Osteomalacia: kuyini, izimpawu kanye nokwelashwa

-Delile

• Ziyini izimpawu
• Izimbangela eziyinhloko
• Ungakuqinisekisa kanjani ukuxilongwa
• Yelashwa kanjani

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.