Bardsley CH. Opioid. Trong:.

Marx JA, ed Emergency Medicine Rosen: Cc khi nim v

thc hnh lm sng
Xt nghim mu chng Cng Da Mt Bng Ch ly lai ln da tui th bi niu o lng mc
ca hormone chng bi niu (ADH) trong mu.
Lm th no thc hin xt nghim Mt mu mu l cn thit. Lm th no chun b cho
k thi
Ni chuyn vi bc s v cc loai thuc ca ban trc khi th nghim. Nhiu loai thuc c
th nh hng n mc ADH, bao gm:
Lm th no cc th nghim s cm nhn
Khi m kim tim vo ly mu, mt s ngi thy au va phi. Nhng ngi khc cm
thy ch c mt chch hay au nhc. Sau , c th c s cn au nhi hoc bm nh. iu
ny sm i xa.
Tai sao thc hin xt nghim
ADH l mt hormone c sn xut trong mt phn ca no gi l vng di i. Sau
n c lu gi v pht hnh t tuyn yn, mt tuyn nh y no. ADH tc ng ln
thn kim sot lng nc thi qua nc tiu.
Xt nghim mu ADH c lnh khi cung cp dch v chm sc sc khe ca ban nghi ng
ban b ri loan nh hng n mc ADH ca ban nh:
S tch t ca cc cht lng trong c th ca ban ang gy ra sng hoc sng phng ( ph
n )
Qu lng nc tiu
Natri (mui) cp thp trong mu ca ban
Thirst l cng cao hoc khng kim sot c
Mt s bnh l nh hng n vic pht hnh bnh thng ca ADH. Mc mu ca ADH
phi c kim tra xc nh Cng Da Mt Bng Ch ly lai ln da tui th nguyn nhn
ca bnh. ADH c th c nh gi nh mt phn ca mt th nghim han ch nc
tm ra nguyn nhn ca bnh.
Kt qu bnh thng
Gi tr bnh thng cho ADH c th nm trong khong 1-5 picograms trn mi ml (PCG /
mL).
Pham vi gi tr s bnh thng c hi thay i trong cc phng th nghim khc nhau. Mt
s phng th nghim s dng cc php o khc nhau hoc c th kim tra mu vt khc
nhau. Ni chuyn vi bc s ca ban v ngha ca kt qu xt nghim c th ca ban.
Kt qu bt thng g Mean

Mt mc cao hn bnh thng c th xy ra khi c qu nhiu ADH c pht hnh,

hoc t no, ni n c thc hin, hoc t cc ni khc trong c th. iu ny c gi
l hi chng khng ph hp ADH (SIADH).
Nguyn nhn ca SIADH bao gm:
Chn thng no hoc chn thng Mt cn bng cht lng sau khi phu thut
Bnh nhim trng no hoc cc m bao quanh no Bnh nhim trng phi Ung th phi
ung th biu m t bo nh
C nh
Mt mc thp hn bnh thng c th ch ra:
Thit hai i vi vng di i hoc tuyn yn
i tho nhat - mt tnh trang m trong thn khng c kh nng tit kim nc
Qu kht ( polydipsia )
Qu nhiu cht lng trong c th (khi lng qu ti)
Ri ro
Tnh mach v ng mach khc nhau v kch thc t mt bnh nhn khc v t mt pha
ca c th khc. Vic ly Cng Da Mt Bng Ch ly lai ln da tui th mu t mt s
ngi c th c nhiu kh khn hn so vi nhng ngi khc.
Cc ri ro khc lin quan n khi ly mu khng ng k nhng c th bao gm: