Kev haus dej ntau puas tiv thaiv lub raum lossis ua mob rau lawv?
Mar 23, 2023
Dej yog ib feem tseem ceeb ntawm tib neeg lub cev
Dej yog cov khoom tseem ceeb tshaj plaws uas ua rau tib neeg lub cev. Thaum cev xeeb tub nyob rau hauv cov kua amniotic ntawm leej niam, dej suav txog 90 feem pua ntawm lub cev qhov hnyav, 80 feem pua ntawm cov me nyuam mos, 70 feem pua ntawm cov menyuam yaus, 60 feem pua ntawm cov txiv neej, thiab 55 feem pua ntawm cov poj niam tom qab laus {{ 5}} feem pua. Nrog lub hnub nyoog, qhov feem ntawm lub cev dej rau lub cev hnyav zuj zus.
Nyem rau Tshawb xyuas dab tsi yog Cistanche siv rau mob raum
Dej yog cov kuab tshuaj ntawm tag nrho cov as-ham thiab cov tshuaj metabolic, ncaj qha kho cov kev zom zaub mov, nqus, thauj, metabolism, thiab tso tawm ntawm cov as-ham uas peb noj; dej kuj tswj cov kev ua ntawm ntau yam enzymes hauv lub cev, txhawb nqa ntau yam kev ua ub no lom neeg thiab cov tshuaj lom neeg biochemical, koom nrog oxidation-txo cov tshuaj tiv thaiv, dej kuj tswj lub cev kub, thiab dej kuj ua cov roj nplua nyeem, xws li kua muag, qaub ncaug, kua dej hauv lub cev. kab noj hniav sib koom ua ke, thiab lwm yam.
Cov neeg xav tau dej ntau npaum li cas txhua hnub?
Cov neeg laus feem ntau xav tau txog 3000 ml dej ib hnub.
Qhov tseem ceeb ntawm cov dej hauv lub cev yog:
Haus 1500 ~ 2000ml dej ncaj qha txhua hnub (pom zoo los ntawm Tuam Tshoj Nutrition Society: haus yam tsawg 1500 ~ 1700ml dej txhua hnub);
Dej hauv cov zaub mov, txog 750ml;
Cov dej tsim los ntawm oxidation hauv lub cev (tseem hu ua dej metabolic, yog cov dej tsim los ntawm oxidation ntawm qab zib, rog, thiab protein ntau hauv lub cev. Txhua 100 grams qab zib tuaj yeem tsim 55 ml dej thaum oxidized, thiab txhua 100 grams. Cov rog muaj peev xwm tsim tau 107 ml dej. Txhua 100 grams ntawm cov protein muaj peev xwm tsim tau 41 ml ntawm dej. Cov dej metabolic uas tsim nyob rau hauv tib neeg lub cev yog li 300 ml txhua hnub).
Kev haus dej thiab kev tso tawm ntawm tib neeg lub cev yog sib npaug. Txoj kev ntawm dej tawm ntawm tib neeg lub cev yog zis 1500-1800 ml, quav li 150 ml, ua pa li 400 ml, thiab daim tawv nqaij 500-800 ml. Yog tias koj tau kub thiab tawm hws, dej ntau yuav ploj ntawm daim tawv nqaij.
Lub raum thiab dej
Lub raum yog lub cev uas muaj cov ntshav ntau tshaj plaws hauv lub cev. Nws lub luag haujlwm tseem ceeb yog tshem tawm cov khoom pov tseg hauv metabolic thiab tswj lub cev dej, electrolyte, acid-base tshuav nyiaj li cas, thiab kev ruaj ntseg hauv ib puag ncig. Cov tib neeg ib txwm muaj 1000 ~ 1200ml ntawm cov ntshav ntws los ntawm ob lub raum txhua feeb, suav txog 20 feem pua -25 feem pua ntawm cov zis. 20 feem pua ntawm cov ntshav (xws li 55 feem pua ntawm cov ntshav) uas ntws los ntawm ob lub raum yog lim los ntawm glomerulus mus rau hauv thawj cov zis. Lub glomerulus yog lim los tsim txog 180L ntawm thawj cov zis txhua hnub, thiab tom qab kev kho mob ntau yam xws li concentration thiab dilution ntawm lub raum tubules, txog 1.8L ntawm cov zis thaum kawg tsim. Ntawd yog, 99 feem pua ntawm cov kua lim tawm los ntawm glomerulus yog reabsorbed, thiab tsuas yog 1 feem pua yog tawm.
