Kodi polydipsia, zimayambitsa ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Zomwe zingayambitse
• Mitundu ya polydipsia
• Momwe mankhwalawa amachitikira
• Kodi kumwa madzi ambiri ndi koipa?

Polydipsia ndi zomwe zimachitika munthu akamva ludzu mopitirira muyeso ndipo chifukwa cha izi amatha kumwa madzi ndi zakumwa zambiri. Vutoli limakhala limodzi ndi zizindikilo zina monga kukodza, kukamwa kouma komanso chizungulire ndipo zimayambitsa zifukwa zosiyanasiyana zomwe zimatha kukhala matenda ashuga kapena kusintha kwamatenda am'mimba.

Kutsimikizira komwe kumayambitsa polydipsia kumapangidwa ndi dokotala pambuyo poyesa magazi kapena mkodzo, omwe amagwiritsidwa ntchito pofufuza milingo ya shuga, sodium ndi zinthu zina m'thupi. Chithandizo chimadalira chifukwa chake, komabe, chitha kutengera kugwiritsa ntchito mankhwala azishuga komanso njira zothandizira kukhumudwa ndi nkhawa, mwachitsanzo.

Zizindikiro zazikulu

Chizindikiro chachikulu cha polydipsia ndikumva ludzu mosalekeza, koma zizindikilo zina zitha kuwoneka, monga:

• Kuchuluka kwamikodzo;
• Pakamwa youma;
• Mutu;
• Kumva chizungulire;
• Kukokana;
• Kupweteka kwa minofu.

Zizindikirozi zitha kuwonekera, makamaka, chifukwa cha kutayika kwa sodium mumkodzo womwe umayambitsidwa chifukwa cha kukodza kwamkodzo. Ngati munthuyo ali ndi matenda a shuga, amathanso kukhala ndi zizindikilozi, kuwonjezera pa njala yochulukirapo, kuchira pang'onopang'ono kapena matenda opatsirana. Onani zizindikiro zina za matenda ashuga.

Zomwe zingayambitse

Polydipsia imadziwika ndi ludzu kwambiri ndipo izi zimatha kuyambitsidwa ndi mavuto azaumoyo, monga matenda ashuga kapena matenda a shuga insipidus, kusintha kwa pituitary gland, yomwe ndi gland yomwe imayambitsa ntchito zosiyanasiyana mthupi, komanso matenda monga Langerhans cell histiocytosis ndi sarcoidosis.

Vutoli limayambitsanso chifukwa chakuchepa kwa madzi amthupi, chifukwa cha kutsegula m'mimba ndi kusanza, mwachitsanzo, komanso kugwiritsa ntchito mankhwala ena, monga thioridazine, chlorpromazine ndi antidepressants. Kuti mutsimikizire zomwe zimayambitsa polydipsia, m'pofunika kukaonana ndi dokotala kuti mayesedwe a magazi ndi mkodzo alimbikitsidwe kuti athe kuwunika kuchuluka kwa shuga ndi sodium m'thupi.

Mitundu ya polydipsia

Pali mitundu yosiyanasiyana ya polydipsia kutengera zomwe zimayambitsa ndipo amatha kukhala:

• Pulayimale kapena psychogenic polydipsia: imachitika pamene ludzu lalikulu limayambitsidwa ndi vuto lamaganizidwe, monga nkhawa, kukhumudwa ndi schizophrenia. Nthawi zambiri, munthu amene ali ndi mtundu uwu amakhala akusowa kowonjezera kumwa madzi kuopa kukhala ndi matenda, mwachitsanzo;
• Polydipsia yopangidwa ndi mankhwala osokoneza bongo: zimayambitsidwa ndikulowetsedwa kwa mankhwala ena omwe amayambitsa polyuria, ndipamene munthuyo amafunika kukodza kangapo patsiku, monga okodzetsa, vitamini K ndi corticosteroids;
• Malipiro polydipsia: mtundu uwu umachitika chifukwa chotsika kwa michere ya antidiuretic, yomwe imayambitsa kubwezeretsanso madzi mu impso, ndipo izi zimabweretsa kutayika kwa mkodzo wambiri, komanso chifukwa chakufunika kwa thupi m'malo mwa zamadzimadzi, munthuyo amatha kumva ludzu kwambiri, ndikupangitsa polydipsia.

Pambuyo poyezetsa, adotolo amayang'ana mtundu wanji wa polydipsia yemwe akuvutika ndipo mankhwala adzawonetsedwa malinga ndi izi.

Momwe mankhwalawa amachitikira

Chithandizo cha polydipsia chikuwonetsedwa ndi dokotala kutengera zomwe zimayambitsa matendawa komanso mtundu wa vutoli, ndipo ngati chikuyambitsidwa ndi matenda ashuga, mankhwala omwe angalimbikitse kuchuluka kwa shuga wamagazi monga metformin ndi jakisoni wa insulin angalimbikitsidwe, kuwonjezera pakulangiza kusintha kwina m'moyo zizolowezi zomwe zimakhazikitsidwa chifukwa chodya shuga wochepa komanso zolimbitsa thupi. Onani njira zina zothetsera matenda ashuga.

Ngati polydipsia imayambitsidwa ndimatenda amisala, adotolo amalimbikitsa mankhwala othandizira kupsinjika maganizo, nkhawa zamaganizidwe ndi othandizira amisala kuti athandize munthu kuchira pakukakamizidwa kumwa madzi ochulukirapo.

Kodi kumwa madzi ambiri ndi koipa?

Chiwopsezo chachikulu chakumwa madzi ochulukirapo ndikuti munthuyo ali ndi hyponatremia, yomwe ndi kutayika kwa sodium kudzera mumkodzo, zomwe zimatha kuyambitsa mutu, chizungulire, kuwodzera komanso zovuta, monga khunyu ndi chikomokere.

Zoyipa zomwe zimachitika mthupi zimatha kuchitika munthu akamwa madzi opitilira 60 ml pa kilogalamu ya kulemera, ndiye kuti, munthu yemwe ali ndi makilogalamu 60 atha kukumana ndi zotulukapo akamamwa mopitilira, malita 4 amadzi patsiku. Ndikofunika kudziwa kuti anthu omwe ali ndi vuto la impso komanso omwe adadwala mtima sayenera kumwa madzi ochulukirapo kuti asadzaze thupi komanso kuti asawononge mikhalidwe imeneyi. Komabe, kumwa madzi okwanira, monga malita 2 patsiku, ndikofunikira kwambiri popewa kukula kwa mavuto ena azaumoyo, monga miyala ya impso. Onani momwe kumwa kwambiri kungawononge thanzi lanu.