Rickets: rigakafin a yara. Rigakafin rickets a jarirai

Mutane da yawa sun saba da wannan kalma ga ba kawai cuta, amma kuma wata azãba mai irin, ta jiki, da kuma a zaurance, da hankulansu rauni. Haka ne, shi ne rickets. Cutar nasa ne da yara Pathology aka bayyana a wani wuri shekaru a take hakkin kashi samuwar. A dalilin shi ne rashin bitamin D a cikin jikin, wanda aka mugun bukata, a lokacin m girma na yaro, a lokacin da samuwar guringuntsi da kashi na kwarangwal. Bugu da kari, da rashin wannan abu rinjayar da ilimi Sphere da kuma ta jiki ci gaba. Wajibi ne a lura ko da kadan canje-canje a cikin hali na yara, a matsayin farko na cutar na iya faruwa boye.

labarin

A karo na farko da wannan cuta da aka bayyana a Ingila a cikin tsakiyar karni na goma sha bakwai, amma a cikin Semi-Medical adabi har yanzu akwai na biyu-uku karni AD. Yana miƙa dama theories na abin da ya faru da wannan cuta da kuma hanyoyin da za a magance ta. maganin guba da aka samu - cod kitse, amma da bayani na ingancinta sun sami da yawa daga baya. Godiya ga gwaje-gwaje da McCollum, duniya koya kasancewar wani abu kamar bitamin D. Daga baya, a farkon karni na ashirin, Jamus likita ɓullo da wani Hanyar rigakafin rickets amfani da wani ultraviolet fitilar. Ta cika wa cikin rashin rãnã, kuma ya kange ci gaban da cutar.

Sanadin

Akwai da dama predisposing abubuwan da taimakawa ga ci gaban rickets. Su na iya faruwa biyu tare kuma dabam.

1. Ƙarancin adadin hasken rana, ciki har da saboda yanayin da yanayin damina.
2. Ba daidai ba ciyar da yaro, kuma saboda haka, matalauta sha na alli da phosphorus, kazalika da} arfin abun ciki na abinci dabba fats.
3. Deep preterm jarirai.
4. Genetically m cuta samuwar kuma metabolism na bitamin D.
5. Launin fata predisposition.

Ba mu da wani wuri fi so da cutar a duniya taswirar, an samu a ko'ina. Mafi sau da yawa wani buɗi na yana daukan wuri a cikin sanyi kakar, a lokacin da saboda halitta haddasawa girma rashin hasken rana. Musamman shafi yara haifa a cikin marigayi kaka da kuma hunturu.

Bugu da kari, ta zamani, uwãyensu ba sa so su shãyar da mãma da yaro da sauƙi, fifita su saje ko saniya ta madara. Wannan disrupts da yaro ta hanji mulkin mallaka yadda ya kamata. Har ila yau a cikin wucin gadi musanya dauke da wani kasa adadin dole abubuwa ga jitu girma da kuma ci gaba da jariri. Toddlers wahala daga kiba, na rayuwa cuta, hanji colic, kuma, ba shakka, rickets.

A pathophysiology da cutar

An sani cewa kashi a cikin assimilation na alli da kashi samuwar tsari kanta daukan ba bitamin D, kuma ta metabolites generated a hanta da koda. Bayan haihuwa, da yawa enzymatic da kuma na rayuwa tsarin ba tukuna kai a isasshe ɓullo da ya dauka a kan cikakken load ake bukata cikin kankanin kwayoyin girma da kuma ci gaba yadda ya kamata.

Kafa a cikin fata melanocytes, bitamin D samun shiga cikin jini da kuma hawa da shi zuwa hanta, inda aiwatar da hydroxylation wuce. Chemical hira kammala a koda, sa'an nan, a cikin nau'i na 24,25-dihydroxy-bitamin D, ya ƙunsa ma'adinai metabolism kuma kwarangwal samuwar. A duka tsari ne batun rashin jituwa a kowane mataki. Saboda haka, pathogenesis na rickets ne sosai rude da kuma ba da cikakken gane ko da kunkuntar kwararru.

bayyananen

Matsayin mai mulkin, da farko ƙararrawa karrarawa riga ya bayyana a cikin makonni shida da yaro ta shekaru, amma sun kasance haka ba takamaiman cewa iyaye ba su kula da shi, ko danganta su zuwa sauran cututtuka. A wannan batun, gagarumin canje-canje ne bayyane ne kawai zuwa hudu ko biyar watanni da haihuwa.

