Unowanzonzwa nyota isingatsungiririki here? Uye unowanzoita weti yakawanda here? Kunyangwe izvi zvingaita sezvakajairika, dzimwe nguva panogona kunge paine chirwere chisingazivikanwe chiri shure kwacho. Nhasi tichataura nezvechirwere chisingawanzoitiki asi chakakosha kwazvo chekuziva.
Chii chinonzi Nephrogen Diabetes Insipidus?
Paunonzwa zita iri, ungafunga kuti iri rakafanana nechirwere cheDiabetes Mellitus, chatinoziva tese. Asi ichi hachisi chirwere cheshuga chinokonzerwa neshuga . Sezvatinoziva, chirwere cheshuga chinokonzerwa nehuwandu hweshuga muropa. Asi chirwere cheshuga chinokonzerwa nenephrogenic insipidus idambudziko rine chekuita neitsvo .
Zvichitaurwa zviri nyore, kune hormone yakakosha inoburitswa neuropi kuti itonge huwandu hwemvura mumiviri yedu. Iyi inonzi hormone inodzivirira diuretic, kana kuti ``Antidiuretic Hormone - ADH''. Kana wapererwa nemvura, kana kuti wapererwa nemvura, iyi hormone ye``ADH'' inoburitswa muuropi uye inotumira chiratidzo kuitsvo, ichiti, "Zvakanaka, zvino bata mvura iri mumuviri wako uye deredza huwandu hweweti yaunoburitsa."
Zvisinei, mumunhu ane chirwere cheshuga chinonzi nephrogenic diabetes insipidus, kunyangwe uropi huchigadzira ADH yakakwana, itsvo hadzigone kuziva chiratidzo ichocho. Zvakaita sekuti haugone kunzwa mumwe munhu achitaura newe. Nekuti masensa eADH ari muitsvo haashande nemazvo, itsvo hadzikwanise kupinza nekuchengetedza mvura mumuviri. Nekuda kweizvozvo, mvura yakawanda inodiwa nemuviri inobuda muweti.
Saka sei izvi zvichinzi "Insipidus"? "Insipid" zvinoreva kusanaka, kusanaka. Kare, vanachiremba vaimboravira weti kuti vaongorore zvirwere. Muchirwere cheshuga, weti inonaka inotapira (ndosaka ichinzi "mellitus," zvinoreva kutapira). Asi muchirwere ichi, weti yacho inonaka semvura. Ndosaka ichinzi "Insipidus."
Ndezvipi zviratidzo zvikuru zvechirwere ichi?
Izvi ndizvo zviratidzo zvikuru zvekutadza kushanda kweitsvo. Kune vamwe vanhu, zviratidzo izvi zvinogona kunge zvakanyanya zvekuti hazvigone kutsungiririka.
| Chiratidzo | Tsananguro |
|---|---|
| Kune nyota huru yemvura. | Kunzwa nyota isingatsungiririki isingamboperi. |
| Kuita weti yakawandisa (polyuria) | Weti yakachena yakawanda, ine mvura yakawanda, inobuda kakawanda mukati mezuva. |
| Kushaya mvura mumuviri | Kurasikirwa nemvura yakawanda mumuviri kunokonzera zviratidzo zvakaita seganda rakaoma, muromo wakaoma, uye musoro. |
| Kusawirirana kweElectrolyte | Kurasikirwa nemvura yakawanda kunogona kukonzera shanduko muhuwandu hwemunyu muropa, senge sodium nepotassium. Izvi zvinogona kukonzera zviratidzo zvinotevera:
|
Fungidzira, vamwe vanhu vanofanira kunwa girazi guru remvura maminitsi gumi nemashanu ega ega. Zuva rese, zuva rega rega. Saka nekuda kwekuti mvura iyoyo haigari mumuviri, vanofanirwa kuenda kuchimbuzi nguva nenguva. Unogona kufungidzira kuti izvi zvinokanganisa hupenyu zvakadii, handiti?
Chii chinokonzera mamiriro ezvinhu aya?
Kune zvikonzero zvakawanda zvinokonzera chirwere cheshuga chinonzi nephrogenic diabetes insipidus.
Muvana vadiki nevacheche
Dambudziko iri rinowanzo kukonzerwa nekusakwana kwemajini muvana vacheche. Izvi zvinoreva kuti chikamu cheitsvo chinopindura kuADH hormone (receptor) hachishande zvakanaka.
