Polydipsia (Dr. Greek πολύς "many" + δίψα "ludzu") ndi chizindikiro chodziwika ndi ludzu lamphamvu, losagonjetseka. Amatsika kapena amazimiririka pokhapokha pakumamwa kwamadzi mopitilira kuchuluka kwambiri kwa thupi, kwa akulu - oposa malita awiri patsiku.

Kufunika kwamankhwala

Cholinga chakukhazikitsidwa kwa chipatala choterocho ndikuwonjezereka kwa chipinda chakumwa mu ubongo. Izi zitha kuchitika chifukwa cha zathupi komanso zathupi. Chifukwa, mwachitsanzo, ndikutayika kwamadzi ndi thukuta kapena mwamphamvu kwambiri, kufunikira kwa madzi kumatha kuchuluka kwambiri. Zomwe zimapangitsa kuti izi zitheke zimaphatikizira kuchuluka kwa zinthu m'magazi a anthu. Mwachitsanzo, kuchuluka kwa shuga mu shuga. Pali polydipsia yoyamba ndi yachiwiri. Poyamba zimachitika ndi kutseguka mwachindunji kwa malo akumwa, mwachitsanzo, ndi pituitary-hypothalomic pathology, kapena chifukwa cha kusokonezeka kwa malingaliro. Chachiwiri ndi kuchitapo kanthu pakusintha kwa magazi omwe amayenderera.

Polydipsia yokhala ndi njira yotchulidwa imatsogolera ku zosokonezeka zamagetsi zamagetsi mthupi la munthu. Monga lamulo, edema, ascites imayamba, ndikusokonezeka kwakukulu kuphatikiza ndi pathologies a impso, matenda opatsirana amatha kuchitika.

Kusintha kwamatenda azachipatala |Polyuria monga chizindikiro cha matenda ashuga

Mlingo wa kutulutsa mkodzo masana kwa munthu wathanzi ndi pafupifupi malita awiri. Nthawi zina, kuchuluka kwa mkodzo kumatha kufika malita 2.5 patsiku. Polyuria ndi mkhalidwe womwe kutulutsa kwamkodzo kumapitilira malita 2.5 patsiku.

Ngati mungasinthe kuchokera pa chakudya chonyowa ndikupanga chakudya chowuma, mphaka wanu amamwa kwambiri. Mphaka wazaka 14 ndi wofanana ndi bambo wazaka 70. Timalingalira za mphaka wazaka 20 ngati munthu wazaka zana! Ndikofunika kuti amphaka okalamba aziyang'aniridwa ndi vetera miyezi isanu ndi umodzi iliyonse kuti titha kuzindikira kale matendawa matenda asanakhale ovuta kuchiza.

Matenda a impso ndi ofala ku amphaka okalamba. Kuzindikira kusintha kwa kulemera ndi ludzu, komanso mayeso omwe amaperekedwa nthawi zonse kumatithandiza kugwirira matendawa matenda akayamba bwino. Udzu wambiri komanso kuchepa thupi ndi chizindikiro choyambirira cha matendawa. Impso za mafupa ndizothandiza kwambiri kotero kuti amatha kubwezeretsa kuchepa kwa impso mpaka 75% ya ntchito ya impso itayika. Chifukwa chake, ndikofunikira kwambiri kupeza matendawa izi zisanachitike. Pofika nthawi yomwe amadwala kwambiri, impso zinali zitalephera, ndipo nthawi zambiri zinkachedwa kwambiri kuchita chilichonse.

Kusiyanitsa pakati pa polyuria yochepa komanso yokhazikika. Polyuria yochepa nthawi zambiri imachitika chifukwa chotenga mankhwala ena.

Polyuria wopitilira ndi zomwe zimayambitsa sizikumveka bwino. Komabe, lero pali zifukwa zazikulu 4 zomwe zachitikira.

1. Kupatula mkodzo wambiri ndi zinthu zambiri za osmotic kapena osmotic diuresis.
2. Kulephera kwa munthu kupanga kuchuluka kwakufunika kwa ma antidiuretic mahomoni.
3. Kuchepetsa mphamvu ya impso kukhazikika ngakhale ndi mulingo wabwinobwino wa timadzi tating'onoting'ono.
4. Kumwa madzi ambiri.

