Organic, idiopathic thiab mob raum ntshav qab zib insipidus: cov tsos mob hauv cov menyuam yaus, kev kuaj mob thiab kev kho mob

Kev ua txhaum ntawm cov dej tshuav nyiaj hauv tus menyuam lub cev txuam nrog kev tsim khoom tsis zoo ntawm cov tshuaj hormones vasopressin yog hu ua ntshav qab zib insipidus.

Lwm txoj kev, tus kab mob no tuaj yeem hu ua mob ntshav qab zib, nws tuaj yeem tshwm sim rau txhua lub hnub nyoog. Tab sis vim li cas tus kab mob ntshav qab zib insipidus tshwm sim rau menyuam yaus thiab kho tus mob no li cas?

Cov yam ntxwv muaj mob

Cov me nyuam mob mob feem ntau yuav tso zis ntau, nws pom qhov tsis ntom. Qhov kev tsis txaus ntseeg no yog vim tsis muaj ntau yam tshuaj tiv thaiv kab mob antidiuretic, tsis tshua ntau nws qhov kev qhaj tag. Txhawm rau tswj kom muaj dej nyob hauv lub cev, vasopressin tseem ceeb.

Nws tswj hwm qhov tso zis ntau npaum li cas. Thaum muaj kev ua txhaum ntawm kev tsim cov tshuaj ADH los ntawm cov thyroid caj pas, muaj dej ntws tawm hauv lub cev hauv cov khoom ntau, uas ua rau kev nqhis dej uas menyuam yaus muaj kev cuam tshuam tas li.

Endocrinologist pom tias muaj ntau yam kabmob ntshav qab zib insipidus:

1. organicCov. Qhov feem ntau nyuaj thiab ntau. Nyob ntawm kev tsim cov vasopressin;
2. idiopathicCov. Nws kuaj tau yog tias qhov ua rau tus kab mob tsis tau txiav txim siab los ntawm txhua txoj kev thiab cov hau kev. Cov kws tshaj lij ua haujlwm hauv cov kab mob ntshav qab zib insipidus nug cov lus cais ntawm daim ntawv no ntawm pathology. Nws ntseeg tau tias cov khoom siv tsis zoo rau kev txheeb xyuas tus kab mob tsis tuaj yeem txiav txim siab qhov ua rau;
3. lub raumCov. Daim ntawv foos no raug ntsuas rau cov menyuam yaus uas lub raum tsis tuaj yeem teb tau zoo rau ADH. Feem ntau, lub raum daim ntawv xav tau, tab sis kuj tseem muaj cov kab mob ua ntej. Nws tuaj yeem txiav txim tau hauv thawj 6 lub hlis ntawm tus menyuam yug lub neej.

Cov tsos mob

Cov tsos mob idiopathic raug rau cov menyuam yaus:

1. kev nqhis dej tas liCov. Cov me nyuam muaj mob haus 8-15 litres dej ib hnub. Cov kua txiv, tshuaj yej sov los yog compote tsis txaus siab rau qhov nqhis dej. Nws yuav tsum tau haus dej txias;
2. txob taus. Cov menyuam muaj mob taub hau, tsis kam lees noj ib qho khoom noj, ib txwm xav haus;
3. ntev mus tso zis nyob rau txhua lub sijhawm ntawm lub hnub - polyuriaCov. Cov menyuam yaus tso zis ntau zaus txog li 800 ml ib zaug tso zis. Cov kua ua kua tsis muaj ntxhiab, tsis muaj kob, tsis muaj qab zib thiab protein ntau. Cov tsos mob tshwm sim muaj xws li hmo ntuj thiab nruab hnub tsis tso zis;
4. tsis qab los noj movCov. Vim cov kua nruab nrog tsis txaus, ua kua qaub rau lub plab thiab lub plab zom zaws. Tus menyuam plam nws qhov qab los noj mov, mob plab hnyuv, cem quav;
5. lub cev qhuav dejCov. Vim yog tso zis ntau dhau, lub cev qhuav dej tshwm sim, txawm hais tias tus menyuam haus dej txaus ib hnub. Daim tawv nqaij ua kom qhuav, tus me nyuam poob ceeb thawj;
6. npaws. Txwv cov dej haus tsawg tsawg ua rau lub cev kub siab mus rau theem siab. Qhov tsos mob no yog yam ntxwv ntawm tus menyuam yaus.

