Kev kuaj mob rickets: ua rau tus kab mob, txoj kev kho mob, kev tiv thaiv

2024 Tus sau: Curtis Blomfield | [email protected]. Kawg hloov kho: 2023-12-16 21:10

Tus kab mob zoo li rickets muaj ntau heev. Cov menyuam yaus uas yug nyob rau sab qaum teb tshwj xeeb tshaj yog feem ntau raug kev txom nyem los ntawm nws, vim nws yog qhov muaj qhov tsis muaj vitamins thiab hnub ci zog. Raws li txoj cai, tus kab mob no tshwm sim hauv cov menyuam yaus thaum ntxov, tab sis tsis yog txhua tus niam txiv tuaj yeem ua tib zoo saib xyuas qhov no, txij li thawj cov cim qhia tsis tau hais tawm.

Nws yuav tsum tau muab sau tseg tias tus kab mob no cuam tshuam tsis tau tsuas yog tus me nyuam lub cev pob txha, tab sis kuj ua hauj lwm ntawm lub hauv nruab nrog cev. Ntau tus kws kho mob tau taw qhia tias rickets yog ib yam kab mob ntawm tag nrho lub cev, los ntawm cov pob txha thiab tag nrho cov pob txha ua ntej raug kev txom nyem, tom qab ntawd cov teeb meem cuam tshuam rau lub paj hlwb thiab endocrine systems.

daim duab kho mob

Rickets yog kab mob nyuaj uas tuaj yeem tshwm sim nws tus kheej maj mam. Xav txog cov theem tseem ceeb ntawm tus kab mob no:

1. Qhov pib pib thaum muaj hnub nyoog 2 hli, thiab tsis kav ntev - tsuas yog peb lub lis piam xwb. Kev kuaj mob ntawm rickets nyob rau theem no yuav luag tsis tuaj yeem, tab sis yuav tsum nco ntsoov hauv tus menyuamcov cim qhia uas niam txiv ua tau. Tus me nyuam yuav nyob tsis tswm, txaj muag, chim siab, tawm hws ntau dhau tuaj yeem tshwm sim. Daim tawv nqaij ntawm tus me nyuam mos ntub, thiab lub taub hau rov qab yuav pib tawv.
2. Lub caij nyoog siab kawg pib me ntsis tom qab, thaum tus menyuam muaj rau lub hlis lawm. Lub sijhawm no ntev - nws tuaj yeem kav ntev txog ib xyoos. Lub sijhawm no, kev kuaj mob ntawm rickets hauv cov menyuam yaus yog qhov muaj feem ntau, txij li daim duab kho mob nws tus kheej tau hais tawm. Tus menyuam yaus tau nkees sai sai thiab poob qis hauv kev txhim kho psychomotor, cov pob qij txha zoo li xoob, Qav plab tshwm, daim siab thiab tus po nce ntxiv. Kev saib xyuas tshwj xeeb yuav tsum tau them rau pob txha taub hau, nws dhau los ua plaub fab, "Olympic forehead" tshwm, cov hniav raug txiav ntau dua tom qab cov phooj ywg, pom qhov curvature ntawm tus txha nraub qaum.
3. Cais, lub sijhawm rov qab los yog cais tawm, uas, raws li txoj cai, pib xyoo thib ob ntawm tus menyuam lub neej. Nyob rau lub sijhawm no, tag nrho cov tsos mob uas tshwm sim ua ntej yuav maj mam ploj mus, thiab cov xwm txheej ntawm tus menyuam tau txhim kho.
4. Lub sijhawm kawg ntawm tus kabmob yog cuam tshuam nrog cov teebmeem seem, nws pib thaum muaj hnub nyoog peb xyoos thiab pom nws tus kheej hauv txoj kev no: tus menyuam lub hlwb yuav tsis ruaj khov rau kev ntxhov siab, scoliosis tsim, kev loj hlob qeeb, osteoporosis yuav maj mam tshwm.. Cov menyuam yaus no feem ntau mob thiab tsim cov kab mob tsis yog ntawm lub cev tiv thaiv kab mob xwb, tab sis kuj muaj kab mob hauv lub cev.

