Munyori: Clyde Lopez
Zuva Rekusika: 23 Chikunguru 2021
Gadziridza Zuva: 15 Mbudzi 2024
Anonim
The case of Vasopressin – Sebastian Rehberg
Vhidhiyo: The case of Vasopressin – Sebastian Rehberg

Antidiuretic yeropa bvunzo inoyera chiyero cheantidiuretic hormone (ADH) muropa.

Muenzaniso weropa unodiwa.

Taura nemupi wako wezvehutano nezve mishonga yako usati waedzwa. Mishonga yakawanda inogona kukanganisa ADH nhanho, kusanganisira:

  • Doro
  • Diuretics (mapiritsi emvura)
  • Ropa rekumanikidza mishonga
  • Insulin
  • Mishonga yekusagadzikana kwepfungwa
  • Chikakananda
  • Steroid

Kana tsono ikaiswa kukweva ropa, vamwe vanhu vanonzwa kurwadziwa zvine mwero. Vamwe vanongonzwa kubaya kana kubaya. Mushure meizvozvo, panogona kuve nekurohwa kana kupwanya zvishoma. Izvi zvinokurumidza kuenda.

ADH ihormone inogadzirwa muchikamu chehuropi chinonzi hypothalamus. Inobva yachengetwa yobva yaburitswa mupituitary, kanhi gland riri pasi peuropi. ADH inoshanda pane itsvo kudzora huwandu hwemvura yakaburitswa mumugini.

ADH yeropa bvunzo inorayirwa kana mupi wako achifungidzira kuti une chirwere chinokanganisa yako ADH nhanho senge:

  • Kuvaka kwemvura mumuviri wako izvo zviri kukonzera kuzvimba kana kuzvimba (edema)
  • Yakawandisa huwandu weti
  • Low sodium (munyu) mwero muropa rako
  • Nyota yakanyanyisa kana isingadzoreki

Zvimwe zvirwere zvinokanganisa kusunungurwa kweADH. Ropa reADH rinofanirwa kuongororwa kuti rione chinokonzera chirwere ichi. ADH inogona kuyerwa sechikamu chekuyedzwa kwemvura bvunzo kuti uwane chinokonzera chirwere.


Maitiro akajairwa eADH anogona kubva pa1 kusvika pa5 pg / mL (0.9 kusvika 4.6 pmol / L).

Zvakajairika kukosha masenduru anogona kusiyana zvishoma pakati pemarabhoritari akasiyana.Mamwe marabhoritari anoshandisa zviyero zvakasiyana kana anogona kuyedza mhando dzakasiyana. Taura nemupi wako nezve zvinorehwa nemimwe miedzo yako.

Iyo yepamusoro-kupfuura-yakajairwa nhanho inogona kuitika kana yakawandisa ADH yaburitswa, kungave kubva muuropi kwawakagadzirwa, kana kubva kune kumwe kunhu mumuviri. Izvi zvinonzi chirwere cheADH chisina kukodzera (SIADH).

Zvinokonzera SIADH zvinosanganisira:

  • Kukuvara kwehuropi kana kushungurudzika
  • Mamota ehuropi
  • Kusanzwisisika kwemvura mushure mekuvhiyiwa
  • Utachiona muhuropi kana munyama wakakomberedza uropi
  • Utachiona mumapapu
  • Mimwe mishonga, senge mimwe mishonga yekubvuta, mishonga inorwadza, uye mishonga yekudzvinyirira
  • Diki sero carcinoma kenza yemapapu
  • Kurohwa

Iyo yepamusoro-kupfuura-yakajairwa nhanho yeADH inogona kuwanikwa mune vanhu vane moyo kutadza, chiropa kutadza, kana mamwe marudzi eitsvo chirwere.


Iyo yepasi-kupfuura-yakajairwa nhanho inogona kuratidza:

  • Kukuvadza kune iyo hypothalamus kana pituitary gland
  • Central chirwere cheshuga insipidus (mamiriro umo itsvo dzisingakwanise kuchengetedza mvura)
  • Kunyanyisa nyota (polydipsia)
  • Kuwanda kwemvura mumidziyo yeropa (kuwanda kuwanda)

Pane njodzi shoma inosanganisirwa nekutorwa kweropa rako. Tsinga uye tsinga zvinosiyana muhukuru kubva kumunhu kuenda kune mumwe, uye kubva kune rimwe divi remuviri kuenda kune rimwe. Kutora ropa kubva kune vamwe vanhu kunogona kunge kwakaoma kupfuura kubva kune vamwe.

Dzimwe njodzi dzinosangana nekutorwa kweropa idiki, asi dzinogona kusanganisira:

  • Kuwedzera kubuda ropa
  • Kufenda kana kunzwa kushaya musoro
  • Akawanda punctures ekutsvaga mutsinga
  • Hematoma (ropa rinoungana pasi peganda)
  • Utachiona (hushoma njodzi chero nguva ganda parinovhunika)

Arginine vasopressin; Antidiuretic kemikari; AVP; Vasopressin

Chernecky CC, Berger BJ. Antidiuretic mahormone (ADH) - serum. Mune: Chernecky CC, Berger BJ, eds. Rabhoritari Kuyedza uye Maitiro Ekuongorora. 6th ed. St Louis, MO: Elsevier Saunders; 2013: 146.


Guber HA, Farag AF. Kuongorora kwe endocrine basa. Mune: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis uye Management nemaLabhoritari Maitiro. 23rd ed. St Louis, MO: Elsevier; 2017: chitsiko 24.

Ah MS, Briefel G. Kuongororwa kweiyo renal basa, mvura, electrolyte, uye acid-base chiyero. Mune: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis uye Management nemaLabhoritari Maitiro. 23rd ed. St Louis, MO: Elsevier; 2017: chitsiko 14.

Zvinyorwa Zvinonakidza

Weti bvunzo (EAS): ndeyei, gadziriro uye mhedzisiro

Weti bvunzo (EAS): ndeyei, gadziriro uye mhedzisiro

Iyo weti bvunzo, inozivikanwawo enge rudzi rwekutanga weti bvunzo kana EA (Abnormal Element of ediment) bvunzo, bvunzo inowanzo kumbirwa navanachiremba kuti vaone handuko mune weti uye renal y tem uye...
Kubatsira kwemukaka

Kubatsira kwemukaka

Mukaka chikafu chakazara muprotein uye calcium, zvichiko ha kwazvo kudzivirira matambudziko enge o teoporo i uye kuchengetedza t andanyama dzakanaka. Mukaka uno iyana zvichienderana nenzira yaunogadzi...