Diabetes insipidus

Diabetes insipidus (synonym nesharnyi diabetes is a disease, accompanied by the release of a large amount of urine - polyuria (see) and thirst - polydipsia (see). Diabetes insipidus occurs most often in young men. In the basis of the disease is a decrease in blood vasopressin - antidiuretic hormone, leading to violation of water reabsorption at the distal convoluted tubules of the kidney. The consequence is polyuria and compensatory polydipsia. Vasopressin is produced in the nuclei of the hypothalamus (see), then goes to the rear portion of the pituitary gland (see), and then is released into the bloodstream. The causes damage to these departments, diverse: injury fractures of the skull, subarachnoid hemorrhage, acute (measles, diphtheria, smallpox, and other) and chronic (syphilis, tuberculosis) infections, tumors of the Central nervous system. Per day is allocated 3-40 l urine bright with a small share (1001 - 1005), without sugar. Usually expressed dryness of the skin and mucous membranes. Internal organs without any changes. The prognosis depends on the underlying disease, full recovery is usually in case of diabetes insipidus developed on the basis of acute or chronic infection.
Treatment. Apply etiological treatment, if the reason (for example, tumors of the Central nervous system - radiotherapy or surgery), and pathogenetic - intranasal introduction of adiuretin 0.05 g 3 times a day or injection of pituitrin subcutaneously or intramuscularly in a dose of 1 ml 3-4 times a day. Eating salt and meat. To combat hunger - lemon, Apple juice, Apple puree cold.