Cov niam txiv yuav tsum nkag siab qhov tseem ceeb ntawm kev kuaj mob rickets hauv cov menyuam mos vim tias tus kab mob no tau kho ntxov.

Vim li cas rickets tshwm?

Qhov laj thawj tseem ceeb ntawm rickets yog qhov tsis muaj vitamin D. Ua ntej tshaj plaws, vitamin D tsis muaj, vim tias tus menyuam tsis muaj lub hnub ci txaus, thiab kev ua haujlwm ntawm lub cev lub luag haujlwm rau nws cov khoom raug cuam tshuam, Piv txwv li, hereditary disorders nyob rau hauv lub metabolism ntawm cov vitamin no tej zaum yuav tshwm sim nyob rau hauv lub cev, tej zaum qhov kev kuaj mob ntawm rickets qhia tau hais tias tus me nyuam muaj mob rau lub siab los yog raum kab mob. Qhov laj thawj thib ob yog cuam tshuam nrog kev tsis txaus ntawm kev noj cov vitamin D nrog rau cov zaub mov, vim tias nws qhov nqus tau nyob rau hauv lub plab zom mov yog cuam tshuam. Tus me nyuam yuav luag thaum yug los tuaj yeem tsim kab mob xws li:

1. kab mob celiac yog ib yam kab mob ntawm txoj hnyuv me uas lub villi uas yog lub luag haujlwm rau kev nqus cov zaub mov tuag.
2. Y Cystic fibrosis tuaj yeem tsim vim muaj kev xeeb tub. Raws li qhov tshwm sim ntawm tus kab mob no, broncho-pulmonary system thiab cov kab mob hauv plab tau cuam tshuam. Lub caj pas digestive tsis tsim cov enzymes txaus uas xav tau rau zaub mov kom zom rau hauv cov hnyuv.
3. Tsis tas li ntawd, qhov laj thawj yuav nkaum hauv lub sijhawm ntev dysbacteriosis, uas tau nrog raws plab mob hnyav. Yog tias tus menyuam tau txais zaub mov tsis raug, thaum cov kev cai huv huv raug ua txhaum, ces nws yuav ua rau rickets yog qhov tshwm sim ntawm qhov no.

Muaj lwm yam uas ua rau tus menyuam raug kuaj mob rickets:

1. Ib puag ncig yam tsis suav nrog, suav nrog cov pa phem hlau hnyav.
2. Cov kws tshwj xeeb sau tseg tias cov menyuam yaus uaskhoom noj khoom haus, tsis muaj vitamin D.
3. Tsis tas li, cov niam txiv feem ntau nyiam qhia cov zaub mov ntxiv rau hauv kev noj zaub mov ntawm tus menyuam me tom qab hnub. Hauv qhov no, kev noj zaub mov tsis zoo, thiab qhov no kuj yog qhov ua rau rickets.
4. Cov niam txiv yuav tsum ceev faj kom tus menyuam txav mus los, vim qhov no ua rau cov pob txha noj qab haus huv. Cov leeg nqaij ua haujlwm pab nqa cov ntshav mus rau cov pob txha apparatus. Thaum tus me nyuam muaj peb lub hlis, cov niam txiv tuaj yeem ua ib ce tshwj xeeb rau nws.
5. Rickets tuaj yeem tshwm sim los ntawm kev kho tshuaj mus ntev. Hauv cov tshuaj, muaj cov tshuaj uas ua rau cov metabolism hauv lub siab sai dua, tab sis vim qhov no, tsis muaj vitamin D.

Cov niam hluas yuav tsum nco ntsoov tias kev xeeb tub nws tus kheej tseem ceeb heev. Qhov tseeb yog hais tias nyob rau hauv lub cev ntawm ib tug poj niam thiab ib tug me nyuam, vitamin D pib tso rau hauv lub cev xeeb tub lig, yog li yog hais tias leej niam noj thiab saib xyuas nws noj qab haus huv, yuav tsis muaj kev pheej hmoo ntawm yug ntxov ntxov.

Kev kuaj mob ntawm ntau theem ntawm rickets

Feem ntau, rickets raug kuaj pom hauv cov menyuam yaus hnub nyoog qis dua ib xyoos, txij li lub sijhawm no nws yuav luag tsis pom tus kabmob hauv tus menyuam. Rickets muaj ntau theem. Nws tsim nyog nyob ntawm lawv hauv kev nthuav dav ntxiv:

1. Thawj theem yog txiav txim siab ntxov, raws li nws tshwm sim dhau peb lub hlis. Los ntawm lub sij hawm no, lub reserves ntawm vitamin D tau txais los ntawm leej niam nyob rau hauv lub plab mogkawg, thiab tus kab mob pib nquag tsim. Ntxiv nrog rau qhov tseeb tias tus me nyuam tsis muaj vitamin, nws kuj poob phosphorus, thiab cov tshuaj no koom nrog ntau cov txheej txheem. Yog tias tsis muaj phosphorus txaus, ces tus menyuam lub hlwb raug kev txom nyem ua ntej. Lub sijhawm no tsis kav ntev, tsuas yog ob lub lis piam thiab dhau los ntawm nws tus kheej.
2. Qhov nyuaj tshaj plaws yog thaum tus kab mob nkag mus rau theem ob. Hauv qhov no, lub cev kuj dhau los ua cov calcium tsawg, uas yog lub luag haujlwm rau kev cog lus ntawm cov leeg nqaij. Yog vim li cas cov menyuam yaus uas raug kuaj mob rickets lo lawv lub plab mus tom ntej.

Kev kuaj mob rickets hauv cov menyuam yaus ntawm theem ob tso cai rau koj kuaj pom cov kab mob xws li:

• Tus "rachitic rosary" tshwm. Thaum lub sij hawm kev ntsuam xyuas niaj hnub, tus kws kho mob yuav tsis tuaj yeem nco qhov thickening nyob rau hauv cov chaw uas cov tav txuas mus rau lub sternum. Qhov no qhia tias cov pob txha demineralized loj hlob.
• Qee zaus "rachitic bracelets" raug sau tseg. Cov tsos mob no suav hais tias muaj ntau heev. Cov pob txha ntev tubular pib tuab nyob rau hauv forearm, yog li cov pob txha cov ntaub so ntswg pib loj hlob nyob rau hauv tuab.
• Thaum muaj hnub nyoog rau lub hlis, thaum tus menyuam ua haujlwm ntau dua, nws tsim muaj kyphosis thoracic. Yog hais tias tus me nyuam loj hlob rickets nyob rau lub sij hawm no, ces nws yuav muaj ib tug loj curvature ntawm qaum.
• Xav tias rickets cuam tshuam tag nrho cov pob txha ntawm pob txha, ob txhais ceg tsis muaj qhov zam. Lawv tuaj yeem tau txais O-puab lossis X-puab puab. Cov kev hloov no twb tau sau tseg ze rau lub xyoo, thaum tus menyuam pib nce nws txhais taw thiab ua nws tus kheej.thawj kauj ruam.
• Nyob rau hauv ib tug me nyuam uas muaj rickets, tus ntxhiab tsw ntawm cov zis yuav txawv. Txij li thaum lub cev tsis muaj phosphorus thiab calcium, cov metabolism hauv cov amino acids cuam tshuam.

Tsis muaj teeb meem nws tso cai rau nws tus kheej tshuaj thiab tsuas yog nce cov tshuaj vitamin D. Qhov no tsuas yog ua rau muaj teeb meem. Xav txog qhov tseeb tias rickets tsis zoo cuam tshuam rau kev ua haujlwm ntawm lub cev hauv nruab nrog cev, kev kho mob yuav tsum tau ua nyob rau hauv ib qho nyuaj thiab tsuas yog tom qab kev kuaj mob ntawm "Rickets" yog tsim. Kev kuaj mob thiab kev kho mob yuav pab tus menyuam rov qab los ua lub neej zoo, tab sis tsuas yog cov niam txiv tau saib xyuas lawv tus menyuam txoj kev noj qab haus huv.

Kev kuaj mob los ntawm thawj cov cim

Yog tias koj saib ze rau koj tus menyuam nrog rickets thawj lub hlis ntawm nws lub neej, nws tuaj yeem pom tias nws yuav txawv ntawm nws cov phooj ywg. Vim qhov tseeb tias tus kab mob ua rau muaj kev puas tsuaj loj rau lub paj hlwb, tus menyuam yuav ua haujlwm tas li. Thaum pw los yog pub mis, koj yuav pom tias tus menyuam tawm hws ntau. Hauv qhov no, hws yuav muaj ntxhiab tsw, qhov tseeb, zoo li tso zis.

Thaum pib, tus menyuam me yuav poob nws qhov kev txawj ntse, piv txwv li, tus menyuam mos yuav tsis muaj peev xwm dov nws tus kheej, yuav tsis sim zaum. Yog tias tus menyuam muaj cov tsos mob zoo li no, cov niam txiv yuav tsum nkag siab meej tias yuav tsum tau kuaj mob rickets thiab kho raws sijhawm. Lawm, koj yuav tsum tsis txhob cia siab rau cov tsos mob, raws li koj yuav tsum tau mus kuaj biochemical kuaj.kev tshawb fawb. Thaum cov niam txiv muaj thawj qhov kev xav tias tus menyuam tuaj yeem tsim rickets, koj yuav tsum ua li no:

1. Ua ntej tshaj, mus ntsib kws kho mob tsim nyog.
2. Tsis txhob kho tus kheej.
3. Ua kom koj tus menyuam tau txais cov vitamin D ntau npaum li cas.
4. Tus me nyuam yuav tsum nyob nraum zoov ntau.
5. Khoom noj khoom haus yuav tsum tsis tu ncua thiab tsim nyog.
6. Tus menyuam mos yuav tsum txav mus tas li, rau qhov no koj tuaj yeem ua gymnastics txhua hnub.
7. Nco ntsoov ua raws txoj cai.

Rickets tuaj yeem kho tau yog tias kho raws sijhawm thiab muab kev kho kom raug.

Kev tshwm sim ntawm rickets

Nws tsis yog qhov tsis yooj yim rau rickets tshwm sim yam tsis muaj qhov tshwm sim, tab sis yog tias tus menyuam tsis tau txais kev kho mob raws sijhawm, qhov tshwm sim tsis tuaj yeem tshwm sim hauv tus menyuam lub cev.

Xyaum txhua tus menyuam yaus uas ib zaug muaj rickets raug kev txom nyem los ntawm kev tiv thaiv qis. Tsis tas li ntawd, qhov txawv txav tshwm sim nyob rau hauv ib tug me nyuam me, yog li ntawd, lub puab tsaig deformity tshwm sim, ntsig txog, hais lus tsis xws luag thiab diction disorders raug sau tseg.

Tau kawg, lub cev pob txha kuj raug kev txom nyem, lub cev nkhaus tsim, pelvis bent, uas yog qhov txaus ntshai tshwj xeeb rau cov ntxhais, vim tias yav tom ntej nws tuaj yeem ua rau muaj teeb meem kev yug menyuam. Yog li ntawd, cov pob txha ua nkig. Txhawm rau tshem tawm rickets, koj xav tau ib tus kws kho mob kev sab laj thiab kev kuaj mob, nrog rau kev kho tshuaj.

Diagnosis

Kev kuaj mob qhov noCov kab mob tuaj yeem ua tiav ib txhij hauv ntau cov lus qhia. Raws li txoj cai, kev kuaj mob sib txawv ntawm rickets thiab kab mob zoo li rickets yog ua tiav. Thaum pib, thaum tus kab mob nyuam qhuav pib tshwm sim, hauv kev kuaj ntshav thiab zis, nws tuaj yeem pom tias qib calcium thiab phosphorus txo qis, tab sis alkaline phosphatase nce.

Tab sis tib lub sijhawm, kev hloov pauv tsis tau qhia ntawm X-ray. Xav paub ntau ntxiv tuaj yeem tau txais thaum tus kab mob no puv puv. Yog tias rickets raug kuaj pom nyob rau lub sijhawm no, cov kev sim tuaj yeem qhia ntau yam. Cov kws kho mob tshwj xeeb yuav tuaj yeem nco qab hypocalcemia, hypophosphatemia thiab acidosis.

Tsis tas li ntawd, ib qho electrocardiogram yuav raug sau tseg. Nws cov ntsuas yuav tsis zoo li qub, hauv cov menyuam yaus nrog rickets muaj qhov txo qis ntawm cov hniav, lub sijhawm ntawm PQ thiab ventricular complex yog lengthened, thiab systolic indicators as kuj nce ho. Nyob rau theem no, kev kuaj mob sib txawv ntawm rickets hauv cov menyuam yaus yuav pom cov kev hloov pauv ntawm X-ray.

kev tshawb fawb Paraclinical

Kev kuaj mob rickets tsis yog qhov nyuaj. Ua ntej tshaj plaws, kev saib xyuas yog kos rau daim duab kho mob ntawm tus kab mob no. Qee lub sij hawm nws yog pronounced. Yog li, yog tias tus menyuam raug kuaj xyuas los ntawm kws kho menyuam yaus txhua lub hlis, raws li qhov xav tau, tus kws tshaj lij yuav pom qhov txawv txav.

Yuav kom kuaj tau qhov tseeb, tus kws kho mob yuav sau ntawv mus kuaj. Kev kuaj mob ntawm rickets yog kuaj xyuas cov ntsiab lus ntawm calcium thiab phosphorus hauv cov ntshav thiab zis. Cov no yog cov cim tseem ceeb. Xav txog cov txheej txheem tseem ceeb rau kev kuaj mob rickets los ntawm txoj kev no thiab cov qauv ntawm cov kev xeem uas tus menyuam yuav muaj:

1. Rau tus menyuam mos, cov ntshav phosphorus yuav tsum yog kwv yees li 1 txog 2.2 mmol / L. Yog tias rickets pib tsim, cov duab no txo qis rau 0.65 mmol / l.
2. Tus nqi ntawm calcium yog ua tib zoo tshuaj xyuas. Feem ntau, cov ntsuas yuav tsum khaws cia nyob ib ncig ntawm 2.5 mmol / l. Yog tias nws poob mus rau 2 mmol / l, qhov no txhais tau tias muaj calcium ntau hauv lub cev.
3. Alkaline phosphatase yog ib qho tshwj xeeb enzyme koom nrog hauv cov metabolism. Lub luag haujlwm tseem ceeb ntawm cov enzyme no yog hloov cov calcium thiab phosphorus los ntawm cov ntshav mus rau cov pob txha cov ntaub so ntswg thiab rov ua dua. Nquag, cov ntsuas yuav tsum tau khaws cia nyob ib ncig ntawm 200 units / l. Yog hais tias ib tug me nyuam muaj rickets, ces qhov taw qhia nce.

Nws yuav tsum nco ntsoov tias kev kuaj mob rickets hauv cov menyuam yaus tsuas yog ua tom qab tus menyuam raug kuaj los ntawm tus kws kho mob.

Hloov pauv ntawm x-rays

Nyob rau hauv kev kuaj mob, txoj kev X-ray yog nquag siv, uas nws muaj peev xwm txiav txim siab npaum li cas cov pob txha cov ntaub so ntswg demineralized thiab dab tsi deformations ntawm lub cev pob txha. Qhov tseeb yog tias thaum lub cev pob txha nyob hauv ib txwm muaj, tag nrho cov pob txha ntawm nws muaj qhov qhia meej.

Hauv rickets, ntau cov calcium thiab phosphorus tso rau ntawm cov pob txha, yog li cov pob txha zoo li ntom. Nrog rickets, ntsev raug ntxuav tawm - cov pob txha, tig, ua tsis muaj zog, yog li nws yooj yim deformed.

Kev kuaj mobrickets los ntawm x-ray, yuav muaj peev xwm qhia tau hais tias ntev npaum li cas cov txheej txheem pathological tshwm sim. Tsis tas li ntawd, tus kws kho mob yuav tuaj yeem sau ntawv tomography, cov ntaub ntawv tau txais yuav raug ntau dua li cov x-rays.

txoj kev kho

Rickets yuav tsum tau kho, tshwj xeeb tshaj yog vim tus kab mob no kho tau, thiab tus menyuam yuav muaj peev xwm ua neej nyob rau yav tom ntej. Yog tias tus me nyuam tau kuaj pom tus kab mob Rickets, kev kuaj mob, kev kho mob thiab kev tiv thaiv yog peb yam tseem ceeb uas yuav pab nws rov zoo. Kev kho mob rickets yuav tsum muaj cov kauj ruam hauv qab no:

1. Qhov tseem ceeb uas ua rau pom tus kab mob no yuav tsum raug tshem tawm.
2. Tus kws kho mob tuaj yeem suav cov tshuaj kho mob ntawm vitamin D, uas yuav pab ua kom lub cev tsis muaj zog.
3. Yog muaj cov kab mob ntev uas yog ib qho teeb meem ntawm rickets, ces lawv yuav tsum tau kho ua ke.
4. Ntxiv rau, tus menyuam raug muab zaws thiab gymnastics, uas yuav ua raws li lub hnub nyoog ntawm tus menyuam.

Thaum rickets raug kuaj pom hauv tus menyuam me, kev kuaj mob thiab kev kho mob ua ntej ntawm tag nrho suav nrog kev suav cov tshuaj kho cov tshuaj vitamin D. Raws li txoj cai, qhov ntau npaum li cas yuav tsum yog 600 txhiab lossis 700 txhiab units / hnub.

Ntau yam kuj nyob ntawm daim ntawv tso tawm cov vitamin, vim tias muaj cawv thiab roj npaj. Tsuas yog tus kws kho mob tuaj yeem sau cov tshuaj no - tsuas yog nws yuav suav cov koob tshuaj kom raug. Txwv tsis pub, kev noj tshuaj ntau dhau yuav tshwm sim, thiab cov kev mob tshwm sim tsis zoo yuav tshwm sim. Tom qab qhov sib txawvKev kuaj mob ntawm rickets, cov kev ntsuas hauv qab no tuaj yeem raug sau rau kev kho mob:

1. Ua ntej tshaj plaws, kev zaws yog qhib, uas yuav tsum tau ua los ntawm cov neeg laus, nws yog qhov xav tau los ntawm tus kws tshaj lij.
2. Rau menyuam yaus, gymnastics yuav tsum tau ua, uas suav nrog kev tawm dag zog. Nws yog ib qho tseem ceeb los ua kom muaj kev txav ntawm tus me nyuam thaum lub sij hawm gymnastics. Txhawm rau ua qhov no, siv cov nplhaib thiab cov nplaum. Passive gymnastic taw kuj suav nrog cais. Lawv ua los ntawm cov niam txiv, koj tuaj yeem nqa thiab nqa cov caj npab thiab txhais ceg ntawm tus menyuam mus rau sab, khoov thiab khoov ob txhais ceg ntawm lub hauv caug, thiab caj npab ntawm lub luj tshib.

Txawm hais tias cov txiaj ntsig ntawm kev kuaj mob rickets, feem ntau cov kws kho mob tau sau ntawv zaws. Cov me nyuam zaws muaj xws li cov tswv yim uas yuav tsum tau ua nyob rau hauv ib theem:

1. Pib tag nrho cov zaws taw nrog stroking. Yog hais tias tus me nyuam ntshai heev, ces cov kev txav no yuav pab kom nws siab. Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias kev txav yuav tsum tau gliding thiab teeb.
2. Tom qab stroking, koj tuaj yeem txav mus rau txhuam. Cov kev ua no yuav pab kom zaws cov txheej txheej ntawm daim tawv nqaij, uas tuaj yeem txhim kho cov txheej txheem metabolic thiab ua kom tawv nqaij elasticity.
3. Kneading pab ua kom muaj ntau cov leeg. Qhov no txhim kho cov ntshav khiav. Tsis tas li ntawd, cov khoom lag luam metabolic pib tawm sai dua, cov leeg nqaij contraction nce. Cov tswv yim zoo li no tuaj yeem siv los txo cov leeg.
4. Qhov kawg txav hauv qhov zaws yuav tsum yog vibrations, uas yog, oscillatory txav uas yuav txhim kho cov txheej txheem metabolic thiab tswj lub suab.cov leeg.

Thaum muaj kev xav tias cov menyuam yaus muaj rickets, kuaj mob, kho - qhov no yog thawj yam uas niam txiv yuav tsum tsom mus rau. Yog tias ntsuas tau raws sijhawm, ces qhov tshwm sim loj tuaj yeem zam tau.

Kev tiv thaiv kab mob rickets

Yuav tsum pib tiv thaiv txawm tias ua ntej yug me nyuam, yog li cov poj niam uas nqa tus menyuam hauv qab lawv lub siab yuav tsum ua tib zoo saib xyuas lawv txoj kev noj qab haus huv thiab noj txhua yam zaub mov uas muaj vitamin D. Nws yog los ntawm leej niam. tus me nyuam tau txais cov khoom no nyob rau hauv peb lub hlis tom ntej no lub cev, thiab tom qab ntawd pib sau nws tus kheej. Tab sis tsis txhob chim heev yog tias tus me nyuam muaj cov tsos mob zoo li rickets. Kev kuaj mob sib txawv yuav pab tsis tau tsuas yog txiav txim siab seb tus menyuam puas muaj kab mob tiag tiag, tab sis kuj qhia tau tias nws nyob rau theem twg. Raws li kev tiv thaiv, cov niam txiv tuaj yeem ua cov hauv qab no:

1. Thaum hnub nyoog laus, ntxiv cov khoom noj uas muaj vitamin D, calcium thiab phosphorus rau tus menyuam noj.
2. Yog tus me nyuam yug ntxov ntxov, tus kws kho mob yuav tsum tau muab tshuaj vitamin D, vim qhov no nws yuav tsis muaj lub cev me.
3. Nws yog ntshaw kom tus me nyuam ua lub neej nquag. Qhov no yuav pab nws tsim nws lub cev pob txha.
4. Nws raug nquahu kom noj ntau hnub da dej - qhov no, vitamin D yuav tsim los ntawm lub cev nws tus kheej.
5. Txij thaum yau, koj tuaj yeem qhia tus menyuam kom tawv. Qhov no yuav ntxiv dag zog rau lub cev tiv thaiv kab mob thiab ua rau muaj kev tiv thaiv tsis zooyam.

Nws tsim nyog nco ntsoov tias yog tus menyuam muaj rickets, kuaj mob, kho thiab tiv thaiv tsuas yog txhawm rau tshem tawm qhov ua rau thiab ntxiv dag zog rau lub cev me. Kev saib xyuas tus me nyuam kom raug yog ib qho tseem ceeb, yog li cov niam txiv yuav tsum ua raws li cov kauj ruam no:

1. Nco ntsoov saib xyuas tus menyuam tus cwj pwm.
2. Nqa koj tus menyuam mus kuaj niaj hnub kom tus kws kho mob tuaj yeem palpate fontanelles.
3. Txog rau lub hlis, nws yuav tsum ua tib zoo saib xyuas cov kev hloov pauv hauv tus menyuam lub hauv siab kom tsis txhob muaj kab mob hnyav.
4. Saib xyuas koj tus menyuam lub cev lub cev.
5. Kho tus menyuam txoj kev noj haus los ntawm kev ntxiv cov khoom noj uas muaj vitamin D.
6. Siv sij hawm ntau sab nraum zoov.

Yog cov niam txiv muaj qhov xav tsis thoob me ntsis tias tus menyuam muaj rickets - chaw kho mob, kuaj mob, kho - qhov no yog tag nrho txoj hauv kev uas cov neeg laus yuav tsum mus nrog lawv tus menyuam. Tsis muaj ib qho xwm txheej twg koj yuav tsum tau kho tus kheej, vim koj tsuas tuaj yeem cuam tshuam qhov xwm txheej thiab ua rau koj tus menyuam tsis taus mus rau lub neej.

Tsuas yog kws kho mob tuaj yeem sau tshuaj kho tau zoo. Feem ntau, nrog rau cov vitamin D, lwm cov tshuaj tau sau tseg uas pab txhim kho cov txheej txheem metabolic. Qee lub sij hawm tus kws kho mob tuaj yeem sau ntawv ntxiv txog calcium thiab phosphorus, yog tias qhov kev ntsuam xyuas qhia tias lawv tsis muaj. Cov tshuaj no suav nrog Complivit thiab Calcium Gluconate.