SIADH (Syndrome of Inappropriate Antidiuretic Hormone Secretion), he āhuatanga e pupuri ana te tinana i te nui o te wai, ā, he iti rawa te tote

E mōhio ana tātou katoa he mea nui te inu i te nui o te wai i te roanga o te rā. Kua rongo pea koe i ētahi wā, ina nui te werawera i a koe i ngā hākinakina, ka ngaro te wai i roto i tō tinana, tae atu ki ngā electrolytes. Engari i mōhio koe he wā ka nui rawa te wai hei raruraru nui? Ina hoki, ina tupu tēnā, ka ngaro pea ngā electrolytes whai hua i roto i tō tinana. Koinei te āhua e kōrerohia ana i tēnei rā, e kiia nei ko te SIADH.

He aha te SIADH?

Ko te ingoa roa ko SIADH, arā, ko 'Syndrome of Inappropriate Antidiuretic Hormone Secretion'. Āe, he ahua uaua te ahua o te ingoa, kāore? Kia mārama noa tātou ki tēnei. He homoni motuhake tō roto i tō tātou tinana e kiia nei ko te antidiuretic hormone . I te reo Pākehā, ko te ingoa o tēnei ko te Antidiuretic Hormone , ko te (ADH) rānei hei whakarapopototanga. Ka hangaia tēnei homoni i roto i te hypothalamus o tō tātou roro, ā, ka tukuna e te repe pituitary. Ko te mahi matua o tēnei homoni ADH ko te tohutohu i ō tātou whatukuhu. Arā, "Āe, kua nui te wai i roto i te tinana, me tuku ētahi hei mimi" me te "Kāo, kāore i te nui te wai i roto i te tinana, me pupuri ētahi atu i roto i te tinana." Ko tēnei homoni te kaiwhakahaere i ngā whatukuhu. He rite ki te "kaiwhakahaere wai" i roto i tō tātou tinana. Whakaarohia, he aha ka tupu mēnā he nui rawa te tukunga o tēnei homoni ADH, ā, kāore i te tika? Kātahi ka kī tonu taua homoni ki ngā whatukuhu kia "pupuri wai, pupuri wai." Ko te mutunga iho , ka tīmata te tinana ki te pupuri wai me te kore e hiahiatia. I te kohikohinga o te wai i roto i tō tātou tinana, ka memeha haere ō tātou toto. Ina koa, ko te kukū o te konutai, he mea nui mō te mahi a ō tātou io me ngā uaua, ka heke kino. Ko te konutai tētahi o ngā electrolytes matua o tō tātou tinana. I roto i te rongoā, ko tēnei āhuatanga o te iti o te konutai i roto i te toto e kiia ana ko te hyponatremia. He maha ngā tohu e kitea ana i roto i te SIADH i puta mai i tēnei taumata konutai iti.

He aha ngā pūtake o te SIADH?

Nō reira, kāore he take kotahi e piki haere ai te homoni ADH, engari he maha ngā take ka pā ki tēnei. I ētahi wā ka puta anō hoki tēnei hei pānga taha o tētahi atu mate. Kia tirohia tātou he aha ngā take matua.

He aha ngā tohu o tēnei mate?

Ko te take matua o te SIADH ko te pikinga o te pupuri wai me te hekenga o te konutai i roto i te toto, ā, he maha ngā tohu e pā ana ki tēnei. Kāore pea ēnei tohu e puta ohorere mai, engari ka āta whanake haere.

• Whakapairuaki me te ruaki
• Te ngoikore , te ngenge
• Ānini
• Te mamae o ngā uaua me ngā kōroke, e rite ana ki ngā kongakonga mīti e takahurihuri ana
• Te koretake o te manawa, te tere o te riri
• Te ngaronga o te mahara me te uaua ki te arotahi (Pōhēhē)
• Te ngaronga o te taurite me te uaua ki te hikoi

Ko te mea nui, kāore ēnei tohu e pā ana ki te SIADH. Ka kitea ēnei tohu i roto i ngā mate maha atu. Nō reira, ki te pāngia koe e ēnei tohu, he mea nui kia toro atu koe ki te tākuta me te rapu tohutohu me te kore e whakapae noa.

Me pēhea te tātaritanga a te tākuta i tēnei?

Ina haere koe ki te tākuta, ka pātai tuatahi ia mō ō tohumate, ngā rongoā e tangohia ana e koe, me te mea kua pāngia tētahi o tō whānau e ēnei mate. Hei whakaū i te SIADH, me mahi e koe ētahi whakamātautau toto me te mimi .

