SIADH (Syndrome of Inappropriate Antidiuretic Hormone Secretion), ib qho mob uas lub cev khaws dej ntau dhau thiab ntsev tsawg dhau

Peb txhua tus paub tias nws yog ib qho tseem ceeb uas yuav tsum haus dej ntau thoob plaws hnub. Tej zaum koj yuav tau hnov ​​​​tias qee zaum thaum koj hws ntau thaum ua si nawv, koj lub cev tsis yog poob dej xwb tab sis kuj poob cov electrolytes. Tab sis koj puas paub tias muaj qee zaum uas dej ntau dhau tuaj yeem ua teeb meem loj? Qhov tseeb, thaum qhov ntawd tshwm sim, koj tuaj yeem poob cov electrolytes tseem ceeb hauv koj lub cev. Qhov ntawd yog qhov mob uas peb tab tom tham txog hnub no, uas hu ua SIADH.

Hais yooj yim xwb, SIADH yog dab tsi?

Lub npe ntev SIADH txhais tau tias 'Syndrome of Inappropriate Antidiuretic Hormone Secretion'. Okay, lub npe suab nyuaj me ntsis, puas yog? Cia peb nkag siab qhov no yooj yim. Peb lub cev muaj ib hom tshuaj hormones tshwj xeeb hu ua antidiuretic hormone . Hauv lus Askiv, qhov no hu ua Antidiuretic Hormone , lossis (ADH) luv luv. Hom tshuaj hormones no tsim tawm hauv hypothalamus ntawm peb lub hlwb thiab tso tawm los ntawm lub qog pituitary. Lub luag haujlwm tseem ceeb ntawm ADH hormone no yog qhia peb lub raum. Ntawd yog, "Okay, tam sim no muaj dej txaus hauv lub cev, cia peb tso tawm qee yam ua zis" thiab "Tsis yog, tsis muaj dej txaus hauv lub cev, cia peb khaws qee yam ntxiv hauv lub cev." Nws yog hom tshuaj hormones no uas tswj lub raum. Nws zoo li "tus tswj dej" hauv peb lub cev. Tam sim no xav txog, yuav ua li cas yog tias qee qhov laj thawj no ADH hormone raug tso tawm ntau dhau thiab tsis tsim nyog? Tom qab ntawd hom tshuaj hormones ntawd pheej qhia lub raum kom "khaws dej, khaws dej." Qhov tshwm sim yog tias peb lub cev pib khaws dej tsis tsim nyog. Thaum cov dej sib sau ua ke hauv peb lub cev, peb cov ntshav yuav yaj ntau dua. Tshwj xeeb, qhov concentration ntawm sodium, uas yog qhov tseem ceeb rau kev ua haujlwm ntawm peb cov hlab ntsha thiab cov leeg, txo qis txaus ntshai. Sodium yog ib qho ntawm cov electrolytes tseem ceeb hauv peb lub cev. Hauv kev kho mob, qhov mob sodium qis hauv cov ntshav no hu ua hyponatremia. Ntau cov tsos mob pom hauv SIADH yog tshwm sim los ntawm qhov sodium qis no .

Dab tsi yog cov ua rau muaj SIADH?

Ua li no, tsis muaj ib qho laj thawj uas ua rau cov tshuaj ADH nce ntxiv yam tsis tsim nyog, tab sis muaj ntau yam laj thawj uas tuaj yeem cuam tshuam rau nws. Qee zaum qhov no kuj tuaj yeem tshwm sim ua ib qho kev phiv los ntawm lwm yam kab mob. Cia peb saib seb cov laj thawj tseem ceeb yog dab tsi.

Cov tsos mob ntawm tus mob no yuav yog dab tsi?

SIADH feem ntau yog tshwm sim los ntawm kev khaws dej ntau ntxiv thiab txo cov ntsev sodium hauv cov ntshav, thiab ntau yam tsos mob muaj feem cuam tshuam nrog qhov no. Cov tsos mob no yuav tsis tshwm sim tam sim ntawd, tab sis yuav maj mam tshwm sim.

• Xeev siab thiab ntuav
• Xav tias tsis muaj zog , nkees
• Mob taub hau
• Mob nqaij thiab mob plab, zoo li cov nqaij dov ncig
• Kev tsis xis nyob, kev chim sai
• Kev nco tsis zoo thiab nyuaj rau tsom ntsoov (Kev tsis meej pem)
• Tsis muaj zog thiab nyuaj rau taug kev

Qhov tseem ceeb yog tias cov tsos mob no tsis yog tshwj xeeb rau SIADH. Cov tsos mob no tuaj yeem pom muaj nyob rau hauv ntau lwm yam kab mob. Yog li ntawd, yog tias koj muaj cov tsos mob no, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho mob thiab nrhiav kev pab tswv yim yam tsis muaj kev xav dab tsi.

Tus kws kho mob kuaj mob li cas?

Thaum koj mus ntsib kws kho mob, nws yuav xub nug txog koj cov tsos mob, cov tshuaj uas koj noj, thiab seb puas muaj leej twg hauv koj tsev neeg tau muaj cov mob no. Yuav kom paub tseeb tias koj muaj SIADH, koj yuav tsum tau kuaj ntshav thiab zis ntau zaus.