Ndi matenda ashuga, polyuria ndi osmotic mwachilengedwe. Zinthu zotsatirazi zilipo mkodzo:

Mu chipatala chathu, ngati matenda a impso akuwakayikira, tikadayezetsa magazi posachedwa, titayika kapena kuchotsa matenda a impso. Kupsinjika kwa magazi ndi kuyesa kwamikodzo kungachitike. Kuchiza kungaphatikizepo kugwiritsa ntchito mankhwala omwe agwiritsidwa ntchito kwazaka zambiri kuchiza mavuto a mtima, koma apezeka kuti akupindulitsa mu matenda a impso. Izi zimachepetsa kuthamanga kwa magazi ndipo zimathandiza impso kutulutsa poizoni m'thupi ndikusunga minofu yotsalira ya impso.

• shuga
• ma elekitirodi
• ma nucleic acids, zinthu zowola zamafuta ndi mapuloteni.

Matenda A shuga - Vutoli Lomwe Likukula Kwazaka Zapakati Kumakalamba Akalamba

Mwachidule, matenda a shuga amapezeka pamene kapamba satulutsa insulin yokwanira kapena insulini sagwira ntchito. Insulin imayendetsa shuga m'magazi. Ndi matenda a shuga, kuchuluka kwa shuga m'magazi kumakhala kwambiri. Shuga wowonjezera amata kudzera mu impso ndi mkodzo. Komwe shuga amapita, madzi amapita. Amphaka awa amataya mphamvu ndi madzi kuchokera ku impso. Amphaka odwala matenda ashuga amadutsa mkodzo wambiri ndipo amayenera kumwa kwambiri kuti apirire. Amphaka omwe ali ndi matenda a shuga sangathe kugwiritsa ntchito shuga wamagazi, minofu imatha mphamvu ndikuyamba kuwononga mashopu am minofu ndi mafuta.

• kuyezetsa magazi pazomwe zili ndi shuga ndi sodium chloride mmenemo,
• kuyezetsa magazi kwa mahomoni,
• Ultrasound a impso.

Ngati polydipsia ndi chizindikiro cha matenda ashuga, ndiye kuti jakisoni wa insulini, wokhala ndi mtundu woyamba wa shuga, athandizira kuchepa kwa mawonekedwe ake. Mtundu wachiwiri - kumwa mankhwala omwe machitidwe awo cholinga chake ndi kuchepetsa magazi.

Apanso timachepetsa thupi, njala komanso ludzu lochulukirapo. Matenda a shuga omwe sanalandiridwe amatha kukhala owopsa pamoyo, koma nthawi zambiri amatha kuwongolera pakudya koyenera komanso jakisoni wa insulin tsiku lililonse, yomwe eni ambiri amaphunzira kuyendetsa bwino. Amphaka ena amatha kuwongoleredwa ndi mapiritsi.

Matenda a shuga amatha kupezeka ndi kuyezetsa magazi komanso kosavuta. Pali matenda ena ambiri omwe angayambitse kuchepa thupi komanso kuchuluka kwa ludzu m'makati achikulire. Matenda a mtima, zotupa, zovuta zamafuta, matenda, zina. etc. Koma zinthu zomwe zili pamwambazi ndizomwe zimapezeka kwambiri. Njira yofunikira yochizira matendawa ndi kuwagwira asanafike zizindikiro za matenda. Ngati mukukayikira, imbani foni ndikusankha kuti mukaone veterinarian ngati mphaka wanu wawonjezera ludzu kapena kusadya kapena kuwonda.

Zofunika! Mu shuga mellitus, kuti muchepetse kuchuluka kwa shuga ndi mawonekedwe a polydipsia, zonse ziyenera kuchitika kuti ziziwoneka.

Chithandizo cha matenda amenewa chimakhala chodziwitsa matenda omwe amayambitsa chizindikiro ichi. Ngati matendawa adatsimikizika moyenera ndipo chithandizo chake chikuyenda bwino, polydipsia imayamba kutchulidwa kochepa kapena kutha kwathunthu.

Matenda osachiritsika

Zinthu zomwe zimapangitsa kuti madzi asungunuke kwambiri ndikusiya thupi lomwe latha m'madzi limapangitsa ludzu kwambiri. Madzi amthupi amatha kuchepa chifukwa kukodza kwambiri, kusanza, kutsegula m'mimba, thukuta, komanso kutentha thupi. Mikhalidwe yosiyanasiyana imatha kupangitsa kuchepa kwa madzi m'madzi ndi ludzu lokwanira. Matenda a shuga amayambitsa shuga kwambiri m'magazi ngati salamulidwa ndi mankhwala. Monga lamulo, impso zimasunga shuga m'magazi awo ndipo sizimayikidwa mkodzo.

Ngakhale kuti polydipsia ndi chizindikiro chabe, komabe, matenda onse omwe adayambitsa amafunikira chithandizo cha mankhwala kwa nthawi yayitali komanso kumwa mankhwala.

Polydipsia ndi ludzu lomwe limachulukirachulukira ndikugwiritsa ntchito madzi ochuluka (nthawi zina amapitilira 20 l).

Komabe, misempha ya magazi ikakhala yachilendo kwambiri, impso sizitha kuthana ndi kuchuluka kwa shuga. Zikatero, shuga amalowa mkodzo, amatenga madzi ochuluka mthupi. Thupi limakhalabe lamadzi, ndikupangitsa ludzu kwambiri. Ludzu kwambiri komanso kukodza pamodzi ndi kuchepa thupi komanso njala ndi zizindikiro zapadera za matenda ashuga a mtundu woyamba.

Impso ndi antchito omwe amayang'anira kuchuluka kwa madzi mthupi, kumasula madzi ochulukirapo akakhalapo, ndikusunga madzi ngati mulingo wachepa. Ngakhale impso zimagwira ntchitoyi, kayendedwe ka madzi kamayendetsedwa ndi hypothalamus, kakang'ono ka ubongo. Hypothalamus imatulutsa timadzi totsutsa tomwe timagwira impso, ndikupangitsa kuti madzi asungidwe. Mu matenda a shuga a insipidus, mahomoni antidiuretic samapangidwa mokwanira kapena impso sichimvera. Mulimonsemo, impso zimasunga madzi ochuluka, ndikupangitsa ludzu losatha, komanso lakumwa kwambiri.

Amayamba chifukwa chokwiyitsa malo operekera zakumwa, omwe, malinga ndi I.P. Pavlov, sikuti ndi a morphological ngati lingaliro lanyama. Zomwe zimayambitsa kuphwanya kwa thupi lamadzi amchere wamchere, motsogozedwa ndi ubongo wa cortex, subcortical nuclei, diencephalon, pituitary, adrenal gins, impso, ma interoreceptors a mucous membrane a mkamwa, pharynx, m'mimba ndi matumbo. Osmoreceptors amakhalanso ophatikizidwa mu neurohypophysis. Kuphwanya kachulukidwe kamchere wamchere m'thupi kumabweretsa kuwonjezeka kwa kuthamanga kwa magazi a magazi, i.e. kwa hyperosmosis, yomwe imakwiya kwambiri pa osmoreceptors, omwe amatumiza zikhumbo kupita kumalo osamwa.

Kulephera kwa hypothalamus kuti mupeze ma antidiuretic okwanira ndimatenda osowa. Mulemba "Neuroendocrinology, hypothalamus ndi pituitary gland", dokotala. Matenda ambiri amatha kupangitsa kuti madzi kuchepa kwambiri m'thupi, omwe amatchedwa kuchepa madzi m'thupi. Zitsanzo ndi poyizoni wa chakudya ndi matenda ena ammimba, kutopa kwambiri, kutentha, ndi matenda otentha kwambiri. Madzi athunthu amthupi akamachepa, zizindikiro zimawonekera, kuphatikiza mkamwa wowuma, kutopa, kupepuka, chisokonezo, komanso ludzu lalikulu.

Njira zopangira ma polydipsia zosiyanasiyana m'mayendedwe azikhalidwe sizofanana. Chifukwa chake, nthawi zina, hyperosmosis imachitika chifukwa cha kuchuluka kwa sodium mankhwala enaake kapena shuga m'magazi. Yoyamba imawoneka ndi kukanika kwa gawo lam'chiberekero cha adrenal (ndi hyperaldosteronism - Conn's syndrome), ndipo yachiwiri ndi matenda a shuga. Hyperglycemia imabweretsa kuchepa kwamatenda amtundu, ndikupangitsa polydipsia, komanso polyuria chifukwa cha kuchuluka kwa osmotic ya mkodzo.

