I fa te hian ruh chak lo a nei em? Hei hi Rickets a ni em? I zawng chhuak ang u!

I naute ke chu a khuh deuhin a lang em? A nih loh leh an kal laiin a pangngai lo takin an che vel em ni? A châng chuan hengte hi rickets an tih natna chhinchhiahna a ni thei a, chu chu naute ruh ṭhat loh vang a ni. Ngaihtuah buai suh, hemi chungchang hi chipchiar zawkin kan sawi dawn a ni.

Rickets hi eng nge ni?

A awlsam zawngin, Rickets hi i fa ruh, chu chu an thanlenna tichhe thei natna a ni. Thil thleng chu naupang ruh chu a nem a, a chak lo bawk. Tichuan ruhte chu awlsam takin a ben thei a, a ben thei a, a chang chuan a chhe thei bawk. Untempered clay ang bawkin awlsam takin an pianzia an thlak danglam thin.

A chhan ber chu vitamin D tlakchham vang a ni.

Rickets lo awm chhan ber chu Vitamin D an tih nutrient tlakchham vang a ni a, tunah chuan he Vitamin D hi eng nge thleng tih i ngaihtuah ta a, Vitamin D hian kan taksain nutrient pawimawh dang Calcium leh Phosphorus tih te hi a hip lut thei a ni. He Calcium leh Phosphorus hi ruh chak leh hrisel tan chuan thil pawimawh ber a ni. Chuvangin, taksaa Vitamin D a awm loh chuan naupangin Calcium leh Phosphorus a hip tha thei lo. Tichuan ruhte chu a lo thang chak lo.

He vitamin D hi khawi atanga lo chhuak nge?

Kan naupang tête hian vitamin D an hmuh theih dan tlangpui pahnih a awm a, chungte chu ni êng leh ei tur a ni.

Ni êng: Kan vun hian ni êng kan hmuh hian vun chhung atangin vitamin D a siam chhuak thin tih i hria em. Chu chu thil mak a ni lo maw? Amaherawhchu, ram thenkhatah, a bik takin ni êng tlemna hmunah chuan hetiang hian miten vitamin D an dawng tlem hle. Sri Lanka-ah chuan ni êng kan nei tam hle a, mahse a chang chuan kan naupang tête chu ni-ah kan dah tawk lo mai thei a, a bik takin zing lamah. Ni eng tlem tal hi a pawimawh hle.

Chaw: Nga thau leh sangha hriak thenkhatah hian a pianphungah vitamin D. Mahse heng ei tur te hi a tlem hle. Ram tam takah chuan miten vitamin D awmna fortified foods an ei thin a, entirnan:

• Bawnghnute leh bawnghnute atanga siam
• Nausen chaw chi hrang hrang
• Cereal thenkhat
• Orange tui a ni

Mahse, rickets hi natna awm lo mahse enkawl theih a ni tih hre reng ang che. I fain vitamin D a ei dan chungchangah harsatna i neih chuan i naupang enkawltu doctor nen inbia ngei ang che.

Rickets natna lan chhuah dan chu engte nge ni?

Rickets hian naupang ruh chu a tichak lo va, a ti chhe a, chu chuan a ben a, a ti hrual a, a pianzia danglam tak a nei bawk. Heng symptoms te hi eng nge ni tih hi han thlir ila:

