Diagnosis of rickets in infants is carried outOn the basis of complaints of parents, external examination of the child and analysis to identify the content of urine in the urine of vitamin D. The urine sample for Sulkovich also helps in the treatment of the disease.
To date, the diagnosis of rickets in infants does not cause difficulties: the doctor simply to examine the child and talk with his parents to make a diagnosis.
Symptoms of the disease
The first symptoms of rickets can appear in the babyEven at 3-4 months of age. The risk group includes premature babies whose mothers did not eat well enough during pregnancy. Inadequate feeding of the baby, feeding with unadapted mixture, poor vitamin D, can also provoke the disease. Rickets can be transmitted by inheritance, and can be a consequence of diseases of the digestive tract, which make absorption of calcium and phosphorus difficult.
This disease causes sleep disturbance inChild, irritability and tearfulness. Moms notice that the baby often shudders in sudden light and sound. There is increased sweating, especially in the face and scalp. As a result, sweat irritates the skin, causes sweating and itching, the baby rubs his head against the pillow so that a patch of alopecia appears on the back of the head. The pH of the urine varies, it irritates the skin of the perineum, causing the formation of diaper rash. Rickets of mild degree are also diagnosed by the beginning softening of the bones of the skull along the edge of the fontanelles.
Diagnosis of the disease
In the future, rickets of medium severity are diagnosedOn softening the bones of the skull and deformation of the baby's head. Often one can observe the flattened back of the head and the asymmetry of the head. The skeleton continues to deform further, there are parietal and frontal tubercles, the ribs are covered with seals called rachitic rosaries, and wrists with rachitic bracelets. In a one-year-old baby, who learns the first steps, the lower extremities begin to bend, a characteristic frog-like abdomen appears, the work of internal organs is disrupted.
Diagnosis of severe rickets in infantsIs carried out on the basis of significant deformations of bones, severe lesions of the nervous system and internal organs, a significant lag in the psychomotor development. To identify rickets a urine sample helps Sulkovich. Due to this analysis, it is possible to obtain data on the concentration of calcium in the urine. Normal result is 2+. If there is a lack of calcium, the sample will be negative. This same study is used to control the treatment of the disease. If the result exceeds 2+, then the child receives vitamin D and is in excess and it is required either to reduce the dosage or completely to abolish the used drug.