ʻO nā makana a me nā ʻ Tipslelo kōkua
Polydipsia | |
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ICD-10 | R 63.1 63.1 |
ICD-10-KM | R63.1 |
ICD-9 | 783.5 783.5 |
Medlineplus | 003085 |
Mesh | D059606 |
Polydipsia (dr. Greek πολύς "lehulehu" + a me ka "makewai") he hōʻailona ia e ka huaʻōlelo ikaika ikaika ʻole ʻole. Hoʻemi a hoʻopau wale paha ʻia me ka hoʻopi wai ʻana i ka nui me ka nui o ka nui o ka physiological, no nā pākeke - ʻoi aku ma mua o 2 lita i hoʻokahi lā.
ʻĀina mānoanoa
ʻO ke kumu no ka hoʻomohala ʻana o ia keʻena kahi maʻi ʻoi loa ka hoʻonā ʻana o ka hale inu ʻona i loko o ka lolo. Hiki ke kumu ʻia kēia ma nā kumu physiological a me nā pathological. No laila, no ka laʻana, me ka nalowale ikaika o ka wai me ka anuū a i ʻole ka hoʻoikaika kino kino, hiki ke hoʻonui i ka wai. Nā kumu kumu no kēia ʻano ke ʻano o ka hoʻonui ʻia ʻana o kahi mea i loko o ke koko o ke kanaka. No ka laʻana, kahi piʻi o ka glucose i ka maʻi diabetes. Aia kahi maʻamau polydipsia a me ka lua. Hoʻopuka ʻia ka pae mua me ka hoʻōla pololei o ka hale inu inu, no ka laʻana, me ka pathology pituitary-hypothalomic, a i ʻole ka hopena o ka maʻi noʻonoʻo. ʻO ka lua he hopena i kahi hoʻololi i ke ʻano o ke koko kahe.
ʻO Polydipsia me kahi papa i haʻi ʻia e alakaʻi i ka hiki ʻana o nā pilikia wai-electrolyte i loko o ke kino o ke kanaka. Ma ke kānāwai, edema, ascites e hoʻomohala, me nā pilikia hilahila e hui pū me nā ala ʻalaʻala, hiki i kahi maʻi hoʻokahuli.
Hoʻopuka pili pili kino |ʻO Polyuria ma kahi hōʻailona o ka maʻi maʻi
ʻO ka pae o ka hopena o ka urine i ka lā no kahi kanaka olakino e pili ana i ʻelua lita. I kekahi mau hihia, hiki i ka nui o ka urine ke hōʻea i ka lita he 2.5 mau i kēlā me kēia lā. ʻO Polyuria kahi kūlana i loaʻa ai i ka hopena o ka urine ma mua o 2,5 lita no kēlā me kēia lā.
Inā e hoʻohuli mai ka meaʻai i māla i ka meaʻai maloʻo, nui aʻe kou ʻōpua e inu hou. ʻO ka pēpē 14 mau makahiki he kūlike me kahi kanaka 70 makahiki. Manaʻo mākou i kahi pōpoki 20 a ʻano kanaka ma kahi kanaka he 100 makahiki! Manaʻo ʻia e nānā ʻia nā pōpoki makua e ka mea loina i ka liʻiliʻi i kēlā me kēia 6 mau mahina e hiki ai iā mākou ke ʻike i nā hōʻailona mua o ka maʻi ma mua o ka maʻi ʻoi loa ka paʻakikī e mālama.
ʻO nā maʻi o ka pūpū he maʻamau i nā pōpoki kahiko. ʻO ka nānā ʻana i nā loli a me ka makewai, a me ka hoʻokolokolo mau ʻana e kōkua iā mākou e hopu i kēia maʻi i nā pae mua i ka wā ʻoi aku ka maikaʻi o ka mālama ʻana. ʻO ka make nui a me ka hoʻolilo kaumaha ke hōʻailona mua nei i nā maʻi. ʻOi aku ka maikaʻi o nā pūpū o nā pūpū e hiki ai iā lākou ke hoʻohālikelike i ka nalowale o ke keiki a hiki i ka 75% o ka hana o nā keiki i nalo No laila, he mea nui loa e kiʻi i ka maʻi ma mua o kēia hana ʻana. I ka manawa i maʻi nui ʻia ai lākou, ua pau loa ka maʻi, a ua pinepine loa i ka hana.
