Ese umwana wawe afite amagufwa adakomeye? Ese uyu ni Rickets? Reka tubirebe!

Ese amaguru y'umwana wawe asa n'aho yunamye gato? Cyangwa agenda mu buryo budasanzwe iyo agenda? Hari igihe ibi bishobora kuba ibimenyetso by'indwara yitwa rickets, iterwa n'uko amagufwa adakura neza mu bana bato. Ntugahangayike, tuzabivugaho birambuye.

Rickets ni iki?

Muri make, Rickets ni indwara igira ingaruka ku magufwa y'umwana wawe, ni ukuvuga imikurire ye. Icyaba ari uko amagufwa y'umwana yoroshye kandi agacika intege. Hanyuma amagufwa ashobora gupfukama, gupfukama, ndetse rimwe na rimwe akavunika. Kimwe n'ibumba ritavuguruye, ahindura imiterere byoroshye.

Impamvu nyamukuru ni ukubura vitamine D.

Impamvu nyamukuru ituma habaho indwara ya Rickets ni ukubura intungamubiri yitwa Vitamine D. Noneho uribaza uko bigenda kuri iyi Vitamine D. Vitamine D ifasha umubiri wacu kwinjiza izindi ntungamubiri z'ingenzi zitwa Calcium na Fosforu. Iyi Calcium na Fosforu ni byo bintu by'ingenzi cyane ku magufwa akomeye kandi afite ubuzima bwiza. Rero, iyo Vitamine D idafite ihagije mu mubiri, umwana ntaba ashobora kwinjiza Calcium na Fosforu neza. Icyo gihe amagufwa ntakura neza.

Iyi vitamine D ituruka he?

Hari uburyo bubiri bw'ingenzi abana bacu babona Vitamine D: urumuri rw'izuba n'ibiribwa.

Umucyo w'izuba: Ese wari uzi ko iyo uruhu rwacu ruhuye n'izuba, rutanga vitamine D mu ruhu. Ibyo ntibitangaje? Ariko, mu bihugu bimwe na bimwe, cyane cyane mu turere dufite urumuri ruto rw'izuba, abantu ntibabona vitamine D ihagije muri ubu buryo. Muri Sri Lanka, dufite urumuri rw'izuba rwinshi, ariko rimwe na rimwe dushobora kutabona izuba rihagije ku bana bacu, cyane cyane mu gitondo. Umucyo w'izuba ruto ni ingenzi cyane.

Ibiryo: Amafi amwe n'amwe afite ibinure n'amavuta y'amafi abonekamo vitamine D. Ariko ibi biribwa ni gake cyane. Mu bihugu byinshi, abantu barya ibiryo birimo vitamine D. Urugero:

• Amata n'ibikomoka ku mata
• Ubwoko bw'amata y'uruhinja
• Ibinyampeke bimwe
• Umutobe w'amacunga

Ariko wibuke ko indwara ya rickets ikunze kugaragara ariko ishobora kuvurwa. Niba ufite impungenge ku bijyanye n'uko umwana wawe afata Vitamine D, vugana n'umuganga w'abana.

Ni ibihe bimenyetso bya Rickets?

Rickets zituma amagufwa y'umwana acika intege kandi agacika intege, bigatuma agorama, agahinduka nk'aho adasa neza. Reka turebere hamwe ibi bimenyetso:

• Amaguru yunamye: Iki ni cyo kimenyetso gikunze kugaragara. Amaguru asa n'agondamye inyuma, nk'umuheto.
• Ububabare bw'amagufwa:Umwana ashobora kuvuga ko amagufwa ye ababara, cyangwa ashobora kugaragaza ububabare iyo akozweho.
• Ibibazo by'amenyo: Ibi bishobora kuba birimo gutinda gucika amenyo, gucikamo ibice, no gucika intege kw'amenyo.
• Gutinda mu mikurire: Abana bashobora kutazamuka muremure cyangwa ngo bongere ibiro vuba nk'abandi bana bo mu kigero cyabo.
• Intege nke z'imitsi: Umwana ashobora gutakaza ubushake n'imbaraga zo guhagarara, kugenda no gukina. Umwana ashobora kugaragara nk'unaniwe.
• Indwara zo mu mutwe: Mu bihe bimwe na bimwe bikomeye, iyo urugero rwa kalisiyumu mu maraso rugabanutse cyane, ibi bishobora kubaho. Ariko, ibi ni ibintu bidasanzwe.
• Kubyimba impera z'imbavu: Aho imbavu zihurira n'igufwa ryo hagati ry'igituza (sternum) rishobora kubyimba rikamera nk'ipfundo. Ibi kandi byitwa "rozari ya rachitic."
• Kugorama kudasanzwe k'umugongo cyangwa impinduka mu miterere y'agahanga: Ushobora kubona uruti rw'umugongo rugoramye ku ruhande (scoliosis), cyangwa umutwe ugoramye cyangwa utari mwiza.
• Imitsi idakomeye: Umubiri w'umwana ushobora kumva urekuye aho kuba ukomeye.
• Kwaguka kw'amavi n'utuguru (ku bana bato) cyangwa kwaguka kw'amaboko (ku bana bakina): Izi ngingo zishobora kugaragara nk'aho ari nini kandi zagutse kurusha abandi bana.