• Kev kuaj ntshav: Cov no kuaj xyuas cov sodium thiab potassium hauv cov ntshav. Lawv kuj ntsuas qhov osmolality ntawm cov ntshav, uas yog qhov concentration ntawm cov khoom yaj hauv cov ntshav. Hauv SIADH , tus nqi no txo ​​qis vim yog qhov dilution ntawm cov ntshav.
• Kuaj zis: Yuav kuaj seb muaj sodium ntau npaum li cas hauv cov zis thiab seb cov zis puas osmolality. Hauv SIADH, vim tias lub cev khaws dej, cov zis uas tawm los yuav concentrated heev. Yog li ntawd, osmolality ntawm cov zis yuav nce ntxiv ntau heev.

Yog raws li cov txiaj ntsig ntawm cov kev kuaj no, tus kws kho mob yuav txiav txim siab seb qhov no puas yog SIADH lossis tsis yog.

Cov kev kho mob rau SIADH yog dab tsi?

Kev kho mob nyob ntawm ntau yam. Koj tus kws kho mob yuav xav txog koj lub hnub nyoog, kev noj qab haus huv, qhov ua rau koj SIADH, thiab qhov hnyav ntawm koj cov tsos mob. 1. Txwv dej: Thawj qhov kev kho mob tseem ceeb tshaj plaws rau cov neeg feem coob yog txwv cov dej uas koj haus txhua hnub. Qhov no yuav pab tiv thaiv koj lub cev kom tsis txhob khaws dej ntau ntxiv. Cov dej tsis yog txhais tau tias dej xwb; lawv suav nrog txhua yam koj haus, xws li tshuaj yej, kas fes, kua txiv hmab txiv ntoo, thiab kua zaub. Koj tus kws kho mob yuav qhia koj tias koj tuaj yeem haus ntau npaum li cas txhua hnub. 2. IV saline: Yog tias koj cov tsos mob hnyav, txhais tau tias koj cov sodium tsawg heev, koj yuav tsum tau mus pw hauv tsev kho mob thiab muab IV saline. Qhov no yog ua kom maj mam thiab ua tib zoo rov qab kho koj cov sodium. 3. Kho qhov ua rau hauv paus: Yog tias qhov ua rau koj SIADH yog qog hauv hlwb, nws yuav tsum tau phais tshem tawm. Yog tias qhov ua rau yog kab mob ntsws, yuav tsum muab tshuaj tua kab mob. Qhov no txhais tau tias thaum kho qhov ua rau, SIADH kuj yuav ploj mus ntawm nws tus kheej. 4. Tshuaj: Rau qee tus neeg, tshwj xeeb tshaj yog tias tus mob no tseem muaj (Chronic SIADH), cov tshuaj uas thaiv kev ua haujlwm ntawm ADH hormone lossis cov tshuaj uas tswj qhov ntim ntawm cov kua dej hauv lub cev yuav raug muab.

Kev kwv yees yog li cas?

Feem ntau, yog tias kho tau qhov ua rau mob SIADH, ces tus mob no yuav kho tau tag nrho. Txawm li cas los xij, muaj ob qho teeb meem txaus ntshai uas peb yuav tsum tau ua tib zoo saib xyuas ntawm no.

• Cov ntsev sodium poob qis sai sai: Yog qhov no tshwm sim, dej tuaj yeem nkag mus rau hauv cov hlwb thiab ua rau lub hlwb o. Qhov no yog ib qho txaus ntshai heev thiab muaj peev xwm ua rau tuag taus.
• Kev nce sai sai ntawm cov sodium qis: Yog tias cov sodium nce sai sai thaum lub sijhawm kho mob, nws tuaj yeem ua rau muaj lwm yam mob hnyav hu ua 'Osmotic Demyelination Syndrome', uas ua rau cov hlwb hlab ntsha hauv lub hlwb puas tsuaj.

Qhov no yog vim li cas kev kho mob rau cov sodium qis yuav tsum tau ua nyob rau hauv tsev kho mob nyob rau hauv kev saib xyuas ze ntawm tus kws kho mob .

Yog koj xav tias koj muaj tus kab mob SIADH, qhov zoo tshaj plaws uas yuav tsum ua yog mus ntsib kws kho mob sai li sai tau. Thaum koj kuaj tau thiab kho tau sai npaum li cas, koj yuav muaj feem ntau dua uas yuav tsis muaj teeb meem loj.

Cov Lus Qhia Txog Kev Coj Mus Tsev

• SIADH yog ib qho mob uas lub cev tsim cov tshuaj hormone ADH ntau dhau, ua rau cov dej khaws cia tsis tsim nyog thiab cov ntsev (ntsev) tsawg hauv cov ntshav.
• Tej zaum yuav muaj cov tsos mob xws li xeev siab, ntuav, mob taub hau, thiab tsis meej pem hauv siab. Vim tias cov no kuj yog cov tsos mob ntawm lwm yam kab mob, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob.
• Tus mob no tuaj yeem kuaj pom tseeb los ntawm kev kuaj ntshav thiab zis.
• Kev kho mob muaj xws li kev txwv cov kua dej, kev muab ntsev ntsev, thiab kev kho qhov ua rau mob SIADH.
• Cov ntsev sodium poob qis sai sai, thiab cov ntsev sodium nce siab sai sai thaum kho mob, yog qhov txaus ntshai heev. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum tau kho mob raws li kev saib xyuas ntawm kws kho mob.

SIADH, Kab Mob ntawm Kev Tsim Tshuaj Hormone Antidiuretic Tsis Zoo, Antidiuretic Hormone, Tsis txaus Sodium, Hyponatremia, Teeb Meem Hormone, Raum, Electrolyte tsis sib npaug