Iirakethi: iimpawu, ukuthintela kunye unyango

Iirekethi ziyisifo, esingaqapheli ngaso sonke isikhathi kubazali bonke kwisigaba sokuqala. Oku kubangelwa indlela i-rickets ibonakaliswa ngayo: ekuqaleni unokwazi ukugcina utshintsho oluthile ekuphatheni komntwana, apho abantu abaninzi abadala abangaqhagamshelani nesi sifo.

IiRickets, iimpawu ezibonakalayo kwiinyanga zokuqala zobomi bentsana, zibangelwa ukungabikho kwe-vitamin D emzimbeni wakhe. Ekubeni iintsana ezininzi ziziphatha ngale ndlela, abazali bahlala bengabandakanyi ukubaluleka kwezi zimpawu. Bangakwazi ukuqaphela ezinye izibonakaliso ezibonakalayo kwisigaba sokuqala se-ricket: umntwana usukhupha kakhulu (ngakumbi iintendelezo, izilwanyana kunye ne-scalp), iinwele zakhe ziwela emqaleni entanyeni. Ukuba awuyi kuthatha inyathelo, emva kweeveki ezimbalwa, ezinye iinguqu zibonakala, ngokukodwa kwiethambo zethambo, ngokungabikho kwe-vitamin D kukhokelela ekuphuleni kwe-calcium phosphorus metabolism.

Iimpawu zesifo kule nqanaba ziyabonakala ngakumbi: xa uhlolisisa umntwana, udokotela wezingane ubonisa ukuthotyelwa kwamathambo enkayi endaweni ye-sutures; Qala ukunciphisa amathambo omlingo - ukuze ulungele intloko. Ngenxa yale miqondiso yeerketi, iimpawu zazo ekuqaleni kwesi sifo ukuyiqonda ayilula, kulula ukufunyanwa. Ngokufanayo, ukukhubazeka kwamathambo omlenze (ngohlobo lweeleta "O" okanye "X") kunye nokudakumba kwesifuba okanye, ngokuchasene noko, i-sternum ikhula. Ngomntwana omdala ngaphezu kweenyanga ezi-6-8, iindawo ezibonakalayo zibonakaliswe, zingakhokelela ekubunjweni kwethambo ezikhupha kwiimbambo kunye nezibonda ("ubuhlalu"), nasebunzini nasemathempelini (ebusweni okanye kwesikhashana).

Inkwenkwe ebhekene neengxaki zikhula kakhulu: iqala ukujika emva kwexesha, ihlale, ivuke kwaye ihambe. Awuhlali ixesha elide kwi-fontanel; Kamva, kunabanye abantwana, amazinyo aphuma. IiRicket, iimpawu ezingenakulungeleka, zihlala zikhokelela ekukhawuleni komlenze: i-scoliosis, lordosis okanye i-kyphosis. Isizathu salokhu asikho nje ukuthambisa kwamathambo, kodwa kunye ne-muscle hypotension (iyanciphisa ithoni ye-muscle). Ngesigaba esiphezulu sesi sifo, isisu esiswini ("isisu esiswini") siyabonwa kwakhona, esibangela ukuphazamiseka kwimisebenzi yamalungu angaphakathi; I-anemia ye-hypochromic ihlala ikhula . Abantwana abahlukunyezwayo ngokugqithiseleyo babonakala behlelwa emva kokuphuhliswa kwengqondo.

Iirekethi zifunyaniswa kwisiseko soviwo lomntwana, kunye nedatha yebhubhoratri, ngexesha apho i-parameters ye-calcium kunye ne-phosphorus metabolism emzimbeni zizimisele, okokuqala. Ukuxilongwa ngokungafaniyo kwenziwa ngezinye izifo ezifa, okubizwa ngokuba yi-rachitis-efana nayo, apho kukho ukuphulwa kwe-calcium-phosphorus metabolism.

Ukunyangwa kwama-rickets kukulawulwa kwe-vitamin D (i-videochol, i-calcifololol), ngokuqhelekileyo kudibene namanye amavithamini-A, B, C, E. Ngeentlobo eziphambili zesifo, ama-actives aqinisekisayo aboniswayo kwaye aphucule iinkqubo ze-metabolic emzimbeni (umzekelo, iinjongo, i-orotate ye potassium) , Kunye nokulungiselela i-calcium. Umntwana unqunywe ikhosi yokusilalisa, unyango lomzimba. Amathanjesi kunye ne- coniferous extract okanye ityuwa yolwandle, ukusula kuyanceda. Xa unyango olusesikweni luqalisiwe kwaye lugcinwe zonke iziphakamiso zonyango, urhulumente wengane luphucula ngokubonakalayo kwiintsuku ezingama-30-45, kwaye ekugqibeleni ukubuyiswa kokugqibela kuyenzeka. Kule nqanaba, kuphela itshintsho lesithambo eliye lagcinwa libonisa iipokethi ezihanjisiweyo.

Ukuthintela i-rickets ku-intake ye-vitamin D: isisindo sayo sobomi iintsana i-500-1000 IU (kunyango lwe-2000-5000 IU, kuxhomekeke kwisigangatho sayo). Ngokudla kaninzi, abantwana baphuhliswa isisombululo esinamandla esibizwa ngokuthi "Akvadetrim". Akunabungozi kwaye isebenzayo, nangona kunjalo, akuyimfuneko ukunika umntwana ngokuzimeleyo, ngaphandle kokuqeshwa kukagqirha: ukunyanzeliswa komntu onokuthi ungazixhamla. Gwema ukuphuhliswa kwezinto eziza kulandelwa kwintsana kuya kunceda nokuthotyelwa kokutya kwowesifazane okhulelweyo kunye nokuhamba, kunye nokuthatha amalungiselelo akhe e-multivitamin.

Ngokuqhelekileyo, ngokuhambelana neshedyuli, tyelela udokotela wezilwanyana: iziphene, iimpawu abazali abangasayi kubonakala ngazo, zifumaneka rhoqo ngexesha loviwo lwezonyango. Ukuxilongwa kwangaphambili kwesi sifo kuya kunceda ukuqala unyango lwayo ngexesha kwaye kugweme iziphumo ezingathandekiyo-ngokukodwa, ukubola kwethambo kunye ne-nonesthetic bone deformities, okungeke kube nzima ukulahla kamva.