Sengoli: Virginia Floyd
Letsatsi La Creation: 12 Phato 2021
Ntlafatsa Letsatsi: 17 November 2024
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Rickets/osteomalacia - causes, symptoms, diagnosis, treatment, pathology
Video: Rickets/osteomalacia - causes, symptoms, diagnosis, treatment, pathology

Osteomalacia e nolofatsa masapo. Hangata e hlaha ka lebaka la bothata ba vithamine D, e thusang 'mele oa hau ho monya calcium. 'Mele oa hau o hloka calcium ho boloka matla le boima ba masapo a hau.

Ho bana, boemo bona bo bitsoa rickets.

Ho haella ha calcium e lekaneng maling ho ka lebisa masapong a fokolang le a bonolo. Khalsiamo e tlase ea mali e ka bakoa ke boemo bo tlase ba vithamine D maling.

Vithamine D e monya lijo kapa e hlahisoa ke letlalo ha e pepesetsoa khanya ea letsatsi. Ho haella ha vithamine D e hlahisoang ke 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
  • Apara liaparo tse koahelang boholo ba letlalo
  • E-ba le letlalo le lefifi
  • Sebelisa setlolo se sireletsang letsatsing se matla haholo

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)
  • Se ke oa ja kapa oa noa lihlahisoa tsa lebese (tse atileng haholo ho batho ba baholo)
  • Latela lijo tsa batho ba sa jeng nama
  • Ha li khone ho amohela vithamine D hantle ka maleng, joalo ka kamora ho buuoa ka mpeng

Maemo a mang a ka bakang osteomalacia a kenyelletsa:


  • Kankere - lihlahala tse sa tloaelehang tse bakang boemo bo tlase ba phosphate liphio
  • Ho hloleha ha liphio le acidosis
  • Ho haelloa ke li-phosphate tse lekaneng lijong
  • Lefu la sebete - sebete ha se khone ho fetolela vithamine D boemong ba eona bo sebetsang
  • Litla-morao tsa meriana e sebelisetsoang ho sebetsana le ho oa

Matšoao a kenyelletsa:

  • Ho robeha ha masapo ho etsahalang ntle le kotsi ea sebele
  • Bofokoli ba mesifa
  • Bohloko ba masapo bo atileng, haholoholo lethekeng

Matšoao a ka boela a hlaha ka lebaka la khalsiamo e tlase. Tsena li kenyelletsa:

  • Ho ba lerootho ho potoloha molomo
  • Ho ba lerootho kapa ho hlohlona hoa matsoho le maoto
  • Ho ba le maqhubu kapa mahlaba a matsoho kapa a maoto

Ho tla etsoa liteko tsa mali ho hlahloba vithamine D, creatinine, calcium, phosphate, electrolyte, alkaline phosphatase, le li-hormone tsa parathyroid.

Bone x-ray le tlhahlobo ea masapo li ka thusa ho lemoha li-pseudofractures, ho senyeha ha masapo le ho nolofatsa ha masapo. Habohlokoa le ho feta, osteomalacia e ka shebahala e le ho fokolisa masapo ho tsoa ho lefu la masapo ho hlahlojoa ha masapo.


Maemong a mang, biopsy ea masapo e tla etsoa ho bona hore na ho nolofatsa masapo ho teng.

Kalafo e ka kenyelletsa litlatsetso tsa vithamine D, calcium le phosphorus tse nkiloeng ka molomo. Batho ba sa khoneng ho monya limatlafatsi hantle ka maleng ba ka hloka litekanyo tse kholo tsa vithamine D le calcium. Sena se kenyelletsa batho ba nang le mefuta e meng ea ho buuoa ka boima ba 'mele.

Batho ba nang le maemo a itseng ba ka hloka liteko tsa mali khafetsa ho lekola phosphorus le calcium ea mali.

Batho ba bang ba nang le mathata a khaello ea livithamine ba tla ntlafala nakong ea libeke tse 'maloa. Ka kalafo, pholiso e lokela ho etsahala nakong ea likhoeli tse 6.

Matšoao a ka khutla.

Bitsa mofani oa hao oa tlhokomelo ea bophelo haeba u e-na le matšoao a osteomalacia, kapa haeba u nahana hore u ka ba kotsing ea lefu lena.

Ho ja lijo tse nang le vithamine D e ngata le calcium le ho fumana khanya e lekaneng ea letsatsi ho ka thusa ho thibela osteomalacia ka lebaka la khaello ea vithamine D.

Ho haella ha vithamine D - osteomalacia; K'halsiamo - osteomalacia

  • Khaello ea Vitamin D
  • Molemo oa calcium

Bhan A, Rao AD, Bhadada SK, Rao SD. Li-rickets le osteomalacia. Ho Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, bahlophisi. Buka ea Williams ea Endocrinology. La bo14 la ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 31.


Chonchol M, Smogorzewski MJ, Stubbs JR, Yu ASL. Mathata a calcium homeostasis. Ka: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, li-eds. Brenner le Rector ea Liphio. 11th ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 18.

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.

Rona ea Weinstein. Osteomalacia le rickets. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 231.

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