• Bowed legs: Hei hi a lan chhuah tam ber a ni. Ke chu pawn lam hawiin a lang a, thal ang maiin a lang.
• Ruh natna: 1.1.Naupang chuan an ruh a na tih a sawi thei a, a khawih chuan natna a lantir thei bawk.
• Ha lama harsatna: Chung zingah chuan ha chhuah tlai, ha hring, leh ha enamel chak lo te pawh a tel thei.
• Hmasawn tlai: Naupangte chu an kum rualpui naupang dangte angin an sang lo emaw, an thau chak lo emaw pawh a ni thei.
• Muscle chak lohna: Naupangin ding, kal leh inkhelh a ngaihvenna leh chakna a hloh thei. Naupang chu a lethargic angin a lang thei.
• Seizures: Thil na tak tak thenkhatah chuan thisena calcium level a tlahniam lutuk chuan hengte hi a thleng thei a ni. Mahse, hei hi thil thleng tlem tak a ni.
• Rib end swelling: Rib leh middle breastbone (sternum) inzawmna hmun chu a hring thei a, knot ang maiin a lang thei. Hei hi "rachitic rosary" an ti bawk.
• Spine curvature pangngai lo emaw, luruh pianzia inthlak danglam emaw: Spine sir lam hawia curvature (scoliosis), emaw lu flattening emaw abnormal protrusion emaw i hmu thei.
• Weak muscle tone: Naupang taksa chu a nghet lo a, a hlim lo zawkin a inhria thei.
• Khup leh kekawrte zau zawk (naupang naupangteah) emaw, kutphah zau zawk (nausen kekawrteah): Heng ruhte hi naupang dang aiin a lianin a zau zawkin a lang thei.

I fa hian heng symptoms pakhat emaw a aia tam emaw a nei nia i hriat chuan a rang thei ang bera doctor pan a tha ber.

Rickets hi engte nge ni?

Rickets lo awm chhan lian tak tak engemaw zat a awm. A pakhat zel han thlir ila.

Vitamin D tlakchhamna

Hei hi rickets thlentu ber a ni. Hei hi nutritional rickets kan ti bawk. A hmaa ka sawi tawh ang khan vitamin D hi naupang ruhte hian calcium leh phosphorus a lakluh theih nan a pawimawh hle. Heng nutrients te hi ruh chak leh hrisel taka thanlenna atana mamawh a ni. Chuvangin, naupangin an ei leh in atanga vitamin D a hmuh tlem chuan vitamin D tlakchhamna a awm thei a ni. A hnuaia thilte hian hetiang hi a thlen thei a ni:

• Naupangin bawnghnute leh bawnghnute atanga siam (Lactose intolerant) a ei theih loh chuan: Chumi hnuah chuan bawnghnute atanga calcium leh vitamin D chu a tlahniam thei a ni.
• Vegetarian emaw vegan emaw ei zawng zawng i ei chuan: A chhan chu vitamin D hi ran chawah a awm tam ber a ni.
• Nau hnute chauh pek i nih chuan (a bik takin thla 6 aia tam): Nu hnute tuiah hian vitamin D a tlem hle a, chuvangin doctor-te chuan naute hnute pe tawhte chu vitamin D supplement pek an rawt a ni.
• I taksain vitamin D a lakluh theih lohna tur damdawi lam harsatna i neih chuan:Entirnan, intestinal natna, Crohn natna, celiac natna, ulcerative colitis te.

Tin, ni zung tam tawk lo leh naupang ei leh in a calcium ei tlem hian vitamin D tlakchhamna a thlen thei bawk.

Genetics lam thil a ni

Hei hi thil awm lo tak a ni. Mahse, genetic disorder thenkhat chuan naupangin phosphorus emaw vitamin D emaw a lakluh theihna a tibuai thei a, genetic condition dang pawh a awm a, chu chuan taksain vitamin D siamna atana a hman protein bikte a nghawng a, chungte chu hypophosphatemic rickets an ti a ni.

Hriselna lama harsatna awm dangte

Rickets hi natna dang vang pawh a ni thei. Naupang natna engemaw zat, a bik takin thin, kal, intestines, leh lung te nena inzawm naupangte chuan vitamin D leh phosphorus hi an ei harsa thei a ni.

Tute nge rickets vei theihna sang zawk?

Dik tak chuan naupang tu pawhin nutritional rickets an nei thei a ni. Mahse, pawl thenkhat chu an hlauhawmna a sang deuh hlek a ni. Tute nge an nih hi han thlir ila:

