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Vitamin D deficiency Rickets

  1. Diagnosis
  2. Treatment of rickets


Rickets

bone disease that occurs due to lack of minerals and vitamins in bone tissue, leading to skeletal deformities. The disease-prone infants and young children.

The disease is divided according to periods, complexity of disease and the nature of the disease.


Allocate the following periods

  • initial
  • the height of the disease
  • the period of convalescence
  • period of residual phenomena.

Severity

The first signs of rickets appear before the age of 2 months, is quite pronounced and correspond to mild degree of severity of the disease

  • rickets in infants with soprovojdaetsya strong anxiety, and sweating (especially during feeding)
  • the appearance of bald patches on his head (due to the itching caused by then, the child actively rubs the back of his head on the pillow)
  • sharp, unpleasant smell of urine and sweat
  • violation of the chair (frequent diarrhea or constipation)
  • violation of muscle tone
  • pallor of the skin.

If you ignore the disease at this stage, due to the loss of calcium by the body, followed by injuries of the skeletal system and the transition to moderate severity. On the further development of rickets in children is indicated by the following symptoms

  • unnatural softness of the lateral fontanelles
  • flattening the back of the head
  • the protrusion forward of the frontal and parietal hillocks
  • the deformation of the limbs or chest (legs take x-shaped or o-shaped, can form bone spurs)
  • thickening and narrowing of the pelvic bones
  • delayed growth of teeth
  • there is a large round belly.

When the 3rd severity (severe) of the symptoms of rickets look like this

  • the lag in the development of
  • disruption of the internal organs
  • anemia
  • damage to the several divisions of the skeletal system
  • perhaps the appearance of the hump due to changes in vertebrate tissues.

Diagnosis

Though the disease is most often found in children, in some cases it is diagnosed in adults. To do this, hold a number of biochemical laboratory tests. Analyse complaints

  • frequent fatigue no reason
  • decreased performance
  • demineralization of the teeth, resulting in tooth decay progresses
  • muscle pain
  • pain in the bones.

Treatment of rickets

After the diagnosis doctor prescribes treatment, which depends on the severity and stage of the disease. Vitamin D is a major component of treatment programs. It is most often administered orally, but in the case of malabsorption, the parenteral dose administered. Most often used therapeutic regimen of treatment in which the sick child receives a dose of the drug (20005000 ME ergocalciferol) daily for 4-8 weeks. After this period the dose is reduced to 400 Medani, and continues his appointment as a preventive measure. There is also stoss therapy (shock therapy) in which the drug is prescribed in high doses (400 000600 000 ME) orally within 24 hours. Drugs can be divided into several times (up to six). If the desired effect is not achieved, repeat the treatment after 10 to 30 days. A side effect of both therapies may be hypokalemia. To prevent appoint lactate or calcium gluconate for the first 2 weeks of treatment.

An important role in the treatment of this disease is the normalization of food to improve metabolism. Food should be rich in proteins, amino acids and fats. Also, it is crucial to introduce baby food vegetables and fruits (juices), as the disease is characterized by impaired vitamin metabolism (which takes part not only vitamin D and b vitamins). To vitamin food should add boiled egg yolk (rich in phosphorus, calcium, fat-soluble vitamins and trace elements). Don’t forget about the milk porridge and cottage cheese (with 4 months of life).

Uncontrolled intake of drugs containing vitamin D, can lead to overdose and intoxication.

Treatment medical drugs add massages, physical therapy, salt baths and ultraviolet radiation (it cannot be used in conjunction with vitamin D, because UV exposure the body produces this vitamin on their own).

The consequences of the disease

When not treated, the disease can make irreversible consequences, which include

  • deformation of the head
  • deformity of hands and feet
  • change chest
  • the disruption of the internal organs
  • anemia.

In the initial stages of the disease and timely treatment to avoid this really, but on the 3rd stage the consequences will be irreversible, and the chances of recovery are greatly reduced.

Prevention of rickets

To prevent this disease by using simple recommendations. To start prevention can be even before the baby is born. The expectant mother needs to take a number of measures that the pregnancy was without complications, and fetal development was not violated. Special attention should be given to measures to prevent shortage of vitamins D in the body (adequate sun exposure, diet, vitamins for pregnant women). After the child’s birth measures for the prevention of disease will be accepted almost immediately. On the second week of life, babies are prescribed vitamin D in small, specifically defined doses. Also doctors recommend briefly exposing the child to open sunlight (15-20 minutes) to the babies he produced the necessary amount of vitamin. In the spring and summer, useful walk in the fresh air under the shade of trees (ultraviolet light penetrating through the leaves without damaging).

Older children (from 6 months) prescribed b vitamins, as well as lure in the form of fruit and vegetable purees, juices, dairy products and meat (protein). Proper nutrition in the prevention of disease plays a less important role than in the treatment.

Recommend you read other articles on the topic of vitamin D Deficiency (Rickets)


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Rickets is a disease manifested in infants and young children, developmental disorders of bones in the body. As you know, in order to understand the disease and how to fight it, it is important to understand the causes and symptoms. This is what we will discuss in this article.


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According to studies in Ukraine 95.4% of the population lacks vitamin D. Especially dangerous shortage for children aged 2-6 months. Intake of vitamin D important to health, the full development of the baby, convinced pediatricians. How to fill the reserves calciferol, read the article.


Rickets is a disease manifested in infants and young children, developmental disorders of bones in the body. As you know, in order to understand the disease and how to fight it, it is important to understand the causes and symptoms. This is what we will discuss in this article.


Vitamin D-resistant rickets is a disease manifested as disorders of bone development due to lower levels of blood of the organism of phosphate and the active form of vitamin D. This disease is quite rare.