Ua ʻike mākou a pau i ka wā e ʻai ai ʻoe i kahi mea kaumaha, hoʻoikaika kino nui, a hou nui, makewai ʻoe. He mea maʻamau loa ia. Ke inu ʻoe i ka wai i kēlā manawa, nalowale kēlā makewai. Akā, ua loaʻa anei iā ʻoe kekahi mea e like me kēia? ʻAʻohe mea i ka nui o ka wai āu e inu ai, ʻaʻole e nalowale kou makewai. Makemake ʻoe i ka makewai i ka lā a pau, malia paha no nā lā. Inā manaʻo ʻoe e like me kēia, ʻaʻole ia he mea maʻamau. I ka lāʻau lapaʻau, kapa mākou i kēia ʻano he Polydipsia, a i ʻole ka makewai nui.
He aha kēia makewai nui (Polydipsia)?
I ka ʻōlelo maʻalahi, ʻo Polydipsia ka makewai pinepine ʻana no ka wai e ʻoi aku ana ma mua o ka pae maʻamau. He pane kēia i ka nele o nā wai i loko o ko mākou kino. I ka manawa pinepine, hele pū kēia makewai nui me ka waha maloʻo (xerostomia) a me ka mimi pinepine (mimi pinepine).
He mea nui ka wai no ko kākou kino e hana. ʻO ia ke kumu he mea nui e inu i ka nui kūpono o ka wai i kēlā me kēia lā. Akā i ke ʻano o Polydipsia, a mākou e kamaʻilio nei, manaʻo ʻoe ʻaʻole hiki iā ʻoe ke hoʻopau i kou make wai ʻaʻohe mea nui ka nui o ka wai āu e inu ai. Hiki i kēia ke mau no nā lā, nā pule, a i ʻole nā mahina.
Inā hoʻomau kēia ʻano makewai nui, he hōʻailona mua paha ia o kahi maʻi koʻikoʻi e like me ka maʻi diabetes.
He aha nā kumu o ka make wai nui?
Ma waho aʻe o nā kumu maʻamau o ka make wai nui, aia kekahi mau kumu lapaʻau e pono ai mākou e hopohopo nui. E nānā kākou i kēia mau mea ʻelua ma ke kaʻawale.
Nā kumu maʻamau i loaʻa i ke ola o kēlā me kēia lā
ʻAʻohe mea e hopohopo ai, he manawa pōkole wale nō kēia.
- ʻAi ʻana i nā mea ʻala a paʻakai paha: Ua ʻike mākou hiki i ka ʻai ʻana i nā mea e like me nā pickles a me nā hua maloʻo ke hoʻolilo iā ʻoe i make wai loa.
- ʻO ka inu nui ʻana i ka caffeine a i ʻole ka waiʻona: ʻO nā mea e like me ke kofe, ke kī, a me ka pia e hoʻomaloʻo i ke kino.
- Ka hou nui ʻana ma hope o ka hoʻoikaika kino: Hiki mai ka makewai no ka mea ua nalowale ka wai a me nā paʻakai mai ke kino me ka hou.
- Nā maʻi e like me ke kuni, ka maʻi pākī, a me ka luaʻi: Ua nalowale hoʻi ka nui o ka wai mai ke kino i kēia manawa.
- Hāpai keiki: Hiki ke piʻi aʻe ka makewai me nā loli e hana ʻia ana i ke kino i kēia manawa.
- ʻO kekahi mau lāʻau lapaʻau: Hiki i kekahi mau lāʻau lapaʻau ke hana i ka waha maloʻo a me ka make wai ma ke ʻano he hopena ʻaoʻao.
Nā kumu no ka hopohopo olakino
Inā ʻaʻole e emi kou makewai nui ma hope o kekahi mau lā, aia paha ma muli o kahi maʻi koʻikoʻi. Eia kekahi o nā kumu kūpono.
| Kūlana | Ua wehewehe maʻalahi ʻia |
|---|---|
| Maʻi diabetes (Diabetes Mellitus) | ʻO kēia ke kumu lapaʻau nui a maʻamau o ka makewai nui. Ke kiʻekiʻe ke kiʻekiʻe o ke kō koko (hyperglycemia), hoʻāʻo nā puʻupaʻa e hoʻokuʻu i ke kō keu ma o ka mimi. ʻO kēia ke kumu o ka mimi pinepine, ka maloʻo, a me ka makewai nui. |
| ʻO ka maʻi diabetes insipidus | ʻOiai ua like kona inoa me ka maʻi diabetes, ʻaʻohe ona pili i ke kō koko. He maʻi ia e pili ana i nā puʻupaʻa a me nā hormones. Hoʻoulu ia i ka makewai nui no ka mea ua hoʻokuʻu ke kino i ka nui o ka mimi me ke kāohi ʻole ʻia. |
| Ka maloʻo ʻana | ʻO ka inu ʻole ʻana i ka wai lawa no kekahi mau lā hiki ke alakaʻi i ka maloʻo nui, ʻo ia kekahi kumu o ka make wai nui. |
| Nā kumu noʻonoʻo (Psychogenic Polydipsia) | ʻO kekahi mau maʻi noʻonoʻo (e like me ka hopohopo, schizophrenia ) hiki ke hoʻoulu i ka makemake e inu wai. |
| Ka nele o ka potassium (Hypokalemia) | Hiki i nā pae potassium haʻahaʻa i loko o ke koko ke hoʻopilikia i ka hana o nā puʻupaʻa a hoʻonui i ka make wai. |
| Nā kumu ʻē aʻe | I nā hihia e like me ke kuni, ka sepsis, nā puʻupaʻa, ke akepaʻa, a i ʻole ka hāʻule ʻana o ka puʻuwai, hiki ke hoʻopilikia ʻia ke kaulike wai o ke kino a hiki ke make wai nui. |
Āhea mākou e ʻike ai i ke kauka?
