Mwana wako ane mapfupa asina simba here? Uyu ndiye ane maRickets here? Ngationei!

Makumbo emwana wako anoita seakakotama zvishoma here? Kana kuti anofamba zvisina kujairika paanofamba here? Dzimwe nguva izvi zvinogona kuva zviratidzo zvechirwere chinonzi rickets, chinokonzerwa nemapfupa asina kukura zvakanaka muvana vacheche. Musazvidya mwoyo, tichataura nezvazvo zvakadzama.

Chii chinonzi Rickets?

Zvichitaurwa zviri nyore, Rickets chirwere chinokanganisa mapfupa emwana wako, kureva kukura kwawo. Chinoitika ndechekuti mapfupa emwana anova akapfava uye asina simba. Zvadaro mapfupa anogona kukotama, kukotama, uye dzimwe nguva kutotyoka. Kufanana nevhu risinganyoroveswi, anochinja chimiro zviri nyore.

Chikonzero chikuru ndechekushaikwa kwevhitamini D.

Chikonzero chikuru chekukura kweRickets kushomeka kwechikafu chinonzi Vitamin D. Iye zvino uri kushamisika kuti chii chinoitika kuVitamin D iyi. Vitamin D iyi inobatsira muviri wedu kupinza zvimwe zvinovaka muviri zvakakosha zvinonzi Calcium nePhosphorus. Calcium nePhosphorus izvi ndizvo zvinonyanya kukosha kumapfupa akasimba uye ane hutano. Saka, kana pasina Vitamin D yakakwana mumuviri, mwana haakwanise kupinza Calcium nePhosphorus nemazvo. Ipapo mapfupa haakure akasimba.

Vhitamini D iyi inobva kupi?

Kune nzira mbiri huru dzinoshandiswa nevana vedu kuwana vhitamini D: chiedza chezuva nechikafu.

Chiedza chezuva: Waizviziva here kuti kana ganda redu rikasangana nezuva, rinoburitsa vhitamini D kubva mukati meganda. Hazvishamisi here izvozvo? Zvisinei, mune dzimwe nyika, kunyanya munzvimbo dzisina chiedza chezuva, vanhu havawani vhitamini D yakakwana nenzira iyi. MuSri Lanka, tine chiedza chezuva chakawanda, asi dzimwe nguva tingasawana chiedza chezuva chakakwana, kunyanya mangwanani. Chiedza chezuva chakanyanya kukosha.

Chikafu: Mamwe mafuta ehove nehove ane mafuta akawanda ane vhitamini D. Asi chikafu ichi hachiwanzoitiki. Munyika dzakawanda, vanhu vanodya chikafu chakasimbiswa chine vhitamini D. Semuenzaniso:

• Mukaka nezvigadzirwa zvemukaka
• Mhando dzemukaka wevana
• Zvimwe zviyo
• Chinwiwa cheranjisi

Asi yeukai, maronda emudumbu chirwere chisingawanzoitiki asi chinorapika. Kana muine zvinokunetsai nezvekudya kwemwana wenyu vhitamini D, iva nechokwadi chekutaura nachiremba wevana.

Ndezvipi zviratidzo zveRickets?

Maronda emapfupa emwana anoita kuti mapfupa ake asashande zvakanaka uye asave nechinhu chinomutadzisa kusimba, zvichiita kuti akotama, akotama, uye aite chimiro chisina kujairika. Ngationei zviratidzo izvi:

• Makumbo akakotama: Ichi ndicho chiratidzo chinowanzoitika. Makumbo anoita seakakotama, seuta.
• Kurwadziwa kwemapfupa:Mwana anogona kutaura kuti mapfupa ake anorwadza, kana kuti anogona kuratidza kurwadziwa kana akabatwa.
• Matambudziko emazino: Izvi zvinogona kusanganisira kunonoka kubuda kwemazino, maburi, uye kusasimba kwe enamel yemazino.
• Kunonoka kukura: Vana vanogona kusakura kana kuwedzera uremu nekukurumidza sevamwe vana vezera ravo.
• Kushaya simba kwetsandanyama: Mwana anogona kurasikirwa nemufaro nesimba rekumira, kufamba, uye kutamba. Mwana anogona kuratidzika seaneta.
• Kubatwa nepfari: Mune zvimwe zviitiko zvakakomba, kana huwandu hwecalcium muropa hukadzikira zvakanyanya, izvi zvinogona kuitika. Zvisinei, izvi hazviwanzoitiki.
• Kuzvimba kwemucheto wembabvu: Nzvimbo iyo mbabvu dzinobatana nepfupa repakati rechipfuva (sternum) inogona kuzvimba yoita sepfundo. Izvi zvinonziwo "rachitic rozari."
• Kukombama kusina kujairika kwemusana kana kuchinja kwechimiro chedehenya: Unogona kuona kukombama kwemusana nedivi (scoliosis), kana kubuda kwemusoro kusina kujairika kana kusina kujairika.
• Kusasimba kwetsandanyama: Muviri wemwana unogona kunzwa wakasununguka pane kuomarara.
• Kukura kwemabvi netsoka (muvana vadiki) kana kukura kwemaoko (muvana vanokambaira): Mapfundo aya anogona kuoneka akakura uye akafara kupfuura vamwe vana.

