Kodi polyuria: tanthauzo, kufotokozera, zimayambitsa mwa ana ndi akulu omwe ali ndi matenda ashuga

Mkhalidwe wamomwe mumadziti mkodzo womwe umatuluka ndi kwamikodzo patsiku umakulira kwambiri umatchedwa polyuria. Polyuria siili wa matenda osiyana, koma amaphatikizidwa ndi kuchuluka kwa zizindikiro zamavuto amkodzo kapena zida za neuroendocrine. Matendawa amayambitsa mavuto ambiri chifukwa chokakamira pafupipafupi kukodza ndikutulutsa mkodzo wambiri. Mwa akazi, polyuria imakula nthawi zambiri, makamaka panthawi yapakati.

Mwa anthu athanzi labwino, mkodzo wokwanira bwino patsiku ndi 1500 ml. Ichi ndi chiwonetsero chapafupifupi cha chizolowezi, kuwonetsa kuti kwamikodzo imagwira ntchito moyenera, popanda zolephera, ndipo impso zimagwira bwino ntchito. Ndi polyuria, diuresis (voliyumu ya mkodzo wa tsiku ndi tsiku) imafika 2000-3000 ml, ndi mitundu ina ya kulephera kwa aimpso kapena matenda a shuga - mpaka malita 10.

Limagwirira a kupezeka kwa matenda zimayenderana ndi kuphwanya njira ya kusintha mayamwidwe madzi pa gawo la mkodzo woyamba kudzera aimpso dongosolo. Nthawi zambiri, poizoni ndi zinthu zovulaza zimasungidwa mu mkodzo woyamba, womwe umalowa mchikhodzodzo, ndipo zofunikira ndi madzi zimatsalira m'thupi. Ndi polyuria, njirayi imasokonekera - thupi limataya madzi ambiri.

Gulu

Mu urology, polyuria syndrome imatchulidwa molingana ndi mawonekedwe a maphunzirowa komanso zinthu zoyambitsa. Malinga ndi madigiri a polyuria, zimachitika:

• osakhalitsa - akuwuka ngati chinthu chamoyo pakuwuza njira zotupa kapena ma bakiteriya, kapena nthawi ya bere mwa akazi,
• pafupipafupi - anakula chifukwa cha kukanika kwa aimpso.

Mitundu ya polyuria, yozikidwa pa pathogenetic factor:

• matenda - amakula ngati kuphatikiza kwamatenda, matenda a polyological a cellular nthawi zambiri amatsagana ndi polydipsia - ludzu lambiri lomwe limadutsa patatha gawo lalikulu lamadzi, kuphatikiza kwa matendawa ndi polyetiological, ndipo kumatchedwa polyuria-polydipsia syndrome,
• olimbitsa thupi - amapezeka mwa anthu athanzi akamamwa mankhwala omwe amalimbikitsa diuresis.

Kugawidwa kwa matenda a zamatumbo molingana ndi mitundu yowonjezera ya diuresis ndikuwonekera kwake kuyenera chisamaliro:

• kuchuluka madzi diuresis ndi kuwonongeka kwa mkodzo mu ndende yochepa kumatha kuchitika mwa anthu athanzi akamamwa madzi ambiri kapena mukamachoka ku boma lodzilimbitsa thupi kupita ku boma lokhala ndi zochitika zochepa zamagalimoto, polyuria yokhala ndi mkodzo wa hypo-osmotic ndizotheka kwa anthu omwe ali ndi matenda oopsa, mitundu yambiri ya shuga, uchidakwa mawonekedwe osakhazikika, kulephera kwa impso,
• kuchuluka osmotic diuresis kumalumikizidwa ndi kutulutsidwa kwamphamvu kwamikodzo ndi munthawi yomweyo kutaya kwa endo- ndi exo native yogwira zinthu (shuga, shuga, mchere), polyuria ndi osmotic diuresis imayendera njira ya matenda omwe amachitika ndi matenda a metabolic - sarcoidosis, neoplasms mu adrenal cortex, Itsenko- Cushing's
• aimpso (aimpso) ukuwonjezeka modabwitsa chifukwa cha kusokonezeka kwa impso chifukwa cha kubereka komanso kusinthika, mawonekedwe owopsa komanso osalephera a impso,
• zowonjezera (zowonjezera) - zimachitika chifukwa chakuchepa kwa magazi, kusokonezeka kwa malamulo a neuroendocrine, komanso mavuto ndi ziwalo zamkati.

Nocturia imatenga malo apadera m'gulu la polyuria - kukodza mwachangu komanso kokwanira usiku. Anthu omwe ali ndi vuto la impso kapena mtima amatha kuvutika ndi nikturia.Izi ndichifukwa choti usiku wonse kuchuluka kwa madzi am'magazi oyenda mthupi kumakwera ndipo kuchuluka kwa madziwo kumasefedwa ndi impso. Mwa amayi apakati, nthawi nocturia imaphatikizidwanso mu lingaliro la chizolowezi ndipo sifunikira chithandizo. Komabe, pamaso pa concomitant endocrine pathologies, kuyang'anira kuchuluka kwa tsiku ndi tsiku ndi mkodzo wothandizidwa ndi impso ndikofunikira.

Zomwe zimayambitsa polyuria ndizachilengedwe komanso zachilengedwe. Zokhudza thupi sizimagwirizana ndi kukhalapo kwa matenda mthupi - kutenga kuchuluka kwa madzi ndi madzi ena, mankhwala okhala ndi mphamvu yododometsa, zakudya zomwe zimakhala ndi shuga wokwanira mwachilengedwe zimachulukitsa mkodzo wambiri. Hypostmia yofatsa ndiimodzi mwazinthu zoyambitsa zam'mimba za polyuria - thukuta limachepa mu kuzizira, chifukwa chake madzi owonjezera amachotsedwa mkodzo. Zomwe zimayambitsa polyuria mwa abambo zimatha kukhala zovuta komanso zolimba zolimbitsa thupi nthawi zotentha.

Zomwe zimayambitsa zovuta za polyuria zimaphatikizapo:

• miyala ya impso
• matenda otupa - cystitis, pyelonephritis,
• kutupa kwa prostate mwa amuna,
• diverticula mu chikhodzodzo,
• neoplasms yoyipa impso ndi chikhodzodzo,
• angapo cysts mu impso
• hydronephrosis,
• matenda osinthika
• zovuta zamanjenje.

Mawonetseredwe azachipatala

Polyuria imadziwika ndi zizindikiro zamankhwala:

• kukodza pafupipafupi, mkodzo umachotsedwera zochuluka,
• dontho mu kuthamanga kwa magazi
• kamwa yowuma, ludzu,
• Matenda ofooka komanso chizungu m'maso,
• kuphwanya kayendedwe ka mtima.

Kwa nthawi yayitali, polyuria yamakono yophatikizidwa ndi matenda a impso imayambitsa kusowa kwamadzi, ngakhale munthu atamwa madzi ambiri. Pamodzinso ndi mkodzo, ma electrolyte amachotsedwa, chifukwa - pali chizindikiro cha kusowa madzi: khungu limakhala louma, lotuwa, kumaso. Ming'alu yayikulu imatha kuonekera pakhungu ndi mucous nembanemba.

Ngati polyuria imayendera limodzi ndi matenda a kwamikodzo, komanso kuwonjezereka kwa mawonekedwe, zizindikilo zimakhazikika:

• ululu ululu ndi osiyanasiyana mphamvu (kuyambira kupweteka kwa pachimake mu mawonekedwe a khunyu) ndi kutulutsa dera lumbar dera, mbali, m'munsi pamimba,
• kusapeza bwino pokodza - kuchokera pakuwotcha mpaka kupweteka kwambiri,
• kutentha thupi matenda
• kwamikodzo kusagonja
• kutupa m'mawa pansi pa maso ndi miyendo,
• General malaise - kugona, kutopa, kupweteka kwa minofu,
• kutsegula m'mimba
• kusanza, kusanza.

Pamaso pa pathologies a endocrine dongosolo, limodzi ndi polyuria, zizindikiro zina zimayamba:

• polyphagy - kumverera kosalekeza kwa njala komwe sikumatha kudya, kususuka,
• kunenepa
• kusasamala mthupi,
• kukula kwambiri kwa tsitsi mwa akazi m'malo osadziwika - nkhope, chifuwa, kumbuyo.

Njira ya matenda a ana

Polyuria mwa ana nthawi zina imatsimikiziridwa. Impso za mwana poyamba sizitha kutulutsa madzi ambiri. Chifukwa chake, ana amakhala ndi chidwi ndi kuthowa kwamadzi komanso kumwa madzi kwambiri. Pazaka zilizonse, chizindikiro choyenera cha diuresis tsiku ndi tsiku ndi chofunikira. Chifukwa chake, kwa makanda, diuresis mu kuchuluka kuchokera pa 600 mpaka 700 ml imadziwika kuti ndi yofunikira, kwa ana ang'onoang'ono (wazaka za 6 - 6) - 900 ml, kwa achinyamata - 1400 ml. Pofika zaka 18, diuresis ya tsiku ndi tsiku imafikira zisonyezo zokhazikika - 1500 ml, kutengera kukwana kwa machitidwe komanso zakumwa.

Zizindikiro za polyuria mwa ana ndikofunikira kusiyanitsa chizolowezi chokopa chidwi cha achikulire poyendera chimbudzi ndikugwiritsa ntchito mosasamala madzi (madzi, timadziti, mkaka). Ndi polyuria yokhazikika, mwana amayenera kumuyesa kuchipatala.

Zomwe zimayambitsa matenda a polyuria yaumwana zimaphatikizapo:

• matenda a impso (kuphatikizapo obadwa nawo),
• kubweza kwaposachedwa kwa zolakwika zamtima,
• Matenda a Conn (chotupa m'mimba mwa adrenal),
• mavuto amisala
• matenda ashuga
• Matenda a Fanconi ndi matenda amtundu wa makolo omwe amaphatikizidwa ndi zonyansa pakapangidwe ka tubithe epithelium ya impso.

Zizindikiro

Kudziyimira pawokha kwa "polyuria" popanda kufufuza kwathunthu ndikosatheka. Zimakhala zovuta kuti munthu wopanda maphunziro azachipatala azitha kusiyanitsa mitundu ingapo yeniyeni pakukokoloka komwe. Ngati mukukayikira kuwonjezereka kwachilengedwe, muyenera kulumikizana ndi nephrologist kapena urologist.

Njira yotsogola yodziwira polyuria ndiyo mayeso a Zimnitsky - kusonkhanitsa mkodzo womwe udafukulidwa tsiku lililonse, ndikatsimikiza kuchuluka kwa gawo lililonse la maphunziro ndi kafukufuku wina wotsatira. Mutu wa phunziroli ndikuchotsa mkodzo ndi mphamvu yake yeniyeni. Ngati voliyumu yatsiku ndi tsiku ndiyokwera pang'ono kuposa zabwinobwino, ndiye kuti wodwalayo amakhala ndi kukokana kwakanthawi.

Kuyesedwa kwapadera ndi kuchepetsedwa kwa madzimadzi kumatha kuzindikira bwino matenda oyambitsa zomwe zimapangitsa polyuria. Chofunika cha njirayi ndikuwonetsa kuyambitsa thupi kukhala mthupi ladzaza madzi kwa maola 4 mpaka 18. Munthawi imeneyi, wodwalayo amayang'aniridwa chifukwa cha osmolality - chizindikiro chapadera cha mphamvu ya impso. Nthawi yomweyo, kuchuluka kwamadzi mu plasma kumayesedwa.

Zothandiza, koma zothandiza kutsimikizira kuti matendawo ndi kusiyanasiyana ndi njira zotsatirazi:

• kusanthula kwamikodzo ndi kuyesa kwa matope
• magazi a biochemistry kuti azindikire kuchuluka kwa mapuloteni aulere C, zamchere phosphatase, zigawo za nitrogenous, ayoni,
• coagulogram - mayeso okoka,
• cytoscopy
• Zolemba za impso ndi ziwalo zozungulira.
• kuperewera kwa impso,
• CT ndi MRI.

Ngati mukukayikira matenda amtundu wa endocrine, lembani izi:

• kuyezetsa magazi kwa shuga ndi mahomoni,
• chithokomiro
• fupa x-ray
• kuyeserera kwa shuga
• kufufuza kwa matenda am'mimba ma adrenal glands kudzera mu ma x-ray,
• X-ray yachisoni yaku Turkey kupatula kuwonjezereka kwa chida cha pituitary.

Njira zochizira

Chithandizo cha polyuria cholinga chake ndicho kuchotsa zomwe zimayambitsa matenda. Kuti muchepetse kuchira ndikuyambitsa ntchito ya impso yodzaza, wodwalayo ayenera kutsatira zakudya zomwe zimachepetsa mchere wa tebulo ndi zonunkhira, zakudya zamafuta ndi zakudya zowonjezera, kusungidwa ndi viniga, khofi, ndi confectionery. Pamaso pa matenda a shuga, mafuta a nyama ndi shuga zamitundu yonse amalekanitsidwa ndi zakudya. Kuchepetsa kudya zakudya zamafuta - nyama ya pasitala ndi ophika buledi, mbatata.

Magulu akuluakulu a mankhwala omwe amagwiritsidwa ntchito pochiza polyuria:

• electrolyte kulowetsedwa njira (calcium chloride, magnesium sulfate) - kwa kupewa ndi kuthetsa magazi, zotsatira zakumwa, kupanga kuyanjana mu acid-maziko a magazi,
• mtima glycosides (Digoxin, Verapamil) ndi thiazide okodzetsa (Chlortizide, Indapamed) - kubwezeretsa magwiridwe antchito a mtima ndi kuchiza matenda amtima olemedwa ndi diuresis yambiri,
• mankhwala a mahomoni amasonyezedwa endocrine pathologies.

Opaleshoni imakumananso ndi pamene mukupeza ma neoplasms oopsa komanso ma cysts akuluakulu a impso. Ngati njira ina, pakuchiritsira kwa polyuria, ntchito zolimbitsa thupi zimagwiritsidwa ntchito, cholinga chake ndikulimbitsa minofu ndi mafupa a chikhodzodzo. Kegel olimbitsa thupi adziwonetsa okha bwino, makamaka ndi polyuria mwa amayi.

Chithandizo cha anthu

Mankhwala wowerengeka, pali maphikidwe omwe amatha kusintha momwe wodwala alili ndi polyuria. Koma matendawa ayenera kuthandizidwa mosamala ndi matenda a phytotherapy, poganizira zomwe zimachitika mthupi, ndipo asanagwiritse ntchito wowerengeka, ayenera kuonana ndi nephrologist.Maphikidwe awiri amatchuka kwambiri pochiza kuchuluka kwa diuresis ndi mavuto ena a impso:

1. kulowetsedwa aniseed - kugwiritsa ntchito pafupipafupi kumathandiza kuchepetsa kutupa ndi kukonza pokodza, kutenga 5 g ya zipatso za anise kuphika, wiritsani 200 ml ya madzi otentha, mulole kuti amveke kwa theka la ola, kumwa 50 ml 4 pa tsiku tsiku lililonse, kumene - osachepera mwezi kapena mpaka kusintha kosatha boma
2. kulowetsedwa kwa masamba a plantain - amathandiza kuchiritsa matenda a impso ndi matenda a genitourinary, kukonzekera 10 g wa masamba ophwanyika, kutsanulira 200 ml ya madzi otentha, kunena kwa maola awiri ndi atatu, kusefa, kutenga 100 ml kawiri patsiku kwa masabata awiri.

