We yu yɛri di wɔd ‘dayabitis’, yu kin tink bɔt ay blɔd shuga, nɔto so? Na dat bɔku pipul dɛn no. Bɔt tide wi de tɔk bɔt wan kɔmplit difrɛn, less common condition wae gɛt di sem nem. Dɛn kɔl dis Dayabitis Insipidus (DI). Wetin kin apin pan dis kes nɔto dat di blɔd shuga lɛvɛl de go ɔp, bɔt prɔblɛm de wit di bɔdi in wata kɔntrol.
Wetin rili na Dayabitis Insipidus (DI)?
Fɔ tɔk am simpul wan, wetin kin apin ya na dat wan ɔmon we kin sɛn mɛsej to wi kidni dɛm, "Kip sɔm pan di wata we yu bɔdi nid, nɔ mek ɔltin kɔmɔt as urine," kin ridyus na wi bɔdi, ɔ di kidni dɛn nɔ kin ansa da ɔmon de.
Bikɔs ɔf dis, di kidni dɛn nɔ kin ebul fɔ kip wata na di bɔdi. Dis kin mek bɔku wata we de na di bɔdi kɔmɔt wit di urine. So yu kin fil lɛk se yu tɔsti pasmak. Dis sik gɛt in nem bikɔs di urine we de kɔmɔt nɔ gɛt swit teys ɛn i tan lɛk wata. Na dat mek sɔm pipul dɛn kin kɔl am "wata dayabitis".
Yu tink se dis na denja tin?
Bɔrku tɛm, dis nɔr kin bi siriɔs sik wae kin mek pɔrsin in layf de pan denja. If big pɔsin drink bɔku wata, i nɔ go izi fɔ mek i day pan am. Bɔt i kin denja smɔl fɔ yɔŋ pikin dɛn, ol pipul dɛn, ɔ di wan dɛn we gɛt maynd sik. Na bikɔs dɛn nɔ kin fil tɔsti fayn ɔ dɛn nɔ kin ebul fɔ aks fɔ wata.
Imajin, pɔrsin wae gɛt wɛl bɔdi kin pul lɛk 1-2 lita urine ɛvride. Bɔt pɔsin we gɛt DI kin pul lɛk 3-20 lita urine pan wan de! dis we yu de pis pasmak dεn kכl am ``Polyuria``. Dis kin mek di bɔdi nɔ gɛt bɔku wata we denja ɛn nɔ gɛt wata na in bɔdi . nכto dat nכmכ, bכt di bεlε fכ ``εlektrolayt``, lεk ``sכdyכm`` εn ``potashכm``, we implεnt fכ di fכnshכn fכ wi nεv sεstem, dεn tu de lכs.
Di 4 men kayn Dayabitis Insipidus (DI) .
Fo men kayn dis sik de. Ɛni kayn tin gɛt difrɛn tin dɛn we kin mek i apin, di tritmɛnt we dɛn kin gi am, ɛn di tin dɛn we kin apin to am fɔ lɔng tɛm. Bɔt bɔku tɛm, yu kin ebul fɔ kɔntrol di sik fayn fayn wan wit di advays we yu dɔktɔ gi yu.
1. Sɛntral Dayabitis Insipidus (Sɛntral Dayabitis Insipidus) .
Dis na di kayn we we pipul dɛn kin gɛt mɔ. wetin de apin ya na di bכdi nכ de prodyuz inof כmon ``vasopressin``, we de εp fכ mεnten di wata bεlε na wi bכdi.
Na ed injuri kin bi di men tin we kin mek dis apin.. damej pan di pat pan di bren we de mek di כmon `vasopressin`, כ to di pituitary gland we de stכr am. Dis kin kam bak wit tin dɛm lɛk infɛkshɔn, ɔpreshɔn, ɛn bren tumbu. sכmtεm, dεn kin bכn yכŋ pikin dεm wit dis kכndyushכn bikoz fכ di jεnεtik rizin.
Sɔntɛnde dɛn kin kɔntrol mild DI wit it we nɔ gɛt bɔku sodium. Bɔt bɔku pipul dɛn nid fɔ tek wan ɔmon we dɛn kɔl dɛsmɔprɛsin. Yu kin tek dis as pil, sprɛy na yu nos, ɔ injɛkshɔn.
Di tin we impɔtant pas ɔl na fɔ tek di rayt doz we yu dɔktɔ tɛl yu fɔ tek ɛn fɔ kɔntrol di wata we yu de drink. If yu drink bɔku wata, i kin mek yu ed at, yu ed kin tɔn, ɛn yu kin mek di sodium we de na yu bɔdi go dɔŋ we denja.
