Ke noʻonoʻo nei ʻoe i kekahi manawa, "E Māmā, no ke aha lā wau e mimi nui ai?" A i ʻole ala ʻoe i ka pō e mimi me ka hiamoe ʻole? ʻO Polyuria ka huaʻōlelo lapaʻau no ka hoʻokahe ʻana i ka mimi ma mua o ka maʻamau, ʻo ia hoʻi, i nā nui he nui, i kēlā me kēia lā. ʻAʻole kēia he hele pinepine wale nō i ka lua. I kēia hihia, piha kou ʻōpū mimi i kēlā me kēia manawa a hoʻokahe ʻia ka nui o ka mimi. ʻOiai he hōʻailona nui kēia o ka maʻi diabetes, hiki ke hana ʻia e nā pilikia olakino ʻē aʻe. No laila e ʻike pono kākou i kēia.
He aha maoli ka polyuria?
I ka ʻōlelo maʻalahi, ʻaʻole maʻamau ka hoʻokuʻu ʻana o kahi pākeke ma mua o 3 lita o ka mimi i kēlā me kēia lā. Akā i ke ʻano o Polyuria, hiki i kēia nui ke piʻi i 15 lita i kēlā me kēia lā. E noʻonoʻo i ka nui o ia mea!
I kēia manawa, loaʻa i kekahi poʻe nā maʻi e like me ka Overactive Bladder. I loko o ia mea, manaʻo ʻoe i ka pono e mimi koke, ʻoiai inā he liʻiliʻi wale nō ka mimi i loko o kou ʻōpū mimi. Akā i ka Polyuria, ʻo ka mea e hana ʻia, ʻo ia ka hana ʻana o kou kino i ka mimi hou aku, no laila e piha koke ana kāu ʻōpū mimi. No laila pono ʻoe e mimi pinepine, i ka nui.
He aha nā ʻano nui o kēia maʻi?
Hiki i ke kanaka me ka polyuria ke ʻike i kēia mau hōʻailona. E nānā inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona.
| Hōʻailona | Wehewehena |
|---|---|
| Mimi pinepine | Pono e mimi ma mua o 7-8 mau manawa i ka lā, ma ke ʻano maʻamau. |
| Ka hele ʻana i ka nui o ka mimi | Ke hoʻolei nei i ka mimi i ʻoi aku ka nui ma mua o kahi liʻiliʻi i kēlā me kēia manawa. |
| Makewai nui | ʻOi aku ka make wai ma mua o ka maʻamau ma muli o ka nalowale ʻana o ka nui o ka wai mai ke kino. |
| Ke ala ʻana i ka pō | Ke ala ʻana i nā manawa he nui i ka pō ma muli o ka pono e mimi. |
| Mimi māmā | Hiki ke māmā loa ke kala o kou mimi, ʻoiai inā loaʻa kēia ʻano ma muli o ka inu nui ʻana i ka wai. |
He aha nā kumu o ka polyuria?
Aia paha he nui nā kumu no kēia. E nānā kākou i nā mea nui.
1. Maʻi diabetes (ʻAno 1 a me ke ʻano 2 Diabetes)
ʻO ke kumu maʻamau o ka polyuria ka maʻi diabetes. ʻO kēia kekahi o nā hōʻailona mua o ka maʻi diabetes. Eia ke ʻano o ka hana: Ke loaʻa iā ʻoe ka maʻi diabetes, piʻi nui kou pae kō koko (glucose). A laila pono ko mākou mau puʻupaʻa e hana ikaika ma mua o ka maʻamau e kānana i kēia kō keu.
Ke paʻakikī nā puʻupaʻa i ka hana ʻana i kēia hana, hoʻomaka lākou e hana i ka mimi hou aku e hoʻopau i kēlā kō keu. No laila, ke mimi hou aku ʻoe, makewai hou aku ʻoe, inu hou aku ʻoe i ka wai, no laila mimi hou aku ʻoe. Ua like ia me kahi pōʻaiapuni.
2. Inu ʻana i nā wai he nui
Hiki i kekahi mau maʻi ke hoʻolilo iā ʻoe i ka makewai nui. Akā i kekahi manawa, inu nui kekahi poʻe i ka wai e noho olakino ai. Hiki i kēia ke kumu o ka polyuria. ʻOi aku ka waiʻona a me nā mea inu caffeine (kofe, kī, kekahi mau mea inu palupalu) e hoʻonui i ka hana mimi.
3. Kekahi mau lāʻau lapaʻau
ʻO kekahi mau lāʻau lapaʻau āu e lawe ai paha ke kumu o kēia.
- Diuretics: Ua kapa ʻia kēia mau mea he "pills wai." ʻO kēia mau lāʻau lapaʻau, i hoʻohana ʻia e mālama i ke koko kiʻekiʻe, wehe i ka wai keu a me nā paʻakai mai ke kino.
- Nā lāʻau lapaʻau ʻē aʻe: ʻO nā lāʻau lapaʻau e like me nā mea pale calcium no ke koko kiʻekiʻe, lithium no ka maʻi bipolar, a me SSRIs no ke kaumaha hiki ke hana i kēia.
4. Maʻi Diabetes Insipidus
He ʻano maʻi laha ʻole kēia i ʻokoʻa loa mai ka maʻi diabetes a kākou a pau i ʻike ai. ʻO ka mea e hana nei ma ʻaneʻi, he paʻakikī i ke kino ke kāohi i nā pae wai. ʻO Vasopressin, ka mea i hana ʻia i loko o ko kākou lolo,ʻO ke kumu o kēia ma muli o ka nele o kahi hormone i kapa ʻia ʻo Antidiuretic hormone (ADH) a i ʻole ka pane pono ʻole ʻana o nā puʻupaʻa iā ia. ʻAʻole make wai ke kanaka me kēia maʻi ʻaʻole pili i ka nui o ka wai a lākou e inu ai. Hiki ke hana ʻia kēia e nā kumu e like me ka maʻi puʻupaʻa, ke kanesa, ka ʻeha o ka lolo, a i ʻole ke ʻoki kino.
