Ingaba umntwana wakho omncinci unamathambo abuthathaka? Ingaba nguRickets lo? Masifumanise!

Ngaba imilenze yomntwana wakho ibonakala igobile kancinci? Okanye ingaba ihambahamba ngendlela engaqhelekanga xa ihamba? Ngamanye amaxesha ezi zinokuba ziimpawu zesifo esibizwa ngokuba yi-rickets, esibangelwa kukungakhuli kakuhle kwamathambo eentsana. Ungakhathazeki, siza kuthetha ngale nto ngokweenkcukacha.

Zithini iiRickets?

Ngamafutshane, iiRickets yimeko echaphazela amathambo omntwana wakho, oko kukuthi, ukukhula kwakhe. Okwenzekayo kukuba amathambo omntwana athambile kwaye abe buthathaka. Emva koko amathambo anokugoba, agobe, kwaye ngamanye amaxesha ade aphuke. Njengodongwe olungaqiniyo, atshintsha ngokulula imo.

Isizathu esiphambili kukungabikho kwevithamini D.

Eyona sizathu siphambili sokuphuhliswa kweRickets kukunqongophala kwesondlo esibizwa ngokuba yiVithamin D. Ngoku uyazibuza ukuba kwenzeka ntoni kule Vithamin D. IVithamin D inceda umzimba wethu ukuba ufunxe ezinye izondlo ezibalulekileyo ezibizwa ngokuba yiCalcium kunye nePhosphorus. Le Calcium kunye nePhosphorus zezona zinto zibalulekileyo kumathambo aqinileyo nasempilweni. Ngoko ke, xa kungekho Vitamin D eyaneleyo emzimbeni, umntwana akakwazi ukufunxa iCalcium kunye nePhosphorus ngokufanelekileyo. Emva koko amathambo awakhuli.

Ivela phi le vithamini D?

Kukho iindlela ezimbini eziphambili abantwana bethu abafumana ngazo i-vitamin D: ukukhanya kwelanga nokutya.

Ukukhanya kwelanga: Ubusazi na ukuba xa ulusu lwethu luchatshazelwa lilanga, luvelisa ivithamin D ngaphakathi kolusu. Ayimangalisi loo nto? Nangona kunjalo, kwamanye amazwe, ingakumbi kwiindawo ezingenalanga lininzi, abantu abafumani ivithamin D eyaneleyo ngale ndlela. ESri Lanka, sinelanga elaneleyo, kodwa ngamanye amaxesha sisenokungabachaphazeli abantwana bethu elangeni ngokwaneleyo, ingakumbi kusasa. Ukukhanya kwelanga okuncinci kubaluleke kakhulu.

Ukutya: Ezinye iintlanzi ezinamafutha kunye neeoyile zeentlanzi ziqulethe i-vitamin D ngokwendalo. Kodwa oku kutya kunqabile. Kumazwe amaninzi, abantu batya ukutya okune-vitamin D. Umzekelo:

• Ubisi kunye neemveliso zobisi
• Iintlobo zefomyula yosana
• Iinkozo ezithile
• Isiselo se-orenji

Kodwa khumbula, i-rickets yimeko engaqhelekanga kodwa enyangekayo. Ukuba unenkxalabo malunga nokutya i-vitamin D yomntwana wakho, qiniseka ukuba uthetha nogqirha wezingane.

Ziziphi iimpawu zeRickets?

Iirickets zibangela ukuba amathambo omntwana abe buthathaka kwaye aqhekeke, nto leyo ebangela ukuba agobe, agobe, aze abe nemilo engaqhelekanga. Makhe sijonge ukuba zeziphi ezi mpawu:

• Imilenze egobileyo: Olu lolona phawu luqhelekileyo. Imilenze ibonakala igobile ngaphandle, njengesaphetha.
• Intlungu yamathambo:Umntwana usenokuthi amathambo akhe ayaqaqamba, okanye angabonakalisa intlungu xa echukunyiswa.
• Iingxaki zamazinyo: Ezi zinokubandakanya ukulibaziseka kokuvela kwamazinyo, ukuqhekeka kwamazinyo, kunye nokuba buthathaka kwe-enamel yamazinyo.
• Ukulibaziseka ekukhuleni: Abantwana basenokungakhuli bade okanye batyebe ngokukhawuleza njengabanye abantwana abaneminyaka yabo.
• Ubuthathaka bemisipha: Umntwana usenokuphelelwa ngumdla namandla okuma, ukuhamba, nokudlala. Umntwana usenokubonakala ediniwe.
• Ukuxhuzula: Kwezinye iimeko ezinzima, ukuba inqanaba le-calcium egazini liyehla kakhulu, oku kunokwenzeka. Nangona kunjalo, oku akwenzeki rhoqo.
• Ukudumba kwesiphelo sembambo: Indawo apho iimbambo zidibana khona nethambo lesifuba eliphakathi (sternum) inokuvuvukala ize ibonakale njengeqhina. Oku kukwabizwa ngokuba yi "rachitic rosary."
• Ukugoba okungaqhelekanga komqolo okanye utshintsho kwimo yolusu: Ungabona ukugoba ecaleni komqolo (i-scoliosis), okanye ukuvela okuthe tyaba okanye okungaqhelekanga kwentloko.
• Ukuqina kwemisipha: Umzimba womntwana usenokuvakala ukhululekile endaweni yokuba uqine.
• Ukwandiswa kwamadolo namaqatha (kwiintsana ezisakhasayo) okanye ukwanda kwezandla (kwiintsana ezikhasayo): La malungu anokubonakala emakhulu kwaye ebanzi kunabanye abantwana.

Ukuba ucinga ukuba umntwana wakho unenye okanye ngaphezulu kwezi mpawu, kungcono ukubona ugqirha ngokukhawuleza.

Zithini izizathu ze-rickets?

Kukho izinto ezininzi eziphambili ezinokubangela uphuhliso lwee-rickets. Makhe sijonge nganye nganye.

Ukunqongophala kweVithamin D

Le yeyona nto ixhaphakileyo ebangela ii-rickets. Sikwabiza oku ngokuba zii-rickets zesondlo. Njengoko benditshilo ngaphambili, i-vitamin D ibalulekile emathanjeni omntwana ukuze afunxe i-calcium kunye ne-phosphorus. Ezi zondlo zezona zinto zifunekayo emathanjeni ukuze akhule aqine kwaye abe sempilweni. Ngoko ke, ukuba umntwana akafumani i-vitamin D eyaneleyo ekutyeni akutyayo, ukungabikho kwe-vitamin D kunokwenzeka. Ezi zinto zilandelayo zinokubangela oku:

• Ukuba umntwana akakwazi ukugaya ubisi kunye neemveliso zobisi (iLactose ayinyamezeli): I-calcium kunye ne-vitamin D ezivela kubisi zinokuncitshiswa.
• Ukuba utya ukutya okungenazo imifuno okanye ukutya okungenazo imifuno kuphela: Kuba i-vitamin D ifumaneka kakhulu ekutyeni kwezilwanyana.
• Ukuba uncanciswa ibele kuphela (ingakumbi kangangeenyanga ezingaphezu kwezi-6): Ubisi lwebele lunevithamini D encinci kancinci. Ngoko ke, oogqirha bacebisa ukuba abantwana abancanciswayo banikwe ivithamini D ukongeza kubisi lukanina.
• Ukuba unesifo esithintela ukufunxwa kwevithamini D emzimbeni wakho:Umzekelo, izifo zamathumbu ezifana nesifo sikaCrohn, isifo se-celiac, okanye i-ulcerative colitis.

Ukongeza, ukungabikho ngokwaneleyo elangeni kunye nokutya okuncinci kwe-calcium ekutyeni komntwana kunokubangela ukunqongophala kwe-vitamin D.

