Table of contents:
- The risk of a lack of vitamin
- What are the symptoms of rickets
- The development of the disease
- Comments Dr. Komarovsky
- Prevention and Treatment
Such a disease like rickets, occurs in allcountries around the world and is known for a long time. It is connected mainly with impaired calcium-phosphorus metabolism due to a lack of vitamin D and is a curved bone. Vitamin D is essential to any person, and growing and developing organism, in particular. It is required for normal bone formation and adjustment processes involving the exchange of calcium and phosphorus. Replenishment of vitamin D in the body is due to food intake, as well as through special cutaneous enzyme, which under the action of ultraviolet light is converted into vitamin.
The risk of a lack of vitamin
Great risk of a lack of staying outdoors
In case of lack of this vitamin, the lack ofstay in the fresh air, metabolic disorders and developing rickets - frequent disease, which mainly affects young children. The beginning and the worsening of the disease occurs mainly in late autumn, winter and early spring, when the sun's rays very little and there is no possibility to carry out on the street is enough time. Rickets affects the bones and nervous system of children, in particular, weakened, or born in the large northern metropolis of contaminated ecology.
In high-risk group includes kids:
- born prematurely, as well as full-term, but with a low weight, twins;
- mothers who suffer from toxicity or other diseases during pregnancy;
- artificial feeding;
- allergic, suffering diathesis, liver disease and biliary tract;
- with poor genetics in terms of phosphorus-calcium metabolism;
- receiving certain types of drugs;
- deprived of the possibility to move actively.
The parents of the child is with the appearance of his birth to consult with a pediatrician to rule out the possibility of the formation of this disease.
What are the symptoms of rickets
The child often capricious
Signs of rickets in children can appear up to a yearimperceptibly, but just in the first few months of life, especially those born prematurely, on artificial feeding, low or, conversely, increased body weight. Moreover, statistics show that boys are more likely girls prone to illness. Rickets - a tricky disease, in the early stages of the disease, parents can not even give it featured a special significance, taking them for innocent children's whims. However, if you leave early signs of rickets without attention, it increases the likelihood of serious consequences that may develop as a result of the progression of this disease (up to a disability).
Note!When rickets first baby changing behavior. He becomes nervous and fastidious, periods of increased excitability and anxiety are replaced by apathy.
The child looks lethargic, weak, tired quickly and may even lose the skills already learned. Causeless tremors, fear of bright lights and sudden noises can also be a symptom of rickets. Violated mode: the child with difficulty falling asleep, restless sleep and intermittent, may be accompanied by weeping and worsens or does loss of appetite. Also characterized by disorders of the gastrointestinal tract - diarrhea or, conversely, constipation, vomiting, and a frequent regurgitation.
In addition, the baby begins to sweat inwhile vigorous activity - feeding, playing, crying. This is particularly evident in the area of the head and is dependent on the ambient temperature. In this pot becomes viscous, with an unpleasant sour odor, causes itching and skin irritation, and there potnichka diaper rash, which are difficult to heal. The hair on the back of the head roll and fall out, bare patches are formed on the head are clearly visible veins. At this stage, changes in bone X-rays will not show.
The development of the disease
When rickets bent legs
Rickets - a fast growing disease. If you ignore these symptoms and do not take the time to measure, in less than a month may begin seeing changes - become soft and pliable skull and rib cage, they are easily felt seams fontanelle edge poorly and slowly grow together, which is why the head is flat or square. Weakens muscles, joints loosened, there is an increased risk of injury. The child becomes ill trained - he is not able to keep your head, does not seek to crawl, sit up, walk. Teeth erupt much later than their peers, and can bealready prone to tooth decay, bite changes. Slowly bend the spine, hip and collarbone, ribs thicken, change their shape thorax and abdominal muscles, develop flat feet and formed bad posture, often curved legs and pelvis narrows. In some cases, it may even appear hump. Observed irregularities in the internal organs and the respiratory organs: enlarged liver and spleen, renal failure, shortness of breath.
Note!Children who become ill with rickets suffer from anemia, low immunity and as a consequence are susceptible to viral infections. In very advanced, severe rickets children are not able to sit and walk on their own, that affects the psychological state.
