Ludzu - mopambanitsa

Ludzu lokwanira ndikumverera kopanda tanthauzo nthawi zonse kumafuna madzi.

Kumwa madzi ambiri kumakhala kathanzi nthawi zambiri. Kulakalaka kumwa kwambiri kumatha kukhala chifukwa cha matenda akuthupi kapena amisala. Ludzu lokwanira lingakhale chizindikiro cha shuga wambiri m'magazi (hyperglycemia), yemwe angathandize kupeza matenda ashuga.

Ludzu lokwanira ndi chizindikiro chofala. Nthawi zambiri zimachitika mukamachita masewera olimbitsa thupi kapena mukamadya zakudya zamchere.

Zoyambitsa zingaphatikizepo:

• Chakudya chamchere kapena chokometsera chaposachedwa
• Magazi okwanira kuchititsa kutsika kwakukulu kwa magazi
• Matenda a shuga
• Matenda a shuga
• Mankhwala monga anticholinergics, demeclocycline, diuretics, phenothiazines
• Kutaya madzi amthupi kuchokera m'magazi kupita m'matumba chifukwa cha matenda monga sepsis kapena kutentha, mtima, chiwindi, kapena impso
• Psychogenic polydipsia (matenda amisala)

Chifukwa ludzu ndilo chizindikiro cha thupi chobwezeretsa kutaya madzi, nthawi zambiri kumakhala koyenera kumwa zakumwa zambiri.

Pa ludzu lomwe limayambitsidwa ndi matenda ashuga, tsatirani mankhwala omwe akupatsidwa kuti muchepetse kuchuluka kwa shuga wamagazi.

Imbani wothandizira zaumoyo wanu ngati:

• Ludzu lokwanira limapitilira ndipo silikudziwika.
• Ludzu limatsagana ndi zizindikilo zina zosamveka bwino, monga kusawona bwino kapena kutopa.
• Mukudutsa mkodzo wopitilira 5 malita (4.73 malita) patsiku.

Wothandizira adzalandira mbiri yanu ya zamankhwala ndikuyesa thupi.

Wothandizira akhoza kukufunsani mafunso monga:

• Kodi mwakhala mukudziwa nthawi yayitali bwanji kuti muli ndi ludzu lowonjezeka? Kodi zidayamba mwadzidzidzi kapena pang'onopang'ono?
• Kodi ludzu lanu limakhala chimodzimodzi tsiku lonse?
• Kodi mwasintha zakudya zanu? Kodi mukudya zakudya zamchere kapena zokometsera?
• Kodi mwawona chilakolako chowonjezeka?
• Kodi wachepetsa kapena kunenepa popanda kuyesera?
• Kodi ntchito yanu yawonjezeka?
• Ndi zizindikiro zina ziti zomwe zikuchitika nthawi yomweyo?
• Kodi posachedwapa mwapsa kapena munavulala?
• Kodi mukukodza pafupipafupi kuposa kale? Kodi mukupanga mkodzo wochulukirapo kuposa masiku onse? Kodi mwawonapo magazi aliwonse akutuluka?
• Kodi mukutuluka thukuta kuposa masiku onse?
• Kodi pali kutupa kulikonse mthupi lanu?
• Kodi muli ndi malungo?

Mayeso omwe atha kulamulidwa ndi awa:

• Mulingo wama glucose amwazi
• CBC ndi kusiyana kwa maselo oyera amwazi
• Seramu calcium
• Seramu osmolality
• Seramu sodium
• Kupenda kwamadzi
• Mkodzo osmolality

Wothandizira anu amalangiza chithandizo ngati pakufunika kutengera mayeso anu ndi mayeso. Mwachitsanzo, ngati mayeso akuwonetsa kuti muli ndi matenda ashuga, muyenera kulandira chithandizo.

Kulakalaka kwambiri kumwa, kumatha kukhala chizindikiro cha vuto lamaganizidwe. Mungafunike kuwunikiridwa kwamaganizidwe ngati wothandizirayo akuganiza kuti ndichifukwa chake. Kudya kwanu kwamadzimadzi ndi kutulutsa kwanu kumayang'anitsitsa.

Kuchuluka kwa ludzu; Polydipsia; Ludzu lokwanira

• Kupanga kwa insulin ndi matenda ashuga

Mortada R. Matenda a shuga insipidus. Mu: Kellerman RD, Rakel DP, olemba., Eds. Therapy Yamakono ya Conn 2019. Philadelphia, PA: Elsevier; 2019: 277-280.

Slotki I, Skorecki K. Zovuta za sodium ndi madzi homeostasis. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 116.