Tsikɔwuame ɣesiaɣi, aɖuɖɔɖɔɖɔ ɣesiaɣia? Ðe esia nye Central Diabetes Insipidus (CDI)? Mina míaƒo nu!

Ðe aɖuɖɔtoe si me tsi le hã le ŋuwò le ŋkekea mea? Tsi agbɔsɔsɔme ka kee nèno o, medzɔna oa? Ðe wòle be nàfɔ enuenu hã, ɣeaɖewoɣi le zã me, hafi aɖu aɖuɖɔa? Ne èwɔe gɔ̃ hã la, ɖe nètoa aɖuɖɔ si ƒe amadede le keklẽm, si me tsi le la geɖe mea? Ekema esia ate ŋu anɔ vevie na wò. Míeyɔa nɔnɔme sia be Central Diabetes Insipidus, alo `Central Diabetes Insipidus (CDI)`. Togbɔ be "suklidɔ" le eŋu le ŋkɔa me hã la, menye suklidɔ si mí katã míenya lae nye esia o. Mina míaƒo nu tso esia ŋu tsitotsito.

Nukae nye Central Diabetes Insipidus (CDI)?

Kpuie ko la, `Central Diabetes Insipidus (CDI)` nye nɔnɔme si mebɔ kura o. Nusi dzɔnae nye be Antidiuretic Hormone (ADH) , si woyɔna ɣeaɖewoɣi be Vasopressin , mesɔ gbɔ na wò ŋutilã o. ADH lãmetsi sia kpena ɖe mía ŋu míeɖua tsi agbɔsɔsɔme si le míaƒe ŋutilã me dzi. Ne lãmetsi sia mesɔ gbɔ o la, ayikuawo dzea tsi geɖe dodo gɔme abe aɖuɖɔ ene. Eyata, èɖea aɖuɖɔ geɖe eye nèsena le ɖokuiwò me be yevuvu ŋutɔ.

Hypothalamus si le míaƒe ahɔhɔ̃ me ye wɔa ADH lãmetsi sia. Gake wodzraae ɖo heɖenɛ doa goe ne lãkusi sue bubu si le ahɔhɔ̃a me , si nye lãkusi si nye pituitary gland , hiãe. Eyata ne nane gblẽ le hypothalamus alo pituitary gland ŋu la, CDI ate ŋu adze egɔme.

Ne CDI le ŋuwò la, ne mèno tsi si sɔ be nàtsɔ aɖɔli tsi agbɔsɔsɔme si nèbu to aɖuɖɔ me o la, tsi ate ŋu agbɔdzɔ wò . Esia nye afɔku ŋutɔŋutɔ.

CDI ƒe dɔléle si nu sẽ wu ate ŋu anɔ ame aɖewo ŋu, si fia be ADH lãmetsiŋusẽ mele dɔ wɔm nyuie o. Woyɔa esia be `CDI blibo`. Ame bubuwo ƒe nɔnɔme si fa wu ate ŋu anɔ wo ŋu, si fia be ADH lãmetsiŋusẽa le dɔ wɔm vaseɖe afi aɖe. Woyɔa esia be `partial CDI`.

Nu vevitɔ enye be, ne èse ŋkɔ `Diabetes Insipidus` la, mègatɔtɔe kple `Diabetes Mellitus` o. Nya `suklidɔ` le nɔnɔme siawo evea siaa ŋu elabena tsikɔwuame fũ kple aɖuɖɔtoe enuenu ƒe dzesi ɖeka le nɔnɔme siawo evea siaa me. Nya `suklidɔ` tso Helagbe me nya `diabainein` me. Efia `be woato eme`. Abe alesi tsi toa ŋutilãa me kabakaba eye wòdona le eme abe aɖuɖɔ ene.

`Suklidɔ si mebɔ o` ƒomevi vevi ene li:

• `Central Diabetes Insipidus (CDI)` - Esia nye ƒomevi si bɔ wu si ŋu míele nu ƒom tsoe.
• Nephrogenic Diabetes Insipidus - Ayikuwo mewɔa nu ɖe ​​ADH ŋu o.
• `Dipsogenic Diabetes Insipidus` - Le susu me didi be woano tsi fũ ta.
• `Gestational Diabetes Insipidus` - Ɣeyiɣi kpui aɖe ƒe nɔnɔme si dzɔna le fufɔɣi.

Nukae nye ADH (lãmetsi si tsia tsinyegoe me) sia?

