Kev loj hlob thiab kev loj hlob ntawm tus mob musculoskeletal ntawm tus me nyuam nyob ntawm seb cov mineralization ntawm cov pob txha thiab cov metabolism. Kev ua txhaum ntawm cov txheej txheem thaum thawj 3 xyoo ntawm lub neej yog hu ua rickets. Tus kab mob no zoo rau kev kho mob, tab sis tsis muaj kev kho mob nws ua rau muaj kev phom sij.
Ua rau rickets nyob rau hauv cov me nyuam
Yuav kom tsim tau daim musculoskeletal system, calciferol (vitamin D) yog xav tau. Nws pab txoj kev nqus ntawm phosphorus thiab calcium nyob rau hauv cov hnyuv, yog li ntawd cov zaub mov nkag cov ntshav thiab raug xa mus rau cov pob txha pob txha. Hauv cov menyuam yaus, cov rickets tau tsim muaj qhov tsis muaj peev xwm ua rau cov vitamin D, nws tsis muaj peev xwm tshwm sim rau cov hauv qab no:
- kev tsis txaus siab ntawm leej niam thaum cev xeeb tub thiab pub mis;
- qaug tshuaj toxicosis ;
- prematurity;
- noj tshuaj anticonvulsant;
- tsis muaj ultraviolet hluav taws xob;
- digestive mob uas cuam tshuam nrog kev nqus ntawm calciferol;
- pub mis nrog mis tsis muaj;
- nquag kis kab mob;
- cov thyroid kawg;
- mob hnyav heev dhau;
- climatic mob (tshav ntuj me me);
- ib qho teeb meem phem phem.
Cov qib rickets ntawm cov menyuam yaus
Cov lus piav qhia txog yog ua kom paub ua 3 pawg raws li nws qhov kev kawm siab. Lub hauv paus ntsiab lus ntawm kev sib txawv yog cov cim, raws li rickets yog pom nyob rau hauv cov me nyuam mos liab:
- Kawm yooj yim. Thaum thawj theem ntawm tus kab mob, qhov kev pauv ntawm cov zaub mov raug cuam tshuam, thiab cov pob txha ntawm pob txha taub hau ncig lub fontanelle soften me ntsis. Kev hloov loj heev hauv kev ua haujlwm thiab kev txhim kho ntawm lub cev musculoskeletal tsis tshwm sim.
- Qhov nruab nrab degree. Kev mob cov kab mob rickets hauv cov menyuam yaus ua rau lub cev tsis muaj zog txaus ntawm lub cev ntawm cov hauv nruab nrog cev thiab tsim kom muaj pob txha.
- Heavy degree. Nyob rau theem no ntawm tus kab mob yuav pib tshwm. Cuam tshuam ob peb lub koom haum ntawm lub cev musculoskeletal, muaj cov kev cuam tshuam rau cov kev xav ntawm lub paj hlwb thiab endocrine, cov hauv nruab nrog cev.
Rickets rau cov menyuam yaus - cov tsos mob
Nws yog ib qho nyuaj rau pom tias tsis muaj peev xwm ntawm cov vitamin D nyob rau hauv cov theem thaum ntxov, vim hais tias nws cov kev tshwm sim clinical tsis tshwj xeeb. Cov tsos mob ntawm cov kab mob rickets hauv cov menyuam yaus ua tau ntau tshaj li tus me nyuam loj hlob thiab hnyav heev ntawm txoj kev mob ntsws. Cov niam txiv ntawm cov me nyuam yaus uas muaj teeb meem, nws yog qhov tseem ceeb kom ua tib zoo soj ntsuam qhov xwm txheej ntawm crumb, nws tus cwj pwm, kev ntshaw thiab kev pw tsaug zog zoo. Cov tsos mob ntawm rickets rau cov menyuam yaus hauv ib xyoos yog tsis pom tseeb. Ib qho chaw kho mob thaum ntxov ntawm lub deficiency ntawm calciferol yooj yim tsis meej pem nrog lwm cov kab mob vim muaj kev tshwm sim zoo sib xws.