Niba ubona ko umwana wawe afite kimwe cyangwa byinshi muri ibi bimenyetso, ni byiza kujya kwa muganga vuba bishoboka.

Ni izihe mpamvu zitera indwara ya rickets?

Hari ibintu byinshi by'ingenzi bishobora gutuma habaho indwara ya rickets. Reka turebe kimwe muri byo.

Kubura Vitamine D

Iyi ni yo mpamvu ikunze gutera indwara ya rickets. Ibi kandi tubyita rickets mu mirire. Nkuko nabivuze mbere, vitamine D ni ingenzi kugira ngo amagufwa y'umwana ashobore kwinjiza kalisiyumu na fosifore. Izi ntungamubiri ni zo amagufwa akeneye kugira ngo akomere kandi agire ubuzima bwiza. Rero, iyo umwana atabonye vitamine D ihagije mu byo arya, hashobora kubaho ibura rya vitamine D. Ibintu bikurikira bishobora gutera ibi:

• Niba umwana adashobora gusya amata n'ibikomoka ku mata (Lactose idashobora kwihanganira): Icyo gihe kalisiyumu na vitamine D biva mu mata bishobora kugabanuka.
• Niba urya indyo y’abatarya inyama gusa cyangwa iy’abatarya inyama gusa: Kubera ko Vitamine D iboneka cyane mu biribwa by’inyamaswa.
• Niba wonsa ibere gusa (cyane cyane mu gihe kirenga amezi 6): Amashereka aba afite vitamine D nkeya. Kubwibyo, abaganga basaba abana bonsa konsa inyunganiramirire ya Vitamine D.
• Niba ufite ikibazo cy’uburwayi kibuza umubiri wawe kwinjiza Vitamine D:Urugero, indwara zo mu mara nka Crohn's disease, celiac disease, cyangwa ulcerative colitis.

Byongeye kandi, kutagira izuba rihagije no kutagira kalisiyumu nyinshi mu mirire y'umwana nabyo bishobora gutera kubura vitamine D.

Ibyerekeye imiterere y'uturemangingo

Iyi ni indwara idasanzwe. Ariko, zimwe mu ndwara zikomoka ku ngirabuzimafatizo zishobora kubangamira ubushobozi bw'umwana bwo kwinjiza fosifore cyangwa vitamine D. Hari izindi ndwara zikomoka ku ngirabuzimafatizo zigira ingaruka kuri poroteyine runaka zikoreshwa n'umubiri mu gukora vitamine D. Izi ndwara zitwa hypophosphatemic rickets.

Izindi ndwara zishingiye ku buzima

Rickets zishobora guterwa n'izindi ndwara. Abana bafite indwara zimwe na zimwe zidasanzwe, cyane cyane izifata umwijima, impyiko, amara n'ibihaha, bashobora kugorwa no kwinjiza vitamine D na fosifore.

Ni nde uri mu kaga gakomeye ko kurwara indwara ya rickets?

Mu by’ukuri, umwana uwo ari we wese ashobora kurwara indwara y’imirire mibi. Ariko, hari amatsinda amwe afite ibyago byinshi byo kurwara iyi ndwara. Reka turebe abo ari bo:

