Kuchulukitsa Kowonjezera Kwambiri (Polyuria)

Zamkati

• Zoyambitsa zamankhwala za kukodza kwambiri
• Zina mwazomwe zimayambitsa kukodza kwambiri
• Nthawi yoti mupeze chithandizo chokwiyitsa kwambiri
• Matenda ashuga komanso kukodza kwambiri
• Kuchepetsa zizindikilo zakuchuluka kwambiri kwamadzi
• Maonekedwe akuchuluka kwambiri kwamadzi

Kodi kuchuluka kokodza kwambiri ndi kotani?

Kuchuluka kwamadzi okwanira (kapena polyuria) kumachitika mukamakodza kwambiri. Vuto la mkodzo limawerengedwa mopitilira muyeso ngati limakhala lopitilira malita 2.5 patsiku.

Vuto la mkodzo "wabwinobwino" limadalira msinkhu wanu ndi jenda yanu. Komabe, zosakwana 2 malita patsiku nthawi zambiri zimawoneka ngati zachilendo.

Kutulutsa mkodzo wambiri ndichizolowezi koma sikuyenera kupitilira masiku angapo. Anthu ambiri amazindikira chizindikirocho usiku. Poterepa, amatchedwa nocturnal polyuria (kapena nocturia).

Zoyambitsa zamankhwala za kukodza kwambiri

Kutulutsa mkodzo wochulukirapo nthawi zina kumatha kuwonetsa mavuto azaumoyo, kuphatikizapo:

• matenda a chikhodzodzo (omwe amapezeka mwa ana ndi akazi)
• kusadziletsa kwamikodzo
• matenda ashuga
• nephritis yapakati
• impso kulephera
• impso miyala
• psychogenic polydipsia, matenda amisala omwe amachititsa ludzu kwambiri
• kuchepa kwa magazi pachikwere
• prostate wokulitsa, wotchedwanso benign prostatic hyperplasia (wofala kwambiri mwa amuna azaka zopitilira 50)
• mitundu ina ya khansa

Muthanso kuwona polyuria pambuyo pa CT scan kapena mayeso ena aliwonse pachipatala pomwe utoto umalowetsedwa mthupi lanu. Kuchuluka kwa mkodzo kumakhala kofala tsiku lotsatira mayeso. Itanani dokotala wanu ngati vutoli lipitilira.

Zina mwazomwe zimayambitsa kukodza kwambiri

Kuchuluka kwamkodzo wochuluka nthawi zambiri kumachitika chifukwa chamakhalidwe. Izi zitha kuphatikizira kumwa zakumwa zamadzi zambiri, zomwe zimadziwika kuti polydipsia ndipo sizovuta zathanzi. Kumwa mowa ndi caffeine kungayambitsenso polyuria.

Mankhwala ena, monga okodzetsa, amachulukitsa mkodzo. Lankhulani ndi dokotala wanu ngati mwangoyamba kumene mankhwala atsopano (kapena mwangosintha mlingo wanu) ndipo muwone kusintha kwa kuchuluka kwa mkodzo wanu. Onse mowa ndi caffeine ndi okodzetsa, ndipo mankhwala ena othamanga magazi ndi edema amakhalanso ngati okodzetsa, kuphatikiza:

• thiazide diuretics, monga chlorothiazide ndi hydrochlorothiazide
• potaziyamu-osalekerera okodzetsa, monga eplerenone ndi triamterene
• kuzungulira okodzetsa, monga bumetanide ndi furosemide

Mutha kukhala ndi polyuria chifukwa cha mankhwalawa.

Nthawi yoti mupeze chithandizo chokwiyitsa kwambiri

Funani chithandizo cha polyuria ngati mukuganiza kuti vuto lanu ndi lomwe limayambitsa. Zizindikiro zina ziyenera kukupangitsani kuti mukaonane ndi dokotala nthawi yomweyo, kuphatikizapo:

• malungo
• kupweteka kwa msana
• kufooka mwendo
• polyuria mwadzidzidzi, makamaka adakali mwana
• matenda amisala
• thukuta usiku
• kuonda

Zizindikirozi zimatha kuwonetsa zovuta za msana, matenda ashuga, matenda a impso, kapena khansa. Funani mankhwala mukangoona izi. Chithandizo chingakuthandizeni kuthana ndi vuto lanu la polyuria ndikukhalabe ndi thanzi labwino.

