Ingabe uvame ukuzizwa womile ngendlela engabekezeleleki? Futhi ingabe uvame ukuchama kakhulu? Nakuba lokhu kungase kubonakale kuyinto evamile, ngezinye izikhathi kungase kube nesimo sezokwelapha esingaziwa ngemuva kwakho. Namuhla sizokhuluma ngesimo sezokwelapha esingavamile kodwa esibaluleke kakhulu okufanele usiqaphele.
Iyini ngempela i-Nephrogenic Diabetes Insipidus?
Uma uzwa leli gama, ungase ucabange ukuthi lokhu kufana ne-Diabetes Mellitus, esiyaziyo sonke. Kodwa lokhu akusona isifo sikashukela esihlobene noshukela . Njengoba sazi, isifo sikashukela sibangelwa amazinga aphezulu kashukela egazini. Kodwa i-nephrogenic diabetes insipidus iyinkinga ehlobene ngokuphelele nezinso .
Kalula nje, kune-hormone ekhethekile ekhishwa ubuchopho ukulawula inani lamanzi emizimbeni yethu. Lokhu kubizwa ngokuthi i-hormone yokulwa nokukhipha amanzi emzimbeni, noma "i-hormone ye-Antidiuretic - ADH". Uma uphelelwe amanzi emzimbeni, noma uphelelwe amanzi emzimbeni, le hormone ye-"ADH" ikhishwa ebuchosheni bese ithumela isignali ezinso, ithi, "Kulungile, manje bambelela emanzini emzimbeni wakho bese unciphisa inani lomchamo owukhiqizayo."
Kodwa-ke, kumuntu onesifo sikashukela se-nephrogenic insipidus, yize ubuchopho bukhiqiza i-ADH eyanele, izinso azikwazi ukubona leso signali. Kufana nokuthi awukwazi ukuzwa umuntu ekhuluma nawe. Ngenxa yokuthi izinzwa ze-ADH ezinso azisebenzi kahle, izinso azikwazi ukumunca nokugcina amanzi emzimbeni. Ngenxa yalokho, inani elikhulu lamanzi umzimba owadingayo likhishwa emchameni.
Pho kungani lokhu kubizwa ngokuthi "i-Insipidus"? Igama elithi "Insipid" lisho ukuthi alinambitheki, alinambitheki. Esikhathini esidlule, odokotela babevame ukunambitha umchamo ukuze bathole izifo. Kusifo sikashukela, umchamo unambitheka kamnandi (yingakho ubizwa ngokuthi "mellitus," okusho ukuthi umnandi). Kodwa kulesi sifo, umchamo awunambitheki, njengamanzi. Yingakho ubizwa ngokuthi "i-Insipidus."
Yiziphi izimpawu eziyinhloko zalesi sifo?
Lezi yizimpawu eziyinhloko zokwehluleka kwezinso. Kwabanye abantu, lezi zimpawu zingaba zimbi kakhulu kangangokuthi azibekezeleleki.
| Isibonakaliso | Incazelo |
|---|---|
| Kukhona ukomela okukhulu kwamanzi. | Umuzwa wokoma okungabekezeleleki ongasoze waphela. |
| Ukuchama ngokweqile (i-Polyuria) | Umchamo ocacile , onamanzi amaningi njalo, usuku lonke. |
| Ukuphelelwa amanzi emzimbeni | Izimpawu ezifana nesikhumba esomile, umlomo owomile, kanye nekhanda elibuhlungu zivela ngenxa yokulahlekelwa uketshezi oluningi emzimbeni. |
| Ukungalingani kwe-Electrolyte | Ukulahlekelwa uketshezi ngokweqile kungabangela ushintsho enanini likasawoti egazini, njenge-sodium ne-potassium. Lokhu kungabangela izimpawu ezilandelayo:
|
Cabanga nje, abanye abantu badinga ukuphuza ingilazi enkulu yamanzi njalo ngemizuzu eyi-15. Usuku lonke, nsuku zonke. Ngakho-ke ngenxa yokuthi lawo manzi awahlali emzimbeni, kufanele baye endlini yangasese njalo. Ungacabanga ukuthi lokhu kuyiphazamisa kangakanani impilo, akunjalo?
Yini ebangela lesi simo?
Kunezimbangela eziningana zesifo sikashukela se-nephrogenic insipidus.
Ezinganeni ezincane kanye nezinsana
Lesi simo sivame ukubangelwa ukukhubazeka kwezakhi zofuzo ezinganeni. Lokhu kusho ukuthi ingxenye yezinso esabela ku-hormone ye-ADH (receptor) ayisebenzi kahle.
Kwabantu abadala
Lesi simo kubantu abadala asibangelwa yizici zofuzo. Sithonywa ezinye izici.
- Eminye imithi: Ikakhulukazi umuthi othi `Lithium`. Lo umuthi onikezwa ukwelapha izifo zengqondo ezifana ne-bipolar. Cishe abantu abangu-20% abathatha i-`Lithium` bangahlakulela lesi simo. Futhi, eminye imithi efana ne-`Demeclocycline` kanye ne-`Ofloxacin` ingabangela lesi simo.
- Izinguquko emazingeni amathe:
- Amazinga aphezulu e-calcium egazini (i-Hypercalcemia).
- Amazinga aphansi e-potassium egazini (i-Hypokalemia).
- Isifo sezinso: Ikakhulukazi izifo zezinso ezingamahlalakhona njengesifo sezinso se-polycystic.
Kukhona nolunye uhlobo "lwesifo sikashukela i-insipidus". Lubizwa ngokuthi i-central diabetes insipidus. Okwenzekayo kulokhu ukuthi izinso zisebenza kahle, kodwa ubuchopho abukhiqizi i-hormone ye-ADH eyanele . Akuyona inkinga ngezinso, kodwa inkinga ngobuchopho.
Iphathwa kanjani?
Uma ngikhuluma iqiniso, ukwelapha isifo sikashukela se-nephrogenic insipidus kuyinselele kancane. Ngenxa yokuthi izinso aziphenduli ku-hormone ethi `ADH`, ukunikeza i-`ADH` ngaphandle ngeke kusize. Kodwa-ke, kunezindlela zokulawula izimpawu.
1. Ukwelapha imbangela: Uma udokotela wakho ethola ukuthi lesi simo sibangelwa umuthi owuthathayo, njenge-lithium, umuthi ungase ushintshwe noma uyekwe.
2. Izinguquko endleleni yokuphila:
- Phuza amanzi njalo: Lena yinto ebaluleke kakhulu . Udinga ukuphuza amanzi njalo ukuze ubuyisele inani lamanzi alahlekile emzimbeni. Kubalulekile ukuvimbela ukuphelelwa amanzi emzimbeni.
- Ukudla: Ukudla ukudla okunosawoti omncane kanye namaprotheni kungasiza ekunciphiseni inani lomchamo ophumayo. Khuluma nodokotela wakho ngalokhu bese uthola iseluleko.
3. Imithi:
- Ama-NSAID: Ama-painkiller afana ne-ibuprofen angasiza ekunciphiseni ukuchama ngandlela thile. Kodwa-ke, kufanele uthintane nodokotela wakho ngaphambi kokuwasebenzisa isikhathi eside.
- Ama-Diuretics: Lokhu kungase kukumangaze. Lawa abizwa ngokuthi “amaphilisi amanzi” avame ukunikezwa ukusiza umzimba ukukhipha amanzi. Kodwa ngokumangazayo, umuthi wokukhipha amanzi njengo-‘Hydrochlorothiazide’ ungasiza ekunciphiseni ukuphuma komchamo kulesi simo. Indlela esebenza ngayo iyinkimbinkimbi kancane, ngakho-ke kufanele isetshenziswe njengoba nje udokotela wakho ekuyalele.
Kubaluleke kakhulu: Abantu abanalesi simo badinga ukuchama njalo. Ukuzibamba kuze kube yilapho isinyi sigcwele kungabangela umonakalo wesikhathi eside. Ngakho-ke chama ngokushesha nje lapho uzizwa unesidingo.
Uma unalezi zimpawu, ungesabi, kodwa qiniseka ukuthi ubonana nodokotela ukuze uthole iseluleko. Kubaluleke kakhulu ukwenza izivivinyo ezidingekayo bese uthola ukuthi yisiphi isimo obhekene naso.
Umlayezo Wokuya Nawe Ekhaya
- Isifo sikashukela i-insipidus esibangelwa yi-nephrogenic diabetes insipidus asisona isifo sikashukela, kodwa yisimo esibangelwa ukungakwazi kwezinso ukuphendula ku-hormone .
- Izimpawu eziyinhloko ukoma okungabekezeleleki kanye nokuchama ngokweqile .
- Ukwelashwa okubaluleke kakhulu kwalokhu ukuphuza amanzi amaningi nokugwema ukuphelelwa amanzi emzimbeni.
- Eminye imithi, izinguquko emazingeni kasawoti egazini, kanye nezinye izifo zezinso kungabangela lokhu.
- Uma unalezi zimpawu, ungaqageli bese ubona udokotela ngokushesha ukuze uthole ukuxilongwa okufanele nokwelashwa .
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho