Txawm koj haus dej ntau npaum li cas los xij, koj puas tseem nqhis dej? Koj puas yuav tsum mus rau chav dej ntau zaus? Thaum koj mus, koj puas tso zis feem ntau yog dej, tsis muaj xim? Yog tias koj muaj cov tsos mob zoo li no, tsis txhob xav tias nws tsuas yog "kab mob qab zib" lossis ntshav qab zib uas peb txhua tus paub. Hnub no peb yuav tham txog ib yam kab mob uas muaj lub npe zoo sib xws, tab sis nws txawv kiag li.
Kab mob ntshav qab zib insipidus yog dab tsi?
Hais yooj yim xwb, Kab mob ntshav qab zib tsis muaj zog (DI) yog ib yam mob tsis tshua muaj. Nws tshwm sim thaum koj lub cev tsis tuaj yeem tswj tau dej. Yog li ntawd, koj yuav nqhis dej tas li thiab koj yuav tso zis ntau heev. Cov zis no tsis muaj xim lossis tsw.
Xav txog nws, ib tug neeg noj qab nyob zoo feem ntau tso zis li ntawm 1-2 liv ib hnub. Tab sis ib tug neeg uas muaj tus mob no tuaj yeem tso zis tau txij li 3 txog 20 liv ib hnub. Txawm hais tias nws hu ua "ntshav qab zib," nws tsis muaj feem cuam tshuam nrog cov ntshav qab zib. Nws yog ib qho teeb meem hormonal uas cuam tshuam nrog lub cev tswj dej.
Cov hom mob ntshav qab zib insipidus (DI) tseem ceeb yog dab tsi?
Muaj ntau hom mob no nyob ntawm seb nws tshwm sim li cas.
1. Kab mob ntshav qab zib nruab nrab (Central Diabetes Insipidus)
Qhov no yog hom mob uas feem ntau tshwm sim. Qhov mob no tuaj yeem tshwm sim vim yog kev puas tsuaj rau lub hypothalamus thiab pituitary gland hauv peb lub hlwb. Cov khoom no tsim thiab tswj cov tshuaj hormones hu ua vasopressin. Qhov no kuj hu ua ADH (Antidiuretic Hormone).
Lub luag haujlwm ntawm cov tshuaj hormone ADH no yog muab "lub cim" rau peb lub raum thiab qhia rau lawv kom khaws cov dej uas lub cev xav tau. Nws zoo li lub rooj vag ntawm lub tank dej. Thaum ADH muaj, lub rooj vag kaw thiab dej khaws cia. Thaum ADH tsis muaj, lub rooj vag qhib tag nrho thiab tag nrho cov dej raug tso tawm. Hauv Central DI, cov tshuaj hormone ADH no tsis tsim tawm txaus. Yog li ntawd, lub raum tso dej tawm yam tsis muaj kev tswj hwm.
Qhov no yuav yog vim:
- Mob qog hauv hlwb
- Kev raug mob taub hau
- Kev phais mob
- Kev kis kab mob
2. Kab mob ntshav qab zib nephrogenic insipidus
Hauv hom no, lub hlwb tsim cov tshuaj ADH kom raug, tab sis lub raum tsis teb rau cov tshuaj ntawd. Zoo li tus thawj coj muab lus txib, tab sis cov tub rog tsis mloog lawv. Qhov tshwm sim zoo ib yam: dej ntau dhau raug tso tawm ntawm lub raum.
Qhov no yuav yog vim:
- Qee cov tshuaj (piv txwv li lithium)
- Kab mob raum ntev
- Cov calcium ntau ntxiv los yog cov potassium tsawg dua hauv cov ntshav.
3. Kab mob ntshav qab zib thaum cev xeeb tub
Qhov no yog ib qho mob tsis tshua muaj. Raws li lub npe qhia, nws tsuas yog tshwm sim thaum cev xeeb tub xwb. Qee zaum, ib qho enzyme uas lub placenta tsim tawm, uas muab zaub mov rau tus menyuam, tuaj yeem rhuav tshem cov tshuaj ADH. Qhov mob no feem ntau ploj mus tom qab yug menyuam.
Cov tsos mob ntawm qhov no yog dab tsi?
Cov tsos mob tseem ceeb yog nqhis dej ntau dhau thiab tso zis ntau dhau, tab sis kuj muaj ntau lwm yam tsos mob uas tuaj yeem tshwm sim.
| Cov tsos mob | Kev piav qhia |
|---|---|
| Kev nqhis dej heev | Txawm haus dej npaum li cas los xij, koj yeej tsis hnov qab qhov nqhis dej li. Qhov no yog qhov koj ntshaw dej khov. |
| Kev tso zis ntau dhau (Polyuria) | Tso zis ntau tshaj 3 liv ib hnub. Tej zaum yuav tau mus rau chav dej ib teev ib zaug. |
| Sawv mus tso zis thaum hmo ntuj | Yuav tsum sawv ntau zaus thaum pw tsaug zog kom tso zis. |
| Cov zis tsis muaj xim | Cov zis yog cov uas yaj heev, zoo li dej. Nws tsis muaj xim lossis tsw. |
| Kev qhuav dej | Qaug dej vim yog lub cev poob dej ntau dhau. Tej zaum yuav muaj cov tsos mob xws li qhov ncauj thiab daim di ncauj qhuav, kiv taub hau, thiab qaug zog heev. |
Cov tsos mob no rau cov menyuam yaus thiab cov menyuam mos yog li cas?
Nws yuav nyuaj me ntsis kom paub seb qhov mob no puas tshwm sim rau cov menyuam mos thiab cov menyuam yaus, yog li nws tseem ceeb heev rau koj ua niam txiv kom paub txog cov tsos mob no.
