I-Polydipsia (Ukoma ngokweqile)

-Delile

• Yini ebangela i-polydipsia?
• Izimpawu
• Ukwelashwa
• Izinhlobo ze-polydipsia
• I-Outlook nokuvimbela

Kuyini i-polydipsia?

I-Polydipsia igama lezokwelapha lokuzwa ukoma ngokweqile.

I-Polydipsia ivame ukuxhunyaniswa nezimo zomchamo ezikwenza uchame kakhulu. Lokhu kungenza umzimba wakho uzizwe unesidingo njalo sokubuyisela uketshezi olulahlekile ekuchameni. Kungabangelwa futhi yizinqubo zomzimba ezenza ukuthi ulahlekelwe uketshezi oluningi. Lokhu kungabandakanya ukujuluka ngesikhathi sokuzivocavoca umzimba, ukudla ukudla okunosawoti omningi, noma ukuthatha izidakamizwa ezibangela ukuthi udlulise uketshezi oluningi, njenge-diuretics.

Lesi simo sithathwa njengesinye sezimpawu zokuqala zesifo sikashukela. Kuvame kakhulu isifo sikashukela. Lolu hlobo lwesifo sikashukela lubandakanya izimo ezimbalwa ezenza kube nzima emzimbeni wakho ukucubungula nokusebenzisa i-glucose, ebizwa nangokuthi ushukela wegazi. Lapho umzimba wakho ungakwazi ukugaya kahle ushukela wegazi, amazinga kashukela egazini lakho angakhuphuka ngokungajwayelekile. Amazinga kashukela aphakeme egazi angakwenza uzizwe womile ngokweqile ngenxa yalokho.

Yini ebangela i-polydipsia?

I-Polydipsia ingadalwa ukumane ungaphuzi amanzi anele ngemuva kokulahlekelwa uketshezi oluningi. Uma ujuluka kakhulu noma uphuza uketshezi oluthile, olufana nekhofi noma itiye eliluhlaza okotshani nelimnyama, uzovame ukuzizwa womile ngokweqile njengoba umzimba wakho ufuna ukubuyisela uketshezi olulahlekile. Ukwehla emzimbeni ngenxa yokungaphuzi amanzi anele nakho kuyimbangela ejwayelekile ye-polydipsia. Ungakuzwa lokhu noma ngabe ujulile noma uchama kakhulu noma cha. I-Polyuria, isimo lapho udlula khona umchamo omkhulu ngokungajwayelekile, nawo ungadala i-polydipsia.

I-Polydipsia nayo iyisifo sokuqala sesifo sikashukela kanye nesifo sikashukela insipidus. Isifo sikashukela sibanga i-polydipsia ngoba amazinga kashukela egazini akhuphuka kakhulu futhi akwenze uzizwe womile, kungakhathalekile ukuthi uphuza amanzi angakanani. Isifo sikashukela i-insipidus senzeka lapho amazinga omzimba womzimba wakho engekho ebhalansi. Noma ungaphuza amanzi amaningi, usengazizwa unesidingo esiphuthumayo sokuphuza uketshezi oluningi. Ungahle uchame kakhulu noma ungakakutholi okungako ukuphuza.

Ezinye izimbangela ezirekhodiwe ze-polydipsia zifaka:

• imishanguzo ethile, efana ne-corticosteroids noma i-diuretics esefomini lamaphilisi, njengamaphilisi amanzi
• kudla usawoti omningi noma uvithamini D ekudleni noma eziphuzweni
• isithukuthezi noma ukukhathazeka okubangela ukuthi uphuze amanzi amaningi ngenxa yokwethuka, okubuye kubonwe nasemahhashini nasezinja

Izimpawu

Uphawu olusobala kakhulu lwe-polydipsia umuzwa wokoma ngokweqile. Lesi sibonakaliso sibonakala kakhulu lapho uzizwa ngale ndlela noma ngabe usuphuze amanzi amaningi.

Ezinye izimpawu ezivamile ze-polydipsia zifaka:

• ukudlulisa inani eliphakeme ngokungajwayelekile lomchamo (ngaphezu kwamalitha ama-5 ngosuku)
• umuzwa ophikelelayo wokoma emlonyeni wakho

Ungaqaphela ezinye izimpawu uma i-polydipsia yakho ingenxa yesimo esingaphansi kwesifo sikashukela. Ezinye izimpawu zesifo sikashukela ezivamile ezingahamba ne-polydipsia zifaka:

• uzizwe ulambile ngokungavamile
• ukuba nombono ofiphele
• ukukhathala
• ukulahleka kwesisindo okungavamile
• ukuthola izilonda kaningi noma izifo
• ukwelashwa kancane kwezilonda noma izifo

Ukuphuza amanzi amaningi nakho kungaholela ekudakweni kwamanzi, kwesinye isikhathi okubizwa ngokuthi ubuthi bamanzi. Lesi simo senzeka uma uphuza amanzi amaningi ngokweqile. Ukwenza kanjalo kunganciphisa inani le-sodium egazini lakho futhi kwehlise i-sodium yakho yegazi emazingeni aphansi ayingozi, abizwa nangokuthi yi-hyponatremia. Lokhu kungadala izimpawu ezinjengalezi:

• ikhanda
• imizwa yesiyezi noma ukudideka
• amajaqamba noma ama-spasms
• ukuquleka okungachazeki

Ukwelashwa

Kwezinye izimo, ungaphutha isikhathi sesikhashana sokoma ngokweqile kwe-polydipsia. Ngaphambi kokubona udokotela wakho we-polydipsia, bhekisisa imizwa yakho yokoma ngokweqile:

• Kukangaki uzizwa womile?
• Womile isikhathi esingakanani ngasikhathi sinye?
• Ingabe uyazibona ezinye izimpawu lapho uzizwa womile?
• Ngabe uzizwa womile ngokweqile kuphela ngemuva kokwenza imisebenzi ethile?
• Ngabe usazizwa womile ngokweqile ngemuva kokuphuza ama-ounces angama-64 noma ngaphezulu kwamanzi usuku lonke?

Bona udokotela wakho uma imizwa yakho yokoma ngokweqile ihlala isikhathi eside kunezinsuku ezimbalwa futhi ingashintshi kakhulu ngokuya ngezinga lomsebenzi wakho noma inani lamanzi owaphuzayo.

Ukwelashwa kwe-polydipsia kungaxhomeka esimeni esiyibangelayo. Udokotela wakho cishe uzokwenza okulandelayo ukukuxilonga:

• yenza ukuhlolwa kwegazi
• thatha isampula yomchamo
• ukukubuza ukuthi uphuze uketshezi oluncane isikhathi esithile (isivivinyo sokuncishwa kuketshezi)

Uma isifo sikashukela sibangela i-polydipsia yakho, kungenzeka ukuthi udokotela wakho uzokunika umuthi wokulawula ushukela wegazi lakho. Kungase kudingeke nokuthi uzinike imijovo ejwayelekile ye-insulin. Udokotela wakho futhi angancoma ukuthi wakhe uhlelo lokudla okunempilo ukukusiza udle futhi uphuze ukudla okunomsoco ukusiza ukuphatha izimpawu zakho zesifo sikashukela. Uhlelo lokuzivocavoca lungakusiza ukukugcina uphilile emzimbeni futhi ulungile.

Uma une-insipidus yesifo sikashukela, udokotela wakho uzokweluleka ukuthi uphuze isilinganiso esithile samanzi ukuze uqiniseke ukuthi awupheli amanzi emzimbeni. Udokotela wakho angakunikeza nemithi yokugcina izimpawu zakho zilawulwa. Le mithi ingafaka i-desmopressin ngesimo sephilisi noma umjovo.

Uma i-polydipsia yakho inezizathu ezingokwengqondo, udokotela wakho angancoma ukuthi ubonane nomeluleki noma owelapha ukuze akusize uthole imizwa yakho yokuphoqeleka ukuphuza amanzi amaningi ngokweqile.

Udokotela wakho futhi angase asikisele ukwelashwa kokuziphatha kwengqondo (CBT) uma inkinga yezempilo yengqondo ibangela i-polydipsia yakho. Lokhu kungakusiza ukuthi wazi ngokwengeziwe ngezimbangela zezemvelo noma zomuntu uqobo ezingakudalela ukuthi uzwe isidingo sokuphuza kakhulu. Kungakufundisa nokuthi ungabhekana kanjani nale mizwa ngendlela enempilo.

Izinhlobo ze-polydipsia

Izinhlobo eziningi ze-polydipsia zikhona ezichazwa izimbangela zazo. Ezinye izimbangela zingokomzimba. Ezinye zingabangelwa izingqinamba zengqondo, noma zengqondo. Izinhlobo ze-polydipsia zifaka:

• I-Psychogenic (eyinhloko) i-polydipsia: Lolu hlobo lwe-polydipsia lubangelwa ukukhathazeka, isithukuthezi, ukucindezeleka, noma izinkinga ezingaphansi kwezempilo yengqondo, kunokuba kube yinto ephilayo.
• I-polydipsia eyenziwe yizidakamizwa: Lokhu kubangelwa izidakamizwa ezithile noma amavithamini adala i-polyuria, efana ne-diuretics, i-vitamin K, ukudla usawoti kanye ne-corticosteroids.
• I-polydipsia yokuqedela: I-polydipsia yokuqedela ibangelwa amazinga aphansi ama-hormone antidiuretic emzimbeni wakho. Lokhu kungaholela ekuchameni ngokweqile.

I-Outlook nokuvimbela

Ngokuya ngesizathu nempumelelo yokwelashwa kwe-polydipsia, uzokwazi ukuyilawula ngaphandle kokuphazamisa impilo yakho noma ukuthinta imisebenzi yakho yansuku zonke.

Olunye ushintsho lwendlela yokuphila, njengokuzivocavoca umzimba noma ukudla okunomsoco ongcono, kungasiza ukugcina izimpawu zakho zimnene, ikakhulukazi uma unesimo esingaphansi kwesifo sikashukela. Kulezi zimo, ukuthola uhlelo lokwelashwa kudokotela wakho kubalulekile ukuzigcina unempilo ephelele nokuvikela ezinye izinkinga zesifo sikashukela. Ukulawula ukuphuza ngokweqile kungavimbela nezinkinga zokuphuza amanzi amaningi, njenge-hyponatremia.

Khuluma nodokotela wakho ngendlela engcono yokuphatha izimpawu zakho futhi welaphe noma yiziphi izimo onazo.