• Naute hnute chauh pek (a bik takin thla 6 aia rei): Ka sawi tawh ang khan naute hnute chauh pek te chu vitamin D supplement pek tur a ni.
• Naute leh naupang tê thla 6 leh thla 24 (kum 2) inkar: Kum hi rickets vei theihna tur risk factor pawimawh tak a ni. Hei hi naupang an lo thang chak em em lai a ni.
• Nausen piang hmasa: Naute hian a pum chhunga a awm laiin vitamin D a khawlkhawm a, a bik takin thla thum hnuhnung berah a khawlkhawm thin. Chuvangin, naute hi a hun hmaa piang a nih chuan vitamin D dahkhawm zat a tlem hle.
• Naupang vun dum nei: Vunah hian melanin a siam chhuah tam avangin ni eng atanga vunin vitamin D a siam chhuah hun chhung hi a pung a ni.
• Naupang direct sunlight dawng tlem: Window atanga ni êng lo lut hian vitamin D siamtu ultraviolet B (UVB) rays thenkhat a tikhawlo a ni. Chuvangin i fa chu pawnah hruai chhuakin minute 10-15 vel ni êng êng takah, zing dar 9-10 vel (mahse chawhnu lam ni chhuahnaah erawh chuan ni lo) hun hman a ṭha.

Chuvangin i fate hi heng pawl zinga pakhata mi a nih chuan vitamin D chungchangah hian tlem tal fimkhur a tha.

Rickets hi enkawl loh chuan eng nge thleng ang? (Buaina awm thei) .

Rickets hi enkawl theih ni mah se, a rang thei ang bera enkawl a pawimawh. Enkawl loh chuan rickets na lo tak tak pawh hian hun rei tak chhung harsatna a thlen thei a, chu chuan ruh thanna a tichhe thei a ni. Harsatna awm thei te chu:

• Ruh tliak: Ruh hi a chak lo a, awlsam takin a chhe thei.
• Natna rei tak: 1.1.Ruhah hian natna chhunzawm zel a awm thei.
• Skeletal deformities: Ruh pianzia hi a danglam reng thei. Entirnan, ke khuh emaw, hnungzang ben emaw a la awm thei.
• Ha lama harsatna: ha chhuah tlai, ha enamel chak lo, ha hring (cavities) awm theihna a sang.
• Stunting: Naupang san zawng a stunting thei.

Chuvangin rickets natna lan chhuah dan i hriat veleh doctor pan a pawimawh hle. A hmaa hriat chhuah a nih chuan heng harsatnate hi a tam zawkah chuan ven theih a ni.

Engtin nge doctor-te hian rickets hi an hriat theih?

I naupang enkawltu doctor chuan i chhungte hriselna chanchin leh i fa natna lan chhuah dan a zawt hmasa ang che. Tin, i fa hriselna tlangpui, ei leh in leh ni ênga a awm dan te pawh an zawt bawk ang. Tichuan, doctor chuan taksa enfiahna a nei ang. Mahse, an natna hriat chian nan test tlemte an tih belh a ngai mai thei.

Eng test nge hman thin?

I fa doctor chuan heng test zinga pakhat emaw a aia tam emaw a ti thei ang:

• X-ray: Hengte hian rickets inthlak danglamna chiang tak, ruh cupping, fraying, leh bowing te chu chiang takin a tarlang thei a ni.
• Thisen test: Hengte hian vitamin D, calcium leh phosphorus level te a enfiah thei a, chubakah enzyme pakhat alkaline phosphatase (ALP) (rickets-ah a sang) leh parathyroid hormone (PTH) level te a enfiah thei bawk.
• Zun test: Hei hian taksa atanga calcium leh phosphorus chhuak zat pawh a hriat theih bawk.

Rickets hi engtin nge enkawl a nih?

Rickets hi vitamin D tlakchham vang a ni fo thin a, chuvangin, nutritional rickets hi hetiang hian enkawl tur a ni:

• Vitamin D leh Calcium supplementing: Naupangin Vitamin D leh Calcium a ei tam zawk atanga enkawl tan a ni. Naupang chu Vitamin D leh Calcium tamna ei tur, cereal, bawnghnute, cheese, yogurt, egg yolks, leh sangha hriak nei te pek tur a ni. Naupang enkawltu doctor chuan nitin Vitamin D (a tlangpuiin Vitamin D3) leh Calcium supplement te a pe bawk ang.
• Ni êng: I naute vun hian ni ênga a awm chuan a pianphungah vitamin D a siam chhuak ṭhin avangin, i doctor chuan i naute chu rei lo tê pawnah hruai a, ni ênga awmtir turin a rawt mai thei. Zing ni eng a tha ber.
• Bracing emaw Surgery emaw: 1.1.A tam zawkah chuan naupang ruh chu hun kal zelah vitamin D leh calcium hmangin a mah chauhin a ding chhuak ang. Mahse, deformity na tak tak engemaw zat a awm chuan ruh bent nature siamthat nan braces a ngai mai thei. A tlem hle a, corrective surgery neih a ngai mai thei.

