Uma sizwa igama elithi 'isifo sikashukela', sicabanga ngesifo sikashukela, akunjalo? Kodwa bewazi ukuthi kunezifo ezimbili ezibizwa ngokuthi 'isifo sikashukela' ezingahlobene? Amagama alezi ezimbili kuphela afanayo. Izimpawu, izimbangela, kanye nokwelashwa kuhluke ngokuphelele. Ngenxa yalokhu, ngezinye izikhathi la magama amabili angadideka. Ngakho-ke namuhla, ake sixoxe ngalezi zifo ezimbili ukuze sizihlukanise kahle futhi sizibone.
Kalula nje, uyini umehluko phakathi kwalezi zifo ezimbili?
Nakuba lezi zifo ezimbili zinegama elifanayo, indlela ezithinta ngayo umzimba ihluke ngokuphelele. Ake sibone ukuthi kanjani.
Isifo sikashukela i-mellitus - isifo sikashukela
Sonke siyazi lesi sifo ngokuthi 'isifo sikashukela' noma 'isifo sikashukela'. Ngokwezokwelapha, sibiza ngokuthi i-Diabetes Mellitus . Kulesi simo, i-hormone i-insulin ekhiqizwa yi-pancreas yethu ayanele noma amangqamuzana omzimba awasabeli kahle kuyo. Umsebenzi oyinhloko we-insulin ukufaka ushukela, okuyi-glucose, ekudleni esikudlayo, emaseli ukuze uthole amandla. Ngakho-ke lapho i-insulin iyeka ukusebenza kahle, izinga likashukela egazini liyakhuphuka ngendlela eyingozi.
Isifo Sikashukela - Isifo Sikashukela Abantu Abaningi Abangazi Ngaso
Lesi yisimo esingavamile kakhulu abantu abaningi abangakaze bezwe ngaso. Asihlobene nesifo sikashukela. I-Diabetes Insipidus iwukukhishwa komchamo ngokweqile okungalawuleki okuvela ezinso zethu. Ngokuvamile, umuntu ophilile ukhipha cishe amalitha angu-1-2 omchamo ngosuku, kanti umuntu onalesi sifo angakhipha amalitha angu-3 kuya kwangu-20 ngosuku. Cabanga ngalelo nani! Iningi lalawa ngamanzi. Ngakho-ke akumangazi ukuthi lapho kukhishwa uketshezi oluningi kangaka emzimbeni, kuba nokoma okukhulu. Lokhu kubangelwa inkinga nge-hormone ebizwa ngokuthi i-vasopressin, ekhishwa ubuchopho.
Ukufana nokwehluka kwezimpawu
Isizathu sokudideka ukuthi ezinye zezimpawu zalezi zifo zombili ziyafana. Kodwa izimbangela zalezo zimpawu zihlukile ngokuphelele. Ake sikuqonde lokho kusukela kuleli thebula.
| Isibonakaliso | Isifo Sikashukela | Isifo sikashukela i-Insipidus |
|---|---|---|
| Ukoma ngokweqile | Izinga likashukela egazini (ushukela) liphezulu. Umzimba ucela amanzi engeziwe ukuze ukhiphe lo shukela omningi ngomchamo. | Njengoba amanzi angaphezulu ekhishwa emzimbeni ngomchamo, umzimba udinga amanzi njalo ukuze uvimbele ukuphelelwa amanzi emzimbeni. |
| Ukukhathala ngokweqile | Uma amazinga kashukela egazini ephezulu noma ephansi, umzimba awukwazi ukukhiqiza amandla owadingayo, okukwenza uzizwe ukhathele. | Ukuphelelwa amanzi emzimbeni okubangelwa ukuchama ngokweqile kanye nokulahlekelwa ama-electrolyte afana ne-sodium ne-potassium emzimbeni kungabangela ukukhathala okukhulu. |
| Umbono ofiphele | Amazinga aphezulu kashukela egazini angathinta ilensi yeso futhi abangele ukubona okufiphele okwesikhashana. | Ukuphelelwa amanzi emzimbeni isikhathi eside kungabangela amehlo omile futhi kuthinte umbono. |
Into ebaluleke kakhulu ukuthola ukuthi imbangela iyini uma unezimpawu zombili. Kufanele nakanjani ubone udokotela ngalokho.
Uzihlukanisa futhi uzibone kanjani lezi zifo ezimbili?
Udokotela usebenzisa izivivinyo ezahlukene ukuze ahlukanise futhi axilonge lezi zifo ezimbili.
Ukuhlonza Isifo Sikashukela:
Kunezinhlobo eziningana zokuhlolwa kwegazi okuyinhloko ukuze kutholakale lokhu.
- Ushukela Ogazini Ozila Ukudla (FBS): Ukuhlolwa kwegazi okwenziwa ngemva kokuzila ukudla okungenani amahora angu-8.
- Ukuhlolwa kwe-HbA1c: Lokhu kunikeza umbono wamazinga akho ajwayelekile kashukela egazini ezinyangeni ezi-2-3 ezedlule. Lokhu akudingi ukuzila ukudla.
