Chirwere cheshuga insipidus: chii icho chiri, chinokonzeresa, zviratidzo uye kurapwa

Zvemukati

• Zviratidzo zvikuru
• Maitiro ekusimbisa kuongororwa
• Zvinogona kukonzerwa
• 1. Central chirwere cheshuga insipidus
• 2. Nephrogenic chirwere cheshuga insipidus
• 3. Gestational chirwere cheshuga insipidus
• 4. Dipsogenic chirwere cheshuga insipidus
• Kurapwa kunoitwa sei
• 1. Kudzora kwekudya kwemvura
• 2. Hormone
• 3. Dhiureti
• 4. Anti-kuzvimba
• Zvinogona kuitika
• Ndeupi musiyano uripo pakati peshuga insipidus uye mellitus?

Chirwere cheshuga insipidus chirwere chinoitika nekuda kwekusaenzana kwemvura mumuviri, izvo zvinotungamira kuzviratidzo sekuva nenyota, kunyangwe iwe wakanwa mvura, uye kugadzirwa kwakanyanya kweweti, izvo zvinogona kukonzera kupera simba.

Aya mamiriro anoitika nekuda kweshanduko mumatunhu ehuropi anoitisa kugadzirwa, kuchengetwa uye kuburitswa kweantidiuretic hormone (ADH), inonziwo vasopressin, iyo inodzora kumhanya kunoitwa weti, asi inogona zvakare kuitika nekuda kweshanduko itsvo dzinotadza kupindura kune iyo hormone.

Chirwere cheshuga insipidus haina mushonga, zvisinei, marapirwo, ayo anofanirwa kuratidzwa nachiremba, anogona kubvisa nyota yakawandisa uye kudzikisa kugadzirwa kweweti.

Zviratidzo zvikuru

Zviratidzo zvechirwere cheshuga insipidus inyota isingadzoreki, kugadzirwa kwehuwandu hwakawanda weti, kazhinji kuda kumuka kuti uite weti usiku uye kuda kunwa mvura inotonhora. Uye zvakare, nekufamba kwenguva, kunyanyisa kwemvura kushandiswa kunokonzera kuwedzera kwekunzwa kune iyo ADH kemikari kana zvishoma uye zvishoma kugadzirwa kwehomoni iyi, iyo inogona kukuvadza zviratidzo.

Chirwere ichi chinogona kuitikawo muvacheche nevana uye nekuda kwekuwandisa kugadzirwa kweweti zvakakosha kuti uzive zviratidzo zvechirwere cheshuga insipidus senge anogara achinyorova manapukeni kana mwana anogona kuita weti pamubhedha, kunetseka kurara, fivhiri, kurutsa, kuzvimbirwa , kukura uye kukura kunonoka kana kuonda.

Maitiro ekusimbisa kuongororwa

Kuongororwa kwechirwere cheshuga insipidus kunofanirwa kuitwa neyemugumo wezvemagetsi kana, mune vacheche nevana, chiremba wevana, uyo anofanirwa kukumbira yemaawa makumi maviri nemana yeuwandu hwekuyera uye bvunzo dzeropa kuti aongorore masodium uye potasium mazinga, ayo anogona kuchinjwa. Uye zvakare, chiremba anogona kukumbira muyedzo wekudzivirira mvura, umo munhu wacho ari muchipatara, asina kunwa zvinwiwa uye anotariswa nezviratidzo zvekushaya mvura, huwandu hweweti inogadzirwa uye huwandu hwehomoni. Imwe bvunzo iyo chiremba anogona kuraira ndeye MRI yehuropi kuti iongorore shanduko muhuropi iyo inogona kunge ichikonzera chirwere.

