How is scoliosis treated?

Patient's question:

No

Doctor's answer:

If a baby is diagnosed with rickets, how should it be treated? First, it's important to understand that the key to treating rickets is supplementing with vitamin D, not calcium (though calcium supplementation is also necessary and essential). Second, it's important to know that rickets is also classified into different stages, and different treatment plans should be adopted based on the severity. Normal and mild rickets can be treated with Ekenin alone, while moderate to severe cases may require high-dose vitamin D3 treatment. Currently, the preferred vitamin D3 for preventing and treating moderate to severe rickets is Yingkangli (Cholecalciferol Emulsion). Yingkangli is a vitamin D3 emulsion containing 300,000 IU of vitamin D3, with the same content as traditional vitamin D3 injections.
Dosage and Administration
Pour the cholecalciferol emulsion into an adequate amount (3-5 times) of warm water, milk, or soy milk for consumption. (It can be taken with milk, no injections needed, no daily medication pills to feed, and no more cries of distress from the baby ^-^)
1. Preventive Medication: Take 15mg once, and may be taken again after 3 months if needed. The total annual dose should not exceed 30mg (containing 3 million IU of vitamin D3). (It's very simple to use—just 2 vials per year, costing about 46 yuan.)
2. Therapeutic Medication: Take 15mg once, and may be repeated after 1 month depending on the severity of the condition. The total annual dose should not exceed 60mg (4 vials). (This is for more severe rickets, osteoporosis, and promoting fracture healing in adults with vitamin D deficiency.)
Specifications
Cholecalciferol Emulsion: 8ml: 15mg
Manufacturer
Shanghai Xinyi Jinzhu Pharmaceutical Co., Ltd. (an old-state-owned enterprise from the Shanghai Pharmaceutical Group)
After oral administration, Yingkangli is somewhat affected by gastrointestinal degradation, leading to a slightly lower absorption rate compared to injections. However, its therapeutic effect is still quite noticeable and very safe. When taken as per the instructions or doctor's advice, it generally does not cause toxicity.
Yingkangli has been used in clinical treatment of rickets for 5 years. Extensive clinical trials have proven that Yingkangli is a safe and effective medication for treating rickets and is currently the first-choice drug for this condition. Hospitals such as Beijing Children's Hospital, Beijing University Third Hospital, and provincial hospitals all have it available.
When using Yingkangli, pay attention to the following points:
1. Prescription drug—If Yingkangli is needed for treatment, it should only be used under a doctor's guidance. Do not self-medicate.
2. Do not take Yingkangli with cod liver oil simultaneously. After taking one dose of Yingkangli, stop taking cod liver oil for one month.
3. It is also best not to take Yingkangli with calcium supplements containing vitamin D3.
Once again, for the health of your baby, it's important to undergo comprehensive examinations and analyses at a regular hospital! Follow the doctor's advice when taking medication. (Please follow the doctor's instructions!)
Advice on Calcium Supplementation
Additionally, how should calcium be supplemented? Although calcium is a secondary factor, it is also essential and a major concern for parents. When choosing a calcium supplement, it's important to consider multiple factors, including the calcium component, content, absorption rate, form, taste, whether it contains vitamin D, safety, and quality.
Component: Common calcium forms include calcium gluconate, calcium lactate, calcium phosphate, calcium carbonate, chelated calcium, and L-lactate calcium.
Content: There's no need for excessive amounts—choose based on the baby's needs, as more isn't always better. A calcium content of around 100mg is most suitable.
Absorption Rate: Calcium with high solubility naturally has a higher absorption rate. There are two special forms of calcium—chelated calcium and L-lactate calcium—with exceptionally high absorption rates, surpassing ordinary calcium by 30–40%.
Taste: This is also very important. Since calcium needs to be taken daily, if it's given to the baby like a medicine every day, it can be very stressful. Choose a calcium that the baby enjoys—a very practical point.
Whether It Contains Vitamin D: Depending on different needs, calcium with or without vitamin D has its advantages—choose based on the situation.
Safety and Quality: The safety, hygiene, and quality of all food and health supplements are increasingly being paid attention to.
Related Questions
1. Best Time to Take Calcium: It's best taken 30 minutes after breastfeeding. Avoid taking it after consuming plant-based foods, as this can reduce calcium absorption.
2. Explanation of Normal Blood Calcium but Doctor Still Says Baby Is Deficient: Blood calcium does not reflect the body's calcium reserves. Maintaining normal blood calcium levels is a basic requirement for life. If blood calcium drops below normal, it can lead to serious life-threatening conditions like convulsions. Therefore, regardless of the situation, the body will mobilize all calcium reserves to maintain normal blood calcium levels, which may involve using bone calcium. Thus, bone calcium reflects the actual calcium status of the body. Bone alkaline phosphatase can indicate calcium levels.
3. View on Calcium and Zinc Supplementation Simultaneously: It is not recommended to supplement simultaneously, as they may interfere with each other's absorption rates. It's best to take them separately, with at least a 4-hour interval.
4. Why Some Babies Don't Need Calcium Supplementation but Are Deficient, While Others Take Calcium but Are Still Deficient? Three Factors or Causes:
- Correctness of Calcium Supplementation Methods: This is straightforward and doesn't need further explanation.
- Calcium Levels Obtained in Utero: If the pregnant mother has good health and sufficient calcium reserves, her baby is less likely to be deficient. If the mother's health is poor and calcium reserves are low, her baby is more likely to be deficient. It's like children born into wealthy families, who are already provided with a rich inheritance from birth—only a little effort is needed to stay wealthy. In contrast, children born into poor families may need to work hard their entire lives but may still not become wealthy. The principle is obvious.
- Number and Activity of Vitamin D Receptors in the Body: The more vitamin D receptors there are, the higher their activity, the easier it is to absorb vitamin D, and the less likely the baby is to be deficient. Conversely, it's easier to be deficient. This is related to genetics.