ʻO Syndrome o ka huna ʻana o ka hormone antidiuretic kūpono

ʻO ka Syndrome o ka huna ʻana o ka hormone antidiuretic hormone (SIADH) kahi ʻano a ke kino e hana ai i ka nui nui o ka antidiuretic hormone (ADH). Kōkua kēia hormone i nā puʻupaʻa e kaohi i ka nui o ka wai i lilo i kou kino ma o ka mimi. Hoʻokumu ʻo SIADH i ke kino i ka nui o ka wai.

ʻO ADH kahi mea i hana kūlohelohe ʻia ma kahi o ka lolo i kapa ʻia ʻo hypothalamus. Hoʻokuʻu ʻia e ka pituitary gland ma ke kumu o ka lolo.

Nui nā kumu no ke aha e pono ai i ke kino e hana i kahi nui o ADH. ʻO nā kūlana maʻamau ke hoʻokuʻu ʻia ʻo ADH i loko o ke koko ke hana ʻole ʻia (kūpono ʻole) e hoʻopili ʻia:

• ʻO nā lāʻau, e like me kekahi ʻano 2 mau lāʻau diabetes, ka lāʻau hopu, nā lāʻau antidepressants, nā puʻuwai a me ke kaomi koko, nā lāʻau ʻaʻai, anesthesia
• ʻOki kino ma lalo o ka anesthesia laulā
• Nā maʻi o ka lolo, e like me ka hōʻeha, nā maʻi, ka maʻi hahau
• ʻO ke kāpili lolo ma ka moku o ka hypothalamus
• ʻO ka maʻi lepa, e like me ka pulumonia, tuberculosis, maʻi ʻaʻai, maʻi maʻi mau

ʻO nā kumu kumu ʻole:

• Nā maʻi maʻamau o ka hypothalamus a i ʻole ka pituitary
• Ka maʻi ʻaʻai o ka hāhā, ʻōpū liʻiliʻi, pancreas, lolo, leukemia
• Nā maʻi noʻonoʻo

Me SIADH, paʻa ka mimi. ʻAʻole lawa ka wai i waho a nui loa ka wai i ke koko. Hoʻopili kēia i nā mea he nui i ke koko e like me ka sodium. ʻO kahi pae sodium haʻahaʻa haʻahaʻa ke kumu maʻamau o nā hōʻailona o ka nui o ADH.

ʻO ka pinepine, ʻaʻohe hōʻailona mai kahi pae sodium haʻahaʻa.

Ke hiki mai nā ʻōuli, pili pū paha lākou i kekahi o kēia mau mea:

• ʻO Nusea a me ka luaʻi
• ʻEha poʻo
• Nā pilikia me ke kaulike e hopena ai i ka hāʻule
• Nā hoʻololi noʻonoʻo, e like me ka huikau, nā pilikia hoʻomanaʻo, nā ʻano ʻē
• ʻO ka hopu ʻana a i ʻole ke koma, i nā hihia koʻikoʻi

E hana ka mea mālama ola i kahi hoʻokolokolo kino piha e kōkua ai e hoʻoholo i ke kumu o kāu mau hōʻailona.

Hiki i nā hoʻokolohua lab ke hōʻoia a kōkua i ka diagnose haʻahaʻa sodium me:

• Pūʻulu metabolic piha (me ka sodium sodium)
• Hōʻike koko Osmolality
• ʻO osmolality mimi
• Sodium sodium
• Nā pale Toxicology no kekahi mau lāʻau
• Pono paha ʻoe i nā noiʻi kiʻi i hana ʻia no nā ʻōpio ʻōpio a me ka lolo Lū a me nā hoʻāʻo kiʻi ʻana o ka lolo i nā keiki i manaʻo ʻia he SIADH kā lākou

Pili ka mālama ʻana i ke kumu o ka pilikia. ʻO kahi laʻana, hana ʻia ke ʻoki e wehe i kahi tumo e hana ana iā ADH. A i ʻole inā he lāʻau ke kumu, e loli ʻia paha kona ana a i ʻole e hoʻāʻo ʻia kahi lāʻau ʻē aʻe.

I nā hihia āpau, ʻo ka hana mua e kaohi i ka lawe ʻana o ka wai. Kōkua kēia i ka pale ʻana i ka nui o ka wai mai ke kūkulu ʻana i loko o ke kino. E haʻi aku kāu mea hāʻawi iā ʻoe i kāu loaʻa ʻana o ka wai i kēlā me kēia lā.

Pono paha nā lāʻau e kāpae i nā hopena o ADH ma nā puʻupaʻa i hiki ke hoʻopau ʻia ka wai nui e nā puʻupaʻa. Hāʻawi ʻia kēia mau lāʻau i mau pila a i ʻole nā ​​inikua i hāʻawi ʻia i nā aa (intravenous).

Aia ka hopena i ke ʻano o ka pilikia. ʻO ka sodium haʻahaʻa e holo wikiwiki ana, ma lalo o 48 mau hola (hyponatremia ākea), ʻoi aku ka weliweli ma mua o ka sodium haʻahaʻa e ulu lohi ana i ka manawa. Ke hāʻule mālie ka pae sodium i nā lā a i ʻole mau pule (hyponatremia maʻi mau), loaʻa ka manawa o nā ʻili o ka lolo e hoʻoponopono a kū ʻole nā ​​ʻōuli koʻikoʻi e like me ka pehu o ka lolo. Pili ka hyponatremia maʻi me nā pilikia ʻōnaehana e like me ke kaulike maikaʻi ʻole a me ka hoʻomanaʻo maikaʻi ʻole. Hiki ke hoʻololi i nā kumu he nui o SIADH.

I nā hihia koʻikoʻi, hiki i ka sodium haʻahaʻa ke alakaʻi i:

• Hoemi i ka ʻike, nā hiʻohina a me ke koma
• Herniation lolo
• Make

Ke hāʻule nui ka pae sodium o kou kino, hiki ke lilo i kahi ola weliweli. Kāhea koke i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o kēia ʻano.

SIADH; Hūnā kūpono ʻole o ka hormone antidiuretic; Hoʻokuʻu ʻia ka Syndrome o ADH kūpono ʻole; Syndrome o nā antidiuresis kūpono ʻole

ʻO Hannon MJ, ʻo Thompson CJ. ʻO Vasopressin, diabetes insipidus, a me ka maʻi o ka antidiuresis kūpono ʻole. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 18.

ʻO Verbalis JG. Nā maʻi o ke kaulike wai. I: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, eds. ʻO Brenner a me Rector's The Kidney. 10 o ka lā. Piladelapia, PA: Elsevier; 2016: chap 16.