Ngati mukuganiza kuti kuchulukaku kukuchitika chifukwa cha kuchuluka kwa madzi kapena mankhwala, yang'anani kuchuluka kwa mkodzo wanu masiku angapo. Ngati kuchuluka kochulukirapo kukupitilira nthawi imeneyi, lankhulani ndi dokotala wanu.

Matenda ashuga komanso kukodza kwambiri

Matenda a shuga (omwe amangotchedwa kuti shuga) ndi chimodzi mwazomwe zimayambitsa polyuria. Momwemonso, shuga wambiri (shuga wamagazi) amatengera ma tubules anu a impso ndikupangitsa kuti mkodzo wanu uwonjezeke.

Mtundu wina wa matenda ashuga wotchedwa diabetes insipidus umakulitsa kuchuluka kwa mkodzo chifukwa thupi lanu silikupanga mahomoni okwanira antidiuretic. Mahomoni a antidiuretic amadziwikanso kuti ADH kapena vasopressin. ADH imapangidwa ndimatenda anu am'mimba ndipo ndi gawo limodzi lamankhwala oyamwa madzi mu impso zanu. Vuto lanu la mkodzo limatha kukulira ngati mulibe ADH yokwanira yopangidwa. Ikhozanso kuwonjezeka ngati impso zanu sizingathe kuyendetsa bwino madzimadzi omwe amadutsamo. Izi zimadziwika kuti nephrogenic diabetes insipidus.

Dokotala wanu adzayeza magazi anu a magazi ngati akuganiza kuti matenda ashuga akuyambitsa polyuria. Ngati matenda ashuga akuyambitsa polyuria, dokotala wanu amalangiza chithandizo ndi kusintha kwa moyo wanu kuti muthane ndi matenda anu ashuga. Mankhwalawa atha kuphatikiza:

• jakisoni wa insulin
• mankhwala akumwa
• kusintha kwa zakudya
• kuchita masewera olimbitsa thupi

Kuchepetsa zizindikilo zakuchuluka kwambiri kwamadzi

Kuchuluka kwa mkodzo wosayambitsidwa ndi zovuta zaumoyo kumatha kuthandizidwa kunyumba.

Mutha kuthetsa zizolowezi zanu mwa kungosintha machitidwe omwe amadzetsa mkodzo wambiri. Yesani malangizo awa:

• Onetsetsani kuti mumamwa madzi ambiri.
• Chepetsani madzi asanagone.
• Chepetsani zakumwa za khofi ndi zakumwa zoledzeretsa.
• Mvetsetsani zotsatira zoyipa za mankhwala.

Kuchuluka kwa mkodzo wochulukirapo chifukwa cha zovuta zathanzi, monga matenda ashuga, kumatha kuthandizidwa pochiza chomwe chimayambitsa. Mwachitsanzo, chithandizo cha matenda ashuga kudzera kusintha kwa zakudya ndi mankhwala nthawi zambiri kumachepetsa zotsatira zoyipa za kuchuluka kwa mkodzo.

Maonekedwe akuchuluka kwambiri kwamadzi

Khalani omasuka komanso owona mtima kwa dokotala wanu za kukodza kwambiri. Zingakhale zovuta kulankhula ndi dokotala za momwe mumakhudzira. Komabe, malingaliro a polyuria nthawi zambiri amakhala abwino, makamaka ngati mulibe matenda aliwonse ovuta. Mungoyenera kungosintha moyo wanu kuti muthe polyuria yanu.

Zina mwazomwe zimayambitsa polyuria zitha kufuna chithandizo chambiri kapena chanthawi yayitali. Ngati matenda ashuga kapena khansa ikuyambitsa polyuria, adotolo akukambirana njira zofunikira zothetsera mavuto aliwonse azachipatala kuphatikiza pakuthandizira polyuria wanu.