Sanadin da nau'in ciwon sukari insipidus
An bambanta nau'ikan insulin na ciwon sukari:
- Renal (Nephrogenic) - yakasance yanayin maida hankali ne na al'ada na vasopressin a cikin jini, amma yawan shan kwayar ta ta zama mai lalacewa.
- Tsakiya (neurogenic) - yana faruwa tare da rashin isasshen ƙwayar antidiuretic hormone ta hanyar hypothalamus. Ciwon sukari insipidus asalin yana haifar da gaskiyar cewa an samar da hormone a cikin adadi kaɗan. Yana da hannu a cikin juyawar ruwa na baya a cikin kashin koda. Tare da rashin vasopressin, ruwa mai yawa yana kwance daga kodan.
- Insipidar - tare da matsananciyar damuwa da ƙwarewar juyayi;
- Gestagen - a cikin mata masu juna biyu. Ciwon sukari insipidus yayin daukar ciki an kirkire shi ne sakamakon lalata vasopressin ta mahallin enzymatic na mahaifa. Matukar ciki da “rashin ruwa” na fitsari yakan faru ne a cikin lokaci na uku na ciki.
- Idiopathic - don wani dalili da ba a sani ba, amma binciken asibiti ya nuna babbar yiwuwar watsa cutar ta hanyar gado.
Sanadin abubuwan da ke haifar da ciwon sukari insipidus:
- Cutar ƙwaƙwalwar ƙwaƙwalwa da ke shafar hypothalamus;
- Ruwan sanyi da ya gabata (mura, SARS);
- Kumburi na meninges (encephalitis);
- Raunin raunuka;
- Pressureara yawan matsa lamba na intracranial;
- Rashin wadatar jini zuwa kwakwalwa;
- Tumor metastases.
- Lalacewa ga cortical ko kwakwalwa na koda;
- Cutar Sickle cell anaemia (cuta ce mai gado da kuma bayyanar cututtukan sel jajayen jini);
- Rashin nasara;
- Polycystic (cysts da yawa na duka kodan);
- Ragewa ko haɓaka cikin taro na ƙwayar ƙwayar jini.
- Shan magunguna waɗanda ke da sakamako mai guba a kan kodan (demeclocilin, lithium, amphotericin B).
Koma abinda ke ciki
Babban bayyanar cututtuka na ciwon sukari insipidus
Abubuwan da ke haifar da cutar suna da yawa, amma alamun cutar suna kama da duk nau'in cutar da ire-irenta. Koyaya, tsananin hoton hoto ya dogara da ka'idodi 2 masu mahimmanci:
- Rashin maganin antidiuretic;
- Rashin karɓar mai ba da kariya daga vasopressin.
- Abinci na ragewa, maƙarƙashiya ya bayyana sakamakon cin zarafin haɗin enzymes na narkewa da nisantar ciki;
- Ryarfin mucous membranes, asarar nauyi saboda asarar ruwa;
- Abdomenarancin ciki yana ƙaruwa saboda nesa na mafitsara;
- Tsallakewa ya ragu;
- Zazzabi ya tashi;
- Mutum ya gaji da sauri;
- Rashin daidaiton ciki na faruwa.
- Labarin Motsin rai;
- Ciwon kai da rashin bacci;
- Rage hankali da natsuwa.
Akwai wasu bambance-bambance a cikin alamun cutar a cikin maza, mata, da yara. Wakilan rabin rabi na bil'adama suna nuna raguwa a cikin aikin jima'i (libido). A cikin mata, alamun cutar yana haɗuwa da rashin daidaituwa na maza. A mafi yawan lokuta, akasari daga cututtukan insipidus na sukari, rashin haihuwa yana tasowa. Idan cutar ta bayyana lokacin haihuwar yaro, to, akwai yiwuwar zubar da cikin bazata.
Koma abinda ke ciki
Siffofin bayyanar cutar ciwon insipidus a cikin yara
Bayyanar cututtukan ƙwayar cutar insipidus a cikin yara ba sa bambanta da alamun bayyanar cutar a cikin manya.
Takamaiman alamun cutar a cikin yaro:
- A ƙarshen asalin abinci mai gina jiki, yaro ya sami nauyi sosai;
- Bayan cin abinci, amai da tashin zuciya sun bayyana;
- Rashin daidaiton ciki a cikin dare;
- Haɗin gwiwa.
Bayyanannun bayyanar cututtukan cututtukan ƙwayar cuta a cikin jarirai:
- Damuwa
- Yaron yana “yi urinates” a cikin ƙananan yankuna;
- Yana sauke nauyi da sauri;
- Ba shi da kuzari;
- Zazzabi ya tashi;
- Dakyar zuciya tayi saurin tsawa.
Har zuwa shekara guda, jariri ba zai iya nuna halin zaman lafiya da kalmomi ba. Idan iyaye basu lura da alamun cutar ba, to zai iya kasancewa yana ɗaukar hankali wanda zai kai shi ga mutuwa.
Koma abinda ke ciki
Bayyanar cututtuka da lura da ciwon insipidus na ciwon sukari
Gano cutar ciwon insipidus na buƙatar tarihin abubuwa kamar haka:
- Shin akwai rashin jituwa cikin dare;
- Nawa ne mai haƙuri yake cinye ruwaye a rana;
- Shin akwai gajiya ta hankali ko ƙaruwar ƙishirwa;
- Shin akwai ciwace-ciwacen daji da kuma rikicewar endocrine.
- Eterayyade ƙarancin fitsari, ƙin ƙwayar koda;
- Hoton daukar hoto na kwanyar da sirdin na Turkiyya;
- Yi excroret urography na kodan tare da bambanci;
- Echoencephalography;
- Yi duban dan tayi na kodan;
- Sanya fitsari ga gwajin Zimnitsky (ƙaddara abubuwan tattarawa na fitsari).
- Ana bincika mai haƙuri ta ƙwararren masanin ƙwaƙwalwar ƙwaƙwalwa, likitan ido da kuma ƙwaƙwalwar ƙwayar cuta.
Koma abinda ke ciki
Jiyya da ciwon sukari insipidus
Kula da ciwon sukari insipidus ya danganta da yawan asarar ruwa yau da kullun. Lokacin da mutum ya rasa ƙasa da lita 4 a rana, ba a sanya magunguna ba, kuma gyaran abinci yana gudana ta hanyar abinci.
Tare da asarar fiye da lita 4, ana ba da shawarar alƙawarin hormones waɗanda ke aiki a matsayin maganin rigakafi. Zaɓin taro na miyagun ƙwayoyi ana yin su ne bisa ƙaddara yawan adadin fitsari yau da kullun.
Wadanne magungunan maye gurbin vasopressin:
- Desmopressin (Adiuretin);
- Minirin;
- Miskleron;
- Carbamazepine;
- Chlorpropamide.
Tare da nau'in cutar ta cutar, an sanya thiazide diuretics (triampur, hydrochlorothiazide). Don rage kumburi - indomethacin, ibuprofen.
Koma abinda ke ciki
