Ingabe ingane yakho encane inamathambo abuthakathaka? Ingabe lokhu kuyi-Rickets? Ake sithole!

Ingabe imilenze yengane yakho ibukeka igobile kancane? Noma ingabe inyakaza ngendlela engajwayelekile lapho ihamba? Ngezinye izikhathi lokhu kungaba izimpawu zesimo esibizwa ngokuthi ama-rickets, esibangelwa ukuthi amathambo awakhuli kahle ezinganeni. Ungakhathazeki, sizoxoxa ngalokhu ngokuningiliziwe.

Ayini ama-Ricket?

Kalula nje, ama-Rickets yisimo esithinta amathambo engane yakho, okungukuthi, ukukhula kwayo. Okwenzekayo ukuthi amathambo engane athambile futhi abe buthakathaka. Khona-ke amathambo angagoba kalula, agobe, futhi ngezinye izikhathi aze aphuke. Njengobumba olungaqinisiwe, ashintsha isimo kalula.

Imbangela eyinhloko ukuntuleka kwevithamini D.

Isizathu esiyinhloko sokuthuthukiswa kwe-Rickets ukuntuleka kwesakhamzimba esibizwa nge-Vitamin D. Manje usuzibuza ukuthi kwenzekani kule Vitamin D. I-Vitamin D isiza umzimba wethu ukuthi umunce ezinye izakhamzimba ezibalulekile ezibizwa nge-Calcium ne-Phosphorus. Le Calcium ne-Phosphorus yizinto ezibaluleke kakhulu emathanjeni aqinile nanempilo. Ngakho-ke, uma kungekho Vitamin D eyanele emzimbeni, ingane ayikwazi ukumunca i-Calcium ne-Phosphorus ngendlela efanele. Khona-ke amathambo awakhuli aqine.

Ivelaphi le vithamini D?

Kunezindlela ezimbili eziyinhloko izingane zethu ezithola ngazo i-vitamin D: ukukhanya kwelanga nokudla.

Ukukhanya kwelanga: Ubuwazi ukuthi uma isikhumba sethu sichayeka elangeni, sikhiqiza i-vitamin D ngaphakathi kwesikhumba. Akumangazi lokho? Kodwa-ke, kwamanye amazwe, ikakhulukazi ezindaweni ezingenalo ukukhanya kwelanga okuningana, abantu abatholi i-vitamin D eyanele ngale ndlela. ESri Lanka, sinokukhanya kwelanga okuningi, kodwa ngezinye izikhathi singase singachayi izingane zethu elangeni ngokwanele, ikakhulukazi ekuseni. Ukukhanya kwelanga okuncane kubaluleke kakhulu.

Ukudla: Amanye amafutha ezinhlanzi anamafutha kanye namafutha ezinhlanzi aqukethe i-vitamin D ngokwemvelo. Kodwa lokhu kudla akuvamile. Emazweni amaningi, abantu badla ukudla okune-vitamin D. Isibonelo:

• Ubisi nemikhiqizo yobisi
• Izinhlobo zefomula yosana
• Okusanhlamvu okuthile
• ijusi yewolintshi

Kodwa khumbula, ama-rickets ayisifo esingavamile kodwa esingelapheka. Uma unenkinga ngokudla i-vitamin D yengane yakho, qiniseka ukuthi ukhuluma nodokotela wezingane.

Ziyini izimpawu ze-Rickets?

