Gwajin jini na Antidiuretic

Gwajin jinin Antidiuretic yana auna matakin hormone mai ƙashin jini (ADH) a cikin jini.

Ana bukatar samfurin jini.

Yi magana da mai baka kiwon lafiya game da magungunan ka kafin gwajin. Yawancin kwayoyi na iya shafar matakin ADH, gami da:

• Barasa
• Diuretics (kwayoyi na ruwa)
• Magungunan hawan jini
• Insulin
• Magunguna don rikicewar hankali
• Nicotine
• Steroids

Lokacin da aka saka allurar don zana jini, wasu mutane suna jin matsakaicin ciwo. Wasu kuma suna jin ƙyalli ko harba. Bayan haka, ƙila za a sami wasu rauni ko ƙwanƙwasa rauni. Wannan da sannu zai tafi.

ADH wani sinadari ne wanda ake samarwa a wani sashi na kwakwalwa da ake kira hypothalamus. Daga nan sai a adana shi kuma a sake shi daga pituitary, ƙaramar gland a ƙasan kwakwalwa. ADH na aiki a koda don sarrafa yawan ruwan da fitsarin yake fitarwa.

ADH an ba da umarnin gwajin jini yayin da mai ba da sabis ya yi tsammanin kana da wata cuta da ta shafi matakin ADH naka kamar:

• Ruwan ruwa a jikinka wanda ke haifar da kumburi ko kumburi (edema)
• Yawan fitsari
• Levelananan matakin sodium (gishiri) a cikin jininku
• Ishirwa da ke da ƙarfi ko ba a iya sarrafawa

Wasu cututtuka suna shafar sakin ADH na yau da kullun. Dole ne a gwada matakin jini na ADH don gano dalilin cutar. Ana iya auna ADH a matsayin ɓangare na gwajin ƙuntata ruwa don gano dalilin cuta.

Valuesa'idodin al'ada na ADH na iya zuwa daga 1 zuwa 5 pg / mL (0.9 zuwa 4.6 pmol / L).

Jeri na darajar yau da kullun na iya ɗan bambanta kaɗan tsakanin ɗakunan gwaje-gwaje daban-daban. Wasu ɗakunan gwaje-gwaje suna amfani da ma'aunai daban-daban ko na iya gwada samfuran daban. Yi magana da mai baka game da ma'anar takamaiman sakamakon gwajin ka.

Matsayi mafi girma fiye da al'ada na iya faruwa yayin da aka saki ADH da yawa, ko dai daga ƙwaƙwalwa inda aka yi shi, ko kuma daga wani wuri a cikin jiki. Wannan shi ake kira ciwo na rashin dacewa ADH (SIADH).

Dalilin SIADH sun hada da:

• Raunin kwakwalwa ko rauni
• Ciwon kwakwalwa
• Rashin daidaiton ruwa bayan tiyata
• Kamuwa da cuta a cikin ƙwaƙwalwa ko nama da ke kewaye da ƙwaƙwalwa
• Kamuwa da cuta a cikin huhu
• Wasu magunguna, kamar wasu magungunan kamawa, magunguna masu ciwo, da magungunan rage damuwa
• Cellaramin ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta
• Buguwa

Ana iya samun matakin sama da-al'ada na ADH a cikin mutanen da ke fama da ciwon zuciya, gazawar hanta, ko wasu nau'ikan cututtukan koda.

Matsayi ƙasa da-na al'ada na iya nunawa:

• Lalacewa ga hypothalamus ko gland shine yake
• Cutar sikari ta tsakiya (yanayin da kodan baya iya kiyaye ruwa)
• Thirstishirwa mai yawa (polydipsia)
• Ruwa mai yawa a cikin jijiyoyin jini (yawan nauyi)

Akwai 'yar hatsarin da ke tattare da daukar jininka. Jijiyoyi da jijiyoyin jini sun bambanta da girma daga mutum ɗaya zuwa wancan, kuma daga wannan gefe na jiki zuwa wancan. Bloodaukar jini daga wasu mutane na iya zama da wahala fiye da wasu.

Sauran haɗarin da ke tattare da ɗaukar jinni ba su da yawa, amma na iya haɗawa da:

• Zub da jini mai yawa
• Sumewa ko jin an sassauta kai
• Mahara huda don gano wuri jijiyoyinmu
• Hematoma (jini yana taruwa a ƙarƙashin fata)
• Kamuwa (ƙananan haɗari kowane lokaci fata ta karye)

Arginine vasopressin; Antidiuretic hormone; AVP; Vasopressin

Chernecky CC, Berger BJ. Antidiuretic hormone (ADH) - magani. A cikin: Chernecky CC, Berger BJ, eds. Gwajin Laboratory da hanyoyin bincike. Na 6 ed. St Louis, MO: Elsevier Saunders; 2013: 146.

Guber HA, Farag AF. Kimantawa akan aikin endocrine. A cikin: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis and Management by Hanyoyin Laboratory. 23 ga ed. St Louis, MO: Elsevier; 2017: babi na 24.

Oh MS, Briefel G. Kimantawa game da aikin koda, ruwa, wutan lantarki, da daidaiton tushen acid. A cikin: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis and Management by Hanyoyin Laboratory. 23 ga ed. St Louis, MO: Elsevier; 2017: babi na 14.