Ukuchama kakhulu (i-polyuria): inokuba yintoni kunye nokuba ungayenza ntoni

Umxholo

• 1. Ukusetyenziswa kakhulu kwamanzi
• 2. Isifo seswekile mellitus
• 3. Iswekile insipidus
• 4. Utshintsho esibindini
• 5. Ukusetyenziswa kweempawu zomchamo
• 6. Ukukhulelwa
• 7. I-calcium egqithisileyo egazini

Ukuveliswa komchamo ogqithisileyo, owaziwa ngokwenzululwazi njenge-polyuria, kwenzeka xa usenza ngaphezulu kwe-3 yeelitha zepee kwiiyure ezingama-24 kwaye akufuneki udideke nomnqweno wokuchama rhoqo kwixabiso eliqhelekileyo, elikwabizwa ngokuba yi-polaquiuria.

Ngokubanzi, umchamo ogqithisileyo awuyongxaki kwaye wenzeka kuphela ngenxa yokusebenzisa amanzi kakhulu, ekufuneka isuswe emzimbeni, kodwa ikwabonisa iingxaki zempilo, ezinje ngeswekile okanye ukusilela kwezintso, ngakumbi ukuba kubonakala kungekho sizathu. iintsuku ezininzi.

Ke, into elungileyo kukuba xa kukho utshintsho kumchamo okanye kubungakanani bawo, nxibelelana nengcali yezonyango okanye ugqirha jikelele, ukuchonga unobangela kwaye uqalise ngonyango olufanelekileyo. Jonga ukuba loluphi utshintsho oluphambili kumchamo.

1. Ukusetyenziswa kakhulu kwamanzi

Esi sesona sizathu sixhaphakileyo kwaye esona sinzima kakhulu somchamo ogqithisileyo kwaye kuyenzeka kuba umzimba kufuneka ugcine amanqanaba olwelo elungelelene ngaphakathi kwizicubu zomzimba, ukunqanda ukubonakala kokudumba kunye nokwenza lula umsebenzi wamalungu abalulekileyo, ingqondo okanye imiphunga.

Ke, xa usela amanzi amaninzi, kukwakho nesidingo sokuphelisa oku kungaphaya ngomchamo, okukhokelela kwi-polyuria, oko kukuthi, ukupheliswa ngaphezulu kweelitha ezi-3 zomchamo ngosuku. Ubungakanani bolwelo bunokuchaphazeleka xa usela iikofu ezininzi, iti okanye iziselo ezihlwahlwazayo emini, umzekelo.

Kwenziwe ntoni: ukuba umchamo ucacile okanye ucacile, ungalinciphisa kancinci inani lamanzi angenisiweyo emini. Ngokubanzi, umchamo kufuneka ube mthubi mthubi ngombala, ukubonisa ukuba inani lamanzi lanele.

2. Isifo seswekile mellitus

Seswekile mellitus ngomnye woonobangela abaxhaphakileyo bonyuka kwinani lomchamo, kwaye oku kuhlala kwenzeka kuba umzimba kufuneka ulinciphise ngokukhawuleza inani leswekile esegazini kwaye, ngenxa yoku, isihluza esiswekile ngezintso, sisuse emchameni.

Nangona kuqhelekile ukuba olu phawu lubonakale ebantwini abangazi ukuba banesi sifo, sinokwenzeka nakwabo sele benesifo, kodwa ke musa ukwenza unyango olufanelekileyo, benikezela amanqanaba eglucose angalawulekiyo. Jonga ezinye iimpawu ezinokubonisa ubukho besifo seswekile.

Kwenziwe ntoni: xa kukho urhano lokuba unesifo seswekile umntu kufuneka adibane nochwepheshe oqhelekileyo okanye ugqirha we-endocrinologist ukuba enze iimvavanyo ezinceda ukuqinisekisa isifo seswekile. Emva koko, lungisa ukutya kwaye, ukuba kukho imfuneko, qalisa ukusebenzisa amayeza aboniswe ngugqirha. Jonga ukuba zeziphi iimvavanyo ezisetyenziselwa ukufumanisa isifo seswekile.

3. Iswekile insipidus

Seswekile insipidus sisifo sezintso, nangona sinamagama afanayo, asihambelani nesifo seswekile mellitus kwaye, ke, ayibangelwa siswekile yegazi engaphaya, ibangelwa lutshintsho lwehomoni olwenza ukuba izintso ziphelise amanzi agqithisileyo ngomchamo.

Olunye uphawu oluqhelekileyo bubukho benxano egqithisileyo, kuba uninzi lwamanzi luyasuswa emzimbeni. Abanye oonobangela abanokubangela isifo seswekile insipidus kubandakanya ukonzakala kwengqondo, izifo ezenzekelayo, usulelo okanye nokudumba. Ukuqonda ngcono ukuba siyintoni na esi sifo nokuba siyintoni na.

Kwenziwe ntoni: kungcono ukubonisana nodokotela we-endocrinologist ukuqinisekisa ukuxilongwa nokuqala unyango olufanelekileyo, olunokuthi lwenziwe ngesondlo esinetyuwa kunye nokusetyenziswa kwamanye amayeza aboniswe ngugqirha.

