Hōʻike koko Antidiuretic hormone

ʻO ke aniani koko Antidiuretic e ana i ka pae o ka antidiuretic hormone (ADH) i ke koko.

Pono kahi laʻana koko.

E kamaʻilio me kāu mea mālama ola e pili ana i kāu mau lāʻau i mua o ka hoʻāʻo. Hiki i nā lāʻau he nui ke hoʻololi i ka pae ADH, me:

• ʻAlekohola
• Diuretics (wai huaale)
• ʻO nā lāʻau kaomi koko
• Insulina
• Nā lāʻau no ka maʻi noʻonoʻo
• Nikotine
• ʻO Steroids

Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo kekahi poʻe i ka ʻeha kaulike. ʻIke wale kekahi i kahi ʻōniʻu a i ʻole kui. Ma hope, loaʻa paha i kahi kūpikipiki a i ʻole ʻeha iki. Hele koke kēia.

ʻO ADH kahi hōmona i hana ʻia i kahi ʻāpana o ka lolo i kapa ʻia ʻo hypothalamus. Mālama ʻia ia a hoʻokuʻu ʻia mai ka pituitary, kahi gland liʻiliʻi ma ke kumu o ka lolo. Hana ʻo ADH i nā puʻupaʻa e kaohi i ka nui o ka wai i hoʻokuʻu ʻia i ka mimi.

Kauoha ʻia ka hoʻāʻo koko ADH ke kuhi kāu mea lawelawe he maʻi kāu e hoʻopili ai i kāu pae ADH e like me:

• ʻO ke kūkulu ʻia ʻana o nā wai i kou kino e hoʻoulu ana a i ʻole ka puffiness (edema)
• Ka nui o ka mimi
• ʻO ka pae sodium haʻahaʻa (paʻakai) i loko o kou koko
• ʻO ka make wai he ikaika a i ʻole kaohi ʻole ʻia

Hoʻopili kekahi mau maʻi i ka hoʻokuʻu maʻamau o ADH. Pono e hoʻāʻo ke kiʻekiʻe o ke koko o ADH e hoʻoholo i ke kumu o ka maʻi. E ana ʻia paha ʻo ADH ma ke ʻano he ʻāpana o kahi hoʻāʻo kapu wai e ʻimi ai i ke kumu o kahi maʻi.

Hiki ke helu ʻia nā kumukūʻai maʻamau no ADH mai 1 a 5 pg / mL (0.9 a 4.6 pmol / L).

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa.Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole hoʻokolohua i nā hoʻohālikelike like ʻole. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

Hiki ke pae i luna aʻe ma mua o ka maʻamau ke hoʻokuʻu ʻia ka ADH he nui, a i ʻole mai ka lolo kahi i hana ʻia ai, a mai kahi ʻē aʻe paha o ke kino. Kapa ʻia kēia maʻi ʻo SynH kūpono ʻole (SIADH).

Nā kumu o SIADH e komo pū ana:

• Ka hōʻeha ʻana o ka lolo a hōʻeha paha
• ʻOrspala lolo
• ʻO ke kaulike ʻole o ka wai ma hope o ke kaha ʻana
• ʻO ka maʻi i ka lolo a i ʻole ke ʻano e hoʻopuni i ka lolo
• ʻO ka maʻi i nā māmā
• ʻO kekahi mau lāʻau, e like me kekahi mau lāʻau hopu, nā lāʻau ʻeha, a me nā antidepressants
• Ka maʻi ʻaʻai maʻi kanesa liʻiliʻi liʻiliʻi
• Hahau

Hiki ke loaʻa kahi pae ʻoi aku ka kiʻekiʻe ma mua o ka maʻamau o ka ADH i ka poʻe me ka puʻuwai puʻuwai, ʻole ke akepaʻa, a i ʻole kekahi ʻano maʻi maʻi puʻuwai.

Hōʻike kahi pae haʻahaʻa ma mua o ka maʻamau:

• Ka hōʻino i ka hypothalamus a i ʻole ka pituitary gland
• ʻO ka insipidus diabetes waena (ke ʻano a hiki ʻole i nā puʻupaʻa ke mālama i ka wai)
• Make wai loa (polydipsia)
• Nui loa ka wai i nā kīʻaha koko (ka nui o ka nui)

ʻAʻohe pilikia iki i ka lawe ʻia ʻana o kou koko. ʻOkoʻa nā aʻa a me nā aʻa i ka nui mai kekahi kanaka a i kekahi, a mai kekahi ʻaoʻao o ke kino i kekahi ʻē aʻe. ʻOi aku ka paʻakikī o ka lawe ʻana i ke koko mai kekahi poʻe ma mua o nā poʻe ʻē aʻe.

ʻO nā pilikia ʻē aʻe e pili ana i ke kau ʻana o ke koko he liʻiliʻi, akā hiki ke hoʻopili ʻia:

• Kahe nui ke koko
• Pāleʻale a ʻoluʻolu paha
• Nā punctures he nui e ʻimi i nā uaua
• Hematoma (hōʻiliʻili koko ma lalo o ka ʻili)
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

Arginine vasopressin; Hema Antidiuretic; AVP; ʻO Vasopressin

Chernecky CC, Berger BJ. Antidiuretic hormone (ADH) - serum. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 146.

ʻO Guber HA, Farag AF. ʻO ka loiloi o ka hana endocrine. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 24.

ʻO MS, Briefel G. Ka loiloi ʻana i ka hana o ke kōpaʻa, ka wai, nā electrolytes, a me ke kaulike acid-base. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 14.