Anthu ambiri amadziwa mtundu wa polyuria, koma nthawi zambiri umagwirizana ndi matenda a impso ndi kwamikodzo. Zimadzipangitsa kumva kukhudzidwa kwakukulu ndi mkodzo, womwe umatuluka nthawi iliyonse masana kapena usiku. Odwala amalimbikitsa kukodza pafupipafupi ndizopweteka kwambiri, amakhala ndi ululu, kusapeza bwino.
Zomwe zimayambitsa polyuria zimagwirizana ndi vuto laimpso, kulephera kwa impso. Nthawi zambiri, kusowa bwino kwa mulingo wa ma elekitirodi, matenda a kapamba, ndi kutopa kwa thupi kumakhudza thupi.
Muyenera kudziwa kuti pali kusiyana kotani pakati pa polyuria ndi cystitis, kudwala koyamba kumadziwika ndi kukakamiza pafupipafupi kukodza, kuchuluka kwa madzimadzi kupitilira muyeso. Yachiwiri ndi kukopa kosiyana ndi mkodzo wocheperako.
Kuti mudziwe zomwe zimapangitsa munthu kuti azindikire, kuzindikira kwathunthu kokha kumathandiza. Chifukwa chake, akuwonetsedwa kufunsira kwa endocrinologist, urologist, ndikuyesera. Nthawi zambiri, polyuria ndiye chizindikiro choyamba cha matenda ashuga.
Zizindikiro
Nthawi zambiri, pafupifupi malita awiri a mkodzo amachotsedwa masana, nthawi zina, kuchuluka kwa mkodzo kumafikira malita 2.5. Ngati thupi litulutsira madzi ambiri, dokotala adzazindikira kuti ali ndi polyuria.
Mawonekedwe a polyuria ndi ofanana mu ana, azimayi ndi abambo, Zizindikirozo zimayamba kuchepa pafupipafupi. Mukamadwala matenda ovuta kwambiri, ndiye kuti matendawa amakula kwambiri. Mavuto odziwika kwambiri komanso owopsa amaphatikizidwa ndi polyuria, polydipsia. Izi amadziwika ndi predominance wa usiku obisalira kwamikodzo.
Zizindikiro zina zomwe zikuwonetsa kuti zoyambitsa kupangira matenda ndi kupweteka kwapakati ndi kupweteka kwapakati mkati ndi pambuyo pokodza. Kukakamira kukafika pachimake, miyala imayamba kupanga impso. Umboni wowoneka bwino wa izi ndi magazi mumkodzo.
Ngati mkodzo wasintha, izi zikuwonetsa matenda ashuga. Pali kuchepa kwa magawo a zigawo zofunikira za urea koyenera kwa kagayidwe kazachilengedwe. Akakhala kuti, amakhala ndi mkodzo wambiri. Kuphatikiza apo, izi sizimadalira mtundu wa munthu; mwa abambo ndi amayi zimakula mosiyanasiyana. Matenda a shuga a achinyamata amatipatsa mitundu yayikulu ya matendawa.
Ndi chizolowezi kusiyanitsa pakati pa polyuria:
- osakhalitsa;
- chamuyaya.
Poyamba, mkodzo wambiri umachotsedwa chifukwa chakumwa mankhwala enaake.
Juvenile shuga mellitus (mtundu 1 shuga mellitus) pamodzi ndi polyuria amawonetsedwa ndi kusowa kwamadzi, kuchepa magazi, kusintha kwa kuthamanga kwa magazi, kugunda kwa mtima.
Nthawi zambiri pamakhala masinthidwe ammaso m'maso, ndikuwonjezereka kwa chidwi cham'mimba, zotupa zam'maso, zotupa m'matumbo a maso, ndipo khungu limayamba.
Kodi chiwopsezo cha polyuria mu shuga ndi chiyani?
Wodwala yemwe ali ndi matenda ashuga, polyuria imapitilira mpaka nthawi ya glycemia itasintha. Kusintha kapangidwe ka magazi, impso zimayeretsa kwambiri, ndipo shuga wowonjezera amatulutsidwa. Komabe, pamodzi ndi glucose, zinthu zina zofunika zomwe zimafunikira kuti metabolism yokwanira azichotsedwera m'thupi.
Popita nthawi, kuchuluka kwa zinthu zamagazi kumasokonezeka, ngati simumamwa madzi okwanira, shuga wambiri amakhala woipa kwa impso komanso ziwalo zina zamkati, dongosolo lamkati lamanjenje.
Ichi ndichifukwa chake ndi mtundu uliwonse wa shuga, zovuta monga kufooka kwa impso zimachitika. Pankhaniyi, wodwalayo ayenera kusankha mankhwala, makamaka aimpso hemodialysis.
