Rickets

Rickets ni uburwayi butuma amagufa y'abana aba yumu yumyu kandi agahora ashaje, akenshi biterwa n'ikibazo gikomeye kandi kimaze igihe cyo kubura vitamine D. Ibibazo by'umuzuko bidasanzwe na byo bishobora guteza rickets.

Vitamine D ifasha umubiri w'umwana wawe gufata calcium na phosphore biri mu biribwa. Kubura vitamine D bihagaritse gufata neza calcium na phosphore mu magufa, ibyo bikaba bishobora guteza rickets.

Ongera vitamine D cyangwa calcium mu mirire bisanzwe bikosora ibibazo by'amagufa bifitanye isano na rickets. Iyo rickets iterwa n'ikindi kibazo cy'ubuzima, umwana wawe ashobora kuba akeneye imiti y'inyongera cyangwa ubundi buvuzi. Amwe mu mpinduka z'amagufa ziterwa na rickets ashobora gusaba kubagwa kugira ngo akorweho.

Indwara z'umuzuko zidasanzwe zifitanye isano n'igipimo gito cya phosphore, ikindi gice cy'umusemburo kiri mu gufwa, bishobora gusaba imiti y'inyongera.

Ibishimisho n'ibimenyetso bya rickets birimo:

• Gutinda gukura
• Gutinda kwiga ubuhanga bwo kwifashisha umubiri
• Kubabara mu mugongo, mu kibuno no mu maguru
• Kugira intege nke z'imikaya

Kubera ko rickets ituma ibice by'umubiri bikura ku mpera z'amagufa y'umwana (ibice bikura) byoroha, ishobora gutera ibibazo by'amagufa nk'ibi:

• Amaguru y'inkoni cyangwa amaguru y'amavi
• Amaboko n'ibirenge by'ubunini
• Ibere rigaragara

Umubiri w'umwana wawe ukeneye vitamine D kugira ngo ubone calcium na phosphore mu biribwa. Rickets ishobora kubaho niba umubiri w'umwana wawe utabona vitamine D ihagije cyangwa niba umubiri we ufite ibibazo byo gukoresha vitamine D uko bikwiye. Rimwe na rimwe, kudafata calcium ihagije cyangwa kubura calcium na vitamine D bishobora gutera rickets.

Ibintu bishobora kongera ibyago by'umwana byo kurwara rickets birimo:

• Uruhu rw'ijisho ryijimye. Uruhu rw'ijisho ryijimye rufite ibara rya melanin nyinshi, bigabanya ubushobozi bw'uruhu rwo kubona vitamine D iva mu zuba.
• Kubura vitamine D ku mubyeyi mu gihe cyo gutwita. Umwana wavutse ku mubyeyi ufite ubuke bukabije bwa vitamine D ashobora kuvuka afite ibimenyetso bya rickets cyangwa akabirwara mu mezi make nyuma yo kuvuka.
• Uturere twa ruguru. Abana baba mu turere tuba hari izuba rike bafite ibyago byinshi byo kurwara rickets.
• Kuvuka imburagihe. Abana bavutse mbere y'igihe cyabo baba bafite urwego rwo hasi rwa vitamine D kuko baba bagize igihe gito cyo kubona iyo vitamine kuri ba nyina mu nda.
• Imiti. Ubwoko bumwe na bumwe bw'imiti yo kurwanya indwara zifata ubwonko n'imiti yo kurwanya virusi itera SIDA, ikoreshwa mu kuvura indwara ya SIDA, isa nkaho ibuza umubiri gukoresha vitamine D.
• Konsa gusa. Amata ya nyina ntafite vitamine D ihagije yo gukumira rickets. Abana bonsa gusa bagomba guhabwa amavuta ya vitamine D.

