Caafimaadka, Daawo
Hormoonka antidiuretic (ADH). dheecaan ee hormoonka antidiuretic
Horomonka - hormoonka antidiuretic - saaray hypothalamus ah, oo ku yaalla pituitary dambena ah (neurohypophysis). hormone Tani waxay xaqiijineysaa homeostasis ee jirka aadanaha, ilaalinta dheelitirka biyaha. Sidaas daraaddeed, tusaale ahaan, fuuq-bax ama dhiig weyn sarkhaansan Horomonka ka mid ah hababka si loo hubiyo in la joojiyo khasaaraha dheecaanka. Sayidka, hormoonka antidiuretic (ADH) si fudud ma noo oggolaan in ay u qalalaan.
Halkee ADH uu ku dhexsameeysmo?
hormoonka antidiuretic oo soo saaray neurons cell badan oo xuduntii supraoptic of hypothalamus iyo xidhana in neyrofizinom (side-protein). Dheeraad ah, waxa ay si toos ah xagga xuubka dambe ee hypophysis ah oo halkaas ku ururto on neurons hypothalamic. Sida halkaas ka loo baahan yahay soo galo dhiigga. ADH dheecaan waxaa saameeya:
- cadaadiska dhiigga (BP).
- osmolarity plasma ah.
- mugga dhiigga siidaayey ee jirka.
saamaynta Biological ee hormone anti-durayo
Marka sare cadaadiska dhiigga dheecaan of hormoonka antidiuretic oo cadaadis iyo bedelkeeda, dayrta ee cadaadiska dhiigga by 40% Avv Horomonka caadiga ah waa la kordhin karaa ka looga baahan yahay sida caadiga ah maalin walba ah ee 100 jeer.
osmolarity plasma waxaa si toos ah oo la xidhiidha Halabuurka elektrolytka ee dhiigga. Marka osmolarity dhiigga hoos ooga dhoco heerka la aqbali karo ee ugu yar, bilaabataa qoondaynta sii kordhaya ee Horomonka dhiiga. Iyada oo la kordhiyo osmolality plasma kor ninka caadooyinka la ogolaan harraadeen. isticmaalka A ee u tiro badan oo dareere ah lagu cabudhibayo roobab ee hoormoonka. Sayidka, ilaalinta waxaa lagu fuliyaa by fuuqbaxa.
Sidee antidiuretic hormone saamaysaa isbedelka ee mugga wareegaya dhiigga? Haddii dhiig la'aan weyn receptors gaar ah oo ku yaalla bidix ah oo u yeedhay volyumoretseptorami jawaabaan hoos u dhac in mugga dhiigga iyo dhibic dhiig karka. signal Tani galaa neurohypophysis iyo soo kabsaday Horomonka kordhay. hormone The fulyo tallaabo on xididdada dhiigga iyo receptors ay cidhiidhi Lumen ah. Taasina waxay keentaa in la joojiyo dhiig baxa iyo dheeraad ah ka hortagtaa dhibic ee cadaadiska dhiigga.
Xadgudubyada ka mid ah Avv iyo dheecaan of ADH
xanuunadan la xidhiidha laga yaabaa in tiradii la rabey Horomonka ama ay xad-dhaaf ah. Tusaale ahaan, cudurka macaanka qaba Insipidus jiro heer ku filan oo ah ADH, halka syndrome Constantin Ion Parhon ay badin.
diabetes Insipidus
In cudurkan, nuugay kelyaha oo biyo ah si weyn hoos. Tan waxaa loo fududeeyey karaa laba xaaladaha:
- dheecaan aan haboonayn ee Horomonka - marka ay timaado Insipidus diabetes asal dhexe.
- Hoos u jawaab kelyaha in ADH - tani dhacdaa marka foomka neurogenic of diabetes Insipidus.
Bukaan la taahaya this cudurada diuresis maalin gaadho 20 litir. Kaadi halka low-fiirsashada. Bukaan-socodka waa si joogto ah adigoo harraadsan oo ay cabbaan dheecaan badan. Si aad u ogaato nooca nooc ka mid ah bukaanka sonkorowga Insipidus u xanuunsadaa, isticmaali analoogga ah Horomonka hormoonka - a daroogada "Desmopressin". Saamaynta daweynta ee daroogada ayaa lagu muujiyay kaliya ee foomka dhexe ee cudurka.
syndrome ee aan habboonayn dheecaan hormoonka antidiuretic
Waxaa sidoo kale loo yaqaan syndrome of dheecaan aan habboonayn ee ADH. cudurka waxaa ku weheliyay dheecaan xad dhaaf ah Horomonka, halka uu jiro hoos u cadaadiska osmotic ee plasma dhiigga. Haddaba waxaa jira calaamadaha soo socda:
- shimbirka muruqa iyo casiraad.
- Lallabo, rabitaan la'aan cunto, matag suurto gal.
- feejignaan xumo macquulka ah, kooma.
xaaladda bukaanka dilaacda marka dheecaanka jirka (intravenously ama cabitaan a) ka. Marka xannibaad daran ee dareeraha iyo baajinta galiyey xididka in bukaanka galay dembidhaafka.
Waa maxay calaamadaha tilmaamaya heer ku filan oo ah Horomonka?
Haddii hormoonka antidiuretic oo uu ku dhexsameeysmo yar, dadka la kulmi karaan:
- Aad u oomay.
- kaadida oo soo noqnoqda.
- Qallayl ee maqaarka, taas oo si joogto ah horumar.
- La'aan cunto xumo.
- Dhibaatooyinka mareenka caloosha iyo mindhicirka (gastritis, ulcerös, calool).
- Dhibaatooyinka gudbikaraa oo galmada. awoodba hoos dumarka - - The nin xanuunada caadada.
- daal Chronic.
- cadaadiska intracranial kordhay.
- aragtida dhimay.
Sida ka muuqata hoos u dhac ADH?
Dhimista in Horomonka dhiig xaaladahan soo socda ayaa dhici kara:
- Insipidus diabetes Dhexe.
- nephrotic syndrome.
- polydipsia Psychogenic.
Maxay yihiin calaamadaha Tilmaan dheecaan kordhay ADH?
- diuresis maalin kasta hoos u dhacay (saarka kaadida).
- korodh miisaan at xumo la dhimay.
- Feejignaan xumo iyo wareer.
- Madax xanuun.
- Lalabo iyo matag.
- Qabqabashada muruqa.
- lesions kala duwan ee habka dareemayaasha jirka.
- rabshooyin hurdo.
Under waxa xaaladaha kororka fiirsanayo in heerka ADH?
Hodanka Horomonka lagu arkay laga yaabaa in heley lagu gartaa dheecaan xad dhaaf ah hoormoonka, ay ka mid ah:
- Julien-Barre syndrome.
- porfyri ba'an go'aysa.
Intaa waxaa dheer, waxaa suurtagal ah in hoos shuruudaha soo socda:
- burada maskaxda (hoose ama metastases).
- cudurrada faafa ee maskaxda.
- cudurada Vascular ee maskaxda.
- Tuberculous meningitis.
- Pneumonia.
hormoonka antidiuretic - halkaas oo isu dhiibay?
Mid ka mid ah hababka ugu waxtarka badan ee go'aan ka soo baxay ADH ee dhiigga ku jira radioimmunoassay ah (RIA). Sinnaan si loo ogaado osmolarity ee plasma dhiigga. Falanqaynta la samayn karaa ee xarunta endocrinology kasta. Xarumo badan oo khaas oo kale yeela falanqayn sida. Dhiig macaamiloodeen ka xididka galay tuubooyinka aan sheyga kasta.
Ka hor inta dhalmada dhiigga hormoonka antidiuretic waa in ay ahaataa 10-12 fasax saac ee hadhuudhka ah. stress jirka iyo maskaxda ka hor of deeq dhiigga yaynaan karaan falanqaynta. Taas macnaheedu waa in maalin ka hor bixinta ee falanqaynta waxaa lagu talinayaa in aadan ku lug leh shaqada jirka culus, ma in ay ka qayb tartamada ciyaaraha, ma aha in ay qaataan imtixaanada, iwm
Daawooyinka waxay kordhin kartaa heerka ADH, waa in la baabiiyo. Haddii ay taasi suurtogal ma aha sabab kasta, foomamka codsiga loo baahan yahay in la qeexo waxa daroogada waxaa loo isticmaalay, goorta iyo waxa dose. Yaynaan heerka dhabta ah ee ADH kartaan dawooyinka soo socda:
- estrogens;
- kiniiniga hurdada;
- suuxinta;
- dajiye,
- "Morphine";
- "Oxytocin";
- "Cyclophosphamide";
- "Carbamazepine";
- "Vincristine";
- "Hlorpropamid";
- "Chlorothiazide";
- "Carbonate Lithium".
Falanqaynta hormoonka antidiuretic oo aan ka horeyn la qaadi karo ka badan hal toddobaad ka dib markii radioisotope ama cilmi shucaaca.
Daraasad Tani waxay noo oggolaaneysaa in la kala Insipidus diabetes nephrogenic iyo pituitary Insipidus diabetes iyo syndromes lagu gartaa dheecaan xad dhaaf ah ADH.
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