Kev kho mob rau nephrogenic mob ntshav qab zib insipidus yog dab tsi?
Kev kho mob rau nephrogenic mob ntshav qab zib insipidus yog dab tsi?

Video: Kev kho mob rau nephrogenic mob ntshav qab zib insipidus yog dab tsi?

Video: Kev kho mob rau nephrogenic mob ntshav qab zib insipidus yog dab tsi?
Video: DIABETES/MOB NTSHAV QAB ZIB YOG DAB TSI? TXHAIS UA LUS MHOOB YOOJ YIM. 2024, Lub Xya hli ntuj
Anonim

Thawj kab ntawm kev kho mob yog hydrochlorothiazide thiab amiloride. Cov neeg mob kuj tseem yuav txiav txim siab noj ntsev tsawg thiab muaj protein tsawg. Thiazide diuretics tau siv hauv kev kho mob vim ntshav qab zib insipidus ua rau tshem tawm cov dej ntau tshaj li sodium (piv txwv li, dilute zis).

Ib yam li ntawd, koj tuaj yeem nug, puas tuaj yeem kho nephrogenic mob ntshav qab zib insipidus?

Nephrogenic ntshav qab zib insipidus tuaj yeem ua tau nyuaj kho. Txij li ob lub raum tau 'tsis teb rau ADH, muab ntau ADH tsis pab. Tsis muaj txoj hauv kev zoo kom lub raum teb rau ADH uas nyob ntawd.

Ib yam li ntawd, koj yuav kho tus mob ntshav qab zib insipidus li cas? Central ntshav qab zib insipidus . Feem ntau, daim ntawv no yog kho nrog ib tug txiv neej tsim cov tshuaj hu ua desmopressin (DDAVP, Minirin, lwm tus). Cov tshuaj no hloov pauv cov tshuaj tiv thaiv diuretic uas ploj lawm (ADH) thiab txo qis tso zis. Koj tuaj yeem noj desmopressin ua tshuaj tsuag qhov ntswg, ua cov ntsiav tshuaj hauv qhov ncauj lossis txhaj tshuaj.

Tsis tas li, puas yog nephrogenic diabetes insipidus thim rov qab?

PIB: In nephrogenic mob ntshav qab zib insipidus (NDI), lub raum tsis tuaj yeem tsim cov zis muaj zog vim yog qhov tsis txaus ntseeg ntawm qhov distal nephron rau antidiuretic hormone (arginine vasopressin). Kev pheej hmoo rau kev hloov dua siab tshiab ntawm thim rov qab rau irreversible NDI zoo li yuav muaj teeb meem.

Dab tsi yog qhov ua rau nephrogenic diabetes insipidus?

Nephrogenic mob ntshav qab zib insipidus tshwm sim thaum muaj qhov tsis xws luag hauv lub raum tubules - cov qauv hauv koj ob lub raum uas ua rau dej yuav tsum tau tso tawm los yog reabsorbed. Qhov tsis xws no ua rau koj ob lub raum tsis tuaj yeem ua haujlwm tau zoo rau ADH. Qhov tsis xws luag yuav yog los ntawm kev muaj keeb (caj ces) tsis xwm yeem lossis teeb meem ntawm lub raum tsis zoo.

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