Ukwelashwa kwesifo sikashukela insipidus

Isifo sikashukela i-mellitus sibizwa ngokuthi i-endocrine pathology eyenzeka ngenxa yokuphelelwa ngokuphelele (uhlobo oluphakathi lwesifo) noma isihlobo (uhlobo lwezinso sesifo) ukuntuleka kwe-vasopressin. Le nto yi-hormone yohlelo lwe-hypothalamic-pituitary, olubhekele ukwakheka kahle komchamo wesibili ngokubuyiselwa kwamanzi nokunye okuphambili.

Ukuthuthukiswa kwesifo sikashukela i-insipidus, ukwelashwa okufanele kube okufika ngesikhathi futhi kubanzi, kungenzeka nganoma yisiphi isikhathi, ngoba i-pathology inomlingiswa oyindlalifa nowokutholwa. Lokhu okulandelayo kuyizimpawu zokwelashwa kwe-insipidus yesifo sikashukela ngezindlela zendabuko kanye namakhambi abantu.

Izici zesifo

Uhlobo oluphambili lwe-pathology luvela ngenxa yesiphene ezingeni lofuzo noma ukungaqondakali ekwakhekeni kobuchopho. Umphumela ukukhiqizwa okunganele kwe-antidiuretic hormone.

Uhlobo lwe-renal (nephrogenic) lwesifo luhambisana nezinguquko ekusebenzeni kwezinso. Ama-receptors wezicubu zomzimba aba bucayi kancane esenzweni sezinto ezisebenza ngama-hormone. Zombili lezi zinhlobo zesifo sikashukela i-insipidus zingaba zomdabu futhi zitholakale.

Izimbangela zesifo:

• ukuhlukunyezwa kofuzo;
• amaphutha okuzala;
• isimila sobuchopho kanye ne-metastasis yomdlavuza wezinye izitho;
• ukulimala kwengqondo ebuhlungu;
• i-neuroinfection;
• ama-pathologies we-systemic;
• ukwephulwa kwezinso (ukuvinjwa kwethamo lomchamo, ukwehluleka kwezinso, isifo sezinso se-polycystic);
• ukuphazamiseka okuphoqayo (ukuphazamiseka kwengqondo).

Izimpawu zesifo sikashukela i-insipidus kwabesifazane nabesilisa zibonakaliswa ukoma kwe-pathological kanye nenani elandayo lokuchama. Iziguli zikhononda ngokubonakala kwesikhumba esomile, ukuntuleka kokujuluka, ukunciphisa umzimba.

Ukukhetha kwamaqhinga wokuphathwa kweziguli kungukuphamba kwe-endocrinologist

Kubalulekile! Izimpawu ezengeziwe: ukuphefumula kokuhlanza, ukubanda kwesikhumba, ukuphazamiseka kokulala, ukungezwani kanye novalo.

Izimiso zokwelashwa

Uhlelo lokwelashwa luqukethe lezi zinyathelo ezilandelayo:

• Ukwelashwa kokudla.
• Ukwelashwa kwe-Etiological inqubo yokuqeda imbangela yesifo se-endocrinological.
• Ukwelashwa kwezidakamizwa, kufaka phakathi izidakamizwa okuhloswe ngazo ukuthuthukisa ukukhiqizwa kwehomoni ye-antidiuretic ku-insipidus yesifo sikashukela.
• Izidakamizwa ezisetshenziselwa ekwelashweni kohlobo lwezinso lwesifo.
• Uhlobo lokuphuza olwanele.

Ukulwa nembangela yalesi sifo

Ukwelashwa kwesifo sikashukela i-insipidus kufanele kwenzeke kuphela ngemuva kokuxilongwa okuningana kanye nokwehlukanisa nezinye izifo ezinokubonakaliswa okufanayo nezinguquko emingceleni yeelebhu.

Udokotela ohambelayo unquma isizathu esiyinhloko sokuthuthukiswa kwesifo sikashukela futhi ukhetha amaqhinga wokuqedwa kwawo. Uma i-neuroinfection isiphenduke into ekhangayo, kunikezwa ukwelashwa ngama-antibacterial agents kanye nemithi engeyona eye-anti -idalidal. Futhi, uchwepheshe unikezwa umuthi omisa i-edema yamakhemikhali (i-loop ne-osmotic diuretics, izixazululo ze-hyperosmolar).

Ngomthungo wobuchopho, ukuhlinzwa kuyasetshenziswa. Isazi se-neurosurgeon sibonisa ukwakheka kwengqondo. Okulandelayo, kunikezwa i-chemotherapy kanye ne-radiation therapy (uma kukhonjisiwe).

Ukususwa kwe-tumor kuyisinyathelo esingenzeka ekwelashweni kwe-pathology

Izifo ze-systemic zidinga ukulungiswa kwezokwelapha, izinguquko ze-vascular zidinga ukwelashwa ngezidakamizwa nokwelashwa. Uma isifo sofuba sesibe imbangela eyinhloko yesifo sikashukela, kusetshenziswa izidakamizwa ezilwa nesifo sofuba, futhi ngomonakalo we-syphilitic, izidakamizwa ezilwa ne-syphilitic.

Ukwelashwa ngezidakamizwa

Ukuqedwa kwembangela akuyona njalo. Ngokuvamile, abaphethe i-endocrinologists baphendukela ekuqeshweni kwelashwa esikhundleni salokho, okusho ukuthi, bakhulisa inani lezinto ezisebenza ngama-hormone emzimbeni ngokwazisa ngendlela eyehlayo noma yomjovo.

Adiurecrine

Umuthi omelwe ukulungiswa owomile kwemvelaphi yesilwane. Ithuluzi lisebenza ngemuva kwekota yehora kusukela lapho lithathwa. Isikhathi somphumela sifinyelela emahoreni angama-8. I-Adiurecrin ilawulwa ngokufakwa ngaphakathi kwe-powder. Kubekelwe izingane ezingaphezulu kweminyaka emi-3.

Ungaselapha kanjani isifo sikashukela

Kukhona ne-adiurecrin ngendlela yamafutha. Lokhu kulungele ukusetshenziswa, ngoba ukwethulwa kwamafutha emgodini wezinzwa kuvumela umuthi ukuthi udonswe ngokulinganayo ngokusebenzisa ulwelwesi lwamafinyila. Ngaphezu kwalokho, i-powder by inhalation ingangena emehlweni, okujwayelekile ezigulini ezingane, kepha ayifaki ukusetshenziswa kwamafutha okugcoba.

Ukuze wethule inani elidingakalayo lomuthi, kufakwa ithiphu ekhethekile enesibhamu. Lokhu kukuvumela ukuthi uphuze umuthi ngokuqinile. I-Adiurekrin ayisetshenziselwa i-pathology ye-sinanas paranasal kanye nesifo sokuphefumula sethreak. Ezimweni eziningi, kunqunyelwe impilo.

Isifo sikashukela i-Adiuretin

Lesi sidakamizwa esinjenge-vasopressin, esitholakala ngendlela yamaconsi nomjovo. Isifo sikashukela se-Adiuretin sisetshenziselwa ukulwa nesifo sikashukela ngendlela yemijovo yokuhamba kancane ye-intravenous drip. Umuthi usetshenziselwa ukwelapha uma ukuphathwa kwe-intranasal kungenzeki.

Amaconsi angabekwa futhi. Isazi se-endocrinologist, njengomthetho, sinquma ama-1-3 ehla kaningana ngosuku. Contraindication ukwehluleka kwenhliziyo okungapheli, i-polydipsia ngemuva kokuphazamiseka kwengqondo kanye ne-hypersensitivity yomuntu ngamunye ezingxenyeni zomuthi.

UMinirin

Umuthi usesimweni sokufafaza namathebulethi. Kusetshenziswe empini yokulwa nesifo sikashukela esimaphakathi. Ukuthintana kokuqokwa kukhona ama-polydipsia e-psychogenic, ukuhluleka kwenhliziyo, ukuncipha kwe-sodium egazini, kanye nokwehluleka kwezinso.

I-Minirin umuthi osuselwa ku-desmopressin osetshenziswa ekwelashweni esikhundleni

Kubalulekile! Ukuqapha kufanele kusetshenziselwe ukwelapha abesifazane ngesikhathi sokuzala nengane, kanye nezinsana.

Izidakamizwa ezikhulisa ukuzwela kwezinso ku-ADH

Izinto zokwelapha ezikuleli qembu zisetshenziswa ezimeni lapho kuncipha khona amazinga e-vasopressin, kepha umkhiqizo wawo uyagcinwa.

• I-Carbamazepine isidakamizwa se-antiepileptic esuselwa ku-carboxamide. Umuthi une-antidepressant futhi uzinza isimo sasemoyeni sokuphazamiseka kwengqondo. Kunqunyelwe ekwelashweni okuyinkimbinkimbi kwesifo sikashukela i-insipidus. Ingahlanganiswa ne-chlorpropamide.
• I-Chlorpropamide isidakamizwa i-sulfonamide esinganciphisa ushukela wegazi. Umphumela uba phakathi kwezinsuku ezinhlanu zokuqala ukusetshenziswa. Isetshenziselwa kuphela uhlobo oluphambili lwe-pathology. Kubalulekile ukuqapha izinkomba ze-glycemic ku-dynamics.
• I-Miskleron - umuthi olungisa i-lipid metabolism emzimbeni. Ithuluzi lifana nokusebenza kwamafutha, i-triglycerides, i-cholesterol. Ngasikhathi sinye, kusebenza ngempumelelo yesifo sikashukela sohlobo oluphakathi.

Ukwelashwa kohlobo lwe-renal of pathology

Leli fomu lihambisana nokukhiqizwa okwanele kwento esebenza ngamahomoni, nje ama-receptors ezinso alahlekelwa umuzwa wawo kuwo. Imithi engenhla ngeke isebenze ekwelapheni i-nephrogenicabetes insipidus.

Ochwepheshe banquma i-thiazide diuretics. Umshini wesenzo sabo kungenxa yokuthi ngenxa yokwehla kwethamo lokujikeleza kwegazi, kukhona ukwanda kokumukelwa kwamanzi okuphindayo emathanjeni aphambili wezinto zokwakha izinso ze-nephron.

Ummeleli owaziwa kakhulu yiHypothiazide. Ukusebenza ngempumelelo kokwelashwa nalesi sidakamizwa kuthuthukiswa ngokwenqaba usawoti ngesikhathi sokupheka nalapho uhlanganisa ukwelashwa nge-anabolics (isb., Nerobolum).

Ukwelashwa kokudla kanye nohlu lwamanzi

Iziguli kufanele ziphuze amanzi amaningi. Ukuvinjelwa kungaholela ekwakhiweni kwezinkinga eziningi.

Ngokuthola i-insipidus yesifo sikashukela, iziguli ziyalulekwa ukuba zilandele itafula No. 7, No. 10, ingxenye No. 15. Ukudla kufanele kufake imifino eminingi emisha, izithelo, amajikijolo. Kweziphuzo, iziphuzo ezahlukahlukene, i-kvass, amanzi amsulwa, itiye eliluhlaza kuyathandeka.

Ukuvinjelwa usawoti kungumgomo obalulekile wokulungiswa kokudla.

Inani lamaprotheni ekudleni kwansuku zonke kufanele ancishiswe libe ngu-60 g, kanye nokudla kwama-carbohydrate namafutha - ngaphandle kwemikhawulo. Ukudla kunconywa ukuthi kulungiselelwe ngaphandle kosawoti. Kunikezwa usawoti ukudla okuphekwe kakade ngenani elingadluli ku-4 g ngosuku. Imikhiqizo enconyiwe equkethe inani elikhulu le-thiamine, ascorbic acid kanye namavithamini we-B.

Iziguli zivunyelwe izinongo: i-anise, ikhumini, ikilori kanye ne-Cardamom, i-dill, i-nutmeg nesinamoni, i-ginger ne-vanilla. Kungcono ukulahla upelepele omnyama nobomvu, lwesinaphi, uviniga.

Ukuvusa umsebenzi wamaseli obuchopho, kubalulekile ukudla izinhlanzi zasolwandle nezinhlanzi zasemanzini, ngoba ziqukethe inani eliphakeme le-phosphorus.

Kubalulekile! Uma isiguli singenakho ukuhluleka kwe-renal, usawoti wokudla (i-Sanasol) singasetshenziswa.

Izindlela zabantu

Umuthi wamakhambi ungenye yezindlela zokwelapha ezingezelelwe. Amalungiselelo amakhambi ayatholakala anciphisa ukoma nokuphuma komchamo.

Inombolo yokuqoqa

Hlanganisa izithako ezilandelayo ezingxenyeni ezikhonjisiwe:

• impande yokunisela (1);
• impande ye-valerian (1);
• dill ekhemisi (2);
• i-azure cyanosis herb (2);
• I-Veronica utshani (4);
• i-thyme herb (4);
• utshani obunamakhanda amhlophe (4).

Thatha isipuni bese uthele amalitha ayi-0,5 wamanzi abilayo. Inani eliphumelelayo lokufakwa kufanele lidakwe ngaphakathi kosuku olulandelayo. Inkambo yokwelashwa iyizinsuku ezingama-60-90.

Umuthi we-Herbal - into yokwelashwa kwesifo sikashukela i-insipidus

Inombolo yokuqoqa 2

Hlanganisa izitshalo zokwelapha ezingxenyeni ezikhonjisiwe:

• umaki owomile (2);
• izimbali zomlilo (2);
• izimbali zemarigold (2);
• ama-lilac buds (1);
• i-shamrock yamanzi (1);
• Izigaxa zehip hop (1);
• utshani obumbayo (1).

Indlela yokulungiselela ifana neqoqo lokuqala.

Iqoqo 3

Iqoqo lezitshalo ezimbili zokwelapha lizosiza ukuqeda ukoma komile nokonakala kwe-pathological: amakhambi e-spur kanye ne-inflorescence kayi-sandy cumin. Kumele ahlanganiswe ngamanani alinganayo. Isipuni seqoqo olidingayo ukuze uthele ingilazi yamanzi abilayo. Lokhu kwenziwa kusihlwa. Ekuseni, ukumnika kuyahlungwa bese kuthathwa u-100 ml phakathi kokudla.

Burdock

Ukunciphisa ukubonakaliswa komile we-pathological kuzosiza i-burdock, noma kunalokho, ukumnika kwayo. Ukulungiselela i-ejenti yokwelapha, udinga i-4 tbsp. l Izinto ezingavuthiwe ezichaziwe zithululela ilitha lamanzi abilayo. Kuyalulekwa ukwenza isitshalo kusihlwa, ukuze ekuseni ukumnika kube ukulungele ukusetshenziswa. Ngemuva kokucindezela, thatha izinkomishi ezintathu kathathu ngosuku.

Umdala

Amakhambi we-Folk we-insipidus yesifo sikashukela afaka ukusetshenziswa kokufakwa kwe-elderberry. Kufanele kuthathe 2 tbsp. l uthele ama-300 ml wamanzi abilayo. Ngemuva kwemizuzu engama-45, umkhiqizo ulungele ukusetshenziswa. Ukuze uthuthukise ukunambitheka, ungangeza uju linden. Thatha kathathu ngosuku.

Walnut

Ukufakwa kwamacembe kuzomisa i-polydipsia ye-pathological. Kungcono ukusebenzisa amaqabunga amancane. Ngemuva kwenqubo yokugaya, 1 tsp. izinto kufanele zigcwaliswe ngengilazi yamanzi abilayo. Ngemuva kwemizuzu engama-20, umuthi uzobe usulungile.

Peas

Ukuqeda izimpawu zesifo sikashukela i-insipidus, kusetshenziswa ufulawa ovela kulomeleli womndeni we-legume. Izinto ezisetshenziselwa okuluhlaza zisetshenziswa zingavuthiwe enanini lezipuni. Ukuqanjwa kubandakanya izinto ezisheshisa ukwenziwa kabusha kwamangqamuzana obuchopho.

Isiguli ngasinye sikhetha umuntu ngamunye ukuthi angabhekana kanjani ne-pathology, noma kunjalo, kufanele kukhunjulwe ukuthi incomo yokwelapha ayinconywa. Kungakhulisa ukubonakaliswa kwalesi sifo futhi kuholele ekwakhiweni kwezinkinga eziningi. Zonke izinyathelo zokwelashwa kufanele zenziwe ngaphansi kokuqashwa kukachwepheshe ofanelekayo.