Ngaihtuah teh, thlai te tak te tui tel lova a lo vuai ang hian vitamin D tel lovin ruh a chak lo a, thlai chu tui leh chaw tha pek a nih chuan hrisel takin a lo thang leh ang bawkin naupang ruh chu vitamin D leh calcium pek a nih chuan a chak leh ta a ni.

I fain genetic disease emaw, hriselna lama harsatna dang emaw avanga rickets a neih chuan i pediatrician chuan specialist, pediatric endocrinologist emaw nephrologist emaw hnenah a refer ang che.

Engtikah nge Doctor ka hmuh ang?

I fa hian heng symptoms te hi a neih chuan pediatrician hnenah hma la hmasa phawt ang che :

• Damdawi lam harsatna emaw, taksain vitamin D a hman theih lohna tur natna emaw i neih chuan.
• Rickets symptoms, a bik takin kutphah zau tak, ke ruh, khup zau, ke khuh, kal harsa, leh than chak lohna ang chi thil i hmuh chuan.
• Naupangin an ruh a na tih emaw, khawih a nih chuan a na tih a lantir fo chuan.

Hetiang thil hi i hmuh chuan tihkhawtlai lova Doctor pan mai chu a finthlak hle ang.

Rickets hi ven theih a ni em?

Ni e, a dik tak zet! Nutritional rickets laka invenna tur thil kan tih theih a awm.

"I naute hi i hnute chauh i pe a nih chuan nitin vitamin D supplement drops i pe tur a ni. Hei hi a chhan chu nu hnute tuiah hian i naute ruh lian zel tur atan vitamin D a awm tawk lo a ni. Naute tam zawk hian ni khatah vitamin D3 International Unit (IU) 400 vel an mamawh a ni. Mahse, i naute mamawh zat dik tak chu i pediatrician zawt la a tha ber.

"Naupang kum upa zawkte nutritional rickets laka inven nan vitamin D tamna ei tur chi hrang hrang pek a pawimawh. Nga chi thenkhat (a bik takin salmon, trout, leh sardines) te hian vitamin D an pai tam hle bawk. Tin, ei tur tam takah hian vitamin D a tam hle bawk. Duhthusamin, bawnghnute, orange tui, leh cereal thenkhatah hian vitamin D a tam hle. I fa doctor pawhin vitamin D supplement ei turin a rawt thei bawk ang.".. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..

"Tin, doctor-te chuan i fa chu ni êng engemaw zatah dah turin an rawt bawk. Ni ênga a awm hian vun hian vitamin D a siam chhuah avangin chu chu he ei tur pawimawh tak hi kan hmuh theihna kawng dang a ni. Mahse, ni ênga vitamin D kan hmuh zat hi kan bial, boruak, vun rawng, leh ni êng hmanga invenna hman dan a zirin a inang lo thei a ni. Naupang tam tak chuan ni êng aṭang chauh hian vitamin D hi an dawng tlem thei lo mai thei.

"Amaherawhchu, rickets, genetic condition avanga lo awm chu ven theih a ni lo. Naupai emaw, naupai tum emaw, chhungkaw history-a rickets vei i nih chuan genetic counselor nena inbiakna neih i ngaihtuah mai thei. Genetic test neih pawh an rawt mai thei bawk.

Eng chen nge ka fa hian rickets a vei ang?