Abe alesi míegblɔe va yi ene la, ADH, alo vasopressin, nye lãmetsi si wò hypothalamus wɔ eye wò pituitary gland dzrana ɖo heɖena ɖe go. LãmetsiŋusẽwoWole abe atikewo ƒe dɔla siwo wɔa ɖoɖo ɖe míaƒe ŋutilã ƒe dɔwɔna vovovoawo ŋu ene. Esiawo zɔa mɔ to ʋua me eye wotsɔa gbedasiwo yia míaƒe ŋutinuwo, lãmekawo, kple lãmenugbagbevi bubuwo gbɔ. Dzesi siawo gblɔa nusi wòle be ŋutilãa nawɔ kple ɣeyiɣi si wòle be wòawɔe.

Hypothalamus nye míaƒe ahɔhɔ̃ ƒe akpa si kpɔa autonomic nervous system kple pituitary gland ƒe dɔwɔwɔ dzi. Ewɔa ADH eye wòɖonɛ ɖe pituitary gland be wòadzrae ɖo ahaɖe asi le eŋu ne ehiã.

Pituitary gland nye lãkusi sue aɖe si le ahɔhɔ̃a ƒe gɔme, le hypothalamus te tututu. Enye míaƒe lãmenugbagbeviwo ƒe dɔwɔwɔ ƒe akpa aɖe. Eƒe dɔe nye be wòawɔ lãmetsi vevi geɖewo, adzra wo ɖo, ahaɖe wo ɖe go. ADH dzrana ɖo eye wòɖea asi le eŋu to megbeƒu ƒe lãkusi me.

ADH koŋue kpɔa tsi agbɔsɔsɔme si míaƒe ayikuwo gbugbɔ gena ɖe míaƒe ŋutilã me ne wole gbeɖuɖɔwo ɖem le míaƒe ʋu me, si wɔnɛ be tsi nada sɔ le ŋutilãa me. Zi geɖe la, ne tsi vɔ le ŋuwò alo wò ʋu ƒe sisi le sue la, wò ŋutilã wɔa ADH geɖe wu eye wòɖenɛ doa goe. Esia naa dzesi ayikuawo be "wòalé tsia ɖe wò ŋutilã me, ke menye be woaɖee ado goe le aɖuɖɔ me o."

Eyata le CDI me la, hypothalamus mewɔa ADH si sɔ o, alo pituitary gland mewɔa ADH si sɔ o. Esia tae aɖuɖɔ gbogbo aɖe dona enuenu ɖo.

Vovototo kae le Central Diabetes Insipidus (CDI) kple Nephrogenic Diabetes Insipidus dome?

Nɔnɔme evea siaa ƒe dzesiwo sɔ: aɖuɖɔɖɔɖɔ fũ kple tsinono fũu akpa. Vovototoa le nusi gbɔ nɔnɔme eve siawo tso kple wo dada me.

Nephrogenic Diabetes Insipidus dzɔna ne wò pituitary gland ɖe ADH si sɔ, gake wò ayikuwo mewɔa dɔ nyuie o. Esia fia be wò ayikuwo mate ŋu alé tsi ɖe te o. Susu geɖewo tae wòle alea ɖo:

• Atike aɖewo, le kpɔɖeŋu me , lithium kple tetracycline .
• Potassium ƒe agbɔsɔsɔ si bɔbɔ ɖe ʋu me (Hypokalemia) .
• Calcium ƒe agbɔsɔsɔ si dzina ɖe edzi le ʋu me (Hypercalcemia) .
• Aɖuɖɔtoe ƒe mɔxexe.

Central Diabetes Insipidus (CDI) tsoa hypothalamus alo pituitary gland ƒe dɔmawɔmawɔ nyuie gbɔ, si mewɔa ADH si sɔ o. Zi geɖe la, hypothalamus alo pituitary gland ƒe gbegblẽ gbɔe wòtsona. Nuwo abe ta ƒe abixɔxɔ, amekoko, dɔdzẽ, alo dɔdzẽ ene ate ŋu agblẽ nu sia.

Amekae xɔa CDI? Aleke gbegbe wòbɔe?

Central Diabetes Insipidus (CDI) ate ŋu adze le ƒe ɖesiaɖe me, gake ebɔ wu be woadze egɔme tso ƒe 10 va ɖo 20 .

CDI nye dɔléle si mebɔ kura o, eye ame ɖeka le 25,000 ɖesiaɖe me koe wòdzena le .

Nukawoe nye CDI ƒe dzesiwo?

