He nui rawa te matewai i ētahi wā? Me mimi pinepine rānei koe? I mōhio koe he "
kaimahi " iti engari he mea nui kei roto i tō tātou tinana kei muri i ēnei mea? Ko ia te homoni e kōrerohia ana e tātou i tēnei rā, ko te ADH, ko te tikanga mō te Antidiuretic hormone. He mea nui tēnei e whakahaere tika ana i te nui o te wai i roto i tō tātou tinana. Kia mārama tātou ki tēnei i tēnei rā, me te mea kei te kōrero tātou ki tētahi hoa.
He aha te ADH?
He homoni te ADH e āwhina ana ki te whakataurite i te nui o te wai i roto i tō tātou tinana. Ko tētahi atu ingoa mōna ko
Arginine Vasopressin (AVP). He rite ki te "kaiwhakahaere wai" i roto i tō tātou tinana. Ka hangaia tēnei homoni e te hypothalamus, he wāhanga iti rawa engari he mea nui o tō tātou roro. Engari ka hangaia, ka tukuna ki roto i te toto i te wā tika e te repe pituitary i roto i te roro. Whakaarohia, ina iti te wai o tō tinana, ka piki ake te mātotoru o tō toto. Ka kitea tēnei e ngā pūoko i roto i tō tātou tinana. I taua wā anō, ka tukuna e ēnei pūoko he tohu ki te roro e mea ana, "Āe, tukuna he ADH ki roto i te toto." Kātahi ka haere tēnei homoni ADH i roto i te toto ka kī atu ki ō tātou whatukuhu. "Āe, kāore i te nui te wai i roto i te tinana, nō reira kaua e nui rawa te wai e tukuna ana ki roto i te mimi. Penapenahia he wai." Ka kī atu ki ngā whatukuhu. Kātahi ka mimiti anō ngā whatukuhu i te wai e hiahiatia ana e te tinana, ka whakanui ake i te kukū o te mimi e tukuna ana. Anei ētahi mea ka tupu ina pupuri te tinana i te wai penei:
- Kei te memeha haere te wai o tō toto .
- Ko te osmolality o te toto, i te kīanga māmā noa, ko te tikanga ka heke te kukū o ngā matū rewa i roto i te toto.
- Ka piki ake te nui o te toto.
- Ka piki pea te toto toto .
Ki te mahi koe i ēnei mea katoa engari kāore te taurite wai o tō tinana i te taurite, ka kī atu tō roro kei te
"matewai" koe. Nō reira ka inu wai koe. Koinei te mahi a tēnei pūnaha.
Ka aha mēnā ka piki, ka heke rānei ngā taumata ADH?
Ka taea e ētahi āhuatanga hauora te whakaiti, te nui rānei o te ADH e whakaputaina ana e tō tinana, ka kore rānei e aro nui ō whatukuhu ki te homoni. Koinei te wā ka puta ai ngā raruraru. Me titiro tātou ki ngā tohu o ēnei āhuatanga e rua.
| Ngā tohu o te iti o te ADH (ADH iti) | Ngā tohu o te taumata ADH teitei |
|---|
| Te tino matewai : Te āhua nei kāore e ranea ahakoa te nui o te wai e inuhia ana. | Whakapairuaki: Te āhua e hiahia ana koe ki te ruaki. |
| Te mimi pinepine: te mimi nui e puta ana i te rā. | Te mamae o te upoko. |
| Te matewai: Te ngaromanga o te wai i roto i te tinana. | Te pōhēhētanga o te aronga: Te ngaronga o te māramatanga, te ngaronga o te aronga, me ētahi atu. |
| Te pikinga o ngā taumata konutai i roto i te toto. | Te ngenge nui me te hiamoe. |
| Te hekenga o ngā taumata konutai i roto i te toto. |
Ngā mate e pā ana ki te kore taurite o te ADH
E rua ngā āhuatanga hauora matua e puta mai ana i te iti, i te teitei rānei o te taumata o te homoni ADH.
1. Te Mate Huka Insipidus
He āhuatanga tēnei ka puta ina kore te tinana e whakaputa i te nui o te ADH, ina kore rānei ngā whatukuhu e aro ki te ADH.
E rua hoki ngā momo o tēnei:
- Te Mate Huka Insipidus Matua: Ka puta tēnei ina he kino ki te hypothalamus, ki te repe pituitary rānei i roto i te roro, ā, ka kore e taea te whakaputa, te tuku rānei i te ADH.
- Mate Huka Insipidus Nephrogenic: Koinei te wā e whakaputa ai te roro i te ADH, engari kāore e taea e ngā whatukuhu te aro atu ki te homoni. He mea tuku iho pea tēnei, he tohu rānei nō tētahi atu mate hauora.
