Kei te matewai tonu koe? Me kōrero tātou mō tēnei matewai nui!

He mea noa te matewai ina ngenge tātou, ina kai nui rānei i te kai. Mā te inu i tētahi, i ētahi karāhe wai rānei ka whakamama i taua matewai. Engari kua rongo kē koe ahakoa te nui o te wai e inuhia ana e koe, te momo wai rānei e inuhia ana e koe, kāore tō matewai e whakamama? Ka inu tonu koe i te wai... me ētahi atu... engari kei te matewai tonu koe. Koinei te mea e kiia nei e tātou i roto i te rongoā he polydipsia. Ehara tēnei i te matewai noa iho, engari he mea hohonu atu i tērā. Me kōrero tātou mō tēnei mea i roto i ngā kupu māmā me ngā taipitopito.

He aha rawa te Polydipsia?

Ki te kī māmā noa, ko te polydipsia te kupu hauora mō te matewai nui, te hiahia rānei ki te inu wai me te kore e taea te whakahaere. E rua ngā momo matua o tēnei.

1. Te Mate Pūkahukahu Tuatahi

Ko te mea ka tupu i tēnei wā, ka tino matewai koe, engari kāore he take ā-tinana, arā, kāore he mate, e puta ai. E rua ngā wāhanga o tēnei.

• Te polydipsia hinengaro-whakaputa: E hono ana tēnei ki ngā raruraru hauora hinengaro. He mea tino noa tēnei i roto i te hunga whai mate pēnei i te schizophrenia . E whakaaro ana ngā tākuta he nui rawa te wai e inuhia ana e ēnei tāngata nā te mea kāore ō rātou roro e tukatuka tika i ngā tohu matewai, nā te mea rānei kei te ngana rātou ki te aro atu ki te ahotea.
• Te Polydipsia Dipsogenic: Ka puta tēnei i te nui rawa o te wai e inumia ana, nā te hapa o te hypothalamus, te wāhanga o te roro e whakahaere ana i te matewai, nā te nui rawa rānei o te whakapono "he pai te inu nui i te wai mō te tinana."

2. Te Polydipsia Tuarua

Koinei te momo tino noa. I tēnei wā, he take tinana motuhake kei reira mō tō matewai nui. He tohu tēnei i te nuinga o te wā mō tētahi mate hauora pērā i te mate huka. Ka taea hoki te puta mai i ētahi rongoā, pērā i ngā rongoā whakaheke toto, e whakamahia ana hei rongoā i te toto toto tiketike.

He aha ngā tohu o tēnei mate?

Ahakoa he tohu te polydipsia o tētahi atu mate, he maha ngā tohu e motuhake ana ki tēnei āhuatanga. Waihoki, ka rerekē pea ngā tohu i runga i te mate pūtake.

Ngā take matua o te matewai nui

E ai ki tā tātou i kōrero ai i mua ake nei, he tohu tēnei nō tētahi atu mate hauora.

• Mate Huka: Ina nui rawa te huka i roto i tō toto, ka ngana ō whatukuhu ki te tuku i te huka nui i roto i tō mimi. Mā tēnei ka nui ake tō mimi. Ina ngaro te nui o te wai i roto i tō tinana, ka maroke koe, ka tino matewai hoki. Nō reira ka nui ake tō inu wai. Ka haere tonu tēnei huringa.

• Mate Huka Insipidus: He rerekē tēnei i te mate huka e mōhiotia whānuitia ana e tātou. Kāore e pā ana ki te repe taiaki. Ka puta tēnei mate i te raruraru o ngā whatukuhu, o te repe pituitary rānei. Ka whakaputahia e tēnei repe he homoni e whakahaere ana i te nui o te wai e puritia ana e ngā whatukuhu i roto i te tinana.

• Te Ketoacidosis Mate Huka (DKA): He raruraru kino tēnei o te mate huka. Ina kore e ranea te insulin i roto i te tinana hei whakamahi i te hukahuka, ka tīmata te tinana ki te tahu ngako hei pūngao. Ka puta he matū e kiia nei ko ngā ketone ki roto i te toto. Ina puta ēnei ki roto i te toto, ka waikawa te toto, ā, ka paitini ki te tinana. Ko ngā tohu matua o te DKA ko te matewai nui me te mimi nui.

• Te Polydipsia Hinengaro: Ka taea e ētahi āhuatanga hauora hinengaro te whakaputa i te hiahia nui ki te inu wai. Hei tauira, ko te schizophrenia , te pouri, me te anorexia.

• Ētahi atu take:Ka taea hoki te hua o te matewai nui i ngā āhuatanga pēnei i te maroke o te tinana nā te nui o te ruaki, te korere rānei, te nui o te inu waipiro , te mate a Addison, te ngoikore o te whatukuhu, me te anemia pūtau marino.

He mea kino te inu nui i te wai? (Ngā raruraru)

Ae, e kīia ana kāore he pai o te nui rawa o te wai. Kāore he rerekētanga ki te wai. Mā te inu nui rawa o te wai ka whakararuraru i te taurite matū o te tinana, ā, ka pā mai he raruraru nui.

Hyponatremia

Ko te tikanga o tēnei, he tino iti te taumata o te konutai i roto i te toto. I te nuinga o te wā, ka puta te wai nui e inuhia ana e tātou i roto i te mimi. Engari ina nui ake te wai e inuhia ana e tātou i tā te tinana e kaha ai, ka memeha haere ō tātou toto. Whakaarohia he rite ki te tāpiri i te wai ki tētahi karāhe wai kua memeha ki te tote. He electrolyte nui te konutai e whakahaere ana i te toto toto, te mahi io, me te nui o te wai e karapoti ana i ō tātou pūtau. Ina iti, ka puta pea ēnei tohu:

• Ānini
• Whakapairuaki me te ruaki
• Ngā mamae o te uaua
• Te urupare puhoi
• Te uaua ki te kōrero (te ngunguru)
• Te kore o te kaha
• Pōhēhētanga
• Ngā mate hopuhopu

Ki te kore tēnei āhuatanga e rongoatia, ka taea te arahi ki te kino o ngā whekau, te koma, tae atu ki te mate.

He momo kino rawa atu te haurangi wai o te hyponatremia. He tino onge, engari ka puta pea i muri i te whakakori tinana nui, te inu nui rawa i te wai me te kore inu kei roto he konutai, te mate hinengaro, te ruaki/korere kino rānei.

Me pēhea te rongoā?

Ko te maimoatanga e whakawhirinaki ana ki te take o tō polydipsia. Ka rapua tuatahitia e tō tākuta te take.

• Ngā whakamātautau hauora: Ngā whakamātautau toto hei tirotiro i ō taumata konutai me te huka, me ngā whakamātautau mimi hei tirotiro i te huka i roto i tō mimi. Tērā pea ka tonoa koe kia ine i te nui o te wai e inuhia ana e koe me te nui o te mimi e whakaputaina ana e koe i roto i te wā 24-hāora.
• Mō te mate huka mellitus:Ka whakaratohia te maimoatanga e tika ana (rongoā, insulin, kai) hei whakahaere tika i ngā taumata huka toto.
• Mō te Mate Huka Insipidus: Tērā pea ka tohua he homoni, he rongoā rānei.
• Mō ngā take hinengaro (Psychogenic Polydipsia): Ko te mea pai ko te whakawhāiti i te nui o te wai e inuhia ana, te whai tohutohu hinengaro, ā, ki te tika, te rongoā.

Ko te mea nui ko te toro atu ki te tākuta me te kimi i te tātaritanga tika mēnā kei a koe ēnei tohu, kaua e whakatau i a koe anō.