Njira zopewera

Njira zopewera polimbana ndi polyuria ndizosavuta, koma kutsatira nthawi zonse kumachepetsa chiopsezo cha mavuto azaumoyo, kuphatikizapo dongosolo la kwamikodzo:

• kukhathamiritsa kwa chakudya kupatula zakudya zosavuta, chakudya ndi utoto ndi mankhwala osungira,
• gwiritsani ntchito zakudya zochepa zomwe zingapangitse kupanga mkodzo - tiyi wamphamvu ndi khofi, chokoleti, zonunkhira, mchere,
• Mphamvu yakuledzera kwamadzi tsiku lililonse, kuchuluka kwakukulu kwa munthu wamkulu sikupitilira malita awiri amadzi patsiku,
• kukana kumwa mowa,
• kuzindikira kwakanthawi ngati pali zovuta zosokoneza (kukodza pafupipafupi, osadziwika kale, kusasangalala komanso kupweteka pamimba ndi kutsikira kumbuyo, kusungunuka ndi kuwonekera kwamkodzo) komanso chithandizo cha matenda omwe angayambitse polyuria,
• kudutsa mayeso azachipatala osachepera kamodzi pachaka.

Kuti muthane ndi matenda a impso, ndikofunikira kuti mitsempha yamkodzo ndi njira yotupa mu ziwalo zidziwike munthawi yake. Ngati pali zizindikiro zilizonse za kuwonongeka kwa impso, simuyenera kuzengereza, koma muyenera kulumikizana ndi urologist.

Ngati izi sizichitika, ndiye kuti kutupako kumatha kudwala. Pakakhala chithandizo choyenera, izi zimatha kuyambitsa matenda a impso, zomwe zimapangitsa kuti ma polyuria, nocturia kapena anuria aziwoneka bwino.

Mitundu ya Polyuria

Polyuria ndikuphwanya kwamkodzo kwamkodzo komwe kumachitika chifukwa chakuchulukitsa kawiri tsiku lililonse kwamikodzo. Matendawa agawidwa m'mitundu iwiri:

• osakhalitsa - nthawi zambiri chizindikiro cha matenda oopsa komanso tachycardia.
• pafupipafupi - amakula ndi matenda a impso komanso kubisalira mkati.

Tcherani khutu! Kuwonjezeka kwa mkodzo (mpaka malita 10) kumathandizira kuti pakhale mitundu yosiyanasiyana.

Komanso, kutulutsa mkodzo kochulukirapo kungawonetse kukhalapo kwa sarcoidosis ndi myeloma.

Zomwe zimayambitsa matendawa

Polyuria imawonekera chifukwa cha kudwala komanso thupi. Zomwe zimayambitsa matenda a polyuria ndi matenda omwe amayambitsa matenda. Matenda monga awa:

• ma cysts achilengedwe ndi miyala ya impso,
• kulephera kosalekeza
• diverticulitis
• kutupa kwa impso
• matenda a prostate
• Matenda a Shauman
• khansa ya chikhodzodzo
• hydronephrosis,
• myeloma yambiri
• matenda osinthika
• zotupa mu genitourinary dongosolo,
• kukanika kwamanjenje.

Zifukwa zathupi lathupi zimaphatikizapo zamadzimadzi zambiri zomwe zimamwa masana, kugwiritsa ntchito zipatso zambiri zamkati ndi masamba komanso mankhwala osokoneza bongo omwe amakhumudwitsa mosalekeza.

Chifukwa china chowonjezerera mkodzo wa tsiku ndi tsiku ndi shuga.

Kukokota kwa usiku kungasonyeze kusagwira ntchito mu ziwalo zina.

Nthawi zambiri, kuphwanya malamulo kumeneku kumachitika chifukwa cha:

1. matenda ashuga
2. pachimake pyelonephritis,
3. kulephera kwa mtima
4. amyloid nephrosis (sekondale),
5. aakulu mawonekedwe a pyelonephritis mu akazi udindo.

Pakumapeto kwa pakati, kukodza pafupipafupi kungasonyeze asymptomatic pyelonephritis.Pazifukwa izi, ngakhale chinthu choterocho chiyenera kuwachenjeza amayi apakati ndikukhala chifukwa chachikulu chopita kwa urologist.

Zizindikiro za Polyuria

Zizindikiro zazikulu za matendawa zili pakuwonjezereka kwa mkodzo (kuposa malita a 2). Ndi zovuta zosiyanasiyana, diuresis ndi yosiyana. Chifukwa chake, kuchuluka kwa mkodzo wotulutsidwa kungakhale kopanda tanthauzo.

Polyuria, momwe mumakhala kugonjetsedwa kwa ntchito za ma tubules, ndipo kuchuluka kwa mkodzo kukwera mpaka malita khumi, ndi mtundu wowopsa wa matendawa. Komabe, thupi limakhala wopanda madzi ndipo limataya michere yofunikira.

Zofunika! Mkozo, womwe umachotsedwa kwambiri, umakhala wochepa mphamvu. Izi zimayambika chifukwa cha kusungidwa kwa slag chifukwa cha kusintha kwa impso ndi kuwonjezeka kwamkodzo kuti uwalipire.

Komabe, izi sizikugwira ntchito kwa odwala matenda ashuga, chifukwa mkodzo wawo umakhala wowuma chifukwa cha shuga.

Zizindikiro zina za wodwalayo sizivutitsa, chifukwa amamva zowawa ndi matenda omwe amayambitsa polyuria.

Muyeneranso kudziwa momwe polyuria imasiyanirana ndi cystitis. Cystitis imadziwika ndi zizindikiro zomwe kukakamiza ndi mkodzo wocheperako kumasokoneza. Polyuria imadziwikanso ndi zokakamira pafupipafupi, koma nthawi yomweyo, kuchuluka kwa mkodzo kumaposa zomwe zimachitika.

Kodi kuchitira matendawa?

Kusiyanitsa kwa matendawa sikuchitika. Chifukwa kuchuluka kwa mkodzo kumasinthidwa modzilira pambuyo pokhazikitsa ntchito ya impso. Nthawi zambiri, njirayi imakhala yoyenera, chifukwa mankhwalawa amatenga matenda ambiri chifukwa chakuti pafupifupi wodwala aliyense kuchuluka kwa mkodzo kumakhala kofanana.

Ngati kupita patsogolo sikunachitike, ndiye kuti chithandizocho chitha bwino, dokotalayo amamuwuza kuti awone ngati matenda a kwamikodzo akutha. Dokotala amaphunziranso mbiri ya matendawa kuti apeze chifukwa chomwe polyuria idawonekera ndikupereka mankhwala oyenera.

Pomwe chayambitsa matenda chimakhazikika, gawo loyamba ndikuchiza matenda omwe akuwatsogolera. Ndi kutayika kovomerezeka kwa ma elekitiroma, kuperekera kwawo kumapangidwanso mothandizidwa ndi zakudya zapadera.

Koma odwala omwe akudwala kwambiri amapatsidwa chithandizo chapadera, chomwe chimaganizira kuchepa kwa ma elekitirodi. Polyuria ya mawonekedwe opanikizika ngati amenewa amafunika kukonzekera kwamadzi mwadzidzidzi, komwe kumaganizira momwe mitsempha yamagazi imakhalira ndi mtima komanso kuchuluka kwa magazi.

Kuti polyuria ichiritse, mankhwalawa amalembedwa pogwiritsa ntchito thiazide diuretics yomwe imakhudzanso impso tubules komanso kupewa mkodzo.

Ma diuretics amatha kuchepetsa mkodzo ndi 50%. Amalekeredwa bwino ndipo samakhala ndi zovuta zoyipa (kupatula hypoglycemia).

Zofunika! Kuti polyuria isavutike ndi kukodza pafupipafupi, ndikofunikira kuyang'anira kuchuluka kwa madzi omwe amagwiritsidwa ntchito.

Komanso, kuchokera muzakudya muyenera kuchotsa zakudya zomwe zimakwiyitsa kwamikodzo dongosolo:

• zakumwa zooneka bwino
• mowa
• mankhwala achokoleti
• zonunkhira.

Chithandizo cha anthu

Kuti muchotse mavuto a impso ndi chikhodzodzo, anise amalimbikitsidwa. Kukonzekera yankho la 1 tsp ya anise, 200 ml ya madzi otentha amatsanuliridwa, ndipo pambuyo mphindi 20 amatsanulidwa ndikusefedwa. Chidacho chidamenyedwa mphindi 20 asanadye chakudya cha mwezi umodzi pa 50 ml.

Plantain amagwiritsidwanso ntchito kubwezeretsa dongosolo loyambira. Kulowetsedwa kuchokera ku plantain kumachitika motere: 25 g ya mbewu imathiridwa ndi kapu yamadzi otentha, ndiye kuti yankho limagwedezeka ndikusefa. Chidacho chimatengedwa katatu patsiku chisanafike chakudya cha 1 tbsp. supuni.

Zambiri za polyuria mwa ana

Ana amakhala ndi matendawa pafupipafupi. Koma ngati izi zichitika, ndiye zomwe zimayambitsa polyuria:

1. kudya kosadziletsa,
2. matenda a impso
3. mankhwala osokoneza bongo
4. matenda a mtima
5. mavuto amisala
6. Matenda a Fanconi
7. matenda ashuga
8. Matenda a Conn.

Kuphatikiza apo, polyuria mwa mwana imatha chifukwa cha chizolowezi chochezera pafupipafupi kuchimbudzi ndikumwa madzi ochuluka.

Zofunika! Ngati mwana ali ndi chikhodzodzo cha neurogenic, muyenera kufunsa dokotala yemwe akupatseni mankhwala ovuta.

Kuti chithandizo cha kuphwanya chikhale chothandiza, zomwe zimachitika zimayenera kupezeka. Zochita za mankhwala omwe adapangidwira umalimbana ndikuchotsa zomwe zimayambitsa matendawa. Ndipo chithandizo chowonjezerapo chithandiza chitetezo cha mthupi komanso kuchepetsa mchere ndi madzi mthupi.

Zikhala zofunikira pathupi lathu monga kukodza. Nthawi zambiri, mpaka malita atatu a mkodzo amayenera kupakidwa mwa munthu wathanzi. Ngati ndalamazi ndizokwera kwambiri kuposa zabwinobwino, titha kunena kuti munthu ali ndi polyuria. Zomwe zimayambitsa matendawa, Zizindikiro ndi chithandizo chomwe akuyenera kumwa.

Lingaliro lazonse la matendawa

Tiyeni tiwone kuti polyuria ndi chiyani komanso momwe amapangira. Pamene thupi la munthu likugwira ntchito moyenera, pafupifupi 1,200-1,700 ml ya mkodzo (umodzo) umapangidwa ndikuwachotsa patsiku. Chiwerengerochi chitha kuchuluka kapena kuchepa kutengera kuchuluka kwa madzi akumwa kapena kutentha kwa malo ndipo sikuwonetsa nthawi zonse zovuta za pathological. Pali magawo awiri m'ndime yomwe mkodzo umapangidwa.

Choyamba, gawo lamadzi amadzimadzi limasefedwa mu impso glomeruli. Pambuyo pake, timadzi timeneti timatsata tubules, chifukwa thupi limasunga zinthu zofunikira, ndipo zofunikira zimalowa mu chikhodzodzo - uwu ndi mkodzo. Koma kuchuluka mkodzo akachuluka kangapo (malita 3-5) patsiku, ndiye kuti kupatuka kwa pathological mu genitourinary system kumatchedwa polyuria.

Njira ya polyuria mwa akazi

Zimayambitsa kukodza pafupipafupi

Zomwe zimayambitsa polyuria mwa ana ndi akulu zimakhazikika pamitundu iwiri - zokhudza thupi komanso zam'magazi. Mtundu woyamba umaphatikizapo zinthu zofunika monga kukhalapo kwa chotupa mu chikhodzodzo kapena chotupa cha khansa, miyala ya impso, pyelonephritis, kulephera kwa impso, kupezeka kwa cysts mwa iwo, lembani matenda ashuga a 1-2, kusokonezeka kwa mitsempha ya amuna, mwa abambo, kupezeka kwa polyuria kungayambitse Prostate . Matenda monga Barter's matenda, Bennier-Beck-Schauman amathanso kuyambitsa matenda a polyuria. Nthawi zambiri, mawonekedwe a pathological nthawi zambiri amatsogolera ku nocturnal polyuria ndipo amatha kuwoneka motsutsana ndi maziko:

• mavuto ndi mtima
• komanso chotupa cha pyelonephritis mwa amayi apakati,
• matenda ashuga amtundu uliwonse
• sekondale amyloid nephrosis,
• mwa amayi omwe ali mu 3rd trimester ya mimba, omwe akuwaganizira kuti asymptomatic pyelonephritis.

Zokhudza thupi chifukwa cha maonekedwe a polyuria zimatha kugwirizanitsidwa ndi kugwiritsa ntchito okodzetsa, zomwe zimapangitsa kupanga mkodzo mukamamwa madzi ambiri, kvass, mowa, zakumwa za khofi kapena khofi. Itha kuchitika mwa anthu omwe akhala ozizira kwa nthawi yayitali ndipo achisanu (overcooling).

Zowoneka za maphunziro a polyuria mwa ana

Polyuria mwa ana ndi osowa.

Pali zinthu zingapo zomwe zimapangitsa kuti mwana azikodza pafupipafupi:

• mwana ali ndi vuto lalikulu la impso kapena mtima,
• Cohn syndrome kapena Tony-Debre-Fanconi syndrome,
• kupatukidwa kwachisoni,
• chizolowezi choyipa, chomwe chimawonekera ndikuyendera pafupipafupi ku chimbudzi,
• Kugwiritsa ntchito kwambiri madzi, msuzi, tiyi kapena zipatso zophatikizika.

Polyuria amathanso kusokonezedwa ndi lingaliro lotere mwa mwana monga. Ndi zizindikiro zonse, muyenera kuwona dokotala nthawi yomweyo.

Kuzindikira koyambirira kwa zomwe zimayambitsa matenda a polyuria mwa mwana komanso chithandizo cha panthawi yake kumathandiza kupewa zovuta, ndipo njira zosankhidwa bwino zamankhwala zimathandizira kuchotsa matendawa posachedwa.

Zizindikiro zakuwonekera kwa matendawa

Chizindikiro chofunikira kwambiri komanso chosiyanitsa ndi polyuria chikuwonekera pakuwonjezeka kwa mkodzo wowonjezera mkati mwa maola 24, umaposa kuchuluka kwa 1,700 ml. Pamaso pa matenda osiyanasiyana, kuchuluka kumeneku kumatha kuchuluka, mwachitsanzo, ndi matenda a shuga. Wodwala amatha kupitiliza mkodzo wopitilira 3-4, koma kuchuluka kwa maulendo akuchimbudzi kumatha kukhalako nthawi 5-6 patsiku. Ambiri, polyuria imawonetsedwa ndi kuwonjezeka kwa mkodzo usiku, zomwe zimayambitsa kusowa tulo, kukakamiza kudzuka nthawi zingapo usiku kukaona chimbudzi. Zizindikiro zoterezi zimadziwikanso ndi matenda ashuga.

