Ingabe ngezinye izikhathi uzizwa womile kakhulu? Noma udinga ukuchama njalo? Ubuwazi ukuthi kukhona "
isisebenzi " esincane kodwa esibaluleke kakhulu emzimbeni wethu ngemuva kwalezi zinto? Uyi-hormone esikhuluma ngayo namuhla, i-ADH, emele i-Antidiuretic hormone. Lesi yisici esibalulekile esilawula kahle inani lamanzi emzimbeni wethu. Masiqonde lokhu kalula namuhla, njengokungathi sikhuluma nomngane.
Kalula nje, iyini i-ADH?
I-ADH iyi-hormone esiza ukulinganisela inani lamanzi emzimbeni wethu. Elinye igama layo yi-
Arginine Vasopressin (AVP). Ifana "nomphathi wamanzi" emzimbeni wethu. Le hormone ikhiqizwa yi-hypothalamus, ingxenye encane kakhulu kodwa ebaluleke kakhulu yobuchopho bethu. Kodwa ikhiqizwa futhi ikhishwe egazini ngesikhathi esifanele yi-pituitary gland ebuchosheni. Cabanga nje, lapho umzimba wakho uphelelwa amanzi, ubuningi begazi lakho buyakhula. Lokhu kutholakala yizinzwa emzimbeni wethu. Ngesikhathi esifanayo, lezi zinzwa zithumela isignali ebuchosheni zithi, "Kulungile, manje khipha i-ADH ethile egazini." Bese le hormone ye-ADH ihamba egazini bese itshela izinso zethu. "He, awekho amanzi anele emzimbeni, ngakho ungakhiphi amanzi amaningi emchameni. Londoloza amanzi." Itshela izinso. Izinso bese zimunca amanzi umzimba owadingayo, zandisa ukugcwala komchamo okhishwayo. Nazi ezinye izinto ezenzekayo lapho umzimba ugcina amanzi ngale ndlela:
- Igazi lakho liyancibilika kancane.
- I-osmolality yegazi, ngokubeka kalula, isho ukuthi ukugcwala kwezinto ezincibilikisiwe egazini kuyehla.
- Umthamo wegazi uyanda.
- Umfutho wegazi ungase ukhuphuke.
Uma wenza zonke lezi zinto kodwa ibhalansi yamanzi emzimbeni wakho ingalingani, ubuchopho bakho buzokutshela ukuthi
"womile." Ngakho-ke uphuza amanzi. Yileyo ndlela lolu hlelo olusebenza ngayo.
Kwenzekani uma amazinga e-ADH enyuka noma ehla?
Ezinye izimo zempilo zingabangela ukuthi umzimba wakho ukhiqize i-ADH encane kakhulu noma eningi kakhulu, noma izinso zakho zingase zingasabeli kahle ku-hormone. Yilapho kuvela khona izinkinga. Ake sibheke izimpawu zalezi zimo ezimbili.
| Izimpawu zamazinga aphansi e-ADH (i-ADH ephansi) | Izimpawu zamazinga aphezulu e-ADH |
|---|
| Ukuzizwa womile kakhulu: Ukuzizwa sengathi akwanele kungakhathaliseki ukuthi uphuza amanzi angakanani. | Isicanucanu: Ukuzizwa sengathi uhlanza. |
| Ukuchama kaningi: ukuphuma komchamo omningi ngosuku. | Ikhanda elibuhlungu. |
| Ukuphelelwa amanzi emzimbeni: Ukulahlekelwa amanzi emzimbeni. | Ukudideka: Ukulahlekelwa ukwazi, ukulahlekelwa yindlela, njll. |
| Amazinga e-sodium akhuphukile egazini. | Ukukhathala okukhulu kanye nokozela. |
| Ukwehla kwamazinga e-sodium egazini. |
Izifo ezihambisana nokungalingani kwe-ADH
Kunezimo ezimbili eziyinhloko zezokwelapha ezibangelwa amazinga aphansi noma aphezulu e-hormone ye-ADH.
1. Isifo Sikashukela I-Insipidus
Lesi yisimo esenzeka lapho umzimba ungakhiqizi i-ADH eyanele noma lapho izinso zingasabeli ku-ADH.
Kunezinhlobo ezimbili zalokhu futhi:
- I-Central Diabetes Insipidus: Lokhu kwenzeka lapho umonakalo kwi-hypothalamus noma i-pituitary gland ebuchosheni uphazamisa ukukhiqizwa noma ukukhishwa kwe-ADH.
- I-Nephrogenic Diabetes Insipidus: Yilapho ubuchopho bukhiqiza i-ADH, kodwa izinso azikwazi ukuphendula ku-hormone. Lokhu kungaba yifa noma uphawu lwesinye isimo sezokwelapha.
2. I-SIADH (Isifo se-Inappropriate Antidiuretic Hormone)
Kulesi simo, i-hormone ye-ADH ikhishwa egazini ngesikhathi esingafanele nangenani elikhulu kakhulu. Lokhu kubangela ukuthi izinso zigcine amanzi amaningi kakhulu, okungabangela ukuthi izinga le-sodium egazini lehle ngendlela eyingozi.
Udokotela uzixilonga kanjani lezi zimo?
Nakuba kukhona ukuhlolwa okulinganisa izinga le-ADH egazini lakho, odokotela abalusebenzisi njalo. Ngokuvamile, udokotela wakho uzokwenza ukuxilongwa ngokusekelwe ezimpawu zakho, umlando wezokwelapha, kanye nezinye izivivinyo (ukuhlolwa komchamo, amazinga egazi ama-electrolyte njenge-sodium ne-potassium, kanye ne-osmolality). Kwezinye izimo, kwenziwa izivivinyo ezimbili ezikhethekile ukuze kwenziwe ukuxilongwa okuqondile.
- Ukuhlolwa Kokuncishwa Kwamanzi: Kulokhu, ucelwa ukuthi uyeke ukuphuza amanzi isikhathi esithile ngaphansi kokuqashwa ngudokotela. Ngemuva kwalokho, amasampula egazi nomchamo ayahlolwa ngezikhathi ezithile ukuze kubonakale ukuthi umzimba wakho usabela kanjani.
- Ukuhlolwa Kokulayisha Amanzi: Futhi, ngaphansi kokuqashwa kwezokwelapha, unikezwa inani elithile lamanzi okuphuza ngesikhathi esithile. Izinguquko egazini lakho nasemchameni wakho ziqashwe amahora amaningana.
Okubaluleke kakhulu: Zombili lezi zivivinyo kufanele zenziwe esibhedlela kuphela ngaphansi kokuqondisa okugcwele kukadokotela noma abasebenzi abaqeqeshiwe. Ungazami ukuzizama ekhaya nganoma yisiphi isizathu, njengoba kungase kube nezingozi ezifana nokuphelelwa amanzi emzimbeni .
Imithi engathinta amazinga e-ADH
Eminye imithi oyithathayo ingathinta amazinga e-ADH. Ngakho-ke qiniseka ukuthi wazisa udokotela wakho ngokucacile ngayo yonke imithi oyithathayo uma umbona.
| Imithi engakhuphula amazinga e-ADH | Imithi enganciphisa amazinga e-ADH |
|---|
| I-Carbamazepine, i-Morphine, i-Nicotine, i-Amitriptyline, i-Desipramine, i-Barbiturates, i-Acetaminophen, i-Metformin, i-Tolbutamide, i-Aspirin, i-Theophylline, imithi engeyona i-steroidal yokulwa nokuvuvukala (ama-NSAID) | I-Ethanol (utshwala), i-Lithium, i-Phenytoin |
Ukwelashwa nokuvimbela
Izinguquko emazingeni e-ADH zingase zingavinjelwa ngokuphelele, kodwa zingalawulwa ngezinga elithile ngokulondoloza indlela yokuphila enempilo nokuphuza amanzi anele. Izindlela zokwelapha zincike esimweni.
- Uma amazinga e-ADH ephansi (i-Diabetes Insipidus): I-hormone ye-ADH ekhiqizwe ngokwenziwa inikezwa njengamaphilisi noma isifutho samakhala. Udokotela uphinde weluleke ukuphuza amanzi amaningi nokwenza izinguquko ekudleni.
- Uma izinga le-ADH liphezulu (i-SIADH): Into eyinhloko okufanele uyenze lapha ukunciphisa inani lamanzi owaphuzayo ngosuku. Futhi, uma imbangela yalesi simo ingenye isifo noma umuthi, udokotela uzocabangela ukuyelapha noma ukushintsha umuthi.
Uma ubhema noma uphuza utshwala, ukuyeka noma ukunciphisa ukudla kwakho nakho kubaluleke kakhulu ukulawula lesi simo.
Ngaphambi kokwenza noma yini, kubalulekile ukukhuluma nodokotela wakho bese ucela iseluleko. Umlayezo Wokuya Nawe Ekhaya
- I-ADH iyi-hormone ebalulekile elawula ibhalansi yamanzi emzimbeni wakho.
- Ukwehla noma ukwanda kwale hormone kungabangela izimpawu ezahlukahlukene, njengokoma ngokweqile, ukuchama njalo, kanye nokudideka.
- Khumbula ukuthi 'i-Diabetes Insipidus', isimo esibangelwa ukwehla kwe-ADH, akusona 'i-diabetes mellitus'.
- Uma unalezi zimpawu, gwema ukuzihlola bese ucela iseluleko sezokwelapha ngokushesha.
- Ungalokothi wenze izivivinyo zokuvimbela amanzi ezinqunywe udokotela wakho ekhaya. Kufanele zenziwe esibhedlela kuphela futhi ngaphansi kokuqashwa kwezokwelapha.
- Kubaluleke kakhulu ukwazisa udokotela wakho ngayo yonke imithi oyithathayo.
I-ADH, i-Antidiuretic Hormone, i-Vasopressin, i-Diabetes Insipidus, i-SIADH, izinso, i-Hormone, ukoma ngokweqile, amanzi omzimba, i-ADH isiSinhala
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