Многофакторная оценка нарушений фосфорно-кальциевого обмена в прогнозировании и предупреждении последствий рахита

Аннотация

Subjects of the inquiry: 466 chidrcn aged 1-12 months. Aim of the inquiry: to estimate risk factors of phosphorocalcium metabolism disturbances with determination of significance of prevention and prognostic criteria in order to appreciate the condition of the childrens health and development of modified schemes of rachitis prophylaxais. Methods of inquiry: biochemical (estimation of 25(OH)D3, calcium and phosphorus in the blood scrum) and instrumental examinations (cchoenccphalography). Ihc children were consulted by the of podiatrist, neurologist and physicians of other specialized professins. The results achieved and their novelty: First set deficit 25 (OH) D3 in the blood scrum of healthy infants and found the frequency of occurrence of rickets. Based on the study level of 25 (OH) D3 in the blood scrum of children set the objective risk factors for development of rickets and its relationship with calcium and phosphorus. A health visitor a modified scheme for the prevention and treatment of rickets in children with vitamin D, individually, depending on the degree of rickets and the level of the main metabolite. Modification of schemes for prevention and treatment of rickets have reduced the incidence of rickets and its consequences in young children. Practical value: We have developed a mathematical method of analyzing the role of risk factors for the development of rickets from the mother and child allows for the level of primary health care to distinguish a group of children at risk for rickets and its consequences and carry out preventive measures. The method of direct introduction of vitamin D each individual child, carried out joint work of doctors, nurses and parents contributed to the timely prevention of rickets, but also, more importantly, prevent latent deficiency of vitamin D. Degree of embed and economic effictivity: the results of the investigation have been introduced into medical practice of Samarkand city children's polyclinics №4 and №5 and childrens hospital №1. The results of work arc included in the training process at the chair of pediatrics of Samarkand State Medical Institute. Field of application: pediatrics.