Cov yob

Rickets yog kev mob siab rau qhov tshwm sim los ntawm qhov tsis muaj vitamin D, calcium, lossis phosphate. Nws ua rau kev ua kom tsis muaj zog thiab tsis muaj zog ntawm cov pob txha.

Vitamin D pab lub cev kom tswj cov calcium thiab phosphate. Yog tias cov ntshav ntawm cov zaub mov no tsawg dhau, lub cev yuav tsim cov tshuaj hormones uas ua rau muaj calcium thiab phosphate los ntawm cov pob txha. Qhov no ua rau cov pob txha tsis muaj zog thiab muag muag.

Vitamin D yog nqus tau los ntawm cov khoom noj los yog tsim los ntawm daim tawv nqaij thaum raug rau tshav ntuj. Tsis muaj cov vitamin D ntau dhau los ntawm daim tawv nqaij yuav tshwm sim hauv cov neeg uas:

• Nyob hauv huab cua nrog me ntsis raug tshav
• Yuav tsum nyob hauv tsev
• Ua haujlwm sab hauv tsev thaum nruab hnub

Tej zaum koj yuav tsis tau txais cov vitamin D txaus los ntawm koj cov zaub mov noj yog tias koj:

• Yog lactose intolerant (muaj teeb meem zom cov khoom siv mis)
• TSIS TXHOB haus cov mis nyuj
• Ua raws li cov neeg tsis noj nqaij noj

Cov menyuam mos uas noj niam mis noj xwb yuav ua rau muaj vitamin D tsis txaus. Tib neeg cov kua mis tsis muab cov vitamin d kom txaus. Qhov no yuav muaj teeb meem tshwj xeeb rau cov menyuam yaus tawv nqaij dub dua thaum lub caij ntuj no. Qhov no vim tias muaj ntau theem hnub ci qis dua thaum lub hlis no.

Tsis tau txais cov calcium thiab phosphorous txaus rau hauv koj cov zaub mov tseem tuaj yeem ua rau rickets. Cov pob zeb tshwm sim los ntawm qhov tsis muaj cov zaub mov no hauv kev noj haus yog qhov tsis tshua muaj hauv cov tebchaws vam meej. Calcium thiab phosphorous pom muaj nyob hauv mis thiab zaub ntsuab.

Koj cov noob yuav ua tau kom qhov kev pheej hmoo ntawm rickets. Kab mob rred yog ib hom mob uas kis los ntawm tsev neeg. Nws tshwm sim thaum lub raum tsis tuaj yeem tuav mus rau cov ntxhia phosphate. Cov rickets tuaj yeem tshwm sim los ntawm lub raum mob uas cuam tshuam nrog lub raum tubular acidosis.

Cov kev tsis txaus siab uas txo qis kev zom lossis kev nqus ntawm cov rog yog qhov nyuaj yuav ua rau cov Vitamin D kom ntau rau hauv lub cev.

Qee zaum, rickets tuaj yeem tshwm sim hauv cov menyuam yaus uas muaj teeb meem lub siab. Cov menyuam yaus no tsis tuaj yeem hloov pauv cov vitamin D mus rau nws daim ntawv nquag.

Rickets muaj tsawg heev hauv Tebchaws Meskas. Nws yog feem ntau tshwm sim hauv cov menyuam thaum lub sijhawm loj hlob sai. Qhov no yog lub hnub nyoog thaum lub cev xav tau cov calcium thiab phosphate siab. Cov menyuam yaus uas muaj hnub nyoog 6 mus rau 24 hli yuav pom muaj cov menyuam yaus. Nws tsis yog qhov tsis yooj yim rau cov menyuam yug tshiab.

Cov tsos mob ntawm rickets muaj xws li:

• Mob pob txha los yog mob hauv caj npab, ceg, pelvis, thiab qaum
• Kev ua rau cov leeg mob qis dua (ua rau cov leeg muaj zog) thiab lub zog tsis muaj zog
• Hniav deformities, suav nrog kev tsim kho hniav qeeb, qhov ua tsis taus hauv cov hniav, lub qhov rau ntawm tus txha hniav laus, thiab nce kab noj hniav (hniav caries)
• Kev loj hlob tsis zoo
• Nce pob txha lov
• Mob leeg
• Luv luv luv (cov neeg laus dua 5 feet lossis 1.52 metres siab)
• Skeletal deformities xws li pob txha taub hau zoo li pob txha taub hau, hneev nti, ua pob nyob ntawm tus tav (mob ra caj qaum), lub plab uas raug thawb mus tom ntej (nquab hauv siab), pelvic deformities, thiab txha nraub qaum (txha nraub qaum uas nkhaus tsis xws li, suav nrog scoliosis lossis mob raum)

Kev kuaj mob lub cev ua rau pom qhov mob siab lossis mob hauv cov pob txha, tab sis tsis yog ntawm pob qij txha lossis cov leeg.

