Xa sisiva igama elithi 'isifo seswekile', sicinga ngesifo seswekile, akunjalo? Kodwa ubusazi na ukuba kukho izifo ezibini ezibizwa ngokuba 'yisifo seswekile' ezingadibaniyo? Ngamagama ezi zimbini kuphela afanayo. Iimpawu, unobangela, kunye nonyango zahlukile ngokupheleleyo. Ngenxa yoku, ngamanye amaxesha la magama mabini anokudideka. Ngoko ke namhlanje, masithethe ngezi zifo zimbini ukuze sizahlule kakuhle size sizichonge.
Ngamafutshane, yintoni umahluko phakathi kwezi zifo zimbini?
Nangona ezi zifo zimbini zinegama elifanayo, indlela ezichaphazela ngayo umzimba yahlukile ngokupheleleyo. Makhe sibone ukuba ziyenzeka njani.
Isifo seswekile iMellitus - isifo seswekile
Sonke siyayazi le sifo 'njengesifo seswekile' okanye 'isifo seswekile'. Ngokwezonyango, siyibiza ngokuba yiDiabetes Mellitus . Kule meko, i-hormone insulin eveliswa yipancreas yethu ayanelanga okanye iiseli zomzimba aziphenduli kakuhle kuyo. Umsebenzi ophambili we-insulin kukufaka iswekile, eyi-glucose, ekutyeni esikutyayo, kwiiseli ukuze sifumane amandla. Ngoko ke xa i-insulin iyeka ukusebenza kakuhle, inqanaba leswekile egazini linyuka ngendlela eyingozi.
Isifo seswekile i-Insipidus - Isifo seswekile abantu abaninzi abangasaziyo
Esi sisifo esingaqhelekanga kakhulu abantu abaninzi abangazange beve ngaso. Asinanto yakwenza nesifo seswekile. Isifo seswekile i-Insipidus sisifo somchamo esiphuma kwizintso zethu esingalawulekiyo. Ngokwesiqhelo, umntu ophilileyo ukhupha malunga ne-1-2 litre yomchamo ngosuku, ngelixa umntu onesifo esi anokukhupha iilitha ezi-3 ukuya kwezingama-20 ngosuku. Khawuthelekelele loo mthamo! Uninzi lwale nto ngamanzi. Ngoko ke akumangalisi ukuba xa kukhutshwa ulwelo oluninzi emzimbeni, kubakho ukoma okugqithisileyo. Oku kubangelwa yingxaki yehomoni ebizwa ngokuba yi-vasopressin, ekhutshwa yingqondo.
Ukufana kunye nokwahluka kweempawu
Isizathu sokudideka kukuba ezinye zeempawu zezifo zombini ziyafana. Kodwa izizathu zezo mpawu zahlukile ngokupheleleyo. Masiqonde oko kule theyibhile.
| Uphawu | Iswekile yemellitus | Isifo seswekile i-Insipidus |
|---|---|---|
| Ukoma okugqithisileyo | Inqanaba leswekile egazini liphezulu. Umzimba ucela amanzi angakumbi ukuze kukhutshwe le swekile igqithisileyo ngomchamo. | Ekubeni amanzi agqithisileyo ekhutshwa emzimbeni ngomchamo, umzimba uhlala ufuna amanzi ukuze uthintele ukuphelelwa ngamanzi emzimbeni. |
| Ukudinwa okugqithisileyo | Xa amanqanaba eswekile egazini ephezulu okanye ephantsi, umzimba awukwazi ukuvelisa amandla owadingayo, nto leyo ekwenza uzive udiniwe. | Ukuphelelwa ngamanzi emzimbeni okubangelwa kukuchama kakhulu kunye nokulahleka kwee-electrolytes ezifana ne-sodium kunye ne-potassium emzimbeni kunokubangela ukudinwa kakhulu. |
| Umbono ofipheleyo | Amanqanaba aphezulu eswekile egazini anokuchaphazela ilensi yeliso aze abangele ukubona okufipheleyo okwethutyana. | Ukuphelelwa ngamanzi emzimbeni ixesha elide kunokubangela amehlo omileyo kwaye kuchaphazele umbono. |
Eyona nto ibalulekileyo kukufumanisa ukuba yintoni kanye kanye imbangela ukuba unezi mpawu zombini. Ngokuqinisekileyo kuya kufuneka ubone ugqirha ukuze ufumane loo nto.
Uzazihlula kwaye uzichonga njani ezi zifo zimbini?
Ugqirha usebenzisa iimvavanyo ezahlukeneyo ukuze ahlukanise aze axilonge ezi zifo zimbini.
Ukuchonga iSifo seswekile:
Kukho uvavanyo lwegazi oluphambili oluninzi ukuze kufunyaniswe oku.
- Ukuzila Iswekile Egazini (FBS): Uvavanyo lwegazi olwenziwe emva kokuzila ubuncinane iiyure ezisi-8.
- Uvavanyo lwe-HbA1c: Oku kunika umbono wamanqanaba akho aphakathi eswekile egazini kwiinyanga ezi-2-3 ezidlulileyo. Oku akudingi kuzila ukutya.
