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İletişimsizliğin Çocuk Sağlığına Etkilerinden Biri: Nutrisyonel Rikets

Year 2022, Volume: 12 Issue: 2, 341 - 344, 17.05.2022
https://doi.org/10.33631/sabd.1050688

Abstract

D vitamini, parathormon ve kalsitonin ile birlikte kemik, böbrek ve bağırsak arasındaki kalsiyum (Ca)-fosfor(P) metobolizmasını ve kemik mineralizasyonunu sağlamaktadır. Nütrisyonel rikets, D vitamini ve/veya kalsiyum eksikliğine bağlı olarak büyüme plaklarında kusurlu kondrosit ve osteoid mineralizasyonundan kaynaklanır. Ülkemizde Sağlık Bakanlığı tarafından 2005 yılından itibaren ilk bir yıl tüm süt çocuklarına ücretsiz 400 IU/gün D vitamini desteği yapılmaktadır. Ülkemizde bulunan göçmen aile bebeklerine D vitamini desteği verilmesine rağmen, aileler birinci basamak sağlık merkezlerindeki görevli sağlık çalışanları ile iletişim kuramadığı için bu destek tedaviyi hangi dozda ve ne zamana kadar kullanması gerektiğini bilmemekte, eksik dozda veya kısa süreli kullanabilmektedir. Biz bu makalede nutrisyonel rikets tanısı ile tedavi verilen hastayı sunarak literatüre katkı yapmak ve göçmen aileler ile iletişim eksikliğine bağlı oluşabilecek sorunlara dikkat çekmek istedik.

References

  • Referans1. Kulda V. Vitamin D metabolism. Vnitr Lek. 2012 May; 58(5): 400-4.
  • Referans2. Chau YY, Kumar J. Vitamin D in chronic kidney disease. Indian J Pediatr. 2012 Aug; 79(8): 1062-8.
  • Referans3. Joiner TA, Foster C, Shope T. The many faces of vitamin D deficiency rickets. Pediatr in Rev. 2000; 21: 296-302.
  • Referans4. Munns CF, Shaw N, Kiely M, Specker BL, Thacher TD, et al. Global Consensus Recommendations on Prevention and Management of Nutritional Rickets. J Clin Endocrinol Metab. 2016 Feb; 101(2): 394-415.
  • Referans5. Sağlık Bakanlığı Genelgesi. 29.04.2005; D Vitamini Yetersizliğinin Önlenmesi ve Kemik Sağlığının Korunması Projesi.
  • Referans6. Ocal B, Imamoglu A, Atalay S, Tutar HE. Prevalence of idiopathic long QT syndrome in children with congenital deafness. Pediatr Cardiol. Nov-Dec 1997; 18(6): 401-5.
  • Referans7. Lambert AS, Linglart A. Hypocalcaemic and hypophosphatemic rickets. Best Pract Res Clin Endocrinol Metab. 2018 Aug;32(4):455-476.
  • Referans8. Malloy PJ, Feldman D. Genetic disorders and defects in vitamin D action. Endocrinol Metab Clin North Am. 2010; 39: 333-46.
  • Referans9. Karacan G, Kurnaz E, Saval I, Aycan Z. Ülkemizde D Vitamini Profilaksisine Rağmen Devam Eden Bir Problem: Nutrisyonel Rikets. Türkiye Çocuk Hast Derg/Turkish J Pediatr Dis. 2017; 2: 98-102.
  • Referans10. Greenbaum LA. Rickets and hypervitaminosis D. In: Nelson WE, Behrman RE, Kliegran RM, Arvin A, eds. Nelson Textbook of Pediatrics. 18th ed. Pennsylvania: WB Saunders; 2007: 253-63.
  • Referans11. Mutlu GY, Kusdal Y, Ozsu E, Cizmecioglu FM, Hatun S. Prevention of Vitamin D deficiency in infancy: Daily 400 IU vitamin D is sufficient. Int J Pediatr Endocrinol 2011; 2011: 4.
  • Referans12. Cesur Y, Doğan M, Ariyuca S, Basaranoglu M, Bektas MS, PekerE, et al. Evaluation of children with nutritional rickets. J Pediatr Endocrinol Metab. 2011; 24: 35-43.
  • Referans13. Misra M, Pacaud D, Petryk A, et al. Vitamin D deficiency in children and its management: review of current knowledge and recommendations. Pediatrics. 2008; 122: 398.
  • Referans14. Shah BR, Finberg L. Single-day therapy for nutritional vitamin D-deficiency rickets: a preferred method. J Pediatr. 1994; 125: 487.