Cov tsos mob ntawm rickets rau cov menyuam yaus tshaj 1 xyoos
Tus kab mob no ua ntej yuav cuam tshuam qhov vegetative, central thiab peripheral lub paj hlwb. Thawj cov cim ntawm rickets nyob rau hauv cov me nyuam mos raug cai feem ntau nyob rau ntawm lub hnub nyoog ntawm 3,5-5 lub hlis. Qee cov me nyuam muaj daim duab saib ntau npaum li cas, ntawm 4-6 lub lim tiam ntawm lub neej. Cov niam txiv pom tau tias nws nyuaj rau txhawm rau paub txog qhov pib mob rickets hauv cov me nyuam mos - cov tsos mob smeared thiab nonspecific:
- superficial thiab sib quas ntus;
- capriciousness;
- ntxhov siab vim;
- nce tawm hws;
- oxipital alopecia;
- tsis qab los noj mov;
- ib kaub nplej ntawm hws;
- quav mob.
Yog hais tias qhov tshwm sim tshwm sim sab nrauv tsis paub, qhov pathology loj zuj zus. Tom qab ntawd, cov nram qab no tshwm sim ntawm rickets tshwm rau cov me nyuam mos liab:
- cov leeg tsis muaj zog;
- asymmetry thiab flattening ntawm lub taub hau;
- loj loj, tsis sau ntawv;
- protruding hillocks on lub crown thiab hauv pliaj;
- tsam plab ("froggy") plab;
- kev lag luam hauv kev loj hlob ntawm kev txawj tsav (tus me nyuam tsis tau dhau, zaum, tuav taub hau);
- tom qab teething .
Cov tsos mob ntawm rickets rau cov me nyuam tom qab ib xyoos
Tsis tas li ntawd, kev tsis pom zoo ntawm cov tsos mob ntawm tus mob avitaminosis ua rau mob hnyav dua. Rickets ntawm 2nd degree rau cov me nyuam loj tshaj 12 lub hlis muaj xws li soj ntsuam:
- curvature ntawm qis sab (nyob rau hauv daim ntawv ntawm tsab ntawv O lossis X);
- thickening ntawm pob taws;
- deformation ntawm txhais tes (furrows tshwm saum dab teg - "bracelets");
- hump nyob tom qab;
- nce ("Olympic") lub hauv pliaj;
- curvature ntawm qaum;
- thickening ntawm lub tav ("rosary", Garrison lub furrow);
- bulges ntawm cov ntiv tes ("hlua ntawm pearls");
- deformation ntawm lub hauv siab;
- kev loj hlob ntawm daim siab;
- ua tsis taus pa;
- anemia;
- deterioration ntawm digestive system.
Maj mam tus menyuam pib rov zoo, tab sis qhov kev hloov ntawm cov pob txha hloov tsis ploj. Yog tias tsis muaj kev kho kom haum, rickets rau cov me nyuam ua rau muaj teeb meem uas tiv thaiv kom tsis muaj hnub nyoog hauv lub neej:
- nqaim plab;
- tsis raug tom;
- hauv siab squeezed rau txhua sab;
- ca taw;
- dav pob taws;
- cuam tshuam rau cov kab mob;
- scoliosis;
- luv-sightedness;
- pathology ntawm txoj hnyuv quav;
- nquag tawg.
Kev kuaj mob ntawm rickets nyob rau hauv cov me nyuam
Tus kws kho mob muaj hnub nyoog muaj peev xwm txhom tau qhov deficiency ntawm calciferol txawm tias muaj kev ntsuam xyuas tus me nyuam. Paub meej tias cov rickets hauv cov me nyuam mos tau pab cov kev tshawb fawb nram qab no:
- biochemical ntshav kuaj;
- duab hluav taws xob;
- computed tomography (yog tias tsim nyog);
- zis kuaj ntshav rau Sulkovich (tsis tshua muaj);
- Ultrasound kev soj ntsuam ntawm cov pob txha ntawm lub forearm.
Yuav kho tus mob rickets hauv tus menyuam li cas?
Txoj kev kho ntawm tus kab mob tau piav qhia yog ib qho ntawm kev tsis sib haum xeeb thiab kev tshuaj xyuas kev kho mob. Kev siv cov rickets hauv cov menyuam yaus yog siv cov tshuaj tshwj xeeb, thiab kho txoj kev ua neej thiab noj mov. Nrog kev kho mob raws sij hawm pib kho, tus kab mob tsis muaj mob, thiab txhua yam mob hauv lub cev ploj.
