Rickets: he aha ia, no ke aha e hana ai a pehea e mālama ai
Anter
ʻO Rickets kahi maʻi o kahi keiki i ʻike ʻia e ka loaʻa ʻole o ka wikamina D, he mea nui ia no ka omo ʻana o ka calcium i loko o ka ʻōpū a waiho ʻia i loko o nā iwi. No laila, aia kahi loli i ka hoʻomohala ʻana i nā iwi o nā keiki, a he mau kumu kumu a kula ʻelua paha.
- Rikeke mua, kahi lawa ʻole o ka wikamina D a i ʻole ka nele o ka calcium i hana ʻia e nā wā lōʻihi me ka ʻole o ka lā, ka lawe ʻana o ka calcium liʻiliʻi a i ʻole ka hoʻohana ʻana i nā mea waikawa i hui pū ʻia me ka calcium a hoʻopau ʻia, e like me ka iʻa iʻa;
- Rikeke lua, ka hopena ma muli o kahi maʻi ma mua, e like me ka maʻi o ka puʻupaʻa, ka maʻi ʻaʻai a i ʻole ka loli genetical.
Hoʻololi ka mālama ʻana i nā rikeke e like me ke kumu, akā i nā hihia āpau e pono e hoʻohui i ka wikamina D a hoʻololi i ka papaʻai i mea e hoʻopau ai i nā meaʻai momona.
Nā loli nui e pili ana i nā rikeke
Hiki ke hoʻololi ʻia nā ʻōuli o nā rikeke e like me ke kahua o ka maʻi. I ke kaʻina huikau, aia paha he apathy, anemia, hoʻonāukiuki a me nā spasms muscle. I ke kaʻina hoʻomau o nā rikeke, aia paha:
- ʻO ke kuli ʻo Varus me ka ʻole o nā koʻokoʻo tibia, kahi e kaʻawale ai nā kuli ke pā aku i kekahi kuʻekuʻe wāwae i kekahi.
- Valgus kuli me a i ʻole ʻole tibial valgus, kahi e pili mau ai nā kuli;
- Nā mānoanoa o ka lima a me nā kuʻekuʻe wāwae, ʻike ʻia ʻo Marfan's Sign;
- Dorsal spine deformity, me ke kyphosis e ʻike ʻia;
- Nā loli i ke kīʻaha;
- ʻO ka ʻōhū ʻana i ka ami kuʻekuʻe, i kapa ʻia ʻo Marfan's malleolar edge.
Eia hou, i nā hihia koʻikoʻi loa hiki i nā rickets ke hana i nā deformities i loko o ka iwi, i hiki ke komo i nā wāwae kī, ke kīloi niho, hypoplasia o ka niho enamel, nāwaliwali o nā mākala, ʻeha, ka mānoanoa o nā iwi iwi poʻo, i kapa ʻia ka lae 'Olumepika, a me ka nui o ka makaʻu. o nā maʻi. E ʻike i nā ʻōuli a pau o Rikeke.
Ke loaʻa ʻole kahi calcium i loko o ke kino, ʻike ʻia nā ʻōuli ʻē aʻe ma waho o ka mea i ʻōlelo ʻia, e like me ka spasms muscle a me ka cramp a me ke kani ʻana i nā lima a me nā wāwae, no ka laʻana.
Nā kumu o Rikeke
ʻO ke kumu nui o nā rikeke mua ka nele o ka wikamina D, ka mea e hoʻopili ai i ka hanana a me ka hoʻomohala ʻana o nā iwi. ʻO kēia no ka mea ʻoi aku ka maikaʻi o ke kalima i ka wā e ʻai ai nā meaʻai i ka wikamina D, a no laila, ke nele ka vitamini D, hoʻopili ʻia kāna lawe ʻana. Hoʻohui ʻia, hiki ke kumu ʻia nā rikeke e ka nele o ka calcium, a he mea nui ia no ka ulu iwi.
Hoʻoholo ʻia nā rikeke lua e ka maʻi ma mua, e like me ka maʻi o ka puʻupaʻa a i ʻole ke kanesa, me ka hoʻopilikia ʻana i ke kaʻina hana omo calcium. Pili pū paha ka hoʻohana ʻana i nā anticonvulsants i nā rikeke lua.
Aia kekahi ʻano ʻē aʻe o nā ricket, i hoʻomaka ʻia mai nā hoʻololi genetic a i ʻole nā kūlana ʻē aʻe e hoʻopili i ke ala e lawe ʻia ai nā minelala a me nā huaora e ke kino.
Pehea i loaʻa ai ke kuhi
Hiki ke hana i ka diagnostics o nā rikeke ma o ka hana ʻana i kahi hoʻokolohua kino, kahi e hiki ai i ke kauka ke nānā no ke kino pōkole a i ʻole ka hōʻemi ʻana i ka wikiwiki o ka ulu a me ke kū ʻana o nā kino skeletal.
Hoʻohui ʻia, nā noi keʻena hoʻokolohua, e like me ka calcium, ka wikamina D a me nā ana alkaline phosphatase, a me nā hōʻike radiographic, e noi ʻia e hoʻopiha i ka ʻike.
Pehea ka lāʻau
Hoʻokumu ʻia ka mālama ʻana i nā rikeke ma ka hoʻololi ʻana o ka wikamina D i loko o ke kino, ma o ka lawe ʻana i nā mea hoʻowali vitamin D. Eia hou, he mea nui e hoʻonui i ka ʻai o nā meaʻai i loko o ka vitamini D, e like me ka aila cod ate, salemona, mackerel lio, hua manu i hoʻolapalapa ʻia a i ʻole nā sardine i kēnā ʻia. E ʻike i nā meaʻai ʻē aʻe i waiwai i ka wikamina D.
Pono e aʻo ʻia nā mahele kūpono o ka calcium a me ka lā lā. I ke kumu o nā rikeke ma ke ʻano ʻelua i nā maʻi ʻē aʻe, pono e mālama ʻia ka maʻi i pili i nā rikeke.
Ke kumu ʻia nā rikeke e ka lawa ʻole o ka calcium, hiki ke hana ʻia kā lākou mea pani ma o ka ʻai ʻana i nā meaʻai momona-momona e like me broccoli, kāpena a i ʻole nā huahana waiū, e like me ka waiū, ka tī a me ka yogurt, no ka laʻana. E ʻike i nā meaʻai momona.
ʻO ke ala ʻoi loa e pale aku ai i nā rikeke ma o ka papaʻai kaulike i haku ʻia o nā meaʻai waiwai i ka wikamina D a me ka kalipuna, kahi e pono ai e ke kauka hānai a me ke kauka, me ka hōʻike ʻana i ka lā i kēlā me kēia lā i nā manawa i hōʻike ʻia.