Kuyini i-polydipsia, izimbangela kanye nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Izimbangela ezingaba khona
• Izinhlobo ze-polydipsia
• Yelashwa kanjani
• Ingabe ukuphuza amanzi amaningi kubi?

I-Polydipsia yisimo esenzeka lapho umuntu omile ngokweqile futhi ngenxa yalokho kugcina ngokufaka amanzi amaningi nolunye uketshezi. Lesi simo sivame ukuhambisana nezinye izimpawu njengokunyuka kokuchama, umlomo owomile nesiyezi futhi kunezimbangela ezahlukahlukene ezingaba yisifo sikashukela noma izinguquko endlaleni yesikhumba.

Ukuqinisekiswa kwembangela ye-polydipsia kwenziwa ngudokotela ojwayelekile ngemuva kokuhlolwa kwegazi noma umchamo, okusetshenziselwa ukuhlaziya amazinga kashukela, i-sodium nezinye izinto emzimbeni. Ukwelashwa kuya ngesizathu, noma kunjalo, kungasuselwa ekusetshenzisweni kwemithi yesifo sikashukela namakhambi okucindezeleka nokukhathazeka, isibonelo.

Izimpawu eziyinhloko

Uphawu oluyinhloko lwe-polydipsia ukuzwa kokoma ngokuqhubekayo, kepha ezinye izimpawu zingavela, njenge:

• Ukwanda kwemvamisa yomchamo;
• Umlomo owomile;
• Ikhanda;
• Ukuzizwa unesiyezi;
• Amajaqamba;
• Ukudumba kwemisipha.

Lezi zimpawu zingavela, ikakhulukazi, ngenxa yokulahleka kwe-sodium emchameni obangelwe ukuqeda ukwanda komchamo. Uma umuntu enesifo sikashukela, angaba nazo lezi zimpawu, ngaphezu kwendlala enehaba, ukuphulukiswa kancane noma ukutheleleka okuvamile. Bheka ezinye izimpawu zesifo sikashukela.

Izimbangela ezingaba khona

I-Polydipsia ibonwa ukoma ngokweqile futhi lokhu kungadalwa yizinkinga zempilo, ezinjengesifo sikashukela noma isifo sikashukela i-insipidus, izinguquko kwi-pituitary gland, eyi-gland ebhekele imisebenzi ehlukahlukene emzimbeni, nangezifo ezinjengeLangerhans cell histiocytosis kanye sarcoidosis.

Lesi simo singabangelwa ukulahleka ketshezi lomzimba, ngenxa yohudo nokuhlanza, ngokwesibonelo, nangokusebenzisa imithi ethile, efana ne-thioridazine, i-chlorpromazine kanye ne-anti-depressants. Ukuqinisekisa imbangela ye-polydipsia, kuyadingeka ukuthi uthintane nodokotela ojwayelekile ukuze kunconywe ukuhlolwa kwegazi nomchamo ukuhlaziya ukugxila kwe-glucose ne-sodium emzimbeni.

Izinhlobo ze-polydipsia

Kunezinhlobo ezahlukahlukene ze-polydipsia ngokuya ngezimbangela futhi kungaba:

• I-polydipsia eyinhloko noma yengqondo: kwenzeka lapho ukoma ngokweqile kubangelwa inkinga engokwengqondo, njengokuphazamiseka kokukhathazeka, ukudangala kanye nesifo sengqondo. Ezimweni eziningi, umuntu onalolu hlobo unesidingo sehaba sokuphuza amanzi ngokwesaba ukuba nesifo, isibonelo;
• I-polydipsia eyenziwe yizidakamizwa: kudalwa wukungeniswa kwemithi ethile edala i-polyuria, okuyilapho umuntu edinga ukuchama kaningi ngosuku, njenge-diuretics, i-vitamin K ne-corticosteroids;
• I-polydipsia ekhokhelayo: lolu hlobo lwenzeka ngenxa yokwehla kwamazinga e-hormone elwa ne-antidiuretic, enesibopho sokubuyisela kabusha amanzi ezinso, futhi lesi simo siholela ekulahlekelweni komchamo omningi, futhi ngenxa yesidingo somzimba sokufaka uketshezi, umuntu ugcina ezizwa omile ngokwengeziwe, abangele i-polydipsia.

Ngemuva kokwenza izivivinyo, udokotela ubheka ukuthi hlobo luni lwe-polydipsia umuntu ahlupheka futhi ukwelashwa kuzokhonjiswa ngokwalomphumela.

Yelashwa kanjani

Ukwelashwa kwe-polydipsia kukhonjiswa ngudokotela ngokuya ngezimbangela nohlobo lwalesi simo, futhi uma kubangelwa yisifo sikashukela, kunganconywa imithi yokulawula amazinga kashukela egazini afana ne-metformin kanye nemijovo ye-insulin, ngaphezu kokweluleka ushintsho oluthile endleleni yokuphila imikhuba esekwe ekudleni okunoshukela ophansi nasekusebenzeni komzimba. Bheka amanye amathiphu wokulawula isifo sikashukela.

Uma i-polydipsia ibangelwa ukuphazamiseka kwengqondo, udokotela angancoma imishanguzo yokulwa nokudangala, i-anxiolytics kanye nokwelashwa kwengqondo ukuze kusizwe umuntu alulame ekuphoqeleleni ukuphuza amanzi amaningi ngokweqile.

Ingabe ukuphuza amanzi amaningi kubi?

Ingcuphe enkulu yokuphuza amanzi amaningi ukuthi umuntu une-hyponatremia, okuwukulahleka kwesodium ngomchamo, okungadala ikhanda, isiyezi, ukozela ngisho nezimo ezinzima, njengokuquleka nokuquleka.

Imiphumela emibi emzimbeni ingavela lapho umuntu ephuza ngaphezu kwama-60 ml wamanzi ngekhilo yesisindo, okungukuthi, umuntu onama-60 kg angaba nemiphumela uma ephuza ngaphezu kwamalitha ama-4 amanzi ngosuku. Kubalulekile ukuqaphela ukuthi abantu abahlushwa izinso futhi abahlaselwe yisifo senhliziyo akufanele baphuze amanzi amaningi ukuze bangagcwali emzimbeni futhi bangazenzi zibe zimbi lezi zimo. Kodwa-ke, ukuphuza amanzi anele, njengamalitha ama-2 ngosuku, kubaluleke kakhulu ukuvimbela ukukhula kwezinye izinkinga zempilo, njengamatshe ezinso, ngokwesibonelo. Bona ukuthi ukuphuza kakhulu amanzi kungayilimaza kanjani impilo yakho.