Tsis-ntshav qab zib mellitus

Cov ntshav qab zib tsis muaj ntshav qab zib heev uas cuam tshuam rau cov neeg hluas (txog 25 xyoo). Nws yog txuam nrog kev txawv txav hauv cov hypothalamus lossis pituitary caj pas. Nyob rau hauv no hais txog, nyob rau hauv tib neeg lub cev muaj ib qho tsis txaus ntawm antidiuretic hormone vasopressin.

Ntshav tsis muaj ntshav qab zib mellitus - kuaj mob thiab cov tsos mob

Cov cim qhia ntawm cov ntshav qab zib insipidus:

• Lub sij hawm ntim ntawm cov zis yog ntau tshaj 3 litres thiab suav txij thaum hmo ntuj;
• muaj zog nqhis dej thiab, vim li ntawd, ib qho loj ntawm dej;
• qhuav ntawm daim tawv nqaij;
• ntuav;
• xeev siab;
• kev sib ceg;
• insomnia;
• poob kev puas hlwb;
• apathy;
• tsis muaj qab los noj mov;
• poob qis;
• Teeb meem teeb meem loj;
• tsis muaj kev sib deev;
• mob taub hau;
• tachycardia.

Nrog rau cov tsos mob tshwm sim no, nws tsis yooj yim rau kev ntsuam xyuas tus kab mob, ntxiv rau, kev tshawb fawb yog ua tiav:

• kuaj ntshav;
• urinalysis;
• kuaj mob nrog lub plab;
• Xeem hluav taws xob;
• MRI ntawm lub hlwb;
• kev ntsuam xyuas puas hlwb;
• kuaj mob kuaj mob.

Nws yuav tsum tau sau tseg tias qab zib thiab ntshav qab zib insipidus tuaj yeem muaj cov tsos mob zoo sib xws, qhov txawv yog qhov tseem ceeb ntawm kev kuaj mob. Qhov kev nqus thiab ntom ntawm cov zis hauv cov ntshav qab zib mellitus yog nce, ntxiv rau, muaj qib siab qabzib. Nrog ntshav qab zib insipidus, qhov ceev txo, thiab suab thaj yuav luag tag nrho.

Ua rau ntawm cov ntshav qab zib insipidus

1. Craniocerebral raug mob.
2. Kab mob ntshav qab zib muaj kabmob.
3. Tag Nrho Lub Hlwb.
4. Metastases nyob rau hauv lub hlwb.
5. Syphilis.
6. Disturbances nyob rau hauv lub chaw ua hauj lwm ntawm lub hypothalamic-pituitary system.
7. Raum kab mob.
8. Encephalitis.
9. Tsis muaj qhov xaav ntawm tus kab mob vasopressin los ntawm lub raum hlwb.

Kev faib tawm ntawm cov ntshav qab zib insipidus

Muaj cov nram qab no:

1. Nephrogenic los yog lub plab insipid ntshav qab zib. Nws yog tsiag ntawv los ntawm impaired susceptibility ntawm lub raum mus rau ib qho tshuaj tua kab mob.
2. Neurogenic los sis mob ntses taub hau ntshav qab zib. Hom kab mob no yog txuam nrog kev ua txhaum ntawm vasopressin, los yog nrog rau cov tshuaj uas nkag rau hauv cov ntshav vim kev ua haujlwm ntawm lub siab hypothalamus thiab cov pituitary caj pas.
3. Transit. Tshwm sim nyob rau hauv cov poj niam cev xeeb tub, ploj tom qab yug. Kev kho mob tsis tau.
4. Kev poob siab. Qhov ntshav qab zib hom kab mob no yog hu ua insipid syndrome thiab yog ua los ntawm kev siab daj ntsws. Tsis tshwm sim tom qab kuaj cov nrog dryness.

Kev kho mob ntawm cov ntshav qab zib insipidus

Ua ntej ntawm tag nrho cov, kev kho mob ntawm cov ntshav qab zib insipidus yog tsom rau eradicating qhov ua rau ntawm tus kab mob. Tsis tas li ntawd tus kws kho mob xaiv ib txoj hauv kev ua haujlwm rau txhua tus neeg mob. Cov kev kho mob muaj xws li:

• noj cov tshuaj tiv thaiv thiab diuretics.
• cov khoom noj uas muaj kev txwv ntawm cov protein thiab ntsev hauv txoj kev noj haus;
• hloov txoj kev kho;
• kev kho kom zoo dua qub.

Noj cov ntshav qab zib rau insipidus

Cov khoom noj tshwj xeeb yuav tsum txo nqhis dej, thiab yog li, tso zis ib hnub. Qhov no yuav pab txhim kho pw tsaug zog thiab ua kom koj tus mob zoo dua. Kev noj haus yog ua raws li cov cai xws li:

• Txo tus nqi ntawm cov protein siv, tawm hauv cov cai ntawm carbohydrates thiab cov rog;
• txo lub ntsev concentration, txo nws kom tsawg mus 5 g ib hnub;
• zaub mov yuav tsum yog cov zaub thiab txiv hmab txiv ntoo;
• rau quenching nqhis dej kom siv cov kua txiv hmab txiv ntoo, kua txiv hmab txiv ntoo thiab cov kua qaub;
• siv cov nqaij ntshiv xwb;
• nrog rau kev noj zaub mov ntawm cov ntses thiab nqaij nruab deg, cov qe qe;
• noj ntses roj thiab phosphorus;
• feem ntau noj me me.

Tshaj tawm cov ntawv qhia txhua hnub:

Noj tshais:

• omelet los ntawm yolks;
• tsawg-rog tsev cheese nrog txiv hmab txiv ntoo;
• herbal tshuaj yej.

Ob tshais noj haus:

• txiv hmab txiv ntoo nyias;
• ntuj kua txiv los yog jelly.

Noj su:

• zaub kua zaub;
• nqaij nrog zaub (ncu);
• txiv hmab txiv ntoo txiv hmab txiv ntoo haus.

Khoom txom ncauj:

• ci kua txiv nrog ceev;
• qos yaj ywm.

Noj hmo:

• tsawg-rog steamed ntses nrog zaub;
• tshuaj yej.