Rikeke
Anter
- He aha nā rikeke?
- ʻO wai ka mea e makaʻu i ka hoʻomohala ʻana i nā rikeke?
- Makahiki
- Meaʻai
- Waihona ʻili
- Kahi henua
- ʻO Genes
- He aha nā hōʻailona o ka rikeke?
- Pehea e hōʻoia ai i nā rikeke?
- Pehea e mālama ai i nā rikeke?
- He aha ka mea e manaʻo ʻia ma hope o ka mālama ʻana i nā rikeke?
- Pehea e pale ai i nā rikeke?
Hoʻopili mākou i nā huahana a mākou e manaʻo nei he pono no kā mākou poʻe heluhelu. Inā kūʻai ʻoe ma o nā loulou i kēia ʻaoʻao, loaʻa iā mākou kahi kōmike liʻiliʻi. Eia kā mākou hana.
He aha nā rikeke?
ʻO Rickets kahi maʻi skeletal i hoʻokumu ʻia e ka nele o ka wikamina D, calcium, a phosphate paha. He mea nui kēia mau meaola no ka hoʻomohala ʻana i nā iwi ikaika, olakino. Hiki i nā kānaka me nā rikeke ke nāwaliwali a palupalu hoʻi nā iwi, kūpale ka ulu ʻana, a, i nā hihia koʻikoʻi, nā kino iwi.
Kōkua ka Wikamina D i kou kino e omo i ka puna a me ka phosphate mai kou ʻōpū. Hiki iā ʻoe ke loaʻa ka wikamina D mai nā huahana meaʻai like ʻole, me ka waiū, nā hua manu, a me nā iʻa. Hoʻopuka pū kekahi kou kino i ka wikamina ke ʻike ʻia ʻoe i ka lā.
ʻO ka hemahema o ka wikamina D ka mea paʻakikī i kou kino e mālama pono i nā pae o ka puna a me ka phosphate. Ke kū kēia, hana i kou kino i nā hormones e hoʻokuʻu ai i ka calcium a me ka phosphate mai kou mau iwi. Ke nele kou iwi i kēia mau minelala, lilo lākou i nāwaliwali a palupalu.
ʻO Rikeke ka mea maʻamau i nā keiki ma waena o 6 a 36 mau makahiki. Aia nā keiki i ka makaʻu kiʻekiʻe loa i nā ricket no ka mea ke ulu mau nei lākou. ʻAʻole lawa paha nā keiki i ka wikamina D inā lākou e noho i kahi ʻāina me ka liʻiliʻi o ka lā, e hāhai i ka papaʻai mea ʻai, a i ʻole inu inu i nā huahana waiū. I kekahi mau hihia, hoʻoilina ke ʻano.
He kakaikahi ʻo Rickets ma ʻAmelika Hui Pū ʻIa. ʻOi aku ka maʻamau o Rickets, akā nalowale ka hapa nui i nā ʻāina kūkulu i ka wā 1940 ma muli o ka hoʻolauna ʻia o nā meaʻai paʻa, e like me nā cereala me ka huamine D.
ʻO wai ka mea e makaʻu i ka hoʻomohala ʻana i nā rikeke?
ʻO nā kumu pilikia no nā rikeke e like me kēia:
Makahiki
ʻO Rikeke ka mea maʻamau i nā keiki ma waena o 6 a 36 mau makahiki. I loko o kēia wā, ʻike pinepine nā keiki i ka ulu wikiwiki. ʻO kēia ka manawa e pono ai ko lākou kino i ka nui o ka puna a me ka phosphate e hoʻoikaika a hoʻomohala i ko lākou mau iwi.