Cov zis tso zis rau cov neeg laus yog li 1800ml ib hnub:
Cov zis tso zis<400mL/d is oliguria;
Cov zis tso zis<100ml/d is anuria
Urine output >2500 ml / d yog polyuria
Urine volume>4000ml / d yog ntshav qab zib insipidus
Raws li ib txwm muaj, qhov piv ntawm cov zis tso zis nruab hnub mus rau hmo ntuj tso zis yog li 2: 1. Yog tias cov zis tso zis thaum hmo ntuj ntau tshaj qhov tso zis thaum nruab hnub lossis cov zis tso zis ntau dua 750ml txhua hmo thaum pw tsaug zog, nws hu ua nocturia.
Cov zis tso zis cuam tshuam los ntawm ntau yam, xws li koj haus ntau npaum li cas, koj tawm hws ntau npaum li cas, thiab lub xeev ntawm koj lub raum ua haujlwm. Haus dej tsawg thiab tawm hws ntau yuav ua rau cov zis tso zis tsawg. Ntawm qhov tsis sib xws, yog tias koj haus dej ntau dua thiab tawm hws tsawg, koj yuav tso zis ntau dua. Yog tias koj haus dej ntau, tsis tso zis ntau, lossis txawm tias muaj edema hauv koj cov ceg qis thiab lub ntsej muag, koj yuav muaj kab mob raum.
Tib neeg tsim tawm txog 600mOsm ntawm cov khoom pov tseg hauv metabolic txhua hnub, txawm tias lawv siv cov zis ntau tshaj plaws los tso tawm, yam tsawg 500ml ntawm "tsim zis ntim" yuav tsum tau. Cov zis tso zis tsawg dua 500ml txhais tau hais tias lub raum tsis tuaj yeem ua tiav txoj haujlwm ntawm kev tshem tawm cov khoom pov tseg hauv cov metabolism hauv hnub ntawd. Yog li ntawd, cov zis txhua hnub yuav tsum muaj tsawg kawg yog 500ml lossis ntau dua.
Cov neeg mob lub raum tsis txaus muaj cov zis tsis muaj zog, thiab cov zis tso zis ib txwm tsis txaus los tshem tawm cov khoom pov tseg hauv lub cev txhua hnub, yog li yuav tsum muaj cov zis tso zis ntau ntxiv.
Cov neeg mob lub raum puas yuav tsum haus dej ntau dua lossis dej tsawg dua? Lub hauv paus ntsiab lus dav dav yog "raws li qhov xav tau" thiab "raws li cov zis", cov dej haus feem ntau txiav txim siab raws li qhov xav tau ntawm lub cev thiab cov zis. Haus dej ntau dua thaum lub cev qhuav dej (lub cev qhuav dej); haus dej tsawg dua thaum lub cev qhuav dej (edema). Raws li ib txwm muaj, cov dej haus txhua hnub yog zis tso zis ntxiv rau 500ml. Yog tias koj haus cov kua zaub ntau los yog gruel, haus dej tsawg.
Kev sib piv ntawm kev siv dej hauv ntau hom kab mob raum
Tau kawg, cov neeg mob raum haus dej sib txawv raws li lawv cov xwm txheej, ntau hom kab mob hauv lub raum, lub raum ua haujlwm, thiab kev ua haujlwm ntawm lub plawv.
1. Rau cov neeg mob uas muaj ntshav tsis txaus xws li oliguria (muaj zog tshuaj yej zoo li), ntshav siab, thiab plawv dhia ceev vim yog vim li cas xws li haus dej tsawg, ua npaws, tawm hws ntau dhau, thiab raws plab, yuav tsum haus dej kom ntau. dej thiab siv zog tswj txhua hnub Cov zis tso zis yog li 1800ml.