Muvanhu vakuru
Dambudziko iri muvanhu vakuru harikonzerwi nezvinhu zvakaita semajini. Rinokonzerwa nezvimwe zvinhu.
- Mimwe mishonga: Kunyanya mushonga wekuti `Lithium`. Uyu mushonga unopiwa kurapa zvirwere zvepfungwa zvakaita sebipolar. Vanhu vanosvika 20% vanotora `Lithium` vanogona kuva nechirwere ichi. Uyewo, mimwe mishonga yakaita se`Demeclocycline` ne`Ofloxacin` inogona kukonzera chirwere ichi.
- Kuchinja kwehuwandu hwemate:
- Kuwanda kwecalcium muropa (Hypercalcemia).
- Kuderera kwepotassium muropa (Hypokalemia).
- Chirwere cheitsvo: Zvikuru sei chirwere cheitsvo chisingaperi chakadai sechirwere cheitsvo chinonzi polycystic.
Kune rumwe rudzi rwe "diabetes insipidus". Runonzi central diabetes insipidus. Chinoitika munyaya iyi ndechekuti itsvo dzinoshanda zvakanaka, asi uropi hahugadzire hormone yeADH yakakwana . Harisi dambudziko neitsvo, asi dambudziko nehuropi.
Inorapwa sei?
Kutaura chokwadi, kurapa chirwere cheshuga chinonzi nephrogenic diabetes insipidus kwakaoma zvishoma. Nekuti itsvo hadzipindure kuhormone inonzi `ADH`, kupa `ADH` kunze hakubatsiri. Zvisinei, kune nzira dzekudzora zviratidzo.
1. Kurapa chikonzero: Kana chiremba wako akaona kuti chirwere ichi chinokonzerwa nemushonga wauri kutora, wakaita se lithium, mushonga wacho unogona kuchinjwa kana kumira.
2. Kuchinja kwemararamiro:
- Inwa mvura nguva dzose: Ichi ndicho chinhu chakakosha . Unofanira kunwa mvura nguva dzose kuti uwane mvura inorasika mumuviri. Zvakakosha kudzivirira kupera mvura mumuviri.
- Kudya: Kudya chikafu chine munyu mushoma uye mapuroteni mashoma kunogona kubatsira kuderedza huwandu hweweti yaunobuda nayo. Taura nachiremba wako nezveizvi uye uwane mazano.
3. Mishonga:
- NSAIDs: Mishonga inouraya marwadzo yakaita seibuprofen inogona kubatsira kuderedza weti zvishoma. Zvisinei, unofanira kubvunza chiremba wako usati washandisa mishonga iyi kwenguva refu.
- Zvinokonzera Kubuda Kwemvura Mudumbu: Izvi zvinogona kukushamisa. Aya anonzi "mapiritsi emvura" anowanzo kupihwa kubatsira muviri kubvisa mvura. Asi zvinoshamisa kuti mushonga wekubvisa mvura mumuviri wakaita se'Hydrochlorothiazide' unogona kubatsira kuderedza kubuda kweweti muchirwere ichi. Maitiro ayo akaomarara, saka inofanira kushandiswa sezvakarairwa nachiremba wako.
Zvakakosha: Vanhu vane chirwere ichi vanofanira kugara vachiita weti. Kuramba vachiita weti kusvika dundira razara kunogona kukonzera kukuvara kwenguva refu. Saka weti yacho nekukurumidza kana wangonzwa kuda.
Kana uine zviratidzo izvi, usavhunduka, asi edza kuona chiremba kuti akupe mazano. Zvakakosha kuti uedze bvunzo dzinodiwa uye kuti uone kuti une chirwere chipi chaizvo.
Mharidzo Yekuenda Nayo Kumba
- Chirwere cheshuga chinonzi Nephrogenic Diabetes insipidus hachisi chirwere cheshuga, asi chirwere chinokonzerwa nekusakwanisa kweitsvo kupindura kuhormone .
- Zviratidzo zvikuru nyota isingatsungiririki uye weti yakawandisa .
- Kurapa kwakakosha kweizvi kunwa mvura yakawanda uye kudzivirira kupera mvura mumuviri.
- Mimwe mishonga, kuchinja kwehuwandu hwemunyu muropa, nezvimwe zvirwere zveitsvo zvinogona kukonzera izvi.
- Kana uine zviratidzo izvi, usafungidzire uye enda kuna chiremba nekukasika kuti uongororwe uye upiwe kurapwa kwakakodzera .
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