Omwana wo omuto alina amagumba amanafu? Ono ye Rickets? Ka tuzuule!

Amagulu g’omwana wo galabika nga gafukamidde katono? Oba zitambula mu ngeri etaali ya bulijjo nga zitambula? Oluusi bino biyinza okuba obubonero bw’embeera eyitibwa rickets, nga kino kiva ku magumba obutakula bulungi mu balongo. Teweeraliikiriranga, kino tujja kukyogerako mu bujjuvu.

Rickets kye ki?

Mu ngeri ennyangu, Rickets mbeera ekosa amagumba g’omwana wo, kwe kugamba, okukula kwe. Ekibaawo amagumba g’omwana ne gafuuka amagonvu ne ganafuwa. Olwo amagumba gasobola mangu okufukamira, okufukamira, n’oluusi n’okukutuka. Okufaananako ebbumba eritali lya kifuba, kyangu okukyusa enkula.

Ekisinga okuvaako kino kwe kubulwa vitamiini D.

Ensonga enkulu evuddeko Rickets okukula kwe kubulwa ebiriisa ebiyitibwa Vitamin D. Kati weebuuza ekituuka ku Vitamin D ono Vitamin D ayamba omubiri gwaffe okunyiga ebiriisa ebirala ebikulu ebiyitibwa Calcium ne Phosphorus. Kino Calcium ne Phosphorus bye bintu ebisinga obukulu eri amagumba amagumu era nga galamu bulungi. Kale, Vitamin D bw’aba tamala mu mubiri, omwana aba tasobola kunyiga bulungi Calcium ne Phosphorus. Olwo amagumba tegakula nga ga maanyi.

Vitamiini D eno eva wa?

Waliwo engeri bbiri enkulu abaana baffe abato gye bafunamu vitamiini D: omusana n’emmere.

Omusana: Obadde okimanyi nti olususu lwaffe bwe luba mu musana, luvaamu Vitamiini D okuva munda mu lususu. Ekyo si kyewuunyisa? Wabula mu nsi ezimu naddala mu bitundu omusana omutono, abantu tebafuna vitamiini D emala mu ngeri eno. Mu Sri Lanka, tulina omusana mungi, naye oluusi tuyinza obutassa baana baffe abato mu musana kimala naddala ku makya. Omusana omutono kikulu nnyo.

Emmere: Ebyennyanja ebimu ebirimu amasavu n’amafuta g’ebyennyanja mu butonde birimu vitamiini D. Naye emmere zino tezitera kubaawo. Mu nsi nnyingi, abantu balya emmere erimu ebirungo ebirimu vitamiini D. Okugeza:

• Amata n’ebiva mu mata
• Ebika by’emmere y’abaana abawere
• Emmere z’empeke ezimu
• Omubisi gw’emicungwa

Naye jjukira nti obulwadde bwa rickets bulwadde obutatera kulabika naye nga bujjanjabibwa. Bw’oba ​​olina ekikweraliikiriza ku vitamiini D gy’anywa, kakasa nti oyogera n’omusawo w’abaana.

Bubonero ki obulaga obulwadde bwa Rickets?

Rickets ereetera amagumba g’omwana okunafuwa n’okukutuka, ekivaako okufukamira, okukoonagana n’okufuna ekifaananyi ekitali kya bulijjo. Ka tulabe obubonero buno bwe buli:

• Amagulu agafukamidde: Kano ke kabonero akasinga okulabika. Amagulu galabika nga gafukamidde ebweru, ng’obutaasa.
• Obulumi bw’amagumba:Omwana ayinza okugamba nti amagumba gaabwe galuma, oba ayinza okulaga obulumi nga bamukwatako.
• Ebizibu by’amannyo: Bino biyinza okuli okulwawo okuvaamu amannyo, ebituli n’okunafuwa kw’amayinja g’amannyo.
• Okulwawo okukula: Abaana bayinza obutakula oba okugejja amangu ng’abaana abalala ab’emyaka gyabwe.
• Obunafu bw’ebinywa: Omwana ayinza okubulwa obwagazi n’amaanyi mu kuyimirira, okutambula, n’okuzannya. Omwana ayinza okulabika ng’akooye.
• Okukonziba: Mu mbeera ezimu ez’amaanyi, singa omuwendo gwa kalisiyamu mu musaayi gukendeera nnyo, bino bisobola okubaawo. Kyokka kino tekitera kubaawo.
• Okuzimba ku nkomerero y’embavu: Ekitundu embiriizi we zikwatagana n’eggumba ly’amabeere erya wakati (sternum) kiyinza okuzimba ne kifaanana ng’ekikonde. Kino era kiyitibwa "rozari ya rachitic."
• Okukoona kw’omugongo mu ngeri etaali ya bulijjo oba enkyukakyuka mu nkula y’ekiwanga: Oyinza okulaba ng’omugongo gukoona ebbali (scoliosis), oba omutwe nga gufuukuuse oba nga gufuluma mu ngeri etaali ya bulijjo.
• Ebinywa ebinafu: Omubiri gw’omwana guyinza okuwulira nga gusumuluddwa mu kifo ky’okukaluba.
• Okugaziwa kw’amaviivi n’enkizi (mu baana abato) oba okugaziwa kw’engalo (mu baana abaserengeta): Ennyondo zino ziyinza okulabika nga nnene ate nga ngazi okusinga mu baana abalala.

