Central chirwere cheshuga insipidus

Central chirwere cheshuga insipidus chiitiko chisingawanzo chinosanganisira nyota yakanyanyisa uye weti yakawandisa.

Chirwere cheshuga insipidus (DI) chinhu chisina kujairika umo itsvo dzisingakwanise kudzivirira kubuda kwemvura. DI chirwere chakasiyana pane chirwere cheshuga, asi vese vari vaviri vanogovera zviratidzo zvakajairika zvekunyanyisa kuita weti uye nyota.

Central chirwere cheshuga insipidus chimiro cheDI chinoitika kana muviri uine yakaderera pane yakajairwa huwandu hweantidiuretic hormone (ADH). ADH inonziwo vasopressin. ADH inogadzirwa mune chimwe chikamu cheuropi chinonzi hypothalamus. ADH inozochengetwa uye kusunungurwa kubva kune iyo pituitary gland. Ichi chiduku chiduku chiri pasi peuropi.

ADH inodzora huwandu hwemvura yakaburitswa mumuti. Pasina ADH, itsvo hadzishande nemazvo kuchengetedza mvura yakakwana mumuviri. Mhedzisiro yacho kukurumidza kurasikirwa kwemvura kubva mumuviri muchimiro chekudzikisa weti. Izvi zvinoguma nekudikanwa kwekunwa huwandu hwemvura nekuda kwenyota yakanyanyisa uye kugadzirisa kurasikirwa kwakanyanya kwemvura mune weti (10 kusvika 15 litita pazuva).

Iyo yakadzikira nhanho yeADH inogona kukonzerwa nekukuvara kune iyo hypothalamus kana pituitary gland. Uku kukuvara kunogona kunge kuri nekuda kwekuvhiyiwa, hutachiona, kuzvimba, bundu, kana kukuvara kuuropi.

Muzviitiko zvisingawanzoitika, yepakati chirwere cheshuga insipidus inokonzerwa nedambudziko remajini.

Zviratidzo zvepakati cheshuga insipidus zvinosanganisira:

• Kuwedzera weti kugadzirwa
• Nyota yakanyanya
• Kuvhiringidzika uye shanduko mukusvinura nekuda kwekushayiwa mvura uye yakakwira kupfuura zvakajairwa sosiamu mumuviri, kana munhu wacho asingakwanise kunwa

Anopa hutano anozobvunza nezve yako nhoroondo yezvokurapa uye zviratidzo.

Miedzo inogona kurairwa inosanganisira:

• Ropa sodium uye osmolarity
• Desmopressin (DDAVP) dambudziko
• MRI yemusoro
• Kuongorora urinal
• Weti yevasungwa
• Weti kuburitsa

Chikonzero chemamiriro ezvinhu ari pasi chichagadziriswa.

Vasopressin (desmopressin, DDAVP) inopihwa seyomumhino yemumhino, mapiritsi, kana majekiseni. Izvi zvinodzora weti kuburitsa uye fluid fluid uye inodzivirira kupera mvura mumuviri.

Muzviitiko zvinyoro, kunwa mvura yakawanda kungave kwese kuri kudikanwa. Kana iyo nyota yemuviri isingashande (semuenzaniso, kana iyo hypothalamus yakakuvara), tsamba yeimwe huwandu hwekumwa kwemvura inogona zvakare kudiwa kuti ive nechokwadi chakakodzera hydration.

Mhedzisiro inoenderana nechikonzero. Kana ikarapwa, yepakati chirwere cheshuga insipidus kazhinji hachikonzere matambudziko akakomba kana kukonzera kufa kwekutanga.

Kusanwa zvinwiwa zvakakwana kunogona kutungamira mukushaya mvura uye kusaenzana kwemagetsi.

Kana uchitora vasopressin uye yako yenyota kudzora muviri haina kujairika, kunwa zvinwiwa zvakanyanya kupfuura izvo zvinoda muviri wako zvinogona kukonzera kutadza kusaenzana kwe electrolyte.

Fonera mupiki wako kana iwe ukagadzira zviratidzo zvepakati cheshuga insipidus.

Kana iwe uine yepakati chirwere cheshuga insipidus, bata wako mupi kana uchigara weti kana yakanyanyisa nyota ichidzoka.

Mazhinji emakesi anogona kunge asingadziviririke. Kukurumidza kurapwa kwezvirwere, mapundu, uye kukuvara kunogona kudzora njodzi.

Chirwere cheshuga insipidus - pakati; Neurogenic chirwere cheshuga insipidus

• Hypothalamus kugadzirwa kwehomoni

Brimioulle S. Chirwere cheshuga insipidus. Mune: Vincent JL, Abraham E, Moore FA, Kochanek PM, Fink MP, eds. Chinyorwa cheCritical Care. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsuwa 150.

Giustina A, Frara S, Spina A, Mortini P. Iyo hypothalamus. Mune: Melmed S, ed. Iyo Pituitary. 4th ed. Philadelphia, PA: Elsevier; 2017: chits. 9.

Moritz ML, Ayus JC. Chirwere cheshuga insipidus uye chirwere chisina kukodzera antidiuretic hormone. Mune: Singh AK, Williams GH, eds. Chinyorwa cheNefro-Endocrinology. 2nd ed.Philadelphia, PA: Elsevier; 2018: chits. 8.