Ntshav qab zib insipidus yog suav hais tias yog yam mob uas tshwm sim, uas tshwm sim los ntawm qhov tsis muaj yam tshuaj vasopressin hauv tib neeg lub cev.
Qhov tom kawg tseem tseem hu ua antidiuretic hormone. Nws yog ib qho tseem ceeb kom them sai sai tias cov tsos mob ntawm tus kab mob no yog kev ua txhaum ntawm cov dej metabolism.
Ntxiv mus, lawv pom nyob rau hauv daim ntawv ntawm qhov tsis tu ncua thiab tsis nqhis dej, ntxiv rau tib lub sijhawm ceev ceev. Kev loj hlob ntawm tus kabmob tshwm sim vim qhov tseeb ntawm kev ua txhaum ntawm lub qog pituitary caj pas ua haujlwm.
Cov teeb meem no tuaj yeem tshwm sim vim muaj cov neoplasm ntawm ntau yam etiologies. Ua tsis tiav cov kev phais mob uas cuam tshuam rau kev ua haujlwm ntawm lub hlwb tseem tuaj yeem cuam tshuam kev loj hlob ntawm cov ntshav qab zib uas tsis muaj qab zib.
Tus kab mob tsis tshwm sim vim muaj kev mob siab keeb. Hauv tsab xov xwm no, peb yuav sim seb cov tsos mob ntawm tus mob ntshav qab zib insipidus rau tus txiv neej yog dab tsi.
Qhov ua thiab lub tshuab ntawm kev txhim kho kabmob
Txoj kev loj hlob zuj zus thiab kev loj hlob ntawm tus kab mob no tshwm sim vim qhov kev maj nrawm ntawm cov teeb meem hauv kev ua haujlwm ntawm lub caj pas pituitary.
Ntawm lwm qhov ua rau cov txheej txheem raug ua tiav yog kev ua haujlwm tsis tiav uas cuam tshuam rau lub hlwb.
Raws li rau cov noob caj noob ces, tus kab mob no tsis tau txais los ntawm. Txawm li cas los xij, muaj qee lub autosomal recessive inherited syndromes, uas yog ib feem ntawm thaj chaw kho mob, uas qhia tau tias nws yog kev hloov caj ces.
Raws li tau sau tseg, cov ntshav qab zib insipidus mob ntshav qab zib yog suav tias yog tus kabmob tsis tshua muaj, uas sawv cev tsuas yog li ib feem pua ntawm tag nrho cov kabmob ntawm cov kab mob ntawm endocrine. Qhov zoo sib xws ntawm cov lus sib txawv tau pom ntawm cov neeg sawv cev ntawm ob hom neeg sib txawv ntawm cov hnub nyoog sib txawv.
Cov tsos mob ntawm tus mob ntshav qab zib insipidus rau tus txiv neej
Txhawm rau kom paub tseeb, tus kws kho mob yuav tsum nug nws tus neeg mob thiab tshawb pom seb puas muaj ntau yam tsos mob tshwm sim.
Cov tsos mob tshwm sim ntawm tus kab mob
Cov tsos mob tseem ceeb ntawm tus kab mob suav nrog nqhis dej ntau thiab tso zis tawm ntxiv.
Raws li rau qhov mob hnyav ntawm cov tsos mob no, nws yuav tsum nco ntsoov tias lawv tuaj yeem muaj kev sib txawv kiag li. Nws yuav tsum raug sau tseg tias polyuria raug pom hauv txhua tus neeg mob.
Ntxiv mus, cov zis muaj zog tso tawm los ntawm ntau dua tagnrho. Hauv ib hnub, ib tus neeg tuaj yeem tsim tau txog kaum liv zis. Tab sis qee kis mob hnyav, nws cov nyiaj tuaj yeem yog ob npaug, lossis peb zaug.
Ntxiv mus, nws yuav tsum raug sau tseg tias cov zis ua khoom tsis muaj duab ntxoo. Tej zaum nws yuav muaj me me ntawm ntsev thiab lwm yam khoom. Txhua feem ntawm lawv muaj qhov hnyav tsawg tshwj xeeb.
Nws yog ib qho tseem ceeb kom nco ntsoov tias kev pheej nqhis dej hauv cov ntshav qab zib no tom qab ntawd ua rau polydipsia, nyob rau hauv uas muaj txiaj ntsig zoo ntawm cov kua dej ntau dhau los. Hauv qee kis, lawv tuaj yeem sib npaug nrog tus nqi ntawm tso zis.
Kev ua plees ua yi thiab lwm cov tsos mob "txiv neej"
Ntshav qab zib insipidus yog qhov txawv txav los ntawm qhov tseeb tias cov txiv neej tau tshaj tawm cov tsos mob - tus kab mob no pom tau zoo.
Raws li txoj cai, cov neeg sawv cev ntawm tus muaj zog nrog txiv neej pw nco txog qhov txo qis ntawm kev ua haujlwm.
Tsis tas li ntawd, lawv yuav muaj teeb meem nrog erection, nrog rau ua rau muaj menyuam yaus.
Kev kuaj mob
Ua ntej tshaj plaws, tus neeg mob yuav tsum xeem kom dhau qhov kev ntsuas tsim nyog rau tus mob polyuria.
Thaum tsis muaj teeb meem kev noj qab haus huv, cov zis yuav tsim tsis pub dhau peb liv nyob rau ib hnub.
Yog li, cov neeg mob uas muaj tus kab mob no ntau dua qhov ntsuas no. Ntxiv rau, tus kws kho mob tuaj yeem mloog zoo rau qhov tseeb tias cov neeg muaj qhov mob no muaj cov zis ua kom ntshav tsawg kawg.
Thaum lub sij hawm dhau ntawm kev kuaj mob uas tsim nyog, tus neeg mob yuav tsum caiv tsis txhob haus kua dej ntau. Qhov no yuav tsum tau ua rau yim teev. Nrog rau qhov tso zis ceev tsawg dua ntawm lub sijhawm muab kev ntsuas tsis ntau tshaj 300 mOsm / l, kev kuaj mob hu ua ntshav qab zib insipidus tau lees paub.
Nws yog ib qho tseem ceeb kom nco ntsoov tias kev kuaj mob txawv pom muaj rau kev tshem tawm cov tshuaj insulin-tiv thaiv mob ntshav qab zib.
Nws kuj tseem muab rau kev cais tawm ntawm qhov muaj nyob hauv thaj chaw hypothalamic-pituitary ntawm ntau yam neoplasms ntawm benign lossis malignant xwm.
Cov ntsiab lus ntawm kev kho mob
Kev kho mob tuaj yeem yog kev noj tshuaj, siv cov khoom noj kom haum lossis siv raws li kev siv ntawm lwm yam tshuaj.
Kho kev noj haus
Rau kev kho mob ntawm tus kab mob no, qhov tshuaj tiv thaiv ntawm cov tshuaj tiv thaiv kab mob tsis haum ntawm cov khoom siv dag zog hu ua Desmopressin siv. Nws yog siv los ntawm instillation hauv lub qhov ntswg.
Nws tseem yuav tsum raug sau tseg tias central insipidus koom nrog kev siv cov tshuaj chlorpropamide, carbamazepine, thiab lwm yam tshuaj uas txhawb cov vasopressin rau kev kho.
Ncos hauv qhov ntswg Desmopressin
Txhawm rau txo cov zis kom tsawg ntxiv ntawm cov zis, cov kws kho mob tau sau ntawv rau Hypothiazide. Ib feem tseem ceeb ntawm txoj kev kho yog qhov kev siv ntawm cov txheej txheem uas tau tsom rau ib txwm ua dej-ntsev sib npaug.
Tab sis raws li kev noj zaub mov noj, nws yuav tsum yog xws li txo kev thauj khoom ntawm lub plab hnyuv siab raum ntawm lub cev tso tawm. Cov khoom noj hauv cov khoom noj yuav tsum muaj tsawg kawg ntawm protein.
Cov tshuaj kho neeg mob
Nws yog ib qho tsim nyog yuav tsum tau siv cov ntaub ntawv tshwj xeeb thiab pleev xim uas yuav tshem tawm cov tsos mob tsis zoo thiab tsis xis nyob.
Huab Cua
Idiopathic daim ntawv ntawm tus kab mob no tsis ua kev hem thawj rau tib neeg lub neej.
Tab sis, nws yog ib qho tseem ceeb kom nco ntsoov tias cov xwm txheej ntawm kev rov qab ua tiav yog tsawg tsawg.
Mob ntshav qab zib Gestational thiab iatrogenic tuaj yeem kho tau yooj yim thiab maj nrawm. Kev siv tshuaj kho kom zoo yuav pab tswj kev ua haujlwm.
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Cov tsos mob ntawm tus mob ntshav qab zib insipidus hauv TV qhia "Ua neej nyob zoo!" nrog Elena Malysheva:
Yog tias koj ua raws li txhua qhov lus pom ntawm tus kws tshaj lij, koj tuaj yeem tshem tawm sai sai ntawm tus kab mob no, uas ua rau muaj kev tsis yooj yim ntau.
