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Diabetes Insipidus

Pfupiso

Diabetes insipidus (die-uh-BEE-teze in-SIP-uh-dus) chirwere chisingawanzoitika chinokonzera kuti mvura mumuviri isawanzoenzana. Izvi zvinoita kuti muviri uburitse mvura yakawanda. Zvinokonzerawo kunzwa nyota zvakanyanya kunyangwe mushure mekunge wanywa chimwe chinhu. Diabetes insipidus inonziwo arginine vasopressin deficiency ne arginine vasopressin resistance. Kunyange zvazvo mazwi okuti "diabetes insipidus" ne "diabetes mellitus" achiteerana, mamiriro maviri acho haana hukama. Diabetes mellitus ine huwandu hweshuga yakakwirira yeropa. Ichi chirwere chinowanzoitika, uye chinowanzonziwo diabetes. Hapana mushonga we diabetes insipidus. Asi kurapwa kuripo kunogona kuunza nyore zviratidzo zvaro. Izvi zvinosanganisira kubvisa nyota, kuderedza huwandu hwemvura inobudiswa nemuviri uye kudzivirira kuoma kwemuviri.

Zviratidzo

Zviratidzo zvechirwere cheshuga cheinsipidus muvakuru zvinosanganisira: Kunzwa nyota kwazvo, kazhinji uchida mvura inotonhora.Kubuda kwemvura yakawanda yakasviba.Kumuka kakawanda usiku kuenda kunotsvaga mvura. Vakuru vanowanzo kubuda mvura inosvika litita imwe kusvika matatu pazuva. Vanhu vane chirwere cheshuga cheinsipidus uye vanonwa mvura yakawanda vanogona kubuda mvura inosvika litita makumi maviri pazuva. Mwana mudiki ane chirwere cheshuga cheinsipidus anogona kuratidza zviratidzo izvi: Kubuda kwemvura yakawanda yakasviba inoparira diaper dzakanyorova.Kusvibisa mubhedha. Kunzwa nyota kwazvo, uchida kunwa mvura nemvura inotonhora.Kurasikirwa nehuremu.Kukura kusina kunaka.Kurutsa.Kushatirwa.Fivha.Kutopwa.Kurwadziwa kwemusoro.Matambudziko ekurara.Matambudziko ekukuona. Ona chiremba wako nekukurumidza kana ukaona kuti uri kubuda mvura yakawanda kupfuura zvaunowanzoita uye une nyota kwazvo nguva dzose.

Nguva yekunoona chiremba

Kana ukaona kuti uri kusefa zvakanyanya kupfuura zvaunowanzoita uye uri kunyanywa mvura nguva dzose, enda kuna chiremba wako pakarepo.

Zvinokonzera

Gland yemukaka nehypothalamus dziri mubongo. Dzinoona nezvekugadzirwa kwehomoni.

Diabetes insipidus inoitika kana muviri usingakwanisi kuenzanisa mazinga emuviri nenzira ine hutano.

Pamusoro pe diabetes insipidus, muviri haukwanisi kuenzanisa mazinga emuviri zvakanaka. Chikonzero chekusawirirana kwemuviri chinoenderana nerudzi rwe diabetes insipidus.

