Mayeso a magazi a antidiuretic hormone

Kuyezetsa magazi kwa antidiuretic kumayeza kuchuluka kwa ma antidiuretic hormone (ADH) m'magazi.

Muyenera kuyesa magazi.

Lankhulani ndi wothandizira zaumoyo wanu za mankhwala anu musanayezetse. Mankhwala ambiri amatha kukhudza mulingo wa ADH, kuphatikiza:

• Mowa
• Odzetsa (mapiritsi amadzi)
• Mankhwala a kuthamanga kwa magazi
• Insulini
• Mankhwala osokoneza bongo
• Chikonga
• Steroids

Pamene singano imayikidwa kuti ikoke magazi, anthu ena amamva kupweteka pang'ono. Ena amangomva kubaya kapena kuluma. Pambuyo pake, pakhoza kukhala kupunduka kapena kuvulala pang'ono. Izi posachedwa zichoka.

ADH ndi hormone yomwe imapangidwa mu gawo lina la ubongo lotchedwa hypothalamus. Kenako amasungidwa ndikutulutsa kuchokera ku pituitary, kachiwalo kakang'ono kumapeto kwa ubongo. ADH imagwira impso kuti ziwongolere kuchuluka kwa madzi omwe amatuluka mumkodzo.

Mayeso a magazi a ADH amalamulidwa pamene omwe amakupatsani akuganiza kuti muli ndi vuto lomwe limakhudza mulingo wa ADH monga:

• Kuchuluka kwa madzi mthupi lanu omwe akuyambitsa kutupa kapena kudzikuza (edema)
• Mkodzo wambiri
• Mulingo wa sodium wochuluka m'magazi anu
• Ludzu lomwe ndilolimba kapena losalamulirika

Matenda ena amakhudza kumasulidwa kwa ADH. Mulingo wamagazi a ADH uyenera kuyesedwa kuti mudziwe chomwe chimayambitsa matendawa. ADH ikhoza kuyerekezedwa ngati gawo loyesa madzi kuti mupeze chomwe chimayambitsa matenda.

Makhalidwe abwinobwino a ADH amatha kuyambira 1 mpaka 5 pg / mL (0.9 mpaka 4.6 pmol / L).

Mitengo yamtengo wapatali imatha kusiyanasiyana pakati pa ma labotore osiyanasiyana.Ma lab ena amagwiritsa ntchito miyeso yosiyana kapena amatha kuyesa mitundu yosiyanasiyana. Lankhulani ndi omwe akukuthandizani za tanthauzo la zotsatira zanu zoyeserera.

Mulingo woposa wabwinobwino ukhoza kuchitika ADH ikamasulidwa kwambiri, mwina kuchokera muubongo komwe imapangidwira, kapena kwina kulikonse mthupi. Izi zimatchedwa matenda osayenera a ADH (SIADH).

Zomwe zimayambitsa SIADH ndi monga:

• Kuvulala kwa ubongo kapena kupsinjika
• Zotupa zamaubongo
• Kusamvana kwamadzimadzi pambuyo pa opaleshoni
• Matenda muubongo kapena minofu yomwe yazungulira ubongo
• Matenda m'mapapu
• Mankhwala ena, monga mankhwala olanda, mankhwala opweteka, ndi mankhwala opatsirana pogonana
• Khansa ya m'mapapo yaying'ono ya cell carcinoma
• Sitiroko

Mulingo wapamwamba kwambiri kuposa wabwinobwino wa ADH ukhoza kupezeka mwa anthu omwe ali ndi vuto la mtima, kulephera kwa chiwindi, kapena mitundu ina ya matenda a impso.

Mulingo wocheperako kuposa wamba ungasonyeze:

• Kuwonongeka kwa hypothalamus kapena pituitary gland
• Central shuga insipidus (momwe impso sizingasungire madzi)
• Ludzu lokwanira (polydipsia)
• Madzi ochulukirapo m'mitsempha yamagazi (kuchuluka kwambiri)

Pali chiopsezo chochepa chotenga magazi anu. Mitsempha ndi mitsempha imasiyana mosiyanasiyana kuchokera pa munthu wina kupita kwina, komanso kuchokera mbali imodzi ya thupi kupita mbali inayo. Kutenga magazi kuchokera kwa anthu ena kumatha kukhala kovuta kuposa ena.

Zowopsa zina zomwe zimakoka magazi ndi zochepa, koma mwina ndi izi:

• Kutaya magazi kwambiri
• Kukomoka kapena kumva mopepuka
• Ma punctures angapo kuti mupeze mitsempha
• Hematoma (magazi akuchuluka pansi pa khungu)
• Kutenga (chiopsezo chochepa nthawi iliyonse khungu likasweka)

Arginine vasopressin; Mahomoni oletsa antidiuretic; AVP; Vasopressin

Chernecky CC, Berger BJ. Mahomoni oletsa antidiuretic (ADH) - seramu. Mu: Chernecky CC, Berger BJ, olemba., Eds. Kuyesa Kwantchito ndi Njira Zakuzindikira. Lachisanu ndi chimodzi. St Louis, MO: Elsevier Saunders; 2013: 146.

Guber HA, Farag AF. Kuwunika kwa endocrine ntchito. Mu: McPherson RA, Pincus MR, olemba., Eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. Wachitatu. St Louis, MO: Elsevier; 2017: mutu 24.

Oh MS, Briefel G. Kuwunika kwa ntchito yaimpso, madzi, ma electrolyte, ndi acid-base balance. Mu: McPherson RA, Pincus MR, olemba., Eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. Wachitatu. St Louis, MO: Elsevier; 2017: mutu 14.