Polyuria nthawi zonse imayendera limodzi ndi matenda oopsa, imakulitsa shuga, chifukwa imasokoneza magwiridwe antchito omwe amathandizira kapamba ndi ziwalo zina. Pa mavuto akulu:
- mulingo wa kutuluka ndi kutuluka kwa magazi;
- amapanga katundu wowonjezera thupi lonse.
Matenda oopsa oopsa amakhala oopsa makamaka kwa anthu okalamba odwala matenda ashuga, zimadzetsa vuto la matenda oopsa. Zovuta za mtima zimatha kuwonekera bwino pa electrocardiogram. Ngati wodwala matenda ashuga akudwala, kukonzanso kumatenga nthawi yayitali, zimatenga miyezi 6 kapena kupitirira.
Kuchepa kwa madzi m'thupi komwe kumayenderana ndi hyperglycemia kumabweretsa kuperewera kwa hyperglycemic motsutsana ndi maziko a metabolic acidosis. Choopsa ndichakuti pafupifupi 100% yamavuto, dokotala wa ambulansi amapaka jakisoni wamadzi kuti achepetse vutoli, pokhapokha ngati pali munthu wapafupi yemwe atifotokozere chifukwa cha kupuma.
Chifukwa chake, polyuria mu shuga mellitus imapangitsa kuti matupi a impso aziwonongeka, zomwe zimapangitsa kuti matenda aimpso ayambe kugwira ntchito.
Njira zakuchiritsira ndi kupewa
Ndikofunikira kuchitira polyuria mu matenda a shuga mellitus mokwanira, nthawi zambiri, chithandizo chamankhwala chimalimbikitsa matenda a glycemia komanso kubwezeretsa ntchito za impso. Chifukwa chake, chithandizo cha polyuria chimaphatikizaponso kutsatira kwambiri zakudya zina, zomwe zimathandizira kutayika kwa ma electrolyte ofunikira: sodium, calcium, potaziyamu, chloride.
Njira ina yofunika yothandizira ndi kugwiritsa ntchito thiazide diuretics. Amakonda kuwonetsedwa chifukwa cha matenda ashuga. Ndi polyuria, mankhwalawa amadziwika ndi kuwirikiza kawiri: kutsika kwa kuchuluka kwa madzimadzi, kuchuluka kwa mchere, madzi.
Mankhwala a diuretic amachepetsa katulutsidwe wa mkodzo ndi theka, amavomerezedwa bwino ndi odwala, osapereka zovuta zoyipa (kupatula hypoglycemia).
Kugwiritsira ntchito okodzetsa kumatha kukhala kovuta ngati atayikidwa:
- ana
- azimayi oyembekezera;
- odwala omwe ali ndi vuto la m'maganizo.
Kuwongolera kuchuluka kwa shuga m'magazi kumathandizira kuchotsa polyuria, pamene shuga imadalira insulin, kuchuluka kwa mkodzo komwe kumayenera kusinthidwa kuyenera kusinthidwa ndikuyambitsa insulin ndikusankha mulingo woyenera wa harmonium. Polydipsia mu matenda a shuga amachitidwanso chimodzimodzi.
Polyuria ndi yotheka kupewedwa, koma imafuna kuchira kwakutali, chifukwa ndi matendawa pali ambiri a concomitant pathologies. Malingana ndi momwe malangizo onse a dokotala amakwaniritsidwa, ndikotheka kukhalabe ndi ntchito komanso ntchito yofunika.
Njira zopewera ndi izi:
- moyo wathanzi;
- kukana zosokoneza bongo;
- kubwezera matenda a impso.
Zimawonetsedwanso kukhala ndi chakudya chamoyo wonse, kuyenda pafupipafupi mumsewu, kusewera masewera. Mwana akakhala ndi matenda a polyuria, mankhwala opatsirana pogwiritsa ntchito mankhwala osokoneza bongo ayenera kugwiritsidwa ntchito pofuna kuchiza matenda a impso kuyambira chiyambi cha matenda.
Kutsatira njira yolumikizirana, ndizosavuta kugonjetsa polyuria, pakanthawi kochepa mutha kulipirira, kubwezeretsa magwiridwe antchito oyenera a thupi. Ndikofunika kusiya mankhwala omwe mungadzipangire nokha, kukaonana ndi dokotala chizindikiro choyambirira cha kusungika kwamikodzo mu shuga. Kanema wapezeka munkhaniyi akuwuzani. momwe impso ndi matenda a shuga zimagwirizirana.
