Osteomalacia: chii, zviratidzo uye kurapwa
Zvemukati
Osteomalacia chirwere chevakuru chemapfupa, chinozivikanwa nemapfupa asina kusimba uye mapfupa, nekuda kwekukanganisa kwemafupa matrix mineralization, iyo inowanzo kukonzerwa nekushomeka kwevhitamini D. Sezvo vhitamini iyi yakakosha mukumwa kwecalcium nefupa, kana iri kushomeka, kunoguma mukudzikisira kwayo demineralization.
Osteomalacia inogona kunge isina chiratidzo kana kukonzera zviratidzo zvakadai sekusagadzikana kwepfupa kana kutsemuka kudiki. Panyaya yemwana, kushomeka kwevhitamini D uye kushomeka kwemapfupa hazvizivikanwe se osteomalacia, asi kuti sevanyengeri. Ona kuti chii chinonzi rickets uye kuti inorapwa sei.
Pese painofungidzirwa osteomalacia, zvakakosha kuti ubvunze chiremba mukuru kana chiremba wezvehutano kuti asimbise kuongororwa uye kutanga kurapwa kwakakodzera, uko kunogona kusanganisira kudya kwakakwana, kudya mishonga uye kubuda kwezuva.
Ndezvipi zviratidzo
Osteomalacia inowanzo asymptomatic uye, nekudaro, inopedzisira yawanikwa chete kana kutyora kuchiitika. Nekudaro, pane zvimwe zviitiko zvekuti munhu anogona kusangana nekunetseka kushoma mumapfupa, kunyanya munzvimbo yehudyu, izvo zvinogona kupedzisira zvaita kuti kufamba kunetse.
Kunyangwe iri isingawanzoitika, osteomalacia inogona zvakare kukonzera maronda kukuvara, kunyanya kana kurapwa kwacho kukaitwa kunonoka.
Zvinokonzera
Chikonzero chakanyanya kukonzera osteomalacia kushomeka kwevhitamini D, iyo inogona kuve inoenderana nechero ipi nhanho yekumwiswa kwayo, metabolism kana chiito, icho chinogona kuitika mune zviitiko zve:
- Kudya kwakaderera kwezvikafu zvine vhitamini D;
- Kushanda kwezuva kwakadzika;
- Kuvhiya mudumbu kana ura, kunyanya kuvhiyiwa bariatric;
- Kushandiswa kwemishonga yekubatwa, senge phenytoin kana phenobarbital;
- Utumbo malabsorption;
- Renal kusakwana;
- Chiropa chirwere.
Kunyangwe iri isingawanzoitika, mamwe marudzi ekenza anogona zvakare kuchinja iwo mavitamini D mumuviri.
Maitiro ekusimbisa kuongororwa
Kuti uongorore osteomalacia, chiremba anogona kuraira kuongororwa kweropa uye neweti kuti aongorore huwandu hwevhitamini D, phosphorus uye calcium, alkaline phosphatase uye parathyroid hormone, iyo inowanzo shandurwa.
Mukuwedzera, X-rays inogonawo kuitwa kuti ione mapfupa mashoma ekuputsika uye kuziva zvimwe zviratidzo zvepfupa demineralization.
Kurapwa kunoitwa sei
Chinangwa chekurapa ndechekugadzirisa iyo yakakonzera iyo osteomalacia, iyo inogona kuwanikwa kuburikidza:
- Supplementation pamwe calcium, phosphorus uye / kana vhitamini D;
- Kuwedzerwa kudyiwa kwezvikafu zvakapfuma mucalcium uye vhitamini D. Tsvaga kuti ndezvipi zvekudya zvine calcium uye zvakapfuma mu vitamini D;
- Maminetsi gumi nemashanu zuva nezuva kubuda kwezuva mangwanani, pasina sunscreen.
Tarisa vhidhiyo inotevera uye ona mamwe matipi ekusimbisa mapfupa:
Kana osteomalacia ichikonzerwa nematumbo emukati malabsorption syndrome, itsvo kutadza kana matambudziko echiropa, chirwere ichi chinofanira kutanga kurapwa. Mukuwedzera, pane dzimwe nguva, kuvhiyiwa kunogona kudikanwa kugadzirisa urema hwemapfupa.