Kusimba: kudzivirira vana. Kudzivirira kusimba mune vacheche

Vakawanda vanoziva shoko iri kuti chirwere kwete chete, asiwo chinorwadza mhando, mumuviri, uye nenzira yokufananidzira, uye utera nepfungwa. Hongu, ndizvo kusimba. The chirwere ndohwaJehovha zvokurwara zvevana kunoratidzwa pazera zvaipesana mapfupa inotungamirwa. Chikonzero chiri kushaya vhitamini D pamuviri, iro zvakaipa kudiwa panguva ndichibvunza ikure mwana, panguva paumbwe shwashwa uye mapfupa yacho marangwanda. Uyezve, kushaya fuma iyi kunokanganisa pfungwa bhora uye kwomuviri. Zvakakosha kuona kunyange kuchinja kuduku vari maitiro evana, sezvo kutanga chirwere chinogona kuitika zvakavanzika.

nyaya

Kokutanga chirwere ichi akarondedzerwa muEngland pakati nemanomwe remakore, asi mabhuku Semi-Medical pachine rechipiri-rechitatu remakore AD. It akapa dzakawanda dzidziso panowanikwa chirwere ichi uye nzira kurigadzirisa. mushonga kwakawanikwa - kodhi mafuta, asi tsanangudzo kubudirira kwayo akawana zvikuru gare gare. Nemhaka kuedza kwaitungamirirwa McCollum, nyika vakaziva kuvapo pfuma akadai vhitamini D. Gare gare, mukuvamba ramakumi remakore, chiremba German muitiro muzvidzivirire kusimba kushandisa ultraviolet rambi. Iye ndanyarara hangu, nokuti kushaya zuva uye wairambidza kukura chirwere.

zvinokonzera

Kune akawanda predisposing zvinokonzera kukura kusimba. Vanogona kuitika vaviri pamwe chete uye vachiravana.

1. Kushomeka yakawanda chezuva, kusanganisira nokuda ekunze uye okunze.
2. Sizvo kudya mucheche, uye somugumisiro, murombo Absorção de Água calcium phosphorus, uyewo kunyanya kugutsikana kwemafuta mhuka zvokudya.
3. Deep preterm vacheche.
4. Majini vakatsunga zvinetso inotungamirwa uye muviri vhitamini D.
5. Kwemarudzi kubatwa.

Hatina munhu kufarira nzvimbo chirwere panyika mepu, inowanikwa kwose kwose. Most kazhinji nokuratidzwa zvinoda nzvimbo inotonhora mwaka, kana nokuda zvoga yaikura nokushaya chiedza chezuva. Zvikurukuru nenjodzi vana vakaberekwa mukupera kwematsutso nechando.

Uyezve, vanaamai ano havadi breastfeed mwana muropa, vachisarudza havo muone kana mukaka. Izvi kuchambokanganisa mwana intestinal Colonisation zvakanaka. Uyewo chakagadzirwa Sevamiririri ane kukwana mari zvakakodzera zvinhu kuti kukura rinopindirana uye kukura kwemwana. Nendumure achitambura kufutisa, metabolic zvirwere, intestinal colic, uye, chokwadi, kusimba.

The pathophysiology chirwere

Zvinozivikanwa kuti chikamu iri kuitwa calcium mapfupa inotungamirwa muitiro pacharo asingafariri vhitamini D, uye metabolites ayo zvakapararira munyika chiropa uye itsvo. Pashure pokusununguka, vazhinji enzymatic uye metabolic nehurongwa havasati asvika dzakabudirira zvakakwana kuita zvizere mutoro aida zviduku zvinenge kuti akure zvakanaka.

Dzichiumbwa ganda melanocytes, vhitamini D anopinda ropa uye zvaitakura kuti chiropa, apo chirongwa hydroxylation dzapera. Chemical kutendeuka kuvakwa muna itsvo, uye ipapo, ari muchimiro 24,25-dihydroxy-vhitamini D, chinobatanidzwa chicherwa muviri uye skeletal inotungamirwa. The yose muitiro iri pasi destabilization chero rwakazara. Naizvozvo, pathogenesis kusimba yakavhiringidzika chaizvo uye kwete zvakazara kunzwisiswa kunyange rakamanikana unyanzvi.

kuratidzwa

Kazhinji, wokutanga aramu mabhero kare aonekwa mavhiki matanhatu yomwana zera, asi ivo vari kudaro vasiri dzakananga kuti vabereki havafaniri kuriteerera, kana kubatanidza kuti zvimwe zvirwere. Panyaya iyi, zvinokosha kuchinja kuoneka chete mana kana mashanu nemwedzi.

