Taksa chhunga tui control tu hormone mak tak mai: ADH hi i hre chiang em? (Antidiuretic Hormone) tih a ni.

A châng chuan tuihal lutuk i nei em? Nge zun tam a ngai em? Heng thil hnung lamah hian kan taksaah hian " hnathawktu " te tak te, mahse pawimawh tak a awm tih i hria em? Tunlaia kan sawi tak hormone, ADH, Antidiuretic hormone tihna a ni. Hei hi kan taksaa tui awm zat chiang taka enkawltu pawimawh tak a ni. Vawiin hian hei hi awlsam takin i hrethiam ang u, kan thianpa nen kan inbia ang maiin.

A awlsam zawngin, ADH chu eng nge ni?

ADH hi hormone a ni a, kan taksaa tui awm zat balance turin a pui a ni. A hming dang chu Arginine Vasopressin (AVP) a ni. Kan taksaa "tui enkawltu" ang a ni. He hormone hi kan thluak peng te tak te mahse pawimawh em em hypothalamus atanga siam a ni. Mahse thluaka pituitary gland hian a hun takah a siam chhuak a, thisenah a chhuah tir thin. Ngaihtuah teh, i taksain tui a tlakchham chuan i thisen density a pung thin. Hei hi kan taksa chhunga sensor hmanga hriat theih a ni. Chutih rual chuan heng sensor te hian thluak ah signal an thawn a, "Okay, tunah chuan thisenah ADH tlem tal chhuah tir rawh," an ti. Tichuan he ADH hormone hian thisenah a kal a, kan kal (kidney) te a hrilh thin. "Hey, taksaah tui a tlem avangin zun ah tui tam lutuk hi paih chhuak suh. Tui tlem tal khawlkhawm rawh." Kidney te a hrilh thin. Chumi hnuah chuan kal (kidney) chuan taksa mamawh tui chu a la leh a, chu chuan zun chhuak chu a tipung a ni. Hetianga taksain tui a vawn tlat hian thil thleng thenkhat chu hetiang hi a ni:

• I thisen chu a diluted deuh deuh a.
• Thisen osmolality, a awlsam zawngin, thisen chhunga thil hmin (dissolved substances) awm zat a tlahniam tihna a ni.
• Thisen volume a sang chho zel.
• Thisen sang a sang thei.

Heng zawng zawng hi i tih a, mahse i taksa tui balance a inthlau lo a nih chuan i thluak hian "i tuihal" tih a hrilh ang che. Chuvangin tui i in thin. Chutiang chuan he system hi a thawk a ni.

ADH level a san emaw a tlahniam emaw chuan eng nge thleng ang?

Hriselna lama harsatna thenkhat chuan i taksain ADH a siam tlem lutuk emaw, a tam lutuk emaw a siam thei a, i kal (kidney) pawhin hormone a dawng tlem thei bawk. Chutah chuan harsatna a lo chhuak thin. Heng natna pahnih hi a lan chhuah dan hi han thlir ila.

ADH imbalance nena inzawm natna

Damdawi lam harsatna lian tak pahnih a awm a, chungte chu ADH hormone level hniam emaw sang emaw avanga lo awm a ni.

1. Zunthlum natna (Diabetes Insipidus) a ni

Hei hi taksain ADH a siam chhuah tlem emaw, kal (kidney)-in ADH a chhan loh emaw avanga lo awm thin a ni. Hei pawh hi chi hnih a awm bawk:

• Central Diabetes Insipidus: Hei hi thluaka hypothalamus emaw pituitary gland emaw chhiat avanga ADH siam emaw chhuah emaw a tihchhiat chuan a thleng thin.
• Nephrogenic Diabetes Insipidus: Hei hi thluak hian ADH a siam chhuak a, mahse kal hian hormone a chhang thei lo. Hei hi thlahtute atanga lo chhuak emaw, damdawi lam thil dang chhinchhiahna emaw pawh a ni thei.

2. SIADH (Antidiuretic Hormone \ha lo natna (Syndrome) .

Hetiang dinhmunah hian ADH hormone chu thisenah hian a hun remchang lo leh a tam lutukah a chhuak thin. Hei hian kal (kidney) hian tui a vawng tam lutuk a, chu chuan thisen sodium level chu hlauhawm takin a tlahniam thei a ni.

Engtin nge doctor hian heng natnate hi a hriat theih ang?

I thisena ADH awm zat tehna test awm mah se, doctor-te chuan an hmang ngai lo. A tam zawkah chuan i doctor chuan i natna lan chhuah dan, i damdawi lam chanchin leh test dang (urine test, thisenah electrolytes sodium leh potassium awm zat, leh osmolality) a zirin diagnosis a siam ang. A then phei chuan special test pahnih an nei a, chu chu definitive diagnosis siam a ni.

• Tui tlakchhamna Test: Hetah hian damdawi lam enkawlna hnuaiah hun engemaw chen tui in loh turin an ti che a ni. Tichuan, thisen leh zun sample te chu a hun takah test a ni a, i taksain a chhan dan tur a enfiah thin.
• Water Loading Test: Hetah pawh hian doctor enkawlna hnuaiah hun bituk chhunga tui in tur bituk pek i ni. Chumi hnuah chuan i thisen leh zun inthlak danglamna chu darkar engemaw zat chhung enfiah thin a ni.

ADH level tichhe thei damdawi

Damdawi thenkhat i ei hian ADH level a nghawng thei bawk. Chuvangin i doctor i hmuh hunah i damdawi ei zawng zawng chu chiang takin hrilh ngei ang che.

Enkawlna leh invenna

ADH level inthlak danglamna hi pumpelh theih vek a ni lo mai thei a, mahse nunphung hrisel neih leh tui tam tak in hian eng emaw chen chu control theih a ni. Enkawl dan tur chu a dinhmun a zirin a ni.

• ADH level a hniam chuan (Diabetes Insipidus): Artificial-a siam ADH hormone hi pill emaw hnar spray emaw angin pek thin a ni. Doctor chuan tui in tam leh ei leh in thlak danglam turin a fuih bawk.
• ADH level a san chuan (SIADH): Hetah hian tih tur ber chu ni khata tui i in zat tihtlem hi a ni. Tin, he natna thlentu hi natna dang emaw damdawi dang emaw a nih chuan doctor chuan enkawl emaw, damdawi thlak emaw a ngaihtuah ang.

Zu i in emaw, zu i in emaw a nih chuan he natna hi control nan hian i in tur tihtawp emaw tihtlem emaw pawh a pawimawh hle. Eng thil pawh tih hmain doctor nen inbia a, thurawn lak a pawimawh hle. ADH, Antidiuretic Hormone, Vasopressin, Diabetes Insipidus, SIADH, Kal, Hormone, Tuihal lutuk, Taksa Tui, ADH Sinhala