Signs of rickets
It is very important when detecting early symptoms of rickets immediately contact the local doctor!
Note!In time begun treatment can help prevent the further development of the disease, and so that there will be no consequences.
The treatment is relatively simple and feasible financially - the main thing is not to run the disease and come to combat it very seriously, because the effects of rickets may remain for a lifetime!
Comments Dr. Komarovsky
EO Komorowski, a pediatrician, MD, Ph.D., a well-known author of books and television programs devoted to children's health, is of the opinion that rickets is a rare disease, and the majority of features that put this diagnosis, such as sweating, anxiety and bald spots on the head in children under year, it may be caused by other factors. By the manifestations of rickets it relates slowdown, refusal of food intake, bone pain, increased joint and toes, bending the legs and muscle flaccidity, frequent fractures, thickening and softening of the edges of the cranial bones, the growth of the frontal and parietal region. All of these symptoms must give rise to additional examinations - X-rays and tests for calcium, phosphorus and vitamin D in the blood.
Dr. Komarovsky sure - rickets in healthychildren with normal weight who are breastfed happens on the street at least a short period of time is very rare. Incidentally, the auxiliary intake of vitamins in this case no longer relevant.
Note!Breast milk provides your baby all the necessary nutrients and trace elements, and exposure to the sun at least a few minutes, provides the body with sufficient intake of vitamin D.
Prevention and Treatment
It is necessary to walk more
The child begins to absorb vitamin D even duringthe third trimester of pregnancy, so the expectant mother should take care of the prevention of rickets in a child. It is important to observe the mode of the day, to eat, to take the necessary multivitamins, more walk in the fresh air.
A good prevention of rickets isbreast feeding and timely introduction of complementary foods, daily walks on the street, light exercise, massage and swimming, after six months - useful bath with sea salt.
Note!With proper nutrition and qualitythe occurrence of vitamin D deficiency in the body is simply impossible! The reception of this vitamin for the prevention (and other vitamins!) Should be initiated only after consultation with the pediatrician. This is especially true bottle-because in modern mixes already contain vitamins, and overdose can be fatal.
If, however, there were signs that are typical for this pathology. rickets and confirmed the results of surveys andanalysis, it is necessary to begin treatment immediately. When rickets children are not sent to the hospital, the treatment goes home and sent it to the elimination of vitamin D deficiency and correction of violations have occurred in the body.
In infant formulas contain vitamin D
Dr. Komorowski supports other childrenPhysicians prescribers calcium preparations and synthetic version of vitamin D - its oil and aqueous solutions. However, this method is not always rational - because a lot depends on the child's diet. So, if there are artificial mixtures or porridge in his diet - from ingestion should be avoided, because it is already part of the baby food (by the way, it is also quite in breast milk). The exception is children with bowel disorders (this violates the body's ability to assimilate vitamins), children receiving cow's milk instead of adapted formula and kids menu which is 1/3 of conventional products. In such cases, the approach should be individualized, and treatment is possible only under the supervision of the attending physician. The fact that an overdose of vitamin A can lead to intoxication - blood and accumulate calcium salt poisoning organism occurs. In addition, in rare cases, medication can cause allergic reactions. Therefore, all the recommendations of the treating physician must be followed strictly, the dosage and duration of admission!
Dr. Komarovsky claims - in addition to drugs, there are other ways of getting the body the required amount of vitamin D.
Dining with a deficiency of vitamin D
The best of them - the sun. This regular walks in an open carriage in the sun in the summer and ultraviolet radiation treatments in the winter. If the child is breastfed, and is still experiencing a shortage of vitamin D - most mothers need to take appropriate medications and eating fish oil, beef, butter, cod liver oil. Good start solid foods patient kid with vegetable puree (to six months), anda month to add to it egg yolk. Children who have grown accustomed to the food, should be restricted in the use of flour, because it interferes with the absorption of calcium. Bathing in ordinary water is good to alternate with pine and salt baths.
Thus, treatment must be ricketscombined: specific - with the use of calcium and vitamin D and nonspecific - stay in the fresh air, proper diet with enough protein, vitamins and minerals, a timetable for waking and sleeping, total peace baby, massage, exercise therapy.
Proper treatment will help to quickly improve the child's well-being.