Kukura kwemazuva ose uye kukurudzirwa kwemishuloskeletal system yemwana kunoenderana nehuwandu hwekuchera mapfupa nemasabolism. Kurwisana kwezvinhu izvi munguva yekutanga makore matatu ehupenyu kunonzi rickets. Ichi chirwere chinogona kugadziriswa pakurapa, asi pasina kurapwa kunokonzera mungozi.
Zvinokonzera zvikwereti muvana
Kuti unyatsogadzira musculoskeletal system, calciferol (vitamini D) inodiwa. Iyo inovandudza kupinza kwephosphorus uye calcium mumatumbo, kuitira kuti minerals inopinda muropa uye inoshandiswa kumapfupa emapfupa. Muvana, zviputi zvinokura nekushayikwa kwevhitamini D, kukwana kwayo kunovapo nokuda kwezvikonzero zvinotevera:
- kusagadzikana kwemaamai panguva yekudzivirira uye kudya;
- late toxicosis ;
- prematurity;
- kutora anticonvulsant mishonga;
- kushayikwa kwemasvikiro e ultraviolet;
- zvinetso zvekudya zvinopesana nekukamwa kwe calcifololol;
- kudya pamwe nesinganyatsogadziriswa;
- kazhinji kupararira pathologies;
- thyroid dysfunction;
- nekukurumidza zvakanyanya kuwanda;
- mamiriro ekunze (chiedza chezuva);
- chakaipa chakaitika mumamiriro ezvinhu.
Degrees of rickets in children
Iyo yakatsanangurwa chirwere inosarudzwa muzvikamu zvitatu maererano nekuoma kwemakato ayo. Chikonzero chikuru chekusiyanisa chiratidzo, sezvo rickets inoratidzwa mucheche:
- Dhigirii yakajeka. Pachikamu chekutanga chechirwere, kushandiswa kwemaminerari kunokanganiswa, uye mapfupa ehenya rinopoteredza fontanelle anonyorova zvishoma. Kuchinja kwakakomba mubasa uye kubudirira kwehutachiona hunenge husina kuitika.
- Avhareji yedhigirii. Kufambira mberi kwevana kunokonzera kupererwa kwemaitiro emabasa emitemo yomukati uye kuumbwa kwemapfupa.
- Heavy degree. Panguva ino zvinetso zvechirwere zvinotanga kuonekwa. Akaita mamiriyoni emadhipatimendi emushuloskeletal system, pane kuvhiringidzika kwakanyanya mumatye uye endocrine system, nhengo dzomukati.
Rickets muvana - zviratidzo
Zvakaoma kuona kuti kushayikwa kwevhitamini D kunotangira, nokuti zviratidzo zvaro zvekurapa hazvirevi. Zviratidzo zvezvinyorwa zvevana zvinowedzera kufanana sezvo mwana achikura uye anowedzera kuoma kwehutano. Vabereki vecheche vari mungozi, zvakakosha kunyatsocherechedza mamiriro ehutsika, maitiro, chido uye kunaka kwehope. Zviratidzo zvezvinyorwa zvevana pasi pegore rimwe hazvisi pachena. Kliniki yekutanga yekushayikwa kwe calcifolori inonongedzwa nyore nyore nedzimwe zvirwere zvinokonzerwa nekuratidzwa kwakafanana.
Zviratidzo zvezvinyorwa zvevana vari pasi pegore rimwe chete
Ichi chirwere chinotanga kukanganisa zvinomera, zviri pakati nepakati penheyo system. Zviratidzo zvekutanga zvezvikwereti mucheche zvinowanikwa zvikurukuru pazera remwedzi 3,5-5. Vamwe vana vane kliniki yemifananidzo kare kare, pamasvondo mana kusvika ku6 ehupenyu. Vabereki vanoona zvakaoma kuona kuti kubuda kweiyo mucheche mucheche - zviratidzo zvinoputirwa uye zvisingaiti:
- kunyanya uye kurara kwepakati;
- capriciousness;
- kuzvidya mwoyo;
- kuwedzera kutuka;
- occipital alopecia;
- kusada kudya;
- kunhuhwira kunhuwa kwekutuka;
- stool disorders.
Kana iyo nhoroondo yakanyorwa yakasara isina hanya, hutachiona hunofambira mberi. Gare gare, zviratidzo zvinotevera zvezvikwekwe zvinowanikwa mucheche:
- low muscle tone;
- as and, flat of 头;
- guru, risina kushandiswa kwepetiyeri;
- ichikandira hillocks pamusoro korona nepamberi;
- bloated ("froggy") mudumbu;
- yakakonzerwa nekugadzirwa kwemajini (mwana haagoni kutendeuka, kugara, kubata musoro);
- gare gare inowedzera .
Zviratidzo zvezvikwereti muvana mushure megore
Kuwedzera kuregererwa kwezviratidzo zveAvitaminosis kunotungamirira kune imwe nzira yakaoma yezvirwere. Rickets yechipiri chechipiri muvana vakwegura kupfuura mwedzi gumi vane zviratidzo zvekurapa zvakadaro:
- kuputika kwemagumo ezasi (muchimiro chetsamba O kana X);
- kuwedzerwa kwezvikwangwani;
- kushandiswa kwemaoko (mafungu anowanikwa pamakumbo - "zvishongo");
- hump mushure;
- kuwedzera ("Olympic") huma;
- kuputika kwemupaka;
- kuwedzera pamabvu ("rozari", furrow yaGarrison);
- mabhuruji paminwe ("tsvimbo dzemaparera");
- kududzirwa kwebhokisi;
- kuwedzera kwechiropa;
- kushungurudzika kwekutambudzika;
- anemia;
- kuora kwemaitiro ekudya.
Zvishoma nezvishoma mwana anotanga kuporeswa, asi akawana kuchinja mumapfupa emapfupa haatomboperi. Pasina kurapa kwakakwana, zvikwereti muvana zvinokonzera zvinetso zvinodzivirira hupenyu hwakakwana muhukuru:
- narrow narrow pelvis;
- kukanganisa bite;
- chifukidzo chakaiswa pamativi ose;
- flat feet;
- zvikwangwani zvakadzika;
- kukanganisa zvirwere;
- scoliosis;
- kupona-kuona;
- chirwere chemuviri wepamuviri;
- kazhinji fractures.
Kuongororwa kwezviputi muvana
Anyanzvi hwevana vane ruzivo anokwanisa kuona kushayikwa kwe calciferi yekare kunyange nekuongorora kwakakwana kwomwana. Iva nechokwadi kuti zvikwereti mumucheche zvinobatsira zvidzidzo zvinotevera:
- biochemical blood test;
- radiograph;
- computed tomography (kana zvichifanira);
- urwu sampuli yeSulkovich (kazhinji);
- ultrasound kuongororwa kwemapfupa esimbi.
Nzira yekurapa rickets mumwana?
Kurapa kwechirevo chinorondedzwa chirwere chinhu chakakomba chekusava nechokuita uye chirongwa chekurapa. Kubudirira kurapwa kwezviputi muvana zvinosanganisira zvose kutora mishonga inokosha, nekugadzirisa mararamiro uye kudya kudya. Nenguva yakatangwa yakarapwa nemigumisiro, chirwere chinomira kufambira mberi, uye zvinetso zvose mumutumbi zvinopera.
Rickets muvana - kliniki mazano
Kusarudza chirongwa chekurapa mumwe munhu chinofanira kunge chichiremba wevana, chimiro chega chega chekuita nehutachiona chinogona kukuvadza mamiriro emwana. Kuti kubvisa zviputi muvana, nzira dzinotevera dzinoshandiswa:
- Kunyanya kuve kwenguva refu yekuyamwisa kana kuti yepamusoro-soro yakagadzirirwa kusanganiswa.
- Zvakarurama kuita chikafu chegumbwe. Ngarave yekutanga inofanira kuva yemiriwo, gare gare inokurudzirwa kupinda mazai evha.
- Kazhinji vanofamba mumhepo itsva, kunyanya pazuva rezuva. Zvakakosha kusiya ganda recheche rakazarurirwa mavara e-ultraviolet.
- Ronga nzira yakarurama yezuva, kupa mwana wacho zororo rakakwana.
- Ita maitiro ekurasira uye masimba ekurapa. Kurapa kwezvikwekwe mucheche pazera rekutanga kunosanganisira kushambira nguva dzose.
- Ita zvimedu zvei-conifers uye munyu. Kana zvichibvira, zvinonzwisisika kutora mwana kugungwa.
Kugadzirira kwezvikwereti muvana
Kurapa kwakanyanyisa kunosanganisira kutora mishonga inokosha inodzorera mineral metabolism uye kuzadza kushayikwa kwevitamini D mumuviri. Kuchengetedzwa kwekuchengetedza kwezvikwereti muvana kusvikira kune rimwe gore uye kupfuura zvakare kunorayirwa nachiremba. Chiremba wevana pamusana pemigumisiro yechipimo uye mamiriro emwana achasarudza kugadzirira kwakagadzirirwa uye kuverenga kuwedzerwa kweroji. Kubudirira kunoreva:
- Aquadetry;
- Wigantol;
- Devisol;
- Videin.
Mukuwedzera, iyo yakakurudzirwa kudya mavitamini complexes:
- Biovital;
- Watering Baby;
- Multi Tabs.
Kudzivirirwa kwezvikwereti muvana
Pamberi pekudzivirira kuonekwa kwekushayikwa kweku calciferol kunogona kunge kuri pamutambo wekudzivirira pamuviri:
- Zvakanaka kudya, kudya mapuroteni akawanda.
- Nguva dzose shanyira gynecologist-endocrinologist.
- Chengetedza nyika yezvirwere zvemuviri.
- Kazhinji famba uende.
- Tora multivitamines kune vanaamai vanotarisira.
Kubudirira prophylaxis yezvinyorwa mucheche:
- kunyatsoteerera zuva rega rega;
- kuoma;
- sunbathing;
- kufamba kwenguva refu mumhepo;
- kusimba muviri;
- rational breastfeeding;
- kuenzanisa kudya kwakakwana.
Migumisiro yezvinyorwa muvana
Kufanotaura kwechiremba nekuongororwa panguva yakakodzera uye yakakodzera kurapwa kwechirwere nguva dzose kunofadza. Mushure mokurapa kwakakodzera kwezvikwereti mucheche pasina ruzivo, mwana anowedzera akasimba uye ane utano. Zvinetso zvechirwere zvinoitika kana kushayikwa kwevhitamini kusina kufuratirwa uye kufambira mberi. Mumamiriro ezvinhu akadaro, zvikwereti zvine ngozi - migumisiro:
- kugadzikana kwakagadzikana kwemapfupa emapfupa;
- predisposition to caries;
- osteoporosis;
- propensity to bronchitis uye pneumonia;
- kusabereka kana kuberekwa kwakaoma kunokonzerwa nekuputika kwemapanga mukati mevasikana;
- kuputika kwemakumbo neminwe;
- zvirwere zvisingaperi zvekudya, kuzvidzora.