Ua ʻike mākou a pau he mea nui ka inu ʻana i ka wai he nui i ka lā a pau. Ua lohe paha ʻoe i kekahi manawa ke hou nui ʻoe i ka wā o nā haʻuki, nalowale kou kino ʻaʻole wale ka wai akā ʻo nā electrolytes. Akā ua ʻike anei ʻoe aia kekahi mau manawa i hiki ai i ka nui o ka wai ke lilo i pilikia nui? ʻO ka ʻoiaʻiʻo, i ka wā e hana ʻia ai kēlā, hiki iā ʻoe ke nalowale nā electrolytes waiwai nui i loko o kou kino. ʻO ia ke kūlana a mākou e kamaʻilio nei i kēia lā, ʻo ia hoʻi ʻo SIADH.
I ka ʻōlelo maʻalahi, he aha ka SIADH?
ʻO ka inoa lōʻihi ʻo SIADH ke kū nei no 'Syndrome of Inappropriate Antidiuretic Hormone Secretion'. ʻAe, kani iki ka inoa, ʻeā? E hoʻomaopopo maʻalahi kākou i kēia. Loaʻa i ko kākou kino kahi hormone kūikawā i kapa ʻia ʻo
antidiuretic hormone . Ma ka ʻōlelo Pelekania, ua kapa ʻia kēia ʻo
Antidiuretic Hormone , a i ʻole
(ADH) no ka pōkole. Hana ʻia kēia hormone ma ka hypothalamus o ko kākou lolo a hūnā ʻia e ka pituitary gland. ʻO ka hana nui o kēia hormone ADH ke kuhikuhi i ko kākou mau puʻupaʻa. ʻO ia hoʻi, "ʻAe, i kēia manawa ua lawa ka wai i loko o ke kino, e hoʻokuʻu kākou i kekahi ma ke ʻano he mimi" a "ʻAʻole, ʻaʻole lawa ka wai i loko o ke kino, e mālama kākou i kekahi i loko o ke kino." ʻO kēia hormone ka mea e hoʻomalu i nā puʻupaʻa. Ua like ia me ka "mea hoʻomalu wai" i loko o ko kākou kino. I kēia manawa e noʻonoʻo, he aha ka mea e hana ai inā no kekahi kumu ua hūnā nui ʻia kēia hormone ADH a kūpono ʻole? A laila hoʻomau kēlā hormone i ka haʻi ʻana i nā puʻupaʻa e "mālama i ka wai, mālama i ka wai." ʻO ka hopena,
hoʻomaka ko kākou kino e mālama i ka wai me ke kumu ʻole. I ka hōʻiliʻili ʻana o ka wai i loko o ko mākou kino, lilo ko mākou koko i mea hoʻoheheʻe ʻia. ʻO ka mea nui, ʻo ka nui o
ka sodium, ka mea e pono ai no ka hana ʻana o ko mākou mau aʻalolo a me nā ʻiʻo, e emi nui ana. ʻO ka sodium kekahi o nā electrolytes nui i loko o ko mākou kino. I ka lāʻau lapaʻau, ua kapa ʻia kēia kūlana o ka sodium haʻahaʻa i loko o ke koko he hyponatremia.
ʻO ka nui o nā hōʻailona i ʻike ʻia ma SIADH ua hana ʻia e
kēia pae sodium haʻahaʻa.
He aha nā kumu o ka SIADH?
Ma kēia ʻano, ʻaʻohe kumu hoʻokahi e hoʻonui ai ka hormone ADH me ke kumu ʻole, akā hiki i kekahi mau kumu ke hoʻopilikia iā ia. I kekahi manawa hiki ke hana ʻia kēia ma ke ʻano he hopena ʻaoʻao o kahi maʻi ʻē aʻe. E nānā kākou i nā kumu nui.
