Bɔku tɛm yu kin fil lɛk se yu tɔsti we yu nɔ go ebul fɔ bia? Ɛn yu kin pis bɔku tɛm? Pan ɔl we dis kin tan lɛk se na nɔmal tin, sɔntɛnde, wan mɛrɛsin kin de we dɛn nɔ no bɔt biɛn am. Tide wi go tɔk bɔt dis kayn sik we nɔ kin apin bɔt we rili impɔtant fɔ no bɔt.
Wetin rili na Nɛfrɔjɛnik Dayabitis Insipidus?
We yu yɛri dis nem, yu go tink se dis na sɔntin lɛk Dayabitis, we wi ɔl no. Bɔt dis nɔto dayabitis we gɛt fɔ du wit shuga . As wi no, dayabitis kin kam bikɔs di shuga we de na di blɔd bɔku. Bɔt nefrojɛnik dayabitis insipidus na prɔblɛm we gɛt fɔ du wit di kidni dɛn ɔl .
Fɔ tɔk am simpul wan, wan spɛshal ɔmon de we di bren kin pul fɔ kɔntrol di wata we de na wi bɔdi. dis dεn kכl am di antidiuretic כmon, כ ``Antidiuretic Hormone - ADH''. we yu nɔ gɛt wata, ɔ yu nɔ gɛt wata, dis ``ADH'' ɔmon de kɔmɔt na di bren ɛn sɛn signal to di kidni dɛm, we se, "Okay, naw ol di wata na yu bɔdi ɛn ridyus di urine we yu de mek."
Bɔt pan pɔsin we gɛt nɛfrojɛnik dayabitis insipidus, pan ɔl we di bren de mek inof ADH, di kidni dɛn nɔ kin ebul fɔ no da signal de. I tan lɛk se yu nɔ ebul fɔ yɛri pɔsin de tɔk to yu. biכs di ADH sεns dεm na di kidni dεm nכ de wok fayn, di kidni dεm nכ de ebul fכ abzכp εn kip wata na di bכdi. Dis kin mek bɔku pan di wata we di bɔdi nid kin kɔmɔt na di urine.
So wetin mek dɛn kɔl dis "Insipidus"? "Insipid" min se i nɔ gɛt teys, i dɔl. Trade, dɔktɔ dɛn bin de test urine fɔ no if pɔsin gɛt sik. Insay dayabitis, di urine kin te swit (na dat mek dɛn kɔl am "mellitus," we min swit). Bɔt pan dis sik, di urine kin dɔl, lɛk wata. Na dat mek dɛn kɔl am "Insipidus."
Wetin na di men sayn dɛm fɔ dis sik?
Dis na di men sayn dɛm wae de sho se yu kidni nɔr de woke fayn. Fɔ sɔm pipul dɛn, dɛn sik ya kin so bad dat dɛn nɔ kin ebul fɔ bia.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Wan strɔng tɔsti de fɔ wata. | Wan filin fɔ tɔsti we yu nɔ go ebul fɔ bia we nɔ de ɛva go. |
| Fɔ pis pasmak (Polyuria) . | Bɔku tɛm, bɔku bɔku klia , wata urine ɔl di de. |
| Di wata we nɔ de na di bɔdi | Di sayn dɛm lɛk dray skin, dray mɔt, ɛn ed we de at kin apin bikɔs ɔf di bɔku bɔku wata we de kɔmɔt na di bɔdi. |
| Ilɛktrolayt Imbalans | If yu lɔs wata pasmak, dat kin mek di sɔl dɛn we de na di blɔd chenj, lɛk sɔdiɔm ɛn potashɔm. Dis kin mek yu gɛt dɛn sik ya:
|
Imajin, sɔm pipul dɛn nid fɔ drink wan big glas wata ɛvri 15 minit. Ɔl di de, ɛvride. So bikɔs da wata de nɔ de na di bɔdi, dɛn fɔ go na di bafa ɔltɛm. Yu kin imajin aw dis kin ambɔg layf, nɔto so?
Wetin kin mek dis kayn tin apin?
Bɔku tin dɛn de we kin mek pɔsin gɛt nefrojɛnik dayabitis insipidus.
Insay yɔŋ pikin dɛn ɛn bebi dɛn
Bɔrku tɛm, dis kin kam bikɔs ɔf wan jɛnɛtik dɛfεkt na di bebi dεm. dis min se di pat pan di kidni dεm we de ansa di ADH כmon (rεsεptor) nכ de wok fayn fayn wan.
Insay big pipul dɛn
Dis kכndyushכn pan big pipul dεm nכ de kכz fכ di jεnεtik fכs. Ɔda tin dɛn kin afɛkt am.
- Sɔm mɛrɛsin dɛn: Ɛspɛshali di drɔg `Lithium`. Dis na drɔg wae dɛn kin gi fɔ trit mɛntɛl sik lɛk bipola. Na lɛk 20% pan di pipul dɛm wae de tek `Lithium` kin gɛt dis sik. Dɔn bak, ɔda drɔgs lɛk `Demeclocycline` ɛn `Ofloxacin` kin mek i apin.
- Di chenj dɛn we de apin na di saliva lɛvɛl:
- di hεy blכd kalsiכm lεvεl (Hypercalcemia).
- di potashכm lεvεl dεm we lכw na di bכdi (Hypokalemia).
- Kidni sik: Ɛspɛshali sik dɛn we nɔ de mɛn na di kidni lɛk polycystic kidney disease.
כda kayn "diabetes insipidus" de bak. Dɛn kɔl am sɛntral dayabitis insipidus. Wetin kin apin pan dis kes na dat di kidni dɛn kin wok fayn, bɔt di bren nɔ kin mek inof ADH ɔmon . Nɔto prɔblɛm wit di kidni, bɔt na prɔblɛm wit di bren.
Aw dɛn kin trit am?
Fɔ tɔk tru, fɔ trit nɛfrojɛnik dayabitis insipidus na smɔl prɔblɛm. biכs di kidni dεm nכ de rεspכnd to di כmon `ADH`, fכ gi `ADH` na do nכ go εp. Bɔt, we dɛn de fɔ kɔntrol di sik dɛn.
1. Fɔ trit di mɛrɛsin: If yu dɔktɔ si se na wan mɛrɛsin we yu de tek, lɛk lithium, mek yu gɛt di sik, dɛn kin chenj ɔ stɔp di mɛrɛsin.
2. Di chenj dɛn we pɔsin kin chenj di we aw pɔsin de liv in layf:
- Drink wata ɔltɛm: Dis na di tin we impɔtant pas ɔl . Yu nid fɔ drink wata ɔltɛm fɔ mek yu gɛt bɔku wata we yu dɔn lɔs na yu bɔdi. I impɔtant fɔ mek yu nɔ gɛt wata na yu bɔdi.
- Di it: If yu it it we nɔ gɛt bɔku sɔl ɛn prɔtin, dat kin ɛp fɔ ridyus di urine we yu de pas. Tɔk to yu dɔktɔ bɔt dis ɛn gɛt advays.
3. Mɛrɛsin dɛn:
- NSAID: Di mɛrɛsin dɛn we de mek pɔsin fil pen lɛk ibuprofen kin ɛp fɔ mek yu nɔ pis smɔl. Bɔt yu fɔ go to yu dɔktɔ bifo yu yuz dɛn tin ya fɔ yuz fɔ lɔng tɛm.
- Diuretics: Dis kin mek yu sɔprayz. Dɛn kin gi dɛn tin ya we dɛn kɔl "wata pils" fɔ ɛp di bɔdi fɔ pul wata. Bɔt i sɔprayz fɔ no se wan diuretik lɛk `Hydrochlorothiazide` kin ɛp fɔ ridyus di urine we de kɔmɔt na dis kɔndishɔn. Di we aw i de wok kin kɔmplikt smɔl, so yu fɔ yuz am jɔs lɛk aw yu dɔktɔ tɛl yu.
I rili impɔtant: Pipul dɛn we gɛt dis sik nid fɔ pis bɔku tɛm. If yu ol am te di blad ful, i kin mek yu damej fɔ lɔng tɛm. So urinate as soon as yu fil se yu nid am.
If yu gɛt dɛn sik ya, nɔ panik, bɔt fɔ tru, go to dɔktɔ fɔ advays. I rili impɔtant fɔ mek dɛn du di tɛst dɛn we yu nid ɛn no ustɛm yu gɛt.
Mɛsej we dɛn kin kɛr go na os
- Nephrogenic diabetes insipidus nɔto dayabitis, bɔt na sik we di kidni dɛn nɔ ebul fɔ du to wan ɔmon .
- Di men sayn dɛm na fɔ tɔsti we yu nɔ go ebul fɔ bia ɛn we yu de pis pasmak .
- Di tritmɛnt we impɔtant pas ɔl fɔ dis na fɔ drink bɔku wata ɛn nɔ gɛt wata na yu bɔdi.
- Sɔm mɛrɛsin, chenj na di blɔd sɔl, ɛn ɔda sik dɛn na di kidni kin mek dis kayn tin apin.
- If yu gɛt dɛn sik ya, nɔ gɛs ɛn go to dɔktɔ wantɛm wantɛm fɔ mek dɛn no di sik ɛn tritmɛnt fayn fayn wan .
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