Osteomalacia

I-Osteomalacia ithambisa amathambo. Oku kwenzeka rhoqo ngenxa yengxaki ene-vitamin D, enceda umzimba wakho ukuba uthathe i-calcium. Umzimba wakho udinga ikhalsiyam ukugcina ukomelela kwamathambo akho.

Kubantwana, le meko ibizwa ngokuba zii-rickets.

Ukunqongophala kwenani elifanelekileyo le-calcium egazini kunokukhokelela kumathambo abuthathaka kwaye athambileyo. I-calcium esezantsi yegazi inokubangelwa ngumgangatho ophantsi wevithamini D egazini.

I-Vitamin D ifunxwa ekutyeni okanye eveliswa lulusu xa ivezwe kukukhanya kwelanga. Ukunqongophala kukavithamini D okuveliswa lulusu kunokwenzeka kubantu:

• Phila kwiindawo ezinemozulu engathathi ntweni elangeni
• Kufuneka uhlale ngaphakathi
• Sebenza ngaphakathi endlwini ngexesha lasemini
• Nxiba iimpahla ezigubungela uninzi lolusu lwabo
• Unombala omnyama wolusu
• Sebenzisa i-sunscreen eyomeleleyo

Awunakufumana i-vitamin D eyaneleyo ekudleni kwakho ukuba:

• Ngaba i-lactose ayinyamezelani (ibanengxaki yokwetyisa iimveliso zobisi)
• Musa ukutya okanye usele iimveliso zobisi (eziqhelekileyo kubantu abadala)
• Landela ukutya kwemifuno
• Awunakho ukufunxa i-vitamin D kakuhle emathunjini, emva koqhaqho lwesisu

Ezinye iimeko ezinokubangela i-osteomalacia zibandakanya:

• Umhlaza - amathumba anqabileyo abangela inqanaba eliphantsi le-phosphate kwizintso
• Ukungaphumeleli kwezintso kunye ne-acidosis
• Ukungabikho kwee-phosphates ezaneleyo ekudleni
• Isifo sesibindi-isibindi asikwazi ukuguqula ivithamin D kwifom esebenzayo
• Iziphumo ebezingalindelekanga zamayeza asetyenziselwa ukunyanga ukuxhuzula

Iimpawu zibandakanya:

• Ukuqhekeka kwamathambo okwenzeka ngaphandle kokulimala okwenyani
• Ubuthathaka bemisipha
• Iintlungu zethambo ezixhaphakileyo, ngakumbi esinqeni

Iimpawu zinokuthi zenzeke ngenxa yenqanaba eliphantsi le-calcium. Oku kubandakanya:

• Ubudenge obujikeleze umlomo
• Ukuba ndindisholo okanye ukurhawuzelela iingalo nemilenze
• Spasms okanye iicramps zezandla okanye zeenyawo

Kuya kwenziwa uvavanyo lwegazi ukujonga i-vitamin D, i-creatinine, i-calcium, i-phosphate, i-electrolyte, i-alkaline phosphatase, kunye ne-parathyroid hormone.

I-Bone x-ray kunye novavanyo lokuxinana kwethambo kunokunceda ekufumaneni i-pseudofractures, ukulahleka kwethambo, kunye nokuthanjiswa kwethambo. Okubaluleke ngakumbi, i-osteomalacia inokubonakala ngathi buthathaka kwamathambo ukusuka kwi-osteoporosis kuvavanyo loxinano lwamathambo.

Ngamanye amaxesha, kuya kwenziwa ithambo lokujonga ukuba ithambo lithambile na.

Unyango lunokubandakanya i-vitamin D, calcium, kunye ne-phosphorus supplements ezithathwe ngomlomo. Abantu abangakwaziyo ukufunxa izondlo emathunjini banokufuna iidosi ezinkulu zevithamin D kunye necalcium. Oku kubandakanya abantu abaneentlobo ezithile zotyando lokulahleka kobunzima.

Abantu abaneemeko ezithile banokufuna uvavanyo lwegazi rhoqo ukujonga amanqanaba egazi le-phosphorus kunye ne-calcium.

Abanye abantu abaneengxaki zokunqongophala kweevithamini baya kuba ngcono kwiiveki ezimbalwa. Ngonyango, ukuphilisa kufuneka kwenzeke kwiinyanga ezi-6.

Iimpawu zingabuya.

Fowunela umboneleli wakho wezempilo ukuba uneempawu ze-osteomalacia, okanye ukuba ucinga ukuba unokuba semngciphekweni wale ngxaki.

Ukutya ukutya okunothe nge-vitamin D kunye ne-calcium kunye nokufumana ukukhanya okwaneleyo kwilanga kunokunceda ukukhusela i-osteomalacia ngenxa yokusilela kwe-vitamin D.

Ukunqongophala kukaVitamin D - osteomalacia; Calcium - osteomalacia

• Ukusilela kweVitamin D
• Isibonelelo seCalcium

Bhan A, Rao AD, Bhadada SK, Rao SD. IiRickets kunye ne-osteomalacia. KwiMelmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, ii-eds. Incwadi kaWilliam ye-Endocrinology. Umhla we-14. IPhiladelphia, PA: Elsevier; 2020: isahl 31.

Chonchol M, Smogorzewski MJ, Stubbs JR, Yu ASL. Ukuphazamiseka kwecalcium homeostasis. Ku: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, ii-eds. Brenner kunye noMphathi weZintso. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2020: isahl 18.

Demay MB, Krane SM. Ukuphazamiseka kwezimbiwa. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, ii-eds. Endocrinology: Abantu abadala kunye nabantwana. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; Ngo-2016: isahluko 71.

I-Weinstein RS. Osteomalacia kunye neerickets. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl 231.