Li-rickets

Rickets ke boloetse bo bakoang ke ho haella ha vithamine D, calcium kapa phosphate. E lebisa ho nolofatseng le ho fokolisa masapo.

Vitamin D e thusa mmele ho laola maemo a calcium le phosphate. Haeba maemo a mali a liminerale tsena a ba tlase haholo, 'mele o ka hlahisa lihormone tse etsang hore calcium le phosphate li tsoe masapong. Sena se lebisa masapong a fokolang le a bonolo.

Vithamine D e monya lijo kapa e hlahisoa ke letlalo ha e pepesetsoa khanya ea letsatsi. Ho haella ha tlhahiso ea vithamine D ka letlalo ho ka etsahala ho batho ba:

• Phela libakeng tse nang le khanya ea letsatsi hanyane
• E tlameha ho lula ka matlung
• Sebetsa ka tlung motšehare

U kanna oa se fumane vithamine D e lekaneng lijong tsa hau haeba u:

• Na lactose ha e mamelle (e na le bothata ba ho sila lihlahisoa tsa lebese)
• O SE KE wa nwa dihlahiswa tsa lebese
• Latela lijo tsa batho ba sa jeng nama

Masea a anyesitsoeng feela a ka ba le khaello ea vithamine D. Lebese la motho ha le fane ka vithamine D. e lekaneng e ka ba bothata bo khethehileng ho bana ba letlalo le letšo likhoeling tsa mariha. Lebaka ke hobane ho na le mahlaseli a tlase a khanya ea letsatsi likhoeling tsena.

Ho se fumane khalsiamo le phosphorus e lekaneng lijong tsa hau ho ka lebisa ho rickets. Li-rickets tse bakiloeng ke khaello ea liminerale tsena lijong ha li fumanehe hangata linaheng tse tsoetseng pele. Calcium le phosphorus li fumaneha lebeseng le merohong e metala.

Liphatsa tsa hau tsa lefutso li ka eketsa menyetla ea hau ea li-rickets. Li-rickets tsa lefutso ke mofuta oa lefu le fetisoang ke malapa. E etsahala ha liphio li sa khone ho tšoarella ho phosphate ea diminerale. Li-rickets le tsona li ka bakoa ke mathata a liphio a amanang le renal tubular acidosis.

Mathata a fokotsang tšilo ea lijo kapa ho monya mafura a tla thatafalletsa vithamine D ho kenella 'meleng.

Ka linako tse ling, li-rickets li ka hlaha ho bana ba nang le mathata a sebete. Bana bana ba ke ke ba fetolela vithamine D boemong ba eona bo sebetsang.

Li-rickets li fumaneha seoelo United States. E ka etsahala haholo ho bana nakong ea kholo e potlakileng. Ona ke mongwaha oo mmele o hlokang maemo a hodimo a calcium le phosphate. Li-rickets li ka bonoa ho bana ba lilemo li 6 ho isa ho tse 24. Ho tloaelehile ho masea a sa tsoa tsoaloa.

Matšoao a rickets a kenyelletsa:

• Bohloko ba masapo kapa bonolo matsohong, maotong, pelvis le mokokotlong
• Fokotsa molumo oa mesifa (tahlehelo ea matla a mesifa) le bofokoli bo mpefalang
• Ho holofala ha meno, ho kenyeletsoa ho lieha ho thehoa ha meno, ho holofala ha leino, masoba a enamel le ho eketseha ha masoba (meno a meno)
• Khōlo e senyehileng
• Ho eketseha ha masapo
• Maqhubu a mesifa
• Nako e khuts'oane (batho ba baholo ba ka tlase ho limithara tse 5 kapa bolelele ba limithara tse 1,52)
• Ho holofala ha masapo joalo ka lehata le bopehileng ka mokhoa o makatsang, mekotla ea maoto, makukuno nthong (rosary rachitic), lesapo la sefuba le sutumetsoang pele (leeba sefubeng), bofokoli ba pelvic le bofokoli ba mokokotlo (mokokotlo o kobehileng ka mokhoa o sa tloaelehang, ho kenyeletsoa scoliosis kapa kyphosis)

Tlhahlobo ea 'mele e bontša bonolo kapa bohloko masapong, empa eseng manonyeletso kapa mesifa.

