Polyuria ma ka maʻi diabetes > Hoʻopiʻi nā maʻi maʻi

ʻO Polyuria kahi kūlana i loaʻa ai ke kāpili a me ka excretion o ka urine ma mua o nā hana maʻamau. Hōʻike ka kino o ke kanaka i kahi 1-2 mano mm i kēlā me kēia lā. Ma ka maʻi mellitus, no kekahi mau kumu pathogenetic, hoʻonui kēia i kēia hōʻailona ma o 2 a i nā manawa hou aʻe paha.

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Nā hopena

Hoʻomaka ka polyuria i ka maʻi diabetes i kahi makewai ke kanaka. Ua kapa ʻia kēia kūlana ʻo ka polydipsia. He mea koʻikoʻi ke koʻikoʻi nei ma kēia mea i hoʻonui ʻia ai ke ʻano. Ma muli o ke komo ʻana o ka wai nui i ke kino, no laila, hiki i ka glucose ke kau i ka nui o ka wai nui ma mua ona. ʻO ka polyuria paʻa ʻole me ke kōkua ʻole i ka manawa hiki ke alakaʻi i ka dehydration. Hoʻopili kēia i nā loli i nā hana o nā ʻōnaehana āpau.

Pehea kona e hoike ai

Pono e hoʻomaopopo ʻia ka polyuria hōʻike wale iā ia iho me ka nui o ka glucose i loko o ke koko. No laila, ʻo kona hoʻoponopono me ke kōkua o nā lāʻau lapaʻau e pale i ka hoʻomohala ʻana o kēia ʻano.

ʻO nā hōʻike nui o ka polyuria:

hoʻonui urine nui i kēlā me kēia lā,
hookeau pinepine,
make wai
ka malo maloʻo.

Hoʻonui ʻia ka excretion o ka urine me ka hele ʻana o ke maloʻo i ka ʻōpū o ka waha. ʻO ka ulu mālie, he ʻano make i ka makewai ma hope o ia. ʻO kahi hōʻailona kēia o ka maʻi maʻi. ʻAʻole hoʻopiʻi ʻia ka urid Rapid me ka emi ʻana o ka nui o nā mahele o ka urine. I kēia hihia, ma ke kū'ē, e hoʻonui ka nui. Hoʻohālikelike kēia ʻano i ka polyuria mai nā maʻi ʻē aʻe, i ukali ʻia e ka piʻi nui ʻana i ka lua.

I ka maʻi mellitus, he mea nui e nānā i ka nui o nā urine i hoʻopuka ʻia i loko o 24 mau hola. Hoʻolaha wale ka polyuria me ke kiʻekiʻe o ka glucose koko.

No laila, hiki ke ʻike ʻia kahi ʻano maʻi like ʻole ke nānā ʻole ke kanaka i ka pae o ka glucose i ka koko a ʻaʻole i hahai i nā ʻōlelo a ke kauka.

Mīkini o Polyuria

Hoʻopili ʻia kēia hōʻailona ma lalo aʻe. Ma ka lōʻihi:

mau (no ka laʻana, me ka maʻi mellitus me ka maʻi nui o ka glucose),
kaʻawale (ʻo kahi laʻana he maʻi maʻi urinary).

No ke kumu ʻo ia i kū ai:

physiological (ke kumu ka lawe ʻana i ka lāʻau lapaʻau mai kahi diuretic group),
pathological (i ka hihia ke lilo kahi maʻi i kumu).

Ma ka maʻi mellitus, e hiki ke kūleʻa ka polyuria a me nā wā maʻamau. No ka mea he maʻi ka maʻi maʻi e pono ai ka mālama mau, polyuria kahi hōʻailona no ka hele ʻana i ke kauka.

He aha e hana ai e pale aku ai i ka polyuria

Hoʻokumu i ka hana o ka hiki ʻana o polyuria ma ka mellitus maʻi diabetes, i mea e pale ai i ka hoʻomohala ʻana o ia ʻano, pono ia e kiaʻi pono i ka pae o ka glucose i loko o ke koko. No kēia pahuhopu, hoʻohana ʻia he glucometer. Pono ʻoe eʻai i kahi papaʻai a lawe i nā lāʻau lapaʻau i kauoha ʻia e ke kauka. I kahi huaʻōlelo, ʻaʻole pono ʻoe e ʻae i ka hoʻonui ʻana i nā kaila glucose koko ma luna o 8 mmol. Inā hoʻohuli ʻoi ka hōʻailona ma ke kiʻekiʻe o ke ana ʻana i ke kiʻekiʻe o ka glucose, pono ʻoe e ʻimi i ke kōkua o kahi endocrinologist.

ʻO ke kōkua mua

Inā ulu ka polyuria i ka home, a laila pono e hana ʻia nā mea e hōʻemi ai i ke kahe koko. Pono ʻoe e lawe i ka lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka a kāhea i kahi ʻōpū. ʻAʻole e komo i ka lawe ʻana i nā lāʻau lapaʻau haʻahaʻa. Hiki i nā haʻahaʻa haʻahaʻa ke alakaʻi i ka coma. Pono ʻoe e lawe i ka lāʻau lapaʻau e like me ka mea i hōʻike ʻia e ke kauka. Hiki i kēlā me ke kiʻekiʻe o ka polyuria. Mai ka liʻiliʻi loa i ke haʻi ʻia ʻana. Inā ʻoi aku ka nui o ka diuresis o kēlā me kēia lā i ka maʻamau. ʻO ka polyuria koʻikoʻi e alakaʻi i ka dehydration.