Ntayo yavuwe, rickets ishobora gutera:

• Kudakura
• Umurongo w'umugongo utabyaye
• Uburenganzira bw'amagufa
• Ibibazo by'amenyo
• Kugwa mu rujijo

Umucyo w'izuba utanga isoko nziza ya vitamine D. Mu bihe byinshi by'umwaka, iminota 10 kugeza kuri 15 y'izuba hafi ya saa sita bihagije. Ariko rero, niba ufite uruhu rw'umukara, niba ari igihe cy'itumba cyangwa niba utuye mu turere twa ruguru, ushobora kutahabwa vitamine D ihagije n'izuba. Byongeye kandi, kubera impungenge z'indwara ya kanseri y'uruhu, abana bato cyane cyane, baburirwa kwirinda izuba ry'umwanya cyangwa gukoresha buri gihe amavuta yo kwirinda izuba n'imyenda ikingira. Kugira ngo wirinde indwara ya rickets, komeza umwana wawe arye ibiryo birimo vitamine D mu buryo bw'umwimerere — amafi afite amavuta nka salimo na thon, amavuta y'amafi n'amagi — cyangwa ayo yongerwamo vitamine D, nka:

• Ifu y'abana bato
• Ibinyamisogwe
• Umugaati
• Amata, ariko si ibiryo bikomoka ku mata, nka yogurts na foromaje zimwe na zimwe
• Umutobe w'imara

Suzuma ibimenyetso kugira ngo umenye ingano ya vitamine D iri mu biryo byongerwamo. Niba utwite, baza muganga wawe kubyerekeye gufata imiti igira vitamine D. Amabwiriza asaba ko abana bose bato bagomba guhabwa 400 IU ya vitamine D ku munsi. Kubera ko amata y'umubyeyi afite vitamine D nke, abana bonsa gusa bagomba guhabwa vitamine D yongewemo buri munsi. Bamwe mu bana banywa amata ava mu icupa bashobora kandi gukenera vitamine D yongewemo niba batayibona ihagije mu ifu yabo.

Mu gihe cy’isuzuma, muganga azasigaza amagufwa y’umwana wawe yoroheje, asuzume niba hari ikibazo. Azita ku bice bikurikira by’umwana wawe:

Ama rayons X y’amagufwa arwaye ashobora kwerekana uburwayi bw’amagufwa. Ibizamini by’amaraso n’impiswi bishobora kwemeza burwayi bwa rickets kandi bikarinda gukurikirana uko kuvurwa kugenda.

• Umutwe. Abana bafite rickets bakunze kugira amagufwa y’umutwe yoroheje kandi bashobora gutinda gufunga ahantu hacyeye (fontanels).
• Amaguru. Nubwo abana bato bafite ubuzima bwiza baba bafite amaguru yoroheje gato, kugira amaguru yoroheje cyane ni ikintu gisanzwe kuri rickets.
• Ikibero. Bamwe mu bana bafite rickets barwara indwara z’amagufwa y’ibere, bishobora gupfubya kandi bigatuma amagufwa yabo ava hanze.
• Amaboko n’ibirenge. Abana bafite rickets bakunze kugira amaboko n’ibirenge binini cyangwa binanutse ugereranyije n’abasanzwe.

Rimwe na rimwe, indwara ya rickets ikunda kuvurwa hakoreshejwe inyongeramusaruro za vitamine D na calcium. Kurikiza amabwiriza y'umuganga w'umwana wawe ku bijyanye n'umwanya wo gufata imiti. Vitamine D nyinshi ishobora kugira ingaruka mbi.

Umuganga w'umwana wawe azakurikirana uko umwana wawe ari gukira hakoreshejwe amashusho ya X-ray n'ibipimo by'amaraso.

Niba umwana wawe afite ikibazo cy'umuzuko gake cyane gituma afite fosfore nke, ashobora guhabwa inyongeramusaruro n'imiti.

Ku bwandu bumwe na bumwe bw'amaguru y'amaguru cyangwa amagufwa y'umugongo, umuganga wawe ashobora kugutekerezaho gukoresha ibikoresho byihariye kugira ngo umubiri w'umwana wawe ube mwiza uko amagufwa akura. Ibibazo bikomeye by'amagufwa bishobora gusaba kubagwa.