Ib qhov tso zis tshwj xeeb ntawm 1.005 lossis tsawg duathiab cov zis osmolality tsawg dua 200 mOsm / kg yog qhov cim ntawm DI. Random plasma osmolality feem ntau yog ntau dua 287 mOsm / kg. Xav tias thawj polydipsia thaum muaj ntau cov zis dilute heev tshwm sim nrog plasma osmolality nyob rau hauv qis-ib txwm ntau.
Vim li cas cov zis tshwj xeeb qhov nqus qis hauv ntshav qab zib insipidus?
Ib lub ntiajteb txawj nqus tsis tshua muaj tshwm sim hauv peb qhov xwm txheej. Hauv ntshav qab zib insipidus, muaj yog qhov tsis muaj lossis txo qis ntawm cov tshuaj tiv thaiv diuretic. Yog tias tsis muaj cov tshuaj tiv thaiv diuretic, lub raum tsim cov zis ntau dhau, feem ntau mus txog 15 mus rau 20 litres ib hnub twg nrog lub ntiajteb txawj nqus tsawg.
Puas tso zis tshwj xeeb lub ntiajteb txawj nqus nce nrog ntshav qab zib insipidus?
Thaum tus neeg mob muaj ntshav qab zib mellitus, cov zis tshwj xeeb lub ntiajteb txawj nqus yuav tsum tau soj ntsuam kom tsis txhob ploj qhov kev kuaj mob ntawm cov ntshav qab zib insipidus. Hauv cov ntsiab lus, hauv cov neeg mob ntshav qab zib tswj tsis tau zoo, cov zis tshwj xeeb lub ntiajteb txawj nqus yuav tsum muaj qhov nce me me lossis nruab nrab.
Puas yog ntshav qab zib insipidus ua rau qis qis?
qis qis qis (SG) (1.001-1.003) yuav qhia tau tias muaj ntshav qab zib insipidus, kab mob tshwm sim los ntawm kev ua haujlwm tsis zoo ntawm cov tshuaj antidiuretic hormone (ADH). Tsawg SG kuj tuaj yeem tshwm sim hauv cov neeg mob uas muaj glomerulonephritis, pyelonephritis, thiab lwm yam raum tsis zoo.
Koj xav li casKev cia siab ntawm cov zis tshwj xeeb rau cov neeg mob ntshav qab zib insipidus?
Cov neeg mob ntshav qab zib insipidus tsis tuaj yeem khaws dej thiab tuaj yeem ua rau lub cev qhuav dej hnyav heev thaum tsis muaj dej. Cov poly-uria ntau dua 5 mL / kg ib teev ntawm cov zis dilute, nrog rau cov ntaub ntawv qhia txog lub ntiajteb txawj nqus ntawm tsawg dua 1.010.