`Central Diabetes Insipidus (CDI)` ƒe dzesi veviwoe nye:

• Aɖuɖɔɖɔɖɔ enuenu, le zã me gɔ̃ hã.
• Aɖuɖɔ gbogbo siwo ƒe amadede le keklẽm alo esiwo me kɔ la dodo ɣesiaɣi.
• Sese le ɖokuiwò me be ɖeɖi te ye ŋu ŋutɔ eye tsikɔ ​​le ye wum , eyata no tsi enuenu.

Togbɔ be ame dzɔdzɔe ɖea aɖuɖɔ si ade lita ɖeka va ɖo eve gbesiagbe hã la, amesi ŋu CDI le ate ŋu aɖe aɖuɖɔ si ade lita 19 (lita 20) ɖa gbesiagbe ! Bu alesi gbegbe ema nyee ŋu kpɔ!

Dzesi siwo dzena le vidzĩ suewo ŋu

Vidzĩ sue siwo ŋu CDI le hã ate ŋu aɖe dzesiwo abe esiawo ene afia:

• Dzimaɖitsitsi kple dzikudodo ɣesiaɣi.
• Kuviawɔwɔ.
• Ʋuʋudedi.
• Miléle.
• Asrã.

Tsikuɖiɖi ƒe dzesiwo

Ne womewɔ atike na CDI o, alo ne amesi ŋu CDI le meno tsi nyuie o la, tsikuɖiɖi ate ŋu adzɔ kaba. Tsikuɖiɖi ƒe dzesiwo dometɔ aɖewoe nye:

• Taɖuame, sese le ame ɖokui me be ta le ƒoƒom.
• Ɖeɖi te eŋu.
• Nu ƒuƒu, nuyiwo, ŋkuwo.
• Susu me dɔ bɔbɔewo wɔwɔ sesẽ.
• Xeɖeɖe.
• Alɔ̃madɔmadɔ.

Ne tsikɔ ​​le wuwòm fũu akpa eye nènɔa aɖuɖɔ tom enuenu eye/alo tsikuɖiɖi ƒe dzesiwo le ŋuwò la, ele vevie ŋutɔ be nàyi kɔdzi kaba ale si nàte ŋui. Togbɔ be CDI mebɔ o hã la, menye eya koe ate ŋu ahe dzesi siawo vɛ o. Tsikɔwuame si gbɔ eme kple aɖuɖɔɖɔɖɔ enuenu nye dzesi sẽŋu siwo fia be nane mele dɔ wɔm nyuie le wò ŋutilã me o eye be ehiã be nàkpɔ atike.

Nukawoe hea Central Diabetes Insipidus (CDI) vɛ?

Nu vevitɔ si gbɔ Central Diabetes Insipidus (CDI) tsonae nye lãmetsi si nye ADH ƒe anyimanɔmanɔ keŋkeŋ alo eƒe akpa aɖe. Zi geɖe la, wò hypothalamus, pituitary gland, alo lãkusi si do ƒome kple wo ame evea (pituitary stalk) ƒe gbegblẽ gbɔe wò gbɔdzɔgbɔdzɔ sia tsona. Nusiwo koŋ gbɔ wòtsona dometɔ aɖewoe nye:

• Nusiwo gblẽ le hypothalamus alo pituitary gland ŋu le amekoko ta.
• Nusiwo gblẽ le hypothalamus alo pituitary gland ŋu le ta ƒe abixɔxɔ ta, vevietɔ basal skull fractures.
• Dzoxɔxɔ (granulomas) si dɔlélewo abe sarcoidosis alo yɔmekpe ene hena vɛ .
• Dɔdzẽwo abe tagbɔdɔ alo germinoma ene .
• Langerhans cell histiocytosis (esia nye dɔléle si mebɔ o si ate ŋu agblẽ nu le lãmenugbagbeviwo ŋu alo axɔ abi le ŋutilã ƒe akpa ɖeka alo esi wu nenema).
• Domenyiŋusẽfianu ƒe tɔtrɔ si ƒe dome wonyi le domenyiŋusẽfianu 20 dzi (esia ƒã ŋutɔ, ƒã ŋutɔ - womegblɔ dɔléle siwo mede 100 o le atikewɔgbalẽwo me).

