Cerebral Salt Kukonzera Syndrome uye SIADH seChina Chechi Low Sodium Levels
Low sodium mazinga (hyponatremia) muvheti yevhangeri vanogona kukonzera kukundwa kana kuti coma. Mune varwere vane uropi hwehupombwe, hutsika hwepamusoro ye sodium muropa hunogona kukonzera kusvibiswa kunyura pamadziro emidzi yeropa uye kuwedzera kukurira muuropi. Ukuwo, rumwe rutivi rweyerodium rwakanyanya kukwirira (hypernatremia) kazhinji chiratidzo chekushaya mvura.
Mumamiriro ezvinhu akaipisisa, izvi zvinogonawo kutungamirira mukukuvara uye coma.
Sei Tichiongorora Kutsika KweSodium kana High Sodium Levels Matters
Kutarisa electrolytes se sodium, potasium, calcium uye bicarbonate inowanzoitwa muchipatara. Ichokwadi, panhengo ye electrolyte inowanzobatanidzwa muhupenyu hwezuva rega rega kutevedza kuti hutachiwana hwemakemikari anokosha huri mumiganhu yakakwana. Nepo vamwe vachifunga kuti kutarisa izvi zuva rega rega kune zvakanyanya muvarwere vakawanda, kune zvikonzero zvakanaka chaizvo zvekufunganya kana mazinga e electrolyte asiri ezvakanaka, uye anofanirwa kuongororwa zvishoma zuva rega rega mune chirwere chinonyanya kushandiswa neurological.
Nokuti uropi huputi hunoita kuti huve huve, humwe hupombwe hunokanganisa, uye rufu, vanachiremba muIU neurological kazhinji vanonyanya kuchengetedza kuti vadzivirire pasi shoma yeropa. Zvinosuruvarisa, kushungurudzika kwakafanana ne- subarachnoid hemorrhage , uropi hwemakumbo , chirwere chepfungwa uye meningitis zvinogona kukonzera hyponatremia, uye zvichidaro zvakashatisa hupombwe huputi.
Nzira iyo vanoita izvi ndeyokuchinja maitiro ehutachiona ehutachiona emvura uye mazinga emuviri mumuviri.
Maererano neSodium Levels
Zvinowanzoonekwa kunyange kune vadzidzi vekutanga vezvokurapa kuti vavhiringidzike pamusoro pematambudziko e sodium. Zvakakosha kuyeuka kuti izvo ropa rekubatsira ropa rinowedzera kuenzanisa chii.
Iko ndiko kuti, kukosha kunomiririra chiyero cheyerodium nehuwandu hwehutachiona. Kune nzira mbiri, ipapo, kuti iyi yezinga inogona kuva yakaderera:
- Iyo sodium inogona kunge iri nhamba yakaderera, kana
- Ikoko kunogona kuwedzera kuwanda kwemvura.
Muzvokwadi, mamiriro ezvinhu ekupedzisira akawandisa uye anogona kubatsira kufungidzira mabhora mashanu emaping-pong ari kutenderera mumvura yemvura. Bhora rimwe nerimwe rinomiririra molekemu ye sodium. Kana chirongo chemvura chiri chiduku, bhora richave rakanyatsoiswa pamwe chete-izvi zvakafanana nokutaura kuti kukanda kwakakwirira.
Kana chirongo chacho chiri gigantic (kureva, yakawanda yemvura), mabhora acho achava akaparadzana zvikuru-izvi zvakafanana nokutaura kuti kukosha kwakanyanya. Muzvokwadi, nhamba yeping-pong mipira inogara yakafanana. Kazhinji, hyponatremia chaizvoizvo inomiririra huwandu hwehuwandu hwemvura, sezvinoitika negomba guru remvura.
Syndromes That Can Caus Hyponatremia
Mamiriro ezvinhu mazhinji anogoneka uye mararamiro ehupenyu anogona kutungamirira ku hyponatremia, asi kunyanya neurology, 2 syndromes inogona kukonzera pasi yakanyanya sodium:
Syndrome of Inappropriate Antidiuretic Hormone Hypersecretion (SIADH). Iyi syndrome ndiyo imwe nzira iyo maitiro e-sodium anogona kuve akaderera. Antidiuretic hormone (ADH) inowanzovanzwa nemuviri kuchengetedza mvura.
