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 kuperewera kwa mafupa.

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:

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.

Kuzindikira matenda ashuga a phosphate ndi rickets

Kuti mudziwe zam'magazi, kafukufuku wamomwe amapangira magazi amwazi amachitika. Pankhaniyi, hypophosphatemia imadziwika. Mlingo wa calcium nthawi zambiri ndi wabwinobwino, nthawi zina umachepetsedwa. Pakutalika kwa ma rickets, kuchuluka kwa zamchere phosphatase kumadziwika. Radiography imawululira mafupa am'mimba komanso kuphwanya kwa mafupa okulitsa mafupa. Mkodzo umakhala ndi phosphate yambiri. Calciuria nthawi zina zimawonedwa.

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.

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.

Mabrake am'banja komanso osabadwa: zofanana ndi zosiyana

Ndi matenda a shuga, matenda a shuga a phosphate amaphatikiza zizindikiro wamba komanso chakuti amaswa metabolism. Ndi rickets - chakuti imatsogolera kukulitsa kwachilendo kwa mafupa, ndipo izi zimachitika chifukwa cha kusokonekera kwa kagayidwe ka phosphorous ndi calcium. Matenda a shuga a mu phosphate mu ana amafanana ndi matenda omwe amayamba ngati chakudya cha Vitamini D chikusowa, mwa anthu akuluakulu zimachitika kawirikawiri ndipo chimawonetsedwa ndi kufewetsa komanso kupindika mafupa - osteomalacia. Mayina ake ena ndi mavitamini otengera vitamini D, ma hypophosphopenic rickets, mitundu yotsatsira mabanja, mtundu 2 rickets.

Kodi chimachitika ndi chiani mthupi ndimatendawa? Kuti phosphorous ndi calcium zigwiritsidwe bwino, komanso kuchokera komwe minofu yolimba ya mafupa imapangidwa koyamba, vitamini D umafunika koyamba.Ukalowa m'thupi ndi chakudya, umasinthidwa kukhala zinthu zapadera zamahomoni.

Monga momwe insulin imathandizira kuti maselo azitulutsa glucose m'magazi, zotumphukira za vitamini D zimawalola kuyamwa phosphorous ndi calcium. Ndipo momwemonso mu shuga mellitus, kupanga kwa insulini kapena kusazindikira kwa cell kumasokonekera, mu shuga ya phosphate njira yopanga zinthu zofunikira za thupi kuchokera ku vitamini D imasokonekera kapena kumva kwa minofu ya zinthu izi kumachepa. Osasunthidwa ndi mafupa, calcium umatsalira m'magazi, ndipo phosphorous imatsukidwa ndi mkodzo.

Zotsatira za matenda a shuga phosphate zimafanana ndi zomwe zimachitika popanda kulandira chithandizo kwa rickets. Mwana amakula, mafupa a mafupa ake amapitilizabe, ndipo m'malo ovuta kwambiri, amalephera kuyendetsa pawokha.

Kulemala kumawopsezanso achikulire omwe angatenge matenda omwe amayamba chifukwa chake - matenda a shuga a phosphate amasokoneza njira ya matenda omwe amayambitsa.

Zizindikiro ndi Kudziwitsa

Mwa ana, kufunikira kwa phosphorous ndi calcium kumakhala kokwanira kwambiri kuposa kwa akulu, motero zotsatira za matendawa zimakhala zovuta. Malinga ndi zizindikiro zazikulu, matenda a shuga a phosphate amayanjana ndi ma rickets. Makamaka, awa ndi:

bakha wosakhazikika,
kupindika kwa miyendo yakumunsi ndi kalata O,
m'munsimu kukula wamba
kupindika kwa msana.

Ali mwana, matenda a shuga a phosphate nthawi zambiri amapezeka makolo atazindikira kuti mwana sasuntha kwambiri. Ana ena amalira ndi kuchita zinthu akakakamizidwa kuyenda - mafupa awo amapweteka. Ndi ma gerches, mafupawo amakhala osakhazikika, kotero ngakhale kupindika kusanawonekere, matendawa atha kukayikiridwa mwa ana omwe nthawi zambiri amakhala akuwoneka osavulala.

Koma pali kusiyana pakati pa zisonyezo zamatsenga achikhalidwe komanso cholowa. Maronda abwinobwino amapezeka m'miyezi yoyambirira ya moyo, matenda obadwa nawo a phosphate - kuyambira theka lachiwonetsero, ndipo nthawi zina zaka 1.5-2, mwana atangoyenda kumene. Pankhaniyi, miyendo yam'munsi (mafupa amtundu wautali), mafupa ndi maondo anu amapewa.

Kuyesedwa molondola kwa mayeso am'magazi a biochemistry ndi maphunziro a x-ray. Magawo amwazi a magazi ndi kapangidwe ka minofu yamatenda amtundu wamatenda amasiyana ndi zonse zomwe zimachitika komanso zovuta zomwe zimadziwika ndi mbiri yakale. Monga lamulo, phosphate ikayikiridwa kuti ili ndi matenda a shuga kwa mwana, madokotala amalimbikitsa kuyesa kwa makolo ndi abale ake apafupi.

Kodi ndizotheka kuchiritsa zobereka zapabanja?

Mfundo za mankhwalawa zamankhwala am'magulu akale ndi banja zimafanana - kukhazikitsidwa kwa vitamini D. Koma popeza kusamalira banja kwa ricores kumavulala, mavitamini amafunikira nthawi zambiri kuposa momwe amachitira poyamba. Nthawi yomweyo, madokotala amayenera kuwunika kuchuluka kwa phosphorous ndi calcium m'magazi ndi zina zamankhwala amuzolengedwa, ndikusankha mlingo woyenera.

Mankhwala a Vitamini amathandizidwa ndi phosphorous yokonza (calcium glycerophosphate) ndi zakudya, ndipo malinga ndi zaka, makanda amawonetsedwa mavitamini, mwachitsanzo, Oxidevit, ndi zakudya zabwino za phosphorous zimawonjezedwa ku chakudya chawo.

Popeza matenda ashuga a phosphate ndi ofanana kwambiri ndi mtundu wa 1, ndipo nthawi zina sizingatheke kukhazikitsa matenda nthawi yomweyo, madokotala amalangiza makolo a ana ochepera zaka ziwiri kuti ayesedwe nthawi ndi nthawi. Nthawi zina, kugwiritsa ntchito mankhwala osokoneza bongo sikokwanira, ndipo mafupa owongoka amawongoledwa ndi njira zopangira opaleshoni. Koma kodi matendawa nawonso amatha mankhwala?

Monga momwe matenda ashuga 1 amalephera kubwezeretsa kupanganso insulin yanu, ndizosatheka "kukonza" matenda a metabolic a shuga mellitus. Koma kwa akulu, kuchuluka kwa calcium ndi phosphorous komwe kumalowetsedwa ndi thupi ndikokwanira.

Chifukwa chake, pambuyo pa unyamata, matendawa amawonjezereka pokhapokha pakufunika kashiamu ndi phosphorous - mwa azimayi omwe ali ndi pakati komanso mkaka wa m`mawere.

Koma "zopanda" dongosolo zokhala ndi ma ricores - kutalika pang'ono, kupindika kwa miyendo - onse mwa akazi ndi amuna amakhalabe ndi moyo. Amayi chifukwa cha kusintha kwa mafupa a pelvic nthawi zina amayenera kuchita gawo la cesarean.

Zizindikiro za Phosphate shuga

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.

Dokotala wazachipatala amathandizira pa matenda

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 (kupeza kwa nthawi yake kwa katswiri pa chizindikiritso choyambirira cha matenda ndi cholinga chodziwitsira matenda ake mwachangu ndikusankhidwa 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 zakusintha kwa mtundu wina wa X chromosome, kuyamwa kwa phosphate m'matumbo a impso kusokonezeka, ndipo pambuyo pake mndandanda wazinthu zomwe zimalepheretsa kuyamwa kwa calcium ndi minofu yamafupa.

Dziwani ZOTHANDIZA

Kukambirana ndi dokotala ndikofunikira

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

Pathogenesis yamatenda

Matendawa amatuluka chifukwa cha kufala kwa mtundu wotchuka, womwe umatengera jenda. Ndi matendawa, njira za enzymatic zimasokonekera, zomwe zimasintha vitamini D kukhala zinthu zomwe zimagwira.

Matenda a shuga a phosphate amakula chifukwa cha chilema chachikulu mu mafupa a impso, omwe amaphatikizidwa ndi phosphate reabsorption. Ndi kuchuluka kwambiri kwa phosphorous excretion limodzi ndi mkodzo, kuchuluka kwake m'magazi a munthu kumachepa, komwe kumapangitsa kufooka kwa mafupa.

Choyambitsa chachikulu cha matendawa ndi kusintha kwa ma chromosome a X, omwe amasokoneza kuyamwa kwa phosphates ndikuyambitsa njira zosiyanasiyana za pathological zomwe zimapangitsa kuti calcium ichotsere.

Zizindikiro zomwe zikuwonetsa kupezeka kwamavuto azaumoyo omwe amaphatikizira kukula kwa matenda a shuga a phosphate ndi awa:

Kuzindikira kwa mkhalidwe wa mwana.
Kukula mobweza.
Kutalika kwa malekezero a m'munsi mwa o-mawonekedwe.
Zosintha m'mapewa
Kutsitsa minofu.
Kumbuyo, pakukanika, ululu umawoneka.

Kafukufuku wachipatala amafotokozera chizindikiro chachikulu cha matendawa chifukwa munthu amakhala ndi vuto la kufalikira kwa ziwalo za minofu ndi ziwopsezo zam'munsi zimachitika. Komanso, mwa anthu omwe ali ndi matenda am'mimba a phosphate, kutalika kochepa, zovuta zina ndi zina mwa mafupa amatsatiridwa, kusintha kwamkati, kupweteka pakamayendedwe kumatha.

Madokotala amatha kudziwa ngati ali ndi zaka ziwiri zoyambirira za moyo, popeza zamatsenga zimayamba ndili mwana kwambiri chifukwa cha chibadwa chamunthu. Ponena za kukulitsa kwa luntha, pankhaniyi, matenda a shuga a phosphate alibe phindu, komabe, akukhudzana ndi malingaliro am'maganizo ndikuwonetseratu kuti mwana akumvetsa kusasiyana kwake ndi anzawo, kuchepa kwa thupi.

Mitundu ya hypophosphatemic rickets (matenda am'mimba a phosphate)

Madokotala amagawa matendawa m'magulu anayi:

Mtundu 1 ukuwoneka kale mchaka chachiwiri cha moyo wa munthu. Zizindikiro zazikulu: kukula kwakukulika, palibe enamel hypoplasia ya mano osatha, kufooka kwa miyendo, kusintha kwamphamvu ngati mafupa. Ndi matenda amtunduwu, phosphate reabsorption imachepa ndipo kusintha kwonga kumakula.
Mtundu Wachiwiri ndiwosangalatsa kwambiri, womwe sugwirizana ndi X chromosome. Chimawonekera chaka choyamba kapena chachiwiri cha moyo. Imadziwonekera mu mawonekedwe a kupindika kumapeto apansi, kusintha kwa mafupa. Pankhaniyi, kukula sikusintha, munthu amakhala ndi thupi lolimba. Pali zizindikiro zofatsa za rickets.
Mtundu 3 ukuwonekera mu mawonekedwe a mayamwidwe a calcium, omwe amatsogolera kuti kale mwezi wachisanu ndi chimodzi wa moyo, mwana amakhala ndi kukokana, hypotension, kufupika, kufooka kwa minofu ndikukula kwa rickets pakukula.
Mtundu wachinayi umachitika makamaka mwa akazi mudakali ana. Imadziwonekera mu mawonekedwe a kupindika kwa malekezero am'munsi, zonyansa zameno ndi ma rickets mosiyanasiyana.

Mavuto obwera chifukwa cha matendawa

Chifukwa cha chithandizo chosayembekezereka, odwala omwe adwala matendawa amatha kulandira zotsatirazi:

Kuphwanya msana, chifukwa - lakhalira.
Amisala kapena akhungu kutukula kwa mwana.
Mfupa kapena kufooka kwamatumbo kumabweretsa kulumala.
Pathology ya kukula kwa dzino, kuphwanya kwa nthawi ya chitukuko chawo.
Zovuta pakukula kwa makutu.
Nephrocalcinosis, yomwe imafotokozedwa ndikuyika mchere wa calcium mu impso.

Ngati mwana ali ndi vuto la kukula kwa matendawa, ndiye kuti kuwunika kwake kumayambira pafupifupi pobadwa, pofuna kupewa zovuta zomwe zingatheke. Kuti achite izi, amawunika kuchuluka kwa calcium ndi phosphorous, amayang'anira momwe mafupa amakulira, ngakhale kukula kumafanana ndi zomwe zikuyenera kukhala pakadali pano.

Zizindikiro zoyambirira za matenda a shuga a phosphate zikapezeka, ana amapatsidwa mavitamini. Ngati angafune, makolo angathe kukonza zopindulitsa kuti mwana alandire mankhwala kwaulere, komanso kukonza maulere kumisasa yachipatala yapadera.

Malangizo azachipatala

Matenda a shuga a Phosphate ndi matenda oopsa omwe amabwera chifukwa cha chibadwa chamunthu, amawonekera ali ana ndipo amatha kubweretsa zovuta zambiri.

Ponena za malingaliro othana ndi kupewa matendawa, ndizotheka kupatula kukhazikika kwa matendawa pokhapokha pang'onopang'ono powona mabanja achichepere, ngati vutoli limatha kubadwa komanso kubadwa kwa chibadwa.

Asanakhale ndi pakati, dokotala amamuwunikira mayeso athunthu, ndipo pambuyo pake adzapezanso mwayi wokhala mwana wabwinobwino. Mutha kuyesanso kupatula kukula kwa matenda a shuga a phosphate ndikuyendera kwa nthawi yake kwa katswiri ngati zizindikilo zake zimayamba kuwoneka mwa mwana kuyambira ali mwana.

Popewa kukula kwa matenda oyipa mwa mwana, ndikofunikira kutsatira mosamalitsa akatswiri pazoyeserera ndi kulumikizana naye kuchipatala kuti azindikire ngati ali ndi matenda. Mkulu akamalipira chidwi pakupatuka kwakukhazikika kwa mwana, ndizowonjezera momwe zimawonekera kuti athe kuyambitsa mavuto ambiri kumawonjezeka.

Malinga ndi kuchuluka kwa zidziwitso, anthu 52% am'dzikoli amapezeka ndi matenda ashuga. Koma posachedwa, anthu ochulukirachulukira akutembenukira kwa akatswiri amtima ndi ma endocrinologists omwe ali ndi vutoli.

Matenda a shuga amathanso kuyambitsa kukula kwa zotupa za khansa. Njira imodzi kapena ina, zotsatira zake zimakhala zofanana - wodwala matenda ashuga mwina amwalira, akulimbana ndi matenda opweteka, kapena amasintha kukhala munthu wolumala, yemwe amangothandizidwa ndi chithandizo chachipatala.

Ndikuyankha funsoli ndi funso - chingachitike ndi chiyani muzochitika zotere? Tilibe pulogalamu yapadera yolimbana ndi matenda ashuga, ngati mungalankhule. Ndipo m'makiriniki tsopano sizotheka kupeza dokotala wothandizira, osatinso kuti mungapeze katswiri wazamankhwala wodalirika yemwe angakupatseni thandizo labwino.

Tidalandira mwalamulo mankhwala oyamba omwe adapangidwa monga mbali yapadziko lonse lapansi. Kupadera kwake kumakupatsani mwayi pang'onopang'ono wogwiritsira ntchito zinthu zofunikira zamankhwala m'mitsempha ya thupi, kulowa mkati mwa mitsempha yamagazi. Kulowerera m'magazi kumabweretsa zinthu zofunika kuzungulira kwa magazi, zomwe zimayambitsa kutsika kwa shuga.