Le CDI dɔlélewo ƒe akpa etɔ̃lia lɔƒo me la, ɖɔktawo mete ŋu kea nusi tututu gbɔ wòtso o. Woyɔa esia be idiopathic central diabetes insipidus (CDI) ƒe dɔléle si nye idiopathic central diabetes insipidus (CDI).Numekulawo susui be dɔlélenutsiŋutete ƒe dɔwɔwɔ gbɔe CDI si nye idiopathic CDI ƒe dɔléle aɖewo ate ŋu atso. Le dɔlélenutsiŋutete ƒe nɔnɔmewo me la, wò ŋutilã ƒe dɔlélenutsiŋutete dzea lãmenugbagbevi siwo le lãmesẽ me dzi dzedze gɔme. Le go sia me la, dɔlélenutsiŋutete ate ŋu awɔ dɔlékuiwutikewo, alo ʋumenugbagbevi dzĩwo, siwo adze lãmenugbagbevi siwo wɔa ADH dzi.

CDI ate ŋu adzɔ hã abe dɔléle alo nɔnɔme si lolo wu ƒe akpa aɖe ene, abe Wolfram ƒe dɔléle ( domenyiŋusẽfianu ƒe nɔnɔme) kple septo-optic dysplasia (dɔléle si mebɔ o si dzɔna le ahɔhɔ̃a ƒe tsitsi kabakaba me).

Aleke nàwɔ anya ne CDI le ŋuwò? (Dɔléle ƒe dzesi) .

Esi wònye be tsikɔwuame kple aɖuɖɔtoe enuenu ate ŋu atso nɔnɔme bubuwo abe suklidɔ ene hã gbɔ ta la, ele vevie be woaɖe nɔnɔme bubuwo ɖa ne wole suklidɔ si me dɔlékui mele o (CDI) dim. Eyata ne dzesi siawo le ŋuwò la, wò ɖɔkta ate ŋu awɔ dodokpɔ geɖe.

CDI didi hã lɔ nusi gbɔ wòtsona didi ɖe eme.

Dodokpɔ kawoe wozãna tsɔ dea dzesi CDI?

Tsi ƒe veve dodokpɔe nye mɔ bɔbɔetɔ kekeake si dzi woate ŋu aka ɖo wu si dzi woato anya CDI. Ne wò ɖɔkta ɖe gbe be yeado dodokpɔ sia la, woakpɔ egbɔ be yelé ŋku ɖe ye ŋu nyuie le dodokpɔa wɔɣi, elabena ate ŋu ana tsi nagbɔdzɔ.

Dodokpɔ sia bia be nàyi tsi aɖeke manɔmee gaƒoƒo geɖe eye nàkpɔ alesi wò ŋutilã wɔa nui. Ne CDI le ŋuwò la, àyi edzi anɔ aɖuɖɔ si me tsi le (si me wode tsii) si ƒe amadede le keklẽm la tom, ne zi geɖe la, ètoa aɖuɖɔ sue aɖe si ƒe amadede nye ɣi doviviti, si me wodea tsii gɔ̃ hã.

Wò ɖɔkta ate ŋu aɖe gbe hã be woawɔ dodokpɔ siawo be wòakpe ɖe ŋuwò nànya CDI eye wòaɖe nɔnɔme bubuwo ɖa:

• Ʋudodokpɔ be woatsɔ akpɔ ADH (antidiuretic hormone) ƒe agbɔsɔsɔ le ʋua me.
• Ʋudodokpɔ be woatsɔ akpɔ sukli ƒe agbɔsɔsɔ be woaɖe suklidɔ ɖa.
• Aɖuɖɔtoe me dzodzro be woatsɔ akpɔ aɖuɖɔ ƒe agbɔsɔsɔme (osmolality) kple/alo be woakpɔ ketones, si ate ŋu afia suklidɔ.
• Be woanya alesi wò ayikuwo le nu wɔm la, woado ADH si wowɔ na wò. Ame siwo ŋu Nephrogenic Diabetes Insipidus le mewɔa nu ɖe ​​ADH si wowɔ ŋu o elabena woƒe ayikuwo te ŋu nɔa te ɖe ADH ƒe ŋusẽkpɔɖeamedzi nu. Le go bubu me la, amesiwo ŋu CDI le wɔa nu ɖe ​​ADH si wowɔ ŋu.
• Woate ŋu azã nɔnɔmetata dodokpɔwo abe MRI (Magnetic Resonance Imaging) ene atsɔ anya ne wò lãkusi alo hypothalamus gblẽ, eye ne egblẽ la, nusi gbɔ wòtso.

Nukawoe nye atikewɔwɔ na CDI?

CDI dada nɔ te ɖe ADH lãmetsiŋusẽ ƒe anyimanɔmanɔ ƒe sesẽ dzi.

