General

Rickets in children

Rickets in children

Rickets is most commonly seen in children aged 3 months to 2 years. Its incidence in our country is around 6% and in some regions it reaches up to 19%. International Hospital Child Diseases and Health Specialist Dr.Esra Kotan tells about those who are curious about rickets.

Rachitism is defined as the mineralization of bone tissue in the growing organism due to vitamin D deficiency, that is, the disturbance in the settling of minerals such as calcium and phosphorus in the bones. The main task of vitamin D is to provide the necessary calcium and phosphorus pattern for growing bone tissue in children. Vitamin D increases the absorption of calcium and phosphorus from the intestine, plays a major role in maintaining the balance in the body, almost serves as cement. Rickets is most commonly seen in children aged 3 months to 2 years. Its incidence in our country is around 6% and in some regions it reaches up to 19%.

symptoms

Dr. Esra Kotan explains the symptoms as follows: belirtil Symptoms of the disease are primarily seen in muscle and skeletal tissue. Cranial softening (craniotabes) (physiological in infants less than 3 months) head-shaped disorders (flat and table-head appearance), anterior large-eye and late closure, deformities in the rib cage (bird's chest, shoemaker's chest), rosary beads protrusions such as widening of the bone ends, which are more obvious in wrists, bending of the loaded bones (such as leg deformations, X leg, O leg), delayed teething, feverless remittance due to low calcium, frequent lung infection as a result of chest deformity. There are several symptoms. ”

Breast milk and vitamin D

There is not enough vitamin D in breast milk. Therefore, babies must be given vitamin D from the first days following birth. Is rickets only seen because of vitamin D deficiency? Dr. Kotan answers this question as follows: “Inadequate intake of vitamin D with food, insufficient sun exposure, intake of vitamin D cannot be absorbed due to certain diseases or rickets also occurs when vitamin D is hereditary metabolic disorder. Rickets due to vitamin D deficiency is also called nutritional rickets. Rickets can also occur in calcium deficiency. ”

The sun and its effect on children

The sun is very useful for children as it is for all living things. In order to benefit from the sun, children must be exposed to naked sunlight and it is useful to know that the sun passing through the window is not beneficial. Dr. Kotan says: “To maintain vitamin D levels, babies need to see the sun for 30 minutes a week naked (clothed alone) and 2 hours a week when they are clothed. The arms and legs must be removed to the sun with a hat on the head outside the noon hours when the sun is angry. Sun provides the production of vitamin D in the skin. Vitamin D levels are low in mothers who do not benefit from sunlight adequately. ”

Treatment of rickets

Treatment of rickets is caused by vitamin D discontinuation after oral or intramuscular administration of long-term low-dose or short-term high-dose vitamin D. Dr. An One or two weeks of calcium is added to this treatment, Kot says Kotan. Ilgili There is no risk of treatment at the indicated doses, but in cases of false diagnosis of rickets, an unnecessarily high dose of vitamin D or a long-term high dose of Vitamin D may result in poisoning. Since vitamin D is a fat-soluble vitamin, excess can be stored in the body. In addition, ampoules of vitamin D should not be given without a prescription for protection and treatment, and health personnel should pay attention to this issue. ”

Protection methods

Protection methods need to be divided into two separate sections for mother and baby. DR. Kotan says: “If the mother sees enough sun, there is no need for additional vitamin D during pregnancy and lactation. However, in winter, in the eastern regions, in places with air pollution and due to the closed clothing style, mothers who do not see enough sun are recommended 100% vitamin D in the last 3 months of pregnancy or once 100,000 vitamin D once in the beginning of the last 3 months. Protection for babies starts from the first week of life. Regardless of their diet (breast milk or formula), all infants should receive 400 units of vitamin D daily and continue until the end of 1 year. Premature babies should be given 800 units of vitamin D per day. ”