Bw’oba ​​olowooza nti omwana wo alina obubonero bumu oba obusingawo ku buno, kirungi okugenda ew’omusawo amangu ddala nga bwe kisoboka.

Biki ebivaako obulwadde bwa rickets?

Waliwo ensonga enkulu eziwerako eziyinza okuvaako okukula kw’obulwadde bwa rickets. Ka tulabe buli emu.

Obutabeera na vitamiini D

Kino kye kisinga okuvaako obulwadde bwa rickets. Kino era tukiyita rickets ez’endya. Nga bwe nnagambye emabegako, vitamiini D yeetaagibwa nnyo amagumba g’omwana okusobola okunyiga calcium ne phosphorus. Ebiriisa bino amagumba bye geetaaga okukula nga ganywevu ate nga galamu bulungi. Kale, singa omwana tafuna vitamiini D emala okuva mu mmere gy’alya, ebbula lya vitamiini D eyinza okubaawo. Ensonga zino wammanga ziyinza okuvaako kino:

• Singa omwana tasobola kugaaya mata n’ebiva mu mata (Lactose intolerant): Olwo calcium ne vitamin D okuva mu mata biyinza okukendeera.
• Bw’olya emmere ey’enva endiirwa oba etali ya mmere yonna: Kubanga vitamiini D esinga kusangibwa mu mmere y’ebisolo.
• Bw’oba ​​oyonsebwa gokka (naddala okumala emyezi egisukka mu 6): Amata g’amabeere galimu ekirungo kya Vitamiini D. N’olwekyo abasawo bagamba nti abalongo abayonsebwa eddagala eriweweeza ku vitamiini D.
• Bw’oba ​​olina embeera y’obujjanjabi ekoma ku mubiri gwo okuyingiza vitamiini D:Okugeza endwadde z’ekyenda nga Crohn’s disease, celiac disease oba ulcerative colitis.

Ng’oggyeeko ekyo, obutakwatibwa musana kimala n’okulya ekirungo kya ‘calcium’ ekitono mu mmere y’omwana nabyo bisobola okuvaako obutaba na vitamiini D.

Ensengekera y’obuzaale

Eno embeera etatera kubaawo. Wabula obuzibu obumu obw’obuzaale buyinza okutaataaganya obusobozi bw’omwana okunyiga phosphorus oba vitamiini D. Waliwo embeera endala ez’obuzaale ezikwata ku puloteyina ezenjawulo omubiri ezikozesebwa okukola vitamiini D. Zino ziyitibwa hypophosphatemic rickets.

Embeera endala ez’obulamu ezisibukako

Rickets era esobola okuva ku ndwadde endala. Abaana abalina embeera ezimu ezitatera kubaawo naddala ezikwata ku kibumba, ensigo, ebyenda n’amawuggwe, bayinza okukaluubirirwa okunywa vitamiini D ne phosphorus.

Ani ali mu bulabe obw’amaanyi obw’okulwala obulwadde bwa rickets?

Mu butuufu omwana yenna asobola okufuna obulwadde bwa ‘nutritional rickets’. Kyokka ebibinja ebimu biri mu bulabe obusingako katono. Ka tulabe kye bali:

• Abalongo abayonsebwa gokka (naddala okumala emyezi egisukka mu 6): Nga bwe nnagambye emabegako, abalongo abayonsebwa gokka balina okuweebwa ekirungo kya vitamiini D.
• Abalongo n’abaana abato abali wakati w’emyezi 6 n’emyezi 24 (emyaka 2): Emyaka nsonga nkulu nnyo ey’obulabe eri okulwala obulwadde bwa rickets. Wano abaana bwe baba bakula mangu.
• Abaana abazaalibwa nga tebanneetuuka: Omwana atereka vitamiini D ng’ali mu lubuto naddala mu myezi esatu egisembayo. Kale, singa omwana azaalibwa nga tannatuuka, obungi bwa vitamiini D eterekeddwa buba butono.
• Abaana abalina olususu oluddugavu: Olw’okukola melanin okweyongera mu lususu, ekiseera ekitwala olususu okukola vitamiini D okuva mu musana bweyongera.
• Abaana abatafuna musana gumala butereevu: Omusana oguyita mu madirisa guziyiza ezimu ku masasi ga vitamiini D aga ultraviolet B (UVB). Kale kirungi okutwala omwana wo ebweru n’amala eddakiika 10-15 mu musana omungi, ku ssaawa nga 9-10 ez’oku makya (naye si mu musana ogw’omu ttuntu).