| Māhele kumu | Ka wehewehe a me nā laʻana |
|---|
| Nā pilikia e pili ana i ka lolo | Nā ʻeha poʻo, nā puʻupuʻu lolo, ma hope o ke ʻoki ʻana i ka lolo, a i ʻole nā maʻi lele e like me ka meningitis a i ʻole ka encephalitis . |
| Nā ʻano maʻi ʻaʻai | Hiki i kekahi mau ʻano maʻi kanesa, ʻoiai ke kanesa o ka māmā, ke hana i ka ADH ma o lākou iho. ʻO kēia ke kumu maʻamau o SIADH. |
| Nā maʻi māmā | Hiki ke hana ʻia kēia kūlana e nā maʻi ʻeha nui o ka māmā e like me ka maʻi pneumonia a me nā maʻi ʻē aʻe o ka māmā. |
| Nā kūlana olakino ʻē aʻe | ʻO ka maʻi Guillain-Barre , ka maʻi HIV , ka haʻahaʻa o ka nui o ka hormone thyroid, ka haʻahaʻa o ka nui o ka hormone parathyroid. |
| Nā ʻano lāʻau lapaʻau | ʻO kekahi mau lāʻau antidepressants, nā lāʻau epilepsy, a me nā lāʻau lapaʻau kanesa hiki ke hana i ka SIADH ma ke ʻano he hopena ʻaoʻao. |
He aha nā hōʻailona o kēia maʻi?
ʻO ke kumu nui o ka SIADH ka piʻi ʻana o ka paʻa ʻana o ka wai a me ka emi ʻana o ka sodium i loko o ke koko, a pili ka nui o nā hōʻailona i kēia. ʻAʻole paha e ʻike koke ʻia kēia mau hōʻailona, akā hiki ke ulu mālie.
ʻO ka mea nui, ʻaʻole pili kēia mau hōʻailona i ka SIADH. Hiki ke ʻike ʻia kēia mau hōʻailona i nā maʻi ʻē aʻe he nui. No laila, inā loaʻa iā ʻoe kēia mau hōʻailona, he mea nui loa ia e ʻike i ke kauka a ʻimi i ka ʻōlelo aʻo me ka manaʻo ʻole i kekahi mea.
Pehea e ʻike ai ke kauka i kēia?
Ke hele ʻoe e ʻike i ke kauka, e nīnau mua ʻo ia e pili ana i kāu mau hōʻailona, nā lāʻau lapaʻau āu e lawe nei, a inā paha ua loaʻa i kekahi o kou ʻohana kēia mau maʻi. No ka hōʻoia ʻana i ka SIADH, pono ʻoe e hana i kekahi
mau hoʻāʻo koko a me ka mimi .
- Nā hoʻāʻo koko: Nānā kēia i nā pae o ka sodium a me ka potassium i loko o ke koko. Ana pū lākou i ka osmolality o ke koko, ʻo ia hoʻi ka nui o nā mea i hoʻoheheʻe ʻia i loko o ke koko. I ka SIADH , emi kēia waiwai ma muli o ka dilution o ke koko.
- Hoʻāʻo mimi: Nānā ʻia ka nui o ka sodium i loko o ka mimi a me ka osmolality o ka mimi. I ka SIADH, no ka mea, paʻa ke kino i ka wai, ua nui loa ka mimi e puka mai ana. No laila, piʻi nui ka osmolality o ka mimi.
Ma muli o nā hopena o kēia mau hoʻokolohua e hoʻoholo ai ke kauka inā he SIADH kēia a ʻaʻole paha.
He aha nā lāʻau lapaʻau no ka SIADH?
Aia ka lāʻau lapaʻau i kekahi mau kumu. E noʻonoʻo kāu kauka i kou makahiki, olakino, ke kumu o kāu SIADH, a me ke koʻikoʻi o kāu mau hōʻailona. 1.
Ka palena wai: ʻO ka lāʻau lapaʻau mua a koʻikoʻi loa no ka hapa nui o ka poʻe, ʻo ia ka palena ʻana i ka nui o ka wai āu e inu ai i kēlā me kēia lā. E kōkua kēia i ka pale ʻana i kou kino mai ka paʻa ʻana i ka wai hou aku. ʻAʻole wale ka wai i ka wai; hoʻokomo pū lākou i nā mea āu e inu ai, e like me ke kī, ke kofe, ka wai huaʻai, a me ka sopa. E haʻi aku kāu kauka iā ʻoe i ka nui o kāu e inu ai i kēlā me kēia lā. 2.
