Mate Huka Ngākau Kore

Ko te diabetes insipidus (die-uh-BEE-teze in-SIP-uh-dus) he raruraru onge noa e pā ana ki te koretake o ngā wai o te tinana. Ka whakaohooho tera i te tinana ki te hanga i te nui o te mimi. Ka puta mai ano te hiahia nui ki te inu wai ahakoa kua inu kē. Ka kiia ano te diabetes insipidus ko te ngoikore o te arginine vasopressin me te ātete o te arginine vasopressin. Ahakoa he rite ngā kupu 'diabetes insipidus' me 'diabetes mellitus', kāore ngā āhuatanga e rua e hono atu. Ko te diabetes mellitus te nui o te huka toto. He āhuatanga noa iho tēnei, ā, e kiia ana he diabetes noa iho. Kāore he rongoā mō te diabetes insipidus. Engari he rongoā kei te wātea hei whakaora i ōna tohu. Kei roto i tera te whakaora i te matewai, te whakaiti i te nui o te mimi e hanga ana e te tinana, me te aukati i te ngaungaumatua.

Ngā tohu o te mate huka insipidus ki ngā tāngata pakeke e whai ake nei: He matewai rawa, ā, e tino hiahia ana ki te wai makariri. Te tukunga atu o te nui o te mimi ma. Te ara ake ki te mimi me te inu wai i te po. Ko te tikanga, ka mimi ngā tāngata pakeke i te 1 ki te 3 kōpaki (tautau tata ki te 1 ki te 3 rita) i te rā. Ko ētahi atu e pangia ana e te mate huka insipidus, ā, e inu ana i te wai maha, ka taea e rātou te mimi tae atu ki te 20 kōpaki (tautau tata ki te 19 rita) i te rā. Mēnā he pēpi, he tamariki iti rānei te mate huka insipidus, ka puta mai ēnei tohu: Te nui o te mimi ma e tino makuku ai ngā nāpī. Te mimi i te moenga. Te matewai rawa, me te hiahia ki te inu wai me ngā wai makariri. Te ngaro o te taumaha. Te kore o te tipu. Te ruaki. Te riri. Te kirika. Te pūngahunga. Te mamae o te mahunga. Ngā raruraru moe. Ngā raruraru tirohanga. Tirohia tō kaiwhakarato hauora inaianei ki te kite koe kei te mimi nui atu i te mea noa, ā, kei te matewai rawa koe i ia rā.

Tena tirohia tō kaiwhakarato hauora i te wa poto rawa atu mena ka kite koe kei te mimi nui atu koe i te mea noa, ā, kei te matewai nui koe i ia rā.

Ko te pūngāwerewere pūtau me te hypothalamus kei roto i te roro. Ka whakahaere rāua i te whakaputanga o ngā homoni.

Ka puta te mate huka insipidus ina kore e taea e te tinana te whakataurite i ōna taumata wai i te huarahi hauora.

I te mate huka insipidus, ka kore e taea e te tinana te whakataurite tika i ngā taumata wai. Ko te take o te koretake o te wai e whakawhirinaki ana ki te momo mate huka insipidus.

• Te mate huka insipidus o te pokapū. Ko te pakaru o te pūngāwerewere pūtau, te hypothalamus rānei i te pokanga, i te mate pukupuku, i te whara o te matenga, i te mate rānei ka taea te mate huka insipidus o te pokapū. Ka pā te kino ki te whakaputanga, ki te rokiroki, ki te tukunga atu rānei o te ADH. He mate i tukua mai i te whānau pea ka puta tēnei āhuatanga. Ka taea hoki te hua o te tauhohenga autoimmune e ngāwari ai te pūnaha ārai mate o te tinana i ngā pūtau e hanga ana i te ADH.
• Te mate huka insipidus nephrogenic. Ka puta tēnei ina he raruraru kei ngā whatukuhu e kore ai e taea e rātou te whakautu tika ki te ADH. Ko taua raruraru pea i te mea:
  • He mate i tukua mai i te whānau.
  • Ētahi rongoā, tae atu ki te lithium me ngā rongoā antivirus pēnei i te foscarnet (Foscavir).
  • Ngā taumata iti o te potassium i roto i te toto.
  • Ngā taumata teitei o te calcium i roto i te toto.
  • He ara mimi kua āraihia, he mate mimi rānei.
  • He āhuatanga whatukuhu roa.
• He mate i tukua mai i te whānau.
• Ētahi rongoā, tae atu ki te lithium me ngā rongoā antivirus pēnei i te foscarnet (Foscavir).
• Ngā taumata iti o te potassium i roto i te toto.
• Ngā taumata teitei o te calcium i roto i te toto.
• He ara mimi kua āraihia, he mate mimi rānei.
• He āhuatanga whatukuhu roa.
• Te mate huka insipidus gestational. Ko tēnei momo mate huka insipidus onge ka puta anake i te whakamamae. Ka whanake ina whakangō nā te enzyme i hangaia e te placenta te ADH i roto i te wahine hāpai.
• Te polydipsia matua. Ka kiia hoki tēnei āhuatanga ko te mate huka insipidus dipsogenic. Ko te hunga he mate tēnei, ka ngākau nui tonu ki te matewai, ka inu nui hoki i ngā wai. Ka taea te whakaeke i te kino o te tikanga whakahaere matewai i roto i te hypothalamus. Kua honoa atu hoki ki te mate hinengaro, pēnei i te schizophrenia.
• He mate i tukua mai i te whānau.
• Ētahi rongoā, tae atu ki te lithium me ngā rongoā antivirus pēnei i te foscarnet (Foscavir).
• Ngā taumata iti o te potassium i roto i te toto.
• Ngā taumata teitei o te calcium i roto i te toto.
• He ara mimi kua āraihia, he mate mimi rānei.
• He āhuatanga whatukuhu roa.

I etahi wā ka kore e kitea he take mārama mō te mate huka insipidus. I taua take, he maha ngā whakamātautau i te wa roa ka whai hua. Ka taea pea e te whakamātautau te tautuhi i te take i muri i te mutunga.

Ka taea e te tangata tetahi te whiwhi i te mate huka insipidus. Engari ko te hunga kei te nui ake te tūponotanga ko te hunga:

• He whānau whakapapa o te mate.
• Kei te inu i ētahi rongoā, pēnei i ngā diuretics, ka āhei te arahi ki ngā raruraru whatukuhu.
• He nui te taumata o te kārati, he iti rānei te taumata o te pōtāhiuma i roto i ō rātou toto.
• Kua whara nui te upoko, kua mahi rongoā rānei te roro.

Ka taea e te mate huka ngākau kore te arahi ki te maroke. Ka puta mai tera ina ngaro atu te wai o te tinana. Ka taea e te maroke te whakaoho i te:

• Te waha maroke.
• Te matewai.
• Te ngenge rawa.
• Te wiri.
• Te mahunga mārō.
• Te ngaro o te ngakau.
• Te ruaki.

Ka taea e te mate huka ngākau kore te huri i ngā taumata o ngā kohuke i roto i te toto e pupuri ana i te toenga o ngā wai o te tinana. Ko aua kohuke, e kiia nei ko ngā electrolytes, ko te konutai me te pōtāhiumi. Ko ngā tohu o te kore toenga o ngā electrolytes pea ko:

• Te ngoikore.
• Te ruaki.
• Te ruaki.
• Te ngaro o te hiahia kai.
• Te whakapohehe.

Kaore he uauatanga

Ko ngā whakamātautau e whakamahia ana hei whakatau i te mate huka ngākau kore e āhei te inu wai e whai ake nei:

• Whakamātautau mimi. Ko te whakamātautau mimi kia kite mena kei roto he wai nui rawa ka awhina i te kimi i te mate huka ngākau kore e āhei te inu wai.
• Whakamātautau toto. Ko te tirotiro i ngā taumata o ētahi mea kei roto i te toto, pēnei i te konutai, te pōtāhiuma me te kārū, ka āwhina i te whakatau, ā, ka whai hua pea ki te kimi i te momo mate huka ngākau kore e āhei te inu wai.
• Whakaahua pūkaha maikuku (MRI). Ka taea e te MRI te rapu i ngā raruraru ki te pūtake pituitary, ki te hypothalamus rānei. Ko tēnei whakamātautau whakaahua e whakamahi ana i te mara maikuku kaha me ngā ngaru reo hei hanga i ngā whakaahua taipitopito o te roro.
• Whakamātautau irahiko. Ki te mea kua pangia ētahi atu tangata o tō whānau e te nui rawa o te mimi, kua tohua rānei ki te mate huka ngākau kore e āhei te inu wai, ka taea e tō kaiwhakarato hauora te kōrero mō te whakamātautau irahiko.

Whakamātautau whakamātautau wai. Mō tēnei whakamātautau, ka mutu tāu inu wai mō ngā haora maha. I te wā o te whakamātautau, ka inehia e tō kaiwhakarato hauora ngā huringa i te taumaha o tō tinana, te nui o te mimi e hanga ana e tō tinana, me te kaha o tō mimi me tō toto. Ka taea hoki e tō kaiwhakarato hauora te ine i te nui o te ADH kei roto i tō toto.

I te wā o tēnei whakamātautau, ka taea e koe te whiwhi i te ahua hanga o te ADH. Ka taea te āwhina i te whakaatu mena kei te hanga tika tō tinana i te ADH, me te āhei rānei o ō whatukuhu ki te whakautu penei ki te ADH.

Mēnā he mate huka ngoikore insipidus tōu, pea ka nui rawa te inu wai kia kaua e ngongo. I ētahi atu wā, ko te rongoā te nuinga e whakaū ana ki te momo mate huka insipidus. Te mate huka insipidus o te pūtake. Ki te mate huka insipidus o te pūtake e puta mai ana i te mate i roto i te pūtake pituitary, i te hypothalamus rānei, pēnei i te mate pukupuku, ka rongoāhia tuatahi taua mate. Ka hiahiatia te rongoā atu i tera, ka whakamahia he homoni hanga e kiia nei ko te desmopressin (DDAVP, Nocdurna). Ka whakakapi tēnei rongoā i te homoni antidiuretic (ADH) e ngaro ana, ā, ka whakaiti i te nui o te mimi e hanga ana e te tinana. Kei te wātea te Desmopressin hei rongoā, hei whakainu ihu, ā, hei tā. Ki te mate huka insipidus o te pūtake tōu, pea kei te hanga tonu tō tinana i ētahi ADH. Engari ka rereke te nui i te rā ki te rā. Ko te tikanga ka rereke hoki te nui o te desmopressin e hiahiatia ana e koe. Ko te tango i te desmopressin nui atu i tō hiahia ka pā te pupuri wai. I ētahi wā, ka pā pea te iti o te konutai i roto i te toto. Kōrero atu ki tō kaiwhakarato hauora mō te pēhea me te wā ki te whakarite i tō horopeta o te desmopressin. Te mate huka insipidus nephrogenic. Nō te mea kaore ngā whatukuhu e whakautu tika ana ki te ADH i roto i tēnei momo mate huka insipidus, kaore te desmopressin e āwhina. Engari, ka āhei tō kaiwhakarato hauora ki te whakahau kia kai koe i te kai iti te tote hei whakaiti i te nui o te mimi e hanga ana e ō whatukuhu. Ko te rongoā me te hydrochlorothiazide (Microzide) ka ngāwari ake ngā tohu. Ahakoa he diuretic te hydrochlorothiazide—he momo rongoā e pā ana ki te hanga i te mimi nui ake e te tinana—ka taea e ia te whakaiti i te putanga mimi mō ētahi tāngata me te mate huka insipidus nephrogenic. Ki te mate o ō tohu nā ngā rongoā e inu ana koe, ko te mutu o aua rongoā ka āwhina pea. Engari kaua e mutu te inu i tetahi rongoā i mua i te kōrero atu ki tō kaiwhakarato hauora. Te mate huka insipidus gestational. Ko te rongoā mō te mate huka insipidus gestational e whakauru ana ki te tango i te homoni hanga desmopressin. Te polydipsia matua. Kāore he rongoā motuhake mō tēnei momo mate huka insipidus atu i te whakaiti i te nui o ngā wai e inu ana koe. Ki te hono te āhuatanga ki te mate hinengaro, ko te rongoā i taua mea ka ngāwari ake ngā tohu. Tono kia whakaritea he whakatau

Kaore he uara (NaN)