{"id":1853927,"date":"2026-03-29T07:18:23","date_gmt":"2026-03-29T04:18:23","guid":{"rendered":"https:\/\/analyse.optim.biz\/?p=1853927"},"modified":"2026-03-29T07:18:23","modified_gmt":"2026-03-29T04:18:23","slug":"ce-este-rahitismul-cauze-simptome-si-optiuni-de-tratament-detalii-la-enigma-plant","status":"publish","type":"post","link":"https:\/\/analyse.optim.biz\/?p=1853927","title":{"rendered":"Ce este rahitismul &#8211; cauze, simptome \u0219i op\u021biuni de tratament! Detalii la Enigma Plant!"},"content":{"rendered":"<p>[analyse_image type=&#8221;featured&#8221; src=&#8221;https:\/\/www.tion.ro\/wp-content\/uploads\/2026\/03\/+otf\/1200&#215;630\/G3+qTcRrZTwBcZ__lXvI2C05PVF9WRVJZX1NFQzgVzsbWKA48JGFt+Z__lqHGG__TYi+UqmriErpt__QA34chDs2ssvYVWh__gA7CnOm6QjEszP0aoza5nJ__LZQ41N+w=\/4768529impact.jpeg&#8221;]<\/p>\n<article id=\"post-2251975\" class>\n<div class=\"entry-content clearfix\">\n<div class=\"enewsArticleContent\">\n<p>De\u0219i este \u00eent\u00e2lnit \u00een special la copii, rahitismul poate avea o form\u0103 echivalent\u0103 \u0219i la adul\u021bi, cunoscut\u0103 sub numele de osteomalacie. \u00cen cele mai multe cazuri, cauza principal\u0103 este deficitul de vitamina D, \u00eens\u0103 exist\u0103 \u0219i forme mai rare, cu determinare genetic\u0103.<\/p>\n<p><span data-contrast=\"none\">Mai departe vom explica care sunt principalele tipuri de rahitism, cauzele \u0219i factorii de risc, cum se manifest\u0103 aceast\u0103 afec\u021biune, precum \u0219i ce op\u021biuni de diagnostic, tratament \u0219i preven\u021bie exist\u0103.<\/span><\/p>\n<p><b><span data-contrast=\"none\">Rezumat:<\/span><\/b><\/p>\n<ol>\n<li data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"2\" data-list-defn-props='{\"335552541\":0,\"335559685\":709,\"335559991\":283,\"469769242\":[65533,0],\"469777803\":\"left\",\"469777804\":\"%1.\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Rahitismul este o afec\u021biune a copil\u0103riei cauzat\u0103 cel mai frecvent de deficien\u021ba de vitamina D, care duce la mineralizarea insuficient\u0103 a oaselor aflate \u00een cre\u0219tere.<\/span><\/li>\n<\/ol>\n<ol>\n<li data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"2\" data-list-defn-props='{\"335552541\":0,\"335559685\":709,\"335559991\":283,\"469769242\":[65533,0],\"469777803\":\"left\",\"469777804\":\"%1.\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">Principalele manifest\u0103ri sunt deform\u0103rile osoase (picioare arcuite, rozariu rahitic), \u00eent\u00e2rzierea cre\u0219terii, sl\u0103biciunea muscular\u0103 \u0219i riscul crescut de fracturi.<\/span><\/li>\n<\/ol>\n<ol>\n<li data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"2\" data-list-defn-props='{\"335552541\":0,\"335559685\":709,\"335559991\":283,\"469769242\":[65533,0],\"469777803\":\"left\",\"469777804\":\"%1.\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">Tratamentul const\u0103 \u00een suplimentarea cu vitamina D \u0219i calciu, corectarea alimenta\u021biei \u0219i preven\u021bia prin profilaxie zilnic\u0103 \u00eenc\u0103 din primele luni de via\u021b\u0103.<\/span><\/li>\n<\/ol>\n<p>\u00a0<\/p>\n<p><b><span data-contrast=\"none\">Cuprins:<\/span><\/b><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Ce este rahitismul \u0219i ce \u00eenseamn\u0103 aceast\u0103 afec\u021biune<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">Forme de rahitism \u0219i particularit\u0103\u021bile lor<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">Cauzele \u0219i factorii de risc ale rahitismului<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">Semne \u0219i simptome ale rahitismului la bebelu\u0219i \u0219i copii<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"5\" data-aria-level=\"1\"><span data-contrast=\"none\">Deform\u0103rile osoase \u0219i alte complica\u021bii ale rahitismului<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"6\" data-aria-level=\"1\"><span data-contrast=\"none\">Cum se stabile\u0219te diagnosticul de rahitism<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"7\" data-aria-level=\"1\"><span data-contrast=\"none\">Tratamentul rahitismului<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"8\" data-aria-level=\"1\"><span data-contrast=\"none\">Prevenirea rahitismului la copii<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"9\" data-aria-level=\"1\"><span data-contrast=\"none\">Evolu\u021bia bolii la copii<\/span><\/li>\n<\/ul>\n<h3><b><span data-contrast=\"none\">Ce este rahitismul \u0219i ce \u00eenseamn\u0103 aceast\u0103 afec\u021biune<\/span><\/b><\/h3>\n<p><span data-contrast=\"none\">Rahitismul este o afec\u021biune metabolic\u0103 de mineralizare a oaselor care apare \u00een perioada copil\u0103riei timpurii, \u00een special \u00een intervalul 0-3 ani, fiind cel mai frecvent diagnosticat la copiii cu v\u00e2rste \u00eentre 6 \u0219i 36 de luni. De\u0219i este mai rar, rahitismul poate ap\u0103rea \u0219i la copiii mai mari sau la adolescen\u021bi, mai ales \u00een etapele de cre\u0219tere accelerat\u0103, c\u00e2nd necesarul de nutrien\u021bi este crescut.<\/span><\/p>\n<p><span data-contrast=\"none\">Boala se manifest\u0103 prin oase sl\u0103bite \u0219i moi, care se pot \u00eendoi sau fractura mai u\u0219or. Copiii afecta\u021bi pot prezenta:<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"4\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">\u00eent\u00e2rziere \u00een cre\u0219tere;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"4\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">dificult\u0103\u021bi de sus\u021binere a greut\u0103\u021bii corporale;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"4\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">deform\u0103ri scheletice, \u00een formele mai severe.<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">Cea mai frecvent\u0103 cauz\u0103 a rahitismului este deficitul de vitamina D, asociat fie cu produc\u021bia insuficient\u0103 de vitamina D3 la nivelul pielii, fie cu un aport sc\u0103zut de calciu sau fosfor. Mai rar, rahitismul poate avea o cauz\u0103 genetic\u0103, situa\u021bie \u00een care metabolismul acestor minerale este afectat.<\/span><\/p>\n<p><span data-contrast=\"none\">Vitamina D, calciul \u0219i fosforul sunt esen\u021biale pentru dezvoltarea normal\u0103 a sistemului osos. Vitamina D are un rol central, deoarece permite absorb\u021bia eficient\u0103 a calciului \u0219i fosfatului din intestin, f\u0103r\u0103 de care mineralizarea osoas\u0103 nu se poate realiza corespunz\u0103tor.<\/span><\/p>\n<p><span data-contrast=\"none\">Este important ca rahitismul s\u0103 nu fie confundat cu osteomalacia, o afec\u021biune similar\u0103 care apare la adul\u021bi. Diferen\u021ba esen\u021bial\u0103 const\u0103 \u00een faptul c\u0103 rahitismul afecteaz\u0103 exclusiv copiii, ale c\u0103ror oase sunt \u00een cre\u0219tere, motiv pentru care apar deform\u0103ri tipice, precum oasele arcuite sau \u00eendoite. La adul\u021bi, oasele nu mai cresc, iar aceste modific\u0103ri apar doar dac\u0103 rahitismul din copil\u0103rie a r\u0103mas netratat.<\/span><\/p>\n<h3><b><span data-contrast=\"none\">Forme de rahitism \u0219i particularit\u0103\u021bile lor<\/span><\/b><\/h3>\n<p><span data-contrast=\"none\">Rahitismul poate avea mai multe forme, \u00een func\u021bie de cauza care determin\u0103 apari\u021bia bolii. Cele mai frecvente dou\u0103 tipuri sunt rahitismul nutri\u021bional (caren\u021bial) \u0219i rahitismul rezistent la vitamina D, \u00eens\u0103 exist\u0103 \u0219i forme mai rare, determinate genetic sau asociate altor afec\u021biuni. Profilaxia rahitismului este esen\u021bial\u0103 pentru prevenirea acestor forme de boal\u0103, iar manifest\u0103rile clinice, cum ar fi m\u0103t\u0103nii costale, pot ap\u0103rea \u00een cazurile netratate.<\/span><\/p>\n<p><span data-contrast=\"none\">1. <\/span><b><span data-contrast=\"none\">Rahitismul nutri\u021bional (caren\u021bial)<\/span><\/b><\/p>\n<p><span data-contrast=\"none\">Aceasta este cea mai frecvent\u0103 form\u0103 de rahitism \u0219i apare atunci c\u00e2nd organismul nu dispune de suficiente cantit\u0103\u021bi de vitamina D, necesar\u0103 pentru absorb\u021bia calciului. Deficitul poate fi cauzat de mai mul\u021bi factori, precum:<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">expunerea insuficient\u0103 la lumina soarelui, esen\u021bial\u0103 pentru sinteza vitaminei D;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">aport alimentar sc\u0103zut de vitamina D, \u00eent\u00e2lnit \u00een dietele vegetariene sau vegane restrictive;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">intoleran\u021ba la lactoz\u0103, care limiteaz\u0103 consumul de produse lactate;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">afec\u021biuni care afecteaz\u0103 absorb\u021bia vitaminei D, precum boala celiac\u0103, boala Crohn, fibroza chistic\u0103 sau colita ulcerativ\u0103;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"5\" data-aria-level=\"1\"><span data-contrast=\"none\">diet\u0103 s\u0103rac\u0103 \u00een calciu.