Sɔntɛnde yu kin fil se yu fɔ go na di bafa bɔku tɛm pas aw yu kin go? Sɔntɛnde, i nɔmal fɔ pis pas aw yu kin pis. Fɔ ɛgzampul, i kin apin we yu de drink bɔku wata. Bɔt if dis sik kɔntinyu, i kin bi sayn bak fɔ ɔda tin we de apin insay yu bɔdi. Insay mɛrɛsin, wi kin kɔl dis kɔndishɔn ‘diuresis’. Fɔ tɔk am simpul wan, dis na di we aw yu de mek urine pas wetin yu kidni dɛn de mek. Ilɛk wetin mek yu gɛt dis sik, yu dɔktɔ kin fɛn di tin we mek yu gɛt am ɛn tɛl yu di tritmɛnt we yu nid.
Wetin na di sayn dɛm fɔ dis?
Nɔto ɔlman na di sem. Na avrej, pɔsin kin pis lɛk 4-6 tɛm insay di de. Bɔt we yu gɛt ‘diuresis’, yu nid fɔ pis pas dis.
Apat frɔm dat, yu kin gɛt dɛn sik ya bak:
- Fɔ fil se yu tɔsti bad bad wan: Bikɔs bɔku wata de lɔs na yu bɔdi, yu bɔdi nɔ gɛt wata ɛn yu kin fil se yu nid fɔ drink wata ɔltɛm.
- Slip distɔblɛshɔn: Yu slip kin ambɔg, mɔ na nɛt, bikɔs yu fɔ grap fɔ pis. Dɛn kin kɔl dis bak ‘nocturia’.
- Kɔnfyushɔn, taya, ɔ wik: We yu lɔs tumɔs pan di impɔtant tin dɛn we de na di bɔdi ( ilɛktrɔlayt ) lɛk sɔdiɔm ɛn potashɔm na yu urine, dɛn nɔ kin balans igen . Dis kin mek yu fil bad, yu kin taya ɔltɛm, ɔ yu kin taya.
Wetin na di men tin dɛm wae kin mek pɔrsin gɛt diuresis?
Bɔku rizin dɛn de fɔ dis kayn tin. Lɛ wi luk dɛn wan bay wan.
1. Osmotik Diuresis we de mek pɔsin gɛt bɔdi
Fɔ tɔk am simpul wan, we sɔm tin dɛn lɛk shuga de bɔku na wi blɔd, di kidni dɛn kin tray fɔ pul dɛn ɛkstra tin dɛn de na di urine. As dɛn tin ya de kɔmɔt na do, dɛn kin pul wata bak wit dɛn. I tan lɛk se shuga de absɔb sɔm wata. Dis kin mek dɛn gɛt mɔ urine.
Di bɛst ɛgzampul dɛn bɔt dis na:
- Dayabitis: Pɔsin we nɔ gɛt tayp 1 ɔ tayp 2 dayabitis we dɛn nɔ kin kɔntrol fayn kin gɛt bɔku shuga na in blɔd. we di kidni dεm nכ ebul fכ handle dis εkstra shuga, i de kכmכt na di urine. Apat frɔm dis shuga, bɔku bɔku wata de kɔmɔt bak. Dis na di rizin we mek fɔ pis pasmak ɛn tɔsti na di men sayn dɛn we de sho se pɔsin gɛt dayabitis.
- Mannitol: Dis na wan mɛrɛsin we dɛn kin yuz sɔm tɛm na ɔspitul. Bren we de swelIf na so i bi, dɛn kin gi dis mɛrɛsin fɔ pul di wata we pasmak na di bɔdi ɛn fɔ ridyus di blɔd prɛshɔn.
2. Wata Diuresis
Dis kin apin bikɔs ɔf prɔblɛm wit wan ɔmon we rili impɔtant we de kɔntrol di wata we de na wi bɔdi. dis כmon dεn kכl am ‘Vasopressin’. dεn kכl am bak di ‘Anti- diuretic hormone’. Dat min se na ɔmon we de ridyus di urine we de kɔmɔt ɛn ɛp di bɔdi fɔ kip wata. We dis ɔmon nɔ de wok fayn, di kidni dɛn kin bigin fɔ pul wata we dɛn nɔ ebul fɔ kɔntrol.
Di men tin we kin mek dis sik na wan sik we nɔ kin apin so ɔltɛm we dɛn kɔl ‘Diabetes Insipidus ’ .
Di tin we impɔtant pas ɔl: Dis nɔto di dayabitis we wi ɔl no. Dɛn tu tin ya rili difrɛn. Pan ɔl we dɛn nem fiba, dis na ɔmon prɔblɛm.
Bɔku kayn ‘dayabitis insipidus’ de.
| Tayp fɔ ‘Dayabetes Insipidus’. | Tɔk bɔt |
|---|---|
| Sɛntral tayp | dis kin kכz fכ damej pan di haypothalamus כ pituitary gland na di bren, we de rizulta in dכn di prodakshכn כ rilis fכ di כmon ‘vasopressin’. |
| Nefrojenik tayp | If na so i bi, pan ɔl we di bren de mek di ɔmon, di kidni dɛn nɔ kin ebul fɔ du am. Dis kin bi bikɔs ɔf di jɛnɛtik tin dɛm, sɔm mɛrɛsin dɛm, di smɔl potashɔm ɔ di ay kalsiɔm lɛvɛl na di blɔd, ɛn ɔda tin dɛm. |
| Di kayn we aw pɔsin kin gɛt bɛlɛ | Wan tɛmporari kɔndishɔn we sɔm uman dɛn kin gɛt we dɛn gɛt bɛlɛ. wan εnzym we di plasεnta de mek kin brok di mama in כmon vasopressin. Dis kכndyushכn kin kכmכt afta dεn bכn di pikin. |
3. Fɔs Diuresis
Sɔntɛnde, dɔktɔ dɛn go gi yu mɛrɛsin ɔ ɔda we fɔ mek yu pis mɔ. Dɛn kin du dis as tritmɛnt fɔ ɔda mɛrɛsin.
- Diuretics (ɔ ‘wata pills’): Dis na wan kayn mɛrɛsin we dɛn kin gi fɔ trit sik lɛk ay blɔd prɛshɔn , at pwɛl, ɛdima, ɛn kidni ɔ liva sik. Dɛn kin wok bay we dɛn kin mek di bɔdi pul ɛkstra sɔl (sɔdiɔm) ɛn wata tru di urine.
- Fɔ pul sɔntin we de ambɔg di wata: We sɔntin we de ambɔg di urinary tract, lɛk ston ɔ tumor, i kin at fɔ mek di urine kɔmɔt. Afta dɛn dɔn pul dis tin we de ambɔg am wit ɔpreshɔn, di urine we dɔn blok go bigin fɔ flɔ kɔmɔt wantɛm wantɛm. Dis kin las fɔ lɛk 24-48 awa. Bɔt if i tek lɔng tɛm pas dat, mek shɔ se yu tɛl yu dɔktɔ.
Ɛni ɔda rizin dɛn de apat frɔm dis?
Yɛs, sɔm ɔda rizin dɛn kin de.
- Di kalsiɔm we de na di blɔd we de go ɔp (Hypercalcemia): Dis kin mek bak di wata we de pis bɔku. I kin bi bikɔs ɔf sɔm kansa ɛn sik dɛn we de na di paratayroyd gland.
- di at bit abnכmaliti: di urinashכn kin bכku bak we di at de bit kwik כ i nכ de bit (e.g., atrial fibrillation).
- Fɔ go na ay ay ples: We yu go na ay ay ples lɛk Nuwara Eliya, yu go dɔn notis se yu kin pis mɔ fɔ di fɔs dez. Dis na gud sayn fɔ sho se yu bɔdi de ajɔst to di nyu say we yu de.
- Kol weta: We yu de na kol, di blɔd vesel dɛn kin kɔnstrikt fɔ mek di bɔdi wam. Dis kin mek di kidni dɛn sho se di blɔd prɛshɔn dɔn ay, ɛn dis kin mek dɛn pul di wata we pasmak.
- Di it: Rɔk, drink dɛn we gɛt kafinɛ lɛk kɔfi ɛn ti, it dɛn we gɛt bɔku prɔtin, ɛn it dɛn lɛk jinja ɛn sɛli kin wok lɛk natura diuretik ɛn mek yu pis mɔ.
Wetin na di prɔblɛm dɛn we kin apin?
If dɛn nɔ pe atɛnshɔn to di pis pasmak, bɔku prɔblɛm dɛn kin kam.
1. Dehydration: We yu lɔs mɔ wata pas aw yu de tek, yu bɔdi nɔ gɛt wata. Dis kin mek yu gɛt sɔm sayn dɛm lɛk fɔ tɔsti pasmak, yu skin kin dray, yu taya, ɛn yu kin gɛt nɔys.
2. Ilektrolayt Imbalans: Minral dεm lεk sכdiכm εn potashכm impɔtant fכ wi bכdi in nεv εn mכsul dεm fכ wok fayn fayn wan. we dεn kכl dεn tin ya pasmak na di urine, imbalans de apin. Dis kin mek, .
- Mɔsul dɛn kin pen ɛn wikɛd
- I nɔ izi fɔ grap na bed
- Ɔltɛm i kin taya
- Siriɔs kɔndishɔn lɛk aw at nɔ de bit ɔltɛm kin apin, mɔ di hayponatremia (lɔ sodium) ɛnYu nid fɔ tek tɛm wit tin dɛn we dɛn kɔl haypokalemia (low potassium).
Aw yu go fɛn dis, Dɔktɔ?
We yu go to dɔktɔ bɔt dɛn sik ya, i go aks yu fɔs fɔ di ditel dɛn.
- Tin dɛm lɛk us sayn dɛm yu gɛt ɛn aw lɔng yu dɔn gɛt dɛm.
- Yu tink se ɛnibɔdi na yu famili gɛt sik dɛn lɛk dayabitis?
- Bɔt di it ɛn mɛrɛsin dɛn we yu de tek.
Afta dat, dɛn kin tɛl yu fɔ du sɔm tɛst dɛn lɛk dɛn wan ya fɔ no di rayt tin we mek yu du am:
- Blɔd tɛst (chɛk di shuga, minral, di kidni we de wok) .
- Test fɔ yu urine
- If nid de, dɛn fɔ skan yu bren ɔ kidni (MRI).
Mɛsej we dɛn kin kɛr go na os
- Nɔ ɛva ignore fɔ pis bɔku tɛm pas aw yu kin pis, mɔ if i gɛt ɔda sayn dɛn lɛk fɔ tɔsti pasmak ɛn taya.
- Dis kin bi di fɔs sayn fɔ wan siriɔs ɔndalayn kɔndishɔn, lɛk dayabitis, at sik, kidni sik, ɔr ɔmon prɔblɛm.
- I rili impɔtant fɔ tɔk opin wan bɔt dis wit yu dɔktɔ, fɛn di rayt rizin, ɛn fɛn di rayt tritmɛnt.
- Limit drink dɛn we de mek yu pis mɔ, lɛk kɔfi, ti, ɛn rɔm, as yu ebul.
- Drink bɔku wata ɔl di de fɔ mek yu nɔ gɛt wata na yu bɔdi. Bɔt i bɛtɛ fɔ drink smɔl smɔl ɔl di de pas fɔ drink bɔku bɔku wan wan tɛm.
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