Imvamisa, umuntu uvakashela indlu yangasese ukuyochama kuze kube kasishiyagalombili phakathi nosuku. Kuya ngesakhiwo sokudla, ukungena koketshezi, kanye nezidakamizwa ze-diuretic. Ngaso leso sikhathi, izingxenye ezintathu zoketshezi olutholakele zikhishwa ezinso, bese ezinye zikhipha umjuluko nokuphefumula.
Isifo sikashukela, inani lokuvakasha endlini yangasese lenyuka laya ku-15-50, kuyilapho ukumbumbuluzwa komchamo kuningi. Lokhu kwephula hhayi kuphela isigqi sempilo yansuku zonke, kodwa futhi kuholela ekuphazanyisweni kokulala, njengoba iziguli kufanele zivuke okungenani kahlanu ngobusuku ukuze zichame.
Isibonakaliso se-polyuria (ukuphuma komchamo) sisho ukubonakaliswa kwesifo sikashukela futhi kuvame ukuhlanganiswa nezinye ezimbili - ukoma okwandayo kanye nesifiso sokudla. Ukhuselo ngokweqile okuphathelene noshukela ku-mellitus yesifo sikashukela (i-mellitus yesifo sikashukela) kuholela ekuphepheni komzimba.
Izimbangela zokuchama kaningi ngesifo sikashukela
Ukuvela kwe-polyuria kushukela kuhlotshaniswa nokukhuphuka kweglucose yegazi. Ngasikhathi sinye, ingcindezi ye-osmotic esezinhlungwini zezinso iyakhuphuka, ngoba ama-molecule eglucose adonsela uketshezi ekuhoxeni.
Igremu elilodwa likashukela lisusa uketshezi olungu-20- 40 lomzimba, okuwukuthi, ushukela omningi uqukethe egazini, amanzi amaningi alahlekile. Ezigulini ezinesifo sikashukela, amandla okuphinda futhi anciphe. Ukuchithwa komchamo ekuguleni okunamandla kungafinyelela amalitha ayi-10 noma ngaphezulu ngosuku.
Ukwanda kokulahleka kwamanzi kuhambisana nokushoda kwama-electrolyte abalulekile egazini - potassium nesodium, okulawula ithoni ye-vascular.
Ukuchama kaningi kushukela kungabhekiswa hhayi nge-hyperglycemia kuphela. I-Polyuria ivela njengophawu nge:
- I-Autonomic diabetesic neuropathy yesinye.
- I-cystitis kanye ne-pyelonephritis.
- I-neuropathy yesifo sikashukela.
Ukuqhubeka kwesifo sikashukela kuholela ekulimaleni kwemicu yezinzwa. Uma i-neuropathy yesifo sikashukela isabalalela esihlokweni, umzimba ulahlekelwa amandla ayo okulawula ithoni yesinye, ngakho-ke inhlanganisela yesifo sikashukela nokungasebenzi komchamo kuvame ukutholakala.
I-cystopathy kwisifo sikashukela kwenzeka ngobunzima bokukhipha amabunzi, ukuchama kusala ngemuva kokuchama, okuholela ekuthelelekeni kokutheleleka kanye nokutheleleka ngegciwane.
Enye yezizathu zokuthi ukuchama okuvame kakhulu kushukela kungaba ukwengeza kwezifo zesinye noma ukutheleleka kwezinso. Izifo ezifana ne-cystitis kanye nephritis zixaka inkambo yesifo sikashukela, esenza ukuba nzima ukwelashwa kwezinqubo zokuvuvukala zesistimu ye-urinal ngenxa yokugomeka komzimba.
Njengengxaki yesifo sikashukela esinxephezelwa kabi, i-nephropathy iyakhula. Ngalo, i-glomeruli ye-renal ibhujiswa njengomphumela wokubhujiswa kodonga lwe-vascular futhi yanda njalo ingcindezi ngaphakathi kwe-glomeruli.
Umthwalo owandayo ezinso ezinsweni sikashukela uholela ekwandeni kwezimpawu zokuntuleka komsebenzi wabo.
Ukuboniswa kwe-polyuria kushukela
Ngokuthuthukiswa kwesifo sikashukela i-mellitus, ukubonakala kwezimpawu ezinjengokuphuma komchamo kanye nokoma okungapheli, okungasuswa ngokuthatha isilinganiso esikhulu soketshezi, kuwuphawu lokuqala lokuntuleka kwe-insulin.
Ngohlobo lokuqala lwesifo sikashukela, lezi zimpawu zivele ngokuzumayo futhi zanda ngokushesha uma ukwelashwa kwe-insulin kungaqalwa ngesikhathi. Nge-Type 2 sikashukela mellitus, kungahle kube nokunyuka kancane kancane komlomo owomile kanye nokwanda okuncane kokuchama, okungenzeka iziguli zingaphenduli kuzo.
Ukuchama kaningi kushukela kukhathaza iziguli kungakhathalekile isikhathi sosuku, kanti nomchamo omningi ungakhishwa ebusuku kunasemini. Kunokuchama okuningi, kanye nokulahleka kwamandla okubamba ebusuku. Ukubonakala kwama-envesis kuyabonakala ezinganeni, kepha onesifo sikashukela kutholakala emaqenjini abantu abadala.
Ngaphezu kwezimpawu ezijwayelekile zesifo sikashukela i-mellitus - ubuthakathaka, ukoma, indlala, ngokuchama kaningi kwabesifazane, ukulunywa kuvela endaweni yofuzo, ukujoyina i-thrush. Lokhu kungenxa yezici ze-anatomical kanye nokuba khona kwe-glucose kumchamo, okusebenza njengendawo enhle yokwakhiwa kwesikhunta.
Ukwehla kwezindawo zokuvikela ulwelwesi lwama-mucous kanye nokwephulwa kwamasosha omzimba kuholela ku-cystitis. Ukwanda kokuvuvukala kwesiqu kuhambisana nalezi zimpawu:
- Ubuhlungu nobuhlungu lapho uchama.
- Khuphuka ngamazinga okushisa.
- Ukuhlukaniswa komchamo odabukisayo.
- Ukuchama okwenzeka njalo nobuhlungu.
Inkambo ye-cystitis yohlobo 2 sikashukela ibonakala ngokuvela kaningi, isikhathi eside kanye nobukhulu bezimpawu zomtholampilo. Ukucasuka kwe-urine penis ye-glans emadodeni kuholela ku-balanoposthitis, okuvame ukuba nenkambo engapheli futhi ephikelelayo kwabanesifo sikashukela.
Ukuthuthukiswa kwe-adenoma ye-Prostate ngemuva kwesifo sikashukela kukhulisa ukwephulwa kokuphuma komchamo. Isifiso sokuchama siba njalo futhi siqine, ikakhulukazi ebusuku. Ngokuqhubeka kokunwebeka kwendlala ye-Prostate, icindezela isinye, okuholela ekubambezeni ukuphuma komchamo.
Ukungaqhubeki kwe-urinary ku-mellitus yesifo sikashukela kanye ne-adenoma kuhlotshaniswa nokwanda komchamo kanye nokuchichima kwe-bladder. Nge-Prostate adenoma, i-lesionic bladder lesion iyaqhubeka - i-cystopathy, ethinta abesilisa abanesifo sikashukela esinamandla esingakhokhelwa, imvamisa kakhulu i-insulin.
Kulokhu, i-bladder ilahlekelwa yikhono layo lokufeza izinkontileka ezijwayelekile, futhi iziguli azizwa zichichima.
Uhlobo lwesibili sikashukela emadodeni luhambisana nenqubo yokuvuvukala emgudwini we-Prostate. Imvamisa yokuthuthuka kwe-prostatitis ihlotshaniswa nokulimala kwemetabolism kanye nokuthambekela okukhulu kokuvela kokuvuvukala. Ngokufakwa kwe-prostatitis, ukwephulwa kokuphuma komchamo kuyaqina.
Ezinganeni ezincane, i-polyuria kunzima kakhulu ukuyithola, ikakhulukazi uma kusetshenziswa i-diaper. Ngakho-ke, abazali kufanele bagadwe ukoma okungaphezulu, ukukhathazeka ne-lethargy. Lezi zingane, yize zinesifiso esihle sokudla, azitholi kahle isisindo.
Ukubonakaliswa kwesifo sikashukela esithuthukayo iphunga le-acetone ephuma emlonyeni noma umchamo.
Ukulimala kwe-bladder kanye nezinso kushukela
Ukulimala kwesifo sikashukela kuthinteka ngokuthuthukiswa kwe-autonomic neuropathy. Imvamisa, ukugcwalisa i-bladder nge-300 ml yomchamo kubangela isifiso sokuchama, futhi nge-cystopathy, iziguli azizizwa neze ngo-500 ml. Ebusuku, ukuchama akukho, yize kufikelwa yisichichima esinyeni, kuvela ukungahambi kahle komchamo.
I-bladder ayikwazi ukungabi nalutho ngokuphelele, ukugeleza komchamo kubuthakathaka, ukuchama kuba yinde. Ngesikhathi sokuvakashela endlini yangasese, iziguli zikhononda ngokuvuza komchamo. Ngefundo ende, i-cystopathy iyinkimbinkimbi ngokungakwazi ngokuphelele ukuphuma komchamo.
Ukuthuthukiswa kokulimala kwezinso kushukela kuholela ku-nephropathy ehambisana nokubhujiswa kwemishini yokuhlunga yezinso nemikhumbi yezinso. Le nkinga yesifo sikashukela idala ukwehluleka kwezinso nobuthi bomzimba ubuthi, ukuqedwa lapho izinso zingakwazi ukubhekana nakho.
Izimpawu ze-nephropathy zesifo sikashukela yilezi:
- Khuphula ivolumu yomchamo.
- Ukuvela komchamo wamaprotheni.
- Isicanucanu, ukuhlanza.
- Umfutho wegazi ophakeme.
- Ukulunywa okukhulu kwesikhumba.
- Ubuhlungu bekhanda.
- Ubuthakathaka obuqhubekayo.
Lapho isimo siba sibi, izinga lokuhlunga le-glomerular lehla kakhulu kangangokuba lixhunywe ku-hemodialysis ukusindisa izimpilo zeziguli.
Ungaphatha kanjani ukuchama njalo ngesifo sikashukela?
Ukwelashwa kwenziwa ngokuya ngembangela, kepha njengoba isifo sikashukela siyisici esiyinhloko sokwephulwa kokuphuma komchamo, aqala ngokunxephezela i-hyperglycemia. Iziguli ezinesifo sikashukela esincike ku-insulin zilungiswa umthamo we-insulin, udluliselwe ekuphathweni njalo kwe-insulin esebenza ngokushesha (ngaphambi kokudla ngakunye).
Uma ukwelashwa kunikezwe ngamathebulethi anciphisa ushukela wegazi, khona-ke anezelwa nge-insulin ende noma adlulisele ngokuphelele lezo ziguli ekwelashweni nge-insulin. Udinga futhi ukulandela imigomo yokwelashwa kokudla ushukela i-mellitus, okungukuthi, umkhawulo we-carbohydrate ngenxa yokwenqaba ngokuphelele ushukela olula, imikhiqizo kafulawa namaswidi.
Kunconywa ukuthi uma kunzima ukugcina izinga elizinzile loshukela egazini, dlulisela iziguli ekudleni okuphansi kwe-carb bese ukhetha kuphela imikhiqizo enenkomba ephansi ye-glycemic yemenyu. Ngaphezu kwalokho, ngisho nama-sweeteners asetshenziswa ngamanani aphansi. Umkhawulo wesibili uphathelene nokudla okunamafutha okuvela ezilwaneni.
Imikhiqizo enezakhiwo ze-diuretic kufanele ingafakwa ngokuphelele ekudleni:
- UMelon
- I-Watermelon
- Ama-cranberry
- Utamatisi
- Amabhilikosi namapheya.
- Amagilebhisi
- UCelery
Ukwelashwa kwe-cystopathy yesifo sikashukela kwenziwa ngama-anticonvulsants lapho kukhona khona izinhlungu, izidakamizwa ezilwa nokuvuvukala, ama-antioxidants namavithamini. Kulokhu, isiguli sinconywa ukuthi siye endlini yangasese njalo ngemuva kwamahora amane, kungakhathalekile ukuthi sikhona yini lapho kunesidingo.
Ukwephulwa okunzima, kunconywa i-catheter, isiguli esingayenza yona (ngokuqeqeshwa okufanele) nangokuphumula kwamahora angama-4-6.
Ngokuthuthukiswa kwe-nephropathy yesifo sikashukela, leyo mikhawulo ifakwa ngokuncipha kokudla okungamaprotheni kuya ku-0.7 g nge-1 kg yesisindo.
Ngakho-ke ukudla kwe-nephropathy yesifo sikashukela ukunciphisa izitsha zenyama ekudleni bese ushintshela ekudleni okwenziwe ngemifino, ungapheka izitsha zezinhlanzi ezi-steamed noma i-stew emanzini kanye ngosuku. Usawoti nawo uyancishiswa noma uqedwe ngokuphelele.
Kwividiyo ekulesi sihloko, isihloko sezimbangela zokuchama kaningi kushukela siyaqhubeka.