Hoʻolako ʻia nā lāʻau lapaʻau āpau no ka polyuria no ka mālama nui ʻana i ka maʻi maʻi. ʻO ka mana ʻē aʻe nā hihia o ka dehydration. A laila, ua kuhikuhi ʻia nā mea ʻokoʻa no ka infravenous infusion no ka hana nui. Ke hoʻomau mau nei ʻoe i ka pae o ka glucose i ke koko. Kōkua kēia i ke kauka i ka hoʻoponopono ʻana a mālama i ke ʻano o ka mea maʻi e hahai ana i kāna mau manaʻo. He mea nui ia e lawe i ka lāʻau kūpono a me ka meaʻai. Hiki i ke hoʻonui koko koko ke kumu i ka polyuria me nā hopena maikaʻi aʻe ma hope aʻe.

He aha ka polydipsia

ʻO kēia kahi hōʻailona i hōʻike ʻia e ka emi ʻana o ka hana o ka pumehana ma muli o ka hoʻonāukiuki ʻana i ko lākou mau mea huna a i ʻole ka hopena o ka hopena o ka antidiuretic hormone vasopressin, i hoʻokumu ʻia ma muli o nā sela neuroendocrine o ka hypothalamus.

ICD-10 code: R35

ʻO kahi i ke kahe koko, e hoʻomaikaʻi i ka reabsorption o ka wai (hoʻohuli i ka hoʻihoʻi ʻana) mai ka hōʻiliʻili ʻana o nā puna o nā keiki.

Inā loaʻa kahi hemahema, a laila alakaʻi kēia i ka hana hana ʻole pono ʻole. Hoʻopau lākou i ka hoʻoulu hou ʻana i ka wai, kahi e alakaʻi ai i ka polyuria - ka hana uritation profuse.

ʻO kēia ʻano ka mea i make nui loa ke kanaka.

ʻEnehana hana

I ka poʻe olakino, ʻo ka nui loa o ka urine i hoʻopili ʻia i kēlā me kēia lā he 1500 ml. He hōʻailona kēia o ka maʻamau, e hōʻike ana i ka pae urinary hana me ka maikaʻi ʻole, me ka hāʻule ʻole, a hoʻomaʻamaʻa ke kauka i ka ukana. Me ka polyuria, ka diuresis (ka nui o kēlā me kēia lā i ka urine) i hōʻea i 2000-3000 ml, me kekahi mau ʻano o ka maikaʻi ole a i ʻole diabetes mellitus - a hiki i ka 10 lita.

Hōʻike ka polyuria pathological me kahi wāwahi o ka mīkini hana. Ma ka hana pilikino, ʻike ʻia kahi hui me polydipsia (make nui). Hoʻomaka ia e nā loli o ka hormonal a hōʻike ʻia e ka nui o ka komo ʻana i ka wai. ʻO ka maʻi maʻi ua manaʻo ʻia he polyetiologic, i kapa ʻia ʻo ia ka mokuʻāina o "polyuria-polydipsia."

Ma ka hoʻomakaʻana, ua hoʻokaʻawale ka maʻi diuresis i: renal (renal) a me ka extrarenal (extrarenal). Renal - ʻo nā kumu nui ka mea pololei i loko o nā pūpū, nānā ʻia:

me ka congenital a loaʻa nā loli i ka pathological i loko o ka ʻōpala,
i ka hoʻomaka mua ʻana o ka hiki ʻana o ke kaulike ʻole o ka maʻi renal (maʻi renal failed),
i ka wā hoʻolaʻa me ka pilikia ʻoi ʻole.

Hoʻohui pū ʻia kekahi me nā maʻi urological, paʻakikī e nā hana renal impaired.

ʻōhua polū
pyelonephritis palola,
distal tubular acidosis,
kakahiki
benign prostatic hyperplasia i nā kāne.

Hoʻokomo - i hoʻoneʻe ʻia e ka hala ʻole o ka kaila o ke koko, ka hoʻoponopono neuroendocrine i ka hoʻomohala ʻana i ka urine, hana kīnā o ka maʻi urinary.

ʻO ka pyelonephritis mānoanoa a me ke koʻokoʻo, urolithiasis, hikiʻole i ka renal failed (CRF), ke tumors, a me nā neurosis ke hana pū i nā urination maʻamau.

Hoʻohui pinepine ka hoʻonui ʻana i ka hopena i ka urine me ka urination pinepine, ka mea maʻamau no nā maʻi maʻi o ka pā ʻana (cystitis, urethritis). Eia naʻe, i kēia mau hihia, ua hoʻokaʻawale ʻia ka urine liʻiliʻi, a hiki kahi ʻoki i ka urethra hiki.

Me ka pathology endocrine, i ka hoʻohui i ka polyuria, polyphagia (ka manaʻo mau ʻana o ka pōloli) a me ka polydipsia (makehewa nui ka maʻi o ka hormonal) e ulu pū. Me ka diabetes insipidus, ʻaʻole mau ka pilikia o ka diuresis e kū mau ana a ʻike koke.

ʻO ke kumu ka hypernatremia - he hoʻonui i nā mea o ka paʻakai a me nā electrolytes.

Hoʻokumu nā kumu o ka polyuria i nā keiki a me nā pākeke i ʻelua ʻano - physiological a me pathological. ʻO ka ʻano mua ka helu i nā mea koʻikoʻi e like me ka hiki ʻana o kahi hopena maʻi i ka ʻāʻī a i ʻole nā maʻi ʻoi, maʻi bato, pyelonephritis, renal failed, ka hele ʻana o nā cysts i loko o lākou, ka momo 1-2 maʻi maʻi, nā pilikia o ke akeʻa, a me nā kāne, ka hiki ʻana o ka polyuria hiki i ka prostate . ^ E Ha yM.

