Osteopenia - makanda asanakwane

Osteopenia ndi kuchepa kwa calcium ndi phosphorous mu fupa. Izi zitha kupangitsa kuti mafupa akhale ofooka komanso osaphuka. Ikuwonjezera chiopsezo cha mafupa osweka.

M'miyezi itatu yapitayi yamimba, calcium ndi phosphorous zambiri zimasamutsidwa kuchoka kwa mayi kupita kwa mwana. Izi zimathandiza kuti mwanayo akule.

Mwana wakhanda asanabadwe sangalandire calcium ndi phosphorous yokwanira kuti apange mafupa olimba. Mukakhala m'mimba, zochitika za fetus zimawonjezeka m'miyezi itatu yapitayi yapakati. Ntchitoyi imalingaliridwa kuti ndiyofunikira pakukula kwa mafupa. Makanda ambiri asanakwane amakhala ndi masewera olimbitsa thupi ochepa. Izi zitha kuchititsanso mafupa ofooka.

Ana asanakwane kwambiri amataya phosphorous mu mkodzo wawo kuposa ana omwe amabadwa atatsala pang'ono kufa.

Kuperewera kwa vitamini D kumathandizanso kuti osteopenia m'masana. Vitamini D amathandiza thupi kuyamwa calcium kuchokera m'matumbo ndi impso. Ngati makanda salandira kapena kupanga mavitamini D okwanira, calcium ndi phosphorous sizingayamwe bwino. Vuto la chiwindi lotchedwa cholestasis lingayambitsenso mavuto ndi mavitamini D.

Mapiritsi amadzi (diuretics) kapena ma steroids amathanso kuyambitsa calcium yotsika.

Makanda ambiri omwe amabadwa masiku asanakwane masabata makumi atatu asanakwane amakhala ndi mafupa, koma sakhala ndi zizindikilo zilizonse.

Makanda omwe ali ndi matenda a osteopenia atha kuchepa kuyenda kapena kutupa kwa mkono kapena mwendo chifukwa chophwanyika osadziwika.

Osteopenia ndi ovuta kuzindikira kuti ana akhanda asanakwane kuposa achikulire. Mayeso omwe amagwiritsidwa ntchito kwambiri pofufuza ndikuwunika osteopenia of prematurity ndi awa:

• Kuyezetsa magazi kuti muwone kuchuluka kwa calcium, phosphorus, ndi protein yotchedwa alkaline phosphatase
• Ultrasound
• X-ray

Mankhwala omwe amawoneka kuti amalimbitsa mphamvu ya mafupa mwa makanda ndi awa:

• Mavitamini a calcium ndi phosphorous, omwe amawonjezeredwa mkaka wa m'mawere kapena madzi a IV
• Njira zapadera zam'mbuyomu (pamene mkaka wa m'mawere palibe)
• Vitamini D othandizira ana omwe ali ndi vuto la chiwindi

Mikwingwirima imadzichiritsa bwino yokha ikamagwira bwino ntchito komanso kuwonjezerapo zakudya, calcium, phosphorus, ndi vitamini D. Pakhoza kukhala chiopsezo chowonjezeka cha zophulika mchaka choyamba cha moyo kwa ana akhanda asanakwane omwe ali ndi vutoli.

Kafukufuku akuwonetsa kuti kulemera kotsika kwambiri ndiye chiwopsezo chachikulu cha kufooka kwa mafupa pambuyo pake m'moyo wachikulire. Sizikudziwika ngati kuyesayesa mwamphamvu kochizira kapena kupewa matenda opatsirana m'mimba mchipatala atabadwa kungachepetse chiopsezo.

Mikanda yobereka; Mafupa a Brittle - makanda asanakwane; Mafupa ofooka - makanda asanakwane; Osteopenia wa msinkhu

Abrams SA, Tiosano D. Kusokonezeka kwa calcium, phosphorus, ndi metabolism ya magnesium mu neonate. Mu: Martin RJ, Fanaroff AA, Walsh MC, olemba., Eds. Fanaroff ndi Martin's Neonatal-Perinatal Medicine. 11th ed. Philadelphia, PA: Elsevier; 2020: chap 87.

Koves IH, Ness KD, Nip AYY, Salehi P. Kusokonezeka kwa calcium ndi phosphorous metabolism. Mu: Gleason CA, Juul SE, olemba. Matenda a Avery a Mwana Wongobadwa kumene. 10th ed. Philadelphia, PA: Elsevier; 2018: mutu 95.