Rickets chirwere chevana vaduku, nekuda kwekushayikwa kwevhitamine D, calcium-phosphorus metabolism inoshungurudzwa, iyo nzira yekufukura mapfupa uye mineralization yemapfupa, zvichiita kuti kushandiswa kwemapfupa emigumo, skull uye thorax. Muvanhu vakuru, chirwere ichi chinonzi osteomalacia, muvana - vitamini D vitamini hypovitaminosis.
Zviratidzo:
1. Soft occipital bone
2. Kuvhara mbabvu munharaunda yekristani uye zvigaro-metatarsal
3. Dambudziko rekumucheto, sternum
4. Kuderedza kudya, pallor
5. Kutuka, urine neammonia kunhuhwirira
6. Kutapudza mutsipa
7. Gara muhutano hwepfungwa.
8. Gare gare kuputika kwemeno emukaka, zvirema mu enamel
Zvikonzero zvinokonzera.
Mabhesi ndiyo chikamu chikuru chemotokari yevanhu, kuitira kuti mapfupa ave akasimba, vanoda huwandu hwemakisi uye phosphate. Mumumuviri wemunhu, calcium uye phosphate inofanira kupiwa nechikafu. Kuti uende kubva mumatumbo kusvika pfupa uye uko kuunganidza, unoda vitamini D. Chizhinji chevhitamini D chinowanika muhove yefuta, mazai yolk uye mukaka. Mukuwedzera, ndeimwe yemavhathamini mashomanana anogona kuumbwa mumuviri womunhu. Ergosterol (provitamin D) inowanikwa muganda. Pasi pemusana wemirairo ye ultraviolet, ergosterol inoshandurwa kuva vitamini D. Zvisinei, kana vitamini D inodyiwa zvishoma (nezvokudya kana nekuda kwekushaya kwezuva), ganda harina kukwana, mapfupa haasisina calcium uye phosphates, iyo inotungamirira kukanganisika calcification, softening uye kuchinja kwemapfupa.
Kuchengetedzwa kwezvinyorwa.
Riketeti inobatwa ne vitamini D mazvigadzirira.
Ungazvibatsira sei?
Zvokudya zvinoitwa nevadzimai vane pamuviri vanofanira kugutsa kudiwa kwemuviri wavo mu vitamini D. Vanofanira kunwa mukaka wakawanda uye kazhinji vanogara mumhepo.
Ndirini pandinofanira kuona chiremba?
Kana zviratidzo zvinotevera zvikaitika, mwana wacho anofanira kuratidzwa kuchipatara chevana.
Zviito zvechiremba.
Chiremba achapa mishonga yevhitamine D yemwana. Radhigraphic and laboratory tests, kunzwa mapfupa emwana anobvumira chiremba kuti aite mhinduro pamusoro pekubata uye simba remapfupa. Mamwe maitiro akaoma emakristi ari kurapwa nemazinga akawanda e vitamin D.
Nzira yechirwere.
Muvana, zviputi zvinonyanya kuratidzwa mumwedzi wechitatu wehupenyu. Mwana wacho akajeka, asingadyi kudya, anogumbuka, asingagari. Kunoita kutuka, kutema, nekuda kweizvi mwana anokanda musoro wake pamutsipa. Mishonga inenge iine moto, urini ine simba rakasimba reAmmonia, uye kunetseka dzimwe nguva kunoonekwa. Mwana wacho anononoka kunotanga kugara, kumira uye kufamba. Gare gare mazino emukaka uye emukaka, ayo, sekutonga, ane zviremera mueamel. Kune vana vane miviri yakakura kwazvo, kazhinji kuputika kwemapfupa kune unhu.
Panewo hutano hunochinja mumapfupa emasaga: the soft occipital bone inova yakaoma nenguva, dhehenya romwana rinowana mavara akareba ("square" skull). Dzimwe nguva sternum yakasvibiswa: munzvimbo dzepfupa mishonga yekushandura kusvika mumakumbo, thickenings - rachitic "rosari" inoumbwa. Riketeti "zvishongo" zvinoumbwa munharaunda yekristani, tarsus-metatarsal joints. Nemhaka yeremoro rinorema, mapfupa emapfupa akatsauswa. Zvichida kuumbwa kwemwana wemukomana. Kufambira mberi kwechirwere pane dzimwe nguva kunotungamirira kumapapiro emumucheto wakadzika muchimiro chetsamba O (varus deformation), kazhinji kacho muchimiro chetsamba X (valgus deformation).
Nzira yekuzvidzivirira sei kubva kune riketi?
Kuchengetedza zviputi, mwana anofanira kugara achimwa mukaka wakawanda uye kazhinji anogara naye muzuva nemhepo itsva. Zvisinei, munguva yechando ndezvekuoma. Saka, kuitira kudzivirira vana, vitamini D inorayirwa.