Osteomalacia: he aha ia, nā ʻōuli a me nā lāʻau

Anter

• He aha nā hōʻailona
• Nā kumu nui
• Pehea e hōʻoia ai i ke kuhi
• Pehea e hana ai i ka lāʻau

ʻO Osteomalacia kahi maʻi iwi makua, ʻike ʻia e nā iwi palupalu a palupalu, ma muli o nā kīnā o ka iwi matrix mineralization, ka mea i maʻa mau ʻia e ka hemahema o ka wikamina D. ʻOiai he mea nui kēia wikamina no ka omo ʻana o ka calcium i ka iwi, ke nele, nā hopena i kona demineralization.

Hiki i ka Osteomalacia ke asimtomatik a kumu ʻole i nā ʻōuli e like me ka hōʻoluʻolu iwi a i ʻole nā ​​haki liʻiliʻi. I ka hihia o ke keiki, ʻaʻole ʻike ʻia ka nele o ka wikamina D a me ka nāwaliwali o nā iwi ʻo ka osteomalacia, akā ʻo ka rikeke. E ʻike he aha nā rikeke a pehea e mālama ʻia ai.

Ke kānalua ʻia ka osteomalacia, he mea nui e nīnau aku i ka loio a i ʻole ka orthopedist e hōʻoia i ke kuhi a hoʻomaka i ka lāʻau kūpono, e komo pū paha me ka meaʻai kūpono, ka loaʻa ʻana o ka lāʻau a me ka puka ʻana o ka lā.

He aha nā hōʻailona

ʻO ka Osteomalacia pinepine asymptomatic a, no laila, pau i ka ʻike ʻia ke loaʻa kahi haki. Eia nō naʻe, aia kekahi mau hihia i hiki i ke kanaka ke ʻike i ka hōʻoluʻolu iki i nā iwi, keu hoʻi i ka ʻūhā, a hiki i ka hopena ke paʻakikī i ka neʻe.

ʻOiai ʻoi aku ka liʻiliʻi loa, hiki i ka osteomalacia ke hopena i nā deformities iwi, keu hoʻi inā ua hana lohi ka lāʻau.

Nā kumu nui

ʻO ke kumu maʻamau o ka osteomalacia ka hemahema o ka wikamina D, i hiki ke pili i kekahi o nā ʻanuʻu o ka lawe ʻia ʻana, metabolism a hana paha, i hiki ke hana ʻia i nā hihia o:

• Loaʻa haʻahaʻa o nā meaʻai me ka huaola D;
• Hōʻike lā haʻahaʻa;
• ʻOki kino i ka ʻōpū a i ʻole ka ʻōpū, ʻoi loa ke kīʻaha bariatric;
• Hoʻohana i nā lāʻau no ka hopu ʻana, e like me phenytoin a i ʻole phenobarbital;
• Malabsorption ʻōpū;
• Ka lawa ʻole o ke kōpaʻa;
• Maʻi maʻi ate.

ʻOiai he kākaʻikahi loa ia, hiki i kekahi ʻano o ka maʻi ʻaʻai ke hoʻololi i nā pae o ka wikamina D i loko o ke kino.

Pehea e hōʻoia ai i ke kuhi

No ke kuhi ʻana i ka osteomalacia, hiki i ke kauka ke kauoha i nā hoʻokolohua koko a me ka mimi e loiloi i nā pae o ka wikamina D, phosphorus a me ka calcium, alkaline phosphatase a me ka parathyroid hormone, i hoʻololi mau ʻia.

Hoʻohui ʻia, hiki ke hana ʻia nā kukuna X e ʻike i nā haki iwi liʻiliʻi a ʻike i nā hōʻailona ʻē aʻe o ka demineralization iwi.

Pehea e hana ai i ka lāʻau

ʻO ka pahuhopu o ka mālama ʻana e hoʻoponopono i ke kumu kumu o ka osteomalacia, i hiki ke hoʻokō ʻia ma o:

• Pākuʻi me ka kalipuna, phosphorus a me / a i ʻole wikamina D;
• Hoʻonui i ka ʻai ʻana o nā meaʻai i loko o ka puna a me ka wikamina D. E ʻike i nā meaʻai e momona i ka puna a waiwai i ka huaora D;
• 15 mau minuke i kēlā lā i kēia lā i ke kakahiaka nui, me ka ʻole o ka pale lā.

E nānā i ke wikiō e hiki mai ana a ʻike i nā ʻōlelo aʻoaʻo aʻe e hoʻoikaika ai i nā iwi:

Inā kumu ʻia ka osteomalacia e ka maʻi ʻōpū o ka ʻōpū, ka hōʻeha ʻana o nā puʻupaʻa a me nā pilikia o ke ake, pono e mālama mua ʻia ka maʻi. Hoʻohui ʻia, i kekahi mau hihia, pono paha ke ʻoki e hoʻoponopono i nā hemahema iwi.