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Osteopenia en bebés prematuros - Treatment

Nombres alternativos

Raquitismo en neonatos; Osteopenia de la prematuridad; Huesos frágiles en bebés prematuros; Huesos débiles en bebés prematuros

Tratamiento:

Las terapias que parecen mejorar la fortaleza ósea en los bebés son, entre otras:

  • Suplementos de calcio y fósforo agregados a la leche materna o líquidos intravenosos
  • Fórmulas especiales para bebés prematuros cuando no se tenga disponibilidad de leche materna
  • Suplementos de vitamina D para bebés con problemas hepáticos

Expectativas (pronóstico):

Las fracturas generalmente sanan bien por sí solas con una manipulación suave y con un aumento en la ingesta de calcio, fósforo y vitamina D en la dieta. Es posible que haya un incremento en el riesgo de sufrir fracturas a lo largo de todo el primer año de vida para bebés muy prematuros con osteopenia de la prematuridad.

Los estudios han sugerido que un peso muy bajo al nacer es un factor de riesgo significativo para padecer osteoporosis posteriormente en la vida adulta. Se desconoce si los esfuerzos agresivos para tratar o prevenir la osteopenia de la prematuridad en el hospital después del nacimiento pueden disminuir el riesgo como adulto.

  • Reviewed last on: 11/2/2009
  • Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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