Ndi kuchepa mphamvu kwakanthawi ndi madzi ambiri, kusanza ndi kusanza kumachitika, kupangitsa kuti madzi asinthe. Ngati madzi samatha kumwa, pakamwa pamafunika madzi enaake. Kuthetsa madzi m'thupi kwambiri kungawononge moyo wanu. Zomwe zimayambitsa kufa ndi kutayika kwakukulu kwa madzi athunthu mthupi komanso madzi am'mimba omwe amathandizirana.

Mikhalidwe ingapo imatha kupangitsa kuti muchepetse chidwi chofuna kudya komanso ludzu lochulukirapo. Komabe, ludzu lochulukirapo limodzi ndi kuchepa kwa chakudya lingathe kuonetsa matenda akulu omwe amafunikira chithandizo chamankhwala. Munthu amene akuvutika ndi njala komanso ludzu lochulukirapo ayenera kufunsa akatswiri odziwa zaumoyo kuti awone ngati ali ndi thanzi labwino.

Nthawi zina, chomwe chimayambitsa matenda a Hyperosmosis ndi kuchepa kwamadzi ambiri ndi thupi ndi kuchuluka kwa diuresis kapena kutsegula m'mimba, kusanza. Pali matenda angapo omwe polydipsia imachitika chifukwa cha polyuria: shuga insipidus, etc., Barde-Bill diencephalic syndrome, Simmons syndrome, diencephalitis, encephalitis, komanso matenda ena amisala.

Anorexia amanosa angachititse kuti munthu asakhale ndi chidwi chofuna kudya komanso ludzu lalikulu. Anorexia manthaosa ndi vuto lakudya lomwe limayenderana ndi mantha osaneneka olemera komanso kunenepa kwambiri ndi chakudya. Munthu yemwe ali ndi anorexia amanosa akuyesera kukhalabe ndi kulemera komwe kumakhala 15 peresenti pocheperako pazaka zake komanso kutalika. Anorexia amanosa ndiofala kwambiri pakati pa atsikana achinyamata, ngakhale achinyamata komanso achikulire onse amuna ndi akazi amatha kukhala ndi vuto lotere. Zizindikiro zodziwika bwino zomwe zimachitika ndi anorexia manthaosa zimaphatikizira kuchepa kwa chikhumbo, kuchuluka kwa ludzu, kunenepa kwambiri, kutopa, kugona tulo, misomali yofinya, tsitsi loonda, kusamba kwa msambo, kudzimbidwa, kuzizira, mtima wosavomerezeka, komanso kuchepa kwa magazi.

Polyuria monga chifukwa cha polydipsia mu shuga insipidus imagwirizanitsidwa ndi kuchepa kwa chinsinsi cha mahomoni antidiuretic komanso kuwonjezeka kwa mahomoni okweza ma diresis. Yoyamba imapangidwa mu supraoptic nucleus ya hypothalamus, paraventricular nuclei ndi gawo lakumapeto kwa gitu pituitary, izi zimaphatikizapo njira zolumikiza izi. Horm yachiwiri, yomwe imagwiritsa ntchito ma gren adrenal, imapangidwa kutsogolo kwa tchire.

Polyuria ndi polydipsia imawonetsedwa ndi polyurodipsia - imachitika ndi zowonongeka kapena zowonongeka kwa adiuretin-zobisa mawonekedwe ndi njira zowalumikiza, kapena pakuwonjezeka kwa kupanga mahomoni okweza ma diresis.

Kusiyanitsa mitundu ya neurotic ndi psychogenic polydipsia (progeny) kuchokera ku shuga insipidus, kuyesedwa kwa chidwi ndi kuphatikizika kwa hypertonic sodium chloride solution (kuyesa kwa Carter-Robins) kapena nicotinic acid, komwe kumawonjezera kubisika kwa mahomoni antidiuretic.

M'mikhalidwe yomwe ili pamwambapa, polydipsia nthawi zambiri imakhala chimodzi mwazizindikiro zazikulu. Iwo, monga chochitika chomwe chimachitika nthawi inayake pakukonzekera njira zam'magazi, chimawonedwa ndi impso yopukutira, poyizoni wa chakudya, kolera, zina. Pazinthu izi, komanso ndi matenda a shuga, polydipsia iyenera kuwonedwa ngati chinthu chofunikira kwambiri.

