ʻO Osteomalacia

Ke palupalu nei ʻo Osteomalacia i nā iwi. Kū pinepine ia ma muli o kahi pilikia me ka wikamina D, ka mea e kōkua i kou kino e omo i ka calcium. Pono kou kino i ka calcium e mālama i ka ikaika a me ka paʻakikī o kou mau iwi.

I nā keiki, kapa ʻia ke ʻano he rikeke.

ʻO ka nele o ka nui pono o ka puna i loko o ke koko hiki ke alakaʻi i nā iwi nāwaliwali a palupalu. Hiki ke kumu ʻia ke kinikini haʻahaʻa haʻahaʻa e ka pae vitamin D haʻahaʻa i loko o ke koko.

Hoʻomoʻa ʻia ka Vitamin D mai ka meaʻai a i hana ʻia e ka ʻili ke hōʻike ʻia i ka lā. Loaʻa ka nele o ka wikamina D i hana ʻia e ka ʻili i ka poʻe:

• Noho i nā aniau me ke kū iki o ka lā
• Pono e noho i loko o ka hale
• E hana i ka hale ma nā hola o ke ao
• E ʻaʻahu i nā kapa i uhi i ka hapa nui o ko lākou ʻili
• Loaʻa pigmentation ʻili ʻeleʻele
• E hoʻohana i ka sunscreen ikaika loa

ʻAʻole paha lawa ʻoe i ka wikamina D mai kāu papaʻai inā ʻoe:

• Intolerant lactose (pilikia i ka hoʻoulu ʻana i nā huahana waiū)
• Mai ʻai a inu i nā huahana waiū (ʻoi aku ka maʻamau o ka poʻe mākua)
• E hāhai i ka papaʻai vegetarian
• ʻAʻole hiki ke omo maikaʻi i ka wikamina D i loko o nā ʻōpū, e like me ma hope o ke kuapo ʻana o ka gastric

ʻO nā kumu ʻē aʻe i kumu ʻia i ka osteomalacia:

• Ka maʻi ʻaʻai - nā tumors laha ʻole e hoʻohaʻahaʻa ai i ka pae phosphate i ka puʻupaʻa
• Hewa ka hakuʻala a me ka acidosis
• Loaʻa ka lawa ʻole o nā phosphates i ka papaʻai
• ʻO ka maʻi ate - ʻaʻole hiki i ke akepaʻa ke hoʻohuli i ka wikamina D i kāna ʻano hana
• Nā hopena ʻaoʻao o nā lāʻau i hoʻohana ʻia e mālama i ka hopu ʻana

ʻO nā hōʻailona me:

• Haki nā iwi i hana ʻia me ka ʻole o ka hōʻeha maoli
• Nāwaliwali ka ʻiʻo
• Pālahalaha ka ʻeha o ka iwi, ma nā pūhaka hoʻi

Hiki ke loaʻa nā ʻōuli ma muli o ke kiʻekiʻe o ka pae calcium. Pākuʻi ʻia kēia mau mea:

• Pōpō a puni ka waha
• Numbness a kani paha o nā lima a me nā wāwae
• Spasms a cramp paha o nā lima a me nā wāwae paha

E hana ʻia nā hoʻokolohua koko e nānā i ka wikamina D, ka creatinine, ka kalipuna, ka phosphate, nā electrolytes, nā alkaline phosphatase, a me nā pae hormone parathyroid.

Hiki i nā iwi x a me ka hoʻāʻo ʻana o ka iwi ke kōkua i ke ʻike ʻana i nā pseudofractures, ka nalo ʻana o ka iwi, a me ka palupalu ʻana o ka iwi. ʻO ka mea nui aku, hiki i ka osteomalacia ke like me ka nāwaliwali o nā iwi mai ka osteoporosis ma ka hoʻāʻo ʻana i ka iwi.

I kekahi mau hihia, e hana ʻia kahi biopsy iwi e ʻike inā aia ka palupalu o ka iwi.

Hiki i ka mālama ʻana ke hoʻopili i ka wikamina D, calcium, a me nā mea hoʻopili phosphorus i lawe ʻia e ka waha. ʻO ka poʻe hiki ʻole ke ʻoluʻolu maikaʻi i nā ʻōpū ma o ka ʻōpū e pono i nā kaona nui o ka wikamina D a me ka calcium. Pākuʻi ʻia kēia i ka poʻe i loaʻa kekahi ʻano o ke kaʻana ʻana o ke kaupaona.

Pono paha ka poʻe me kekahi ʻano i nā hoʻokolohua koko e kiaʻi i nā kiʻekiʻe o ke koko o ka phosphorous a me ka calcium.

E ʻoi aku ka maikaʻi o kekahi poʻe me nā maʻi kīnā i loko o kekahi mau pule. Me ka mālama ʻana, pono e hoʻōla i loko o 6 mau mahina.

Hiki i nā ʻōuli ke hoʻi.

Kāhea i kāu mea mālama ola inā loaʻa iā ʻoe nā ʻōuli o ka osteomalacia, a i ʻole inā manaʻo ʻoe e makaʻu paha ʻoe no kēia maʻi.

ʻO ka ʻai ʻana i kahi papaʻai waiwai i ka wikamina D a me ka calcium a me ka loaʻa ʻana o ka lawa kūpono i ka lā ke hiki ke pale aku i ka osteomalacia ma muli o ka lawa ʻole o ka wikamina D.

Ka nele o ka wikamina D - osteomalacia; Kalipuna - osteomalacia

• Deficit ʻo Wikamina D
• Ka pōmaikaʻi pākana

ʻO Bhan A, Rao AD, Bhadada SK, Rao SD. ʻO Rickets a me ka osteomalacia. Ma Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 31.

ʻO Chonchol M, Smogorzewski MJ, Stubbs JR, Yu ASL. Nā maʻi o ka homeostasis calcium. I: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. ʻO Brenner a me Rector's The Kidney. 11th hua. Piladelapia, PA: Elsevier; 2020: chap 18.

ʻO Demay MB, Krane SM. Nā maʻi o ka mineralization. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 71.

ʻO Weinstein RS. ʻO Osteomalacia a me nā rikeke. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 231.