Rickets

Rickets chirwere chinopisa uye chinonyangadza mapfupa evana, kazhinji nekuda kwekuderera kwakanyanya uye kwenguva refu kwevhitamini D. Zvirwere zvisingawanzoitiki zvinogona zvakare kukonzera rickets.

Vitamin D inobatsira muviri wemwana wako kutora calcium ne phosphorus kubva mukudya. Kushaikwa kwevhitamini D kunoita kuti zviome kuchengetedza mazinga chaiwo e calcium ne phosphorus mumapfupa, izvo zvinogona kukonzera rickets.

Kuwedzera vhitamini D kana calcium kudya kazhinji kunogadzirisa matambudziko emapfupa ane chekuita ne rickets. Kana rickets iri nekuda kweimwe nyaya yekurapa, mwana wako angada mishonga yakawedzerwa kana kurapwa kwakasiyana. Mamwe ma deformation emapfupa anokonzerwa ne rickets angada kuvhiya kwekugadzirisa.

Zvirwere zvisingawanzoitiki zvine chekuita nemazinga mashoma e phosphorus, imwe mineral iri mubone, angada mishonga yakasiyana.

Zviratidzo nezvimwe zvirwere zve rickets zvinogona kusanganisira:

• Kukura kwakaremara
• Hunyanzvi hwemotokari hwakaremara
• Kurwadziwa musana, pelvis nemakumbo
• Kushaya simba kwemhasuru

Nekuti rickets inyawisa nzvimbo dzetishu inokura kumigumo yemapfupa emwana (growth plates), inogona kukonzera kuora kwemapfupa sekutevedzana:

• Makumbo akakotama kana maoko akakotama
• Zvigunwe nemawoko zvakakura
• Kubuda kwebvudzi

Muviri wemwana wenyu unoda vitamin D kuti ugone kunwa calcium ne phosphorus kubva mukudya. Rickets inogona kuitika kana muviri wemwana wenyu usingawani vitamin D yakakwana kana kana muviri wake uine matambudziko ekushandisa vitamin D zvakanaka. Dzimwe nguva, kushaya calcium yakakwana kana kushaya calcium ne vitamin D kunogona kukonzera rickets.

Zvinhu zvinogona kuwedzera njodzi yemwana wekuwana rickets zvinosanganisira:

• Ganda rakasviba. Ganda rakasviba rine melanin yakawanda, iyo inoderedza kugona kwe ganda kugadzira vitamin D kubva kuzuva.
• Kushomeka kwe vitamin D kuna amai panguva yekuzvitakura. Mwana anoberekwa naamai vane kushomeka kwakanyanya kwe vitamin D anogona kuberekwa aine zviratidzo zve rickets kana kuti azviwane mukati memwedzi mishoma mushure mekuberekwa.
• Nzvimbo dzekumaodzanyemba. Vana vanogara munzvimbo dze geographical uko kune chiedza chidiki chezuva vari panjodzi yakakwirira yekuwana rickets.
• Kuberekwa kare. Vacheche vanoberekwa vasati vasvika nguva yavo yekuberekwa vanowanzova nemazinga akaderera e vitamin D nekuti vaive nenguva shoma yekugamuchira vitamin kubva kunaamai vavo mudumbu.
• Mishonga. Marudzi akati wandei emishonga inorwisa kuita seizure uye mishonga inorwisa retroviral, inoshandiswa kurapa hutachiona hweHIV, inoita kunge inokanganisa kugona kwemuviri kushandisa vitamin D.
• Kuchesa mukaka wemubereki chete. Mukaka wemubereki hauna vitamin D yakakwana kudzivirira rickets. Vacheche vanonyatsochekwa mukaka wemubereki vanofanira kupihwa madonhwe e vitamin D.