Cov organic

Cov tsos mob ntawm cov organic:

1. muaj kev ntxhov siab nyob rau hauv kev ua haujlwm ntawm cov tshuaj endocrine (qhov no yog ncua sij hawm ntawm kev txhim kho lub cev, kev rog, kev tuag, thiab lwm yam);
2. tag nrho cov tsos mob yog idiopathic.

Daim ntawv raum

Cov tsos mob tshwm sim ntawm tus mob ntshav qab zib insipidus hauv cov menyuam yaus lub raum:

1. diuresis los ntawm thawj lub hlis ntawm lub neej;
2. cem quav
3. ntuav
4. ua npaws;
5. ntsev ua npaws;
6. cramps
7. kev siv lub cev thiab hlwb nrog kev xaiv tsis zoo los yog nws qhov tsis tuaj.

Qee zaum cov kab mob ntshav qab zib insipidus tsis tshwm sim hauv cov menyuam yaus, tab sis tsuas yog kuaj pom tom ntej kev tiv thaiv thaum kuaj dhau los ntawm kev sim tso zis ntau.

Vim li cas

Feem ntau, tus kab mob no kuaj rau cov menyuam yaus hnub nyoog qis dua 7 xyoo.

Mob ntshav qab zib insipidus hauv menyuam yaus yuav tshwm sim vim kev mob ntshav siab thaum yug los ntawm ntau yam ntawm ib puag ncig ib puag ncig, tom qab tau txais lub taub hau raug mob, vim qhov phais mob hauv thaj chaw ntawm neurosurgery.

Cerebral edema tom qab pob txha raug mob yog ib qho ua rau tus kab mob, thiab ntshav qab zib loj hlob sai heev - tsis pub dhau 40 hnub tom qab raug mob.

Feem ntau ua rau tus mob yog kis tau thaum pib lub hnub nyoog:

• mob npaws
• pob qog tawv;
• mob hnoos hawb pob;
• ua qoob;
• mob rau daim npluag qhwv

Ntshav qab zib insipidus nyob rau hauv tsawg zaus tsim muaj tiv thaiv keeb kwm ntawm lwm cov kab mob tshwj xeeb:

• kev ntxhov siab
• hlav hlwb;
• mob leukemia;
• muaj mob rau hauv lub tsev menyuam;
• raws li kev soj ntsuam ntawm kev hloov qog;
• noob neej;
• kev cuam tshuam hauv keeb kwm thaum cev xeeb tub.

Kev kuaj mob

Yog tias koj pom cov tsos mob ntawm tus kab mob ntshav qab zib insipidus hauv koj tus menyuam, koj yuav tsum mus ntsib kws kho mob kabmob endocrinologist. Nws yog tus kws kho mob uas ua qhov kev soj ntsuam uas siv cov cuab yeej niaj hnub kev kuaj mob, tshaj tawm qhov tsim nyog kuaj thiab kho.

Tsuas yog tom qab kev soj ntsuam mob tiav tag nrho tuaj yeem cov kws kho mob kuaj mob ntshav qab zib insipidus. Cov tsos mob hauv cov menyuam yaus xav tau los soj ntsuam qhov tseeb ntawm tus mob.

Cov kev tshawb fawb uas tsim nyog:

1. cov zis txhua hnub;
2. OAM
3. tso zis raws li Zimnitsky;
4. kev tsom xam ntawm piam thaj thiab electrolytes hauv zis;
5. kuaj ntshav rau biochemistry.

Cov txiaj ntsig kev soj ntsuam kua roj qhia tau meej txog qhov yuav tsum tau kuaj ntxiv.

Txheeb xyuas kom ntxaws ntxaws txog kev mob ntawm tus menyuam, yuav tsum coj qee qhov kev ntsuas coj mus kuaj.