E wehe i waena o ka polyuria wākē a mau loa. ʻO ka polyuria helehelena i ka hapanui o nā hihia he hopena ma muli o ka lawe ʻana i kekahi mau lāʻau lapaʻau.
ʻAʻole mau maopopo i ka polyuria mau a me nā kumu kumu. Eia nō naʻe, i kēia lā aia nā kumu nui 4 no kona hanana.
- ʻOi ka nui o ka nui o ka urine me kahi kiʻekiʻe o nā mea osmotic a i ʻole osmotic diuresis.
- ʻO ka hana ʻole o kahi kanaka e hana i ka nui o ka hormone antidiuretic i koi ʻia.
- Hōʻemi ka hiki o nā puʻupuʻu e noʻonoʻo pono a me kahi pae maʻamau o ka hormone antidiuretic.
- Inu wai i ka nui o nā wai.
Me ka maʻi diabetes, osmotic i ka natural. Ka mea i kēia manawa i loko o ka urine.
I loko o kā mākou keʻena kikowaena, inā ua kānalua ʻia ka maʻi ʻōpū, ua hana ʻia mākou i kahi hoʻoliua i ka hiki koke ʻana, hoʻonoho a hoʻohemo paha i nā maʻi o ka pēpē. Hiki ke hana ʻia nā hoʻāʻo koko a me nā hoʻāʻo. Ma muli o ka mālama ʻia ka hoʻohana ʻana i kahi lāʻau i hoʻohana ʻia no nā makahiki he nui e mālama ai i nā pilikia o ka naʻau, akā ua ʻike ʻia he mea pōmaikaʻi i nā maʻi ʻeha. Hoʻohaʻahaʻa kēia i ke koko koko kiʻekiʻe a kōkua i nā keiki i ke kiola i nā toxins mai ke kino aʻo ke mālama ʻana i ke koena o ke akeʻa.
- kekuhi
- electrolytes
- nucleic acid, nā huahana decay nāʻaina a me nā protein.
Diabetes - He maʻi maʻamau maʻamau maʻamau i nā pōpoki kahiko
Hoʻolaha wale, maʻi ʻia ka maʻi diabetes i ka wā ʻaʻole i hua ka pancreas i ka nui a i ʻole ka hana ʻana o ka insulin. ʻO ka insulin ka mana o ka kō koko. Me ka maʻi diabetes, ua kiʻekiʻe loa ke kō o ke kō. Hoʻowalewale ka nui o ke kō koko ma o nā keiki a ma loko o ka iomi. Ma kahi e hele ai ka gula, hele ka wai. Kuhi kēia mau ʻōle i nā ikaika a hiki i nā lolo ma o nā keiki. Hoʻomaʻawale iki nā pōpoki Diabetic i kahi nui o nā iʻa a pono nā inu i ka nui e hiki ai ke mālama mau. ʻAʻole hiki i nā pōpoki me ka maʻi lolo ke hoʻohana i ke kō koko, hoʻōwili nā kikoʻī a hoʻomaka e luku i nā hale momona a me nā momona.
- he hōʻike koko no ka ʻike o ke kō a me ka sodium klorida ma loko,
- hoʻokahe koko no nā hormones,
- ʻO ka pōkole o nā pūlima.
Inā he hōʻailona ka polydipsia o ka maʻi maʻi, a laila ka inake i kū i ka insulin, me ke ʻano maʻi o ka maʻi maʻi mua, e hāʻawi i ka emi o kona hōʻike. I ka lua o kāua - lawe ʻia nā lāʻau lapaʻau ka manaʻo o kāna hana e hōʻemi i ke kō koko.
Eia hou kekahi i kā mākou hana kaumaha, pololi a nui nui ka makewai. Hiki ke hoʻoweliweli ʻia ka maʻi maʻi maʻi ʻokoʻa e hoʻoweliweli ʻia, akā hiki ke mālama pono ʻia e ka ʻai kūpono a me nā mea hōʻemi a me nā inikini liʻiliʻi o nā lā i kēlā me kēia lā. E mālama ʻia kekahi mau pōpoki e nā lāʻau.
