He mea maʻamau loa ka make wai ʻana ma hope o ka ʻai ʻana i ka meaʻai ʻala a i ʻole ka hoʻoikaika kino a me ka hou ʻana. ʻO ka maʻamau, ʻo ke aniani wai wale nō kāu e pono ai e hoʻopau i kēlā make wai. Akā, ua ʻike anei ʻoe i kahi make wai mau a hoʻomau ʻole e nalowale ana me ka nui o ka wai āu e inu ai? Inā hoʻomau kēia no nā lā a ʻoi aku paha, ʻaʻole ia he make wai maʻamau. Ma ke kahua lapaʻau, kapa mākou i kēia ʻo Polydipsia, a i ʻole ka make wai nui.
He aha maoli ka Polydipsia?
I ka ʻōlelo maʻalahi, ʻo Polydipsia kahi makewai nui a maʻamau e ʻoi aku ana ma mua o nā pono physiological maʻamau. ʻO ia ka pane pinepine a kou kino i ke kaulike ʻole o ka wai. Hoʻopili pinepine ʻia kēia kūlana me ka waha maloʻo (xerostomia) a me ka pono no ka mimi pinepine.
He mea nui ka wai no kou kino e hana pono ai, no laila he mea nui ka noho hydrated. Eia nō naʻe, me Polydipsia, manaʻo paha ʻoe ʻaʻole nui ka nui o kāu inu ʻana, ʻaʻole i māʻona kou make wai. Hiki i kēia manaʻo ke hoʻomau no nā lā, nā pule, a i ʻole nā mahina.
Inā make wai nui a hoʻomau kou, hiki i kēia ke hōʻailona mua o nā maʻi koʻikoʻi e like me ka maʻi diabetes.
He aha ke kumu o ka make wai nui?
Hiki ke hoʻoulu ʻia ka makewai nui e nā kumu maʻamau, manawa pōkole a i ʻole nā kūlana olakino e pono ai ka nānā ʻana. E wehewehe kākou i nā mea ʻelua.
Nā Kumu Maʻamau, Ola o kēlā me kēia Lā
He manawa pōkole kēia mau mea a ʻaʻohe mea e hopohopo ai:
- Nā meaʻai kiʻekiʻe i ka sodium a i ʻole nā mea ʻala: ʻO nā meaʻai waiwai i ka paʻakai a i ʻole nā mea ʻala e hoʻoulu maoli i ka make wai.
- Ka inu ʻana i ka caffeine a i ʻole ka waiʻona: Hana kēia mau mea ma ke ʻano he diuretics, hiki ke hoʻemi i nā pae wai o kou kino.
- Hoʻoikaika kino nui: ʻO ka pohō nui o ka wai a me ka electrolyte ma o ka hou e hiki ai i ka make wai.
- Maʻi: ʻO nā kūlana e like me ke kuni, ka maʻi pākī, a i ʻole ka luaʻi ʻana ke kumu o ka nalowale koke ʻana o nā wai o ke kino.
- Hāpai keiki: ʻO nā loli hormonal a me ke kino i ka wā hāpai e hoʻonui pinepine i kou pono no ka wai.
- Nā lāʻau lapaʻau: Hiki i kekahi mau lāʻau lapaʻau ke papa inoa i ka waha maloʻo a me ka make wai nui e like me nā hopena ʻaoʻao.
Nā Kumu Lapaʻau e Nānā ai
Inā ʻaʻole e emi kou make wai ma hope o kekahi mau lā, hiki paha iā ia ke kuhikuhi i kahi pilikia olakino koʻikoʻi. Eia kekahi o nā kūlana e pili ana.
| Kūlana | He wehewehe maʻalahi |
|---|---|
| ʻO ka maʻi diabetes mellitus | ʻO kēia ke kumu lapaʻau maʻamau o ka makewai nui. Ke kiʻekiʻe kou pae kō koko (hyperglycemia), hana nui kou mau puʻupaʻa e kānana a wehe i ke kō keu ma o kou mimi. ʻO kēia ke alakaʻi i ka mimi pinepine, e hopena ana i ka maloʻo a me ka makewai mau. |
| ʻO ka maʻi diabetes insipidus | ʻOiai ke ʻano like o ka inoa, ʻaʻole pili kēia i ke kō koko. He kūlana ia e pili ana i ka hormonal a i ʻole ka puʻupaʻa kahi hiki ʻole i kou kino ke mālama pono i ka wai, e alakaʻi ana i ka hana ʻana o ka nui o ka mimi a me ka make wai mau a ikaika hoʻi. |
| Ka maloʻo ʻana | Inā ʻaʻole ʻoe i hoʻopau i ka nui o nā wai i loko o kekahi mau lā, hiki i kou kino ke maloʻo loa, kahi e hoʻoulu ai i ka make wai nui. |
| ʻO ka Polydipsia Psychogenic | ʻO kekahi mau kūlana olakino noʻonoʻo, e like me ka hopohopo nui a i ʻole ka schizophrenia, hiki i kekahi manawa ke hoʻoulu i ka makemake e inu i ka nui o ka wai. |
| Hypokalemia (Potassium Haʻahaʻa) | ʻO nā pae haʻahaʻa o ka potassium i loko o kou koko e hiki ke hoʻopilikia i ka hana o nā puʻupaʻa, e hiki ai ke hoʻonui i ka manaʻo o ka make wai. |
| Nā Kumu ʻē aʻe | ʻO nā kuni nui, sepsis, a i ʻole nā maʻi maʻi e like me ka puʻuwai, ke akepaʻa, a i ʻole ka hāʻule ʻana o ka puʻupaʻa hiki ke hoʻopilikia i ke kaulike wai o kou kino a hoʻoulu i ka make wai nui. |
Āhea ʻoe e ʻike ai i ke kauka?