Kale omwana wo omuto bw’aba wa kimu ku bibinja bino, kirungi n’ofaayo katono ku vitamiini D.

Kiki ekibaawo singa obulwadde bwa rickets tebujjanjabwa? (Ebizibu ebivaamu)

Wadde ng’obulwadde bwa rickets bulwadde bujjanjabwa, kikulu okubujjanjaba amangu ddala nga bwe kisoboka. Singa tebujjanjabwa, n’obulwadde bwa rickets obutono busobola okuleeta obuzibu obw’ekiseera ekiwanvu obuyinza okukosa enkula y’amagumba. Ebizibu ebiyinza okuvaamu mulimu:

• Okumenya amagumba: Amagumba ganafu era gasobola okumenya mangu.
• Obulumi obutawona:Wayinza okubaawo obulumi obutasalako mu magumba.
• Obulema mu magumba: Enkula y’amagumba eyinza okukyuka enkalakkalira. Ng’ekyokulabirako, amagulu agafukamidde oba omugongo ogufukamidde guyinza okusigalawo.
• Ebizibu by’amannyo: okulwawo okuvaamu amannyo, okunafuwa kw’amanyo g’amannyo, okweyongera kw’obulabe bw’okuzimba amannyo.
• Okusannyalala: Obuwanvu bw’omwana buyinza okulemererwa.

Y’ensonga lwaki kikulu okugenda ew’omusawo amangu ddala ng’olaba obubonero bw’obulwadde bwa rickets. Singa bizuulibwa nga bukyali, ebizibu bino okusinga bisobola okuziyizibwa.

Abasawo bazuula batya obulwadde bwa rickets?

Omusawo w’abaana ajja kusooka kukubuuza ku byafaayo by’obulamu bw’amaka go n’obubonero bw’omwana wo. Era bajja kubuuza ku bulamu bw’omwana wo okutwalira awamu, emmere gy’alya, n’okubeera mu musana. Oluvannyuma, omusawo ajja kukola okukebera omubiri. Kyokka, bayinza okwetaaga okukola okukeberebwa okulala okutonotono okukakasa nti bazuuliddwa.

Bigezo ki ebikozesebwa?

Omusawo w’omwana wo ayinza okukola ekimu oba ebisingawo ku bigezo bino:

• X-rays: Zino zisobola okulaga bulungi enkyukakyuka entongole ezikwata ku rickets, gamba ng’okusiba, okuyulika, n’okufukamira kw’amagumba.
• Okukebera omusaayi: Bino bisobola okukebera omuwendo gwa vitamiini D, calcium ne phosphorus, wamu n’obusimu obuyitibwa alkaline phosphatase (ALP) (obuli waggulu mu rickets) ne parathyroid hormone (PTH).
• Okukebera omusulo: Kino era kiyinza okuwa endowooza ku bungi bwa calcium ne phosphorus ebifulumizibwa mu mubiri.

Rickets ajjanjabibwa atya?

Rickets etera okuva ku bbula lya vitamin D. Kale, rickets ezirimu ebiriisa zijjanjabwa bwe ziti:

• Okwongera Vitamin D ne Calcium: Obujjanjabi butandikira ku kwongera omwana ku Vitamin D ne Calcium. Omwana alina okuweebwa emmere erimu ekirungo kya Vitamin D ne Calcium, gamba ng’emmere ey’empeke, amata, kkeeki, yogati, obukuta bw’amagi, n’ebyennyanja ebirimu amafuta. Omusawo w’abaana era ajja kukuwa dose za Vitamin D (ebiseera ebisinga Vitamin D3) ne Calcium supplements buli lunaku.
• Omusana: Olw’okuba olususu lw’omwana wo mu butonde luvaamu vitamiini D ng’ali mu musana, omusawo ayinza okukuwa amagezi okutwala omwana wo ebweru okumala akaseera n’amuteeka mu musana. Omusana ogw’oku makya gwe gusinga obulungi.
• Okusiba oba Okulongoosa:Ebiseera ebisinga amagumba g’omwana gajja kwegolola ku bwago okumala ekiseera nga galimu vitamiini D ne kalisiyamu. Kyokka singa wabaawo obulema obw’amaanyi, kiyinza okwetaagisa okusiba amagumba okutereeza engeri amagumba gye gafukamidde. Tekitera kubaawo, okulongoosa okutereeza kiyinza okwetaagisa.

Lowooza ku kino, ng’ekimera ekitono bwe kiwotoka nga tekirina mazzi, n’amagumba ganafuwa nga temuli vitamiini D. Ng’ekimera bwe kiddamu okukula nga kiramu nga kiweereddwa amazzi n’endya, n’amagumba g’omwana gaddamu okunywera nga kiweereddwa vitamiini D ne kalisiyamu.

Singa omwana wo alina obulwadde bwa rickets olw’obulwadde bw’obuzaale oba embeera endala ey’obulamu, omusawo w’abaana ajja kukusindika ew’omusawo omukugu, gamba ng’omusawo w’endwadde z’omu lubuto oba omusawo w’ekibumba.

Ddi lwe nnina okulaba omusawo?

Omwana wo bw’aba alina obubonero buno, laba omusawo w’abaana awatali kulwa :

• Bw’oba ​​olina embeera y’obujjanjabi oba obulwadde obulemesa omubiri okukozesa vitamiini D.
• Obubonero bw’okusannyalala naddala ng’olaba ebintu ng’engalo ezigazi, enkizi oba amaviivi, amagulu agafukamidde, okukaluubirirwa okutambula, n’okukula okulemererwa.
• Singa omwana atera okugamba nti amagumba gaabwe galuma oba okulaga obulumi nga bamukwatako.

Bw’olaba ebintu nga bino, kiba kya magezi okulaba omusawo awatali kulwa.

Rickets esobola okuziyizibwa?

Yee, ddala! Waliwo bye tuyinza okukola okuziyiza endwadde z’endya eziyitibwa rickets.

"Bw'oba oyonsa omwana wo yekka, olina okumuwa amatondo g'ekirungo kya Vitamiini D buli lunaku. Kino kiri bwe kityo kubanga amata g'amabeere tegaliimu vitamiini D emala ku magumba g'omwana wo agakula. Abalongo abasinga beetaaga vitamiini D3 nga International Units (IU) nga 400 buli lunaku. Naye kirungi okubuuza omusawo w'abaana ku ddoozi entuufu omwana wo gy'ayagala. "

"Okuziyiza endya mu baana abakulu, kikulu okubawa emmere ey'enjawulo erimu vitamiini D. Ebika by'ebyennyanja ebimu (naddala salmon, trout, ne sardines) birimu ekirungo kya Vitamiini D. Ekirala, emmere nnyingi erimu vitamiini D. Amata, omubisi gw'emicungwa, n'emmere ey'empeke ezimu zirimu vitamiini D. Omusawo w'omwana wo ayinza n'okukuwa amagezi okumira ekirungo kya vitamiini D."

"Era, abasawo bagamba nti omwana wo omusana. Okuva olususu bwe lukola vitamiini D ng'ofunye omusana, eyo y'engeri endala ey'okufuna ekiriisa kino ekikulu. Wabula obungi bwa vitamiini D bwe tufuna okuva mu musana buyinza okwawukana okusinziira ku bintu ng'ekitundu kyaffe, embeera y'obudde, langi y'olususu, n'okukozesa eddagala eriziyiza omusana. Abaana bangi bayinza obutasobola kufuna vitamiini D emala okuva mu musana gwokka."

"Wabula obulwadde bwa rickets obuva ku mbeera y'obuzaale tebusobola kuziyizibwa. Bw'oba oli lubuto oba ng'oteekateeka okufuna olubuto era ng'olina ebyafaayo by'amaka agalina obulwadde bwa rickets, oyinza okulowooza ku ky'okwogera n'omukugu mu kubuulirira obuzaale. Era bayinza okukuwa amagezi okukebera obuzaale."

Omwana wange ajja kumala bbanga ki ng’alina obulwadde bwa rickets?

Obulwadde bwa nutritional rickets busobola okujjanjabibwa mu wiiki oba emyezi mitono okusinziira ku buzibu bw’embeera y’omwana. Obubonero obusinga obungi – okugeza, okulumwa amagumba n’okunafuwa kw’ebinywa – bulina okutereera mu wiiki ntono nga batandise obujjanjabi. Obutabeera na vitamiini D nakyo kirina okutereera mu wiiki mukaaga ku munaana. Omwana wo bw’aba n’amagumba agafukamidde oba agakoonagana, kiyinza okutwala emyezi egiwerako, oba n’omwaka gumu okutereera. Kino kiyinza okugenda ku bwakyo, oba kiyinza okwetaagisa okusiba ebisiba oba okulongoosebwa.

"Singa obulwadde bw'omwana wo buva ku mbeera y'obulamu etali ya mmere, obutaba na vitamiini D busobola okujjanjabibwa. Kyokka ne bwe bujjanjabwa, embeera eyinza okubeerawo obulamu bwonna. Omusawo wo ow'abaana (n'abakugu abalala, bwe kiba kyetaagisa) ajja kukuyamba ggwe n'omwana wo okuddukanya n'okubeera n'embeera eno."

Entunula/prognosis eri etya eri abaana abalina rickets?

Endowooza y’abaana abalina obulwadde bwa rickets mu by’endya etera okuba ennungi nnyo. Bwe bafuna obujjanjabi, embeera yaabwe etera okutereera ddala mu wiiki oba emyezi mitono. Abaana abasinga abajjanjabwa obulwadde bwa rickets obuva ku mmere bawona mu bujjuvu ne bakula ne bafuuka abantu abakulu abalamu.

"Bwe wabaawo ebirala ebivaako obulwadde bwa rickets, endowooza ejja kusinziira ku bulwadde oba embeera entongole omwana wo gy'alina. Wabula emirundi mingi, abaana abalina rickets nga eno basobola okubeera obulamu obujjuvu, obulungi nga balina obujjanjabi obw'ekikugu."

Njawulo ki eriwo wakati wa Rickets ne Osteomalacia?

Osteomalacia mbeera efaananako ne Rickets mu bantu abakulu. Mu ngeri ennyangu, Rickets kigonza magumba mu baana, ate Osteomalacia kigonza magumba mu bantu abakulu. Ekisinga okuvaako byombi kwe kubulwa vitamiini D. Obulwadde bwa Rickets bukosa amagumba g’abaana agakula, kale buleeta obubonero obw’enjawulo ng’amagulu okufukamira. Abantu abakulu tebalina kabonero kano kennyini (amagulu agafukamidde) kubanga amagumba gaabwe gakula mu bujjuvu. Kyokka era zirina obulumi bw’amagumba, era amagumba gaabwe aganafuye era agakutuse gasobola okukutuka mangu.

Toli wekka, funa obuyambi.

Bw’olaba ng’amagulu g’omwana wo gafukamidde oba ng’engalo ze zigazi, genda mangu omusawo w’abaana. Basobola okukebera okulaba oba rickets. Kino kiyinza okuwulikika ng’ekitiisa, naye mbeera ejjanjabibwa. Mu kiseera kino, buuza omusawo wo ku bibiina ebiyamba abaana abalina obulwadde bwa rickets n’amaka gaabwe. Okukwatagana n’abalala ababadde n’ebyo ebifaananako bwe bityo kiyinza okukuzzaamu amaanyi ennyo ggwe n’omwana wo. Era kiyinza okukuyamba okuyiga engeri empya, ennungi ez’okuddukanyaamu embeera y’omwana wo.

Obubaka obusinga obukulu okutwala awaka

Kale, Maama ne Taata, Rickets si kintu kya kutya, naye era si kintu kya kutwala ng’ekitono.

• Vitamiini D yeetaagibwa nnyo mu kukula kw’amagumba amagumu mu baana.
• Obulwadde bwa rickets busobola okuziyizibwa ng’oli mu musana (naddala ku makya), okulya emmere erimu vitamiini D (nga ebyennyanja, amata, ensaano y’amagi), era bwe kiba kyetaagisa, okumira ebirungo ebiyamba ku vitamiini D ng’omusawo bw’akulagidde.
• Kikulu nnyo okuwa abalongo abayonsebwa bokka amatondo ga vitamiini D (naddala abasukka mu myezi 6) oluvannyuma lw’okwebuuza ku musawo.
• Bw’olaba obubonero ng’amagulu okufukamira, okulwawo okutambula, okulumwa amagumba oba okukula obubi, kakasa nti ogenda ew’omusawo w’abaana.

Jjukira nti okuzuulibwa amangu n’okumujjanjaba obulungi kiyinza okuwa omwana wo ebiseera eby’omu maaso ebirungi era eby’amaanyi. Akamwenyumwenyu k'omwana wo omuto lye ssanyu lyaffe erisinga!

` Rickets, vitamin D, calcium, amagumba g’abaana, okukula kw’amagumba, okuyonsa, omusana