I-genetics

Le yimeko engaqhelekanga. Nangona kunjalo, ezinye iingxaki zemfuza zinokuphazamisana nokukwazi komntwana ukufunxa i-phosphorus okanye i-vitamin D. Kukho ezinye iimeko zemfuza ezichaphazela iiproteni ezithile ezisetyenziswa ngumzimba ukwenza i-vitamin D. Ezi zibizwa ngokuba yi-hypophosphatemic rickets.

Ezinye iimeko zempilo ezisisiseko

Iirickets nazo zinokubangelwa zezinye izifo. Abantwana abaneemeko ezithile ezingaqhelekanga, ingakumbi ezo zibandakanya isibindi, izintso, amathumbu kunye nemiphunga, banokuba nobunzima bokufunxa i-vitamin D kunye ne-phosphorus.

Ngubani osengozini enkulu yokufumana ii-rickets?

Enyanisweni, nawuphi na umntwana unokuba ne-rickets yesondlo. Nangona kunjalo, amanye amaqela asemngciphekweni omkhulu kancinci. Makhe sijonge ukuba bangoobani:

• Iintsana ezincanciswa ibele kuphela (ingakumbi iinyanga ezingaphezu kwezi-6): Njengoko benditshilo ngaphambili, iintsana ezincanciswa ibele kuphela kufuneka zinikwe isongezelelo sevithamini D.
• Iintsana nabantwana abancinci abaphakathi kweenyanga ezi-6 kunye neenyanga ezingama-24 (iminyaka emi-2): Ubudala buyinto ebaluleke kakhulu ebangela ukuba abantwana bakhule ngokukhawuleza.
• Iintsana ezingekafiki ixesha: Umntwana ugcina i-vitamin D esesibelekweni, ingakumbi kwiinyanga ezintathu ezidlulileyo. Ngoko ke, ukuba umntwana uzelwe ngaphambi kwexesha, ubungakanani be-vitamin D egciniweyo buphantsi.
• Abantwana abanesikhumba esimnyama: Ngenxa yokwanda kwemveliso ye-melanin eluswini, ixesha elithathwayo ukuze ulusu luvelise i-vitamin D elangeni liyakhula.
• Abantwana abangafumani kukhanya kwelanga okwaneleyo: Ukukhanya kwelanga okuphuma ngeefestile kuthintela eminye yemitha ye-ultraviolet B (UVB) evelisa i-vitamin D. Ngoko ke, licebo elihle ukumkhupha umntwana wakho ngaphandle aze achithe imizuzu eli-10-15 elangeni elikhanyayo, malunga ne-9-10 kusasa (kodwa kungekhona elangeni lasemini).

Ngoko ke, ukuba umntwana wakho ungomnye wala maqela, kungcono ukuba ulumke kancinci malunga ne-vitamin D.

Kuthekani ukuba ii-rickets azinyangwa? (Iingxaki)

Nangona i-rickets sisifo esinokunyangwa, kubalulekile ukuyinyanga ngokukhawuleza. Ukuba ayinyangwa, ne-rickets ezincinci zinokubangela iingxaki zexesha elide ezinokuchaphazela ukukhula kwamathambo. Iingxaki ezinokubakho ziquka:

• Ukuqhekeka kwamathambo: Amathambo abuthathaka kwaye anokuqhekeka lula.
• Intlungu engapheliyo:Kusenokubakho iintlungu eziqhubekayo emathanjeni.
• Ukukhubazeka kwamathambo: Imo yamathambo inokutshintsha ngokusisigxina. Umzekelo, imilenze egobileyo okanye umqolo ogobileyo usenokuhlala.
• Iingxaki zamazinyo: ukulibaziseka kokuvela kwamazinyo, ubuthathaka be-enamel yamazinyo, ukwanda komngcipheko wokuba nemingxunya.
• Ukungakwazi ukuthwala umntwana: Ukuphakama komntwana kusenokungakwazi ukuthwala umntwana.

Kungoko ke kubalulekile ukubona ugqirha kwangoko xa uqaphela iimpawu ze-rickets. Ukuba zichongiwe kwangethuba, ezi ngxaki zinokuthintelwa kakhulu.

Oogqirha baxilonga njani i-rickets?

Ugqirha wakho wezingane uza kuqala akubuze ngembali yempilo yosapho lwakho kunye neempawu zomntwana wakho. Baza kubuza nangempilo yomntwana wakho ngokubanzi, ukutya, kunye nokuchatshazelwa lilanga. Emva koko, ugqirha uza kwenza uvavanyo lomzimba. Nangona kunjalo, kusenokufuneka benze ezinye iimvavanyo ezimbalwa ukuqinisekisa ukuxilongwa.

Zeziphi iimvavanyo ezisetyenziswayo?

Ugqirha womntwana wakho angenza olunye okanye ngaphezulu kwezi vavanyo:

• Ii-X-reyi: Ezi zinokubonisa ngokucacileyo utshintsho oluthile lwee-rickets, ezinje ngokugoba, ukuqhekeka, kunye nokugoba kwamathambo.
• Uvavanyo lwegazi: Olu vavanyo lunokujonga amanqanaba e-vitamin D, i-calcium, kunye ne-phosphorus, kunye namanqanaba e-enzyme ebizwa ngokuba yi-alkaline phosphatase (ALP) (ephezulu kwi-rickets) kunye ne-parathyroid hormone (PTH).
• Uvavanyo lomchamo: Oku kunokunika umbono wobungakanani bekhalsiyam kunye ne-phosphorus ekhutshwa emzimbeni.

Iphathwa njani iRickets?

IiRickets zidla ngokubangelwa kukunqongophala kwevithamini D. Ngoko ke, iiRickets zesondlo ziphathwa ngolu hlobo lulandelayo:

• Ukongezwa kweVithamin D kunye neCalcium: Unyango luqala ngokunyusa ukutya komntwana kwiVithamin D kunye neCalcium. Umntwana kufuneka anikwe ukutya okutyebileyo kwiVithamin D kunye neCalcium, okufana neenkozo, ubisi, itshizi, iyogathi, amaqanda, kunye neentlanzi ezinamafutha. Ugqirha wezingane uya kunika nedosi yemihla ngemihla yeVithamin D (ngokuqhelekileyo iVithamin D3) kunye nezongezo zeCalcium.
• Ukukhanya kwelanga: Ekubeni ulusu lomntwana wakho luvelisa i-vitamin D ngokwendalo xa luchatshazelwa lilanga, ugqirha wakho unokucebisa ukuba umntwana wakho aphume naye ngaphandle okwethutyana aze achatshazelwe lilanga. Ukukhanya kwelanga kwasekuseni yeyona nto ilungileyo.
• Uqhaqho okanye iBracing:Amaxesha amaninzi, amathambo omntwana aya kuzilungisa ngokwawo ngokuhamba kwexesha nge-vitamin D kunye ne-calcium. Nangona kunjalo, ukuba kukho iziphene ezithile ezinzima, ii-braces zinokufuneka ukulungisa imeko yamathambo egobile. Amaxesha amaninzi, utyando lokulungisa lunokufuneka.

Khawucinge nje, njengokuba isityalo esincinci sibuna ngaphandle kwamanzi, amathambo aba buthathaka ngaphandle kwevithamini D. Kanye njengokuba isityalo sikhula siphilile xa sinikwa amanzi nesondlo, amathambo omntwana aphinda aqine xa enikwa ivithamini D necalcium.

Ukuba umntwana wakho une-rickets ngenxa yesifo sofuzo okanye enye imeko yempilo, ugqirha wakho wezingane uza kukuthumela kwingcali, njengogqirha we-endocrinologist okanye i-nephrologist yabantwana.

Ndifanele ndimbone nini ugqirha?

Ukuba umntwana wakho unenye yezi mpawu, bonana nogqirha wabantwana ngaphandle kokulibazisa :

• Ukuba unesifo okanye unesifo esithintela umzimba ekusebenziseni i-vitamin D.
• Iimpawu ze-rickets, ingakumbi ukuba ubona izinto ezifana nezandla ezibanzi, amaqatha, okanye amadolo, imilenze egobileyo, ubunzima bokuhamba, kunye nokukhula okukhawulezileyo.
• Ukuba umntwana uhlala esithi amathambo akhe ayaqaqamba okanye ubonisa intlungu xa echukunyiswa.

Ukuba ubona izinto ezinje, bubulumko ukubona ugqirha ngokukhawuleza.

Ngaba iiRickets zingathintelwa?

Ewe, ngokuqinisekileyo! Kukho izinto esinokuzenza ukuthintela i-rickets zesondlo.

"Ukuba uncancisa umntwana wakho kuphela, kufuneka umnike amathontsi ongezelelweyo e-vitamin D yonke imihla. Oku kungenxa yokuba ubisi lwebele aluna-vitamin D eyaneleyo yamathambo omntwana wakho akhulayo. Uninzi lweentsana lufuna malunga ne- 400 International Units (IU) ye-vitamin D3 ngosuku. Kodwa kungcono ukubuza ugqirha wezingane malunga nomlinganiselo ochanekileyo umntwana wakho awudingayo. "

"Ukuthintela ii-rickets zesondlo kubantwana abadala, kubalulekile ukubanika iintlobo ngeentlobo zokutya okutyebileyo kwi-vitamin D. Ezinye iintlobo zeentlanzi (ingakumbi i-salmon, i-trout, kunye ne-sardines) zityebile kwi-vitamin D. Kwakhona, ukutya okuninzi kuqiniswe kwi-vitamin D. Ubisi, ijusi yeorenji, kunye neenkozo ezithile ziqiniswe kwi-vitamin D. Ugqirha womntwana wakho unokucebisa nokuba athathe isongezelelo se-vitamin D."

"Kwakhona, oogqirha bacebisa ukuba umntwana wakho afumane ilanga. Ekubeni ulusu luvelisa i-vitamin D xa lufumana ilanga, leyo yenye indlela yokufumana esi sondlo sibalulekileyo. Nangona kunjalo, ubungakanani be-vitamin D esiyifumana elangeni bunokwahluka ngokuxhomekeke kwiimeko ezifana nommandla wethu, imozulu, umbala wolusu, kunye nokusetyenziswa kwe-sunscreen. Abantwana abaninzi basenokungakwazi ukufumana i-vitamin D eyaneleyo elangeni kuphela."

"Nangona kunjalo, ii-rickets, ezibangelwa yimeko yemfuza, azinakuthintelwa. Ukuba ukhulelwe okanye uceba ukukhulelwa kwaye unembali yentsapho ye-rickets, ungacinga ngokuthetha nomcebisi wemfuza. Banokucebisa novavanyo lwemfuza."

Umntwana wam uza kuba ne-rickets ixesha elingakanani?

Ii-rickets zesondlo zinokunyangwa kwiiveki okanye kwiinyanga ezimbalwa, kuxhomekeke kubukhali bemeko yomntwana. Uninzi lweempawu - umzekelo, iintlungu zamathambo kunye nobuthathaka bemisipha - kufuneka ziphucuke kwiiveki ezimbalwa emva kokuqala unyango. Ukunqongophala kweVithamin D kufuneka kuphucuke kwiiveki ezintandathu ukuya kwezisibhozo. Ukuba umntwana wakho uneethambo ezigobileyo okanye ezigobileyo, kungathatha iinyanga ezininzi, okanye unyaka, ukuba ziphucuke. Oku kusenokuphela ngokwako, okanye kunokufuna ii-braces okanye utyando.

"Ukuba ii-rickets zomntwana wakho zibangelwa yimeko yempilo engeyondliyo, ukunqongophala kwe-vitamin D kunokunyangeka. Nangona kunjalo, nokuba inyangiwe, imeko engaphantsi kwayo inokuba yeyobomi bonke. Ugqirha wakho wezifo zabantwana (kunye nezinye iingcali, ukuba kuyimfuneko) baya kukunceda wena nomntwana wakho ukuba nikwazi ukumelana nale meko."