Mwa odwala ena, omwe ali ndi vuto la mafungo a impso tubules, amafikira 8-10 malita, pomwe pali kutayika kwakukulu kwa zinthu zofunika monga potaziyamu, magnesium, calcium. Zikatere, thupi limataya chloride ndi madzi, zomwe zimapangitsa kuti madzi ake asooke. Mbali yodziwika bwino ya mkodzo, yomwe imakokedwa m'malo ambiri, ndimachepetsa. Impso chifukwa cha kuchedwa kwa poizoni zimalephera kwambiri kuzama, zomwe zimapangitsa kuti mkodzo uwonjezeke. Anthu odwala matenda ashuga pamenepa ndiwosiyana ndi ena, chifukwa kuchuluka kwawo, kachulukidwe sikasintha, koma ndi matenda a shuga, kutsekeka kwa mkodzo kumakhalabe kotsika.

Kodi polyuria ndi chiyani?

Polyuria ndi kuchuluka kwamikodzo komwe umapezeka mwa munthu. Zomwe zimayambitsa matendawa ndizosiyanasiyana. Izi zitha kukhala chizindikiro cha matenda owopsa: matenda ashuga, pyelonephritis, hydronephrosis, urolithiasis. Ngati chithandizo sichitsatira posachedwa, ndiye kuti zotsatirapo zake zingakhale zachisoni. Kupatula apo, chamoyo choterocho chimawopsezedwa ndi kusowa kwamadzi.

Kuchuluka kwamikodzo komwe kumatulutsidwa kumayesedwa mosavuta kunyumba. Kuti muchite izi, muyenera kukonzekera chidebe chapadera ndi kukodza osati mchimbudzi, koma kokha mmenemo. Nthawi zambiri matendawa amaphatikizidwa ndi kuchuluka kwa diuresis usiku komanso kukodza pafupipafupi. Odwala omwe ali ndi polyuria amakakamizidwa kudzuka ndi kudzuka usiku kuti atulutse chikhodzodzo.

Mtundu wa mkodzo nthawi zambiri umasintha. Imakhala yopepuka, ndipo nthawi zina imawonekera kwathunthu. Izi ndizowopsa chifukwa mchere wambiri ndi glucose umachotsedwa mkodzo. Magazi amatha kusintha. Zikatero, chithandizo chamankhwala chimafunikira mwachangu.

Koma nthawi zina polyuria sikungowonetsa matendawo. Izi zimachitikanso mwa anthu athanzi ngati amamwa madzi ambiri patsiku kapena kumwa okodzetsa. Koma, mulimonsemo, ndikofunikira kuyesedwa.

Njira zochizira

Palibe njira zochizira polyuria ngati matenda osiyana. Mankhwala onse ndi othandizira kuthetsa zomwe zimayambitsa zimachitika potsatira chizindikirocho. Matenda a wodwalayo amasintha atasintha matendawo, komanso kuchuluka kwake kwamkodzo ndi mtundu wake. Polyuria ikapezeka, ndikofunikira kubwezeretsanso thupi ndi zinthu zotayika (ma elekitirodiya):

Amatha kubwezeretsedwanso ndi thupi komanso chakudya chopangidwa moyenera, komanso mothandizidwa ndi zakudya zowonjezera kapena vitamini-mineral complex.

Ngati kutayika kwa zinthu zomwe zinali ndi zovuta, ndiye kuti wodwala amayankhidwa kuti apatsidwe mankhwala mwadzidzidzi kuti awabwezeretse - kulowetsedwa kwamitsempha, kuyang'aniridwa kwapadera kuyenera kuperekedwa kwa mtima kuti musavutike.

Ngati polyuria yapezeka mwa wodwala yemwe ali ndi matenda a shuga, ndiye kuti thiazide diuretics kapena mtundu wawo umafotokozedwa, zomwe zimalepheretsa mkodzo wambiri. Mankhwala osankhidwa bwino amatha kuchepetsa chiwonetsero cha polyuria ndi 40-50%.

Chithandizo cha polyuria makamaka cholinga chake ndikuchepetsa zinthu zomwe zimakwiyitsa gawo la genitourinary - mowa, chokoleti, zakumwa zozunguliridwa ndi mpweya, makamaka ndi utoto, mitundu yosiyanasiyana ya zonunkhira, ndimadzi akumwa ambiri ayenera kukhala ochepa.

Kupewa matenda

Pofuna kupewa kubwereranso kwa polyuria, ndikofunikira kutsatira njira zina zodzitetezera:

• Limbitsani makhoma a chikhodzodzo. Kegel olimbitsa thupi amathandizira bwino pamenepa. Kuchita zolimbitsa thupi tsiku lililonse kwa miyezi iwiri itatu kumalimbitsa gawo, kuyamba ndi kubwereza 30, kubwereza kubwereza kwa 100-150 nthawi imodzi
• Sinthani kadyedwe kanu - siyani tiyi wa khofi wolimba, zakumwa zoledzeretsa, zakumwa zoziziritsa kukhosi, zonunkhira, zonunkhira, utoto ndi zotsekemera.
• Osamamwa madzi ambiri, makamaka usiku - izi zimatha kuyambitsa kukodza, kuchuluka kwa madzi sikuyenera kupitirira 1.5-2 malita patsiku.

Ngakhale polyuria itabuka mwadzidzidzi, osayambitsa zovuta zambiri, komabe musanyalanyaze kuchezera kwa dokotala. Kumbukirani kuti kuchezera kwa nthawi yake kwa katswiri kudzakuthandizani kupewa zovuta, kuthetsa kupezeka kwa matenda owopsa komanso kuthetsa mavuto. Kudzipatsa nokha mankhwala a polyuria ndikosavomerezeka.

M'miyoyo yawo yonse, anthu ambiri akhala akukumana ndi chinsinsi chofuna kukopa. Odwala ambiri samatengera kufunikira kwa chizindikirochi, pokana mayeso a labotale komanso othandizira omwe angawonetse zomwe zimayambitsa. Polyuria ndi chizindikiro choopsa cha impso zoyenda ndi kusefa, zomwe zimatha kuwonetsa zolakwika zazikulu mu neuroendocrine, genitourinary ndi machitidwe ena.

Kodi chodabwitsa cha polyuria ndi chiyani?

Polyuria ndiye mkhalidwe wa pathophysiological wa dongosolo la urogenital laumunthu, lomwe limawonetsedwa mwa kupangika kwamikodzo mkodzo m'thupi ndi kukodza pafupipafupi. Nthawi yomweyo, kuchuluka kwa mkodzo wotulutsidwa komanso kachulukidwe kake kumasinthanso: motere, munthu amatha kutaya madzi okwanira malita asanu ndi limodzi tsiku limodzi. Polyuria imatha kukhala chimodzi mwazizindikiro zakusokonekera kwa ziwalo zamkati, komanso kukhala njira yodziyimira payokha, yomwe imatha kukhala chifukwa cha machitidwe amthupi.

Wachikulire wathanzi amapatsa madzi okwanira malita 1.5 tsiku limodzi. Ngati izi zimaposa makumi atatu - makumi anayi peresenti iwo amalankhula za chodabwitsa cha polyuria. Ngati kuchuluka kwa madzimadzi omwe amatulutsidwa kuli kochepa poyerekeza ndi izi, wodwala amatha kupezeka ndi oliguria kapena anuria.

Nthawi zambiri, madzi onse olowa mthupi amatha kuchoka m'madzi thukuta ndi mkodzo, kapena amagwiritsidwa ntchito popanga maselo ndi minyewa yambiri, kuwapatsa madzi ofunikira. Kuphwanya mulingo woyenera, njira zosinthira sizilephera, impso sizigwira kuchuluka kwa madzi ofunikira m'thupi, zomwe zimapangitsa kuti pakhale kuperewera kwamadzi ndikuphwanya madzi ndi electrolyte. Kuperewera kwa ma electrolyte kumayambitsa kusokonezeka muzochitika zokhudzana ndi minyewa yam'mimba komanso minofu yamtima, yomwe imawonetsedwa ndi hypotension ndi atony, komanso arrhythmias yayikulu. Pazizindikiro zoyambirira za phokoso la mtima, muyenera kufunsa dokotala: ichi ndi chowopsa chomwe chingayambitse kumangidwa kwamtima, chifukwa chake simuyenera kuchisiya osakonzekera.

Kupweteka mu mtima ndi kumva kwa ozungulira contractions - woyamba chizindikiro cha chitukuko cha arrhythmia

Kugawidwa kwamatenda

Pakadali pano, palibe gulu logwirizana la polyuria. Popeza matendawa ndi amitundu yosiyanasiyana ndipo akuwonetsa mkhalidwe wamtundu wamtunduwu womwe wabwera pakanthawi kake panthawi iliyonse yamatenda, ndikofunikira kwambiri kulingalira za kapangidwe ka matenda a polyuria. Ithandizanso kudziwa zomwe zimayambitsa ndikuwonetseratu njira zamankhwala. M'pofunikanso kuganizira zaka zamagulu odwala: Izi zimathandizira kudziwa kuchuluka kwa mankhwalawa komanso kuchuluka kwa mankhwalawa.

Kugawa kwa polyuria kutengera momwe makinawo amachitikira:

• pathological polyuria, yomwe imalumikizidwa ndi kupezeka kwa wodwala matenda aliwonse a neuroendocrine, mtima, genitourinary system,
• zokhudza thupi chifukwa cha kuchuluka kwa madzi masana,
• mankhwala polyuria, omwe amakwiya chifukwa chogwiritsa ntchito mankhwala othandizira okodzetsa kapena wowerengeka azitsamba.

Kugawa malinga ndi zaka zake:

• polyuria mu makanda (ana osakwana chaka chimodzi),
• polyuria ana kuyambira chaka chimodzi mpaka zaka zitatu,
• polyuria mu ana a sukulu zamkaka zamsukulu zakubadwa komanso zaka zasukulu (kuyambira zaka zinayi mpaka khumi ndi zinayi),
• polyuria ya nthawi yakutha msinkhu (kuyambira zaka khumi ndi zinayi mpaka zaka makumi awiri ndi chimodzi),
• polyuria ya akulu (m'badwo mpaka zaka makumi asanu),
• polyuria ya zaka za senile (wopitilira zaka makumi asanu ndi zisanu).

Gulu la polyuria kutengera kuchuluka kwa mkodzo wotayika:

• digiri yoyamba: kuchokera malita awiri kapena atatu a mkodzo patsiku,
• digiri yapakati: kuchokera pa malita anayi mpaka asanu ndi limodzi patsiku,
• digiri yomaliza: oposa malita khumi masana.

Kugawika kwa pathological polyuria pazifukwa mwadzidzidzi:

1. Kwambiri kukodza mu shuga. Izi zokhudzana ndi matenda amtunduwu zimakhudzana mwachindunji ndi kuperewera kwa glucose wogwiritsidwa ntchito ndi thupi chifukwa cha kuchepa kwa insulini (mahomoni a kapamba, omwe amayang'anira kayendedwe kazinthu zamagalimoto). Zotsatira zake, kuchuluka kwa glucose m'magazi, kutuluka kwake mkodzo kumachitika, chifukwa madzi amachotsedwa m'thupi mothandizana nawo.
2. Polyuria yokhala ndi matenda ashuga. Matendawa, omwe amatchedwa matenda a shuga insipidus, amadziwika ndi kuphwanya kwa hypothalamic-pituitary system, yomwe imayang'anira kapangidwe ka timadzi tambiri totchedwa vasopressin. Ali ndi udindo wopangitsa madzi kudutsa kudzera mu mafupa aimpso. Ndi kusowa kwake, madzi ambiri amachotsedwa m'thupi, kutayika kwake kumakhala malita khumi patsiku.
3. Mumakonda kukodza msanga ndi vegetovascular dystonia. Matendawa amagwirizanitsidwa ndi kukhudzika kwa mphamvu yamanjenje mpaka kuchitike kunjenjemera. Chifukwa cha kuchuluka kwamkodzo pamtunda, mitsempha imapangitsa kuti impso izipangika kwambiri.
4. Polyuria wokhala ndi mowa wambiri. Izi matenda amapezeka mwa anthu azaka zakubadwa, omwe akumwa mowa kwambiri woposa zaka khumi ndi zisanu. Zakumwa zoledzeretsa zimatha kuwonjezera mkodzo womwe umapangidwa mthupi, womwe umalumikizidwa ndi zotsatira zawo pazigawo zina za dongosolo la neurovegetative.
5. Kuchulukitsa kwa mapangidwe a mkodzo poyankha kupsinjika kwakukulu. Mothandizidwa ndi chinthu chodetsa nkhawa, machitidwe omvera chisoni-adrenal amathandizira wodwala, omwe amaphatikizidwa ndi kuthamanga kwakukulu kwa adrenaline. Zimapangitsa kutulutsa kwamphamvu kwamadzi ndi kuphwanya kwa mayamwidwe ake a impso.

Zomwe zimachitika ndi matendawa m'misinkhu yosiyanasiyana komanso mosiyanasiyana

Munthu aliyense ndi wapadera mwanjira yake ndipo ali ndi mawonekedwe ena ake kapangidwe kake ka thupi, kutengera jenda, zaka komanso dziko la njira yoberekera. Monga kafukufuku waposachedwa ndi akatswiri otsogola akuwonetsa, azimayi azaka zakubala komanso nthawi yomwe ali ndi pakati nthawi zambiri amakhudzidwa ndi kupangidwa kwa polyuria. Mwa anthu achikulire ndi azimayi omwe amawopa kukalamba, matendawa ndi oopsa kwambiri kuposa m'magulu ena. Ana pafupifupi samadwala polyuria: imawonedwa ngati chizindikiro cha kuphwanya lamulo la kumwa.

Samalani ndi moyo wanu: nthawi zambiri polyuria imayamba mwachindunji chifukwa cha zizolowezi zoyipa, kuperewera kwa zakudya m'thupi kapena kugwiritsa ntchito mankhwala.

Gome: Njira ya matendawa ndi kusankha kwamankhwala malinga ndi jenda ndi zaka

Kodi ndimatenda ati omwe matendawa angayambire?

