Ukuqina Kwamathambo (Rickets)? Izimpawu, Izimbangela, Nokwelashwa

Ukuqina kwamathambo yisifo samathambo esithinta ikakhulu abantwana abakhulayo uma imizimba yabo ingatholi i-vitamin D, i-calcium, noma i-phosphate eyanele. Lezi zondlo ezibalulekile zisiza amathambo akhule aqine futhi aqondile, ngakho uma eyalahlekile, amathambo aba mthambile futhi abuthakathaka.

Cabanga ngakho njengokuzama ukwakha indlu ngaphandle kwezinto ezinamandla eyanele. Amathambo awakwazi ukwakheka kahle, okuholela ekubendukeni, ebuhlungwini, nasekukhupheni kokukhula. Nakuba ukuqina kwamathambo kwakujwayelekile ngaphambili, manje kunqabile emazweni athuthukile ngenxa yokudla okunamandla kanye nokwazi kangcono ngokondlo.

Ziyini izimpawu zokuqina kwamathambo?

Izimpawu zokuqina kwamathambo zivame ukuvela kancane njengoba ingane yakho ikhula. Ungase uqaphele ukushintsha endleleni ehamba ngayo, ukuma komthambo wayo, noma ukuthuthuka kwayo konke.

Nazi izimpawu ezivame kakhulu ongaziqaphela:

• Imilenze egubekile noma amadolo ahlangana avela ngokucacile njengoba ingane yakho iqala ukuhamba
• Ukuvela kwezinyo okulile noma izinkinga zamagciwane njengemikhaza kanye ne-enamel ebuthakathaka
• Ubuhlungu bamathambo nobuhlungu, ikakhulukazi emilenzeni, e-pelvis, nasemgceleni
• Ukuthuthuka okulile nobude obufinyeka uma kuqhathaniswa nabantwana abangobudala babo
• Ubuthakathaka bemisipha nobunzima bokuhamba noma ukukhuphuka izitebhisi
• Ukuphuka kwamathambo okuvamile okuvela ekuwa okuncane noma eziqongweni
• Amathambo engqondo amthambile kubantwana, ngokuvalwa okulile kwama-soft spots

Kwezinye izimo, ungase futhi uqaphele izimpawu ezingavamile. Lezi zingafaka ukuguquka kwesifuba lapho i-breastbone icindezela ngaphandle, imiklamo engavamile yengqondo, noma ukugoba komgogodla. Abanye abantwana bangase futhi bahlushwe yizigameko noma ukubamba kwemisipha ngenxa yezinga eliphansi le-calcium.

Lezi zimpawu zithuthuka ngoba amathambo awatholi izondlo ezidingekayo ukuze aqine kahle. Izindaba ezinhle ukuthi ngokwelashwa okufanele, izinhlangothi eziningi zalezi zinguquko zingathuthuka kakhulu.

Ziyini izinhlobo zokuqina kwamathambo?

Kunezinhlobo eziningi ezahlukene zokuqina kwamathambo, ngayinye inesizathu sayo esiyimbangela. Ukuqonda ukuthi yiluphi uhlobo oluthinta ingane yakho kusiza ekutholeni indlela yokwelapha engcono kakhulu.

Izinhlobo eziyinhloko zifaka:

• Ukuqina kwamathambo okondlo: Uhlobo oluvamile kakhulu, olubangelwa ukungatholi i-vitamin D, i-calcium, noma i-phosphate eyanele ekudleni noma ekukhanyeni kwelanga
• Ukuqina kwamathambo okuthanda i-vitamin D: Isimo esidluliselwa ezizukulwaneni esingavamile lapho umzimba ungakwazi ukucubungula i-vitamin D kahle, ngisho noma kunokungeniswa okwanele
• Ukuqina kwamathambo okungamelani ne-vitamin D: Enye ifomu elidluliselwa ezizukulwaneni lapho izinso zingakwazi ukugcina i-phosphate, okuholela ezinkingeni zamathambo naphezu kwezinga le-vitamin D elijwayelekile
• Ukuqina kwamathambo kwezinso: Kuthuthuka lapho isifo sezinso sivikela ukusebenza kahle kwe-vitamin D noma ukugcinwa kwe-phosphate

Ukuqina kwamathambo okondlo kuphendula kahle ekushintsheni kokudla nasekusetshenzisweni kwezithasiselo. Noma kunjalo, izinhlobo eziwumfuzo zidinga ukuphathwa kwezokwelapha okukhethekile ukuphila konke. Udokotela wakho angakwazi ukuqonda ukuthi yiluphi uhlobo ingane yakho elunalo ngokuhlolwa kwegazi kanye nomlando womndeni.

