Osteomalacia: yintoni, iimpawu kunye nonyango

Umxholo

• Ziintoni iimpawu
• Izizathu eziphambili
• Indlela yokuqinisekisa ukuxilongwa
• Unyango lwenziwa njani

I-Osteomalacia sisifo samathambo esidala, esibonakala ngamathambo aethe-ethe kwaye aphuke kancinci, ngenxa yeziphene kwithambo le-matrix mineralization, edla ngokubangelwa kukusilela kwe-vitamin D. Kuba le vithamini ibalulekile ekufunxweni kwe-calcium lithambo, xa ukusilela, kukhokelela ekusebenziseni kwayo idemineralization.

I-Osteomalacia inokuthi ibe ye-asymptomatic okanye ibangele iimpawu ezinje ngokuqaqanjelwa ngamathambo okanye ukwaphuka okuncinci. Kwimeko yomntwana, ukunqongophala kwivithamini D kunye nokwenza buthathaka kwamathambo akwaziwa njenge-osteomalacia, kodwa endaweni yoko njengeerickets. Jonga ukuba yintoni i-rickets kunye nendlela ephathwa ngayo.

Nanini na xa kukrokreleka i-osteomalacia, kubaluleke kakhulu ukuba uqhagamshelane nogqirha okanye ugqirha wamathambo ukuqinisekisa ukuba uxilongiwe kwaye uqalise ngonyango olufanelekileyo, olunokubandakanya ukutya okwaneleyo, ukutya amayeza kunye nokuvezwa lilanga.

Ziintoni iimpawu

I-Osteomalacia ihlala i-asymptomatic kwaye, ke, iphela ifunyanwa kuphela xa kwenzeka ukwaphuka. Nangona kunjalo, kukho iimeko ezithile apho umntu anokufumana ukungonwabi okuncinci emathanjeni, ngakumbi kwindawo ye-hip, enokuthi iphele isenza ukuba kube nzima ukuhamba.

Nangona kunqabile ngakumbi, i-osteomalacia inokubangela neziphene zomzimba, ngakumbi ukuba unyango lwenziwe emva kwexesha.

Izizathu eziphambili

Esona sizathu siqhelekileyo se-osteomalacia kukuswela i-vitamin D, enokuthi ihambelane nawo nawaphi na amanyathelo okufunxwa, imetabolism okanye isenzo esinokwenzeka kwimeko:

• Ukutya okuncinci ukutya okune-vitamin D;
• Ukukhanya kwelanga okuphantsi;
• Utyando esiswini okanye emathunjini, ngakumbi utyando lwe-bariatric;
• Ukusetyenziswa kwamayeza okubamba, njengephenytoin okanye i-phenobarbital;
• I-malabsorption yamathumbu emathunjini;
• Ukungabikho kwezintso;
• Isifo sesibindi.

Nangona kunqabile kakhulu, iintlobo ezithile zomhlaza zinokutshintsha amanqanaba evithamini D emzimbeni.

Indlela yokuqinisekisa ukuxilongwa

Ukuchonga i-osteomalacia, ugqirha unokuyalela uvavanyo lwegazi kunye nomchamo ukuvavanya amanqanaba e-vitamin D, i-phosphorus kunye ne-calcium, i-alkaline phosphatase kunye ne-hormone ye-parathyroid, ehlala iguqulwa.

Ukongeza, ii-X-reyi zingenziwa kwakhona ukufumanisa ukwaphuka kwamathambo amancinci kunye nokuchonga ezinye iimpawu zedemineralization yethambo.

Unyango lwenziwa njani

Injongo yonyango kukulungisa oyena nobangela we-osteomalacia, enokufezekiswa ngoku:

• Ukongezwa kwe-calcium, i-phosphorus kunye / okanye i-vitamin D;
• Ukwanda kokutya ukutya okunotye kakhulu kwi-calcium nevithamin D. Khangela ukuba kukuphi ukutya okunotye kakhulu kwi-calcium kwaye kune-vitamin D etyebileyo;
• Imizuzu eli-15 yokuchaphazeleka lilanga yonke imihla kusasa, ngaphandle kwelanga.

Bukela le vidiyo ilandelayo kwaye ubone ezinye iingcebiso zokomeleza amathambo:

Ukuba i-osteomalacia ibangelwa ngamathumbu e-malabsorption syndrome, ukusilela kwezintso okanye iingxaki zesibindi, isifo kufuneka siqale sinyangwe. Ukongeza, kwezinye iimeko, kufuneka kwenziwe utyando ukulungisa ukubola kwethambo.