Osteopenia - vacheche vasati vasvika

Osteopenia kuderera kwehuwandu hwecalcium uye phosphorus mupfupa. Izvi zvinogona kukonzera mapfupa kushaya simba uye kupwanya. Inowedzera njodzi yemapfupa akavhunika.

Pakati pemwedzi mitatu yekupedzisira yepamuviri, huwandu hwakawanda hwecalcium uye phosphorus zvinotamisirwa kubva kuna amai kuenda kumwana. Izvi zvinobatsira kuti mwana akure.

Mwana asati aberekwa anogona kusatambira huwandu hwakaringana hwecalcium uye phosphorus inodiwa kuumba mapfupa akasimba. Ndiri mudumbu, chiitiko che fetus chinowedzera mukati memwedzi mitatu yekupedzisira yenhumbu. Ichi chiitiko chinofungidzirwa chakakosha mukukura kwemapfupa. Vazhinji vacheche vasati vasvika vane mashoma maitiro epanyama. Izvi zvinogona zvakare kubatsira kune asina simba mapfupa.

Vacheche vasati vasvika vanorasikirwa nephosphorus yakawanda mumuti wavo kupfuura zvinoita vana vanozvarwa yakazara-nguva.

Kushayikwa kwevhitamini D kunogona zvakare kutungamira kuosteopenia muvacheche. Vitamin D inobatsira muviri kupinza calcium kubva mumatumbu neitsvo. Kana vacheche vakasagashira kana kugadzira vhitamini D yakaringana, calcium uye phosphorus hazvizonyurwe zvakanaka. Dambudziko rechiropa rinonzi cholestasis rinogona zvakare kukonzera matambudziko nemavhitamini D mazinga.

Mapiritsi emvura (diuretics) kana steroids anogona zvakare kukonzera yakaderera calcium mazinga.

Vazhinji vacheche vasati vasvika vanozvarwa mavhiki makumi matatu asati apfuura vane imwe degree of osteopenia, asi havazove nezviratidzo zvemuviri.

Vacheche vane osteopenia yakaoma vanogona kunge vakadzikira kufamba kana kuzvimba ruoko kana gumbo nekuda kwekutyorwa kusingazivikanwe.

Osteopenia yakanyanya kuoma kuongorora mune vacheche vasati vasvika pane vakuru. Miedzo yakajairika inoshandiswa kuongorora uye kuongorora osteopenia yekutanga prematurity inosanganisira:

• Kuongororwa kweropa kutarisa huwandu hwecalcium, phosphorus, uye protein inonzi alkaline phosphatase
• Ultrasound
• X-ray

Marapirwo anoita kunge anovandudza mapfupa simba muvacheche anosanganisira:

• Calcium uye phosphorus zvinowedzera, zvinowedzerwa mukaka wemukaka kana IV mvura
• Maitiro akakosha ekutanga (kana mukaka wemukaka usingawanikwe)
• Vitamin D yekuwedzera kune vacheche vane matambudziko echiropa

Kutsemuka kunowanzo pora mushe ivo pachavo nekubata zvinyoro uye kuwedzera kudya kwekudya kwecalcium, phosphorus, uye vhitamini D. Panogona kuve nenjodzi yakawedzera yekutyoka mukati megore rekutanga rehupenyu kune vacheche vasati vazvarwa vane chirwere ichi.

Zvidzidzo zvakaratidza kuti huremu hwakanyanya hwekuzvarwa hwakakosha njodzi yekuita osteoporosis mumashure muhupenyu hwevakuru. Izvo hazvisati zvazivikanwa kana kuedza kwechisimba kurapa kana kudzivirira osteopenia yekutanga prematurity muchipatara mushure mekuberekwa kunogona kudzikisa njodzi iyi.

Neonatal rickets; Brittle mapfupa - vacheche vasati vasvika; Mapfupa asina simba - vacheche vasati vasvika; Osteopenia yekutanga prematurity

Abrams SA, Tiosano D. Kukanganiswa kwecalcium, phosphorus, uye magnesium metabolism mune neonate. Mune: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff naMartin's Neonatal-Perinatal Mushonga. 11th ed. Philadelphia, PA: Elsevier; 2020: chits. 87.

Koves IH, Ness KD, Nip AYY, Salehi P. Kukanganisika kwecalcium uye phosphorus metabolism. Mune: Gleason CA, Juul SE, eds. Zvirwere zveAvery zveMucheche. 10th ed. Philadelphia, PA: Elsevier; 2018: chits. 95.