2. SIADH (Te Mate o te Hormone Antidiuretic Kāore i te Tika)
I tēnei āhua, ka tukuna te homoni ADH ki roto i te toto i te wā kāore i te tika, ā, i roto i te nui rawa. Ka nui rawa te wai e puritia ana e ngā whatukuhu, ka heke pea te taumata konutai i roto i te toto ki raro rawa.
Me pēhea te tātaritanga a te tākuta i ēnei āhuatanga?
Ahakoa he whakamātautau kei reira hei ine i te taumata o te ADH i roto i tō toto, kāore ngā tākuta e whakamahi tonu ana i tēnei. I te nuinga o te wā, ka tautuhia e tō tākuta he mate i runga i ō tohu, i tō hītori hauora, me ētahi atu whakamātautau (whakamātautau mimi, ngā taumata toto o ngā electrolytes pērā i te konutai me te pāhare pāporo, me te osmolality). I ētahi wā, e rua ngā whakamātautau motuhake ka mahia hei whakatau i te mate.
- Whakamātautau Kore Wai: I roto i tēnei, me karo koe i te inu wai mō tētahi wā i raro i te tirotiro a te rata. Kātahi ka whakamātauria ngā tauira toto me te mimi i ia wā, i ia wā, kia kitea ai te urupare a tō tinana.
- Whakamātautau Utaina Wai: I raro anō i te tirotiro a te rata, ka hoatu he nui wai hei inu māu i tētahi wā kua whakaritea. Kātahi ka aroturukitia ngā huringa o tō toto me tō mimi mō ētahi haora.
He mea tino nui: Me mahi anake ēnei whakamātautau e rua i roto i te hōhipera i raro i te tirotiro katoa a te tākuta, a te kaimahi whakangungu rānei. Kaua e whakamātauria ki te kāinga mō tetahi take, nā te mea tera pea he tūponotanga pēnei i te matewai .
Ngā rongoā ka pā ki ngā taumata ADH
Ka pā pea ētahi rongoā e tangohia ana e koe ki ngā taumata ADH. Nō reira, kia mārama te whakamōhio atu ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe ina kite koe i a ia.
| Ngā rongoā ka taea te whakanui ake i ngā taumata ADH | Ngā rongoā ka taea te whakaiti i ngā taumata ADH |
|---|
| Carbamazepine, Morphine, Nicotine, Amitriptyline, Desipramine, Barbiturates, Acetaminophen, Metformin, Tolbutamide, Aspirin, Theophylline, Ngā rongoā anti-inflammatory kore-steroidal (NSAID) | Etanora (waipiro), Ritiumu, Phenytoin |
Te maimoatanga me te ārai
Kāore pea e taea te ārai katoa i ngā panonitanga o ngā taumata ADH, engari ka taea te whakahaere mā te pupuri i te oranga hauora me te inu wai nui. Ko ngā kōwhiringa maimoatanga kei runga i te āhua o te mate.
- Mena he iti ngā taumata ADH (Diabetes Insipidus): Ka hoatu te homoni ADH i hangaia i roto i te ahua pire, i te ahua rehu ihu rānei. Ka tohutohu anō te tākuta kia nui ake te inu wai me te whakarerekē i te kai.
- Mena he teitei te taumata ADH (SIADH): Ko te mea nui ko te whakawhāiti i te nui o te wai e inuhia ana e koe i ia rā. Waihoki, mena ko te take o tēnei āhuatanga he mate kē atu, he rongoā rānei, ka whakaarohia e te tākuta te rongoā, te whakarerekē rānei i te rongoā.
Mena kei te kai paipa koe, kei te inu waipiro rānei, he mea nui anō hoki te whakamutu, te whakaiti rānei i tō inu waipiro hei whakahaere i tēnei mate.
I mua i te mahi i tētahi mea, he mea nui kia kōrero koe ki tō tākuta me te rapu tohutohu. Karere Tangohia ki te Kāinga
- He homoni nui te ADH e whakahaere ana i te taurite wai i roto i tō tinana.
- Ka taea e te hekenga, te pikinga rānei o tēnei homoni te whakaputa i ngā tohu maha, pērā i te nui o te matewai, te mimi pinepine, me te pōhēhē.
- Kia maumahara ko te 'Diabetes Insipidus', he mate e puta mai ana i te hekenga o te ADH, ehara i te 'diabetes mellitus'.
- Ki te puta mai ēnei tohu, kaua e tātaritanga i a koe anō, me rapu tohutohu hauora tonu atu.
- Kaua rawa e mahi i ngā whakamātautau aukati wai kua tohua e tō tākuta ki te kāinga. Me mahi anake i roto i te hōhipera, i raro i te tirotiro a te tākuta.
- He mea tino nui kia whakamōhiotia tō tākuta mō ngā rongoā katoa e tangohia ana e koe.
ADH, Hormone Antidiuretic, Vasopressin, Diabetes Insipidus, SIADH, Whatukuhu, Hormone, Matewai Nui, Wai Tinana, ADH Sinhala
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero