Ɛtɔ mmere bi a, wote nka sɛ sukɔm de wo kɛse? Anaasɛ ɛsɛ sɛ wotaa tow wo ho? So wunim sɛ "
odwumayɛni " ketewaa bi nanso ɔho hia yiye wɔ yɛn nipadua mu wɔ saa nneɛma yi akyi? Ɔno ne hormone a yɛreka ho asɛm nnɛ, ADH, a egyina hɔ ma Antidiuretic hormone. Eyi yɛ ade titiriw a ɛhwɛ nsu dodow a ɛwɔ yɛn nipadua mu no so pɛpɛɛpɛ. Momma yɛnte eyi ase nnɛ ara, te sɛ nea yɛne yɛn adamfo bi rekasa.
Sɛ yɛbɛka no tiawa a, dɛn ne ADH?
ADH yɛ hormone a ɛboa ma nsu dodow a ɛwɔ yɛn nipadua mu no kari pɛ. Edin foforo a wɔde frɛ no ne
Arginine Vasopressin (AVP). Ɛte sɛ "nsu sohwɛfo" a ɔwɔ yɛn nipadua mu. Hypothalamus a ɛyɛ yɛn amemene no fã ketewaa bi nanso ɛho hia yiye no na ɛyɛ saa hormone yi. Nanso pituitary gland a ɛwɔ amemene no mu no na ɛyɛ na ɛkɔ mogya no mu wɔ bere a ɛfata mu. Fa no sɛ, sɛ nsu resa wo nipadua mu a, wo mogya mu duru yɛ kɛse. Nneɛma a ɛma yehu nneɛma a ɛwɔ yɛn nipadua mu na ehu eyi. Bere koro no ara mu no, saa sensor ahorow yi de sɛnkyerɛnne bi kɔ amemene no mu sɛ, "Okay, afei gyae ADH bi kɔ mogya no mu." Afei saa ADH hormone yi fa mogya no mu na ɛka kyerɛ yɛn asaabo. "Hey, nsuo nnɔɔso wɔ nipadua no mu, enti nnyi nsuo pii nkɔ nsuo mu. Sie nsuo bi." Ɛka kyerɛ asaabo no. Afei asaabo no san twetwe nsu a nipadua no hia no, na ɛma nsu a ɛkɔ nipadua no mu no dɔɔso. Nneɛma bi a ɛba bere a nipadua no kura nsu mu wɔ saa kwan yi so ni:
- Wo mogya reyɛ ayɛ mmerɛw kakra.
- Sɛ yɛbɛka no tiawa a, mogya mu osmolality kyerɛ sɛ nneɛma a apete dodow a ɛwɔ mogya no mu no so tew.
- Mogya dodow kɔ soro.
- Mogya mmoroso betumi akɔ soro.
Sɛ woyɛ saa nneɛma yi nyinaa nanso wo nipadua mu nsu a ɛkari pɛ no nkari pɛ a, w'amemene bɛka akyerɛ wo sɛ
"sukɔm de wo." Enti wonom nsuo. Saa na nhyehyɛe yi yɛ adwuma.
Sɛ ADH dodow kɔ soro anaasɛ ɛso tew a, dɛn na ɛba?
Akwahosan tebea horow bi betumi ama wo nipadua no ayɛ ADH kakraa bi anaasɛ ɛboro so, anaasɛ ebia w’asaabo rentumi nyɛ hormone no ho adwuma kɛse. Ɛno na ɔhaw ahorow sɔre. Momma yɛnhwɛ tebea abien yi ho sɛnkyerɛnne ahorow.