Ngokusekelwe emiphumeleni yalezi zivivinyo, udokotela wakho uzonquma ukuthi unesifo sikashukela noma isifo sikashukela esingaphambi kwesikhathi.
Ukuhlonza Isifo Sikashukela I-Insipidus:
Lokhu kunzima kancane ukukuxilonga. Kuhlolwa izivivinyo eziningana ukuze kwenziwe kanjalo.
- Ukuhlolwa kwegazi: Lokhu kuhlola amazinga e-sodium egazini lakho, hhayi amazinga kashukela. Ukuphelelwa amanzi emzimbeni kungandisa amazinga e-sodium.
- Ukuhlolwa komchamo: Lokhu kuhlola ukuthi umchamo wakho ugxile noma uncibilike/unamanzi kangakanani. Ungase futhi ucelwe ukuthi uqoqe iqoqo lomchamo lamahora angama-24 bese ulinganisa inani lomchamo owukhiqizayo.
- Ukuhlolwa Kokuncishiswa Koketshezi:Lolu ukuhlolwa okukhethekile. Udokotela wakho uzokutshela ukuthi uyeke ukuphuza amanzi isikhathi esithile. Ngemuva kwalokho, isisindo sakho, umfutho wegazi, kanye nomthamo womchamo kuzohlolwa ngehora ngalinye amahora amaningana. Lokhu kuvame ukwenziwa esibhedlela.
- I-MRI scan: I-MRI ayikwazi ukuqiniseka ukuthi unalesi sifo. Kodwa-ke, ingahlola noma yiziphi izinkinga (njengesimila noma ukutheleleka) endlaleni ye-pituitary noma i-hypothalamus ebuchosheni engase iyibangele.
Yiziphi izindlela zokwelapha?
Izindaba ezinhle ukuthi nakuba kungekho kulezi zifo ezingelapheka ngokuphelele, zingaphathwa kahle kakhulu futhi ziphile impilo evamile.
Ukwelashwa Kwesifo Sikashukela
Kungakhathaliseki ukuthi unesifo sikashukela sohlobo 1 noma sohlobo 2, umgomo oyinhloko wokwelashwa ukulawula amazinga kashukela egazini.
- Imithi: Imijovo ye-insulin noma amanye amaphilisi anikezwe udokotela wakho.
- Indlela Yokuphila: Kubalulekile ukulandela ukudla okunempilo , ukuzivocavoca njalo , nokulawula isisindo somzimba, i-cholesterol kanye nomfutho wegazi.
- Ukuhlolwa njalo: Kubaluleke kakhulu ukubona udokotela wakho nokuhlolwa njalo.
Ukwelashwa kwesifo sikashukela i-insipidus
Ukwelashwa kuncike ekutheni unesifo sikashukela i-insipidus esinjani.
- I-Central DI: Lokhu kubangelwa ukwehla kokukhiqizwa kwe-hormone i-Vasopressin ebuchosheni. Ukwelashwa kwalokhu yi-hormone yokwenziwa efana naleyo hormone, ebizwa ngokuthi i-Desmopressin . Iza njengesifutho sekhala, iphilisi, noma umjovo.
- I-Nephrogenic DI: Kulesi simo, ubuchopho bukhiqiza i-hormone, kodwa izinso aziphenduli kuyo. Imithi efana ne-diuretics inikezwa ukulawula izimpawu.
- I-Dipsogenic DI: Lena inkinga engxenyeni yobuchopho elawula ukoma, ngakho awuzizwa womile yize ulahlekelwa amanzi. Nakuba kungekho ukwelashwa okuqondile kwalokhu, odokotela batusa ukubangela ukoma ngokumunca ama-ice cubes noma amaswidi amuncu.
- I-Gestational DI: Lesi yisimo esingaba khona ngesikhathi sokukhulelwa. Sivame ukuphela ngokuphelele ngemva kokuzalwa komntwana.
Umlayezo Wokuya Nawe Ekhaya
- Isifo sikashukela i-Mellitus kanye nesifo sikashukela i-insipidus ziyizifo ezimbili ezihlukene ngokuphelele, yize zinamagama afanayo.
- I-Mellitus yisifo esihlotshaniswa noshukela ophezulu egazini (i-glucose). I-Insipidus yinkinga yamahomoni ehlotshaniswa nokulahlekelwa amanzi amaningi ezinso.
- Nakuba izimpawu ezifana nokoma ngokweqile kanye nokuchama ngokweqile zivame kuzo zombili lezi zimo, izimbangela zihlukile.
- Uma unezimpawu ezinjengalezi, ungenzi izinqumo ngokusekelwe ekuqageleni, kodwa qiniseka ukuthi ubonana nodokotela bese uthola ukuxilongwa okufanele.
- Zombili lezi zifo zingalawulwa ngempumelelo futhi ziphile impilo enempilo ngokwelashwa okufanele kanye nokushintsha indlela yokuphila.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho