- cause of the disease symptoms
osteomalacia (from the Latin - softness, softening of the bones) - a systemic disease which is characterized by insufficient bone mineralization.In other words, it rickets adult who observed mainly in women.
causes of morbidity
is believed that the cause of the disease may be a lack of vitamin D, or violation of its exchange.And the lack of micro-and macro, which is caused by increased filtering through the kidneys or broken absorbability in the intestine.In this disease the total amount of bone substance increases, but is depleted of its minerals.
osteomalacia known since ancient times, but the exact description of the disease was not.Apparently, many centuries rickets identified with other pathological processes of the skeleton, and not diagnosed properly.The disease is rare and tends to occur in a certain area, especially in the valleys of major rivers and the river.It was found that the frequent cases were recorded along the banks
About frequency of outbreaks is difficult to judge, since not all cases are described and diagnosed.This feature involves the effect of the concentration of the incidence of climate, geography, soil composition, living conditions, water on the development of rickets.Many sources described the impact of living conditions - in the poorer layers in combination with a lean diet, and poor housing conditions, hard work rickets occurs more frequently than under normal conditions.
Rickets is divided into three forms, depending on the time of occurrence:
- late rickets that occurs in puberty;
- puerperal osteomalacia, which is localized in the spinal column and is extremely rare;
- osteomalacia during menopause (climacteric);
- senile osteomalacia.
However, apart from the above there is osteomalacia, which is independent of age and is called osteomalacia excretory when abnormal amount of calcium released after prolonged renal disease.
Symptoms of the disease
At the age of four forms are present in almost the same symptoms - vague pain in the back and thighs, sometimes the pain can be felt in the shoulders and chest.In the initial stages of the disease strain of the skeleton is not yet visible.In the later stages of rickets can see the curvature of the legs, knee joints taken aside at serried feet, as if to close the knees, the feet are divorced.Also in the later stages of the disease begins chest deformity in the form of a funnel.
In osteomalacia during menopause is especially pronounced kyphosis, and at the further course of the disease actually shortened the length of the body.Shortening the torso is exposed only so like a man sitting Kalika.In very rare cases, the curvature of the skeleton is so large and is causing a lot of pain, it immobilizes the patient completely.
osteomalacia in the elderly is characterized by frequent and multiple fractures of the pelvis and the changes are not so great.In the initial stages of the first step is not broken, for moderate characteristic gait vperevalochku to the left to the right.Or mincing step can be as in Parkinson's disease.Especially difficult it is ill to climb the steps and stairs.Expressed at the pressure sensitivity of the bones.The pain is felt while squeezing both iliac and when you release the squeeze.
to osteomalacia is characterized by the depletion of skeletal calcium salts, the presence of zones typical of the syndrome Milkmana, bending bones.However, osteoporosis is not yet a major sign of osteomalacia and not always recognizable in the X-ray.From the curvature of the skeleton is most common deformity of the pelvis.
Therapy Treatment is carried out by conservative methods and include vitamins and minerals, particularly vitamin D, calcium, phosphorus.Applied also physiotherapy - UV radiation, massage, physiotherapy.When pronounced bone defect underwent surgical treatment in combination with salt and fortification of the body.The deformation of the pelvis during pregnancy is a direct indication for cesarean section, and the progression of osteomalacia after childbirth, breast-feeding should be deleted.With modern methods of treatment the prognosis is favorable.