Ama-ricket abangela ukuba amathambo engane abe buthakathaka futhi aqhekeke, okubangela ukuba agobe, agobe, futhi abe nesimo esingavamile. Ake sibheke ukuthi ziyini lezi zimpawu:

• Imilenze egobile: Lolu uphawu oluvame kakhulu. Imilenze ibonakala igobile ngaphandle, njengomnsalo.
• Ubuhlungu bethambo:Ingane ingase ithi amathambo ayo ayabuhlungu, noma ingase ibonise ubuhlungu uma ithintwa.
• Izinkinga zamazinyo: Lokhu kungafaka phakathi ukubola kwamazinyo okuphuzile, ukugoba, kanye nokuba buthaka kwe-enamel yamazinyo.
• Ukubambezeleka kokukhula: Izingane zingase zingakhuli zinde noma zikhule ngokushesha njengezinye izingane ezingontanga yazo.
• Ubuthakathaka bemisipha: Ingane ingase ilahlekelwe isithakazelo namandla okuma, ukuhamba nokudlala. Ingane ingase ibonakale ikhathele.
• Ukuquleka: Kwezinye izimo ezinzima, uma izinga le-calcium egazini lehla kakhulu, lokhu kungenzeka. Kodwa-ke, lokhu kuyinto engavamile.
• Ukuvuvukala kwengxenye yembambo: Indawo lapho izimbambo zihlangana khona nethambo lesifuba eliphakathi (sternum) ingase ivuvuke futhi ibukeke njengefindo. Lokhu kubizwa nangokuthi "irosari ye-rachitic."
• Ukugoba komgogodla okungajwayelekile noma izinguquko esimweni sekhanda: Ungase ubone ukugoba komgogodla eceleni (i-scoliosis), noma ukuvela kwekhanda okuyisicaba noma okungajwayelekile.
• Ukuqina kwemisipha: Umzimba wengane ungase uzizwe ukhululekile esikhundleni sokuba uqine.
• Ukwandiswa kwamadolo namaqakala (kwabantwana abancane) noma ukwanda kwezihlakala (kwabantwana abakhasa): La malunga angase abonakale emakhulu futhi ebanzi kunakwabanye abantwana.

Uma ucabanga ukuthi ingane yakho inesinye noma ngaphezulu salezi zimpawu, kungcono ukubona udokotela ngokushesha okukhulu.

Ziyini izimbangela ze-rickets?

Kunezici eziningana eziyinhloko ezingaba nomthelela ekuthuthukisweni kwama-rickets. Ake sibheke ngayinye.

Ukuntuleka kwevithamini D

Lena yimbangela evame kakhulu yama-rickets. Siphinde sikubize ngokuthi ama-rickets anempilo. Njengoba ngishilo ngaphambili, i-vitamin D ibalulekile emathanjeni engane ukuze imunce i-calcium ne-phosphorus. Lezi zakhamzimba yilokho amathambo akudingayo ukuze akhule aqine futhi abe nempilo enhle. Ngakho-ke, uma ingane ingatholi i-vitamin D eyanele ekudleni ekudlayo, ukuntuleka kwe-vitamin D kungenzeka. Lezi zinto ezilandelayo zingabangela lokhu:

• Uma ingane ingakwazi ukugaya ubisi nemikhiqizo yobisi (ingabekezelelani ne-Lactose): Khona-ke i-calcium ne-vitamin D ebisini kungancishiswa.
• Uma udla ukudla okungenamifino noma okungenamifino ngokuphelele: Ngoba i-vitamin D itholakala kakhulu ekudleni kwezilwane.
• Uma unceliswa ubisi lwebele kuphela (ikakhulukazi izinyanga ezingaphezu kwezingu-6): Ubisi lwebele lunevithamini D encane kancane. Ngakho-ke, odokotela batusa ukunikeza izingane ezinceliswa ubisi lwebele izithasiselo zevithamini D.
• Uma unesifo esivimbela ukumuncwa kwevithamini D emzimbeni wakho:Isibonelo, izifo zamathumbu ezifana nesifo sikaCrohn, isifo se-celiac, noma i-ulcerative colitis.

Ngaphezu kwalokho, ukuchayeka elangeni ngokwanele kanye nokudla i-calcium ephansi ekudleni kwengane nakho kungabangela ukuntuleka kwe-vitamin D.