IV saline: Inā koʻikoʻi kāu mau hōʻailona, ʻo ia hoʻi he haʻahaʻa loa kou pae sodium, pono paha ʻoe e hoʻokipa ʻia i ka haukapila a hāʻawi ʻia i ka IV saline. Hana ʻia kēia e hoʻihoʻi mālie a akahele i kāu mau pae sodium. 3.
Ka mālama ʻana i ke kumu kumu: Inā he puʻupuʻu lolo ke kumu o kāu SIADH, pono paha e wehe ʻia ma ke ʻoki kino. Inā he maʻi māmā ke kumu, pono e hāʻawi ʻia nā antibiotics. ʻO ke ʻano kēia, i ka wā e mālama ʻia ai ke kumu, e hoʻoponopono pū ʻo SIADH iā ia iho. 4.
Lāʻau lapaʻau: No kekahi poʻe, ʻoiai inā hoʻomau ke kūlana (SIADH Maʻi), hiki ke hāʻawi ʻia nā lāʻau lapaʻau e ālai ana i ka hana o ka hormone ADH a i ʻole nā lāʻau lapaʻau e kaohi ana i ka nui o ke wai i loko o ke kino.
He aha ka wānana?
I ka hapanui o nā hihia, inā hiki ke mālama ʻia ke kumu nui o SIADH, hiki ke ho'ōla loa ʻia ke ʻano. Eia nō naʻe, aia ʻelua mau ʻano weliweli e pono ai mākou e makaʻala ma ʻaneʻi.
- Ka hāʻule koke ʻana o nā pae sodium: Inā hana ʻia kēia, hiki i ka wai ke komo i loko o nā hunaola o ka lolo a hoʻoulu i ka edema cerebral. He kūlana weliweli loa kēia a he mea hoʻoweliweli paha i ke ola.
- Ka piʻi koke ʻana o nā pae sodium haʻahaʻa: Inā piʻi koke a wikiwiki nā pae sodium i ka wā o ka mālama ʻana, hiki iā ia ke hana i kahi maʻi koʻikoʻi ʻē aʻe i kapa ʻia ʻo 'Osmotic Demyelination Syndrome', ka mea e hōʻino ai i nā hunaola nerve i loko o ka lolo.
ʻO ia ke kumu e pono ai ke mālama ʻia no nā pae sodium haʻahaʻa ma kahi haukapila ma lalo o ka nānā pono ʻana a ke kauka .
Inā kānalua ʻoe he SIADH kou, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike koke i ke kauka. ʻO ka wikiwiki o ka hiki ke ʻike ʻia a mālama ʻia, ʻo ka nui o ka hiki ke pale aku i nā pilikia koʻikoʻi.
Leka Lawe-Home
- ʻO ka SIADH kahi kūlana kahi e hana nui ai ke kino i ka hormone ADH, e hoʻoulu ai i ka paʻa ʻana o ka wai pono ʻole a me nā pae sodium (paʻakai) haʻahaʻa i loko o ke koko.
- Hiki ke loaʻa nā hōʻailona e like me ka nausea, ka luaʻi ʻana, ka ʻeha poʻo, a me ka huikau noʻonoʻo. ʻOiai he mau hōʻailona kēia o nā maʻi ʻē aʻe, he mea nui e ʻimi i ke kōkua lapaʻau.
- Hiki ke ʻike pololei ʻia kēia kūlana ma o nā hoʻāʻo koko a me ka mimi.
- ʻO ka mālama ʻana e pili ana i ka palena o ka wai, ka lawelawe ʻana i ka saline, a me ka mālama ʻana i ke kumu kumu o SIADH.
- He mea weliweli ka emi koke ʻana o nā pae sodium, a me ka piʻi koke ʻana o nā pae sodium i ka wā o ka mālama ʻana. No laila, he mea nui loa ka mālama ʻana ma lalo o ka mākaʻikaʻi lapaʻau.
SIADH, Syndrome o ka Hoʻokuʻu ʻana o ka Hormone Antidiuretic kūpono ʻole, Hormone Antidiuretic, Ka nele o ka sodium, Hyponatremia, Nā pilikia hormonal, Nā puʻupaʻa, Ke kaulike ʻole o ka electrolyte
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