Ua ʻike mākou a pau he mea maʻamau ka hele pinepine ʻana i ka lua i ka wā hāpai, ʻoiai i nā mahina i hala iho nei. ʻO kēia ma muli o ke kaomi a ka pēpē e kau ai ma luna o ka ʻōpū mimi i kona ulu ʻana. Akā inā makewai nui ʻoe, inā manaʻo ʻoe e inu ana ʻoe i nā ʻōmole wai i ka lā a ʻaʻole lawa kāu, inā pono ʻoe e hele i ka lua i kēlā me kēia ʻelua hola, a laila he mea ʻokoʻa paha kēia mai ka hāpai maʻamau. He ʻano laha ʻole kēia i kapa ʻia ʻo 'Gestagenic Diabetes Insipidus' a mākou e kamaʻilio nei i kēia lā. ʻOiai he 'Diabetes' kona inoa, ʻaʻole kēia ka maʻi diabetes mellitus a mākou a pau i ʻike ai. He ʻano ʻokoʻa loa kēia.
No ke aha lā kēia e hana nei? He aha ke kumu?
I ka ʻōlelo maʻalahi, he maʻi laha ʻole kēia. I ka wā hāpai, hana pinepine kāu placenta i kahi enzyme. Hiki i kēia enzyme ke luku i kahi hormone i loko o ko mākou kino i kapa ʻia ʻo vasopressin.
E noʻonoʻo i kēia ʻano, ua like kēia hormone vasopressin me kahi luna e kāohi ana i ka wai i loko o ko kākou kino. ʻO ia ka mea e haʻi aku i ko kākou mau puʻupaʻa, "ʻAe, i kēia manawa ua lawa ka wai o ke kino, e mālama i kekahi, a e hoʻokuʻu i ke koena ma ke ʻano he mimi." No laila, i ka wā e luku ʻia ai kēia hormone vasopressin e kēlā enzyme mai ka placenta, e hoʻopilikia ʻia ka mana wai o ke kino. A laila, ʻaʻole hiki i nā puʻupaʻa ke mālama i ka nui o ka wai e pono ai i loko o ke kino, a hoʻomaka lākou e hoʻokuʻu mau i ka mimi.
ʻO ka hopena kēia iā ʻoe e make wai nui a pono e mimi pinepine . No kekahi poʻe, hiki i kēia kūlana ke alakaʻi i ka hoʻōki ʻole o ka mimi a me ka moe ʻana i ka pō.
He mea kākaʻikahi loa, hiki ke hoʻoilina kēia maʻi. I kekahi manawa hiki ke hana ʻia e kahi pilikia me ke ʻano kaohi o ke kino i ka makewai. Akā i ka hapa nui o ka manawa, he paʻakikī ke loaʻa kahi kumu kikoʻī.
He aha nā hōʻailona maoli?
He mea maʻamau ka hele ʻana i ka lua i ka pō i ka wā hāpai. Akā i kēia hihia, ʻokoʻa ia. E nānā inā loaʻa iā ʻoe kēia mau hōʻailona i ka manawa like.
| Hōʻailona | Wehewehena |
|---|---|
| Ka makewai nui (Polyuria) | ʻAʻole kēia he make wai maʻamau no ka wai. He make wai hiki ʻole ke hoʻomanawanui ia e like me ka lawa ʻole ʻaʻole pili i ka nui o ka wai āu e inu ai. Hoʻowalewale ʻia ʻoe e inu i nā lita o ka wai i ka lā. |
| Ka mimi pinepine ʻana (Polydipsia) | Pono ʻoe e hele i ka lua i nā manawa he nui i ka hola. Hoʻokahe nui hoʻi ʻoe i ka mimi. ʻO ke kala o kou mimi he moakāka a hoʻoheheʻe ʻia e like me ka wai. |
| Nā hiʻohiʻona ʻē aʻe | ʻO ka nalowale nui o ka wai mai ke kino e hiki ke hoʻoulu i ka nausea, ka dizziness, a me ka manaʻo nāwaliwali. |
ʻO ka mea nui, ʻaʻole hoʻokahi a ʻelua paha kēia mau hōʻailona, akā he mau hōʻailona i hui pū ʻia. Inā makewai nui ʻoe a me ka mimi nui ʻana, pono ʻoe e hopohopo.
Pehea e ʻike ʻia ai kēia a mālama ʻia?
