Koj puas muaj tej lub sij hawm koj xav tias koj nqhis dej heev? Los yog koj puas yuav tsum tau tso zis ntau zaus? Koj puas paub tias muaj ib tug "
neeg ua haujlwm " me me tab sis tseem ceeb heev hauv peb lub cev tom qab tej yam no? Nws yog lub hormone uas peb tab tom tham txog hnub no, ADH, uas sawv cev rau Antidiuretic hormone. Qhov no yog ib qho tseem ceeb uas tswj hwm qhov ntau ntawm cov dej hauv peb lub cev. Cia peb nkag siab qhov no yooj yim hnub no, zoo li peb tab tom tham nrog ib tug phooj ywg.
Hauv lwm lo lus, ADH yog dab tsi?
ADH yog ib yam tshuaj hormones uas pab kom peb lub cev muaj dej txaus. Lwm lub npe rau nws yog
Arginine Vasopressin (AVP). Nws zoo li "tus tswj dej" hauv peb lub cev. Cov tshuaj hormones no yog tsim los ntawm hypothalamus, ib feem me me tab sis tseem ceeb heev ntawm peb lub hlwb. Tab sis nws yog tsim thiab tso tawm rau hauv cov ntshav thaum lub sijhawm zoo los ntawm lub qog pituitary hauv lub hlwb. Xav txog, thaum koj lub cev tsis muaj dej ntau, qhov ceev ntawm koj cov ntshav nce ntxiv. Qhov no raug ntes los ntawm cov sensors hauv peb lub cev. Tib lub sijhawm, cov sensors no xa ib lub cim rau lub hlwb hais tias, "Okay, tam sim no tso qee yam ADH rau hauv cov ntshav." Tom qab ntawd cov tshuaj ADH no mus ncig los ntawm cov ntshav thiab qhia rau peb lub raum. "Auj, tsis muaj dej txaus hauv lub cev, yog li tsis txhob tso dej ntau dhau hauv cov zis. Txuag qee yam dej." Nws qhia rau lub raum. Tom qab ntawd lub raum rov nqus cov dej uas lub cev xav tau, ua rau cov zis uas raug tso tawm ntau ntxiv. Nov yog qee yam uas tshwm sim thaum lub cev khaws dej hauv txoj kev no:
- Koj cov ntshav tau me ntsis diluted.
- Cov ntshav osmolality, hais yooj yim xwb, txhais tau tias qhov concentration ntawm cov tshuaj yaj hauv cov ntshav txo qis.
- Cov ntshav ntim nce ntxiv.
- Ntshav siab yuav nce ntxiv.
Yog koj ua tag nrho cov no tab sis koj lub cev cov dej tsis sib npaug, koj lub hlwb yuav qhia rau koj tias koj
"nqhis dej." Yog li koj haus dej. Qhov ntawd yog li cas lub cev no ua haujlwm.
Yuav ua li cas yog tias ADH theem nce lossis txo qis?
Qee yam mob nkeeg yuav ua rau koj lub cev tsim cov ADH tsawg dhau los yog ntau dhau, lossis koj lub raum yuav tsis teb rau cov tshuaj hormones. Thaum ntawd yog lub sijhawm uas muaj teeb meem tshwm sim. Cia peb saib cov tsos mob ntawm ob yam mob no.
| Cov tsos mob ntawm cov qib ADH qis (ADH qis) | Cov tsos mob ntawm cov qib ADH siab |
|---|
| Xav tias nqhis dej heev: Xav tias nws tsis txaus txawm tias koj haus dej ntau npaum li cas los xij. | Xeev siab: Zoo li ntuav. |
| Tso zis ntau zaus: tso zis ntau heev txhua hnub. | Mob taub hau. |
| Kev Qhuav Dej: Kev poob dej hauv lub cev. | Kev tsis nco qab: Tsis nco qab, tsis paub kev coj, thiab lwm yam. |
| Cov sodium ntau ntxiv hauv cov ntshav. | Qaug zog heev thiab tsaug zog tsis taus. |
| Txo cov sodium hauv cov ntshav. |
Cov kab mob cuam tshuam nrog ADH tsis sib npaug
Muaj ob qho mob tseem ceeb uas tshwm sim los ntawm cov tshuaj ADH qis lossis siab.
1. Kab mob ntshav qab zib tsis muaj zog
Qhov no yog ib qho mob uas tshwm sim thaum lub cev tsis tsim ADH txaus lossis thaum lub raum tsis teb rau ADH.
Qhov tseem ceeb tshaj plaws: Tsis txhob xav tias qhov no zoo li " Kab mob ntshav qab zib " uas peb txhua tus paub. Ob yam mob no txawv kiag li. Hauv " Kab mob ntshav qab zib Insipidus ", cov dej ntau dhau raug tso tawm ntawm lub cev hauv cov zis .
Kuj muaj ob hom no thiab:
- Central Diabetes Insipidus: Qhov no tshwm sim thaum kev puas tsuaj rau hypothalamus lossis pituitary gland hauv lub hlwb ua rau tsis muaj peev xwm tsim lossis tso tawm ADH.
- Nephrogenic Diabetes Insipidus: Qhov no yog thaum lub hlwb tsim ADH, tab sis lub raum tsis teb tau rau cov tshuaj hormones. Qhov no tuaj yeem yog los ntawm noob caj noob ces lossis yog ib qho tsos mob ntawm lwm yam mob.
2. SIADH (Syndrome of Inappropriate Antidiuretic Hormone)
Hauv qhov xwm txheej no, cov tshuaj hormone ADH raug tso tawm rau hauv cov ntshav thaum lub sijhawm tsis tsim nyog thiab ntau dhau. Qhov no ua rau lub raum khaws dej ntau dhau, uas tuaj yeem ua rau cov sodium hauv cov ntshav poob qis heev.
Tus kws kho mob kuaj mob li cas?
Txawm hais tias muaj kev kuaj uas ntsuas qib ntawm ADH hauv koj cov ntshav, cov kws kho mob tsis siv nws tas li. Feem ntau, koj tus kws kho mob yuav kuaj mob raws li koj cov tsos mob, keeb kwm kev kho mob, thiab lwm yam kev kuaj (kev kuaj zis, cov ntshav ntawm cov electrolytes xws li sodium thiab potassium, thiab osmolality). Qee zaum, ob qho kev kuaj tshwj xeeb raug ua los ua qhov kev kuaj mob tseeb.
- Kev Ntsuas Kev Tsis Txaus Dej: Hauv qhov no, koj raug hais kom tsis txhob haus dej rau ib lub sijhawm nyob rau hauv kev saib xyuas ntawm kws kho mob. Tom qab ntawd, cov ntshav thiab zis raug kuaj tsis tu ncua kom pom tias koj lub cev teb li cas.
- Kev Ntsuas Dej: Dua li no, nyob rau hauv kev saib xyuas ntawm kws kho mob, koj yuav tau haus dej raws li lub sijhawm teem tseg. Kev hloov pauv ntawm koj cov ntshav thiab zis yuav raug saib xyuas ob peb teev.
Tseem Ceeb Kawg Li: Ob qho kev kuaj no tsuas yog yuav tsum tau ua hauv tsev kho mob uas muaj kev saib xyuas tag nrho ntawm tus kws kho mob lossis cov neeg ua haujlwm uas tau kawm tiav. Tsis txhob sim ua hauv tsev rau txhua qhov laj thawj, vim tias yuav muaj kev pheej hmoo xws li lub cev qhuav dej .
Cov tshuaj uas tuaj yeem cuam tshuam rau ADH theem
Qee cov tshuaj uas koj noj kuj tuaj yeem cuam tshuam rau cov theem ADH. Yog li thaum koj mus ntsib kws kho mob, nco ntsoov piav qhia meej txog txhua yam tshuaj uas koj noj.
| Cov tshuaj uas tuaj yeem ua rau ADH nce ntxiv | Cov tshuaj uas tuaj yeem txo cov qib ADH |
|---|
| Cov tshuaj Carbamazepine, Morphine, Nicotine, Amitriptyline, Desipramine, Barbiturates, Acetaminophen, Metformin, Tolbutamide, Aspirin, Theophylline, Cov tshuaj tsis-steroidal anti-inflammatory (NSAIDs) | Ethanol (cawv), Lithium, Phenytoin |
Kev kho mob thiab kev tiv thaiv
Kev hloov pauv ntawm ADH theem yuav tsis tuaj yeem tiv thaiv tau tag nrho, tab sis lawv tuaj yeem tswj tau qee yam los ntawm kev ua neej noj qab haus huv thiab haus dej txaus. Cov kev xaiv kho mob nyob ntawm tus mob.
- Yog tias cov ADH qis (Diabetes Insipidus): Cov tshuaj ADH uas tsim los ntawm cov tshuaj dag yuav muab ua cov tshuaj ntsiav lossis cov tshuaj tsuag rau qhov ntswg. Tus kws kho mob kuj qhia kom haus dej ntau dua thiab hloov kev noj zaub mov.
- Yog tias qib ADH siab (SIADH): Qhov tseem ceeb tshaj plaws uas yuav tsum ua ntawm no yog txwv tsis pub haus dej ntau dhau ib hnub. Tsis tas li ntawd, yog tias qhov ua rau muaj tus mob no yog lwm yam kab mob lossis tshuaj, tus kws kho mob yuav xav txog kev kho nws lossis hloov cov tshuaj.
Yog koj haus luam yeeb lossis haus cawv, kev tsum lossis txo koj cov kev haus kuj tseem ceeb heev rau kev tswj tus mob no.
Ua ntej ua ib yam dab tsi, nws yog ib qho tseem ceeb uas yuav tsum nrog koj tus kws kho mob tham thiab nrhiav kev qhia. Cov Lus Qhia Txog Kev Coj Mus Tsev
- ADH yog ib yam tshuaj hormones tseem ceeb uas tswj cov dej hauv koj lub cev.
- Qhov txo qis lossis nce ntxiv ntawm cov tshuaj hormones no tuaj yeem ua rau muaj ntau yam tsos mob, xws li nqhis dej ntau dhau, tso zis ntau zaus, thiab tsis meej pem.
- Nco ntsoov tias 'Diabetes Insipidus', ib qho mob uas tshwm sim los ntawm kev txo qis hauv ADH, tsis yog 'diabetes mellitus'.
- Yog koj muaj cov tsos mob no, tsis txhob kuaj mob koj tus kheej thiab nrhiav kev pab kho mob tam sim ntawd.
- Tsis txhob ua qhov kev ntsuam xyuas kev txwv dej uas koj tus kws kho mob tau hais kom ua hauv tsev. Tsuas yog yuav tsum ua qhov no hauv tsev kho mob thiab nyob rau hauv kev saib xyuas ntawm kws kho mob xwb.
- Nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj.
ADH, Antidiuretic Hormone, Vasopressin, Diabetes Insipidus, SIADH, Raum, Hormone, Nqhis dej ntau dhau, Dej hauv lub cev, ADH Sinhala
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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