Chirwere cheshuga chinoreva chirwere chinozivikanwa nekuwedzera kukwira. Kune marudzi maviri eeshuga ane zita rakafanana: shuga uye isiri shuga, asi kunze kwekufananidzwa kwemazita, zvirwere izvi hazvina zvishoma zvakafanana, uye mune dzimwe nzira zvinopesana. Kwete-chirwere cheshuga chinokwana etiology, inozviratidza mune dzimwe zviratidzo uye inoda chirongwa chakakosha chekurapa.
Shuga uye chirwere cheshuga insipidus - kusiyana
Shuga uye chirwere cheshuga insipidus chinoratidzwa nekuwedzerwa kwekukandira. Izwi rokuti chirwere cheshuga chairo rinoshandurwa se "kupfuura". Zvisinei, pakati pe shuga uye chirwere cheshuga insipidus pane zvakasiyana-siyana zvakasiyana:
- Kuwanda. Kwete-chirwere cheshuga chinokonzerwa nekushuga uye ndezvechirwere chechirwere.
- Chikonzero. Kuonekwa kwechirwere cheshuga kunogona kutungamirira kune mararamiro asina kururama, kukundikana mune zvigadzirwa zvemagetsi. Zvikonzero zvinokonzera chirwere cheshuga insipidus zvinogona kunge zvakashungurudza, kupindira kweuropiasurgical, kushungurudzika kwepachivande, utachiona hwemakumbo, chirwere chepfungwa.
- Mahomoni. Varwere vane chirwere cheshuga vane insulin hormone inoshaya, uye insipid - a vasopressin.
- Kuwedzerwa kwezvinhu. Ne diabetes mellitus, kune kuwedzera kweglucose, uye munyaya yeasina shuga, salt uye electrolytes.
- Chikonzero chekuwedzera kukwira. Mu chirwere cheshuga, kune zvakanyanyisa zveglucose, izvo muviri unoedza kubvisa nekuwedzera kwemuviri. Ne chirwere cheshuga insipidus, chero tsvete haigoni kuwirirana nehomadhi inopesana neshuga kana kuti haigamuchiri.
Maitiro e chirwere cheshuga insipidus
Kwete-chirwere cheshuga chinokonzera basa risina kukwana rehomoni vasopressin. Zvichienderana nechikamu chipi chemuviri kune marwadzo, idzi mbiri dzechirwere dzinozivikanwa:
- The central form. Urwu rudzi rwechirwere cheshuga hunoumbwa semugumisiro wekushungurudzika mubasa rezvepfungwa dzemakumbo. Antidiuretic hormone inoguma kubudiswa kana kusaparidzirwa kuropa.
- Renal fomu. Chirwere cheshuga chinokura nekuda kwekusakwanisa kwetsvo kutora vasopressin.
Kido diabetes insipidus
Nehrigenic diabetes insipidus inoonekwa sechirwere chisingawanzoitiki. Inoumbwa semugumisiro wekuchinja kwemajini kana sechikamu chekubata mishonga. Iyo itsvo dzinomira kugadzirisa kune hormone uye inoita huwandu hwe hypotonic urine. Muviri unorasikirwa nemvura uye munyu mune zvisingabvumirwi, saka murwere anowanzotanga kunzwa anenyota. Kurapa kusingatariswi kunogona kutungamirira kune chinangwa chekusimudzira vana, uye kune vanhu vakuru-kushaiwa kwepfungwa.
Central diabetes insipidus
Central diabetes insipidus, pathogenesis uye kurapwa zvakanyatsodzidza kuchangobva kuwanikwa nekuda kwekuwedzera kwehuwandu hwezvirwere. Izvi zvinokonzerwa nekuwedzera kwehuwandu hwemabasa ekuropi uye kukuvara kwepamusoro. Iyo hormone vasopressin inodzivirirwa nemuviri sezvinodiwa uye inopindirana nechechi duku kudarika muhupenyu hwema plasma yeropa. Pakati pechirwere cheshuga insipidus pane urema mune vasopressin secretion, semugumisiro wemuguta unobudiswa nguva dzose.
Kwete-chirwere cheshuga chinokonzera
Chirwere cheshuga chechigoni chisina shuga chinogona kuitika nekuda kwezvikonzero zvakasiyana-siyana. Muzviitiko zvisingawanzoitiki, vanachiremba havagone kuziva maitiro etiology, izvo zvakakonzera kuwedzera kukwidza. Zvinowanzokonzera zvirwere ndezvi:
- kukanganisa mu hypothalamus sechinhu chakaoma pashure pezvirwere zvinotapukira;
- kugunun'una, kuzvimba kana kuputika kweuropi, kushungurudzika musoro;
- kushungurudzika mushure memaitiro euroseurgical;
- kudengenyeka kwemhirizhonga muuropi ;
- Zvinetso zvepvo: matumbo, kuvhuvhuta, cysts, kuora kwekuchinja;
- migumisiro yemishonga;
- congenital pathologies yeitsvo kana zvikamu zveuropi.