<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">2. <\/span><b><span data-contrast=\"none\">Rahitismul genetic<\/span><\/b><\/p>\n<p><span data-contrast=\"none\">Rahitismul genetic cuprinde un grup de afec\u021biuni rare \u00een care organismul nu poate utiliza corect vitamina D sau mineralele necesare mineraliz\u0103rii osoase, chiar \u0219i atunci c\u00e2nd aportul este adecvat. \u00cen func\u021bie de mecanismul implicat, se pot distinge mai multe forme:<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">rahitism rezistent la vitamina D, un sindrom rar, \u00eent\u00e2lnit mai ales \u00een cazul copiilor proveni\u021bi din c\u0103s\u0103torii consangvine;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">rahitism hipofosfatemic, determinat de un deficit de fosfor;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">rahitism renal, ap\u0103rut \u00een contextul unor boli renale;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">rahitism medicamentos, ca efect secundar al administr\u0103rii anumitor medicamente;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"5\" data-aria-level=\"1\"><span data-contrast=\"none\">rahitism congenital, \u00eent\u00e2lnit la copiii n\u0103scu\u021bi prematur sau la cei proveni\u021bi din mame cu deficit de vitamina D;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"6\" data-aria-level=\"1\"><span data-contrast=\"none\">rahitism secundar unor boli, precum sindromul Fanconi sau sindromul McCune-Albright.<\/span><\/li>\n<\/ul>\n<h3><b><span data-contrast=\"none\">Cauzele \u0219i factorii de risc ale rahitismului<\/span><\/b><\/h3>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-2251981 aligncenter\" src=\"https:\/\/www.tion.ro\/wp-content\/uploads\/2026\/03\/4768642cauze.jpeg\" alt width=\"983\" height=\"655\"><\/p>\n<p><span data-contrast=\"none\">Principala cauz\u0103 a rahitismului este deficitul de vitamina D, esen\u021bial\u0103 pentru absorb\u021bia calciului \u0219i mineralizarea normal\u0103 a oaselor. Copiii care nu asimileaz\u0103 suficiente cantit\u0103\u021bi de vitamina D pot dezvolta aceast\u0103 afec\u021biune, mai ales atunci c\u00e2nd exist\u0103 factori favorizan\u021bi asocia\u021bi.<\/span><\/p>\n<p><span data-contrast=\"none\">Printre cauzele rahitismului se num\u0103r\u0103:<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"7\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Expunerea insuficient\u0103 la lumina soarelui<\/span><br \/><span data-contrast=\"none\">Pielea produce vitamina D atunci c\u00e2nd este expus\u0103 la razele solare. \u00cen prezent, mul\u021bi copii petrec mai pu\u021bin timp \u00een aer liber, iar utilizarea frecvent\u0103 a cremelor cu protec\u021bie solar\u0103 blocheaz\u0103 razele UV necesare sintezei vitaminei D.<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"7\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">Dieta s\u0103rac\u0103 \u00een vitamina D<\/span><br \/><span data-contrast=\"none\">Alimentele precum uleiul de pe\u0219te, g\u0103lbenu\u0219ul de ou \u0219i pe\u0219tele gras (somon, macrou) sunt surse importante de vitamina D. Lipsa acestora din alimenta\u021bie poate duce la caren\u021be semnificative.<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"7\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">Probleme de absorb\u021bie sau malabsorb\u021bie<\/span><br \/><span data-contrast=\"none\">Unele afec\u021biuni pot \u00eempiedica organismul s\u0103 absoarb\u0103 eficient vitamina D, chiar \u0219i atunci c\u00e2nd aportul este adecvat, cum ar fi:<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"7\" data-list-defn-props='{\"335552541\":1,\"335559685\":1418,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"1\" data-aria-level=\"2\"><span data-contrast=\"none\">boala celiac\u0103;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"7\" data-list-defn-props='{\"335552541\":1,\"335559685\":1418,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"2\" data-aria-level=\"2\"><span data-contrast=\"none\">bolile inflamatorii intestinale;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"7\" data-list-defn-props='{\"335552541\":1,\"335559685\":1418,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"3\" data-aria-level=\"2\"><span data-contrast=\"none\">fibroza chistic\u0103;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"7\" data-list-defn-props='{\"335552541\":1,\"335559685\":1418,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"4\" data-aria-level=\"2\"><span data-contrast=\"none\">afec\u021biuni renale.<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">Exist\u0103 \u0219i factori de risc care cresc probabilitatea apari\u021biei rahitismului:<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"8\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Pielea \u00eenchis\u0103 la culoare, care con\u021bine mai mult\u0103 melanin\u0103 \u0219i reduce capacitatea pielii de a produce vitamina D din lumina solar\u0103;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"8\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">Deficitul de vitamina D al mamei \u00een timpul sarcinii, care poate duce la apari\u021bia rahitismului la nou-n\u0103scut sau \u00een primele luni de via\u021b\u0103;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"8\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">V\u00e2rsta mamei sub 17 ani sau peste 35 de ani;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"8\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">Locuirea \u00een zone geografice nordice, cu expunere solar\u0103 limitat\u0103;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"8\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"5\" data-aria-level=\"1\"><span data-contrast=\"none\">Na\u0219terea prematur\u0103, deoarece bebelu\u0219ii au avut mai pu\u021bin timp s\u0103 acumuleze vitamina D \u00een perioada intrauterin\u0103;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"8\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"6\" data-aria-level=\"1\"><span data-contrast=\"none\">Administrarea anumitor medicamente, care pot interfera cu metabolismul vitaminei D;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"8\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"7\" data-aria-level=\"1\"><span data-contrast=\"none\">Alimenta\u021bia exclusiv\u0103 la s\u00e2n, \u00een lipsa supliment\u0103rii, deoarece laptele matern nu con\u021bine cantit\u0103\u021bi suficiente de vitamina D pentru prevenirea rahitismului.<\/span><\/li>\n<\/ul>\n<h3><b><span data-contrast=\"none\">Semne \u0219i simptome ale rahitismului la bebelu\u0219i \u0219i copii<\/span><\/b><\/h3>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-2251984 aligncenter\" src=\"https:\/\/www.tion.ro\/wp-content\/uploads\/2026\/03\/4768668semnesimptome.jpeg\" alt width=\"968\" height=\"645\"><\/p>\n<p><span data-contrast=\"none\">Manifest\u0103rile rahitismului difer\u0103 \u00een func\u021bie de v\u00e2rst\u0103 \u0219i de severitatea bolii, \u00eens\u0103 sunt legate \u00een principal de sl\u0103birea \u0219i deformarea oaselor aflate \u00een cre\u0219tere. Primele semne pot ap\u0103rea treptat \u0219i sunt uneori trecute cu vederea, motiv pentru care recunoa\u0219terea lor este important\u0103.<\/span><\/p>\n<p><span data-contrast=\"none\">Printre cele mai frecvente simptome ale rahitismului se num\u0103r\u0103:<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">sl\u0103birea oaselor picioarelor;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">arcuirea genunchilor la copiii care pot merge sau deformarea \u00eencheieturilor la sugari;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">curbarea anormal\u0103 a coloanei vertebrale sau modific\u0103ri ale formei craniului;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">noduli la nivelul toracelui, cunoscu\u021bi sub numele de \u201erozariu rahitic\u201d, care apar la jonc\u021biunea coastelor cu sternul;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"5\" data-aria-level=\"1\"><span data-contrast=\"none\">durere sau sensibilitate la nivelul oaselor bra\u021belor, picioarelor, pelvisului sau coloanei vertebrale;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"6\" data-aria-level=\"1\"><span data-contrast=\"none\">transpira\u021bie excesiv\u0103 \u00een timpul somnului sau al al\u0103pt\u0103rii;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"7\" data-aria-level=\"1\"><span data-contrast=\"none\">\u00eent\u00e2rziere \u00een cre\u0219tere;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"8\" data-aria-level=\"1\"><span data-contrast=\"none\">fracturi osoase ap\u0103rute la traumatisme minore;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"9\" data-aria-level=\"1\"><span data-contrast=\"none\">crampe musculare;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"10\" data-aria-level=\"1\"><span data-contrast=\"none\">paloare \u0219i alopecie occipital\u0103 (c\u0103derea p\u0103rului \u00een zona cefei);<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"11\" data-aria-level=\"1\"><span data-contrast=\"none\">erup\u021bie \u00eent\u00e2rziat\u0103 a din\u021bilor temporari;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"12\" data-aria-level=\"1\"><span data-contrast=\"none\">deform\u0103ri ale pelvisului;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"13\" data-aria-level=\"1\"><span data-contrast=\"none\">stern proeminent \u0219i coaste ie\u0219ite \u00een afar\u0103.<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">La examinarea clinic\u0103 pot fi observate \u0219i bosele frontale, care reprezint\u0103 o proeminen\u021b\u0103 anormal\u0103 a osului frontal. Aceste semne ajut\u0103 medicul s\u0103 suspecteze rahitismul \u0219i s\u0103 recomande investiga\u021bii suplimentare.<\/span><\/p>\n<p><span data-contrast=\"none\">La adul\u021bi, rahitismul se manifest\u0103 sub forma osteomalaciei, deoarece oasele nu mai sunt \u00een cre\u0219tere. \u00cen acest caz, predomin\u0103:<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"10\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">durerea osoas\u0103 difuz\u0103;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"10\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">sl\u0103biciunea muscular\u0103;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"10\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">fragilitatea osoas\u0103 \u0219i riscul crescut de fracturi.<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">Astfel, \u00een timp ce la copii rahitismul se manifest\u0103 prin deform\u0103ri scheletice, la adul\u021bi apar mai ales durerea \u0219i fragilitatea oaselor.<\/span><\/p>\n<h3><b><span data-contrast=\"none\">Deform\u0103rile osoase \u0219i alte complica\u021bii ale rahitismului<\/span><\/b><\/h3>\n<p><span data-contrast=\"none\">Dac\u0103 nu este tratat, rahitismul poate avea consecin\u021be importante asupra dezvolt\u0103rii \u0219i s\u0103n\u0103t\u0103\u021bii pe termen lung. Complica\u021biile apar \u00een special atunci c\u00e2nd boala evolueaz\u0103 pe o perioad\u0103 \u00eendelungat\u0103 f\u0103r\u0103 diagnostic \u0219i tratament adecvat.<\/span><\/p>\n<p><span data-contrast=\"none\">Principalele complica\u021bii ale rahitismului sunt:<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"11\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">dificult\u0103\u021bi de cre\u0219tere, care pot duce la statur\u0103 mic\u0103 la v\u00e2rsta adult\u0103;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"11\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">deformarea coloanei vertebrale;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"11\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">deform\u0103ri osoase, precum picioare arcuite sau modific\u0103ri ale cutiei toracice;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"11\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">defecte dentare, care pot afecta at\u00e2t mastica\u021bia, c\u00e2t \u0219i aspectul estetic;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"11\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"5\" data-aria-level=\"1\"><span data-contrast=\"none\">convulsii, cauzate de nivelurile sc\u0103zute de calciu din s\u00e2nge.<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">Oasele sl\u0103bite devin mai fragile \u0219i pot suferi fracturi chiar \u0219i \u00een urma unor traumatisme minore. \u00cen cazurile severe, hipocalcemia poate provoca probleme respiratorii sau alte complica\u021bii care necesit\u0103 interven\u021bie medical\u0103 de urgen\u021b\u0103.<\/span><\/p>\n<p><span data-contrast=\"none\">De asemenea, durerea cronic\u0103 \u0219i sl\u0103biciunea muscular\u0103 pot limita activit\u0103\u021bile zilnice \u0219i pot influen\u021ba negativ dezvoltarea normal\u0103 a copilului. Aceste riscuri eviden\u021biaz\u0103 importan\u021ba diagnosticului precoce \u0219i a tratamentului corect, pentru prevenirea sechelelor pe termen lung.<\/span><\/p>\n<h3><b><span data-contrast=\"none\">Cum se stabile\u0219te diagnosticul de rahitism<\/span><\/b><\/h3>\n<p><span data-contrast=\"none\">Diagnosticul de rahitism este stabilit de medicul specialist, pe baza unui examen fizic atent, completat de investiga\u021bii medicale specifice. \u00cen func\u021bie de semnele clinice observate, medicul poate recomanda urm\u0103toarele teste:<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"12\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Analize de s\u00e2nge, pentru evaluarea nivelurilor de:<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"12\" data-list-defn-props='{\"335552541\":1,\"335559685\":1418,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"1\" data-aria-level=\"2\"><span data-contrast=\"none\">vitamina D;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"12\" data-list-defn-props='{\"335552541\":1,\"335559685\":1418,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"2\" data-aria-level=\"2\"><span data-contrast=\"none\">calciu;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"12\" data-list-defn-props='{\"335552541\":1,\"335559685\":1418,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"3\" data-aria-level=\"2\"><span data-contrast=\"none\">fosfor;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"12\" data-list-defn-props='{\"335552541\":1,\"335559685\":1418,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"4\" data-aria-level=\"2\"><span data-contrast=\"none\">fosfataz\u0103 alcalin\u0103, marker al activit\u0103\u021bii osoase crescute.<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"12\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">Radiografii osoase, utilizate pentru identificarea deform\u0103rilor scheletice, sc\u0103derea densit\u0103\u021bii osoase \u0219i modific\u0103rile caracteristice ale extremit\u0103\u021bilor oaselor lungi.<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"12\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">Biopsie osoas\u0103, indicat\u0103 rar, doar \u00een cazuri selectate, atunci c\u00e2nd diagnosticul r\u0103m\u00e2ne neclar.<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">Pentru un diagnostic corect, medicul coreleaz\u0103 rezultatele analizelor \u0219i ale investiga\u021biilor imagistice cu istoricul medical\u0219i examenul clinic al pacientului. Consultul de specialitate este indicat numai atunci c\u00e2nd exist\u0103 suspiciunea de rahitism, pentru ini\u021bierea rapid\u0103 a tratamentului \u0219i prevenirea complica\u021biilor.<\/span><\/p>\n<h3><b><span data-contrast=\"none\">Tratamentul rahitismului<\/span><\/b><\/h3>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-2251987 aligncenter\" src=\"https:\/\/www.tion.ro\/wp-content\/uploads\/2026\/03\/4768691tratamentrahitism.jpg\" alt width=\"1028\" height=\"644\"><\/p>\n<p><span data-contrast=\"none\">De regul\u0103, corectarea alimenta\u021biei, suplimentarea cu vitamine \u0219i expunerea controlat\u0103 la soare sunt suficiente pentru a restabili mineralizarea normal\u0103 a oaselor.<\/span><\/p>\n<p><span data-contrast=\"none\">Tratamentul este stabilit de medic \u0219i poate include una sau mai multe dintre urm\u0103toarele m\u0103suri:<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"13\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Suplimente de calciu \u0219i vitamina D, precum cele din gama <\/span><strong><a href=\"https:\/\/enigma-plant.ro\/kotys\/#_blank\" target=\"_blank\" rel=\"noopener\">Kotys<\/a><\/strong><span data-contrast=\"none\">, esen\u021biale pentru dezvoltarea \u0219i \u00eent\u0103rirea oaselor. Doza \u0219i durata tratamentului depind de v\u00e2rsta copilului \u0219i de severitatea rahitismului. Pentru o absorb\u021bie mai bun\u0103, \u00een unele cazuri pot fi recomandate \u0219i forme cu biodisponibilitate crescut\u0103, precum <\/span><a href=\"https:\/\/enigma-plant.ro\/suplimente-lipozomale\/#_blank\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\"><strong>suplimentele lipozomale<\/strong><\/span><\/a><span data-contrast=\"none\">.<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"13\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">Tratament specific cauzei, atunci c\u00e2nd rahitismul nu este caren\u021bial. De exemplu, \u00een rahitismul hipofosfatemic pot fi necesare suplimente de fosfat sau alte medicamente, administrate strict sub supraveghere medical\u0103.<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"13\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">Modificarea dietei, prin cre\u0219terea aportului de vitamina D \u0219i calciu, fie din alimenta\u021bie, fie prin suplimente. Dozele mai mari pot fi necesare temporar, timp de c\u00e2teva luni, dup\u0103 care se continu\u0103 cu o doz\u0103 zilnic\u0103 de \u00eentre\u021binere.<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"13\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">Expunerea la soare, \u00een doze moderate, pentru a stimula produc\u021bia natural\u0103 de vitamina D. Medicii pot recomanda \u201eb\u0103i de soare\u201d scurte, evit\u00e2nd expunerea excesiv\u0103.<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"13\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"5\" data-aria-level=\"1\"><span data-contrast=\"none\">Exerci\u021bii adaptate, care pot ajuta la \u00eent\u0103rirea musculaturii \u0219i la \u00eembun\u0103t\u0103\u021birea mobilit\u0103\u021bii.<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">\u00cen cazul celor mici, oasele se corecteaz\u0103 treptat odat\u0103 cu tratamentul. \u00cen cazurile severe, pot fi necesare:<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"14\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">aparate ortopedice pentru corectarea deform\u0103rilor;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"14\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">interven\u021bii chirurgicale, atunci c\u00e2nd deform\u0103rile osoase sunt importante \u0219i persistente.<\/span><\/li>\n<\/ul>\n<h3><b><span data-contrast=\"none\">Prevenirea rahitismului<\/span><\/b><\/h3>\n<p><span data-contrast=\"none\">Rahitismul poate fi prevenit prin m\u0103suri simple, aplicate constant \u00eenc\u0103 din primele luni de via\u021b\u0103. Scopul principal este asigurarea unui aport adecvat de vitamina D.<\/span><\/p>\n<p><span data-contrast=\"none\">Expunerea la lumina soarelui este cea mai bun\u0103 surs\u0103 natural\u0103 de vitamina D. A\u0219adar, sunt suficiente aproximativ 10-15 minute de expunere zilnic\u0103, \u00een jurul amiezii. Totu\u0219i, persoanele cu pielea \u00eenchis\u0103 la culoare, copiii care tr\u0103iesc \u00een zone cu ierni lungi sau cu pu\u021bine zile \u00eensorite pot avea nevoie de suplimentare, deoarece sinteza cutanat\u0103 a vitaminei D este redus\u0103.<\/span><\/p>\n<p><span data-contrast=\"none\">Cu toate acestea, este important ca sugarii \u0219i copiii mici s\u0103 fie proteja\u021bi de expunerea excesiv\u0103 la soare. Utilizarea hainelor adecvate \u0219i a cremelor cu protec\u021bie solar\u0103 ajut\u0103 la reducerea riscului de arsuri \u0219i cancer de piele.<\/span><\/p>\n<p><span data-contrast=\"none\">Alimenta\u021bia joac\u0103 un rol esen\u021bial \u00een preven\u021bie. Pentru a reduce riscul de rahitism, se recomand\u0103 consumul de:<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"15\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">pe\u0219te gras (somon, ton);<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"15\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">ulei de pe\u0219te;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"15\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">g\u0103lbenu\u0219 de ou;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"15\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">alimente fortificate cu vitamina D, precum formula de lapte pentru sugari, cerealele, p\u00e2inea, laptele sau sucul de portocale fortificat.<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">\u00cen cazul femeilor \u00eens\u0103rcinate, medicul poate recomanda un aport zilnic de minimum 600 UI de vitamina D, care poate ajunge p\u00e2n\u0103 la 2.000 UI, pentru men\u021binerea unui nivel optim at\u00e2t pentru mam\u0103, c\u00e2t \u0219i pentru f\u0103t.<\/span><\/p>\n<p><span data-contrast=\"none\">Pentru sugari, ghidurile medicale recomand\u0103 administrarea a 400 UI de vitamina D pe zi. Deoarece laptele matern con\u021bine cantit\u0103\u021bi reduse de vitamina D, sugarii al\u0103pta\u021bi exclusiv la s\u00e2n trebuie s\u0103 primeasc\u0103 suplimente zilnice. \u0218i unii sugari hr\u0103ni\u021bi cu formul\u0103 pot necesita suplimentare, dac\u0103 aportul din lapte nu este suficient.<\/span><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-2251978 aligncenter\" src=\"https:\/\/www.tion.ro\/wp-content\/uploads\/2026\/03\/4768529impact.jpeg\" alt width=\"938\" height=\"625\"><\/p>\n<p>(26853)<\/p>\n<div class=\"x_elementToProof\" data-olk-copy-source=\"MessageBody\">Altele:<\/div>\n<div class=\"x_elementToProof\"><strong><a id=\"OWA7c61c323-ce05-d1b8-459e-b1bb532ba3a8\" class=\"x_OWAAutoLink\" title=\"https:\/\/www.tion.ro\/stirile-judetului-timis\/burnout-ce-este-simptome-tratament-si-strategii-de-prevenire-detalii-la-enigma-plant-2211460\/\" href=\"https:\/\/www.tion.ro\/stirile-judetului-timis\/burnout-ce-este-simptome-tratament-si-strategii-de-prevenire-detalii-la-enigma-plant-2211460\/\" target=\"_blank\" rel=\"noopener noreferrer\" data-auth=\"NotApplicable\" data-linkindex=\"0\">https:\/\/www.tion.ro\/stirile-judetului-timis\/burnout-ce-este-simptome-tratament-si-strategii-de-prevenire-detalii-la-enigma-plant-2211460\/<\/a><\/strong><\/div>\n<div class=\"x_elementToProof\"><strong><a id=\"OWAa21548f1-68e9-0c6e-7348-d579b2be7026\" class=\"x_OWAAutoLink\" title=\"https:\/\/www.tion.ro\/stirile-judetului-timis\/cand-se-ia-vitamina-d-dimineata-sau-seara-care-este-momentul-potrivit-detalii-la-enigma-plant-2247073\/\" href=\"https:\/\/www.tion.ro\/stirile-judetului-timis\/cand-se-ia-vitamina-d-dimineata-sau-seara-care-este-momentul-potrivit-detalii-la-enigma-plant-2247073\/\" target=\"_blank\" rel=\"noopener noreferrer\" data-auth=\"NotApplicable\" data-linkindex=\"1\">https:\/\/www.tion.ro\/stirile-judetului-timis\/cand-se-ia-vitamina-d-dimineata-sau-seara-care-este-momentul-potrivit-detalii-la-enigma-plant-2247073\/<\/a><\/strong><\/div>\n<div class=\"fbShareLikeTwitterAndEmailContainer\">\n<div class=\"wrapper\">\n<div class=\"email\">\n<div id=\"mailto-pop\" class=\"pop-form pop-form-mailto\">\n<div class=\"pop-form-header\">\n<h4>Trimite articolul<\/h4>\n<p><a class=\"pop-form-close\">X<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"tagsContainer\">\n<div class=\"tagsLabel\">Taguri:<\/div>\n<div class=\"tags\">\n<div class=\"tag\"><a href=\"https:\/\/www.tion.ro\/cimke\/rahitism\" rel=\"tag\"><span class=\"link\">rahitism<\/span><\/a><\/div>\n<\/div>\n<\/div>\n<div class=\"comments\">\n<div class=\"top\">\n<div class=\"commentsNumber\"><span class=\"number\">0<\/span><span class=\"text\">Comentarii<\/span><\/div>\n<\/div>\n<div class=\"bottom\">\n<p class=\"forumDisclaimerHuRo\">\n            Citi\u021bi principiile noastre de moderare <a href=\"https:\/\/www.tion.ro\/reguli-postare-comentarii\/\" target=\"_blank\">aici<\/a>!\n        <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/article>\n<div class=\"entry-content clearfix\">\n<div class=\"enewsArticleContent\">\n<p>De\u0219i este \u00eent\u00e2lnit \u00een special la copii, rahitismul poate avea o form\u0103 echivalent\u0103 \u0219i la adul\u021bi, cunoscut\u0103 sub numele de osteomalacie. \u00cen cele mai multe cazuri, cauza principal\u0103 este deficitul de vitamina D, \u00eens\u0103 exist\u0103 \u0219i forme mai rare, cu determinare genetic\u0103.