Osteomalacia

Osteomalacia waa jilicsanaanta lafaha. Badanaa waxay dhacdaa sababtoo ah dhibaatada fitamiin D, oo ka caawisa jirkaaga inuu nuugo kalsiyum. Jirkaagu wuxuu u baahan yahay kaalshiyam si uu u ilaaliyo xoogga iyo adkaanta lafahaaga.

Carruurta, xaaladda waxaa loo yaqaan 'rickets'.

La'aanta xaddiga saxda ah ee kaalshiyamka dhiigga ku jira waxay u horseedi kartaa lafo jilicsan oo jilicsan. Kaalshiyamka dhiigga ee hooseeya waxaa sababi kara heerka fitamiin D ee dhiigga ku yar.

Faytamiin D-ga ayaa laga soo nuugaa cuntada ama maqaarku soo saaraa marka uu u soo baxo qorraxda. Faytamiin D yarida maqaarku soo saaro ayaa ku dhici karta dadka:

• Ku noolow jawiga leh iftiinka qoraxda
• Waa inuu guriga joogaa
• Ka shaqee gudaha inta lagu jiro saacadaha maalinta
• Xidho dhar daboolaya inta badan maqaarkooda
• Hayso midab madow
• Isticmaal shaashad aad u xoog badan

Waxaa laga yaabaa inaadan ka helin fitamiin D kugu filan cuntadaada haddii aad:

• Laktoosku uma dulqaadan karo (dhibaato ayey ku qabaan dheefshiidka wax soo saarka caanaha)
• Ha cunin hana cabin waxyaabaha caanaha laga sameeyo (waxay ku badan yihiin dadka waaweyn)
• Raac cuntada khudradeed
• Awood uma lihid inaad si fiican u liqdo fitamiin D-ga mindhicirada, sida qalliinka ka dib

Xaaladaha kale ee sababi kara osteomalacia waxaa ka mid ah:

• Kansarka - burooyinka dhifka ah ee keena heerka fosfooraska oo hooseeya kilyaha
• Kelyaha oo hawl gab iyo aashito
• La'aanta fosfooraska ku filan cuntada
• Cudurka beerka - beerku uma rogi karo fitamiin D qaabkiisa firfircoon
• Dhibaatooyinka ay keento daawooyinka loo isticmaalo daaweynta suuxdinta

Calaamadaha waxaa ka mid ah:

• Jabka lafaha ah ee dhaca iyadoo aan la helin dhaawac dhab ah
• Murqaha oo daciifa
• Laf xanuun baahsan, gaar ahaan miskaha

Calaamadaha ayaa sidoo kale dhici kara sababtoo ah heerka kaalshiyamka oo hooseeya. Kuwaas waxaa ka mid ah:

• Kabuubyo ku wareegsan afka
• Kabuubyo ama ruxruxasho gacmaha iyo lugaha ah
• Nabarrada ama muruqyada gacmaha ama cagaha

Tijaabooyinka dhiigga ayaa la sameyn doonaa si loo hubiyo fiitamiin D, creatinine, kaalshiyamka, fosfateerka, elektrolytes, alkaline phosphatase, iyo heerarka hormoonka parathyroid.

Raajooyinka lafaha iyo baaritaanka cufnaanta lafaha ayaa kaa caawin kara ogaanshaha been abuurka jirka, lafaha luminta, iyo jilicsanaanta lafaha. Ka sii muhiimsan, osteomalacia waxay u ekaan kartaa daciifinta lafaha ka soo baxa osteoporosis ee baaritaanka cufnaanta lafaha.

Xaaladaha qaarkood, ka-qaadista lafaha ayaa la sameyn doonaa si loo arko haddii jilicsanaanta lafaha ay jirto.

Daaweyntu waxay ku lug yeelan kartaa fitamiin D, kaalshiyam, iyo fosfooraska dheeri ah ee afka laga qaato. Dadka aan si fiican u nuugi karin nafaqada mindhicirada waxay u baahan karaan qiyaaso badan oo fitamiin D iyo kaalshiyam ah. Tan waxaa ka mid ah dadka leh noocyo ka mid ah qalliinka miisaanka oo yaraada.

Dadka qaba xaaladaha qaarkood waxay u baahan karaan baaritaano dhiig oo joogto ah si loola socdo heerarka dhiigga ee fosfooraska iyo kaalshiyamka.

Dadka qaarkood ee qaba cilladaha yaraanta fiitamiinku way ka ladnaan doonaan toddobaadyo gudahood. Daaweynta, bogsigu waa inuu ku dhacaa 6 bilood gudahood.

Calaamaduhu way soo noqon karaan.

Wac daryeel caafimaad bixiyahaaga haddii aad leedahay astaamo cudurka osteomalacia, ama haddii aad u maleyneyso inaad qatar ugu jirto cilladan.

Cunista cunnooyinka hodanka ku ah fitamiin D iyo kaalshiyamka iyo helitaanka qorrax ku filan ayaa kaa caawin kara kahortagga osteomalacia sababo la xiriira fitamiin D yaraanta.

Faytamiin D yaraanta - osteomalacia; Kaalshiyam - osteomalacia

• Faytamiin D yaraanta
• Kaalmooyinka kaalshiyamka

Bhan A, Rao AD, Bhadada SK, Rao SD. Rickets iyo osteomalacia. Gudaha Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Buugga Buugga Endocrinology. 14aad. Philadelphia, PA: Elsevier; 2020: cutubka 31.

Chonchol M, Smogorzewski MJ, Stubbs JR, Yu ASL. Cilladaha kalsiyum homeostasis. Gudaha: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner iyo Raktarka kilyaha. 11aad. Philadelphia, PA: Elsevier; 2020: cutubka 18.

Demay MB, Krane SM. Cilladaha macdanta. Gudaha: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Dadka waaweyn iyo carruurta. 7aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 71.

Weinstein RS. Osteomalacia iyo rickets. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 26aad. Philadelphia, PA: Elsevier; 2020: cutubka 231.