保健 - 第86期 - page 7

疾病防治
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嬰兒喉痙攣最危險
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曬太陽前需補充VitD和鈣
ԟჿd᛼˄ජ༧ᏃՅ˓ԑ⏩⏸सϞʡჿ޴ʍճk
ɪࠦʊ຾Ⴍཀd᛼˄ජ̙˸ԴԒ᜗ପ͛ၪ͛९
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⏩ٙ֙ືd୕
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Preventing Muscle Spasms During Early Spring
Sun bathing prevents rickets – a well-known fact throughout the ages. However, in spring, a baby had body muscle spasms after some
sun bathing. Sun bathing is like taking vitamin D – sunrays help our skin to make vitamin D, promoting absorption of calcium and
phosphorus, conserving these at the kidney and also depositing calcium into our bones. Calcium is also a sedative for nerves and
muscles; our parathyroids also regulate normal serum calcium levels: with serum calcium <1.75 mmol/L, muscle spasm may occur.
Spasms of limbs and face are commonest around 6 months old – mostly self-limiting and are not associated with fever. Older than 2
years, spasms may simulate “Midwife’s hand”; laryngeal stridor threatening the airway and even life is most risky. If there is already
good vitamin D supplementation before sun bathing, much calcium may go into the bones leaving inadequate calcium in the blood –
muscle spasm ensues suddenly, especially for those with sub-optimal parathyroid functions. Spasms should be prevented at all costs;
when it does occur, very prompt action is required – if required, take the baby to the nearest hospital!
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