Osteopenia - ƙarancin jarirai

Osteopenia shine raguwar adadin alli da phosphorus a cikin kashi. Wannan na iya haifar da kasusuwa su zama masu rauni da rauni. Yana kara kasadar kasusuwa.

A lokacin watanni 3 da suka gabata na daukar ciki, ana sauya alli da phosphorus masu yawa daga mahaifiya zuwa jariri. Wannan yana taimaka wa jariri ya girma.

Yarinya da ba ta kai haihuwa ba ba za ta karɓi adadin da ya dace don samar da ƙashi mai ƙarfi ba. Yayinda yake cikin mahaifar, aikin tayi yana karuwa yayin watanni 3 na karshe na ciki. Wannan aikin ana tsammanin yana da mahimmanci ga ci gaban ƙashi. Yawancin yara da yawa da basu isa haihuwa ba suna da iyakancin motsa jiki. Hakanan wannan na iya taimakawa ga kasusuwa marasa ƙarfi.

Yaran da basu isa haihuwa ba sun rasa yawancin phosphorus a cikin fitsarinsu fiye da jariran da ake haifa masu cikakken lokaci.

Rashin bitamin D na iya haifar da osteopenia a cikin jarirai. Vitamin D na taimakawa jiki wajen karbar alli daga hanji da koda. Idan jarirai ba su karɓa ko yin isasshen bitamin D ba, ƙwayoyin calcium da phosphorous ba za su sha da kyau ba. Matsalar hanta da ake kira cholestasis na iya haifar da matsala tare da matakan bitamin D.

Magungunan ruwa (diuretics) ko steroids kuma na iya haifar da ƙarancin alli.

Yawancin jarirai waɗanda ba a haifa ba waɗanda aka haifa kafin makonni 30 suna da digiri na osteopenia, amma ba za su sami alamun bayyanar jiki ba.

Yaran da ke fama da tsananin osteopenia na iya rage motsi ko kumburin hannu ko kafa saboda raunin da ba a sani ba.

Osteopenia yafi wahalar tantancewa a cikin jarirai da basu isa haihuwa ba fiye da na manya. Mafi yawan gwaje-gwajen da ake amfani dasu don tantancewa da kuma lura da cutar sankarau sun hada da:

• Gwajin jini don bincika matakan alli, phosphorus, da furotin da ake kira alkaline phosphatase
• Duban dan tayi
• X-haskoki

Magungunan kwantar da hankali waɗanda suka bayyana don haɓaka ƙarfin ƙashi a cikin jarirai sun haɗa da:

• Ciumarin alli da sinadarin phosphorus, an ƙara su da nono ko ruwan IV
• Formulawararru na musamman wanda bai kai ba (lokacin da ba a samun ruwan nono)
• Arin Vitamin D ga jarirai masu matsalar hanta

Karaya zai fi saurin warkar da kansa ta hanyar sarrafa hankali da ƙara yawan cin abinci na alli, phosphorus, da bitamin D. Akwai yiwuwar samun haɗarin karaya a cikin shekarar farko ta rayuwa don jariran da ba su cika haihuwa da wannan yanayin ba.

Karatuttukan sun ba da shawarar cewa ƙarancin nauyin haihuwa shine babban haɗarin haɗari ga osteoporosis daga baya a cikin rayuwar manya. Har yanzu ba a sani ba ko yunƙurin magance ko hana osteopenia na rashin haihuwa a asibiti bayan haihuwa na iya rage wannan haɗarin.

Rickets na jarirai; Bonesasusuwa masu rauni - jarirai da haihuwa Kasusuwa masu rauni - jarirai wanda bai isa haihuwa ba; Osteopenia na rashin haihuwa

Abrams SA, Tiosano D. Rashin lafiya na alli, phosphorus, da magnesium metabolism a cikin sabon. A cikin: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff da Martin's Neonatal-Perinatal Medicine. 11th ed. Philadelphia, PA: Elsevier; 2020: babi na 87.

Koves IH, Ness KD, Nip A SY, Salehi P. Rashin lafiya na alli da phosphorus metabolism. A cikin: Gleason CA, Juul SE, eds. Cututtukan Avery na Jariri. 10 ed. Philadelphia, PA: Elsevier; 2018: babi na 95.