• Abana bonsa gusa (cyane cyane amezi arenga 6): Nkuko nabivuze mbere, abana bonsa gusa bagomba guhabwa inyongeramusaruro ya Vitamine D.
• Impinja n'abana bato bari hagati y'amezi 6 n'amezi 24 (imyaka 2): Imyaka ni ikintu gikomeye cyane gishobora gutera indwara ya rickets. Iki ni cyo gihe abana bakura vuba.
• Abana bavutse igihe kitageze: Umwana abika Vitamine D akiri mu nda, cyane cyane mu mezi atatu ya nyuma. Rero, iyo umwana avutse igihe kitageze, ingano ya Vitamine D irabitswe iba nke.
• Abana bafite uruhu rwijimye: Bitewe n'ubwiyongere bw'umusaruro wa melanin mu ruhu, igihe uruhu rumara kugira ngo rukore vitamine D iturutse ku zuba kiriyongera.
• Abana batabona urumuri rw'izuba ruhagije: Izuba rinyura mu madirishya ribuza imwe mu mirasire ya ultraviolet B (UVB) ikora vitamine D. Rero ni byiza kujyana umwana wawe hanze akamara iminota 10-15 mu zuba ryinshi, ahagana saa tatu za mu gitondo kugeza saa yine za mu gitondo (ariko ntabwo ari ku zuba rya saa sita).

Niba rero umwana wawe ari muri rimwe muri ayo matsinda, ni byiza kwitondera Vitamine D.

Bigenda bite iyo indwara ya rickets idavuwe? (Ingaruka mbi)

Nubwo indwara ya rickets ivurwa, ni ngombwa kuyivura vuba bishoboka. Iyo itavuwe, ndetse na rickets zoroheje zishobora gutera ibibazo by'igihe kirekire bishobora kugira ingaruka ku mikurire y'amagufwa. Ingorane zishobora kubaho zirimo:

• Amagufwa avunika: Amagufwa aba afite intege nke kandi ashobora kuvunika byoroshye.
• Ububabare budakira:Hashobora kubaho ububabare buhoraho mu magufwa.
• Ubusembwa bw'amagufwa: Imiterere y'amagufwa ishobora guhinduka burundu. Urugero, amaguru ahetamye cyangwa umugongo uhetamye bishobora kugumaho.
• Ibibazo by'amenyo: gutinda kumera amenyo, amenyo agabanuka, ibyago byo kumera imyenge y'amenyo byiyongera.
• Kudakomeza: Uburebure bw'umwana bushobora kugabanuka.

Niyo mpamvu ari ngombwa kujya kwa muganga ako kanya ukimara kubona ibimenyetso bya rickets. Iyo bigaragaye hakiri kare, izi ngorane zishobora kwirindwa cyane.

Ni gute abaganga basuzuma indwara ya rickets?

Umuganga w'abana azabanza kukubaza amateka y'ubuzima bw'umuryango wawe n'ibimenyetso by'umwana wawe. Azababaza kandi ubuzima bw'umwana wawe muri rusange, imirire ye, n'izuba rye. Hanyuma, muganga azagukorera isuzuma ry'umubiri. Ariko, bashobora gukenera gukora ibindi bipimo bike kugira ngo bemeze ko arwaye.

Ni ibihe bizamini bikoreshwa?

Muganga w'umwana wawe ashobora gukora kimwe cyangwa byinshi muri ibi bizamini:

• Imirasire ya X: Iyi ishobora kwerekana neza impinduka zihariye za rickets, nko gupfuka, gushwanyagurika no kunama kw'amagufwa.
• Ibipimo by'amaraso: Ibi bishobora gusuzuma urugero rwa vitamine D, kalisiyumu na fosifore, ndetse n'urugero rwa enzyme yitwa alkaline phosphatase (ALP) (iba iri hejuru muri rickets) na hormone ya parathyroid (PTH).
• Ibipimo by'inkari: Ibi bishobora kandi gutanga igitekerezo cy'ingano ya kalisiyumu na fosifore biva mu mubiri.

Rickets ivurwa ite?

Rickets ikunze guterwa no kubura vitamine D. Rero, rickets z'imirire zivurwa muri ubu buryo bukurikira:

• Kongera Vitamine D na Kalisiyumu: Ubuvuzi butangirana no kongera umwana ifunguro rya Vitamine D na Kalisiyumu. Umwana agomba guhabwa ibiryo bikungahaye kuri Vitamine D na Kalisiyumu, nk'ibinyampeke, amata, foromaje, yawurute, umuhondo w'igi n'amafi afite amavuta. Muganga w'abana azandika kandi ingano ya Vitamine D (ubusanzwe Vitamine D3) n'inyongera za Kalisiyumu buri munsi.
• Imirasire y'izuba: Kubera ko uruhu rw'umwana wawe rukora vitamine D mu buryo busanzwe iyo ashyizwe ku zuba, muganga wawe ashobora kukugira inama yo kujyana umwana wawe hanze akanya gato akamushyira ku zuba. Imirasire y'izuba ya mu gitondo ni yo nziza.
• Kubaga cyangwa gutera inkunga amaguru:Akenshi, amagufwa y'umwana ahita yigorora uko igihe kigenda gihita hamwe na vitamine D na kalisiyumu. Ariko, iyo hari ubumuga bukomeye, hashobora gukenerwa ibyuma bifasha gukosora imiterere y'amagufwa. Ni gake cyane, kubagwa bishobora kuba ngombwa.

