Manejo de la diabetes insípida

Abstract

Diabetes insipidus is a disease that occurs rarely, characterized by partial or total failure to concentrate urine, there is an alteration in the ability of the body to control the amount of body water. As a result there is excessive loss of diluted urine. There are two types of diabetes insipidus: Central diabetes insipidus given by a partial or absolute deficiency in the secretion of the antidiuretic hormone, which causes an alteration in the kidney. Nephrogenic diabetes insipidus given by the alteration at the level of the renal tubules to execute its action against the antidiuretic hormone. The main clinical manifestations are polydipsia and polyuria. For the diagnosis, it performs a water balance of income and expenses, as well as determining the urine density and complementary tests to establish its origin. Objective: To identify the management and timely diagnosis of diabetes insipidus, through review and analysis of bibliographic sources in order to reduce the mortality of patients with diabetes insipidus. Method: Through the bibliographic review information of articles / guides of no more than 5 years of publication was collected, using for its search servers like PUBMED, SCIELO, NEJM, among others, applying in the search engine the following words: diabetes insipidus, diagnosis, I manage central insipid and nephrogenic diabetes. We proceeded to its reading and analysis identifying the appropriate management of this pathology. Conclusion: for the management of this pathology it is very important to know the form of presentation and rule out other pathologies in order to provide adequate care and avoid complications.