Osteomalacia

Osteomalacia iri kupfavisa yemapfupa. Inowanzoitika nekuda kwedambudziko rine vhitamini D, iyo inobatsira muviri wako kutora calcium. Muviri wako unoda calcium kuti uchengetedze kusimba uye kuoma kwemapfupa ako.

Muvana, mamiriro acho anonzi rickets.

Kushaikwa kweiyo chaiyo huwandu hwecalcium muropa kunogona kutungamira kune asina kusimba uye akapfava mapfupa. Yakaderera ropa calcium inogona kukonzerwa neakaderera vhitamini D mwero muropa.

Vitamin D inodhonzwa kubva muchikafu kana inogadzirwa neganda kana ichinge yaonekwa kuzuva. Kushaikwa kwevhitamini D inogadzirwa neganda kunogona kuitika kune vanhu vano:

• Rarama mumamiriro ekunze uine shoma zuva
• Unofanira kugara mumba
• Shanda mumba mukati menguva yemasikati
• Pfeka mbatya dzinovhara ganda ravo zhinji
• Iva nerima ganda pigmentation
• Shandisa yakasimba yakasimba zuva

Iwe haugone kuwana zvakakwana vitamini D kubva pane zvaunodya kana iwe:

• Lactose isingashiviriri (ine dambudziko rekuchera zvigadzirwa zvemukaka)
• Usadye kana kunwa zvigadzirwa zvemukaka (zvinowanzoitika kune vakuru vakuru)
• Tevera chikafu chemuriwo
• Havagone kutora vhitamini D mushe mumatumbu, senge mushure mekuvhiyiwa kwepamuviri

Mimwe mamiriro ezvinhu anogona kukonzera osteomalacia anosanganisira:

• Gomarara - mamota asina kujairika anokonzera yakaderera phosphate mwero muitsvo
• Itsvo kutadza uye acidosis
• Kushaikwa kwephosphates yakakwana mukudya
• Chiropa chirwere - chiropa hachikwanise kushandura vhitamini D kuita chimiro chayo chinoshanda
• Zvimwe zvinokanganisa mishonga inoshandiswa kurapa pfari

Zviratidzo zvinosanganisira:

• Bone kutyoka kunoitika pasina kukuvara chaiko
• Tsvina kushaya simba
• Kwakapararira kurwadziwa kwepfupa, kunyanya muhudyu

Zviratidzo zvinogona zvakare kuitika nekuda kweiyo yakaderera calcium level. Izvi zvinosanganisira:

• Chiveve chakakomberedza muromo
• Unhu kana kugwinha kwemaoko nemakumbo
• Spasms kana cramps yemaoko kana tsoka

Kuongororwa kweropa kuchaitwa kutarisa vhitamini D, creatinine, calcium, phosphate, electrolyte, alkaline phosphatase, uye parathyroid mahormone mazinga.

Bone x-rays uye bvunzo yehuremu hwepfupa inogona kubatsira kuona pseudofractures, kurasikirwa kwepfupa, uye kupfava kwepfupa. Zvinotonyanya kukosha, osteomalacia inogona kutaridzika sekuneta kwemapfupa kubva kuosteoporosis pakuyedzwa kwefupa.

Mune zvimwe zviitiko, bhonzo biopsy ichaitwa kuti uone kana kupfupisa kwemapfupa kuripo.

Kurapa kunogona kusanganisira vhitamini D, calcium, uye phosphorus zvinowedzerwa zvakatorwa nemuromo. Vanhu vasingakwanise kutora zvinovaka muviri kuburikidza nematumbu vangangoda dosi yakakura yevhitamini D uye calcium. Izvi zvinosanganisira vanhu vane mamwe marudzi ekuvhiya uremu.

Vanhu vane mamwe mamiriro ezvinhu vangangoda kuongororwa ropa nguva dzose kuti vaone kuwanda kweropa re phosphorus uye calcium.

Vamwe vanhu vane vhitamini yekushomeka kusagadzikana vanozoita zvirinani mukati memavhiki mashoma. Nekurapa, kupora kunofanira kuitika mukati memwedzi mitanhatu.

Zviratidzo zvinogona kudzoka.

Fonera wako mupi wezvehutano kana iwe uine zviratidzo zve osteomalacia, kana kana iwe uchifunga kuti unogona kuve panjodzi yechirwere ichi.

Kudya chikafu chakapfuma muvhitamini D uye calcium uye kuwana mukana wakakwana wezuva kunogona kubatsira kudzivirira osteomalacia nekuda kwekushomeka kwevhitamini D.

Vitamin D kushomeka - osteomalacia; Calcium - osteomalacia

• Vitamin D kushomeka
• Calcium inobatsira

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Chonchol M, Smogorzewski MJ, Stubbs JR, Yu ASL. Kukanganiswa kwecalcium homeostasis. Mune: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner uye Rector Iyo Itsvo. 11th ed. Philadelphia, PA: Elsevier; 2020: chits. 18.

Dhiyabhorosi MB, Krane SM. Kukanganisika kwemamineralization. Muna: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Vakuru uye Chiremba. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits 71.

Weinstein RS. Osteomalacia uye rickets. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 231.