Tuar theih loh khawpin tuihal i nei fo em? Tin, i zun tam fo em? Hei hi thil pangngai angin lang mah se, a châng chuan a hnung lamah hian damdawi lam dinhmun hriat loh a awm thei bawk. Vawiin hian hetiang damdawi lama harsatna awm lo mahse hriat tur pawimawh tak chungchang kan sawi dawn a ni.
Nephrogenic Diabetes Insipidus hi eng nge ni tak tak?
He hming i hriat hian hei hi Diabetes Mellitus ang chi, kan hriat vek angin i ngai mai thei. Mahse hei hi sugar-related diabetes a ni lo . Kan hriat angin zunthlum hi thisen sugar level sang vang a ni. Mahse nephrogenic diabetes insipidus hi kidney nena inzawm tlat harsatna a ni .
A awlsam zawngin sawi ila, kan taksaa tui awm zat control turin thluak atanga hormone bik a chhuak a ni. Hei hi antidiuretic hormone, a nih loh leh ``Antidiuretic Hormone - ADH'' an ti a. I dehydrated, emaw dehydrated i nih chuan he ``ADH'' hormone hi thluak atangin a chhuak a, kidney-ah signal a thawn a, "Okay, tunah chuan i taksaa tui awm chu chelh tlat la, i zun chhuah zat tihtlem rawh," a ti.
Mahse, nephrogenic diabetes insipidus veiah chuan thluak hian ADH tling tawk mah se, chu signal chu kal (kidney) hian a hre thei lo. Miin a biak che pawh i hre thei lo ang mai a ni. A chhan chu kal chhunga ADH sensor te hian hna an thawk tha lo a, kal hian taksaah tui a hip lut thei lo va, a vawng reng thei lo bawk. Chumi avang chuan taksa mamawh tui tam tak chu zun ah a chhuak thin.
Chuti a nih chuan engvangin nge hei hi "Insipidus" an tih? "Insipid" tih awmzia chu thlum lo, dull tihna a ni. Tun hma chuan Doctor ten natna hriat chian nan zun an tem thin a. Diabetes-ah chuan zun hi a thlum (chuvang chuan "mellitus" an ti a, chu chu a thlum tihna a ni). Mahse he natnaah hian zun chu a dull a, tui ang maiin a dull a ni. Chuvangin "Insipidus" tih a ni.
He natna lan chhuah dan berte chu engte nge ni?
Hengte hi kal (kidney failure) chhinchhiahna lian ber berte an ni. Mi thenkhat tan chuan heng symptoms te hi a nasat em avangin tuar theih loh khawpin a na thei a ni.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Tui tuihalna nasa tak a awm a. | Tuihâlna tuar theih loh, reh ngai lo tih hriatna. |
| Zun tam lutuk (Polyuria) . | Frequent, large amounts of clear , watery urine nitin. |
| Tui tlakchhamna (dehydration). | Taksa atanga tui hloh tam lutuk hian vun ro, hmui ro, leh lu na ang chi symptoms a thlen thin. |
| Electrolyte inthlauhna (Imbalance) a awm | Fluid hloh tam lutuk hian thisen a salt awm zat a tidanglam thei a, chu chu sodium leh potassium te hi a ni. Hei hian a hnuaia symptoms te hi a thlen thei a ni:
|
Ngaihtuah teh, mi ṭhenkhat chuan minute 15 danah tui glass lian tak khat an in a ngai a ni. Nilengin, nitin. Chuvangin chu tui chu taksaah a awm loh avangin bathroom-ah an kal fo thin. Hei hian nun a tihbuai zia chu i ngaihtuah thei a ni lawm ni?
Eng thilin nge hetiang dinhmun hi a thlen?
Nephrogenic diabetes insipidus hi a chhan hrang hrang a awm a.
Naupang tê tê leh nausen teah
Hetiang dinhmun hi naute genetic defect vang a ni fo thin. Chumi awmzia chu kal (kidney) atanga ADH hormone (receptor) chhanna peng chu a thawk tha lo tihna a ni.
