Uchiri kunzwa nyota here zvisinei nekuti unonwa mvura yakawanda sei? Unofanirawo kuenda kuchimbuzi nguva nenguva here? Kana ukadaro, unowanzoita weti ine mvura, isina ruvara here? Kana uine zviratidzo zvakaita seizvi, usafunge kuti i "chirwere cheshuga" kana chirwere cheshuga chatinoziva tese. Nhasi tichataura nezvechirwere chine zita rakafanana, asi chakasiyana zvachose.
Chii chinonzi Diabetes Insipidus?
Zvichitaurwa zviri nyore, chirwere cheshuga chinonzi Diabetes Insipidus (DI) chirwere chisingawanzoitiki. Chinoitika kana muviri wako usingakwanise kudzora mvura. Nekuda kweizvozvo, unonzwa nyota nguva dzese uye unorasa weti yakawanda. Weti iyi haina ruvara kana hwema.
Funga nezvazvo, munhu ane hutano anowanzo buritsa weti inosvika 1-2 litres pazuva. Asi munhu ane chirwere ichi anogona kuburitsa weti inosvika 3 kusvika 20 litres pazuva. Kunyangwe ichinzi "chirwere cheshuga," hachina chekuita nehuwandu hweshuga muropa. Idambudziko remahormone rine chekuita nekudzora mvura mumuviri.
Ndedzipi mhando huru dzechirwere cheshuga insipidus (DI)?
Kune mhando dzakawanda dzechirwere ichi zvichienderana nekuti chinoitika sei.
1. Central Diabetes Insipidus
Iyi ndiyo mhando inonyanya kuwanikwa. Dambudziko iri rinogona kuitika nekuda kwekukuvara kwehypothalamus nepituitary gland muuropi hwedu. Zvikamu izvi zvinogadzira uye zvinodzora hormone inonzi vasopressin. Iyi inonziwo ADH (Antidiuretic Hormone).
Basa rehomoni iyi yeADH nderekupa "chiratidzo" kuitsvo dzedu todziudza kuti dzichengetedze huwandu hwemvura inodiwa nemuviri. Zvakafanana negedhi riri patangi remvura. Kana ADH iripo, gedhi rinovharwa uye mvura inochengetwa. Kana ADH isipo, gedhi rinovhurwa zvachose uye mvura yese inoburitswa. MuCentral DI, iyi homoni yeADH haigadzirwe zvakakwana. Nokudaro, itsvo dzinoburitsa mvura zvisingadzoreki.
Izvi zvinogona kunge zvichikonzerwa ne:
- Bundu reuropi
- Kukuvara kwemusoro
- Kuvhiya
- Utachiona
2. Nephrogen Diabetes Insipidus
Murudzi urwu, uropi hunogadzira hormone yeADH nemazvo, asi itsvo hadzipindure kuhormone iyoyo. Zvakafanana nemutungamiriri anopa mirairo, asi masoja haateereri. Mugumisiro wacho wakafanana: mvura yakawandisa inoburitswa muitsvo.
Izvi zvinogona kunge zvichikonzerwa ne:
- Mimwe mishonga (semuenzaniso lithium)
- Chirwere cheitsvo chisingaperi
- Kuwedzera kwecalcium muropa kana kudzikira kwepotassium muropa.
3. Chirwere cheshuga chepamuviri Insipidus
Ichi chirwere chisingawanzoitiki. Sezvinotaurwa nezita racho, chinoitika panguva yekuzvitakura chete. Dzimwe nguva, enzyme inogadzirwa neplacenta, iyo inopa chikafu kumwana, inogona kuparadza hormone yeADH. Chirwere ichi chinowanzopera mushure mekusununguka.
Ndezvipi zviratidzo zveizvi?
Zviratidzo zvikuru nyota yakawandisa uye weti yakawandisa, asi kune zvimwe zviratidzo zvakawanda zvinogona kuitika.
| Chiratidzo | Tsananguro |
|---|---|
| Nyota yakanyanya | Kunzwa sekunge haugone kubvisa nyota zvisinei nekuti unonwa mvura yakawanda sei. Kunyanya kuda mvura yechando. |
| Kuita weti yakawandisa (polyuria) | Kurasa weti inodarika marita matatu pazuva. Pamwe kuenda kuchimbuzi kamwe chete paawa. |
| Kumuka kuti uite weti husiku | Kumuka kakawanda panguva yekurara kuti uite weti. |
| Weti isina ruvara | Weti inonyorova zvakanyanya, semvura. Haina ruvara kana hwema. |
| Kushaya mvura mumuviri | Kushaya mvura mumuviri nekuda kwekurasikirwa nemvura yakawanda mumuviri. Zviratidzo zvakaita semuromo nemiromo zvakaoma, dzungu, uye kuneta zvakanyanya zvinogona kuitika. |
Zviratidzo izvi zvinoonekwa sei kuvana vadiki nevacheche?
Zvinogona kuoma kuziva kana chirwere ichi chikaitika kuvana vacheche nevana vadiki, saka zvakakosha kuti iwe semubereki uzive zviratidzo izvi.
- Kuchema nguva dzose uye kusagadzikana
- Kuderedza huremu kana kushaya kuwedzera huremu
- Kusada kudya kana kunwa mukaka
- Kunyorovesa manapukeni kakawanda
- Fivha nekurutsa
- Kukura kwakanonoka
Chinhu chinonyanya kukosha ndechekutsvaga rubatsiro rwechiremba kana iwe kana mwana wako muine chimwe chezviratidzo izvi. Musangofungidzira chete.
Ndeupi musiyano uripo pakati pechirwere cheshuga insipidus (DI) nechirwere cheshuga mellitus?
Apa ndipo panowanzo vhiringika vanhu vazhinji. Pasinei nezita rakafanana, aya marudzi maviri ezvirwere akasiyana zvachose.
| Hunhu | Chirwere cheshuga chinonzi insipidus (DI) | Chirwere cheshuga Mellitus |
|---|---|---|
| Chikonzero chikuru | Dambudziko nehomoni inonzi vasopressin (ADH), iyo inodzora mvura. | Dambudziko nehomoni inonzi insulin, iyo inodzora shuga mumuviri. |
| Huwandu hweshuga muropa | Zvakajairika. | Zviri padanho repamusoro. |
| Hunhu hweweti | Weti ine mvura, isina ruvara, uye yakanyoroveswa. Haina shuga. | Inogona kunge iine shuga (glucose). |
| Njodzi huru | Kushaya mvura mumuviri. | Matambudziko akadai sechirwere chemwoyo, kukuvara kwetsinga, uye kukuvara kweitsvo. |
Nzira yekuziva sei chirwere ichi?
Chiremba wako achatanga nekukubvunza mibvunzo yakadzama nezvezviratidzo zvako. Zvadaro, vanogona kuita bvunzo dzinoverengeka kuti vasimbise chirwere chako.
- Kuongororwa kweweti: Muenzaniso weweti yako unotorwa woongororwa kuti uone kuti yakasviba zvakadii. Inotarisawo shuga. Dzimwe nguva, weti inogona kuunganidzwa kwemaawa makumi maviri nemana kuti ione huwandu hwayo hwese.
- Kuongororwa kweropa: Kuongororwa kweropa kunoongorora huwandu hwemunyu, senge sodium, uye shuga muropa.
- Kuongororwa Kwekushaikwa Kwemvura: Iyi bvunzo yakakosha. Muiyi nzira, unokumbirwa kusanwa mvura kwemaawa mashoma. Munguva iyi, huremu hwako, BP, uye huwandu hweweti zvinoyerwa nguva nenguva pasi pekutarisirwa nachiremba. Izvi zvinokutendera kuti uone chaizvo maitiro emuviri wako usina mvura.
- MRI Scan: Kuongororwa uku kunobatsira kuona kana paine dambudziko ne pituitary gland kana hypothalamus muuropi.
Ndezvipi zviri kurapwa?
Kurapwa kunoenderana nerudzi rweDI yaunayo.
- Kune Central DI: Homoni yakagadzirwa inonzi Desmopressin inopihwa nekuda kweizvi. Izvi zvakafanana nekupa homoni yeADH iyo isipo mumuviri kunze. Izvi zvinogona kutorwa semushonga wekupfapfaidza mhino, semapiritsi, kana jekiseni.
- Kune Nephrogenic DI: Kurapa kwakaoma zvishoma. Kana chirwere ichi chikakonzerwa nemushonga, chirwere chacho chinogona kupera kana mushonga wacho wamiswa. Kana zvisina kudaro, mimwe mishonga (yakadai semimwe mishonga inobvisa mvura mumuviri) inopihwa kubatsira kuderedza huwandu hweweti inogadzirwa neitsvo.
- Pamushonga weGestational DI: Desmopressin inogona kushandiswa zvakachengeteka panguva yekuzvitakura. Dambudziko iri rinowanzopera pakarepo mushure mekusununguka.
Chinhu chinonyanya kukosha kunwa mvura yakawanda nguva dzose . Nekuti muviri unoramba uchirasikirwa nemvura, unofanira kudzorera kurasikirwa ikoko.
Mharidzo Yekuenda Nayo Kumba
- Chirwere cheshuga insipidus (DI) hachisi chirwere cheshuga muropa. Idambudziko remahormone rine chekuita nekudzora mvura mumuviri.
- Zviratidzo zvikuru nyota isingatsungiririki uye weti yakawandisa isina ruvara.
- Dambudziko guru uye rine njodzi zvikuru rinogona kuitika mumamiriro ezvinhu aya kushaya mvura mumuviri. Saka inwa mvura yakawanda nguva dzose.
- Kana uine zviratidzo izvi, usazvifungidzire, asi edza kuona chiremba wotsvaga mazano.
- Chirwere ichi chirwere chinodzorwa zvakanaka, saka zvakakosha kutevedzera kurapwa kwakanyorwa nachiremba nemazvo.
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