Sukɔm de wo bere nyinaa, woto wo ho fi bere nyinaa? So eyi yɛ Central Diabetes Insipidus (CDI)? Momma yɛnkasa!

So wunya akisikuru a nsu wom nso da mũ no nyinaa? Ɛmfa ho nsu dodow a wobɛnom no, ɛnkɔ so? So ɛsɛ sɛ wotaa sɔre nso mpɛn pii, ɛtɔ mmere bi a anadwo, na woatow wo ho? Sɛ woyɛ saa mpo a, so wofa nsu pii a ɛyɛ kɔla a ɛyɛ hare na nsu wom? Afei eyi betumi ayɛ nea ɛho hia wo. Yɛfrɛ saa tebea yi Central Diabetes Insipidus, anaa `Central Diabetes Insipidus (CDI)`. Ɛwom sɛ ɛwɔ "asikreyare" wɔ din no mu de, nanso eyi nyɛ asikreyare a yɛn nyinaa nim no. Momma yɛnka eyi ho asɛm nkɔ akyiri.

Dɛn ne Central Diabetes Insipidus (CDI)?

Sɛ yɛbɛka no tiawa a, `Central Diabetes Insipidus (CDI)` yɛ tebea a ɛntaa nsi koraa. Nea ɛba ne sɛ wo nipadua no nni Antidiuretic Hormone (ADH) , a ɛtɔ mmere bi a wɔfrɛ no Vasopressin , a ɛdɔɔso. Saa ADH hormone yi boa ma yɛhwɛ nsu dodow a ɛwɔ yɛn nipadua mu no so. Sɛ saa hormone yi sua a, asaabo no fi ase yi nsu pii fi mu sɛ nsu. Enti, woto nsu pii na wote nka sɛ wo ho ayɛ wo hyew kɛse.

Hypothalamus a ɛwɔ yɛn amemene mu no na ɛyɛ saa ADH hormone yi. Nanso, wɔkora so na wɔde sie bere a ntini ketewaa foforo a ɛwɔ amemene no mu , pituitary gland , hia no. Enti, sɛ biribi sɛe hypothalamus anaa pituitary gland no a, CDI betumi aba.

Sɛ wowɔ CDI a, sɛ woannom nsu a ɛdɔɔso a wode besi nsu dodow a wohwere denam nsu a wode gu mu no ananmu a, wo ho betumi atɔ wo . Eyi yɛ nea asiane wom ankasa.

Ebia nnipa binom wɔ CDI a emu yɛ den kɛse, a ɛkyerɛ sɛ ADH hormone no ntumi nyɛ adwuma yiye. Wɔfrɛ eyi `CDI a edi mũ`. Ebia afoforo nso wɔ nea ɛyɛ mmerɛw, a ɛkyerɛ sɛ ADH hormone no reyɛ adwuma akodu baabi. Wɔfrɛ eyi `partial CDI`.

Adeɛ a ɛho hia paa ne sɛ, sɛ wote edin `Diabetes Insipidus` a, mma ɛnfrafra `Diabetes Mellitus`. Saa tebea abien yi nyinaa wɔ asɛmfua `asikreyare` efisɛ saa tebea abien yi nyinaa wɔ sukɔm a ɛboro so ne nsu a wɔtaa tow ho sɛnkyerɛnne koro. Asɛmfua `asikreyare` no fi Hela asɛmfua `diabainein` mu. Ɛkyerɛ `sɛ wobɛfa mu`. Te sɛ nea nsu fa nipadua no mu ntɛmntɛm na ɛkɔ nipadua no mu sɛ nsu.

`Diabetes Insipidus` ahorow atitiriw anan na ɛwɔ hɔ:

• `Central Diabetes Insipidus (CDI)` - Eyi ne ɔkwan a yɛtaa ka ho asɛm.
• Nephrogenic Diabetes Insipidus - Asaabo ntumi nyɛ adwuma wɔ ADH ho.
• `Dipsogenic Diabetes Insipidus` - Esiane adwene mu ɔpɛ a ɔwɔ sɛ ɔbɛnom nsu pii nti.
• `Gestational Diabetes Insipidus` - Bere tiaa mu tebea a ɛba wɔ nyinsɛn mu.

Dɛn ne saa ADH (aduru a ɛko tia nsu mu nsu) yi?

ADH, anaa vasopressin, yɛ, sɛnea yɛadi kan aka no, hormone a wo hypothalamus yɛ na wo pituitary gland no sie na eyi fi mu. Nnuru a ɛma nipadua no nya ahoɔdenWɔte sɛ nnuru abɔfo a wɔhyehyɛ yɛn nipadua dwumadi ahorow. Eyinom fa mogya no mu na ɛde nkrasɛm kɔ yɛn akwaa, ntini, ne ntini afoforo mu. Saa nsɛnkyerɛnne yi kyerɛ nipadua no nea ɛsɛ sɛ ɛyɛ ne bere a ɛsɛ sɛ ɛyɛ.

Hypothalamus yɛ yɛn amemene no fã a ɛhwɛ sɛnea autonomic nervous system ne pituitary gland no yɛ adwuma so. Ɛma ADH na ɛde kɔ pituitary gland no mu ma ɛkora so na gyae bere a ɛho hia no.

Pituitary gland yɛ ntini ketewaa bi a ɛwɔ amemene no ase, wɔ hypothalamus ase pɛɛ. Ɛyɛ yɛn endocrine nhyehyɛe no fã. N’adwuma ne sɛ ɛbɛyɛ hormone ahorow a ɛho hia pii, akora so, na ayi afi mu. ADH no, akyi pituitary gland no na ɛkora so na eyi fi mu.

ADH titiriw na ɛhwɛ nsu dodow a yɛn asaabo san kɔ yɛn nipadua mu bere a eyi nneɛma fĩ fi yɛn mogya mu no so, na ɛnam so ma nsu kari pɛ wɔ nipadua no mu. Mpɛn pii no, sɛ wo ho nsu nni wo mu anaasɛ wo mogya so tew a, wo nipadua no yɛ ADH pii na eyi fi mu. Eyi ma asaabo no kyerɛ sɛ "wɔmma nsu no nkɔ wo nipadua mu, na ɛnyɛ sɛ ɛbɛyi afi nsu mu."

Enti, wɔ CDI mu no, hypothalamus no ntumi mma ADH a ɛdɔɔso, anaasɛ pituitary gland no nnyi ADH a ɛdɔɔso mfi mu. Eyi nti na nsu a wɔtaa de gu mu no dɔɔso no.

Nsonsonoe bɛn na ɛda Central Diabetes Insipidus (CDI) ne Nephrogenic Diabetes Insipidus ntam?

Tebea abien no nyinaa ho sɛnkyerɛnne yɛ pɛ: nsu a wɔtow boro so ne nsu a wɔnom boro so. Nsonsonoe no gyina nea ɛde tebea abien yi ba ne sɛnea wɔsa so.

Nephrogenic Diabetes Insipidus ba bere a wo pituitary gland no ma ADH a ɛdɔɔso fi mu, nanso w’asaabo ntumi nyɛ adwuma yiye no. Eyi kyerɛ sɛ w’asaabo ntumi nkura nsu mu. Nneɛma pii nti na ɛte saa:

• Nnuru bi, sɛ nhwɛso no , lithium ne tetracycline .
• Potassium dodow a ɛba fam wɔ mogya mu (Hypokalemia) .
• Calcium dodow a ɛkɔ soro wɔ mogya mu (Hypercalcemia) .
• Nsuo kwan a ɛsiw.

Central Diabetes Insipidus (CDI) fi hypothalamus anaa pituitary gland a entumi nyɛ adwuma yiye, a ɛmma ADH a ɛdɔɔso no. Mpɛn pii no, hypothalamus anaa pituitary gland a ɛsɛe na ɛde ba. Nneɛma te sɛ ti a opira, oprehyɛn, ɔfe, anaa akisikuru betumi afi ɔsɛe yi aba.

Hena na wonya CDI? Ɛtaa ba dɛn?

Central Diabetes Insipidus (CDI) betumi anya wɔ mfe biara mu, nanso ɛtaa ba sɛ wofi ase bere a wɔadi mfe 10 kosi 20 .

CDI yɛ tebea a ɛntaa nsi koraa, na ɛka nnipa bɛyɛ 25,000 biara mu biako pɛ .

Dɛn ne CDI ho sɛnkyerɛnne ahorow?

