• 제목/요약/키워드: Polyuria

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소갈(消渴)로 진단된 2형 당뇨병 환자 치험(治驗) 2례 (A Case Study of Two Type II Diabetic Patients Diagnosed with Sogal)

  • 이승언;황주원;이원철
    • 대한한방내과학회지
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    • 제38권1호
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    • pp.81-91
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    • 2017
  • Objectives: This study aimed to explore and describe how two patients diagnosed with type II diabetes mellitus were successfully cured solely through the use of herbal medicine. Methods: The patients were administered the herbal medicine to reduce symptoms of stress-induced fever with dryness. The prescribed herbal medicines included Yangkyuksanwha-tang, Hyungbangsabaek-san, Hyungbangjihwang-tang, and Hyungbangdojeock-san. Results: The therapeutic outcomes showed that all numerical levels of symptoms such as thirst, polyuria, weight loss, blood sugar, and glycated hemoglobin (HbA1c) recovered to within normal levels. Conclusions: The results of this study suggest that our medical treatment of type II diabetes mellitus diagnosed as Sogal was a valid treatment. We hope that our team's new evidence and findings will shed positive light on the treatment of type II diabetes mellitus using herbal medicine.

당뇨병 환자를 위한 고식이섬유 보충물의 개발을 위한 연구(I) -해조류 투여가 당뇨쥐의 장기능과 증세호전도에 미치는 영향- (A Study on the development of high-fiber supplements for the diabetic patients (I) -Effect of Seaweed Supplementation on the Gastrointestinal Function and Diabetic Symptom Control in Streptozotocin-induced Diabetic Rats-)

  • 이혜성
    • Journal of Nutrition and Health
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    • 제29권3호
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    • pp.286-295
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    • 1996
  • The present study was conducted to evaluate the usefulness of four kinds of seaweeds (mixture of purple laver & sea lettuce, sea tangle, sea mustard, agar agar) as a high- fiber supplment in the therapeutic deit for the diabetic patients. Seven groups of normal and streptozotocin-induced diabetic rats were fed dietary fiber-free control diet or one of experimental diets containing 7% of one of the four seaweeds for 6 weeks. The effect of seaweeds supplementation on the body weight change, gastrointestinal function, and the control of diabetic symptoms were examined and compared with the effect of fiber-free diet or pectin diet used as references. The body weight gains of all the diabetic groups were significantly suppressed compared to the normal group. Feed efficiency ratios and body weight gains of seaweed groups were relatively higher than those of the pectin group. Sea tangle appeared to have an effect of alleviating the typical diabetic symptoms such as polyphasia, polydipsia, polyuria, urinary glucose excretion and hyperglycemia indicating its beneficial acition of improving glucose metabolism even though the degree of effectiveness was less than that with pectin. All the supplemntations of seaweeds and pectin ressulted in the significant changes in gastronitestinal functins ; shortening of GI transit time, increase of fecal volume and the length of intestine. Based on their effects of the significant changes in GI function in may be suggested that seaweeds may influence the process of digestion and absorption of nutrients in diabetic animals.

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Lithium 투약도중 과나트륨혈증과 섬망을 동반한 신장성 뇨붕증 환자 1례 (A Case of Nephrogenic Diabetes Insipidus with Delirium and Hypernatremia due to Lithium Medication)

  • 정효경;이영호;정영조
    • 정신신체의학
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    • 제4권1호
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    • pp.91-97
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    • 1996
  • Lithium is a widely used important drug in the treatment of manic-depressive illness and its prevention of relapse. However, this drug has a Low therapeutic index, therefore, it has many attendant side effects. The most prevalent renal effect of lithium is impairment of concentrating ability and this defect appeared into overt polyuria. A renal lesion is confined to the collecting tubule and 12-20% of patients taking lithium suffer from nephrogenic diabetes insipidus. This nephrogenic diabetes insipidus causes the states of extracellular fluid depletion, hypernatremia and precipitates lithium intoxication. In such situation, symptoms of nephrogenic diabetes insipidus and lithium intoxication are very similar, so we should be very cautious to discriminate them. We herein report a patient characterized by a prolonged stuporous state, hypernatremia and severe nephrogenic diabetes insipidus during lithium therapy.

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Effect of Renal Ischemia in Tetraethylammonium Transport in Rabbit Renal Coritcal Slices

  • Joo, Woo-Sik;Nam, Yun-Jeong;Jung, Jin-Sup;Kim, Yong-Keun
    • The Korean Journal of Physiology
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    • 제25권2호
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    • pp.171-177
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    • 1991
  • This study was carried out to determine effect of acute renal ischemia on transport function of organic cation, tetraethylammonium (TEA), in rabbit kidney proximal tubule. Clamping of the renal artery for 30 and 60 min produced a polyuria which was accompanied by an increase in $Na^+$ excretion. The capacity of kidney cortical slices to accumulate TEA was increased after 30 and 60 min of ischemia. When blood flow was restored for 30 min after 30 and 60 min of ischemia, the augmented TEA uptake was recovered to the control values. Oxygen consumption of cortical slices was stimulated after 30 min of ischemia, whereas it was not altered by 60 min of ischemia. A 90-min ischemia produced a significant inhibition of TEA uptake and tissue oxygen consumption. These results suggest that the basolateral transport system for organic cation persists after ischemic periods of 60 min despite evidence that tubular reabsorptive mechanism of $Na^+$ and water is markedly impaired. This may indicate that the active secretory systems of proximal tubule are more resistant to ischemic injury than the reabsorptive systems.

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개의 당뇨병에서 Insulin Glargine의 적용 2례 (Use of Insulin Glargine in 2 Dogs with Diabetes Mellitus)

  • 안진옥;서경원;황철용;윤화영
    • 한국임상수의학회지
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    • 제28권1호
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    • pp.139-143
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    • 2011
  • A Spitz (5-years old, castrated male) and a Maltese (9-years old, castrated male) were presented with weight loss, polyuria/polydipsia (PU/PD) and depression. Diabetic ketosis was diagnosed based on clinical signs, physical examinations and screening tests (CBC, serum chemistry and urinalysis). The dogs were treated with NPH initially. However, NPH was inadequate to control blood glucose level due to the short duration of the action (< 5 hours). Because of the poor glycemic control with NPH, the dogs showed diabetic complications including weight loss and cataract. After change to glargine, the duration of insulin action was extended up to 11 hours. As a result, there was significant improvement in clinical signs and serum fructosamine concentrations. This study suggests that glargine is useful as a long-acting insulin in dogs which have poor glycemic control due to the short duration of NPH.

형제에서 발생한 신성 요붕증의 AVPR2 유전자변이 증례보고 (A Familial Case of Nephrogenic Diabetes Insipidus Associated with a Mutation of the AVPR2 Gene)

  • 김운곤;이진석;하태선
    • Childhood Kidney Diseases
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    • 제15권2호
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    • pp.172-178
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    • 2011
  • 신성 요붕증은 항이뇨 호르몬의 혈중 농도가 높음에도 불구하고, 신장이 항이뇨 호르몬에 반응하지 못하여 생기는 유전질환이다. 신장이 항이뇨 호르몬에 반응하지 못하면 신장의 농도 조절 작용과 수분재흡수의 기능이 상실되어 많은 양의 저장(hypoto-nic) 상태의 뇨를 체외로 배출함으로써 탈수증에 이르게 된다. 저자들은 가족성 신성 요붕증으로 진단받은 형제에서 AVPR2 유전자의 hemizygous c.910 delG mutation를 발견하여 문헌 고찰과 함께 보고하는 바이다.

뇌하수체 의존성 부신피질기능항진증 이환견의 Trilostane 치료 1례 (Trilostane Treatment in a Dog with Pituitary-Dependent Hyperadrenocorticism)

  • 임영환;이정연;조성남;박성준;최호정;이영원;송근호
    • 한국임상수의학회지
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    • 제23권2호
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    • pp.202-206
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    • 2006
  • A 7-year-old, spayed female, Yorkshire terrier dog with polyuria/polydipsia (PU/PD), interdigital edema, pruritus and abdominal enlargement was referred to the Veterinary Medical Teaching Hospital of the present university. Pituitary-dependent hyperadrenocortisim (PDH) was diagnosed by clinical signs, physical examination, laboratory examination (complete blood count, serum chemistry, urinalysis, ACTH stimulation test and high dose dexamethasone suppression test) and diagnostic imaging (radiography, ultrasonography and computed tomography). Clinical signs were improved after trilostane treatment, and maintenance therapy with trilostane still continued after successful induction therapy. Trilostane can be used as an alternative to mitotane therapy in hyperadrenocortisim in dogs.

포메라니언 개에서 발생한 만성 신장질환과 합병된 고혈압성 심근증 (Hypertensive Cardiomyopathy in a Pomeranian Dog Complicated with Chronic Kidney Disease)

  • 이준석;현창백
    • 한국임상수의학회지
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    • 제26권2호
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    • pp.170-175
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    • 2009
  • 7년생 중성화하지 않은 수컷 포메라니언(체중 2.2 kg)이 지속적인 식욕부진과 다음/다뇨, 심한 질소혈증 및 심잡음을 주증으로 내원하였다. 진단적 검사 결과 중증의 고혈압과 비대성 심근증을 동반한 만성 신장 질환이 확인 되었다. 2일 동안 복막투석과 수혈, 그리고 amlodipine을 이용한 항고혈압 치료를 실시하였고 동시에 만성신부전에 대한 보존 치료요법을 적용하였다. 본 증례는 만성 신장질환이 있는 개에서 병발한 고혈압성 심근증인 희귀 증례이다.

당뇨병성 케톤산증 1례 (A case of Diabetic Ketoacidosis)

  • 변상혁;권영구;안영민;안세영;두호경;최기림
    • 대한한방내과학회지
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    • 제23권1호
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    • pp.141-145
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    • 2002
  • Diabetic Ketoacidosis(DKA), one of acute complications of diabetes mellitus(DM) occurs mostly in insulin dependent diabetes mellitus (IDDM) patients. Its clinical symptoms are hyperglycemia, ketonemia or ketonuria, metabolic acidosis, etc. The interaction of lack of insulin, excessive secretion of insulin antagonic hormone and dehydration cause body fluid loss and electrolyte, typical symptom of DKA as polyuria, polydipsia, nausea, vomiting, abdominal pain occur. As a result, prompt supply of fluid and insulin by intravenous injection should be conducted for treatment. It is still an emergent disorder whose mortality is still 10 to 15%, though is has decreased compared to the past. We treated a female patient who has DKA, had withdrawn insulin pump therapy. We report a case of DKA with a brief review of related literatures.

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Primary Polydipsia in Children: Two Case Reports

  • Hwang, Nu Ri;Kim, Min Sun;Kim, Soon Chul;Lee, Dae-Yeol
    • Childhood Kidney Diseases
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    • 제22권2호
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    • pp.67-70
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    • 2018
  • Primary polydipsia (PP) is marked by an increase in thirst, and most often presents in patients with psychiatric illnesses. Although uncommon in children, we experienced cases of PP in a 15-month-old boy and a 5-year-old girl. Both were admitted to the hospital with symptoms of polydipsia and polyuria that appeared 1-3 months before admission. Brain magnetic resonance imaging in both patients was normal. A water restriction test was performed after hospitalization and showed normal results. The symptoms improved after the parents were instructed to implement water-intake restriction for 2 weeks. Our report provides useful information for the treatment of PP in children.