Izakhi zofuzo

Lesi yisimo esingavamile. Kodwa-ke, ezinye izifo zofuzo zingaphazamisa ikhono lengane lokumunca i-phosphorus noma i-vitamin D. Kunezinye izimo zofuzo ezithinta amaprotheni athile asetshenziswa ngumzimba ukwenza i-vitamin D. Lezi zibizwa ngokuthi ama-hypophosphatemic rickets.

Ezinye izimo zempilo eziyisisekelo

Ama-ricket angabangelwa nezinye izifo. Izingane ezinezimo ezithile ezingavamile, ikakhulukazi lezo ezihilela isibindi, izinso, amathumbu namaphaphu, zingase zibe nobunzima bokumunca i-vitamin D ne-phosphorus.

Ubani osengozini enkulu yokuthola ama-rickets?

Empeleni, noma yimuphi umntwana angaba nesifo sokudla okunezakhamzimba. Kodwa-ke, amanye amaqembu asengozini enkulu kancane. Ake sibheke ukuthi angobani:

• Izingane ezinceliswa ubisi lwebele kuphela (ikakhulukazi izinyanga ezingaphezu kweziyisithupha): Njengoba ngishilo ngaphambili, izingane ezinceliswa ubisi lwebele kuphela kufanele zinikezwe isithasiselo sevithamini D.
• Izinsana nezingane ezincane eziphakathi kwezinyanga eziyisithupha nezinyanga ezingama-24 (iminyaka emi-2): Ubudala buyisici esibaluleke kakhulu sengozi yokukhula kwama-rickets. Yilapho izingane zikhula ngokushesha.
• Izingane ezizalwa ngaphambi kwesikhathi: Ingane igcina i-vitamin D ngesikhathi isesibelethweni, ikakhulukazi ezinyangeni ezintathu zokugcina. Ngakho-ke, uma ingane izalwa ngaphambi kwesikhathi, inani le-vitamin D eligciniwe liphansi.
• Izingane ezinesikhumba esimnyama: Ngenxa yokwanda kokukhiqizwa kwe-melanin esikhumbeni, isikhathi esithathwa yisikhumba ukukhiqiza i-vitamin D elangeni siyanda.
• Izingane ezingatholi ukukhanya kwelanga okwanele: Ukukhanya kwelanga okuphuma ngamafasitela kuvimbela eminye yemisebe ye-ultraviolet B (UVB) ekhiqiza i-vitamin D. Ngakho-ke kungumqondo omuhle ukukhipha ingane yakho ngaphandle bese uchitha imizuzu eyi-10-15 elangeni elikhanyayo, cishe ngo-9-10 ekuseni (kodwa hhayi elangeni lasemini).

Ngakho-ke uma ingane yakho encane ingelinye lala maqembu, kuwumqondo omuhle ukuqaphela kakhudlwana ngevithamini D.

Kwenzekani uma ama-rickets engelashwa? (Izinkinga)

Nakuba ama-rickets kuyisifo esingelapheka, kubalulekile ukuselapha ngokushesha okukhulu. Uma engelashwa, ngisho nama-rickets amancane angabangela izinkinga zesikhathi eside ezingathinta ukukhula kwamathambo. Izinkinga ezingaba khona zifaka:

• Ukuphuka kwamathambo: Amathambo abuthakathaka futhi angaphuka kalula.
• Ubuhlungu obungapheli:Kungase kube nobuhlungu obuqhubekayo emathanjeni.
• Ukukhubazeka kwamathambo: Isimo samathambo singashintshwa unomphela. Isibonelo, imilenze egobile noma umhlane ogobile ungase uhlale.
• Izinkinga zamazinyo: ukuphuza amazinyo, ukuncipha kwe-enamel yamazinyo, ukwanda kwengozi yokuba nezimbobo.
• Ukungakwazi ukuthwala ingane: Ukuphakama kwengane kungase kungakwazi ukuthwala ingane.

Yingakho kubalulekile ukubona udokotela ngokushesha nje lapho ubona izimpawu ze-rickets. Uma zitholakale kusenesikhathi, lezi zinkinga zingavinjelwa kakhulu.

Odokotela bahlonza kanjani ama-rickets?