2. DI we gɛt fɔ du wit di kidni (Nephrogenic Diabetes Insipidus) .
wetin de apin ya na dat ivin if di bren de prodyuz di כmon `vasopressin` fayn fayn wan, di kidni dεm nכ kin 'yεri' da mεsej de. Dat min se di kidni dɛn nɔ de ansa am. Dis kin de frɔm we dɛn bɔn am, ɔ i kin kam leta.
Tin dɛm wae kin mek dis sik na:
- Kidni sik we kin de fɔ lɔng tɛm.
- Sɔm mɛrɛsin dɛn. Fɔ ɛgzampul, mɛrɛsin dɛn lɛk lithium, foscarnet, ɛn clozapine.
- di kalsiכm lεvεl dεm we de na di bכdi de inkrεs (haypa kalsiכm).
- di potashכm lεvεl dεm na di bכdi de dכn (hypokalemia).
- Urinary tract we nɔ de wok fayn.
If dεn trit di כndalayn kכz fכ dis kכndyushכn, sכmtεm i pכsibul fכ kכmplit kכl dis DI kכndyushכn.
3. DI (Dipsogenic Diabetes Insipidus) we pɔsin kin tɔsti pasmak
Dis kin apin bikɔs di haypothalamus, we na di say we pɔsin kin tɔsti na di bren nɔ de wok fayn, ɛn dis kin mek i want fɔ drink wata we i nɔ ebul fɔ kɔntrol. Dis kin bi bak bikɔs ɔf sɔm kayn maynd wɛl bɔdi prɔblɛm. No tritmɛnt nɔr de fɔ dis yet. Bɔt tin dɛn lɛk ays kiub ɛn fɔ was yu mɔt kin ɛp fɔ mek yu mɔt nɔ dray. Wan denja risk ya na dat if yu drink bɔku wata i kin mek yu chak wit wata .
4. Gestational Diabetes Insipidus (DI) we kin apin we uman bεlε
bכku uman dεm kin gεt dis kכndyushכn insay di las 3 mכnt dεm we dεn bεlε. i kin kכz fכ di כmon dεm we de chenj כ wan εnzym na di plasεnta we de brok dכn di כmon vasopressin. Di wan dɛn we de kɛr twins de pan risk smɔl. Bɔt bɔku tɛm, i nɔ kin izi fɔ am ɛn i kin go kpatakpata insay sɔm wiks afta dɛn bɔn di pikin.
DI manejmɛnt ɛn ficha dɛn fɔ wach fɔ
di tu tin dεm we wi fכ bisin bכt pan εni kayn DI na dεhaydreshכ n εn εlektrolayt imbalans . Yu fɔ no ɔltɛm bɔt di sayn dɛm fɔ dɛn tin ya.
| Ficha we de wɔn pipul dɛn | Wetin dis min? |
|---|---|
| Intɛns tɔsti | Di sayn we strɔng pas ɔl we de sho se di bɔdi nid mɔ wata. |
| Dray mɔt, lip, ɛn skin | Wan sayn we de sho se di wata we de na di bɔdi de go dɔŋ. |
| Taya ɔ diziz | I kin kam bikɔs blɔd prɛshɔn smɔl ɔ nɔr gɛt bɛtɛ blɔd na di bren. |
| Fɔ pis bɔku tɛm na nɛt | Wan impɔtant tin we de mek pɔsin gɛt DI sik. |
| urine we gɛt dak kɔlɔ ɔ we yu nɔ de pis smɔl | Dis kin bi sayn fɔ se yu nɔ gɛt bɛtɛ wata na yu bɔdi bad bad wan ɛn yu fɔ go to dɔktɔ wantɛm wantɛm. |
| At bit fast ɔ i nɔ de bit ɔltɛm | I kin bi bikɔs di ilɛktrɔlayt dɛn we de na di bɔdi nɔ balans. |
If yu gɛt dɛn sik ya, di bɛst tin we yu go du na fɔ go to yu famili dɔktɔ kwik kwik wan. Wit dis sik, yu kin liv nɔrmal, wɛl bɔdi layf wit di rayt tritmɛnt ɛn mɛrɛsin gayd.
Mɛsej we dɛn kin kɛr go na os
- Dayabitis Insipidus (DI) nɔto di dayabitis we wi ɔl no. Na prɔblɛm we gɛt fɔ du wit di wata we de balans na di bɔdi.
- Di men sayn dɛm na fɔ tɔsti pasmak ɛn fɔ pis pasmak.
- Dis sik nɔr kin denja ɛn dɛn kin ebul fɔ mɛn am fayn fayn wan wit di rayt mɛrɛsin.
- If yu tink se yu gɛt dɛn sik ya, nɔ tink se yu go si dɔktɔ.
- I rili impɔtant fɔ tek di mɛrɛsin jɔs lɛk aw di dɔktɔ tɛl yu fɔ drink ɛn drink wata lɛk aw dɛn tɛl yu fɔ drink.
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