Pakutanga mwana anotanga kuratidza chetsinga zviratidzo zvakadai hope chinovanetsa, kufunganya, kugumbuka. Zvadaro, akaderedza kufarira chikafu, zvinoitirwa kunonoka chair. Usiku mwana sweats zvakasimba, ziya kunhuwa, ndikamumara musoro wake, uye nokuda nekukakavadzana pakati ikanyanya rinowanika alopecia mutsipa. Zvinoonekwa Kuratidza pfupa ikoko, vanoonekwa zvikuru gare gare. Wokutanga danho kunotora kusvikira pamwedzi.

Kana pasina matanho akatorwa havana, chirwere mberi unotevera nguva - kumusoro. It kunoratidzwa mwoyo pechipfuva, iyo curvature mapfupa repasi wamativi, veMubatanidzwa "marozari" uye "norwonzi" munzvimbo wokunzwa kugadzirwa remafupa rinenge somunhu compensatory kumurayiro rive dete yacho marangwanda. With zvose izvi sezvinoita mwana lags mumashure hwepfungwa uye kwomuviri.

Treatment kuenda pamusoro nguva kunobatsira kuderedza dzakawanda kuchinja, asi marangwanda deformation kuchapedza kwoupenyu hwose. Kuomera yakaipa kubatsira vakadzi, sezvo pane deformation pakati chiuno uye kuberekwa vaginally chisingazogoneki.

Diagnostics

Formal protocols nokuti chirwere uye kudzivirira kusimba vari kunzwisisa uye dzinovhiringidza kuti avhareji chiremba pakiriniki. Kare, yakavimbika nokusimbisa chirwere kwainzi Sulkovicha mharidzo, kuti anoona kurasikirwa calcium iri weti, asi zvino kuzivikanwa sezvo vasiri yakananga uye akaramba kushanda mune purogiramu tsika.

Parizvino vaiona ropa rakarurama kupfuura muedzo electrolytes: calcium, phosphorus, magnesium. Uyezve, kuteerera kwakadaro nokukanganisika parameters sezvo pamwero alkaline phosphatase uye serum creatinine. Miedzo yakawanda kushandiswa raitongwa kuona padanho vhitamini D metabolites uye mahormone pamusoro thyroid uye parathyroid mumasero.

Kubva paku chirwere nzira kunze radiography uye mupambare mapfupa honokono, kuongorora nzvimbo kukura uye mapfupa arambe achirema. In kusimba, ivo vachanzi akaremara, Ossificação em mapazi achinja uye kuwedzerwa.

kukura chirwere

In vana, pane madhigirii vatatu chirwere:

1. Munyoro kosi. Mwana chipo mumwe kana zviratidzo zviviri kubva pfupa, pane tsandanyama hypotonia, lethargy, asi kukura pfungwa anoenderana nezera.
2. Mwero kosi. Pane zvakakomba zvachinja marangwanda vakanyorwa kukuvara tsinga, nezvinetso nhengo dzomukati. Tanga kunyatsoratidza vanoziva remangwana kana zvinofunga abnormalities uye backlog mune rezvedzidzo kukura.
3. Chakakomba. Persistent ine mapfupa deformations kuti murege kubva atanga pashure kupora. Mwana ane ungwaru kushaikwa, kukura asingadi kusangana zera, inotyora dzimwe mugadziriro zvomukati mukupindura kukundikana metabolic hurongwa.

Prevention panguva pamuviri

mai Chero pamuviri vangabvumirana zvisingafadzi kunzwa kubva omunharaunda wevana chirwere - kusimba. Kudzivirira izvi ezvinhu anogona kutanga muitiro akatakura mwana. Strange sezvo sokuti, asi vakadzi vane pamuviri kazhinji hanya pamusoro penyaya iyi. Vanonwa tsama folic asidhi uye multivitamin zvivako, asi akafuratira chepuraimari kufamba. Asi ichi ndicho non-chaiyo kudzivirira kusimba.

Matanho vakaita utano hope usiku uye zororo hwatsvuka masikati. Uyezve, obstetricians akarumbidza achifamba maviri kanenge mana maawa pachena mhepo, zvisinei okunze. Zvakakosha kuti kudya zvakanaka uye dzakanaka;

• ose zuva kudya nyama kana hove;
• pane vakawanda koteji chizi, chizi, mukaka nezvimwewo nomukaka zvinogadzirwa zvakakwana;
• sanganisa zvokudya chichena uye miriwo.