Ngokusekelwe kwiziphumo zolu vavanyo, ugqirha wakho uya kugqiba ukuba unesifo seswekile okanye isifo seswekile esingaphambi kokuba ukhulelwe.
Ukuchonga i-Insipidus yeSifo seswekile:
Kunzima kancinci ukuxilonga oku. Kuyenziwa uvavanyo oluninzi ukuze kwenzeke oko.
- Uvavanyo lwegazi: Oku kuvavanya amanqanaba esodium egazini lakho, hayi amanqanaba eswekile. Ukuphelelwa ngamanzi emzimbeni kunokunyusa amanqanaba esodium.
- Uhlalutyo lomchamo: Olu vavanyo luvavanya ukuba umchamo wakho uxinene okanye unyibilikiswe/unamanzi kangakanani. Ungacelwa ukuba uqokelele ingqokelela yomchamo ethatha iiyure ezingama-24 uze ulinganise ubungakanani bomchamo owuvelisayo.
- Uvavanyo lokuNcitshiswa koLwelo:Olu luvavanyo olukhethekileyo. Ugqirha wakho uza kukuxelela ukuba uyeke ukusela amanzi kangangexesha elithile. Emva koko, ubunzima bakho, uxinzelelo lwegazi, kunye nomthamo womchamo kuya kuhlolwa ngeyure nganye kangangeeyure ezininzi. Oku kudla ngokwenziwa esibhedlele.
- I-MRI scan: I-MRI ayinakukwazi ukuqinisekisa ukuba unaso esi sifo. Nangona kunjalo, inokujonga naziphi na iingxaki (ezifana nethumba okanye usulelo) kwi-pituitary gland okanye kwi-hypothalamus ebuchotsheni enokubangela esi sifo.
Ziziphi iindlela zonyango?
Iindaba ezimnandi zezokuba nangona kungekho nanye kwezi zifo enokunyangeka ngokupheleleyo, zinokulawulwa kakuhle kwaye ziphile ubomi obuqhelekileyo.
Unyango lweSifo seswekile i-Mellitus
Nokuba unesifo seswekile sohlobo loku-1 okanye sohlobo lwesibini, injongo ephambili yonyango kukulawula amanqanaba eswekile egazini.
- Amayeza: Inaliti ye-insulin okanye ezinye iipilisi ezichazwe ngugqirha wakho.
- Indlela yokuphila: Kubalulekile ukulandela ukutya okunempilo , ukuzilolonga rhoqo , nokulawula ubunzima bomzimba, i-cholesterol, kunye noxinzelelo lwegazi.
- Ukuhlolwa rhoqo: Kubaluleke kakhulu ukubona ugqirha wakho kunye nokuhlolwa rhoqo.
Unyango lweSifo seswekile i-Insipidus
Unyango luxhomekeke ekubeni loluphi uhlobo lwesifo seswekile i-Insipidus onaso.
- I-Central DI: Oku kubangelwa kukwehla kwemveliso yehomoni iVasopressin engqondweni. Unyango lwale nto yihomoni yokwenziwa efana naleyo homoni, ebizwa ngokuba yiDesmopressin . Iza njenge-spray yempumlo, ipilisi, okanye inaliti.
- I-Nephrogenic DI: Kule meko, ingqondo ivelisa i-hormone, kodwa izintso aziphenduli kuyo. Amayeza anjenge-diuretics anikwa ukulawula iimpawu.
- I-Dipsogenic DI: Le yingxaki kwinxalenye yengqondo elawula unxano, ngoko awuziva unxaniwe nangona ulahlekelwa ngamanzi. Nangona kungekho nyango luthile loku, oogqirha bacebisa ukuba unxaniwe ngokufunxa ii-ice cubes okanye iilekese ezimuncu.
- I-Gestational DI: Le yimeko enokwenzeka ngexesha lokukhulelwa. Ihlala iphela ngokupheleleyo emva kokuba umntwana ezelwe.
Umyalezo Wokuya Ekhaya
- Isifo seswekile i-Diabetes Mellitus kunye nesifo seswekile i-Insipidus zizifo ezimbini ezahlukeneyo ngokupheleleyo, nangona zinamagama afanayo.
- I-Mellitus sisifo esinxulunyaniswa neswekile ephezulu egazini (iglucose). I-Insipidus yingxaki yehomoni enxulunyaniswa nokulahleka kwamanzi amaninzi kwizintso.
- Nangona iimpawu ezinje ngokunxanwa kakhulu kunye nokuchama kakhulu ziqhelekile kuzo zombini ezi meko, izizathu zahlukile.
- Ukuba uneempawu ezinje, musa ukwenza izigqibo ngokusekelwe kuqikelelo, kodwa qiniseka ukuba ubonana nogqirha kwaye ufumane uxilongo olufanelekileyo.
- Zombini ezi zifo zinokulawulwa ngempumelelo kwaye ziphile ubomi obusempilweni ngonyango olufanelekileyo kunye notshintsho kwindlela yokuphila.
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