Cov txheej txheem:
Video: Koj muab dab tsi rau Siadh?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Hauv qhov chaw mob hnyav (< 48 teev txij li pib) qhov twg cov tsos mob me me tau sau tseg, kev kho mob rau hyponatremia suav nrog cov hauv qab no:
- 3% hypertonic saline (513 mEq / L)
- Loop diuretics nrog ntsev.
- Vasopressin-2 receptor antagonists (aquaretics, xws li conivaptan lossis tolvaptan)
- Kev txwv dej.
Ua li no, koj muab kua dej dab tsi rau Siadh?
Cov txheej txheem kho mob suav nrog kev ntsuas tshwj xeeb thiab txhais tau tias ( txwv dej , hypertonic cov ntsev , urea, demeclocycline), nrog txwv dej thiab hypertonic ntsev nquag siv. Tsis ntev los no vasopressin receptor antagonists, hu ua vaptans, tau qhia raws li kev kho tshwj xeeb thiab ncaj qha ntawm SIADH.
Dab tsi yog cov tsos mob ntawm Siadh?
- xeev siab los yog ntuav.
- Cramps los yog tshee.
- Kev nyuaj siab, kev nco tsis zoo.
- Kev chim siab.
- Kev hloov tus kheej, xws li kev sib cav sib ceg, kev tsis meej pem, thiab kev xav tsis meej.
- Qaug dab peg.
- Stupor los yog coma.
Ua li no, Demeclocycline kho Siadh li cas?
Demeclocycline tau siv rau hauv kev kho mob ntawm cov tsos mob ntawm kev tsis tsim nyog antidiuretic hormone (ADH) tso tawm ( SIAB ), raws li nws ua haujlwm ntawm kev sau cov tubules kom txo qis lawv cov lus teb rau ADH, qhov tseem ceeb ua rau cov ntshav qab zib nephrogenic insipidus.
Koj lees paub Siadh li cas?
Txiav txim cov kev ntsuam xyuas hauv qab no los pab kuaj mob SIADH:
- Serum Na+, potassium, chloride, thiab bicarbonate.
- Plasma osmolality.
- Ntshav creatinine.
- Ntshav urea nitrogen.
- Ntshav qab zib.
- Cov zis osmolality.
- Ntshav uric acid.
- Ntshav cortisol.
Pom zoo:
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