Cov kev kuaj mob tshwj xeeb yog siv los txiav txim siab qhov tseeb ntawm tus kabmob:

1. xeem qhuav. Nws yog nqa tawm tsuas yog nyob ntawm kev saib xyuas ntawm cov kws kho mob hauv tsev kho mob. Tus menyuam tsis pub haus ntev, ntev li 6 teev. Hauv qhov no, kuaj cov zis. Lub ntiajteb txawj nqus tshwj xeeb ntawm cov kua hauv lub xub ntiag ntawm qhov mob tsuas yog qis;
2. sim nrog vasopressin. Cov tshuaj hormone yog muab rau tus neeg mob, lawv saib xyuas cov kev hloov hauv lub ntim thiab lub zog nqus ntawm cov zis. Hauv cov menyuam mob uas muaj ntshav qab zib hypothalamic, qhov feem pua ​​ntawm cov zis yuav nce ntau, thiab qhov ntim poob qis. Nrog rau daim ntawv nephrogenic, tsis muaj kev hloov pauv hauv cov zis.

Thaum txiav txim siab daim idiopathic, kev tshawb fawb ntxiv yog ua tiav uas tso cai rau cais tawm lossis qhia meej tias muaj lub qog hlwb:

1. EEG (echoencephalography);
2. lub hlwb tomography;
3. kev soj ntsuam los ntawm kws kho mob ophthalmologist, neurosurgeon, neuropathologist;
4. Xoo hluav taws xob pob txha taub hau. Qee qhov xwm txheej, kev kawm txog cov lus Askiv Turkish.

Txhawm rau txiav txim siab mob ntshav qab zib insipidus ntawm daim ntawv raum hauv cov menyuam yaus, nws yog qhov yuav tsum tau ua qhov kev sim nrog minirin.

Echoencephalography ntawm lub paj hlwb

Yog tias sim nrog minirin yog qhov tsis zoo, kev kuaj mob ntxiv yog nqa tawm:

1. Ultrasound ntawm ob lub raum;
2. urography;
3. sim Addis - Kakovsky;
4. txiav txim siab txog kev tsim cov khoom endogenous;
5. kev kawm txog ib tus gene encoding qib ntawm kev xav paub ntawm tus puas hlwb ntawm lub raum tubules mus rau vasopressin.

Kev Kho Mob

Yog tias cov niam txiv pom txog qhov hloov pauv ntawm tus menyuam nyob rau sijhawm, nrhiav kev pab kho mob thiab tuaj yeem kuaj tus kab mob ua ke nrog tus kws endocrinologist, tom qab ntawv hloov kev kho mob thiab kev noj zaub mov kom zoo yuav ua rau muaj kev mob siab rau tus menyuam ntxiv.

Kev kho mob organic thiab idiopathic

Rau cov neeg mob ntshav qab zib ntawm ntau yam no, kev hloov kho vasopressin yog qhov tsim nyog. Tus me nyuam tau txais cov khoom sib piv ntawm cov tshuaj hormones - minirin.

Minirin ntsiav tshuaj

Cov tshuaj no zoo heev, nws tsis muaj contraindications thiab kev tsis haum tshuaj. Nws yog tsim thiab siv hauv cov qauv hauv cov ntsiav tshuaj. Qhov no muab tau yooj yim ntawm kev siv cov tshuaj rau niam txiv thiab menyuam.

Qhov ntau npaum ntawm minirin yog qhov tsim nyog xaiv ib tus zuj zus, raws lub hnub nyoog thiab qhov hnyav ntawm tus neeg mob. Cov menyuam rog rog xav tau ntau cov tshuaj hormones ib hnub.

Kho raum

Tab sis endocrinologist tab tom sim ua kom txo cov xwm txheej ntawm cov menyuam yaus.

Lawv muab tshuaj tawm kho, qee zaum muaj tshuaj kho mob. Lawv txhim kho kom zoo dua qub los ntawm kev txo cov dej qab ntsev thiab ntsev hauv lub cev.

Related videos

Hauv qhov tshwm sim hauv TV no "Nyob Zoo!" nrog Elena Malysheva koj yuav kawm txog cov tsos mob ntawm tus mob ntshav qab zib insipidus:

Cov me nyuam muaj mob mas yuav tsum tau nyob hauv tsev kho mob txhua 3 lub hlis. Kev kuaj xyuas cov kws nqaim tshwj xeeb yog muaj tsis tu ncua: tus kws kho qhov muag thiab kws kho paj hlwb. Zis, qhov theem ntawm kev nqhis dej, qhov mob ntawm daim tawv nqaij yog tswj tau, Xoo hluav taws xob ntawm pob txha taub hau, tomography.