Izvi zvinogona kubatsira zvikuru, somuenzaniso, pane zuva rinopisa rezhizha. Iyo hormone inowanzotorwa mucheche apo mashizha ane mvura inosvika pane imwe nzvimbo. MuSADADH, mabheji anowanzoitwa neAADH kudzivirira haashande, uye muviri unochengetedza mvura.
Zvinosuruvarisa, matambudziko akawanda emagunha anokonzera SIADH, iyo inodonha chiyero chakawanda chesodium muropa uye inogona kukuvadza hupombwe huputi. Izvi zvinogona kukonzera kuderera kunononoka apo dambudziko rakafanana ne-meningitis rinokonzera SIADH, iyo inokonzera hupombwe kuzvimba, izvo zvinotambudza SIADH, nezvimwe zvakadaro.
SIADH inogonawo kukonzerwa nemamwe matambudziko kunze kwekuvhiringidza kwemhepo. Semuenzaniso, matambudziko emapapuse akafanana nekenza kana pneumonia inogonawo kukonzera SIADH, sezvinogonawo nemishonga yakawanda yakafanana ne carbamazepine uye amitriptyline.
Izvozvo zvinodhaka zvinodhaka ecstasy zvinogonawo kukonzera SIADH.
Sezvatakakurukura, kunyange zvazvo SIADH inokonzera kuwanda kwepasi, iyo inodaro nekuda kwekudzivirira mvura. Kurapa, ikozvino, kuedza kuderedza mvura yakawanda murwere anogamuchira, uye kuvimbisa kuti chinokonzera chinokonzerwa.
Cerebral Salt Wasting Syndrome (CSWS). Ichi chirwere chinokonzerwa nekukuvara kwehupombwe, uye chinokonzera kurasikirwa kwe sodium, uye naizvozvo, zvinogona kuva zvakaoma kusiyanisa kubva kuSADADH. Zvisinei, iyo nzira yakasiyana chaizvo.
Cerebral salt kuparara ndeyekusiyana kwekutonga kuti hyponatremia chaizvoizvo inomiririra zvisina kukwana mizinga yakachengetwa mvura. Sezvinoratidzwa nezita racho, kuora kwemumunyu kunenge kuchikonzerwa nemuviri unozvikanda wega. Kudzokera kumuenzaniso wedu wepakutanga, zvakaita sokuti kana bhora reping-pong rakanga rave richibviswa mubhodhoro, zvichiita kuti kuisa pfungwa kudire.
Cerebral salt kuparara kunowanzoonekwa anenge vhiki pashure pokukuvara kweuropi uye kugadzirisa mushure memavhiki maviri kusvika mana. Zvisinei, inogona nguva nenguva yekugara kwenguva yakareba, yakagara kwemakore.
Kunyange zvazvo SIADH inogona kukonzera kuti muviri wehuwandu hwemvura huwedzere kana kuti hurambe huri hwakangofanana, cerebral salt inopera inotungamirira kumvura. Iyi ndeimwe yenzira chete dzekusiyanisa pakati pematambudziko maviri, kunyanya mumurwere asina chaanoziva kana kuenzanisa .
Treatment Options
Zvakakosha kuedza kutaura mutsauko pakati peCSWS neSADAD nokuti matambudziko maviri anobatwa zvakasiyana zvakasiyana. MuCSWS, murwere anoda mvura kana kuti ichava nemvura yakaoma. MuSADADH, muviri wose wezinga re sodium iri chaizvoizvo uchigara wakafanana, asi chiyero chesodium nechiyero chemvura chinowira nokuti muviri uri kuchengeta mamwe mvura. Kupa mvura inongoita kuti dambudziko racho riwedzere, uye saka varwere vane SIADH vanobatwa nekudzivirira kuwandisa kwemvura zuva nezuva vanogona kugamuchira. Kuudza mutsauko kunogona kunge kwakaoma, uye ndeimwe yezvikonzero zvakawanda nei vatachiwana vachibatsirwa nemakambani ekuchengetedza zvakanyanya pavanenge vachitambura zvakanyanya kukuvara kweuropa.
Sources:
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Ropper AH, Samuels MA. Adams naVictor's Principles of Neurology, 9th ed: The McGraw-Hill Companies, Inc., 2009. McCabe MP, O'Connor EJ.
Braunwald E, Fauci ES, et al. Harrison's Principles of Internal Medicine. 16th ed. 2005.