Meaʻai
Loaʻa iā ʻoe kahi makaʻu kiʻekiʻe loa i ka hoʻomohala ʻana i nā rikeke inā ʻai ʻoe i ka meaʻai vegetarian ʻaʻole pili i ka iʻa, nā hua manu, a me ka waiū. Hoʻonui pū kekahi ʻoe i ka pilikia inā pilikia ʻoe i ka ʻai ʻana i ka waiū a i ʻole he maʻi āpau i ka waiū kō (lactose). ʻO nā pēpē i hānai ʻia i ka waiū umauma hiki ke lilo i hemahema hoʻi i ka wikamina D. ʻAʻole lawa ka waiū D i ka waiū umauma e pale ai i nā rikeke.
Waihona ʻili
ʻO nā keiki o ʻApelika, Mokupuni Pākīpika, a me ko ka Hikina Waena moʻokūʻikena ka makaʻu nui loa no nā rikeke no ka mea he ʻeleʻele ko lākou ʻili. ʻAʻole hana ka ʻeleʻele ʻeleu e like me ka ikaika o ka lā e like me ka hana o ka ʻili māmā, no laila e hōʻemi ana ka huaʻai D.
Kahi henua
Hoʻokumu ko mākou kino i ka wikamina D ke hōʻike ʻia i ka lā, no laila ʻoi aku kou makaʻu no ka rikeke inā ʻoe e noho i kahi wahi me ka liʻiliʻi o ka lā. ʻOi aku nō paha ʻoe i kahi makaʻu kiʻekiʻe inā ʻoe e hana i loko o ka hale i nā hola o ke ao.
ʻO Genes
Hiki ke hoʻoilina ʻia kekahi ʻano rickets. ʻO kēia ke kumu i hoʻoili ʻia ka maʻi i loko o kāu genes. ʻO kēia ʻano rikeke, i kapa ʻia ʻo nā rickets hereditary, pale i kou mau puʻupaʻa mai ke komo ʻana i ka phosphate.
He aha nā hōʻailona o ka rikeke?
ʻO nā ʻōuli o ka rikeke:
- ʻeha a palupalu paha i nā iwi o nā lima, nā wāwae, nā pelvis, a i ʻole ke kuamoʻo
- ulu ʻaʻano ʻaʻano kikino
- haki iwi
- ʻūpē mākala
- niho deformities, e like me:
- lohi ka hana ʻana o nā niho
- puka ma ka enamel
- nāʻaihue
- nā kīnā i ka hanana niho
- kahi helu hoʻonui o nā ana
- skeletal deformities, me:
- he iwi poʻo ʻano ʻokoʻa
- nā kīʻaha, a i ʻole nā wāwae e kūlou
- puʻupuʻu i ka lipine
- he umauma hoʻopāpā
- he iwi kuamoʻo
- pelvic deformities
Kāhea koke i kāu kauka inā e hōʻike ana kāu keiki i nā hōʻailona o ka rikeke. Inā mālama ʻole ʻia ka maʻi maʻi i ka wā o ka ulu ʻana o ke keiki, hoʻopau paha ke keiki me kahi kino pōkole loa ma ke ʻano he makua. Hiki i nā deformities ke lilo i kūleʻa inā mālama ʻole ʻia ka maʻi.
Pehea e hōʻoia ai i nā rikeke?
Hiki paha i kāu kauka ke hōʻoia i nā rikeke ma o ka hoʻokolo kino ʻana. E nānā lākou no ka palupalu a ʻeha paha i nā iwi ma ka kaomi māmā ʻana iā lākou. E kauoha paha kāu kauka i kekahi mau hoʻokolohua e kōkua ai i ka ʻike ʻana i ka rickets, me:
- nā hoʻokolohua koko e ana i nā pae o ka puna a me ka phosphate i ke koko
- iwi X-kukuna e nānā ai no nā hemahema iwi
I nā hihia kakaikahi, e hoʻokō ʻia kahi biopsy iwi. Hoʻopili kēia i ka hemo ʻana o kahi ʻāpana liʻiliʻi loa o ka iwi, a e hoʻouna ʻia i kahi keʻena hoʻokolohua no ka loiloi.