Yini ebangela ukuqina kwamathambo?

Ukuqina kwamathambo kuthuthuka lapho amathambo akhula engane yakho engatholi izondlo ezibalulekile ezidingekayo ukuze aqine kahle. Imbangela ephambili ukushoda kwe-vitamin D, kodwa izinto eziningi zingase zifake isandla kule nkinga.

Izimbangela ezivame kakhulu zifaka:

• Ukukhanya kwelanga okulinganiselwe, ikakhulukazi ezindaweni zaseNyakatho noma lapho abantwana bachitha isikhathi esiningi ngaphakathi
• I-vitamin D engaphansi ekudleni, ikakhulukazi kubantwana abangadli ubisi noma ukudla okunamandla
• Izifo zokungagayi kahle njenge-celiac disease noma i-cystic fibrosis evikela ukugaywa kwezondlo
• Ukudla kwe-vegan okunqunyiwe ngaphandle kwe-vitamin D ne-calcium eyanele
• Ukuzalwa ngaphambi kwesikhathi, njengoba abantwana abazalwa ngaphambi kwesikhathi bavame ukuba nezinga eliphansi le-vitamin D
• Ukukhanya okumnyama kwesikhumba ezindaweni ezinokukhanya kwelanga okulinganiselwe, njengoba i-melanin iyancipha ukukhiqizwa kwe-vitamin D

Ngokungavamile, ukuqina kwamathambo kungase kuphumelele ezimweni ezingavamile ze-genetic ezithinta indlela umzimba ocubungula ngayo i-vitamin D noma i-phosphate. Imithi ethile, ikakhulukazi eminye imithi yokulwa nezifo, ingase futhi iphazamise ukusebenza kwe-vitamin D ngokuhamba kwesikhathi.

Ngezinye izikhathi izinto eziningi zihlangana ukudala inkinga. Isibonelo, ingane enokukhanya kwelanga okulinganiselwe ephinde ilandela ukudla okunqunyiwe ingase ibe sengozini enkulu kunomuntu onenkinga eyodwa kuphela.

Nini okumele ubona udokotela ngokuqina kwamathambo?

Kufanele uxhumane nodokotela wengane yakho uma uqaphela noma yiziphi izimpawu zezinkinga zamathambo noma ukuthuthuka okulile. Ukungenelela kwangaphambi kwesikhathi kungavimbela izinkinga futhi kusize amathambo engane yakho akhule kahle.

Funani ukunakekelwa kwezokwelapha uma uqaphela noma yiziphi izimpawu ezikhathazayo:

• Ukugoba kwemilenze okubonakala sengathi kubi njengoba ingane yakho ikhula
• Ubuhlungu bamathambo noma ubuhlungu obuvamile obuphazamisa imisebenzi yansuku zonke
• Ukuhamba okulile noma ubunzima bokuhamba uma kuqhathaniswa nabantwana abanye
• Ukuphuka kwamathambo okungavamile okuvela ekulimaleni okuncane
• Izinkinga zamagciwane njengokuvela kwezinyo okulile noma imikhaza evamile
• Ubuthakathaka bemisipha noma ukubamba, ikakhulukazi ngezimpawu ezifana nezibambe

Ungalindi uma ukhathazekile ngokukhula noma ukuthuthuka kwengane yakho. I-pediatrician yakho ingenza ukuhlolwa okulula ukuhlola amazinga e-vitamin D kanye nempilo yamathambo. Ukutholwa kwangaphambi kwesikhathi kwenza ukwelashwa kube nomphumela omkhulu.

Uma ingane yakho inezinto eziyisongo njengokukhanya kwelanga okulinganiselwe, ukunciphisa ukudla, noma umlando womndeni wezinkinga zamathambo, xoxani ngamasu okuvimbela nodokotela wakho ngisho nangaphambi kokuba kuvele izimpawu.

Ziyini izinto eziyisongo zokuqina kwamathambo?

Izinto eziningi zingandisa amathuba engane yakho okuthuthukisa ukuqina kwamathambo. Ukuqonda lezi zinto eziyisongo kusiza ukuthi uthathe izinyathelo zokuvimbela futhi wazi ukuthi nini kufanele uqaphele kakhulu.

