Ngaphandle kokuthi igama lalesi sifo lifaka igama elithi isifo sikashukela, alihlangene nomsebenzi wamanyikwe, izinkinga nge-insulin neglucose yegazi. Noma kunjalo, isifo sikashukela se-phosphate asisithandi kuphela ngenxa yegama laso, kodwa futhi ngoba sikhula ngenxa yokuphazamiseka kwe-metabolic, futhi lesi ngesinye sezihloko esizeni sethu.
Akuwona wonke umuntu owazi ukuthi kwezokwelapha, isifo sikashukela singabizwa ngokuthi hhayi kuphela isifo sikashukela sohlobo lokuqala noma lwesibili. Isifo sikashukela sibizwa nangokuthi yiqembu lonke lezifo ezinezimbangela ezahlukahlukene, kepha ngezimpawu ezifanayo:
- ukoma ngokweqile;
- isifiso esijwayelekile sokuchama;
- ushintsho olukhulu ekubunjweni komchamo.
Isifo sikashukela se-phosphate siyefana nezinye izifo zaleli qembu, hhayi nje kuphela izimpawu, kodwa futhi nokwephulwa kwezinqubo ze-metabolic emzimbeni. Kodwa-ke, umehluko obalulekile ovela kwisifo sikashukela - isandulela sofuzo. Ngamanye amagama, isifo sikashukela se-phosphate siyazuzwa njengefa futhi kumane nje kungenzeki ukuvimba ukwenzeka kwawo kanye nentuthuko nganoma iyiphi indlela.
Lesi sifo sidluliselwa emadodeni kuphela siye emadodakazini ngamaphesenti ayi-100. Ophethe isifo sikashukela i-phosphate angaba futhi ngumama, ozodlulisela lesi sifo emadodakazini nasemadodaneni ngokufanayo.
Kunezibalo zezokwelapha ezithi ubulili besilisa buthinteka kakhulu yizimpawu zesifo kunowesifazane. Ezimweni ezingavamile kakhulu, ama-neoplasms wezicubu ezithambile namathambo angabhekwa, kepha lokhu sekuvele kuyisici sabantu asebekhulile.
Izici zesifo
Njengoba sekuphawuliwe, isifo sikashukela se-phosphate siyafana nesifo sikashukela se-metabolic. Kukhona okunye ukugula okunezici ezivamile nakho - lokhu ngama-rickets. Kulesi simo, ukuthuthukiswa kwamathambo okungajwayelekile kuzophawulwa futhi ngenxa yokungalingani ekusebenzeni kwe-phosphorus ne-calcium.
Isifo sikashukela se-phosphate ezinganeni singaba nokushoda kwe-Vitamin D, futhi kubantu abadala kubonakaliswa ukuqina kwamathambo nokuthambisa kwawo. Amanye amagama wesifo sikashukela phosphate:
- ama-rickets ancike ku-vitamin D;
- ama-rickets ohlobo lwesibili;
- ama-30 omndeni wokuzala;
- hypophospholenic rickets.
Kalula nje, kulesi sifo kukhona ukwephulwa kokufakwa okwanele kwe-calcium ne-phosphorus, okuvimbela izicubu zamathambo ekwakheni ngokujwayelekile. Ngaphezu kwalokho, kunezinkinga zokungena emzimbeni we-Vitamin D, okufanele uguqulwe waba yizinto ezikhethekile ezifanayo nama-hormone.
Isifo sikashukela se-phosphate sibonakala ngokuthi kunokuphulwa kokukhiqizwa kwezinto ezidingekayo zomzimba kusuka ku-Vitamin D noma ukuzwela kwezicubu kuye kwehla nje. Yonke leyo calcium engakamunwa amathambo isuswe ngokuphelele lapho uchama.
Imiphumela yesifo sikashukela i-phosphate ifana naleyo enama-rickets angalashwa. Njengoba ingane ikhula, ukuqina kwamathambo emithambo yakhe kuyakhula, futhi ezimweni ezinzima kakhulu nezinganakwa, ingane ingahle ilahlekelwe amandla okuhamba ngokuzimela.
Iqembu lokukhubazeka lingase futhi lisongele iziguli ezindala isifo ezisenza zifane nalesi sifo esiyimbangela. Ukwephulwa kokufakwa kwe-calcium kuleli cala kwandisa kuphela.
Kwenziwa kanjani ukuxilongwa?
