Ingabe ngezinye izikhathi uzizwa sengathi kufanele uye endlini yangasese kaningi kunokujwayelekile? Ngezinye izikhathi kuyinto evamile ukuchama kakhulu kunokujwayelekile. Isibonelo, kungenzeka uma uphuza amanzi amaningi. Kodwa-ke, uma lesi simo siqhubeka, singaba uphawu lokuthi kukhona okunye okwenzekayo emzimbeni wakho. Kwezokwelapha, lesi simo sibizwa ngokuthi 'i-diuresis'. Kalula nje, lokhu ukukhiqizwa komchamo okungaphezu kwalokho okukhishwa yizinso zakho. Kungakhathaliseki ukuthi imbangela iyini, udokotela wakho angathola imbangela futhi anikeze ukwelashwa okudingekayo.
Ziyini izimpawu zalokhu?
Akubona bonke abantu abafanayo. Ngokwesilinganiso, umuntu uchama cishe izikhathi ezingu-4-6 ngosuku. Kodwa-ke, esimweni 'se-diuresis', udinga ukuchama kaningi kunalokhu.
Ngaphezu kwalokho, ungase ube nalezi zimpawu:
- Ukuzizwa womile kakhulu: Ngenxa yokuthi kulahleka amanzi amaningi emzimbeni, umzimba uyaphela amanzi emzimbeni futhi uzizwa udinga ukuphuza amanzi njalo.
- Ukuphazamiseka kokulala: Ukulala kwakho kungase kuphazamiseke, ikakhulukazi ebusuku, njengoba kufanele uvuke ukuze uchame. Lokhu kubizwa nangokuthi 'i-nocturia'.
- Ukudideka, ukukhathala, noma ubuthakathaka: Uma ulahlekelwa amaminerali amaningi abalulekile emzimbeni ( ama-electrolyte ) njenge-sodium ne-potassium emchameni wakho, ayaphela amandla . Lokhu kungakwenza uzizwe udidekile, ukhathele njalo, noma ukhathele.
Yiziphi izimbangela eziyinhloko ze-diuresis?
Kunezizathu eziningana zalesi simo. Ake sizibheke ngasinye ngasinye.
1. I-Osmotic Diuresis
Kalula nje, lapho ukugcwala kwezinto ezithile, njengoshukela, egazini lethu kwanda, izinso zizama ukukhipha lezo zinto ezengeziwe emchameni. Njengoba lezi zinto zikhishwa, zidonsa namanzi nazo. Kufana noshukela omunca amanzi athile. Lokhu kwandisa ukukhiqizwa komchamo.
Izibonelo ezinhle kakhulu zalokhu yilezi:
- Isifo Sikashukela: Umuntu onesifo sikashukela sohlobo 1 noma sohlobo 2 esingalawulwa kahle unezinga likashukela egazini eliphezulu. Uma izinso zingakwazi ukubhekana nalolu shukela owengeziwe, lukhishwa emchameni. Kanye nalolu shukela, kuphuma amanzi amaningi. Yingakho ukuchama ngokweqile kanye nokoma kuyizimpawu eziyinhloko zesifo sikashukela.
- I-Mannitol: Lona umuthi ngezinye izikhathi osetshenziswa ezibhedlela. Ukuvuvukala kobuchophoEzimweni ezinjalo, lo muthi unikezwa ukususa uketshezi oluningi emzimbeni nokunciphisa umfutho wegazi.
2. Ukukhishwa kwamanzi
Lokhu kwenzeka ngenxa yenkinga nge-hormone ebaluleke kakhulu elawula inani lamanzi emzimbeni wethu. Le hormone ibizwa ngokuthi 'i-Vasopressin'. Ibizwa nangokuthi 'i-Anti -diuretic hormone'. Okusho ukuthi, iyi-hormone enciphisa ukuphuma komchamo futhi isize umzimba ukuthi ugcine amanzi. Uma le hormone ingasebenzi kahle, izinso ziqala ukukhipha amanzi ngendlela engalawuleki.
Imbangela eyinhloko yalesi simo yisimo esingavamile esibizwa ngokuthi 'i-Diabetes Insipidus ' .
Into ebaluleke kakhulu: Lesi akusona isifo sikashukela esisaziyo sonke. Lezi ezimbili zihluke ngokuphelele. Naphezu kokufana kwegama, lokhu kuyinkinga yamahomoni.
Kunezinhlobo eziningana ze-'diabetes insipidus'.
| Uhlobo 'lwesifo sikashukela i-insipidus' | Incazelo |
|---|---|
| Uhlobo oluphakathi | Lokhu kubangelwa ukulimala kwe-hypothalamus noma i-pituitary gland ebuchosheni, okuholela ekunciphiseni ukukhiqizwa noma ukukhululwa kwe-hormone 'vasopressin'. |
| Uhlobo lwe-Nephrogen | Kulesi simo, noma ubuchopho bukhiqiza i-hormone, izinso azikwazi ukusabela kuyo. Lokhu kungaba ngenxa yezakhi zofuzo, imithi ethile, amazinga aphansi e-potassium noma i-calcium ephezulu egazini, njll. |
| Uhlobo lokukhulelwa | Isimo sesikhashana abanye besifazane ababhekana naso ngesikhathi sokukhulelwa. I-enzyme ekhiqizwa yi-placenta ingaphula i-hormone kanina i-vasopressin. Lesi simo sivame ukuphela ngemva kokuzalwa komntwana. |
3. I-Diuresis Ephoqelelwe
Ngezinye izikhathi, odokotela bazokunikeza imithi noma ezinye izindlela zokukwenza uchame kakhulu. Lokhu kwenziwa njengokwelashwa kwesinye isimo sezokwelapha.
- Ama-diuretics (noma 'amaphilisi amanzi'): Lawa uhlobo lomuthi olunikezwa ukwelapha izimo ezifana nomfutho wegazi ophakeme , ukwehluleka kwenhliziyo, ukuvuvukala, kanye nesifo sezinso noma sesibindi. Asebenza ngokubangela ukuthi umzimba ukhiphe usawoti owengeziwe (i-sodium) namanzi ngomchamo.
- Ukususa Ukuvimba: Uma kukhona ukuvaleka kwendlela yomchamo, njengetshe noma isimila, kuba nzima ukuthi umchamo uphume. Ngemva kokuba lokhu kuvinjelwa sekususiwe ngokuhlinzwa, umchamo ovinjiwe uzoqala ukuphuma ngokushesha. Lokhu kungase kuhlale cishe amahora angama-24-48. Kodwa-ke, uma kuthatha isikhathi eside kunalokho, qiniseka ukuthi wazisa udokotela wakho.
Zikhona yini ezinye izizathu ngaphandle kwalokhu?
Yebo, kungaba nezinye izizathu eziningana.
- Ukwanda kwe-calcium egazini (i-Hypercalcemia): Lokhu futhi kuyimbangela yokwanda kokuchama. Kungabangelwa eminye imidlavuza nezifo ze-parathyroid gland.
- Ukuphazamiseka kokushaya kwenhliziyo: Ukuchama kunganda futhi lapho inhliziyo ishaya ngokushesha noma ngokungajwayelekile (isb., i-atrial fibrillation).
- Ukuya ezindaweni eziphakeme: Uma uya endaweni ephakeme njengeNuwara Eliya, kungenzeka ukuthi uke waphawula ukuthi uchama kakhulu ezinsukwini ezimbalwa zokuqala. Lokhu kuyisibonakaliso esihle sokuthi umzimba wakho ujwayela indawo entsha.
- Isimo sezulu esibandayo: Uma ibekwe emakhazeni, imithambo yegazi iyafinyela ukuze umzimba ugcine ufudumele. Lokhu kukhombisa izinso ukuthi umfutho wegazi uphezulu, okuzibangela ukuba zisuse uketshezi oluningi.
- Ukudla: Utshwala, iziphuzo ezine-caffeine njengekhofi netiye, ukudla okunamaprotheni amaningi, kanye nokudla okufana ne-ginger ne-celery kungasebenza njengemithi yokukhipha isisu yemvelo futhi kwandise ukuchama.
Yiziphi izinkinga ezingaba khona?
Uma ukuchama ngokweqile kunganakwa, kungavela izinkinga eziningana.
1. Ukuphelelwa amanzi emzimbeni: Uma ulahlekelwa amanzi amaningi kunalawo owaphuzayo, umzimba wakho uyaphelelwa amanzi emzimbeni. Lokhu kungabangela izimpawu ezifana nokoma ngokweqile, isikhumba esomile, ukukhathala, kanye nesicanucanu.
2. Ukungalingani Kwe-Electrolyte: Amaminerali afana ne-sodium ne-potassium abalulekile ukuze imizwa nemisipha yomzimba wethu isebenze kahle. Uma lokhu kukhishwa ngokweqile emchameni, kwenzeka ukungalingani. Lokhu kuphumela,
- Ubuhlungu bemisipha kanye nobuthakathaka
- Ubunzima bokuvuka embhedeni
- Ukhathele njalo
- Izimo ezingathi sína ezifana nokushaya kwenhliziyo okungajwayelekile zingavela, ikakhulukazi i-hyponatremia (i-sodium ephansi) kanyeKudingeka uqaphele izimo ezibizwa ngokuthi i-hypokalemia (i-potassium ephansi).
Ukuthola kanjani lokhu, Dokotela?
Uma uya kudokotela ngalezi zimpawu, uzoqala ngokukubuza imininingwane.
- Izinto ezifana nokuthi yiziphi izimpawu onazo nokuthi usunesikhathi esingakanani unazo.
- Ingabe ukhona emndenini wakho onezifo ezifana nesifo sikashukela?
- Mayelana nokudla nemithi oyiphuzayo.
Ngemva kwalokho, ungase utshelwe ukuthi wenze ezinye izivivinyo ezinjengalezi ukuze uthole imbangela eqondile:
- Ukuhlolwa kwegazi (hlola ushukela, amaminerali, ukusebenza kwezinso)
- Ukuhlolwa komchamo
- Uma kudingeka, kwenziwa iskeni yobuchopho noma yezinso (MRI)
Umlayezo Wokuya Nawe Ekhaya
- Ungalokothi ungazinaki ukuchama kaningi kunokujwayelekile, ikakhulukazi uma kuhambisana nezinye izimpawu ezifana nokoma ngokweqile nokukhathala.
- Lokhu kungaba uphawu lokuqala lwesifo esibucayi esibucayi, njengesifo sikashukela, isifo senhliziyo, isifo sezinso, noma inkinga yama-hormone.
- Kubaluleke kakhulu ukukhuluma ngokukhululekile ngalokhu nodokotela wakho, ukuthola imbangela eqondile, nokufuna ukwelashwa okufanele.
- Nciphisa iziphuzo ezikhulisa ukuchama, njengekhofi, itiye, notshwala, ngangokunokwenzeka.
- Phuza amanzi amaningi usuku lonke ukuze ugweme ukuphelelwa amanzi emzimbeni. Kodwa-ke, kungcono ukuphuza amanzi amancane usuku lonke kunokuphuza amanzi amaningi ngesikhathi esisodwa.
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