Udokotela wakho wezingane uzoqala ngokukubuza ngomlando wempilo yomndeni wakho kanye nezimpawu zengane yakho. Uzophinde akubuze ngempilo yengane yakho, ukudla okudlayo, kanye nokuchayeka elangeni. Ngemuva kwalokho, udokotela uzokwenza ukuhlolwa ngokomzimba. Kodwa-ke, kungadingeka benze ezinye izivivinyo ezimbalwa ukuqinisekisa ukuxilongwa.

Yiziphi izivivinyo ezisetshenziswayo?

Udokotela wengane yakho angenza okukodwa noma ngaphezulu kwalokhu kuhlolwa:

• Ama-X-ray: Lokhu kungabonisa ngokucacile izinguquko ezithile zama-rickets, njengokugoba, ukuqhekeka, kanye nokukhothama kwamathambo.
• Ukuhlolwa kwegazi: Lokhu kungahlola amazinga e-vitamin D, i-calcium, ne-phosphorus, kanye namazinga e-enzyme ebizwa ngokuthi i-alkaline phosphatase (ALP) (ephakeme kuma-rickets) kanye ne-parathyroid hormone (PTH).
• Ukuhlolwa komchamo: Lokhu kunganikeza nombono wenani le-calcium ne-phosphorus elikhishwa emzimbeni.

Iphathwa kanjani i-Rickets?

Ama-ricket avame ukubangelwa ukuntuleka kwevithamini D. Ngakho-ke, ama-ricket adla ukudla okunempilo aphathwa kanje:

• Ukwengeza iVithamini D kanye neCalcium: Ukwelashwa kuqala ngokwandisa ukudla kwengane iVithamini D kanye neCalcium. Ingane kufanele inikwe ukudla okucebile ngeVithamini D kanye neCalcium, okufana nokusanhlamvu, ubisi, ushizi, iyogathi, izikhupha zamaqanda, kanye nenhlanzi enamafutha. Udokotela wezingane uzophinde anikeze imithamo yansuku zonke yeVithamini D (ngokuvamile iVithamini D3) kanye nezithasiselo zeCalcium.
• Ukukhanya kwelanga: Njengoba isikhumba somntwana wakho sikhiqiza i-vitamin D ngokwemvelo uma sichayeke elangeni, udokotela wakho angase ancome ukuthi umntwana wakho aphume naye ngaphandle isikhashana bese emchayeke elangeni. Ukukhanya kwelanga kwasekuseni kungcono kakhulu.
• Ukuhlinzwa noma Ukuqinisa Imisipha:Esikhathini esiningi, amathambo engane azolulama ngokwawo ngokuhamba kwesikhathi nge-vitamin D ne-calcium. Kodwa-ke, uma kukhona ukukhubazeka okukhulu, kungase kudingeke ama-braces ukuze kulungiswe isimo samathambo esigobile. Akuvamile kakhulu, ukuhlinzwa kokulungisa kungadingeka.

Cabanga nje, njengoba nje isitshalo esincane sibuna ngaphandle kwamanzi, amathambo aba buthakathaka ngaphandle kwevithamini D. Njengoba nje isitshalo sikhula siphilile futhi uma sinikwa amanzi nokudla okunomsoco, amathambo engane ayaqina futhi uma enikwa ivithamini D ne-calcium.

Uma ingane yakho ine-rickets ngenxa yesifo sofuzo noma esinye isimo sempilo, udokotela wakho wezingane uzokudlulisela kuchwepheshe, njengodokotela we-endocrinologist wezingane noma i-nephrologist.

Kufanele ngimbone nini udokotela?

Uma ingane yakho inanoma yiziphi zalezi zimpawu, bheka udokotela wezingane ngokushesha :

• Uma unesifo noma unesifo esivimbela umzimba ukuthi usebenzise i-vitamin D.
• Izimpawu zama-rickets, ikakhulukazi uma ubona izinto ezifana nezingalo ezibanzi, amaqakala, noma amadolo, imilenze egobile, ubunzima bokuhamba, kanye nokukhula okukhungathekile.
• Uma ingane ivame ukuthi amathambo ayo ayabuhlungu noma ikhombisa ubuhlungu uma ithintwa.

Uma ubona izinto ezinje, kuwukuhlakanipha ukubona udokotela ngokushesha.

Ingabe ama-Ricket angavinjelwa?

Yebo, impela! Kunezinto esingazenza ukuvimbela ama-rickets okudla okunempilo.

"Uma uncelisa ingane yakho kuphela, kufanele uyinike amaconsi e-vitamin D nsuku zonke. Lokhu kungenxa yokuthi ubisi lwebele alunawo uvithamini D owanele emathanjeni engane yakho akhula. Iningi lezingane lidinga cishe ama-International Units (IU) angu-400 e-vitamin D3 ngosuku. Kodwa kungcono ukubuza udokotela wezingane zakho ngomthamo oqondile ingane yakho ewudingayo. "

"Ukuze kuvinjelwe ama-rickets ezinganeni ezindala, kubalulekile ukuzinika ukudla okuhlukahlukene okucebile nge-vitamin D. Ezinye izinhlobo zezinhlanzi (ikakhulukazi i-salmon, i-trout, kanye ne-sardine) zicebile nge-vitamin D. Futhi, ukudla okuningi kuqiniswa nge-vitamin D. Ubisi, ujusi we-orange, kanye nokunye okusanhlamvu kuqiniswa nge-vitamin D. Udokotela wengane yakho angase futhi ancome ukuthatha isithasiselo se-vitamin D."

"Futhi, odokotela batusa ukuthi ingane yakho ithole ukukhanya kwelanga. Njengoba isikhumba sikhiqiza i-vitamin D uma sithola ukukhanya kwelanga, leyo enye indlela yokuthola lesi sakhi esibalulekile. Kodwa-ke, inani le-vitamin D esilithola ekukhanyeni kwelanga lingahluka kuye ngezici ezifana nesifunda sethu, isimo sezulu, umbala wesikhumba, kanye nokusetshenziswa kwesithako sokuvikela ilanga. Izingane eziningi zingase zingakwazi ukuthola i-vitamin D eyanele ekukhanyeni kwelanga kuphela."

"Kodwa-ke, ama-rickets, abangelwa yisimo sofuzo, awanakuvinjelwa. Uma ukhulelwe noma uhlela ukukhulelwa futhi unomlando womndeni wama-rickets, ungase uthande ukucabanga ngokukhuluma nomeluleki wezakhi zofuzo. Bangase batuse nokuhlolwa kwezakhi zofuzo."

Ingane yami izohlala isikhathi esingakanani ine-rickets?

Ama-rickets angondlekile angelashwa emavikini noma ezinyangeni ezimbalwa, kuye ngokuthi isimo sengane sibucayi kangakanani. Izimpawu eziningi - isibonelo, ubuhlungu bamathambo kanye nobuthakathaka bemisipha - kufanele zithuthuke emavikini ambalwa okuqala ukwelashwa. Ukuntuleka kwe-Vitamin D kufanele kuthuthuke emavikini ayisithupha kuya kwayisishiyagalombili. Uma ingane yakho inokwehlela noma ukugoba kwamathambo, kungathatha izinyanga eziningana, noma ngisho nonyaka, ukuba ngcono. Lokhu kungase kuphele ngokwakho, noma kungadinga ama-braces noma ukuhlinzwa.

"Uma ama-rickets engane yakho ebangelwa yisimo sempilo esingesona esokudla okunempilo, ukuntuleka kwe-vitamin D kungelashwa. Kodwa-ke, noma ngabe selashwa, lesi simo esiyisisekelo singaba impilo yonke. Udokotela wakho wezingane (kanye nabanye ochwepheshe, uma kudingeka) bazokusiza wena nomntwana wakho ukuthi nibhekane futhi niphile nalesi simo."

