Diabetes insipidus. zviratidzo

Chirwere cheshuga insipidus - isingawanzowanikwi kwemakemikari anobudiswa zvokurwara chokuita Kwevamwe kemikari inonzi vasopressin, zvinoberekwa hypothalamus. Antidiuretic kemikari vachipinda ropa, constricts midziyo ropa uye hwezvekukurukurirana ari reabsorption mvura, kuderedza Vhoriyamu weti uye kudzivirira kupera mvura mumuviri. Hosha rinowanikwa mune vakuru vana aroorane. More nevakawanda vanhu makore 18 kusvika 25 makore.

Zviratidzo cheshuga insipidus

The chikuru Zviratidzo chirwere - kunyanyisa weti uye nyota, izvo unotema murwere kunyanya usiku. Per zuva vangauya 15 litres pamusoro weti, ine inenge isina ruvara uye ane pasi arambe achirema.

Uyezve, pane kushatirwa, kurasikirwa kudya, hope, kurukutika, ganda yakaoma, uremu, atadze kushanda zvakanaka pamusoro nemudumbu, ungaderedza vangadikitira, nomusoro. Men vane matambudziko potency, vakadzi - kuenda kumwedzi.

Zvingaratidza kuva kunosiyana inosiyana zvakaoma, zvichienderana mwero kemikari kukanganisika. Zvikurukuru chenjera runoyerera chirwere cheshuga insipidus muvana: Urinary incontinence, fivha, kurutsa, chetsinga zvirwere.

Kubva zvekuchipatara kuratidzwa vakachengeta kuwedzera dundira, hypotension (yakaderera BP), gastric distension.

Mhando cheshuga insipidus

Kune mhando nhatu cheshuga insipidus: neurogenic (nechepakati), nephrogenic uye dipsogenny.

The nechepakati cheshuga insipidus chokuita rutapudzo kana kumira chizvarwa antidiuretic kemikari zvakakwana. The kukonzera chimiro ichi cheshuga - ari kukundwa pamusoro hypothalamic-pituitary hurongwa, kusanganisira zvemwoyo, kuvandudzwa rokuzvidzivirira antibodies kune antidiuretic kemikari uye hypothalamic Tutsinga tunofambisa mashoko utwu.

Kukonzera nephrogenic cheshuga insipidus chinhu vasanyanye aikanganiswa of renal tubules chaiye secretion pakati antidiuretic kemikari. The chirwere hwapedyo pamusoro pakanyorwa metabolic zvirwere, chisingaperi renal chirwere, uye somugumisiro uchirapwa nemimwe mishonga.

Dipsogenny Chirwere kunoitika apo ari hypothalamus mapundu kana kutevera zvomusejari kushandiswa, izvo zvinoita kutsamwa kwenyota centre. Panyaya iyi, iyo nyota iri rinonyanya chiratidzo, uye kuita weti kakawanda - yechipiri.

Chirwere kwechirwere cheshuga insipidus

The chirwere akaita pachishandiswa nemiedzo. Test rinoitwa pasi weti. Zuva rimwe utano munhu kunouyisa 3 litres kuti weti. Murwere ane chirwere cheshuga insipidus, mufananidzo uyu kakawanda yakakwirira, uye weti wakananga negiravhiti - pazasi.

Mumuedzo wechipiri, murwere aida kurega kunwa kwemaawa 8. Chirwere cheshuga insipidus inoonekwa mune nyaya weti arambe achirema haina kwakawedzera, uye Kurema muviri panguva ino ungaderedza yekudyidzana.

Mabatirwo cheshuga insipidus

Kana chirwere cheshuga insipidus anokonzerwa bundu, kurapwa ndiye kuvhiyiwa, izvo zvinogona vaisanganisa ne irradiation.

Nokuti pakurapa kushandiswa yokutsiva kurapa, i.e. akarayira mishonga kuti vari chakagadzirwa chinotsiva kemikari vasopressin. The Formulations anobudiswa muchimiro mahwendefa kana nasal pfapfaidzo.

Kana vasopressin anobudiswa mumuviri mune kukwana zvakawanda, kushandisa mishonga inotokonya kwetunhu yepanyama kemikari.

Apo chirwere cheshuga insipidus zvikuru isimba kuti kakawanda. Zvinokurudzirwa kuti zvinyorwe zviripo zvakawanda zvokudya zvine makabhohaidhiretsi kunzwisisa: bhinzi, mbatatisi, bota.

dziviriro

Zvinofungidzirwa kuti chirwere cheshuga insipidus chokuita chepfungwa zvirwere zvinogona kuva somugumisiro akatamisa anogumbura zvirwere. Naizvozvo, dziviriro anobva kudzivirirwa uye mangwanani vabatwe nezvirwere.