Lisosa le mefuta ea lefu la tsoekere
Mefuta e latelang ea "insulin" ea lefu la tsoekere e khetholloa:
- Lenolo (Nephrogenic) - e tšoauoa ka mokokotlo o tloaelehileng oa vasopressin maling, empa ho monya ha eona ke tishu ea renal ho senyehile.
- Bohareng (neurogenic) - e etsahala ka mokhoa o sa lekaneng oa homone ea antidiuretic ke hypothalamus. Lefu la tsoekere la tsoekere e bohareng bo lebisa ntlheng ea hore lihormone li hlahisoa ka bongata bo fokolang. E ameha ho kenngeng metsi ka bongata mokhoeng oa liphio. Ka lebaka la khaello ea vasopressin, metsi a mangata a tsoa lipelong.
- Insipidar - ka khatello ea maikutlo khafetsa le boiphihlelo ba maikutlo;
- Gestagen - ho basali baimana. Lefu la tsoekere ka nako ea boimana le thehoa ka lebaka la ho senngoa ha vasopressin ke likarolo tsa enzymatic tsa placenta. Ho nyonya le "ho fifala" ha moroto ho hlaha hangata ho 3st trimester ea mpa.
- Idiopathic - ka lebaka le sa tsejoeng, empa lithuto tsa tliliniki li bontša monyetla o moholo oa phetiso ea lefu lena ka lefa.
Lisosa tse tloaelehileng tsa lefu la tsoekere:
- Ho hlahala ha methapo e amang hypothalamus;
- Sefuba se fetileng (feberu, SARS);
- Ho ruruha ha meninges (encephalitis);
- Likotsi tsa lehata
- Keketseho ea khatello ea methapo;
- Mathata a amanang le phepelo ea mali bokong;
- Tumor metastases.
- Tšenyo ea bokhoni ba cortical kapa bokong ba monoana;
- Sickle cell anemia (lefu le futsitsoeng le hlahang ka lisele tse khubelu tsa mali);
- Ho se sebetse hantle;
- Polycystic (li-cysts tse ngata tsa liphio ka bobeli);
- Ho fokotseha kapa keketseho ea khatello ea khalsiamo ea mali;
- Ho nwa meriana e nang le chefo ho liphio (demeclocilin, lithium, amphotericin B).
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Matšoao a mantlha a lefu la tsoekere
Lisosa tsa lefu lena li ngata, empa matšoao a lefu lena a tšoana le a mefuta eohle ea lefu lena le phapang ea lona. Leha ho le joalo, botebo ba setšoantšo sa kliniki bo its'etleha ho melao-motheo e 'meli ea bohlokoa:
- Ho haelloa ke li-hormone tsa antidiuretic;
- Renal receptor vasopressin immune.
- Takatso ea lijo ea fokotseha, ho qhala ho hlaha ka lebaka la tlolo ea motsoako oa li-enzyme tsa ho ja le ho ts'oaroa ha mpa;
- Li-membrane tse omeletseng tsa mucous, boima ba 'mele ka lebaka la tahlehelo ea metsi;
- Mpa e ka tlase e eketseha ka lebaka la ho fifala ha lesapo la mokokotlo;
- Pherekano ea fokotseha;
- Mocheso oa phahama;
- Motho o khathala kapele;
- Ho oa ha urinary ho etsahala.
- Ho sebetsa maikutlong;
- Ho opeloa ke hlooho le ho hlobaela;
- Ho fokotsa tlhokomelo le khatello ea maikutlo.
Ho na le phapang e itseng matšoao a lefu lena ho banna, basali le bana. Baemeli ba halofo e matla ea batho ba bonts'a ho fokotseha hoa ts'ebetso ea thobalano (libido). Ho basali, matšoao a lefu lena a kopantsoe le litlolo tsa ho ilela khoeli. Maemong a mangata, khahlano le semelo sa lefu la tsoekere, ho hloka boroko. Haeba lefu le hlahile nakong ea ngoana ha a beleha, menyetla e mengata ea ho senyeheloa ke mpa e itlhahetse feela.
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Likarolo tsa lipontšo tsa lefu la tsoekere ho lefu la tsoekere ho bana
Matšoao a lefu la tsoekere ho lefu la tsoekere ho bana ha a fapane le lipontšo tsa lefu lena ho batho ba baholo.
Matšoao a ikhethang a lefu lena ho ngoana:
- Khahlano le semelo sa phepo e nepahetseng, ngoana o nona haholo;
- Kamora ho ja, ho hlatsa le ho nyekeloa hoa pelo ho hlaha;
- Ho robala ho sa tsitsitseng bosiu;
- Bohloko bo kopaneng.
Lipontšo tse ikhethileng tsa lefu la tsoekere ho masea:
- Matšoenyeho
- Lesea le "ntša metsi" ka likarolo tse nyane;
- Ka potlako e lahleheloa ke boima ba 'mele;
- Ha a na khethollo;
- Mocheso oa phahama;
- Morethetho oa pelo oa potlaka.
Ho fihlela selemo, lesea ha le khone ho bua hantle ka mantsoe. Haeba batsoali ba sa hlokomele matšoao a lefu lena, o tla ba le makhopho a isang lefung.
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Tlhahlobo le kalafo ea lefu la tsoekere
Ho tseba lefu la lefu la tsoekere ho hloka nalane ea lintho tse latelang:
- Ho na le bosiu bo sa feleng;
- Mokuli o ja metsi a mangata hakae ka letsatsi;
- Na ho na le khatello ea kelello kapa lenyora le eketsehang;
- Na ho na le mathata a hlahala le mathata a endocrine.
- Fumana bothata ba moroto, ho hlohlona ha meno;
- Radiography ea lehata le sesepa sa Turkey;
- Etsa litšoantšo tse fapaneng le tsa liphio ka mokhoa o fapaneng.
- Echoencephalography;
- Etsa lipatlisiso tsa liphio;
- Fana ka moroto ho ea tlhatlhobo ea Zimnitsky (qeto ea thepa ea mohopolo ea mokokotlo).
- Mokuli o hlahlojoa ke ngaka ea methapo ea kutlo, neuropurologist.
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Phekolo ea lefu la tsoekere
Phekolo ea lefu la tsoekere insipidus e ipapisitse le palo ea tahlehelo ea metsi ea letsatsi le letsatsi. Ha motho a lahleheloa ke lilithara tse ka tlase ho 4 ka letsatsi, meriana ha e fuoe, 'me khalemelo ea boemo bo etsoa ke lijo.
Ka tahlehelo ea litheko tse fetang 4, ho khothaletsoa ho khethoa ha lihormone tse sebetsang joaloka lihormone tsa antidiuretic. Khetho ea motsoako oa lithethefatsi e etsoa motheong oa ho khetholla palo ea moroto oa letsatsi le letsatsi.
Ke litlhare life tse ka nkelang vasopressin:
- Desmopressin (Adiuretin);
- Minirin;
- Miskleron;
- Carbamazepine;
- Chlorpropamide.
Ka mofuta oa lefu la renal, thiazide diuretics (triampur, hydrochlorothiazide) li ngotsoe. Ho fokotsa ho ruruha - indomethacin, ibuprofen.
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