Chithandizo: zimatengera kwathunthu chithandizo cha matenda oyambitsidwa.

Zizindikiro ndi zomwe zikugwirizana

Chizindikiro choyamba cha polydipsia ndi ludzu lalikulu. Nthawi yomweyo, madzi omwe amagwiritsidwa ntchito amatha kusiyanasiyana ndi zisonyezo zochepa komanso zosafunikira kwenikweni. Mwachitsanzo, ndi vuto la edema ndi chopondapo, munthu amatha kumwa mpaka malita atatu amadzimadzi tsiku lililonse, komanso ndi matenda a shuga - malita 20 kapena kuposerapo.

Nthawi zina, kuuma kwa polydipsia kumatha kusiyanasiyana kutengera izi:

• chakudya
• kulimbitsa thupi,
• kutentha kwa mpweya.

Nthawi zina (mwachitsanzo, ndimatenda a shuga) samayankha pazomwe chilengedwe chimasintha ndikusintha kokha mwa chithandizo.

Polydipsia ndi chizindikiro chomwe chimalumikizidwa ndi polyuria. Kukodza kowonjezereka, kuphatikiza ndi ludzu losalephera, nthawi zambiri zimakhala zizindikiro za matenda ashuga. Kufunikira kwakukulu kwamadzi kumalumikizidwa ndi kuchuluka kwa glucose m'magazi, kuchepa kwa madzi ndi kudzikundikira kwa zinthu zonyansa. Mothandizidwa ndi izi, ntchito ya sebaceous tiziwonjezereka, chifukwa choti nembanemba yamkamwa imawuma.

Malinga ndi ziwerengero, anthu omwe ali ndi matenda ashuga amafunikira kuchuluka kwamadzimadzi komwe kumakweza katatu kuposa masiku. Kuchulukitsa pokodza ndi chotsatira cha kuchuluka kwam mahomoni omwe amayambitsa diuresis. Matenda a shuga a insipidus amakhalanso ndi polyuria komanso ludzu lalikulu.

Psal pathologies amakhalanso ndi zizindikiro. Kuphatikiza pakamwa pouma, njira yokoka imasokonekera, kutupa kwambiri kumawonekera.

Zizindikiro

Polydipsia ndi chimodzi mwazizindikiro zoyambirira za matendawa. Ichi ndichifukwa chake chizindikirochi chimaperekedwa chofunikira kwambiri chodziwitsa.

Dokotala pamayeso oyambilira angapereke maphunziro awa:

• kuyesa kwamagazi ndi kwamilandu yambiri,
• Ultrasound a impso ndi chithokomiro
• kuwerengetsa kwa diuresis tsiku ndi tsiku,
• kuyezetsa magazi kwa mahomoni,
• mayeso a mkodzo wamba.

Ngati polyuria imawonedwa nthawi yomweyo ndi polydipsia, kachulukidwe ka michere kamatsimikiziridwa mu labotale ndipo mulingo wa shuga umatsimikizika. Izi ndizofunikira kutsimikizira kapena kupatula matenda ashuga.

Ngati kuchuluka kwa shuga ndi kwabwinobwino ndipo kuperewera kwa mkodzo kuli kochepa, kuyezetsa kumachitika pogwiritsa ntchito mankhwala okhala ndi vasopressin - mahomoni ofunikira. Zotsatira zabwino, wodwalayo amachepa kwambiri ndi kuchuluka kwa madzi omwe amwedwa maola angapo (osapitirira sikisi). Zitatha izi, kuwerengetsa kwa kufinya kwamkodzo wonse womwe umapezeka panthawiyi kumachitika. Ngati zili m'malire abwinobwino, tikulankhula za polydipsia yoyamba, ngati sichoncho, matenda a shuga amapezeka ndi insipidus ya shuga chifukwa chosowa vasopressin.

Ngati mayeso okhala ndi mahomoni a antidiuretic amapereka zotsatira zoyipa, magazi ndi mkodzo zimayesedwa pazotsatira zawo za calcium ndi potaziyamu. Kuthamanga kwa magazi kumayesedwanso. Ngati iye ndi msambo wa calcium uli wambiri, tikulankhula za pathologies a impso. Ngati zovuta komanso kuchuluka kwa zinthu zoyeserera ndizabwinobwino kapena kupatuka pang'ono pa izo, matenda a shuga amapezekanso chifukwa cha kusabadwa kwa matupi aimpso ku vasopressin.

Kusankhidwa kwa maphunziro ofunikira kumadalira kuopsa kwa polydipsia ndi kupezeka kwa zizindikiro zina. Mwachitsanzo, ngati wodwala amamwa oposa malita 10 a madzi patsiku, kuyesedwa ndi vasopressin kumachitika nthawi yomweyo.

Njira yochizira imapangidwa pokhapokha atazindikira mozama. Mwachitsanzo, ngati matenda amtundu 1 amatsimikiziridwa, insulin imafotokozedwa, ndipo kwa matenda amitundu iwiri, wodwalayo ayenera kumwa mankhwalawa, zomwe zimapangitsa kuti chiwopsezo chake chikhale ndi maselo amthupi. Ngati matenda omwe si a shuga atapezeka, dokotalayo amapereka mankhwala omwe amalowetsa vasopressin.

Chifukwa chake, kuti muchepetse ludzu lalikulu, ndikofunikira kuti zithetse zomwe zimayambitsa. Ngati polydipsia yokhala ndi shuga ikuwoneka, ndikofunikira kulipirira. Kuzindikira koyenera komanso njira yolandirira bwino ndi njira yofunika kwambiri yolumikizira zinthu mwachangu.

Ngati vutoli lili ndi dzina lotchulira, izi zimatha kuyambitsa kusokonezeka muyezo wamagetsi wamagetsi. Zotsatira zachilengedwe ndi edema ndi convulsive syndrome.

Kuzindikira kwakanthaŵi kwa polydipsia ndi chithandizo cha matenda oyambitsidwa kumatsimikizira kudalirika kwakumalizira mpaka kumatha kwathunthu kumatha kumva ludzu lalikulu. Nthawi zina, mankhwalawa amayenera kumwa moyo wanga wonse.

Kodi polydipsia ndi chiyani: tanthauzo ndi kufotokozera

Polydipsia imamveka ngati chizindikiro cha matenda ena, omwe amadziwonetsa ngati ludzu lamphamvu. Munthu akhoza kumwa madzi ambiri, osakhazikika chifukwa cha iye. Nthawi zina voliyumu imeneyi imafika mpaka malita 20 patsiku, ngakhale kuti chizolowezi kwa munthu wamkulu ndi malita 2-2,5 patsiku.

Zomwe zimayambitsa polydipsia sizomwe zimachitika nthawi zonse. Zomwe zimayambitsa kupezeka kwake kumatha kukhala kuchepa kwamadzi ndi maselo, kuchuluka kwa kutentha kwa thupi, motero, kumatulutsa thukuta, komanso kusanza komanso kutsegula m'mimba.

Mankhwala, pakhala pali pamene polydipsia idachitika chifukwa cha mawonekedwe a chlorine mankhwala m'magazi amunthu, makamaka sodium chloride. Maonekedwe ake m'magazi anali chifukwa chowonjezeka pantchito ya adrenal cortex komanso kuwonjezeka kwa kupanga kwawo mineralocorticoids.

Polydipsia imatha kuchitika motsutsana ndi matenda a mtima, impso yopukutira, kapena matenda ena am'kati. Chizindikiro monga ludzu lowonjezereka ndi chikhalidwe cha anthu odwala matenda ashuga.

Mu shuga mellitus, wodwalayo amadziwika ndi chizindikiro china - polyuria, zomwe zimachitika chifukwa cha kuchuluka kwa osmotic pamavuto a mkodzo.

1 Etiology

Zokhudza thupi pakukula kwa matendawa ndi monga:

• mimba
• kulimbitsa thupi kwambiri
• kutentha kwambiri.

Zachidziwikire:

• kukanika kwa chapakati mantha dongosolo,
• matenda a impso
• shuga ndi matenda a shuga
• kudzimbidwa kwa matenda opatsirana.

Chifukwa cha izi, kuchepa kwamadzi kumachitika ndipo polydipsia imayamba.

M'matenda ena a chapakati mantha dongosolo, magwiridwe antchito omwe amapezeka pakumwa zakumwa amasokonezeka, zomwe zimatsogolera ku matenda oyamba. Ndi kukanika kwa m'mimba thirakiti m'magazi, zomwe zimakhala ndi sodium chlorine ndi glucose zimachulukanso mitundu yosiyanasiyana ya shuga.

Polydipsia ya pulayimale imakwiyitsidwa ndi zotupa za ubongo ndipo imachitika ndi ma pathologies omwe amachititsa kuyambitsa kwachindunji pakumwa. Psychogenic - zotsatira za kusokonezeka kwa malingaliro.

Sekondale - imachitika motsutsana ndi maziko akumadzi atayika (polyuria) ndipo ndi chifukwa chakubowola kwa magazi.

Koma sikuti nthawi zonse polydipsia ndi chizindikiro chomwe chimawonetsa matenda owopsa.

Madokotala amadzigawa m'mitundu iwiri:

Koyamba, zomwe zimayambitsa polydipsia zitha kukhala:

• Zakudya zopanda mafuta, zomwe zimayang'aniridwa ndi mafuta, osuta, zokometsera komanso zakudya zotsekemera,
• kulimbitsa thupi kwambiri, makamaka ngati makalasi amachitika ndi kutentha kwambiri,
• III trimester ya mimba.

Ludzu lomwe limayambitsidwa ndi izi limathetseka mosavuta ndi madzi ambiri ndipo silimangokhala chovuta nthawi zonse. Sichifuna chithandizo ndipo chimangopita chokha.

Pathological polydipsia ikhoza kukhala:

1. Poyamba. Dzinalo lina ndi psychogenic. Zimagwirizanitsidwa ndi kusokonezeka pakugwira ntchito kwamanjenje, komwe kunayambitsa kutsegulidwa kwa malo akumwa mu ubongo.
2. Sekondale. Amadziwikanso kuti neurogenic. Makina opangira chisonyezo mwachindunji amatengera matenda omwe anayambitsa.

Polydipsia yoyamba, monga lamulo, ndi mnzake wa matenda otsatirawa:

• neurosis
• schizophrenia
• hypothalamic syndrome.

Polydipsia yachiwiri ndi chifukwa chakutha kwa madzi komanso kusintha kwa kapangidwe ka magazi. Itha kuyambitsidwa ndi zotsatirazi:

• shuga ndi matenda a shuga
• matenda a impso ndi chiwindi
• magazi akulu
• hyperparathyroidism, zomwe zikuwonjezera kuchuluka kwa calcium mu minyesi yolumikizira madzi,
• zosokoneza ntchito ya mtima ndi ziwalo zam'mimba thirakiti.

Kuphatikiza apo, mwayi wokhala ndi polydipsia umachulukirachulukira mukamamwa mankhwala ena (muyenera kufunsa dokotala wanu musanachitike za zovuta zina).

Ngati vutoli lili ndi dzina lotchulira, izi zimatha kuyambitsa kusokonezeka muyezo wamagetsi wamagetsi. Zotsatira zachilengedwe ndi edema ndi convulsive syndrome.

Kuzindikira kwakanthaŵi kwa polydipsia ndi chithandizo cha matenda oyambitsidwa kumatsimikizira kudalirika kwakumalizira mpaka kumatha kwathunthu kumatha kumva ludzu lalikulu. Nthawi zina, mankhwalawa amayenera kumwa moyo wanga wonse.

Ndi organic polydipsia, atachiritsa matenda oyambira, wodwalayo samadwala.

Njira yama psychogenic yamatenda imatha kubweretsa kukula kwa mtima, fractures ndi pathologies a kwamikodzo thirakiti, yomwe imalumikizidwa ndi kugwiritsidwa ntchito kwa madzi kwakukulu kwambiri.

Polydipsia amachiritsidwa ndikuzindikira koyenera komanso chithandizo chokwanira cha matenda oyambitsidwa.

Matenda omwe amayambitsa ludzu lowonjezereka, nthawi zambiri, amafunikira chithandizo chaumoyo ndi kuwonekera kwa dokotala wokhudzana ndi thanzi la wodwalayo.