Izimbangela nezinhlobo zesifo sikashukela
Izinhlobo ezilandelayo ze-insulin yesifo sikashukela ziyahlukaniswa:
- I-Renal (Nephrogenic) - kubonakaliswa ukuqoqwa okujwayelekile kwe-vasopressin esegazini, kepha ukumunca kwayo izicubu zezinso kuphazamisekile.
- Okuphakathi (neurogenic) - kwenzeka ngokuvela okunganele kwe-antidiuretic hormone yi-hypothalamus. Isifo sikashukela i-insipidus yemvelaphi emaphakathi iholela eqinisweni lokuthi i-hormone ikhiqizwa ngamanani amancane. Kuyabandakanyeka ekufakweni kwe-fluid okubuthakathaka kwezicubu zezinso. Ngokuntuleka kwe-vasopressin, inani elikhulu lamanzi likhishwa ezinso.
- Insipidar - kanye nezingcindezi ezivama njalo kanye namava ezinzwa;
- IGestagen - kwabesifazane abakhulelwe. Isifo sikashukela i-insipidus ngesikhathi sokukhulelwa sakhiwa ngenxa yokubhujiswa kwe-vasopressin yizakhi ze-enzymatic ze-placenta. Ukomela kanye "nokuphelelwa amandla komchamo" kwenzeka kakhulu ku-trimester yesithathu yokuthinta.
- I-Idiopathic - ngesizathu esingaziwa, kepha izifundo zemitholampilo zibonisa amathuba aphezulu okudluliselwa kwalesi sifo ngefa.
Izimbangela ezivamile zesifo sikashukela:
- Izingqinamba zobuchopho ezithinta i-hypothalamus;
- Amakhaza edlule (umkhuhlane, i-SARS);
- Ukuvuvukala kwamalonda (encephalitis);
- Ukulimala kwethambo;
- Ukwanda kwengcindezi ye-intracranial;
- Ukuphazamiseka ekufakweni kwegazi ebuchosheni;
- Ama-metastases we-Tumor.
- Ukulimala engxenyeni ye-cortical noma yobuchopho yezinso;
- I-Sickle cell anemia (isifo esiyifa elivela ngokuvela kwamangqamuzana abomvu egazi);
- Ukwehluleka kwangempela
- I-Polycystic (ama-cysts amaningi wezinso zombili);
- Ukwehla noma ukwanda kokuhlushwa kwe-calcium calcium
- Ukuthatha umuthi onomphumela onobuthi ezinso (demeclocilin, lithium, amphotericin B).
Emuva kokuqukethwe
Izimpawu eziphambili zesifo sikashukela insipidus
Izimbangela zalesi sifo ziningi, kepha izimpawu zesifo ziyafana kuzo zonke izinhlobo zalesi sifo nokuhluka kwazo. Noma kunjalo, ubukhulu besithombe somtholampilo buxhomeke ezimisweni ezi-2 ezibalulekile:
- Ukuntuleka kwe-antidiuretic hormone;
- Ukungavikeleki kwe-venal receptor vasopressin.
- Isifiso sokudla siyancipha, ukuqunjelwa kuvela ngenxa yokwephulwa kokuhlanganiswa kwama-enzymes wokugaya kanye nokuqunjelwa kwesisu;
- Izicubu ezomile ze-mucous, ukuncipha kwesisindo ngenxa yokulahleka kwamanzi;
- Isisu esingezansi sanda ngenxa yokuchithwa kwesinye;
- Ukucabanga kuyancipha;
- Ukushisa kuyenyuka;
- Umuntu ukhathala ngokushesha;
- Ukuqubuka kwe-Urinary kwenzeka.
- Umsebenzi wemizwelo;
- Ubuhlungu bekhanda nokuqwasha;
- Kwehliswe ukunakwa nokuhlushwa.
