Ngaba uhlala uziva unxaniwe kakhulu? Kwaye ngaba uhlala uchama kakhulu? Nangona oku kungabonakala kuqhelekile, ngamanye amaxesha kunokubakho imeko yezonyango engaziwayo emva kwayo. Namhlanje siza kuthetha ngemeko yezonyango engaqhelekanga kodwa ebaluleke kakhulu ekufuneka uyiqaphele.
Yintoni kanye kanye i-Nephrogen Diabetes Insipidus?
Xa usiva eli gama, ungacinga ukuba oku kufana neDiabetes Mellitus, esiyaziyo sonke. Kodwa oku akusiyo isifo seswekile esinxulumene neswekile . Njengoko sisazi, isifo seswekile sibangelwa ngamanqanaba aphezulu eswekile egazini. Kodwa isifo seswekile esibangelwa yi-nephrogenic diabetes insipidus yingxaki enxulumene ngokupheleleyo nezintso .
Ngamafutshane, kukho i-hormone ekhethekileyo ekhutshwa yingqondo ukulawula ubungakanani bamanzi emizimbeni yethu. Oku kubizwa ngokuba yi-antidiuretic hormone, okanye ``Antidiuretic Hormone - ADH''. Xa uphelelwe ngamanzi emzimbeni, okanye uphelelwe ngamanzi emzimbeni, le hormone ``ADH'' ikhutshwa engqondweni ize ithumele umyalezo kwizintso, ithi, "Kulungile, ngoku bambelela emanzini emzimbeni wakho uze unciphise ubungakanani bomchamo owuvelisayo."
Nangona kunjalo, kumntu onesifo seswekile esibizwa ngokuba yi-nephrogenic diabetes insipidus, nangona ingqondo ivelisa i-ADH eyaneleyo, izintso azikwazi ukuyiqonda loo mqondiso. Kufana nokuba awukwazi ukuva umntu ethetha nawe. Ngenxa yokuba izinzwa ze-ADH ezintsoni zingasebenzi kakuhle, izintso azikwazi ukufunxa nokugcina amanzi emzimbeni. Ngenxa yoko, amanzi amaninzi afunekayo emzimbeni aphuma kumchamo.
Kutheni ke oku kubizwa ngokuba yi-"Insipidus"? Igama elithi "Insipid" lithetha ukuba ayinancasa, ayithandeki. Ngaphambili, oogqirha babesebenzisa incasa yomchamo ukuze baxilonge izifo. Kwisifo seswekile, umchamo unencasa emnandi (yiyo loo nto ubizwa ngokuba yi-"mellitus," nto leyo ethetha ukuba imnandi). Kodwa kwesi sifo, umchamo awuthandeki, njengamanzi. Yiyo loo nto ubizwa ngokuba yi-"Insipidus."
Ziziphi iimpawu eziphambili zesi sifo?
Ezi zezona mpawu ziphambili zokungasebenzi kakuhle kwezintso. Kwabanye abantu, ezi mpawu zinokuba nzima kakhulu kangangokuba azinyamezeleki.
| Uphawu | Inkcazo |
|---|---|
| Kukho unxano olukhulu lwamanzi. | Ukuziva unxano olunganyamezelekiyo olungasoze luphele. |
| Ukuchama kakhulu (i-Polyuria) | Umchamo ocacileyo nowamanzi rhoqo, omninzi imini yonke. |
| Ukuphelelwa ngamanzi emzimbeni | Ukulahleka kolwelo olugqithisileyo emzimbeni kubangela iimpawu ezifana nolusu olomileyo, umlomo owomileyo, kunye nentloko ebuhlungu. |
| Ukungalingani kwe-Electrolyte | Ukulahleka kolwelo kakhulu kunokubangela utshintsho kubungakanani betyuwa egazini, njenge-sodium kunye ne-potassium. Oku kunokubangela ezi mpawu zilandelayo:
|
Khawucinge nje, abanye abantu kufuneka basele iglasi enkulu yamanzi rhoqo ngemizuzu eli-15. Imini yonke, yonke imihla. Ngenxa yokuba loo manzi engahlali emzimbeni, kufuneka baye kwigumbi lokuhlambela rhoqo. Ungacinga ukuba oku kuphazamisa kangakanani ubomi, akunjalo?
Yintoni ebangela le meko?
Kukho izizathu ezahlukeneyo zesifo seswekile esibizwa ngokuba yi-nephrogenic diabetes insipidus.
Kubantwana abancinci nakwiintsana
Le meko idla ngokubangelwa sisiphene semfuza kwiintsana. Oku kuthetha ukuba inxalenye yezintso ephendula kwi-hormone ye-ADH (i-receptor) ayisebenzi kakuhle.
Kwabantu abadala
Le meko kubantu abadala ayibangelwa zizinto ezibangela ufuzo. Iphenjelelwa zezinye izinto.
- Amanye amayeza: Ingakumbi iyeza elithi `Lithium`. Eli liyeza elinikwa ukunyanga izifo zengqondo ezifana ne-bipolar. Malunga nama-20% abantu abasebenzisa i-`Lithium` banokufumana le meko. Kwakhona, amanye amayeza afana ne-`Demeclocycline` kunye ne-`Ofloxacin` anokubangela le meko.
- Utshintsho kumanqanaba amathe:
- Amanqanaba aphezulu e-calcium egazini (i-Hypercalcemia).
- Amanqanaba aphantsi e-potassium egazini (i-Hypokalemia).
- Isifo sezintso: Ingakumbi izifo zezintso ezingapheliyo ezifana nesifo sezintso esine-polycystic.
Kukwakho nolunye uhlobo lwe-"diabetes insipidus". Lubizwa ngokuba yi-central diabetes insipidus. Okwenzekayo kweli tyala kukuba izintso zisebenza kakuhle, kodwa ingqondo ayivelisi i-ADH hormone eyaneleyo . Ayisiyongxaki ngezintso, kodwa yingxaki ngengqondo.
Iphathwa njani?
Inyaniso kukuba, ukunyanga isifo seswekile esibizwa ngokuba yi-nephrogenic diabetes insipidus kunzima kancinci. Ngenxa yokuba izintso aziphenduli kwi-hormone ethi `ADH`, ukunika i-`ADH` ngaphandle akuyi kunceda. Nangona kunjalo, kukho iindlela zokulawula iimpawu.
1. Ukunyanga unobangela: Ukuba ugqirha wakho ufumanisa ukuba imeko ibangelwa ngamayeza owasebenzisayo, afana ne-lithium, amayeza anokutshintshwa okanye amiswe.
2. Utshintsho kwindlela yokuphila:
- Sela amanzi rhoqo: Le yeyona nto ibalulekileyo . Kufuneka usele amanzi rhoqo ukuze ubuyisele amanzi alahlekileyo emzimbeni. Kubalulekile ukuthintela ukuphelelwa ngamanzi emzimbeni.
- Ukutya: Ukutya ukutya okunetyuwa encinci kunye neproteni encinci kunokunceda ukunciphisa umchamo owukhuphayo. Thetha nogqirha wakho ngale nto kwaye ufumane ingcebiso.
3. Amayeza:
- Ii-NSAID: Izithomalalisi zentlungu ezifana ne-ibuprofen zinokunceda ekunciphiseni ukuchama kancinci. Nangona kunjalo, kufuneka udibane nogqirha wakho ngaphambi kokuba uzisebenzise ixesha elide.
- I-Diuretics: Oku kunokukumangalisa. Ezi zibizwa ngokuba "ziipilisi zamanzi" zihlala zinikwa ukunceda umzimba ukhuphe amanzi. Kodwa okumangalisayo kukuba, i-diuretic efana ne-'Hydrochlorothiazide' inokunceda ukunciphisa ukuphuma komchamo kule meko. Indlela esebenza ngayo iyinkimbinkimbi kancinci, ngoko ke kufuneka isetyenziswe kanye njengoko ugqirha wakho ekuyalele.
Kubaluleke kakhulu: Abantu abanale meko kufuneka bachame rhoqo. Ukubamba ide igcwale isinyi kunokubangela umonakalo wexesha elide. Ngoko chama ngokukhawuleza nje ukuba uzive ulufuna.
Ukuba unale mpawu, ungoyiki, kodwa qiniseka ukuba ubonana nogqirha ukuze akunike ingcebiso. Kubaluleke kakhulu ukwenza uvavanyo olufunekayo uze ufumanise ukuba imeko yakho injani kanye kanye.
Umyalezo Wokuya Ekhaya
- Isifo seswekile i-insipidus esibizwa ngokuba yi-Nephrogenous diabetes insipidus asiso isifo seswekile, kodwa yimeko ebangelwa kukungakwazi kwezintso ukuphendula kwi-hormone .
- Iimpawu eziphambili kukunxanwa okunganyamezelekiyo kunye nokuchama kakhulu .
- Eyona ndlela ibalulekileyo yokunyanga oku kukusela amanzi amaninzi nokuphepha ukuphelelwa ngamanzi emzimbeni.
- Amanye amayeza, utshintsho kumanqanaba etyuwa egazini, kunye nezinye izifo zezintso zinokubangela oku.
- Ukuba unale mpawu, musa ukuqikelela kwaye ubone ugqirha ngokukhawuleza ukuze ufumane ukuxilongwa okufanelekileyo kunye nonyango .
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