Rickets rau cov me nyuam

Rickets - ib tug kab mob uas cuam tshuam rau kev haum ntawm calcium los ntawm cov plab hnyuv ib ntsuj av tau mus rau hauv lub cev, uas ua rau yus muaj kev cuam tshuam ntawm cov pob txha mineralization. Tus kab mob no muaj txhawb rau cov pob txha deformities, lawv ua mos thiab nkig. Lub sij hawm "rickets" yog hais txog cov me nyuam, vim hais tias ib tug me nyuam cov pob txha loj hlob yog heev raug rau tag nrho cov hom ntawm kev hloov. Nyob rau hauv kev, tus kab mob no muaj feem xyuam rau cov me nyuam mos thiab cov me nyuam mus txog rau 4 xyoo. Qhov no yog vim kev loj hlob sai thiab kev loj hlob ntawm cov pob txha. Nyob rau hauv lub hnub nyoog thiab tsis muaj kev vitamin D, muaj ob hom ntawm rickets - rickets rau cov me nyuam (rickets infantilis) thiab lig rickets (rickets tarda), nyob rau hauv cov tub ntxhais hluas. Nyob rau hauv cov laus, tsis muaj peev xwm ntawm vitamin D thiab calcium ua rau cov kab mob xws li kab mob hauv los yog osteomalacia.

Feem ntau qhov ntawm rickets - ib tug tsis muaj vitamin D, uas ua rau txawv txav calcium haum nyob rau hauv cov hnyuv thiab nws tsis tshua muaj nqi nyob rau hauv cov ntshav. Nyob rau hauv tas li ntawd, vitamin tsis muaj peev xwm tsis zoo muaj feem xyuam rau lub ntev tso tawm ntawm phosphates hauv cov zis. Tag nrho cov txheej txheem ntawm cov tsis txaus nyob rau hauv qhov haum ntawm calcium muaj feem xyuam rau cov pob txha decalcification thiab yog li kuaj tau thaum ntxov tej yam tshwm sim ntawm rickets. Vitamin D nyob rau hauv tib neeg lub cev los ntawm ob qhov chaw. Nyob rau hauv thawj rooj plaub no nws yog tsim nyob rau hauv daim tawv nqaij los ntawm ultraviolet hluav taws xob, nyob rau hauv lub thib ob - los nrog cov zaub mov. Vitamin D, ob qho tib si endogenous los yog ua nyob rau hauv lub cev los yog exogenous - tau txais khoom noj khoom haus twb tsis muaj lom nyhuv. Tsuas yog tom qab cov tshuaj hloov nyob rau hauv lub siab thiab ces ob lub raum, nws yog hloov mus rau hauv ib tug active daim ntawv. Vitamin D yog tsim nyog rau kom zoo calcium phosphate metabolism.

Nyob rau hauv thaum ntxov ua sawv ntawm tus kab mob rickets rau cov me nyuam manifests nws tus kheej los ntawm tawm fws caj dab tus me nyuam thaum lub sij hawm pub los yog pw. Flattening ntawm tus pob txha taub hau, tshwj xeeb tshaj yog nyob rau hauv lub taub hau, raws li zoo raws li lub sij hawm ntev qhib fontanel qhia tsis muaj vitamin D. Lwm yam tsos mob yog ncua teething, enlarged siab thiab tus po, cov yuav txo tau ntawm lub hauv siab ib ncig. Nyob rau hauv tas li ntawd, rickets rau cov me nyuam ua rau yus ib tug xov tooj ntawm skeletal deformities (hu ua tubercles pob txha taub hau, rachitic "bracelets" los yog "cov hlaws dai") thiab ob txhais taw. Muaj distortions nyob rau hauv lub hauv siab thiab tiaj tus. Nyob rau tib lub sij hawm, tej kev hloov no yog irreversible, txawm lub tom ntej kev kho mob. Nkees nqaij muaj feem xyuam rau lub cev muaj zog txoj kev loj hlob ntawm tus me nyuam, muaj yog tsam plab, thiab cem quav. Nyob rau hauv tas li ntawd mus rau lub tsis txaus tus nqi ntawm vitamin D, calcium tsis muaj peev xwm tshwm sim thiab phosphates. Qhov no feem ntau tshwm sim thaum ib tug me nyuam noj nyuj cov kua mis, uas tiv thaiv tshaj calcium phosphate haum.

Tsis muaj vitamin pom nyob rau hauv preterm thiab loj hlob cov me nyuam, raws li tau zoo raws li cov menyuam ntxaib los yog menyuam ntxaib. Rickets zaum yuav tshwm sim nyob rau hauv cov me nyuam uas tau txais antiepileptic tshuaj, nrog raws plab los yog malabsorption kab mob.

Nws yuav tsum tau nco ntsoov tias rickets kev tiv thaiv tseem ceeb heev thaum lub sij hawm cev xeeb tub. Cov khoom noj ntawm cov expectant niam yuav tsum tshiab zaub, txiv hmab txiv ntoo, mis nyuj, butter, qe, ntshiv nqaij thiab hiav txwv ntses. Nws tseem ceeb heev yuav tsum tau ntau tshaj nyob rau hauv lub tshiab huab cua.

Tus kws kho mob yuav tsis kuaj rickets rau cov me nyuam, cia li saib lub me ntsis tus neeg mob. Ua li no koj yuav tsum tau ua biochemical tsom xam ntawm cov ntshav thiab cov pob txha x-rays yog yuav tsum tau. Kev kho mob muaj rickets vitamin D siv nyob rau hauv ib koob tshuaj. Lub sij hawm tsawg ntawm cov vitamin D3 yog xeem nrog ib tug 3-lub lim tiam-laus cov me nyuam yug los nrog rau tej nyhav thiab mis ua kua. Nws yog 500 IU, uas sib raug rau ob ncos vitamin D3. Nco ntsoov hais tias koj muab tsis tau koj tus me nyuam vitamin nyob rau hauv ntau dua koob tshuaj tshaj tshuaj los ntawm koj tus kws kho mob vim hais tias ib tug overdose yuav ua rau lub raum puas tsuaj thiab ua rau lom.