Osteomalacia: kuyini, izimpawu kanye nokwelashwa
-Delile
I-Osteomalacia yisifo samathambo esidala, esibonakala ngamathambo abuthakathaka futhi aqhephukayo, ngenxa yokukhubazeka kwethambo le-matrix mineralization, okuvame ukubangelwa ukuntuleka kukavithamini D. Njengoba le vithamini ibalulekile ekumungeni kwe-calcium ngethambo, uma ukuntuleka, kuphumela ekwenziweni kwayo ngokweqile.
I-Osteomalacia ingaba yi-asymptomatic noma ibangele izimpawu ezifana nokungakhululeki kwethambo noma ukuphuka okuncane. Endabeni yengane, ukuntuleka kukavithamini D nokwenziwa buthaka kwamathambo akwaziwa njenge-osteomalacia, kepha kunalokho kunjengo rickets. Bona ukuthi yini i-rickets nokuthi iphathwa kanjani.
Noma nini lapho kusolwa i-osteomalacia, kubaluleke kakhulu ukubonana nodokotela ojwayelekile noma udokotela wamathambo ukuqinisekisa ukuxilongwa nokuqala ukwelashwa okufanele, okungabandakanya ukondleka okwanele, ukudla imishanguzo nokuchayeka elangeni.
Ziyini izimpawu
I-Osteomalacia ivame ukuba ne-asymptomatic futhi, ngakho-ke, igcina itholakala kuphela lapho kwenzeka ukwahlukana. Kodwa-ke, kunezimo ezithile lapho umuntu ezwa khona ukungakhululeki okuncane emathanjeni, ikakhulukazi endaweni ye-hip, engagcina yenze ukunyakaza kube nzima.
Yize kungavamile kakhulu, i-osteomalacia nayo ingaholela ekukhubazekeni kwamathambo, ikakhulukazi uma ukwelashwa sekwephuze kakhulu.
Izimbangela eziyinhloko
Isizathu esivame kakhulu se-osteomalacia ukuntuleka kukavithamini D, okungahlobana nanoma iziphi izinyathelo zokumunca, imetabolism noma isenzo, okungenzeka ezimweni ze:
- Ukudla okuphansi kokudla okune-vitamin D;
- Ukushiswa yilanga okuphansi;
- Ukuhlinzwa kuya esiswini noma emathunjini, ikakhulukazi ukuhlinzwa kwe-bariatric;
- Ukusetshenziswa kwamakhambi okubamba, njenge-phenytoin noma i-phenobarbital;
- I-malabsorption yamathumbu;
- Ukungasebenzi kahle kwezinso;
- Isifo sesibindi.
Yize kuyivelakancane kakhulu, izinhlobo ezithile zomdlavuza nazo zingashintsha amazinga kavithamini D emzimbeni.
Ungakuqinisekisa kanjani ukuxilongwa
Ukuxilonga i-osteomalacia, udokotela anga-oda ukuhlolwa kwegazi nomchamo ukuhlola amazinga kavithamini D, i-phosphorus ne-calcium, i-alkaline phosphatase ne-parathyroid hormone, evame ukuguqulwa.
Ngaphezu kwalokho, ama-X-ray angenziwa futhi ukuthola ukuphuka kwamathambo amancane nokukhomba ezinye izimpawu zokuthanjiswa kwamathambo.
Yelashwa kanjani
Inhloso yokwelashwa ukulungisa imbangela eyimbangela ye-osteomalacia, engatholakala nge:
- Ukwengeza nge-calcium, i-phosphorus kanye / noma i-vitamin D;
- Ukusetshenziswa okwandisiwe kokudla okunothe nge-calcium novithamini D. Thola ukuthi yikuphi ukudla okunothe nge-calcium no-vitamin D ocebile;
- Imizuzu eyi-15 yokushiswa yilanga nsuku zonke ekuseni kakhulu, ngaphandle kwesikrini.
Buka le vidiyo elandelayo bese ubona amanye amathiphu wokuqinisa amathambo:
Uma i-osteomalacia ibangelwa amathumbu we-malabsorption syndrome, ukwehluleka kwezinso noma izinkinga zesibindi, lesi sifo kufanele silashwe kuqala. Ngaphezu kwalokho, kwezinye izimo, ukuhlinzeka kungadingeka ukulungisa ukukhubazeka kwamathambo.