IPolydipsia (Unxano olugqithisileyo)

Umxholo

• Yintoni ebangela ipolydipsia?
• Iimpawu
• Unyango
• Iindidi zepolydipsia
• Imbonakalo kunye nokuthintela

Yintoni ipolydipsia?

I-Polydipsia ligama lonyango lokuziva unxaniwe kakhulu.

I-Polydipsia ihlala inxulunyaniswa neemeko zokuchama ezibangela ukuba uchame kakhulu. Oku kunokwenza umzimba wakho uzive usoloko ufuna ukubuyisela ulwelo oluphulukene nomchamo. Inokubangelwa ziinkqubo ezibonakalayo ezenza ukuba ulahlekelwe lulwelo oluninzi. Oku kunokubandakanya ukubila ngexesha lokuzilolonga, ukutya ukutya okunetyuwa eninzi, okanye ukuthatha iziyobisi ezibangela ukuba udlule ulwelo oluninzi, njenge-diuretics.

Le meko ithathwa njengenye yeempawu zokuqala zeswekile. Kuqheleke kakhulu kwisifo seswekile. Olu hlobo lwesifo seswekile lubandakanya iimeko ezimbalwa ezenza kube nzima kumzimba wakho ukwenza kunye nokusebenzisa iswekile, ekwabizwa ngokuba siswekile yegazi. Xa umzimba wakho ungakwazi ukucola kakuhle iswekile yegazi, amanqanaba eswekile yegazi angaphakama ngokungaqhelekanga. Amanqanaba eswekile egazi aphezulu anokubangela ukuba uzive unxanelwe kakhulu ngenxa yoko.

Yintoni ebangela ipolydipsia?

I-Polydipsia inokubangelwa kukungaseli manzi ngokwaneleyo emva kokuba uphulukene nolwelo oluninzi. Ukuba ubile kakhulu okanye usele ulwelo oluthile, olunje ngekofu okanye iti eluhlaza kunye emnyama, uhlala uziva unxaniwe kakhulu njengoko umzimba wakho ufuna ukubuyisela ulwelo olulahlekileyo. Ukuphelelwa ngamanzi emzimbeni ngenxa yokungaseli amanzi aneleyo ikwangunobangela oqhelekileyo we-polydipsia. Ungayiva lento nokuba ububile okanye awuchami kakhulu. I-Polyuria, imeko apho udlula khona umchamo omkhulu ngokungaqhelekanga, unokubangela nepolydipsia.

I-Polydipsia ikwangumqondiso wokuqala wesifo seswekile kunye nesifo seswekile i-insipidus. Isifo seswekile sibangela i-polydipsia kuba amanqanaba eswekile egazini aphakama kakhulu kwaye akwenze uzive unxaniwe, nokuba ungasela amanzi angakanani. Isifo seswekile i-insipidus yenzeka xa amanqanaba akho omzimba emzimbeni engalingani. Nangona ungasela amanzi amaninzi, usenokuziva isidingo esingxamisekileyo sokusela iziselo ezingaphezulu. Unokuchama kakhulu nangona ungekaseli kangako.

Ezinye izizathu ezibhaliweyo zepolydipsia zibandakanya:

• amayeza athile, anje nge-corticosteroids okanye i-diuretics kwifom yeepilisi, ezinje ngeepilisi zamanzi
• Ukutya ityuwa eninzi okanye ivithamin D kukutya okanye iziselo
• isithukuthezi okanye ixhala elibangela ukuba usele amanzi amaninzi ngenxa yovalo, oluye lwaqwalaselwa nakumahashe nasezinja

Iimpawu

Olona phawu lubonakalayo lwepolydipsia kukuziva unxaniwe kakhulu. Olu phawu luqapheleka ngakumbi xa uziva ngolu hlobo nasemva kokuba sele usele amanzi amaninzi.

Ezinye iimpawu eziqhelekileyo zepolydipsia zibandakanya:

• ukugqithisa ubuninzi ngokungaqhelekanga umchamo (ngaphezulu kweelitha ezi-5 ngosuku)
• uvakalelo oluqhubekayo lokoma emlonyeni wakho

Unokuqaphela ezinye iimpawu ukuba i-polydipsia yakho ibangelwa yimeko engaphantsi kweswekile. Ezinye zeempawu zesifo seswekile ezinokuthi zihambe nepolydipsia zibandakanya:

• ukuziva ulambile ngokungaqhelekanga
• ukuba nombono omfiliba
• ukudinwa
• ukunciphisa umzimba ngokungaqhelekanga
• ukufumana izilonda okanye usulelo rhoqo
• ukuphola kancinci kwezilonda okanye usulelo

Ukusela amanzi kakhulu kunokubangela ukunxila, ngamanye amaxesha okubizwa ngokuba yityhefu yamanzi. Le meko yenzeka xa usela amanzi kakhulu. Ukwenza njalo kunokunciphisa inani le-sodium egazini lakho kwaye kwehlise isodiyam yegazi lakho kumanqanaba asezantsi ayingozi, ekwabizwa ngokuba yihyponatremia. Oku kunokubangela iimpawu ezinje:

• intloko ebuhlungu
• iimvakalelo zokuba nesiyezi okanye ukudideka
• izihlunu okanye izihlunu
• ukuxhuzula okungachazwanga

Unyango

Ngamanye amaxesha, unokuphosisa ixesha lethuba lokunxanelwa kakhulu i-polydipsia. Ngaphambi kokuba ubone ugqirha wakho kwi-polydipsia, jonga ngononophelo iimvakalelo zakho zokunxanwa okungathethekiyo:

• Kukangaphi uziva unxaniwe?
• Kunini unxaniwe ngaxeshanye?
• Ngaba uyazibona ezinye iimpawu xa unxaniwe?
• Ngaba uziva unxanwe kakhulu emva kokwenza imisebenzi ethile?
• Ngaba usaziva unxaniwe kakhulu emva kokusela ii-ounces ezingama-64 okanye ngaphezulu kwamanzi imini yonke?

Jonga ugqirha wakho ukuba iimvakalelo zakho zokunxanwa okugqithisileyo zihlala ixesha elide kuneentsuku ezimbalwa kwaye ungatshintshi kakhulu ngokusekwe kwinqanaba lomsebenzi wakho okanye isixa samanzi oselayo.

Unyango lwe-polydipsia lunokuxhomekeka kwimeko ebangela oko. Ugqirha wakho uya kwenza oku kulandelayo ukukufumanisa:

• yenza uvavanyo lwegazi
• thatha isampuli yomchamo
• kukucela ukuba usele into engamanzi kangangexesha elithile (uvavanyo lokuncitshiswa kolwelo)

Ukuba isifo seswekile sibangela i-polydipsia yakho, ugqirha wakho uya kukunika iyeza lokulawula iswekile yegazi. Kuya kufuneka ukuba uzinike inaliti ye-insulin rhoqo. Ugqirha wakho unokucebisa ukuba uvelise isicwangciso sesondlo sokukunceda utye kwaye usele ukutya okunesondlo ukunceda ukunyanga iimpawu zesifo seswekile. Isicwangciso sokuzilolonga sinokukunceda uhlale usempilweni ngokwasemzimbeni kwaye ulungile.

Ukuba unesifo seswekile i-insipidus, ugqirha wakho uya kukucebisa ukuba usele isixa esithile samanzi ukuqinisekisa ukuba awufumani manzi emzimbeni. Ugqirha wakho unokukunika amayeza ukuze ugcine iimpawu zakho ziphantsi kolawulo. La mayeza anokubandakanya i-desmopressin ngohlobo lwepilisi okanye inaliti.

Ukuba i-polydipsia yakho inezizathu zengqondo, ugqirha wakho unokucebisa ukuba ubone umcebisi okanye ugqirha oza kukunceda ufumane iimvakalelo zakho zokunyanzelwa ukuba usele kakhulu amanzi aphantsi kolawulo.

Ugqirha wakho usenokucebisa ngonyango lokuziphatha (CBT) ukuba umba wezempilo yengqondo ubangela i-polydipsia yakho. Oku kunokukunceda ukuba uqaphele ngakumbi okusingqongileyo okanye izinto ezinokubangela ukuba uzive isidingo sokusela kakhulu. Inokukufundisa nokuba ungamelana njani neemvakalelo ngendlela esempilweni.

Iindidi zepolydipsia

Iindidi ezininzi zepolydipsia zikhona ezichazwe zizizathu zazo. Ezinye izinto zibangelwa ngumzimba. Abanye banokubangelwa yimicimbi yengqondo, okanye yengqondo. Iindidi zepolydipsia zibandakanya:

• I-Psychogenic (eyiprayimari) i-polydipsia: Olu hlobo lwe-polydipsia lubangelwa luxinzelelo, isithukuthezi, uxinzelelo, okanye imeko yezempilo yengqondo, kunokuba ibe yinto yebhayoloji.
• I-polydipsia ebangelwa ziziyobisi: Oku kubangelwa ziziyobisi ezithile okanye iivithamini ezibangela i-polyuria, enje nge-diuretics, i-vitamin K, ukutya ityuwa kunye ne-corticosteroids.
• I-polydipsia ehlawulwayo: I-polydipsia yokuhlawulela ibangelwa ngamanqanaba anciphisayo ama-hormone antidiuretic emzimbeni wakho. Oku kunokukhokelela ekuchameni kakhulu.

Imbonakalo kunye nokuthintela

Ngokusekelwe kwisizathu kunye nempumelelo yonyango lwe-polydipsia, uya kuba nakho ukuyifumana phantsi kolawulo ngaphandle kokuphazamisa ubomi bakho okanye ukuchaphazela imisebenzi yakho yemihla ngemihla.

Olunye utshintsho kwindlela ophila ngayo, njengokuzilolonga okanye ukutya okungcono, kunokunceda ukugcina iimpawu zakho ziphakathi, ngakumbi ukuba unesimo seswekile. Kule meko, ukufumana isicwangciso sonyango kugqirha wakho kubalulekile ukuzigcina usempilweni ngokubanzi kunye nokuthintela ezinye iingxaki zesifo seswekile. Ukufumana ukusela utywala ngokugqithiseleyo kunokukhusela iingxaki zokusela amanzi amaninzi, njengehyponatremia.

Thetha nogqirha wakho malunga nendlela efanelekileyo yokulawula iimpawu zakho kunye nokunyanga nayiphi na imeko onayo.