Osteomalacia: ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro zake ndi ziti
• Zoyambitsa zazikulu
• Momwe mungatsimikizire matendawa
• Momwe mankhwalawa amachitikira

Osteomalacia ndi matenda achikulire amfupa, omwe amadziwika ndi mafupa osalimba komanso osalimba, chifukwa cha zolakwika m'mafupa amchere, omwe nthawi zambiri amayamba chifukwa cha kuchepa kwa vitamini D. Popeza vitamini iyi ndiyofunikira kuti calcium itenge ndi fupa, ikakhala kusowa, kumabweretsa demineralization.

Osteomalacia imatha kukhala yopanda tanthauzo kapena imayambitsa zizindikilo monga kusokonezeka kwa mafupa kapena zophulika zazing'ono. Pankhani ya mwana, kuchepa kwa vitamini D komanso kufooka kwa mafupa sikudziwika kuti osteomalacia, koma ngati ma rickets. Onani zomwe ma rickets ndi momwe amathandizidwira.

Pomwe osteomalacia ikukayikiridwa, ndikofunikira kukaonana ndi dokotala kapena wamankhwala kuti mutsimikizire kuti ali ndi vutoli ndikuyambitsa chithandizo choyenera, chomwe chingaphatikizepo zakudya zokwanira, kumwa mankhwala komanso kuwonetsedwa padzuwa.

Zizindikiro zake ndi ziti

Osteomalacia nthawi zambiri imakhala yopanda tanthauzo, chifukwa chake, imangopezeka pokhapokha pakaphwanya. Komabe, pali zochitika zina zomwe munthu amatha kusapeza bwino m'mafupa, makamaka m'chiuno, zomwe zimatha kupanga kuyenda kovuta.

Ngakhale ndizosowa kwambiri, osteomalacia itha kubweretsanso mafupa, makamaka ngati mankhwala achotsedwa mochedwa.

Zoyambitsa zazikulu

Chifukwa chofala kwambiri cha osteomalacia ndi kusowa kwa vitamini D, komwe kumatha kukhudzana ndi mayendedwe ake, kagayidwe kake ka zinthu kapena zomwe zingachitike:

• Kudya pang'ono zakudya zokhala ndi vitamini D;
• Kutentha kwa dzuwa;
• Kuchita opaleshoni m'mimba kapena m'matumbo, makamaka opaleshoni ya bariatric;
• Kugwiritsa ntchito njira zothandizira, monga phenytoin kapena phenobarbital;
• Kutsekula m'mimba;
• Kusakwanira kwaimpso;
• Matenda a chiwindi.

Ngakhale ndizosowa kwambiri, mitundu ina ya khansa imatha kusintha mavitamini D mthupi.

Momwe mungatsimikizire matendawa

Kuti adziwe matenda a osteomalacia, adokotala amatha kuyitanitsa mayeso amwazi ndi mkodzo kuti awone kuchuluka kwa vitamini D, phosphorus ndi calcium, alkaline phosphatase ndi parathyroid hormone, yomwe nthawi zambiri imasinthidwa.

Kuphatikiza apo, ma X-ray amathanso kuchitidwa kuti azindikire kuthyoka kwamfupa pang'ono ndikuzindikira zizindikiritso zina za mafupa.

Momwe mankhwalawa amachitikira

Cholinga cha chithandizo ndikuwongolera chomwe chimayambitsa osteomalacia, chomwe chingapezeke kudzera mu:

• Zowonjezera ndi calcium, phosphorous ndi / kapena vitamini D;
• Kuchuluka kwa zakudya zomwe zili ndi calcium ndi vitamini D. Pezani zakudya zomwe zili ndi calcium yambiri komanso vitamini D;
• Mphindi 15 tsiku lililonse padzuwa m'mawa kwambiri, osateteza khungu lanu.

Onani vidiyo yotsatirayi ndikuwona maupangiri ena olimbikitsira mafupa:

Ngati osteomalacia imayamba chifukwa cha matumbo a malabsorption syndrome, impso kulephera kapena vuto la chiwindi, matendawa ayenera kuthandizidwa kaye. Kuphatikiza apo, nthawi zina, pamafunika kuchitidwa opaleshoni kuti akonze zolakwika m'mafupa.