`Central Diabetes Insipidus (CDI)` ho sɛnkyerɛnne atitiriw ne:

• Nsu a wɔtaa tow, anadwo mpo.
• Nsu a ɛyɛ hann anaa nea emu da hɔ pii a wɔde fa mu bere biara.
• Feeling very tired and sukɔm , enti taa nom nsu.

Bere a obi a ɔte apɔw yi nsu bɛyɛ lita biako kosi abien fi mu da biara no, obi a ɔwɔ CDI betumi ayi nsu a ɛboro lita 19 (lita 20) fi mu da biara ! Wo de susuw sɛnea ɛno yɛ kɛse no ho hwɛ!

Nsɛnkyerɛnne a ɛwɔ nkokoaa nkumaa mu

Nkokoaa nkumaa a wɔwɔ CDI nso betumi ada sɛnkyerɛnne ahorow te sɛ eyinom adi:

• Ahomegye ne abufuw a ɛkɔ so daa.
• Ɔbrɛ, nna a ɛma obi da.
• Ɔfe a wɔfe.
• Ayamtim.
• Huraeɛ.

Nsɛnkyerɛnne a ɛkyerɛ sɛ nsu a ɛho ayɛ fĩ

Sɛ wɔannya CDI a wɔansa, anaasɛ obi a ɔwɔ CDI no nnom nsu a ɛdɔɔso a, nsu a ɛho ayɛ fĩ betumi aba ntɛm. Nsɛnkyerɛnne a ɛkyerɛ sɛ nsu a ɛho ayɛ fĩ no bi ne:

• Adwene a ɛyɛ basaa, te nka sɛ ne ti ayɛ hare.
• Brɛ.
• Ano, anofafa, aniwa a ɛyɛ mmerɛw.
• Ɛyɛ den sɛ wobɛyɛ adwene mu nnwuma a ɛnyɛ den.
• Abofono.
• Nnipa a wɔtotɔ piti.

Sɛ sukɔm de wo dodo na wotaa tow nsu ne/anaasɛ wohu sɛnkyerɛnne ahorow a ɛkyerɛ sɛ nsu ho atɔ wo a, ɛho hia yiye sɛ wokɔ ayaresabea ntɛm ara sɛnea wubetumi. Ɛwom sɛ CDI ho yɛ na de, nanso ɛnyɛ ɛno nkutoo ne tebea a ebetumi de saa sɛnkyerɛnne ahorow yi aba. Sukɔm dodo ne nsu a wotaa tow no yɛ sɛnkyerɛnne a emu yɛ den a ɛkyerɛ sɛ biribi ntumi nyɛ adwuma yiye wɔ wo nipadua mu na wuhia ayaresa.

Dɛn na ɛde Central Diabetes Insipidus (CDI) ba?

Nea ɛde Central Diabetes Insipidus (CDI) ba titiriw ne hormone ADH a enni hɔ koraa anaa ne fã bi. Mpɛn pii no, wo hypothalamus, pituitary gland, anaa ntini a ɛka abien no bom (pituitary stalk) no sɛe na ɛde saa sintɔ yi ba. Nneɛma pɔtee bi a ɛde ba ne:

• Hypothalamus anaa pituitary gland a ɛsɛe esiane oprehyɛn nti.
• Hypothalamus anaa pituitary gland a ɛsɛe esiane ti a opira nti, titiriw basal skull a abubu.
• Ɔfe (granulomas) a nyarewa te sɛ sarcoidosis anaa nsamanwaw de ba .
• Akisikuru te sɛ craniopharyngioma anaa germinoma .
• Langerhans cell histiocytosis (eyi yɛ yare a ɛntaa nsi a ebetumi ama ntini asɛe anaasɛ akuru aba nipadua no fã biako anaa nea ɛboro saa).
• Awosu mu nsakrae a wonya fi awo mu wɔ chromosome 20 so (eyi yɛ nea ɛntaa nsi yiye, yiye - wɔabɔ nsɛm a ennu 100 ho amanneɛ wɔ aduruyɛ nhoma ahorow mu).

Wɔ CDI nsɛm no mu bɛyɛ nkyem abiɛsa mu biako mu no, nnuruyɛfo ntumi nhu nea ɛde ba ankasa. Wɔfrɛ eyi idiopathic central diabetes insipidus (CDI) a ɛyɛ mmerɛw.Nhwehwɛmufo susuw sɛ ebia nneɛma bi a ɛma nipadua no tumi ko tia nipadua no na ɛde CDI a ɛyɛ idiopathic no bi ba. Wɔ tebea horow a nipadua no tumi ko tia nyarewa mu no, wo nipadua no mu tumi a ɛko tia nyarewa no fi ase tow hyɛ ntini a ɛte apɔw so. Wɔ eyi mu no, nipadua no mu tumi a ɛko tia nyarewa no betumi ayɛ nnuru a ɛko tia nyarewa, anaasɛ lymphocytes, a ɛtow hyɛ nkwammoaa a ɛma ADH no so.

CDI nso betumi aba sɛ ɔyare anaa tebea kɛse bi fã, te sɛ Wolfram syndrome ( awosu mu tebea) ne septo-optic dysplasia (ɔhaw a ɛntaa nsi a ɛma amemene no nyin ntɛm).

Wobɛyɛ dɛn ahu sɛ wowɔ CDI anaa? (Nyare a Wɔahu) .

Esiane sɛ sukɔm ne nsu a wɔtaa de no nso betumi afi tebea afoforo te sɛ asikreyare mu aba nti, ɛho hia sɛ woyi tebea afoforo fi hɔ bere a wɔrehu asikreyare a ɛnyɛ den (CDI) no. Enti, sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, wo duruyɛfo betumi ayɛ nhwehwɛmu pii.

Nea ɛka CDI a wobehu nso ho ne sɛ wobehu nea ɛde ba.

Nhwehwɛmu bɛn na wɔde hu CDI?

Nsuo a wɔmfa nni dwuma ho sɔhwɛ no ne ɔkwan a ɛyɛ mmerɛw na wotumi de ho to so sen biara a wɔfa so hu CDI. Sɛ wo duruyɛfo hyɛ sɛ wobɛyɛ nhwehwɛmu yi a, wɔbɛhwɛ sɛ wɔbɛhwɛ wo yiye bere a wɔreyɛ nhwehwɛmu no, efisɛ ebetumi ama nsu atɔ wo mu.

Nea ɛka sɔhwɛ yi ho ne sɛ wobɛkɔ a wunni nsu biara nnɔnhwerew pii na woahwɛ sɛnea wo nipadua no yɛ n’ade. Sɛ wowɔ CDI a, wobɛkɔ so afa nsu pii a ɛyɛ nsu (a ɛyɛ mmerɛw), a ɛyɛ kɔla a ɛyɛ hare, bere mpo a wotaa fa nsu a ɛyɛ kɔkɔɔ tuntum a ɛyɛ den kakraa bi no.

Wo duruyɛfo nso betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu ahorow yi na aboa ma wɔahu CDI na wɔayi tebea afoforo afi hɔ:

• Mogya mu nhwehwɛmu a wɔyɛ de hwɛ sɛnea ADH (antidiuretic hormone) dodow wɔ mogya no mu.
• Mogya mu nhwehwɛmu de hwɛ glucose dodow de hwɛ sɛ asikreyare nni hɔ.
• Nsu mu nhwehwɛmu de hwɛ sɛnea nsu no mu dodow (osmolality) te ne/anaasɛ wɔhwɛ sɛ ketones wɔ hɔ, a ebetumi akyerɛ asikreyare.
• Nea ɛbɛyɛ na wɔahu sɛnea w’asaabo reyɛ n’ade no, wɔbɛma wo ADH a wɔayɛ no aduru. Nnipa a wɔwɔ Nephrogenic Diabetes Insipidus no nyɛ wɔn ade wɔ ADH a wɔayɛ ho efisɛ wɔn asaabo tumi ko tia ADH nkɛntɛnso. Ɔkwan foforo so no, nnipa a wɔwɔ CDI no yɛ wɔn ade wɔ ADH a wɔayɛ ho.
• Wobetumi de mfoninitwa nhwehwɛmu te sɛ MRI (Magnetic Resonance Imaging) adi dwuma de ahu sɛ ebia wo pituitary gland anaa hypothalamus asɛe, na sɛ ɛte saa a, nea ɛde ba.

Dɛn ne ayaresa ahorow a wɔde sa CDI?

CDI ayaresa gyina sɛnea ADH hormone a enni nipadua no mu no mu yɛ den so.

Wowɔ CDI a edi mũ.Sɛ saa a, desmopressin ne ayaresa a edi kan. Eyi yɛ aduru a ɛyɛ adwuma te sɛ hormone ADH. Wubetumi anom desmopressin sɛ aduru a wɔde twitwiw obi, sɛ aduru a wɔde petepete hwene mu, anaasɛ sɛ aduru a wɔde petepete hwene mu.

Sɛ wowɔ CDI fã bi , a ɛkyerɛ sɛ abɔde mu ADH da so ara reyɛ adwuma akodu baabi a, ebia wo duruyɛfo bɛkyerɛw nnuru afoforo te sɛ hydrochlorothiazide (HCTZ) .

Sɛ́ ayaresa ma nkokoaa nkumaa a wɔwɔ CDI no, wobetumi ama nufusu a wɔde ma anaa nufusu a wɔde nsu afra mu na wɔde hydrochlorothiazide ama.

So Desmopressin ho nsunsuanso bɔne bi wɔ hɔ?

Mpɛn pii no, desmopressin yɛ aduru a ahobammɔ wom yiye a ɛnyɛ nea ɛde ɔhaw ba pii. Nneɛma bɔne a ebetumi afi mu aba no bi ne:

• Tipaeɛ.
• Yafunu mu yaw.
• Abofono.
• Anom a ɛyɛ den anaasɛ hwene a ɛtwetwe .
• Mogya a ɛba hwene mu.

Sɛ wonom desmopressin pii, anaasɛ wonom nsu pii bere a worenom a, ebia wo nipadua no bɛkora nsu pii so. Eyi betumi de yare no ho sɛnkyerɛnne te sɛ:

• Tipaeɛ.
• Adwene a ɛyɛ basaa.
• Nneɛma a ɛho ayɛ fĩ.
• Nkyene (sodium) a ɛba fam wɔ mogya mu (Hyponatremia) .

Hyponatremia ho sɛnkyerɛnne:

• Tiyɛ a emu yɛ den anaasɛ ɛkyɛ.
• Kesereneeyɛ.
• Akisikuru ne ɔfe.

Sɛ wowɔ hyponatremia ho sɛnkyerɛnne a, ɛsɛ sɛ wofrɛ 911 anaa wokɔ baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ a ɛbɛn wo ntɛm ara sɛnea wubetumi.

Ɔkwan bɛn so na obi a ɔwɔ CDI betumi adi eyi ho dwuma?

Sɛ wowɔ CDI a, aduruyɛ akyi no, ɛho hia yiye sɛ wobɛnom nsu daa na woakwati sɛ wo nsu bɛtɔ wo mu.

Ɛho hia nso sɛ wobɛkɔ wo duruyɛfo nkyɛn daa na ama woahwɛ ahu sɛ w’ayaresa no reyɛ adwuma yiye na nnuru dodow a wɔakyerɛw ama wo no teɛ.

Dɛn ne asiane ahorow a ɛma obi nya CDI?

Nea ɛyɛ awerɛhow no, wontumi nsiw Central Diabetes Insipidus (CDI) dodow no ara ano. Asiane ahorow a ɛma obi nya CDI no bi ne:

• Amemene mu oprehyɛn.
• Sɛ obi wɔ abusua abakɔsɛm a ɛkyerɛ sɛ obi anya asikreyare a ɛnyɛ dɛ ne/anaasɛ Wolfram syndrome.
• Ti a wɔapirapira.
• Amemene mu nyarewa.

Obi a ɔwɔ CDI akwahosan tebea te dɛn? (Nkɔmhyɛ) .

Obi a ɔwɔ `Central Diabetes Insipidus (CDI)` nkɔmhyɛ taa yɛ papa, na sɛ wɔsa no yiye na wɔnom nsu a ɛdɔɔso a, ɛmma ɔhaw akɛse mma.

Nanso, mmofra nkumaa, wɔn a wɔn mfe akɔ anim, ne wɔn a wɔwɔ adwenemyare no wɔ asiane kɛse mu sɛ wobenya nsɛnnennen ne owu efisɛ ebia ɛbɛyɛ den ama wɔn sɛ wobehu wɔn sukɔm anaasɛ wɔbɛyɛ biribi.

Dɛn ne nsɛnnennen a ebetumi afi Central Diabetes Insipidus (CDI) mu aba?

Nsɛnnennen titiriw a ɛwɔ CDI mu neNsu a ɛho ntew . Eyi kyerɛ sɛ wo nipadua no rehwere nsu ne anyinam ahoɔden a ɛdɔɔso a ɛbɛma ayɛ adwuma yiye. Sɛ wowɔ CDI a, wubetumi adi nsu pii a wobɛhwere wɔ wo nsu mu no ho dwuma denam nsu pii a wobɛnom so. Nanso sɛ woanyɛ saa a, nsu betumi atɔ wo ntɛm.

Nsu a ɛho ayɛ fĩ yɛ nea asiane wom, na ɛde nkwa mpo to asiane mu. Sɛ wowɔ nsunsuanso ho sɛnkyerɛnne te sɛ adwenemhaw, akisikuru, ne ɔbrɛ a, kɔ ayaresabea a ɛbɛn wo ntɛm ara sɛnea wubetumi.

Sɛ wɔansa CDI wɔ nkokoaa nkumaa mu a , nsu a ɛtɔ mpɛn pii no betumi de nsɛnnennen te sɛ:

• Akisikuru a ɛma obi ho kyere no.
• Amemene a ɛsɛe.
• Nkɔso a ɛkyɛ.
• Onyin a ɛyɛ mmerɛw.

Sɛ wɔannya CDI wɔ mmofra ne mpanyimfo mu a, nsɛnnennen te sɛ:

• Koma a ɛbɔ daa (Arrhythmia) .
• Huraeɛ.
• Wora ne ntini a ɛyɛ mmerɛw (e.g. ano mu, hwene mu).
• Akisikuru a ɛma obi ho kyere no.
• Coma.

Mpanyimfo a wɔwɔ CDI betumi anya tebea bi a wɔfrɛ no orthostatic hypotension , a ɛyɛ mogya mmoroso a ɛkɔ fam mpofirim bere a wogyina hɔ anaa wɔte hɔ no. Eyi betumi ama obi adwene atu afra anaasɛ n’adwene atu afra bere tiaa bi.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ wowɔ Central Diabetes Insipidus (CDI) a, ɛho hia sɛ wokɔ wo duruyɛfo nkyɛn daa na wahwɛ wo tebea no na woahwɛ ahu sɛ w’ayaresa no reyɛ adwuma. Sɛ wowɔ sɛnkyerɛnne bi a ɛhaw wo a, hwɛ hu sɛ wobɛma wo duruyɛfo ahu.

Sɛ wowɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ nsu a ɛho ayɛ fĩ kɛse te sɛ adwenem naayɛ anaa akisikuru a, kɔ baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ a ɛbɛn wo ntɛm ara sɛnea wubetumi.

Nsɛmmisa a ɛsɛ sɛ wubisa wo duruyɛfo

Sɛ wɔahu sɛ wowɔ Central Diabetes Insipidus (CDI) a, ebia ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo nsɛm yi:

• Dɛn nti na minyaa CDI?
• So me CDI tebea no yɛ nea enni sabea anaasɛ ɛyɛ bere tiaa mu de?
• Ayaresa ahorow bɛn na mewɔ?
• Mfaso ne ɔhaw ahorow bɛn na ɛwɔ ayaresa ahorow a wɔpaw so?
• Nsu dodow ahe na ɛsɛ sɛ menom da biara?
• Dɛn bio na metumi ayɛ de adi me tebea no ho dwuma?
• So m’abusua mufo wɔ asiane mu sɛ wobenya CDI?

Awiei koraa no, ade a ɛho hia sen biara (Take-Home Message) .

Central Diabetes Insipidus (CDI) yɛ tebea a ɛntaa nsi nanso ebetumi ayɛ nea emu yɛ den. Asɛmpa no ne sɛ wobetumi ayɛ ho adwuma na wɔadi ho dwuma.Sɛ wowɔ CDI a, ɛho hia sɛ wokɔ wo duruyɛfo nkyɛn daa na ama woahwɛ ahu sɛ w’ayaresa no reyɛ adwuma yiye. Sɛ wowɔ nsɛmmisa bi fa wo tebea no ho a, nsuro sɛ wubebisa wo duruyɛfo. Wɔwɔ hɔ sɛ wɔbɛboa wo ma woadi wo tebea no ho dwuma. Mma wo werɛ mmfi sɛ wobɛnom nsu pii, ɛho hia paa!

` Central Diabetes Insipidus, CDI, ADH, asaabo, hormone, nsu a wɔtow boro so, sukɔm a ɛboro so