Hiki ke ʻike ʻia ka maʻi maʻi maʻi maʻalahi a ʻike ʻia. Nui nā maʻi ʻē aʻe e hiki ai ke hoʻolilo i ka momona a me ka nui o ka makewai i nā pōpoki kahiko. ʻO ka maʻi puʻuwai, nā ʻōpū, nā pilikia hormonal, nā maʻi ʻeha, etc. etc. Akā ʻo nā kūlana ma luna aku ka mea maʻamau. ʻO ke kī i ka mālama ʻana i kēia mau maʻi ka hopu iā lākou ma mua o ka puka ʻana mai o nā hōʻailona o ka maʻi. Inā he kānalua kāu, kāhea a hana i kahi manawa e ʻike ai i ka mea mālama holoholona inā ua hoʻonui kou pōpoki i ka makewai a hōʻemi nui paha.
Nui! Ma ka maʻi mellitus, e hōʻemi i nā kiʻekiʻe o ka glucose a me nā hōʻike o polydipsia, pono e nānā ʻia nā mea a pau.
Hoʻomaopopo ka mālama ʻana i kēia māla i ka hoʻoholo ʻana i nā ma lalo o ke ʻano i alakaʻi i kēia maʻi. Inā ua hoʻoholo pololei ʻia ka maʻi a pōmaikaʻi kona maʻi, lilo nā polydipsia i ʻōlelo ʻia a nalowale loa.
Nā maʻi maʻi hoʻōki ʻole
Nā kūlana e hōʻemi ai i ka nui o ka wai a me ka waiho ʻana i kahi kino i hōʻino ʻia i ka wai i make nui ai ka makewai nui. Hiki ke nalowale ka wai o ke kino ma muli o ka urination, ka luaʻi, ke kuʻuna, ka luhi, a me ka ʻala. Hiki i nā kūlana like ke hōʻemi nui o ka wai ʻole i ka wai a me ka makewai nui. Ma muli o ka maʻi huakaʻi ke ʻano nui ke koko koko ʻole inā ʻaʻole kāohi ʻia me ka lāʻau lapaʻau. Eia ke kānāwai, mālama ka mālama ʻana i ko lākou koko koko a ʻaʻole i hoʻokaʻawale ʻia i loko o ka urine.
ʻOiai ka manaʻo o ka polydipsia he hōʻailona wale nō naʻe, eia naʻe, aneane nā maʻi āpau i kumu i pono ai ke mālama ola a me ka lawe ʻana i nā lāʻau lapaʻau.
ʻO ka polydipsia he pathologically i hoʻonui ʻia i ka makewai a me ka hoʻohana ʻana i ka nui o ka wai nui (ma kekahi mau manawa ma mua o 20 l) e pili pū me ia.
Eia naʻe, inā he nui ke kiʻekiʻe o ke kō koko koko, hiki ʻole i nā puʻuwai ke hoʻokō i ka nui o ka kō. I kēia hihia, komo ke kō i ke kaomi, e lawe pū me ka wai nui no ka wai ke kino. Noho ke kino i kahi o ka hoʻohemo ʻana o ka wai, e hōʻemi nui i ka makewai nui. ʻO ka makewai nui loa a me ka urination me ka waiho ʻana o ke kaumaha a me ka pōloli he hōʻailona maʻamau o ka maʻi maʻi mikiʻo undiagnosed.
ʻO nā keiki nā limahana e mālama i ka koina o ka wai i loko o ke kino, e hoʻokuʻu ana i ka wai nui i ka wā e hele ai lākou, a mālama i ka wai inā haʻahaʻa ka pae ʻana o ke kino. ʻOiai nā keiki a mālama i ka hana, ke hoʻoponopono ʻia nei ka mālama ʻana i ke kaulike o ka wai e ka hypothalamus, he paku liʻiliʻi i loko o ka lolo. Hoʻopū ka hypothalamus i ka hormone antidiuretic e hana ma ke keiki, ka hopena o ka mālama ʻana i ka wai. I loko o ka maʻi insipidus, ʻaʻole i hua ʻia ka hormone antidiuretic i nā nui a ʻaʻole hoʻi i pane mai ka lolo. I kekahi hihia, hoʻopaʻa ʻia nā ʻōpū i ka nui o ka wai, e hōʻeha ana i ka make nui, ka makewai nui.
Kū mai ia ma muli o ka hoʻonāukiuki o ke ke inu ʻawaʻawa, e like me ia, e like me I.P. Pavlov, ʻaʻole loa ia i kahi morphological ma kahi ʻano noʻonoʻo physiological. ʻO ke kumu o ka hōʻole hewa i ke kino o ka wai-paʻakai paʻakai, i hoʻoponopono ʻia e ka cortex cerebral, ka nuclei subcortical, diencephalon, pituitary, nā kelepaʻi adrenal, nā ʻōpū, nā interoreceptors o ka membous waha o ka waha, pharynx, ʻōpū a me nā ʻōpū. Hoʻopaʻa pū ʻia nā Osmoreceptors i loko o ka neurohypophysis. ʻO ka hoʻonāukiukiʻana o ka wai-paʻakai o ka wai i loko o ke kino e alakaʻi i ka hoʻonui ʻana i ke kahe osmotic o ke koko, i.e. i ka hyperosmosis, ka mea nui o ka osmoreceptors, e hoʻouna ana i nā mea hoʻohiki ma ke kikowaena inu.
ʻO ka nele o ka hypothalamus e loaʻa i ka hormone antidiuretic kahi maʻi maʻamau. Ma ka'ōlelo "Neuroendocrinology, hypothalamus a me gland gland", kauka. Hiki i nā maʻi he nui ka hopena o ka nalowale o ka wai ma ke kino, ka mea i kapa ʻia he dehydration. ʻO nā hiʻohiʻona ka mea make i nā meaʻai a me nā maʻi ʻē aʻe o ka diarrheal, kahi wela wela, ke kau wela, a me nā maʻi kiʻekiʻe kiʻekiʻe. Ke emi nei ka nui o ka wai o ke kino, hele mai nā hōʻailona, me ka waha maloʻo, ka luhi, ka lightheadedness, hilahila, a me ka makewai nui.
ʻAʻole like nā mīkini o nā polydipsia i nā kūlana pathological ʻē aʻe. No laila, ma kekahi mau hihia, hele mai ka hyperosmosis ma muli o ka nui o ka piʻi ʻana o ka sodium chloride a i ʻole kō i loko o ke koko. Hoʻomaopopo ka mea mua me ka disfunction o ka ʻōpū cortical o nā lau adrenal (me ka hyperaldosteronism - Conn's syndrome), a me ka lua me ka maʻi mellitus. Hoʻokomo ka Hyperglycemia i ka hoʻohemo nui o nā umauma, ka hopena o ka polydipsia, a me ka polyuria ma muli o ka nui o ke kahe osmotic o ka urine.
Me ka dehydration maʻalahi a paʻakikī, hiki ke hele a lahilahi a me ka luaʻi, hoʻopiha i nā mea hoʻoweliweli wai. Inā ʻaʻole hiki ke lawe ʻia nā ʻano nalo, e pono ai ka nui o ka likehu. Hiki i ka dehydration koʻikoʻi ke hoʻoweliweli a ola. ʻO nā kumu nui o ka make he mau lohi nui o ka wai piha i loko o ke kino a me ka dehydration pili i pili.
Hiki i kekahi mau kūlana ke hōʻemi i ka makemake nui a me ka nui o ka makewai. Eia naʻe, hoʻonui nui ka makewai me ka liʻiliʻi o ka pōloli hiki ke hōʻailona i kahi maʻi ma lalo o ka maʻi e koi ana i ka mālama olakino a me ka wawa. ʻO ke kanaka e ʻike nei i ka nalowale i ka makemake a me ka nui o ka makewai e pono e kūkākūkā ma kahi loea olakino e loiloi a loiloi paha i ko lākou olakino.
I kekahi mau kumu'ē aʻe, ʻo ke kumu o ka hyperosmosis ka nui o ka nui o ka wai o ka wai me ka nui o ka diuresis a i ʻole ka maʻi ʻana, e hoʻopiʻi ana. Aia kekahi mau maʻi e loaʻa ana i ka polydipsia ka hopena o ka polyuria: nā maʻi maʻi maʻi diabetes, etc., Barde-Bill diencephalic syndrome, nā Simmons syndrome, diencephalitis, encephalitis, a me kekahi mau maʻi noʻonoʻo.
