Umlobi: Virginia Floyd
Usuku Lokudalwa: 12 Agasti 2021
Ukuvuselela Usuku: 17 Unovemba 2024
Anonim
Rickets/osteomalacia - causes, symptoms, diagnosis, treatment, pathology
Ividiyo: Rickets/osteomalacia - causes, symptoms, diagnosis, treatment, pathology

I-Osteomalacia ithambisa amathambo. Ngokuvamile kwenzeka ngenxa yenkinga ngevithamini D, esiza umzimba wakho ukumunca i-calcium. Umzimba wakho udinga i-calcium ukugcina amandla nobulukhuni bamathambo akho.

Ezinganeni, lesi simo sibizwa ngama-rickets.

Ukushoda kwenani elifanele le-calcium egazini kungaholela emathanjeni abuthakathaka futhi athambile. I-calcium ephansi yegazi ingabangelwa izinga eliphansi levithamini D egazini.

Uvithamini D umunca ekudleni noma ukhiqizwa yisikhumba lapho uvezwa yilanga. Ukuntuleka kukavithamini D okhiqizwa isikhumba kungenzeka kubantu:

  • Phila ezindaweni ezinokukhanya okuncane kwelanga
  • Kumele uhlale endlini
  • Sebenza endlini ngesikhathi semini
  • Gqoka izingubo ezimboza isikhumba sabo esiningi
  • Yiba nombala wesikhumba omnyama
  • Sebenzisa isivikelo selanga esinamandla kakhulu

Ungahle ungatholi uvithamini D owanele ekudleni kwakho uma:

  • Ngabe i-lactose ayibekezelelani (unenkinga yokugaya imikhiqizo yobisi)
  • Ungadli noma uphuze imikhiqizo yobisi (ejwayelekile kubantu abadala)
  • Landela ukudla okudla imifino kuphela
  • Abakwazi ukuncela uvithamini D kahle emathunjini, njengasemuva kokuhlinzwa kokudlula esiswini

Ezinye izimo ezingadala i-osteomalacia zifaka:


  • I-Cancer - izicubu ezingavamile ezidala izinga eliphansi le-phosphate ezinso
  • Ukuhluleka kwezinso kanye ne-acidosis
  • Ukuntuleka kwama-phosphates anele ekudleni
  • Isifo sesibindi - isibindi asikwazi ukuguqula i-vitamin D ibe yimo esebenzayo
  • Imiphumela engemihle yemithi esetshenziselwa ukwelapha ukuquleka

Izimpawu zifaka:

  • Ukuqhekeka kwamathambo okwenzeka ngaphandle kokulimala kwangempela
  • Ubuthakathaka bemisipha
  • Ubuhlungu bethambo obusakazekile, ikakhulukazi ezinqulwini

Izimpawu zingavela futhi ngenxa yezinga eliphansi le-calcium. Lokhu kufaka phakathi:

  • Ubudoda obuzungeze umlomo
  • Ukuba ndikindiki noma ukuncinza kwezingalo nemilenze
  • Spasms noma amajaqamba wezandla noma wezinyawo

Ukuhlolwa kwegazi kuzokwenziwa ukuhlola uvithamini D, i-creatinine, i-calcium, i-phosphate, i-electrolyte, i-alkaline phosphatase, kanye namazinga ama-hormone e-parathyroid.

I-Bone x-ray nokuhlolwa kwamathambo kungasiza ekutholeni ama-pseudofractures, ukulahleka kwethambo, nokuthanjiswa kwethambo. Okubaluleke kakhulu, i-osteomalacia ingabonakala njengokuncipha kwamathambo kusuka ku-osteoporosis ekuhlolweni kwamathambo.


Kwezinye izimo, kuzokwenziwa i-biopsy yethambo ukubona ukuthi ukuthambisa kwamathambo kukhona yini.

Ukwelashwa kungafaka izengezo zikavithamini D, calcium nephosphorus ezithathwe ngomlomo. Abantu abangakwazi ukumunca izakhamzimba kahle emathunjini bangadinga imithamo emikhulu kavithamini D ne-calcium. Lokhu kufaka phakathi abantu abanezinhlobo ezithile zokuhlinzwa kwesisindo.

Abantu abanezimo ezithile bangadinga ukuhlolwa kwegazi njalo ukuqapha amazinga egazi e-phosphorus ne-calcium.

Abanye abantu abanezinkinga zokushoda ngamavithamini bazobangcono emasontweni ambalwa. Ngokwelashwa, ukwelashwa kufanele kwenzeke ezinyangeni eziyisithupha.

Izimpawu zingabuya.

Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma unezimpawu ze-osteomalacia, noma uma ucabanga ukuthi ungaba sengozini yalesi sifo.

Ukudla ukudla okunothe ku-vitamin D ne-calcium nokuthola ukukhanya kwelanga okwanele kungasiza ekuvimbeleni i-osteomalacia ngenxa yokushoda kukavithamini D.

Ukushoda kukavithamini D - i-osteomalacia; I-calcium - i-osteomalacia

  • Ukushoda kukaVitamin D
  • Inzuzo yeCalcium

I-Bhan A, i-Rao AD, i-Bhadada SK, i-Rao SD. Ama-Rickets ne-osteomalacia. KuMelmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, abahleli. Incwadi kaWilliams ye-Endocrinology. Umhlaka 14. IPhiladelphia, PA: Elsevier; 2020: isahluko 31.


Chonchol M, Smogorzewski MJ, Stubbs JR, Yu ASL. Ukuphazamiseka kwe-calcium homeostasis. Ku: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, ama-eds. IBrenner neRector's The Kidney. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 18.

UDemay MB, uKrane SM. Ukuphazamiseka kwamaminerali. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, abahleli. I-Endocrinology: Eyabantu Abadala Neyengane. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 71.

I-Weinstein RS. Osteomalacia namarickets. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 231.

Qiniseka Ukuthi Ufunda

Okudingeka Ukwazi Ngesifo Sikashukela Nokubona Okufiphele

Okudingeka Ukwazi Ngesifo Sikashukela Nokubona Okufiphele

I ifo ika hukela ingaholela ekuboneni ukufiphala ngezindlela eziningana. Kwezinye izimo, kuyinkinga encane ongayixazulula ngokuzinzi a u hukela wegazi lakho noma ukuthatha amacon i wamehlo. Ngezinye i...
Ukuhlolwa kwe-RSV (Respiratory Syncytial Virus)

Ukuhlolwa kwe-RSV (Respiratory Syncytial Virus)

Luyini uvivinyo lwe-R V?Igciwane lokuphefumula le- yncytial (R V) ukutheleleka ohlelweni lwakho lokuphefumula (izindiza zakho). Imvami a akubi, kepha izimpawu zingaba nzima kakhulu ezinganeni ezi enc...