VITAMIN D AND RICKETS IN CHILDREN

Rickets in children has always been a primary health concern. Rickets often occurs mainly due to lack of vitamin D. Vitamin D supplementation is essential in the prevention and treatment of rickets.

Rickets in children

Rickets is one of the disorders of the child’s body, occurs due to a lack of substances in the body, namely a lack of vitamin D, phosphate or calcium leading to the result of not strong bones.

Rickets is common in children under 3 years old because in this period, the child’s skeletal system is thriving.

Symptoms of rickets due to vitamin D deficiency:

Early symptoms:

  • Children often fussy and cry, sleep poorly, or startled.
  • Sweating at night even when it is cold.
  • Signs of licking: the child has hair loss on the nape of the neck.
  • Physical retardation.

Late symptoms:

  • Clear signs in bone: skull is soft, even concave, skull is deformed, and the head is flat. There are tumors around the skull, commonly in the forehead and the top.
  • Wrist collar signs due to an enlarged wrist.
  • The rib system of the thorax is deformed, possibly with X-shaped or O-shaped legs, and early scoliosis.
  • Children teethe slowly, know to walk slowly…

Dangerous complications when children have rickets

Rickets is not a dangerous disease, but without proper remedies, it will lead to dangerous complications or sequelae affecting bad appearance, causing inferiority in adulthood. Sequelae and rickets such as:

  • Deformed chest, hunchback, scoliosis
  • Limbs are bent, legs have 0-shaped hoops or X-shaped legs.
  • The narrow pelvis, affecting the reproductive function of the girl later
  • The child’s height is reduced and respiratory function is limited
  • Affects the nervous system, muscles due to bone compression

In severe cases, children can die from lack of nutrients, seriously affecting the bones.

How to overcome rickets in children caused by vitamin D deficiency

In the body, vitamin D plays a very important role, especially for the skeletal system:

  • Vitamin D participates in bone structure through the distribution mechanism of calcium and phosphorus in the body.
  • Vitamin D increases the absorption of calcium and phosphorus from the digestive tract.
  • Vitamin D along with parathyroid hormone participates in the metabolism of calcium, phosphorus, stimulates to increase the deposition of calcium in the bones.
  • In addition, vitamin D also participates in other functions on the body such as cell division, related secretion, hormone metabolism, or differentiation of skin cancer, bone cancer …

All these processes affect when the body is deficient in vitamin D which results in rickets in children, osteoporosis in adults. Therefore, vitamin D supplementation is essential in the prevention and treatment of rickets.

Vitamin D can be obtained through a nutritious daily diet or supplemented directly by eating and drinking.

Foods high in vitamin D such as milk, biscuits, cooking oil, cereals, nutritional powders or fish oils, egg yolks …

Oral vitamin supplementation: Depending on the condition of the child as well as depending on the age, doctors can recommend the appropriate dose of vitamin D.

Note: if the vitamin is added too much will cause an excess of vitamin D manifestations: poor appetite, diarrhea, nausea, kidney stones … especially manifestations cause abnormalities in the cornea, or common Bandage keratitis in children.

In addition to providing vitamin D from food or in the form of oral tablets, mothers can supplement vitamin D for their children by sunbathing. Sunbathing helps provide up to 95% of vitamin D in the body. To effectively sunbathe, mothers need to note a number of things as follows:

  • Sunbathing regularly every day, on average from 15 to 20 minutes. When bathing, it is necessary to expose the child’s feet and hands to be able to direct sunlight, increasing calcium absorption.
  • Appropriate sunbathing time: before 8 am or after 4-5 pm.
  • Both pregnant and lactating women should sunbathe.
  • Infants and young children, babies should bathe from the first month after birth.
  • Choose a suitable sunbathing location, should be in a cool and well-lit place.

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