| Nsɛnkyerɛnne a ɛkyerɛ sɛ ADH dodow sua (Low ADH) . | ADH dodow a ɛkɔ soro ho sɛnkyerɛnne |
|---|
| Feeling extremely thirsty : Te nka sɛ ɛnnɔɔso ɛmfa ho nsu dodow a wobɛnom. | Akisikuru: Sɛ wote nka sɛ wobɛfe. |
| Nsu a wɔtaa tow: nsu pii a wɔde fa mu da biara. | Tipaeɛ. |
| Nsu a ɛtɔ: Nsu a ɛyera wɔ nipadua no mu. | Disorientation: Nhumu a ɛyera, akwankyerɛ a ɛyera, ne nea ɛkeka ho. |
| Sodium dodow a ɛkɔ soro wɔ mogya no mu. | Ɔbrɛ ne nna a ɛtra so. |
| Sodium dodow a ɛso tew wɔ mogya no mu. |
Nyarewa a ɛbata ADH a ɛnkari pɛ ho
Ayaresa mu tebea atitiriw abien wɔ hɔ a ADH hormone no dodow a ɛba fam anaasɛ ɛkɔ soro na ɛde ba.
1. Asikreyare a Ɛnyɛ Den
Eyi yɛ tebea a ɛba bere a nipadua no ntumi nyɛ ADH a ɛdɔɔso anaasɛ asaabo no ntumi nyɛ ADH ho adwuma no.
Eyi nso ahorow abien na ɛwɔ hɔ:
- Central Diabetes Insipidus: Eyi ba bere a hypothalamus anaa pituitary gland a ɛwɔ amemene no mu no sɛe no sɛe ADH a wɔyɛ anaasɛ wɔma ɛba no.
- Nephrogenic Diabetes Insipidus: Eyi ne bere a amemene no ma ADH, nanso asaabo no ntumi nyɛ hormone no ho adwuma. Eyi betumi afi awosu mu anaasɛ aduruyɛ mu tebea foforo ho sɛnkyerɛnne.
2. SIADH (Ayaresa a Ɛma Nnuru a Ɛko Tia Nsu a Ɛmfata) .
Wɔ tebea yi mu no, ADH hormone no fi mogya no mu wɔ bere a ɛmfata mu na ɛboro so. Eyi ma asaabo no kura nsu pii, na ebetumi ama sodium dodow a ɛwɔ mogya mu no so atew wɔ ɔkwan a ɛyɛ hu so.
Ɔkwan bɛn so na oduruyɛfo hu saa tebea horow yi?
Ɛwom sɛ nhwehwɛmu bi wɔ hɔ a ɛkyerɛ sɛnea ADH dodow wɔ wo mogya mu de, nanso ɛnyɛ bere nyinaa na nnuruyɛfo de di dwuma. Mpɛn pii no, wo duruyɛfo no begyina wo sɛnkyerɛnne ahorow, aduruyɛ ho abakɔsɛm, ne nhwehwɛmu afoforo (nsu mu nhwehwɛmu, electrolytes te sɛ sodium ne potassium dodow a ɛwɔ mogya mu, ne osmolality) so ahu yare no. Wɔ tebea horow bi mu no, wɔyɛ nhwehwɛmu titiriw abien de hu yare no yiye.
- Nsuo a Wonnya Ho Sɔhwɛ: Wɔ eyi mu no, wɔsrɛ wo sɛ twe wo ho fi nsuo a wobɛnom ho bere bi wɔ aduruyɛfo hwɛ ase. Afei, wɔsɔ mogya ne nsu mu nhwehwɛmu bere ne bere mu hwɛ sɛnea wo nipadua no yɛ n’ade.
- Nsuo a Wɔde Gu Mu Ho Sɔhwɛ: Bio nso, wɔ aduruyɛfoɔ hwɛ ase no, wɔma wo nsuo dodoɔ pɔtee bi a wobɛnom wɔ berɛ pɔtee bi mu. Afei wɔhwɛ nsakrae a ɛba wo mogya ne wo nsu mu nnɔnhwerew pii.
Nea ɛho hia yiye: Ɛsɛ sɛ wɔyɛ nhwehwɛmu abien yi nyinaa wɔ ayaresabea a oduruyɛfo anaa adwumayɛfo a wɔatete wɔn hwɛ so koraa nkutoo. Mma nsɔ nhwɛ wɔ fie esiane biribiara nti, efisɛ asiane ahorow te sɛ nsu a ɛbɛtɔ wo mu betumi aba .
Nnuru a ebetumi aka ADH dodow
Nnuru bi a wonom nso betumi aka ADH dodow. Enti hwɛ hu sɛ wobɛbɔ wo duruyɛfo amanneɛ pefee wɔ nnuru a wonom nyinaa ho bere a wuhu no no.
| Nnuru a ebetumi ama ADH dodow akɔ soro | Nnuru a ebetumi atew ADH dodow so |
|---|
| Carbamazepine, Morphine, Nicotine, Amitriptyline, Desipramine, Barbiturates, Acetaminophen, Metformin, Tolbutamide, Aspirin, Theophylline, Nnuru a ɛnyɛ steroid a wɔde ko tia ɔyare mmoawa (NSAIDs) . | Ethanol (nsa), Lithium, Phenytoin, na ɛwɔ hɔ |
Ayaresa ne nea wɔde siw ano
Ebia wontumi nsiw nsakrae a ɛba ADH dodow mu no ano koraa, nanso wobetumi adi so akodu baabi denam asetra pa a wɔbɛkɔ so akura mu ne nsu a ɛdɔɔso a wɔbɛnom so. Ayaresa a wobetumi apaw no gyina tebea no so.
- Sɛ ADH dodow sua (Diabetes Insipidus): Wɔde ADH hormone a wɔayɛ no nsa ma sɛ nnuru a wɔde petepete hwene mu. Oduruyɛfo no tu fo nso sɛ wɔnnom nsu pii na wɔnyɛ nsakrae wɔ aduan mu.
- Sɛ ADH dodow no dɔɔso (SIADH): Ade titiriw a ɛsɛ sɛ woyɛ wɔ ha ne sɛ wobɛto nsu dodow a wobɛnom da biara no ano hye. Afei nso, sɛ nea ɛde tebea yi ba ne yare anaa aduru foforo a, oduruyɛfo no besusuw ho sɛ ɔbɛsa no anaasɛ ɔbɛsesa aduru no.
Sɛ wonom sigaret anaa wonom nsa a, sɛ wugyae anaasɛ wobɛtew so a wobɛnom nso ho hia yiye na ama woatumi adi tebea yi so.
Ansa na wobɛyɛ biribiara no, ɛho hia sɛ wo ne wo duruyɛfo kasa na wohwehwɛ afotu. Nkrasɛm a Wɔde Kɔ Fie
- ADH yɛ hormone a ɛho hia a ɛhwɛ nsu a ɛkari pɛ wɔ wo nipadua mu no so.
- Sɛ hormone yi so tew anaa ɛkɔ soro a, ebetumi ama wanya yare no ho sɛnkyerɛnne ahorow, te sɛ sukɔm dodo, nsu a wɔtaa tow, ne adwene a ɛyɛ basaa.
- Kae sɛ ‘Diabetes Insipidus’, tebea a ADH a ɛso tew na ɛde ba no nyɛ ‘asikreyare’.
- Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, kwati sɛ wobɛhwehwɛ wo ho na hwehwɛ aduruyɛfo afotu ntɛm ara.
- Mma wo nnyɛ nsu anohyeto ho nhwehwɛmu a wo duruyɛfo akyerɛw ama wo wɔ fie da. Ɛsɛ sɛ wɔyɛ no wɔ ayaresabea ne nnuruyɛfo hwɛ ase nkutoo.
- Ɛho hia paa sɛ wobɛbɔ wo duruyɛfo amanneɛ wɔ nnuru a worenom nyinaa ho.
ADH, Nsuo a Ɛko Tia Nsuo, Vasopressin, Asikreyare Insipidus, SIADH, Asaabo, Hormone, Sukɔm a Ɛboro So, Nipadua Nsuo, ADH Sinhala
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