ʻO nā maʻi e like me ka maʻi a Barter, ʻo Bennier-Beck-Schauman hiki nō hoʻi i kahi mea maʻamau ke kūlike o ka polyuria. ʻO ka maʻamau, alakaʻi pinepine ka mea pathological i ka polyuria nocturnal a hiki ke kū aʻe i ka ʻikepili.

pilikia me ka ʻōnaehana cardiovascular,
ka maʻi pyelonephritis, a me ka pyelonephritis mau maʻi i nā wahine hāpai,
maʻi o kēlā me kēia ʻano
amyloid nephrosis kūloko,
i nā wahine i ke kūlana ma ka trimester 3 o ka hapai, me ka kānalua no ka pyelonephritis asymptomatic.

Hoʻokomo ka polyuria phuriaological me kahi hoʻonui o ka nui o ka wai i hoʻopau. No laila, inā makemake kekahi e ʻai i ka ʻai kiki, ka paʻakai a i ʻole nā kīʻaha maikaʻi loa e inu pinepine ʻo ia i ka makewai. Wahi a ia, e hoʻonui ka nui o ka urine. Hiki ke ʻike ʻia ke ʻano like me ka hoʻohana ʻana i nā huahana e pili i ka hemo ʻana o ke kahe mai ke kino, e like me:

inu inu kaola (kūwaha piha a me ke kofe),
nā huaʻomoʻa maikaʻi
laikini
ʻōpala
waiamo etc.

He pōkole ka pōkole Physiological. ʻAʻole pono ke ʻano kūikawā.

Hiki ke hoʻomohala i ka Polyuria ma ka maʻi diabetes

Pono e uku nui aku i ka hoʻonuiʻana i ka pathological i ka nui o ka urine i hoʻopā ʻia. I ka manawa pinepine, ʻo nā maʻi ʻeha (pyelonephritis, renal failed, tumors a me nā pōhaku ʻōpū, hōʻeha) alakaʻi i kēia. Hiki i nā maʻi aʻe ke hoʻonāukiuki i ka nui o ka nui o ka urine.

maʻi mellitus maʻiʻi
kala wahi
nā uluwehā o ka ʻōnaehana o ka hoʻopili,
nā pilikia o ka ʻōnaehana cardiovascular (ma ke ʻano, ka nui o ka naʻau),
sarcoidosis
hoʻonāukiuki hormonal
nā holoholo kuamo.

I nā maʻi lēʻeha o ka ʻōnaehana genitourinary, hiki ke hoʻomohala ka polyuria. Hiki ke hoʻoulu ʻia ka pathological i ka nui o ka urine ma o ka lawe ʻana i kekahi mau lāʻau lapaʻau (no ka laʻana, diuretics, antihypertensives).

ʻO nā kumu o ka polyuria ka physiological a me ka pathological i ke kūlohelohe. ʻAʻole pili ka Physiological i ka hele mai o nā maʻi ma ke kino - ke lawe ʻana i ka nui o nā wai a me nā wai hou aʻe, nā lāʻau lapaʻau me ka hopena diuretic, nā meaʻai me nā haʻahaʻa glucose a kūlohelohe maoli e hoʻonui i ka nui o ka urine i hoʻopā ʻia.

ʻO Mild hypothermia kekahi o nā kumu o ka physiological - i ke anuanu, ua hoʻemi ka hulu, no laila hoʻokuʻu nui ʻia ka wai nui mai ke kino me ka urine. ʻO ke kumu o ka polyuria i nā kāne hiki ke hoʻoikaika ikaika me ka hoʻoikaika kino kino i nā kūlana wela.

Nā kumu kumu o ke polyuria e:

nā ʻāpana pōhaku
maʻi maʻi maʻi - cystitis, pyelonephritis,
ka mumū o ka prostate i ke kāne,
diverticula i ka ʻōpū,
neoplasms malignant i loko o nā ʻōpū a me nā puhipuhi.
mau pūʻulu hōkē i nā pūpū
kakahiki
ʻōpū maʻi barter
nā wahī o ke ʻōnaehana.

insipidus maʻi
maʻi unclpensated maʻi me ka hyperglycemia kiʻekiʻe loa
hana (e.g., transplanting kidney a i ʻole ka lolo o ka naʻau)
ʻōpala ʻo ka urogenital ʻōnaehana
hapai
ka maʻi ʻehaʻeha o ka lolo o ka ʻōpū hypothalamic-pituitary o ka lolo a i ʻole ka maʻi radiation, kahi hōʻeha o kēia wahi
pālahalahaohala
ʻano pālahalaha
waiʻona
ka nui o nā kīʻaha caffeinated
kaulike ʻole a me ka holo ʻana o ka nephropathy maʻi
ischemia, hypoxia, hemorrhage ma ka māhele hypothalamic-pituitary o ka lolo
ioe
nephrosis
amyloidosis
ka hopena o ka diuretics osmotic ma ka ʻaoʻao o ka glucosuria (ka hiki ʻana o ke aniani i ka urine)
ka liʻiliʻi ʻai paʻakai paʻakai (palena 7)
schizophrenia
kōlia waiwai nui

E pili ana i nā keikikāne i kahi kūlana, ʻaʻohe mea weliweli a ʻoluʻolu paha.