Kana isiri kurapwa, rickets inogona kukonzera:

• Kukundikana kukura
• Musana wakakombama zvisina kujairika
• Kukanganisika kwemapfupa
• Zvikanganiso zvemazino
• Kuita zvikonzero

Kuwanikwa kwezuva kunopa sosi yakanakisa ye vitamin D. Mumazhizha mazhinji, maminitsi gumi kusvika gumi nemashanu ekubatwa nezuva pedyo nemasikati zvakakwana. Zvisinei, kana uri munhu ane ganda rakaoma, kana kuri nguva yechando kana kuti ugere munzvimbo dzekumaodzanyemba, ungasakwanise kuwana vitamin D yakakwana kubva pakuwanikwa kwezuva.

Uyezve, nekuda kwezvinetso zvekenza yeganda, vana vaduku nevana vaduku, kunyanya, vanokurudzirwa kudzivisa zuva rakananga kana kuti vagare vakapfeka sunscreen nehembe dzinodzivirira.

Kuti udzivise rickets, ita shuwa kuti mwana wako anodya zvokudya zvine vitamin D zvakasikwa —hove dzine mafuta senge salmoni ne tuna, mafuta ehove nemayolks — kana kuti zvakasimbwa ne vitamin D, senge:

• Mukaka wemwana
• Cereal
• Chingwa
• Mukaka, asi kwete zvokudya zvakagadzirwa kubva mukaka, senge mamwe yogurts nechiise
• Muto weamorenji Ferevedza marebhu kuti uone huwandu hwe vitamin D muzvokudya zvakasimbwa.

Kana uri nepamuviri, bvunza chiremba wako nezve kutora zvinowedzera zve vitamin D.

Mirayiridzo inokurudzira kuti vana vese vaduku vagamuchire 400 IU pazuva re vitamin D. Nekuti mukaka wemunhu une huwandu hushoma hwe vitamin D, vana vaduku vanonyatsogamuchira mukaka wemubereki vanofanira kugamuchira vitamin D yakawedzerwa zuva nezuva. Vamwe vana vaduku vanodyiswa nemabhodhoro vanogona zvakare kuda zvinowedzera zve vitamin D kana vasiri kugamuchira zvakakwana kubva mumukaka wavo.

Pakuongororwa, chiremba achaisa ruoko zvinyoro nyoro panguva dzakakuvara dzemwana wenyu, achiongorora kana paine zvisingawanzoitika. Iye kana kuti iye achazvitarisa zvikuru zvinotevera zvemwana wenyu:

X-ray yemapfupa akakuvara inogona kuratidza kukanganisika kwemapfupa. Kuongororwa kweropa nekwemukaka kunogona kusimbisa chirwere che rickets uye kunotarisawo kufambira mberi kwemishonga.

• Bvudzi. Vacheche vane rickets kazhinji vane mapfupa ebvudzi akapfava uye vangave vane kuomerwa nekuvhara kwemakomba (fontanels).
• Makumbo. Kunyangwe vana vaduku vane utano vakakombama zvishoma, kukombama kwakanyanya kwemakumbo kunoitika kazhinji ne rickets.
• Chifuva. Vamwe vana vane rickets vanokura zvisingawanzoitika mumapapiro avo, izvo zvinogona kupfapfaidza uye kuita kuti mapapiro avo abude.
• Zvigunwe nemawoko. Vana vane rickets kazhinji vane zvigunwe nemawoko makuru kana kuti akakura kupfuura zvakajairwa.

Kazhinji zvirwere zve rickets zvinorapwa ne vitamin D ne calcium zvinowedzerwa. Tevedza mirayiridzo yechiremba wemwana wako maererano nehuwandu. Vitamin D yakawanda inogona kukuvadza.

Chiremba wemwana wako acharamba achitarisa kufambira mberi kwemwana wako ne X-rays ne bvunzo yeropa.

Kana mwana wako ane chirwere chisina kujairika chinogara chichigara chinokonzera phosphorus shoma, zvinowedzerwa nemishonga zvinogona kunyorwa.

Kune zvimwe zviitiko zve bowleg kana spinal deformities, chiremba wako angakurudzira bracing chaiyo kuisa muviri wemwana wako nenzira yakakodzera sezvo mapfupa achikura. Zvimwe zvakakomba zve skeletal deformities zvinoda kuvhiya.