Iyini iPotomania futhi iphathwa kanjani?

-Delile

• Ziyini izimpawu?
• Kubangelwa yini lokhu?
• Imiphumela kuma-solute nama-electrolyte
• Izinketho zokwelashwa
• Ingabe kukhona izinkinga?
• Uyini umbono?

Ukubuka konke

IPotomania yigama elisho ukuphuza (poto) utshwala ngokweqile (mania). Kwezokwelapha, ubhiya i-potomania ubhekisa esimweni lapho izinga le-sodium egazini lakho lehla kakhulu ngenxa yokusebenzisa kakhulu ubhiya.

Ngokungafani nezinye izinto esizidla ekudleni kwethu, ubhiya uqukethe amanzi amaningi kanye ne-sodium encane nje. Yilesi silinganiso samanzi nosawoti esivinjelwe esibangela i-potomania kubantu abasengozini enkulu, ikakhulukazi lapho ukudla komuntu okune-sodium namaprotheni okucebile nakho kuphansi.

Ubhiya potomania kwesinye isikhathi ubizwa ngokuthi yi-hyponatremia yesiphuzo sikabhiya. IHyponatremia yigama lezokwelapha lezinga le-sodium ephansi ngokungajwayelekile egazini. I-Hyponatremia ingadalwa yizimo eziningi ezahlukahlukene, kufaka phakathi ukusetshenziswa kwamanzi ngokweqile. Lokhu kungadala okuthile odokotela abakubiza ngokuthi ukudakwa kwamanzi, lapho izingqinamba ze-neuropsychiatric zivela kwi-hyponatremia ngoba umzimba unamanzi amaningi kunalokho ongakwazi ukukuphatha.

Ziyini izimpawu?

Izimpawu zebhiya potomania, ezivame ukulandela isiqephu sokuphuza ngokweqile nokudla okungenamsoco, kungafaka:

• isimo sengqondo esishintshiwe ngokuphelele
• ubuthakathaka bemisipha, ama-spasms, noma ama-cramp
• ukuphelelwa amandla noma ukukhathala
• ukuhamba kanzima
• ukucasuka noma ukungahlaliseki
• ukudideka
• isicanucanu noma ukuhlanza
• ikhanda
• isithuthwane
• ukungakwazi ukuvuka (ikhoma)

Kubangelwa yini lokhu?

I-Potomania idala izinga eliphansi le-sodium egazini lakho, elibizwa nge-hyponatremia. Kunezimo eziningi ezahlukahlukene ezingadala amazinga aphansi e-sodium. E-potomania, imvamisa iyinhlanganisela yokungondleki nokuzitika ngophuzo ngokuhamba kwesikhathi.

Isodiyamu yisakhi esibalulekile esisiza ukulawula ibhalansi yamanzi emzimbeni wakho. Iningi labantu lithola i-sodium eyanele ekudleni kwabo. Kodwa-ke, lapho umuntu eyeka ukudla, amazinga e-sodium egazini lawo angahla - ikakhulukazi uma ehlangene nokudla oketshezi okweqile kwe-sodium. Lokhu kuvamile kubantu abasebenzisa kabi utshwala, abanye babo abathola amakhalori amaningi ekuphuzeni ubhiya nezinye iziphuzo ezidakayo.

Ama-baseline serum sodium amazinga nawo angaphonsa ngenxa yokugula kwakamuva okuthinta amazinga e-electrolyte, ikakhulukazi uma kunokuhlanza noma isifo sohudo.

Ukuze usebenze kahle, izinso zakho zidinga inani elithile le-sodium. Ngaphandle kwayo, azikwazi ukusula uketshezi oluningi emzimbeni wakho. Lolo ketshezi oluningi luyakheka egazini lakho futhi lubangele ukuvuvukala kwamaseli akho. Ukuvuvukala ebuchosheni kudala izimpawu zezinzwa ze-potomania.

Imvamisa, lapho umuntu eyeka ukudla, umzimba wakhe uphula amanoni nemisipha ukuze uwasebenzise njengamandla. Lokhu kunikeza umzimba nge-sodium eyanele ukugcina izinso zisebenza. Ukuphuza amanzi amaningi noma ubhiya ngokweqile, noma kunjalo, kuzoyinciphisa le sodium, kuyenze ingasebenzi. Funda ngeminye imiphumela yotshwala emzimbeni wakho.

Imiphumela kuma-solute nama-electrolyte

Ubhiya awuqukethe okuningi ngendlela yama-solute. (I-Solute kulokhu ibhekisa ku-electrolyte noma iprotheni encibilikiswa kokuqukethwe kwamanzi kabhiya.)