ʻO kaʻoiaʻiʻo ʻo ia ma ke kaʻina o ka hoʻoulu a me ka ulu ʻana o ka pūpū, e hoʻonui ana i kahi kūlana kūikawā i loko o ke kino. Kāʻe ia i nā iwi āpau a neʻe ʻia lākou. A lōʻihi ka hele ʻana o ka wahine hāpai i ka lua i loko o ka lua o ka laue, ʻoiai ua hoʻomaka ka ʻōpū o ka puʻupuʻu i ka ʻūhā hou aʻe, a kau i ka paila ʻana i ka wahi, ʻo ia hoʻi ka hoʻopiha piha ʻana "makemake" e wehe i nā manaʻo.

ʻO kēia ka mea i kapa ʻia he polyuria, kahi e pau ai ma hope o ka hānau keiki ʻana.

Pono ka makewai a me ka paipai ʻana i ka lua i loko o ka lua i kahi mea no ka maʻi gestational, no ka mea ua hoʻokaʻawale ke ʻano he nui o ka waika i loko o ka kuki a me ka hoʻonui ʻana o kona hoʻolaʻa. Eia nō naʻe, inā ka hoʻāla ʻia ka glycemia e ka hoʻoliʻu koko koko, e haʻi ʻia ka wahine hāpai i ka endocrinologist no ke kumu o ke kau ʻana i nā hoʻokolohua hōʻoia pinepine.

Hoʻololi pinepine ʻia ka maʻi maʻi mellitus e ka polyuria, no ka mea ua hōʻike ʻia kēia maʻi ma ka nui o ka luku a i ʻole ka loaʻa ʻana o ka huna vasopressin.

ʻO ka palaka pinepine ʻia kahi pilikia pathological i pili ʻole i kahi maʻi a i ʻole ka papaha ʻole. Aia kekahi mau kumu ʻē aʻe:

ʻO kahi hemahema o nā huina o ke ala, nā electrolytes, a me nā mea waiwai ʻē aʻe i ke kino.
Hoʻopilikia ma nā hana o nā ʻōiwi ʻē aʻe. I kekahi manawa hele mai ka polyuria ma muli o nā mea pono ʻole o ka pancreas.
Ka luhi nui. Hoʻohālikelike ia i kahi hana nocturnal o polyuria.
ʻO nā maʻi o nā kipi endocrine. ʻO nā Honeone e huna ʻia e ke kino e hoʻoiho pinepine i ka maʻi.
Nā moʻo noʻonoʻo noʻonoʻo a me nā phobias. Ma muli o lākou, hiki i ka mea maʻi ke hoʻomohala i kahi makewai nui ʻole, ma muli o ka nui o ka lā maʻamau o ka urine excreted.

ʻO pathogenesis a me ka etiology

Eia kekahi, ʻo ke kaila ke kumu hou no ka hoʻonui ʻana i ka hopena o ka urine. I kēlā mau manawa o ke ola o ka wahine, ka nui o ka urine i hana ʻia e ka imbalance o ka hormonal, a me ka mea e hoʻopili ai ka pēpē i kahi ikaika ikaika i ka pā.

Akā ʻaʻole hiki i nā kaʻina kūloko i ke kumu i ke kau ʻana o kahi hōʻike. Hoʻokumu ʻia ka hoʻonui ʻana o ka urine i hoʻokuʻu ʻia e nā komo kanaka:

nā lāʻau lapaʻau diuretic
ka nui o ka wai.

Kahi helu

Hoʻololi ka poʻe loea i nā mea ʻelua polyuria:

I ka hihia mua, ʻaʻole pili i ka hoʻololi ʻana o ka nui o nā urine excreted i nā hana hoʻopiʻi maʻamau i loko o ke kino. No laila, i ka wā hāpai, no ka laʻana, kūkulu ka polyuria physiological.

Inā he hopena o ka hoʻonui ʻana o ka nui o ka urine ma loko o ke kaʻina a me ka maʻi hopohopo paha i ke kino, ke ʻōlelo nei lākou i ka polyuria pathological. ʻAʻole hiki ke nānā ʻia kēia ʻano.

Permanent (inā he maʻi)
ʻAnohea (e.g. i ka wā hāpai, maʻi, a me nā mea).

Hoʻokaʻa pinepine ʻia nā polyuria:

ma kekahi manawa manawa - he hiʻohiʻona, ma hope o ka pilikia hypertensive,
kūpaʻa - hana ʻia i nā maʻi o nā keiki a me nā kinipona endocrine.

Aia a he nui nā ʻano o ka hoʻonui i ka urine. Hoʻokaʻa ʻia ka wai - mimi o ka hoʻohaʻahaʻa haʻahaʻa (hypoosmolar), no kēia i ka hapa ʻole o ka hormone antidiuretic, kahi kaohi o ka wai pākuʻi a me ka hōʻiliʻili i nā ʻōpala, ka māhele o nā mea i hoʻoheheʻe ʻia i ka urine i kā lākou kiʻi plasma ma mua o ka hui ʻana.

I nā kānaka olakino, hiki nō:

i ke inu ʻana i kahi wai nui
liuliu mai ke ola ikaika a hiki i kahi hoʻomaha hoʻomaha moe.

Hoʻoholo ʻia ka polyuria me ka hoʻohaʻahaʻa haʻahaʻa i ka urine:

me ka pilikia maʻi hypertensive,
ma hope o ka loaʻa ʻana o ka tachycardia paroxysmal,
iloko o ka manawa o ka hoopau ʻana,
i ka wā o ka mālama ʻana o ka puʻuwai puʻuwai me ka hoʻohui ʻana o ka edema,
renal diabetes indipidus,
hypokalemia
ka ʻalo kala kala ʻana
polydipsia ma hope o ka encephalitis, trauma noʻonoʻo.

Osmotic - ua hoʻokuʻu ʻia ka nui o ka urine ma muli o ka nalowale nui o nā mea ikaika (endogenous - glucose, urea, paʻakai bicarbonate, a me ka exogenous - Mannitol, kōpala).ʻO ka hōʻiliʻili nui o kēia mau pūhui e hōʻino i ka hiki i ka puna me ka reabsorb, hoʻomaka lākou e hoʻoheʻe i ka wai i ka pā hope. I ka hopena, ke hoʻokuʻu nei ka nui o ka wai me ka hoʻokaʻawale nui i nā mea ikaika.

He aha nā maʻi e hiki ai i ka polyuria i loko?

ʻO ka hopena o ka urine ka hopena pinepine pinepine i ka hopena o ka inu i ka nui o nā wai (polydipsia), inā paha inā he wai a i ʻole kafe. ʻO Polyuria kekahi o nā kumu nui o ka maʻi diabetes.

Ke kānana ke keiki i ke koko e hana i ka urine, hoʻihoʻi lākou i ke kō a pau, ua hoʻihoʻi iā ia i ke kahe. I ka maʻi mellitus, hoʻonui ʻia ka nui o ka glucose i loko o ke koko, no ka mea ʻaʻole ia i hoʻokaʻawale piha ʻia i nā pūpū.

ʻO kekahi o kēia hāpau nui mai ke koko e komo ana i ka urine. ʻO kēia honi i loko o ka urine e hoʻopili ai i kahi wai wai, e hoʻonui ai i kahi nui o ka urine.

ʻO nā kumu ʻē aʻe o ka polyuria he:

ʻO ka maʻi mellitus ka maʻi maʻi he maʻi-mellitus no ka maʻi āpau e pili ana i nā hormones i loko o ke keiki, me ka hoʻonā ʻana iā lākou i nā hua nui o ka urine.
ʻO kahi maʻi Cush kahi maʻi e hoʻomohala me nā kiʻekiʻe kiʻekiʻe o ka cortisol hormone i loko o ke koko.
ʻO nā maʻi maʻi o ka maʻi lohi (glomerulonephritis, pyelonephritis).
ʻO ka hana hema ʻole.
ʻO Fanconi syndrome he maʻi hoʻoilina e hoʻopilikia ai i nā tubula renal, e alakaʻi ana i ka hoʻonui ʻia o ka urine i hoʻopā ʻia.
Hoʻohana me ka diuretics e kōkua i ka lawe ʻana i ka wai mai ke kino.
Ke lawe nei i nā lāʻau lapaʻau ʻē aʻe - no ka laʻana, ka hoʻomākaukau lithium, nā antibiotics mai ka hui tetracycline.
ʻO ka Hypercalcemia ke hoʻonui i ka pae o ka calcium ma ke koko, ʻo ia paha ka hopena o ka hopena o ka osteoporosis, he nui nā metastases cancerous i ka iwi, hyperparathyroidism.
Hypokalemia - kahi emi o ka pae o ka paʻakai, hiki ke ʻike ʻia me ka maʻi maʻamau, diuretics, hyperaldosteronism mua).
ʻO ka polydipsia psychogenic - ka nui o ka hana o ka wai, kahi mea maʻamau i nā wahine waena ma waena o ka hopohopo a me nā mea maʻi me nā maʻi psychiatric.
ʻO kahi maʻi cell Sickle kahi maʻi genetic e hōʻike ana i ka hōʻino ʻana i ka hana kelepona ʻulaʻula.

Palekilā keiki

Lele ka Polyuria i nā keiki. ʻAʻole hiki i nā wahī ke kānana i kahi nui o nā nui wai. No laila, e nānā nui nā keiki i nā kahawai a me nā hiʻona.

Hōʻike ʻia ka nui o nā kumu kūʻai o ka urine i nā keiki ma ka papa.

ʻO ke keiki	Max diuresis i loko o ml
3 mahina	600
6 mahina	700
9 mau mahina	750
1 ka makahiki	820
5 mau makahiki	900
14 makahiki	1400
18 makahiki mau makahiki	1500

I nā keiki ʻōpio, pono ke hoʻokaʻawale ʻia nā kumu o ke ʻano o ka pathological mai ka hana o ka huki ʻana i ka hoihoi ma o ke kipa ʻana, kahi kīnā ʻole inu ʻole ʻole.

Hōʻike ʻia ka hōʻailona koʻikoʻi a me ka hōʻailona koʻikoʻi o ka polyuria i ka hoʻonui ʻana o ka urine excreted i loko o nā hola 24, ʻoi aku ia ma mua o kahi 1,700 ml. Ma mua o nā maʻi like ʻole, hiki i kēia nui ke hoʻonui, no ka laʻana, me ka maʻi maʻi.

Hiki i ka mea maʻi ke neʻe iʻoi aku ma mua o 3-4 lita o ka mimi, akā ʻo ka helu o nā huakaʻi i ka luae hiki ke noho i loko o nā manawa 5-6 i kēlā me kēia lā. No ka lehulehu, hōʻike ʻia ka polyuria e ka nui o ka hopena i ka urine i ka pō, e alakaʻi ana i ka nele o ka hiamoe, me ka hoʻole e ala i nā manawa pinepine i ka pō e kipa aku i ka hoʻomaha.

ʻO kēlā mau hiʻohiʻona kekahi mau hiʻohiʻona o ka maʻi maʻi.