- Quaj tsis tu ncua thiab tsis so
- Poob phaus los yog tsis nce phaus
- Tsis kam noj los yog haus mis nyuj
- Nqus cov ntaub so ntswg ntau zaus
- Kub taub hau thiab ntuav
- Kev loj hlob qeeb
Qhov tseem ceeb tshaj plaws yog nrhiav kev pab kho mob yog tias koj lossis koj tus menyuam muaj cov tsos mob no. Tsis txhob xav tias yog li ntawd xwb.
Qhov txawv ntawm Diabetes Insipidus (DI) thiab Diabetes Mellitus yog dab tsi?
Qhov no yog ib qho uas ntau tus neeg tsis meej pem. Txawm hais tias lub npe zoo sib xws, cov no yog ob qho mob sib txawv kiag li.
| Yam ntxwv | Kab mob ntshav qab zib tsis muaj zog (DI) | Kab mob ntshav qab zib |
|---|---|---|
| Qhov laj thawj tseem ceeb | Muaj teeb meem nrog cov tshuaj hormone vasopressin (ADH), uas tswj cov dej. | Muaj teeb meem nrog cov tshuaj hormone insulin, uas tswj cov piam thaj. |
| Qib ntshav qab zib | Ib txwm. | Nws nyob rau theem siab heev. |
| Qhov xwm txheej ntawm cov zis | Cov zis yog dej, tsis muaj xim, thiab tsis muaj qab zib. | Tej zaum yuav muaj suab thaj (glucose). |
| Kev pheej hmoo tseem ceeb | Kev qhuav dej. | Cov teeb meem xws li kab mob plawv, kev puas tsuaj rau cov hlab ntsha, thiab kev puas tsuaj rau lub raum. |
Yuav kuaj mob li cas?
Koj tus kws kho mob yuav xub nug koj ib lo lus nug ntxaws ntxaws txog koj cov tsos mob. Tom qab ntawd, lawv yuav ua ntau qhov kev kuaj mob kom paub tseeb tias koj muaj mob.
- Kev Kuaj Zis: Yuav muab ib qho qauv ntawm koj cov zis coj los kuaj seb nws puas yaj. Nws kuj kuaj seb puas muaj qab zib. Qee zaum, yuav muaj kev sau cov zis 24 teev los ntsuas tag nrho cov zis.
- Kev kuaj ntshav: Kev kuaj ntshav xyuas cov ntsev, xws li sodium, thiab qab zib hauv cov ntshav.
- Kev Ntsuas Kev Txo Dej: Qhov no yog ib qho kev xeem tshwj xeeb. Hauv qhov no, koj raug hais kom tsis txhob haus dej li ob peb teev. Thaum lub sijhawm no, koj qhov hnyav, ntshav siab, thiab cov zis yuav raug ntsuas tsis tu ncua nyob rau hauv kev saib xyuas ntawm kws kho mob. Qhov no tso cai rau koj pom tseeb tias koj lub cev ua li cas yam tsis muaj dej.
- Kev Ntsuas MRI: Qhov kev kuaj no pab pom seb puas muaj teeb meem nrog lub qog pituitary lossis hypothalamus hauv lub hlwb.
Cov kev kho mob yog dab tsi?
Kev kho mob nyob ntawm seb koj muaj hom DI twg.
- Rau Central DI: Muab ib hom tshuaj hormones hu ua Desmopressin rau qhov no. Qhov no zoo li muab cov tshuaj hormones ADH uas ploj lawm hauv lub cev sab nraud. Qhov no tuaj yeem noj ua tshuaj tsuag rau qhov ntswg, ua cov ntsiav tshuaj, lossis ua tshuaj txhaj.
- Rau tus mob Nephrogenic DI: Kev kho mob nyuaj me ntsis. Yog tias tus mob yog los ntawm tshuaj, tus mob yuav zoo thaum tsis noj tshuaj lawm. Yog tsis ua li ntawd, yuav muab lwm yam tshuaj (xws li qee cov tshuaj diuretics) los pab txo cov zis uas lub raum tsim tawm.
- Rau Kev Mob Plab Hnyuv Thaum Cev Xeeb Tub: Desmopressin siv tau thaum cev xeeb tub yam tsis muaj teeb meem. Feem ntau tus mob no yuav ploj mus tom qab yug me nyuam.
Qhov tseem ceeb tshaj plaws yog haus dej ntau ntau tsis tu ncua . Vim tias lub cev pheej poob dej tas li, koj yuav tsum tau rov qab ua kom cov dej ntawd rov qab zoo li qub.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob ntshav qab zib tsis txaus (DI) tsis yog ib qho teeb meem ntawm cov piam thaj hauv cov ntshav. Nws yog ib qho teeb meem ntawm cov tshuaj hormones uas cuam tshuam nrog kev tswj cov dej hauv lub cev.
- Cov tsos mob tseem ceeb yog nqhis dej tsis taus thiab zis tsis muaj xim ntau dhau.
- Qhov teeb meem loj tshaj plaws thiab txaus ntshai tshaj plaws uas tuaj yeem tshwm sim hauv qhov xwm txheej no yog lub cev qhuav dej. Yog li ntawd, haus dej ntau ntau tsis tu ncua.
- Yog koj muaj cov tsos mob no, tsis txhob kwv yees, tab sis mus ntsib kws kho mob thiab nrhiav kev pab tswv yim.
- Tus mob no yog ib yam kab mob uas tswj tau zoo, yog li nws tseem ceeb heev uas yuav tsum ua raws li kev kho mob uas tus kws kho mob tau sau tseg.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus