Umthamo wamahora angama-24

Ukuhlolwa kwevolumu yamahora angama-24 kukala inani lomchamo okhiqizwe ngosuku. Inani le-creatinine, amaprotheni, namanye amakhemikhali akhishwe emchameni ngalesi sikhathi kuvame ukuhlolwa.

Kulesi sivivinyo, kufanele uchamele esikhwameni noma esitsheni esikhethekile njalo lapho usebenzisa indlu yokugezela isikhathi esingamahora angama-24.

• Ngosuku 1, chamela endlini encane lapho uvuka ekuseni.
• Ngemuva kwalokho, qoqa wonke umchamo esitsheni esikhethekile amahora angama-24 alandelayo.
• Ngosuku 2, chamela esitsheni lapho uvuka ekuseni.
• Gcoba isitsha. Yigcine esiqandisini noma endaweni epholile ngesikhathi sokuqoqa.
• Faka ilebula esitsheni negama lakho, usuku, isikhathi sokuphothulwa, bese usibuyisela njengokuyalelwe.

Okosana:

Geza kahle indawo ezungeze umchamo (umgodi lapho kuphuma khona umchamo). Vula isikhwama sokuqoqa umchamo (isikhwama sepulasitiki esinephepha lokunamathisela ekugcineni).

• Kwabesilisa, faka wonke umthondo esikhwameni bese unamathisela ukunamathela esikhunjeni.
• Kwabesifazane, beka isikhwama phezu kwamafolda amabili esikhumba ohlangothini lwesitho sangasese sowesifazane (i-labia). Beka inabukeni enganeni (ngaphezu kwesikhwama).

Hlola usana kaningi, bese ushintsha isikhwama ngemuva kokuthi usana seluchamile. Khipha umchamo esikhwameni ungene esitsheni esihlinzekwe ngumhlinzeki wakho wezokunakekelwa kwempilo.

Usana olusebenzayo lungadala ukuthi isikhwama sihambe. Kungathatha ukuzama okungaphezu kokukodwa ukuqoqa isampula.

Uma usuqedile, ilebula isitsha bese usibuyisela njengokuyalelwe.

Imithi ethile ingathinta nemiphumela yokuhlolwa. Umhlinzeki wakho angakutshela ukuthi uyeke ukuthatha imithi ethile ngaphambi kokuhlolwa. Ungalokothi uyeke ukuthatha umuthi ngaphandle kokuqala ukhulume nomhlinzeki wakho.

Okulandelayo kungaphazamisa nemiphumela yokuhlolwa:

• Ukuphela kwamanzi emzimbeni
• Idayi (imidiya ehlukile) uma uskena imisebe ye-radiology kungakapheli izinsuku ezintathu ngaphambi kokuhlolwa komchamo
• Ukucindezeleka ngokomzwelo
• Uketshezi oluphuma esithweni sangasese olungena emchameni
• Ukuzivocavoca okunzima
• Ukutheleleka ngomgudu womchamo

Isivivinyo sihilela ukuchama okujwayelekile kuphela, futhi akukho ukungaphatheki kahle.

Ungaba nalokhu kuhlolwa uma kunezimpawu zokulimala ekusebenzeni kwezinso zakho ekuhlolweni kwegazi, umchamo, noma i-imaging.

Umthamo womchamo uvame ukulinganiswa njengengxenye yesivivinyo esikala inani lezinto ezidluliswe emchameni wakho ngosuku, njenge:

• I-Creatinine
• Sodium
• I-potassium
• I-nitrogen ye-Urea
• Amaprotheni

Lokhu kuhlolwa kungenziwa futhi uma une-polyuria (umchamo omningi ngokungajwayelekile), njengalokhu kubonakala kubantu abanesifo sikashukela insipidus.

Ububanzi obujwayelekile bomthamo womchamo wamahora angama-24 ngu-800 kuya ku-2,000 milliliters ngosuku (ngokudla oketshezi okujwayelekile okungaba amalitha ama-2 ngosuku).

Izibonelo ezingenhla yizilinganiso ezijwayelekile zemiphumela yalezi zivivinyo. Ububanzi bamanani ajwayelekile bungahluka kancane phakathi kwamalabhorethri ahlukene. Amanye amalebhu asebenzisa izilinganiso ezahlukahlukene noma avivinye amasampula ahlukile. Khuluma nomhlinzeki wakho mayelana nencazelo yemiphumela yakho ethile yokuhlolwa.

Ukuphazamiseka okubanga ukwehla kwevolumu yomchamo kufaka ukomisa, ukungangenisi uketshezi okwanele, noma ezinye izinhlobo zezifo ezingamahlalakhona zezinso.

Ezinye zezimo ezibangela ukwanda kwevolumu yomchamo zifaka:

• Isifo sikashukela insipidus - renal
• Isifo sikashukela insipidus - maphakathi
• Isifo sikashukela
• Ukudla okuphezulu ketshezi
• Ezinye izinhlobo zesifo sezinso
• Ukusetshenziswa kwemithi yokwelapha isisu

Umthamo womchamo; Ukuqoqwa komchamo wamahora angama-24; Umchamo amaprotheni - 24 ihora

• Isampula yomchamo
• Umgudu womchamo wabesifazane
• Umgudu womchamo wabesilisa

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.

I-Verbalis JG. Ukuphazamiseka kokulinganisela kwamanzi. Ku: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, ama-eds. IBrenner neRector's The Kidney. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 15.