Central diabetes insipidus. Kukuvadzwa kwe gland yemukaka kana hypothalamus kubva pakuvhiya, ganda, kukuvara kwemutsipa kana chirwere kunogona kukonzera central diabetes insipidus. Iko kukuvadzwa kunokanganisa kugadzirwa, kuchengetwa nekuburitswa kwe ADH. Hosha inowanikwa kubva pakuberekwa inogona kukonzera mamiriro ezvinhu ayawo. Inogonawo kuva mugumisiro wekuita kwe autoimmune kunoita kuti sisitimu yemuviri yemuviri ikanganise masero anoita ADH.
Nephrogenic diabetes insipidus. Izvi zvinoitika kana paine dambudziko neitsvo rinoita kuti dzisakwanise kupindura zvakanaka ku ADH. Irodambudziko rinogona kuva nekuda kwe:
- Hosha inowanikwa kubva pakuberekwa.
- Mishonga yakati, kusanganisira lithium nemishonga inorwisa hutachiona senge foscarnet (Foscavir).
- Mazai akaderera e potassium muropa.
- Mazai akakwirira e calcium muropa.
- Nzira yekubuda kwemukaka yakavharwa kana hutachiona hwenzira yekubuda kwemukaka.
- Mamiriro ekukanganisa kwetsvo kwenguva refu.
Hosha inowanikwa kubva pakuberekwa.
Mishonga yakati, kusanganisira lithium nemishonga inorwisa hutachiona senge foscarnet (Foscavir).
Mazai akaderera e potassium muropa.
Mazai akakwirira e calcium muropa.
Nzira yekubuda kwemukaka yakavharwa kana hutachiona hwenzira yekubuda kwemukaka.
Mamiriro ekukanganisa kwetsvo kwenguva refu.
Gestational diabetes insipidus. Iyi fomu isingawanzoitika ye diabetes insipidus inoitika chete panguva yekuzvitakura. Inokura kana enzyme inogadzirwa ne placenta ichikanganisa ADH mumunhu ane pamuviri.
Primary polydipsia. Iyi mamiriro ezvinhu anonziwo dipsogenic diabetes insipidus. Vanhu vane chirwere ichi vanonzwa nyota nguva dzose uye vanonwa mvura yakawanda. Inogona kukonzerwa nekuvadzwa kwehurongwa hwekudzora nyota muhypothalamus. Yakabatanawo nehosha yemupfungwa, senge schizophrenia.
Hosha inowanikwa kubva pakuberekwa.
Mishonga yakati, kusanganisira lithium nemishonga inorwisa hutachiona senge foscarnet (Foscavir).
Mazai akaderera e potassium muropa.
Mazai akakwirira e calcium muropa.
Nzira yekubuda kwemukaka yakavharwa kana hutachiona hwenzira yekubuda kwemukaka.
Mamiriro ekukanganisa kwetsvo kwenguva refu.

Dzimwe nguva hapana chikonzero chakajeka che diabetes insipidus chinogona kuwanikwa. Munyaya iyoyo, kuongororwa zvakare nekufamba kwenguva kazhinji kunobatsira. Kuongororwa kunogona kuona chikonzero chakavanzika pakupedzisira.

Zvinhu zvinokonzera njodzi

Munhu wese anogona kuwana chirwere cheshuga che diabetes insipidus. Asi avo vane njodzi yakakwira vanosanganisira vanhu vanotevera:

Vane nhoroondo yemhuri yechirwere ichi.
Vanotora mishonga chaiyo, senge diuretics, inogona kukonzera matambudziko etsinga.
Vane mazinga akakwira e calcium kana mazinga akaderera e potassium muropa ravo.
Vakambova nekuvhiringidzwa kukuru kwemusoro kana kuvhiyiwa kwepfungwa.

Matambudziko

Diabetes insipidus inogona kukonzera kupera mvura mumuviri. Izvi zvinoitika kana muviri wakarasikirwa nemvura yakawanda. Kupera mvura mumuviri kunogona kukonzera:

Muromo wakaoma.
Nyota.
Kuneta kwazvo.
Kufunga musoro.
Kusava nechokwadi.
Kufa nepfungwa.
Kuora mwoyo.

Diabetes insipidus inogona kuchinja mazinga emvura mumidziyo yeropa inotsigira muviri kuti urambe uine mvura yakakwana. Izvo zvinhu, zvinonzi electrolytes, zvinosanganisira sodium ne potassium. Zviratidzo zvekushomeka kwe electrolytes zvinogona kusanganisira:

Kushaya simba.
Kuora mwoyo.
Kurutsa.
Kurasikirwa nechido chekudya.
Kusanzwisisa.

Kuongorora

Kuongororwa kunoshandiswa kuona chirwere cheshuga chisina shuga kunosanganisira:

Kuongorora wee. Kuongorora wee kuti kana ine mvura yakawanda kunogona kubatsira pakuzivisa chirwere cheshuga chisina shuga.
Kuongorora ropa. Kuongorora huwandu hwezvinhu zvakati zviri muropa, zvakadai senitrate, potassium ne calcium, kunogona kubatsira pakuzivisa chirwere uye kunogona kubatsira pakuzivisa rudzi rwechirwere cheshuga chisina shuga.
Magnetic resonance imaging (MRI). MRI inogona kutsvaga matambudziko ne pituitary gland kana hypothalamus. Kuongorora uku kunoshandisa simba guru re magnetic field nema radio waves kugadzira mifananidzo yakajeka yehuropi.
Kuongorora magene. Kana vanhu vamwe vemhuri yako vakambosangana nematambudziko ekubuda kwemvura yakawanda kana vakamboonekwa vane chirwere cheshuga chisina shuga, chiremba wenyu anogona kukurudzira kuongorora magene.

Kuongorora kushaya mvura. Mukuedzwa uku, unorega kunwa mvura kwemaawa akawanda. Panguva yekuedzwa, chiremba wenyu anoyera shanduko muhuremu hwemuviri wako, huwandu hwemvura inobudiswa nemuviri wako, uye huwandu hwemvura neropa rako. Chiremba wenyu anogonawo kuyera huwandu hwe ADH muropa rako.

Panguva yekuedzwa uku, unogona kugamuchira ADH yakagadzirwa. Izvozvo zvinogona kubatsira kuratidza kana muviri wako uri kugadzira ADH yakakwana uye kana itsvo dzako dzinogona kupindura sezvinotarisirwa ku ADH.

Kurapa

Kana uine chirwere cheshuga che diabetes insipidus chisinganyanyi kuoma, ungangoda kungonwa mvura yakawanda kudzivirira kuoma kwemuviri. Muzviitiko zvimwe, kurapwa kunowanzoenderana nerudzi rwechirwere cheshuga che diabetes insipidus. Central diabetes insipidus. Kana central diabetes insipidus yakakonzerwa nechirwere mu gland ye pituitary kana hypothalamus, sekunge tumor, chirwere ichocho chinorapwa kutanga. Kana kurapwa kuchidikanwa kupfuura izvozvo, hormone yakagadzirwa inonzi desmopressin (DDAVP, Nocdurna) inoshandiswa. Mishonga iyi inotsiva hormone inoshaya inonzi antidiuretic hormone (ADH) uye inoderedza huwandu hwemukaka unogadzirwa nemuviri. Desmopressin inowanikwa semapiritsi, senhumbi yemhino uye sejekiseni. Kana uine central diabetes insipidus, zvinonzwisisika kuti muviri wako uchiri kugadzira ADH. Asi huwandu hunogona kuchinja zuva nezuva. Izvi zvinoreva kuti huwandu hwe desmopressin hwaunoda hunogonawo kuchinja. Kutora desmopressin yakawanda kupfuura yaunoda kunogona kukonzera kuchengetedza kwemvura. Muzvimwe zviitiko, zvinogona kukonzera matambudziko akakomba ekuderera kwe sodium muropa. Taura nachiremba wako nezvekuti ungagadzira sei uye rinhi huwandu hwedesmopressin. Nephrogenic diabetes insipidus. Nekuti itsvo hadzishande zvakanaka ne ADH mune iyi fomu ye diabetes insipidus, desmopressin haizobatsiri. Panzvimbo iyoyo, chiremba wako anogona kukurudzira kudya kudya kusina munyu kuderedza huwandu hwemukaka unoitwa netsvo dzako. Kurapwa ne hydrochlorothiazide (Microzide) kunogona kuunza nyore zviratidzo zvako. Kunyange zvazvo hydrochlorothiazide iri diuretic - rudzi rwemushonga unoita kuti muviri ugadzire mukaka wakawanda - inogona kuderedza huwandu hwemukaka kune vamwe vanhu vane nephrogenic diabetes insipidus. Kana zviratidzo zvako zvichikonzerwa nemishonga yaunotora, kumisa mishonga iyoyo kunogona kubatsira. Asi usamisa kutora chero mushonga usati wataura nachiremba wako. Gestational diabetes insipidus. Kurapwa kwe gestational diabetes insipidus kunosanganisira kutora hormone yakagadzirwa inonzi desmopressin. Primary polydipsia. Hapana kurapwa kwakakosha kune iyi fomu ye diabetes insipidus kunze kwekuderedza huwandu hwemvura yaunonwa. Kana mamiriro acho akabatana nechirwere chepfungwa, kurapa izvozvo kunogona kuunza nyore zviratidzo. Kumbira nguva yekuonana nachiremba

Kugadzirira musangano wako

Zvimwe zvaunofanira kuita Kutanga uchaona chiremba wako wekutanga. Asi kana uchifona kuronga nguva yekuonana nachiremba, ungatumirwa kune nyanzvi inonzi endocrinologist—chiremba anoona nezvematambudziko ehormone. Heano mamwe mashoko anokubatsira kugadzirira nguva yako yekuonana nachiremba. Zvaunogona kuita Bvunza nezvemirairo yekutevera usati wawana nguva yekuonana nachiremba. Panguva yauchaita iyo nguva yekuonana nachiremba, bvunza kana paine chimwe chinhu chaunofanira kuita usati wawana nguva yacho. Chiremba wako anogona kukukumbira kuti urege kunwa mvura usiku hwakapfuura nguva yekuonana nachiremba. Asi ita izvozvo chete kana chiremba wako akakukumbira kudaro. Nyora zviratidzo zvese zvauri kuona, kusanganisira chero zvingaita sekusina hukama nechinangwa chawakaronga nguva yekuonana nachiremba. Gadzirira kupindura mibvunzo nezvekuti kazhinji sei unopinda mujambazi uye kuti unonwa mvura yakawanda sei zuva rega rega. Nyora ruzivo rwakakosha rwega, kusanganisira chero kushushikana kukuru kana kuchinja kweupenyu munguva pfupi yapfuura. Gadzira runyorwa rweruzivo rwako rwakakosha rwehutano, kusanganisira kuvhiyiwa kwakaitwa munguva pfupi yapfuura, mazita emajekiseni ese aunotora uye zviyero, uye chero mamiriro ekurapa awakurapa munguva pfupi yapfuura. Chiremba wako anogona kukubvunzawo nezvekukuvara kwakaitwa kumusoro kwako munguva pfupi yapfuura. Tora nhengo yemhuri kana shamwari pamwe chete, kana zvichibvira. Dzimwe nguva zvinogona kuoma yekurangarira ruzivo rwese rwauchawana panguva yekuonana nachiremba. Mumwe munhu anofamba newe anogona kurangarira chimwe chinhu chawakapotsa kana kukanganwa. Nyora mibvunzo yekubvunza chiremba wako. Kune diabetes insipidus, mimwe mibvunzo yekubvunza chiremba wako inosanganisira: Chii chinonyanya kukonzera zviratidzo zvangu? Ndeapi marudzi ekuyedza andinoda? Ko mamiriro angu ane mukana wekuvaenguva pfupi here kana kuti ndichava nayo nguva dzose? Ndeapi kurapwa kuripo, uye ndechipi raunokurudzira kwandiri? Uchaongorora sei kana kurapwa kwangu kuri kushanda? Ndinofanira kuita chero shanduko pane zvandinoita kana mararamiro angu here? Ndichiri kuda kunwa mvura yakawanda kana ndiri kutora mishonga here? Ndina mamwe mamiriro ehutano. Ndingadzikwanisa sei kudzitungamira pamwe chete? Kune chero mirairo yekudya yandinofanira kutevera here? Kune mabhurocha kana mamwe mapepa andinogona kutora kumba, kana mawebsite aunokurudzira here? Zvaunofanira kutarisira kubva kuchiremba wako Chiremba wako anogona kukubvunza mibvunzo, kusanganisira: Zviratidzo zvako zvakabva riini? Uri kupinda mujambazi zvakawanda sei kupfuura zvaunowanzoita? Unonwa mvura yakawanda sei zuva rega rega? Unosimuka usiku kuti upinde mujambazi unonwa mvura here? Uri nepamuviri here? Uri kurapwa, kana kuti wakamborapwa munguva pfupi yapfuura nezvimwe zvirwere here? Wakambokuvara kumusoro kwako munguva pfupi yapfuura, kana kuti wakambogara uchivhiyiwa nemusoro here? Munhu wese wemhuri yako akamborwara ne diabetes insipidus here? Pane chimwe chinhu chinoita sekunatsa zviratidzo zvako here? Chii, kana paine chimwe chinhu, chinoita sekunyanya kuipa zviratidzo zvako? Zvaunogona kuita pakati nepanguva yekumirira nguva yako yekuonana nachiremba, unwa kusvikira nyota yako yadzima, kazhinji sezvinodiwa. Dzivisa mabasa anogona kukonzera kuoma kwemuviri, sekurovedza muviri, mamwe mabasa emuviri kana kupedza nguva muchando. Na Mayo Clinic Staff

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