Kodi inunso mumakhala ndi ludzu nthawi zonse? Kodi iyi ndi Nephrogenic Diabetes Insipidus?

Kodi nthawi zambiri mumakhala ndi ludzu losapiririka? Ndipo nthawi zambiri mumakodza kwambiri? Ngakhale izi zingawoneke zachilendo, nthawi zina pangakhale vuto lina losadziwika lomwe limayambitsa vutoli. Lero tikambirana za vuto lachipatala losowa koma lofunika kwambiri lomwe muyenera kulidziwa.

Kodi matenda a shuga a Nephrogenic Insipidus ndi chiyani kwenikweni?

Mukamva dzinali, mungaganize kuti ili ndi vuto lofanana ndi matenda a shuga, lomwe tonse timalidziwa. Koma si matenda a shuga okhudzana ndi shuga . Monga tikudziwa, matenda a shuga amayamba chifukwa cha kuchuluka kwa shuga m'magazi. Koma matenda a shuga a nephrogenic insipidus ndi vuto lokhudzana ndi impso .

Mwachidule, pali mahomoni apadera omwe amatulutsidwa ndi ubongo kuti azilamulira kuchuluka kwa madzi m'thupi lathu. Izi zimatchedwa hormone yoletsa diuretic, kapena Antidiuretic Hormone - ADH''. Mukasowa madzi m'thupi, kapena mukasowa madzi m'thupi, hormone iyi ya ADH'' imatulutsidwa mu ubongo ndipo imatumiza uthenga ku impso, kuti, "Chabwino, tsopano gwirani madzi m'thupi lanu ndikuchepetsa kuchuluka kwa mkodzo womwe mumapanga."

Komabe, mwa munthu amene ali ndi matenda a shuga a nephrogenic insipidus, ngakhale kuti ubongo umapanga ADH yokwanira, impso sizingazindikire chizindikiro chimenecho. Zili ngati simungamve wina akulankhula nanu. Chifukwa chakuti masensa a ADH mu impso sagwira ntchito bwino, impso sizingathe kuyamwa ndi kusunga madzi m'thupi. Zotsatira zake, madzi ambiri omwe thupi limafunikira amatuluka mu mkodzo.

Nanga n’chifukwa chiyani izi zimatchedwa "Insipidus"? "Insipid" amatanthauza kuti palibe kukoma, komanso chopanda kukoma. Kale, madokotala ankalawa mkodzo kuti adziwe matenda. Mu matenda a shuga, mkodzo umakoma bwino (ndicho chifukwa chake umatchedwa "mellitus," zomwe zikutanthauza kukoma). Koma mu matendawa, mkodzo umakhala wopanda kukoma, ngati madzi. Ndicho chifukwa chake umatchedwa "Insipidus."

Kodi zizindikiro zazikulu za matendawa ndi ziti?

Izi ndi zizindikiro zazikulu za kulephera kwa impso. Kwa anthu ena, zizindikirozi zimatha kukhala zoopsa kwambiri moti sizingapiririke.

Tangoganizirani, anthu ena amafunika kumwa kapu yayikulu ya madzi mphindi 15 zilizonse. Tsiku lonse, tsiku lililonse. Chifukwa chakuti madziwo samakhala m'thupi, amafunika kupita kuchimbudzi nthawi ndi nthawi. Mutha kuganiza momwe izi zimasokonezera moyo, eti?

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Kodi n’chiyani chimayambitsa vutoli?

Pali zifukwa zingapo zomwe zimayambitsa matenda a shuga a nephrogenic insipidus.

Kwa ana aang'ono ndi makanda

Matendawa nthawi zambiri amayamba chifukwa cha vuto la majini mwa makanda. Izi zikutanthauza kuti gawo la impso lomwe limayankha ku mahomoni a ADH (receptor) siligwira ntchito bwino.

Mwa akuluakulu

Matendawa mwa akuluakulu samachitika chifukwa cha majini, koma amakhudzidwa ndi zinthu zina.

• Mankhwala ena: Makamaka mankhwala otchedwa Lithium. Awa ndi mankhwala operekedwa pochiza matenda amisala monga bipolar. Pafupifupi 20% ya anthu omwe amatenga Lithium amatha kukhala ndi vutoli. Komanso, mankhwala ena monga Demeclocycline ndi Ofloxacin angayambitse vutoli.
• Kusintha kwa kuchuluka kwa malovu:
• Kuchuluka kwa calcium m'magazi (Hypercalcemia).
• Kuchepa kwa potaziyamu m'magazi (Hypokalemia).
• Matenda a impso: Makamaka matenda osatha a impso monga matenda a impso a polycystic.

Palinso mtundu wina wa "diabetes insipidus". Umatchedwa central diabetes insipidus. Chomwe chimachitika pankhaniyi ndichakuti impso zimagwira ntchito bwino, koma ubongo supanga mahomoni okwanira a ADH . Si vuto ndi impso, koma vuto ndi ubongo.

Kodi imachiritsidwa bwanji?

Kunena zoona, kuchiza matenda a shuga a nephrogenic insipidus n'kovuta pang'ono. Chifukwa impso siziyankha ku mahomoni otchedwa ADH, kupereka ADH kunja sikungathandize. Komabe, pali njira zowongolera zizindikiro.

1. Kuchiza chifukwa: Ngati dokotala wanu atsimikiza kuti vutoli limayamba chifukwa cha mankhwala omwe mukumwa, monga lithiamu, mankhwalawo akhoza kusinthidwa kapena kuyimitsidwa.

2. Kusintha kwa moyo:

• Imwani madzi nthawi zonse: Ichi ndiye chinthu chofunikira kwambiri . Muyenera kumwa madzi nthawi zonse kuti mubwezeretse kuchuluka kwa madzi omwe amatayika m'thupi. Ndikofunikira kwambiri kuti mupewe kutaya madzi m'thupi.
• Zakudya: Kudya zakudya zokhala ndi mchere wochepa komanso mapuloteni ochepa kungathandize kuchepetsa kuchuluka kwa mkodzo womwe umatuluka. Lankhulani ndi dokotala wanu za izi ndipo funsani upangiri.

3. Mankhwala:

• Mankhwala oletsa ululu monga ibuprofen angathandize kuchepetsa kukodza pang'ono. Komabe, muyenera kufunsa dokotala musanagwiritse ntchito mankhwalawa kwa nthawi yayitali.
• Mankhwala Ochepetsa Kutuluka kwa Madzi: Izi zingakudabwitseni. Mankhwala otchedwa "mapiritsi amadzi" nthawi zambiri amaperekedwa kuti athandize thupi kutulutsa madzi. Koma zodabwitsa, mankhwala ochepetsa kutuluka kwa madzi monga Hydrochlorothiazide angathandize kuchepetsa kutulutsa mkodzo mu vutoli. Kagwiridwe kake ka ntchito ndi kovuta pang'ono, kotero ayenera kugwiritsidwa ntchito monga momwe dokotala wanu wanenera.

Chofunika kwambiri: Anthu omwe ali ndi vutoli ayenera kukodza pafupipafupi. Kugwira mpaka chikhodzodzo chitadzaza kungayambitse kuwonongeka kwa nthawi yayitali. Choncho kodzani mwamsanga mukangomva kufunikira.

Ngati muli ndi zizindikiro izi, musachite mantha, koma pitani kwa dokotala kuti akupatseni upangiri. Ndikofunikira kwambiri kuti muyesedwe bwino ndikudziwa matenda omwe muli nawo.