<\/p>\n<p><span data-contrast=\"none\">Mai departe vom explica care sunt principalele tipuri de rahitism, cauzele \u0219i factorii de risc, cum se manifest\u0103 aceast\u0103 afec\u021biune, precum \u0219i ce op\u021biuni de diagnostic, tratament \u0219i preven\u021bie exist\u0103.<\/span><\/p>\n<p><b><span data-contrast=\"none\">Rezumat:<\/span><\/b><\/p>\n<ol>\n<li data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"2\" data-list-defn-props='{\"335552541\":0,\"335559685\":709,\"335559991\":283,\"469769242\":[65533,0],\"469777803\":\"left\",\"469777804\":\"%1.\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Rahitismul este o afec\u021biune a copil\u0103riei cauzat\u0103 cel mai frecvent de deficien\u021ba de vitamina D, care duce la mineralizarea insuficient\u0103 a oaselor aflate \u00een cre\u0219tere.<\/span><\/li>\n<\/ol>\n<ol>\n<li data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"2\" data-list-defn-props='{\"335552541\":0,\"335559685\":709,\"335559991\":283,\"469769242\":[65533,0],\"469777803\":\"left\",\"469777804\":\"%1.\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">Principalele manifest\u0103ri sunt deform\u0103rile osoase (picioare arcuite, rozariu rahitic), \u00eent\u00e2rzierea cre\u0219terii, sl\u0103biciunea muscular\u0103 \u0219i riscul crescut de fracturi.<\/span><\/li>\n<\/ol>\n<ol>\n<li data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"2\" data-list-defn-props='{\"335552541\":0,\"335559685\":709,\"335559991\":283,\"469769242\":[65533,0],\"469777803\":\"left\",\"469777804\":\"%1.\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">Tratamentul const\u0103 \u00een suplimentarea cu vitamina D \u0219i calciu, corectarea alimenta\u021biei \u0219i preven\u021bia prin profilaxie zilnic\u0103 \u00eenc\u0103 din primele luni de via\u021b\u0103.<\/span><\/li>\n<\/ol>\n<p>\u00a0<\/p>\n<p><b><span data-contrast=\"none\">Cuprins:<\/span><\/b><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Ce este rahitismul \u0219i ce \u00eenseamn\u0103 aceast\u0103 afec\u021biune<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">Forme de rahitism \u0219i particularit\u0103\u021bile lor<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">Cauzele \u0219i factorii de risc ale rahitismului<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">Semne \u0219i simptome ale rahitismului la bebelu\u0219i \u0219i copii<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"5\" data-aria-level=\"1\"><span data-contrast=\"none\">Deform\u0103rile osoase \u0219i alte complica\u021bii ale rahitismului<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"6\" data-aria-level=\"1\"><span data-contrast=\"none\">Cum se stabile\u0219te diagnosticul de rahitism<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"7\" data-aria-level=\"1\"><span data-contrast=\"none\">Tratamentul rahitismului<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"8\" data-aria-level=\"1\"><span data-contrast=\"none\">Prevenirea rahitismului la copii<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"9\" data-aria-level=\"1\"><span data-contrast=\"none\">Evolu\u021bia bolii la copii<\/span><\/li>\n<\/ul>\n<h3><b><span data-contrast=\"none\">Ce este rahitismul \u0219i ce \u00eenseamn\u0103 aceast\u0103 afec\u021biune<\/span><\/b><\/h3>\n<p><span data-contrast=\"none\">Rahitismul este o afec\u021biune metabolic\u0103 de mineralizare a oaselor care apare \u00een perioada copil\u0103riei timpurii, \u00een special \u00een intervalul 0-3 ani, fiind cel mai frecvent diagnosticat la copiii cu v\u00e2rste \u00eentre 6 \u0219i 36 de luni. De\u0219i este mai rar, rahitismul poate ap\u0103rea \u0219i la copiii mai mari sau la adolescen\u021bi, mai ales \u00een etapele de cre\u0219tere accelerat\u0103, c\u00e2nd necesarul de nutrien\u021bi este crescut.<\/span><\/p>\n<p><span data-contrast=\"none\">Boala se manifest\u0103 prin oase sl\u0103bite \u0219i moi, care se pot \u00eendoi sau fractura mai u\u0219or. Copiii afecta\u021bi pot prezenta:<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"4\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">\u00eent\u00e2rziere \u00een cre\u0219tere;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"4\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">dificult\u0103\u021bi de sus\u021binere a greut\u0103\u021bii corporale;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"4\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">deform\u0103ri scheletice, \u00een formele mai severe.<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">Cea mai frecvent\u0103 cauz\u0103 a rahitismului este deficitul de vitamina D, asociat fie cu produc\u021bia insuficient\u0103 de vitamina D3 la nivelul pielii, fie cu un aport sc\u0103zut de calciu sau fosfor. Mai rar, rahitismul poate avea o cauz\u0103 genetic\u0103, situa\u021bie \u00een care metabolismul acestor minerale este afectat.<\/span><\/p>\n<p><span data-contrast=\"none\">Vitamina D, calciul \u0219i fosforul sunt esen\u021biale pentru dezvoltarea normal\u0103 a sistemului osos. Vitamina D are un rol central, deoarece permite absorb\u021bia eficient\u0103 a calciului \u0219i fosfatului din intestin, f\u0103r\u0103 de care mineralizarea osoas\u0103 nu se poate realiza corespunz\u0103tor.<\/span><\/p>\n<p><span data-contrast=\"none\">Este important ca rahitismul s\u0103 nu fie confundat cu osteomalacia, o afec\u021biune similar\u0103 care apare la adul\u021bi. Diferen\u021ba esen\u021bial\u0103 const\u0103 \u00een faptul c\u0103 rahitismul afecteaz\u0103 exclusiv copiii, ale c\u0103ror oase sunt \u00een cre\u0219tere, motiv pentru care apar deform\u0103ri tipice, precum oasele arcuite sau \u00eendoite. La adul\u021bi, oasele nu mai cresc, iar aceste modific\u0103ri apar doar dac\u0103 rahitismul din copil\u0103rie a r\u0103mas netratat.<\/span><\/p>\n<h3><b><span data-contrast=\"none\">Forme de rahitism \u0219i particularit\u0103\u021bile lor<\/span><\/b><\/h3>\n<p><span data-contrast=\"none\">Rahitismul poate avea mai multe forme, \u00een func\u021bie de cauza care determin\u0103 apari\u021bia bolii. Cele mai frecvente dou\u0103 tipuri sunt rahitismul nutri\u021bional (caren\u021bial) \u0219i rahitismul rezistent la vitamina D, \u00eens\u0103 exist\u0103 \u0219i forme mai rare, determinate genetic sau asociate altor afec\u021biuni. Profilaxia rahitismului este esen\u021bial\u0103 pentru prevenirea acestor forme de boal\u0103, iar manifest\u0103rile clinice, cum ar fi m\u0103t\u0103nii costale, pot ap\u0103rea \u00een cazurile netratate.<\/span><\/p>\n<p><span data-contrast=\"none\">1. <\/span><b><span data-contrast=\"none\">Rahitismul nutri\u021bional (caren\u021bial)<\/span><\/b><\/p>\n<p><span data-contrast=\"none\">Aceasta este cea mai frecvent\u0103 form\u0103 de rahitism \u0219i apare atunci c\u00e2nd organismul nu dispune de suficiente cantit\u0103\u021bi de vitamina D, necesar\u0103 pentru absorb\u021bia calciului. Deficitul poate fi cauzat de mai mul\u021bi factori, precum:<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">expunerea insuficient\u0103 la lumina soarelui, esen\u021bial\u0103 pentru sinteza vitaminei D;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">aport alimentar sc\u0103zut de vitamina D, \u00eent\u00e2lnit \u00een dietele vegetariene sau vegane restrictive;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">intoleran\u021ba la lactoz\u0103, care limiteaz\u0103 consumul de produse lactate;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">afec\u021biuni care afecteaz\u0103 absorb\u021bia vitaminei D, precum boala celiac\u0103, boala Crohn, fibroza chistic\u0103 sau colita ulcerativ\u0103;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"5\" data-aria-level=\"1\"><span data-contrast=\"none\">diet\u0103 s\u0103rac\u0103 \u00een calciu.<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">2. <\/span><b><span data-contrast=\"none\">Rahitismul genetic<\/span><\/b><\/p>\n<p><span data-contrast=\"none\">Rahitismul genetic cuprinde un grup de afec\u021biuni rare \u00een care organismul nu poate utiliza corect vitamina D sau mineralele necesare mineraliz\u0103rii osoase, chiar \u0219i atunci c\u00e2nd aportul este adecvat. \u00cen func\u021bie de mecanismul implicat, se pot distinge mai multe forme:<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">rahitism rezistent la vitamina D, un sindrom rar, \u00eent\u00e2lnit mai ales \u00een cazul copiilor proveni\u021bi din c\u0103s\u0103torii consangvine;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">rahitism hipofosfatemic, determinat de un deficit de fosfor;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">rahitism renal, ap\u0103rut \u00een contextul unor boli renale;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">rahitism medicamentos, ca efect secundar al administr\u0103rii anumitor medicamente;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"5\" data-aria-level=\"1\"><span data-contrast=\"none\">rahitism congenital, \u00eent\u00e2lnit la copiii n\u0103scu\u021bi prematur sau la cei proveni\u021bi din mame cu deficit de vitamina D;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"6\" data-aria-level=\"1\"><span data-contrast=\"none\">rahitism secundar unor boli, precum sindromul Fanconi sau sindromul McCune-Albright.<\/span><\/li>\n<\/ul>\n<h3><b><span data-contrast=\"none\">Cauzele \u0219i factorii de risc ale rahitismului<\/span><\/b><\/h3>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-2251981 aligncenter\" src=\"https:\/\/www.tion.ro\/wp-content\/uploads\/2026\/03\/4768642cauze.jpeg\" alt width=\"983\" height=\"655\"><\/p>\n<p><span data-contrast=\"none\">Principala cauz\u0103 a rahitismului este deficitul de vitamina D, esen\u021bial\u0103 pentru absorb\u021bia calciului \u0219i mineralizarea normal\u0103 a oaselor. Copiii care nu asimileaz\u0103 suficiente cantit\u0103\u021bi de vitamina D pot dezvolta aceast\u0103 afec\u021biune, mai ales atunci c\u00e2nd exist\u0103 factori favorizan\u021bi asocia\u021bi.<\/span><\/p>\n<p><span data-contrast=\"none\">Printre cauzele rahitismului se num\u0103r\u0103:<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"7\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Expunerea insuficient\u0103 la lumina soarelui<\/span><br \/><span data-contrast=\"none\">Pielea produce vitamina D atunci c\u00e2nd este expus\u0103 la razele solare. \u00cen prezent, mul\u021bi copii petrec mai pu\u021bin timp \u00een aer liber, iar utilizarea frecvent\u0103 a cremelor cu protec\u021bie solar\u0103 blocheaz\u0103 razele UV necesare sintezei vitaminei D.<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"7\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">Dieta s\u0103rac\u0103 \u00een vitamina D<\/span><br \/><span data-contrast=\"none\">Alimentele precum uleiul de pe\u0219te, g\u0103lbenu\u0219ul de ou \u0219i pe\u0219tele gras (somon, macrou) sunt surse importante de vitamina D. Lipsa acestora din alimenta\u021bie poate duce la caren\u021be semnificative.<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"7\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">Probleme de absorb\u021bie sau malabsorb\u021bie<\/span><br \/><span data-contrast=\"none\">Unele afec\u021biuni pot \u00eempiedica organismul s\u0103 absoarb\u0103 eficient vitamina D, chiar \u0219i atunci c\u00e2nd aportul este adecvat, cum ar fi:<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"7\" data-list-defn-props='{\"335552541\":1,\"335559685\":1418,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"1\" data-aria-level=\"2\"><span data-contrast=\"none\">boala celiac\u0103;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"7\" data-list-defn-props='{\"335552541\":1,\"335559685\":1418,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"2\" data-aria-level=\"2\"><span data-contrast=\"none\">bolile inflamatorii intestinale;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"7\" data-list-defn-props='{\"335552541\":1,\"335559685\":1418,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"3\" data-aria-level=\"2\"><span data-contrast=\"none\">fibroza chistic\u0103;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"7\" data-list-defn-props='{\"335552541\":1,\"335559685\":1418,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"4\" data-aria-level=\"2\"><span data-contrast=\"none\">afec\u021biuni renale.<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">Exist\u0103 \u0219i factori de risc care cresc probabilitatea apari\u021biei rahitismului:<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"8\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Pielea \u00eenchis\u0103 la culoare, care con\u021bine mai mult\u0103 melanin\u0103 \u0219i reduce capacitatea pielii de a produce vitamina D din lumina solar\u0103;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"8\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">Deficitul de vitamina D al mamei \u00een timpul sarcinii, care poate duce la apari\u021bia rahitismului la nou-n\u0103scut sau \u00een primele luni de via\u021b\u0103;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"8\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">V\u00e2rsta mamei sub 17 ani sau peste 35 de ani;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"8\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">Locuirea \u00een zone geografice nordice, cu expunere solar\u0103 limitat\u0103;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"8\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"5\" data-aria-level=\"1\"><span data-contrast=\"none\">Na\u0219terea prematur\u0103, deoarece bebelu\u0219ii au avut mai pu\u021bin timp s\u0103 acumuleze vitamina D \u00een perioada intrauterin\u0103;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"8\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"6\" data-aria-level=\"1\"><span data-contrast=\"none\">Administrarea anumitor medicamente, care pot interfera cu metabolismul vitaminei D;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"8\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"7\" data-aria-level=\"1\"><span data-contrast=\"none\">Alimenta\u021bia exclusiv\u0103 la s\u00e2n, \u00een lipsa supliment\u0103rii, deoarece laptele matern nu con\u021bine cantit\u0103\u021bi suficiente de vitamina D pentru prevenirea rahitismului.<\/span><\/li>\n<\/ul>\n<h3><b><span data-contrast=\"none\">Semne \u0219i simptome ale rahitismului la bebelu\u0219i \u0219i copii<\/span><\/b><\/h3>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-2251984 aligncenter\" src=\"https:\/\/www.tion.ro\/wp-content\/uploads\/2026\/03\/4768668semnesimptome.jpeg\" alt width=\"968\" height=\"645\"><\/p>\n<p><span data-contrast=\"none\">Manifest\u0103rile rahitismului difer\u0103 \u00een func\u021bie de v\u00e2rst\u0103 \u0219i de severitatea bolii, \u00eens\u0103 sunt legate \u00een principal de sl\u0103birea \u0219i deformarea oaselor aflate \u00een cre\u0219tere. Primele semne pot ap\u0103rea treptat \u0219i sunt uneori trecute cu vederea, motiv pentru care recunoa\u0219terea lor este important\u0103.<\/span><\/p>\n<p><span data-contrast=\"none\">Printre cele mai frecvente simptome ale rahitismului se num\u0103r\u0103:<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">sl\u0103birea oaselor picioarelor;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">arcuirea genunchilor la copiii care pot merge sau deformarea \u00eencheieturilor la sugari;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">curbarea anormal\u0103 a coloanei vertebrale sau modific\u0103ri ale formei craniului;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">noduli la nivelul toracelui, cunoscu\u021bi sub numele de \u201erozariu rahitic\u201d, care apar la jonc\u021biunea coastelor cu sternul;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"5\" data-aria-level=\"1\"><span data-contrast=\"none\">durere sau sensibilitate la nivelul oaselor bra\u021belor, picioarelor, pelvisului sau coloanei vertebrale;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"6\" data-aria-level=\"1\"><span data-contrast=\"none\">transpira\u021bie excesiv\u0103 \u00een timpul somnului sau al al\u0103pt\u0103rii;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"7\" data-aria-level=\"1\"><span data-contrast=\"none\">\u00eent\u00e2rziere \u00een cre\u0219tere;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"8\" data-aria-level=\"1\"><span data-contrast=\"none\">fracturi osoase ap\u0103rute la traumatisme minore;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"9\" data-aria-level=\"1\"><span data-contrast=\"none\">crampe musculare;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"10\" data-aria-level=\"1\"><span data-contrast=\"none\">paloare \u0219i alopecie occipital\u0103 (c\u0103derea p\u0103rului \u00een zona cefei);<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"11\" data-aria-level=\"1\"><span data-contrast=\"none\">erup\u021bie \u00eent\u00e2rziat\u0103 a din\u021bilor temporari;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"12\" data-aria-level=\"1\"><span data-contrast=\"none\">deform\u0103ri ale pelvisului;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"13\" data-aria-level=\"1\"><span data-contrast=\"none\">stern proeminent \u0219i coaste ie\u0219ite \u00een afar\u0103.<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">La examinarea clinic\u0103 pot fi observate \u0219i bosele frontale, care reprezint\u0103 o proeminen\u021b\u0103 anormal\u0103 a osului frontal. Aceste semne ajut\u0103 medicul s\u0103 suspecteze rahitismul \u0219i s\u0103 recomande investiga\u021bii suplimentare.<\/span><\/p>\n<p><span data-contrast=\"none\">La adul\u021bi, rahitismul se manifest\u0103 sub forma osteomalaciei, deoarece oasele nu mai sunt \u00een cre\u0219tere. \u00cen acest caz, predomin\u0103:<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"10\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">durerea osoas\u0103 difuz\u0103;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"10\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">sl\u0103biciunea muscular\u0103;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"10\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">fragilitatea osoas\u0103 \u0219i riscul crescut de fracturi.<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">Astfel, \u00een timp ce la copii rahitismul se manifest\u0103 prin deform\u0103ri scheletice, la adul\u021bi apar mai ales durerea \u0219i fragilitatea oaselor.<\/span><\/p>\n<h3><b><span data-contrast=\"none\">Deform\u0103rile osoase \u0219i alte complica\u021bii ale rahitismului<\/span><\/b><\/h3>\n<p><span data-contrast=\"none\">Dac\u0103 nu este tratat, rahitismul poate avea consecin\u021be importante asupra dezvolt\u0103rii \u0219i s\u0103n\u0103t\u0103\u021bii pe termen lung. Complica\u021biile apar \u00een special atunci c\u00e2nd boala evolueaz\u0103 pe o perioad\u0103 \u00eendelungat\u0103 f\u0103r\u0103 diagnostic \u0219i tratament adecvat.<\/span><\/p>\n<p><span data-contrast=\"none\">Principalele complica\u021bii ale rahitismului sunt:<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"11\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">dificult\u0103\u021bi de cre\u0219tere, care pot duce la statur\u0103 mic\u0103 la v\u00e2rsta adult\u0103;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"11\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">deformarea coloanei vertebrale;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"11\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">deform\u0103ri osoase, precum picioare arcuite sau modific\u0103ri ale cutiei toracice;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"11\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">defecte dentare, care pot afecta at\u00e2t mastica\u021bia, c\u00e2t \u0219i aspectul estetic;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"11\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"5\" data-aria-level=\"1\"><span data-contrast=\"none\">convulsii, cauzate de nivelurile sc\u0103zute de calciu din s\u00e2nge.<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">Oasele sl\u0103bite devin mai fragile \u0219i pot suferi fracturi chiar \u0219i \u00een urma unor traumatisme minore. \u00cen cazurile severe, hipocalcemia poate provoca probleme respiratorii sau alte complica\u021bii care necesit\u0103 interven\u021bie medical\u0103 de urgen\u021b\u0103.<\/span><\/p>\n<p><span data-contrast=\"none\">De asemenea, durerea cronic\u0103 \u0219i sl\u0103biciunea muscular\u0103 pot limita activit\u0103\u021bile zilnice \u0219i pot influen\u021ba negativ dezvoltarea normal\u0103 a copilului. Aceste riscuri eviden\u021biaz\u0103 importan\u021ba diagnosticului precoce \u0219i a tratamentului corect, pentru prevenirea sechelelor pe termen lung.<\/span><\/p>\n<h3><b><span data-contrast=\"none\">Cum se stabile\u0219te diagnosticul de rahitism<\/span><\/b><\/h3>\n<p><span data-contrast=\"none\">Diagnosticul de rahitism este stabilit de medicul specialist, pe baza unui examen fizic atent, completat de investiga\u021bii medicale specifice. \u00cen func\u021bie de semnele clinice observate, medicul poate recomanda urm\u0103toarele teste:<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"12\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Analize de s\u00e2nge, pentru evaluarea nivelurilor de:<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"12\" data-list-defn-props='{\"335552541\":1,\"335559685\":1418,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"1\" data-aria-level=\"2\"><span data-contrast=\"none\">vitamina D;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"12\" data-list-defn-props='{\"335552541\":1,\"335559685\":1418,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"2\" data-aria-level=\"2\"><span data-contrast=\"none\">calciu;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"12\" data-list-defn-props='{\"335552541\":1,\"335559685\":1418,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"3\" data-aria-level=\"2\"><span data-contrast=\"none\">fosfor;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"12\" data-list-defn-props='{\"335552541\":1,\"335559685\":1418,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"4\" data-aria-level=\"2\"><span data-contrast=\"none\">fosfataz\u0103 alcalin\u0103, marker al activit\u0103\u021bii osoase crescute.<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"12\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">Radiografii osoase, utilizate pentru identificarea deform\u0103rilor scheletice, sc\u0103derea densit\u0103\u021bii osoase \u0219i modific\u0103rile caracteristice ale extremit\u0103\u021bilor oaselor lungi.<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"12\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">Biopsie osoas\u0103, indicat\u0103 rar, doar \u00een cazuri selectate, atunci c\u00e2nd diagnosticul r\u0103m\u00e2ne neclar.<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">Pentru un diagnostic corect, medicul coreleaz\u0103 rezultatele analizelor \u0219i ale investiga\u021biilor imagistice cu istoricul medical\u0219i examenul clinic al pacientului. Consultul de specialitate este indicat numai atunci c\u00e2nd exist\u0103 suspiciunea de rahitism, pentru ini\u021bierea rapid\u0103 a tratamentului \u0219i prevenirea complica\u021biilor.<\/span><\/p>\n<h3><b><span data-contrast=\"none\">Tratamentul rahitismului<\/span><\/b><\/h3>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-2251987 aligncenter\" src=\"https:\/\/www.tion.ro\/wp-content\/uploads\/2026\/03\/4768691tratamentrahitism.jpg\" alt width=\"1028\" height=\"644\"><\/p>\n<p><span data-contrast=\"none\">De regul\u0103, corectarea alimenta\u021biei, suplimentarea cu vitamine \u0219i expunerea controlat\u0103 la soare sunt suficiente pentru a restabili mineralizarea normal\u0103 a oaselor.<\/span><\/p>\n<p><span data-contrast=\"none\">Tratamentul este stabilit de medic \u0219i poate include una sau mai multe dintre urm\u0103toarele m\u0103suri:<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"13\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Suplimente de calciu \u0219i vitamina D, precum cele din gama <\/span><strong><a href=\"https:\/\/enigma-plant.ro\/kotys\/#_blank\" target=\"_blank\" rel=\"noopener\">Kotys<\/a><\/strong><span data-contrast=\"none\">, esen\u021biale pentru dezvoltarea \u0219i \u00eent\u0103rirea oaselor. Doza \u0219i durata tratamentului depind de v\u00e2rsta copilului \u0219i de severitatea rahitismului. Pentru o absorb\u021bie mai bun\u0103, \u00een unele cazuri pot fi recomandate \u0219i forme cu biodisponibilitate crescut\u0103, precum <\/span><a href=\"https:\/\/enigma-plant.ro\/suplimente-lipozomale\/#_blank\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\"><strong>suplimentele lipozomale<\/strong><\/span><\/a><span data-contrast=\"none\">.<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"13\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">Tratament specific cauzei, atunci c\u00e2nd rahitismul nu este caren\u021bial. De exemplu, \u00een rahitismul hipofosfatemic pot fi necesare suplimente de fosfat sau alte medicamente, administrate strict sub supraveghere medical\u0103.<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"13\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">Modificarea dietei, prin cre\u0219terea aportului de vitamina D \u0219i calciu, fie din alimenta\u021bie, fie prin suplimente. Dozele mai mari pot fi necesare temporar, timp de c\u00e2teva luni, dup\u0103 care se continu\u0103 cu o doz\u0103 zilnic\u0103 de \u00eentre\u021binere.<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"13\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">Expunerea la soare, \u00een doze moderate, pentru a stimula produc\u021bia natural\u0103 de vitamina D. Medicii pot recomanda \u201eb\u0103i de soare\u201d scurte, evit\u00e2nd expunerea excesiv\u0103.<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"13\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"5\" data-aria-level=\"1\"><span data-contrast=\"none\">Exerci\u021bii adaptate, care pot ajuta la \u00eent\u0103rirea musculaturii \u0219i la \u00eembun\u0103t\u0103\u021birea mobilit\u0103\u021bii.<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">\u00cen cazul celor mici, oasele se corecteaz\u0103 treptat odat\u0103 cu tratamentul. \u00cen cazurile severe, pot fi necesare:<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"14\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">aparate ortopedice pentru corectarea deform\u0103rilor;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"14\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">interven\u021bii chirurgicale, atunci c\u00e2nd deform\u0103rile osoase sunt importante \u0219i persistente.<\/span><\/li>\n<\/ul>\n<h3><b><span data-contrast=\"none\">Prevenirea rahitismului<\/span><\/b><\/h3>\n<p><span data-contrast=\"none\">Rahitismul poate fi prevenit prin m\u0103suri simple, aplicate constant \u00eenc\u0103 din primele luni de via\u021b\u0103. Scopul principal este asigurarea unui aport adecvat de vitamina D.<\/span><\/p>\n<p><span data-contrast=\"none\">Expunerea la lumina soarelui este cea mai bun\u0103 surs\u0103 natural\u0103 de vitamina D. A\u0219adar, sunt suficiente aproximativ 10-15 minute de expunere zilnic\u0103, \u00een jurul amiezii. Totu\u0219i, persoanele cu pielea \u00eenchis\u0103 la culoare, copiii care tr\u0103iesc \u00een zone cu ierni lungi sau cu pu\u021bine zile \u00eensorite pot avea nevoie de suplimentare, deoarece sinteza cutanat\u0103 a vitaminei D este redus\u0103.<\/span><\/p>\n<p><span data-contrast=\"none\">Cu toate acestea, este important ca sugarii \u0219i copiii mici s\u0103 fie proteja\u021bi de expunerea excesiv\u0103 la soare. Utilizarea hainelor adecvate \u0219i a cremelor cu protec\u021bie solar\u0103 ajut\u0103 la reducerea riscului de arsuri \u0219i cancer de piele.<\/span><\/p>\n<p><span data-contrast=\"none\">Alimenta\u021bia joac\u0103 un rol esen\u021bial \u00een preven\u021bie. Pentru a reduce riscul de rahitism, se recomand\u0103 consumul de:<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"15\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">pe\u0219te gras (somon, ton);<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"15\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">ulei de pe\u0219te;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"15\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">g\u0103lbenu\u0219 de ou;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"15\" data-list-defn-props='{\"335552541\":1,\"335559685\":709,\"335559991\":283,\"469769226\":\"Symbol\",\"469769242\":[8226],\"469777803\":\"left\",\"469777804\":\"\uf0b7\",\"469777815\":\"multilevel\"}' data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">alimente fortificate cu vitamina D, precum formula de lapte pentru sugari, cerealele, p\u00e2inea, laptele sau sucul de portocale fortificat.<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">\u00cen cazul femeilor \u00eens\u0103rcinate, medicul poate recomanda un aport zilnic de minimum 600 UI de vitamina D, care poate ajunge p\u00e2n\u0103 la 2.000 UI, pentru men\u021binerea unui nivel optim at\u00e2t pentru mam\u0103, c\u00e2t \u0219i pentru f\u0103t.<\/span><\/p>\n<p><span data-contrast=\"none\">Pentru sugari, ghidurile medicale recomand\u0103 administrarea a 400 UI de vitamina D pe zi. Deoarece laptele matern con\u021bine cantit\u0103\u021bi reduse de vitamina D, sugarii al\u0103pta\u021bi exclusiv la s\u00e2n trebuie s\u0103 primeasc\u0103 suplimente zilnice. \u0218i unii sugari hr\u0103ni\u021bi cu formul\u0103 pot necesita suplimentare, dac\u0103 aportul din lapte nu este suficient.<\/span><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-2251978 aligncenter\" src=\"https:\/\/www.tion.ro\/wp-content\/uploads\/2026\/03\/4768529impact.jpeg\" alt width=\"938\" height=\"625\"><\/p>\n<p>(26853)<\/p>\n<div class=\"x_elementToProof\" data-olk-copy-source=\"MessageBody\">Altele:<\/div>\n<div class=\"x_elementToProof\"><strong><a id=\"OWA7c61c323-ce05-d1b8-459e-b1bb532ba3a8\" class=\"x_OWAAutoLink\" title=\"https:\/\/www.tion.ro\/stirile-judetului-timis\/burnout-ce-este-simptome-tratament-si-strategii-de-prevenire-detalii-la-enigma-plant-2211460\/\" href=\"https:\/\/www.tion.ro\/stirile-judetului-timis\/burnout-ce-este-simptome-tratament-si-strategii-de-prevenire-detalii-la-enigma-plant-2211460\/\" target=\"_blank\" rel=\"noopener noreferrer\" data-auth=\"NotApplicable\" data-linkindex=\"0\">https:\/\/www.tion.ro\/stirile-judetului-timis\/burnout-ce-este-simptome-tratament-si-strategii-de-prevenire-detalii-la-enigma-plant-2211460\/<\/a><\/strong><\/div>\n<div class=\"x_elementToProof\"><strong><a id=\"OWAa21548f1-68e9-0c6e-7348-d579b2be7026\" class=\"x_OWAAutoLink\" title=\"https:\/\/www.tion.ro\/stirile-judetului-timis\/cand-se-ia-vitamina-d-dimineata-sau-seara-care-este-momentul-potrivit-detalii-la-enigma-plant-2247073\/\" href=\"https:\/\/www.tion.ro\/stirile-judetului-timis\/cand-se-ia-vitamina-d-dimineata-sau-seara-care-este-momentul-potrivit-detalii-la-enigma-plant-2247073\/\" target=\"_blank\" rel=\"noopener noreferrer\" data-auth=\"NotApplicable\" data-linkindex=\"1\">https:\/\/www.tion.ro\/stirile-judetului-timis\/cand-se-ia-vitamina-d-dimineata-sau-seara-care-este-momentul-potrivit-detalii-la-enigma-plant-2247073\/<\/a><\/strong><\/div>\n<div class=\"fbShareLikeTwitterAndEmailContainer\">\n<div class=\"wrapper\">\n<div class=\"email\">\n<div id=\"mailto-pop\" class=\"pop-form pop-form-mailto\">\n<div class=\"pop-form-header\">\n<h4>Trimite articolul<\/h4>\n<p><a class=\"pop-form-close\">X<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"tagsContainer\">\n<div class=\"tagsLabel\">Taguri:<\/div>\n<div class=\"tags\">\n<div class=\"tag\"><a href=\"https:\/\/www.tion.ro\/cimke\/rahitism\" rel=\"tag\"><span class=\"link\">rahitism<\/span><\/a><\/div>\n<\/div>\n<\/div>\n<div class=\"comments\">\n<div class=\"top\">\n<div class=\"commentsNumber\"><span class=\"number\">0<\/span><span class=\"text\">Comentarii<\/span><\/div>\n<\/div>\n<div class=\"bottom\">\n<p class=\"forumDisclaimerHuRo\">\n            Citi\u021bi principiile noastre de moderare <a href=\"https:\/\/www.tion.ro\/reguli-postare-comentarii\/\" target=\"_blank\">aici<\/a>!\n        <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[analyse_source url=&#8221;https:\/\/www.tion.ro\/stirile-judetului-timis\/ce-este-rahitismul-cauze-simptome-si-optiuni-de-tratament-detalii-la-enigma-plant-2251975\/&#8221;]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[analyse_image type=&#8221;featured&#8221; src=&#8221;https:\/\/www.tion.ro\/wp-content\/uploads\/2026\/03\/+otf\/1200&#215;630\/G3+qTcRrZTwBcZ__lXvI2C05PVF9WRVJZX1NFQzgVzsbWKA48JGFt+Z__lqHGG__TYi+UqmriErpt__QA34chDs2ssvYVWh__gA7CnOm6QjEszP0aoza5nJ__LZQ41N+w=\/4768529impact.jpeg&#8221;] De\u0219i este \u00eent\u00e2lnit \u00een special la copii, rahitismul poate avea o form\u0103 echivalent\u0103 \u0219i la adul\u021bi, cunoscut\u0103 sub numele de osteomalacie. \u00cen cele mai multe cazuri, cauza principal\u0103 este deficitul de vitamina D, \u00eens\u0103 exist\u0103 \u0219i forme mai rare, cu determinare genetic\u0103. Mai departe vom explica care sunt principalele tipuri de rahitism, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[89],"tags":[226,191],"class_list":["post-1853927","post","type-post","status-publish","format-standard","hentry","category-romania","tag-crawlmanager","tag-tion-ro"],"_links":{"self":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts\/1853927","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1853927"}],"version-history":[{"count":0,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts\/1853927\/revisions"}],"wp:attachment":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1853927"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1853927"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1853927"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}