Tekereza gato, nk'uko ikimera gito gikomera kidafite amazi, amagufwa acika intege adafite vitamine D. Nk'uko ikimera gikura neza iyo gihawe amazi n'indyo, ni ko n'amagufwa y'umwana yongera gukomera iyo ahawe vitamine D na kalisiyumu.

Niba umwana wawe afite indwara ya rickets bitewe n’indwara y’uturemangingo cyangwa indi ndwara, abana bawe bazakohereza ku muganga w’inzobere, nka muganga w’indwara z’imitsi cyangwa umuhanga mu by’imitsi.

Ni ryari ngomba kujya kwa muganga?

Niba umwana wawe afite kimwe muri ibi bimenyetso, hita ubonana na muganga w'abana:

• Niba ufite ikibazo cy'uburwayi cyangwa indwara ibuza umubiri gukoresha Vitamine D.
• Ibimenyetso bya rickets, cyane cyane iyo ubonye ibintu nk'amaboko manini, uturenge, cyangwa amavi, amaguru apfukamye, kugenda bigoranye, no kudakura neza.
• Niba umwana akunze kuvuga ko amagufwa ye ababara cyangwa agaragaza ububabare iyo akozeho.

Niba ubona ibintu nk'ibi, ni byiza kujya kwa muganga vuba.

Ese Rickets zishobora kwirindwa?

Yego rwose! Hari ibintu dushobora gukora kugira ngo wirinde indwara zo mu mirire mibi.

"Niba wonsa umwana wawe gusa, ugomba kumuha ibinini bya Vitamine D buri munsi. Ibi biterwa nuko amashereka adafite Vitamine D ihagije yo gukoresha mu gukura kw'amagufwa y'umwana wawe. Abana benshi bakeneye ingano 400 za Vitamine D3 ku munsi. Ariko ni byiza kubaza muganga w'abana ku gipimo nyacyo umwana wawe akeneye. "

"Kugira ngo hirindwe indwara zo mu mirire ku bana bakuru, ni ngombwa kubaha ibiryo bitandukanye bikungahaye kuri vitamine D. Amwe mu moko y'amafi (cyane cyane salmon, trout, na sardine) akungahaye kuri vitamine D. Nanone, ibiryo byinshi bikungahaye kuri vitamine D. Amata, umutobe w'icunga, n'ibinyampeke bimwe na bimwe bikungahaye kuri vitamine D. Muganga w'umwana wawe ashobora no kukugira inama yo gufata inyongera ya vitamine D."

"Nanone, abaganga bakugira inama yo gushyira umwana wawe ku zuba. Kubera ko uruhu rukora vitamine D iyo rushyizwe ku zuba, ubwo ni ubundi buryo bwo kubona iyi ntungamubiri y'ingenzi. Ariko, ingano ya vitamine D tubona mu zuba ishobora gutandukana bitewe n'ibintu nk'akarere duherereyemo, ikirere, ibara ry'uruhu, n'ikoreshwa ry'amavuta yo kwisiga izuba. Abana benshi bashobora kutabona vitamine D ihagije mu zuba gusa."

"Ariko, indwara ya rickets, iterwa n'indwara ya genetike, ntishobora kwirindwa. Niba utwite cyangwa uteganya gutwita kandi ufite amateka yo kurwara rickets mu muryango wawe, ushobora gutekereza kuvugana n'umujyanama mu by'imiterere y'umubiri. Bashobora kandi kukugira inama yo gupima imiterere y'umubiri."

Umwana wanjye azamara igihe kingana iki afite indwara ya rickets?

Indwara zo mu mirire zishobora kuvurwa mu byumweru cyangwa amezi make, bitewe n'uburemere bw'indwara y'umwana. Ibimenyetso byinshi - urugero, ububabare bw'amagufwa n'intege nke z'imitsi - bigomba kugabanuka mu byumweru bike uhereye igihe yatangiye kuvurwa. Kubura Vitamine D nabyo bigomba kugabanuka mu byumweru bitandatu kugeza ku munani. Niba umwana wawe afite amagufwa agaramye cyangwa agongamye, bishobora gufata amezi menshi, cyangwa ndetse n'umwaka, kugira ngo bikorwe neza. Ibi bishobora kwishira ubwabyo, cyangwa bishobora gusaba ko ashyirwa mu byuma cyangwa kubagwa.