5. Maʻi puʻupaʻa a i ʻole ka hāʻule ʻana o ka puʻupaʻa
ʻAʻole hiki i nā puʻupaʻa i hōʻino ʻia ke kāohi pono i ka mimi. ʻO ka Polyuria pinepine kahi hōʻailona mua o ka maʻi puʻupaʻa. ʻO nā kūlana e like me ka maʻi ake, ka anemia cell sickle, a me nā pae calcium koko kiʻekiʻe (hypercalcemia) hiki ke hoʻopilikia i nā puʻupaʻa a hoʻoulu i ka polyuria.
Pehea e ʻike ai ke kauka i kēia?
Ke ʻike ʻoe i ke kauka e haʻi iā ia e pili ana i kēia, e nānā ʻo ia i kekahi mau kumu e ʻike ai i ke kumu.
- Ke nīnau nei iā ʻoe i nā kikoʻī: Pehea ka nui a me ka pinepine o kou mimi ʻana, pehea kou make wai, a inā paha i hiki koke mai kēia loli a mālie paha.
- Mōʻaukala lapaʻau: E nīnau e pili ana i nā ʻoki kino hou, nā lāʻau lapaʻau i loaʻa, a me nā lāʻau lapaʻau i lawe ʻia.
- Hoʻokolokolo kino: Nānā i nā hōʻailona o ka maʻi diabetes a i ʻole nā maʻi ʻē aʻe.
- Nā hoʻāʻo mimi: Ma waho aʻe o kahi hoʻāʻo mimi maʻamau, e noi ʻia paha ʻoe e hōʻiliʻili i kāu mimi āpau no kahi manawa 24-hola a hoʻāʻo iā ia.
- Hoʻāʻo Hoʻonele Wai: He hoʻāʻo kūikawā kēia no ka ʻike ʻana i ka Diabetes Insipidus. Hana pinepine ʻia ia ma lalo o ka nānā ʻana o ke kauka ma kahi haukapila.
- Nā hoʻāʻo koko: Nānā i nā pae o nā mea e like me ka glucose, calcium, sodium, a me ka potassium i loko o ke koko.
He aha ka lāʻau lapaʻau no kēia?
ʻO ke ala e hoʻōki ai i ka polyuria e pili ana i ke kumu kumu . No laila, he mea nui loa e ʻike mua i ke kumu pololei. Ke ʻike ʻia ke kumu, hiki iā ʻoe ke hoʻohana i nā lāʻau lapaʻau e like me:
- Ka mālama ʻana i kāu maʻi diabetes (ʻAno 1 a i ʻole ʻAno 2) ma lalo o ka kaohi maikaʻi .
- Ke hoʻololi a hoʻoponopono paha i ka nui o nā lāʻau lapaʻau e hoʻoulu ai i ka polyuria (pono e hana ʻia kēia ma ke ʻōlelo aʻo a ke kauka).
- Ka mālama kūpono ʻana i nā maʻi e pili ana i nā puʻupaʻa.
- ʻO ka lawe ʻana i nā lāʻau lapaʻau kūikawā e like me Desmopressin no ka maʻi Diabetes Insipidus.
- Inā ʻo ke kumu o ka inu nui ʻana i ka wai, e hoʻemi i ka nui o ka wai āu e inu ai .
I ka manawa hea ʻoe e pono ai e ʻike i ke kauka?
Inā pono ʻoe e mimi ma mua o 8 mau manawa i ka lā, a inā manaʻo ʻoe e kahe ana ʻoe i ka mimi ma mua o ka maʻamau, e ʻike pono i kāu kauka.
ʻO ke ʻano kūikawā, inā hele pū ka mimi nui me nā hōʻailona ma lalo nei, e ʻimi koke i ke kōkua lapaʻau.
| Nā Hōʻailona Hoʻolaha | |
|---|---|
| kuni | Ka luaʻi ʻana |
| ʻEha o ka ʻōpū haʻahaʻa a i ʻole ke kua | Ke koko i loko o ka mimi (Hematuria) |
| Ka hoʻokuʻu ʻana mai nā ʻōpū ma ke ʻano kūpono ʻole | |
Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi e like me kēia, ʻoi aku ka maikaʻi o ka hele ʻana i ka Emergency Department (ETU) o ka haukapila kokoke loa.
Leka Lawe-Home
- ʻAʻole wale ka Polyuria i ka mimi pinepine ʻana, akā ʻo ia hoʻi ke kaʻe ʻana o ka nui o ka mimi mai ke kino.
- ʻO ke kumu o kēia hiki ke lilo i mea maʻalahi e like me ka inu ʻana i ka wai nui, a i ʻole he maʻi koʻikoʻi paha e like me ka maʻi diabetes a i ʻole ka maʻi puʻupaʻa.
- Mai hoʻowahāwahā i kēia hōʻailona. He mea ia e makaʻala nui aku ai , ʻoiai inā hele pū ʻia me nā hōʻailona ʻē aʻe e like me ke kuni, ka ʻeha, a i ʻole ke koko i loko o ka mimi.
- ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i kāu kauka, kamaʻilio me ia, e ʻike i ke kumu maoli , a e ʻimi i ka lāʻau lapaʻau e like me ia.
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