I kekahi mau mea maʻi, me ka pilikia o nā palola no nā tubula aʻi, diuresis i hiki aku i ka 8 ka lita, kahi e nui ai ka nalowale o nā mea nui e like me ka potassium, magnesium, calcium. I kēia hihia, nalowale ke kino i ka wai wai a me ka wai, e alakaʻi ana i kāna dehydration.

ʻO kahi hiʻohiʻona kūikawā o ka urine, kahi i hoʻopili ʻia i nā nui nui, ʻo ia kona hoʻemi ʻia. ʻO nā keiki ma muli o ka lohi i nā toxins e hōʻalo i ka hiki iā lākou ke hoʻokūkū, kahi e alakaʻi ai i ka hoʻonui i ka urine.

ʻO kahi maʻi maʻamau i kēia hihia he meaʻokoʻa loa, no ka nui o ka nui o ka glucose i loko o ka pāʻai, ʻaʻole i loli ke ʻano, akā me ka maʻi insipidus maʻi, noho ka pā o ka urine ma kahi haʻahaʻa.

ʻO ka maʻi kumu nui o ka polyuria ka pono maʻamau o kahi ʻauʻau a me ka hoʻopauʻana i kahi nui o ka urine me kahi haʻahaʻa o ka haʻahaʻa o ka wā o ka urination.

Hiki ke ʻeleʻī ai ka ʻili ʻana a i ʻole hanana ʻia i ka ao a i ka pō.

ʻO kekahi hōʻailona ʻē aʻe e hōʻike ana i ke ʻano o ka polyuria he ʻano mau ia o ka makewai.

ʻO kaʻohi o ka meaʻai, pono nā mea maʻi e hoʻokaʻawale i kahi nui o nā pika.

nā hoʻomaʻa pinepine ʻana
ka hoʻopiha o ka nui o nā wai holo me ka mika (me ka nui o ka polyuria nui a lehulehu paha, ʻoi aku ma mua o 10 lita o ka urine ka hoʻopili ʻia i kēlā me kēia lā)
hiki ke hele pū me ka piʻi o ka mahana (hiki paha i kēia me kahi mea hāʻawi kidney kidney)
hiki paha arrhythmia
nā kahe a me ka nāwaliwali (me ka huehue)

He mea kūpono ia e ʻike i kahi ʻano like ʻole o kēia ʻano maʻi o kahi ʻano like ʻole i ka pollakiuria, kahi āu e makemake nui nei a makemake pinepine ʻoe e hele i ka lua, akā ʻo ka nui o ka lawelawe i hāʻawi ʻia e waiʻu he mea liʻiliʻi loa ia a ʻaʻole i hoʻonui i ka huina o kēlā me kēia lā.

Hoʻonui loa ka hōʻike ʻana o ka polyuria i nā maʻi diabetes mellitus. ʻO ka maʻi diabetes maʻi maʻamau ka maʻi maʻamau i nā hōʻailona haʻahaʻa.

ʻO nā ʻōmaʻomaʻo o ka polyuria pākahi no nā mea a pau. He urination pinepine kēia. Hiki paha i ka mea maʻi ke hōʻeha ma mua o ka wā o ka urination. I ka hiki ʻana o ka hana renal i kāna kūkanaka, hoʻokūkū ʻia ka pukauliuli i loko o nā kānana kānana. Hōʻike ke koko i ka urine i nā pōhaku o kaʻili.

ʻO nā ʻano like o ka polyuria e hoʻonāukiuki i ka hoʻonui ʻana o ka urine me ka haʻahaʻa haʻahaʻa. Ke hoʻāʻo nei ke kino e hōʻemi i nā mea i hōʻino ʻia e ka pale ʻole o ka hana nui o nā kolo.

ʻO ka hōʻailona wale nō o ka polyuria he hoʻonui i ka nui o nā urine i hana ʻia e ke kino i kēlā me kēia lā. ʻO ka nui o ka urine i hoʻokuʻu ʻia ma ke alo o polyuria e hiki ke lōʻihi ma mua o ʻelua mau lita, me kahi papa paʻakikī aʻoi aku paha ka hapai - ʻekolu. I ka hihia i ka wā e ʻike ʻia ai ka maʻi ma muli o ka maʻi maʻi, hiki i ka nui o nā lita o ka urine i hoʻokuʻu ʻia i kēlā me kēia lā hiki i ka umi.

ʻO nā hōʻike kino o ka polyuria nā:

pinepine urination me ka copine output urine,
nāwaliwali
hoʻohaʻahaʻa i ke koko
āhāhuʻe
"Nāʻeleʻele" i ka maka,
ka malo maloʻo
nā arrhythmias.

ʻO ka polyuria lōʻihi i nā maʻi keiki e alakaʻi i nā poho i ka ʻili, nā membrane mucous. Hoʻopilikia nā hōʻailona ma ka dehydration a me ka nalowale o nā electrolytes pono.

Hōʻalo ka hoʻomohala o kahi pilikia ʻole i ka hoʻololi ʻana i nā hana o ka oliguria a me ka anuria (hoʻemi ʻana i ka ʻohi i ka urine a hiki i ka pau ʻana). Ma ke ʻano koʻikoʻi ʻoi aku ke alakaʻi i ka nalowale piha o ka hiki ʻana o ka wai tubules e hoʻihoʻi i ka wai.

Nā maʻi ʻōpū i hōʻike ʻia e:

ʻeha ka maʻi ʻeha - ke loaʻa ʻole ka ʻeha o nā hōʻeha ʻokoʻa (mai ka paroxysmal me ka renal colic i lohi ka puʻuwai) me ka localization ma ka hope o hope, hoʻokahi ʻaoʻao o ka ʻōpū, ma luna o nā pubis, ka irradiation ma ka ʻōpū a me nā genital.
nā kīwaha i ka wā o ka urination, inā hui pū ka huhū o ka urethra,
hoʻonui ka ʻai
ka paʻohi ʻana o ka urinary
ka ʻaā ʻana i ka maka i ke kakahiaka,
poʻomanaʻo
ʻōpala
nāwaliwali mānoʻi
haʻi maʻi
ʻaʻano pōkole
ʻeha i ka naʻau,
nā arrhythmias
ninila, ke kaʻaʻi ʻana ma ke kakahiaka,
loloa, hikiwawe i ka punawai o ka iole,
ʻeha ka ʻeha iwi.

I nā kāne me ka hoʻonui ʻia o ka kelepona prostate, hiki i ka erectile dysfunction a me nā pilikia i ke ola kahiʻala.

Naʻi hoʻolika

Inā hele mai nā hōʻailona ma luna, pono e nīnau aku ka mea maʻi i ka urologist e nānā i ka mea maʻi a hōʻiliʻili i ka mōʻaukala olakino holoʻokoʻa e nānā i ka mōʻaukala olakino. Inā aia nā hōʻailona e hōʻike ana i ka polyuria syndrome, a laila hoʻokō ʻia nā hana diagnostic e hana i kahi maʻi kūpono.

No kēia, hāʻawi ʻia nā urine i kēlā me kēia lā - e like me ka Zimnitsky, kahi a lākou e nānā ai i ka nui o nā pua a me ka nui o kēlā me kēia ʻāpana. Me ka polyuria, ʻoi aku ka kiʻekiʻe o kēia mau waiwai, ʻoiai inā ʻaʻole ka nui o ka nui o nā urencing ma mua o ka maʻamau. Mahalo i kēia noiʻi, hiki iā ia ke loiloi i ka hana renal, kona mākaukau ʻana a hoʻomaopopo i ka pathology.

A aia kekahi ʻano maikaʻi loa no ka huli ʻana i nā kumu kumu o ka polyuria. Kūkulu i kahi hoʻokolohua ʻana i ke kahe wai.

Kuhi i ka hana 'ana ma ka mea i hoʻoneʻe i ke kino o ka wai a me ka wai o ka hopena holoʻokoʻa i ka dehydration (dehydration), ka mea e hoʻoulu ai i ka hana o ka hormone antidiuretic (ADH) i kahi nui kau palena, ʻo ia hoʻi, e hoʻokau i ka nui o ke kaila o ka urine.

Hoʻohālikelike ka mea maʻi e inu a hiki i ka hoʻoinu ʻana, nā mea e hoʻoulu ai i ke kahe o nā mea huna ADH. ʻOi aku kēia manawa ma kahi o 4-18 mau hola.

I ka manawa o kēia manawa, lawe ʻia nā pōpoki i ka hola i kēlā me kēia hola a kahi hōʻailona e like me ka osmolality (kahi hōʻike o ka loiloi ʻana i ka ʻōnaehana wai o ke kino). Inā ʻokoʻa kēia mākaʻikaʻi i loko o nā kiʻi uahi ʻekolu e hoʻemi ʻia ma lalo o 30 mau mm / kg (e hala ana ka mea maʻi i ka 2 kg o ke kaupaona ma loko o kēlā ʻano hoʻokolohua), ua hoʻopaʻa ʻia ka mea maʻi me kahi mea i loaʻa ke ADH a me ka osmolality ma ke ʻano he 30.60 a me 120 mau minuke.

I ka hoʻomaka ʻana a ma ka hopena o kēlā hoʻokolohua, e like me ka wā o ka hoʻokele ʻana o ADH, ua kākau ʻia ka osmolality o ke koko koko. Kuhi ʻia nā ʻikepili i loaʻa, ua hoʻohālikelike ʻia nā hopena a pau, a me ke kōkua o lākou hiki iā lākou ke hoʻokaʻawale i ka polyuria i hoʻoiho ʻia e ka maʻi insipidus mai ka polydipsia nervosa a ʻike paha i nā kumu ʻē aʻe i kumu ai i ka polyuria.

Hiki i ka loea ke hana i kahi maʻi ma mua e like me nā hoʻopiʻi i wehewehe ʻia e ka mea maʻi. Akā, ʻaʻole lawa kēia kūpono e kuhikuhi i ka mālama kūpono. No ka hoʻoholo ʻana i ke kumu o ka hoʻonui ʻana i ka nui o ka urine, hiki i ke kauka ke hoʻohana i kēia mau ala e pili ana i ka maʻi ʻokoʻa o ka maʻi.

Hoike Zimnitsky. ʻO ka noiʻi ʻana e hiki ai iā mākou ke koho i ka nui o nā urine i hoʻokuʻu ʻia i kēlā me kēia lā, me ke ʻano o ka urine. Lawe ʻia ka ʻili i ka lā i loko o ka lā i ka 8 mau pahu ʻokoʻa (ʻohi ʻia ka urine i kēlā me kēia moku no 3 mau hola). Manaʻo ke kauka i ka hoʻohālikelike o ka wai inu wai a me ka urine excreted.
Hoāʻo koko no ke kō. Hana ʻia ka hōʻike ʻana i kahi ʻōpū ʻole. Kuhi ka poʻe loea i ka nui o ka glucose i ke koko. No laila, hiki ke kuhikuhi pono i ka maʻi maʻi.
ʻO ka hoʻowalewale hoʻohemo wai. Pono ka mea maʻi e hōʻole i ka inu ʻana i kekahi wai a hiki i ka maloʻo (hōʻemi i ka hoʻoheheʻe ʻia o ke kino). Hiki i kēia manawa ke piʻi i 18 mau hola. Ma ke ao holoʻokoʻa, e lawe ʻia ka hoʻēmi urine mai ka mea maʻi i kēlā me kēia hola. I ka hopena, ua hopu ʻia ka mea maʻi me ka hormone antidiuretic a ke hana hou nei au i ka nānā ʻana i ka urine. Hōʻike ka hoʻohālikelike o nā hōʻailona i ka maʻi insipidus.
ʻO ka pōkole o nā pūlima. Hōʻike ka haʻawina i ke alapine o ke kino.
ʻO nā hōʻike maʻamau o ka urine a me ke koko. ʻO ka hoʻonuiʻana i nā ESR a me nā kahe koko keʻokeʻo e hōʻike i kahi kaʻina hana i loko o ke kino.