Ukuphuza ubhiya kubangela i-potomania ngoba inokuqukethwe okuphezulu kwamanzi nokuqukethwe okuphansi kwe-sodium. I-Sodium i-electrolyte ebalulekile. Lapho umuntu onamazinga aphansi e-sodium njalo egcwala kubhiya noma kwezinye iziphuzo ezidakayo, ikakhulukazi uma nazo zinokudla okunomsoco jikelele, izinso zingase zingasebenzi.

Uketshezi luyakheka kumaseli ngoba ayikho i-sodium eyanele emzimbeni. Lokhu kwenziwa kubi kakhulu ngawo wonke amanzi obhiya. I-sodium esegazini iyahlanjululwa ngamanzi amaningi futhi yehle ngokushesha iye ezingeni eliphansi kakhulu.

Izinketho zokwelashwa

Ukwelapha i-potomania yobhiya kungaba yinkohliso futhi kudinga indlela ebucayi. Ngenkathi ukunikeza umuntu i-sodium kungabonakala njengokulashwa okusobala, lokhu kungaba yingozi empeleni.

Ukuguqulwa okusheshayo kwamazinga e-sodium kungaholela ezinkingeni zezinzwa, kufaka phakathi isimo esaziwa njenge-osmotic demyelination syndrome (ODS). Izimpawu ze-ODS zingafaka izinkinga ezinkulu zemizwa, kufaka phakathi ama-spasms, ukukhubazeka okukhulu kwengqondo, kanye ne-coma.

Ekubuyekezweni kwamacala angama-22 e-potomania kabhiya, amaphesenti ayi-18 wabantu athuthukise i-ODS.

Uma une-potomania yobhiya, usengozini enkulu ye-ODS kunabantu abanezinye izinhlobo ze-hyponatremia (i-sodium ephansi). Lokhu kungenxa yokuthi isimo sakho se-hyponatremia kungenzeka sibucayi futhi sikhule ngokuhamba kwesikhathi ngenxa yokuphuza ngokweqile, okwenza kube nzima ukwelashwa.

Ubungozi be-ODS buhlobene ngqo nejubane lokushintshwa kwe-sodium. Ngakho-ke, odokotela manje batusa ukwelashwa okuhamba kancane nokucophelela kwe-sodium phakathi namahora angama-48.

Uma ungenasifo ngenxa ye-hyponatremia, odokotela banganquma ukunganikezi uketshezi lwe-IV nge-sodium ekulo. Esikhundleni salokho, bangakubeka ekudleni okukhawulelwe uketshezi okungenani amahora angama-24. Kwesinye isikhathi lokhu kwanele ukuthi umzimba ukhiphe uketshezi oluthe xaxa futhi wakhe umfutho we-sodium.

Ingabe kukhona izinkinga?

Uma ingalashwa, i-potomania ingasongela impilo. Lapho uketshezi oluningi lukhula ngaphakathi kwamaseli akho, aqala ukwanda. Lokhu kubangela ukuvuvukala kwezicubu zomzimba wakho. Ezimweni lapho amazinga e-sodium ehla ngokushesha noma ezingeni eliphansi kakhulu, ubuchopho bungakhukhumala ngendaba yamahora. Ukuvuvukala ebuchosheni kungaholela ekuqulekeni, ekuqulekeni, nasekufeni, ngakho-ke kubaluleke kakhulu ukuthola ukwelashwa.

Uyini umbono?

IPotomania yisimo esibi esingagwemeka ngokudla inani elanele lezakhamzimba ezinempilo nokunciphisa ukuphuza kwakho utshwala.

Uma ungakwazi ukudla ngenxa yokugula, zama ukusebenzisa isiphuzo sokushintsha ukudla. Qiniseka ukuthi ukhuluma nodokotela wakho ngokuthembeka ngemikhuba yakho yokuphuza. Udokotela wakho angaba nezeluleko ngokunciphisa ubungozi bezinkinga.

Uma ungadli ukudla okuvamile nokunempilo, gwema ukuzitika ngotshwala noma ezinye iziphuzo ezidakayo. (Kuwumthetho omuhle wesithupha ukugwema ukuphuza ngokweqile ngokujwayelekile.) Uma uhlela ukuphuza ubhiya eziningana ngasikhathi sinye, futhi yiba nokudla okulula okunosawoti namaprotheni, njengenkomo yenkomo noma amantongomane.