ʻO Rickets kahi maʻi iʻike nuiʻia e nā mākua he nui. ʻO ka helu muaʻana i nā rickets i ka makahiki mua BC. ʻO ka weheweheʻana o kēia maʻi i hoʻomaka muaʻia i ka makahiki 1650 ma nā hana a Glisson o nā'ōlelo Pelekane.
Hiki nā'ōpili i nā'ōpiopio a me nā keiki ma lalo o ka makahiki hoʻokahi. Ma hope o hoʻokahi makahiki, ua kapaʻia kēia maʻi he osteoporosis. I loko o nā'ekepeke, aia ka haunaele i ke kūʻana o ka iwi iwi a me ko lākou pōʻino. ʻO ke kumu no ka lawaʻoleʻana o ka mineraliʻana o ke kino o ke keiki. Ua ho'āʻo nā kauka o nā manawa a pau i ka paleʻana i nā'āpana a hōʻike i kona mau hōʻailona mua loa. ʻO ka maʻi ma kahi maʻamau - i nā keiki he nui ā hiki i hoʻokahi makahiki a hōʻike nā kamaliʻi i kēlā mau hōʻailonaʻokoʻa paha. ʻO nā hōʻailona mua o ka maʻi,ʻo ia kēia: hyperactivity, hoʻomahaʻole,ʻeleʻele, nele i ka hiamoe. Ināʻaʻole hoʻomaka ka mālama, hiki i ke keiki ke koʻikoʻi o nā iwi o nā wāwae, ke poʻo, ka umauma
ʻO nā kumu o kēia hoʻopalahalaha i ka maʻi maʻi no ka'ōpiopio, ua lilo i mea hilahila no nā kauka no ka wā lōʻihi. Ua hana muaʻia lākou i ka hapalua mua o ke kenekulia hope, i kaʻikeʻana o ka lāʻauʻo D. Ua lanakila nā kānakaʻepekema i ka weheweheʻana i keʻano o ka huaʻai D ma lalo o ka mana o nā kukui ultraviolet i kaʻili o kekahi kanaka. Aia a hiki i kēia manawa,ʻo ka kumu nui o nā'ōpili'āpiopioʻo ka nele o ka lāʻauʻona D i loko o ke kino. Eia naʻe, me ka hoʻomohalaʻana i kaʻenehana, ua hiki i nāʻepekema ke hoʻokumu i ka nele o ka lāʻauʻo D + D he hoʻokahi wale nō kumu o nā rickets. Ua manaʻo nā kauka o ka iwakāluakūmālua mau makahiki i ka hikiʻole ke hōʻeha i ka'ōpiopio o ke keiki ma muli o ka hapa o ka puna calcium a me ka paʻakai. Eia kekahi,ʻo ka nele o nā phosphates a me ka paʻakai calcium e puka ana i nā keiki e loaʻa pinepine ana i nā'ōpala. No laila, i loko o nā makahiki heʻumi i hala iho nei, ua hōʻona nuiʻia ka papa inoa o nā'ōpala o nā keiki. ʻO nā kumu nui o nā'ōpala i nā keiki:
- mua. I nā pule hope loa o ka'ōpūʻana, ke kino o ke keiki i ka nui o ka nele i ka calcium a me nā phosphorus. ʻO ka hānau hānau muaʻaʻole i hāʻawi i ka pēpē i ka manawa e loaʻa ai kēia mau mineral pono i piha;
- ka pilikino a iʻole ka olaʻole o ka'ōnaehana enzyme. ʻO ka pūnaehana enzyme ke kuleana no ka laweʻana i nā huaora a me nā minela;
- nā pilikia i ka pūnaewele endocrine;
- ka pilikia o ka vitamin D;
- aiʻole kaʻaiʻole o ka makuahine i ka wā e hānai ai. I kaʻaiʻana o ka makuahine, pono e loaʻa i nā meaʻai a pau a me nā mineral. Ma ka hoʻohanaʻoleʻana i kēia mau mea i ka nui kūpono, hoʻonele ka makua hānai i kāna keiki;
- kūlohelohe. Hoʻonuiʻia ka likelika o nā'ōpili inā loaʻa kekahi o nā mākua i kēia maʻi. Eia kekahi,ʻo nā keiki me kaʻiliʻeleʻele a me ka pūʻulu, he pilikia wau;
- ka hopena kūlohelohe.
ʻEkolu kūkelē o nā'āpana: ka māmā, ka mean a me ka kaumaha. Me nā hōʻailona liʻiliʻi, hiki keʻike ikiʻia nā hōʻailona o nā pila. Me ka paʻakikī hiki i nā maʻi neuropili hiki ke hana, ua hoʻopōʻinoʻia ka pahu, pelvis. Hiki ke holo koke ke maʻi ma ka maʻalahi a paʻakikī.
Hoʻomaʻoʻia o nā'ōpala i nā keiki
ʻO ka hōʻailona o nā kīkiki no nā keiki ke hanaʻia wale nō i nā kikowaena. Hoʻomalohua nā keiki i kahi ho'āʻo koko no ka hoʻokolohua lāʻau. Aia ma hope o ka hōʻikeʻana i kaʻino o nā'āpala a ke kauka kāohi i ka lāʻau. No ka hoʻokōʻana i ka hopena kūpono loa,ʻo ka hoʻomaluʻana i nā'ōpiko i nā keiki pono loa. ʻO ka mea mua o ka hoʻomaʻamaʻaʻana e pili ana i ke kumu o ka maʻi a me ka weheʻana. Me nā kauka lāʻau lapaʻau hōʻailona e hoʻonui i ka manawa i hoʻolimalimaʻia
No ka paleʻana i nā'āpala, nā kauka e'ōlelo like i ka nohona likeʻole a me ka meaʻai maikaʻi. ʻO nā hopena o nā kīʻaha e pili ana i kaʻike kūpono o ka maʻi, ka mālama kūpono a me ka paleʻana. Me nā hōʻailona e hoʻonāukiuki ai paha, pono e hōʻike i ke keiki i ke kauka. Ma ka pūnaewele, hiki iāʻoe ke loaʻa i nā kiʻi he nui o nā keiki e loaʻa ana i nā'āpala. He mea nui eʻole eʻae i kēia me kāu mau keiki, no ka mea, nui ke ola o ke keiki ma luna o nā mākua.