Ukoma - ngokweqile

Ukoma ngokweqile umuzwa ongajwayelekile wokudinga njalo ukuphuza uketshezi.

Ukuphuza amanzi amaningi kunempilo ezimweni eziningi. Isifiso sokuphuza ngokweqile kungaba umphumela wesifo somzimba noma somzwelo. Ukoma ngokweqile kungaba uphawu lukashukela egazini (i-hyperglycemia), olungasiza ekutholeni isifo sikashukela.

Ukoma ngokweqile kuyisifo esivamile. Imvamisa kuyindlela yokusabela ekulahlekelweni uketshezi ngesikhathi sokuzivocavoca noma ekudleni ukudla okunosawoti.

Izimbangela zingafaka:

• Ukudla okunosawoti noma okubabayo kwakamuva
• Ukopha ngokwanele ukudala ukwehla okukhulu kwevolumu yegazi
• Isifo sikashukela
• Isifo sikashukela insipidus
• Imithi efana ne-anticholinergics, i-demeclocycline, i-diuretics, i-phenothiazines
• Ukulahlekelwa kuketshezi lomzimba kusuka egazini kuya ezicutshini ngenxa yezimo ezinjengokutheleleka okunzima (sepsis) noma ukusha, noma inhliziyo, isibindi noma ukwehluleka kwezinso
• I-Psychogenic polydipsia (ukuphazamiseka kwengqondo)

Ngoba ukoma kuyisiginali yomzimba yokufaka esikhundleni sokulahleka kwamanzi, imvamisa kufanelekile ukuphuza iziphuzo eziningi.

Ukoma okubangelwe yisifo sikashukela, landela ukwelashwa okunqunyelwe ukulawula kahle izinga lakho likashukela egazini.

Shayela umhlinzeki wakho wezempilo uma:

• Ukoma ngokweqile kuyaqhubeka futhi akuchazeki.
• Ukoma kuhambisana nezinye izimpawu ezingachazwanga, njengokubona okufiphele noma ukukhathala.
• Udlulisa ngaphezu kwamalitha ama-5 (4.73 amalitha) omchamo ngosuku.

Umhlinzeki uzothola umlando wakho wezokwelapha futhi enze ukuhlolwa komzimba.

Umhlinzeki angakubuza imibuzo efana nale:

• Unesikhathi esingakanani wazi ngokwanda kokoma? Ngabe ikhule ngokuzumayo noma kancane?
• Ingabe ukoma kwakho kuhlala kungaguquguquki usuku lonke?
• Ingabe ushintshe indlela odla ngayo? Ingabe udla ukudla okunosawoti noma okubabayo?
• Uke wakuphawula ukwanda kwesifiso sokudla?
• Ingabe wehlise isisindo somzimba noma wazuza ngaphandle kokuzama?
• Ingabe ileveli yakho yomsebenzi inyukile?
• Yiziphi ezinye izimpawu ezenzeka ngasikhathi sinye?
• Ngabe usanda kwesha noma okunye ukulimala?
• Ngabe uchama kaningi noma kancane kunokujwayelekile? Ngabe ukhiqiza umchamo omningi noma omncane kunokujwayelekile? Uke wakubona ukuphuma kwegazi?
• Ingabe ujuluka ngaphezu kokujwayelekile?
• Ingabe kukhona ukuvuvukala emzimbeni wakho?
• Unomkhuhlane?

Ukuhlolwa okunga-odwa kufaka okulandelayo:

• Izinga le-glucose yegazi
• I-CBC nokwehluka kwamaseli amhlophe egazi
• I-calcium yeserum
• I-serum osmolality
• I-Serum sodium
• Ukuhlolwa komchamo
• Umchamo osmolality

Umhlinzeki wakho uzoncoma ukwelashwa uma kudingeka ngokuya ngokuhlolwa nokuhlolwa kwakho. Isibonelo, uma ukuhlolwa kukhombisa ukuthi unesifo sikashukela, uzodinga ukwelashwa.

Isifiso esinamandla, esihlala njalo sokuphuza kungaba uphawu lwenkinga yengqondo. Ungadinga ukuhlolwa kwengqondo uma umhlinzeki esola ukuthi lokhu kuyimbangela. Ukungenisa kwakho oketshezi kanye nokukhipha kuzobhekwa kakhulu.

Ukoma okwandayo; Polydipsia; Ukoma ngokweqile

• Ukukhiqizwa kwe-insulin nesifo sikashukela

UMortada R. Isifo sikashukela insipidus. Ku: Kellerman RD, Rakel DP, ama-eds. Ukwelashwa Kwamanje kwe-Conn 2019. IPhiladelphia, PA: Elsevier; 2019: 277-280.

USlotki I, Skorecki K. Ukuphazamiseka kwe-sodium namanzi homeostasis. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 116.