Nutritional rickets hi naupang dinhmun nasat dan azirin kar tlemte emaw thla engemaw zat chhungin enkawl theih a ni. Symptom tam zawk – entirnan, ruh na leh taksa chak lohna – enkawl tan atanga kar tlemte chhungin a tha leh tur a ni. Vitamin D tlakchhamna pawh kar ruk atanga kar riat chhungin a reh tur a ni. I fain ruh a bowing emaw curvature emaw a neih chuan thla engemaw zat, a nih loh leh kum khat pawh a ngai thei a, chu chu a dam leh thei a ni. Hei hi a mah chauhin a bo thei a, braces emaw, operation emaw a ngai thei bawk.

"I fa rickets hi non-nutritional health condition avanga lo awm a nih chuan vitamin D tlakchhamna hi enkawl theih a ni. Mahse, enkawl a nih pawhin a bulpui ber chu dam chhung zawng a ni thei. I pediatrician (leh specialist dangte, a tul chuan) chuan nang leh i fate chu he natna hi enkawl leh nunpui turin a pui ang che.

Rickets vei naupangte tan eng ang outlook/prognosis nge?

Nutritional rickets nei naupangte tan chuan outlook a tha hle tlangpui. Enkawlna an neih chuan an dinhmun chu kar tlemte emaw thla engemaw zat emaw chhungin a reh vek tlangpui. Naupang tam zawk chu nutritional rickets vei enkawl an nih chuan an dam kim a, puitling hrisel takah an lo thang lian ta a ni.

"Rickets thlentu dang a awm chuan, a hmalam hun chu i fain natna emaw, a dinhmun emaw bik a neih danah a innghat ang. Mahse, a tam zawkah chuan hetiang rickets vei naupangte hian specialist medical care hmangin nun famkim, hrisel takin an nung thei a ni.

Rickets leh Osteomalacia hi eng nge an danglamna?

Osteomalacia hi puitlingah chuan Rickets ang chi a ni. A awlsam zawngin sawi ila, Rickets hi naupang ruh ti nemtu a ni a, Osteomalacia hi puitling ruh ti nemtu a ni thung. An pahnih chhan ber chu vitamin D tlakchham vang a ni. Rickets hian naupang ruh lo thang lian zel a nghawng a, chuvangin ke bengchheng ang chi characteristic symptoms a thlen thin. Puitlingte chuan he symptom bik (bowed legs) hi an nei lo a, a chhan chu an ruhte chu a lo thang kim tawh a ni. Mahse, ruh na an nei bawk a, an ruh chak lo leh chhe tak takte chu awlsam takin a chhe thei a ni.

Nangmah chauh i ni lo, tanpuina dawng rawh.

I fa ke a khuh emaw, a kut a zau emaw i hriat chuan naupang doctor pan nghal rawh. Rickets a ni em tih an check thei bawk. Hei hi hlauhawm tak angin a lang thei a, mahse enkawl theih a ni. Chutih lai chuan, i doctor hnenah rickets vei naupangte leh an chhungte puitu support group chungchang zawt la. Chutiang thil tawn tawh mi dangte nêna inzawmna chu nang leh i fa tân fuihna nasa tak a ni thei a ni. I fa dinhmun enkawl dan thar, tha zawk zir turin a pui thei bawk.

In lama hruai tur thuchah pawimawh ber

Chuvangin, Mom and Dad, Rickets hi hlauh tur a ni lo va, mahse ngaihthah tur pawh a ni lo.

• Vitamin D hi naupang ruh chak tak an neih theih nan a pawimawh hle.
• Rickets hi ni ênga invenna (a bik takin zingkar), vitamin D tamna ei tur (nga, bawnghnute, artui hring ang chi) ei leh a tul chuan doctor-in a tih angin vitamin D supplement ei hian a veng thei a ni.
• Nausen hnute pe chauh (a bik takin thla 6 chunglam) te hnenah doctor rawn hnuah vitamin D drop pek hi a pawimawh hle.
• I ke hrual, kea kal tlai, ruh na, leh thang tha lo ang chi symptom i hmuh chuan naupang doctor pan ngei ngei tur a ni.

I fate chu a hmaa hriat chhuah leh enkawl dan dik chuan hmalam hun hrisel leh nghet tak a pe thei tih hre reng ang che. I fate nuihzatthlak hi kan lawmna ber a ni!

` Rickets, vitamin D, calcium, naupan lai ruh, ruh thanna, nau hnute pek, ni eng