Ukukhula okuvamile nokuthuthukiswa kwesimiso se-musculoskeletal yengane kuncike ekutheni izinga lokunciphisa amathambo kanye nesimetabolism. Ukuphulwa kwalezi zinqubo phakathi neminyaka emithathu yokuqala yokuphila kubizwa ngokuthi i-rickets. Lesi sifo sinesiqiniseko esihle sokwelashwa, kodwa ngaphandle kokwelashwa kubangela imiphumela eyingozi.
Izimbangela ze-rickets ezinganeni
Ukwenza kahle isimiso se-musculoskeletal, i-calciferol (i-vitamin D) iyadingeka. Lenza ngcono ukungena kwe-phosphorus ne-calcium emathunjini, ukuze amaminerali angene egazini futhi ahanjiswe emathanjeni amathambo. Ezinganeni, i-rickets ikhula ngokuntuleka kwevithamini D, ukuntuleka kwayo kuvela ngenxa yezizathu ezilandelayo:
- ukungondleki komama ngesikhathi sokukhulelwa nokudla;
- i-toxicosis ephuzile ;
- ukuguqulwa kokuqala;
- ukuthatha imithi ye-anticonvulsant;
- ukungabi nemisebe ye-ultraviolet;
- ukuphazamiseka kokugaya okuphazamisa ukumuncwa kwe-calciferol;
- ukondla ngefomula engaphenduliwe;
- i-pathologies esithathelwanayo njalo;
- ukungasebenzi komzimba we-thyroid;
- ukuzuza okunamandla kakhulu;
- izimo zezulu (ukukhanya okuncane);
- isimo esibi semvelo.
Ama-degree of rickets ezinganeni
I-pathology ehlongozwayo ihlukaniswa ngamaqembu amathathu ngokusho kobunzima besigaba sayo. Umgogodla omkhulu wokuhlukanisa izibonakaliso, njengoba ama-rickets abonakala ezinganeni:
- Idijithi elula. Esikhathini sokuqala kwesifo, ukushintshaniswa kwamaminerali kuphazanyiswa, futhi amathambo e-skull azungeze i-fontanelle athambisa kancane. Izinguquko ezinkulu emsebenzini kanye nokuthuthukiswa kohlelo lwe-musculoskeletal aluveli.
- Izinga elilinganiselwe. Ukuqhubekela phambili kwezingane kubangela ukukhubazeka okwenziwe ngokwemisebenzi kwemisebenzi yangaphakathi nokubunjwa kwesistimu yethambo.
- Izinga elikhulu. Kulesi sigaba izinkinga zesifo ziqala ukuvela. Iminyango eminingana yemithwalo ye-musculoskeletal system, kuneziphazamiso ezimbi ohlelweni lwe-nervous and endocrine, izitho zangaphakathi.
Izikhwama ezinganeni - izimpawu
Kunzima ukubona ukuthi i-vitamin D ayitholakali ekuqaleni, ngoba ukubonakaliswa kwayo kwemitholampilo akuyona into ecacile. Izimpawu ze-rickets ezinganeni zibizwa ngokucacile njengoba ingane ikhula futhi ikhulisa ubunzima be-pathology. Abazali bezinsana ezisengozini, kubalulekile ukuqapha ngokucophelela isimo se-crumb, ukuziphatha kwayo, ukudla kanye nekhwalithi yokulala. Izimpawu ze-rickets ezinganeni ezingaphansi konyaka owodwa azicacile kakhulu. Imitholampilo yokuqala yokuntuleka kwe-calciferol idideka kalula nezinye izifo ngenxa yokubonakaliswa okufanayo.
Izimpawu ze-rickets ezinganeni ezingaphansi kweminyaka engu-1 ubudala
Lesi sifo kuqala sithinta isimiso sezinzwa semifula, esisemaphakathi nasesiphambeni. Izibonakaliso zokuqala zezinsizwa ezinganeni zibhekwa ikakhulukazi ezinyangeni ezingu-3,5-5. Ezinye izingane zinezithombe zemitholampilo ekuqaleni, emasontweni angu-4-6 okuphila. Abazali bakuthola kunzima ukuthola ukuqala kwezigqoko ezinganeni - izimpawu zenziwe futhi zingenasici:
- ukulala okungenasici nokulala;
- ukuqonda;
- ukukhathazeka;
- ukujuluka okukhulu;
- i-occipital alopecia;
- ukudla okumbi;
- iphunga elimuncu lokuthuthumela;
- izinkinga zesitoreji.
