Rickets is a disease that affects the development of infants and young children. It can have a great impact on the health of infants and young children. Therefore, children with rickets will obviously have slower physical development. Once the disease is contracted, it will produce major sequelae, which will have a very destructive impact on children. Let's take a look at the main manifestations of rickets sequelae and how to deal with them.
1. After 7 to 8 months, children with rickets will have obvious enlargement of the epiphyses of their limbs, especially the distal ends of the ulna and radius of the wrist joint, where round and blunt spheres can be seen, which are called rickets "bracelets". 2. Children with rickets are prone to symptoms such as excessive sweating, night terrors, night crying, and irritability; 3. Rickets can cause certain changes in the child's bones, such as: In the early stage of the head, the fontanelle may be enlarged or closed, the age of the fontanelle may be delayed, teeth may come out late, and in severe cases, children may also develop ping-pong skull softening. Children aged 4 to 8 months may also have a square head;The costal cartilage area of the chest may swell, mainly in the 5th to 8th costal cartilage area. When it is round and large, it is called "beaded" and causes changes in the thorax. It is called pigeon chest or funnel chest. 5. Before and after children with rickets learn to walk, they may have "O"-shaped legs or "X"-shaped legs due to bone softening and the gravity of the body, which may affect the physiological and motor functions of the children and bring unnecessary troubles to their future growth. Treatment of rickets:
Initially, take vitamin D orally every day for 1 month, then change to a preventive dose. Take orally during the stimulation period, and change to the preventive dose after taking it for 1 month. If you cannot persist in taking the medicine or suffer from diarrhea, you can take vitamin D intramuscularly as a high-dose intensive therapy, and then switch to taking it orally in preventive doses after one month. Take calcium supplements orally for 4 to 5 days before intramuscular injection to avoid iatrogenic hypocalcemic convulsions. 2. Increase sunshine opportunities Adhere to breastfeeding, add foods rich in vitamin D (liver, egg yolks, etc.) in a timely manner, and do more outdoor activities to increase the opportunity for direct sunlight exposure. During the stimulation period, do not let the child sit or stand for a long time to prevent bone deformities. 3. Orthopedic bone therapy Active and passive movements are used to correct bone deformities. Mild skeletal deformities will correct themselves after treatment or during growth. Physical exercise should be strengthened, and active or passive exercises can be performed to correct them, such as push-ups or chest expansion exercises to expand the chest and correct mild pigeon chest and rib valgus. Severe skeletal deformities can be corrected surgically, and surgical correction can be considered after the age of 4 years. |
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