Ebuntwaneni, isidingo se-calcium ne phosphorus siphakeme kakhulu kunabantu abadala. Ngalesi sizathu, imiphumela yalesi sifo ezinganeni ilukhuni kancane.
Izimpawu ezilandelayo zibonwa ngesifo sikashukela se-phosphate:
- okubizwa ngokuthi duck gait;
- ukukhula kungaphansi kakhulu kwesilinganiso;
- ukuqina kwamaphethelo aphansi, futhi ikakhulukazi imilenze ephansi, ngohlamvu O;
- ukulimala komgogodla.
Esemncane kakhulu, isifo sikashukela se-phosphate singatholakala ngemuva kokuba abazali bebike imisebenzi ephansi yemoto yengane. Kwezinye izimo, izinsana zingakhala noma zikhubazeke, ikakhulukazi uma udinga ukuhamba. Lokhu kungenxa yobuhlungu bethambo.
Ngama-rickets, amathambo abuthakathaka kangangoba ngisho noma kungekho curvature esobala, lesi sifo singasolwa esimweni sokuhlasela kakhulu kwethambo okwenzeka njalo emntwaneni.
Kunesici esibalulekile sama-ricores asendulo kanye nawokuzalwa kabusha. Uma okokuqala kutholakala ezinyangeni zokuqala zempilo yengane, bese kuthi eyesibili kuphela emva kwezinyanga eziyi-6 noma ngisho neminyaka engama-1.5-2 (ngemuva kokuba ingane iqale ukuhamba).
Kungenzeka ukuthi uthole lesi sifo ngokufanele ngosizo:
- ukuhlolwa kwegazi kwe-biochemistry;
- ucwaningo lwe-x-ray.
I-biochemistry yegazi kanye nesakhiwo sethambo kuzohluka ngezinhlobo ezahlukene zama-rickets. Uma kunokusolwa kwesifo sikashukela se-phosphate, khona-ke kuleli cala, odokotela bazoncoma ukuthi abazali bengane bahlolwe ngokufanele.
Kungenzeka yini ukuthi uqede ama-rickets azalwe nawo?
Umongo wokwelashwa kwama-ricores we-classic kanye nesifo sikashukela uzofana. Ukwelashwa kufaka ukwethulwa kwemithamo eyengeziwe ye-vithamini D emzimbeni womuntu ogulayo. Ngenxa yokuthi nge-hypophosphatemic rickets ukucubungula kwayo akulungile, kuzodingeka imithamo ephezulu yemithi.
Ngesikhathi sokulashwa, odokotela bazokuqapha kakhulu ukugcwala kwe-phosphorus esegazini, kanye nezinye izinhlaka zayo ze-biochemical. Lokhu kuyadingeka ekukhetheni komuntu ngamunye komthamo ofanele.
Ukwelashwa nge-Vitamin kufanele kuxhaswe ngokufanelekile ngamalungiselelo asuselwa ku-phosphorus, kanye nokudla okwenziwe ngokukhethekile kokudla, okufanele kufake nokudla okune-phosphorus.
Akukona ngaso sonke isikhathi ukukhuluma ngokuxilongwa kusenesikhathi. Kwezinye izimo, odokotela bangancoma ukulinda kuze kube yilapho ingane ifinyelela eminyakeni emi-3.
Kwesinye isikhathi ukwelashwa kungenzeka kube kuncane nesidingo sezindlela zokuhlinzwa, noma kunjalo, akukwenzeka njalo ukukhuluma ngokuqedwa ngokuphelele kwesifo sikashukela phosphate.
Ku-mellitus yesifo sikashukela sohlobo lokuqala, akunakwenzeka ukubuyisela umkhiqizo we-insulin uqobo. Ngakho-ke, ngisho nezinkinga nge-calcium, kunzima ukuzisebenzisa.
Uma iziguli zabantu abadala zingaba nokudla okwanele kwe-calcium ne phosphorus, khona-ke ebuntwaneni nasebusheni kunesidingo ngokweqile salezi zinto. Umthetho ofanayo uzosebenza esikhathini sokukhulelwa kwabesifazane nokukhulelwa.
Akunakwenzeka ukulungisa imiphumela yenkambo yesifo sikashukela se-phosphate. Impilo, umuntu uhlala:
- isiqu esifushane;
- ukuqina kwamaphethelo aphansi.
Kungumphumela wokugcina wama-ricores angafundiswanga kwabesifazane oba yisidingo esiyisisekelo sokulahla ukuzalwa kwengane yemvelo nokukhetha isigaba secesare.
