Ngaba ngamanye amaxesha uziva unxaniwe kakhulu? Okanye kufuneka uchame rhoqo? Ubusazi ukuba kukho "
umsebenzi " omncinci kodwa obaluleke kakhulu emzimbeni wethu ongasemva kwezi zinto? Nguye lo hormone sithetha ngaye namhlanje, i-ADH, emele i-Antidiuretic hormone. Le yinto ephambili elawula ngokuchanekileyo ubungakanani bamanzi emzimbeni wethu. Masiqonde oku ngokulula namhlanje, ngokungathi sithetha nomhlobo.
Kalula nje, yintoni i-ADH?
I-ADH yi-hormone enceda ukulinganisela ubungakanani bamanzi emzimbeni wethu. Elinye igama layo yi-
Arginine Vasopressin (AVP). Ifana "nomphathi wamanzi" emzimbeni wethu. Le hormone iveliswa yi-hypothalamus, inxalenye encinci kakhulu kodwa ebaluleke kakhulu yengqondo yethu. Kodwa iveliswa kwaye ikhutshwe egazini ngexesha elifanelekileyo yi-pituitary gland engqondweni. Khawuthelekelele, xa umzimba wakho uphelelwa ngamanzi, ubuninzi begazi lakho buyanda. Oku kubonwa zi-sensors emzimbeni wethu. Kwangaxeshanye, ezi sensors zithumela umyalezo engqondweni zisithi, "Kulungile, ngoku khupha i-ADH ethile egazini." Emva koko le hormone ye-ADH ihamba ngegazi ize ixelele izintso zethu. "Hee, akukho manzi aneleyo emzimbeni, ngoko ke musa ukukhupha amanzi amaninzi kumchamo. Gcina amanzi." Ixelela izintso. Izintso emva koko ziphinda zifunxe amanzi umzimba owadingayo, zonyusa uxinzelelo lomchamo okhutshwayo. Nazi ezinye izinto ezenzekayo xa umzimba ugcina amanzi ngale ndlela:
- Igazi lakho liyancitshiswa kancinci.
- I-osmolality yegazi, ngokufutshane, ithetha ukuba uxinano lwezinto ezinyibilikisiweyo egazini luyehla.
- Umthamo wegazi uyanda.
- Uxinzelelo lwegazi lunokunyuka.
Ukuba wenza zonke ezi zinto kodwa ibhalansi yamanzi emzimbeni wakho ingalingani, ingqondo yakho iya kukuxelela ukuba
"unxaniwe." Ngoko ke usela amanzi. Le yindlela esebenza ngayo le nkqubo.
Kuza kwenzeka ntoni ukuba amanqanaba e-ADH ayanda okanye ehla?
Ezinye iimeko zempilo zinokubangela ukuba umzimba wakho uvelise i-ADH encinci kakhulu okanye eninzi kakhulu, okanye izintso zakho zingasabeli kakuhle kwi-hormone. Kulapho kuvela khona iingxaki. Makhe sijonge iimpawu zezi meko zimbini.
| Iimpawu zamanqanaba aphantsi e-ADH (i-ADH ephantsi) | Iimpawu zamanqanaba aphezulu e-ADH |
|---|
| Ukuziva unxaniwe kakhulu: Ukuziva ngathi akwanelanga nokuba usela amanzi angakanani na. | Isicaphucaphu: Ukuziva ngathi uhlanza. |
| Ukuchama rhoqo: ukuphuma komchamo omninzi ngemini. | Intloko ebuhlungu. |
| Ukuphelelwa ngamanzi emzimbeni: Ukulahlekelwa ngamanzi emzimbeni. | Ukuphazamiseka kwengqondo: Ukulahlekelwa yingqondo, ukungakwazi ukuqonda indlela, njl. |
| Ukwanda kwamanqanaba e-sodium egazini. | Ukudinwa kakhulu kunye nokozela. |
| Ukwehla kwamanqanaba e-sodium egazini. |
Izifo ezinxulumene nokungalingani kwe-ADH
Kukho iimeko ezimbini eziphambili zempilo ezibangelwa ngamanqanaba aphantsi okanye aphezulu ehomoni ye-ADH.
1. Isifo seswekile i-Insipidus
Le yimeko eyenzeka xa umzimba ungavelisi i-ADH eyaneleyo okanye xa izintso zingasabeli kwi-ADH.
Kukho iintlobo ezimbini zale nto:
- I-Central Diabetes Insipidus: Oku kwenzeka xa umonakalo kwi-hypothalamus okanye kwi-pituitary gland engqondweni uphazamisa ukuveliswa okanye ukukhululwa kwe-ADH.
- I-Nephrogenic Diabetes Insipidus: Kulapho ingqondo ivelisa i-ADH, kodwa izintso azikwazi ukuphendula kwi-hormone. Oku kungaba lufuzo okanye luphawu lwesinye isifo.
2. I-SIADH (I-Syndrome yeHormone eNgenamsebenzi ye-Antidiuretic)
Kule meko, i-hormone ye-ADH ikhutshwa egazini ngexesha elingafanelekanga nangobuninzi obugqithisileyo. Oku kubangela ukuba izintso zigcine amanzi amaninzi, nto leyo enokubangela ukuba amanqanaba esodium egazini ehle ngendlela eyingozi.
Ugqirha uzichonga njani ezi meko?
Nangona kukho uvavanyo olulinganisa inqanaba le-ADH egazini lakho, oogqirha abalusebenzisi rhoqo. Rhoqo, ugqirha wakho uya kwenza uxilongo ngokusekelwe kwiimpawu zakho, imbali yezonyango, kunye nezinye iimvavanyo (uvavanyo lomchamo, amanqanaba egazi ee-electrolytes ezifana ne-sodium ne-potassium, kunye ne-osmolality). Kwezinye iimeko, kwenziwa uvavanyo olukhethekileyo olubini ukuze kwenziwe uxilongo oluqinisekileyo.
- Uvavanyo Lokunqongophala Kwamanzi: Kule meko, ucelwa ukuba ungaseli manzi ixesha elithile phantsi kweliso likagqirha. Emva koko, iisampuli zegazi nomchamo ziyavavanywa rhoqo ukuze kubonwe ukuba umzimba wakho usabela njani.
- Uvavanyo Lokulayisha Amanzi: Kwakhona, phantsi kweliso likagqirha, unikwa umlinganiselo othile wamanzi ukuba uwasele ngexesha elithile. Utshintsho egazini lakho nasemchameni lujongwa iiyure ezininzi.
Okubaluleke kakhulu: Zombini ezi mvavanyo mazingenziwa esibhedlele kuphela phantsi kweliso elipheleleyo likagqirha okanye abasebenzi abaqeqeshiweyo. Musa ukuzizama ekhaya nangasiphi na isizathu, kuba kunokubakho iingozi ezifana nokuphelelwa ngamanzi emzimbeni .
Amayeza anokuchaphazela amanqanaba e-ADH
Amanye amayeza owasebenzisayo anokuchaphazela amanqanaba e-ADH. Ngoko ke xa ubona ugqirha, qiniseka ukuba uwachaza ngokucacileyo onke amayeza owasebenzisayo.
| Amayeza anokunyusa amanqanaba e-ADH | Amayeza anokunciphisa amanqanaba e-ADH |
|---|
| I-Carbamazepine, iMorphine, iNicotine, i-Amitriptyline, iDesipramine, iiBarbiturates, i-Acetaminophen, iMetformin, iTolbutamide, iAspirin, iTheophylline, amayeza angengowe-steroidal anti-inflammatory (NSAIDs) | I-Ethanol (utywala), iLithium, iPhenytoin |
Unyango kunye nokuthintela
Utshintsho kumanqanaba e-ADH lusenokungathintelwa ngokupheleleyo, kodwa lunokulawulwa ngandlela ithile ngokugcina indlela yokuphila esempilweni nokusela amanzi aneleyo. Iindlela zonyango zixhomekeke kwimeko.
- Ukuba amanqanaba e-ADH aphantsi (iDiabetes Insipidus): I-hormone ye-ADH eveliswe ngokwenziwa inikwa njengeepilisi okanye i-spray yempumlo. Ugqirha ukwacebisa ukuba kuphuzwe amanzi amaninzi kwaye kwenziwe utshintsho kwindlela yokutya.
- Ukuba inqanaba le-ADH liphezulu (i-SIADH): Eyona nto iphambili ekufuneka yenziwe apha kukunciphisa umlinganiselo wamanzi owaselayo ngosuku. Kwakhona, ukuba unobangela wale meko sisifo okanye amayeza, ugqirha uya kuqwalasela ukuyinyanga okanye ukutshintsha amayeza.
Ukuba utshaya okanye usela utywala, ukuyeka okanye ukunciphisa ukutya kwakho kubaluleke kakhulu ukulawula le meko.
Ngaphambi kokuba wenze nantoni na, kubalulekile ukuthetha nogqirha wakho kwaye ufumane ingcebiso. Umyalezo Wokuya Ekhaya
- I-ADH yi-hormone ebalulekileyo elawula ibhalansi yamanzi emzimbeni wakho.
- Ukwehla okanye ukunyuka kwale hormone kunokubangela iimpawu ezahlukeneyo, ezinje ngokunxanwa kakhulu, ukuchama rhoqo, kunye nokudideka.
- Khumbula ukuba 'iDiabetes Insipidus', imeko ebangelwa kukwehla kwe-ADH, ayisiyo 'idiabetes mellitus'.
- Ukuba unale mpawu, kuphephe ukuzixilonga kwaye ufune ingcebiso kagqirha ngokukhawuleza.
- Ungaze wenze uvavanyo lokuthintela amanzi oluchazwe ngugqirha wakho ekhaya. Lufanele lwenziwe esibhedlele kuphela kwaye luphantsi kweliso likagqirha.
- Kubaluleke kakhulu ukwazisa ugqirha wakho malunga nawo onke amayeza owasebenzisayo.
I-ADH, iHormone ye-Antidiuretic, iVasopressin, iDiabetes Insipidus, i-SIADH, izintso, iHormone, unxano olugqithisileyo, amanzi omzimba, i-ADH isiSinhala
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