Yu smɔl pikin gɛt wik bon? Na Rickets dis? Lɛ wi fɛn ɔndastand!

Yu pikin in leg dɛn kin tan lɛk se dɛn dɔn butu smɔl? Ɔ dɛn kin muv arawnd di we we nɔmal we dɛn de waka? sכmtεm dεn kin bi sayn dεm fכ wan kכndyushכn we dεn kכl rikεt, we kin kכz fכ di bon dεm we nכ de divεlכp fayn na di pikin dεm. Nɔ wɔri, wi go tɔk mɔ bɔt dis.

Wetin na Rikɛt?

Fɔ tɔk am simpul wan, Rikɛt na wan sik we kin afɛkt yu pikin in bon dɛn, dat na fɔ mek i gro. Wetin kin apin na we di pikin in bon dɛn kin saf ɛn wik. Dɔn i izi fɔ lɛ di bon dɛn bɛn, bɛn, ɛn sɔntɛnde dɛn kin ivin brok. Lɛk kle we nɔ gɛt tɛmpracha, i izi fɔ mek dɛn chenj dɛn shep.

Di men tin we kin mek i gɛt vaytamɛn D.

di men rizin fכ divεlכpmεnt fכ Riket na di dεfisit fכ di nyutriεnt we dεn kכl Vitamin D. Naw yu de wכnda wetin de apin to dis Vitamin D. Vitamin D de εp wi bכdi fכ abzכp כda imכtant nyutriεnt dεm we dεn kכl Calcium εn Fosphorus. Dis Kalsiɔm ɛn Fɔsfɔr na di impɔtant tin fɔ mek di bon dɛn strɔng ɛn gɛt wɛlbɔdi. So, we Vitamin D nɔ de na di bɔdi, di pikin nɔ kin ebul fɔ tek di Kalsiɔm ɛn Fɔsfɔr fayn fayn wan. Dɔn di bon dɛn nɔ kin gro strɔng.

Usay dis vaytamɛn D kɔmɔt?

Tu men we dɛn de we wi smɔl pikin dɛn kin gɛt vaytamɛn D: di san layt ɛn it.

San layt: Yu no se we wi skin de pan san, i de mek vaytamɛn D kɔmɔt insay di skin. Yu nɔ tink se dat na wɔndaful tin? Bɔt na sɔm kɔntri dɛn, mɔ na say dɛn we di san nɔ de shayn bɛtɛ, pipul dɛn nɔ kin gɛt inof vaytamɛn D dis we. Insay Sri Lanka, wi gɛt bɔku san layt, bɔt sɔntɛnde wi nɔ kin put wi smɔl pikin dɛn na di san inof, mɔ na mɔnin. Smɔl san layt rili impɔtant.

Fɔ it: Sɔm fat fish ɛn fish ɔyl dɛn kin gɛt vaytamɛn D. Bɔt dɛn it ya nɔ kin bɔku. Insay bɔku kɔntri dɛn, pipul dɛn kin it tin dɛn we gɛt vaytamɛn D. Fɔ ɛgzampul:

• Milk ɛn tin dɛn we dɛn mek wit milk
• Di kayn fɔmula fɔ pikin dɛn
• Sɔm siriɔs tin dɛn
• Ɔrɛnj jus

Bɔt mɛmba se rikɛt na sik we nɔ kin apin so ɔltɛm bɔt dɛn kin mɛn am. If yu gɛt ɛnitin we de mɔna yu bɔt di vaytamɛn D we yu pikin de it, mek shɔ se yu tɔk to yu dɔktɔ we de mɛn pikin dɛn.

Wetin na di sayn dɛm wae de sho se yu gɛt Rikɛt?

Riket kin mek pikin in bon dɛn wik ɛn brok, ɛn dis kin mek dɛn bɛn, kruk, ɛn tek wan shep we nɔ kɔmɔn. Lɛ wi tek tɛm luk wetin na dɛn sayn ya:

• Leg dɛn we de butu: Dis na di sayn we pɔsin kin si mɔ. Di leg dɛn kin tan lɛk se dɛn bɛn na do, lɛk bɔw.
• Bɔn pen: .Di pikin kin se dɛn bon dɛn de at, ɔ i kin sho se i de fil pen we dɛn tɔch am.
• Prɔblɛm dɛn we gɛt fɔ du wit di tit: Dɛn tin ya kin bi we di tit kin delay, di tut we kin kɔmɔt na di tit, ɛn we di tut in ɛnamel kin wik.
• Di delay fɔ gro: Pikin dɛn nɔ kin gro lɔng ɔ gɛt wet kwik lɛk ɔda pikin dɛn we ol dɛn ej.
• di mכsul dεm we wik: Di pikin kin lכs intres εn εnεji fכ tinap, waka, εn ple. Di pikin kin tan lɛk se i taya.
• Di sik we de mek pɔsin sik: Sɔm bad bad tin dɛn kin apin, if di kalsiɔm we de na di blɔd go dɔŋ tumɔs, dɛn tin ya kin apin. Bɔt dis nɔ kin apin so ɔltɛm.
• di rib εnd swel: di εria we di rib dεm kכnekt to di midul brεstbon (sternum) kin swεla εn i kin tan lεk kכt. Dɛn kin kɔl dis bak "rachitic rosary."
• di spayna kכba we nכ nכmal כ di sכkul shep chenj: Yu kin si di spayna kכva na di sayd (scoliosis), כ di ed we de flat כ we nכ de kכmכt.
• Wik mכsul tכn: Di pikin in bכdi kin fil lכs insted fכ stif.
• di ni εn ankכl dεm we de wayd (insay pikin dεm we de sכmtεm) כ di an dεm we de wayd (insay pikin dεm we de kray): dεn jכyn dεm ya kin sho big εn wayd pas כda pikin dεm.

If yu tink se yu pikin gɛt wan ɔ mɔ pan dɛn sik ya, i go fayn fɔ mek yu go to dɔktɔ kwik kwik wan.

Wetin na di tin dɛn we kin mek pɔsin gɛt rikɛt?

Bɔku men tin dɛn de we kin mek pɔsin gɛt rikɛt. Lɛ wi luk ɛni wan pan dɛn.

Vitamin D we nɔ de

Dis na de tin wae kin mek pɔrsin gɛt rikɛt. Wi kin kɔl dis bak nyutrishɔn rikɛt. As a bin dɔn tɔk, vaytamɛn D impɔtant fɔ mek di pikin in bon dɛn tek di kalsiɔm ɛn fɔsfɔr. Dɛn tin ya we di bon dɛn nid fɔ mek i strɔng ɛn gɛt wɛlbɔdi. So, if pikin nɔ gɛt inof vaytamɛn D frɔm di it dɛn we i de it, i kin apin se i nɔ gɛt bɛtɛ vaytamɛn D. Dɛn tin ya kin mek dis apin:

• If di pikin nɔ ebul fɔ dayjɛst milk ɛn di tin dɛn we dɛn mek wit milk (Lactose intolerant): Dɔn di kalsiɔm ɛn vaytamɛn D we dɛn kin gɛt frɔm milk kin ridyus.
• If yu it kɔmplit vegetarian ɔ vegan it: Bikɔs vaytamɛn D kin de mɔ na animal it.
• If yu de gi yu mama in bɛlɛ nɔmɔ (espɛshali fɔ pas 6 mɔnt): di mama in milk nɔ gɛt bɛtɛ vaytamɛn D. So, dɔktɔ dɛn se yu fɔ gi pikin dɛn we de gi pikin in mama in bɛlɛ wit vaytamɛn D.
• If yu gɛt wan sik we de mek yu bɔdi nɔ ebul fɔ tek vaytamɛn D:Fɔ ɛgzampul, sik dɛn we de na intestinal lɛk Crohn’s disease, celiac disease, ɔ ulcerative colitis.

Apat frɔm dat, if di pikin nɔ de na di san fayn ɛn if i nɔ it bɔku kalsiɔm na di it we i de it, dat kin mek bak i nɔ gɛt bɛtɛ vaytamɛn D.

Jɛnɛtiks

Dis na tin we nɔ kin apin so ɔltɛm. כltu, sכm jεnεtik dizayd kin ambɔg di pikin in ebul fכ abzכp fכsfכr כ vaytam in D. כda jεnεtik kכndyushכn dεm de we de afekt spεshal protin dεm we di bכdi de yuz fכ mek vaytam in D. dεn kכl dεn tin ya haypofosfεmik rikεt.

Ɔda ɔndalayn wɛlbɔdi kɔndishɔn dɛn

Riket kin kam bak frɔm ɔda sik dɛn. Pikin dɛn we gɛt sɔm kayn tin dɛn we nɔ kin apin so ɔltɛm, mɔ di wan dɛn we gɛt fɔ du wit di liva, kidni, insay, ɛn lɔng, kin gɛt prɔblɛm fɔ tek vaytamɛn D ɛn fɔsfɔr.

Udat de pan big risk fɔ gɛt rikɛt?

Fɔ tru, ɛni pikin kin gɛt nyutrishɔn rikɛt. Bɔt sɔm grup dɛn kin gɛt prɔblɛm smɔl. Lɛ wi tek wan luk pan udat dɛn bi:

• Bebi dεm we dεn de gi bεlε nכmכ (especially fכ pas 6 mכnt): As a bin tכk bifo, pikin dεm we dεn de gi bεlε nכmכ fכ gi dεn vaytam in D supliment.
• Bebi dεm εn yכŋ pikin dεm bitwin 6 mכnt εn 24 mכnt (2 ia): Ej na rili imכtant risk fכ divεlכp rεket. Dis na we pikin dɛn de gro kwik kwik wan.
• di pikin dεm we dεn bכn bifo tεm: di pikin de stכr vaytam in D we i de insay di bεlε, spεshal wan insay di las tri mכnt. So, if dεn bכn di pikin bifo tεm, di amount of vaytam in D we dεn stכr de sכm.
• Pikin dεm we gεt dak skin: Bikɔs di melanin de prodyuz bכku na di skin, di tεm we di skin de tek fכ prodyuz vaytam in D frכm di san layt de bכku.
• Pikin dεm we nכ de gεt inof dairekt san layt: San layt we de kam tru winda dεm de blכk sכm pan di vaytam in D-prodyuz ultraviolet B (UVB) rayt. So i fayn fɔ kɛr yu pikin go na do ɛn spɛn 10-15 minit na di brayt san layt, arawnd 9-10 am (bɔt nɔto na di midde san).

So if yu smɔl pikin de pan wan pan dɛn grup ya, i go fayn fɔ mek yu tek tɛm smɔl bɔt vaytamɛn D.

Wetin kin apin if dɛn nɔ trit rikɛt? (Kɔmplikeshɔn dɛn) .

Pan ɔl we rikɛt na sik we pɔsin kin mɛn, i impɔtant fɔ trit am kwik kwik wan. If dɛn nɔ trit am, ivin smɔl smɔl rikɛt kin mek yu gɛt prɔblɛm fɔ lɔng tɛm we kin afɛkt di bon dɛn we de gro. Di prɔblɛm dɛn we kin apin na:

• Bɔn dɛn we kin brok: Bɔn dɛn kin wik ɛn dɛn kin brok izi wan.
• Pen we nɔ de dɔn:Sɔntɛm pen kin kɔntinyu fɔ de na di bon dɛn.
• Skel difɔmiti: Di ​​shep fɔ di bon dɛn kin chenj fɔ ɔltɛm. Fɔ ɛgzampul, di leg dɛn we dɛn butu ɔ we dɛn bɛn bak kin lɛf.
• Prɔblɛm dɛn we de na di tit: di tit we de delay, di tut inɛmel we wik, di risk fɔ mek di tut dɛn we de na di tit de bɔku.
• Stunting: Di pikin in ayt kin stɔp.

Na dat mek i impɔtant fɔ go to dɔktɔ jɔs lɛk aw yu notis di sayn dɛm fɔ rikɛt. If dɛn no am kwik, dɛn kin ebul fɔ avɔyd dɛn prɔblɛm ya bɔku tɛm.

Aw dɔktɔ dɛn kin no se pɔsin gɛt rikɛt?

Yu dɔktɔ we de mɛn pikin dɛn go aks yu fɔs bɔt yu famili in wɛlbɔdi istri ɛn di sik dɛn we yu pikin gɛt. Dɛn go aks bak bɔt yu pikin in jenɛral wɛlbɔdi, di it we i de it, ɛn aw i de na di san. Dɔn, di dɔktɔ go du wan ɛgzam fɔ di bɔdi. Bɔt dɛn kin nid fɔ du sɔm ɔda tɛst dɛn fɔ no if dɛn gɛt di sik.

Us tɛst dɛn dɛn kin yuz?

Yu pikin in dɔktɔ kin du wan ɔ mɔ pan dɛn tɛst ya:

• X-ray: Dɛn tin ya kin sho klia wan di patikyula chenj dɛn we di rikɛt kin chenj, lɛk fɔ kɔp, fɔ rɔtin, ɛn fɔ butu na di bon dɛn.
• Blɔd tɛst: Dɛn tin ya kin chɛk di vaytamɛn D, kalsiɔm, ɛn fɔsfɔr lɛvɛl, ɛn bak di lɛvɛl fɔ wan ɛnzaym we dɛn kɔl alkaline phosphatase (ALP) (we kin bɔku pan rikɛt) ɛn paratayroyd ɔmon (PTH).
• Yurin tɛst: Dis kin gi yu aidia bak bɔt di kayn kalsiɔm ɛn fɔsfɔr we de kɔmɔt na di bɔdi.

Aw dɛn kin trit Rikɛt?

Bɔku tɛm, rikɛt kin kam bikɔs yu nɔ gɛt bɛtɛ vaytamɛn D. So, dɛn kin trit rikɛt we gɛt nyutrishɔn lɛk dis:

• Fɔ sɔpɔt di pikin wit Vitamin D ɛn Kalsiɔm: Di tritmɛnt kin bigin wit we di pikin it mɔ Vitamin D ɛn Kalsiɔm. Dɛn fɔ gi di pikin tin dɛn we gɛt bɔku Vitamin D ɛn Kalsiɔm, lɛk siriɔs, milk, chiz, yogɔt, eg yɔlɔ, ɛn fish we gɛt ɔyl. Di dɔktɔ we de mɛn pikin dɛn go gi dɛn bak di doz fɔ Vitamin D (bɔku tɛm Vitamin D3) ɛn di Kalsiɔm sɔpɔtmɛnt ɛvride.
• San layt: Bikɔs yu pikin in skin kin mek vaytamɛn D we i de na di san, yu dɔktɔ go se yu fɔ kɛr yu pikin go na do fɔ sɔm tɛm ɛn put am na di san. Mɔnin san layt na di bɛst.
• Bracing ɔ Ɔpreshɔn:Bɔku tɛm, pikin in bon dɛn go stret fɔ dɛnsɛf as tɛm de go wit vaytamɛn D ɛn kalsiɔm. Bɔt if sɔm bad bad tin dɛn de we nɔ fayn, dɛn kin nid fɔ yuz bres fɔ kɔrɛkt di we aw di bon dɛn bɛn. Na smɔl tɛm nɔmɔ, i kin nid fɔ mek dɛn du ɔpreshɔn fɔ kɔrɛkt am.

Jɔs tink bɔt aw smɔl plant kin dray we i nɔ gɛt wata, na so di bon dɛn kin wik if dɛn nɔ gɛt vaytamɛn D. Jɔs lɛk aw plant kin gro bak fayn fayn wan we dɛn gi am wata ɛn it, na so di pikin in bon dɛn kin strɔng bak we dɛn gi am vaytamɛn D ɛn kalsiɔm.

If yu pikin gɛt rikɛt bikɔs ɔf wan jenɛtik sik ɔ ɔda wɛlbɔdi prɔblɛm, yu pikin dɛn dɔktɔ go rifer yu to spɛshal dɔktɔ, lɛk pikin dɛn ɛndokrinɔlɔjis ɔ nefrɔlɔjis.

Ustɛm a fɔ go to dɔktɔ?

If yu pikin gɛt ɛni wan pan dɛn sik ya, go to dɔktɔ we de mɛn pikin dɛn ɛn nɔ de te :

• If yu gɛt mɛrɛsin ɔ sik we de mek di bɔdi nɔ ebul fɔ yuz vaytamɛn D.
• Di sayn dɛm fɔ riket, mɔ if yu si tin dɛm lɛk wayd an, anklɛ, ɔ ni, bow leg, i nɔ izi fɔ waka, ɛn we nɔ de gro fayn.
• If di pikin kin tɔk bɔku tɛm se dɛn bon dɛn kin at ɔ sho se i de fil pen we dɛn tɔch am.

If yu si tin dɛn lɛk dis, i go fayn fɔ mek yu go to dɔktɔ we yu nɔ de te.

Yu tink se dɛn kin mek dɛn nɔ gɛt Rikɛt?

Yɛs, fɔ tru! Tin dɛn de we wi kin du fɔ mek wi nɔ gɛt nyutrishɔn rikɛt.

"If yu de gi yu pikin in mama in bɛlɛ nɔmɔ, yu fɔ gi am vaytamɛn D sɔpɔt drɔp ɛvride. Dis na bikɔs di mama in milk nɔ gɛt inof vaytamɛn D fɔ yu pikin in bon dɛn we de gro. Bɔku pikin dɛn nid lɛk 400 Intanɛshɔnal Yunit (IU) vaytamɛn D3 fɔ wan de. Bɔt i bɛtɛ fɔ aks yu pikin dɛn dɔktɔ bɔt di rayt doz we yu pikin nid. "

"Fɔ mek big pikin dɛn nɔ gɛt nyutrishɔn rikɛt, i impɔtant fɔ gi dɛn difrɛn it dɛn we gɛt vaytamɛn D. Sɔm kayn fish (espɛshali salmon, trawt, ɛn sadin) gɛt bɔku vaytamɛn D. Dɔn bak, bɔku it dɛn gɛt vaytamɛn D. Milk, ɔrɛnj jus, ɛn sɔm siriɔs tin dɛn gɛt fɔt wit vaytamɛn D. Yu pikin in dɔktɔ kin tɛl yu bak fɔ tek vaytamɛn D sɔpɔt."

"As bak, dɔktɔ dɛn kin se yu fɔ put yu pikin pan sɔm san. Bikɔs di skin kin mek vaytamɛn D we i de na di san, dat na ɔda we fɔ gɛt dis impɔtant tin we de mek wi gɛt dis impɔtant tin. Bɔt di kayn vaytamɛn D we wi kin gɛt frɔm di san kin difrɛn difrɛn tin dɛn lɛk wi rijyɔn, di klaymat, di kɔlɔ we wi gɛt na di skin, ɛn di we aw dɛn kin yuz di sanskrin. Bɔku pikin dɛn nɔ kin ebul fɔ gɛt inof vaytamɛn D frɔm di san layt nɔmɔ."

"Bɔt, dɛn nɔ go ebul fɔ avɔyd rikɛt, we na bikɔs ɔf wan jenɛtik kɔndishɔn. If yu gɛt bɛlɛ ɔ yu de plan fɔ gɛt bɛlɛ ɛn yu gɛt famili histri bɔt rikɛt, yu kin tink bɔt fɔ tɔk to jɛnɛtik kɔlnɔ. Dɛn kin se bak fɔ tɛst yu jɛnɛtiks."

Aw lɔng mi pikin go gɛt rikɛt?

Yu kin trit nyutrishɔn rikɛt insay sɔm wik ɔ mɔnt, i kin dipen pan aw di pikin in kɔndishɔn tranga. Mɔs pan di simptom dɛm – fɔ ɛgzampul, bon pen ɛn mɔsul dɛm we wik – fɔ impɔtant insay sɔm wiks afta dɛn bigin fɔ trit am. If yu nɔ gɛt vitamin D bak, i fɔ bɛtɛ insay siks to et wik. If yu pikin gɛt ɛnitin fɔ butu ɔ kɔba in bon dɛn, i kin tek sɔm mɔnt, ɔ ivin wan ia fɔ mek i bɛtɛ. Dis kin go insɛf, ɔ i kin nid fɔ gɛt bres ɔ ɔpreshɔn.

"If yu pikin in rikɛt na bikɔs ɔf wɛlbɔdi prɔblɛm we nɔ gɛt nyutrishɔn, dɛn kin trit we i nɔ gɛt vaytamɛn D. Bɔt ivin if dɛn trit am, di sik we de ɔnda am kin bi fɔ ɔl in layf. Yu dɔktɔ we de mɛn pikin dɛn (ɛn ɔda spɛshal pipul dɛn, if nid de) go ɛp yu ɛn yu pikin fɔ manej ɛn liv wit di sik."

Wetin na di lukin-grɔn/prɔgnosis fɔ pikin dɛn we gɛt rikɛt?

Di lukin-grɔn fɔ pikin dɛn we gɛt nyutrishɔn rikɛt kin rili fayn. Wit tritmɛnt, dɛn sik kin dɔn ɔlrɛdi insay sɔm wik ɔr mɔnt. Bɔrku pikin dɛm wae dɛn kin trit fɔ nyutrishɔn rikɛt kin wɛl wɛl ɛn grow to wɛl bɔdi.

"If ɔda tin dɛn de we kin mek pɔsin gɛt rikɛt, di we aw yu go si am go dipen pan di patikyula sik ɔ kɔndishɔn we yu pikin gɛt. Bɔt bɔku tɛm, pikin dɛn we gɛt rikɛt lɛk dis kin liv ful, wɛlbɔdi layf wit spɛshal mɛdikal kia."

Wetin na di difrɛns bitwin Rickets ɛn Osteomalacia?

Osteomalacia na wan sik we fiba Rickets pan big pipul dɛm. Fɔ tɔk am simpul wan, Rikɛt na di bon dɛn we de mek pikin dɛn sof, ɛn Osteomalacia na we di bon dɛn we big pipul dɛn de sof. Di men tin we kin mek dɛn tu tin ya na we pɔsin nɔ gɛt bɛtɛ vaytamɛn D. Riket kin afekt di bon dεm we de divεlכp na pikin dεm, so i kin mek dεn kכl di kכntribyushכn sεmtin dεm lεk di leg dεm we dεn butu. big pipul dεm nכ gεt dis spεshal simptom (bowed legs) biכs dεn bon dεm dכn fulכp divεlכp. Bɔt dɛn kin gɛt pen bak na dɛn bon, ɛn dɛn bon dɛn we wik ɛn we kin brok kin brok izi wan.

Yu nɔ de yu wan, gɛt ɛp.

If yu notis se yu pikin in leg dɛn dɔn butu ɔ in an dɛn wayd, go to dɔktɔ we de mɛn pikin dɛn wantɛm wantɛm. Dɛn kin chɛk fɔ si if na rikɛt. Dis kin tan lɛk se yu de mek yu fred, bɔt na sik we yu kin trit. Insay da tɛm de, aks yu dɔktɔ bɔt sɔpɔt grup dɛm wae de ɛp pikin dɛm wae gɛt rikɛt ɛn dɛn famili. We yu gɛt kɔnekshɔn wit ɔda pipul dɛn we dɔn gɛt dis kayn ɛkspiriɛns, dat kin rili ɛnkɔrej yu ɛn yu pikin. I kin ɛp yu bak fɔ lan nyu, bɛtɛ we fɔ kɔntrol yu pikin in sik.

Di mɛsej we impɔtant pas ɔl fɔ kɛr go na os

So, Mama ɛn Papa, Rikɛt nɔto sɔntin fɔ fred, bɔt i nɔto sɔntin fɔ tek layt sɛf.

• Vitamin D impɔtant fɔ mek pikin dɛn gɛt strɔng bon dɛn.
• Yu kin mek yu nɔ gɛt rikɛt if yu de na di san (espɛshali na mɔnin), yu it tin dɛn we gɛt bɔku vaytamɛn D (lɛk fish, milk, eg yolk), ɛn if nid de, yu tek vaytamɛn D sɔpɔtmɛnt dɛn lɛk aw dɔktɔ tɛl yu.
• I rili impɔtant fɔ gi vaytamɛn D drɔp to pikin dɛn we de gi dɛn mama in bɛlɛ nɔmɔ (espɛshali di wan dɛn we dɔn pas 6 mɔnt) afta yu dɔn go to dɔktɔ.
• If yu notis sɔm sayn dɛn lɛk fɔ butu yu leg, fɔ delay fɔ waka, fɔ pen na yu bon, ɛn fɔ mek yu nɔ gro fayn, mek shɔ se yu go to dɔktɔ we de mɛn pikin dɛn.

Mɛmba se if yu no yu pikin kwik kwik wan ɛn trit yu di rayt we, dat go mek yu gɛt wɛlbɔdi ɛn strɔng tumara bambay. Yu smɔl pikin in smayl na wi big big gladi at!

` Riket, vaytam in D, kalsiכm, pikin bon, bon divεlכpmεnt, bεlε, san layt