Kwete-chirwere cheshuga mellitus - zviratidzo
Kwete-chirwere cheshuga cheshuga, zviratidzo zvaro zvakanyanya kwazvo, zvinowanikwa kare kare pakutanga kwechirwere. Zvimwe zviratidzo zvehupenzi hwechirwere ichi vane nyota uye dzinowanzocheka. Urini inogona kupiwa kusvika pamamita 30 pazuva, inokonzera murwere kushungurudzika uye inomutadzisa kufunganya. Zvimwe zviratidzo zvechirwere cheshuga insipidus ndezvi:
- huwandu hwakawedzerwa hwebhanhire;
- kushushikana, kutya;
- kugona kana dambudziko kurara;
- kuderedza kutuka kubudisa;
- kusagadzikana kwemishonga;
- weak appetite;
- ganda rakaoma uye mucous membrane pamusana pokusiya mvura ;
- Kuenda kumwedzi kunetseka kwevakadzi uye kushaya simba muvarume.
Kwete-chirwere cheshuga mellitus - kuongororwa
Chiremba anogona kukanganisa kuongororwa kwe "chirwere cheshuga insipidus" zvichienderana nemakungiriro omurwere. Nenyota nguva dzose uye kugoverwa kwehuwandu hwemuti ndiwo zviratidzo zvikuru zvekuvapo kwechirwere ichi. Kuti vimbise kusafungirwa, vanopiwa maitiro akadaro ekuongororwa:
- Zimnitsky's trial, iyo inobatsira kujekesa huwandu hwomuguta hunokonzerwa, huwandu hwehuwandu uye hyponatriuria;
- kuongororwa kweropa kwe calcium, potasium uye glucose;
- edza nekuoma;
- X-ray uye MRI yeuropi;
- Ultrasound uye CT yeitsvo, muzviitiko zvisingawanzo - tsvina yepfungwa .
Kwete-chirwere cheshuga mellitus - miedzo
Hyperglycemia, hypoglycemia - chirwere cheshuga insipidus zvakafanana mune zvimwe zviratidzo zvinokosha. Kana kunenge kuchifungidzirwa kuti chirwere cheshuga insipidus chinofanira kunge chiri mutsva miedzo:
- kuongorora ropa (hemoglobin, nhamba ye erythrocytes uye leukocyte ichawedzerwa);
- muongorori mukuru wemuyo kuitira kuti ave nechokwadi chokuti kusasa kweacetone uye shuga;
- kuongororwa ropa kune biochemistry uye mahomoni (chirwere cheshuga insipidus chinoratidzwa nekuwedzera kwehuwandu hwe sodium, potassium, chloride, renin);
- kushushikana kweglucose kuedza kwekusarudza kwehuga yezinga;
- kuedza ne adiurecrin kana pituitrin: kuderera mune nyota uye kunyura kucharatidza kuvapo kwechirwere cheshuga insipidus;
- edza nekuoma;
- edza ne desmopressin.
Kwete-chirwere cheshuga chinokonzera - kurapwa
Usati wapora chirwere cheshuga insipidus, zvakakosha kusimbisa kuti chii chinokonzera chirwere chacho. Apo chirwere chinowanikwa nekuda kwezvinetso mukukudziridzwa kwehomoni yeuropi vasopressin, zvinodhaka zvine analogue yakagadzirwa yehomoni inorayirwa. Kana chikonzero chechirwere chacho chiripo mukudarika kwekudya kwehomoni neinso, chiremba anorayira kutungamirirwa kwe thiazide diuretics, iyo basa rayo nderokudzikisa kugadzirwa kwemuti. Kwete-chirwere cheshuga chinokonzera - kliniki mazano
Kune avo varwere vanorwara vane chirwere cheshuga insipidus, mazano pamusoro pekuzvibata uye kuti kudya sei inobatsira basa rinokosha. Vanachiremba vanokurudzira varwere vakadai kuti vateerere kune zvinotevera:
- Iwe haugone kuzviisa mumvura.
- Kuti udzive nyota yako, zviri nani kushandisa zvinwiwa zvemichero, juisi, compotes.
- Inofanira kudyiwa kakawanda, asi chikamu.
- Zvakakosha kutevera kudya kwakakosha.
- Kuvandudza kurara, unogona kushandisa vanhu mapoka.
- Zvakakosha kutora mishonga yose inorayirwa nachiremba wako.
Kwete-chirwere cheshuga chinokonzera - kurapwa, zvinodhaka
Mishonga inokonzera chirwere cheshuga insipidus imishonga inotsiva hormone vasopressin. Hemoni inoshandiswa inoguma kwenguva refu uye nhamba shomanana yemigumisiro. Ari mumishonga yakadaro:
- Adiuretin - madonhe mumhino, ane chinogara kwenguva refu;
- Desmopressin - mahwendefa, ane basa rezasi rezvinyorwa kune madonhwe;
- Mininin imishonga inoshandiswa zvakashandiswa mu polyuria yezvisikwa zvipi zvayo;
- Emosint - gadziriro yejojo.
Iyi mishonga inoshandiswa cheshuga insipidus pakati pefomu. Kwete-chirwere cheshuga chinokonzerwa nokuputika, chinorapwa nemishonga inorwisa mabhakitiriya uye kwete-steroidal anti-inflammatory drugs: Ibuprofen, Indomethacin. Apo nephrogenic maitiro echirwere cheshuga anorayirwa kurapwa ne thiazide diuretics:
- Indapamide (Ionik, Pamid, Tenzar) - ine nguva inononoka kwenguva refu;
- Hydrochlorothiazide (Hypothiazide) - ine miviri uye yakasimba.
Kwete-chirwere cheshuga mellitus - mishonga yevanhu
Dendaase chirwere cheshuga insipidus, ine nephrogenic kana central form, hachikweretesi kukwana mushonga. Nekubatsirwa kwemishonga yevanhu, munhu anogona kuderedza kunzwa kwenyota, kuvandudza basa reropi, kubvisa kusuruvara.
- Kuti kuderedza kunzwa kwenyota, zvinokurudzirwa kunwa decoction yemashizha mashizha. Girazi remvura inopisa inoda 5 g yemashizha akapwanyika. Kuvharirwa kunopedzwa zuva rese.
- Kuti uvandudze huropi, mushonga wevanhu unopa zano rekudya 1 tsp. pea pefu pazuva.
- Kuvandudza kurara kunokurudzirwa kubviswa kweamaiwort, caraway uye midzi ye valerian. Zvose zvikamu zvakasanganiswa uye zvakaparadzana 2 tbsp. musanganiswa. Herbs inodururwa mu 350 ml yemvura inoyisa uye yakasimudzira kwemaawa akawanda. Inwa kunwa kwemaawa kunofanira kunge iri awa nguva isati yarara uye nehasha dzinogumbura.
- Kuderedza uwandu hwekudzora, kuderedza kuderedza mvura kunogona kuwanikwa kuburikidza nehutachiwana hwechirwere chekufa nemuviri. Mishonga inofanirwa kutorwa muyero yakaenzana muhuwandu hwepuniki 1, chengetedza hafu ye litre yemvura inodziya uye kusimbisa maawa masere. Imwai chetatu chegirazi mushure maawa mana.
Kwete-chirwere cheshuga - chikafu
Kudya nechirwere cheshuga insipidus ndiko kusiyana kwezvokudya mumamiriro ehupenyu hwechirwere chechirwere. Zvokudya zvevarwere zvinosanganisira kushingaira uye zvakaoma-ku-digest makhahydrates, mafuta uye zvishoma zveprotini michina. Basa rezvokudya zvine chirwere chakadai ndiko kudzorerwa kwezvido zvemuviri, kuzadza nemavhidhiyo anodikanwa uye microelements. Zvibereko zvakakangwa, hove, mishonga yakakisi yemukaka uye nutswe zvichabatsira kutsigira nyama isina simba.
Idya zviduku zvishoma mumaawa matatu, izvo zvichava 6 kudya kwezuva. Kubika kunonyanya kuitwa kune vakaroorana kana muchoto. Dzivisa zvakabikwa, zvinonhuwira, zvinyoro uye zvakasvuta. Inwa panguva imwe chete yaunoda mazamu maviri pazuva. Murwere haafaniri kuyeuchidzwa nezvekudikanwa kunwa mvura, sezvo nyota ishamwari yake nguva dzose. Kubva mumvura inobatsira kushandisa zvinwiwa zvemichero, jisi, compotes, kissels. photo4
Kwete-chirwere cheshuga - zvinetso
Zvinetso zvechirwere cheshuga insipidus zvinokuvadza nekudzikisa mvura uye zvose zvinoguma neizvi. Sezvo chirwere chichikura, chirwere chacho chinoumba denderedzwa yakaipa: nyota inokura, asi kunyanya murwere anonwa mvura, mvura yakawanda inosunungurwa, kwete kuzadzisa zvinodikanwa zvemuviri. Somugumisiro, murwere ane utera, palpitations, marwadzo eurologic, dyspnea. Kana iwe usingatori chiito munguva iyi yekurapa, muviri unofa nekushaiwa kwechidimbu chemvura.
Zvirwere zvechirwere cheshuga insipidus
Mhinduro kumubvunzo wekuti kana zvichibvira kurapa chirwere cheshuga insipidus kune vanhu vakuru nevana vanoenderana nematangiro echirwere ichi:
- Kana chirwere chikaonekwa panguva yekuzvitakura kana panguva yekushanda, inowanzopedza nguva nekurapa kwakakodzera.
- Kana chirwere cheshuga chikaitika mushure mekurara kwemarariya, chirwere chechirwere, chifukidzo, chirwere chichatsika sezvo chichidzoka kubva pane chirwere chepachivi.
- Kwete-chirwere cheshuga, chinokonzerwa nechirwere, chinogona kupera zvishoma nezvishoma pashure pokubviswa kwayo.
- Kune zviitiko zvisingawanzoitiki zvekubvisa kubvisa nephrogenic maitiro echirwere ichi muhuduku.
- Kurapa kwakakodzera kunobatsira varwere kurarama upenyu hwavo nekuzadzisa mabasa avo.