Txawm hais tias qhov tseeb ntawm lub npe ntawm tus kabmob no suav nrog lo lus mob ntshav qab zib, nws tsis muaj dab tsi ua rau kev ua haujlwm ntawm cov txiav, muaj teeb meem nrog insulin thiab ntshav qabzib. Txawm li cas los xij, phosphate mob ntshav qab zib nyiam peb tsis yog vim nws lub npe, tab sis kuj vim tias nws txhim kho vim qhov kev mob plab zom mov, thiab qhov no yog ib qho ntawm cov ncauj lus ntawm peb lub xaib.
Tsis yog txhua tus paub tias hauv tshuaj, ntshav qab zib tuaj yeem tsis yog hu ua kabmob ntshav qab zib mellitus xwb lossis thawj hom thib ob. Mob ntshav qab zib tseem hu ua tag nrho pawg kab mob nrog ntau yam ua rau mob, tab sis nrog cov tsos mob zoo sib xws:
- nqhis dej ntau dhau;
- nquag nquag tso zis;
- tus ntse hloov nyob rau hauv cov muaj pes tsawg leeg zis.
Ntshav qab zib phosphate zoo ib yam li lwm txoj kev mob ntawm pab pawg no, tsis tsuas yog cov tsos mob, tab sis kuj ua txhaum ntawm cov txheej txheem hauv lub cev hauv lub cev. Txawm li cas los xij, muaj qhov sib txawv tseem ceeb ntawm cov ntshav qab zib - kev mob caj ces. Hauv lwm lo lus, phosphate mob ntshav qab zib yog tau txais txiaj ntsig thiab nws tsuas yog tsis yooj yim sua kom tiv thaiv nws qhov tshwm sim thiab kev loj hlob hauv ib txoj kev twg.
Tus kab mob kis tau los ntawm cov txiv neej tsuas yog ntxhais hauv 100 feem pua ntawm cov neeg mob. Tus nqa cov mob ntshav qab zib phosphate tuaj yeem yog leej niam, uas yuav kis cov kabmob rau cov ntxhais thiab cov tub sib npaug.
Muaj cov ntawv kho mob hais tias tus txiv neej pw ua niam txiv cuam tshuam ntau dua los ntawm cov tsos mob ntawm tus kab mob dua li tus poj niam. Hauv qee qhov tsis tshua muaj tshwm sim, neoplasms ntawm cov nqaij mos thiab pob txha tuaj yeem pom, tab sis qhov no twb yog tus cwj pwm ntawm cov neeg laus.
Cov yam ntxwv ntawm tus kab mob
Raws li twb tau sau tseg, cov mob ntshav qab zib phosphate zoo ib yam li cov mob ntshav qab zib ua ntej dhau los. Muaj lwm qhov mob ntxiv uas muaj cov yam ntxwv zoo sib xws nrog nws - qhov no yog rickets. Hauv qhov no, kev txhim kho pob txha tsis zoo yuav tau sau tseg vim kev tsis txaus ntawm cov metabolism hauv phosphorus thiab calcium.
Phosphate mob ntshav qab zib hauv cov menyuam yaus tuaj yeem tshwm sim nrog lub cev tsis muaj vitamin D, thiab nyob rau cov neeg laus nws yog qhov tshwm sim los ntawm qhov nkhaus ntawm cov pob txha thiab lawv cov nqaij mos. Lwm lub npe rau ntshav qab zib phosphate:
- vitamin D-depend rickets;
- rickets ntawm ob hom;
- rhawv neeg txheeb ze;
- hypophospholenic rickets.
Yooj yim muab, nyob rau hauv cov kab mob no muaj kev ua txhaum ntawm kev nqus txaus ntawm calcium thiab phosphorus, uas txwv tsis pub cov pob txha nqaij los ntawm txoj kev sib txig sib luag. Tsis tas li ntawd, muaj teeb meem nrog nkag mus rau hauv lub cev ntawm cov vitamin D, uas yuav tsum tau hloov mus rau hauv cov tshuaj tshwj xeeb zoo ib yam li cov tshuaj hormones.
Ntshav qab zib phosphate yog tus cwj pwm hauv kev ua txhaum ntawm kev tsim cov tshuaj tsim nyog rau lub cev los ntawm cov vitamin D lossis cov neeg mob ntawm cov ntaub so ntswg mus rau nws yooj yim poob qis. Txhua yam calcium uas tsis tau yoo los ntawm cov pob txha yog ua kom tiav thaum tso zis.
Qhov tshwm sim ntawm ntshav qab zib phosphate zoo ib yam li cov neeg uas tsis tau txais rickets. Thaum tus menyuam loj zuj zus, qhov curvature ntawm cov pob txha ntawm nws lub cev pob txha yog qhov hnyav dua, thiab tshwj xeeb tshaj yog mob hnyav thiab tsis quav ntsej, tus menyuam yuav ploj qhov peev xwm txav mus ntawm nws tus kheej.