Zvinogona kukonzerwa

Zvinokonzera chirwere cheshuga insipidus zvinoenderana nerudzi rwechirwere uye zvinogona kuverengerwa se:

1. Central chirwere cheshuga insipidus

Central chirwere cheshuga insipidus inokonzerwa neshanduko mudunhu rehuropi inonzi hypothalamus, iyo inorasikirwa nekwaniso yayo yekuburitsa iyo hormone ADH, kana iyo pituitary gland inoitisa kuchengetedza nekusunungura ADH kumuviri uye inogona kukonzerwa ne:

• Kuvhiya kweBongo;
• Kushungurudzika kwemusoro;
• Brain bundu kana aneurysm;
• Autoimmune zvirwere;
• Zvirwere zvemagen'a;
• Zvirwere muuropi;
• Kuvharirwa kwemitsipa yeropa inopa huropi.

Kana huwandu hwehormone ADH hwadzikiswa, itsvo haigone kudzora kugadzirwa kweweti, iyo inotanga kuumbwa muhuwandu hwakawanda, saka munhu wacho anoita weti yakawanda, iyo inogona kusvika pamusoro pemarita matatu kusvika makumi matatu pazuva.

2. Nephrogenic chirwere cheshuga insipidus

Nephrogenic chirwere cheshuga insipidus inoitika kana kusangana kweADH mahormone muropa kuri kwakajairika, asi itsvo hadziite nenzira kwayo. Izvo zvikonzero zvikuru ndezvi:

• Kushandiswa kwemishonga, senge lithiamu, rifampicin, gentamicin kana bvunzo kusiyana, semuenzaniso;
• Chirwere chetsvo chePolycystic;
• Chirwere chakakomba cheitsvo;
• Shanduko mumazinga eropa potasium;
• Zvirwere senge sickle cell anemia, myeloma yakawanda, amyloidosis, sarcoidosis, semuenzaniso;
• Kudzorerwa kwepashure-renal;
• Kenza yeitsvo;
• Zvinokonzera zvisina kujekeswa kana idiopathic.

Uye zvakare, kune zvikonzero zvemagene zvefrogenic chirwere cheshuga insipidus, ayo ari mashoma uye akaomarara, uye akaratidzirwa kubva paudiki.

3. Gestational chirwere cheshuga insipidus

Gestational chirwere cheshuga insipidus chinhu chisingawanzoitika, asi zvinogona kuitika panenge patatu trimester yepamuviri nekuda kwekugadzirwa kweiyo enzyme nepascenta, iyo inoparadza iyo ADH kemukadzi, zvinotungamira kutanga kwezviratidzo.

Nekudaro, icho chirwere chinoitika chete panguva yekuzvitakura, kuenzanisa masendimita mana kusvika matanhatu mushure mekusununguka.

4. Dipsogenic chirwere cheshuga insipidus

Dipsogenic chirwere cheshuga insipidus, inonziwo yekutanga polydipsia, inogona kuitika nekuda kwekukuvara kune iyo nzira yekugadzirisa nyota mune iyo hypothalamus, zvichitungamira pakuonekwa kwezvinozivikanwa zviratidzo zvechirwere cheshuga insipidus. Rudzi urwu rwechirwere cheshuga runogona zvakare kuverengerana nezvirwere zvepfungwa, senge schizophrenia, semuenzaniso.

Kurapwa kunoitwa sei

Kurapa kwechirwere cheshuga insipidus kunovavarira kudzikisa huwandu weti inogadzirwa nemuviri uye inofanirwa kuratidzwa nachiremba zvichienderana nechakakonzera chirwere.

Mune zviitiko apo chirwere cheshuga insipidus chakakonzerwa nekushandiswa kwemimwe mishonga, chiremba anogona kukurudzira kurega kushandisa uye kuchinjira kune imwe mhando yekurapa. Panyaya yezvirwere zvepfungwa, kurapwa kunofanirwa kuitiswa nachiremba wepfungwa aine yakatarwa mishonga yechiitiko chimwe nechimwe, kana chirwere cheshuga insipidus chakakonzerwa nehutachiona, semuenzaniso, hutachiona hunofanirwa kurapwa usati watanga kurapwa chaiko.

Kazhinji, mhando dzekurapa dzinoenderana nekukura kwechirwere uye nemhando yechirwere cheshuga insipidus, uye inogona kuitwa ne:

1. Kudzora kwekudya kwemvura

Muzviitiko zvakapfava zvepakati cheshuga insipidus, chiremba anogona kukurudzira chete kudzora huwandu hwemvura yakamwiwa, uye zvinokurudzirwa kunwa angangoita 2,5 litita emvura pazuva kuti usapererwa nemvura.

Central chirwere cheshuga insipidus inoonekwa seyakadzikama kana munhu akaburitsa chete marita matatu kusvika mana emurini mumaawa makumi maviri nemana.

2. Hormone

Muzviitiko zvakanyanya zvakanyanya zvepakati cheshuga insipidus kana gestational chirwere cheshuga insipidus, chiremba anogona kukurudzira kutsiviwa kweADH hormone, kuburikidza nemushonga desmopressin kana DDAVP, iyo inogona kupihwa kuburikidza nemutsinga, nemuromo kana nekufema.

Desmopressin ihormone ine simba uye inopokana nekudzikisira pane iyo ADH yakasikwa inogadzirwa nemuviri uye inoshanda seyakajairika ADH, ichidzivirira itsvo kubva mukugadzira weti kana mwero wemvura mumuviri wakaderera.

3. Dhiureti

Diuretics inogona kushandiswa, kunyanya mune zvakakomba zviitiko zveinephrogenic chirwere cheshuga insipidus, uye chinokurudzirwa zvakanyanya diuretic nachiremba ihydrochlorothiazide iyo inoshanda nekuderedza mwero wekutsvaira kweropa kuburikidza neitsvo, iyo inoderedza huwandu hweti weti yakaburitswa nemuviri.

Uye zvakare, chiremba wako anofanirwa kukurudzira chikafu chine munyu wakaderera kuti ubatsire kudzikisa huwandu hweweti itsvo dzako kuburitsa nekumwa angangoita 2.5 litita emvura pazuva kudzivirira kupera mvura mumuviri.

4. Anti-kuzvimba

Mishonga inorwisa-kuzvimba, senge ibuprofen, inogona kuratidzirwa nachiremba mune zviitiko zveinephrogenic chirwere cheshuga insipidus, sezvo zvichibatsira kudzikisa huwandu hweti uye inofanirwa kushandiswa pamwe chete nedhiureti.

Nekudaro, kushandiswa kwemishonga inorwisa-kupisa kwenguva yakareba, kunogona kukonzera kushungurudzika kwemudumbu kana ulcer yemudumbu. Mune ino kesi, chiremba anogona kukurudzira mushonga wekudzivirira dumbu senge omeprazole kana esomeprazole, semuenzaniso.

Zvinogona kuitika

Zvinetso zvinokonzerwa neshuga insipidus zvinogona kukonzera kushaya mvura mumuviri kana kusaenzana kwema electrolyte mumuviri senge sodium, potasium, calcium uye magnesium, nekuda kwekurasikirwa kukuru kwemvura nemagetsi nemuviri kubudikidza neweti, izvo zvinogona kukonzera zviratidzo zvakaita se:

• Muromo wakaoma;
• Kurwadziwa nemusoro;
• Dzungu;
• Kuvhiringidzika kana kutsamwa;
• kuneta zvakanyanya;
• kurwadziwa kwemhasuru kana kugunun'una;
• Kusvotwa kana kurutsa;
• Kupererwa nechido.

Kana iwe ukasangana nechimwe cheizvi zviratidzo, iwe unofanirwa kutsvaga rubatsiro rwechiremba nekukasira kana iyo iri padyo nenjodzi kamuri.

Ndeupi musiyano uripo pakati peshuga insipidus uye mellitus?

Chirwere cheshuga insipidus chakasiyana nechirwere cheshuga mellitus, nekuti mahormone anochinja aya marudzi maviri eshuga akasiyana.

Mune chirwere cheshuga insipidus pane shanduko muhormone ADH iyo inodzora huwandu hweti iyo munhu anogadzira. Mune chirwere cheshuga mellitus, kune rimwe divi, kune kuwedzera kwemazinga eruglucose muropa nekuda kwekudzikira insulin mukugadzira nemuviri kana nekuda kwekuramba kwemuviri kupindura insulin. Tarisa uone mamwe marudzi eshuga.