One of the Impact of Non-Communication on Child Health: Nutritional Rikets

Year 2022, Volume: 12 Issue: 2, 341 - 344, 17.05.2022
https://doi.org/10.33631/sabd.1050688

Abstract

Vitamin D provides calcium (Ca) -phosphorus (P) metabolism and bone mineralization between bone, kidney and intestine together with parathyroid hormone and calcitonin. Nutritional rickets are caused by defective chondrocyte and osteoid mineralization in growth plaques due to vitamin D and / or calcium deficiency. In our country, free 400 IU / day vitamin D support is provided to all infants for the first year since 2005 by the Ministry of Health. Although infants of immigrant families in our country are given vitamin D support, families cannot communicate with healthcare professionals in primary health care centers, so they do not know at what dose and until when to use this supportive treatment, and can use it in under-doses or for a short time. In this article, we wanted to contribute to the literature by presenting the patient who was treated with the diagnosis of nutritional rickets and to draw attention to the problems that may occur due to the lack of communication with immigrant families.

References

  • Referans1. Kulda V. Vitamin D metabolism. Vnitr Lek. 2012 May; 58(5): 400-4.
  • Referans2. Chau YY, Kumar J. Vitamin D in chronic kidney disease. Indian J Pediatr. 2012 Aug; 79(8): 1062-8.
  • Referans3. Joiner TA, Foster C, Shope T. The many faces of vitamin D deficiency rickets. Pediatr in Rev. 2000; 21: 296-302.
  • Referans4. Munns CF, Shaw N, Kiely M, Specker BL, Thacher TD, et al. Global Consensus Recommendations on Prevention and Management of Nutritional Rickets. J Clin Endocrinol Metab. 2016 Feb; 101(2): 394-415.
  • Referans5. Sağlık Bakanlığı Genelgesi. 29.04.2005; D Vitamini Yetersizliğinin Önlenmesi ve Kemik Sağlığının Korunması Projesi.
  • Referans6. Ocal B, Imamoglu A, Atalay S, Tutar HE. Prevalence of idiopathic long QT syndrome in children with congenital deafness. Pediatr Cardiol. Nov-Dec 1997; 18(6): 401-5.
  • Referans7. Lambert AS, Linglart A. Hypocalcaemic and hypophosphatemic rickets. Best Pract Res Clin Endocrinol Metab. 2018 Aug;32(4):455-476.
  • Referans8. Malloy PJ, Feldman D. Genetic disorders and defects in vitamin D action. Endocrinol Metab Clin North Am. 2010; 39: 333-46.
  • Referans9. Karacan G, Kurnaz E, Saval I, Aycan Z. Ülkemizde D Vitamini Profilaksisine Rağmen Devam Eden Bir Problem: Nutrisyonel Rikets. Türkiye Çocuk Hast Derg/Turkish J Pediatr Dis. 2017; 2: 98-102.
  • Referans10. Greenbaum LA. Rickets and hypervitaminosis D. In: Nelson WE, Behrman RE, Kliegran RM, Arvin A, eds. Nelson Textbook of Pediatrics. 18th ed. Pennsylvania: WB Saunders; 2007: 253-63.
  • Referans11. Mutlu GY, Kusdal Y, Ozsu E, Cizmecioglu FM, Hatun S. Prevention of Vitamin D deficiency in infancy: Daily 400 IU vitamin D is sufficient. Int J Pediatr Endocrinol 2011; 2011: 4.
  • Referans12. Cesur Y, Doğan M, Ariyuca S, Basaranoglu M, Bektas MS, PekerE, et al. Evaluation of children with nutritional rickets. J Pediatr Endocrinol Metab. 2011; 24: 35-43.
  • Referans13. Misra M, Pacaud D, Petryk A, et al. Vitamin D deficiency in children and its management: review of current knowledge and recommendations. Pediatrics. 2008; 122: 398.
  • Referans14. Shah BR, Finberg L. Single-day therapy for nutritional vitamin D-deficiency rickets: a preferred method. J Pediatr. 1994; 125: 487.
There are 14 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Case Reports
Authors

Fatih Kurt

Nilgün Yalçın

Semih Bolu 0000-0002-8183-2188

Publication Date May 17, 2022
Submission Date December 29, 2021
Published in Issue Year 2022 Volume: 12 Issue: 2

Cite

Vancouver Kurt F, Yalçın N, Bolu S. İletişimsizliğin Çocuk Sağlığına Etkilerinden Biri: Nutrisyonel Rikets. VHS. 2022;12(2):341-4.