Ukuchama - isixa esigqithisileyo

Ukuchama okugqithisileyo kuthetha ukuba umzimba wakho wenza umchamo omkhulu kunesiqhelo usuku ngalunye.

Umthamo ogqithisileyo wokuchama umntu omdala ungaphezulu kwe-2.5 yeelitha zomchamo ngosuku. Nangona kunjalo, oku kungohluka ngokuxhomekeka kumanzi oselwayo nangamanzi akho emzimbeni. Le ngxaki yahlukile kwimfuno yokuchama rhoqo.

IPolyuria luphawu oluqhelekileyo. Abantu bahlala beyibona ingxaki xa kufuneka bevukile ebusuku basebenzise igumbi lokuhlambela (nocturia).

Ezinye zezizathu eziqhelekileyo zeengxaki zezi:

• Isifo seswekile
• Iswekile yemellitus
• Ukusela amanzi kakhulu

Izizathu eziqhelekileyo ziquka:

• Ukungaphumeleli kwezintso
• Amayeza anjenge-diuretics kunye ne-lithium
• Inqanaba eliphezulu okanye eliphantsi le-calcium emzimbeni
• Ukusela utywala kunye necaffeine
• Isifo seanemia

Imveliso yakho yokuchama inokunyuka kangangeyure ezingama-24 emva kovavanyo olubandakanya ukujoba idayi ekhethekileyo (umahluko ophakathi) kwimithambo yakho ngexesha lovavanyo lokucinga njenge-CT scan okanye iMRI scan.

Ukujonga imveliso yakho yomchamo, gcina irekhodi lemihla ngemihla loku kulandelayo:

• Kangakanani nento oselayo
• Uhlala uchama kangakanani kwaye uvelisa kangakanani umchamo ngalo lonke ixesha
• Ubunzima obungakanani (sebenzisa isikali esilinganayo yonke imihla)

Tsalela umnxeba umboneleli wakho ukuba unemfuneko yokuchama ngokugqithileyo kwiintsuku ezininzi, kwaye ayichazwanga ngamayeza owathathayo okanye osela amanzi angaphezulu.

Umboneleli wakho uya kwenza uvavanyo lomzimba kwaye abuze imibuzo enje:

• Iqale nini ingxaki kwaye itshintshile ngokuhamba kwexesha?
• Uhlala uchama kangakanani emini nasebusuku? Ngaba uvuka ebusuku ukuze uchame?
• Ngaba unengxaki yokulawula umchamo wakho?
• Yintoni ebangela ingxaki ngakumbi? Ngcono?
• Ngaba ulibonile naliphi na igazi kumchamo wakho okanye utshintsho kumbala womchamo?
• Ngaba unayo ezinye iimpawu (ezinjengeentlungu, ukutshisa, umkhuhlane, okanye iintlungu esiswini)?
• Ngaba unembali yeswekile, isifo sezintso, okanye usulelo lomchamo?
• Ngawaphi amayeza owasebenzisayo?
• Utya ityuwa engakanani? Ngaba uyasela utywala kunye necaffeine?

Uvavanyo olunokwenziwa lunokubandakanya:

• Uvavanyo lweswekile yegazi (iswekile)
• Uvavanyo lwe-nitrogen yegazi
• I-creatinine (iserum)
• I-Electrolytes (i-serum)
• Uvavanyo lokuncitshiswa kolwelo (ukunciphisa umda wamanzi ukubona ukuba umthamo we-urine uyehla)
• Uvavanyo lwegazi lwe-Osmolality
• Uhlalutyo lomchamo
• Uvavanyo lwe-osmolality test
• Uvavanyo lomchamo lweeyure ezingama-24

Polyuria

• Iphecana lomchamo labasetyhini
• Indoda yokuchama

IGerber GS, iBrendler CB. Uvavanyo lwesigulana se-urologic: imbali, uvavanyo lomzimba, kunye novavanyo lokuchama. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2016: isahluko 1.

Landry DW, Bazari H. Indlela eya kwisigulana esinesifo sezintso. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 106.