A farko wuri da yaro fara nuna neurological cututtuka kamar barci tashin hankali, da damuwa, irritability. Sa'an nan, rage sha'awa cikin abinci, taron na bata lokaci kujera. A dare da yaro karfi rika zufa, da gumi sansana bad, tõno a kansa, ya kuma saboda m gogayya da kushin bayyana alopecia wuyansa. Bayyane manifestations daga kashi can, suka bayyana da yawa daga baya. A lokaci na farko yana for har zuwa wata daya.

Idan babu m matakan dauka ba, cutar progresses na gaba lokaci - da tsawo. An halin ciki daga cikin kirji, da curvature da ƙashi na daga cikin ƙananan extremities, zuwan "beads" da "munduwa" a wurare da} arfin samar da kashi nama, a matsayin compensatory martani ga thinning na kwarangwal. Tare da duk wannan a matsayin wani yaro ~ uka komai, a shafi tunanin mutum da kuma ta jiki ci gaba.

Jiyya manufa kan lokaci taimaka wajen baya mafi yawan canje-canje, amma kwarangwal nakasawa zai šauki a rayuwa. Musamman wuya sakamakon tasiri a kan mata, tun akwai wani nakasawa da kafafuwa da kuma haihuwa vaginally zai zama ba zai yiwu ba.

bincikowa da

M ladabi ga ganewar asali da kuma rigakafin rickets ne hadaddun da m ga talakawan likita a asibitin. A baya can, abin dogara tabbatarwa da cutar da aka dauke Sulkovicha samfurin, cewa detects asarar alli a cikin fitsari, amma yanzu shi ne a gane yadda ba musamman, kuma ya ƙiya da aikace-aikace a cikin zaman yau da kullum yi.

A halin yanzu ya dauki mafi m jini gwajin for Wutan: alli, phosphorus, magnesium. Bugu da kari, kula da irin biochemical sigogi kamar matakin na alkaline phosphatase da magani creatinine. Na more musamman gwaje-gwaje gudanar domin sanin matakin na bitamin D metabolites da hormones na thyroid da parathyroid gland.

Daga instrumental bincike hanyoyin da za'ayi radiography kuma shin ƙashi na daga hannu da dantse, ya bincika wurare na ci gaba da kashi yawa. A rickets, su za a maras kyau, ossification zone canza da kuma fadada.

har na cuta

A yara, akwai uku digiri na cutar:

1. M hanya. The yaro ba daya ko biyu ãyõyi daga kashi, akwai wani murdede hypotonia, lethargy, amma ilimi ci gaba yayi dace da shekaru.
2. Moderate hanya. Akwai tsanani canje-canje a cikin kwarangwal bayyana ta lalacewar da juyayi tsarin, matsaloli da kayan ciki. Fara Ya rinjãyar da qwaqwalwa ne qwarai munanan da backlog a ilimi ci gaba.
3. Mai tsanani. M m kashi deformations cewa ba ci baya bayan dawo da. The yaro yana da wani ilimi rashi, ci gaban ba ya sadu da shekaru, warware sauran tsarin da kayan ciki, a mayar da martani ga gazawar da na rayuwa tsarin.

Rigakafin a lokacin daukar ciki

Duk wani expectant uwa da zai yarda da cewa m su ji daga gida pediatrician kamu - rickets. Rigakafin wannan yanayin zai iya fara matsayin farko a matsayin tsari na dauke da wani yaro. M kamar yadda alama, amma mata masu ciki yawanci m game da wannan al'amari. Sun sha handfuls na folic acid da kuma multivitamin gidaje, amma saba shukawa na farko yawo. Amma wannan shi ne maras takamaiman rigakafin rickets.

M matakan ne a matsayin lafiya barci da dare, kuma huta karya a lokacin da rana. Bugu da ƙari kuma, obstetricians shawarar tafiya akalla biyu zuwa hudu a cikin bude iska, ko da kuwa weather. Yana da muhimmanci a ci dama da kyau:

• kowace rana za su ci nama, kifi, ko.
• akwai wani isasshen yawan gida cuku, cuku, madara da kuma sauran kayayyakin kiwo.
• hada a cikin abinci na fari burodi da kuma kayan lambu.

