Isiqinisekiso esisobala sokuthi izinqubo zesifo sikashukela sezishintsha ngokuphelele emzimbeni womuntu isidingo esikhona njalo sendlu yangasese.
Le nto ayibangeli nje kuphela ukuphazamiseka okuningi, kodwa futhi iba yingozi engenakuphikwa empilweni yesiguli, ethinta kabi isimo sezinso, inhliziyo, imithambo yegazi, nohlelo lwezinzwa oluyimfihlo.
Imvamisa, iziguli zididanisa lokhu kuphambuka ngokuchama kaningi nokwesaba, sikuthathe kube uphawu olwethusayo. Kodwa-ke, izehlakalo ezifakwe kuhlu ziyehlukile.
Futhi uma esimweni sokuchama kaningi, umthamo wansuku zonke we-fluid owengezwe ngumzimba uhlala usujwayelekile, lapho-ke nge-polyuria inani lomkhiqizo owengeziwe lizodlula kakhulu inani elijwayelekile, futhi amandla ayo adonsile ayoba ngaphezulu.
Yini imbangela ye-polyuria kushukela?
Ku-diabetes, lesi simo senzeka ngaso sonke isikhathi lapho izinga likashukela egazini likhuphuka futhi liqhubeke kuze kube yilapho umthamo wento ubuyela kokujwayelekile.
Kulokhu, kunokuphinda kubekwe kabusha amanzi kwizimbumbulu ze-renal kanye nokuqedwa ngokuphelele komzimba.
Okusho ukuthi, ukuze kwehliswe izinga le-glucose futhi kuhlanzwe igazi, izinso zikhuphula umfutho womsebenzi. Ngenxa yalokho, ukuqina kwenqubo yokukhipha ushukela emzimbeni, futhi ngalo uketshezi oludingekayo empilweni ejwayelekile, luyaqala.
Igramu ngayinye kashukela ngesikhathi sokukhipha izothatha “cishe” ama-30- 40 g omchamo ngalo. Uma isiguli singaphuzi inani elikhulu lamanzi nge-hyperglycemia, lesi simo singathinta kabi ikhwalithi yezinso, imithambo yegazi, inhliziyo nezinye izitho ezithile.
I-Polyuria ivame ngohlobo 1 nesifo sikashukela sohlobo 2. Noma kunjalo, kusengakhona umehluko ngokwezimo:
- ngesifo sikashukela sohlobo 1. Isiguli sine-polyuria ecishe ibe njalo, ikakhulukazi eboniswa ngentshiseko ebusuku. Ukuphatha lesi simo kunzima kakhulu ngenxa yokwanda njalo koshukela wegazi nokuba khona kokuncika kwe-insulin;
- Uhlobo 2 sikashukela. Isidingo sokusetshenziswa njalo kwendlu yangasese emini nasebusuku siyakhona. Kepha kulokhu, lesi simo kulula ukusilawula, ulandela ukudla, uvivinya umzimba, uphuze umuthi okhethekile futhi ubheke njalo ushukela. Cishe i-50% yeziguli ezinesifo sikashukela, i-polyuria ayenzeki;
- onesifo sikashukela. Izici zokubonakaliswa kwe-polyuria ku-insipidus yesifo sikashukela ziyefana nakushukela. Kungenzeka ukuthi unqume ukuthi isiguli sithuthukisa lolu hlobo lokugula kuphela ngosizo lokuhlolwa kokuhlola, sidlulise ukuhlaziywa ukuze sihlole izinga lokukhiqizwa kwe-hormone ye-antidiuretic.
I-Pathogenesis kanye ne-etiology
Kungani kwenzeka kahle futhi kwenzeka kanjani ukuthi i-polyuria - ingasungulwa kuphela ngosizo lokuhlolwa okwelashwa okugcwele okugcwele.
Izimpawu zesifo zingasho noma zingaphinyiswa. Kodwa-ke, kunoma yikuphi, isiguli sizohlupheka ukuphuma komchamo kanye nesidingo esivamile sendlu yangasese.
Umzimba ophilile uyakwazi ukubeka amalitha omchamo angu-2-2,5 ngosuku. Uma inani lomkhiqizo wansuku zonke lidlula inani elijwayelekile (ezigulini ezinesifo sikashukela, leli nani lingafinyelela ku-10 l), udokotela uzokwenza ukuxilongwa okufanelekile. Lapho umzimba wesiguli uthinteka yisifo sikashukela, i-polyuria ethe xaxa izovela.