Ke haʻi aku ʻoe i kāu kauka e pili ana i kēia mau hōʻailona, e holo ʻo ia i kekahi mau hoʻokolohua e hōʻoia i ke kūlana.
- Nā hoʻāʻo mimi: Hoʻāʻo ʻia kahi hāpana o kāu mimi e ʻike i kona hoʻoheheʻe ʻia, ʻo ia hoʻi he wai, a inā paha he ʻano nui a melemele ke kala.
- Nā hoʻāʻo koko: Hiki ke hana ʻia nā hoʻāʻo koko e nānā i nā mea e like me nā pae sodium koko.
Nā ʻano lapaʻau
Ke ʻike ʻia kēia maʻi, ʻokoʻa ke ʻano o ka lāʻau lapaʻau ma muli o ke koʻikoʻi o nā hōʻailona.
1. Nānā ʻana me ka ʻole o ka lāʻau lapaʻau: I kekahi manawa, inā ʻaʻole koʻikoʻi loa nā hōʻailona, hiki i ke kauka ke hoʻoholo ʻaʻole e hana i kekahi lāʻau lapaʻau kūikawā. Eia naʻe, inā hana kēia, e nānā mau ʻia ʻoe. E nānā pono ʻia kou kino e hōʻoia i ka hoʻomaʻemaʻe pono ʻia ʻoe. Pono ʻoe e mālama i kahi ʻōmole wai kokoke i nā manawa a pau , no ka mea he mea nui ia e pale aku i ka maloʻo ʻana o ka wai.
2. Lāʻau lapaʻau: Inā koʻikoʻi kou mau hōʻailona, hiki ke hāʻawi ʻia iā ʻoe kahi lāʻau lapaʻau i kapa ʻia ʻo desmopressin . He ʻano synthetic kēia o ka hormone vasopressin a mākou i kamaʻilio ai ma mua. Loaʻa pinepine ia ma ke ʻano he ihu pīpī. Hana kēia lāʻau lapaʻau ma ka hoʻololi ʻana i ka hana o ka hormone i luku ʻia, e kōkua ana i nā puʻupaʻa e hoʻopili hou i ka wai, a me ka kaohi ʻana i ka hoʻopuka mimi. Hiki iā ia ke kōkua i ka kaohi ʻana i nā mea e like me ka moe ʻana i ka pō.
Āhea wau e ʻike ai i ke kauka?
ʻO kēia ka ʻāpana koʻikoʻi loa. Inā hāpai ʻoe a loaʻa iā ʻoe nā hōʻailona a pau ma lalo nei,Mai hoʻowahāwahā iā ia me he mea maʻamau lā.
- Inā pono ʻoe e hele pinepine i ka lua , ʻoi aku hoʻi i ka pō.
- Inā ʻoe e makewai nui loa .
- Inā ʻoe e inu i ka wai i ʻoi aku ma mua o kou inu mau ʻana i ka lā.
Inā loaʻa iā ʻoe kēia mau hōʻailona ʻekolu a pau, e ʻoluʻolu e ʻike i kāu kauka a wehewehe pono i kēia. ʻAʻohe pono e hopohopo. He kūlana hiki ke mālama ʻia kēia.
ʻO ka nūhou maikaʻi, no ka hapa nui o nā wahine, e nalo loa kēia maʻi i loko o 4 a 6 mau pule ma hope o ka hānau ʻana. Eia nō naʻe, aia kahi manawa e hoʻi hou mai ai kēia maʻi i nā hāpai ʻana e hiki mai ana.
Leka Lawe-Home
- He maʻi laha ʻole ka Gestagenic Diabetes Insipidus i ka wā hāpai. ʻAʻole ia he maʻi diabetes mellitus.
- ʻO ke kumu nui o kēia, ʻo ia ka luku ʻana o kahi enzyme i hana ʻia e ka placenta i ka hormone vasopressin, ka mea e kaohi ana i ka wai i loko o ke kino.
- ʻO nā hōʻailona nui ka make wai hiki ʻole ke hoʻomanawanui a me ka mimi nui.
- Inā hāpai ʻoe a loaʻa kēia mau hōʻailona i ka hui pū ʻana, mai manaʻo he mea maʻamau ia a e ʻike pono i kāu kauka.
- Hiki ke mālama maikaʻi ʻia kēia ʻano me ka lāʻau lapaʻau a hoʻoholo pinepine ʻia ma hope o ka hānau ʻana o ke pēpē.
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