Ngaba ngamanye amaxesha uziva ngathi kufuneka uye kwigumbi lokuhlambela rhoqo kunesiqhelo? Ngamanye amaxesha kuyinto eqhelekileyo ukuchama ngaphezu kwesiqhelo. Umzekelo, kunokwenzeka xa usela amanzi amaninzi. Nangona kunjalo, ukuba le meko iyaqhubeka, inokuba luphawu lwento ethile eyenzekayo emzimbeni wakho. Kwizonyango, le meko siyibiza ngokuba yi-'diuresis'. Ngamafutshane, oku kukuveliswa komchamo ongaphezulu koko kuveliswa zizintso zakho. Nokuba yintoni na imbangela, ugqirha wakho unokufumanisa unobangela aze akunike unyango olufunekayo.
Zithini iimpawu zoku?
Asingomntu wonke ofanayo. Ngokomyinge, umntu uchama malunga nezihlandlo ezi-4-6 ngemini. Nangona kunjalo, kwimeko 'ye-diuresis', kufuneka uchame rhoqo kunoko.
Ukongeza, usenokuba nezi mpawu:
- Ukuziva unxaniwe kakhulu: Ngenxa yokuba amanzi amaninzi aphuma emzimbeni, umzimba uyaphelelwa ngamanzi emzimbeni kwaye uziva ufuna ukusela amanzi rhoqo.
- Ukuphazamiseka kokulala: Ubuthongo bakho bunokuphazamiseka, ingakumbi ebusuku, njengoko kufuneka uvuke ukuze uchame. Oku kukwabizwa ngokuba yi-'nocturia'.
- Ukudideka, ukudinwa, okanye ubuthathaka: Xa ulahlekelwa ziiminerali ezibalulekileyo zomzimba ( ii-electrolytes ) ezifana ne-sodium kunye ne-potassium kumchamo wakho, azilungelelani . Oku kunokukwenza uzive udidekile, udiniwe rhoqo, okanye udiniwe.
Ziziphi izizathu eziphambili ze-diuresis?
Zininzi izizathu ezibangela le meko. Masizijonge nganye nganye.
1. I-Osmotic Diuresis
Ngamafutshane, xa uxinano lwezinto ezithile, ezifana neswekile, egazini lethu lusanda, izintso zizama ukukhupha ezo zinto zingaphezulu kumchamo. Njengoko ezi zinto zikhutshwa, zikwatsala amanzi ngazo. Kufana neswekile efunxa amanzi athile. Oku kwandisa imveliso yomchamo.
Imizekelo emihle yoku yile:
- Isifo seswekile: Umntu onesifo seswekile sohlobo 1 okanye uhlobo 2 olungalawulekiyo unezinga eliphezulu leswekile egazini. Xa izintso zingakwazi ukumelana nale swekile ingaphezulu, ikhutshwa emchameni. Kunye nale swekile, kuphuma amanzi amaninzi. Yiyo loo nto ukuchama kakhulu kunye nokunxanwa zezona mpawu ziphambili zesifo seswekile.
- IMannitol: Eli liyeza elisetyenziswa ngamanye amaxesha ezibhedlele. Ukudumba kobuchophoKwiimeko ezinjalo, eli yeza linikwa ukususa ulwelo olugqithisileyo emzimbeni kunye nokunciphisa uxinzelelo lwegazi.
2. I-Diuresis Yamanzi
Oku kwenzeka ngenxa yengxaki yehomoni ebaluleke kakhulu elawula ubungakanani bamanzi emzimbeni wethu. Le homoni ibizwa ngokuba yi-'Vasopressin'. Ikwabizwa ngokuba yi-'Anti -diuretic hormone'. Oko kukuthi, yihomoni enciphisa ukuphuma komchamo kwaye incede umzimba ukuba ugcine amanzi. Xa le homoni ingasebenzi kakuhle, izintso ziqala ukukhupha amanzi ngendlela engalawulekiyo.
Eyona nto ibangela le meko yimeko engaqhelekanga ebizwa ngokuba yi -'Diabetes Insipidus ' .
Eyona nto ibalulekileyo: Le asiyosifo seswekile esisaziyo sonke. Ezi zimbini zahlukile ngokupheleleyo. Nangona zifana ngamagama, le yingxaki yehomoni.
Kukho iintlobo ezahlukeneyo ze-'diabetes insipidus'.
| Uhlobo lwe-'Diabetes Insipidus' | Inkcazo |
|---|---|
| Uhlobo oluphakathi | Oku kubangelwa kukonakala kwe-hypothalamus okanye i-pituitary gland ebuchotsheni, nto leyo ebangela ukwehla kwemveliso okanye ukukhululwa kwehomoni 'vasopressin'. |
| Uhlobo lwe-Nephrogenic | Kwimeko enjalo, nangona ingqondo ivelisa le hormone, izintso azikwazi ukuphendula kuyo. Oku kubangelwa zizinto zemfuza, amayeza athile, i-potassium ephantsi okanye amanqanaba aphezulu e-calcium egazini, njl. |
| Uhlobo lokukhulelwa | Imeko yexeshana efunyanwa ngabanye abafazi ngexesha lokukhulelwa. I-enzyme eveliswa yi-placenta inokuqhekeza i-hormone kanina i-vasopressin. Le meko idla ngokunyamalala emva kokuba umntwana ezelwe. |
3. I-Diuresis enyanzelekileyo
Ngamanye amaxesha, oogqirha baya kukunika amayeza okanye ezinye iindlela zokukwenza uchame ngakumbi. Oku kwenziwa njengonyango lwenye imeko yezonyango.