Iyintoni imbono/ingxelo yokuqikelela kwabantwana abane-rickets?

Imbono yabantwana abane-rickets zesondlo idla ngokuba ntle kakhulu. Xa befumana unyango, imeko yabo idla ngokuphela ngokupheleleyo kwiiveki okanye kwiinyanga ezimbalwa. Uninzi lwabantwana abanyangwa nge-rickets zesondlo bayachacha ngokupheleleyo baze bakhule babe ngabantu abadala abasempilweni.

"Ukuba kukho ezinye izizathu ze-rickets, imeko iya kuxhomekeka kwisifo okanye imeko ethile umntwana wakho anayo. Nangona kunjalo, kwiimeko ezininzi, abantwana abane-rickets abanjengale banokuphila ubomi obupheleleyo nobusempilweni ngonyango olukhethekileyo."

Yintoni umahluko phakathi kwe-Rickets kunye ne-Osteomalacia?

I-Osteomalacia yimeko efana neRickets kubantu abadala. Ngamafutshane, iRickets kukuthamba kwamathambo ebantwaneni, ngelixa i-Osteomalacia kukuthamba kwamathambo kubantu abadala. Eyona nto ibangela zombini ezi zinto kukungabikho kwevithamini D. I-Rickets ichaphazela amathambo akhula ebantwaneni, ngoko ke ibangela iimpawu eziphawulekayo ezifana nemilenze egobileyo. Abantu abadala abanalo olu phawu luthile (imilenze egobileyo) kuba amathambo abo akhule ngokupheleleyo. Nangona kunjalo, baneentlungu zamathambo, kwaye amathambo abo abuthathaka, abuthathaka anokuphuka lula.

Awuwedwa, fumana uncedo.

Ukuba uqaphela ukuba imilenze yomntwana wakho igobile okanye izandla zakhe zibanzi, bonana nogqirha wabantwana ngoko nangoko. Banokujonga ukuba ngaba yi-rickets. Oku kunokuvakala kuyoyikisa, kodwa yimeko enokunyangeka. Okwangoku, buza ugqirha wakho malunga namaqela enkxaso anceda abantwana abane-rickets kunye neentsapho zabo. Ukunxibelelana nabanye abaye baba namava afanayo kunokuba ngumthombo omkhulu wokhuthazo kuwe nakumntwana wakho. Kunokukunceda ufunde iindlela ezintsha nezingcono zokulawula imeko yomntwana wakho.

Umyalezo obalulekileyo onokuwuthatha ekhaya

Ngoko ke, Mama noTata, iiRickets asinto yokoyika, kodwa asinto yokuthathwa lula.

• I-Vitamin D ibalulekile ekuphuhliseni amathambo aqinileyo ebantwaneni.
• Iirickets zingathintelwa ngokuchatshazelwa lilanga (ingakumbi kusasa), ukutya ukutya okutyebileyo kwi-vitamin D (njengentlanzi, ubisi, amaqanda), kwaye, ukuba kuyimfuneko, ukuthatha izongezo ze-vitamin D njengoko kuyalelwe ngugqirha.
• Kubaluleke kakhulu ukubonana nogqirha ngaphambi kokuba unike amathontsi e-vitamin D kwiintsana ezincanciswa ubisi lwebele kuphela (ingakumbi ezo zingaphezulu kweenyanga ezi-6 ubudala).
• Ukuba ubona iimpawu ezifana nemilenze egobileyo, ukuhamba kancinci, iintlungu zamathambo, kunye nokukhula kakubi, qiniseka ukuba ubona ugqirha wabantwana.

Khumbula, ukufunyanwa kwangoko kunye nonyango olufanelekileyo kunokunika umntwana wakho ikamva elisempilweni neliqinileyo. Ukuncuma komntwana wakho yeyona nto isenza sivuye kakhulu!

IiRickets , ivithamin D, icalcium, amathambo obuntwana, uphuhliso lwamathambo, ukuncancisa, ukukhanya kwelanga