Umthamo Wokuchama Okweqile (i-Polyuria)

-Delile

• Izimbangela zezokwelapha zomthamo wokuchama ngokweqile
• Ezinye izimbangela ezivamile zethamo lokuchama ngokweqile
• Lapho ufuna ukwelashwa ivolumu yokuchama ngokweqile
• Isifo sikashukela nomthamo wokuchama ngokweqile
• Ukuqeda izimpawu zethamo lokuchama ngokweqile
• Umbono wevolumu yokuchama ngokweqile

Yini ivolumu yokuchama ngokweqile?

Umthamo wokuchama owedlulele (noma i-polyuria) wenzeka lapho uchama ngaphezu kokujwayelekile. Umthamo womchamo ubhekwa ngokweqile uma ulingana ngaphezu kwamalitha angu-2,5 ngosuku.

Ivolumu yomchamo "ojwayelekile" incike kubudala bakho nobulili. Kodwa-ke, ngaphansi kwamalitha ama-2 ngosuku kuvame ukubhekwa njengokujwayelekile.

Ukukhipha umchamo omningi ngokweqile kuyisimo esivamile kepha akufanele kuhlale ngaphezu kwezinsuku ezimbalwa. Abantu abaningi bayasibona lesi sifo ebusuku. Kulokhu, kubizwa nge-nocturnal polyuria (noma i-nocturia).

Izimbangela zezokwelapha zomthamo wokuchama ngokweqile

Ukukhishwa ngokweqile komchamo kwesinye isikhathi kungakhombisa izinkinga zempilo, kufaka phakathi:

• ukutheleleka kwesinye (okuvamile ezinganeni nakwabesifazane)
• ukungabambeki komchamo
• isifo sikashukela
• i-nephritis yangaphakathi
• ukwehluleka kwezinso
• amatshe ezinso
• i-psychogenic polydipsia, ukuphazamiseka kwengqondo okubangela ukoma ngokweqile
• i-sickle cell anemia
• i-prostate ekhulisiwe, eyaziwa nangokuthi yi-benign prostatic hyperplasia (evame kakhulu emadodeni angaphezu kweminyaka engama-50)
• izinhlobo ezithile zomdlavuza

Ungase futhi uqaphele i-polyuria ngemuva kokuhlolwa kwe-CT noma okunye ukuhlolwa kwesibhedlela lapho kufakwa khona idayi emzimbeni wakho. Umthamo omningi womchamo uvamile ngosuku olulandelayo ngemuva kokuhlolwa. Shayela udokotela wakho uma inkinga iqhubeka.

Ezinye izimbangela ezivamile zethamo lokuchama ngokweqile

Umthamo omningi womchamo uvame ukwenzeka ngenxa yokuziphatha kwendlela yokuphila. Lokhu kungabandakanya ukuphuza amanani amaningi oketshezi, okwaziwa njenge-polydipsia futhi akuyona inkinga yezempilo ebucayi. Ukuphuza utshwala ne-caffeine nakho kungaholela kwi-polyuria.

Imithi ethile, enjenge-diuretics, inyusa ivolumu yomchamo. Khuluma nodokotela wakho uma usanda kuqala umuthi omusha (noma ushintshe nje umthamo wakho) bese ubona izinguquko kumthamo wakho womchamo. Kokubili utshwala ne-caffeine kungumuthi wokwelashwa, kanti eminye imishanguzo yomfutho wegazi ophakeme kanye ne-edema nayo isebenza njengezidakamizwa, okubandakanya:

• i-thiazide diuretics, efana ne-chlorothiazide ne-hydrochlorothiazide
• i-potassium-sparing diuretics, efana ne-eplerenone ne-triamterene
• i-loop diuretics, efana ne-bumetanide ne-furosemide

Ungathola i-polyuria njengomphumela oseceleni wale mithi.

Lapho ufuna ukwelashwa ivolumu yokuchama ngokweqile

Funa ukwelashwa kwe-polyuria uma ucabanga ukuthi inkinga yezempilo iyimbangela. Izimpawu ezithile kufanele zikushukumisele ukuthi ubone udokotela wakho khona manjalo, kufaka phakathi:

• imfiva
• ukuhlungu obusemhlane
• ubuthakathaka bomlenze
• ukuqala okungazelelwe kwe-polyuria, ikakhulukazi ebuntwaneni
• ukuphazamiseka kwengqondo
• ukujuluka ebusuku
• ukuncipha komzimba

Lezi zimpawu zingakhombisa ukuphazamiseka kwentambo yomgogodla, isifo sikashukela, ukutheleleka kwezinso, noma umdlavuza. Funa ukwelashwa ngokushesha lapho ubona lezi zimpawu. Ukwelashwa kungakusiza ukubhekana ngokushesha nembangela ye-polyuria yakho futhi ugcine impilo enhle.

Uma ucabanga ukuthi ukwanda kungenxa yokwanda koketshezi noma imishanguzo, hlola ivolumu yakho yomchamo izinsuku ezimbalwa. Uma ivolumu eyeqile iqhubeka ngemuva kwalesi sikhathi sokuqapha, khuluma nodokotela wakho.

Isifo sikashukela nomthamo wokuchama ngokweqile

Isifo sikashukela (ngokuvamile esivame ukubizwa ngokuthi isifo sikashukela) singenye yezimbangela ezivame kakhulu ze-polyuria. Kulesi simo, inani elikhulu le-glucose (ushukela wegazi) liqoqa kuma-tubules wakho wezinso futhi lenze ivolumu yakho yomchamo ikhule.

Olunye uhlobo lwesifo sikashukela olubizwa ngesifo sikashukela insipidus lwandisa ivolumu yakho yomchamo ngoba umzimba wakho awukhiqizi i-hormone elwa ne-antidiuretic eyanele. I-hormone ye-Antidiuretic yaziwa nangokuthi i-ADH noma i-vasopressin. I-ADH ikhiqizwa yi-pituitary gland yakho futhi iyingxenye yenqubo yokumunca uketshezi ezinso zakho. Umthamo wakho womchamo ungakhuphuka uma ingekho i-ADH eyanele eyenziwe. Kungakhuphuka futhi uma izinso zakho zingakwazi ukulawula kahle uketshezi oludlula kuzo. Lokhu kwaziwa njenge-nephrogenic diabetes insipidus.

Udokotela wakho uzolinganisa i-glucose yegazi lakho uma esola ukuthi isifo sikashukela sidala i-polyuria yakho. Uma uhlobo lwesifo sikashukela lubangela i-polyuria, udokotela wakho uzoncoma ukwelashwa nezinguquko kwendlela yokuphila ukusiza ukulawula isifo sakho sikashukela. Lezi zindlela zokwelashwa zingabandakanya:

• imijovo ye-insulin
• imithi yomlomo
• izinguquko zokudla
• ukuzivocavoca umzimba

Ukuqeda izimpawu zethamo lokuchama ngokweqile

Umthamo omningi womchamo ongabangelwa yizingqinamba zezempilo ungabhekiswa ekhaya.

Ungahle uzikhulule izimpawu zakho ngokumane ushintshe isimilo esiholela kumthamo we-urine owedlulele. Zama amathiphu alandelayo:

• Buka ukuthi udla kangakanani.
• Nciphisa uketshezi ngaphambi kokulala.
• Nciphisa iziphuzo ezine-caffeine neziphuzo ezidakayo.
• Qonda imiphumela emibi yemithi.

Umthamo omningi womchamo obangelwa ukukhathazeka kwezempilo, njengesifo sikashukela, ungalungiswa ngokwelapha imbangela. Isibonelo, ukwelashwa kwesifo sikashukela ngokushintsha kokudla nemithi kuvame ukukhulula imiphumela eseceleni yevolumu yomchamo eyeqile.

Umbono wevolumu yokuchama ngokweqile

Vuleka futhi uthembeke kudokotela wakho mayelana nokuchama ngokweqile. Kungangakhululeki ukukhuluma nodokotela wakho ngemikhuba yakho yokuchama. Kodwa-ke, umbono we-polyuria uvame ukuba muhle, ikakhulukazi uma ungenazo izimo ezibucayi zezokwelapha. Ungadinga kuphela ukwenza izinguquko kwendlela yokuphila ukuxazulula i-polyuria yakho.

Ezinye izimo ezibangela i-polyuria zingadinga ukwelashwa okubanzi noma kwesikhathi eside. Uma isifo sikashukela noma umdlavuza kubangela i-polyuria, udokotela wakho uzoxoxa ngezindlela zokwelashwa ezidingekayo zokuxazulula noma yiziphi izindaba zezokwelapha ngaphezu kokusiza ukuthi i-polyuria yakho ilawulwe.