penei:

• Hoʻohui me ka Vitamin D a me ka Calcium: Hoʻomaka ka lāʻau lapaʻau me ka hoʻonui ʻana i ka lawe ʻana o ke keiki i ka Vitamin D a me ka Calcium. Pono e hāʻawi ʻia ke keiki i nā meaʻai waiwai i ka Vitamin D a me ka Calcium, e like me nā cereals, ka waiū, ka tīhi, ka yogurt, nā yolks hua manu, a me ka iʻa ʻaila. E kuhikuhi pū ke kauka pediatric i nā lāʻau i kēlā me kēia lā o ka Vitamin D (ʻo ka Vitamin D3 maʻamau) a me nā mea hoʻohui Calcium.
• Lā: ʻOiai ʻo ka ʻili o kāu pēpē e hana maoli i ka huaora D ke hōʻike ʻia i ka lā, e ʻōlelo paha kāu kauka e lawe i kāu pēpē i waho no kekahi manawa a hōʻike iā ia i ka lā. ʻOi aku ka maikaʻi o ka lā kakahiaka.
• Ke kākoʻo ʻana a i ʻole ke ʻoki kino:I ka hapa nui o ka manawa, e pololei nā iwi o ke keiki iā lākou iho i ka hala ʻana o ka manawa me ka wikamina D a me ka calcium. Eia nō naʻe, inā he mau kīnā koʻikoʻi, pono paha nā pale e hoʻoponopono i ke ʻano kūlou o nā iwi. He mea kākaʻikahi loa, pono paha ke ʻoki kino hoʻoponopono.

E noʻonoʻo wale, e like me ka mae ʻana o kahi mea kanu liʻiliʻi me ka ʻole o ka wai, nāwaliwali nā iwi me ka ʻole o ka wikamina D. E like me ka ulu ʻana o kahi mea kanu me ke olakino ke hāʻawi ʻia i ka wai a me ka meaʻai, ikaika hou nā iwi o ke keiki ke hāʻawi ʻia i ka wikamina D a me ka calcium.

Inā loaʻa i kāu keiki nā rickets ma muli o kahi maʻi genetic a i ʻole kekahi maʻi olakino ʻē aʻe, e kuhikuhi aku kāu pediatrician iā ʻoe i kahi loea, e like me ka endocrinologist pediatric a nephrologist paha.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa i kāu keiki kekahi o kēia mau hōʻailona, ​​e ʻike koke i kahi pediatrician:

• Inā loaʻa iā ʻoe kahi maʻi a maʻi paha e pale ai i ke kino mai ka hoʻohana ʻana i ka wikamina D.
• Nā hōʻailona o ka rickets, ʻoiai inā ʻike ʻoe i nā mea e like me nā pulima ākea, nā kuʻekuʻe wāwae, a i ʻole nā ​​kuli, nā wāwae kūlou, ka paʻakikī o ka hele wāwae, a me ka ulu ʻana o ka ulu.
• Inā ʻōlelo pinepine ke keiki ua ʻeha ko lākou mau iwi a hōʻike paha i ka ʻeha ke hoʻopā ʻia.

Inā ʻike ʻoe i nā mea e like me kēia, he mea naʻauao ke ʻike koke aku i ke kauka.

Hiki ke pale ʻia nā rickets?

ʻAe, ʻoiaʻiʻo nō! Aia kekahi mau mea hiki iā kākou ke hana e pale aku ai i nā rickets maʻi.

"Inā ʻoe e hānai waiū wale ana i kāu pēpē, pono ʻoe e hāʻawi iā lākou i nā kulu hoʻohui wikamina D i kēlā me kēia lā. ʻO kēia no ka mea ʻaʻole lawa ka wikamina D i loko o ka waiū umauma no nā iwi ulu o kāu pēpē. Pono ka hapa nui o nā pēpē ma kahi o 400 International Units (IU) o ka wikamina D3 i kēlā me kēia lā. Akā ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka pediatric e pili ana i ka nui kikoʻī e pono ai kāu pēpē. "

"I mea e pale aku ai i nā rickets nutritional i nā keiki makua, he mea nui e hāʻawi iā lākou i nā ʻano meaʻai like ʻole i waiwai i ka wikamina D. ʻO kekahi mau ʻano iʻa (ʻoi aku ka salmon, trout, a me nā sardines) he waiwai i ka wikamina D. Eia kekahi, ua hoʻoikaika ʻia nā meaʻai he nui me ka wikamina D. ʻO ka waiū, ka wai ʻalani, a me kekahi mau cereals i hoʻoikaika ʻia me ka wikamina D. Hiki i ke kauka o kāu keiki ke ʻōlelo aku e lawe i kahi mea hoʻohui wikamina D."

"Eia kekahi, ke ʻōlelo nei nā kauka e hōʻike i kāu keiki i ka lā. ʻOiai ʻo ka ʻili e hana i ka wikamina D ke hōʻike ʻia i ka lā, ʻo ia kekahi ala e loaʻa ai kēia meaʻai koʻikoʻi. Eia nō naʻe, ʻokoʻa ka nui o ka wikamina D a mākou e loaʻa ai mai ka lā ma muli o nā mea e like me ko mākou ʻāina, ke aniau, ke kala o ka ʻili, a me ka hoʻohana ʻana i ka sunscreen. ʻAʻole hiki i nā keiki he nui ke loaʻa ka wikamina D lawa mai ka lā wale nō."

"Eia nō naʻe, ʻaʻole hiki ke pale ʻia nā rickets, ka mea i hoʻokumu ʻia e kahi kūlana genetic. Inā hāpai ʻoe a i ʻole e hoʻolālā ana e hāpai a he moʻolelo ʻohana koʻikoʻi o ka rickets, makemake paha ʻoe e noʻonoʻo e kamaʻilio me kahi kākāʻōlelo genetic. Hiki iā lākou ke paipai i ka hoʻāʻo genetic."

ʻEhia ka lōʻihi e loaʻa ai i kaʻu keiki nā rickets?

Hiki ke mālama ʻia nā rickets meaʻai i loko o kekahi mau pule a i ʻole mau mahina, ma muli o ke koʻikoʻi o ke kūlana o ke keiki. ʻO ka hapa nui o nā hōʻailona - no ka laʻana, ka ʻeha o ka iwi a me ka nāwaliwali o nā ʻiʻo - pono e hoʻomaikaʻi i loko o kekahi mau pule o ka hoʻomaka ʻana o ka lāʻau. Pono hoʻi e hoʻomaikaʻi ka nele o ka Vitamin D i loko o ʻeono a ʻewalu pule. Inā he kūlou a kūlou paha nā iwi o kāu keiki, hiki ke hala i kekahi mau mahina, a i ʻole hoʻokahi makahiki paha, e hoʻomaikaʻi. Hiki ke nalo wale kēia, a i ʻole pono paha ke kau ʻana i nā braces a i ʻole ke ʻoki kino.

"Inā loaʻa ka maʻi rickets o kāu keiki ma muli o kahi maʻi olakino ʻaʻole pili i ka meaʻai, hiki ke mālama ʻia ka nele o ka wikamina D. Eia nō naʻe, inā ua mālama ʻia, hiki ke ola ke kūlana kumu. E kōkua kāu pediatrician (a me nā loea ʻē aʻe, inā pono) iā ʻoe a me kāu keiki e hoʻokele a ola me ke kūlana."

He aha ka manaʻo/wānana no nā keiki me ka rickets?

ʻO ka manaʻolana no nā keiki me nā rickets nutritional he maikaʻi loa ia. Me ka mālama ʻana, hoʻopau loa ʻia ko lākou kūlana i loko o kekahi mau pule a i ʻole mau mahina. ʻO ka hapa nui o nā keiki i mālama ʻia no nā rickets nutritional e hoʻōla piha a ulu a lilo i mau pākeke olakino.

"Inā he mau kumu ʻē aʻe o ka rickets, e hilinaʻi ka nānā ʻana i ka maʻi a i ʻole ke kūlana kikoʻī o kāu keiki. Eia nō naʻe, i nā manawa he nui, hiki i nā keiki me nā rickets e like me kēia ke ola piha a olakino me ka mālama lapaʻau kūikawā."

He aha ka ʻokoʻa ma waena o Rickets a me Osteomalacia?

ʻO ka Osteomalacia kahi maʻi e like me ka Rickets i nā pākeke. I ka ʻōlelo maʻalahi, ʻo ka Rickets ka palupalu o nā iwi i nā keiki, ʻoiai ʻo ka Osteomalacia ka palupalu o nā iwi i nā pākeke. ʻO ke kumu nui o nā mea ʻelua, ʻo ia ka nele o ka huaora D. Hoʻopilikia ka Rickets i nā iwi e ulu ana o nā keiki, no laila ke kumu o nā hōʻailona maʻamau e like me nā wāwae kūlou. ʻAʻole loaʻa i nā pākeke kēia hōʻailona kikoʻī (nā wāwae kūlou) no ka mea ua ulu piha ko lākou mau iwi. Eia nō naʻe, loaʻa iā lākou ka ʻeha iwi, a hiki i ko lākou mau iwi nāwaliwali a palupalu ke haki maʻalahi.

ʻAʻole ʻoe hoʻokahi, e ʻimi i ke kōkua.

Inā ʻike ʻoe ua kūlou nā wāwae o kāu keiki a ua ākea paha kona mau pulima, e ʻike koke i kahi kauka keiki. Hiki iā lākou ke nānā e ʻike inā he rickets. He mea weliweli paha kēia, akā he maʻi ia e hiki ke mālama ʻia. I kēia manawa, e nīnau i kāu kauka e pili ana i nā hui kākoʻo e kōkua ana i nā keiki me ka rickets a me ko lākou mau ʻohana. ʻO ka launa pū ʻana me nā poʻe ʻē aʻe i loaʻa nā ʻike like hiki ke lilo i kumu hoʻoikaika nui no ʻoe a me kāu keiki. Hiki iā ia ke kōkua iā ʻoe e aʻo i nā ala hou a ʻoi aku ka maikaʻi e hoʻokele ai i ke kūlana o kāu keiki.

ʻO ka leka koʻikoʻi loa e lawe i ka home

No laila, e Māmā a me Pāpā, ʻaʻole ia he mea e makaʻu ai iā Rickets, akā , ʻaʻole hoʻi ia he mea e hoʻomāmā ʻia.

• He mea nui ka wikamina D no ka ulu ʻana o nā iwi ikaika o nā keiki.
• Hiki ke pale ʻia ka rickets ma ka hoʻolaha ʻana i ka lā (ʻoi aku hoʻi i ke kakahiaka), ka ʻai ʻana i nā meaʻai waiwai i ka wikamina D (e like me ka iʻa, ka waiū, nā yolks hua manu), a, inā pono, e lawe i nā mea hoʻohui wikamina D e like me ke kuhikuhi a ke kauka.
• He mea nui loa ka hāʻawi ʻana i nā kulu wikamina D i nā pēpē i hānai waiū wale ʻia (ʻoi aku hoʻi ka poʻe ma luna o 6 mahina) ma hope o ke kūkākūkā ʻana me ke kauka.
• Inā ʻike ʻoe i nā hōʻailona e like me nā wāwae kūlou, ka lohi o ka hele ʻana, ka ʻeha o ka iwi, a me ka ulu ʻole ʻana, e ʻike pono i kahi pediatrician.

E hoʻomanaʻo, ʻo ka ʻike mua ʻana a me ka mālama kūpono e hiki ai i kāu keiki ke hāʻawi i kahi wā e hiki mai ana olakino a ikaika. ʻO ka minoʻaka a kāu keiki liʻiliʻi kā mākou hauʻoli nui loa!

ʻO Rickets, wikamina D, calcium, iwi kamaliʻi, ulu ʻana o ka iwi, hānai waiū, lā