Kodi polyuria syndrome, imapezeka bwanji ndi kuthandizidwa?

Kuchuluka kwa mkodzo womwe munthu wamkulu amatulutsa patsiku kumachokera pa 1 mpaka 2 malita. Ngati physology yamadzi yotupa imalephera, polyuria imachitika - kwamikodzo mkodzo wambiri.

Monga lamulo, munthu samalabadira kuchepa kwakanthawi kochepa kwa mkodzo. Itha kumalumikizidwa ndi kukhathamira kwa madzi ambiri komanso kumatha chifukwa chakuchotsedwa kwa madzi ochulukirapo motsogozedwa ndi chithandizo, zakudya, kusintha kwa mahomoni achilengedwe. Zowopsa zina zimatha kubweretsa nthawi yayitali polyuria - kulephera kwa impso kapena pyelonephritis.

Kodi polyuria ndi chiyani

Polyuria si matenda, ndi chizindikiro chomwe chitha kufotokozedwa ndi zoyambitsa zathupi kapena vuto la impso. Nthawi zambiri, patsiku, impso zimasefa malita 150 a mkodzo woyamba, 148 omwe umabwezedwa m'magazi chifukwa cha ntchito ya impso. Ngati makina a reabsorption asokonezeka, izi zimapangitsa kuti mkodzo uwonjezeke.

Matenda a shuga ndi kupsinjika kudzakhala chinthu chakale

• Matenda a shuga -95%
• Kuthetsa kwa mitsempha thrombosis - 70%
• Kuthetsa kwa kugunda kwamtima kwamphamvu -90%
• Kuthana ndi kuthamanga kwa magazi - 92%
• Kuwonjezeka kwa mphamvu masana, kukonza kugona usiku -97%

Mwa munthu wathanzi, impso zimachotsa madzi ndi mchere wambiri, ndipo pomaliza pake zimapangika mosiyanasiyana komanso kuchuluka kwa madzimadzi m'thupi. Kuchuluka kwa mkodzo kumapangidwa ndi chinyezi komanso mchere womwe umalandiridwa kuchokera ku chakudya, kuchepetsa kuchepa kwa madzi kudzera pakhungu mu mawonekedwe a thukuta. Zakudya zamadzimadzi ndizosiyana kwambiri kwa anthu osiyanasiyana, komanso zimasiyanasiyana malinga ndi nthawi ya chaka, chakudya, komanso masewera olimbitsa thupi. Chifukwa chake, malire enieni omwe amalekanitsa mkodzo wambiri kuchokera pazonse sanakhazikitsidwe. Nthawi zambiri amalankhula za polyuria. ndi kuwonjezeka kwa mkodzo pamwamba 3 malita.

Zomwe zimayambitsa matendawa

Polyuria imachitika chifukwa cha zifukwa zingapo zakuthupi komanso za m'magazi, zimatha kukhala zochita wamba za thupi kapena chifukwa cha zovuta zama metabolic.

Zoyambitsa zathu za polyuria:

1. Kumwa kofunikira kwamadzi chifukwa cha zizolowezi, miyambo yazikhalidwe, zakudya zamchere zochuluka. Kutayika kwa madzi kudutsa chikhodzodzo patsiku kuli pafupifupi malita 0,5. Ngati mumamwa oposa malita a 3.5, kuchuluka kwa mchere mu minofu ndi kachulukidwe ka magazi kumachepa. Kusintha kumeneku ndikosakhalitsa, impso zimafunafuna nthawi yomweyo kuti zibwezeretse, ndikuchotsa madzi ambiri. Mkodzo mumtunduwu umapukusika, ndikuchepetsedwa kwa osmolarity.
2. Kuchuluka kwa madzimadzi oledzera chifukwa cha kusokonezeka kwa malingaliro. Ngati ifika malita 12 patsiku, osmolarity yamagazi amatsika kwambiri, thupi limayesetsa kuchotsa chinyezi m'njira zonse zotheka, kusanza, kutsegula m'mimba. Wodwala akakana kugwiritsa ntchito madzi ambiri, zimakhala zovuta kuti adziwike.
3. Mitsempha yama mtsempha wamafuta imagwiritsa ntchito mankhwala a saline kapena zakudya zamagulu mu ma inpatients.
4. Chithandizo ndi okodzetsa. Ma diuretics amalembedwa kuti athetse madzi owonjezera, mchere. Ndi kugwiritsa ntchito kwawo, kuchuluka kwa madzi ochulukitsa amachepera pang'ono, edema imazimiririka.

Zomwe zimayambitsa zovuta za polyuria zimaphatikizapo kuchuluka kwamkodzo chifukwa cha matenda:

1. Matenda a shuga apakati amapezeka ndi vuto lotupa kapena matenda a hypothalamic. Poterepa, polyuria imabweretsa kuchepa pakupanga kwa antidiuretic mahomoni.
2. Nephrogenic shuga insipidus ndikuphwanya malingaliro a antidiuretic mahomoni ndi ma nephrons. Monga lamulo, silokwanira, choncho polyuria yomwe imayamba siigwirizana, pafupifupi malita 3.5.
3. Kuperewera kwa potaziyamu komanso kuchuluka kwa calcium chifukwa cha kusowa kwa metabolic kapena michere yazakudya zimayambitsa kupatuka pang'ono pakugwira ntchito kwa impso.
4. Matenda a shuga amawonjezera kuchuluka kwa magazi chifukwa cha kuchuluka kwa shuga. Thupi limafunafuna kuchotsa shuga limodzi ndi madzi ndi sodium. Kusintha kwa kagayidwe kofananira kumalepheretsa kubwezeretsanso kwa mkodzo woyamba. Polyuria mu matenda ashuga ndi chotsatira cha zonsezi.
5. Matenda a impso omwe amabweretsa kusintha kwa tubules ndi kulephera kwa impso. Amatha kuchitika chifukwa cha matenda komanso kutupa komwe kumadza pambuyo pake, kuwonongeka kwa ziwiya zomwe zimadyetsa impso, cholowa m'malo mwake, m'malo mwa impso ndi zotumphukira chifukwa cha lupus kapena matenda a shuga.

Mankhwala ena amathanso kuyambitsa pathological polyuria. Antifungal amphotericin, demeclocycline antiotic, methoxyflurane anesthetic, kukonzekera kwa lifiyamu kumachepetsa kuthekera kwa impso kukhazikika mkodzo ndikupangitsa polyuria. Pogwiritsa ntchito nthawi yayitali kapena mulingo wambiri wowonjezera, zosintha izi sizisintha.

Momwe mungadziwire vuto

Munthu amakhala ndi chidwi chofuna kukodza pamene 100-200 ml yatengedwa mu chikhodzodzo. Bubble imachotsedwapo maulendo anayi mpaka asanu ndi awiri patsiku. Ngati kuchuluka kwamkodzo kumapitilira malita atatu, kuchuluka kwa kuchezera kuchimbudzi kumakula mpaka 10 kapena kupitirira. Zizindikiro za polyuria yokhalitsa yopitilira masiku atatu ndi nthawi yolankhula ndi dokotala, othandizira kapena nephrologist. Ngati kukodza kumachitika pafupipafupi komanso kupweteka, koma mkodzo wochepa, palibe funso la polyuria. Nthawi zambiri izi zimakhala zotupa mu genitourinary system, momwe mumakhala njira yolunjika kwa urologist ndi gynecologist.

Kuti mudziwe zomwe zimayambitsa polyuria nthawi zambiri zimayikidwa:

1. Urinalysis ndi kuwerengera shuga, mapuloteni komanso kachulukidwe kakang'ono. Mlingo wa 1005 mpaka 1012 ukhoza kukhala zotsatira za polyuria iliyonse, pamwambapa 1012 - matenda a impso, osakwana 1005 - nephrogenic shuga insipidus ndi matenda obadwa nawo.
2. Yesani malinga ndi Zimnitsky - kusonkhanitsa mkodzo wonse patsiku, kudziwa kuchuluka kwake komanso kusintha.
3. Kuyesedwa kwa magazi: kuchuluka kwa sodium kumawonetsa kusakwanira kumwa kapena kulowetsedwa kwa saline yachilengedwe, kuchuluka kwa urea nayitrogeni kumaonetsa kulephera kwa impso kapena zakudya kudzera pa chubu, ndipo kukonzekera kwakukulu kwa chiwindi kumapangitsa ntchito yaimpso. Kuchuluka kwa ma electrolyte m'magazi kutsimikiza: potaziyamu ndi calcium.
4. Kuyesedwa kwamatenda am'madzi kumawonetsa momwe, m'malo operewera madzi, kuthekera kwa impso kukhazikika kusintha kwamkodzo ndipo timadzi tating'onoting'ono timapangidwa. Nthawi zambiri, pakatha maola 4 osamwa madzi, kutulutsa mkodzo kumachepa ndipo kupindika kwake kumawonjezeka.

Komanso, popanga matenda, anamnesis amawaganizira - zambiri mwatsatanetsatane mikhalidwe yomwe polyuria imapangidwira.

Momwe mungagwiritsire ntchito chizindikiro

Chithandizo cha polyuria ndicho makamaka chotupa. Ndi kuchotsedwa kwa matenda omwe adayambitsa zovuta mu impso, kuchuluka kwa mkodzo womwe nawonso kumathandizanso. Ngati chithandizo chikufunika kwa nthawi yayitali kapena matenda osachiritsika, khalani ndi mankhwalawa pofuna kuthetsa zotsatira za polyuria.

Mankhwala

Ndi mkodzo, munthu amathanso ma electrolyte - mayankho amakanidwe amthupi, chifukwa chake kuchuluka kofunikira kwa madzi kumakhalabe m'thupi, zimachitika ndi michere, minofu ndi minyewa yamanjenje imagwira ntchito. M'moyo wamba, zakudya zoyenera zimathandizira kubwezeretsa zotayika. Ndi polyuria yofunika, itha kuphonya. Zikatero, zakudya zapadera ndi kulowetsedwa kwa zinthu zomwe zikusowazo zimapatsidwa mankhwala.

Nthawi zambiri usiku usiku polyuria imachotsedwa ndikuchepetsa kumwa ndikuwotcha masana.

Ngati polyuria ndi chifukwa cha matenda a shuga insipidus, ma diuretics ochokera ku gulu la thiazide amagwiritsidwa ntchito pochiza. Amathandizanso kuyamwa kwam'madzi mu nephrons, amachepetsa diuresis pafupifupi theka, ndikuchotsa ludzu. Zochizira pazifukwa zina za polyuria, thiazides sizigwiritsidwa ntchito, zimawonjezera kusintha koyambira kwa impso ndi hyperglycemia mu shuga mellitus, kukulitsa matenda oopsa a impso ndikutha ntchito zawo.

Zithandizo za anthu

Mankhwala achikhalidwe angathandize pokhapokha ngati chifukwa cha polyuria chikutupa mu impso, ndipo ngakhale pamenepo, njira ya maantibayotiki ndiyothandiza kwambiri. Kugwiritsa ntchito mankhwala wowerengeka azitsamba kungakhale kuwonjezera pa njira yayikulu ya chithandizo.

Pachikhalidwe, anise ndi plantain amagwiritsidwa ntchito kuti athetse polyuria:

• Mbeu za anise (1 tbsp) zimapangidwa ndi kapu yamadzi otentha, ndikuikiridwa mu thermos. Muyenera kumwa kulowetsedwa kotero supuni musanadye chilichonse. Anise ali ndi zinthu zotsutsa-zotupa, zimapangitsa ntchito ya impso.
• Plantain amatengedwa ngati antiseptic, amathandiza kuthana ndi zotupa mthupi. Kulowetsedwa kwa masamba opangidwa molingana ndi maphikidwe omwewo monga anise amamwa supuni mphindi 20 asanadye.

Zotheka

Zotsatira zoyipa zazikulu za polyuria ndi kusowa kwamadzi. Zododometsa zamagulu chifukwa chosowa madzi zimachitika pomwe 10% yokha yamadzi otaika. 20% ndi malire ovuta omwe atha kufa. Kuchepa kwa madzi kumatha kupangitsa kuchepa kwa magazi omwe amayenderera - hypovolemia. Mwazi umakhala wonenepa, umayenda m'matumbo pang'onopang'ono, zimakhala zimakhala ndi mpweya wa oxygen. Kuperewera kwa zakudya m'thupi muubongo kumayambitsa kukokana, kuyerekezera zinthu zina, kukomoka.

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