Uma lezi zenzakalo ezibalwe zingashiywa ngaphandle kokunakekelwa, i-pathology iyaqhubeka. Kamuva, izimpawu ezilandelayo ze-rickets zivela ezinganeni:
- ithoni ephansi ye-muscle;
- isymmetry kanye nokufakwa kwekhanda;
- inkulu, engahlanganisi i- fontanel ;
- ukuqhuma ama-hillocks emgqeni nasebunzini;
- i-blocked ("froggy") isisu;
- ukugxila ekuthuthukiseni amakhono emoto (ingane ayikwazi ukujika, ukuhlala, ukubamba ikhanda);
- kamuva uvele .
Izimpawu ze-rickets ezinganeni emva konyaka
Ukwehla okungavamile kwezimpawu ze-avitaminosis kuholela enkingeni yesifo esibi kakhulu. I-Rachitis yezinga lesibili ezingane ezingaphezu kwezinyanga ezingu-12 ubudala inezibonakaliso ezinjalo zemitholampilo:
- ukuvuthwa kwemiphetho ephansi (ngesimo sencwadi O noma X);
- ukuqina kwamazinyo;
- ukuguqulwa kwezandla (imifula ivela emasongweni - "amasongo");
- i-hump ngemuva;
- inweba ("i-Olimpiki") ebunzini;
- ukuvuthwa komgogodla;
- ukuqina phezu kwezimbambo ("rosary", umsele kaGarrison);
- ama-bulges eminwe ("izintambo zamapharele");
- ukuchithwa kwesifuba;
- ukwandisa kwesibindi;
- ukuphefumula ukuphefumula;
- i-anemia;
- ukuwohloka kwesistimu yokugaya ukudla.
Kancane kancane ingane iqala ukuphulukisa, kodwa izinguquko ezitholakale ezakhiweni zethambo azidluli. Ngaphandle kokwelapha okwanele, ukugcoba ezinganeni kubangela izinkinga ezivimbela impilo egcwele ekukhuleni:
- isifuba esincane;
- iphutha elingalungile;
- isifuba sicindezelwe ohlangothini ngalunye;
- izinyawo eziphansi;
- ama-ankle;
- ukutholakala kwezifo;
- i-scoliosis;
- ukubuka okufushane;
- ukwelashwa komuthi wamathunjini;
- ukuqhuma okuvamile.
Ukuxilongwa kwe-rickets ezinganeni
Udokotela wezingane owaziwayo uyakwazi ukuthola ukulahlekelwa kwe-calciferol ngisho nokuhlolwa okujwayelekile kwengane. Qinisekisa ukuthi ama-rickets ezinsaneni asiza izifundo ezilandelayo:
- ukuhlola igazi kwegazi;
- i-radiograph;
- umbhalo we-tomography (uma kunesidingo);
- amasampula omchamo weSulkovich (okungajwayelekile);
- ukuhlolwa kwe-ultrasound kwamathambo esiphezulu.
Indlela yokuphatha iziphuzo ezinganeni?
Ukwelashwa kwezifo ezichazwe kuyinkimbinkimbi yezinyathelo zezokwelapha ezingenasiphakamiso futhi ezizimele. Ukwelashwa okuphumelelayo kwezingane kuhilela kokubili ukuthatha imithi ekhethekile, nokulungisa indlela yokuphila nokudla imvuthu. Ngemiphumela yokwelashwa esifike ngesikhathi esifanele, lesi sifo siyeka ukuqhubeka, futhi zonke izinkinga emzimbeni ziyaqedwa.