4. Utshintsho esibindini

Xa isibindi singasebenzi kakuhle, enye yeempawu ezinokuvela ngumchamo ogqithisileyo, kunye nomnqweno wokuchama rhoqo. Kungenxa yokuba isibindi asikwazi ukucoca ngokufanelekileyo igazi elidlulayo, ke izintso zinokusebenza nzima ukuzama ukubuyekeza. Ukongeza ekuchameni okungaphezulu komchamo, kunokwenzeka ukuba umbala womchamo utshintshe, ubemnyama.

Kwenziwe ntoniumntu kufuneka azi eminye imiqondiso enokubonisa iingxaki esibindini njengokuziva kokungagayeki kakuhle, iintlungu kwicala lasekunene lesisu, ulusu olumthubi okanye ukwehla kobunzima. Ukuba oku kuyenzeka, ugqirha we-hepatologist okanye i-gastroenterologist kufuneka athethwane ukuze achonge ingxaki kwaye aqalise olona nyango lufanelekileyo. Ezinye iitayi ezinokunceda impilo yesibindi zibandakanya i-bilberry, i-artichoke okanye iti ye-thistle, umzekelo. Jonga iimpawu ezili-11 ezinokubonisa iingxaki zesibindi.

5. Ukusetyenziswa kweempawu zomchamo

Umsebenzi ophambili kunyango lwe-diuretic, olufana ne-furosemide okanye i-spironolactone, kukuphelisa ulwelo oluninzi emzimbeni. Ke ngoko, ukuba uthatha naliphi na kula mayeza, kuyinto eqhelekileyo ukuphinda uchame ngakumbi emini.

Ngokubanzi, la mayeza aboniswa ngugqirha ukunyanga iimpawu ezinxulumene neengxaki zentliziyo okanye kwanamatye ezintso, kwaye akufuneki ukuba zisetyenziswe ngaphandle kwengcebiso yezonyango, ngakumbi kwiinkqubo zokwehla kobunzima, njengoko zinokubangela ukulahleka kwezimbiwa ezibalulekileyo.

Kwenziwe ntoni: ukuba uthatha umchamo njengoko eyalelwe ngugqirha, kodwa ukungonwabi xa uchama kakhulu akuhambi kakuhle, kuya kufuneka uthethe nogqirha ukuvavanya ukubanakho ukunciphisa idosi okanye ukutshintsha amayeza. Ukuba uyithatha ngaphandle kwesikhokelo, kuya kufuneka uyeke ukusebenzisa iyeza kwaye uqhagamshelane nogqirha.

6. Ukukhulelwa

Nangona kungengxaki yezempilo, ukukhulelwa sesinye isizathu esiqhelekileyo somchamo ogqithisileyo. Kungenxa yokuba ngeli nqanaba lobomi bomfazi, kukho utshintsho oluninzi, ngakumbi kwinqanaba lehomoni elikhokelela ekwandeni kwenani legazi nasekusebenzeni kwezintso. Ke, kuqhelekile ukuba umfazi okhulelweyo achame ngaphezu kwesiqhelo.

Ukongeza, ngexesha lokukhulelwa kuqhelekile ukuba isibeleko sikhule kwaye sibeke uxinzelelo esinyini, nto leyo eyenza ukuba umfazi afune ukuchama rhoqo emini, njengoko isinyi singenako ukwanda ukuqokelela iichame ezininzi.

Kwenziwe ntoni: Ukuchama kakhulu ngexesha lokukhulelwa kuyinto eqhelekileyo, kodwa ukuzama ukunciphisa umchamo umfazi okhulelweyo unokuziphepha iziselo ezithile ezikhuthaza inkqubo yokwenza umchamo njengekofu kunye neti, ikhetha amanzi, umzekelo.

7. I-calcium egqithisileyo egazini

Ukunyusa i-calcium egazini, ekwabizwa ngokuba yi-hypercalcemia, kwenzeka ikakhulu kubantu abane-hyperparathyroidism, kwaye ibonakaliswa bubukho bamanqanaba e-calcium ngaphezulu kwe-10.5 mg / dl egazini. Ukongeza ekubangeleni ukonyuka okubonakalayo kumchamo, i-hypercalcemia inokubonisa ezinye iimpawu ezinje ukozela, ukudinwa kakhulu, isicaphucaphu kunye nentloko ebuhlungu rhoqo.

Kwenziwe ntoni: ukuba kukho urhaneleko lwe-calcium engaphezulu egazini, kufuneka kubonwe ugqirha jikelele kwaye kwenziwe uvavanyo lwegazi. Ukuba isifo siqinisekisiwe, ugqirha uhlala esebenzisa amayeza e-diuretic ukuzama ukuphelisa amanqanaba aphezulu e-calcium egazini ngokukhawuleza. Bona ngakumbi malunga nokuba yintoni i-hypercalcemia kwaye inyangwa njani.