Sonke siyazi ukuba kubalulekile ukusela amanzi amaninzi imini yonke. Usenokuba uvile ukuba ngamanye amaxesha xa ubila kakhulu ngexesha lemidlalo, umzimba wakho awulahlekelwa ngamanzi kuphela kodwa nee-electrolytes. Kodwa ubusazi na ukuba kukho amaxesha apho amanzi amaninzi kakhulu anokuba yingxaki enkulu? Enyanisweni, xa oko kusenzeka, unokulahlekelwa zii-electrolytes ezibalulekileyo emzimbeni wakho. Leyo yimeko esithetha ngayo namhlanje, ebizwa ngokuba yi-SIADH.
Ngamafutshane, yintoni i-SIADH?
Igama elide elithi SIADH limele 'iSyndrome of Inappropriate Antidiuretic Hormone Secretion'. Kulungile, eli gama livakala liyinkimbinkimbi kancinci, akunjalo? Masiqonde oku ngokulula. Umzimba wethu unehomoni ekhethekileyo ebizwa ngokuba yi
-antidiuretic hormone . NgesiNgesi, oku kubizwa ngokuba yi
-Antidiuretic Hormone , okanye
(ADH) ngamafutshane. Le homoni iveliswa kwi-hypothalamus yengqondo yethu kwaye ikhutshwa yi-pituitary gland. Umsebenzi ophambili wale homoni ye-ADH kukufundisa izintso zethu. Oko kukuthi, "Kulungile, ngoku kukho amanzi aneleyo emzimbeni, masikhuphe amanye abe ngumchamo" kunye nokuthi "Hayi, akukho manzi aneleyo emzimbeni, masigcine amanye emzimbeni." Yile homoni elawula izintso. Ifana "nomlawuli wamanzi" emzimbeni wethu. Khawucinge nje, kwenzeka ntoni ukuba ngesizathu esithile le homoni ye-ADH ikhutshwa kakhulu kwaye ngokungafanelekanga? Emva koko loo homoni iqhubeka ixelela izintso ukuba "zigcine amanzi, zigcine amanzi." Isiphumo
kukuba umzimba wethu uqala ukugcina amanzi ngokungeyomfuneko. Njengoko amanzi eqokelelana emzimbeni wethu, igazi lethu liya linyibilika ngakumbi. Ngokukodwa, uxinano
lwesodium, olubalulekileyo ekusebenzeni kwemithambo-luvo kunye nemisipha yethu, luyancipha ngendlela eyingozi. Isodium yenye yee-electrolytes eziphambili emzimbeni wethu. Kwizonyango, le meko yesodium ephantsi egazini ibizwa ngokuba yi-hyponatremia. Iimpawu
ezininzi ezibonwa kwi-SIADH zibangelwa
yile nqanaba liphantsi lesodium.
Zithini izizathu ze-SIADH?
Ngale ndlela, akukho sizathu sinye sokuba i-hormone ye-ADH inyuke ngokungeyomfuneko, kodwa zininzi izizathu ezinokuyichaphazela. Ngamanye amaxesha oku kunokubangela nesiphumo sesinye isifo. Makhe sibone ukuba zeziphi izizathu eziphambili.
| Udidi lwesizathu | Inkcazo kunye nemizekelo |
|---|
| Iingxaki ezinxulumene nobuchopho | Ukulimala entloko, iithumba zobuchopho, emva kotyando lobuchopho, okanye iimeko ezisulelayo ezifana ne -meningitis okanye i-encephalitis . |
| Iintlobo zomhlaza | Ezinye iintlobo zomhlaza, ingakumbi umhlaza wemiphunga, zinokuvelisa i-ADH ngokwazo. Le yeyona nto ixhaphakileyo ebangela i-SIADH. |
| Izifo zemiphunga | Le meko inokubangelwa zizifo ezinzulu zemiphunga ezifana ne-pneumonia kunye nezinye izifo zemiphunga. |
| Ezinye iimeko zonyango | Isifo sikaGuillain-Barre , usulelo lwe-HIV , amanqanaba aphantsi ehomoni ye-thyroid, amanqanaba aphantsi ehomoni ye-parathyroid. |
| Iintlobo zamachiza | Amanye amayeza okudakumba, amayeza okuxhuzula, kunye namayeza omhlaza nawo anokubangela i-SIADH njengesiphumo esibi. |
Zingaba yintoni iimpawu zale meko?
I-SIADH ibangelwa kakhulu kukwanda kokugcinwa kwamanzi kunye nokuncipha kwe-sodium egazini, kwaye uninzi lweempawu zinxulumene noku. Ezi mpawu zisenokungabonakali ngequbuliso, kodwa zinokukhula kancinci kancinci.
Into ebalulekileyo kukuba ezi mpawu azikho kwi-SIADH kuphela. Ezi mpawu zinokubonakala nakwezinye izifo ezininzi. Ngoko ke, ukuba unazo ezi mpawu, kubaluleke kakhulu ukubona ugqirha kwaye ufumane ingcebiso ngaphandle kokucinga nantoni na.
Ugqirha uyixilonga njani le nto?
Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho, amayeza owasebenzisayo, kunye nokuba kukho nabani na kusapho lwakho okhe waba nezi meko. Ukuqinisekisa i-SIADH, kuya kufuneka wenze
uvavanyo oluninzi lwegazi nomchamo .
