Matenda a shuga a ana > Matenda a shuga

Zizindikiro zoyambirira za matenda a shuga a phosphate zimawonekera mchaka choyamba kapena chachiwiri cha moyo, pamene mwana ayamba kuyenda (nthawi zina kale):

Mkhalidwe wamwana nthawi zambiri samasokonezedwa,
kukula kubwezeretsa
Kutalika kwamiyendo kwa miyendo,
Kusintha kwa mafupa ndi bondo,
kukula kwa mafupa m'dera lamanjenje,
kutsitsa minofu kamvekedwe
pakumva kupweteka kumbuyo ndi mafupa (nthawi zina chifukwa cha kupweteka kwambiri, mwana amasiya kuyenda).

Matendawa ndi omwe adachitika chifukwa cha kusintha kwa maselo mu X chromosome, yomwe imasokoneza mayamwidwe a phosphates mu renal tubules, ndipo pambuyo pake imayambitsa mndandanda wazomwe zimayambitsa kupatsirana kwa calcium ndi mafupa.
Amuna omwe amanyamula jini losalongosoka amapatsira ana awo aakazi.
Amayi omwe amanyamula jini losalongosoka amapatsira matendawa kwa ana amuna ndi akazi onse (ndi ana amuna ndi akazi) chimodzimodzi.

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Dokotala wazachipatala amathandizira pa matenda

Zizindikiro

Kusanthula kwa mbiri yachipatala ndi madandaulo a matenda (kafukufuku wa makolo):
- kukula kwa mwana
- Kutalika kwamiyendo kwa miyendo,
- zopunduka zolowa, etc.
X-ray yamafupa (kuzindikira kusintha kwa kapangidwe ka minofu ndi kusokonekera m'malo a kukula kwa mafupa (mafupa ofananitsa).
Kusanthula kwa mkodzo wa phosphates (phosphorous mankhwala): kuwonjezeka kwa kuchuluka kwa phosphates (nthawi 4-5).
Kuyesedwa kwa magazi (kutsimikiza kwa phosphorous m'magazi muyeso ya calcium).
Kusanthula kwa ma genetic kuti muwone kusintha kwa chromosome ya X mwa mwana.
Kufunsira kwa endocrinologist ndikothekanso.

Chithandizo cha Matendawa a Phosphate

Kupangira Mlingo waukulu wa vitamini D (nthawi zina moyo).
Phosphorous, calcium, mavitamini A ndi E.
Ngati mafupa ofooka (kapena olimbitsa) a mafupa, mankhwalawa amalembedwa (mwachitsanzo, kukonza kwa kupindika kwa msana ndi kuvala ma corsets apadera a orthopedic).
Mankhwala othandizira ndi ofunikira pokhapokha ngati ali ndi vuto lalikulu la mafupa. Wonongerani nthawi yayitali ikatha.

Mavuto ndi zotsatirapo zake

Kuwonongeka kwa kukhazikika ndi kuwonongeka kwa mafupa pambuyo pa matenda a shuga a phosphate omwe adadwala muubwana amasungidwa moyo.
Kulera kwa ana m'maganizo ndi m'thupi.
Kupita patsogolo kwa kufowoka kwa mafupa ndi kuwonekera pang'onopang'ono popanda chithandizo chokwanira kumatha kubweretsa kulumala.
Kuphwanya kukukula kwa mano (matenda a kapangidwe ka enamel, kuphwanya nthawi ndi dongosolo la chinthu china, etc.).
Kumva kutayika (chifukwa cha kusokonezeka kwa mapangidwe a khutu lamkati).
Zotsatira za matendawa zimatha kukhala nephrocalcinosis (kuchuluka kwa mchere wamchere mu impso), zomwe zimapangitsa kuti aimpso alephere.
Matenda omwe mtsikana adakumana nawo ali mwana angayambitse kuchepa kwa mafupa, chifukwa chotsatira chovuta chovuta. Pa gawo lokonzekera kubereka, azimayi omwe adwala matenda ashuga aubwino muubwana ayenera kufunsana ndi katswiri wokhudza gawo lomwe lingachitike.

Kupewa matenda a shuga a Phosphate

Kuzindikira koyambirira kwa matendawa (kutumizirana kwa panthawi yake kwa katswiri pa chiyambi choyambirira cha matenda ndi cholinga chofufuzira koyambirira ndi kuperekedwa kwa chithandizo chamanthawi yake: cholinga chachikulu cha njirazi ndikuchepetsa zovuta ndi zovuta zake).
Kuchitira pa nthawi yake komanso kuyang'anira ana omwe ali ndi matenda ofanana ndi a madokotala a ana ndi endocrinologist.
Upangiri wachipatala ndi ma genetic kwa mabanja omwe ali ndi matenda a shuga a phosphate (pomwe m'modzi mwamabanja adakumana ndi izi muubwana) pa gawo lokonzekera kubereka. Cholinga cha mwambowu ndikufotokozera makolo za mwayi wokhala ndi mwana wodwala ndikuwuzani za kuopsa kwake, zotsatira zake, zovuta za matendawa kwa mwana.

