Umthamo ogqithisileyo wokuchama (iPolyuria)

Umxholo

• Unobangela wezonyango wokuvuthwa okugqithisileyo
• Olunye unobangela oqhelekileyo wokuvuthwa okugqithisileyo
• Xa ufuna unyango kunyango oluninzi lokuchama
• Iswekile kunye nomthamo wokuchama ogqithisileyo
• Ukuncitshiswa kweempawu zokuchama okugqithisileyo
• Imbonakalo yevolumu yokuchama kakhulu

Yintoni umthamo wokuchama ogqithisileyo?

Umthamo wokuchama ogqithisileyo (okanye i-polyuria) wenzeka xa uchama ngaphezulu kwesiqhelo. Umthamo womchamo uthathelwa ingqalelo ukuba ulingana ngaphezulu kweelitha ezingama-2.5 ngosuku.

Umthamo "oqhelekileyo" womchamo uxhomekeke kubudala bakho nakwisini. Nangona kunjalo, ngaphantsi kwe-2 yeelitha ngosuku zihlala zijongwa njengesiqhelo.

Ukukhupha umchamo ogqithisileyo yimeko eqhelekileyo kodwa akufuneki kuhlale ngaphezulu kweentsuku ezininzi. Abantu abaninzi baqaphela uphawu ebusuku. Kule meko, ibizwa ngokuba yi-nocturnal polyuria (okanye i-nocturia).

Unobangela wezonyango wokuvuthwa okugqithisileyo

Ukuveliswa komchamo ogqithisileyo ngamanye amaxesha kunokubonisa iingxaki zempilo, kubandakanya:

• usulelo lwesinyi (oluqhelekileyo ebantwaneni nakubasetyhini)
• ukungabikho komchamo
• isifo seswekile
• nephritis yangaphakathi
• ukusilela kwezintso
• amatye ezintso
• psychogenic polydipsia, ukuphazamiseka kwengqondo okubangela ukunxanwa okugqithisileyo
• I-sickle cell anemia
• i-Prostate eyandisiweyo, ekwabizwa ngokuba yi-benign prostatic hyperplasia (ixhaphake kakhulu kumadoda angaphezu kweminyaka engama-50)
• iintlobo ezithile zomhlaza

Unokuphinda uqaphele i-polyuria emva kovavanyo lwe-CT okanye naluphi na uvavanyo lwesibhedlele apho idayi ifakwe emzimbeni wakho. Umthamo womchamo ogqithisileyo uqhelekile kusuku emva kovavanyo. Biza ugqirha wakho ukuba ingxaki iyaqhubeka.

Olunye unobangela oqhelekileyo wokuvuthwa okugqithisileyo

Umthamo ogqithisileyo womchamo uhlala uvela ngenxa yendlela yokuziphatha. Oku kunokubandakanya ukusela izixa ezikhulu zolwelo, ezaziwa njenge polydipsia kwaye ayisiyiyo inkxalabo enkulu yezempilo. Ukusela utywala kunye ne-caffeine kunokukhokelela kwi-polyuria.

Amayeza athile, anjenge-diuretics, anyusa umthamo womchamo. Thetha nogqirha wakho ukuba usandula ukuqala iyeza elitsha (okanye utshintshe nje idosi yakho) kwaye uqaphele utshintsho kumthamo wakho womchamo. Bobabini utywala kunye ne-caffeine yi-diuretics, kwaye amanye amayeza okunyusa uxinzelelo lwegazi kunye ne-edema nayo isebenza njenge-diuretics, kuquka:

• I-thiazide diuretics, enje nge-chlorothiazide kunye ne-hydrochlorothiazide
• I-potassium-sparing diuretics, efana ne-eplerenone kunye ne-triamterene
• I-loop diuretics, njenge-bumetanide kunye ne-furosemide

Unokufumana i-polyuria njengempembelelo yecala la mayeza.

Xa ufuna unyango kunyango oluninzi lokuchama

Funa unyango lwe-polyuria ukuba ucinga ukuba ngumba obangela impilo. Iimpawu ezithile kufuneka zikushukumisele ukuba ubonane nogqirha ngoko nangoko, kubandakanya:

• ifiva
• umqolo obuhlungu
• ubuthathaka emlenzeni
• ukuqala ngequbuliso kwepolyuria, ngakumbi ebuntwaneni bokuqala
• ukuphazamiseka kwengqondo
• ukubila ebusuku
• ukuhla ukusinda

Ezi mpawu zinokubonisa ukuphazamiseka kwentambo yomqolo, isifo seswekile, usulelo lwezintso, okanye umhlaza. Funa unyango ngokukhawuleza xa ubona ezi mpawu. Unyango lunokukunceda ngokukhawuleza ukulungisa unobangela wepolyuria yakho kunye nokugcina impilo esempilweni.

Ukuba ucinga ukuba ukonyuka kungenxa yokwanda kwamanzi okanye amayeza, jonga umthamo wakho womchamo kangangeentsuku ezimbalwa. Ukuba umthamo ogqithisileyo uyaqhubeka emva kweli xesha lokubeka esweni, thetha nogqirha wakho.

Iswekile kunye nomthamo wokuchama ogqithisileyo

Isifo seswekile (esihlala sibizwa ngokuba sisifo seswekile) sesinye sezizathu eziqhelekileyo zepolyuria. Kule meko, izixa ezikhulu zeswekile (iswekile esegazini) ziqokelelwa kwii-tubules zakho zezintso kwaye zibangele ukonyuka kwevolumu yakho yomchamo.

Olunye uhlobo lwesifo seswekile olubizwa ngokuba sisifo seswekile i-insipidus sonyusa umthamo wakho womchamo ngenxa yokuba umzimba wakho awuvelisi ihomoni eyaneleyo ye-antidiuretic. Ihomoni ye-Antidiuretic yaziwa ngokuba yi-ADH okanye i-vasopressin. I-ADH iveliswa yidlala lengqula kwaye iyinxalenye yenkqubo yokufunxa ulwelo kwizintso zakho. Umthamo wakho womchamo unokunyuka ukuba akukho ADH yaneleyo ivelisiweyo. Inokonyuka ukuba izintso zakho azikwazi ukulawula ngokufanelekileyo ulwelo oludlula kubo. Oku kwaziwa njenge-nephrogenic diabetes insipidus.

Ugqirha wakho uya kulinganisa i-glucose yegazi xa ekrokrela ukuba isifo seswekile sibangela i-polyuria yakho. Ukuba uhlobo lwesifo seswekile lubangela i-polyuria, ugqirha wakho uza kuncoma unyango kunye notshintsho kwindlela yokuphila ukuze uncede ufumane isifo seswekile. Ezi zonyango zingabandakanya:

• Inaliti ye-insulin
• amayeza omlomo
• utshintsho kwindlela otya ngayo
• umthambo

Ukuncitshiswa kweempawu zokuchama okugqithisileyo

Umthamo ogqithisileyo womchamo ongabangelwa yimicimbi esempilweni inokuqwalaselwa ekhaya.

Unokuzikhulula iimpawu zakho ngokutshintsha nje isimilo esikhokelela kumthamo womchamo ogqithisileyo. Zama ezi ngcebiso zilandelayo:

• Jonga ukutya kwakho ulwelo.
• Nciphisa ulwelo ngaphambi kokulala.
• Nciphisa icaffeine kunye neziselo ezinxilisayo.
• Qonda iziphumo ebezingalindelekanga zamayeza.

Umthamo ogqithisileyo womchamo obangelwa kukukhathazeka ngempilo, njengesifo seswekile, unokuqwalaselwa ngokunyanga oyena nobangela. Umzekelo, unyango lwesifo seswekile ngotshintsho kwindlela otya ngayo kunye nonyango zihlala zikhupha isiphumo secala lomthamo womchamo ogqithisileyo.

Imbonakalo yevolumu yokuchama kakhulu

Vuleka kwaye uthembeke nogqirha wakho malunga nokuchama kakhulu. Akunakukhathazeka ukuthetha nodokotela wakho malunga nemikhwa yakho yokuchama. Nangona kunjalo, imbonakalo ye-polyuria ihlala ilungile, ngakumbi ukuba awunazo iimeko zonyango ezinzulu. Kuya kufuneka wenze utshintsho lwendlela yokuphila ukusombulula i-polyuria yakho.

Ezinye iimeko ezibangela i-polyuria inokufuna unyango olubanzi okanye lwexesha elide. Ukuba isifo seswekile okanye umhlaza ubangela i-polyuria, ugqirha wakho uya kuxoxa ngonyango oluyimfuneko ekusombululeni nayiphi na imiba yezonyango ukongeza ekuncedeni ukuba i-polyuria yakho ilawulwe.