He aha te SIADH (Syndrome of Inappropriate Antidiuretic Hormone Secretion)? Me kōrero māmā noa iho tātou!

Kua whakaarohia e koe kāore te nui o te wai i roto i tō tātou tinana e whakahaeretia ana e ia anō, engari he homoni motuhake e āwhina ana i tēnei? Inaa, he tikanga whakamiharo kei reira hei pupuri i te nui o te wai me te tote (arā, te konutai) i roto i tō tātou tinana kia tika. Ko te mea matua e āwhina ana i tēnei ko te homoni 'ADH'. Heoi, i ētahi wā ka tīmata te nui rawa o tēnei homoni 'ADH' i roto i tō tātou tinana, ka puta pea ngā raruraru iti. Koinei te āhuatanga ka kōrerohia e tātou i tēnei rā, 'SIADH (Syndrome of Inappropriate Antidiuretic Hormone Secretion)'. Ahakoa he roa te ingoa, kia mārama noa tātou.

He aha rawa te SIADH?

He whakarāpopototanga noa iho, ko te SIADH he āhuatanga e nui rawa ai, e kore rānei e tika te whakaputa a te tinana i te homoni 'Antidiuretic Hormone' (ADH). Ko te ingoa o tēnei homoni 'ADH' ko 'Vasopressin'. Ka hangaia tēnei homoni 'ADH' i roto i te hypothalamus i roto i tō tātou roro. Whai muri i tēnā, ka rongoatia ki te repe pituitary o muri, ka tukuna ki te tinana ina hiahiatia. Nā, kia tirohia ngā mea nui e āwhina ana tēnei homoni 'ADH' i roto i tō tātou tinana:

• Te pupuri i te taurite i waenga i te nui o te wai me te konutai ( tote ) i roto i ō tātou toto.
• Āwhina ki te whakahaere i te toto totoka .
• Āwhina i ngā whatukuhu kia mahi tika.

Hei whakarāpopototanga, ko te homoni `ADH` te kaiwhakahaere o te nui o te wai e tukuna ana e ō whatukuhu i roto i tō mimi. Mō te `SIADH`, nā te nui rawa o tēnei homoni `ADH`, ka tīmata tō tinana ki te pupuri i te nui o te wai. Ko te hua matua o tēnei ko te hekenga o te taumata konutai (tote) i roto i tō toto. I roto i ngā kupu hauora, ka kiia tēnei ko te `Hyponatremia`.

Ko wai te hunga tino pea ka pāngia e te SIADH?

Ina hoki, ka taea e te tangata katoa te pāngia e te `SIADH`. Heoi, ka piki ake te mōrearea o tēnei mate i te pakeketanga. I te nuinga o te wā, ko tēnei mate e kiia nei ko te `SIADH` ka tino kitea i roto i:

• Mō te hunga e ora ake ana i te pokanga i ngā hōhipera, ka puta pea tēnei nā ngā wai i hoatu i muri i te pokanga, ētahi rongoā, me te urupare a te tinana ki te mamae me te ahotea.
• I roto i te hunga e pāngia ana e te mate pukupuku pūkahukahu, inā koa ko te hunga e pāngia ana e te momo e kiia nei ko te " Mate Pukupuku Pūtau Iti ( SCLC )".

He pēhea te noa o te ingoa o tēnei mate ko te SIADH?

He mate noa te 'SIADH'. Ko te 'Hyponatremia' (te iti o te konutai i roto i te toto) i kōrerohia e tātou i mua ake nei ko te 'kore taurite o te irahiko' e kitea ana i roto i ngā tūroro e noho ana i te hōhipera. Ko te 'SIADH' te tino take o te 'Hyponatremia'.

He aha te take e puta ai te hyponatremia i te SIADH?

Whakaarohia kei te tino matewai koe. He aha te mahi a tō tinana? Ka tohu te tinana kia tukuna te homoni `ADH`. Kātahi ka whakaitihia e ngā whatukuhu te nui o te wai e tukuna ana i roto i te mimi, ā, ka puritia taua wai e te tinana. Ina inu koe i te wai, ina iti iho tō matewai, ka mutu te tukunga o te `ADH` e te tinana, ā, ka tīmata anō ngā whatukuhu ki te whakaputa wai i roto i te mimi i te āhua noa. Koinei te tukanga noa. Heoi, i roto i te tini o te hunga whai `SIADH`, kāore te tukunga o te homoni `ADH` e heke tika ahakoa i muri i te inu wai. Nō reira, he tino kukū te mimi (arā, he iti ake te wai, he nui ake te para). Ka puta te wai i roto i te tinana. Ina kohia tēnei wai, ka memeha ngā mea pēnei i te konutai i roto i te toto. Koinei te wā ka heke te taumata konutai i roto i te toto, e kiia nei ko te `Hyponatremia`. I ētahi wā o te `SIADH`, ina nui rawa te wai o te tinana, ka tohu ngā whatukuhu kia tukuna te tote (konutai) ki roto i te mimi. Ko tētahi atu take tēnei o te `hyponatremia`.

He aha ngā tohu o te SIADH?

Ina pāngia koe e te `SIADH`, he tino kukū tō mimi. Ko te tikanga he nui rawa ngā para, he iti rawa hoki te wai. Nā te mea kāore tō tinana e tuku wai me te mimi, ka piki ake te nui o te wai i roto i tō toto. Ka waimeha tēnei i ngā mea pēnei i te konutai i roto i tō toto.

Ko te iti o te konutai i roto i te toto (hyponatremia) te tino take o ngā tohu o te SIADH .

I te nuinga o te wā, ahakoa he iti noa te taumata konutai, kāore e puta he tohu nui. Heoi, ki te iti noa, ki te tino iti rānei te taumata konutai, ka puta pea ēnei tohu:

• Te wiri o te uaua, te ngoikore rānei. Whakaarohia te āhua o te wiri o ō waewae.
• Whakapairuaki me te ruaki .
• Te mamae o te upoko .
• Ngā raruraru ki te taurite, ka taea ai e ētahi wā te hinga.
• Ngā huringa hinengaro, pērā i te uaua ki te arotahi, te ngaronga o te mahara, me/ranei ngā whanonga tauhou.
• I ngā āhuatanga kino, ka pā mai pea ngā haurangi , te koma rānei .

He aha ngā pūtake o te SIADH?

I te nuinga o te wā, ka puta te SIADH i tētahi atu mate hauora. He tino onge te SIADH tuku iho (arā, ka tukuna iho i roto i ngā whakatipuranga).Nā te whakarerekētanga ira i roto i ngā 'kaiwhakawhiwhi Vasopressin 2 (V2)' i roto i ngā whatukuhu i puta ai. Anei ētahi o ngā āhuatanga me ngā take e whai wāhi ana ki te putanga mai o te 'SIADH':

