Iko chinhu chakakosha chinodzora mvura yakatarisa, uyewo nekudzora osmotic yakagadziriswa yemasikironi, ndiyo antidiuretic hormone (vasopressin). Iyo inobudiswa ne hypothalamus uye inounganidza mumucheka wepituitary, kubva kwainopinda mumutsipa wepelinha neropa. Kana pane kukanganisa kwekugadzira kana kushushikana kwei hormone, chirwere cheshuga chinonzi insipidus chinokura - zviratidzo zvechiitiko ichi zvinosanganiswa nekuchinja munyu nemvura mumutumbi, kushanda kwehutano.
Zviratidzo zvekutanga zvechirwere cheshuga insipidus
Iko kune maitiro maviri ezvinorondedzwa chirwere - nephrogenic (renal) uye central (hypothalamic).
Muchiitiko chekutanga, chirwere cheshuga chinonzi insipidus chinokura semusana wekuderera mukati mekunzwa kweeitsvo kune inouya vasopressin. Panguva imwe chete, chiyero che antidiuretic hormone muropa chakasimba.
Icho chinonyanya kukosha chechirwere chinoratidzwa nekushaikwa kwevasopressin mukugadzirwa mu hypothalamus, ndicho chikonzero kuiswa kwemuviri uri mumuviri kwakanyanya.
Izvo zvinozivikanwa ndiyo inonzi idiopathic ye chirwere cheshuga insipidus, izvo zvinokonzera zvisingagoni kuiswa.
Pasinei nenzira dzakasiyana dzekuwedzera kwezvirwere, zviratidzo zvepakutanga zvinenge zvakafanana kune marudzi ose ezvirwere:
- Polyuria. Mune rimwe zuva, mvura yakawandisa yakawanda uye yakasunungurwa, inopfuura 3 litita.
- Polydiria. Unnaturally akaratidza uye nyota nguva dzose. Nemhaka yehuwandu hwemvura yakanyanyisa, nzira dzekubhadhara dzinotangwa, inotarisirwa kudzoza mvura yakarasika. Somugumisiro, murwere anonwa zvinopfuura 5 litita emvura pazuva.
- Kusagadzikana uye kukanganisa kurara. Izvi zviratidzo zvekuchipatara zvinowanika mukupindurwa nekukurudzirwa kwekuda kukwidza (pollakiuria) usiku. Izvo zvinodiwa nguva dzose yekushanyira chimbuzi panguva yekuzorora zvinokonzera kusuruvara, kuderedzwa kwakakwana, kusagadzikana, neuroses, kusagadzikana kwepfungwa uye mupfungwa.
Zviratidzo zvakananga zve nephrogenic uye hypothalamic chirwere cheshuga insipidus
Kuwedzera kumwe kufambira mberi kwechirwere kunowedzera hupenyu hwakakwana hwomunhu. Nhamba ye urine yakanyanyisa, uye naizvozvo iyo inodhakwa, inowedzera zvimwe, kusvika 20-30 litres pazuva.
Zvimwe zvinoratidza zviratidzo zvekunyengedzera uye hutachiona cheshuga insipidus:
- kuoma kwakanyanya kweganda;
- zvakanyanya musoro ;
- kuderera kwehuwandu hwemagetsi;
- kuderera mumusana wekudzivirira uye kuwedzera muchitarisiko chayo;
- kurasikirwa nokukurumidza kwomuviri;
- kufanana nekurutsa;
- kuora kwekudya;
- kuderedza kuvhara kwekutuka;
- Kusangana kwemwedzi kushungurudzika;
- kuwedzera kwekushisa kwemuviri;
- kupera simba, dzimwe nguva kukanganisa mamiriro;
- dyspeptic disorders.
Muchidzidzo chemuti, hutsika hwayo hukuru, huwandu hwehuwandu, huwandu hwemakemikari anokwana (kunze kweyerodium) uye muto muhupenyu hwehupenyu hunoonekwa. Uyewo panguva yekufungisisa inonzi:
- kusateerera, kutambanudza kwemudumbu;
- biliary dyskinesia ;
- hypernatremia;
- kusagadzikana kwepituitary;
- kutsamwa kwemukati.
Zvose izvi zviratidzo zvinogona kuendeswa nehutachiwana hwekuoma kwehutano.
Kudzivirira kwechikonzero chechirwere cheshuga insipidus uye zviratidzo zvayo
Hapana maitiro ekudzivirira iyo inorondedzwa chirwere, kunyanya fomu yayo idiopathic. Nokudaro, vanachiremba vanokurudzira kuti vasakanganwa kuongororwa kwezvokurapa kwegore negore, vakarongedza kuwana urini kuti vaongorore, edza kutevera mararamiro akanaka uye urege tsika dzakaipa.