ʻO ka Osteomalacia ka osteopathy ākea (ka iwi pathology). ʻO kēia aloha ka hopena o ka hemahema o ka mineralization kumu o ka iwi iwi e hana ai i ka iwi "māmā" a hiki ke hana i kona deformation. I ka hihia o ka osteomalacia, he mea maʻamau ka nui o ka iwi akā ʻaʻole lawa ka mineralization o ka ʻiʻo osteoid, kahi hopena o ka hōʻiliʻili ʻana o nā osteoblasts (nā pūnāwai huna i ka matrix iwi). He ʻokoʻa ka Osteomalacia me ka osteoporosis kahi i nele ai ka nui o ka iwi akā he mea maʻamau ka mineralization iwi.

ʻO ka iwi iwi ka huaʻōlelo maʻamau e wehewehe ana i ka mea "organic" kahi i hoʻopaʻa ʻia ai kahi mea "mineral". Hōʻike ʻia kēia mea mineral e ka hui ʻana o ka calcium a me ka phosphorus. Hāʻawi kēia mau mineral i ka iwi i kona paʻakikī a me ka ikaika. (5)

I ka hihia o ka osteomalacia, no laila he ʻano maʻamau kēia ʻano iwi. Loaʻa ka pilikia ma muli o ka lawa ʻole o ka hoʻopaʻa ʻana o nā kristal calcium ma kēia ʻano iwi. Hiki i kekahi mau hihia ke wehewehe i kēia hemahema calcium:

(1) Hoʻonui ʻia ka lawe ʻana o ka calcium e ka lako o ka huaʻa D. Ke komo nei kēia huaora i ka absorption a me ka metabolism o ka calcium. No laila, ʻo ka lawa ʻole o ka Vitamin D ke kumu o ka lawa ʻole o ka hoʻopaʻa ʻana o ka calcium ma ka hana iwi.

(2) Hoʻoponopono ʻia ka hoʻoponopono ʻana i nā pae calcium i loko o ke koko, ma waena o nā mea ʻē aʻe, e kahi hormone i huna ʻia e nā kelepa parathyroid (aia ma ka ʻāʻī): parathyroid hormone. ʻO ka nui o kēia hormone hiki ke hoʻopau i ka hoʻopaʻa ʻana o ka mineral i loko o ka iwi iwi.

(3) Ka lawe ʻana i ka calcium i kēlā me kēia lā by ʻokoʻa ka meaʻai e like me ka makahiki a me ke kūlana physiological o ke kanaka:

- Ma waena o 4 a 8 mau makahiki: 800 mg / lā

- Ma waena o 9 a me 18 mau makahiki: 1 mg / lā

- Ma waena o 19 a me 50 mau makahiki: 1 mg / lā

- Ma waena o 50 mau makahiki a ʻoi aku: 1 mg / lā

- No nā wahine hāpai a me nā wahine hānai: 1 mg / lā

ʻO ka haʻahaʻa haʻahaʻa o ka calcium i hoʻohālikelike ʻia i nā ʻōlelo aʻoaʻo i kēlā me kēia lā hiki ke alakaʻi i ka hemahema o ka calcium i ke kanaka a no laila ke alakaʻi i ka mineralization iwi hemahema. (4)

No laila, lilo ka iwi i ka ductile ma muli o ka lawa ʻole o ka mineral i ka pae o ka iwi iwi. Kākoʻo kekahi mau iwi o ke kino i nā ukana ʻoi aku ka nui (vertebrae, nā wāwae). Holo kēia mau mea i ka pilikia o ka deforming a i ʻole ka pohā.

I nā keiki, ua like ka osteomalacia me ka rickets.

ʻO nā hōʻailona o ka osteomalacia ka nui o ka ʻeha ma nā iwi. Hiki ke hoʻopili ʻia kēia mau ʻeha ma nā wāwae (hoʻokiʻekiʻe ʻia i ka wā e hele ana, e holo ana, a me nā mea ʻē aʻe), ka iwi kuamoʻo, nā iwi ʻaoʻao, nā ʻūhā poʻohiwi, ke pelvis, a me nā mea ʻē aʻe.

ʻAʻole kikoʻī kēia rumatika a pālahalaha loa.

I kēia mau ʻeha, hiki ke hoʻohui ʻia i nā deformations i ʻike ʻia a i ʻole nā ​​hiʻohiʻona mechanical: waddling gait, proximal myopathy (pathology e pili ana i nā ʻiʻo ʻiʻo), nāwaliwali o ka ʻiʻo, etc.

I ka hihia o nā ʻano koʻikoʻi, hiki ke hōʻike ʻia ka osteomalacia e ka "bell-shaped" a i ʻole "violin" thorax, kahi sternum keel-like a i ʻole ka nalowale o ka nui.

He paʻakai koʻikoʻi koʻikoʻi ka calcium i ka hana ʻana o ka niho. Ma waho aʻe o nā hōʻailona o ka iwi, hiki ke ʻike ʻia nā mea ʻino i ka enamel niho (nalo ka ʻālohilohi o nā niho a me ka nāwaliwali o nā niho). (1)

ʻO ka Osteomalacia ma muli o ka hemahema o ka calcium i ka iwi. ʻO kēia mau kūlana ʻelua ma muli o ka hemahema o ka huaora D a / a me ka calcium, e hele mai ana mai ka meaʻai (a i ʻole mai ka ʻike ʻana i ka lā maoli no ka Vitamin D).

Hoʻopilikia ka Rickets i nā keiki e ulu ana ka iwi.

ʻO ka Osteomalacia, ma kekahi ʻaoʻao, pili i nā pākeke (ʻoi aku ka nui o nā wahine a me nā ʻelemakule) i hoʻokumu maikaʻi ʻia ka nui o ka iwi. (2)

ʻO ka Osteomalacia kahi maʻi maʻi e pili nui ana i nā wahine a me nā ʻelemakule.

Eia nō naʻe, hiki i kekahi mau kumu ke kumu o ka piʻi nui ʻana o ka hoʻomohala ʻana o kēia pathology e like me ka lawe ʻana i nā lāʻau anticonvulsant, nā maʻi maʻi, phosphate, vitamina D, lawa ʻole i ka lā, kahi moʻolelo ʻohana o nā maʻi o ka metabolism D vitamina. , hōʻino ʻole o ke kīkī, kekahi maʻi ate, etc.

Hiki ke hoʻopilikia ʻia nā keiki i lawa ʻole ka vitamina D a me ka calcium i kēia ʻano o ka pathology ma ke ʻano o nā rickets.

ʻO kahi hōʻike mua o kēia pathology e hiki ai ke kaupalena i nā hopena.

Ma hope o ke kūkākūkā ʻana me ke kauka, hiki iā ia ke kuhikuhi i kahi kaulike phosphocalcic iā ʻoe i mea e loiloi ai i nā hemahema o ka calcium, phosphorus a me albumin. Hiki ke hoʻonui ʻia kēia loiloi e ka hoʻoholo ʻana o ka calcium i loko o ka mimi (calciuria).

Hiki ke hoʻopili ʻia kēia mau loiloi me nā x-ray o nā iwi ʻeha. He mea koʻikoʻi ka hele ʻana o kahi hiʻohiʻona opaque lepo a me nā kaha Looser-Milkman (ke ʻano o kēia rumatika) i mea nui o ka osteomalacia. (5)

Eia hou, hiki i ka computed tomography o ka spine ke aʻo i ke ʻano o ka vertebrae.

ʻO ka hope, hiki ke hana i kahi biopsy iwi i mea e ʻike ai i ka iwi demineralized a me ka hoʻonui ʻana i ka hana osteoblast.

ʻO ka mālama ʻana i ka osteomalacia ka pale mua.

ʻO ka ʻai ʻana o ka calcium i kēlā me kēia lā e kōkua i ka pale ʻana i ka nele o ka calcium mineral. Hana ʻia kēia ʻai i kēlā me kēia lā ma o ka meaʻai (ma ka nui o nā huahana waiu, nā iʻa a me nā mea inu soy paʻa) akā ma o kekahi mau wai mineral i lako i ka calcium a maʻalahi ke komo.

Pili pū ka Vitamin D i ka pale ʻana i kēia pathology. Loaʻa ka Wikamina D i ka meaʻai (aia pū i ka waiū, nā iʻa momona e like me salmon a iʻa trout, hua manu, ate, a pēlā aku.). Hiki nō hoʻi i ka lāʻau Vitamin D ma o ka hōʻike kūpono ʻana i ka lā e kōkua ana i ke kino e hoʻolālā biologically i kēia wikamina.

ʻO ka mālama curative o ka maʻi ʻo ia ka lawelawe ʻana i ka Vitamin D concentrated.

ʻO ka hoʻonui ʻia ʻana (akā ʻaʻole keu) i ka lā e ʻōlelo pinepine ʻia no ka poʻe me ka osteomalacia. (3)

ʻO ka mālama maikaʻi ʻia e alakaʻi i ka hoʻōla wikiwiki ʻana me ka hōʻemi a i ʻole ka nalowale ʻana o ka ʻeha. (3)