Ukunxanwa - ukugqithisa

Ukunxanwa ngokugqithiseleyo yimvakalelo engaqhelekanga yokuhlala ufuna ukusela iziselo.

Ukusela amanzi amaninzi kunempilo kwiimeko ezininzi. Umnqweno wokusela kakhulu unokuba sisiphumo sesifo somzimba okanye semvakalelo. Ukunxanwa kakhulu kunokuba luphawu lweswekile ephezulu yegazi (hyperglycemia), enokunceda ekufumaneni isifo seswekile.

Ukunxanwa ngokugqithiseleyo luphawu oluqhelekileyo. Idla ngokuba kukusabela kokulahleka kolwelo ngexesha lokuzilolonga okanye ukutya ukutya okunetyiwa.

Izizathu zingabandakanya:

• Ukutya okunetyiwa okanye okuneziqholo kwakutshanje
• Ukopha ngokwaneleyo ukwenza ukuba kunciphise umthamo wegazi
• Iswekile yemellitus
• Isifo seswekile
• Amayeza afana ne-anticholinergics, i-demeclocycline, i-diuretics, i-phenothiazines
• Ukuphulukana nolwelo lomzimba ukusuka egazini kungena kwizicubu ngenxa yeemeko ezinje ngokusuleleka kakhulu (sepsis) okanye ukutsha, okanye intliziyo, isibindi, okanye ukusilela kwezintso
• I-Psychogenic polydipsia (ingxaki yengqondo)

Kuba unxano luphawu lomzimba endaweni yelahleko yamanzi, kuhlala kufanelekile ukuba usele ulwelo oluninzi.

Unxano olubangelwa sisifo seswekile, landela unyango olumiselweyo ukulawula ngokufanelekileyo inqanaba leswekile yegazi.

Fowunela umboneleli wakho wezempilo ukuba:

• Ukunxanwa okugqithisileyo kuyaqhubeka kwaye akuchazwa.
• Ukunxanelwa kukhatshwa zezinye iimpawu ezingachazwanga, ezinje ngombono ongacacanga okanye ukudinwa.
• Udlula ngaphezulu kweekota ezintlanu (4.73 iilitha) zomchamo ngosuku.

Umboneleli uya kufumana imbali yakho yezonyango kwaye enze uvavanyo lomzimba.

Umboneleli unokukubuza imibuzo efana nale:

• Kude kube nini uyazi ukuba ukwanda kokoma? Ngaba ikhule ngesiquphe okanye ngokucotha?
• Ngaba unxano lwakho luhlala lunye imini yonke?
• Ngaba utshintshe indlela otya ngayo? Ngaba utya ukutya okunetyiwa okanye okuneziqholo?
• Ngaba uqaphele ukwanda kokutya?
• Ngaba uye wehla emzimbeni okanye wazuza ubunzima ngaphandle kokuzama?
• Ingaba inqanaba lomsebenzi wakho lenyukile?
• Zeziphi ezinye iimpawu ezenzeka ngaxeshanye?
• Ngaba ukhe watshiswa okanye wenzakala?
• Ngaba uchama ngaphezulu okanye ngaphantsi rhoqo kunesiqhelo? Ngaba uvelisa ngaphezulu okanye ngaphantsi komchamo kunesiqhelo? Ukhe wakuphawula ukopha?
• Ngaba ubila ngaphezulu kwesiqhelo?
• Ngaba kukho ukudumba emzimbeni wakho?
• Unomkhuhlane?

Uvavanyo olunoku-odolwa lubandakanya oku kulandelayo:

• Inqanaba leswekile yegazi
• I-CBC kunye nokwahluka kweeseli ezimhlophe zegazi
• Isalcium calcium
• Iserum osmolality
• Isodiyam yeserum
• Uhlalutyo lomchamo
• Umchamo osmolality

Umboneleli wakho uya kuncoma unyango ukuba luyafuneka ngokusekelwe kuvavanyo lwakho nakwiimvavanyo. Umzekelo, ukuba uvavanyo lubonisa ukuba unesifo seswekile, kuyakufuneka ufumane unyango.

Umnqweno onamandla kakhulu, oqhubekayo wokusela unokuba luphawu lwengxaki yengqondo. Unokufuna uvavanyo lwengqondo ukuba umboneleli ukrokrela ukuba sisizathu. Ukungenisa kwakho ulwelo kunye nemveliso kuya kujongwa ngokusondeleyo.

Ukwanda kokoma; IPolydipsia; Ukunxanwa okugqithisileyo

• Imveliso ye-insulin kunye neswekile

Mortada R. Iswekile insipidus. Ku: Kellerman RD, Rakel DP, ii-eds. Unyango lwangoku lukaConn 2019. IPhiladelphia, PA: Elsevier; Ngo-2019: 277-280.

I-Slotki I, Skorecki K. Ukuphazamiseka kwesodiyam kunye ne-homeostasis yamanzi. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 116.