Izinto eziyisongo eziyinhloko zifaka:

• Iminyaka: Abantwana abaneminyaka engu-6 kuya kwengu-2 banesongo kakhulu ngesikhathi sokukhula okusheshayo kwamathambo
• Ukukhanya kwelanga okulinganiselwe: Ukuhlala ezindaweni zaseNyakatho, ukuhlala ngaphakathi njalo, noma ukuvala isikhumba ngokuphelele
• Umbala wesikhumba: Isikumba esimnyama sidinga ukukhanya kwelanga okuningi ukuze sikhiqize i-vitamin D eyanele
• Izinto zokudla: Ukudla kwe-vegan, ukungaphuthumi ubisi, noma ukungaphuthumi i-lactose ngaphandle kokuthasiselo okufanele
• Ukuzalwa ngaphambi kwesikhathi: Abantwana abazalwa ngaphambi kwesikhathi bavame ukuba nezinga eliphansi le-vitamin D ne-calcium
• Ukubhebhetheka ngaphandle kwezithasiselo ze-vitamin D: Ubisi lwebele lodwa lungase lungabi ne-vitamin D eyanele

Izinto ezengeziwe eziyisongo zifaka izimo ezithile zezokwelapha ezithinta ukugaywa kwezondlo, njenge-celiac disease noma isifo sokuvuvukala sezisu. Imithi ethile, ikakhulukazi imithi yokulwa nezifo, ingase futhi iphazamise ukusebenza kwe-vitamin D.

Ukuba nezinto eziyisongo akusho ukuthi ingane yakho izokuthuthukisa ngokuqinisekile ukuqina kwamathambo. Kusho nje ukuthi kufanele ube nomdlandla ngokuvimbela ngokondlo olufanele nokukhanya kwelanga.

Ziyini izinkinga ezingase zibe khona zokuqina kwamathambo?

Uma kushiywa kungaphathwa, ukuqina kwamathambo kungase kuholele ekuguqukeni kwamathambo okungapheli nezinye izinkinga ezinkulu zempilo. Noma kunjalo, ngokwelashwa okufanele, izinhlangothi eziningi zingavikeleka noma zithuthukiswe kakhulu.

Izinkinga ezingase zibe khona zifaka:

• Ukuqina kwamathambo okungapheli: Imilenze egubekile, amadolo ahlangana, noma ukugoba komgogodla okungase kudinge ukulungiswa okuyisohlinzwa
• Izinkinga zamagciwane: Ukuvela kwezinyo okulile, ukwanda kwemikhaza, kanye ne-enamel yezinyo enesici
• Ukungena engozini yokuphazamiseka: Amathambo abuthakathaka aphazamiseka kalula ukuphila konke
• Izinkinga zokukhula: Ubude obufinyeka bomuntu omdala kanye nokuthuthuka komzimba okulile
• Izibambe nemisipha ebanjwa: Ngenxa yezinga eliphansi le-calcium elithinta umsebenzi wezinzwa nemisipha
• Izinkinga zokuphefumula: Ukuguquka kwesifuba okungase kuthonye ukuphefumula

Kwezinye izimo ezingavamile, ukuqina kwamathambo okukhulu kungase kuholele ezinkingeni eziyingozi ekuphileni. Lezi zingafaka i-tetany (ukubamba kwemisipha okukhulu), izinkinga zokuthinta kwenhliziyo ezivela e-calcium ephansi, noma ubunzima bokuphumula ezivela ekuguqukeni kwedonga lesifuba.

Izindaba ezikhuthazayo ukuthi lapho ukuqina kwamathambo kubanjwa kwangaphambi kwesikhathi futhi kuphathwa kahle, abantwana abaningi bayaphila ngokuphelele. Ngisho nezinye izinguquko zamathambo zingathuthuka kakhulu ngokwelashwa, ikakhulukazi kubantwana abancinyane abanamathambo asekukhula.

Ukuqina kwamathambo kungavikeleka kanjani?

Ukuvimbela ukuqina kwamathambo kulula kakhulu kunokwelapha, futhi izinyathelo zilula. Ikhona ukuqinisekisa ukuthi ingane yakho ithola i-vitamin D, i-calcium, ne-phosphate eyanele ngokudideka kokukhanya kwelanga, ukudla, kanye nezithasiselo uma kudingeka.

Nazi izindlela zokuvimbela eziphumelelayo kakhulu:

• Qinisekisa ukukhanya kwelanga okwanele: Cishe imizuzu engu-10-15 yokukhanya kwelanga emini izikhathi ezimbalwa ngesonto
• Nikeza izithasiselo ze-vitamin D: Ikakhulukazi kubantwana abanyonyiswa kanye nabantwana abanokukhanya kwelanga okulinganiselwe
• Faka ukudla okunama-calcium amaningi: Ubisi, i-cheese, i-yogurt, imifino eluhlaza, kanye nezinye izinto ezinamandla ezivela ezitshalweni
• Khetha ukudla okunamandla: Izitshalo, ubisi, nezinye izinto ezinemali eyongeziwe ye-vitamin D ne-calcium
• Gcina ukudla okulinganiselayo: Faka ukudla okunama-phosphate amaningi njenginyama, i-fish, amaqanda, kanye nebisi

Emindenini elandela ukudla kwe-vegan noma labo abanokungaphuthumi ubisi, sebenzani nodokotela wakho ukuqinisekisa ukuthi kunethasiselo eyanele. Abantwana abanesikhumba esimnyama abahlala ezindaweni zaseNyakatho bangase badinge izithasiselo ezengeziwe ze-vitamin D unyaka wonke.

Uma ingane yakho inanoma yiziphi izinto eziyisongo, xoxani ngamasu okuvimbela nodokotela wakho. Bangase bancoma ukuhlolwa kwegazi okuvamile ukuqapha amazinga e-vitamin D futhi balungise ukunikezwa kokuthasiselo ngokufanele.

Ukuqina kwamathambo kuhlonzwa kanjani?

Ukuhlonzwa kokuqina kwamathambo kuhilela ukuxuba kokuhlolwa komzimba, ukuhlolwa kwegazi, nokufunda kwezithombe. Udokotela wakho uzobheka izimpawu ezibonakalayo futhi aqinisekise ukuhlonzwa ngokuhlolwa okuqondile.

Inqubo yokuhlola ivame ukufaka:

• Ukuhlolwa komzimba: Ukubheka ukuqina kwamathambo, izinkinga zamagciwane, kanye nobuthakathaka bemisipha
• Ukuhlolwa kwegazi: Ukulinganisa amazinga e-vitamin D, i-calcium, i-phosphate, kanye ne-alkaline phosphatase
• Izithombe ze-X-ray: Ukubonisa ukuguquka kwamathambo njengokugoba, ukukhula okulile kwamapuleti, noma ukuphuka
• Umbhalo wezokwelapha: Ukuqonda ukudla, ukukhanya kwelanga, umlando womndeni, kanye nezimpawu

Ukuhlolwa kwegazi kubaluleke kakhulu ngoba kungathola ukuqina kwamathambo ngaphambi kokuba kuvele ukuguquka kwamathambo okucacile. Amazinga e-vitamin D aphansi ahlangene ne-parathyroid hormone ephezulu avame ukubonisa isimo.

Izithombe ze-X-ray zibonisa izimpawu ezijwayelekile zokuqina kwamathambo, kufaka phakathi amapuleti okukhula ahlangene, iminyaka yamathambo elile, kanye nokuqina okungavamile. Kwezinye izimo, udokotela wakho angase a-ode ukuhlolwa okuqhubekayo ukuqonda uhlobo oluqondile lokuqina kwamathambo noma ukukhipha ezinye izimo.

Izindaba ezinhle ukuthi le mihlola iyajwayelekile futhi ayinakunzima kwengane yakho. Ukuthola ukuhlonzwa okuqondile yisinyathelo sokuqala sokwelashwa okuphumelelayo.

Ukuphathwa kokuqina kwamathambo kuyini?

Ukuphathwa kokuqina kwamathambo kugxile ekulungiseni ukushoda kokondlo okungaphansi nokusekela ukuthuthuka kwamathambo okufanele. Indlela ekhethekile ixhomeke kuhlobo lokuqina kwamathambo nobunzima balo.

Ukuphathwa okujwayelekile kuvame ukufaka:

• Ukunikezwa kwe-vitamin D: Ama-drops noma amathebulethi e-vitamin D aphezulu, ngokuvamile izinyanga ezimbalwa
• Izithasiselo ze-calcium: Ukusekela ukwakheka kwamathambo nokuvimbela izimpawu zokushoda
• Ukushintsha kokudla: Ukukhulisa ukudla okunama-vitamin D, i-calcium, ne-phosphate amaningi
• Ukukhanya kwelanga okwandisiwe: Inani lokukhanya kwelanga elivikelekile lokwandisa ukukhiqizwa kwe-vitamin D yemvelo
• Ukuqapha okuvamile: Ukuhlolwa kwegazi ukuqapha ukuthuthuka nokulungisa ukwelashwa

Izinhlobo ezingavamile njengokuqina kwamathambo okungamelani ne-vitamin D, ukwelashwa kunzima kakhulu futhi kungase kudinge imithi ekhethekile njenge-calcitriol noma izithasiselo ze-phosphate. Abanye abantwana bangase badinge ukwelashwa ukuphila konke.

Kwezinye izimo ezinokuqina kwamathambo okukhulu, ukuhlinzwa kwe-orthopedic kungase kunconywe uma ukuqina kwamathambo kuphathwe futhi amathambo aqine. Noma kunjalo, izinhlangothi eziningi zithuthuka kakhulu ngokwelashwa kwezokwelapha kuphela, ikakhulukazi kubantwana abancinyane.

Abantwana abaningi abane-rickets yokondlo babonisa ukuthuthuka phakathi nezinyanga ezimbalwa zokwelashwa, ngokunciphisa ubuhlungu bamathambo nokubuya kokukhula kwemizamo evamile.

Indlela yokunakekela ekhaya ngesikhathi sokwelashwa kokuqina kwamathambo?

Ukusekela ukwelashwa kwengane yakho ekhaya kuhilela ukunikezwa kokwelashwa okuqhubekayo, ukuthuthukiswa kokudla, nokudala indawo evikelekile ngenkathi amathambo ephila.

Nansi indlela ongasiza ngayo ingane yakho iphulukane:

• Nikeza imithi ngokuqhubekayo: Landela imiyalo yodokotela wakho ngokuqondile ngezithasiselo ze-vitamin D ne-calcium
• Khuthaza ukukhanya kwelanga okuvikelekile: Cishe imizuzu engu-10-15 yokukhanya kwelanga ekuseni noma ebusuku uma kungenzeka
• Nikeza ukudla okunomsoco: Faka izitshalo ezinamandla, imikhiqizo yebisi, i-fish, kanye nemifino eluhlaza
• Dala indawo evikelekile: Vimbela ukuwa nokulimalala ngenkathi amathambo esebubuthakathaka
• Qapha izimpawu: Gcina ulandelela amazinga obuhlungu, ukuhamba, nanoma yiziphi izinkinga ezintsha

Qinisekisa ukuthi ingane yakho ihlala isebenza ngaphakathi kwenani layo lokuthuthuka. Ukuzivocavoca okuthambile nokudlala kusiza ekuqinisweni kwamathambo nemisipha njengoba iphila. Noma kunjalo, gwema imisebenzi enomthelela ophezulu engase ibe yimbangela yokuphuka.

Gcina ukuvakasha okuvamile kokulandelela nodokotela wakho ukuqapha intuthuko. Bazolungisa ukwelashwa ngokusekelwe emiphumeleni yokuhlolwa kwegazi kanye nentuthuko yengane yakho.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukuba ulungile nge-aphoyintimenti yakho kusiza ekuqinisekiseni ukuthi udokotela wakho unemininingwane yonke edingekayo ukunikeza ukunakekelwa okuhle kakhulu kwengane yakho.

Ngaphambi kokuya kwakho, butha le mininingwane elandelayo:

• Imininingwane yesimpawu: Lapho uqale uqaphela izinkinga, indlela eziye zashintsha ngayo, nokuthi yini ezenzayo kube ngcono noma kubi
• Umbhalo wezokwelapha: Izifo zangaphambili, imithi, nanoma yimiphi imilandu yomndeni yezinkinga zamathambo
• Imininingwane yokudla: Lokho ingane yakho evame ukukudla nokukuphuza, kufaka phakathi noma yiziphi izikhawu noma izithasiselo
• Izinto zokuphila: Ukukhanya kwelanga, amazinga wemisebenzi, kanye nesikhathi esichithwe ngaphakathi noma ngaphandle
• Amarekhodi okukhula: Ukulinganiswa kobude nobukhulu okuvela ekuvakasheni kwangaphambili uma kungenzeka

Bhala phansi imibuzo ethile ofuna ukuyibuza, njengokwelashwa, isikhathi esilindelwe sokuthuthuka, noma izikhawu zemisebenzi. Unganqikazi ukubuza nganoma yini ekukhathazayo.

Letha uhlu lwemithi yonke nezithasiselo ingane yakho ezikuthatha njengamanje. Uma kungenzeka, letha amarekhodi okugoma kwengane yakho nanoma yimiphi imiphumela yokuhlolwa kwangaphambili ehlobene nempilo yamathambo.

Iyini into ebalulekile ngokuqina kwamathambo?

Ukuqina kwamathambo yisimo esingaphathwa esiphendula kahle ekondleni efanele nasekunakekelweni kwezokwelapha. Nakuba kungase kube yimbangela yezinkinga ezinkulu uma kushiywa kungaphathwa, abantwana abaningi bayaphila ngokuphelele ngokwelashwa okufanele.

Izinto ezibaluleke kakhulu okumele uzikhumbule ukuthi ukuvimbela kulula nge-vitamin D eyanele, i-calcium, nokukhanya kwelanga okuvikelekile. Uma ucindezela ukuqina kwamathambo, ukunakekelwa kwezokwelapha kwangaphambi kwesikhathi kuholela emiphumeleni engcono futhi kungavimbela izinkinga ezingapheli.

Ngezinketho zokwelapha zanamuhla nolwazi lokondlo, ukuqina kwamathambo akudingeki kuthinte impilo yengane yakho nethuthukiswa isikhathi eside. Hlala unolwazi, sebenzisana eduze nodokotela wakho, futhi khumbula ukuthi lesi simo silula kakhulu ngokunakekelwa okufanele.

Imibuzo evamile ebuzwa ngokuqina kwamathambo

Ingaphiliswa ngokuphelele yini ukuqina kwamathambo?

Yebo, ukuqina kwamathambo okondlo kungaphiliswa ngokuphelele ngokwelashwa okufanele. Abantwana abaningi bayaphila ngokuphelele lapho bethola i-vitamin D, i-calcium, ne-phosphate eyanele. Ngisho nezinye izinguquko zamathambo zingathuthuka kakhulu, ikakhulukazi kubantwana abancinyane abanamathambo asekukhula. Noma kunjalo, izinhlobo eziwumfuzo zokuqina kwamathambo zidinga ukuphathwa ukuphila konke kunokuba kube yilokho kuphela okuphilisa.

Kuthatha isikhathi esingakanani ukubona ukuthuthuka ngokwelashwa?

Abantwana abaningi baqala ukubonisa ukuthuthuka phakathi kwezinyanga ezingu-2-3 beqala ukwelashwa. Ubuhlungu bamathambo buvame ukunciphisa kuqala, kulandele ukuthuthuka okuthuthukile nokulungiswa kancane kwezinguquko. Ukuphulukana okuphelele kungathatha izinyanga ezingu-6-12 noma isikhathi eside, kuye ngobunzima. Udokotela wakho uzoqapha intuthuko ngokuhlolwa kwegazi okuvamile kanye nokuhlola.

Ingabe ukuqina kwamathambo kuyadluliseleka noma kuwumfuzo?

Ukuqina kwamathambo akudluliseleki nhlobo. Awukwazi ukulithatha komunye umuntu. Noma kunjalo, ezinye izinhlobo ezingavamile zokuqina kwamathambo ziwumfuzo, okusho ukuthi zidluliselwa emindenini ngenxa ye-genetic mutations. Ukuqina kwamathambo okondlo, uhlobo oluvamile kakhulu, akuwumfuzo futhi kuthuthuka ngenxa yokushoda kwe-vitamin D.

Bangathola yini ukuqina kwamathambo abantu abadala?

Abantu abadala bangathuthukisa isimo esifanayo esibizwa nge-osteomalacia, okuyikho ngempela "ukuqina kwamathambo kwabantu abadala." Lokhu kwenzeka lapho amathambo avuthiwe eba mthambile ngenxa yokushoda kwe-vitamin D. Nakuba izinkinga zamathambo zifanana, abantu abadala abanawo ubunzima bokukhula nokuthuthuka obubonwa kubantwana abane-rickets.

Yikuphi ukudla okuhle kakhulu ekuvimbeleni ukuqina kwamathambo?

Ukudla okuhle kakhulu kufaka ubisi ne-cereal ezinamandla, i-fish enamafutha njenge-salmon ne-mackerel, ama-yolk amaqanda, ne-cheese. Nge-calcium, gxila emikhiqizweni yebisi, imifino eluhlaza, kanye nezinye izinto ezinamandla ezivela ezitshalweni. Ukudla okuningi manje kunamandla nge-vitamin D ngokukhethekile ukusiza ekuvimbeleni ukuqina kwamathambo nokusekela impilo yamathambo.