Can infantile rickets be cured?
Rickets is a common nutritional deficiency in infants, also known as rickets. Its main cause
Can infantile rickets be cured?
Rickets is a common nutritional deficiency in infants, also known as rickets. Its main cause is vitamin D deficiency, which leads to abnormal metabolism of calcium and phosphorus. Most patients begin to develop rickets after 3 months of birth, and active rickets should be treated actively according to clinical manifestations, with the aim of controlling the disease activity and preventing deformity. The treatment of rickets mainly lies in supplementing vitamin D, so as to promote children's absorption of calcium and phosphorus and avoid their metabolic disorder. More sun exposure and vitamin D supplementation can play a good role in the treatment of rickets.
1, appropriate vitamin D supplementation: add foods rich in vitamin D to the diet, and supplement vitamin D of nutritional supplements must be in accordance with the doctor's advice. According to the child's condition, the course of treatment is about one month. Generally, calcium supplementation is needed at the same time in the early stage of treatment. Whether calcium supplementation is needed for a long time is not uniform. Generally, after vitamin D supplementation, the absorption of calcium will naturally increase. Premature babies should be given vitamin D in advance. Infants and young children should also be supplemented with vitamin D in winter and spring. If there are children with chronic diarrhea or other chronic diseases, vitamin D should be given intramuscular injection when necessary. To treat tetany, it is necessary to stop the convulsion urgently, give calcium treatment, and then supplement vitamin D.
There are two main sources of vitamin D in human body. One is that the precursor substance of vitamin D in the skin is transformed into vitamin D by ultraviolet radiation in sunlight, and the other is from food intake. Animal food contains vitamin D3, and plant food contains vitamin D2, which are collectively called vitamin D.. In addition to marine fish and liver, there are few milk, egg yolk and meat in food, and very little in vegetables.
2, more sun to promote the synthesis of vitamin D: children suffering from rickets, first of all, to give children more sun. According to research, 1 cm2 skin exposed to sunlight for 3 hours can produce about 20 international units of vitamin D. Even if the baby is tightly wrapped in clothes, as long as the face is exposed and exposed to the sun 1 hour every day, 400 international units of vitamin D can be produced. Open the window or go to the yard to bask in the sun, and let children bask in the sun more in winter. In addition, it is of great benefit for mothers to get more sunshine during pregnancy and lactation to ensure the supply of vitamin D for infants and prevent rickets.
3. Medication: The treatment of rickets also needs to be combined with medication. At present, vitamin D tablets, capsules, injections, emulsions, etc. are selected for the treatment of rickets. In addition, vitamin D3 is absorbed faster than vitamin D2 and has a good effect.
Treatment of rickets
The prone population of rickets is mostly infants, and the probability of rickets is increased after 3 months. Therefore, the prevention and treatment of rickets is very important. The treatment of rickets is mainly to supplement vitamin D with calcium to prevent skeletal deformity and recurrence. The treatment of rickets is mainly determined according to the period when children with rickets are not in use, which is divided into active period and recovery period.
1, active rickets: active treatment should be given according to clinical manifestations, aiming at controlling the disease activity and preventing deformity.
(1) Mild rickets in active stage: vitamin D is 200,000-300,000 IU, 1 time orally or intramuscularly, with an interval of 1 month, and can be given again1~ 2 times, and calcium agent is given at the same time, with 0.5- 1 g each time.
(2) Moderate and severe rickets in active stage: vitamin D 200,000-300,000 IU, 1 time, orally or intramuscularly, with an interval of 1 month, which can be given for 2-3 times, and calcium agent is given at the same time, 0.5- 1 g each time, 2-3 times a day for 2-3 consecutive times.
2, rickets in the recovery period: For infants and young children in the recovery period of rickets, vitamin D is generally not needed, and more sunshine can be used to improve nutrition. However, in winter and spring, in order to prevent recurrence, 200,000 ~ 300,000 IU of vitamin D can be administered, and the above-mentioned therapeutic dose of vitamin D can be maintained for 2-3 months once orally or intramuscularly, so it is unnecessary to take the maintenance dose orally to prevent vitamin D poisoning, and more sunshine is enough.
Matters needing attention in the treatment of rickets
Because rickets is mainly caused by vitamin D deficiency, if vitamin D deficiency, it will affect the absorption of calcium and phosphorus, resulting in calcium and phosphorus metabolism disorder. Therefore, timely vitamin D supplementation is of great significance for the treatment of rickets. However, the occurrence of rickets is not necessarily treated by vitamin D supplementation. If vitamin D intake is excessive, vitamin D poisoning will also occur. In addition, sunbathing can promote the synthesis of vitamin D in human body. However, due to some objective reasons, such as seasonal and regional differences, insufficient sunlight in winter or in northern areas easily affects the synthesis of vitamin D in infants. Therefore, it is necessary to supplement the lack of vitamin D through other ways, such as food and taking vitamin D preparations.
Sequela of rickets
When it comes to sequelae of rickets, most people's impressions are hunchback, fool, limping and so on. So, do all patients who have changed rickets have this sequela? This is definitely not going to happen.
If the patients with rickets are not serious, they can be treated as early as possible and supplemented with vitamin D, so the patients can recover and generally will not cause sequelae of rickets. However, if the patient's rickets is not treated in time in the early stage, the serious illness will easily lead to rickets sequelae. Severe cases will lead to serious skeletal deformity of patients, affecting their appearance and future life, so patients must be treated as soon as possible.
Therefore, if parents notice that the baby has early symptoms of rickets, they should go to the hospital in time to check whether they have rickets. If so, they should cooperate with the doctor for treatment as soon as possible. As long as it is treated as early as possible, it will not cause the sequelae of rickets, and it will not make you hunchback.
Rickets-prone people are infants. As parents, you should pay more attention to your children at this stage, which is not only responsible for their health, but also the deepening stage of the affection between father and son.