I tuihal reng em? I zun tam em? Hei hi Diabetes Insipidus a ni thei!

Tui engzat pawh in la, tuihal i la nei reng em? Toilet-ah pawh i kal fo a ngai em? Chutianga i tih chuan tui, rawng nei lo zun i pass tam ber em? Hetiang symptoms i neih chuan kan hriat vek "sugar disease" emaw diabetes emaw chauh a ni tih ngaihtuah suh. Vawiin hian natna pakhat, hming inang tak nei, mahse a danglam vek thu kan sawi dawn a ni.

Diabetes Insipidus hi eng nge ni?

A awlsam zawngin sawi ila, Diabetes Insipidus (DI) hi natna hlauhawm tak a ni. I taksain tui a regulate theih loh hunah a thleng thin. Chuvang chuan tuihalna i nei reng a, zun tam tak i pass bawk. He zun hian rawng leh rim a nei lo.

Ngaihtuah teh, mi hrisel chuan ni khatah zun litre 1-2 vel a paih chhuak tlangpui. Mahse hetiang natna vei hian ni khatah zun litre 3 atanga 20 vel khawi hmunah pawh a chhuah thei. "Diabetes" tia sawi ni mah se, thisen sugar level nen hian inzawmna a nei lo. Taksa tui control dan nena inzawm hormone problem a ni vek.

Diabetes insipidus (DI) chi hrang hrangte chu engte nge ni?

Hetiang dinhmun hi a lo awm dan azirin chi hrang hrang a awm a.

1. Central Diabetes Insipidus a awm thei lo

Hei hi a tam ber chi a ni. Hetiang dinhmun hi kan thluaka hypothalamus leh pituitary gland tihchhiat vang a ni thei. Heng part te hian hormone vasopressin an siam a, an control bawk. Hei hi ADH (Antidiuretic Hormone) an ti bawk.

He ADH hormone hnathawh hi kan kal (kidney) te hnenah "signal" pein taksain tui a mamawh zat humhalh turin a hrilh a ni. Tui tank chunga gate ang mai a ni. ADH a awm chuan gate chu a khar a, tui a awm reng a ni. ADH a awm loh chuan gate chu a inhawng vek a, tui zawng zawng a chhuak vek a ni. Central DI-ah chuan he ADH hormone hi a siam chhuak tawk lo. Chuvangin kal (kidney) hian thunun theih lohvin tui a chhuah tir thin.

Hei hi a chhan pawh a ni thei:

• Thluak natna (brain tumor) a awm
• Lu hliam
• Inzai
• An infection a ni

2. Nephrogenic Diabetes Insipidus a awm thei lo

Hetiang chiah hian thluak hian ADH hormone hi a siam dik a, mahse chu hormone chu kal (kidney) hian a chhang let lo. Sipai hotuin thupek a pe a, mahse sipaite chuan an ngaithla lo ang mai a ni. A rah chhuah chu a inang reng a ni: kal (kidney) atang hian tui tam lutuk a chhuak thin.

Hei hi a chhan pawh a ni thei:

• Damdawi thenkhat (e.g. lithium) .
• Kidney natna rei tak awm thei
• Thisenah calcium level sang emaw potassium level tlahniam emaw.

3. Naupai laia Zunthlum vei Insipidus

Hei hi thil awm lo tak a ni. A hming ang ngeiin naupai lai chauh a awm thin. A chang chuan nausen chawmtu nausen atanga siam enzyme chuan ADH hormone a tichhe thei a ni. Hetiang dinhmun hi nau neih hnuah a bo tlangpui.

Hei hi eng symptoms nge ni?

A lan chhuah dan ber chu tuihal lutuk leh zun tam lutuk hi a ni a, mahse natna dang engemaw zat a awm thei bawk.

Naupang tê tê leh naute tê tête tân heng chhinchhiahnate hi engtin nge a awm?

Hetiang dinhmun hi naute leh naupang têteah a awm a nih chuan hriat a harsa deuh thei a, chuvangin nu leh pa angin heng natna lan chhuah dan hi i hriat a pawimawh hle.

• Tap fo leh hahdam loh
• Rihna tlahniam emaw, taksa rihna tihpun loh emaw
• Bawnghnute ei leh in duh lohna
• Diaper hnim fo thin
• Khawsik leh luak chhuak
• Stunted growth a ni

Diabetes Insipidus (DI) leh Diabetes Mellitus hi eng nge an danglamna?

Hei hi mi tam tak buaina hmun a ni. Hming inang lo tak ni mah se, hengte hi damdawi lam dinhmun hrang hrang pahnih an ni.

Engtin nge natna hi kan hriat theih ang?

I doctor chuan i symptoms chungchang chipchiar takin a zawt hmasa ang che. Tichuan, an natna hriat chian nan test eng emaw zat an ti thei bawk.

• Urinalysis: I zun sample lak a, a dilute dan enfiah a ni. Sugar a awm leh awm loh a check bawk. A chang chuan darkar 24 chhung zun lakkhawmin a zawng zawng teh theih a ni.
• Thisen test: Thisen test hian thisenah salt, sodium, leh sugar awm zat a enfiah thin.
• Tui tlakchhamna Test: Hei hi test bik deuh a ni. Hemiah hian darkar tlemte chhung tui engmah in lo turin an ngen che a ni. Hemi chhung hian i taksa rihna, i thisen sang leh i zun concentration te chu doctor enkawlna hnuaiah an teh fo thin. Hei hian tui tel lova i taksa a awm dan dik tak a hmu thei a ni.
• MRI Scan: He test hian thluaka pituitary gland emaw hypothalamus emaw ah harsatna a awm em tih hriat nan a pui thin.

Enkawlnate chu engte nge ni?

Enkawlna chu DI chi i neih danah a innghat.

• Central DI tan: Hei atan hian synthetic hormone Desmopressin tih chu pek a ni. Hei hi taksaa ADH hormone awm lo chu pawn lam atanga pek ang a ni. Hei hi hnar spray angin emaw, tablet angin emaw, injection angin emaw ei theih a ni.
• Nephrogenic DI tan chuan: Enkawlna hi a buaithlak deuh. Damdawi avanga natna lo awm a nih chuan damdawi ei tihtawp a nih veleh a reh thei a ni. Chutiang a nih loh chuan damdawi dang (diuretics thenkhat ang chi) chu kal atanga zun siam chhuah tihtlem nan an pe thin.
• Gestational DI atan: Desmopressin hi naupai laiin him takin hman theih a ni. He natna hi nau neih hnuah a takin a reh tlangpui.

A pawimawh ber chu tui tam tak in fo hi a ni . Taksa hian tui a hloh reng avangin chu hloh chu i tihpun leh a ngai a ni.