Mob ntshav qab zib insipidus. cov tsos mob

Mob ntshav qab zib insipidus - ib tug tsawg endocrine pathology txuam nrog ib tug tsis muaj peev xwm ntawm cov hormone vasopressin, ua los ntawm cov hypothalamus. Antidiuretic hormone nkag mus rau cov ntshav, constricts cov hlab ntsha thiab tswj lub reabsorption dej, txo lub ntim ntawm cov zis thiab tiv thaiv kom txhob lub cev qhuav dej. Tus kab mob no tshwm sim nyob rau hauv cov neeg laus thiab cov me nyuam ntawm nws kuj. Ntau ntau nyob rau hauv cov neeg muaj hnub nyoog 18 mus rau 25 xyoo.

Cov tsos mob ntawm cov ntshav qab zib insipidus

Lub ntsiab ntawm cov tsos mob ntawm tus kab mob - ntev tso zis thiab nqhis dej, uas mob tus neeg mob mas thaum hmo ntuj. Ib hnub tej zaum yuav tuaj txog li 15 litres ntawm cov zis, uas muaj yuav luag tsis muaj xim thiab muaj ib tug uas tsis muaj kev ceev.

Nyob rau hauv tas li ntawd, muaj yog txob taus, tsis qab los noj mov, nkees nkees, qaug zog, qhuav daim tawv nqaij, poob phaus, malfunction ntawm tus mob huam, tsis tawm hws, mob taub hau. Tus txiv neej muaj teeb meem nrog potency, cov poj niam - lub cev ntas.

Cov tsos mob tej zaum yuav muaj zaubmov heev, nyob ntawm seb cov neeg kawm ntawv ntawm hormone tsis muaj peev xwm. Tshwj xeeb yog mob ntws mob ntshav qab zib insipidus nyob rau hauv cov me nyuam: urinary incontinence, kub taub hau, ntuav, neurological ntshawv siab.

Los ntawm cov kev soj ntsuam ces cai nce zais zis, hypotension (tsis tshua muaj ntshav siab), pais plab distension.

Hom mob ntshav qab zib insipidus

Muaj peb hom mob ntshav qab zib insipidus: neurogenic (central), nephrogenic thiab dipsogenny.

Lub hauv paus mob ntshav qab zib insipidus txuam nrog yuav txo tau los sis tag cessation ntawm tiam ntawm antidiuretic lawm. Lub ntsiab ua rau ntawm daim ntawv no ntawm cov ntshav qab zib - yog ib tug yeej ntawm lub hypothalamic-pituitary system, xws li mob plawv, kev loj hlob ntawm cev antibodies mus rau lub antidiuretic lawm thiab hypothalamic neurons.

Ua nephrogenic mob ntshav qab zib insipidus yog ib tug txo nyob rau hauv lub rhiab heev ntawm lub raum tubules nyob rau hauv ib txwm secretion ntawm antidiuretic lawm. Tus kab mob muaj nyob rau hauv lub keeb kwm yav dhau ntawm metabolic mob, mob raum kab mob, thiab raws li ib tug tshwm sim ntawm kev noj tej yam tshuaj.

Dipsogenny hom ntawm tus kab mob no tshwm sim thaum lub hypothalamus hlav los yog tom qab phais ua hauj lwm, uas ua nyob rau hauv voos ntawm tus nqhis dej center. Nyob rau hauv cov ntaub ntawv no, lub nqhis dej yog thawj cov tsos mob, thiab nquag tso zis - theem nrab.

Mob ntshav qab zib insipidus

Tus kab mob ua rau lub hauv paus ntawm kev ntsuam xyuas. Test yog ua rau tso zis. Lub hnub ib tug neeg noj qab nyob ua 3 litres ntawm cov zis. Tus neeg mob muaj mob ntshav qab zib insipidus, qhov no daim duab yog ob peb lub sij hawm ntau dua, thiab zis kev nqus - hauv qab no.

Thaum lub sij hawm thib ob, tus neeg mob yog muaj li cas muab li haus dej haus cawv rau 8 teev. Mob ntshav qab zib insipidus yog paub tseeb hais tias nyob rau hauv cov ntaub ntawv ntawm cov zis ceev yog tsis muaj zog, thiab tus luj ntawm lub cev thaum lub sij hawm lub sij hawm no tsis ho.

Kev kho mob ntawm cov ntshav qab zib insipidus

Yog hais tias muaj ntshav qab zib insipidus yog tshwm sim los ntawm ib tug nqaij hlav, cov kev kho mob yog phais, uas muaj peev xwm yuav supplemented los ntawm irradiation.

Rau cov kev kho mob ntawm siv hloov txoj kev kho, i.e. muab tshuaj uas yog dag hloov lawm vasopressin. Lub formulations yog ua nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj los sis hauv qhov ntswg tshuaj tsuag.

Yog hais tias vasopressin ua nyob rau hauv lub cev nyob rau hauv tsis txaus qhov ntau, muab cov tshuaj uas tsim kho lub synthesis ntawm cov tej yam tshuaj.

Thaum cov ntshav qab zib insipidus tseem ceeb heev yog lub hwj chim yuav nquag. Nws yog pom zoo kom muaj xws li nyob rau hauv cov zaub mov ntau yam khoom noj uas muaj complex carbohydrates: taum, qos yaj ywm, cereals.

kev tiv thaiv

Nws yog ntseeg hais tias cov ntshav qab zib insipidus txuam nrog cerebral cov kab mob uas muaj peev xwm tsim raws li ib tug tshwm sim kis inflammatory kab mob. Yog li ntawd, kev tiv thaiv raws li nyob rau hauv cov kev tiv thaiv thiab kho thaum ntxov ntawm tus kab mob.