"Niba indwara y'umwana wawe iterwa n'indwara idashingiye ku mirire, kubura Vitamine D bishobora kuvurwa. Ariko, nubwo yavurwa, indwara isanzwe ishobora kubaho ubuzima bwe bwose. Umuganga w'abana (n'abandi bahanga, nibiba ngombwa) bazagufasha wowe n'umwana wawe guhangana n'iyi ndwara."

Ni iki giteganyijwe ku bana barwaye indwara ya rickets?

Icyizere ku bana bafite indwara y’imirire mibi ubusanzwe ni cyiza cyane. Iyo bavuwe, indwara yabo ihita ishira burundu mu byumweru cyangwa amezi make. Abana benshi bavuwe indwara y’imirire mibi barakira neza bagakura bakaba abantu bakuru bafite ubuzima bwiza.

"Niba hari izindi mpamvu zitera indwara ya rickets, uko isura ihagaze bizaterwa n'indwara cyangwa indwara umwana wawe afite. Ariko, mu bihe byinshi, abana bafite indwara ya rickets nk'iyi bashobora kubaho ubuzima bwiza kandi bwuzuye hamwe n'ubuvuzi bwihariye."

Ni irihe tandukaniro riri hagati ya Rickets na Osteomalacia?

Osteomalacia ni indwara isa na Rickets mu bantu bakuru. Muri make, Rickets ni uko amagufwa yoroha mu bana, mu gihe Osteomalacia ari uko amagufwa yoroha mu bantu bakuru. Impamvu nyamukuru y’ibyo byombi ni ukubura vitamine D. Rickets igira ingaruka ku magufwa y’abana arimo gukura, bityo itera ibimenyetso bidasanzwe nko ku maguru yunamye. Abantu bakuru ntibagira iki kimenyetso cyihariye (amaguru yunamye) kuko amagufwa yabo aba amaze gukura neza. Ariko, banababara amagufwa, kandi amagufwa yabo adakomeye kandi avunika ashobora kuvunika byoroshye.

Nturi wenyine, shaka ubufasha.

Niba ubonye amaguru y'umwana wawe yunamye cyangwa amaboko ye ari maremare, hita ubonana na muganga w'abana. Bashobora gusuzuma niba ari indwara ya rickets. Ibi bishobora kumvikana nk'aho biteye ubwoba, ariko ni indwara ishobora kuvurwa. Hagati aho, baza muganga wawe ibyerekeye amatsinda y'ubufasha afasha abana bafite indwara ya rickets n'imiryango yabo. Guhuza n'abandi bahuye n'ibibazo nk'ibyo bishobora kuba isoko ikomeye y'inkunga kuri wowe n'umwana wawe. Bishobora kandi kugufasha kwiga uburyo bushya kandi bwiza bwo gucunga ikibazo cy'umwana wawe.

Ubutumwa bw'ingenzi cyane bwo kujyana mu rugo

Rero, Mama na Papa, Rickets si ikintu cyo gutinya, ariko si ikintu cyo gufata nk'aho ari gito.

• Vitamine D ni ingenzi mu gukura kw'amagufwa akomeye mu bana.
• Rickets zishobora kwirindwa umuntu ahura n’izuba (cyane cyane mu gitondo), kurya ibiryo bikungahaye kuri vitamine D (nk'amafi, amata, umuhondo w'igi), kandi, byaba ngombwa, agafata inyongeramusaruro za vitamine D nk'uko muganga yabimutegetse.
• Ni ngombwa cyane kugisha inama muganga mbere yo guha abana bonsa gusa ibitonyanga bya Vitamine D (cyane cyane abarengeje amezi 6).
• Niba ubonye ibimenyetso nko kuguruka, gutinda kugenda, kubabara amagufwa, cyangwa gukura nabi, menya neza ko wagiye kwa muganga w’abana.

Wibuke ko kuvurwa hakiri kare no kuvurwa neza bishobora guha umwana wawe ejo hazaza hazima kandi hakomeye. Inseko y'umwana wawe ni yo munezero wacu ukomeye!

Rickets , vitamine D, kalisiyumu, amagufwa yo mu bwana, imikurire y'amagufwa, konsa, imirasire y'izuba