Iyini inhloso/isibikezelo sezingane ezine-rickets?

Umbono wezingane ezine-rickets yokudla okunempilo uvame ukuba muhle kakhulu. Ngokwelashwa, isimo sazo sivame ukuxazululeka ngokuphelele phakathi namasonto noma izinyanga ezimbalwa. Iningi lezingane ezelashwa ama-rickets okunempilo liyalulama ngokugcwele futhi likhule libe abantu abadala abanempilo.

"Uma kunezinye izimbangela zama-rickets, isimo sizoncika esifweni esithile noma esimweni ingane yakho enaso. Kodwa-ke, ezimweni eziningi, izingane ezinama-rickets anjengalawa zingaphila impilo egcwele nenempilo ngokunakekelwa kwezokwelapha okukhethekile."

Uyini umehluko phakathi kwe-Rickets ne-Osteomalacia?

I-Osteomalacia iyisimo esifana ne-Rickets kubantu abadala. Kalula nje, i-Rickets iwukuthamba kwamathambo ezinganeni, kanti i-Osteomalacia iwukuthamba kwamathambo kubantu abadala. Imbangela eyinhloko yakho kokubili ukuntuleka kwe-vitamin D. I-Rickets ithinta amathambo asakhula ezingane, ngakho-ke ibangela izimpawu eziphawulekayo njengemilenze egobile. Abantu abadala abanalo lolu phawu oluthile (imilenze egobile) ngoba amathambo abo akhule ngokugcwele. Kodwa-ke, futhi banesihlungu samathambo, futhi amathambo abo abuthakathaka, aqhekekayo angaphuka kalula.

Awuwedwa, thola usizo.

Uma ubona ukuthi imilenze yengane yakho igobile noma izihlakala zayo zibanzi, bheka udokotela wezingane ngokushesha. Bangahlola ukuthi ngabe yi-rickets. Lokhu kungase kuzwakale kuyesabisa, kodwa kuyisimo esingelapheka. Okwamanje, buza udokotela wakho ngamaqembu okusekela asiza izingane ezine-rickets kanye nemindeni yazo. Ukuxhumana nabanye abaye baba nokuhlangenwe nakho okufanayo kungaba umthombo omkhulu wesikhuthazo kuwe nakumntanakho. Kungakusiza futhi ufunde izindlela ezintsha nezingcono zokuphatha isimo sengane yakho.

Umyalezo obaluleke kakhulu okufanele uwuthathe uye nawo ekhaya

Ngakho-ke, Mama noBaba, amaRicket akuyona into okufanele uyesabe, kodwa akuyona into okufanele uyithathe kalula.

• I-Vitamin D ibalulekile ekukhuleni kwamathambo aqinile ezinganeni.
• Ama-ricket angavinjelwa ngokuchayeka elangeni (ikakhulukazi ekuseni), ukudla ukudla okunothe ngevithamini D (njengenhlanzi, ubisi, izikhupha zamaqanda), futhi, uma kudingeka, ukuthatha izithasiselo zevithamini D njengoba kuqondiswe udokotela.
• Kubaluleke kakhulu ukunikeza amaconsi e-vitamin D ezinganeni ezinceliswa ubisi lwebele kuphela (ikakhulukazi lezo ezingaphezu kwezinyanga eziyisithupha ubudala) ngemva kokubonisana nodokotela.
• Uma ubona izimpawu ezifana nemilenze egobile, ukuhamba kancane, ubuhlungu bamathambo, nokukhula kabi, qiniseka ukuthi ubona udokotela wezingane.

Khumbula, ukutholwa kusenesikhathi kanye nokwelashwa okufanele kunganikeza ingane yakho ikusasa elinempilo neliqinile. Ukumamatheka kwengane yakho kuyinjabulo yethu enkulu!

Ama - Ricket, i-vitamin D, i-calcium, amathambo ebuntwaneni, ukukhula kwamathambo, ukuncelisa, ukukhanya kwelanga