2024 Tus sau: Elizabeth Oswald | [email protected]. Kawg hloov kho: 2024-01-13 00:07
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.
Pom zoo:
Mob ntshav qab zib neurohypophyseal insipidus ua li cas?
Daim ntawv tsev neeg ntawm neurohypophyseal diabetes insipidus yog ua los ntawm kev hloov pauv hauv AVP noob. Cov noob no muab cov lus qhia rau kev tsim cov tshuaj hu ua vasopressin lossis antidiuretic hormone (ADH). Cov tshuaj no, uas yog tsim thiab khaws cia rau hauv lub hlwb, pab tswj lub cev dej tshuav.
Vim li cas cov duab peb sab tshwj xeeb tshwj xeeb?
Kev paub txog kev sib raug zoo ntawm cov ces kaum lossis qhov sib piv ntawm ob sab ntawm cov duab peb sab tshwj xeeb tso cai rau ib tus kom sai sai suav ntau qhov ntev hauv cov teeb meem geometric yam tsis muajsiv rau ntau txoj hauv kev. Puas yog daim duab peb sab tshwj xeeb?
Dab tsi ntawm cov hauv qab no yog qhov cuam tshuam tshwj xeeb ntawm pneumoperitoneum?
Cov teebmeem physiologic ntawm pneumoperitoneum suav nrog 1) kev nqus ntawm CO 2 thiab 2) hemodynamic thiab physiologic hloov pauv hauv ntau yam kabmob. vim qhov nce siab hauv plab. Lub plab siab koj xav tau rau pneumoperitoneum? Abdominal Insufflation (Pneumoperitoneum) Laparoscopic phais pib nrog kev tso rau hauv lub plab ntawm lub koob insufflation lossis trochar, ua raws li cov pa roj carbon dioxide (CO 2 ) insufflation ntawm plab kab noj hniav mus rau qhov sia
Thaum twg kuv yuav tsum txhawj xeeb txog cov qog ntshav qab zib supraclavicular?
Feem ntau, cov qog ntshav qab zib ntau dua 1 cm inch yog suav tias yog qhov txawv txav. Supraclavicular nodes yog qhov kev txhawj xeeb tshaj plaws rau malignancy. A 3 mus rau plaub lub lim tiam ntawm kev soj ntsuam yog qhov ua tau zoo rau cov neeg mob uas muaj cov kab mob hauv zos thiab cov duab kho mob zoo.
Puas yog drip drop nyab xeeb rau cov neeg mob ntshav qab zib?
DripDrop ORS tuaj yeem muab cov dej kom zoo, yog li tiv thaiv hyperglycemia (cov ntshav qab zib siab). Hais tias, cov neeg uas muaj mob ntshav qab zib yuav tsum sab laj nrog kws kho mob ua ntejnoj DripDrop ORS. Dab tsi tuaj yeem haus dej haus kom lub cev qhuav dej?