- I-Diuretics (okanye 'iipilisi zamanzi'): Ezi luhlobo lwamayeza anikwa unyango lweemeko ezinje ngoxinzelelo lwegazi oluphezulu , ukungasebenzi kakuhle kwentliziyo, ukudumba, kunye nesifo sezintso okanye sesibindi. Zisebenza ngokubangela ukuba umzimba ukhuphe ityuwa eyongezelelweyo (i-sodium) kunye namanzi ngomchamo.
- Ukususa Umqobo: Xa kukho umqobo kwindlela yomchamo, njengelitye okanye ithumba, kuba nzima ukuba umchamo uphume. Emva kokuba olu thintelo lususiwe ngotyando, umchamo ovalekileyo uya kuqala ukuphuma ngoko nangoko. Oku kungathatha malunga neeyure ezingama-24-48. Nangona kunjalo, ukuba kuthatha ixesha elide ngaphezu koko, qiniseka ukuba wazise ugqirha wakho.
Ngaba zikho ezinye izizathu ngaphandle kwesi?
Ewe, kunokubakho ezinye izizathu ezininzi.
- Ukwanda kwe-calcium egazini (i-Hypercalcemia): Oku kukwangunobangela wokwanda kokuchama. Kunokubangelwa yimidlaza ethile kunye nezifo ze-parathyroid gland.
- Ukubetha kwentliziyo ngendlela engaqhelekanga: Ukuchama kunokwanda xa intliziyo ibetha ngokukhawuleza okanye ngokungacwangciswanga (umz., i-atrial fibrillation).
- Ukuya kwiindawo eziphakamileyo: Xa usiya kwindawo ephakamileyo efana neNuwara Eliya, usenokuba uqaphele ukuba uchama kakhulu kwiintsuku ezimbalwa zokuqala. Olu luphawu oluhle lokuba umzimba wakho uqhelana nendawo entsha.
- Imozulu ebandayo: Xa ibekwe kwindawo ebandayo, imithambo yegazi iyaxina ukuze umzimba uhlale ufudumele. Oku kubonisa izintso ukuba uxinzelelo lwegazi luphezulu, nto leyo ebangela ukuba zisuse ulwelo olugqithisileyo.
- Ukutya: Utywala, iziselo ezine-caffeine ezifana nekofu neti, ukutya okuneproteni ephezulu, kunye nokutya okufana nejinja neseleri kunokusebenza njenge-diuretics yendalo kwaye kunyuse ukuchama.
Ziziphi iingxaki ezinokubakho?
Ukuba ukuchama kakhulu akunanzwa, iingxaki ezininzi zinokuvela.
1. Ukuphelelwa ngamanzi emzimbeni: Xa ulahlekelwa ngamanzi amaninzi kunalawo uwaselayo, umzimba wakho uyaphelelwa ngamanzi emzimbeni. Oku kunokubangela iimpawu ezifana nokunxanwa kakhulu, ulusu olomileyo, ukudinwa, kunye nokucaphuka.
2. Ukungalingani kwe-Electrolyte: Iiminerali ezifana ne-sodium kunye ne-potassium zibalulekile kwimithambo-luvo kunye nemisipha yomzimba wethu ukuze isebenze kakuhle. Xa ezi zinto zikhutshwa kakhulu kumchamo, kubakho ukungalingani. Oku kubangela,
- Intlungu yemisipha kunye nobuthathaka
- Ubunzima bokuvuka ebhedini
- Ndihlala ndidiniwe
- Iimeko ezinzulu ezifana nokubetha kwentliziyo okungaqhelekanga zinokwenzeka, ingakumbi i-hyponatremia (i-sodium ephantsi) kunyeKufuneka ulumke malunga neemeko ezibizwa ngokuba yi-hypokalemia (i-potassium ephantsi).
Uyifumana njani le nto, Gqirha?
Xa usiya kugqirha ngezi mpawu, uza kuqala akubuze iinkcukacha.
- Izinto ezifana nokuba zeziphi iimpawu onazo kunye nokuba sele unexesha elingakanani unazo.
- Ngaba kukho umntu kusapho lwakho onezifo ezifana nesifo seswekile?
- Malunga nokutya kunye namayeza owasebenzisayo.
Emva koko, ungayalelwa ukuba wenze iimvavanyo ezifana nezi ukuze ufumane unobangela ochanekileyo:
- Uvavanyo lwegazi (jonga iswekile, iiminerali, ukusebenza kwezintso)
- Uvavanyo lomchamo
- Ukuba kuyimfuneko, i-scan yobuchopho okanye yezintso (MRI)
Umyalezo Wokuya Ekhaya
- Ungaze ukutyeshele ukuchama rhoqo kunesiqhelo, ingakumbi ukuba kuhamba nezinye iimpawu ezifana nokunxanwa kakhulu nokudinwa.
- Oku kungaba luphawu lokuqala lwesifo esinzulu esibangelwa sisifo, esifana nesifo seswekile, isifo sentliziyo, isifo sezintso, okanye ingxaki yamahomoni.
- Kubaluleke kakhulu ukuthetha ngokukhululekileyo ngale nto nogqirha wakho, ufumane unobangela ochanekileyo, kwaye ufune unyango olufanelekileyo.
- Nciphisa iziselo ezinyusa ukuchama, ezifana nekofu, iti, kunye notywala, kangangoko kunokwenzeka.
- Sela amanzi amaninzi imini yonke ukuze uthintele ukuphelelwa ngamanzi emzimbeni. Nangona kunjalo, kungcono ukusela amanzi amancinci imini yonke kunokusela amanzi amaninzi ngaxeshanye.
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