Organic, idiopathic ndi aimpso insipidus: Zizindikiro mu ana, kuzindikira ndi chithandizo

Kuphwanya mulingo wamadzi mthupi la mwana logwirizana ndi kupanga kosayenera kwa mahomoni vasopressin kumatchedwa shuga insipidus.

Mwanjira ina, matendawa amatchedwa matenda a shuga, amatha kuchitika zaka zilizonse. Koma ndichifukwa chiyani matenda a shuga insipidus amapezeka mwa ana ndipo matendawa amathandizidwa bwanji?

Makhalidwe a matenda

Ana odwala amapaka mkodzo wambiri, wokhala ndi ochepa khunyu. Kuchepa kumeneku kumachitika chifukwa cha kuperewera kwa mahomoni antidiuretic, nthawi zambiri kupezeka kwake kwathunthu. Kuti thupi likhale ndi madzi abwinobwino mthupi, vasopressin ndiyofunikira.

Imayang'anira kuchuluka kwa mkodzo. Poyang'anitsitsa kupanga kwa ADH ndi chithokomiro cha chithokomiro, pali kutulutsa kwamadzimadzi kuchokera mthupi kuchulukitsa, zomwe zimayambitsa ludzu lomwe ana limakumana nalo nthawi zonse.

Endocrinologists adziwa njira zingapo za insipidus za matenda ashuga:

1. organic. Zovuta kwambiri komanso zodziwika bwino. Zimatengera kupanga kwa vasopressin;
2. chidziwitso. Imapezeka ngati choyambitsa matendawa sichidatsimikizidwe ndi njira zonse ndi njira. Akatswiri otsogola pankhani ya matenda a shuga a insipidus amakayikira kudzipatula kwa njira imeneyi. Amakhulupirira kuti zida zosakwanira zofufuzira matendawa sizingadziwe zomwe zimayambitsa;
3. aimpso. Fomuyi imapezeka mwa ana omwe impso zawo sizikuyankha bwino ku ADH. Nthawi zambiri, mawonekedwe aimpso amapezeka, koma palinso matenda obadwanso mwatsopano. Itha kutsimikizika m'miyezi isanu ndi umodzi yoyambirira ya moyo wakhanda.

Zizindikiro

Zizindikiro zodziwika bwino mwa ana:

1. ludzu losalekeza. Ana odwala amadwala malita 8-16 amadzi patsiku. Madzi, tiyi wofunda kapena compote samakwaniritsa ludzu. Pamafunika madzi ozizira;
2. kusakhazikika. Ana ndi opsinjika, amakana kulandira chakudya chilichonse, nthawi zonse amafuna kumwa;
3. kukodza kwambiri nthawi iliyonse masana - polyuria. Ana amatha kukodza mkodzo wambiri mpaka 800 ml ya pokodza. Madzi otalikirawo ndi osanunkhira, opanda utoto, alibe shuga komanso mapuloteni. Zizindikiro zake zimaphatikizira usiku ndi usana kukokana;
4. kusowa kwa chakudya. Chifukwa cha kusakwanira kwamadzimadzi, timadziti tating'ono ndi timadziti tam'mimba timapangidwa. Mwanayo amasiya kulakalaka, matenda am'mimba, kudzimbidwa;
5. kusowa kwamadzi. Chifukwa chokodza kwambiri, kusowa kwamadzi kumachitika, ngakhale kuti mwana amamwa madzi okwanira tsiku lililonse. Khungu limakhala louma, mwana amachepetsa thupi;
6. malungo. Kuchepetsa kuchuluka kwa madzi akumwa kumapangitsa kuti thupi lizitentha kwambiri. Chizindikiro ichi chimadziwika ndi ana aang'ono.

Fomu lachilengedwe

Zizindikiro za mawonekedwe:

1. zosokoneza pakugwira ntchito kwa endocrine system (uku ndikuchedwa kuchepa kwamthupi, kunenepa kwambiri, kuchepa mphamvu, ndi zina zambiri);
2. Zizindikiro zonse ndi idiopathic.

Fomu lamalonda

Zizindikiro za matenda a shuga a ana a impso:

1. diuresis kuyambira miyezi yoyamba ya moyo;
2. kudzimbidwa
3. kusanza
4. malungo;
5. kutentha kwa mchere;
6. kukokana
7. Kuwonongeka kwakuthupi ndi kwamaganizidwe ndi chithandizo chosasankhidwa kapena kusakhalapo.

Nthawi zina insipidus ya shuga sikuwonetsa ana, koma imapezeka pokhapokha potsatira kuyesa kwamkodzo.

Zifukwa

Nthawi zambiri, matendawa amapezeka mwa ana osakwana zaka 7.

Matenda a shuga m'matenda a mwana amatha kuchitika chifukwa cha kubadwa kwa amisala motsogozedwa ndi zinthu zosiyanasiyana zachilengedwe, atalandira kuvulala pamutu, chifukwa chakuchita opaleshoni m'magazi a neurosurgery.

Cerebral edema pambuyo povulala kwa chigaza ndimomwe imayambitsa matendawa, ndipo matenda ashuga amakula msanga - m'masiku 40 pambuyo povulala.

Nthawi zambiri chomwe chimayambitsa matendawa ndi matenda opatsirana ali aang'ono:

• chimfine
• mumps;
• kulira chifuwa;
• pox;
• meningitis

Shuga insipidus nthawi zina amapezeka motsutsana ndi maziko a matenda ena omwe sanali achindunji:

• kupsinjika
• zotupa muubongo;
• khansa;
• matenda m'mimba;
• chifukwa cha mankhwalawa;
• cholowa;
• kusokonezeka kwa mahomoni muunyamata.

Zizindikiro

Ngati mukuwona kuti mwana wanu ali ndi matenda a shuga, muyenera kukaonana ndi dokotala wa ana. Ndi dokotala yemwe amachititsa mayeso pogwiritsa ntchito zida zamakono zodziwikitsa, ndikuwonetsa mayeso ndi chithandizo chofunikira.

Pambuyo pofunsidwa mozama pomwe madokotala amatha kuzindikira matenda a shuga. Zizindikiro mwa ana zimafunikira kuti adziwe mtundu wa matendawa.

Kufunikira kofunikira:

1. kutulutsa mkodzo tsiku ndi tsiku;
2. OAM
3. chitsanzo cha mkodzo malinga ndi Zimnitsky;
4. kusanthula kwa shuga ndi ma electrolyte mu mkodzo;
5. kuyezetsa magazi kwa biochemistry.

Zotsatira zowunikira bwino zimatha kuwonetsa molondola kufunikira kopimidwa.

Kuti mumve zambiri za momwe mwanayo alili, zitsanzo zake ziyenera kutengedwa.

Kuyesedwa kwapadera kumagwiritsidwa ntchito kuti potsiriza mudziwe mtundu wake wa matendawa:

1. kuyesa kowuma. Imachitika kokha moyang'aniridwa ndi madokotala kuchipatala. Mwanayo saloledwa kumwa kwa nthawi yayitali, pafupifupi maola 6. Pankhaniyi, zitsanzo za mkodzo zimatengedwa. Mphamvu yachilengedwe yamadzi pakakhala matenda imakhalabe yotsika;
2. kuyesa ndi vasopressin. Hormoniyo imaperekedwa kwa wodwala, amawunika kusintha kwa kuchuluka ndi mkodzo wake mwachindunji. Mwa ana odwala matenda a hypothalamic shuga, kuchuluka kwa mkodzo kumawonjezeka kwambiri, ndipo voliyumu imachepetsa. Ndi mawonekedwe a nephrogenic, palibe kusintha kwa mkodzo.

Posankha mawonekedwe a idiopathic, zowonjezera zimachitika zomwe zimalolera kupatula kapena kutsimikizira molondola kupezeka kwa chotupa muubongo:

1. EEG (echoencephalography);
2. ubongo tomography;
3. kuwunika kwa ophthalmologist, neurosurgeon, neuropathologist;
4. X-ray ya chigaza. Nthawizina, kufufuza kwachisoni ku Turkey.

Kuti adziwe matenda a shuga a impso a ana, ndikofunikira kuchita mayeso ndi minirin.

Echoencephalography ya ubongo

Ngati kuyesedwa ndi minirin kuli koipa, kuwunika kwina kumachitika:

1. Ultrasound a impso;
2. urology;
3. mayeso Addis - Kakovsky;
4. kudziwa chilolezo chopangira;
5. kuphunzira kwa jini komwe kukukhudza mulingo wa kuzindikira kwa ziwalo za apical tubules kwa vasopressin.

Chithandizo

Ngati makolo adazindikira kusintha kwa khanda panthawiyi, kufunafuna chithandizo chamankhwala ndipo adatha kuzindikira matendawa limodzi ndi endocrinologist, ndiye kuti kulandira chithandizo chamankhwala chamankhwala ndi zakudya zimakupatsirani tsogolo labwino kwa khandalo.

Chithandizo cha organic ndi idiopathic

Kwa odwala matenda a shuga amtunduwu, mankhwala a vasopressin amafunika. Mwanayo amalandila analogue yapanga ya mahomoni - minirin.

Mapiritsi a Minirin

Mankhwala ndi othandizadi, alibe contraindication komanso thupi lawo siligwirizana. Amapangidwa ndikugwiritsidwa ntchito ngati mapiritsi. Izi zimapereka mwayi wotengera mankhwalawa kwa makolo ndi ana.

Mlingo wa minirin amasankhidwa mosiyanasiyana, kutengera zaka komanso kulemera kwa wodwalayo. Ana onenepa amafunika mahomoni ambiri patsiku.

Chithandizo cha impso

Koma akatswiri a endocrinologists akuyesera kuti athetse vuto la ana.

Amapereka mankhwala okodzetsa, nthawi zina odana ndi kutupa. Amathandizira kukhala wathanzi mwa kuchepetsa kuchuluka kwa sodium ndi mchere m'thupi.

Makanema okhudzana nawo

Mu gawo lino la TV "Live Great!" ndi Elena Malysheva muphunzira za matenda a shuga

Ana odwala amawonekera m'chipatala miyezi itatu iliyonse. Kuyendera kwa akatswiri yopapatiza kumachitika nthawi zonse: dokotala wamaso ndi wamanjenje. Mimbulu, kuchuluka kwa ludzu, khungu limayendetsedwa, X-ray ya chigaza, tomography.