CDI blibo le asiwò.Ne nenemae la, ke desmopressin ye nye atike gbãtɔ. Esia nye atike si wɔa dɔ abe lãmetsi si nye ADH ene. Àte ŋu ano desmopressin abe atike si wodona na ame ene, abe atikekui ene, alo abe atike si woatsɔ aƒu gbe ɖe ŋɔti me ene.

Ne CDI ƒe akpa aɖe le ŋuwò, si fia be dzɔdzɔme ADH gakpɔtɔ le dɔ wɔm vaseɖe afi aɖe la, wò ɖɔkta ate ŋu aŋlɔ atike bubuwo abe hydrochlorothiazide (HCTZ) ene na wò.

Abe atike na vidzĩ sue siwo ŋu CDI le ene la, woate ŋu ana notsi si wotsɔ notsi notsi alo no me notsi si wotsɔ tsi ƒoe eye wotsɔ hydrochlorothiazide nae.

Ðe Desmopressin ƒe nugbegblẽ le ame ŋu aɖewo lia?

Zi geɖe la, desmopressin nye atike si le dedie ŋutɔ eye eƒe nugbegblẽ le ame ŋu ʋɛ aɖewo koe. Nusiwo ate ŋu ado tso eme dometɔ aɖewoe nye:

• Taɖuame.
• Dɔgbo ƒe vevesese.
• Xeɖeɖe.
• No me ʋuʋu alo ŋɔti me tsi si le dodom .
• Ʋu si dona le ŋɔti me.

Ne èno desmopressin fũ, alo ne èno tsi fũ esime nèle enom la, wò ŋutilã ate ŋu alé tsi geɖe ɖe asi. Esia ate ŋu ahe dzesiwo abe:

• Taɖuame.
• Taɖuame.
• Ʋuʋudedi.
• Dze (sodium) ƒe agbɔsɔsɔ si bɔbɔ ɖe ʋua me (Hyponatremia) .

Hyponatremia ƒe Dzesiwo:

• Taɖuame sesẽ alo esi nɔa anyi didi.
• Tɔtɔ.
• Aɖuɖɔtoe kple ʋuʋudedi.

Ne hyponatremia ƒe dzesiwo le ŋuwò la, ele be nàƒo ka na 911 alo ayi xɔ si te ɖe ŋuwò le dɔnɔdzikpɔƒe si te ɖe ŋuwò kpata kaba ale si nàte ŋui.

Aleke amesi ŋu CDI le ate ŋu akpɔ esia gbɔe?

Ne CDI le ŋuwò la, tsɔ kpe ɖe atikewɔwɔ ŋu la, ele vevie ŋutɔ be nàno tsi edziedzi be tsi nagage ɖe lãme na wò o.

Ele vevie hã be nàyi ɖɔkta gbɔ edziedzi be nàkpɔ egbɔ be wò atikewɔmɔnua le dɔ wɔm nyuie eye be atike si woŋlɔ na wò la sɔ.

Nukawoe nye afɔku siwo ate ŋu ana woaxɔ CDI?

Nublanuitɔe la, womate ŋu axe mɔ ɖe Central Diabetes Insipidus (CDI) ƒe dɔléle akpa gãtɔ nu o. Afɔku siwo ate ŋu ana CDI nadze ame dzi dometɔ aɖewoe nye:

• Ahɔhɔ̃ ƒe dɔwɔwɔ.
• Suklidɔ si me nunyiame mele o kple/alo Wolfram ƒe dɔléle ƒe ƒome ŋutinya si le ame si.
• Ta ƒe abixɔxɔ.
• Ahɔhɔ̃ me dɔlélewo.

Nukae nye amesi ŋu CDI le ƒe lãmesẽ ƒe nɔnɔme? (Nyagblɔɖi) .

Ame aɖe si ŋu `Central Diabetes Insipidus (CDI)` le ƒe nyagblɔɖi nyona zi geɖe, eye ne wodae nyuie eye wono tsi si sɔ la, mehea kuxi gãwo vɛ o.

Gake ɖevi suewo, ame tsitsiwo, kple amesiwo ŋu tagbɔdɔléle le la le afɔku gã aɖe me be kuxiwo kple ku nate ŋu adze wo dzi elabena ate ŋu asesẽ na wo be woade dzesi woƒe tsikɔwuame alo awɔ nane.

Kuxi kawoe ate ŋu ado tso Central Diabetes Insipidus (CDI) me?

