I-SIADH (Syndrome of Inappropriate Antidiuretic Hormone Secretion), isimo lapho umzimba ugcina khona amanzi amaningi kanye nosawoti omncane kakhulu

Sonke siyazi ukuthi kubalulekile ukuphuza amanzi amaningi usuku lonke. Kungenzeka ukuthi uke wezwa ukuthi ngezinye izikhathi uma ujuluka kakhulu ngesikhathi semidlalo, umzimba wakho awulahlekelwa amanzi kuphela kodwa nama-electrolyte. Kodwa bewazi ukuthi kunezikhathi lapho amanzi amaningi kakhulu angaba yinkinga enkulu? Eqinisweni, uma lokho kwenzeka, ungalahlekelwa ama-electrolyte abalulekile emzimbeni wakho. Leso yisimo esikhuluma ngaso namuhla, esibizwa ngokuthi i-SIADH.

Kalula nje, iyini i-SIADH?

Igama elide elithi SIADH limelela elithi 'Syndrome of Inappropriate Antidiuretic Hormone Secretion'. Kulungile, leli gama lizwakala liyinkimbinkimbi kancane, akunjalo? Ake sikuqonde kalula lokhu. Umzimba wethu une-hormone ekhethekile ebizwa ngokuthi i-antidiuretic hormone . NgesiNgisi, lokhu kubizwa ngokuthi i-Antidiuretic Hormone , noma (ADH) ngamafuphi. Le hormone ikhiqizwa ku-hypothalamus yobuchopho bethu futhi ikhishwa yi-pituitary gland. Umsebenzi oyinhloko wale hormone ye-ADH ukufundisa izinso zethu. Okungukuthi, "Kulungile, manje sekunamanzi anele emzimbeni, masikhiphe amanye abe ngumchamo" nokuthi "Cha, awekho amanzi anele emzimbeni, masigcine amanye emzimbeni." Yile hormone elawula izinso. Kufana "nomlawuli wamanzi" emzimbeni wethu. Manje cabanga, kwenzekani uma ngesizathu esithile le hormone ye-ADH ikhishwa kakhulu futhi ngokungafanele? Khona-ke leyo hormone iqhubeka nokutshela izinso ukuthi "zigcine amanzi, zigcine amanzi." Umphumela uba ukuthi umzimba wethu uqala ukugcina amanzi ngokungadingekile. Njengoba amanzi eqoqana emzimbeni wethu, igazi lethu liyancibilika kakhulu. Ikakhulukazi, ukugcwala kwe- sodium, okubalulekile ekusebenzeni kwezinzwa nemisipha yethu, kwehla ngendlela eyingozi. I-Sodium ingenye yama-electrolyte ayinhloko emzimbeni wethu. Kwezokwelapha, lesi simo se-sodium ephansi egazini sibizwa ngokuthi i-hyponatremia. Izimpawu eziningi ezibonakala ku-SIADH zibangelwa yileli zinga le -sodium ephansi.

Yiziphi izimbangela ze-SIADH?

Ngale ndlela, akukho sizathu esisodwa sokuthi kungani i-hormone ye-ADH ikhula ngokungadingekile, kodwa izizathu eziningana zingayithinta. Ngezinye izikhathi lokhu kungenzeka futhi njengomphumela wesinye isifo. Ake sibone ukuthi yiziphi izizathu eziyinhloko.

Yiziphi izimpawu zalesi simo?

I-SIADH ibangelwa kakhulu ukwanda kokugcinwa kwamanzi kanye nokwehla kwe-sodium egazini, futhi izimpawu eziningi zihlobene nalokhu. Lezi zimpawu zingase zingaveli ngokuzumayo, kodwa zingase zikhule kancane kancane.

• Isicanucanu nokuhlanza
• Ukuzizwa ubuthakathaka , ukhathele
• Ikhanda elibuhlungu
• Ubuhlungu bemisipha kanye nokuqaqamba, okuzwakala sengathi izingcezu zenyama ziyagobhoza
• Ukungahlaliseki, intukuthelo esheshayo
• Ukulahlekelwa yinkumbulo kanye nobunzima bokugxilisa ingqondo (Ukudideka)
• Ukulahlekelwa ibhalansi kanye nobunzima bokuhamba

Into ebalulekile ukuthi lezi zimpawu aziqondile kwi-SIADH. Lezi zimpawu zingabonakala kwezinye izifo eziningi. Ngakho-ke, uma unalezi zimpawu, kubaluleke kakhulu ukubona udokotela futhi ucele iseluleko ngaphandle kokucabanga lutho.

Udokotela uhlonza kanjani lokhu?

Uma uya kudokotela, uzoqala ngokubuza ngezimpawu zakho, imithi oyiphuzayo, nokuthi ngabe kukhona yini emndenini wakho oke waba nalezi zimo. Ukuze uqinisekise i-SIADH, kuzodingeka wenze ukuhlolwa kwegazi nomchamo okuningana.

• Ukuhlolwa kwegazi: Lokhu kuhlola amazinga e-sodium ne-potassium egazini. Kuphinde kulinganise i-osmolality yegazi, okuyizinga lezinto ezincibilikisiwe egazini. Ku -SIADH , leli nani liyehla ngenxa yokuncibilika kwegazi.
• Ukuhlolwa komchamo: Inani le-sodium emchameni kanye ne-osmolality yomchamo kuyahlolwa. Ku-SIADH, ngoba umzimba ugcina amanzi, umchamo ophumayo ugcwele kakhulu. Ngakho-ke, i-osmolality yomchamo iyanda kakhulu.

Udokotela uzonquma ukuthi lokhu kuyi-SIADH noma cha ngokusekelwe emiphumeleni yalezi zivivinyo.

Yiziphi izindlela zokwelapha i-SIADH?

Ukwelashwa kuncike ezintweni eziningana. Udokotela wakho uzocabangela iminyaka yakho, impilo, imbangela ye-SIADH yakho, kanye nobunzima bezimpawu zakho. 1. Ukuvinjelwa koketshezi: Ukwelashwa kokuqala nokubaluleke kakhulu kubantu abaningi ukunciphisa inani loketshezi oluphuzayo nsuku zonke. Lokhu kuzosiza ukuvimbela umzimba wakho ukuthi ungagcini amanzi engeziwe. Uketshezi alusho nje amanzi; luhlanganisa noma yini oyiphuzayo, njengetiye, ikhofi, ijusi yezithelo, kanye nesobho. Udokotela wakho uzokutshela ukuthi ungaphuza malini nsuku zonke. 2. I-IV saline: Uma izimpawu zakho zinzima, okusho ukuthi amazinga akho e-sodium aphansi kakhulu, kungadingeka ukuthi ulaliswe esibhedlela futhi unikezwe i-IV saline. Lokhu kwenziwa ukuze kubuyiselwe kancane nangokucophelela amazinga akho e-sodium. 3. Ukwelapha imbangela eyisisekelo: Uma imbangela ye-SIADH yakho ingumdlavuza wobuchopho, kungadingeka ukuthi isuswe ngokuhlinzwa. Uma imbangela kungukutheleleka kwamaphaphu, kufanele unikezwe ama-antibiotic. Lokhu kusho ukuthi lapho imbangela yelashwa, i-SIADH nayo izozixazulula ngokwayo. 4. Imithi: Kwabanye abantu, ikakhulukazi uma lesi simo siqhubeka (i-Chronic SIADH), imithi evimba ukusebenza kwe-hormone ye-ADH noma imithi elawula umthamo woketshezi emzimbeni inganikezwa.

Iyini iphrojekthi?

Ezimweni eziningi, uma imbangela eyinhloko ye-SIADH ingelashwa, lesi simo singalapheka ngokuphelele. Kodwa-ke, kunezici ezimbili eziyingozi okudingeka sizinake lapha.

• Ukwehla okusheshayo kwamazinga e-sodium ngokuzumayo: Uma lokhu kwenzeka, amanzi angangena emangqamuzaneni obuchopho futhi abangele ukuvuvukala kobuchopho. Lesi yisimo esiyingozi kakhulu futhi esingasongela impilo.
• Ukwanda okusheshayo, okungazelelwe kwamazinga aphansi e-sodium: Uma amazinga e-sodium ekhuphuka ngokuzumayo nangokushesha ngesikhathi sokwelashwa, kungabangela esinye isimo esibi esibizwa ngokuthi 'i-Osmotic Demyelination Syndrome', esonakalisa amangqamuzana ezinzwa ebuchosheni.

Yingakho ukwelashwa kwamazinga aphansi e-sodium kumele kwenziwe esibhedlela ngaphansi kokuqashwa okuseduze kukadokotela .

Uma usola ukuthi une-SIADH, into engcono kakhulu ongayenza ukubonana nodokotela ngokushesha okukhulu. Uma usheshe watholakala futhi welashwa, kulapho usheshe wakwazi ukuvimbela izinkinga ezinkulu.

Umlayezo Wokuya Nawe Ekhaya

• I-SIADH yisimo lapho umzimba ukhiqiza khona i-hormone i-ADH eningi kakhulu, okubangela ukugcinwa kwamanzi okungadingekile kanye namazinga aphansi e-sodium (usawoti) egazini.
• Izimpawu ezifana nokucanuzela kwenhliziyo, ukuhlanza, ikhanda elibuhlungu, nokudideka kwengqondo zingase zibe khona. Njengoba lezi ziyizimpawu zezinye izifo, kubalulekile ukufuna iseluleko sezokwelapha.
• Lesi simo singahlolwa ngokunembile ngokuhlolwa kwegazi nomchamo.
• Ukwelashwa kuhlanganisa ukuvinjelwa koketshezi, ukunikezwa usawoti, kanye nokwelashwa kwembangela eyinhloko ye-SIADH.
• Ukwehla okungazelelwe kwamazinga e-sodium, kanye nokwenyuka okungazelelwe kwamazinga e-sodium ngesikhathi sokwelashwa, kuyingozi. Ngakho-ke, kubaluleke kakhulu ukuthatha ukwelashwa ngaphansi kokuqashwa ngudokotela.

I-SIADH, Isifo Sokukhishwa Kwe-Hormone Engafaneleki Yokulwa Nokugaywa Kwe-Diuretic, I-Hormone Elwa Nokugaywa Kwe-Diuretic, Ukuntuleka Kwe-Sodium, I-Hyponatremia, Izinkinga Zama-Hormonal, Izinso, Ukungalingani Kwe-Electrolyte