Zosankha

Amadziwika kuti imodzi mwazinthu zazikulu zamankhwala zimakhala mafupa ndi calcium. Maziko a minofu yamafupa limodzi ndi calcium nawonso phosphorous. Munthu amadya zinthuzi ndi chakudya.
Kuchuluka kwa phosphates (phosphorous) m'thupi ndi imodzi mwazinthu zofunikira kuti mayamwidwe a calcium ndi minofu yamafupa.
Zotsatira za kusintha kwa mtundu wina wa X chromosome, kuyamwa kwa phosphate m'mitsempha ya impso kumayipa, ndipo pambuyo pake pamakhala njira zingapo zomwe zimalepheretsa kuyamwa kwa calcium mwa mafupa.

Maphunziro pa biochemistry ya KSMA, 2004
Volkov M.V. Dedova V.D. Ana Orthopedics-Medicine, 1980

Matenda a shuga a Phosphate: zimayambitsa, Zizindikiro, matenda, chithandizo

Masiku ano, pafupifupi makolo onse amadziwa za matenda monga ma ricores. Wachipatala aliyense kuyambira m'miyezi yoyambirira ya moyo wamwana amachenjeza za kufunika koteteza matendawa. Rickets amatanthauza matenda omwe amapezeka chifukwa cha kuchepa kwa cholecalciferol, chinthu chotchedwa vitamini D.

Komabe, nthawi zina, ana aang'ono amawona zizindikiro za matenda, ngakhale kuwonerera njira zopewera. Zikakhala choncho, matenda monga matenda a chifuwa cham'mimba ayenera kuganiziridwa. Mosiyana ndi ma rickets, matendawa ndi amtundu wa majini. Chifukwa chake, nthenda yoopsa kwambiri ndipo imafunikira chithandizo chanthawi yayitali.

Kodi matenda a shuga a phosphate ndi chiyani?

Ili ndi dzina la gulu la matenda obadwa nawo omwe amakhudzidwa ndi kusokonekera kwa mineral metabolism. Mwanjira ina, matenda am'mimba amatchedwa vitamini D osagwirizana ndi mankhwala. Mtundu wotchuka wa matenda a phosphate a shuga umapezeka mwa mwana wakhanda pafupifupi 20,000. Matendawa adafotokozedwa koyamba mu 1937. Pambuyo pake zidapezeka kuti pali mitundu ina ya majini ya matenda. Matenda a shuga a Phosphate amapezeka kwambiri ali ana. Chidwi cha makolo chimakopeka ndi chiwopsezo champhamvu komanso mafupa owongoka.

Kwa zaka zambiri ndakhala ndikuphunzira za zovuta za DIABETES. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.

Ndithamangira kunena mbiri yabwino - Endocrinological Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga mankhwala omwe amachiritsa odwala matenda ashuga mellitus. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 100%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipilira mtengo wonse wa mankhwalawo. Ku Russia ndi mayiko a CIS odwala matenda ashuga kale Titha kupeza yankho - ZAULERE!

Mitundu ina yamatenda amaphatikizidwa ndi zovuta zina za metabolic. Nthawi zina matendawa amakhala asymptomatic, ndipo amatha kupezeka ndi mayeso a labotale. Matendawa amawerengedwa ndi ma ricores omwe apezeka, hypoparathyroidism ndi endocrine pathologies ena. Chithandizo chiyenera kukhala chokwanira kuyambira ali ana.

Zomwe zimayambitsa matendawa

Chifukwa chachikulu chomwe chikuyambitsa matenda a shuga a phosphate ndi kuphwanya chilengedwe. Masinthidwe amabadwa. Omwe amachokera ku genetic amatha kukhala azimayi ndi abambo. Masinthidwe amapezeka pa chromosome ya X yolumikizidwa, yomwe imakhala yayikulu. Nthawi zina, matenda a shuga a phosphate amatha kupezeka. Amayamba motsutsana ndi maziko a zotupa za ma mesenchymal minofu, yomwe imapangika ngakhale pakubala. Pankhaniyi, matenda a zam'mimba amatchedwa "oncogenic rickets."

Matendawa ndi a gulu la tubulopathies - mkhutu aimpso ntchito. Chifukwa chakuti kubwezeretsanso kwa michere mu proximal tubules kumachepa, kuchepa kwa phosphorous kumayamba m'thupi. Kuphatikiza apo, matumbo a mayamwidwe amatupa. Zotsatira zake, kusintha kwamomwe amapangira minofu amawonedwa. Nthawi zambiri pamakhala kuphwanya kwa ntchito ya mafupa a mafupa. Amuna amapatsira majini osinthika okha kwa ana awo akazi, ndi akazi - kwa ana a akazi onse. Monga lamulo, mwa anyamata matendawa ndi oopsa kwambiri kuposa atsikana.

Kugawidwa kwa Matenda Aakulu a Phosphate mu Ana

Pali mitundu ingapo yamatendawa yomwe imasiyana mu ma genetic komanso matenda. Nthawi zambiri, X, yomwe imakhala yolumikizana ndi hypophosphatemic, imadziwika kuti ndi cholowa. Komabe, pali mitundu ina ya matenda. Gawoli limaphatikizapo mitundu ili ya matendawa:

Samalani

Malinga ndi WHO, chaka chilichonse padziko lapansi anthu 2 miliyoni amafa chifukwa cha matenda ashuga komanso zovuta zake. Pokhapokha pakhale thandizo loyenerera la thupi, shuga imabweretsa zovuta zosiyanasiyana, pang'onopang'ono kuwononga thupi la munthu.

Mavuto ambiri omwe amakonda ndi awa: matenda ashuga a m'mimba, nephropathy, retinopathy, zilonda zam'mimba, hypoglycemia, ketoacidosis. Matenda a shuga amathanso kuyambitsa kukula kwa zotupa za khansa. Pafupifupi nthawi zonse, wodwala matenda ashuga amwalira, akulimbana ndi matenda opweteka, kapena amasintha kukhala munthu wolumala.

Kodi anthu odwala matenda ashuga amatani? Endocrinological Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga mankhwala omwe amachiritsiratu matenda ashuga.

Pulogalamu ya Federal "Health Health Nation" ikuchitika, mkati mwa momwe mankhwalawa amaperekedwa kwa aliyense wokhala ku Russian Federation ndi CIS - ZAULERE . Kuti mumve zambiri, onani tsamba lovomerezeka la MINZDRAVA.

Mtundu wodziwika kwambiri wa matenda a shuga a phosphate. Amadziwika ndi kusintha kwa mtundu wa PHEX, womwe umateteza endopeptidase. Enzyme iyi imayendetsa ma mineral osiyanasiyana kudzera m'mayendedwe a impso ndi matumbo aang'ono. Chifukwa cha kusintha kwa majini, njirayi imayamba kuchepa, zomwe zimayambitsa kuperewera kwa phosphate ions m'thupi.
Mtundu wolumikizana wolumikizidwa ndi X. Amadziwika ndi masinthidwe amtundu wa CLCN5, omwe amata mapuloteni omwe amayang'anira ntchito ya chloride ion njira. Chifukwa cha chilema, kayendedwe ka zinthu zonse kudzera mumkati mwa mafupa amadzimadzi amasokonezeka. Omwe amalemba amtunduwu amitha kukhala azimayi ndi abambo. Komabe, matendawa amakula mwa anyamata okha.
Autosomal mtundu waukulu wa matenda a phosphate. Amalumikizidwa ndi kusintha kwa majini pa chromosome 12. Chifukwa cha chilema, mafupa am'madzi amapanga mapuloteni omwe amachititsa kuti ma phosphates azikhala mthupi. Pathology imadziwika ndi njira yofatsa, mosiyana ndi mawonekedwe omwe ali ndi X.
Autosomal recessive mtundu. Ndi osowa. Amadziwika ndi chilema mu jini la DMP1 lomwe lili pa chromosome 4. Imayala mapuloteni omwe amachititsa kuti minyewa ndi mafupa azitulutsa.
Autosomal recessive mtundu, limodzi ndi chimbudzi cha calcium mumkodzo. Zimachitika chifukwa cha chilema cha jini chomwe chili pa chromosome 9 ndipo chayendetsa machitidwe a sodium-aimpso.

Kuphatikiza pa mitundu yomwe idalembedwa kale ya matenda am'mimba a phosphate, palinso mitundu ina ya matenda. Mitundu ina yamatendawa sipanaphunzirepo.

Kusiyanitsa pakati pa Rickets ndi Phosphate Diabetes

Matenda a shuga ndi matenda a phosphate mwa ana sizofanana kwenikweni, ngakhale chithunzithunzi cha matenda ndichofanana. Kusiyana pakati pa izi ma pathologies mu etiology ndi makina a chitukuko. Maronda wamba ndi matenda omwe amapezeka chifukwa cha kusowa kwa cholecalciferol. Izi zimapangidwa pakhungu mothandizidwa ndi dzuwa. Ndichizolowezi kumwa mlingo wa Vitamini D tsiku lililonse kwa ana onse kuyambira mwezi 1 mpaka 3, kupatula nthawi yachilimwe. Chifukwa cha kuchepa kwa cholecalciferol, njira ya kuyamwa kwa calcium imasokonezedwa. Zotsatira zake, kupindika mafupa kumayamba.

Kusiyana pakati pa matenda a shuga a phosphate ndikuti amatanthauza matenda obadwa nawo. Ndi matenda awa, mayamwidwe am'mimba mu impso, makamaka ma phosphates, ndi opuwala. Nthawi zina, vuto la calcium limadziwika. Chifukwa chophwanya kuchuluka kwa kuphatikizika kwa minofu ya minofu, zizindikiro za ma pathologies ndizofanana. Kusiyanitsa pakati pawo kungathe kukhazikitsidwa pokhapokha ngati pakuwunika labotale.

Hypophosphatemic rickets mu makanda: Zizindikiro za matendawa

Zizindikiro za matendawa nthawi zambiri amapezeka mchaka chachiwiri cha moyo. Nthawi zina, hypophosphatemic rickets mu makanda amawonedwa. Zizindikiro zomwe zimapezeka muukhanda ndikutulutsa minofu ndi kufupikitsa miyendo. Mawonetsedwe akulu azachipatala ndi awa:

Kusintha kwamalumikizidwe miyendo.
O mawonekedwe opindika a m'munsi malekezero.
Kukula kwa kuchuluka kwa ana - kumaonekera patatha chaka chimodzi.
Kuchepa kwa mafinya a m'chiwuno ndi mtengo wama cartilage - "zibangili zazitali ndi korona."
Ululu m'matupa amchifuwa ndi msana.
Kuvulala kwa enamel ya mano.

Nthawi zambiri, kudandaula kwakukulu kwa makolo ndikuti mwana ali ndi miyendo yolowera. Matendawa akapita patsogolo, kufewetsa mafupa kumachitika - osteomalacia.

Owerenga athu amalemba

Ndili ndi zaka 47, ndinapezeka kuti ndili ndi matenda ashuga a 2. M'masabata angapo ndinapeza pafupifupi 15 kg. Kutopa nthawi zonse, kugona, kumva kufooka, kuwona kunayamba kukhala pansi.

Nditakwanitsa zaka 55, ndinali nditadzibaya kale ndi insulin, zonse zinali zoipa kwambiri. Matendawa adapitilirabe, kukomoka kwakanthawi kunayamba, ambulansi imandibwezera kuchokera kudziko lina. Nthawi zonse ndimaganiza kuti nthawi ino ikhala yomaliza.

Chilichonse chinasintha mwana wanga wamkazi atandilola kuti ndiwerenge nkhani imodzi pa intaneti. Simungayerekeze m'mene ndimamuyamikirira. Nkhaniyi inandithandiza kuthana ndi matenda ashuga, omwe amati ndi osachiritsika. Zaka 2 zapitazi ndidayamba kusuntha kwambiri, nthawi yamasika ndi chilimwe ndimapita kumayiko tsiku lililonse, timakhala ndi moyo wachangu ndi amuna anga, timayenda maulendo ataliatali. Aliyense amadabwitsidwa ndimomwe ndimakwanitsira chilichonse, komwe ndimatha mphamvu zambiri, sakhulupirira kuti ndili ndi zaka 66 zakubadwa.

Ndani akufuna kukhala ndi moyo wautali, wamphamvu komanso kuiwalako za matenda oyipawa kwamuyaya, tengani mphindi 5 ndikuwerenga nkhaniyi.

Chithandizo cha ricches ndi matenda am'mimba a phosphate

Mlingo waukulu wa cholecalciferol amagwiritsidwa ntchito pochiza matenda a shuga a phosphate. Nthawi zina, kukonzekera kwa calcium kumawonetsedwa. Onetsetsani kuti mukugwiritsa ntchito mankhwala okhala ndi phosphorous. Kupititsa patsogolo vutoli, mavitamini ndi michere yama mineral amapatsidwa. Izi zikuphatikizapo kukonzekera "Vitrum", "Duovit", "Alfabeti", ndi zina zambiri.

Ndi kupindika kwambiri kwamafupa, chithandizo cha physiotherapeutic, masewera olimbitsa thupi ndikuthandizira opaleshoni akuwonetsedwa. Kulumikizana ndi dokotala wa amisala ofunika kumafunikira.

Nkhani za owerenga athu

Matenda a shuga kunyumba. Patha mwezi kuchokera pamene ndayiwala za kudumphira shuga komanso kumwa insulin. O, momwe ine ndimavutikira, kukomoka kosalekeza, kuyimba mwadzidzidzi. Kodi ndapita kangati kwa endocrinologists, koma amangonena chinthu chimodzi - "Tengani insulin." Ndipo tsopano masabata 5 apita, popeza kuchuluka kwa shuga m'magazi ndikwabwinobwino, osati jakisoni imodzi ya insulini ndipo chifukwa chonse cha nkhaniyi. Aliyense amene ali ndi matenda ashuga ayenera kuwerenga!

Njira zopewera komanso kuperewera

Njira zodzitetezera zimaphatikizapo mayeso a Dokotala wa ana ndi opaleshoni, akuyenda mu mpweya watsopano, kusankha vitamini D kuyambira mwezi woyamba wamoyo. Ngati pali odwala a phosphate-shuga m'mabanja, kafukufuku wamtunduwu uyenera kuchitidwa pakukula kwa fetal. Matendawa nthawi zambiri amakomera chithandizo chanthawi yake.

Zolakwika zosakhululukidwa m'mafilimu omwe simunawonetsetse. Pali anthu ochepa kwambiri omwe sakanafuna kuonera mafilimu. Komabe, ngakhale mumakanema abwino kwambiri pamakhala zolakwika zomwe wowonera angazindikire.

Osatinso konse kutchalitchi! Ngati simukutsimikiza kuti mukuchita bwino mu tchalitchi kapena ayi, ndiye kuti mukuchita zolakwika.Nawu mndandanda wazowopsa.

Momwe mungawonekere zazing'ono: tsitsi lodula labwino kwambiri kwa iwo omwe ali ndi zaka zopitilira 30, 40, 50, 60 atsikana azaka 20 samadandaula za mawonekedwe ndi kutalika kwa tsitsi lakelo. Zikuwoneka kuti unyamata udapangidwa kuti uyesedwe pa maonekedwe ndi kulimba mtima kwa ma curls. Komabe, zomaliza.

Amayi 9 otchuka omwe adakonda akazi .. Kusonyeza chidwi osati anyamata kapena atsikana si zachilendo. Simungadabwe kapena kudabwitsani munthu ngati mukuvomereza.

Chifukwa chiyani timafunikira thumba laling'ono la jeans? Aliyense amadziwa kuti pali thumba tating'onoting'ono pa jeans, koma owerengeka amaganiza chifukwa chake angafunikire. Chochititsa chidwi, poyambirira anali malo a hr.

Makolo athu sanagone ngati ife. Kodi tikulakwitsa chiyani? Ndizovuta kukhulupirira, koma asayansi ndi akatswiri ambiri azambiri amakhulupirira kuti munthu amakono sagona konse ngati makolo ake akale. Poyambirira.

Matenda a shuga a Phosphate: chithandizo, zizindikiro, zimayambitsa mwa ana

Ngakhale kuti dzina la matendawa limaphatikizapo dzina la shuga, silikugwirizana ndi ntchito ya kapamba, mavuto a insulin komanso shuga wamagazi. Komabe, matenda a shuga a phosphate samatisangalalira chifukwa cha dzina lake, komanso chifukwa amakula chifukwa cha zovuta za metabolic, ndipo iyi ndi imodzi mwamitu patsamba lathu.

Sikuti aliyense amadziwa kuti zamankhwala, matenda ashuga amatha kutchedwa osati mellitus a mtundu woyamba kapena wachiwiri. Matenda a shuga amatchedwanso gulu lonse la matenda omwe ali ndi zifukwa zosiyanasiyana, koma ali ndi zofanana ndi izi:

ludzu kwambiri
kukodza pafupipafupi,
kusintha kwakuthwa mwa kapangidwe ka mkodzo.

Matenda a shuga a Phosphate ndi ofanana ndi matenda ena a gululi, osati zizindikiro zokha, komanso kuphwanya njira ya metabolic m'thupi. Komabe, pali kusiyana kwakukulu kuchokera ku matenda ashuga - kutengera kwa chibadwa. Mwanjira ina, matenda a shuga a phosphate amabadwa ndipo ndikosatheka kupewa kupezeka ndi chitukuko mwanjira iliyonse.

Nthendayi imafalikira kuchokera kwa abambo kupita kwa ana akazi 100 peresenti yokha. Wonyamula matenda a shuga phosphate amathanso kukhala mayi, yemwe amapatsira matendawa kwa ana ake aamuna ndi aamuna chimodzimodzi.

Pali manambala azachipatala omwe amati kugonana kwa amuna kumakhudzidwa kwambiri ndi zomwe zimayambitsa matendawa kuposa mzimayi. Nthawi zina, ma neoplasms a minofu yofewa amatha kuwonedwa, koma izi ndi kale za anthu okalamba.

Zolemba za matendawa

Monga taonera kale, matenda a shuga a phosphate ndi ofanana ndi matenda a shuga a metabolism. Pali matenda ena omwe ali ndi mawonekedwe ofanana ndi iwo - awa ndi ma rickets. Pankhaniyi, kukula kwamkati mwa mafupa kudzadziwikanso chifukwa chosavomerezeka mu kagayidwe ka phosphorous ndi calcium.

Matenda a phosphate mu ana amatha kuperewera ndi vitamini D, ndipo mwa akulu amawonetsedwa ndi kupindika kwa mafupa ndi kufewetsa kwawo. Mayina ena a matenda a shuga a phosphate:

mavitamini otengera vitamini D,
maukadaulo a mtundu wachiwiri,
zopezeka m'mabanja
hypophospholenic rickets.

Mwachidule, mu matenda awa ndikuphwanya mayamwidwe okwanira a calcium ndi phosphorous, zomwe zimalepheretsa minofu ya mafupa kupanga bwino. Kuphatikiza apo, pali zovuta zakulowa m'thupi la vitamini D, lomwe liyenera kusinthidwa kukhala zinthu zapadera zofanana ndi mahomoni.

Matenda a shuga a Phosphate amadziwika kuti pali kuphwanya kapangidwe ka zinthu zofunika kuti thupi lipange vitamini D kapena mphamvu ya minyewa kwa iyo imangotsika. Calcium yonse yomwe sinatengeke ndi mafupa imapukusidwa kwathunthu pakukodza.

Zotsatira za matenda a shuga phosphate ndi zofanana ndi omwe ali ndi ma ricores omwe sanapezeke. Mwana akamakula, mafupa a mafupa ake amakula, ndipo makamaka muzovuta kwambiri komanso osasiyidwa, mwana amatha kulephera kuyima payokha.

Gulu la olumala limatha kuopseza odwala omwe matendawa amafanana ndi omwe amayambitsa matendawa. Kuphwanya kashiamu kulolerana pamwambapa kumangokulitsidwa.

Makhalidwe a matenda

Munthawi yachilendo, kukoka kwa phosphorous kumachitika m'matumbo a impso ndipo kumayendetsedwa ndi vitamini D. Zotsatira zake zimakhala zofanana ndi insulin, momwe glucose imalowera m'maselo - momwemonso zomwe zimachokera mu vitaminiyi yothandiza minofu yake kuyamwa phosphorous.

Mu matenda a shuga a phosphate, njirayi imalephera: mwina thupi silingathe kupanga mavitamini ndikuchotsa zinthu zofunikira kuchokera pamenepo, kapena pali zinthu izi, koma zimakhala kuti sizimawakhudza. Chifukwa cha izi, phosphorous ayoni samatengedwa ndi thupi. Izi zimakhudza pafupifupi ziwalo zonse, makamaka mafupa am'mimba.

Izi ndichifukwa choti mayamwidwe a phosphorous ndi calcium zimagwirizana kwambiri. Ngati zinthu ziwirizi sizilowa mthupi, mafupa ndi mafupa sangapeze mphamvu yofunikira. Kodi izi zingachitike bwanji?

Zomwe zimayambitsa matenda a Phosphate shuga

Mavuto obadwa nawo mu phosphate shuga nthawi zambiri amatsimikiza. Matendawa amabadwa ndi magulu amtunduwu magulu asanu:

Mtundu woyamba umaphatikizapo milandu pamene geni "yolakwika" yolumikizidwa ndi X chromosome ndipo imakhala yayikulu. Amakhulupirira kuti ndi zosokoneza zamtunduwu, kayendedwe ka phosphorous ion kupita ku maselo ndizovuta. Njirayi imachepetsedwa kwambiri ndipo ma phosphates amatulutsidwa mwachangu mkodzo popanda kufikira minofu ya mafupa. Mwayi woti mzimayi atha kudutsa jini iyi ndi 50% - koma amupatsira ana a akazi onse, amuna amapatsira majini 100% - koma kwa ana aakazi okha.
Mtundu wachiwiri umapuma, mtundu wolakwika umalumikizidwanso ndi X chromosome, koma umakhudza amuna okha, azimayi amachita okha ngati onyamula. Kusokonezeka kwa jini kumeneku kumabweretsa mfundo yoti njira zotsatsira ma ions onse mu malingaliro amasokonekera, ndipo ma phosphates ndi osiyana.
Mtundu wosavuta kwambiri wamtunduwu wa shuga ndi mtundu wachitatu. Chifukwa cha kusintha kwa majini, mapuloteni amapangidwa omwe amafulumizitsa kuchulukitsidwa kwa phosphates kudzera mu ngalande za urin.
Mtundu wokhazikika wa matendawa umatheka pokhapokha ngati makolo onse ndianyamula jini losalongosoka. Mtundu wa matenda ashuga awa suwamveka bwino.
Mtundu wotsiriza wa matenda ashuga umasiyanitsidwa ndi urine excretion osati phosphorous, komanso calcium. Nthawi yomweyo, zomwe zili m'magazi zimachepa kwambiri.

Mitundu iwiri yomaliza ndiyosowa kwambiri.

Nthawi zina, matenda a shuga a phosphate amatha kukhala mwa akulu chifukwa cha matenda a impso.

Zizindikiro za matendawa

Hypophosphatemic rickets, mosiyana ndi chizolowezi, siziwonekera pompopompo, koma zaka 1.5-2, mwana akayamba kuyenda. Chithunzi chachipatala cha mitundu yosiyanasiyana ya matenda am'mimba a phosphate mu ana ndi chosiyana kwambiri - nthawi zina chimatha kutsimikiziridwa pokhapokha pokhapokha pena paliponse, kupezeka kwazovuta kumawonekeratu, ndikufanana ndi ma ricores wamba. Makolo ndi madokotala angazindikire izi:

kupindika kwa miyendo, komwe kumawonekera momwe mwana amaphunzirira kuyenda,
wodabwitsa, mavuto ndi mawonekedwe a mano, khola,
wosakhazikika, mwana akuyenda mbali ndi mbali kapena sangayende popanda thandizo,
mafupa olimba, omwe amatsogolera kukuwombana pafupipafupi,
Zochita za mwana zachepa, amakhala wamisala akamayesa kumukakamiza kuchita zolimbitsa thupi,
kukula kwa mafupa a miyendo pafupi ndi mafupa.

Inde, chimodzi kapena zingapo mwazizindikirozi zimatha kuoneka mwa mwana wathanzi, chifukwa chake makolo sayenera kuchita mantha nthawi yomweyo. Koma ngati mwana amalira ndi zowawa nthawi iliyonse akaikidwa pamapazi ake, iyi ndi nthawi yolankhula ndi dokotala ndikuyezetsa.

Sizingakhale zovuta kwa katswiri kusiyanitsa matenda a chifuwa cham'mimba m'matumbo wamba: ndikusintha kowawa komaliza, mafupa onse amasintha, ndipo mafupa okhaokha ndi mafupa a miyendo amakhala ndi hypophosphatemic.

Zovuta zotheka

Ndi chithandizo cha panthawi yake, zovuta zimatha. Koma ngati kusintha kwa mafupa sikuyimitsidwa osakonzedwa nthawi yomweyo, kumakhalabe moyo. Izi zitha kukhala zopindika miyendo kapena kutalika kwambiri. Zovuta zamkati mwa mafupa a m'chiuno mwa azimayi ndizomwe zimayambitsa gawo la cesarean panthawi yapakati. Ponena za kutenga pakati, chiopsezo chodzetsa matendawa kwa mwana ndichokwera kwambiri.

Zotsogola, Kupewa

Ndi chithandizo choyenera muubwana, matendawa amatha kudziwonetsa pokhapokha pakufunika phosphorous ndi calcium. Izi zikugwira ntchito paunyamata, pakati komanso pakubala. Pakadali pano, ndikofunikira kutenga mavitamini ndi michere yofunikira ndikuyang'aniridwa ndi dokotala nthawi zonse. Ayenera kuwona chithunzi cha mayesowo kuti pasapezeke calcium, phosphorous kapena mavitamini ambiri.

Omwe ali ndi vuto la chibadwa ichi ayenera kuganizira mozama kuti matendawa ndi omwe amatengera kwa makolo awo, ndipo akambirane izi ngakhale pa nthawi yopanga banja. Ngati mayi ali ndi matenda a shuga a phosphate komanso kukhala ndi pakati, ayenera kuuza dokotala za kukhalapo kwa matendawa. Izi zimachepetsa chiwopsezo kwa mayi komanso mosamala kuyang'anira thanzi la mwana.

Wina angaganize molakwika kuti ngati mwayi wokhala ndi mwana wosabereka ndi 50%, ndiye kuti mimba yachiwiri imangoyesedwa ngati ili yonse yathanzi. Izi siziri choncho, kuthekera kopatsira shuga wa phosphate kwa mwana wachiwiri amakhalabe pamlingo wokwera kwambiri.

Ngakhale matenda ashuga a phosphate akadali matenda osachiritsika a majini, kuyendera kwa dokotala panthawi yoyenera, kupezeka koyenera, chithandizo choyenera komanso njira yovuta kwambiri yomwera mankhwalawa nthawi yonseyi, ndikotheka kukhala ndi moyo wabwinobwino, wotalikitsa.

Kodi matendawa amachitika bwanji?

Muubwana, kufunikira kwa calcium ndi phosphorous ndikofunikira kwambiri kuposa akulu. Pazifukwa izi, zotsatira za matendawa kwa ana ndizovuta pang'ono.

Zizindikiro zotsatirazi zimawonedwa ndi matenda am'mimba a phosphate:

otchedwa bakha kuyenda,
kukula ndikotsika kwambiri kuposa pafupifupi
kupindika kwa m'munsi, ndipo makamaka miyendo yotsika, ndi kalata O,
kuvulala kwa msana.

Ali aang'ono kwambiri, matenda a shuga a phosphate amatha kupezeka makolo atamuwuza ntchito zochepa za mwana. Nthawi zina, makanda amatha kulira kapena kusilira, makamaka ngati mukufuna kuyenda. Izi ndichifukwa chakumva kuwawa kwa mafupa.

Ndi ma rickets, mafupa ndiwofowoka kwambiri pomwe ngakhale pakhale kuti palibe kupindika koonekera, matendawa amatha kuganiziridwa ngati apezeka pafupipafupi mafupa osafunikira mwa mwana.

Pali gawo lofunikira la ma sapulogalamu achikale komanso obadwa mwatsopano. Ngati woyamba angathe kupezeka m'miyezi yoyambirira ya moyo wa mwana, ndiye wachiwiri kokha pambuyo pa miyezi 6 kapena zaka 1.5-2 (mwana atayamba kuyenda).

Ndikotheka kuzindikira bwino matendawa mothandizidwa ndi:

kuyezetsa magazi kwa biochemistry,
kafukufuku wa x-ray.

Mapangidwe amwazi wamwazi ndi kapangidwe ka mafupa zidzakhala zosiyana ndi mitundu yosiyanasiyana yama ricores. Ngati pali kukayikira kwa matenda a shuga a phosphate, ndiye pankhani iyi, madokotala amalimbikitsa kuti makolo a mwana azikayezetsa koyenera.

Kodi ndizotheka kuthana ndi masheya obadwa nawo?

Momwe mankhwalawa amathandizira poyambira zamankhwala am'mbuyomu ndi phosphate ya shuga zidzakhala zofanana. Kuchiza kumaphatikizanso kuyambitsa kuchuluka kwa mavitamini D mthupi la wodwala. Popeza kuti ndi hypophosphatemic rickets kusinthika kwake sikulondola, kuchuluka kwa mankhwalawa kumafunikira.

Mankhwalawa, madokotala amayang'anira kuchuluka kwa phosphorous m'magazi, komanso magawo ena a biochemical. Izi ndizofunikira kuti munthu asankhe Mlingo wokwanira.

Mankhwala ochepetsa mavitamini amayenera kuthandizidwa mokwanira ndikukonzekera phosphorous, komanso zakudya zopangidwa mwapadera, zomwe ziyenera kuphatikizapo zakudya zomwe zili ndi phosphorous.

Nthawi zambiri sizotheka kukambirana za matenda omwe adapezeka kale. Nthawi zina, madokotala amalimbikitsa kuti adikire mpaka mwana afike zaka zitatu.

Nthawi zina, chithandizo chamankhwala chitha kukhala chochepa komanso kufunika kwa njira zopangira opaleshoni, komabe, sizotheka nthawi zonse kuyankhula za kuthetseratu matenda ashuga.

Mu shuga mellitus wa mtundu woyamba, ndizosatheka kubwezeretsa kupanga insulin. Chifukwa chake, ngakhale ndi zovuta ndi calcium, zimakhala zovuta kuyambitsa.

Ngati odwala akuluakulu atha kukhala ndi calcium yambiri ndi phosphorous yokwanira, ndiye kuti paubwana ndi unyamata pamakhala kufunikira kwakukulu kwa zinthu izi. Lamulo limodzilo lidzagwira ntchito kwa nthawi ya pakati mwa azimayi ndi mkaka wa m'mawere.

Sizotheka kukonza zomwe zimachitika chifukwa cha matenda ashuga a phosphate. Za moyo, munthu amakhalabe:

kutalika
kupindika kwa m'munsi.

Ndizotsatira zomaliza zamatsenga osagwiritsidwa ntchito mwa akazi omwe amakhala chinthu chofunikira kwambiri chosiya kubadwa kwa mwana ndikusankha gawo la caesarean.

Fotokozani

Ngati muwerenga izi, mutha kuzindikira kuti inu kapena okondedwa anu mukudwala matenda ashuga.

Tinachita kafukufuku, tinaphunzira zambiri zamagulu ndipo makamaka ndinayang'ana njira ndi mankhwala ambiri a shuga. Chigamulochi ndi motere:

Ngati mankhwalawa onse akaperekedwa, zinali zotsatira zosakhalitsa, atangomaliza kudya, matendawa amakula kwambiri.

Mankhwala okhawo omwe apereka zotsatira zazikulu ndi DIAGEN.

Pakadali pano, awa ndiye mankhwala okhawo omwe amachiritsiratu matenda ashuga. DIAGEN adawonetsa chidwi chachikulu magawo a shuga.

Tidafunsa Unduna wa Zaumoyo:

Ndipo kwa owerenga tsamba lathu pano pali mwayi wopeza DIAGEN ZAULERE!

Yang'anani! Milandu yogulitsa DIAGEN yabodza tsopano.
Mukayika lamulo pogwiritsa ntchito maulalo pamwambapa, mumatsimikiziridwa kuti mukulandila zabwino kuchokera kwa wopanga ovomerezeka. Kuphatikiza apo, kugula patsamba lovomerezeka, mumalandira chitsimikizo cha kubweza (kuphatikizapo ndalama zoyendera), ngati mankhwalawo alibe.