Kana uchifunga kuti mwana wako ane chimwe chezviratidzo izvi kana kupfuura, zvakanaka kuti uone chiremba nekukurumidza.

Ndezvipi zvikonzero zve rickets?

Pane zvinhu zvikuru zvakawanda zvinogona kukonzera kukura kwechirwere che "rickets". Ngatitarisei chimwe nechimwe.

Kushaikwa kweVitamin D

Ichi ndicho chinonyanya kukonzera maronda emuviri. Tinochidaidzawo kuti maronda emuviri emuviri. Sezvandambotaura, vhitamini D inokosha kuti mapfupa emwana awane calcium nephosphorus. Izvi zvinovaka muviri ndizvo zvinodiwa nemapfupa kuti akure akasimba uye ane hutano. Saka, kana mwana asingawani vhitamini D yakakwana kubva muzvikafu zvaanodya, kushomeka kwevhitamini D kunogona kuitika. Zvinhu zvinotevera zvinogona kukonzera izvi:

• Kana mwana asingagone kugaya mukaka nezvinhu zvinogadzirwa nemukaka (Lactose isingashiviriri): Saka calcium nevhitamini D zvinobva mumukaka zvinogona kuderedzwa.
• Kana ukadya chikafu chisina muriwo zvachose kana kuti chisina vegan: Nekuti vhitamini D inowanikwa zvakanyanya muzvikafu zvemhuka.
• Kana uchiyamwiswa chete (kunyanya kwemwedzi inopfuura mitanhatu): Mukaka wemuzamu une vhitamini D shoma zvishoma. Saka, vanachiremba vanokurudzira kupa vana vanoyamwiswa vhitamini D zvekudya zvinovaka muviri.
• Kana uine chirwere chinotadzisa muviri wako kutora vhitamini D:Semuenzaniso, zvirwere zvemudumbu zvakaita sechirwere cheCrohn, chirwere checeliac, kana ulcerative colitis.

Pamusoro pezvo, kusawana zuva rakawanda uye kudya kwemwana calcium shoma zvinogona kukonzera kushomeka kwevhitamini D.

Majini

Ichi chirwere chisingawanzoitiki. Zvisinei, mamwe matambudziko emumajini anogona kukanganisa kugona kwemwana kupinza phosphorus kana vhitamini D. Kune mamwe mamiriro emumajini anokanganisa mapuroteni chaiwo anoshandiswa nemuviri kugadzira vhitamini D. Aya anonzi hypophosphatemic rickets.

Zvimwe zvirwere zvehutano zviri pachena

Maronda anogonawo kukonzerwa nezvimwe zvirwere. Vana vane mamwe matambudziko asingawanzoitiki, kunyanya aya anosanganisira chiropa, itsvo, ura, nemapapu, vanogona kunetseka nekunwa vhitamini D nephosphorus.

Ndiani ari panjodzi huru yekubatwa nechirwere che "rickets"?

Kutaura zvazviri, chero mwana anogona kuva nechirwere chekudya chinopa simba. Zvisinei, mamwe mapoka ari panjodzi yakakura zvishoma. Ngatitarisei kuti ndivanaani:

• Vacheche vanoyamwiswa chete (kunyanya kwemwedzi inopfuura mitanhatu): Sezvandambotaura, vacheche vanoyamwiswa chete vanofanira kupiwa vhitamini D.
• Vacheche nevana vadiki vari pakati pemwedzi mitanhatu nemwedzi makumi maviri nemana (makore maviri): Zera chinhu chakakosha panjodzi yekurwara nemakumbo. Apa ndipo pakukura kwevana nekukurumidza.
• Vana vacheche vasati vasvika nguva: Mwana anochengeta vhitamini D ari mudumbu, kunyanya mumwedzi mitatu yekupedzisira. Saka, kana mwana akazvarwa nguva isati yakwana, huwandu hwevhitamini D hwakachengetwa hushoma.
• Vana vane ganda dema: Nekuda kwekuwedzera kwekugadzirwa kwemelanin muganda, nguva inotora ganda kugadzira vhitamini D kubva kuzuva inowedzera.
• Vana vasingawani chiedza chezuva chakakwana: Chiedza chezuva chinopinda nepamahwindo chinovhara mamwe marara e ultraviolet B (UVB) anogadzira vitamin D. Saka zvakanaka kutora mwana wako panze wopedza maminitsi gumi kusvika gumi nemashanu ari muzuva rakajeka, kuma9-10am (asi kwete muzuva remasikati).

Saka kana mwana wako ari mumwe wemapoka aya, zvakanaka kuti unyatsochenjerera nezvevhitamini D.

Chii chinoitika kana maronda emudumbu akasarapwa? (Matambudziko)

Kunyange zvazvo maronda emudumbu ari chirwere chinorapika, zvakakosha kurapa nekukasika. Kana akasarapwa, kunyange maronda madiki anogona kukonzera matambudziko kwenguva refu anogona kukanganisa kukura kwemapfupa. Matambudziko anogona kusanganisira:

• Kutyoka kwemapfupa: Mapfupa haana simba uye anogona kutyoka zviri nyore.
• Kurwadziwa kusingaperi:Panogona kunge paine kurwadziwa kunoramba kuripo mumapfupa.
• Kuremara kwemafupa: Chimiro chemapfupa chinogona kuchinjwa zvachose. Semuenzaniso, makumbo akakotama kana musana wakakotama zvinogona kuramba zviripo.
• Matambudziko emazino: kunonoka kubuda kwemeno, kusasimba kwemazino, kuwedzera kwenjodzi yekuve nemaburi.
• Kusagona Kureba: Kureba kwemwana kunogona kunge kwakaderera.

Ndosaka zvichikosha kuti uone chiremba kana wangoona zviratidzo zvemaronda emudumbu. Kana zvikaonekwa nekukurumidza, matambudziko aya anogona kudzivirirwa zvakanyanya.

Vanachiremba vanoongorora sei rickets?

Chiremba wevana vako achatanga nekukubvunza nezvenhoroondo yehutano hwemhuri yako nezviratidzo zvemwana wako. Achakubvunzawo nezvehutano hwemwana wako, kudya kwake, uye kupiswa nezuva. Zvadaro, chiremba achaita bvunzo yemuviri wake. Zvisinei, vangangoda kuita mimwe miedzo mishoma kuti vasimbise chirwere chacho.

Miedzo ipi inoshandiswa?

Chiremba wemwana wenyu anogona kuita imwe kana kupfuura yebvunzo idzi:

• X-rays: Izvi zvinogona kuratidza zvakajeka shanduko chaiyo yemapfupa ane maronda, akadai sekuputira, kupwanyika, uye kukotama kwemapfupa.
• Kuongororwa kweropa: Izvi zvinogona kuongorora huwandu hwevhitamini D, calcium, uye phosphorus, pamwe nehuwandu hweenzyme inonzi alkaline phosphatase (ALP) (iyo yakakwira mu rickets) uye parathyroid hormone (PTH).
• Kuongororwa kweweti: Izvi zvinogonawo kupa pfungwa yehuwandu hwecalcium nephosphorus zvinobudiswa mumuviri.

Rickets inorapwa sei?

Maronda anowanzo kukonzerwa nekushaikwa kwevhitamini D. Saka, maronda anovaka muviri anorapwa seizvi:

• Kuwedzera Vhitamini D neCalcium: Kurapa kunotanga nekuwedzera kudya kwemwana Vitamin D neCalcium. Mwana anofanira kupihwa zvekudya zvakapfuma muVitamin D neCalcium, zvakaita sezviyo, mukaka, chizi, yogati, zai, nehove dzine mafuta. Chiremba wevana achanyorawo madosi eVitamin D (kazhinji Vitamin D3) neCalcium supplements pazuva.
• Chiedza chezuva: Sezvo ganda remwana wako richigadzira vhitamini D kana richinge ravhenekwa nezuva, chiremba wako anogona kukurudzira kuti mwana wako abude naye panze kwenguva yakati womuisa pachiedza chezuva. Chiedza chezuva chemangwanani ndicho chakanakisa.
• Kusunga kana Kuvhiya:Kazhinji, mapfupa emwana anozongomira ega nekufamba kwenguva achishandisa vhitamini D necalcium. Zvisinei, kana paine zvimwe zvinhu zvakakomba, simbi dzinoshandiswa pakugadzirisa mapfupa. Kashoma, kuvhiyiwa kunogadziriswa kunogona kudiwa.

