Polydipsia (Ludzu Lambiri)

Zamkati

• Kodi chimayambitsa polydipsia ndi chiyani?
• Zizindikiro
• Chithandizo
• Mitundu ya polydipsia
• Maonekedwe ndi kupewa

Kodi polydipsia ndi chiyani?

Polydipsia ndi dzina lachipatala lakumva ludzu kwambiri.

Polydipsia nthawi zambiri imalumikizidwa ndi zinthu zomwe zimakupangitsani kukodza kwambiri. Izi zitha kupangitsa kuti thupi lanu lizimva kufunikira kosalekeza m'malo mwa madzi omwe amatayika pokodza. Ikhozanso kuyambitsidwa ndi zochitika zathupi zomwe zimakupangitsani kutaya madzi ambiri. Izi zitha kuphatikizira thukuta nthawi yochita masewera olimbitsa thupi, kudya zakudya zamchere, kapena kumwa mankhwala omwe amakupangitsani kumwa madzi ambiri, monga okodzetsa.

Matendawa amadziwika kuti ndi chimodzi mwazizindikiro zoyambirira za matenda ashuga. Amakonda kwambiri matenda a shuga. Mtundu uwu wa matenda ashuga umakhala ndi zinthu zochepa zomwe zimapangitsa kuti thupi lanu likhale losavuta kugwiritsa ntchito shuga, wotchedwanso shuga wamagazi. Thupi lanu likasakanikirana bwino ndi shuga, magazi anu amatha kukwera modabwitsa. Kuchuluka kwa shuga m'magazi kumatha kukupangitsani kumva ludzu kwambiri chifukwa cha izi.

Kodi chimayambitsa polydipsia ndi chiyani?

Polydipsia imatha chifukwa cha kusamwa madzi okwanira mutataya madzi ambiri. Ngati mutuluka thukuta kwambiri kapena mumamwa madzi ena, monga khofi kapena tiyi wobiriwira ndi wakuda, nthawi zambiri mumamva ludzu kwambiri pamene thupi lanu limafuna kusintha madzi omwe adatayika. Kutaya madzi m'thupi chifukwa chosamwa madzi okwanira ndi chifukwa chofala cha polydipsia. Mutha kumva izi kaya mwakhala mukutuluka thukuta kapena kukodza kwambiri. Polyuria, vuto lomwe mumadutsa mkodzo wambiri modetsa nkhawa, amathanso kuyambitsa polydipsia.

Polydipsia ndichizindikiro choyambirira cha matenda ashuga komanso matenda ashuga insipidus. Matenda a shuga amachititsa polydipsia chifukwa kuchuluka kwa shuga m'magazi kumakulira kwambiri ndikupangitsa kuti muzimva ludzu, ngakhale mutamwa madzi ochuluka motani. Matenda a shuga amapezeka pamene madzi a m'thupi mwanu satha. Ngakhale mutha kumwa madzi ambiri, komabe mukumva kufunikira kwakumwa madzi ambiri. Mutha kukodza kwambiri ngakhale simunamwe mowa wambiri.

Zina mwazomwe zimayambitsa polydipsia ndi izi:

• mankhwala ena, monga corticosteroids kapena diuretics m'mapiritsi, monga mapiritsi amadzi
• kudya mchere wambiri kapena vitamini D mu zakudya kapena zakumwa
• kunyong'onyeka kapena nkhawa zomwe zimakupangitsani kumwa madzi ambiri chifukwa chamanjenje, zomwe zimawonedwanso m'mahatchi ndi agalu

Zizindikiro

Chizindikiro chodziwikiratu cha polydipsia ndikumva ludzu kwambiri. Chizindikiro ichi chimadziwika makamaka mukamamva choncho ngakhale mutamwa kale madzi ambiri.

Zizindikiro zina zofala za polydipsia ndi monga:

• kupitirira mkodzo wambiri modabwitsa (kuposa malita 5 patsiku)
• kumverera kouma kowuma mkamwa mwako

Mutha kuzindikira zizindikiro zina ngati polydipsia yanu imayamba chifukwa cha matenda ashuga. Zina mwazizindikiro za matenda ashuga zomwe zimayenda ndi polydipsia ndi monga:

• kumva njala yachilendo
• kukhala ndi masomphenya olakwika
• kutopa
• kuwonda kwapadera
• kupeza zilonda kapena matenda pafupipafupi
• kuchira pang'onopang'ono kwa zilonda kapena matenda

Kumwa madzi ochulukirapo kumayambitsanso kuledzera kwamadzi, komwe nthawi zina kumatchedwa poizoni wamadzi. Izi zimachitika mukamwa madzi ambiri. Kuchita izi kumachepetsa kuchuluka kwa sodium m'magazi anu ndikuchepetsa sodium yanu m'magazi otsika moopsa, otchedwanso hyponatremia. Izi zitha kuyambitsa zizindikilo monga:

• kupweteka mutu
• kumverera kwa chizungulire kapena kusokonezeka
• kukokana kwa minofu kapena kuphipha
• kugwidwa kosadziwika

Chithandizo

Nthawi zina, mutha kulakwitsa kwakanthawi kochepa kwambiri ludzu la polydipsia. Musanawone dokotala wanu wa polydipsia, yang'anani mosamala momwe mumamvera ludzu:

• Kodi mumamva ludzu kangati?
• Mumakhala ndi ludzu liti nthawi imodzi?
• Kodi mukuonapo zizindikiro zina zilizonse mukamva ludzu?
• Kodi mumangomva ludzu kwambiri mutachita zina?
• Kodi mumamvanso ludzu kwambiri mukamwa ma ola 64 kapena madzi ambiri tsiku lonse?

