Sonke siyazi ukuthi uma udla into enzima, uvivinya umzimba kanzima, futhi ujuluka kakhulu, uyoma. Kuvamile kakhulu. Uma uphuza amanzi ngaleso sikhathi, lolo koma luyaphela. Kodwa, wake wabhekana nento efana nale? Kungakhathaliseki ukuthi uphuza amanzi angakanani, ukoma kwakho akupheli. Uzizwa womile usuku lonke, mhlawumbe izinsuku eziningi. Uma uzizwa kanje, akuvamile. Kwezokwelapha, lesi simo sibizwa ngokuthi i-Polydipsia, noma ukoma ngokweqile.
Kuyini lokhu koma ngokweqile (i-Polydipsia)?
Kalula nje, i-Polydipsia ukoma amanzi okungavamile okwedlula izinga elijwayelekile. Lokhu kuyimpendulo yokuntuleka koketshezi emzimbeni wethu. Ngokuvamile, lokhu koma ngokweqile kuhambisana nomlomo owomile (xerostomia) kanye nokuchama njalo (ukuchama njalo).
Amanzi abalulekile ukuze imizimba yethu isebenze. Yingakho kubalulekile ukuphuza inani elifanele lamanzi nsuku zonke. Kodwa endabeni ye-Polydipsia, esikhuluma ngayo, uzizwa sengathi awukwazi ukuqeda ukoma kwakho kungakhathaliseki ukuthi uphuza amanzi angakanani. Lokhu kungahlala izinsuku, amasonto, noma ngisho nezinyanga.
Uma lolu hlobo lokoma ngokweqile luqhubeka, kungaba uphawu lokuqala lwesifo esingathi sína njengesifo sikashukela.
Yiziphi izimbangela zokoma ngokweqile?
Ngaphezu kwezimbangela ezivamile zokoma ngokweqile, kunezizathu zezokwelapha okufanele sizikhathalele kakhulu. Ake sibheke zombili lezi ngokwehlukana.
Izinkinga ezivamile ezitholakala ekuphileni kwansuku zonke
Akukho okufanele ukhathazeke ngakho, lokhu kuvame ukuba okwesikhashana.
- Ukudla ukudla okubabayo noma okunosawoti: Siyazi ukuthi ukudla izinto ezifana nama-pickle nezithelo ezomisiwe kungakwenza wome kakhulu.
- Ukuphuza i-caffeine noma utshwala obuningi: Izinto ezifana nekhofi, itiye, nobhiya ziqeda amanzi emzimbeni.
- Ukujuluka ngokweqile ngemva kokuzivocavoca: Ukoma kwenzeka ngoba amanzi nosawoti kuyalahleka emzimbeni kanye nokujuluka.
- Izifo ezinjengomkhuhlane, isifo sohudo, nokuhlanza: Inani elikhulu loketshezi nalo liyalahleka emzimbeni ngalesi sikhathi.
- Ukukhulelwa: Ukoma kunganda ngokushintsha okwenzeka emzimbeni ngalesi sikhathi.
- Imithi ethile: Eminye imithi ingabangela umlomo owomile kanye nokoma njengomphumela ongemuhle.
Izizathu zokukhathazeka ngezokwelapha
Uma ukoma kwakho ngokweqile kungapheli ngemva kwezinsuku ezimbalwa, kungase kube ngenxa yesimo esibucayi esiyisisekelo. Nazi ezinye zezimbangela ezingaba khona.
| Isimo | Kuchazwe kalula |
|---|---|
| Isifo Sikashukela (i-Diabetes Mellitus) | Lena yimbangela eyinhloko nevame kakhulu yezokwelapha yokoma ngokweqile. Uma amazinga kashukela egazini ephezulu (i-hyperglycemia), izinso zizama ukukhipha ushukela owengeziwe ngomchamo. Lokhu kubangela ukuchama njalo, ukuphelelwa amanzi emzimbeni, kanye nokoma ngokweqile. |
| Isifo sikashukela i-Insipidus | Nakuba igama layo lifana nesifo sikashukela, alinalutho oluhlobene noshukela egazini. Kuyisifo esihlobene nezinso nama-hormone. Sibangela ukoma ngokweqile ngoba umzimba ukhipha umchamo omningi ngokungalawuleki. |
| Ukuphelelwa amanzi emzimbeni | Ukungaphuzi amanzi anele izinsuku eziningana kungaholela ekuphelelweni amanzi emzimbeni kakhulu, okungenye imbangela yokoma ngokweqile. |
| Izimbangela zengqondo (i-Psychogenic Polydipsia) | Ezinye izifo zengqondo (isib. ukukhathazeka, i-schizophrenia ) zingabangela isifiso esingalawuleki sokuphuza amanzi. |
| Ukuntuleka kwe-potassium (i-Hypokalemia) | Amazinga aphansi e-potassium egazini angathinta nokusebenza kwezinso futhi andise ukoma. |
| Ezinye izizathu | Ezimweni ezifana nokusha, i-sepsis, izinso, isibindi, noma ukwehluleka kwenhliziyo, ibhalansi yoketshezi lomzimba ingaphazamiseka futhi kungaba nokoma ngokweqile. |
Kufanele simbone nini udokotela?
Uma ubhekene nesinye noma ngaphezulu kwalezi zimpawu ezingezansi kanye nokoma kwakho ngokweqile, kubalulekile ukuthi ufune iseluleko sezokwelapha ngaphandle kokuchitha isikhathi.
- Uma ukoma kwakho kunganciphi ngisho nangemva kokuphuza amanzi amaningi izinsuku ezimbalwa.
- Uma uchama njalo futhi ngobuningi (kwezokwelapha, lokhu sikubiza ngokuthi 'i-polyuria').
- Uma umbono wakho ubonakala ungacacile, kusho ukuthi "umbono ongacacile".
- Uma uzizwa ukhathele kakhulu futhi ukhathele ngaphandle kwesizathu.
- Uma uzizwa ulambile ngendlela engavamile (i-polyphagia).
Uma zonke lezi zimpawu ezintathu, ikakhulukazi ukoma ngokweqile, ukuchama ngokweqile, kanye nendlala enkulu, zivela ndawonye, kungaba uphawu oluqinile lwesifo sikashukela.
Uma uya kudokotela, uzokubuza imibuzo embalwa, ahlole umzimba, bese ezama ukuthola imbangela. Isibonelo,
- Sekuyisikhathi esingakanani lokhu kuqhubeka?
- Ingabe kwaqala ngokuzumayo, noma kwanda kancane kancane?
- Ingabe imikhuba yakho yokudla isishintshile?
- Ingabe wehlise isisindo noma wakhuluphala?
Bese kuthi, ukuze uthole imbangela eqondile, ungase ucelwe ukuba wenze izinto eziningana, njengokuhlolwa kwegazi (ushukela egazini, ama-electrolyte), kanye nokuhlolwa komchamo (ukuhlolwa komchamo).
Ukwelashwa kuncike embangweni wokoma kwakho ngokweqile. Uma kuyisifo sikashukela, kuzoqalwa ukwelashwa ukulawula ushukela egazini lakho. Uma kubangelwa omunye umuthi, udokotela uzonquma ukushintsha umthamo walowo muthi noma akunike omunye umuthi. Ngakho-ke, into engcono kakhulu ongayenza ukubonana nodokotela ngokushesha okukhulu bese uthola imbangela.
Umlayezo Wokuya Nawe Ekhaya
- Kunezinhlobo ezimbili zokoma: ukoma okuvamile kanye nokoma ngokweqile (i-polydipsia), okungaqedwa kungakhathaliseki ukuthi uphuza kangakanani.
- Ukoma ngokweqile njalo kungaba uphawu olukhulu lwesifo esingathi sína, njengesifo sikashukela.
- Ungazinaki izimpawu ezifana nokuchama njalo, ukubona okufiphele, nokukhathala okukhulu, kanye nokoma ngokweqile.
- Uma unohlobo olunjalo lokoma okungavamile nokungapheli, ungaqageli, kodwa qiniseka ukuthi ubona udokotela wakho ukuze uthole imbangela efanele kanye nokwelashwa.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Kuyini ukoma ngokweqile (i-Polydipsia)? Kuhluke kanjani ekomeni okuvamile?
Kujwayelekile ukuphuza amanzi ngemva kokuzivocavoca elangeni/ekujulukeni. Kodwa i-'Polydipsia' isho ukuthi noma uphuza amalitha angu-4-5 amanzi ngosuku, usenomlomo owomile kakhulu kanye nokoma okungabekezeleleki! Lokhu koma akukwazi ukuqedwa ngokuphuza amanzi, lesi yisibonakaliso esikhulu kunazo zonke sesifo esibi kakhulu nesiyingozi emzimbeni!
💬 Yiziphi izizathu eziyinhloko zokungomi (i-Polydipsia) kungakhathaliseki ukuthi uphuza amanzi angakanani?
Imbangela eyinhloko neyingozi kakhulu yalokhu emhlabeni yi-'Diabetes Mellitus'! Lapho izinga likashukela egazini likhuphuka, umzimba ukhipha amagalani omchamo ukuze uwukhiphe. Ngemuva kwalokho, umzimba ugcina amanzi, ngakho ubuchopho buwutshela ukuthi uqhubeke uphuza amanzi! Esinye isizathu yi-'Diabetes Insipidus' (isifo sezinso noma sobuchopho). Futhi, abantu abaphuza imithi yokucindezeleka, abantu abane-calcium ephezulu egazini (i-Hypercalcemia), kanye nabantu abaphuza amanzi ngengqondo (i-Psychogenic polydipsia) nabo babhekana nalokhu koma okukhulu.
💬 Yiziphi 'i-Red Flags' ezibonisa ukuthi kufanele ubonane nodokotela uma womile kakhulu?
Kanye nokoma, uma 1) uchama izikhathi ezingaphezu kweziyi-10 ngosuku (Umchamo Ovamile/i-Polyuria), 2) wehlisa isisindo ngokuzumayo ngaphandle kwesizathu (Ukwehla kwesisindo okungachazeki), 3) ungaboni kahle futhi unesiyezi, futhi ukhathele/ukozela kakhulu (Ukukhathala), kungaba yicala elibulalayo lesifo sikashukela (i-DKA / ushukela wegazi ongaphezu kuka-600), ngakho-ke udinga ukuhlolwa kwegazi (Ushukela Wegazi Ozila Ukudla / HbA1c) namuhla!
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