• Ngā whakamātautau toto: Ka tirohia e ēnei ngā taumata o te konutai me te pāhare pāporo i roto i te toto. Ka ine hoki i te osmolality o te toto, arā, te kukū o ngā matū rewa i roto i te toto. I roto i te SIADH , ka heke tēnei uara nā te waimeha o te toto.
• Whakamātautau mimi: Ka tirohia te nui o te konutai i roto i te mimi me te osmolality o te mimi. I roto i te SIADH, nā te mea ka pupuri te tinana i te wai, ka tino kukū te mimi e puta mai ana. Nō reira, ka tino piki ake te osmolality o te mimi.

I runga i ngā hua o ēnei whakamātautau ka whakatauhia e te tākuta mēnā he SIADH tēnei, kāore rānei.

He aha ngā maimoatanga mō te SIADH?

He maha ngā āhuatanga e whakawhirinaki ana ki te maimoatanga. Ka whakaarohia e tō tākuta tō tau, tō hauora, te take o tō SIADH, me te kaha o ō tohu. 1. Te whakawhāiti i te wai: Ko te maimoatanga tuatahi, ko te mea nui hoki mō te nuinga o te tangata, ko te whakawhāiti i te nui o te wai e inuhia ana e koe i ia rā. Mā tēnei ka āwhina i te ārai i tō tinana kia kore e pupuri i te wai. Ehara i te mea ko te wai anake te tikanga o ngā wai; kei roto ko ngā mea katoa e inuhia ana e koe, pērā i te tī, te kawhe, te wai hua, me te hupa. Ka kī atu tō tākuta ki a koe te nui o te wai ka taea e koe te inu i ia rā. 2. Te tote IV: Mena he kino ō tohu, arā, he tino iti ō taumata konutai, me kawe pea koe ki te hōhipera me te hoatu tote IV. Ka mahia tēnei hei whakaora āta me te āta i ō taumata konutai. 3. Te rongoā i te take matua: Mena he pukupuku roro te take o tō SIADH, me tango pea mā te pokanga. Mena he mate pūkahukahu te take, me hoatu he paturopi. Ko te tikanga o tēnei, ina rongoatia te take, ka ora anō hoki te SIADH i a ia anō. 4. Rongoā: Mō ētahi tāngata, inā koa mēnā ka mau tonu te mate (SIADH Mau tonu), ka hoatu pea he rongoā hei aukati i te mahi a te homoni ADH, he rongoā rānei hei whakahaere i te nui o te wai i roto i te tinana.

He aha te matapae?

I te nuinga o te wā, ki te taea te rongoā i te pūtake o te SIADH, ka taea te whakaora katoa i te mate. Heoi, e rua ngā āhuatanga morearea me aro atu tātou ki konei.

• Te hekenga ohorere, tere o ngā taumata konutai: Ki te tupu tēnei, ka uru te wai ki roto i ngā pūtau roro, ka puta te pupuhi roro. He tino morearea tēnei āhuatanga, ā, ka mate pea.
• Te pikinga ohorere, tere o ngā taumata konutai iti: Mena ka piki ohorere, ka tere hoki te pikinga o ngā taumata konutai i te wā e rongoatia ana, ka pā mai tētahi atu mate kino e kiia nei ko te 'Osmotic Demyelination Syndrome', ka kino ai ngā pūtau io i roto i te roro.

Koia te take me whakahaere te rongoā mō te iti o te konutai i roto i te hōhipera i raro i te tirotiro tata a te tākuta .

Ki te whakapae koe kei a koe te SIADH, ko te mea pai ko te toro atu ki te tākuta i te wā e taea ai. Ko te tere o te tautuhi me te rongoā i a koe, ko te nui ake o te tūponotanga ka karohia e koe ngā raruraru nui.

Karere Tangohia ki te Kāinga

• Ko te SIADH he āhuatanga e nui rawa ai te homoni ADH e whakaputaina ana e te tinana, ka puta ai te pupuri wai koretake me te iti o te taumata konutai (tote) i roto i te toto.
• Tērā pea ka puta ngā tohu pēnei i te whakapairuaki, te ruaki, te ānini, me te pōhēhē hinengaro. He tohu anō hoki ēnei nō ētahi atu mate, he mea nui kia rapu tohutohu hauora.
• Ka taea te tautuhi tika i tēnei mate mā te whakamahi i ngā whakamātautau toto me te mimi.
• Kei roto i te maimoatanga ko te whakawhāiti i te wai, te hoatu tote, me te rongoā i te pūtake o te SIADH.
• He mea morearea te hekenga ohorere o ngā taumata konutai, me te pikinga ohorere o ngā taumata konutai i te wā e rongoatia ana. Nō reira, he mea tino nui kia rongoatia i raro i te tirotiro a te taote.

SIADH, Te Mate o te Hunga Hormone Antidiuretic Kāore i te Tika, Te Hormone Antidiuretic, Te Kore Konutai, Hyponatremia, Ngā raruraru homoni, Ngā whatukuhu, Te Tauritekore o te Irahiko