Onani dokotala wanu ngati malingaliro anu akumva ludzu atenga nthawi yayitali kuposa masiku ochepa ndipo sasintha kwambiri kutengera momwe mumagwirira ntchito kapena kuchuluka kwa madzi omwe mumamwa.

Chithandizo cha polydipsia chimadalira vuto lomwe likuyambitsa. Dokotala wanu angachite zotsatirazi kuti akupatseni matenda:

• yesani magazi
• tengani mkodzo
• ndikukupemphani kuti mumwe madzi pang'ono kwakanthawi kochepa (kuyesedwa kwamadzimadzi)

Ngati matenda a shuga akuyambitsa polydipsia, dokotala wanu angakupatseni mankhwala oti muchepetse shuga wanu wamagazi. Mwinanso mungafunike kudzipatsa jakisoni wokhazikika wa insulini. Dokotala wanu angakulimbikitseni kupanga mapulani azakudya zokuthandizani kudya ndi kumwa zakudya zabwino kuti muthane ndi matenda anu ashuga. Ndondomeko ya masewera olimbitsa thupi ingakuthandizeni kukhala wathanzi komanso wathanzi.

Ngati muli ndi matenda a shuga insipidus, dokotala wanu akukulangizani kuti mumwe madzi enaake kuti muwone kuti simutha. Dokotala wanu amathanso kukupatsani mankhwala kuti azitha kuyang'anira. Mankhwalawa atha kuphatikiza desmopressin ngati mapiritsi kapena jakisoni.

Ngati polydipsia yanu ili ndi vuto lamaganizidwe, adokotala angakulimbikitseni kuti muwonane ndiupangiri kapena othandizira kuti akuthandizeni kuti muzimva kuti mukukakamizidwa kumwa madzi ochulukirapo.

Dokotala wanu amathanso kukupatsani chidziwitso chazidziwitso zamankhwala othandizira (CBT) ngati vuto la thanzi likuyambitsa polydipsia. Izi zitha kukuthandizani kuti muzindikire zomwe zimayambitsa zachilengedwe kapena zomwe zingakupangitseni kuti muzimva kumwa kwambiri. Ikhozanso kukuphunzitsani momwe mungalimbanirane ndi malingaliro awa munjira yathanzi.

Mitundu ya polydipsia

Pali mitundu ingapo ya polydipsia yomwe imafotokozedwa ndi zomwe zimayambitsa. Zimayambitsa zina zathupi. Zina zimatha kuyambitsidwa ndi mavuto amisala, kapena amisala. Mitundu ya polydipsia ndi monga:

• Psychogenic (pulayimale) polydipsia: Mtundu uwu wa polydipsia umayambitsidwa ndi nkhawa, kunyong'onyeka, kupsinjika, kapena mavuto am'magazi, m'malo mwazinthu zachilengedwe.
• Polydipsia yopangidwa ndi mankhwala osokoneza bongo: Izi zimayambitsidwa ndi mankhwala kapena mavitamini ena omwe amayambitsa polyuria, monga okodzetsa, vitamini K, kudya mchere, ndi corticosteroids.
• Compensatory polydipsia: Compensatory polydipsia imayamba chifukwa cha kuchepa kwa mahomoni oletsa antivuretic mthupi lanu. Izi zitha kubweretsa kukodza kwambiri.

Maonekedwe ndi kupewa

Kutengera chifukwa ndi kuchiza kwa polydipsia, mudzatha kuyilamulira popanda kusokoneza moyo wanu kapena kusokoneza zochitika zanu za tsiku ndi tsiku.

Zosintha zina pamoyo wanu, monga kuchita masewera olimbitsa thupi kapena kudya zakudya zabwino, zitha kuthandiza kuti zizindikilo zanu zizikhala zofewa, makamaka ngati muli ndi vuto ngati matenda ashuga. Pazifukwa izi, kupeza dongosolo la chithandizo kuchokera kwa dokotala ndikofunikira kuti mukhale ndi thanzi labwino komanso kupewa zovuta zina za matenda ashuga. Kuledzeretsa kumwa kwanu kumathandizanso kupewa zovuta zakumwa madzi ochulukirapo, monga hyponatremia.

Lankhulani ndi dokotala wanu za njira yabwino yothetsera matenda anu ndikuchiza zomwe muli nazo.