Umbhali: Louise Ward
Umhla Wokudalwa: 5 Eyomdumba 2021
Hlaziya Umhla: 20 Eyenkanga 2024
Anonim
Rickets/osteomalacia - causes, symptoms, diagnosis, treatment, pathology
Ividiyo: Rickets/osteomalacia - causes, symptoms, diagnosis, treatment, pathology

Umxholo

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Yintoni i-osteomalacia?

I-Osteomalacia ibuthathaka emathanjeni. Iingxaki ngokwenziwa kwethambo okanye inkqubo yokwakha amathambo ibangela i-osteomalacia.

Le meko ayifani ne-osteoporosis. I-Osteoporosis ibuthathaka kwethambo eliphilayo esele lenziwe kwaye lilungiswe kwakhona.

Yintoni unobangela we-osteomalacia?

Ukunqongophala kukavithamini D ngoyena nobangela uqhelekileyo we-osteomalacia. Vitamin D sisondlo esibalulekileyo esikunceda ufumane i-calcium esiswini sakho.

I-Vitamin D ikwanceda ukugcina amanqanaba e-calcium kunye ne-phosphate ukunceda amathambo akho enze ngokufanelekileyo. Yenziwe ngaphakathi kwesikhumba ukusuka ekuvezweni yimitha ye-ultraviolet (UV) elangeni. Inokufunxwa nasekutyeni okufana neemveliso zobisi kunye nentlanzi.

Umzimba wakho awukwazi ukucubungula ikhalsiyam amathambo akho kufuneka ahlale omelele ukuba amanqanaba asezantsi evithamini D. Ukusilela kwe-vitamin D kunokubangelwa:


  • ingxaki kwindlela otya ngayo
  • ukungabikho kwelanga
  • umba ngamathumbu akho

Unokuba nengxaki yokufunxa ivithamin D okanye ukophula ukutya ukukhupha ukuba uye wenziwa utyando ukuze ususe amalungu esisu okanye amathumbu amancinci.

Iimeko ezithile zinokuphazamisa ukufunxwa kwe-vitamin D:

  • Isifo seCeliac sinokulimaza ulusu lwakho kunye nokuthintela ukufunxwa kwezakha mzimba njengevithamini D.
  • Iindidi ezithile zomhlaza zinokuphazamisa ukulungiswa kwovithamini D.
  • Ukuphazamiseka kwezintso kunye nesibindi kunokuchaphazela imetabolism kavithamini D.

Ukutya okungabandakanyi i-phosphates kunokubangela ukupheliswa kwe-phosphate, enokuthi ikhokelele nakwi-osteomalacia. Iziyobisi zokunyanga ukuxhamla- njenge-phenytoin kunye ne-phenobarbital-zinokubangela i-osteomalacia.

Ziintoni iimpawu ze-osteomalacia?

Kukho iimpawu ezimbalwa ze-osteomalacia.

Eyona nto ixhaphakileyo ngamathambo aqhekeka ngokulula. Enye into bubuthathaka bemisipha. Oku kwenzeka ngenxa yeengxaki kwiindawo apho izihlunu zinamathele khona emathanjeni. Umntu one-osteomalacia unokuba nzima ukuhamba okanye ahlakulele ukuhamba.


Intlungu yethambo, ngakumbi esinqeni sakho, ikwayimpawu eqhelekileyo.

Intlungu ebuthathaka, ebuhlungu inokusasazeka ukusuka ezinqeni ukuya kwezi ndawo zilandelayo:

  • umva ongezantsi
  • isinqe
  • imilenze
  • iimbambo

Ukuba unamazinga asezantsi kakhulu e-calcium egazini lakho, unokuba:

  • isingqi sentliziyo esingaqhelekanga
  • Ukuba ndindisholo emlonyeni wakho
  • Ukuba ndindisholo ezingalweni nasemilenzeni
  • spasms ezandleni nasezinyaweni zakho

Ichongwa njani i-osteomalacia?

Umboneleli wakho wezempilo uya kwenza uvavanyo lwegazi ukufumanisa imeko. Ukuba ibonisa oku kulandelayo, unokuba ne-osteomalacia okanye enye ingxaki yethambo:

  • amanqanaba asezantsi evithamini D
  • amanqanaba asezantsi e-calcium
  • amanqanaba asezantsi e-phosphorus

Umboneleli wakho wokhathalelo lwempilo unokukuvavanya kwakhona ngealkaline phosphatase isoenzymes. Amanqanaba aphezulu abonisa i-osteomalacia.

Olunye uvavanyo lwegazi lunokujonga amanqanaba akho ehomoni yeparathyroid. Amanqanaba aphezulu ale hormone abonisa ukungonelanga kwevithamini D kunye nezinye iingxaki ezinxulumene noko.


IX-reyi kunye nolunye uvavanyo lwe-imaging lunokubonisa iintanda ezincinci emathanjeni akho. Ezi ntanda zibizwa ngokuba yimimandla yenguqu yeLooser. Ukuqhekeka kunokuqala kule mimandla kwanokonzakala okuncinci.

Umboneleli wakho wezempilo unokufuna ukwenza i-biopsy yethambo ukufumanisa i-osteomalacia. Baya kufaka inaliti ngesikhumba sakho kunye nemisipha kunye nethambo lakho ukuze ufumane isampuli encinci. Bayakubeka isampulu kwisilayidi kwaye bayivavanye phantsi kwemicroscope.

Ngokuqhelekileyo, i-X-ray kunye nokuhlolwa kwegazi kwanele ukwenza ukuxilongwa, kwaye i-biopsy yethambo ayimfuneko.

Luthini unyango lwe-osteomalacia?

Ukuba umboneleli wakho wezempilo ufumanisa i-osteomalacia kwangoko, unokufuna kuphela ukuthatha izongezo zomlomo zevithamini D, calcium, okanye iphosphate.

Thenga ivithamin D kunye nezongezelelo zecalcium kwi-intanethi.

Oku kunokuba ngumgca wokuqala wonyango ukuba unengxaki yokuxhamla ngenxa yokulimala kwamathumbu okanye ukuhlinzwa, okanye ukuba unokutya okuncinci kwizondlo eziphambili.

Kwiimeko ezinqabileyo, ungathatha i-vitamin D njenge-injection ngesikhumba sakho okanye nge-intravenously nge-vein engalweni yakho.

Kuya kufuneka uchithe ixesha elithile ngaphandle elangeni ukuze umzimba wakho wenze i-vitamin D eyaneleyo kulusu lwakho.

Unokufuna unyango ukuba unezinye iimeko eziphantsi ezichaphazela i-vitamin D metabolism. Udinga unyango lwe-cirrhosis kunye nokusilela kwezintso ukunciphisa i-osteomalacia.

Abantwana abaneemeko ezinzima ze-osteomalacia okanye iirickets kungafuneka banxibe izihlangu zezilima okanye benze utyando ukulungisa ukubola kwamathambo.

Zeziphi iingxaki ezinokubakho ze-osteomalacia?

Ukuba awuyiphathi imbangela ye-osteomalacia yakho, kukho iingxaki. Abantu abadala banokuqhekeka amathambo ngokulula njengobambo, umlenze, kunye namathambo omqolo.

Kwakhona, ebantwaneni, i-osteomalacia kunye neerickets zihlala zenzeka kunye, ezinokukhokelela ekuqubeni kwemilenze okanye ukulahleka kwamazinyo ngaphambi kwexesha.

Iimpawu zingabuya ukuba akonelanga i-vitamin D ekhoyo. Bayakubuya kwakhona ukuba uyeka ukuthatha izongezo okanye ukuba awuzukujongana neemeko ezinje ngokusilela kwezintso.

Thetha nomboneleli wakho wezempilo ukwenza isicwangciso sonyango ngokusekwe kwiimfuno zakho zokhathalelo lwempilo

Ndingalindela ntoni kwixesha elide?

Ukuba ishiywe inganyangwa, i-osteomalacia inokukhokelela kumathambo aphukileyo kunye nokukhubazeka okukhulu.

Kukho iindlela ezahlukeneyo zonyango ezikhoyo ukunceda ukulawula iimeko.

Unokubona ukuphuculwa kwiiveki ezimbalwa ukuba uyonyusa umthamo wakho wevithamin D, ikhalsiyam kunye nephosphorus.

Ukuphilisa ngokupheleleyo amathambo kuthatha malunga neenyanga ezi-6.

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