Urinalysis - kahi metode diagnostic informative

No nā haʻawina hou, hiki ke hoʻohana ʻia nā ʻenehana e like me MRI, CT, X-ray. Me kā lākou kōkua, hiki i ke kauka ke hoʻomaopopo i nā huhū a me nā neoplasms ʻē aʻe i hāpai i ka hoʻonui ʻana o ka maʻamau o nā lā o ka urine.

ʻO kahi maʻi kūʻokoʻa o ka "polyuria" me ka nānā loiloi piha ʻaʻole hiki. He paʻakikī no kahi kanaka ʻaʻohe aʻoaʻo hoʻonaʻauao e wehe i ka polyuria maoli mai ka urination maʻamau. Inā luhi ʻoe i ka diuresis nui o kahi ʻano panula, pono ʻoe e hoʻopili i kahi nephrologist a i ʻole urologist.

ʻO ke kumu alakaʻi no ka nānā ʻana i ka polyuria ʻo ka hōʻike Zimnitsky - hōʻiliʻili i ka urine i hoʻopā ʻia i kēlā me kēia lā, me ka hoʻoholo ʻana o ka nui o kēlā me kēia lawelawe ʻana a me nā haʻawina ma hope mai i ka ʻoihana. ʻO ke kumuhana o ke aʻo ʻana ʻo ia ka hoʻoili ʻana o ka urine a me kāna hiʻona. Inā liʻiliʻi ka kiʻekiʻe o kēlā me kēia lā ma mua o ka mea maʻamau, a laila loaʻa ka mea maʻi i ka urination pinepine.

ʻO kahi hoʻokolohua kūikawā me ka hoʻohemo wai hiki ke ʻike maopopo i ka maʻi i lalo o ka polyuria. ʻO ka manaʻo o ke ʻano ka ʻike mua ʻana o ke kino i loko o kahi kaila no ka manawa o 4 a 18 mau hola.

I kēia manawa, ʻike ka mea maʻi no ka osmolality - kahi hōʻike maʻamau o ka hiki ke paʻa o nā kau. I ka manawa like, e loiloi ʻia ke kaulike o ka wai ma ka plasma koko.

ʻOi aku ka ʻike, akā maikaʻi ka hōʻoia ʻana i ke ʻano o ka maʻi ʻana a me kāna kūʻokoʻa.

ka nānā ʻana i ka wai
biochemistry koko e ike i ke kūʻoki o ka protein free C, alkatine phosphatase, nitrous sangkap, ions,
coagulogram - hoʻokolohua test,
lakolima
sonication o kaʻili a me nā peritoneal organ,
excretory urography o nā keiki,
CT a me MRI.

He mea paʻakikī loa e hana i kahi maʻi kūʻokoʻa, ʻo ka mea ʻaʻole he hoʻopili i nā mea kūikawā nui i ka maʻi maʻi. Hoʻonui ka manaʻo diuresis. No laila? Aia paha, e holo koke nā mea āpau. ʻAʻole kēia lā, no laila ka lā ʻapōpō.

Eia nō naʻe, inā nānā kekahi i kona olakino a loaʻa iā ia kahi hoʻokolokolo piha ma ka hoʻokahi manawa i hoʻokahi makahiki, a laila ʻaʻole ia he paʻakikī i ka ʻike ʻana i nā loli o ka wā i loko o ka manawa, no ka mea, hiki ke hoʻokolohua pololei i kahi maʻi ma o ka loiloi o ke koko a me ka urine.

Ma ka hōʻike koko ākea nui, hiki ke hoʻoholo i kāna osmolality (density), a ua hoʻohana ʻia ka urine e hoʻoponopono i ka kūlana o ka hana excretory o nā keiki. Inā he keu ka nui o ke kumu o ka glucose, sodium, calcium, urea a me nā bicarbonates i ʻike ʻia i loko o ia mea, a laila e pono i ke kauka ke hāʻawi i kekahi kiʻi i kekahi ʻano hoʻokele, i kapa ʻia he hōʻike maloʻo.

He aha kahi hōʻike maloʻo, pehea e lawe ʻia ai, no ke aha e pono ai

I ke kakahiaka, e hoʻopaʻa ʻia nā ʻōwili āpau o ka mea maʻi: kaupaona, kiʻekiʻe, ka nui o ka puʻuwai, kahe koko, osmolarity o ke koko a me ka wai. Ma hope o ke hoʻopau ʻana i ka mea maʻi i ka inu, akā ʻai pū ka meaʻai maikaʻi loa. I kēia mau manawa a lākou e nānā ʻia ana. I kēlā me kēia hola, lawe hou ʻia he koko a me ka urine, ʻike ʻia ke koko, ka puʻuwai, a me ke kaumaha.