Njengoba izinso zesiguli ezinesifo sikashukela zisebenza ngemodi ethuthukisiwe, ukuncipha kwazo kwenzeka ngokuhamba kwesikhathi, ngenxa yalokho izitho zilahlekelwa yikhono lokucubungula igazi eliqukethe inani elikhulu le-glucose. Ngenxa yalokhu, umchamo uba denser, njengoba ukwakheka kwawo kunciphisa izinga lezakhi eziphambili ze-urea ezidingekayo ukuqinisekisa i-carbohydrate metabolism.
Izimpawu
Isibonakaliso esiyinhloko se-polyuria isidingo esijwayelekile sendlu yangasese kanye nokususwa komchamo omkhulu ngobuncane besibalo sobukhulu ngesikhathi sokuchama.Ukuchama kungahle kufane noma kwenzeke ikakhulukazi phakathi nobusuku noma ubusuku.
Olunye uphawu olukhombisa ukuba khona kwe-polyuria umuzwa ongapheli wokoma.
Kungakhathaleki ukuthi kudliwani, iziguli ezinjalo zidinga ukungenisa uketshezi oluningi.
Ungadlula kanjani diuresis yansuku zonke?
Ukulungiselela okhethekile kokuhlaziywa akudingeki. Ngalobo busuku bokuqoqwa komkhiqizo womsebenzi obalulekile, kuyadingeka ukukhipha izidakamizwa ezi-diuretic, kanye nokugcina irejimeni evamile yokuphuza.
Ukuqoqa umuthi, iziqukathi eziyinyumba ezinezihlukanisi zisetshenziselwa ukwenza kube lula ukubona umthamo womchamo othululiwe.
Umchamo wasekuseni udedelwa ethoyilethi, futhi zonke izingxenye ezilandelayo ze-biomaterial phakathi nosuku (okokuqala ngqa ukuchama kuthathwa njengesiqalo) ziqoqwa esitsheni esilungiselelwe. Kubalulekile ukuthi wonke umchamo uqoqwe phakathi nosuku. Isitsha sokugcina impahla sigcinwa esiqandisini.
Ngemuva kokuqoqa, cishe u-200 ml womchamo uthululelwa esitsheni esihlukile bese uhanjiswa elabhorethri, okubonisa ukuthi sini isikhathi lapho iqoqo lenziwe khona, ukuthi ingakanani impahla eqokiwe, futhi futhi (uma kunesidingo) ikhombisa isisindo sakho nokuphakama.
Ukwelashwa nokuvimbela
Ukuqeda ukwanda komchamo okwandayo kungenzeka kuphela uma imbangela yezimpande iqediwe - okuqukethwe ushukela omningi.
Ukwelashwa kwe-polyuria kushukela yanoma yiluphi uhlobo, isiguli sidinga:
- landela ukudla okune-carb ephansi;
- wandise ukusebenza komzimba;
- ukwehlisa amazinga kashukela egazi abe evamile.
Uma ushukela ungeke ukwazi ukwenziwa ube ojwayelekile usebenzisa izindlela ezingenhla, kuzodingeka uphendukele kumijovo ye-insulin noma iMetformin.
Ezinganeni
Ezinganeni, isifo sikashukela sivame ukwenzeka ngesimo esibi. Ngakho-ke, abazali kufanele banake isimo sempilo yengane.
Ukuya njalo ethoyilethi, ukungakwazi ukuvuka kubambe indlu yangasese (ingane ivuka njalo “imanzi”, yize isifunde ukuvele isebenzise indlu yangasese), izikhalazo zomlomo owomile nokoma okukhulu kuyizimpawu ezesabekayo ezikhombisa ukukhula kwe-polyuria, okuwumphumela wezinkinga ezimbi kakhulu. izifo.
IPolydipsia njengomlingani othembekile we-polyuria kushukela
IPolydipsia iyingxenye ebalulekile ye-polyuria. Lesi yisimo sokoma okungekhona okungokwemvelo okwenzeka ngokumelene nesizinda sokuchithwa kwenani elikhulu lomchamo womzimba. Ungasusa lokhu kuboniswa kuphela ngokujamisa izinga likashukela egazini.
Amavidiyo ahlobene
Mayelana nezimbangela nokwelashwa kwe-polyuria kusifo sikashukela kuvidiyo:
Ukuqeda ukubonakaliswa kwe-polyuria, indlela ehlangene ehlanganiswe kahle iyadingeka, ukukhetha kwakho okufanele kwenziwe ngudokotela. Akunconywa ukuthi ukhethe imishanguzo yokuqeda isibonakaliso ngokwakho.