Rickets nyob rau hauv cov me nyuam - kev soj ntsuam pom zoo
Yuav kom xaiv ib qho kev kho tus neeg kho mob yuav tsum yog ib tug kws kho mob uas tsim nyog, kev ywj pheej ntawm kev nyuaj siab los ntawm kev pheej hmoo yuav ua rau tus me nyuam muaj mob. Yuav kom tshem tawm cov rickets hauv cov menyuam yaus, cov hauv qab no yog siv:
- Kev pub mis niam ntev los yog kev sib xyaw kom haum zoo.
- Ua kom muaj kev noj haus ntawm ib lub puab tsaig. Thawj lub lure yuav tsum zaub, tom qab nws yog pom zoo kom nkag mus rau qe qe.
- Feem ntau taug kev hauv huab cua, tshwj xeeb tshaj yog rau hnub ci. Nws yog ib qho tseem ceeb kom tawm hauv tus menyuam lub qhov tawv qhwv qhib rau ultraviolet rays.
- Npaj kom muaj hom hnub kom zoo, muab tus me nyuam so kom txaus.
- Mus koom zaws thiab kev kho mob lub cev. Txoj kev kho rickets hauv cov me nyuam mos liab thaum ntxov yuav tau mus da dej tas li.
- Ua kom crumbs ntawm conifers thiab ntsev da dej. Yog tias ua tau, nws yog ib qho tsim nyog kom coj tus me nyuam mus rau hauv hiav txwv.
Npaj rau rickets rau cov me nyuam
Kev khomob tshwjxeeb yog siv cov tshuaj tshwj xeeb uas ua rau cov roj metabolism hauv lub cev thiab ua kom muaj vitamin D tsis muaj peev xwm nyob hauv lub cev. Kev kho kom zoo ntawm kev mob rickets rau cov menyuam yaus mus txog ib xyoos thiab laus dua tseem muaj tus kws kho mob sau tseg. Tus kws kho menyuam yaus raws li cov txiaj ntsim ntawm kev xeem thiab tus me nyuam tus xeeb ceem yuav xaiv qhov kev npaj haum tshaj plaws thiab xam cov tshuaj zoo. Siv tau zoo:
- Aquadetry;
- Wigantol;
- Devisol;
- Video.
Tsis tas li ntawd, qhov pom zoo ntawm cov vitamin ntau:
- Biovital;
- Muab Tshuaj Rau Menyuam;
- Zov Tabs.
Kev tiv thaiv ntawm rickets rau cov me nyuam
Ua ntej yuav tiv thaiv qhov tsis muaj peev xwm ntawm tus kab mob calciferol yuav muaj peev xwm txawm nyob rau theem ntawm kev npaj plab me nyuam:
- Nws yog ib qho zoo noj, haus cov kua protein txaus.
- Nco ntsoov mus ntsib ib tug gynecologist-endocrinologist.
- Saib xyuas lub xeev ntawm lub cev.
- Feem ntau taug kev thiab taug kev.
- Noj cov tshuaj multivitamins rau leej niam leej txiv.
Siv tau cov yaj yeeb ntawm rickets hauv cov me nyuam mos:
- ua raws li kev niaj hnub ua;
- sib zog;
- sunbathing;
- ntev mus kev hauv cov cua qhib;
- ua kom kev loj hlob ntawm lub cev;
- kev meej pem pub niam mis;
- balanced complementary pub mis.
Qhov kev tshwm sim ntawm rickets nyob rau hauv cov me nyuam
Kev twv nrog kev mob nkeeg nrog kev kuaj mob raws sij hawm thiab kev kho kom zoo ntawm txoj kev ntsuam xyuas pathology yog ib txwm nyiam. Tom qab kho cov kab mob rickets hauv cov me nyuam mos tsis muaj ib txoj kab, tus me nyuam hlob zoo thiab muaj kev noj qab haus huv. Cov teeb meem ntawm tus kab mob tshwm sim yog tias cov vitamin deficiency twb tsis quav ntsej thiab progressed. Nyob rau hauv xws li mob, rickets yog heev txaus ntshai - zoo:
- ruaj khov ntawm kev txhim kho pob txha;
- qhov tseem ceeb tshaj plaws;
- osteoporosis;
- propensity rau bronchitis thiab mob ntsws o;
- infertility los yog nyuaj yug vim yog flattening ntawm lub plab mog nyob rau hauv cov menyuam ntxhais;
- curvature ntawm nqua thiab ntiv tes;
- ntev cov kab mob ntawm plab zom mov, cem quav.