Chimbofungai, sekunge chirimwa chidiki chinosvava chisina mvura, mapfupa anoshaya simba pasina vhitamini D. Kungofanana nechirimwa chinokura zvakanaka kana chikapihwa mvura nekudya, mapfupa emwana anosimbazve kana akapihwa vhitamini D necalcium.

Kana mwana wako aine maronda nekuda kwechirwere chemajini kana chimwe chirwere, chiremba wevana vako achakutumira kuna nyanzvi, senge chiremba we endocrinologist wevana kana nephrologist.

Ndinofanira kuona chiremba rini?

Kana mwana wako aine chimwe chezviratidzo izvi, enda kuna chiremba wevana nekukurumidza :

• Kana uine chirwere chinotadzisa muviri kushandisa vhitamini D.
• Zviratidzo zvemaronda, kunyanya kana ukaona zvinhu zvakaita semaoko akafara, zvitsitsinho, kana mabvi, makumbo akakotama, kunetseka kufamba, uye kukura zvishoma nezvishoma.
• Kana mwana achigara achiti mapfupa ake anorwadza kana kuratidza kurwadziwa kana akabatwa.

Kana ukaona zvinhu zvakadai, kuchenjera kuona chiremba nekukurumidza.

Rickets dzinogona kudzivirirwa here?

Ehe, zvechokwadi! Pane zvatinogona kuita kudzivirira kugwinha kwemuviri.

"Kana uchiyamwisa mwana wako chete, unofanira kumupa madonhwe ekuwedzera evhitamini D zuva rega rega. Izvi zvinodaro nekuti mukaka wemuzamu hauna vhitamini D yakakwana yemapfupa emwana wako ari kukura. Vacheche vazhinji vanoda maUnits eInternational (IU) anosvika 400 evhitamini D3 pazuva. Asi zvakanaka kubvunza chiremba wevana nezvemuyero chaiwo wemwana wako. "

"Kuti vana vakuru vasave nechirwere cherurindi, zvakakosha kuvapa zvekudya zvakasiyana-siyana zvine vhitamini D. Mamwe marudzi ehove (kunyanya salmon, trout, uye sardines) ane vhitamini D yakawanda. Uyewo, zvekudya zvakawanda zvinowedzerwa vhitamini D. Mukaka, muto weorenji, uye zvimwe zviyo zvinowedzerwa vhitamini D. Chiremba wemwana wenyu anogonawo kukurudzira kuti atore mushonga wevhitamini D."

"Zvakare, vanachiremba vanokurudzira kuti mwana wenyu awane chiedza chezuva. Sezvo ganda rake richigadzira vhitamini D kana richiwana chiedza chezuva, ndiyo imwe nzira yekuwana chikafu ichi chinokosha. Zvisinei, huwandu hwevhitamini D hwatinowana kubva kuchiedza chezuva hunogona kusiyana zvichienderana nezvinhu zvakaita senzvimbo yedu, mamiriro ekunze, ruvara rweganda, uye kushandiswa kwezvizoro zvezuva. Vana vazhinji vangasakwanisa kuwana vhitamini D yakakwana kubva kuchiedza chezuva chete."

"Zvisinei, maronda emuviri, anokonzerwa nechirwere chemajini, haagone kudzivirirwa. Kana uine pamuviri kana kuti uchironga kubata pamuviri uye uine nhoroondo yemhuri yeronda remuviri, ungangoda kufunga nezvekutaura nenyanzvi yezvemajini. Vanogonawo kukurudzira kuongororwa kwemajini."

Mwana wangu acharamba aine maronda kwenguva yakareba sei?

Maronda emuviri anogona kurapwa mukati memavhiki kana mwedzi mishoma, zvichienderana nekuoma kwechirwere chemwana. Zviratidzo zvakawanda - semuenzaniso, kurwadziwa kwemapfupa uye kushaya simba kwetsandanyama - zvinofanirwa kuvandudzika mukati memavhiki mashoma ekutanga kurapwa. Kushaikwa kweVitamin D kunofanirawo kuvandudzika mukati memavhiki matanhatu kusvika masere. Kana mwana wako aine mapfupa akakombama kana akakombama, zvinogona kutora mwedzi yakati wandei, kana gore, kuti zvivandudzwe. Izvi zvinogona kupera zvega, kana kuti zvingada mabraces kana kuvhiyiwa.

"Kana kurwara kwemwana wako kuchikonzerwa nechirwere chisina chekuita nekudya, kushomeka kwevhitamini D kunogona kurapwa. Zvisinei, kunyangwe chikarapwa, chirwere chiripo chinogona kugara kweupenyu hwese. Chiremba wevana (nevamwe nyanzvi, kana zvichidikanwa) vachakubatsira iwe nemwana wako kurarama nechirwere ichi."

Ndeipi fungidziro/fungidziro yevana vane maronda emusoro?

Maonero evana vane nutritional rickets anowanzova akanaka kwazvo. Kana vachirapwa, chirwere chavo chinowanzopera zvachose mukati memavhiki mashoma kana mwedzi. Vana vazhinji vanorapwa nutritional rickets vanopora zvizere uye vanokura kuva vanhu vakuru vane hutano hwakanaka.

"Kana paine zvimwe zvinokonzera maronda emuviri, mamiriro acho ezvinhu anoenderana nechirwere kana mamiriro ezvinhu ane mwana wako. Zvisinei, kazhinji, vana vane maronda emuviri akadai vanogona kurarama hupenyu hwakazara, hune hutano nekurapwa kwachiremba."

Chii chakasiyana pakati peRickets neOsteomalacia?

Osteomalacia chirwere chakafanana neRickets muvanhu vakuru. Zvichitaurwa zviri nyore, Rickets kupfava kwemapfupa muvana, nepo Osteomalacia kupfava kwemapfupa muvanhu vakuru. Chikonzero chikuru chezvose izvi kushomeka kwevhitamini D. Rickets inokanganisa mapfupa evana ari kukura, saka inokonzera zviratidzo zvakaita semakumbo akakotama. Vakuru havana chiratidzo ichi (makumbo akakotama) nekuti mapfupa avo akura zvakakwana. Zvisinei, vanewo kurwadziwa kwemapfupa, uye mapfupa avo asina simba uye akapfava anogona kutyoka nyore nyore.

Hausi wega, tsvaga rubatsiro.

Kana ukaona makumbo emwana wako akakotama kana kuti maoko ake akafara, enda kuna chiremba wevana nekukasika. Vanogona kutarisa kana ari maronda emuviri. Izvi zvinganzwika zvinotyisa, asi chirwere chinorapika. Panguva ino, bvunza chiremba wako nezvemapoka ekutsigira anobatsira vana vane maronda emuviri nemhuri dzavo. Kubatana nevamwe vakambosangana nedambudziko rakafanana kunogona kukukurudzira iwe nemwana wako. Zvinogonawo kukubatsira kudzidza nzira itsva, dziri nani dzekutarisira chirwere chemwana wako.

Shoko rakakosha kupfuura ose rekuenda naro kumba

Saka, Amai naBaba, Rickets haisi chinhu chekutya, asi haisi chinhu chekutora sechisina basa.

• Vhitamini D inokosha pakukura kwemapfupa akasimba muvana.
• Maronda anogona kudzivirirwa nekuratidzwa nezuva (kunyanya mangwanani), kudya chikafu chine vhitamini D yakawanda (senge hove, mukaka, zai), uye, kana zvichidikanwa, kutora mishonga yekuwedzera vhitamini D sezvakarairwa nachiremba.
• Zvakakosha kubvunza chiremba usati wapa madonhwe evhitamini D kuvana vanoyamwiswa chete (kunyanya avo vane mwedzi inopfuura mitanhatu).
• Kana ukaona zviratidzo zvakaita semakumbo akakotama, kunonoka kufamba, kurwadziwa kwemapfupa, kana kusakura zvakanaka, iva nechokwadi chekuona chiremba wevana.

Yeukai, kuonekwa nekukurumidza uye kurapwa kwakakodzera kunogona kupa mwana wenyu remangwana rine hutano uye rakasimba. Kunyemwerera kwemwana wenyu ndiko kunofadza zvikuru!

Maronda , vhitamini D, calcium, mapfupa ehudiki, kukura kwemapfupa, kuyamwisa, chiedza chezuva