• Ētahi momo matepukupuku: Ka taea e ētahi pukupuku te whakaputa i ā rātou ake homoni ADH. Ka taea e tēnei te arahi ki te nui rawa o te ADH i roto i te tinana, ka arahi ki te SIADH. Ko te matepukupuku pūkahukahu pūtau iti (SCLC) te momo matepukupuku tino noa e whakaputa ana i te ADH i tēnei ara. Hei tāpiri, ko ngā matepukupuku pēnei i ngā carcinoma pūtau iti e whanake ana i waho o ngā pūkahukahu, ngā matepukupuku o te upoko me te kaki, me ngā neuroblastoma olfactory ka taea hoki te whakaputa i te SIADH.
• Ngā raruraru o te Pūnaha Io Matua (CNS): Ko te roro me te taurakira te mea hanga o tō tātou pūnaha io matua. Mā tētahi āhuatanga rerekē o tēnei pūnaha, pērā i te whiu, te toto i roto i te roro, te mate pāwera, te whara, te hinengaro pōuri rānei, he onge noa iho, ka pā te SIADH.
• Ētahi rongoā: Ka taea e ētahi rongoā te whakanui ake i te tukunga, te mahi rānei o te homoni `ADH`. Nō reira, ka puta pea te `SIADH`. Hei tauira, ko ētahi rongoā mō te mate haurangi, ko ngā rongoā mō te pouri, ko ngā rongoā mō te mate pukupuku, me ētahi rongoā mō te mate manawa, te mate huka, me te toto toto tiketike.
• Pokanga i raro i te rongoā whakamoe: Ka taea te hono atu i te SIADH ki te pokanga. Tērā pea nā te ahotea hinengaro me te ahotea tinana e pāngia ana e te tinana tēnei.
• Mate pūkahukahu: Ka taea e ngā mate pūkahukahu, inā koa te niumōnia (nā ngā huaketo, ngā huakita, te mate kohi rānei) te take o te SIADH. Kāore anō kia tino mārama ngā kairangahau he aha tēnei e puta ai.
• Ngā ngoikoretanga o ngā homoni: Ka taea e ngā āhuatanga e rua e kiia nei ko te 'Hypopituitarism' (te repe pituitary ngoikore) me te 'Hypothyroidism' (te repe thyroid ngoikore) te whakaputa i te 'SIADH'.

Me pēhea te tātaritanga o te SIADH?

Mena kei a koe ngā tohu o te hyponatremia (he iti te konutai i roto i te toto), ka tirotirohia e tō tākuta te tinana katoa. Ka tirohia hoki e rātou te āhua o tō wai. He mea nui tēnei kia tika ai te tautuhi. Ka tirohia e rātou mēnā kua maroke koe, kua nui rawa te wai, kua tika rānei. Kāore he whakamātautau kotahi pai hei tautuhi i te SIADH. Ahakoa he whakamātautau hei tirotiro i te taumata o te ADH i roto i tō toto, ka roa pea te rua wiki kia puta mai ngā hua. Nō reira, tera pea ka tono tō tākuta i ētahi atu whakamātautau hei tirotiro i te hyponatremia, pēnei i:

• Paewhiri Pūnaha Whakaora Whānui (CMP).
• Te whakamātautau osmolality toto.
• Whakamātautau Osmolality mimi.
• Whakamātautau mimi mō te konutai me te pāhare pāporo.
• Ngā whakamātautau matū mō ētahi rongoā.

Mena kei tō tamaiti ngā tohu o te SIADH, ka tonoa pea e te tākuta he whakamātautau whakaahua (hei tauira, he matawai) o ngā pukahukahu me te roro.

Me pēhea te rongoā mō te SIADH?

Ko te maimoatanga mō te SIADH kei runga i te pūtake. Hei tauira, ki te mea he pukupuku tōu e whakaputa ana i te ADH, ka tūtohu pea tō tākuta kia pokangahia hei tango. Mena he rongoā te take o te mate, ka huri pea tō tākuta i te horopeta o te rongoā, ka tohua rānei he rongoā rerekē. Mō ngā take katoa o te SIADH, ko te taahiraa tuatahi ko te whakawhāiti i te nui o ngā wai e inuhia ana e koe. Mā tēnei ka āwhina i te ārai i tō tinana kia kaua e pupuri i te nui rawa o te wai. Ka kī atu tō tākuta ki a koe te nui o te wai me inu e koe i ia rā (tae atu ki te wai, te kawhe, te tī, me ngā inu huka). Mena he nui ngā tohu o te hyponatremia (pēnei i te pōhēhē, te haurangi), he āhuatanga ohorere hauora tēnei. Ko te tikanga ka rongoatia tēnei i te hōhipera me te tote (he otinga tote e hoatu ana mā te IV) e hoatu ana ki roto i te uaua. Tērā pea ka hiahia koe ki te rongoā hei aukati i ngā pānga o te homoni ADH ki ō whatukuhu. Kātahi ka whiwhi ngā whatukuhu i ngā tohu ka tīmata ki te tuku i te wai nui ki roto i te tinana mā te mimi.

Ka taea te ārai i te SIADH?

Nā te mea he maha ngā take o te 'SIADH', he uaua ki te ārai. Ki te mea kei te āwangawanga koe kei te pāngia koe e te 'SIADH', e te 'hyponatremia' rānei, kōrero ki tō tākuta.

He aha te matapae mō te SIADH?

Ko te tirohanga mō te SIADH e whakawhirinaki ana ki te pūtake. Ko te rongo pai ko te maha o ngā pūtake o te SIADH ka taea te whakakore, ka taea rānei te rongoā. Ko te hyponatremia whakapeka, e tere ana te puta, i roto i te iti iho i te 48 hāora, he nui ake te mōrearea i te hyponatremia e tupu haere ana i roto i te wā. Ko te hyponatremia mau tonu e pā ana ki ngā raruraru pūnaha io (hei tauira, te ngaronga o te taurite, te ngaronga o te mahara). Mena he kino te SIADH, ā, ka heke rawa te taumata konutai i roto i te toto, ka puta pea ēnei e whai ake nei:

• Te ngaronga o te māramatanga, te moemoeā, te koma rānei.
• Te Herniation o te Roro.
• Te mate.

Āhea koe me toro atu ki te tākuta mō te SIADH?

Mena ka pāngia koe e ngā tohu o te hyponatremia, pērā i te mamae o ngā uaua me ngā raruraru taurite, kōrero ki tō tākuta. Nā te mea he maha ngā take mō ēnei tohu, tera pea ka whakahaerehia e tō tākuta he maha ngā whakamātautau.

Mena kei a koe ngā tohu o te hyponatremia nui, pērā i te pōhēhē, te pōrangi, te haurangi rānei, haere ki te hōhipera tata tonu.

He mate noa te SIADH, he maha ngā take. He maha ngā wā ka pāngia te hunga kua noho hōhipera kē. Heoi, ki te pāngia koe e ngā tohu o te SIADH, pērā i te whakapairuaki, te huringa hinengaro rānei, he mea nui kia kōrero koe ki te tākuta.

Ngā mea tino nui hei maumahara (Karere hei kawe ki te kāinga)

Āe, ko tāku tumanako kua mārama ake koe ki te 'SIADH' i kōrerohia e tātou i tēnei rā.

• Ko te `SIADH` he āhuatanga e pupuri ana te tinana i te wai, ā, e whakaiti ana i te konutai i roto i te toto nā te nui rawa o te whakaputanga o te homoni `ADH`.
• He maha ngā take mō tēnei; pērā i te mate pukupuku, ētahi rongoā, te pokanga, te mate pūkahukahu, me ētahi atu.
• Ko ētahi o ngā tohu ko te whakapairuaki, te ruaki, te whanoke, me ngā huringa hinengaro . I ngā wā tino kino, ka pā mai pea ngā haurangi me te ngaronga o te māramatanga.
• Ko te maimoatanga ka uru atu ki te whakahaere i te wai, te rongoā i te pūtake, me te hoatu tote, rongoā rānei mēnā e tika ana .
• Ko te mea nui, ki te pā mai ēnei tohu ki a koe, kaua e mataku, engari me rapu tonu i te tohutohu hauora. Pērā ai, ka taea e koe te kimi i te āhua o te mate, ā, ka tīmata i te maimoatanga e tika ana.

Ko te tiaki i tō hauora te mea nui rawa atu. Koia te mea nui kia mōhio koe ki ngā mea pēnei. SIADH, Antidiuretic Hormone, ADH, Hyponatremia, Vasopressin, Sodium, Hormone Impact