Amakhansela ezinganeni - izincomo zomtholampilo
Ukuze ukhethe umuthi wokwelapha ngamunye kufanele ube ngodokotela wezingane oqeqeshiwe, imizamo yokuzimela yokubhekana nokugula ingase ibe nzima kakhulu isimo somntwana. Ukuqeda ama-rickets ezinganeni, lezi zindlela ezilandelayo zisetshenziswa:
- Ukuncelisa isikhathi eside isikhathi eside noma ingxube ephezulu eguquguqukayo.
- Kulungile ukwenza ukudla kwe-crumb. Isikhwama sokuqala kufanele sibe yimifino, kamuva kunconywa ukungena isikhupha samaqanda.
- Kuvame ukuhamba emoyeni omusha, ikakhulukazi ezinsukwini zelanga. Kubalulekile ukushiya isikhumba somntwana sivulekele imisebe ye-ultraviolet.
- Hlela imodi efanele yosuku, unikeze ingane ngokuphumula okugcwele.
- Yiya emihlanganweni yokusilalisa kanye nokwelapha umzimba. Ukunakekelwa kwezibhamu ezinganeni ezisencane kuhlanganisa ukubhukuda njalo.
- Yenza imfucumfucu yama-conifers namanzi okusawoti. Uma kunokwenzeka, kunconywa ukuthatha ingane elwandle.
Amalungiselelo okubheka izingane
Ukwelashwa okuqondile kuhlanganisa ukuthatha imithi ekhethekile ebuyisela imetabolism yamaminerali futhi igcwalise ukungabi khona kwamavithamini D emzimbeni. Ukwelashwa okudinga ukwelashwa kwezingane ezingaphezu konyaka nangaphezulu kunqunywe udokotela. Udokotela wezingane ngesisekelo semiphumela yokuhlolwa kanye nesimo somntwana uzokhetha ukulungiswa okufanele kakhulu futhi abale isilinganiso esisebenzayo. Ukuphumelela kusho:
- I-Aquadetry;
- I-Wigantol;
- I-Devisol;
- Videin.
Ngaphezu kwalokho, ukudla okuphakanyisiwe kwamavithamini ama-complexes:
- I-Biovital;
- Ukunisela umntwana;
- Amathebhu amaningi.
Ukuvimbela ama-rickets ezinganeni
Kusengaphambili ukuvimbela ukutholakala kokuntuleka kwe-calciferol kungaba ngisho nasesiteji sokuhlela ukukhulelwa:
- Kuhle ukudla, udle amaprotheni anele.
- Njalo uvakashele umjozi wezifo-gynecologist-endocrinologist.
- Gada isimo somzimba womzimba.
- Ngokuvamile hamba uhambe.
- Thatha ama-multivitamini omama abalindele.
I-prophylaxis ephumelelayo yama-rickets ezinganeni:
- ukunamathela emisebenzini yansuku zonke;
- ukuqina;
- i-sunbathing;
- ukuhamba okude emoyeni ovulekile;
- ukuthuthukiswa ngokomzimba okusebenzayo;
- ukuncelisa okunengqondo;
- ukudla okunomsoco okuhambisanayo.
Imiphumela yezingubo ezinganeni
Izibikezelo zezokwelapha ezixilongwa ngesikhathi esifanele kanye nokwelashwa okufanele kwe-pathology zihlale zihle. Ngemuva kokwelashwa okulungile kwezingubo ezinganeni ngaphandle kokulandelana, umntwana ukhula eqinile futhi enempilo. Ukucindezeleka kwalesi sifo kwenzeka uma ukunganaki kwe-vitamin kunganakwa futhi kwaqhubekela phambili. Ezimweni ezinjalo, ama-rickets ayingozi kakhulu - imiphumela:
- ukuguqulwa okuqinile kwezakhiwo zamathambo;
- ukufakwa kwesimiso ku-caries;
- i-osteoporosis;
- ukuqhutshwa kwesifo sofuba ne-pneumonia;
- ukungabi namntwana noma ukubeletha okunzima ngenxa yokwehlisa isifuba emantombazaneni;
- ukugoqa kwezitho kanye neminwe;
- izifo ezingapheli zokugaya, ukuqotshwa.