Pehea e mālama ai i nā rikeke?
Mālama ka mālama ʻana i nā rikeke i ka hoʻololi ʻana i ka wikamina a i ʻole ka mineral i loko o ke kino. E hoʻopau kēia i ka hapa nui o nā hōʻailona e pili ana i nā rikeke. Inā loaʻa i kāu keiki ka nele i ka wikamina D, makemake paha kāu kauka e hoʻonui lākou i ko lākou pale i ka lā, inā hiki. Paipai pū lākou iā lākou e hoʻopau i nā huahana meaʻai kiʻekiʻe i ka wikamina D, e like me ka iʻa, ke ake, ka waiū, a me nā hua manu.
Calcium a me ka wikamina D hiki ke hoʻohana ʻia e mālama i nā rikeke. E nīnau i kāu kauka e pili ana i nā ana pololei, no ka mea hiki ke loli ʻia i ka nui o kāu keiki. Hiki ke palekana ʻole ka nui o ka wikamina D a me ka calcium.
Inā loaʻa nā hemahema iwi, pono i kāu keiki i nā kūpeʻe e hoʻonohonoho pono i ko lākou mau iwi ke ulu lākou. I nā hihia koʻikoʻi, pono paha i kāu keiki i kahi ʻoki pololei.
No nā likiki hoʻoilina hoʻoilina, koi ʻia kahi hui o nā mea hoʻopili phosphate a me nā pae kiʻekiʻe o kahi ʻano kūikawā o ka wikamina D e mālama i ka maʻi.
He aha ka mea e manaʻo ʻia ma hope o ka mālama ʻana i nā rikeke?
ʻO ka hoʻonui ʻana i ka wikamina D, calcium, a me nā pae phosphate e kōkua i ka hoʻoponopono ʻana i ka maʻi. ʻO ka hapa nui o nā keiki me nā rikeke ʻike i nā hoʻomaikaʻi ma kahi o hoʻokahi pule.
E hoʻomaikaʻi a nalowale pinepine paha nā kino iwi i ka manawa ke hoʻoponopono ʻia nā rika i ka wā ʻōpio o ke keiki. Eia nō naʻe, hiki i nā deformities kōiwi ke paʻa mau inā ʻaʻole mālama ʻia ka maʻi ma ka wā ulu o ke keiki.
Pehea e pale ai i nā rikeke?
ʻO ke ala ʻoi loa e pale aku ai i nā ricket e ʻai i ka papaʻai e hoʻopili pū ana i ka nui o ka calcium, phosphorous, a me ka wikamina D. ʻO nā kānaka me nā maʻi puʻupaʻa e nānā pono ʻia kā lākou mau pae calcium a me nā phosphate ma ka manawa maʻamau e kā lākou kauka.
Hiki ke pale ʻia aku ʻo Rikeke me ka ʻike ākea o ka lā. Wahi a ka National Health Service o ʻEnelani (NHS), pono wale ʻoe e hōʻike i kou mau lima a me kou alo i ka lā i kekahi mau manawa o ka pule i ka wā o ke kauwela a me ke kauwela e pale ai i nā rikeke.
Loaʻa ka hapanui o nā mākua i ka malamalama o ka lā. He mea nui e hoʻomaopopo he hiki i ka nui o ka lā ke hoʻopōʻino i kou ʻili, a pono e hoʻopili i ka pale o ka lā e pale ai i ka wela a me ka ʻino o ka ʻili. I kekahi manawa, hiki i ka hoʻohana ʻana i ka pale lā ke pale i kou ʻili mai ka hoʻohua ʻana i ka wikamina D, no laila he mea maikaʻi ke ʻai i nā meaʻai i loaʻa ka huaola D a i ʻole lawe i nā mea kōkua vitamin D. Hiki i kēia mau hana pale ke hoʻohaʻahaʻa i kou makaʻu i ka hoʻomohala ʻana i nā rikeke.