Hiki i ka Anorexia nervosa hiki ke hoʻopau i ka momona a me ka makewai nui. ʻO ka Anorexia nervosa kekahi mea ʻai e pili ana i ka makaʻu ʻole i ka loaʻa ʻana o ka paona a me ka nānā ʻana i ka meaʻai. Ke hoʻāʻo nei kekahi kanaka me ka anorexia nervosa e mālama i ka paona he 15 pakeneka ma lalo o ka maʻamau no kona makahiki a me ke kiʻekiʻe. ʻO Anorexia nervosa ka mea maʻamau i waena o nā kaikamahine'ōpiopio, ʻoiai nā ʻōpio a hiki i nā pākeke o nā keiki āpau ke hiki i ke ʻano. ʻO nā hōʻailona maʻamau a me nā hōʻailona e pili ana i ka anorexia nervosa e pili ana i ka nalowale i ka momona, nui ka makewai, hōʻemi nui ʻana o ka momona, ka ʻilihune, ka manawa, ka piʻokeʻo, nā ʻokiʻoki o ka lauoho, ka hapa ʻole o nā manawa menstrual, constipation, intolerance anuanu, nā ritika puʻuwai naʻauao, a hoʻemi i ke koko.
ʻO Polyuria ma ke kumu o ka polydipsia i ka diabetes insipidus e pili ana i ka hoʻohaʻahaʻa ʻana i ka mea huna o ka lāʻau antidiuretic a me kahi hoʻonui o ka diuresis-raising hormone. Kūkulu ʻia ka mea mua i ka nucleus supraoptic o ka hypothalamus, ka hoʻokolo o ka paraventricular a me ka ʻaoʻao o nā pihi o ka lepiha pituitary, ua pili kēia mau ala e pili ana i kēia mau hana. ʻO ka lua o ka hāmeʻe, e hana ana ma o nā kelepona adrenal, i kūkulu ʻia i mua o ka kelepona pituitary.
Hōʻike ʻia ka polyuria a me polydipsia e polyurodipsia - ua hana me ka hoʻopōʻino a i ʻole a me nā meaʻino a ka adiuretin-huna huna a me nā ala e pili ana iā lākou, a i ʻole ka hoʻonui ʻana o ka hana o ka hormone diuresis-hoʻonui.
E hoʻokaʻawale i ka polydipsia neurotic a me ka psychogenic (progeny) mai ka maʻi insipidus maʻi, hoʻohana ʻia nā hoʻokolohua me ka hoʻomehana intravenous o ka hopena sodium chloride hypertonic (hōʻike ʻo Carter-Robins) a i ka hoʻoneʻe nicotinic, e hoʻonui ana i ka mea huna o ka antidiuretic hormone.
I nā kūlana i luna, ʻo ka polydipsia ka mea maʻamau o kekahi o nā hōʻailona nui. ʻO ia, ma ke ʻano he hanana i kū i kahi hanana i ka hoʻomohala ʻana i nā hana pathological, e nānā ʻia me ka ʻalipula ʻā, ka make ʻana o ka meaʻai, ka cholera, a pēlā aku i loko o kēia mau hihia, a me ka maʻi maʻi insipidus, polydipsia e pono e manaʻo ʻia he ʻano uku.
Hoʻomaʻamaʻa: hilinaʻi piha i ke kāʻei o ka maʻi lalo.
Nā hōʻailona a me nā hōʻailona pili
ʻO ka hōʻailona mua o ka polydipsia he makewai nui. Ma ka manawa like, ʻokoʻa nā wai o ka wai i hoʻohana ʻia mai nā hōʻailona maʻamau ʻelua a i ʻole ka nui a me ka nui. No ka laʻana, me ka edema a me nā kīwaha, hiki i kahi ke inu a hiki i ka 3 lita o ka wai i kēlā me kēia lā, a me ka maʻi insipidus maʻi - 20 lita a i ʻole.
I kekahi mau kūlana, ʻano loli ka nui o ka polydipsia ma muli o nā mea i hōʻike ʻia:
- mea ʻai
- ka ulu ʻana o ka hoʻoikaika kino,
- e ke ea.
I nā kūlana ʻē aʻe (no ka laʻana me ka maʻi diabetes) ʻaʻole ia e pane i nā kūlana o ke kaiapuni a hoʻololi wale ʻia ma lalo o ka mana o ka mālama ʻana.
ʻO ka polydipsia kahi hōʻailona i loko o kahi pili me polyuria. Hoʻonui ʻia ka urination, i hui pū ʻia me ka make ʻole intolerable, ʻo ia nā hōʻailona o ka maʻi maʻi. Kuhi nui ʻia no ka wai me ka nui o ka nui o ka glucose i ke koko, huehue a me ka hōʻiliʻili o nā huahana waiwai. Ma lalo o ka mana o kēia mau kumu, e loli ka hana o nā kelena sebaceous, ma muli o ka mea i emi ai ka membrane o ka waha o ka waha.