Cov neeg muaj mob xiam oob qhab kuj tuaj yeem tsim kev hem thawj rau cov neeg laus cov neeg mob uas ua rau muaj tus kabmob yooj yim. Kev ua txhaum ntawm kev nqus calcium nyob rau hauv cov ntaub ntawv no tsuas yog exacerbated.
Yuav kuaj li cas?
Thaum yau, qhov xav tau calcium thiab phosphorus yog ntau dua li cov neeg laus. Vim li no, qhov tshwm sim ntawm tus kabmob hauv menyuam yaus yog qhov nyuaj dua.
Cov tsos mob hauv qab no yog cai nrog phosphate mob ntshav qab zib:
- cov sib hu os gait;
- kev loj hlob poob qis dua qhov nruab nrab;
- curvature ntawm qis dua kawg, thiab hauv kev tshwj xeeb hauv qab ceg, nrog tsab ntawv O;
- txha caj qaum puas tsuaj.
Thaum lub hnub nyoog tseem hluas, phosphate mob ntshav qab zib tuaj yeem txheeb xyuas tau tom qab niam txiv qhia qhov kev qoj ib ce ntawm tus me nyuam. Muaj qee kis, menyuam mos tuaj yeem quaj los yog tus neeg tsis zoo, tshwj xeeb yog koj xav taug kev. Qhov no vim yog mob pob txha.
Nrog rickets, cov pob txha tsis yooj yim li ntawd txawm tias tsis pom tseeb curvature, tus kab mob tuaj yeem xav tias yog vim li cas pheej cuam tshuam tsis muaj pob txha pob txha pob txha hauv tus menyuam.
Muaj ib qho tseem ceeb ntawm cov rickets classical thiab congenital. Yog tias thawj qhov mob tuaj yeem kuaj tau nyob rau thawj lub hli ntawm menyuam yaus lub neej, tom qab ntawv thib ob tsuas yog tom qab 6 lub hlis lossis tseem dhau 1.5-2 xyoo (tom qab tus menyuam pib taug kev).
Nws muaj peev xwm los kho tus mob no tau nrog kev pab ntawm:
- kuaj ntshav rau biochemistry;
- kev tshawb nrhiav xoo hluav taws xob.
Cov ntshav biochemistry thiab cov qauv pob txha yuav txawv nrog ntau hom ntawm cov rickets. Yog tias muaj kev ua xyem xyav txog mob ntshav qab zib phosphate, tom qab ntawd qhov no, cov kws kho mob yuav pom zoo tias cov niam txiv ntawm cov menyuam tau kuaj pom zoo.
Puas yog nws ua tiav kom tshem tau cov kab mob ruas?
Lub ntsiab ntawm kev kho rau rickets classic thiab ntshav qab zib phosphate yuav zoo ib yam. Kev kho mob cuam tshuam nrog kev qhia txog kev noj tshuaj ntxiv ntawm cov vitamin D rau hauv tus neeg mob lub cev.
Thaum kho, cov kws kho mob yuav soj ntsuam cov tshuaj phosphorus hauv cov ntshav, ntxiv rau nws cov ciam biochemical. Qhov no yog qhov tsim nyog rau tus kheej xaiv cov koob tshuaj kom tsim nyog.
Kev kho mob rau lub cev yuav tsum muaj cov tshuaj phosphorus-npaj ua kom zoo, nrog rau cov zaub mov tshwj xeeb kev noj haus, uas yuav tsum muaj cov zaub mov muaj phosphorus.
Nws tsis yog ib txwm muaj los tham txog kev kuaj mob thaum ntxov. Qee qhov xwm txheej, cov kws kho mob yuav qhia kom tos kom txog thaum tus me nyuam muaj hnub nyoog 3 xyoos.
Qee zaum kev kho mob yuav yog qhov me me thiab xav tau cov kev phais mob, txawm li cas los xij, nws tsis yog ib txwm tuaj yeem tham txog kev ua kom tiav kev tshem tawm cov ntshav qab zib phosphate.
Ntawm kev mob ntshav qab zib mellitus ntawm thawj hom, nws tsis yooj yim sua kom rov tsim kho tus kheej ntawm cov tshuaj insulin. Yog li, txawm tias muaj teeb meem calcium, nws yog qhov nyuaj rau kev ua.
Yog tias cov neeg mob cov neeg laus yuav tau txais cov calcium thiab phosphorus kom txaus, ces thaum me nyuam yaus thiab thaum tiav hluas muaj qhov xav tau ntau heev rau cov tshuaj yeeb dej caw no. Tib txoj cai yuav siv rau lub sijhawm ntawm cev xeeb tub hauv cov pojniam thiab lactation.
Nws tsis tuaj yeem hloov kho qhov tshwm sim ntawm chav kawm ntawm kev mob ntshav qab zib. Rau lub neej, ib tug neeg tseem nyob:
- luv stature;
- curvature ntawm qis extremities.
Nws yog qhov kawg tshwm sim ntawm kev kho tsis tau tus mob rickets hauv cov poj niam uas ua qhov tseem ceeb tshaj plaws rau kev tso tseg kev yug menyuam thiab xaiv qhov phais mob.