Specific rigakafin rickets a mata a hadarin (eclampsia, ciwon sukari, hauhawar jini, na kullum na koda gazawar) da aka gudanar a tare da tare da endocrinologist. A cikin uku trimester na ashirin da takwas zuwa talatin da biyu mako, gudanar bitamin D dubu duniya raka'a kowane sauran rana ga makonni takwas. Lokaci, a cikin wannan harka, ba m. Wani lokaci rubũta darussa na ultraviolet radiation, wanda inganta na ciki samar da cholecalciferol. Fara tare da kananan, wani wuri kwata jure kashi, a hankali kara har zuwa biyu allurai. Zaman da ake gudanar a kowace rana, ko kuma kowane sauran rana.

Jariri

Rigakafin rickets a jarirai da aka yi a lokacin da mahaifiyar aka damuwa da hadarin kungiyar ko ba bi shawarwari na mata shawara a kan wannan gwamnatin da kuma abinci mai gina jiki a lokacin daukar ciki. A asibiti da yaron da aka gudanar a matsayin wani bolus zuwa hudu dubu raka'a cholecalciferol a rana ciki. Kuma suka ci gaba da za a bi don haka dogon har duk alamun cutar bace. Sa'an nan, matsa zuwa wani goyon baya da kashi na ɗari huɗu da duniya raka'a per day.

Rigakafin rickets a jarirai da malabsorption na bitamin D a cikin hanji ne dan kadan daban-daban. A wannan yanayin, kullum kashi na iya zama har zuwa dubu goma raka'a.

wanda bai kai

Shi ne cewa duk da al'amurran da suka shafi da cewa suna da wani yaro haife prematurely, rickets da kuma shiga wani. Haddasawa, cututtuka, da rigakafin wannan cuta yana da wasu na musamman fasali. Ganin cewa tsarin jikinsu kafa arancinsu, likitoci gudanar da shi alli gluconate (sittin milligrams na tsarki alli da rana da kilogram). Don daidaita ta phosphorus kara talatin milligrams na potassium phosphate da rana da kilogram na jiki nauyi.

Tabbata wajen saka idanu da jini matakan na alli da phosphorus su hana m jihohi.

grudnichki

Rigakafin rickets a jarirai ne da hakkin kula da su. Da farko shi shafi cikin tafiye-tafiye. Yana da muhimmanci cewa yaro tafiya fiye da hudu a rana da kuma barci a wani ventilated yankin. Idan zai yiwu, iyaye ya kamata a barshi a titi kamar yadda zai yiwu yaron tsirara, don haka da cewa mafi fata da fallasa su UV mataki. A marece, za ka iya wanka your yaro a Saline ko softwood wanka. Wannan ba kawai rage excitability da kuma shirya shi ga dare, amma kuma Qarfafa rigakafi da tsarin.

Ideal feed da jariri nono, kamar yadda ya ƙunshi dukan zama dole micro da Macro abubuwa, kazalika da kullum na kullum sunadarai, fats da kuma carbohydrates. Amma idan wannan ba zai yiwu, shi ne shawarar komawa saba dabarbari, wanda dauke kusa yadda ya kamata zuwa ga halitta matakin na phosphorus da alli. Rigakafin rickets a jarirai dogara ne a kan sani da kuma son zũciyõyin iyaye.

Age: up zuwa shekara

Rigakafin na rickets a yara a karkashin shekara guda da yake a cikin dace karin ciyar, wanda ya dauke isa yawa na bitamin B, A, C, kazalika da kayan lambu da dabbobi fats. Amfanin kiwo kayayyakin ba ko da daraja magana game da. Yana bayyananne.

Rigakafin rickets a jarirai ne, ciki har da a bunkasa gymnastics da kuma jiki far. Wajibi ne ga jitu ci gaban da neuromuscular tsarin, akwai hadarin daga kashi nakasawa karkashin nauyi na yaro, da karfi tsokoki taimaka wa ko'ina raba nauyi da kuma kauce wa babban murdiya na kwarangwal. Regular horo, a hankali a hankali karuwa a load da kuma sauran dabarun rigakafi don taimakawa wajen hana rickets.

Contraindications don rigakafin

Kamar yadda da wani magani, a cikin bitamin D, akwai ban da liyafar. Specific rigakafin rickets a yara ba za'ayi, idan suna da cutar da ake bincikar lafiya Williams, Bourne, ko in ba haka ba idiopathic kaltsituriya. A wannan yanayin, da asarar alli ba a hade tare da rashi na bitamin D. The biyu m cuta - hypophosphatasia. Bugu da ƙari, kasancewar kwayoyin raunuka na tsakiya m tsarin, microcephaly da craniostenosis kuma ba da shawarar rigakafin rickets a jarirai. Komorowski Highlights wannan batu a cikin laccoci a more daki-daki.

A yaro girmi shekara guda

Kada ka yi zaton cewa a lokacin da yaro samun kadan mazan, hadarin tasowa rayuwa cuta tafi. Rigakafin rickets a yara bayan da shekara ne ya wadãtar da rage cin abinci tare da kiwo kayayyakin da antioxidants (kifi mai, ganye, da 'ya'yan itatuwa Citrus, kifi). Idan akwai hakki na autonomic juyayi tsarin, kamar wuce kima sweating, sa'an nan Ya sanya "carnitine", "Wisteria", "Panangin" ko Asparkam "a cikin shakka kashi ga watan samu.

Domin gyara jiki ci gaba, idan da bukata, shi ne shawarar zuwa yi da miyagun ƙwayoyi "Akti-5." Ya ƙunshi wani hadadden bitamin da kuma yana da kyau tunawa da jikin yaro. Bugu da kari, pediatricians bayar da shawarar tausa da jiki far don taimaka jimre da kwarangwal nakasar da kuma neutralize da cututtuka.

magani

Kada ku yanke ƙauna idan likita ya kamu "rickets" a yara. ÃyõyinSa, yin rigakafi da magani an dade da aka sani, kuma yi amfani da nasarar a ko'ina cikin duniya. Wa ɓullo da kwayoyi kamar "Akvadetrim", wanda ya ƙunshi bitamin _d3. Yana da kyau jure a yara, kuma ana iya amfani da tare da hadarin na yawan abin sama. Baya da shi, a kan kasuwar yau da Pharmaceutical masana'antu "Devisol", "Vigantol", "Videin-2" shi ne wani mai bayani da bitamin D. Su duk da contraindications, don haka tabbata kafin shan shawarci likita.

yawan abin sama

Jiyya, rigakafin rickets iya zama da bai dace ba, sa'an nan akwai wani yawan abin sama na bitamin D. The yaro ɓullo da bayyanar cututtuka na guba, kamar tashin zuciya da amai, a take hakkin stool da fitsari riƙewa. A hali na ganewa na wadannan alamun kashedi dole ne ka nan da nan ta sanar da primary kula pediatrician kuma da jini gwajin a kan alli abun ciki a cikin jini. Za ka iya ƙara zuwa da bincike da kuma Sulkovicha samfurin, ko da yake da shi ba a hada a cikin misali yarjejeniya.

Bayan gano wani yawan abin sama da magani kife a wani lõkaci kuma tambaye iyaye na rage tafiya da kuma rage cin abinci. Ba lallai ba ne su nemi yi wa masu tsattsauran ra'ayi da kuma a cikin su yaro rickets. Rigakafin iya taka m wargi da kuma meticulous iyaye.

asibiti jarrabawa

Yara da suka kamu da "rickets" wajibi ne a sa a kan wani asibiti da asusun bayan zo asibiti da kuma awon dawo. Saboda haduwar da kuma tsanani daga cikin sakamakon da dubawa na waɗanda yara da aka gudanar a cikin shekaru uku daga ranar sallama. Su kira domin ziyara kowane watanni uku.

Af, da ganewar asali "rickets", ta yin rigakafi da magani ba wani contraindication zuwa yau da kullum alurar riga kafi. Babban abu - yi gargaɗi ga likita wanda zai yi wani prick, da kuma wani pediatrician.

A yau duniya na rickets matsala ne ba kamar yadda m kamar yadda wani karni da suka wuce, amma har yanzu ba ka manta da cewa rashin kula da cutar na iya haifar da tawaya. Abin farin, akwai wani banda ga mulkin shigarwa a cikin taswirar yaro ci gaba "rickets." Yin rigakafi da kiwon lafiya da ilimi aikin ne da za'ayi a matakin da ya dace, wanda ya samar da rubuce-rubuce na matasa iyaye, da taka tsantsan game da kiwon lafiya na zũriyarsu. Ko da irin wannan matsala ya auku, da magani za a iya samu a wani ɗakin shan magani, da kuma nasarar da magani dogara kan yadda iyaye so wannan kadan haƙuri.