Kodi nthawi zina mumamva ngati mukuyenera kupita kuchimbudzi pafupipafupi kuposa masiku onse? Nthawi zina ndi zachilendo kukodza kwambiri kuposa masiku onse. Mwachitsanzo, zimatha kuchitika mukamwa madzi ambiri. Komabe, ngati vutoli likupitirira, lingakhalenso chizindikiro cha chinthu china chomwe chikuchitika m'thupi lanu. Mu zamankhwala, timatcha vutoli 'diuresis'. Mwachidule, uku ndi kupanga mkodzo woposa zomwe impso zanu zimatulutsa. Kaya chifukwa chake ndi chiyani, dokotala wanu akhoza kupeza chomwe chimayambitsa ndikupereka chithandizo chofunikira.
Know your body mass index (BMI) and weight classification
Kodi zizindikiro za izi ndi ziti?
Si anthu onse omwe ali ofanana. Pa avareji, munthu amakodza pafupifupi nthawi 4-6 patsiku. Komabe, mukakhala ndi vuto la 'diuresis', muyenera kukodza pafupipafupi kuposa apa.
Komanso, mukhoza kukhala ndi zizindikiro izi:
- Kumva ludzu kwambiri: Chifukwa chakuti madzi ambiri akutuluka m'thupi, thupi limakhala lopanda madzi okwanira m'thupi ndipo mukumva kufunika komwa madzi nthawi zonse.
- Kusokonezeka kwa tulo: Kugona kwanu kungasokonezeke, makamaka usiku, chifukwa muyenera kudzuka kuti mukodze. Izi zimatchedwanso 'nocturia'.
- Kusokonezeka, kutopa, kapena kufooka: Mukataya mchere wofunikira kwambiri m'thupi ( ma electrolyte ) monga sodium ndi potaziyamu mumkodzo wanu, umasokonekera . Izi zingakupangitseni kumva kusokonezeka, kutopa nthawi zonse, kapena kutopa.
Kodi zifukwa zazikulu za diuresis ndi ziti?
Pali zifukwa zingapo zomwe zachititsa izi. Tiyeni tiwone chimodzi ndi chimodzi.
1. Kutulutsa madzi m'thupi (Osmotic Diuresis)
Mwachidule, pamene kuchuluka kwa zinthu zina, monga shuga, m'magazi mwathu kukuwonjezeka, impso zimayesa kuchotsa zinthuzo mu mkodzo. Zinthuzi zikamatuluka, zimakokanso madzi. Zili ngati shuga amene amayamwa madzi ena. Izi zimawonjezera kupanga mkodzo.
Zitsanzo zabwino kwambiri za izi ndi izi:
- Matenda a shuga: Munthu amene ali ndi matenda a shuga amtundu woyamba kapena wachiwiri omwe sakulamuliridwa bwino amakhala ndi shuga wambiri m'magazi. Impso zikalephera kuthana ndi shuga wowonjezerawu, zimatuluka mumkodzo. Pamodzi ndi shugayu, madzi ambiri amatulukanso. Ichi ndichifukwa chake kukodza kwambiri ndi ludzu ndiye zizindikiro zazikulu za matenda a shuga.
- Mannitol: Iyi ndi mankhwala omwe nthawi zina amagwiritsidwa ntchito m'zipatala. Kutupa kwa ubongoZikatero, mankhwalawa amaperekedwa kuti achotse madzi ochulukirapo m'thupi ndikuchepetsa kuthamanga kwa magazi.
2. Kutuluka kwa madzi m'thupi
Izi zimachitika chifukwa cha vuto la mahomoni ofunikira kwambiri omwe amalamulira kuchuluka kwa madzi m'thupi lathu. Homoni iyi imatchedwa 'Vasopressin'. Imatchedwanso 'homoni yoletsa kutulutsa madzi '. Izi zikutanthauza kuti, ndi mahomoni omwe amachepetsa kutulutsa mkodzo ndikuthandiza thupi kusunga madzi. Homoni iyi ikagwira ntchito bwino, impso zimayamba kutulutsa madzi mosalamulirika.
Chifukwa chachikulu cha vutoli ndi vuto losowa lotchedwa 'Diabetes Insipidus ' .
Chofunika kwambiri: Iyi si matenda a shuga omwe tonse timawadziwa. Awiriwa ndi osiyana kotheratu. Ngakhale kuti mayina awo ndi ofanana, ili ndi vuto la mahomoni.
Pali mitundu ingapo ya matenda a shuga otchedwa 'diabetes insipidus'.
| Mtundu wa 'Matenda a Shuga Insipidus' | Kufotokozera |
|---|---|
| Mtundu wapakati | Izi zimachitika chifukwa cha kuwonongeka kwa hypothalamus kapena pituitary gland muubongo, zomwe zimapangitsa kuti kupanga kapena kumasula kwa hormone ya 'vasopressin' kuchepe. |
| Mtundu wa Nephrogenic | Pankhaniyi, ngakhale ubongo umapanga mahomoni, impso sizingathe kuyankha. Izi zitha kukhala chifukwa cha majini, mankhwala ena, potaziyamu yochepa kapena kuchuluka kwa calcium m'magazi, ndi zina zotero. |
| Mtundu wa mimba | Vuto la kanthawi kochepa lomwe amayi ena amakumana nalo panthawi ya mimba. Enzyme yopangidwa ndi placenta imatha kuwononga hormone ya amayi yotchedwa vasopressin. Vutoli nthawi zambiri limatha mwana akabadwa. |
3. Kukakamizidwa Kutulutsa Madzi M'thupi
Nthawi zina, madokotala amakupatsirani mankhwala kapena njira zina zoti mukodze kwambiri. Izi zimachitika ngati chithandizo cha matenda ena.
- Mankhwala ochepetsa mphamvu ya madzi m'thupi (kapena 'mapiritsi amadzi'): Awa ndi mtundu wa mankhwala operekedwa pochiza matenda monga kuthamanga kwa magazi , kulephera kwa mtima, kutupa, ndi matenda a impso kapena chiwindi. Amagwira ntchito popangitsa thupi kutulutsa mchere wochuluka (sodium) ndi madzi kudzera mu mkodzo.
- Kuchotsa Chotsekeka: Ngati pali chotsekeka m'njira ya mkodzo, monga mwala kapena chotupa, zimakhala zovuta kuti mkodzo utuluke. Pambuyo poti chotsekekachi chachotsedwa opaleshoni, mkodzo wotsekekawo umayamba kutuluka nthawi yomweyo. Izi zitha kupitilira maola 24-48. Komabe, ngati zitenga nthawi yayitali kuposa pamenepo, onetsetsani kuti mwadziwitsa dokotala wanu.
Wearable medical gel ice head wrap that provides soothing 360-degree cold compression and total blackout darkness to stop migraine throbbing, cluster headaches, and tension pain.
Kodi pali zifukwa zina kupatula izi?
Inde, pakhoza kukhala zifukwa zina zingapo.
- Kuchuluka kwa calcium m'magazi (Hypercalcemia): Ichinso ndi chifukwa chowonjezera kukodza. Chingayambitsidwe ndi khansa ndi matenda ena a parathyroid gland.
- Kusagwira bwino ntchito kwa mtima: Kukodza kumathanso kuwonjezeka pamene mtima ukugunda mofulumira kapena mosagwirizana (monga atrial fibrillation).
- Kupita kumadera okwera: Mukapita kumadera okwera ngati Nuwara Eliya, mwina mwazindikira kuti mumakodza kwambiri masiku oyamba. Ichi ndi chizindikiro chabwino chakuti thupi lanu likuzolowera malo atsopano.
- Nyengo yozizira: Mitsempha yamagazi ikakhudzidwa ndi kuzizira, imachepa kuti thupi likhale lofunda. Izi zimawonetsa impso kuti kuthamanga kwa magazi kuli kokwera, zomwe zimapangitsa kuti zichotse madzi ochulukirapo.
- Zakudya: Mowa, zakumwa zokhala ndi caffeine monga khofi ndi tiyi, zakudya zokhala ndi mapuloteni ambiri, ndi zakudya monga ginger ndi celery zimatha kukhala ngati mankhwala achilengedwe oletsa kukodza komanso kuwonjezera kukodza.
Kodi mavuto omwe angakhalepo ndi ati?
Ngati kukodza kwambiri sikunyalanyazidwa, mavuto angapo angabuke.
1. Kusowa madzi m'thupi: Mukataya madzi ambiri kuposa omwe mumamwa, thupi lanu limakhala losowa madzi m'thupi. Izi zingayambitse zizindikiro monga ludzu lochuluka, khungu louma, kutopa, ndi nseru.
2. Kusalingana kwa Electrolyte: Mchere monga sodium ndi potaziyamu ndizofunikira kuti mitsempha ndi minofu ya thupi lathu zigwire ntchito bwino. Izi zikatulutsidwa mopitirira muyeso mu mkodzo, kusalingana kumachitika. Izi zimapangitsa kuti,
- Kupweteka kwa minofu ndi kufooka
- Kuvuta kutuluka pabedi
- Kutopa nthawi zonse
- Matenda oopsa monga kugunda kwa mtima kosakhazikika amatha kuchitika, makamaka hyponatremia (sodium yochepa) ndiMuyenera kusamala ndi matenda otchedwa hypokalemia (kuchepa kwa potaziyamu).
Kodi mwapeza bwanji izi, Dokotala?
Mukapita kukaonana ndi dokotala za zizindikiro izi, choyamba adzakufunsani zambiri.
- Zinthu monga zizindikiro zomwe muli nazo komanso nthawi yomwe mwakhala nazo.
- Kodi pali aliyense m'banja mwanu amene ali ndi matenda monga matenda a shuga?
- Za zakudya ndi mankhwala omwe mumamwa.
Pambuyo pake, mungapemphedwe kuti muchite mayeso ena ngati awa kuti mudziwe chifukwa chenicheni:
- Kuyezetsa magazi (kuyezetsa shuga, mchere, ndi momwe impso zimagwirira ntchito)
- Mayeso a mkodzo
- Ngati kuli kofunikira, jambulani ubongo kapena impso (MRI)
Uthenga Wopita Nawo Kunyumba
- Musanyalanyaze kukodza pafupipafupi kuposa masiku onse, makamaka ngati kukuchitika limodzi ndi zizindikiro zina monga ludzu lopitirira muyeso ndi kutopa.
- Ichi chikhoza kukhala chizindikiro choyamba cha matenda aakulu, monga matenda a shuga, matenda a mtima, matenda a impso, kapena vuto la mahomoni.
- Ndikofunikira kwambiri kukambirana momasuka za izi ndi dokotala wanu, kupeza chifukwa chenicheni, ndikupempha chithandizo choyenera.
- Chepetsani zakumwa zomwe zimawonjezera kukodza, monga khofi, tiyi, ndi mowa, momwe mungathere.
- Imwani madzi ambiri tsiku lonse kuti mupewe kutaya madzi m'thupi. Komabe, ndi bwino kumwa madzi pang'ono tsiku lonse m'malo momwa madzi ambiri nthawi imodzi.
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