Cov ntawv sim hauv qab no tuaj yeem pab ua kom lub rickets:

• Arterial ntshav roj
• Kuaj ntshav (ntshiab ntshiab calcium)
• Nqaij xyoob ntoo (tsis tshua muaj ua)
• Ua pob xoo hluav taws xob
• Ntshav dej alkaline phosphatase (ALP)
• Ntshav dej phosphorus

Lwm yam kev ntsuam xyuas thiab cov txheej txheem muaj xws li cov hauv qab no:

• ALP isoenzyme
• Tshuaj calcium (ionized)
• Parathyroid hormone (PTH)
• Zis calcium

Lub hom phiaj ntawm kev kho mob yog txhawm rau daws cov tsos mob thiab kho qhov ua rau tus mob. Qhov laj thawj yuav tsum tau kho kom tiv thaiv tus mob rov qab los.

Hloov cov calcium, phosphorus, lossis vitamin D uas tsis txaus yuav tshem tawm cov kev mob tshwm sim ntawm cov rickets. Kev noj zaub mov muaj txiaj ntsig ntawm cov vitamin D suav nrog ntses lub siab thiab cov mis ua.

Txhawb kom qog nruab nrab ntawm cov hnub ci kom ua kom. Yog tias rickets tshwm sim los ntawm teeb meem hauv metabolic, yuav tsum tau muaj tshuaj yuav tsum muaj tshuaj vitamin D pab.

Kev tso rau los yog teem caij rau kev ua haujlwm yuav raug siv los txo lossis tiv thaiv kev deformities. Qee cov pob txha tsis zoo yuav tsum tau phais kho lawv.

Qhov kev cuam tshuam yuav raug kho los ntawm hloov cov vitamin D thiab cov zaub mov. Kev kuaj ntsuas thiab xoo hluav taws xob feem ntau zoo dua tom qab 1 lub lis piam. Qee zaum yuav xav tau ntau yam minerals thiab vitamin D ntau heev.

Yog tias cov rickets tsis raug kho thaum tus me nyuam tseem tab tom loj hlob, pob txha pob ntseg deformities thiab stature qis yuav tas mus li. Yog tias nws raug kho thaum tus me nyuam tseem hluas, cov pob txha pob txha feem ntau txhim kho lossis ploj nrog lub sijhawm.

Cov teeb meem tshwm sim yog:

• Mob ntev (mob) mob pob txha
• Skeletal deformities
• Pob txha pob txha pob txha pob txha, tuaj yeem tshwm sim yam tsis muaj laj thawj

Hu rau koj tus menyuam tus kws kho mob yog tias koj pom muaj mob.

Koj tuaj yeem tiv thaiv rickets los ntawm kev ua kom koj tus menyuam tau txais calcium, phosphorus, thiab vitamin D txaus hauv lawv cov zaub mov noj. Cov menyuam yaus muaj lub plab zom mov lossis lub plab tsis zoo yuav tau noj cov tshuaj uas tus kws zov menyuam muab rau siv.

Cov mob raum (lub raum) uas tuaj yeem ua rau cov zaub mov noj tsis zoo vitamin D yuav tsum tau txais kev pab tam sim ntawd. Yog tias koj muaj lub raum mob raum, tswj cov qib calcium thiab phosphorus tsis tu ncua.

Kev qhuab qhia txog caj ces yuav pab tau cov neeg uas muaj keeb kwm tsev neeg ntawm kev muaj keeb kwm tsis sib xws uas tuaj yeem ua rau rickets.

Osteomalacia hauv cov menyuam yaus; Vitamin D tsis txaus; Cov hlaws dai pob tw; Hepatic rickets

• Kev xoo hluav taws xob

Bhan A, Rao AD, Bhadada SK, Rao SD. Rickets thiab osteomalacia. Hauv Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Phau Ntawv ntawm EndocrinologyCov. Xab 14th. Philadelphia, PA: Elsevier; 2020: chap 31.

Demay MB, Krane SM. Kev cuam tshuam ntawm cov mineralization. Hauv: Jameson JL, De Groot LJ, de Kretser DM, li al, eds. Endocrinology: Cov Neeg Loj thiab PediatricCov. 7 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 71.

Greenbaum LA. Vitamin D tsis txaus (rickets) thiab tshaj. Hauv: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Phau Ntawv ntawm PediatricsCov. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 64.

Weinstein RS. Osteomalacia thiab rickets. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 231.