Wahi a nā helu helu, makemake nā kānaka e loaʻa ana i ka maʻi maʻi i ka nui o ka wai o ka 2-3 i ka nui o ke kiʻekiʻe ma mua o ka mea maʻamau. ʻO ka hoʻonui pinepine ʻana o ka urination he hopena o ka hoʻonui ʻana i nā pae o ka hormone e kuleana ai no ka diuresis. Hoʻolima ʻia ka maʻi diabetes insipidus e polyuria a me ka makewai nui.
Ua haʻi pū kekahi ʻo pathologies i nā hōʻailona. I ka hoʻohuiʻana i ka waha maloʻo, ke hopohopo nei ke kaʻina o ka urination, ʻike ʻia kahi pupuhi nui.
Naʻi hoʻolika
ʻO Polydipsia kekahi o nā hōʻailona mua o ka maʻi. ʻO ia ke kumu i hāʻawi ʻia ai kēia hōʻailona i kahi waiwai diagnostic koʻikoʻi loa.
Hiki ke kauka ke kauka i ka hoʻokolokolo mua ʻana i kēia mau haʻawina penei.
- ka nānā ʻana a me ka hōʻike ʻana o ke koko biochemical,
- ʻO ka hoʻonā ʻana o nā pēpē a me nā kelepa thyroid,
- ka helu 'ana o ka diuresis i kēlā me kēia lā,
- hōʻike koko no nā hormones,
- hōʻike maʻi urine.
Inā nānā ʻia ka polyuria i ka manawa like me ka polydipsia, ua hoʻoholo ʻia ka nui o nā biomaterial i loko o ka laboratorium a ua hoʻoholo ʻia ka pae o ke kō. Pono kēia e hōʻoia a haʻalele paha i ka maʻi maʻi.
Inā he mea maʻamau ka hoʻāʻo ʻana o ke kō a ua hoʻohaʻahaʻa ʻia ka palena o ka urine, ʻike ʻia kahi hōʻike ma ke hoʻohana ʻana i nā lāʻau lapaʻau e pili ana i ka vasopressin - kahi hana antidiuretic. Me ka hopena maikaʻi, hoʻopau palena nui ka mea maʻi e ka nui o nā wai i hoʻopau ʻia no kekahi mau hola (ʻaʻole lōʻihi ma mua o ʻeono). Ma hope o kēia, ua lawe ʻia kahi noi e pili ana i ka ōwili o nā urine i loaʻa i kēia manawa. Inā aia ia i loko o nā palena maʻamau, ke kamaʻilio nei mākou e pili ana i ka polydipsia maʻamau, inā ʻaʻole inā, e nānā ka maʻi maʻi me ka maʻi maʻi o ka maʻi indipidus ma muli o ka nele o ka vasopressin.
Inā hōʻike kekahi hōʻike me ka hormone antidiuretic i hōʻike i ka hopena maikaʻiʻole, ʻike ʻia ke koko a me ka waiʻai no kā lākou calcium a me ka ʻike pākana. Paʻi ʻia ke koko. Inā kiʻekiʻe a nui ka pae o ka calcium, ke kamaʻilio nei mākou e pili ana i nā ala o nā keiki. Inā he kūleʻe a pae paha ke kumu o ka lāʻau hoʻāʻo ma ia mea, ke nānā ʻia ka maʻi maʻi ma muli o ka huehue o ka congenital o nā renula tubula i vasopressin.
Koho ke koho o nā haʻawina kūpono e pili ana i ka paʻakikī o ka polydipsia a me ka hiki ʻana o nā hōʻailona ʻē aʻe. No ka laʻana, inā hoʻohana ka mea maʻi i nā mea he 10 mau wai i kēlā me kēia lā, e hana koke ana kahi hōʻike me vasopressin.
Hāpai ʻia ke hoʻoponopono ʻia no ka maʻi kākana wale nō. No ka laʻana, inā hōʻoia ʻia ke ʻano maʻi diabetes type 1, ke hōʻike ʻia nei ka insulin, a no ka maʻi type o 2, pono pono e loaʻa ka mea maʻi i nā lāʻau lapaʻau, ka hopena o ka hoʻonui ʻana i ka ʻāʻī o nā pūpū o ke kino. Inā nānā ʻia kahi ʻano honi ʻole o ke ʻano o ka maʻi, ke kauka ke kauka i nā lāʻau i nā mea i koho ʻia no ka vasopressin.
No laila, i mea e hōʻemi ai i ka makewai nui, pono e hoʻopau i kāna kumu ʻoiaʻiʻo. Inā loaʻa ka polydipsia me ka maʻi maʻi i ka maʻi, pono ia e uku no ia. ʻO ka hoʻoponopono kūpono a me kahi papa hana kūpono kūpono ka mea nui i ka wikiwiki o ka hoʻololi ʻana i ke kūlana.
Inā hōʻike ʻia ke ʻano, he hiki ke hoʻonāukiuki i ka nānā ʻana o nā haunaele i ka kaulike wai-electrolyte. ʻO nā hopena kūlohelohe he edema a me ka hoʻomanawanui.
ʻO ka ʻike maʻamau i ka polydipsia a me ka mālama ʻana i ka maʻi mākaʻi e hōʻoia i kahi prognosis maikaʻi a hiki i ka hoʻopau piha ʻana o ka manaʻo mau ʻana o ka makewai nui. I kekahi mau manawa, pono e lawe ʻia nā lāʻau lapaʻau i koʻu ola a pau.
He aha ka polydipsia: ka wehewehe a me ka wehewehe
Hoʻomaopopo ka Polydipsia ma ke ʻano he hōʻailona kēia o kekahi mau maʻi, ka mea e hōʻike ana iā ia iho me kahi make wai ikaika. Hiki i ke kanaka ke inu i ka nui o nā wai, uncharacteristic nona. ʻO kekahi manawa hiki i kēia puʻu he 20 lita i kēlā me kēia lā, ʻoiai ka mea maʻamau o ka pāʻelemakule he 2-2.5 lita i kēlā me kēia lā.
ʻAʻole like nā kumu o nā polydipsia i nā āpau āpau. ʻO nā kumu kumu o kona hiki ʻana ke lilo i ka nalo o nā waikaea e nā ʻoli, ke hoʻonui ʻana i ke ea kino o ke kino a, ma muli o kēia, ke kuhi ʻana i ka ʻūlū ʻana, me ka hāhaʻi ʻana a me ka huʻeha.
I ka lāʻau lapaʻau, aia kekahi mau wā i hele mai ai ka polydipsia ma muli o ka hiki ʻana o nā pūhui klorine i ke koko o ke kanaka, i ka sodium chloride. ʻO kona helehelena i ke koko ma muli o ka hoʻonui o ka hana o ka cortex adrenal a me ka hoʻonui i kā lākou hana ʻana o ka mineralocorticoids.
Hiki i nā polydipsia ke kūʻē i kahi ulu o ka naʻau o ka naʻau, kahi puʻu hina, a me nā maʻi pathological ʻē aʻe. ʻO kahi hōʻailona e like me ka nui o ka make wai kekahi ʻano o ka poʻe me ka maʻi maʻi.
Ma ka maʻi mellitus, hoʻomohala ʻia ka mea maʻi i kekahi ʻano ʻē aʻe - polyuria, ʻo ia ka hopena o ka hoʻonui osmotic i ka paʻakai urine.
1 Kahiʻulu
ʻO nā kumu pilikino o ka hoʻomohala ʻana o ka maʻi ke komo i kēia mau kūlana:
- hapai
- kaumaha kaumaha nui
- kiʻekiʻe kiʻekiʻe ke ea air.
Ke hoʻokūkū nei:
- kaheʻe ʻana o ka pūnaehana mikuhi waena,
- ʻōpala lolo
- maʻi uala a me ka maʻi diabetes
- indigestion o kahi ʻano infectious.
Ma muli o kēia mau kumu, hele a pilikia nui a ulu nā polydipsia.
I kekahi mau maʻi o ka pīhoihoi o ke kikowaena, ua hoʻohaunaele ka hana maʻamau o ke kikowaena inu, e alakaʻi ana i ka ʻano maʻamau o ka maʻi. Me nā hoʻohālikelike o ka papa gastrointestinal i loko o ke koko, ka mea i hoʻonui ai i ka sodium chlorine a me ka glucose e loaʻa i nā ʻano maʻi maʻi like ʻole.
Hōʻike ʻia ka polydipsia mua e nā ʻōlima lolo a loaʻa i nā ala i hiki ai i ka hoʻōla pololei o ke kikowaena inu. Psychogenic - ka hopena o nā pilikia noʻonoʻo.
Ka lua - ua kū mai ke kūmole o ka nalowale o ke kahe (polyuria) a he hopena o ke kuhi ʻana o ka mana o ke koko.
Akā ʻaʻole mau ka polydipsia he hōʻailona kahi e hōʻike ai i kahi maʻi ʻeha.
Hoʻokaʻawale nā kauka iā ia i 2 mau ʻano:
I ka hihia mua, hiki i nā kumu o polydipsia ke:
- ʻai ʻaʻai ʻole, ka mea i hoʻonā ʻia e ka momona, ka ʻuma, nā ʻomaʻala a me nā ʻono maikaʻi,
- ikaika nui o ka hoʻoikaika kino, ʻoiai inā paʻa nā papa i ke ea kiʻekiʻe.
- III trimester o ka hāpai.
ʻO ka makewai i kumu ʻia e kēia mau kumu, e hoʻopiʻi ʻia me ka nui o ka wai a ʻaʻole e hoʻopilikia mau. ʻAʻole ia e mālama i ka mālama ʻana a kau ʻia ma kāna iho.
Hiki i nā polydipsia pathological:
- Pūnaewele. Hoʻoikaika ʻia kona inoa. Hoʻohui ʻia i nā haunaele ma ka hana o ke ʻano piʻina o ka wahī, ka mea i alakaʻi ai i ka wē inu wai ma ka lolo.
- Ka lua. Hoʻomaopopo ʻia ʻo ia ka neurogenic. ʻO ka hana no ke kūkuluʻana i kahi hōʻailona i hilinaʻi pololei i ka maʻi i hana ai.
ʻO ka polydipsia pae mua, ma ke ʻano he kānāwai, he hoa o nā maʻi e hiki mai ana:
- neurosis
- schizophrenia
- ʻonanoho hypothalamic.
ʻO ka polydipsia lua he hopena ia o ka huihū a me nā loli o ke kahe koko. Hiki ke mālama ʻia e nā ala:
- maʻi uala a me ka maʻi diabetes
- nā maʻi ʻeha a me nā puʻuwai
- pānika koko nui
- ka hyperparathyroidism, e alakaʻi ana i ka hoʻonui o ke kiʻekiʻe o ka calcium ma ka ʻili hoʻohui huakaʻi,
- nā hana hoʻolauna i ka hana o ka ʻōnaehana cardiovascular a me nā ʻāpana o ka gastrointestinal tract.
Eia kekahi, hoʻonui ka nui o ka polydipsia i ka wā e lawe ai i kekahi mau lāʻau lapaʻau (pono ʻoe e kamaʻilio mua i kāu kauka e pili ana i ka hiki ʻana o nā hopena hopena).
Inā hōʻike ʻia ke ʻano, he hiki ke hoʻonāukiuki i ka nānā ʻana o nā haunaele i ka kaulike wai-electrolyte. ʻO nā hopena kūlohelohe he edema a me ka hoʻomanawanui.
ʻO ka ʻike maʻamau i ka polydipsia a me ka mālama ʻana i ka maʻi mākaʻi e hōʻoia i kahi prognosis maikaʻi a hiki i ka hoʻopau piha ʻana o ka manaʻo mau ʻana o ka makewai nui. I kekahi mau manawa, pono e lawe ʻia nā lāʻau lapaʻau i koʻu ola a pau.
Me nā polydipsia organik, ma hope o ka mālama ʻana i ka maʻi lalo, ʻaʻohe maʻi o ka mea maʻi.
Hiki i ke ʻano o ka noʻonoʻo ʻana o ka maʻi ke alakaʻi i ka hiki ʻole o ka puʻuwai puʻuwai, pōkole a me nā ala o nā ʻoloka, kahi i pili pū me ka hoʻohana ʻana i ka wai me ka nui.
Hoʻōla ʻia ka polydipsia me ka maʻi kūpono a me ka mālama pono ʻana o ka maʻi lalo.
ʻO nā ala e hoʻopiʻi ai i ka makewai nui, ma ka hapa nui, pono i ka mālama ola a me ka nānā ʻana e ke kauka ʻana i ke kūlana olakino o ka mea maʻi.