Ukukhula okuqhelekileyo nokuphuhliswa kwenkqubo yomshuloskeli womntwana kuxhomekeke kwinqanaba lokunciphisa amathambo kunye ne-metabolism. Ukuphululwa kwezi nkqubo ngexesha lokuqala kweminyaka emithathu yobomi kubizwa ngokuba yi-rickets. Esi sifo sinokuthenjwa kakuhle kwonyango, kodwa ngaphandle kokonyango kubangela iziphumo eziyingozi.
Iingxaki zamabhanki kubantwana
Ukwenza ngokufanelekileyo inkqubo ye-musculoskeletal, i-calciferol (i-vitamin D) iyadingeka. Iphucula ukutshatyalaliswa kwe-phosphorus kunye ne-calcium emathunjini, ukwenzela ukuba amaminerali angene egazini aze ahanjiswe kwiithambo zethambo. Kubantwana, iiplanga zikhula nge-vitamin D, ukusilela kwayo kubangelwa kwezi zizathu zilandelayo:
- ukungondleki komama ngexesha lokukhulelwa nokutya;
- i toxicosis ;
- kokuqala;
- ukuthatha imithi ye-anticonvulsant;
- ukungabikho kwemisebe ye-ultraviolet;
- iziphazamiso zokugaya ukutya eziphazamisa ukuthotywa kwe-calcifololol;
- ukondla ngefomula engapheliyo;
- izifo ezithintekayo rhoqo;
- i - thyroid;
- ukufumana inzuzo ngokukhawuleza;
- imeko zezulu (ilanga elincane);
- imeko embi yendalo.
Izigulane zamabhanki kubantwana
I-pathology echazwe ihlelwe ngamaqela a-3 ngokukodwa kwinqanaba lekhosi. Umlinganiselo oyintloko wokuhlukanisa impawu, njengoko i-rickets ibonakala kwiintsana:
- Iqondo elilula. Kwisigaba sokuqala sesi sifo, ukutshintshiselwa kwamaminerali kuphazamiseka, kwaye amathambo enkayi ejikeleze i-fontanelle ithambisa kancane. Utshintsho olunzulu kumsebenzi nophuhliso lwe-musculoskelet system alukho.
- Iqondo eliphakathi. Ukuqhubela phambili kwiingxaki zabantwana kubangelwa ukuthotywa kwemithwalo yemisebenzi yamalungu angaphakathi kunye nokwakhiwa kwethambo.
- Likhulu. Kule nqanaba iingxaki zesifo ziqala ukuvela. Amasebe athile achaphazelekayo kwinkqubo ye-musculoskelet, kukho ukuphazamiseka okukhulu kwinkqubo ye-nervous and endocrine, izitho zangaphakathi.
Iirekethi kubantwana - iimpawu
Kunzima ukuphawula ukungabikho kwe-vitamin D kwinqanaba lokuqala, kuba ukubonakaliswa kwayo kliniki akukodwa. Izibonakaliso zamabhonkco kubantwana ziba zivakaliswe ngakumbi xa umntwana ekhula kwaye ekhuphula ubunzima be-pathology. Abazali beintsana ezisemngciphekweni, kubalulekile ukubeka iliso ngenyameko imeko yokuziphatha, ukuziphatha kwayo, ukutya kunye nomgangatho wobuthongo. Iimpawu zokubakho abantwana ezingaphantsi konyaka omnye azibonakali. Iklinikhi yakuqala yokuntuleka kwe-calciferol idideka kalula nezinye izifo ngenxa yembonakalo efanayo.
Izibonakaliso zamabhanki kubantwana abangaphantsi kweminyaka eli-1 ubudala
Esi sifo sithintela okokuqala inkqubo yokutya yeentlobo zentyatyambo, ephakathi nendawo. Iimpawu zokuqala zeengxowa ezincinci zigcinwa ikakhulukazi kwiinyanga ezi-3,5-5. Abanye abantwana banomfanekiso wekliniki ngaphambili, kwiiveki ezi-4-6 zobomi. Abazali bakuthola kunzima ukufumanisa ukuqala kweentonga kwiintsana - iimpawu zityumkile kwaye zingabonakali:
- ubuthongo obukhulu kunye nokulala;
- ukuqonda;
- uxhalaba;
- khulisa;
- i-occipital alopecia;
- ngxamele ukutya;
- iphunga elimuncu lomthunzi;
- izifo zesebe.
Ukuba izinto ezidibeneyo zishiywe ngaphandle kwengqalelo, i-pathology iyaqhubeka. Kamva, ezi zilandelayo zibonakaliso zeerketi zivela kwiintsana:
- ithoni ephantsi;
- i-asymmetry kunye nokucwangciswa kwentloko;
- inkulu, engavumelekanga ifanelini;
- ukukhupha i-hillocks kwisithsaba kunye nebunzi;
- i-blocked ("froggy") isisu;
- ukulahla ekuphuhliseni izakhono zezithuthi (umntwana akakwazi ukujika, ukuhlala, ukubamba intloko);
- kamva.
Izibonakaliso zamabhanki kubantwana emva konyaka
Ukungahoywa ngokugqithiseleyo iimpawu ze-avitaminosis kukhokelela kwikhondo eliyingozi kakhulu. Iirejethi ze-2 degrees kubantwana abaneminyaka engaphezulu kweenyanga ezili-12 zibonakaliso ezinjalo zeklinikhi:
- ukukhawulwa kwemida ephantsi (ngohlobo lwe-O okanye i-X);
- ukunyuselwa kweenyawo;
- ukulungiswa kwezandla (iifolo zivela kwi-wrists - "amabhonki");
- i-hump ngasemva;
- ukwanda ("iOlimpiki") ebunzini;
- ukukhawuleka komgudu;
- ukuqina kwiimbambo ("rosari", umgca weGarrison);
- iibhokhwe kwiminwe ("imida yeeparele");
- ukuguquka kwesifuba;
- ukwandiswa kwesibindi;
- ukuphefumula;
- ukukhulelwa kwegazi;
- ukungonakaliswa kwenkqubo yokutya.
Kancinci umntwana usuqala ukuhlaziya, kodwa utshintsho oluthile kwizakhiwo zethambo alupheli. Ngaphandle kolwaphulo olwaneleyo, ama-rickets kubantwana abangela iingxaki ezithintela ubomi obuphelileyo ngokubanzi:
- i-pelvis;
- ilanga elingalunganga;
- isifuba sinyanyiswe kwicala ngalinye;
- ezinyaweni;
- maqhosha a
- ukuthintela kwizifo;
- i-scoliosis;
- ukubona okufutshane;
- i-pathology yegciwane lesisu;
- ziqhekeza rhoqo.
Ukuxilongwa kwezihlunu kubantwana
Udokotela wezilwanyana onamava uyakwazi ukubona ukusilela kwe-calciferol kwanomviwo oqhelekileyo wengane. Qinisekisa ukuba iifenethi ezincinaneni zinceda izi zifundo zilandelayo:
- vavanyo lwegazi;
- i radiograph;
- i-tomography (xa kuyimfuneko);
- iisampula zomchamo zeSulkovich (ngokungaqhelekanga);
- ukuhlolwa kwe-ultrasound yamathambo e-forearm.
Indlela yokuphatha iimbophu kumntwana?
Ulwaphulo lwezifo ezichazwe ngolu hlobo luyinkimbinkimbi yamanyathelo angonyango kunye nonyango. Ukunyanga okuphumelelayo kwezigulana kubantwana kubandakanya kokubili ukuthatha imithi ekhethekileyo, nokuguqula indlela yokuphila nokutya iimvuthu. Ngeempembelelo zokwelapha eziqaliswe ngexesha elifanelekileyo, isifo siyeka ukuqhubeka, kwaye zonke iziphazamiso zomzimba ziyabonakala.
Iirekethi kubantwana - iingcebiso zekliniki
Ukukhetha i-regimen yonyango kufuneka ibe ngumntwana oqeqeshiweyo, ukuzama ukuzamezela ukukhubazeka kunokunyusa imeko yentsana. Ukuphelisa ama-rickets kubantwana, ezi ndlela zilandelayo zisetyenziswa:
- Ukuncelisa ixesha elide okanye umxube ophezulu ochanekileyo.
- Ngokuchanekileyo ukwenza ukutya kwe-crumb. Iindleko zokuqala kufuneka zibe yimifuno, kamva kuyacetyiswa ukuba ungene kwiqanda leqanda.
- Ngokuqhelekileyo uhamba emoyeni omtsha, ngokukodwa kwiintsuku zelanga. Kubalulekile ukushiya isikhumba somntwana sivulele imilayezo ye-ultraviolet.
- Hlela indlela efanelekileyo yosuku, ukubonelela umntwana ngokuphumla okupheleleyo.
- Yiya kwiiseshoni zokuxilonga kunye neyonyango. Ukunyangwa kwama-rickets kwiintsana kwinqanaba lokuqala kubandakanya ukubhukuda rhoqo.
- Yenza iimvumba ze-conifers kunye neebhati zetyuwa. Ukuba kunokwenzeka, kucetyiswa ukuba uthathe umntwana olwandle.
Ukulungelelanisa izibhengezo kubantwana
Ulwaphulo olulodwa lubandakanya ukuthatha amayeza akhethekileyo abuyisela imetabolism yamaminerali kwaye azalise ukusilela kwe-vitamin D emzimbeni. Unyango olulondolozayo lwama-rickets kubantwana ukuya kunyaka kwaye lubekwe ngugqirha. Udokotela wezingane ngenxa yeziphumo zovavanyo kunye nemeko yengane iya kukhetha ukulungiselela okufanelekileyo kwaye ibalwe umlinganiselo osebenzayo. Ukusebenza kuthetha:
- Aquadetry;
- Wigantol;
- I-Devisol;
- Videin.
Ukongeza, i-intake ephakanyisiweyo yevithamini izakhiwo:
- Biovital;
- Ukunisela umntwana;
- Multi Tabs.
Ukuthintela ukukhutshwa kwabantwana
Ngaphambi kokuthintela ukuvela kwe-calciferol kungabikho kwinqanaba lokucwangcisa ukukhulelwa:
- Kuhle ukutya, udle iprotheni eyaneleyo.
- Ukutyelela rhoqo umgulane we-gynecologist-endocrinologist.
- Jonga imeko ye-immune system.
- Ngokuqhelekileyo hamba uhambe.
- Thatha ama-multivitamines kubafazi abanomdla.
Iprophylaxis esebenzayo yeengxowa ezincinaneni:
- ukubambelela kwimihla ngemihla;
- lukhuni;
- ilanga;
- Ukuhamba okude evulekile;
- phuhliso lomzimba olusebenzayo;
- yokuncelisa;
- ukutya okuncedisayo.
Iziphumo zeengxowa zabantwana
Izibikezelo zezokwelapha ngokuxilongwa ngexesha elifanelekileyo kwaye unyango olufanelekileyo lwe-pathology zihlala zilungile. Emva kokunyanga okuchanekileyo kwama-rickets kwiintsana ngaphandle kokulandelelana, umntwana usakhula kwaye unempilo. Iingxaki zeso sifo zenzeka ukuba i-vitamin defence yanyanzelwa kwaye yaqhubela phambili. Kwiimeko ezinjalo, iingozi ziyingozi kakhulu - iziphumo:
- Ukulungiswa okuzinzile kwezakhiwo zethambo;
- ukuxhomekeka kwiindawo zokugcina;
- osteoporosis;
- ukuxhamla kwi-bronchitis kunye ne-pneumonia;
- ukungabi nantlungu okanye ukuzalwa okulukhuni ngenxa yokuphahlalisa i-pelvis kumantombazana;
- ukukhawulwa kwemilenze neminwe;
- izifo ezingapheliyo zokugaya, ukuzitywa.