Can severe rickets be cured?

summary

Rickets can be cured if it is found in time. If it is not found and treated in time, it causes serious bone changes, which can not be completely cured. It will cause the sequela of bone changes. Rickets treatment is mainly to supplement vitamin D, usually for mild rickets, generally supplement 2000-4000 units of vitamin D every day, so severe rickets can be cured? I'd like to share my views with you.

Can severe rickets be cured?

First, the purpose is to control the active period and prevent skeletal deformity. According to the principle of treatment, calcium and vitamin D should be supplemented according to the need. The general dose of oral vitamin D is 2000iu-4000iu per day, or 1,25-oh2-d30.5 μ g～2.0 μ g. After one month, the preventive dose was changed to 400 IU / day. High dose therapy should have strict indications. When severe rickets have complications or cannot take orally, large dose of vitamin D can be injected intramuscularly, and the preventive dose can be changed after 3 months. If there is no sign of recovery in clinical manifestations, blood biochemistry and bone X-ray changes, it should be differentiated from anti vitamin D rickets.

Second, the Chinese Nutrition Society recommends that the daily calcium supply in China is 300 mg for 0-6 months, 400 mg for 7-12 months and 600 mg for 1-3 years old. As long as adequate breast milk or adequate intake of formula milk, can meet the calcium nutrition of infants. Rickets treatment generally does not need calcium, unless complicated with tetany and other low calcium performance.

Third: the children with sequelae of skeletal deformity should strengthen physical exercise, which can be corrected by active or passive movement. For the high risk factors of vitamin D deficiency rickets, in the process of growth and development, we should avoid early load-bearing exercise (such as early practice of sitting, standing, supporting and jumping). If the deformity of lower limbs has occurred, muscle massage (O-type leg massage lateral muscle, X-type leg massage medial muscle) can be used to increase muscle tension to correct the deformity. Severe skeletal deformities can be treated surgically.

matters needing attention

prevention; Full term infants who are breastfed or partially breastfed should start to supplement vitamin D 400 IU / day at 2 weeks after birth, and preterm infants, low birth weight infants and twins should start to supplement vitamin D 800 IU / day at 1 week after birth; They were all supplemented to 2 years old. If the growth rate is fast, even if the summer sunshine is sufficient, it is not appropriate to reduce or stop vitamin D. Generally can not take calcium, but milk intake and poor nutrition can be appropriate to supplement micronutrients and calcium.