Osteopenia - iintsana ngaphambi kwexesha

Osteopenia - ukwehla isixa calcium kunye phosphorus emathanjeni. Oku kunokubangela ukuba amathambo abe buthathaka kwaye aphuke. Yandisa umngcipheko wamathambo aphukileyo.

Ngexesha leenyanga ezi-3 zokugqibela zokukhulelwa, inani elikhulu le-calcium kunye ne-phosphorus zidluliselwa zisuka kumama ziye elusaneni. Oku kunceda umntwana akhule.

Usana ngaphambi kwexesha alunakufumana inani elifanelekileyo le-calcium kunye ne-phosphorus efunekayo ukwenza amathambo omelele. Ngelixa usesibelekweni, umsebenzi wosana olungekazalwa uyanda kwiinyanga ezi-3 zokugqibela zokukhulelwa. Lo msebenzi ucingelwa ukuba ubalulekile kuphuhliso lwamathambo. Uninzi lweentsana ezingaphambi kwexesha zinomsebenzi omncinci. Oku kunokuba negalelo kumathambo abuthathaka.

Iintsana ezizelwe ngaphambi kwexesha zilahlekelwa kakhulu yi-phosphorus kumchamo wazo kunabantwana abazalwa bexesha elipheleleyo.

Ukungabikho kwe-vitamin D kunokukhokelela nakwi-osteopenia kwiintsana. I-Vitamin D inceda umzimba ukuba uthathe i-calcium emathunjini nasezintso. Ukuba iintsana azifumani okanye zenze ngokwaneleyo i-vitamin D, i-calcium kunye ne-phosphorus aziyi kufakwa ngokufanelekileyo. Ingxaki yesibindi ebizwa ngokuba yicholestasis nayo inokubangela iingxaki kumanqanaba e-vitamin D.

Iipilisi zamanzi (i-diuretics) okanye ii-steroids nazo zinokubangela amanqanaba asezantsi e-calcium.

Uninzi lweentsana ngaphambi kwexesha ezizalwe ngaphambi kweeveki ezingama-30 zinenqanaba elithile le-osteopenia, kodwa aziyi kuba nazimpawu zomzimba.

Iintsana ezine-osteopenia eqatha zinokuthi zinciphise intshukumo okanye ukudumba kwengalo okanye umlenze ngenxa yokwaphuka okungaziwayo.

I-Osteopenia kunzima ukuyixilonga kwiintsana ezingaphambi kwexesha kunabantu abadala. Olona vavanyo luqhelekileyo lusetyenziselwa ukuxilonga kunye nokubeka iliso kwi-osteopenia yobudala bokuqala lubandakanya:

• Uvavanyo lwegazi ukujonga amanqanaba e-calcium, i-phosphorus, kunye neprotein ebizwa ngokuba yi-alkaline phosphatase
• I-Ultrasound
• X-reyi

Unyango olubonakala luphucula amandla ethambo kwiintsana lubandakanya:

• I-calcium kunye ne-phosphorus supplements, yongezwa kubisi lwebele okanye kwi-IV fluids
• Iifomula ezizodwa ngaphambi kwexesha (xa ubisi lwebele lungafumaneki)
• Ukongezwa kweVitamin D yeentsana ezinengxaki yesibindi

Ukuqhekeka kuya kuhlala kunyanga ngokwabo ngokuphatha kakuhle kunye nokwanda kokutya okunyusiweyo kwi-calcium, i-phosphorus, kunye ne-vitamin D. Kunokubakho umngcipheko owandayo wokuqhekeka kunyaka wokuqala wobomi wosana olungekazalwa olunale meko.

Izifundo ziphakamise ukuba ubunzima bokuzalwa obuphantsi yinto enobungozi obubalulekileyo kwi-osteoporosis kamva kubomi babantu abadala. Akukaziwa nokuba iinzame zokunyanga okanye zokuthintela i-osteopenia yokukhulelwa kwangaphambili esibhedlele emva kokuzalwa kunokuwunciphisa lo mngcipheko.

Iikrakethi ezingaphambi kokuzalwa komntwana; Amathambo aphukileyo - iintsana ezingaphambi kwexesha; Amathambo abuthathaka - iintsana ezizelwe ngaphambi kwexesha; I-Osteopenia yobudala bokuqala

I-Abrams SA, i-Tiosano D. Ukuphazamiseka kwe-calcium, i-phosphorus, kunye ne-magnesium metabolism kwi-neonate. Ku: UMartin RJ, uFanaroff AA, uWalsh MC, ii-eds. UFanaroff kunye noMartin's Neonatal-Perinatal Medicine. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2020: isahl. 87.

I-Koves IH, i-Ness KD, i-Nip AY, i-Salehi P. Ukuphazamiseka kwe-calcium kunye ne-phosphorus metabolism. Ku: Gleason CA, Juul SE, ii-eds. Izifo zika-Avery Zomntwana osandul 'ukuzalwa. Ngomhla we-10. IPhiladelphia, PA: Elsevier; Ngo-2018: isahluko 95.