2. Yog hais tias cov neeg mob uas muaj iodine sib piv, crush syndrome, rhabdomyolysis, thiab ntau yam myeloma cam khwb cia nephropathy xav tau active hydration, lawv yuav tsum sai sai haus dej ntau los yog rehydration, thiab ntxiv sodium kom tsim nyog, thiab ua kom tiav cov zis zis ntawm 2500ml ib hnub twg. Txhawb kev tawm sai sai ntawm myoglobin, lub teeb chains, thiab cov neeg ua haujlwm sib txawv ntawm lub cev.
3. Rau cov neeg mob uas muaj kab mob urinary, urinary tract pob zeb, thiab hyperuricemia, tom qab noj cov tshuaj sulfa, me me mus rau nruab nrab lub raum tsis txaus ua ke nrog azotemia thiab tsis muaj edema, haus dej kom ntau thiab khaws cov zis txhua hnub ntawm 2500ml, los txhawb cov tshem tawm cov kab mob hauv lub cev, pob zeb me me, uric acid crystals, cov tshuaj muaju, thiab cov tshuaj nitrogenous, thiab tswj lub raum ua haujlwm ntawm qhov chaw ruaj khov.
4. Rau cov neeg mob lub raum nrog hematuria ib txwm muaj, proteinuria, thiab lub raum ua haujlwm tsis zoo, kho lawv li cov neeg ib txwm muaj. Kev haus dej txhua hnub yog kwv yees li 2000ml, thiab cov zis txhua hnub yog khaws cia ntawm li 1800ml.
5. Rau cov neeg mob nephrotic syndrome (xws li kev hloov pauv tsawg, membranous nephropathy, focal segmental glomerulosclerosis, mob ntshav qab zib nephropathy, raum amyloidosis, thiab lwm yam) noj ntsev tsawg (sodium chloride) thiab haus dej tsawg. Yog tias tsim nyog, diuretics kuj tseem siv rau diuresis thiab txo qhov o. Cov dej kom tsawg yuav tsum tsawg dua li qhov tso zis, thiab siv zog kom poob li ntawm 0.25kg (ib nrab ib catty) ntawm lub cev qhov hnyav txhua hnub kom txog thaum lub o tuaj.
6. Rau cov neeg mob dialysis nrog oliguria nyob rau hauv mob raum tsis ua hauj lwm, txo cov zis tso zis nyob rau hauv lub lig theem ntawm lub raum tsis ua hauj lwm, thiab anuria, raws li zoo raws li cov neeg mob uas muaj daim siab cirrhosis, loj ascites, congestive plawv tsis ua hauj lwm, ua tsis taus pa, thiab tsis muaj peev xwm mus pw tsaug zog ntawm hmo ntuj, nruj "kev ntsuas yuav tsum tau" ", nruj me ntsis txwv kev noj ntsev thiab dej, thiab xyuas kom meej tias qhov hnyav nce ntawm kev lim ntshav nyob rau hauv qhov kev tso cai. Qhov hnyav txhua hnub yuav tsum tsis pub tshaj 0.5 feem pua ntawm cov lub cev hnyav (tsis pub dhau ib nrab ib catty rau 1 catty), thiab qhov hnyav nce thaum lub sij hawm ob lub lim piam yuav tsum tsis txhob qhuav. lim ntshav.
Yog tias koj haus dej ntau dhau ntawm ob qhov kev lim ntshav, nws yuav ua rau muaj kev phom sij ntau vim yog dej ntau dhau mus ntev:
Cov ntshav siab, thiab cov kab mob cerebrovascular: Yog tias tus neeg mob ntshav lim ntshav haus dej ntau dhau lawm, cov ntshav ntim ntawm lub cev yuav nce, thiab cov hlab ntsha yuav dhau mus thiab nthuav dav. Nce, tej zaum yuav tshwm sim raws li xeev siab, kiv taub hau, thiab lwm yam tsos mob. Kev tsis xis nyob xws li kiv taub hau thiab mob taub hau kuj tseem yuav ua rau muaj kev phom sij ntawm cerebrovascular.
Lub plawv tsis ua haujlwm sab laug: Yog tias tus neeg mob ntshav lim ntshav haus dej ntau dhau, nws yuav ua rau muaj ntshav nce ntxiv, uas yuav ua rau lub plawv nce ntxiv. Tom qab cov ntshav ntau dhau nkag mus rau hauv lub plawv, nws yuav ua rau lub siab ntau dua. Yog hais tias lub siab tshaj lub peev xwm ntawm lub plawv, lub plawv tsis txaus, thiab mob plawv tsis ua hauj lwm yuav tshwm sim, uas tej zaum yuav tshwm sim raws li cov tsos mob xws li lub plawv dhia ceev thiab dyspnea, nrog rau qaug zog thiab kev ntxhov siab vim. hnoos, expectoration, dyspnea, tsis muaj peev xwm pw, thiab tuag yuav tshwm sim nyob rau hauv mob hnyav.
Edema: suav nrog lub ntsej muag, ceg ceg, thiab txawm tias pulmonary edema, qaug zog, thiab ua pa nyuaj. Thaum lub sij hawm lim dej tom ntej, vim yog tso dej ntau dhau, yuav ua rau hypotension, mob leeg, thiab mob thaum lub sij hawm lim ntshav.
Feem ntau, dej tseem ceeb heev rau tib neeg lub cev thiab lub raum. Kev haus dej tsawg yuav cuam tshuam rau kev tshem tawm cov khoom pov tseg hauv metabolic, thiab lub cev qhuav dej yuav ua rau lub raum puas. Nws yog ib qho tseem ceeb heev kom haus dej txaus txhua hnub kom tswj cov zis tso zis. Yog tias koj muaj edema thiab lub plawv tsis ua haujlwm, koj yuav tsum haus dej tsawg. Cov neeg mob uas muaj uremia thiab dialysis yuav tsum nruj me ntsis tswj lawv cov dej kom tsawg.
Vim li cas noj Cistanche zoo rau mob raum
Cistanche yog hom tshuaj ntsuab uas nquag siv hauv tshuaj suav tshuaj. Nws tau raug pom tias muaj kev tiv thaiv kev ua haujlwm ntawm lub raum thiab tej zaum yuav muaj txiaj ntsig zoo rau cov neeg mob raum. Ib txoj kev tshawb fawb luam tawm nyob rau hauv Phau Ntawv Xov Xwm ntawm Ethnopharmacology pom tias cistanche muaj kev tiv thaiv lub raum hauv nas nrog raum puas tsuaj los ntawm ntshav qab zib. Txoj kev tshawb no tau pom tias cistanche pab txo qis creatinine thiab ntshav urea nitrogen (BUN), uas yog cov cim ntawm lub raum ua haujlwm. Tsis tas li ntawd, nws tau pom tias cistanche pab tiv thaiv oxidative puas thiab mob hauv lub raum. Lwm txoj kev tshawb fawb luam tawm nyob rau hauv Phau ntawv Journal of Medicinal Food tau saib txog kev tiv thaiv ntawm cistanche ntawm lub raum kev ua haujlwm hauv nas nrog lub siab puas tsuaj. Txoj kev tshawb nrhiav pom tias cistanche pab txhim kho lub raum ua haujlwm los ntawm kev txo qis oxidative kev nyuaj siab, mob, thiab fibrogenesis. Zuag qhia tag nrho, thaum xav tau kev tshawb fawb ntau ntxiv hauv tib neeg, cov kev tshawb fawb qhia tias cistanche muaj peev xwm ua tau raws li cov khoom siv ntuj tsim los txhawb lub raum ua haujlwm.
Siv:
- Cov tshuaj suav tshuaj ntsuab rau kev tswj cov kab mob raum mob ntev: Kev Tshawb Fawb Txog Kev Tshawb Fawb; Yu-Feng Qin, Jiang-Hua Chen, Ming-Hua Guo, Dan-Dan Liu, Ling-Li Zhang; Cov ntaub ntawv pov thawj-raws li Complementary thiab lwm yam tshuaj; Volume 2018, Tshooj ID 8094231, 14 nplooj.
- Curative nyhuv ntawm Cistanche tubulosa aqueous extract tiv thaiv cov mob ntshav qab zib raum puas thiab cov txheej txheem hauv qab; Qian L, Ma X, Jiang N, Wang Y, Jiang Y, Zhou Y, Xu R; J Ethnopharmacol. 2016 Jan 11; 177:113-9.
