Ukuchama - inani eleqile

Ukuchama ngokweqile kusho ukuthi umzimba wakho wenza umchamo ube mkhulu kunezilinganiso ezijwayelekile usuku ngalunye.

Umthamo owedlulele wokuchamela umuntu omdala ungaphezu kwamalitha angu-2.5 wamanzi omchamo ngosuku. Kodwa-ke, lokhu kungahluka ngokuya ngamanzi owaphuzayo nokuthi amanzi akho omzimba angakanani. Le nkinga yehlukile ekudingeni ukuchama kaningi.

I-Polyuria iyisifo esivame kakhulu. Abantu bavame ukuyibona inkinga lapho kufanele bavuke ebusuku basebenzise indlu yangasese (i-nocturia).

Ezinye izimbangela zezinkinga yilezi:

• Isifo sikashukela insipidus
• Isifo sikashukela
• Ukuphuza amanzi amaningi ngokweqile

Izimbangela ezingavamile kakhulu zifaka:

• Ukuhluleka kwezinso
• Imithi efana ne-diuretics ne-lithium
• Izinga eliphakeme noma eliphansi le-calcium emzimbeni
• Ukuphuza utshwala ne-caffeine
• I-sickle cell anemia

Futhi, ukukhiqizwa kwakho komchamo kungakhuphuka amahora angama-24 ngemuva kokuhlolwa okubandakanya ukujova idayi (okokuhlukanisa okuhlukile) emthanjeni wakho ngesikhathi sokuhlolwa kwe-imaging njenge-CT scan noma i-MRI scan.

Ukuqapha ukuphuma kwakho komchamo, gcina irekhodi lansuku zonke loku okulandelayo:

• Ungakanani futhi uphuzani
• Uchama kangaki nokuthi ukhiqiza umchamo ongakanani isikhathi ngasinye
• Usilinganisa kangakanani (sebenzisa isikali esifanayo nsuku zonke)

Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma uchama ngokweqile ezinsukwini ezimbalwa, futhi akuchazwa yimithi oyiphuzayo noma uphuza uketshezi oluningi.

Umhlinzeki wakho uzokwenza ukuhlolwa ngokomzimba futhi abuze imibuzo efana nale:

• Inkinga iqale nini futhi ishintshile ngokuhamba kwesikhathi?
• Uchama kangaki emini nasebusuku? Ngabe uvuka ebusuku uyochama?
• Ngabe unenkinga yokulawula umchamo wakho?
• Yini eyenza inkinga ibe yimbi kakhulu? Kungcono?
• Ngabe uke wabona noma yiliphi igazi emchameni wakho noma ushintsho kumbala womchamo?
• Ngabe unezinye izimpawu (ezinjengobuhlungu, ukushisa, umkhuhlane, noma ubuhlungu besisu)?
• Ingabe unomlando wesifo sikashukela, isifo sezinso, noma izifo zomchamo?
• Imiphi imithi oyiphuzayo?
• Udla usawoti ongakanani? Uyaphuza utshwala ne-caffeine?

Ukuhlolwa okungenziwa kufaka phakathi:

• Ukuhlolwa koshukela wegazi (glucose)
• Ukuhlolwa kwegazi urea nitrogen
• I-Creatinine (serum)
• Ama-electrolyte (i-serum)
• Ukuhlolwa kokuncishwa kwamanzi (ukukhawulela uketshezi ukubona ukuthi ivolumu yomchamo iyancipha)
• Ukuhlolwa kwegazi kwe-Osmolality
• Ukuhlolwa komchamo
• Ukuhlolwa kwe-osmolality urine
• Ukuhlolwa komchamo wamahora angama-24

I-Polyuria

• Umgudu womchamo wabesifazane
• Umgudu womchamo wabesilisa

IGerber GS, iBrendler CB. Ukuhlolwa kwesiguli se-urologic: umlando, ukuhlolwa komzimba, nokuhlolwa kwe-urinalysis. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 1.

I-Landry DW, iBazari H. Indlela eya esigulini esinesifo so-renal. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 106.