Kuxi vevitɔ si le CDI ŋue nyeTsikuɖiɖi . Esia fia be tsi kple elektrikŋusẽ siwo sɔ gbɔ le wò ŋutilã me be wòate ŋu awɔ dɔ nyuie. Ne CDI le ŋuwò la, àte ŋu akpɔ tsi gbogbo si bu le wò aɖuɖɔ me gbɔ to tsi geɖe nono me. Gake ne mèwɔe o la, tsi ate ŋu agbɔdzɔ wò kaba.

Tsikunɔamesi nye afɔku, eye ate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã. Ne tsikuɖiɖi ƒe dzesiwo abe taɖuame, ʋuʋudedi, kple kuviawɔwɔ ene le ŋuwò la, yi kɔdzi si te ɖe ŋuwò kaba.

Ne womewɔ atike na CDI le vidzĩ suewo ŋu o la , tsikuɖiɖi enuenu ate ŋu ahe kuxiwo abe:

• Alɔ̃madɔmadɔ.
• Ahɔhɔ̃ ƒe gbegblẽ.
• Tsitsi ƒe megbetsitsi.
• Tsitsi si tsi megbe.

Ne womewɔ atike na CDI le ɖeviwo kple ame tsitsiwo ŋu o la, kuxiwo abe:

• Dzi ƒe tsotso si mesɔ o (Arrhythmia) .
• Asrã.
• Ŋutilã kple lãkusi ƒe ƒuƒu (e.g. nu me, ŋɔti me).
• Alɔ̃madɔmadɔ.
• Coma.

Ame tsitsi siwo ŋu CDI le ate ŋu axɔ nɔnɔme aɖe si woyɔna be orthostatic hypotension , si nye ʋu ƒe sisi kpata ne wole tsitrenu alo bɔbɔ nɔ anyi. Esia ate ŋu ana ame natɔtɔ alo ame ƒe susu nabu hena ɣeyiɣi aɖe.

Ɣekaɣie wòle be nàkpɔ ɖɔkta?

Ne Central Diabetes Insipidus (CDI) le ŋuwò la, ele vevie be nàyi ɖɔkta gbɔ edziedzi be nàlé ŋku ɖe wò nɔnɔmea ŋu ahakpɔ egbɔ be wò atikewɔwɔa le dɔ wɔm. Ne dzesi aɖewo le ŋuwò si ɖea fu na wò la, kpɔ egbɔ be yena yeƒe ɖɔkta nanya.

Ne tsikuɖiɖi sesẽ ƒe dzesiwo le ŋuwò, abe tɔtɔ alo lãmetutudɔ ene la, yi xɔ si te ɖe ŋuwò kpata me kaba ale si nàte ŋui.

Nya siwo wòle be nàbia wò ɖɔkta

Ne wokpɔe be Central Diabetes Insipidus (CDI) le ŋuwò la, anyo be nàbia nya siawo wò ɖɔkta:

• Nukatae meva xɔ CDI?
• Ðe nye CDI nɔnɔmea nɔa anyi didi loo alo ɖe wònɔa anyi ɣeyiɣi kpui aɖea?
• Atikewɔwɔmɔnu kawoe le asinye?
• Viɖe kple kuxi kawoe le atikewɔmɔnu vovovowo ŋu?
• Tsi nenie wòle be mano gbesiagbe?
• Nukae magate ŋu awɔ atsɔ akpɔ nye nɔnɔmea gbɔe?
• Ðe nye ƒomea me tɔwo le afɔku me be woaxɔ CDIa?

Mlɔeba la, nu vevitɔ kekeake (Take-Home Message) .

Central Diabetes Insipidus (CDI) nye dɔléle si mebɔ o gake ate ŋu anye dɔléle sesẽ aɖe. Nya nyuiae nye be woate ŋu adae ahakpɔ egbɔ.Ne CDI le ŋuwò la, ele vevie be nàkpɔ wò ɖɔkta edziedzi be nàkpɔ egbɔ be wò atikewɔwɔa le dɔ wɔm nyuie. Ne nya aɖe le asiwò ku ɖe wò nɔnɔmea ŋu la, mègavɔ̃ be yeabia wò ɖɔkta o. Wole afima be yewoakpe ɖe ŋuwò nàkpɔ wò nɔnɔmea gbɔ. Mègaŋlɔ tsi geɖe nono be o, ele vevie ŋutɔ!

` Central Diabetes Insipidus, CDI, ADH, ayiku, lãmetsiŋusẽ, aɖuɖɔtoe fũ, tsikɔwuame fũ