ʻO Osteopenia - nā pēpē pēpē

ʻO ka Osteopenia kahi hoʻemi i ka nui o ka calcium a me ka phosphorus i ka iwi. Hiki i kēia ke hoʻonāwaliwali a palupalu nā iwi. Hoʻonui ia i ka makaʻu no nā iwi haʻi.

I loko o nā mahina he 3 i hala iho nei o ka hāpai ʻana, hoʻoneʻe ʻia ka nui o ka calcium a me ka phosphore mai ka makuahine i ka pēpē. Kōkua kēia i ka ulu ʻana o ka pēpē.

ʻAʻole paha e loaʻa i kahi pēpē premature i ka nui kūpono o ka calcium a me ka phosphore e pono ai e hana i nā iwi ikaika. ʻOiai i loko o ka ʻōpū, hoʻonui ka hana fetal i nā mahina 3 hope o ka hāpai ʻana. Manaʻo ʻia he mea nui kēia hana no ka hoʻomohala iwi. ʻO ka hapa nui o nā pēpē premature ka palena o ka hoʻoikaika kino. Hāʻawi pū paha kēia i nā iwi nāwaliwali.

ʻO nā pēpē ma mua loa i ka lilo o ka nui o nā phosphor i kā lākou mimi ma mua o nā pēpē i hānau ʻia piha.

ʻO ka nele o ka wikamina D hiki ke alakaʻi i ka osteopenia i nā pēpē. Kōkua ka Wikamina D i ke kino e omo i ka puna mai nā ʻōpū a me nā puʻupaʻa. Inā ʻaʻole i loaʻa i nā pēpē a lawa ʻole ka lawa ʻana o ka wikamina D, ʻaʻole e komo pono ka calcium a me ka phosphorous. ʻO kekahi pilikia o ke akepaʻa i kapa ʻia ʻo cholestasis e kumu pū paha i nā pilikia me nā pae vitamin D.

Hiki i nā paila wai (diuretics) a i ʻole nā ​​steroid ke kumu i nā pae calcium liʻiliʻi.

ʻO ka hapa nui o nā pēpē ʻōpio i hānau ʻia ma mua o 30 mau pule he kekelē osteopenia, akā ʻaʻole e loaʻa nā ʻōuli kino.

Hiki i nā pēpē me ka osteopenia koʻikoʻi ke hoʻemi i ka neʻe a i ʻole ka pehu ʻana o ka lima a me ka wāwae ma muli o ka haʻi i ʻike ʻole ʻia.

ʻOi aku ka paʻakikī o Osteopenia i ke kuhi ʻana i nā pēpē ma mua o ka poʻe mākua. ʻO nā hoʻokolohua maʻamau i hoʻohana ʻia e hōʻoia a nānā i ka osteopenia o ka wā ʻōpio:

• ʻO nā hoʻokolohua koko e nānā i nā pae o ka calcium, phosphorus, a me kahi protein i kapa ʻia ʻo alkaline phosphatase
• Kukuna ultrasound
• Nā kukuna X

ʻO nā ʻano hana e hōʻike e hoʻomaikaʻi i ka ikaika o ka iwi i loko o nā pēpē me:

• Pākuʻi kalipuna a me nā phosphorus, hoʻohui ʻia i ka waiū umauma a i ʻole IV wai
• Nā formulate kūikawā kūikawā (ke loaʻa ʻole ka waiū umauma)
• ʻO ka lāʻau Vitamin D no nā pēpē me nā pilikia o ke ake

E hoʻōla maikaʻi nā hakina iā lākou iho me ka lawelawe mālie ʻana a me ka hoʻonui ʻana i nā meaʻai o ka calcium, phosphorus, a me ka wikamina D. Aia paha ka hoʻonui ʻia o ka makaʻi no nā haki i loko o ka makahiki mua o ke ola no nā pēpē ʻōpiopio loa me kēia ʻano.

Ua hōʻike ʻia nā noiʻi ʻana he kaumaha nui ka hānau hānau haʻahaʻa haʻahaʻa no ka osteoporosis ma hope o ke ola makua. ʻAʻole maopopo inā nā hana hōʻeuʻeu e mālama a pale paha i ka osteopenia o prematurity i ka haukapila ma hope o ka hānau ʻana hiki ke hōʻemi i kēia pilikia.

Rikeke Neonatal; Nā iwi palupalu - nā pēpē pēpē; Nā iwi nāwaliwali - pēpē pēpē; ʻO Osteopenia o ka wā ma mua

ʻO Abrams SA, Tiosano D. Nā maʻi o ka calcium, phosphorous, a me ka magnesium metabolism i ka neonate. I: Martin RJ, Fanaroff AA, Walsh MC, hua. ʻO Fanaroff lāua ʻo Martin's Neonatal-Perinatal Medicine. 11th hua. Piladelapia, PA: Elsevier; 2020: chap 87.

Koves IH, Ness KD, Nip A S-Y, Salehi P. Nā maʻi o ka calcium a me ka phosphorus metabolism. I: Gleason CA, Juul SE, eds. Nā maʻi o Avery o ke keiki hānau. 10 o ka lā. Piladelapia, PA: Elsevier; 2018: chap 95.