- Uvavanyo lwegazi: Olu vavanyo lujonga amanqanaba esodium kunye nepotassium egazini. Lukwalinganisa i-osmolality yegazi, eliyingxinano yezinto ezinyibilikisiweyo egazini. Kwi -SIADH , eli xabiso liyehla ngenxa yokuxutywa kwegazi.
- Uvavanyo lomchamo: Ubungakanani besodium kumchamo kunye ne-osmolality yomchamo ziyajongwa. Kwi-SIADH, kuba umzimba ugcina amanzi, umchamo ophumayo uxinene kakhulu. Ke ngoko, i-osmolality yomchamo iyanda kakhulu.
Ngokusekelwe kwiziphumo zezi mvavanyo ugqirha uya kugqiba ukuba ngaba le yi-SIADH okanye akunjalo.
Ziziphi iindlela zonyango ze-SIADH?
Unyango luxhomekeke kwizinto ezininzi. Ugqirha wakho uza kuqwalasela iminyaka yakho, impilo, unobangela we-SIADH yakho, kunye nobunzima beempawu zakho. 1.
Ukuthintelwa kolwelo: Unyango lokuqala nolubaluleke kakhulu kubantu abaninzi kukunciphisa ulwelo oluselayo yonke imihla. Oku kuya kunceda ukuthintela umzimba wakho ukuba ungagcini amanzi amaninzi. Ulwelo aluthethi nje amanzi; luquka nantoni na oyiselayo, njengeti, ikofu, ijusi yeziqhamo, kunye nesuphu. Ugqirha wakho uza kukuxelela ukuba ungasela malini yonke imihla. 2.
I-IV saline: Ukuba iimpawu zakho zinzima, oko kuthetha ukuba amanqanaba akho e-sodium aphantsi kakhulu, unokufuna ukulaliswa esibhedlele kwaye unikwe i-IV saline. Oku kwenziwa ukuze kubuyiselwe kancinci nangononophelo amanqanaba akho e-sodium. 3.
Ukunyanga unobangela oyintloko: Ukuba unobangela we-SIADH yakho sisimila sobuchopho, kunokufuneka sisuswe ngotyando. Ukuba unobangela lusulelo lwemiphunga, kufuneka unikwe ii-antibiotics. Oku kuthetha ukuba xa unobangela unyangwa, i-SIADH nayo iya kuzisombulula ngokwayo. 4.
Amayeza: Kwabanye abantu, ingakumbi ukuba imeko iyaqhubeka (i-Chronic SIADH), amayeza athintela ukusebenza kwehomoni ye-ADH okanye amayeza alawula umthamo wolwelo emzimbeni anokunikwa.
Ithini ingqikelelo?
Kwiimeko ezininzi, ukuba unobangela we-SIADH unokunyangeka, imeko inokunyangeka ngokupheleleyo. Nangona kunjalo, kukho izinto ezimbini eziyingozi ekufuneka siziqwalasele apha.
- Ukwehla ngokukhawuleza kwamanqanaba esodium ngequbuliso: Ukuba oku kuyenzeka, amanzi angangena kwiiseli zobuchopho aze abangele ukudumba kobuchopho. Le yimeko eyingozi kakhulu kwaye inokuba yingozi ebomini.
- Ukunyuka ngequbuliso, ngokukhawuleza kwamanqanaba aphantsi esodium: Ukuba amanqanaba esodium anyuka ngequbuliso nangokukhawuleza ngexesha lonyango, kunokubangela enye imeko embi ebizwa ngokuba yi-'Osmotic Demyelination Syndrome', eyonakalisa iiseli zemithambo-luvo ebuchotsheni.
Yingakho unyango lwamanqanaba aphantsi esodium kufuneka lwenziwe esibhedlele phantsi kweliso elibukhali likagqirha .
Ukuba ukrokrela ukuba une-SIADH, eyona nto ilungileyo onokuyenza kukubona ugqirha ngokukhawuleza. Okukhona uxilongwa kwaye unyangwe ngokukhawuleza, kokukhona unokuthi uphephe iingxaki ezinkulu.
Umyalezo Wokuya Ekhaya
- I-SIADH yimeko apho umzimba uvelisa i-hormone eninzi ye-ADH, nto leyo ebangela ukugcinwa kwamanzi ngokungeyomfuneko kunye namanqanaba aphantsi esodium (ityuwa) egazini.
- Iimpawu ezinje ngesicaphucaphu, ukuhlanza, intloko ebuhlungu, kunye nokudideka kwengqondo zinokubakho. Njengoko ezi zikwazimpawu zezinye izifo, kubalulekile ukufuna ingcebiso kagqirha.
- Le meko ingachongwa ngokuchanekileyo ngovavanyo lwegazi nomchamo.
- Unyango luquka ukuncitshiswa kolwelo, ukunikwa ityuwa, kunye nonyango lwesizathu esiyintloko se-SIADH.
- Ukwehla ngequbuliso kwamanqanaba esodium, kunye nokunyuka ngequbuliso kwamanqanaba esodium ngexesha lonyango, kuyingozi. Ke ngoko, kubaluleke kakhulu ukuthatha unyango phantsi kweliso likagqirha.
I-SIADH, i-Syndrome ye-Inappropriate Antidiuretic Hormone Selection, i-Antidiuretic Hormone, i-Sodium deficiency, i-Hyponatremia, iingxaki zeHormonal, izintso, ukungalingani kwe-Electrolyte
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