Inā ʻoe e ʻike nei i kekahi a ʻoi aku paha o nā hōʻailona ma lalo nei me kou make wai nui, he mea nui e ʻimi ʻoe i ke aʻo lapaʻau me ka hoʻonele ʻole i ka manawa.
- Inā ʻaʻole e emi kou make wai ma hope o ka inu ʻana i ka wai nui no kekahi mau lā.
- Inā ʻoe e mimi pinepine a nui ka nui (i ka lāʻau lapaʻau, kapa mākou i kēia ʻo 'polyuria').
- Inā he pōwehiwehi kou ʻike, ʻo ia hoʻi, "ʻike pōwehiwehi".
- Inā ʻoe e luhi loa a luhi loa me ke kumu ʻole.
- Inā ʻoe e pōloli loa ana (polyphagia).
Inā hui pū kēia mau hōʻailona, ʻoiai ka make wai nui, ka mimi nui, a me ka pōloli nui, hiki ke lilo i hōʻailona ikaika o ka maʻi diabetes.
Ke hele ʻoe e ʻike i ke kauka, e nīnau ʻo ia iā ʻoe i kekahi mau nīnau, e hana i kahi hoʻokolokolo kino, a e hoʻāʻo e ʻimi i ke kumu. Eia kekahi laʻana,
- ʻEhia ka lōʻihi o kēia hana?
- Ua hoʻomaka koke anei, a ua piʻi mālie paha?
- Ua loli anei kāu mau ʻano ʻai?
- Ua emi anei kou kaumaha a ua piʻi paha?
A laila, no ka ʻike ʻana i ke kumu kikoʻī, e noi ʻia paha ʻoe e hana i kekahi mau mea, e like me ka hoʻāʻo koko (glucose koko, electrolytes), a me ka hoʻāʻo mimi (urinalysis).
Aia ka lāʻau lapaʻau i ke kumu o kou makewai nui. Inā he maʻi diabetes ia, e hoʻomaka ʻia ka lāʻau lapaʻau e kāohi i kou kō koko. Inā ua hoʻokumu ʻia e kekahi lāʻau lapaʻau ʻē aʻe, e hoʻoholo ke kauka e hoʻololi i ka nui o kēlā lāʻau lapaʻau a hāʻawi paha iā ʻoe i kahi lāʻau lapaʻau ʻē aʻe. No laila, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike koke i ke kauka a ʻike i ke kumu.
Leka Lawe-Home
- ʻElua ʻano o ka make wai: ka make wai maʻamau a me ka make wai nui (polydipsia), ʻaʻole ia e pio me ka nui o kāu inu ʻana.
- ʻO ka make wai nui mau loa paha ke hōʻailona nui o kahi maʻi koʻikoʻi, e like me ka maʻi diabetes.
- Mai hoʻowahāwahā i nā hōʻailona e like me ka mimi pinepine ʻana, ka ʻike maka pohihihi, a me ka luhi nui, me ka make wai nui.
- Inā loaʻa iā ʻoe kēia ʻano make wai mau a ʻokoʻa hoʻi, mai kuhi, akā e ʻike pono i kāu kauka e loaʻa ai ke kumu kūpono a me ka lāʻau lapaʻau.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka makewai nui (Polydipsia)? Pehea kona ʻokoʻa mai ka makewai maʻamau?
He mea maʻamau ka inu ʻana i ka wai ma hope o ka hoʻoikaika kino ʻana i ka lā/ka hou ʻana. Akā, ʻo ke ʻano o ka 'Polydipsia', ʻoiai inā ʻoe e inu i 4-5 lita o ka wai i ka lā, he waha maloʻo loa kou a he makewai hiki ʻole ke hoʻomanawanui! ʻAʻole hiki ke hoʻopau ʻia kēia makewai e ka inu ʻana i ka wai, ʻo ia ka hōʻailona nui loa o kahi maʻi koʻikoʻi a weliweli hoʻi i loko o ke kino!
💬 He aha nā kumu nui no ka make wai ʻole (Polydipsia) me ka nānā ʻole i ka nui o ka wai āu e inu ai?
ʻO ke kumu nui a weliweli loa o kēia ma ka honua ʻo ia ka 'Diabetes Mellitus'! Ke piʻi ka pae kō koko, hoʻokuʻu ke kino i nā galani o ka mimi e hoʻopau iā ia. A laila, mālama ke kino i ka wai, no laila haʻi aku ka lolo iā ia e hoʻomau i ka inu wai! ʻO ke kumu ʻē aʻe ʻo ia ka 'Diabetes Insipidus (he maʻi puʻupaʻa a lolo paha).' Eia kekahi, ʻo ka poʻe e lawe ana i nā antidepressants, ka poʻe me ke koko kiʻekiʻe calcium (Hypercalcemia), a me ka poʻe e inu wai noʻonoʻo (Psychogenic polydipsia) e ʻike pū i kēia makewai nui.
💬 He aha nā 'Hāʻawe Ulaula' e hōʻike ana he pono ʻoe e ʻike i ke kauka inā makewai nui ʻoe?
Me ka make wai, inā ʻoe 1) mimi ma mua o 10 mau manawa i ka lā (Frequent Urination/Polyuria), 2) emi koke ke kaumaha me ke kumu ʻole (Unexplained weight loss), 3) loaʻa ka ʻike maka pohihihi a me ka poniuniu, a luhi/hiamoe nui ʻole (Fatigue), he maʻi diabetes make paha ia (DKA / blood sugar over 600), no laila pono ʻoe e hana i kahi hoʻāʻo koko (Fasting Blood Sugar / HbA1c) i kēia lā!
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