Inā hele pū kou make wai nui me kekahi o kēia mau hōʻailona, mai hoʻokaʻulua—e ʻimi koke i ke kōkua lapaʻau.
- Ke mau nei kou make wai no kekahi mau lā, ʻoiai ma hope o ka hoʻonui ʻana i kāu inu wai.
- Ke mimi pinepine nei ʻoe a me ka nui o ka mimi (i ʻike ʻia ma ke ʻano lapaʻau he polyuria).
- ʻIke ʻoe i ka ʻike maka pōwehiwehi.
- Manaʻo ʻoe i ka luhi nui a i ʻole ka nāwaliwali i hiki ʻole ke wehewehe ʻia .
- Loaʻa iā ʻoe ka pōloli nui loa (polyphagia).
Ke hui pū kēia mau hōʻailona—ʻoiai ka makewai nui, ka mimi pinepine, a me ka pōloli nui—he mau hōʻailona koʻikoʻi ia o ka maʻi diabetes. Inā ʻike ʻoe i kēia mau mea, e ʻoluʻolu e kipa koke i kahi keʻena lapaʻau a haukapila paha.
I kāu kūkākūkā ʻana, e hana kāu kauka i kahi hoʻokolokolo kino a nīnau paha:
- ʻEhia ka lōʻihi o kēia makewai e hoʻopilikia nei iā ʻoe?
- Ua hoʻomaka koke anei a i ʻole lohi paha?
- Ua loaʻa anei nā loli i kāu ʻai a i ʻole kou kaumaha?
No ka ʻike ʻana i ke kumu, hiki iā lākou ke kauoha i nā hoʻāʻo koko (no ka glucose a me nā electrolytes) a me kahi urinalysis.
Hoʻopilikino ʻia ka lāʻau lapaʻau i ke kumu kumu. Inā he maʻi diabetes ia, e kōkua kāu kauka iā ʻoe e hoʻokele i kāu kō koko. Inā he hopena ʻaoʻao ia o ka lāʻau lapaʻau, hiki iā lākou ke hoʻoponopono i kāu dosage. ʻO ka hana nui loa, ʻo ia ke ʻike i kahi loea e loaʻa ai kahi hōʻailona pololei.
Leka Lawe-Home mai Nirogi Lanka
- He ʻokoʻa ka make wai maʻamau mai ka make wai mau a hiki ʻole ke hoʻopau ʻia (polydipsia).
- ʻO ka make wai nui mau loa paha ke hōʻailona mua o nā maʻi koʻikoʻi e like me ka maʻi diabetes.
- Inā hele pū kou make wai me ka mimi pinepine ʻana, ka ʻike pohihihi, a i ʻole ka luhi nui, mai hoʻowahāwahā i kēia mau hōʻailona hōʻike.
- Inā ʻoe e ʻike nei i ka makewai maʻamau ʻole a mau loa, mai kuhi wale—e kūkākūkā me kāu kauka e ʻike i ke kumu a loaʻa iā ʻoe ka mālama kūpono.
👩🏽⚕️ Nā Nīnau i Nīnau Pinepine ʻia (FAQs)
💬 He aha ka Polydipsia, a pehea kona ʻokoʻa mai ka makewai maʻamau?
He mea maʻamau loa ka make wai ma hope o ka hoʻoikaika kino a i ʻole ka hana ʻana i ka wela. Eia nō naʻe, ʻokoʻa ka 'Polydipsia'; ʻoiai inā inu ʻoe i 4-5 lita o ka wai i ka lā, ʻike mau ʻoe i kahi waha maloʻo loa a ʻaʻole e nalowale. ʻAʻole kēia he make wai maʻamau wale nō - he hōʻailona nui ia mai kou kino e hiki ke loaʻa kahi maʻi koʻikoʻi e pono ai ke kōkua lapaʻau e ka hui Nirogi Lanka.
💬 He aha nā kumu nui o ka makewai mau a hiki ʻole ke kāohi ʻia (Polydipsia)?
ʻO kekahi o nā kumu maʻamau a koʻikoʻi hoʻi ʻo ia ka 'Diabetes Mellitus'. Ke kiʻekiʻe kou pae kō koko, hoʻāʻo kou kino e hoʻokahe i ka glucose keu ma o ka mimi, kahi e alakaʻi ai i ka dehydration a hoʻoulu i kou lolo e koi i ka inu wai mau. ʻO nā kumu ʻē aʻe e pili ana i ka 'Diabetes Insipidus' (e pili ana i ka hana o ka puʻupaʻa a i ʻole ka lolo), kekahi mau lāʻau antidepressant, hypercalcemia (calcium koko kiʻekiʻe), a i ʻole psychogenic polydipsia.
💬 Āhea wau e ʻimi ai i ke kōkua lapaʻau ulia pōpilikia no ka makewai nui (Red Flags)?
Inā hele pū kou make wai me: 1) ka mimi pinepine (polyuria, ʻoi aku ma mua o 10 mau manawa i ka lā), 2) ka emi wikiwiki o ke kaumaha me ka wehewehe ʻole ʻia, 3) ka ʻike maka pohihihi, ka poniuniu, a i ʻole ka luhi nui, pono ʻoe e hana koke. Hiki i kēia ke lilo i mau hōʻailona o kahi pilikia maʻi diabetes e hoʻoweliweli ana i ke ola (e like me DKA a i ʻole ke kō koko kiʻekiʻe loa). E ʻoluʻolu e kipa aku i kahi keʻena pilikia a i ʻole e kelepona koke i ka 911 a e hōʻoia e loaʻa iā ʻoe kahi hoʻāʻo Fasting Blood Sugar a i ʻole HbA1c i ka hikiwawe loa.