Liteko tse latelang li ka thusa ho fumana li-rickets:

• Likhase tsa mali tse ngata
• Liteko tsa mali (calcium ea serum)
• Bops biopsy (e sa etsoang hangata)
• Masapo x-ray
• Serum ea alkaline phosphatase (ALP)
• Phosphorus ea seramu

Liteko tse ling le lits'ebetso li kenyelletsa tse latelang:

• ALP isoenzyme
• Khalsiamo (ionized)
• Hormone ea Parathyroid (PTH)
• K'halsiamo ea moroto

Morero oa kalafo ke ho imolla matšoao le ho lokisa sesosa sa boemo. Lebaka le tlameha ho phekoloa ho thibela lefu hore le se ke la khutla.

Ho tlosa calcium, phosphorus, kapa vithamine D e haellang ho tla felisa matšoao a rickets. Mehloli ea lijo tsa vithamine D e kenyelletsa sebete sa tlhapi le lebese le sebetsitsoeng.

Ho pepesehela khanya ea letsatsi e leka-lekaneng ho khothalletsoa. Haeba li-rickets li bakoa ke bothata ba ts'oaetso, ho ka hlokahala lengolo la ngaka la vithamine D.

Ho beha maemo kapa ho tiisa letsoho ho ka sebelisoa ho fokotsa kapa ho thibela bofokoli. Ho holofala ha masapo ho ka hloka ho buuoa ho a lokisa.

Boloetse bona bo ka lokisoa ka ho tlosa vithamine D le liminerale. Litekanyetso tsa laboratori le x-ray hangata lia ntlafala kamora beke e le 'ngoe. Maemo a mang a ka hloka tekanyetso e kholo ea liminerale le vithamine D.

Haeba li-rickets li sa lokisoe ha ngoana a ntse a hola, bofokoli ba masapo le mmele o mokhutšoane e kanna ea ba tsa ka mehla. Haeba e lokisoa ha ngoana a sa le monyane, ho holofala ha masapo hangata ho ea ntlafala kapa ho nyamela ha nako e ntse e tsamaea.

Mathata a ka bang teng ke:

• Bohloko ba masapo a nako e telele (a sa foleng)
• Ho holofala ha marapo
• Ho robeha ha masapo, ho ka hlaha ntle ho lebaka

Bitsa mofani oa tlhokomelo ea bophelo ba ngoana oa hau haeba u hlokomela matšoao a li-rickets.

U ka thibela li-rickets ka ho etsa bonnete ba hore ngoana oa hau o fumana calcium, phosphorus le vithamine D tse lekaneng lijong tsa bona. Bana ba nang le mathata a tšilo ea lijo kapa a mang ba ka hloka ho noa litlatsetso tse laetsoeng ke mofani oa ngoana.

Mafu a liphio (renal) a ka bakang ho monya mafura a vithamine D a lokela ho phekoloa hanghang. Haeba u e-na le mathata a renal, lekola khalsiamo le phosphorus kamehla.

Tlhabollo ea lefutso e ka thusa batho ba nang le nalane ea malapa ea mathata a futsitsoeng a ka bakang rickets.

Osteomalacia ho bana; Khaello ea vithamine D; Li-rickets tsa renal; Li-rickets tsa hepatic

• X-ray

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Demay MB, Krane SM. Mathata a diminerale. Ka: Jameson JL, De Groot LJ, oa Kretser DM, et al, eds. Endocrinology: Batho ba baholo le bana. La 7th. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 71.

Greenbaum LA. Ho haella ha vithamine D (rickets) le ho feta. Ka: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, bahlophisi. Buka ea Nelson ea Pediatrics. La 21 Ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 64.

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