Puitlingah chuan
Puitlingah hian he dinhmun hi genetic factors avanga lo awm a ni lo. Thil dangin a nghawng a ni.
- Damdawi thenkhat: A bik takin damdawi `Lithium`. Hei hi rilru lam natna, bipolar ang chi enkawlna atana pek thin damdawi a ni. `Lithium` ei thin zinga 20% velin he natna hi an nei thei a ni. Tin, damdawi dang `Demeclocycline` leh `Ofloxacin` te pawhin a thlen thei bawk.
- Saliva level inthlak danglamna:
- Thisenah calcium level sang (Hypercalcemia) a awm.
- Thisenah potassium level hniam (Hypokalemia).
- Kal natna: A bik takin kal natna rei tak, polycystic kidney disease te hi a ni.
"Diabetes insipidus" chi dang pawh a awm bawk. Central diabetes insipidus an ti a. Hetiang dinhmunah hian thil thleng chu kal (kidney) hian hna a thawk tha hle a, mahse thluak hian ADH hormone a siam tling lo . Kidney lama harsatna a ni lo va, thluak lama harsatna a ni.
Engtin nge enkawl a nih?
Dik tak chuan nephrogenic diabetes insipidus enkawl hi a harsa deuh a ni. Kidney hian hormone `ADH` a chhan loh avangin pawn lam atanga `ADH` pek hian a pui dawn lo. Mahse, a symptoms control dan tur a awm.
1. A chhan enkawl dan: I doctor-in i damdawi ei, lithium ang chi avanga natna lo awm a nih thu a hriat chuan damdawi chu thlak emaw, tihtawp emaw theih a ni.
2. Nunphung inthlak danglamna:
- Tui in fo thin ang che: Hei hi a pawimawh ber a ni . Taksa atanga tui hloh zat tihpun nan tui i in fo a ngai a ni. Dehydration ven nan a pawimawh hle.
- Diet: Diet chi leh protein tlem ei hian i zun i pass zat a ti tlem thei a ni. Hemi chungchang hi i doctor nen sawiho la, thurawn la rawh.
3. Damdawi chi hrang hrang:
- NSAIDs: Ibuprofen ang chi natna tidamtu hian zun a tihtlem deuh thei. Mahse, hengte hi hun rei tak hmanna atana i hman hmain doctor rawn hmasa phawt tur a ni.
- Diuretics: Hei hi i tan chuan mak tih tur a ni mai thei. Heng "tui pill" an tih te hi taksain tui a paih chhuah theih nan an pe tlangpui. Mahse mak tak maiin `Hydrochlorothiazide` ang chi diuretic hian hetiang dinhmunah hian zun chhuah tihtlem nan a pui thei a ni. A hnathawh dan hi a buaithlak deuh a, chuvangin doctor-in a sawi ang chiah hian hman tur a ni.
Pawimawh tak: Hetiang natna vei te hian zun an chhuah fo a ngai a ni. Bladder a khat thlenga vawn tlat chuan hun rei tak chhung chhiatna a thlen thei. Chuvangin a tulna i hriat veleh zun nghal rawh.
Heng symptoms te hi i neih chuan hlau suh, mahse doctor hnenah thurawn dil ngei ang che. Test tul tak tak tihsak a, eng condition nge i neih tih chiang taka hriat a pawimawh hle.
Take-Home Thuchah a ni
- Nephrogenic diabetes insipidus hi zunthlum a ni lo va, hormone pakhat a kal theih lohna avanga lo awm a ni .
- A lan chhuah dan ber chu tuihal tuar theih loh leh zun tam lutuk hi a ni .
- Chumi atana enkawlna pawimawh ber chu tui in tam leh dehydration pumpelh hi a ni.
- Damdawi thenkhat, thisen chi level inthlak danglam te, kal natna dang te hian hetiang hi a thlen thei a ni.
- Heng symptoms te hi i neih chuan guess suh la, doctor pan nghal la, diagnosis leh treatment dik tak i hmu ang .











💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh