ʻO ka maʻi maʻi maʻi insipidus he maʻi anuʻilihune ka mea i ka hewa i ka hapa o ka hoʻāliʻi ʻana o ka wai-electrolyte a i mea kaulike paha i ke kino, no ka mea, aia nā polyuria - wikiwiki ka urination, a laila komo pū ʻia ka makewai, ʻO ka maʻi diabetes mellitus i nā ʻīlio kekahi maʻi koʻikoʻi e pono ai ka mālama pono ʻole.
Nā hana hana hoʻomohala ʻana
He maʻi hoʻohālikelike ka maʻi maʻi maʻi maʻi i ka manawa hoʻokahi, kahi e hoʻoholo ai i nā hana hou aku o ka mālama ʻana i ka ʻīlio. ʻO ke ʻano mua he kumu puka waena, a me ia kahi mea nui o ka hoʻoneʻe ʻana i ka hana a me nā mea huna o ka hormone antidiuretic (vasopressin), kahi i hoʻokaʻawale ʻia i ka hypothalamus o ka lolo i ka momi, a me nā ʻīlio.
Hele mai ka lua o ka ʻano pathogenetic ma muli o ka hana renal impalired, a ua kapa ʻia ʻo nephrogenic. I ka ʻano o ka nephrogen, he ʻalemi ʻo ka tropism a me ka hikiwawe o ka receptors e kū ana i nā tubula renal, i hoʻāla ʻia ʻia ma lalo o ka mana o ka hormone antidiuretic. Ma muli o ka halaʻole o ka nānāʻana i ka hormone antidiuretic, ua ālai ʻia ka reabsorption o ka wai a i ʻole kona reuptake, kahi e hoʻoiho ai i kahi hōʻailona o polyuria a me ke koena o ka kiʻi haumania ma ka ʻīlio.
Nā Hoʻomaka
No ka hoʻopili ʻana i ka hoʻokaʻawale ʻana o ke koena o ka wai-paʻakai i nā ʻīlio, ka nui o ka nui o ka urine a me ka hoʻokaʻawale ʻana o kona mau pilina pili pono. ʻO ke kumu paha o ka ʻano kumu mua a ma ka lua paha o ka maʻi insipidus o nā ʻīlio ma nā ʻīlio, ke mau nei nā hōʻailona o ka maʻi.
- Polyuria - kahi mahuahua o ka nui o ka urine i hana a me ka hoʻonui ʻana o ka urination iā ia iho. ʻO kēia ma muli o ka emi ʻana o ka gravity i ka maʻamau o ka urine a me nā pilina pili pili. ʻO kekahi mau manawa i ʻōlelo ʻia i ka polyuria e alakaʻi ana i ka paʻakai ʻana i nā ʻīlio. E ʻike paha ka poʻe nona ka ʻīlio hou aʻe i ka hiona a hoʻomaka a hoʻomohū i ka hale.
- Polydipsia - kahi make wai ikaika hoʻi e alakaʻi i ka hopohopo mau i kahi kahu holoholona, hoʻoneʻe ʻia kāna hana. E ʻike paha ʻoe ua hue ka inu ʻana o ka ʻīlio ma waena o ka lā, ʻaʻole i ʻike ʻia ma mua.
- ʻO ka uritation kūleʻa - hele mai ia ma muli o nā hopena neuroendocrine o ka mana hypothalamic-pituitary.
Hoʻomaopopo ka hōʻailona o ka maʻi insipidus o ka maʻi holoholona, i ka ʻīlio ʻana paha i ka ʻīlio, hiki iā ʻoe ke hoʻomaopopo i nā loli i ka ʻano o ke ʻano o ka holoholona i ka manawa a hana i kahi ʻōlelo me ka doktor.
Hiki i ka maʻi kūpono ke hana wale e ka mea doktor
Naʻi hoʻolika
Ma lalo o ke ʻano o ke aniani diabetes insipidus i nā ʻīlio, he nui nā maʻi me ka kiʻi like like me ke kiʻi e hiki ke hoʻohui ʻia. Aia nā mea maʻamau o ka:
- diabetes mellitus;
- nā maʻi ʻē aʻe o ka ʻoihana endocrine, no ka laʻana, hypercorticism, hyperthyroidism, psychogenic polydipsia;
- mai ka hiehie, nā maʻi koʻikoʻi a me nā pōʻino, no ka laʻana, pyelonephritis, glomerulonephritis, hiki ke hūnā. Hiki ke hōʻemi ʻia kēia mau maʻi e ka hypercalcemia a me ka hoʻomohala ʻana i ka maʻi convulsive.
Hoʻomaka hoʻomaka ka maʻi huakaʻi me ke aʻo ʻana i nā ʻano a me nā ʻano o ke holoholona, kahi e ʻoki ʻia i kekahi mau ʻano like ʻole o nā maʻi like. No kahi hōʻike pololei, pono nā hana pono a me nā hoʻopaʻa noi ʻana o ka ʻīlio.
Nā ʻano noiʻi
E ʻike e hoʻoholo i nā ʻano hoʻopukapuka penei:
He aha ka mea maʻi diabetes insipidus?- Urinalysis - hiki iā ʻoe ke ʻike i ka emi ʻana o ka maʻamau o ka uea a me ka paʻa ʻana o nā metabolites, nā ʻona a me nā mea hoʻonaninani ʻē aʻe i loko.
- ʻO ke ho'āʻo koko biochemical - e hoʻoholo i ka ʻike ʻana o ka hormone antidiuretic.
Inā he kānalua ka hana o ka hana oncological e hana ana ma nā wahi o ka lolo, ʻo ia hoʻi, i loko o ka ʻōnaehana hypothalamic-pituitary, nā hana pono e hana ʻia me ka hoʻohana ʻana i ka magneton resonance imaging a me ka tomography compute.
Nā hoʻokolohua Therapeutic
ʻO kahi holoholona me nā maʻi neuroendocrine i ka pūnaehana hypothalamic-pituitary pono e loaʻa kahi ʻole o ka holo ʻana i ke kahe i ka hiki koke ʻana, no ka mea, hiki i ka polyuria koʻikoʻi ke alakaʻi i kahi hiwa o ka iwi a me ka luhi.
E hoʻāʻo e hele pinepine i kou mau holoholona i ka wā o ka mālama ʻana, ʻoiai hiki ke hoʻomanawanui a overstrain o ka sphincter urinary hiki ke alakaʻi i ka overstretching o ka ʻōpala i loko o ka ʻīlio.
Pono nā holoholona hānai i nā nui he nui
ʻO ka hoʻomaʻamaʻa mua
ʻO ka mea minamina, ʻaʻohe ala pathogenetic o kēia maʻi, akā naʻe, ʻo ka hoʻololiʻana o ka hormone e hoʻohana ana i nā analog synthetic o nā lāʻau antidiuretic Desmopressin. ʻO ka lāʻau lapaʻau he ʻano dosis i loko o ke ʻano o ka hāʻule ʻana o ka maka, e hoʻokomo ʻia i loko o nā ʻeke conjunctival a, a kūwili ʻia, e komo koke i ka ʻōnaehana ʻōnaehana, ka hoʻoulu ʻana i kā lākou hopena therapeutic. Eia kekahi, hiki ke lawelawe ʻia i ka lāʻau i ka subcutaneously, e hana ana i kahi depot liʻiliʻi o ka lāʻau i kahi o ka momona subcutaneous. ʻAʻole hiki i ke kaʻina hana ke hoʻonāukiuki i ka holoholona, e hoʻomaʻamaʻa maʻalahi i ka mālama ʻana. He mea nui ia e makaʻala i ka mea hiki i kahi overdose o Desmopressin hiki ke alakaʻi i ka wai pōkole ma hope o ka ʻīlio.
Hoʻolahalaha lua
ʻOkoʻa ka hoʻomaʻamaʻa ʻana i ke ʻano o ka lua ma mua o ka lāʻau i hōʻike ʻia ma luna nei, no ka mea he ʻano ʻokoʻa ʻē loa ka pathogenesis. Me ka ʻano nephrogen o ka maʻi insipidus o ka maʻi, ua lawe ʻia ka hana e hoʻohana ana i ka lāʻau lapaʻau Chlorothiazide (Giabinez).
Kahi Waho
ʻAʻole hōʻeha nā mea lapaʻau o ka maʻi insipidus, akā e hiki iā ʻoe ke mālama i ke ʻano o ke kino o ka holoholona. ʻO ka hoʻomaʻamaʻa ʻana no kēia maʻi he hiki ʻole ke makemake ʻia, ʻoiai naʻe, ʻo ka mālama ʻana me ka hoʻohana ʻana i ka hoʻololi ʻana i ka hāmeʻe ʻana i kahi ʻīlio ma nā ʻīlio e mālama ai i ka maʻi i kahi kūlana kaulike no ka manawa lōʻihi. Me ka hōʻino koʻikoʻi i ka kelepona pituitary, hana wale ʻia ke hoʻololi ʻana e mālama a mālama i ka kaulike wai-electrolyte.