Dzakananga kudzivirira kusimba mune vakadzi panjodzi (eclampsia, chirwere cheshuga, BP, chirwere renal kukundikana) rakaitirwa pavanoparidza endocrinologist. In wechitatu trimester maviri namasere kusvika matatu wechipiri vhiki, dzakabatwa vhitamini D ane dzakabatana dzomunyika zviuru ose rimwe zuva kuti kwemavhiki masere. Time, muchiitiko ichi, hakukoshi. Dzimwe nguva mishonga mapoka ultraviolet mwaranzi, izvo vatsigiri endogenous kugadzirwa cholecalciferol. Tanga navaduku, kumwe muzvina akashivirira dose, zvishoma nezvishoma vachiwedzera kusvika mishonga maviri. Zvirongwa dzinoitwa mazuva ose kana mumwe zuva ose.

vachangoberekwa

Kudzivirira kusimba mune vacheche rinoitwa kana amai hausi boka pangozi kana kwete kutevera kunenge yevakadzi kuti zano iri hurumende yake uye zvokudya panguva yepamuviri. Muchipatara mwana chinotarisirwa kuva bolus zviuru zvina vamapoka cholecalciferol rimwe zuva mukati. Uye vanoramba kubatwa saka refu kusvikira zvose zviratidzo chirwere zvachose. Zvadaro ita kuti Nokuraramisa dose mazana mana dzemarudzi dzakabatana pazuva.

Kudzivirira kusimba mune vacheche pamwe malabsorption vhitamini D ari ura siyanei. Panyaya iyi, nezuva dose kunogona kusvika muzvikamu zviuru gumi.

diki

Zviri kuti zvose nyaya dzine mwana akaberekwa nguva isati yakwana, kusimba uye anobatana mumwe. Zvinokonzera, zviratidzo, kudzivirira zvirwere izvi ine dzimwe zvinhu. Sezvo mamiriro ezvinhu mitumbi akaumba insufficiently ari, vanachiremba dzakabatwa iye karusiyamu gluconate (makumi matanhatu milligrams yakaisvonaka karusiyamu pazuva pa kilogram). Chinonengaidza kwayo phosphorus akawedzera matatu milligrams kuti potassium phosphate pazuva chete kilogram kurema muviri.

Iva nechokwadi kuti kuongorora ropa kwevari calcium phosphorus kudzivirira kutsoropodza inoti.

grudnichki

Kudzivirira kusimba mune vacheche ndiyo hanya zvakanaka kwavari. Chekutanga izvozvo chokuita Vatasvi. Zvakakosha kuti mwana akafamba kwemaawa anopfuura mana rimwe zuva uye hope ari tsime ventilated nzvimbo. Kana zvichibvira, vabereki vanofanira kusiya mumugwagwa napo mwana akashama, saka kuti zvakawanda ganda vachibatwa UV chiito. Manheru, unogona kugeza mwana wako sesaline kana softwood kugeza. Izvi kwete chete kunoderedza excitability uye anogadzira kuti usiku, asi anosimbisawo zvirwere.

Akakodzera chikafu mwana mukaka, sezvo rine zvose zvakafanira micro uye makro okunze, uyewo zuva nezuva ndozvakajairwa kwemapurotini, kwemafuta uye makabhohaidhiretsi. Asi kana zvisingaiti, Zvinokurudzirwa kutamira akaderedzwa Masvomhu, ane sezvo pedyo sezvinobvira yepanyama padanho phosphorus uye calcium yakawanda. Kudzivirira kusimba mune vacheche kunobva zvachose pamusoro kuziva uye zvido vabereki.

Age: kusvika gore

Kudzivirira kusimba mune vana pasi gore rimwe ari yakafanira nopindirana zvokudya, izvo zvinofanira ane uwandu mavhitaminzi B, A, C, uyewo miriwo uye mhuka mafuta zvakakwana. Kubatsira nomukaka zvinogadzirwa kunyange kukodzera kutaura. Zviri pachena.

Kudzivirira kusimba mune vacheche ndechokuti, kusanganisira kuva jimunasitikisi uye mumuviri kurapa. Zvakafanira kuti rinopindirana kukura neuromuscular ezvinhu, pane njodzi pfupa deformation pasi uremu mwana, simba tsandanyama zvinobatsira zvakaenzana kuparadzira uremu uye kudzivisa kwakakomba kukanganisa pamusoro marangwanda. Kurovedza dzose, zvishoma nezvishoma kuwedzera mutoro uye mamwe matanho proactive kubatsira kudzivirira kusimba.

Contraindications kudzivirira

Kungofanana mushonga, muna vhitamini D, pane kunze mabiko. Dzakananga kudzivirira kusimba mune vana hauna kuitwa, kana vane maperembudzi chirwere Williams, Bourne, kana zvimwe idiopathic kaltsituriya. Panyaya iyi, kurasikirwa calcium haina chokuita kushayiwa vhitamini D. The chete chirwere chechipiri - hypophosphatasia. Uyezve, kuvapo Organic maronda ari nechepakati tsinga, microcephaly uye craniostenosis uyewo haana varumbidzwa kudzivirira kusimba mune vacheche. Komorowski chinoratidza nyaya iyi hurukuro ake zvizere.

Mwana mukuru mumwe gore

Musafunga kuti kana mwana wako ava kurei, ngozi dzichiri metabolic zvirwere kuenda kure. Kudzivirira kusimba muvana mushure gore anomufumisa zvokudya pamwe nomukaka zvinhu uye antioxidants (mafuta hove, miriwo, Citrus michero, hove). Kana pane kutyorwa kuri autonomic tsinga, zvakadai kunyanya vangadikitira, vakagadzwa "Carnitine", "Wisteria", "Panangin" kana Asparkam "iri kosi dose kwemwedzi kugamuchira.

Nokuti kurangwa kwomuviri, kana zvichidikanwa, Zvinokurudzirwa kutora zvinodhaka "Akti-5." Rine chisinganzwisisiki mavhitamini uye zvakanaka woga nedare mwana. Uyezve, pediatricians vanokurudzira masaja uye mumuviri kurapa kubatsira kukunda skeletal deformities uye neutralize zviratidzo.

mabatiro

Usaora mwoyo kana chiremba chirwere "kusimba" vari vana. Zviratidzo, dziviriro uye kurapwa nayo yagara inozivikanwa uye kushandiswa zvinobudirira pose. Ndiani dzakabudirira zvinodhaka akadai "Akvadetrim", iro rine vhitamini _D3. Zvinonyatsozivikanwa akashivirira mune vana, uye kunogona kushandiswa pasina mukana ovhadhozi. Kunze kwake, pamusoro musika nhasi vane mishonga indasitiri "Devisol", "Vigantol", "Videin-2" ane mafuta mhinduro vhitamini D. Vose vane contraindications, saka kuva nechokwadi pamberi kutora kubvunza chiremba wako.

ovhadhozi

Treatment, dziviriro kusimba angava kukodzera, uye ipapo pane ovhadhozi vhitamini D. The mwana yakatanga Zviratidzo nomuchetura, akadai kuda kurutsa, kurutsa, kutyorwa chitsiko uye weti chengetedzo. Kana kuonekwa zviratidzo izvi nyevero unofanira pakarepo wazivisa chikuru kutarisirwa wevana wako uye ane bvunzo ropa karusiyamu tigutsikane iri plasma. Unogona kuwedzera kutsvakurudza uye Sulkovicha mharidzo, kunyange zvazvo iri haana kuiswawo pakati mureza Protocol.

Ataura kuti ane ovhadhozi kurapwa wapindurudzwa kwekanguva uye kumbira vabereki kuti dzisanyanya famba uye kudya. Hazvina zvakakodzera kutsvaka uye kubata hwokunyanyisa mwana wavo kusimba. Kudzivirira anogona kutamba kutamba kwoutsinye nevabereki zvakare akangwarira.

zvekuchipatara ongororo

Vana vane chirwere "kusimba" Zvakakodzera kuti kupfeka chiremba nhoroondo pashure anouya kurapwa uye mumarabhoritari kupora. Nokuda kunzwisisa nekuomarara pamigumisiro kutarisira vana ivavo chiri kuitwa mukati makore matatu kubva musi pakuyerera. Vakadana kuti kushanya ose mitatu.

Nenzira, zvokuongorora kuti "kusimba", dziviriro zvayo uye kurapwa havasi contraindication kuti muitirowo kubaya. Chinhu chikuru - kunyevera chiremba uyo achaita chinhu anobaya, uye chiremba.

Munyika yanhasi kusimba dambudziko hakusi chakasimba sezvo zana apfuura, asi vachiri musakanganwa kuti hanya pamwe chirwere kunogona kukonzera kuremara. Sezvineiwo, kwakanga kusina Kusara kuushe kupinda ari map mwana kukura "kusimba." Madzivirirwe dzidzo utano basa rinoitwa panguva yakakodzera vanochiva iyo inopa kuverenga vabereki vaduku, Kusvinurira pamusoro utano yevana vavo. Kunyange kana dambudziko rakadaro kunoitika, mushonga anogona kuwanikwa chero chezvinodhaka, uye kubudirira kurapwa kunoenderana sei vabereki vanoda ichi murwere shoma.