Kunokwehluka kwezimpawu zesifo emadodeni, abesifazane nasezinganeni. Abamele ingxenye yengxenye eqinile yesintu bakhombisa ukwehla komsebenzi wezocansi (libido). Kwabesifazane, izimpawu zesifo zihlanganiswa nokungahambi kahle kokuya esikhathini. Ezimweni eziningi, ngokumelene nesizinda sikashukela i-insipidus, ukukhula kokuzala ukungaboli. Uma lesi sifo savela ngesikhathi sokubeletha kwengane, kungenzeka okukhulu kokuphuphuma kwesisu okuzenzakalelayo.
Emuva kokuqukethwe
Izici zokubonisa kwesifo sikashukela ezinganeni
Izimpawu zesifo sikashukela i-insipidus ezinganeni azihlukile ekubonisweni kwalesi sifo kubantu abadala.
Izimpawu ezithile zesifo enganeni:
- Ngokuphikisana nesizinda sokungondleki kahle, ingane ithola isisindo esikhulu;
- Ngemuva kokudla, ukugabha kanye nenausea kuyavela;
- Ukuhluleka kwe-urinary ebusuku;
- Ubuhlungu obuhlangene.
Izimpawu ezihlukile zesifo sikashukela ezinsaneni:
- Ukukhathazeka
- Ingane “ichama” ngezingxenye ezincane;
- Ilahlekelwa ngokushesha isisindo;
- Akanakho ukucwaswa;
- Ukushisa kuyenyuka;
- Isigqi senhliziyo siyashesha.
Kuze kube unyaka, ingane ayikwazi ukuveza inhlala-kahle yayo ngamazwi. Uma abazali bengaziboni izimpawu zalesi sifo, uyoba nezimpawu eziholela ekufeni.
Emuva kokuqukethwe
Ukuxilongwa nokwelashwa kwe-insipidus yesifo sikashukela
Ukuxilongwa kwesifo sikashukela i-insipidus kudinga umlando wezinto ezilandelayo:
- Ingabe kukhona ukungalali ebusuku;
- Isiguli singakanani sisebenzisa uketshezi ngosuku;
- Ingabe kunokuxineka kwengqondo noma ukoma okwandayo;
- Ingabe kunezinkinga zamathumbu kanye ne-endocrine.
- Thola ukungahambi kahle komchamo, ukuhlunga kwezinso;
- Imisakazo yesikhumba kanye nesihlalo saseTurkey;
- Yenza i-urology e-excretory yezinso ngokuhlukile;
- I-Echoencephalography;
- Yenza i-ultrasound yezinso;
- Nikeza umchamo ekuhlolweni kweZimnitsky (ukuzimisela kwezindawo zokuhlinza zomchamo).
- Isiguli sihlolwa yi-neurosurgeon, optometrist kanye ne-neuropathologist.
Emuva kokuqukethwe
Ukwelashwa kwesifo sikashukela insipidus
Ukwelashwa kwesifo sikashukela kususelwa enanini lokulahleka kwamanzi nsuku zonke. Lapho umuntu elahlekelwa ngaphansi kwamalitha ama-4 ngosuku, imithi ayibekiwe, futhi ukulungiswa kwesimo kwenziwa ngokudla.
Ngokulahleka okungaphezu kwamalitha ama-4, ukuqokwa kwama-hormone asebenza njengama-hormone antidiuretic kuyanconywa. Ukukhethwa kokuhlushwa komuthi kwenziwa ngesisekelo sokuthola inani lomchamo lansuku zonke.
Imuphi umuthi obambele i-vasopressin:
- Desmopressin (Adiuretin);
- Minirin;
- I-Miskleron;
- Carbamazepine;
- IChlorpropamide.
Ngohlobo lwe-renal lwalesi sifo, kunqunywa i-thiazide diuretics (triampur, hydrochlorothiazide). Ukudambisa ukuvuvukala - indomethacin, ibuprofen.
Emuva kokuqukethwe