Kutulutsa mkodzo kwambiri nthawi zambiri kumatha kukhala chifukwa chomwa madzi ambiri (polydipsia), makamaka ngati muli ndi mowa kapena caffeine. Polyuria ndi chimodzi mwazizindikiro zazikulu za matenda ashuga. Pamene impso zimasefa magazi kuti apange mkodzo, amabweza shuga lonse, ndikubwezera m'magazi. Mu matenda a shuga, kuchuluka kwa glucose m'mwazi kumachulukitsidwa, chifukwa chomwe sichimasinthidwa kwathunthu mu impso. Ena mwama glucose ochulukawo ochokera m'magazi amalowa mkodzo. Shuga uyu mumkodzo amamanga madzi ena, potero amawonjezera mkodzo. Zomwe zimayambitsa polyuria ndi monga:

• Matenda a shuga ndi matenda osachiritsika omwe amakhala ndi impso zomwe zimakhudza mahomoni mu impso, ndikuwapangitsa kuti azitulutsa mkodzo wambiri.
• Cushing's syndrome ndi matenda omwe amakula ndi milingo yayitali yamadzi am'magazi.
• Matenda a impso (glomerulonephritis, pyelonephritis).
• Kulephera kwa chiwindi.
• Fanconi syndrome ndi matenda obadwa nawo omwe amakhudza impso tubules, zomwe zimapangitsa kuti mkodzo uwonjezeke.
• Chithandizo cha ma diuretics omwe amathandiza kuchotsa madzi mthupi.
• Kumwa mankhwala ena - mwachitsanzo, kukonzekera kwa lithiamu, maantibayotiki kuchokera ku gulu la tetracycline.
• Hypercalcemia ndiwonjezere kuchuluka kwa calcium m'magazi, zomwe zingakhale chifukwa cha chithandizo cha mafupa, metastases y khansa yambiri mu fupa, hyperparathyroidism.
• Hypokalemia - kuchepa kwa milingo ya potaziyamu, yomwe imatha kuwonedwa ndi matenda otsekula m'mimba, okodzetsa, pulayimale yapamwamba kwambiri.
• Psychogenic polydipsia - kumwa mopitirira muyeso, komwe kumakhala kofala kwambiri mwa azimayi azaka zapakati omwe amakhala ndi nkhawa komanso odwala omwe ali ndi matenda amisala.
• Sickle cell anemia ndimatenda amtundu womwe umawonekera ngati kuphwanya kwa ntchito yama cell ofiira.

Usiku ndi usana polyuria

Nthawi zambiri, mwa munthu wathanzi, ambiri mkodzo (mpaka 70%) amamuchotsera masana. Mkhalidwe womwe mkodzo wambiri womwe umachitika ndi impso makamaka usiku kapena madzulo umaposa kupangika kwa mkodzo masana kumatchedwa nocturia. Munthawi yovomerezeka, mkodzo potuluka uwu umadziwika ndi makanda: popeza amadya kwambiri, kuchuluka kwa mkodzo kumagawidwanso chimodzimodzi maola oposa makumi awiri ndi anayi. Mwa okalamba, izi zimawonetsa kuwonongeka kwa dongosolo la impso.

Zifukwa zazikulu za nocturia zimaphatikizapo:

• cystitis
• matenda amitsempha
• pyelonephritis,
• glomerulonephritis,
• cholumikizira minofu yade,
• autoimmune thupi lawo siligwirizana.

Nocturia amadziwika ndi kudzuka pafupipafupi pakati pausiku, pomwe wodwalayo amakumana ndi vuto lalikulu la chikhodzodzo komanso akumva kusefukira. Kuuka koteroko kumatha kuonedwa mpaka kasanu pakati pausiku.

Masana polyuria ndichinthu chodziwika bwino chomwe chimachitika mu matenda osiyanasiyana amanjenje ndi endocrine. Amadziwika ndi mapangidwe a mkodzo wambiri pokhapokha masana: usiku, odwala amagona mwakachetechete, osavutika ndi kudzutsidwa ndi kusowa tulo. Ndikofunika kuchiritsa masana polyuria pokhapokha mutayambitsa chomwe chimachitika.

Kudzuka kwamadzulo kumachepetsa mphamvu yamanjenje

Zomwe zimatha kuyambitsa kukula kwa polyuria, komanso zinthu zoyambitsa

Polyuria ndi chizindikiro cha matenda chifukwa chotheka kukayikira kukula kwa matenda ena mthupi la munthu zomwe zimakhudza mwachindunji kapena m'njira zina impso yake. Pathology imayambitsidwa ndi chifukwa chimodzi chokha, komanso kuphatikiza kwawo. Kuti mupeze chithandizo choyenera chodwala chomwe chimayambitsa matenda ndikupeza chomwe chimayambitsa, ndikofunikira kuphunzira mbiri yachipatala ya wodwalayo ndikumvetsera madandaulo ake. Monga mukudziwira, polyuria imatha kukhala zonse zaumoyo komanso zamakhalidwe, zomwe zimagwirizana mwachindunji ndi kapangidwe ka thupi.

Zomwe zimayambitsa komanso zomwe zimayambitsa kukula kwa polyuria ndi monga:

• kugwiritsa ntchito mankhwala okhala ndi okodzetsa ena: izi zimaphatikizapo ma diuretics onse ndi mankhwala ena a antibacterial,
• kugwiritsa ntchito zitsamba: chamomile, chowawa, St. wort wa St. John, mandimu a mandimu ndi zitsamba zina zambiri zimakhudzanso diuretic.
• kumwa mitundu yambiri ya zakumwa zoledzeletsa zakumwa zambiri (mowa, vodika, kuwala kwa mwezi, gin),
• kugwiritsa ntchito tiyi kapena khofi (zinthu zopatsa mphamvu, zakumwa zamphamvu, chokoleti chamdima),
• chicory
• matenda ashuga
• pyelonephritis,
• chotupa cha impso
• zilonda zoyipa za kwamikodzo,
• kulowetsedwa kwa ambiri isotonic solution pogwiritsa ntchito dontho,
• glomerulonephritis,
• matenda ashuga
• vegetovascular dystonia,
• zovuta zamalumikizidwe a hypothalamic-pituitary,
• mimba
• kusintha kwa thupi
• chifuwa chachikulu,
• kutsika kwa ndende ntchito ya poizoni chifukwa chakupha ndi mchere wazitsulo,
• kumwa kwambiri madzi ndi chakudya chama protein ambiri,
• kudya owonjezera mchere (oposa magalamu asanu patsiku),
• matenda a genitourinary system,
• msana ndi kuvulala kwa ubongo
• zotupa za neuroendocrine dongosolo.

Zizindikiro zazikulu zachipatala za polyuria

Kulekanitsidwa kwamkodzo kwamkati kumakhala ndi mawonekedwe ake amtundu, zomwe zimapangitsa kudziwa bwino kuchuluka kwa matendawa komanso kukula kwa kulowerera kwa minyewa ya impso pakukonzekera. Zizindikiro zonse zamatenda zomwe zimakhala ndi polyuria zitha kugawidwa padera komanso wamba. Maonekedwe a zizindikiro zofala zimakhudzana mwachindunji ndi kuchotsedwa kwamadzi kuchokera mthupi: kusokonezeka m'madzi ndi kupendekeka kwa electrolyte, limodzi ndi zinthu zofunikira zamadzi, kufufuza zinthu ndi ma macrocell kumatsukidwa. Thupi limafooka ndipo limayamba kuwonekera mosavuta pazovuta za chilengedwe. Zizindikiro zakumaloko zimachitika chifukwa cha kupsinjika kwa minyewa ya impso ndi thirakiti la mkodzo poyenderera mkodzo pafupipafupi.

Zizindikiro zodziwika bwino za polyuria zimaphatikizapo:

• kutsitsa kapena kuchuluka kwa magazi,
• kuwonda
• arrhythmias,
• minofu kukokana ndi kukokana
• mseru ndi kusanza kunja kwa zakudya,
• mutu ndi chizungulire,
• kukomoka
• kufooka, ulesi, ulesi,
• kuchepa kukana zolimbitsa thupi,
• atengeke matenda opatsirana (pafupipafupi pachimake kupatsirana matenda, chimfine),
• palpitations
• kufooka kwa minofu
• kupweteka kwa molumikizana
• zovuta zosowa tulo, kugona tulo.

Onetsetsani kuti mukuyang'anira kulemera kwake: izi zikuthandizani kujambula kusintha kwake

Poyerekeza ndi zomwe zalembedwa pamwambapa, odwala nthawi zambiri amakhala okwiya komanso osakwiya, kukana nkhawa ndi ntchito zimachepa, zomwe zimawononga ntchito yayitali ndi moyo wawo.

Zizindikiro zakumidzi kukoka pafupipafupi ndi:

• pafupipafupi (kangapo khumi ndi zisanu kapena kuposa pamenepo),
• kupweteka m'dera lumbar,
• Mitsuko ikuluikulu yomwe imatulutsidwa mkati mwa chikhodzodzo (mpaka mamililita mazana asanu pa ntchito iliyonse),
• Kusintha kwa mkodzo (kumakhala kopanda utoto, pafupifupi kuwonekera, sikukhala ndi zosafunika),
• kupweteka ndi kupweteka pokodza,
• kusokonezeka kwa minofu lumbar.

Kupweteka kumbuyo kumawonetsa kutupa

Momwe mungadziwire polyuria

Polyuria ndi matenda othandizira ndi labotale omwe amatha kukhazikitsidwa onse pamaziko a madandaulo ndi mawonekedwe, komanso pophunzira kusanthula kwa odwala. Chinthu choyamba chomwe dokotala amatenga chisamaliro pamene wodwala akudutsa pakhomo la ofesi yake akuwonekera. Odwala omwe ali ndi polyuria amakhala ndi khungu louma komanso lotuwa, lomwe nthawi zambiri limakutidwa ndi ming'alu ndi zipsera. Lilime limakhala ndi zokutira imvi, wodwalayo amangodandaula za ludzu komanso kuperewera kwamasamba osakwanira. Chifukwa cha kuchepa thupi msanga, matupi otambasuka ndi kuchepa kwa zikopa za khungu zitha kuwonedwa: odwala amawoneka onenepa komanso osasamala. Maso ogonana nthawi zambiri amakhala akuvulazidwa.

Pa palpation pamimba ndi lumbar dera, kupweteka kwambiri ndi kuphipha kwa minofu ya mmunsi kumachitika. Izi zimachitika chifukwa cha kulumikizidwa kwa kachilombo koyambitsa bakiteriya komanso kukula kwa kutupa. Chizindikiro chinanso chitha kukhala kuuma kwa makope amaso tikamayamwa, chifukwa cha kusowa kwamadzi.

Matenda a matenda osiyanasiyana

Kusiyanitsa kosiyanitsa komwe kumayambitsa polyuria kumakhazikitsidwa pakuwunika kwa zoyamba komanso zachiwiri, zomwe zimawonetsa kuwonongeka kwa ziwalo zambiri ndi machitidwe. Mwachitsanzo, kuti muwone zamomwe mafupa a neuroendocrine amafunikira, kuyeserera kuti ayesere mkodzo ndikuchita kafukufuku wothandizanso wa ziwalo zambiri. Mu thupi polyuria, kuzindikira kumachitika chifukwa cha kuwunika tsiku ndi tsiku kuchuluka kwa timadzi timadzi tokhathamira ndi zotulutsa.

Chithandizo cha matenda aliwonse chikuyenera kuthandizidwa ndi dokotala wamankhwala ena. Osayesera kuchotsa zomwe zimayambitsa polyuria nokha: izi zimatha kubweretsa zotsatira zoyipa ndikusokoneza thanzi la anthu ambiri.

Nthawi zambiri, kusiyanasiyana koyenera kumachitika chifukwa cha matenda kapena mawonekedwe amtunduwu:

• matenda a impso (nephritis, glomerulonephritis, pyelonephritis),
• kulephera aimpso mu gawo la kubwezera,
• lembani 1 ndikulemba matenda ashuga 2
• matenda ashuga
• uchidakwa wambiri,
• zotupa zamkati za katulutsidwe wamkati,
• zilonda zakuda za chapakati ndi zotumphukira zamanjenje.

Njira zasayansi zozindikira matenda a polyuria

Ma diagnostics a labotale amagwiritsidwa ntchito kudzipatula ndikumazindikira wopanga matenda opatsirana, kumveketsa kuchuluka kwa shuga m'magazi, komanso kuphunzira mkodzo pansi pamakina oonera tinthu tating'ono. Zoyeserera zambiri zimaperekedwa m'mawa pamimba yopanda kanthu, ndipo tsiku latha kuti aletse kumwa mowa, mankhwala osokoneza bongo komanso mankhwala ena. Kuyeserera kwa mkodzo kumatengedwa pambuyo pa chimbudzi chaukhondo cha genitalia yakunja.

Kuti mudziwe kuchuluka kwa shuga, gwiritsani ntchito dontho la magazi lomwe limatulutsa chala

Mayeso omwe amagwiritsidwa ntchito masiku onse:

1. Kuwerengera magazi kwathunthu kumathandiza kudziwa njira yotupa mthupi.Ndi pyelonephritis ndi glomerulonephritis, kuwonjezeka kwakukulu kwa erythrocyte sedimentation sedimentation kudzawonedwa, ndipo kuchuluka kwa maselo a leukocyte azikhala okwera kawiri kapena katatu kuposa abwinobwino.
2. Kuyesedwa kwa biochemical kofunikira kuti mupeze kuchuluka kwa shuga: Zizindikiro zowonjezera zingakhale chizindikiro cha matenda ashuga. Kuwunikira kuchuluka kwamagetsi: potaziyamu ndi calcium zimachitikanso.
3. Kusanthula kwakanthawi kwamkodzo kumawonetsa ntchito yaimpso: kuwuma kwa mkodzo kusintha, mtundu wake, zosayipitsidwa zakuda. Nthawi zina akatupa, ma cell a epylindrical kapena epithelial amatha.
4. Urinalysis malinga ndi Nechiporenko imakupatsani mwayi wowerengera ma cellular (ma cell ofiira a magazi, maselo oyera ndi masilinda) mu lita imodzi. Kuwonjezeka kwa zizindikirozi kukuwonetsa kukula kwa kusintha kwa kutupa mu minyewa ya impso mwa wodwala.

Njira zozindikiritsa ndi chida cha polyuria

Kupeza zida zam'manja kumakuthandizani kuti mudziwe zomwe zimayambitsa polyuria. Pankhani ya matenda a neuroendocrine ndi zotupa za pakatikati kapena zotumphukira zamitsempha, kuyang'ana matendawa ndikosavuta: wodwalayo ayenera kumangoyendera phunzirolo kamodzi, malinga ndi momwe matendawa adzapangidwire. Njira zopangira zida zogwiritsidwa ntchito popanga zida zimagwiritsidwa ntchito limodzi ndi njira zama labotale, zomwe zimapangitsa kuti athe kuyesa kuchuluka kwa zotupa ndikuchita pakulumikizana kwinanso.

Pozindikira matenda omwe amachititsa polyuria, zotsatirazi zimagwiritsidwa ntchito:

Momwe mungathane ndi matenda

Chithandizo cha polyuria chitha kukhala chofunikira kuthana ndi zomwe zimayambitsa, komanso kukonza matendawo nthawi zonse. Nthawi zina, sizingatheke kuyendetsa bwino vutoli - chifukwa chake, madokotala amapanga chithandizo chamankhwala. Amachokera ku kuphatikiza zakudya zoyenera, masewera olimbitsa thupi, njira zolimbitsa thupi ndikutsatira nthawi yochiritsidwa. Popewa kukula kwamavuto monga arrhythmias, kuchepa madzi m'thupi, kusazindikira bwino komanso kuchita bwino, ndikofunikira kuyang'anitsitsa momwe muliri ndikuyendera katswiri wazomwe zimayambitsa matenda.

Mankhwala osokoneza bongo a polyuria

Mankhwala omwe amathandizira kuchepetsa kuchuluka kwa mkodzo wopangidwa ndi thupi, makamaka, amakhudza matenda oyambitsidwa. Ndi kugwiritsa ntchito kwawo mwaluso, ndizotheka kupewa kutopa madzi.

Kumbukirani kuti ndizoletsedwa kumwa mankhwala aliwonse: izi zimatha kukhudza chiwindi ndi impso. Amayi oyembekezera ndi ana akuyenera kufunsa katswiri.

Mankhwala ochizira matenda a polyuria - tebulo

Mankhwala osokoneza bongo - chithunzi

Vitrum - wathunthu komanso wabwino mavitamini mchere wopangidwa ndi Siofor amatulutsa shuga Ciprofloxacin ndi wothandizira kwambiri pazomera zowononga gulu la fluoroquinolone
Piroxicam amathandiza kuchepetsa ululu Cortef - anti-kutupa glucocorticosteroid mankhwala

Zithandizo za Folk zowonjezera kupangika kwa mkodzo

Mankhwala achikhalidwe ndi njira yosavuta yosungiramo zinthu komanso malo osungira maphikidwe, ambiri omwe amagwiritsidwa ntchito bwino m'moyo watsiku ndi tsiku. Ali pafupifupi osavulaza, omwe amalola kuti azigwiritsidwa ntchito pothandiza amayi apakati komanso ana aang'ono. Ubwino wina wosaneneka ndikuti zosakaniza zamankhwala zilizonse zimatha kusungidwa palokha kapena kugula ku pharmacy.

Njira zodziwika bwino za anthu odziwika bwino a polyuria:

1. Thirani supuni ya tiyi yaiwisi yopukutidwa ndi kapu ya madzi otentha. Kuzizirira kutentha kwa chipinda komanso kudya musanadye tsiku lililonse kwa sabata limodzi. Makungwa a Oak ali ndi mawonekedwe achilendo ophatikizika ndimakina omwe amakupatsani mwayi kuti mugwire mkodzo mkati mwa mphutsi zaimpso.
2. Supuni ziwiri za mbewu za fulakesi zimayikidwa mu phala m'mawa, kusakaniza. Chakudya choterocho chimakhudza bwino ntchito ya impso, kotero kuti zimapangitse michere ndi madzi, ndipo kutopa sikukula mthupi. Njira ya mankhwalawa imatha miyezi isanu ndi umodzi.
3. Wiritsani ma beets awiri akulu m'madzi oyera, osathira madzi ndi kuzizira kwa theka la ola. Beetroot amapha tizilombo toyambitsa matenda komanso amachepetsa ululu. Kumwa decoction ndikofunikira kamodzi kamodzi masiku atatu.

Zithunzi zojambulajambula: mankhwala azikhalidwe ochokera ku polyuria

Makungwa a Oak amatha kukolola m'nkhalangoyi kumapeto kwa chaka Flaxseeds imathandiza kwambiri impso ndi m'mimba Msuzi wa Beet umayenda bwino ndi kutupa

Zomwe zimayambitsa polyuria

Polyuria ndi yakanthawi komanso yokhazikika. Zifukwa zosakhalitsa:

• paroxysmal tachycardia,
• matenda oopsa,
• vuto la diencephalic,
• kutenga okodzetsa
• madzi ambiri akumwa.

Koma ikhoza kukhala chizindikiro cha matenda owopsa, chithandizo chomwe sichichedwetsedwa. Izi ndi:

• kulephera kwa aimpso
• aakulu ndi pachimake pyelonephritis,
• urolithiasis,
• matenda ashuga
• neoplasms
• cystitis
• hydronephrosis.

Mwa amuna, polyuria imatha kuwonetsa adenoma ya prostate. Komanso ndi chizindikiro cha kusokonezeka kwa malingaliro. Amayi pa nthawi yoyembekezera nawonso nthawi zina amakhala ndi polyuria. Izi zikuchitika chifukwa cha kukakamiza kwa fetal pa chikhodzodzo.

Udindo wa physiotherapy pochizira polyuria

Physiotherapy ya polyuria cholinga chake ndicho kubwezeretsa ntchito ya impso. Zimathandizanso kuchepetsa kuuma kwamiseche mukamakodza, kuthandizira kutupa, komanso kuthandiza odwala kuti asamve ludzu nthawi zonse. Nthawi zambiri, madokotala amakupangira miyezi iwiri mpaka isanu ya chithandizo chamankhwala pambuyo pa matenda omwe anali ovuta ndi polyuria.

Njira zamankhwala zochizira matenda zomwe zimagwiritsidwa ntchito kuthetsa matenda:

Thanzi ndi gawo lofunika la chithandizo chilichonse. Chifukwa cha chakudya, titha kusintha mkhalidwe wathu wamagayidwe am'mimba ndi kachitidwe ka genitourinary system. Amadziwika kuti anthu omwe atembenukira kumalamulo azakudya zathanzi asanakwanitse zaka makumi atatu ndi zisanu, amamva tcheru kwambiri komanso akhama kuposa anzawo.

Momwe mungadye ndi polyuria:

Chithandizo cha zamankhwala komanso zovuta zoyipa za polyuria

Polyuria siziwopseza moyo ndi chithandizo choyenera cha matenda oyambitsidwa. Anthu omwe akudwala matenda, komanso chindapusa chake cholondola, alibe zovuta m'moyo watsiku ndi tsiku. Ntchito, masewera ndi zochitika za tsiku ndi tsiku sizikuphwanyidwa. Wodwala akasiya kutsatira zakudya, kuchita masewera olimbitsa thupi mwapadera komanso kuonana ndi achipatala, njira ya polyuria imatha kuyipitsidwa.

Mavuto ndi zotsatira za polyuria:

• kusowa kwamadzi
• kugwa ndi kukomoka,
• chikumbumtima
• kukokana
• minofu kukokana
• arrhythmias,
• kutopa
• kupanikizana pakona pakamwa
• kusowa kwa vitamini.

Kodi mkodzo waumunthu umapangidwa bwanji, mitundu ndi matenda: kanema

Impso ndi njira yapadera yotsukitsira thupi la zinthu zoyipa za pathogenic. Ngati ntchito yawo yasokonekera mu ziwalo ndi minyewa, mchere, poizoni ndi ma slags amtundu wayamba kuyikiridwa, zomwe pambuyo pake zingayambitse kukula kwa pathological pachimake komanso matenda osakhazikika. Komanso polyuria imatha kuchitika m'mavuto ena a neuroendocrine ndikuwonetsa zovuta zowonjezera zomwe zimachitika mthupi. Osanyalanyaza chizindikiro ichi: mwina chingakuthandizeni kuzindikira ndi kuyamba kulandira chithandizo munthawi yake, zomwe zingapewe zovuta ndi zotsatirapo zoyipa.

Kusokonezeka kulikonse kwaumoyo kumatha kukuchenjezani. Ngati chizindikiro chachilendo chimachitika mwadzidzidzi, popanda chifukwa, ndipo chikuwoneka chachilendo, ndibwino kuti musazengereze ndi kupita kuchipatala. Kupatula apo, ngakhale kusintha kwa mkodzo komwe kwatulutsidwa kungawonetse ku mabvuto akulu azaumoyo. Kuphatikiza apo, kusintha koteroko kumatha kuchitika pansi, komwe kumatchulidwa ndi madokotala monga oligonuria, ndi kupitilira - ndi polyuria. Tiyeni tifotokozere zomwe zimapanga polyuria, tilingalire zomwe zimayambitsa, zizindikilo ndi chithandizo.

Chifukwa chake, ndi polyuria, mkodzo wambiri umapangidwa ndikuwonjezera. Ndi matenda ofanana, wodwalayo amatulutsa mkodzo wowala, ndipo nthawi zina wopanda mtundu. Muli shuga wambiri, chifukwa munjira imeneyi amachotsedwa m'thupi. Komabe, musasokoneze polyuria ndi kukodza pafupipafupi.

Pali zinthu zingapo zomwe zimapangitsa kuti thupi lipangidwe. Chifukwa chake, mwachitsanzo, ndi kuchepa kwa ntchito za impso, thupi limasiya kumwa madzi mokwanira. Kuphatikiza apo, polyuria ikhoza kufotokozedwa ndi matenda ambiri amkati mwa ziwalo zamkati, mwachitsanzo, hyperparathyroidism, hyperaldosteronism, shuga mellitus ndi matenda osiyanasiyana a impso.

Nthawi zina, polyuria imalumikizidwa ndi kuphwanya kwathunthu kwa ntchito yosonkhanitsa impso, komanso matumbo a impso. Zofanana zitha kuonedwa ndi interstitial cystitis, Prostate adenoma ndi matenda a impso.

Kuphwanya kwamikodzo mwanjira ya polyuria kumatha kukhala kwamuyaya kapena kwakanthawi. Matenda okhazikika amapezeka ndi matenda a impso, komanso timimba ta endocrine. Nthawi zina, polyuria imayamba motsutsana ndi maziko a chithandizo chosagwirizana cha matenda osiyanasiyana ogwiritsira ntchito diuretic mankhwala.

Ponena za kuphwanya kwakanthawi kofananako, nthawi zambiri ndi chizindikiro cha matenda akulu, mwachitsanzo, vuto la diencephalic, paroxysmal tachycardia, vuto la matenda oopsa, zina zambiri.

Ndikofunika kudziwa kuti nthawi zina polyuria ndi chizindikiro chachilengedwe. Chifukwa chake imatha kukhazikitsidwa chifukwa chomwa madzi ambiri munthawi yochepa, mwachitsanzo, kvass, mowa, soda, etc.

Chifukwa chake, chizindikiro chachikulu cha polyuria ndiko kugawa mkodzo wambiri. Kukoka pafupipafupi kumatha kusokoneza wodwalayo ngakhale usiku, kumamukakamiza kudzuka. Koma nthawi yomweyo, kuchuluka kwa mkodzo wothira patsiku kumatengera chifukwa cha polyuria. Makamaka kukodza kumawonedwa ndi shuga komanso pang'ono ndi shuga insipidus. Nthawi zina, ndi vutoli, mpaka malita khumi amkodzo amachotsera wodwala patsiku. Poyerekeza ndi kutuluka kwamkodzo kwamkodzo, kachulukidwe ka mkodzo kamacheperachepera, komwe kumafotokozeredwa ndi kusokonezeka kwa mphamvu ya impso, komanso kuyesayesa kwamthupi kukonza mkodzo wathunthu.
Tiyenera kudziwa kuti ndi polyuria yachilengedwe, mphamvu ya impso imakhalabe yabwinobwino.

Chithandizo cha polyuria mwachindunji chimatengera zomwe zimachitika. Ndi kukonza kwa matenda omwe amayambitsa, kutsika kwamkodzo kwamikodzo kumachitika. Nthawi zina, odwala omwe ali ndi vuto lotere amapatsidwa thiazide diuretics. Mankhwalawa atha kuletsa kuyambiranso kwa sodium mkati mwa bondo lomwe likukwera, lomwe limalepheretsa kukodza kwamkodzo. Kuphatikiza apo, thiazides bwino amachepetsa kuchuluka kwa sodium yomwe ili m'thupi, yomwe imayendera limodzi ndi kuchepa kwa madzi am'madzi am'mimba komanso kuwonjezeka kwofananira ndikuwonjezeranso madzi ndi mchere mkati mwa tubules.

Zotsatira zake, odwala matenda a shuga a insipidus amakhala ndi osmolarity wowonjezereka wa mkodzo. Kuopsa kwa polyuria kuli pafupifupi theka, komwe kumatengera kudya kwa sodium. Nthawi yomweyo, thiazides samatulutsa zotsatira zoyipa, ngakhale muzochitika zina amatha kupanga gawo la hypoglycemia (kutsitsa shuga wamagazi).

Ngati kuwunika kunawonetsa kukhalapo kwa polyuria, ndikofunikira kubwezeretsanso ma electrolyte omwe atayika mu mkodzo, omwe makamaka ndi calcium, sodium, potaziyamu ndi chloride. Ndi kutaya koyenera, kusintha koteroko kumatheka pokhapokha kusintha kwa zakudya.

Komabe, ndi polyuria, yomwe inali yolimba kwambiri komanso / kapena inapitilira kwa nthawi yayitali, chithandizo chapadera chitha kufunikanso kubwezeretsanso ma elekitironi. Madzi otaika amatumizidwa mwachangu, poganizira kuchuluka kwa magazi, komanso mkhalidwe wamtima wamtima. Ngati kuwongolera koteroko sikungachitike pa nthawi yake, mwayi wokhala ndi Hypovolemia umachulukanso, pamenepa, kuchuluka kwa magazi omwe amayendayenda kumatsika kwambiri pansi pazoyenera chifukwa cha kuperewera kwa madzi m'thupi.

Chifukwa chake, pakuwonjezeka kwa mkodzo popanda chifukwa chodziwikiratu, ndibwino kukaonana ndi dokotala ndikupima mayeso ofunikira. Izi zikuthandizira kupewa kukula kwa zovuta zazikulu.

Kodi polyuria ndi chiyani, zimayambitsa zake ndi gawo liti la polyuria lomwe wodwala angakhale nalo? Mafunso awa amakumana ndi odwala omwe adapezeka kuti akudwala. Polyuria imatanthawuza kuwonjezeka kwakukulu mu kuchuluka kwa mkodzo wopangidwa mu maola 24. Munthawi yabwinobwino, 1 lita imodzi ya mkodzo amachotsedwera wodwala patsiku, koma atadwala, chizindikirocho chimawonjezeka katatu. Matendawa nthawi zambiri amasokonezedwa ndi kukoka pafupipafupi, koma pali kusiyana. Odwala ena, akamaphunzira za kukhalapo kwa matenda, samayesa kusintha kanthu kenaka pakapita nthawi amakumana ndi zovuta.

Zambiri zokhudzana ndi matendawa

Kuwonjezeka kwa mkodzo tsiku lililonse kumatchedwa polyuria. Ndi polyuria, wodwalayo amasiya mkodzo wambiri, mpaka malita atatu. Koma osati nthawi zonse chizindikiro cha kuchuluka kwamadzimadzi ndimatenda. Zimakhudza chiwonetsero cha kutentha, kuchuluka kwa madzi omwe amamwa tsiku lililonse, ndi zina. Kuti mkodzo upangidwe, uyenera kudutsa magawo awiri. Pachigawo choyamba, gawo lamwazi lamadzimadzi limatuluka, lomwe limalowa mu impso glomeruli, kenako limasefa. Kuphatikiza apo, timadzimadzi timadutsa ma tubules, pomwe ma michere opindulitsa timasungidwa m'thupi, ndipo zida zoyipa zimalowa mu chikhodzodzo. Madziwo amatchedwa kuti mkodzo. Ngati njira yosinthira madzi yosokoneza ikasokonekera, kuchuluka kwa madzi kumachulukira ndipo polyuria imayamba, yomwe imadziwoneka yokha pokhazikika kapena kwakanthawi. Pamodzi ndi polyuria, matenda ena amapezeka nthawi zambiri, monga matenda oopsa kapena tachycardia.

Zizindikiro za matendawa

Ndi chitukuko cha polyuria, chizindikiro chachikulu cha matenda ndi kupezeka kwa kuchuluka kwa mitsempha, usiku komanso masana. Kuchuluka kwa mkodzo tsiku lililonse panthawiyi kumafikira oposa malita awiri, ndipo panthawi yomwe muli ndi pakati kapena zovuta zina - zopitilira zitatu.Ngati matendawa adawoneka chifukwa cha matenda a shuga, kuchuluka kwa mkodzo watsiku ndi tsiku kumafikira malita 10.

Komanso, wodwalayo amatha kuoneka ngati wachiwiri. Koma amakula ngati chisonyezo cha matenda kapena kupezeka kwa matenda oyamba. Zizindikiro za matenda owonjezereka zimatha kubweretsa chisangalalo kwa wodwalayo, chifukwa chake muyenera kufunafuna chithandizo chamankhwala panthawi. Dokotala adzalembera chithandizo chofunikira chamankhwala.

Zolemba zamatenda a ana

Polyuria mwa ana sapezeka kawirikawiri. Palibe chifukwa chimodzi chotengera matendawa. Kukodza kwakukulu muubwana kumawonekera chifukwa chogwiritsa ntchito kuchuluka kwamadzi, kusokonezeka kwamaganizidwe, chifukwa cha kupezeka kwa matenda a Cohn kapena kupsinjika. Matendawa amapezekanso mwa achinyamata achinyamata omwe, kuyambira ali ana, amakhala ndi chizolowezi chakuchulukirachulukira kuchimbudzi kapena atapezeka kuti ali ndi vuto la impso kapena mtima. Makamaka makolo akazindikira kuti mwana apatuka msanga, amatha kum'chiritsa mwachangu, ndipo mavuto ake sakulira.

Nthawi zina munthu amazindikira kuti anayamba kupita kuchimbudzi pafupipafupi.

Izi zitha kukhala nkhawa, chifukwa kusintha kwamkodzo kwamkaka ndi chizindikiro cha matenda kapena ziwalo zina.

Zodabwitsika pomwe kuchuluka kwa mkodzo masana kumawonjezeka kumatchedwa polyurea.

Siyenera kusokonezedwa ndi mtundu wofanana ndi - polakiuria - imangodziwonetsera mu kukakamira kowonjezereka kuchimbudzi ndipo kumayendetsedwa ndikuchotsa kwamkodzo pang'onopang'ono. Ndi polyuria, kuchuluka kwa madzimadzi kumawonjezeka. Chifukwa chiyani izi zimachitika ndipo ndizowopsa thanzi?

Nthawi zambiri, malita a magazi ambiri amadutsa impso tsiku ndi tsiku, ndipo mpaka malita 200 a mkodzo woyamba amapangidwa ndi kusefera. Pafupifupi kuchuluka kwake konse kumabwereranso m'magazi pakubwezeretsanso mu mafupa a impso - motero thupi limabweranso lokha zinthu zomwe zasungunuka zomwe zidzafunabe ndi moyo.

Bwinobwino tsiku lililonse mkodzo - 2 malita

Zotsatira zake zimangokhala mpaka malita 2 a mkodzo, womwe umathiridwa pang'onopang'ono pokoka (ndi pafupipafupi - mpaka 8-10 patsiku). Ndi polyuria, kulephera kwa reabsorption kumachitika, kubwereranso kwamadzi kubwerera kumtunda wamagazi ndikovuta, ndipo kuchuluka kwa mkodzo womalizidwa kumakwera mpaka malita atatu kapena kupitirirapo (mpaka malita 10 m'malo ovuta). Zodabwitsa za polyuria zimatha kukhala zosakhalitsa komanso zosatha, ndipo zimayamba pazifukwa zosiyanasiyana.

Kuwonjezeka kwakanthawi kwamadzimadzi amadzimadzi otuluka amayamba ndi:

1. kugwiritsa ntchito zakudya ndi zakumwa zomwe zili ndi diuretic katundu (khofi, tiyi, zakumwa za shuga, mowa, mavwende). Polyuria yotereyi imawoneka ngati yachilengedwe, chifukwa imayamba chifukwa cha kukhazikika kwa impso.
2. ntchito
3. matenda oopsa,
4. tachycardia
5. vuto la diencephalic,
6. mavuto amanjenje.

Polyuria yokhazikika masana ndi usiku imayambitsa izi:

1. kulephera kwa aimpso
2. matenda a prostate.
3. kuphwanya kwamkati ziwalo,
4. zotupa mu malo a pelvic,
5. matenda a impso,
6. hydronephrotic kusintha kwa impso,
7. matenda amisala
8. myeloma
9. endocrine matenda, pancreatic matenda ndi chitukuko cha matenda a shuga, kupunduka mu ntchito za pituitary England ndi chithokomiro England.
10. sarcoidosis.

Kuphatikiza apo, kuwonjezereka pokodza kumawonedwa mwa azimayi ambiri oyembekezera chifukwa cha kusintha pamaudindo ndi kagwiritsidwe ntchito ka ziwalo zamkati.

Pali zifukwa zambiri zachitukuko cha polyuria kotero kuti munthu popanda thandizo la dokotala komanso mayeso angapo sangathe kudziwa komwe kwayambitsa kuphwanya kotere.

Chizindikiro chachikulu cha polyuria ndikuchotsa mkodzo wowonjezera.

Mosiyana ndi njira zina za pathological, polyuria siziyenda ndi kupweteka, kupweteka, kapena kukakamira kolimba kukakamiza (pokhapokha mawonekedwe awa ali chizindikiro cha matenda oyanjana).

Ndi kuchuluka kwamikodzo mkodzo, momwe mkati mwathupi mwathupi mutha kusiyanasiyana, koma nthawi zina kapangidwe kazinthu kazomwe thupi lathu limapanga limasinthika kwambiri. Mwachitsanzo, ndi polyuria yoyambitsidwa ndi vuto la aimpso, munthu amataya calcium, sodium ndi zina zofunika kwambiri, zomwe zimakhudza thupi.

Mawonetsero ena a polyuria ali okhudzana mwachindunji ndi matenda omwe adamupangitsa. Makamaka, kupweteka kumatha kuchitika (ndi zotupa ndi zotupa), chizungulire komanso kumva ludzu losalekeza (polyuria in shuga mellitus), kuchuluka kwa impso (ndi). Kukula kwa zizindikiro ziwiri zophatikizira - polydipsia, polyuria ndi polyphagy ndi emaciation - kumatipangitsa kuganiza za matenda ashuga.

Kutembenukira kwa dokotala ndikudandaula za polyuria, ndikofunikanso kumudziwitsa zonse zomwe zikuwoneka kuti zachitika posachedwapa.

Makanema okhudzana nawo

Kodi polyuria yoyambirira ndi yachiwiriyo ndi yotani, atero urologist:

Simuyenera kuchita mantha ngati kukodza kwakanthawi kochepa, muyenera kungowunika zakudya zanu m'masiku angapo apitawa. Koma ngati izi zikuchedwa ndikuyenda ndi zina, muyenera kupita kwa dotolo kukayezetsa.

Chithandizo cha Polyuria

Ngati kuchuluka kwa mkodzo watsiku ndi tsiku sikuchitika chifukwa cha matenda, vutoli litha kuthana ndi kunyumba. Kuti muchite izi, muyenera kusintha zizolowezi zomwe zimabweretsa polyuria, kuti mpumulo wazizindikiro uzitha. Malangizo apakati:

• Ndikofunikira kuyang'anira kuchuluka kwa madzi omwe amwedwa.
• Ndikofunika kuti muchepetse magazi nthawi yogona.
• Zakumwa zoledzeretsa komanso zakumwa zoledzeretsa ziyenera kukhala zochepa.
• Ndikofunikira kuti muphunzire zotsatira zoyipa za mankhwala.

Ngati polyuria imayambitsidwa ndi kukhalapo kwa matenda ena, chithandizo cholimbana ndi omwe amayambitsa vutoli ndikofunikira kuti chithetse. Mwachitsanzo, mankhwalawa a shuga mellitus posintha zakudya zamagulu ndikugwiritsa ntchito mankhwala nthawi zambiri kumabweretsa kutha kwa polyuria.

Mwa munthu wathanzi, madzi amasefedwa mu mawonekedwe a impso. Apa, zinthu zofunikira zimasungidwa kwa iwo, ndipo zotsalazo zimalowera mokulira limodzi ndi ma tubules kupita mu kwamikodzo. 1/5 malita a mkodzo amuchotsera patsiku. Madotolo ati kuphwanya kwa diuresis, ngati kutuluka kwa mkodzo tsiku ndi tsiku kukwera mpaka malita awiri kapena atatu. Kodi polyuria ndi chiyani ndipo chifukwa chiyani amachitika?

Mitundu ya matenda ndi pathogeneis

Polyuria (ICD-10 R35) ndi njira yochulukirapo ya mkodzo, yomwe imachitika chifukwa chophwanya njira yochotsa madzimadzi mu impso tubules. Mwanjira ina, thupi silitenga madzi. Mkozo wambiri ukatuluka ndi kukodza pafupipafupi, moyo wamunthu umachepa: akumva kufooka ,uma mkamwa, amasokonezeka ndi arrhythmias ndi chizungulire, kusokonezeka kwa tulo kumatha usiku.

Polyuria sindiye matenda odziyimira pawokha, zizindikiro zomwe wodwala angakumane nazo amalankhula kwambiri za matenda ena. Ndi zizindikiro zotere, kuyeserera kumachitika ndi akatswiri angapo: katswiri wa zamitsempha, urologist, nephrologist ndi endocrinologist. Polyuria imakhala ndi zoyambitsa komanso zamagulu. Poyamba, ndikofunikira kudziwa kuti ndi matenda ati omwe adatsitsa kukodzaku. Kachiwiri, diuresis ya tsiku ndi tsiku imabwereranso pambuyo pakubwezeretsanso kwa zamagetsi zamagetsi m'mthupi.

Pakutalika, polyuria yokhazikika komanso yosakhalitsa imasiyanitsidwa. Constant amapezeka vuto laimpso, endocrine dongosolo, matenda amitsempha ndi neurogenic. Kuwonjezeka kwakanthawi kwa diuresis kumachitika chifukwa cha kutuluka kwa madzimadzi nthawi ya edema, kuchuluka kwa mankhwala okodzetsa azimayi pa nthawi yapakati kapena kusamba.Kuchuluka kwa mkodzo kumatha kuwonjezeka ndikugwiritsa ntchito madzi ambiri kapena chifukwa cha kukhalapo kwa zakudya zomwe zili ndi glucose yambiri pazakudya. Polyuria imafuna kulumikizana ndi dokotala kuti apereke mankhwala malinga ndi mayeso.

Matenda okhalitsa komanso pachimake cha pyelonephritis, urolithiasis, kulephera kwaimpso (CRF), zotupa, ndi neurosis amathanso kuyambitsa kukanika kwamkamwa.

Kuwonjezeka kwa kutulutsa mkodzo nthawi zambiri kumasokonezeka ndi kukodza pafupipafupi, komwe kumakhala kofanana ndi matenda otupa a chikhodzodzo (cystitis, urethritis). Komabe, muzochitika izi, mkodzo pang'ono umachotsedwedwa, ndipo kudulidwa mu urethra ndikotheka. Ndi endocrine pathology, kuphatikiza pa polyuria, polyphagia (kumangokhala ndi njala) ndi polydipsia (ludzu lalikulu lomwe limadza chifukwa cha kusokonekera kwa mahomoni) limakhalanso. Ndi matenda a shuga a insipidus, mavuto a diuresis samachitika mosalekeza ndikuwoneka mwadzidzidzi. Cholinga chake ndi hypernatremia - zinthu zowonjezera zamchere ndi ma elekitirodi.

Ngati mungayesetse kuchepetsa kuchuluka kwa mkodzo pochepetsa kuchepa kwamadzi, izi zimakupangitsani kuchepa thupi.

CRF (kulephera kupweteka kwa impso) imayamba chifukwa cha kupindika kwa magazi ku impso. Potengera maziko awa, kusinthana kwa ma syndromes kumachitika: polyuria, oliguria (kuchepa kwa mkodzo voliyumu) ​​ndi anuria (kusowa pokodza. Kupsinjika, adenoma ya prostate mwa abambo, matenda a Parkinson, pakati komanso shuga zimapangitsa kuti mkodzo ukhale wotuluka usiku kwambiri - nocturia. Mwa amayi apakati, periodic polyuria usiku sifunikira chithandizo ngati ndizokhudza thupi. Nthawi zambiri, nocturia imachitika mwa akhanda ndi okalamba.

Muubwana, izi nthawi zambiri zimakhala zakanthawi. Chifukwa chachikulu chowonjezera cha kuchuluka kwa mkodzo ndi kupanda ungwiro kwa njira za neuroendocrine zowongolera kapangidwe ka mkodzo. Thupi la mwana limakhudzidwa kwambiri ndi zonse komanso kusowa kwa madzi. Musanalankhule za kukhalapo kwa polyuria mwa mwana, ndikofunikira kupenda ngati amamwa madzi ochulukirapo, osazizira kwambiri, popeza thukuta limachepa m'malo ozizira komanso madzi ambiri amachoka mkodzo. Mwina mwana wakhanda ali ndi chizolowezi chopita kuchimbudzi kukakopa chidwi chake.

Mwana akakula ndi ludzu, amatha kumwa mpaka malita 15 a madzi patsiku, kukodza m'magawo akuluakulu, pafupifupi 700 ml. Popeza ndizotheka kusokoneza polyuria ndi vuto la chikhodzodzo cha neurogenic, vuto la m'maganizo, ngati zizindikiro zikuwoneka, kuli bwino kulumikizana ndi dokotala kuti adziwe zoyenera.

Ngati mukukayikira kuwonjezeka kwamikodzo, kuunikaku kuyenera kuyamba ndi kuyesa kwamkodzo pafupipafupi (kutengedwa m'mawa pambuyo pa njira zaukhondo) komanso nyemba zachikodzo malinga ndi Zimnitsky, gawo lirilonse la biomaterial limayesedwa patsiku.

Ngati ndi polyuria, ndiye kuti kuchuluka kwake kudzawonjezereka, ndipo ngati munthu akukodza pafupipafupi, ndiye kuti mkodzo wonse sudzaposa muyeso. Malinga ndi OAM, polyuria imapezeka ndi kuchepa kwamphamvu ya zinthu zomwe zaphunziridwa - ichi ndi chizindikiritso cha madzi ochuluka momwemo. Chifukwa cha kuchepa kwa ukali, mtundu wa mkodzo ukusintha - umakhala wowonekera. Ndikofunika kudziwa kuti polyuria mu shuga imakhala ndi gawo limodzi: sichitha kuchepa chifukwa cha kuchuluka kwa glucose, komwe kumawonjezera.

Pa nthawi yomweyo, ultrasound ya impso ndi m'mimba imayikidwa, nthawi zina, urology kapena cystoscopy ingafunike. Kuchokera pama parachetic biochemical, mulingo wa alkaline phosphatase, ma electrolyte ndi nitrogen yotsalira akuti.

Ngati dokotala akuwonetsa zovuta za endocrine, ndiye kuti gulu la mahomoni, kuchuluka kwa glucose kumawunikidwanso, kuyesedwa kwa glucose ndi X-ray ya chishalo cha ku Turkey kumachitika kuti muwone kukula kwa vuto la pituitary.Ngati polyuria yatsimikiziridwa, kafukufuku wokhala ndi kuchepa kwamadzi amachitika. Pambuyo pakupanga madzi m'thupi, jakisoni amapangidwa ndi mankhwala a antidiuretic, ndiye kuti mobwerezabwereza OAM amachitidwa. Poyerekeza kusanthula konseku - kuwongolera kwa mahomoni isanachitike komanso itatha, amapeza chomwe chimayambitsa kukodza kwambiri.

Kupewa komanso kuchiza kwa polyuria

Ponena za chithandizo, amatanthauza kuthetsa zomwe zimayambitsa mkodzo kutuluka. Ngati yasokonekera chifukwa cha matenda a impso, zakudya zopatsa mchere ndizofunikira, kupatula zonunkhira, zakudya zamafuta, maswiti, ndi khofi. Ngati chifukwa chagona mu shuga, ndiye kuti pakufunika zovuta kuti mankhwalawo akwaniritse mitundu yonse ya mafuta ndi mashuga omwe amapezeka m'zakudya, kuletsa kudya komwe kumadzaza ndi chakudya: mbatata, pasitala. Musaiwale za mankhwala azikhalidwe - kunyumba, mutha kuchiza polyuria ndi infusions azitsamba.

Ambiri aiwo ali ndi zotsutsa-zotupa. Mwachitsanzo, mbewu yotseka imathandizira kusintha kwa impso ndi urea (supuni ziwiri za mbeu zimathiridwa ndi madzi otentha, pambuyo pa theka la ola, msuzi wokonzedwa ukhoza kutengedwa supuni 1 katatu patsiku musanadye). Izi ziyenera kuchitika kokha atakambirana ndi urologist kapena nephrologist. Chithandizo cha mankhwala chimakhazikitsidwa ndi adokotala okha, chifukwa mapiritsi ndi jakisoni aliyense amakhala ndi zovuta zoyipa. Mwachitsanzo, autoimmune polyuria imathandizidwa ndimankhwala a mahomoni (prednisone, glucocorticoids). Kusankhidwa kwa mlingo wa mankhwala a antiidal a kutupa kwamunthu ndi munthu payekha, makamaka ikafika kwa ana. Masiku oyamba kumwa mankhwalawa nthawi zambiri amakhala akufufuzira - dokotala amawunika momwe wodwalayo alili ndipo amasintha mlingo wa mankhwalawo.

Kupewa kwa polyuria ndikusamalira thanzi lanu komanso thanzi la ana. Ndikofunikira kuzindikira zakuphwanya koyambirira ndikuchotsa zinthu zomwe zimayambitsa panthawi yake kuti muchepetse kuchepa kwamadzi m'thupi.

Nthawi ndi nthawi, wina akhoza kukumana ndi malingaliro azachipatala omwe tanthauzo lake silikudziwika. Polyuria, ndi chiyani ndipo matendawa amawonekera bwanji? Matendawa ndi kuwonjezeka kwamikodzo.

Kutupa kwamkodzo tsiku ndi tsiku monga momwe thupi limakhalira malita 1-1,5. Matendawa akapezeka, amachulukitsa kangapo.

Nthawi zambiri matendawa amasokonezedwa ndi kukodza komwe amakhala nako pafupipafupi. Kusiyana kwakukulu ndikuti pakadwala ,ulendo uliwonse wopita kuchimbudzi umayendetsedwa ndi kukodza kopukutira, ndipo ndi chithunzi chobisika, gawo la zomwe zili mu chikhodzodzo limamasulidwa nthawi iliyonse.

Anthu ambiri amafunsa, atawona kuti "polyuria" yadziwika, ndi chiyani? Mwa akazi, kuchuluka kwa mkodzo kumawonekera osati chifukwa cha matenda. Chimodzi mwazomwe chimayambitsa matendawa ndi kutenga pakati. Chifukwa cha kusintha kwa thupi la mkazi, mkodzo wambiri umachotsedwa.

Zoyambitsa zazikulu zomwe zimatsogolera ku zotere ndi matenda a impso.

Komabe, pali zinthu zingapo zomwe zimayambitsa kupitilira kwa matendawa mwa akazi:

• aakulu aimpso kulephera
• sarcoidosis
• pyelonephritis,
• zovuta zamanjenje,
• matenda oncological
• kulephera kwa mtima
• matenda ashuga
• kukhalapo kwa miyala ya impso.

Komanso, chomwe chimayambitsa vutoli chimatha kukhala kuchotsetsa kwa zakumwa kapena kugwiritsa ntchito madzi ambiri. Koma pankhaniyi, chifukwa chokana mankhwala osokoneza bongo komanso kuchepa kwa madzi omwe amwedwa, zinthu ziyenera kuyenda bwino.

Mu 5% ya milandu, kutengera kwa chibadwa kungayambitse matendawa. Ngati milandu ngati yomweyi idalembedwa m'banjamo. Ndikofunikira kuti nthawi zonse mumayesedwa ndi urologist ndikuthandizira kupewa.

Matendawa amatchulidwa potsatira zinthu zotsatirazi.

Mwachidule:

1. Osakhalitsa, amakwiya ndi njira zopatsirana kapena pakati.
2. Yokhazikika yomwe idayambika motsutsana ndi maziko a zovuta za pathological pantchito ya impso.

• matenda, monga mavuto pambuyo matenda (nocturnal polyuria ndi shuga mellitus),
• physiological polyuria ndi vuto lomwe limagwirizana ndi kugwiritsa ntchito mankhwala osokoneza bongo.

Chizindikiro chachikulu cha matendawa ndi kuchuluka kwa mkodzo womwe umapangidwa patsiku. Voliyumu itha kupitilira yachilendo (1 - 1.5 malita) ndi katatu. Ngati choyambitsa ndi matenda a shuga, kuchuluka kwa mkodzo kumatha kuchuluka mpaka malita 10.

Ndizovuta kuti munthu adzipeze yekha, chifukwa ndizovuta kusiyanitsa zizindikiritso za matendawa kuchokera ku zikhumbo wamba zosowa. Njira yayikulu yodziwitsira matenda ndi kutolera kuchuluka kwamadzi onse omwe amachotsedwa m'thupi masana.

Pambuyo pa gawo ili, chowonadi chenicheni cha matendawa chimawululidwa. Pachifukwa ichi, thupi limakhala lopanda madzi. Pambuyo maola 18, wodwalayo amapatsidwa jakisoni wokhala ndi mahomoni antidiuretic, ndipo mkodzo wowonjezereka umayerekezedwa ndi womwe umapezeka jakisoni. Choyambirira chophunzirira ndicho kuchuluka kwa madzi a madzi a m'magazi.

Kutengera ndi zomwe zapezeka, zomwe zimayambitsa matendawa zimadziwika, zomwe ziyenera kuchizidwa potengera mawonekedwe ake.

Mankhwala

Woopsa matenda osiyanasiyana, kugwiritsa ntchito kulowetsedwa mankhwala ndi kotheka. Njira zoyipa zobayira m'mitsempha zimapangitsa kusowa kwa zinthu. Chifukwa chake, zinthu zimaloŵa m'thupi mwachindunji kudzera m'magazi, zomwe zimapangitsa kuti thupi lizilowetsedwa.

Kuchepetsa polyuria, thiazide diuretics ikhoza kugwiritsidwa ntchito, yomwe imakhudza machitidwe mkati mwa aimpso tubules. Amatha kuchepetsa polyuria ndi 50%, zomwe ndizofunikira pamoyo wabwino. Mankhwalawa amaloledwa bwino ndi odwala omwe ali ndi matenda a shuga.

Kuti tifulumizire kuthandizira, njira zolimbitsa thupi zapadera za Kegel zimayikidwa kuti zilimbikitse minofu ya m'chiuno ndi chikhodzodzo. Kuchita zolimbitsa thupi kotereku sikungathandize ndi matenda a chikhodzodzo, komanso kusintha mkhalidwe wa minofu ya mafupa a chiuno ndi nyini.

Maphikidwe a anthu

Polyuria, zomwe zimayambitsa matenda aliwonse, amatha kuthandizidwa ndi wowerengeka azitsamba. Mankhwala ena ali ndi njira zingapo zothandiza kuthana ndi matendawa. Madokotala amalimbikitsa kugwiritsa ntchito zina mwa izi:

1. Anise tincture. Kuti mukonzekere, muyenera supuni 1 ya zipatso ndi kapu yamadzi otentha. Mankhwalawa amawupatsa pafupifupi theka la ola, kenako umasefa ndipo umatha mu ufa wa ¼ chikho theka la ola musanadye. Njira yakuvomerezedwa ndi mwezi.
2. Njira ina yothandiza ndi kutsitsa, komwe kumapangitsa kagayidwe kachakudya kagayidwe kachakudya. Kuchokera pachomera pangani tincture, decoction kapena Finyani msuzi. Tincture wakonzedwa kwa mbewu. Imwani tincture katatu pa tsiku 1 tbsp. supuni musanadye.

Kupewa ndi chifungulo chokhala ndi chikhodzodzo. Monga njira zodzitetezera, madokotala amasiyanitsa:

1. Matendawa zakudya.
2. Chepetsani kugwiritsa ntchito zakudya zomwe zimayambitsa kutulutsa mkodzo kwambiri.
3. Kuwongolera kuchuluka kwa mkodzo tsiku ndi tsiku (nthawi zambiri kumakhala malita 1.5-2.).
4. Kukana zakumwa zoledzeretsa.
5. Kukana kwa zinthu zosiyanasiyana zokhala ndi utoto wochita kupanga.
6. Lumikizanani ndi dokotala panthawi yake ngati matendawo awoneka.
7. Nthawi ndi nthawi mayeso okhudza thupi kawiri pachaka.

Kutsatira malamulo osavuta, simungangochepetsa chiopsezo cha matenda, komanso kungochotsa kwathunthu.

Nkhani yofunikira ndi kupezeka kwa zakudya panthawi ya matendawa. Kuchepetsa chikhodzodzo, zakudya zotsatirazi siziyenera kuphatikizidwa ndi zakudya:

• mowa
• zonunkhira
• chokoleti
• zakumwa zoziziritsa kukhosi ndi utoto.

Kudziwa chomwe polyuria ili, simungathe kudziwa zomwe zimayambitsa matendawa, komanso kuthana ndi matendawa mopweteka komanso posachedwa. Kuti muchite izi, ndikokwanira kukaonana ndi dokotala panthawi, ndikutsatira zomwe amupatsa.

Kukonzekera, mafuta odzola ndi wowerengeka azitsamba

• thiazide okodzeya,
• kulowetsedwa kwa mchere.

Kuchulukana kwamikodzo kwamikodzo, komwe kumatha kukhala kwachilengedwe komanso kwachilengedwe. Amadziwika kuti nthawi zambiri munthu amabisa mkodzo wa malita pafupifupi theka ndi theka, ngati chizindikirochi chikukwera mpaka malita atatu ndikukwera pamwamba, ndiye kuti izi zikutanthauza kukula kwa polyuria. Muyenera kudziwa zomwe zimatengedwa ngati matenda:

• pafupipafupi kuyendera kuchimbudzi sikukula,
• pokodza chilichonse, mkodzo umatulutsidwa.

Zamatsenga

Polyuria yamtunduwu nthawi zonse imagwirizanitsidwa ndi chitukuko cha matenda otupa komanso / kapena matenda opatsirana mu kwamikodzo. Zomwe zimayambitsa pathological polyuria zingakhale:

• pyelonephritis / glomerulonephritis,
• matenda a impso
• matenda a impso,
• hydronephrosis.

Kuphatikiza apo, pathological polyuria imatha chifukwa cha matenda omwe samakhudza impso ndi kwamikodzo dongosolo:

• Prostate adenoma (chikhululukiro),
• mkhalidwe wa pambuyo
• matenda oopsa,
• tachycardia
• mavuto mu endocrine system (mwachitsanzo, matenda a chithokomiro).

Chizindikiro chachikulu komanso chokhacho cha matendawa omwe akufunsidwa ndikuwonetsetsa kuti mkodzo wambiri. Ngati tikulankhula za pathological mawonekedwe a polyuria, ndiye kuti zizindikiritso zomwe zimayambitsa matenda omwe amachititsa kukula kwake zitha kuwoneka. Pankhaniyi, adzakhala amodzi payokha - mwachitsanzo, mu kulephera kwa aimpso, polyuria imayendera limodzi ndi kuwonjezeka kwa kutentha / kupweteka m'munsi mmbuyo, komanso vuto la matenda oopsa, kuwonjezeka kwadzidzidzi kwa kuthamanga kwa magazi / phokoso la mtima.

Zimapezeka bwanji

Kuti mutsimikizire polyuria, madokotala amagwiritsa ntchito mitundu iyi:

1. Kuyang'anira kuchuluka kwa mkodzo wa tsiku ndi tsiku. Pa izi, mkodzo wonse umasonkhanitsidwa kuchokera kwa wodwala patsiku ndipo kuchuluka kwake kumawerengedwa / mphamvu inayake ndikutsimikiza - ndi polyuria imachepetsedwa kwambiri, yomwe singagwire ntchito kwa odwala matenda a shuga.
2. Kusanthula kwathunthu kwa thupi. Izi zikuphatikiza kuchotsedwa kwa mtima wamtima, komanso kuphatikizira kwa endocrinologists pazofunsira, ndikuwerengera tomography - ndikofunikira kuzindikira chifukwa chenicheni cha mkhalidwe wamtunduwu.
3. Kuyesa kwa Ultrasound Zimachitika pokhudzana ndi matenda omwe amatsimikizira - kusintha kwa ziwalo zamkodzo kumawululidwa.

Mfundo zachithandizo

Ngati munthu wapanga polyuria yakuthupi, ndiye kuti palibe chithandizo chamankhwala - mkhalidwewu umazimiririka madziwo akangomwa. Palibe mankhwala omwe ayenera kumwedwa - sabweretsa phindu lililonse, koma amatha kupangitsa kukulira edema komanso kusungunuka kwa madzi m'thupi.

Pathological polyuria imalandira chithandizo kuchipatala, moyang'aniridwa ndi akatswiri azachipatala. Choyamba, chomwe chimayambitsa matenda a kwamikodzo amtundu amadziwika - kutengera izi, njira ya mankhwalawa idzalembedwera. Mankhwala ochepetsa mphamvu ya antibacterial, antispasmodics ndi painkiller, corticosteroids ndi zina zambiri angathe kupatsidwa. Kachiwiri, thupi la wodwalayo liyenera kupewa kupewedwa madzi m'thupi - izi zimachitika mothandizidwa ndi kuchuluka kwamadzimadzi oledzera, kudya zakudya zomwe zimadzaza minofu ndi maselo ndi madzi. Chachitatu, ndikofunikira kuyang'ana mulingo wa potaziyamu / calcium / sodium. Pofuna kuchepetsa kwambiri kuchuluka kwawo mthupi, njira zadzidzidzi ziyenera kuchitidwa kuti muchepetse vuto la hypovolemia.

Thiazides nthawi zambiri amalembedwa - gulu ili la mankhwala lomwe silimangoyendetsa mkodzo ndikuchepetsa kuchuluka kwa mkodzo, komanso lingabwezeretse kuchepa kwa zinthu zofunika kutsata. Odwala omwe ali ndi matenda ashuga, akamamwa ma thiazides, amatha kukhala ndi vuto la hypoglycemic, koma matendawa ndi osowa kwambiri.

Madokotala nthawi zambiri amalimbikitsa kuti odwala omwe ali ndi polyuria achite masewera apadera a Kegel. Cholinga chake ndi kulimbikitsa minofu ya chikhodzodzo ndi ziwalo zina za m'chifuwa. Odwala awerengetse mosamala malamulo a masewera olimbitsa thupi ndikulimbana ndi maphunziro onse, omwe amakhala osachepera milungu 10.

Polyuria yamtundu wa pathological imaphatikizapo kusintha zakudya:

• zinthu zilizonse zomwe zingakhale ndi vuto pa impso zimachotsedwa pamenyu - zonunkhira ndi zonunkhira, nyama yokazinga yamafuta, nsomba yamafuta, marinade ndi sosi zotentha,
• kuchuluka kwa madzi omwe amwedwa kumacheperachepera, ngati palibe kuwonongeka kwakukulu kwa zinthu zina - osati zakumwa za kaboni zokha, madzi oyera ndi tiyi, komanso mavwende / mavwende / tomato,
• kudya mchere kumachepetsedwa - tikulimbikitsidwa kuti tisamadzaphikiranso mchere wambiri, ndipo zinthu monga hering'i, zipatso zovomerezeka, zakudya zamzitini sizimaperekedwa konse,
• menyu muli chiwindi cha mbalame, mazira, zonse zotuluka mkaka, maapulo / mapeyala, mphesa / nthochi, kabichi (yatsopano ndi yosemedwa), wokondedwa.

Njira zina zochizira polyuria kulibe. M'pofunika kugwiritsa ntchito njira zingapo za impso kuchokera ku mankhwala azomera pokhapokha mutapezeka matenda amkodzo ndi impso. Koma ngakhale pankhaniyi, muyenera kufunsa dokotala.

Njira zopewera

Kupewa kwa polyuria ndi motere:

• kudziwika kwa nthawi ya matenda a impso ndi kwamikodzo thirakiti,
• Chithandizo chathunthu cha matenda aliwonse omwe angayambitse kuyambitsa mkodzo,
• kupewa pafupipafupi hypothermia,
• kulimbikitsidwa kwakuthupi kwakanthawi - izi zikuthandizani kupewa kufalikira kwamatenda osachiritsika.

Polyuria ndi matenda omwe amatsatira chithandizo ndipo ali ndi chiyembekezo chabwino.

Polyuria ndi njira yosasangalatsa yomwe imadziwika ndi kupangika kwamkodzo (mkodzo) ndipo imatha kuwonetsa kuphwanya kwakukulu m'thupi. Kukakamira pafupipafupi kukodza sikulola munthu kuti azikhala ndi moyo wokhazikika, kugona kwa wodwalayo kumasokonezeka. Wodwalayo amakhala wamanjenje, kupewa kucheza ndi anthu. Popanda chithandizo chapadera, matenda a m'matumbo sangathe kuthana nawo.

Zolemba za matendawa

Mtundu wa mkodzo tsiku lililonse munthu wamkulu amatha kufikira 1500-2000 ml. Chizindikirocho chimatengera mtundu wa zakudya komanso zakumwa. Ngati ndi chakudya chamagulu, mkodzo wa tsiku ndi tsiku umakwera, amalankhula za kukula kwa polyuria. Ndi matenda, thupi la wodwalayo limatha kudulira mkodzo wopitilira 3 patsiku. Muzovuta kwambiri, chiwerengerochi chimafika malita 10. Wodwala amayenera kupita kuchimbudzi pafupipafupi. Komabe, kukodza pafupipafupi ndi polyuria sikuyenera kusokonezedwa. Poyamba, mkodzo wochepa umamasulidwa nthawi iliyonse.

Ndi polyuria, kuchuluka kwamkodzo kwamkati tsiku lililonse kumatha kuwonjezeredwa kawiri pawiri

Polyuria imapezeka kawirikawiri m'makanda a ana asukulu yasekondale. Mu makanda, mkodzo wa tsiku ndi tsiku umafika pa 500-1000 ml ndipo zimatengera mawonekedwe a mwana wina. Kuchulukitsa kwakukulu kwa izi kungasonyeze kukula kwa matenda oopsa. Polyuria mu ana nthawi zambiri imayendera limodzi ndi kwamikodzo incinuence (enuresis), usiku ndi usana.

Polyuria ndi chiwonetsero cha matenda a shuga. Matendawa amakula chifukwa chosakwanira kupanga mahomoni omwe amayang'anira kuchuluka kwa madzi mthupi. Zotsatira zake, madzi ambiri amatulutsidwa mkodzo, ndipo wodwalayo amakhala ndi ludzu nthawi zonse.

Kupanga mkodzo wofunikira kumaonekanso ndi kuwonjezeka kwa shuga m'magazi. Pafupifupi madzi onse omwe munthu amadwala wodwala matenda a shuga amachotsedwako popanda "kusefedwa". Kuwonjezeka kwa kuchuluka kwa mkodzo kungakhale chizindikiro choyamba cha matenda owopsa.

Kuwonjezeka kwakukulu kwa kuchuluka kwamkodzo kumatha kuwoneka motsutsana ndi kumbuyo kwa kuchuluka kwa adrenaline, pambuyo povuta. Nthawi zambiri, matenda amapezeka motsutsana ndi maziko a vuto la chisoni-adrenaline mwa odwala omwe ali ndi vegetovascular dystonia. Wodwalayo amayamba kuvuta ndikuwopseza kwambiri adrenaline.

Zowonongeka zilizonse mu impso zimatha kupangitsa kuti mkodzo uwonjezeke. Odwala omwe akhala akuvutika ndi chidakwa kwa nthawi yayitali amakhala ndi nephropathy (kuwonongeka kwa imprenchyma impso ndi matubu ake). Polyuria ndi imodzi mwazomwe zikuwonetsa njira ya pathological.

Nthawi yapakati, polyuria imayamba.

Kusintha kwa ma Hormonal kumatha kubweretsanso kuchuluka kwa madzimadzi otulutsidwa ndi thupi. Nthawi zambiri, polyuria imakhudza azimayi pa nthawi ya kusamba. Kwa amuna achikulire, matenda amtundu wa m'mimba amakhala ochepa. Ndi zaka, polyuria imatha kukhala yovuta ndi kwamikodzo kugona.

Polyuria ya amayi apakati imawoneka ngati yofala. Pankhaniyi, zinthu ziwiri zimayambika nthawi imodzi. Uku ndikukonzanso kwa thupi la thupi, komanso kukakamiza kwa impso kuchokera muchiberekero chokulirapo.

Polyuria imakonda kwambiri azimayi kuposa abambo. Pamodzi ndi izi, oimira ogonana ofooka amalekerera matenda mosavuta.

Zimayambitsa Polyuria

Physiological polyuria imayamba ndikuwonjezeka kwa kuchuluka kwa madzimadzi omwe amamwa. Chifukwa chake, ngati munthu amakonda kudya zokometsera kwambiri, zamchere kapena zotsekemera, nthawi zambiri amamva ludzu. Chifukwa chake, kuchuluka kwa mkodzo kumachuluka. Zomwezi zimawonedwa pogwiritsa ntchito zinthu zomwe zimathandizira kuti madzi achotse m'thupi, monga:

• zakumwa zazikulu za khofi (tiyi wamphamvu komanso khofi),
• Zipatso za malalanje
• ginger
• biringanya
• chivwende etc.

Physiological polyuria ndiyosakhalitsa. Mankhwala apadera safunika.

Polyuria imatha kukhala ndi matenda ashuga

Kwambiri kuyenera kuthandizidwa pakuwonjezereka kwa pathological mu mkodzo wothira. Nthawi zambiri, matenda a impso (kulephera kwa impso, zotupa ndi miyala ya impso, kuvulala) kumabweretsa izi. Matenda otsatirawa amathanso kukulitsa kuchuluka kwa mkodzo:

• matenda ashuga
• matenda a prostate,
• zovuta zamanjenje,
• kusokonekera kwa mtima dongosolo (makamaka, kulephera kwa mtima),
• sarcoidosis
• kusokonezeka kwa mahomoni
• oncological pathologies.

Mu matenda opatsirana a genitourinary system, polyuria yochepa imatha kukhazikika. Kuwonjezeka kwa pathological mu kuchuluka kwa mkodzo kumathanso kuchitika chifukwa chogwiritsa ntchito mankhwala ena (mwachitsanzo, diuretics, antihypertensives).

Zizindikiro

Chinthu choyamba chomwe wodwala angayang'anire ndikuwonjezera kukakamiza kukodza. Pakadali pano, mkodzo woposa 400 ml ukhoza kuchotsedwa nthawi iliyonse. Mkodzo umakhala wowonekera. Mwa mwana wochepera chaka chimodzi, polyuria ikhoza kukayikiridwa ndikuwonjezera kuchuluka kwa ma diap omwe amagwiritsidwa ntchito patsiku.

Chifukwa chakuti madzi ambiri amachotsedwa m'thupi nthawi ya polyuria yodwala, wodwalayo amatha kuzunzidwa ndikumva ludzu kosalekeza. Makanda amakhala amisala, nthawi zambiri amafunsa mawere.

Kumva ludzu kosalekeza ndi chimodzi mwazizindikiro za pathological polyuria

Zizindikiro zophatikizana zimatha kutengera kutengera matenda omwe amachititsa kuchuluka kwamkodzo. Simungachedwe kuyendera dokotala ngati:

• kuchepa mphamvu kwa thukuta ndi thukuta,
• zowawa zamoto (zamtundu uliwonse),
• kuthamanga kwa magazi
• ntchito ya msambo imasokonekera mwa akazi,
• Amuna ali ndi vuto potency,
• kugona kusokonezedwa
• kwamikodzo kusagonja kumawonedwa.

Polyuria ikhoza kuwonetsa kukula kwa matenda owopsa. Mankhwala akangoyamba kumene, ndiye kuti amatha kupirira ndi matenda opatsirana.

Polyuria - ndi chiyani?

Mu sayansi ya zamankhwala, mawuwa amatchedwa "pathological" omwe amadziwika ndi kutulutsidwa kwa mkodzo wambiri (pafupifupi malita awiri patsiku). Nthawi zambiri, matenda awa ndi chizindikiro cha matenda ena.

Polyuria imatha kukhala yokhazikika kapena yongoyembekezera. Chithandizo chosalamulirika ndi mankhwala a diuretic nthawi zambiri chimabweretsa izi. Komanso, vuto la kukodza limatha chifukwa cha matenda monga Prostate adenoma, matenda ashuga, sitiroko, zotupa za pelvic, cystitis, matenda amanjenje, khansa kapena diverticulitis, tachycardia. Mwa anthu ofooka kapena osakhazikika polyuria nthawi zambiri kumachitika. Kodi izi zikutanthauza chiyani? Ndi matenda awa, ngakhale kuchuluka pang'ono kwamadzi mu chikhodzodzo kumapangitsa chilimbikitso champhamvu "pang'ono." Kuphatikiza apo, mkodzo ungayambe munthu asanakhale ndi nthawi yofikira kuchimbudzi.

Zizindikiro za matenda

Zizindikiro za polyuria nthawi zambiri zimatchulidwa. Zizindikiro zazikulu zimaphatikizira kuchuluka kwa diuresis (kuyambira malita asanu mpaka khumi patsiku), momwe thupi limataya chloride yambiri, calcium, madzi ndi potaziyamu. Chizindikiro chotsatira ndi kuchepa kwa mkodzo, komwe kumakhudzana ndi zovuta pakugwira ntchito kwa impso. Zizindikiro zina sizimawonedwa.

Zakudya zopatsa mphamvu za polyuria

Pofuna kusinthasintha mphamvu yamagetsi yamagetsi m'thupi la wodwalayo, kuti apangire madzi osochera, munthu wina amadya chakudya. Makamaka chidwi chake chikuyenera kuperekedwa pakugwiritsa ntchito mchere. Wachikulire ayenera kuphatikiza mu zakudya za tsiku lililonse zosaposa 5 g za malonda. M'malo mwa mchere wamba patebulo, akatswiri amalimbikitsa kugwiritsa ntchito mchere wamchere. Ili ndi michere yambiri yofunikira kuti thupi lizigwira ntchito bwino.

M'pofunika kuonanso mtundu wa zakumwa. Kwa munthu wamkulu, malita 1.5 amadzi oyera tsiku lililonse ndi okwanira. Ndi kuchuluka zolimbitsa thupi - mpaka 2 malita.

Ndi polyuria, "zakudya nambala 7" zimagwiritsidwa ntchito kwambiri. Zakudya za tsiku ndi tsiku zopatsa mphamvu zimayenera kufika 3500 kcal. Zokonda ziyenera kuperekedwa kwa mapuloteni amachokera ku nyama (nyama ndi nsomba, mazira, mkaka). Ndikulimbikitsidwa kukana chakudya chofulumira, zakumwa zozizilitsa kukhosi ndi zinthu zotsiriza.

Ndikofunikira kudya chakudya m'magawo ang'onoang'ono, mpaka katatu pa tsiku.

Masamba a Walnut

Kuti mukonzekere mankhwalawa muyenera masamba achichepere. Pafupifupi 5 g ya zopangira ziyenera kutsanulidwa ndi kapu ya madzi otentha, kukakamira pansi pa chivindikiro chotsekedwa kwa mphindi 15, ndiye kumwa ngati tiyi. Ndemanga zikuwonetsa kuti mankhwalawa amathandizira kuchepetsa kuchuluka kwa mkodzo.

Kachidutswa kakang'ono ka phula (kukula kwa mtedza) kuyenera kudulidwa ndi kutsanulira 100 g ya 70 peresenti ya mowa. Chogwiritsidwacho chikuyenera kutsekedwa ndi chivindikiro ndikusiya firiji kwa milungu iwiri. Tincture wokonzeka tikulimbikitsidwa kutenga madontho 15 mphindi 20 musanadye, katatu patsiku. Mankhwalawa amatha kuchepetsedwa ndi madzi kapena tiyi wopanda kutentha.

Pafupifupi 20 g la maluwa a elderberry ayenera kudzazidwa ndi 200 ml ya madzi otentha ndikuumirizidwa pansi pachikuto chotsekedwa kwa ola limodzi. Mankhwala omalizidwa ayenera kusefedwa ndi kuledzera m'miseche yaying'ono. Ndemanga zikuwonetsa kuti kulowetsedwa kumathandiza kuthetsa ludzu lanu.

Ngati mkodzo wowonjezera umayamba chifukwa cha kuwonongeka kwa impso, kulowetsedwa kwa masamba a nanonberry kumathandiza. Supuni ziwiri za zopukutira zowuma ziyenera kutsanulidwa ndi kapu ya madzi otentha, yokutidwa bwino ndi chivindikiro ndikuumirira kwa ola limodzi. Pambuyo pozizira, tikulimbikitsidwa kupaka mafuta. Mankhwalawa amayenera kuledzera masana.

Masamba a Birch

Pafupifupi masamba 100 a masamba (achichepere) achichepere ayenera kuphwanyidwa ndikuthira makapu awiri amadzi otentha. Chochita chikuyenera kuthiridwa kwa maola osachepera 5 pansi pa chivindikiro chotsekedwa. Kenako kulowetsaku kuyenera kusefedwa, kupukutira masamba a birch. Iyenera kukhala pamtambo. Mankhwala omalizidwa ayenera kuledzera kawiri pa tsiku mu theka lagalasi musanadye.Malinga ndi ndemanga, kulowetsedwa kwa birch kumathandizira kuti matenda a impso asinthe.

Zithandizo za anthu ku polyuria - chithunzi chowonera

Propolis tincture - mankhwala ponseponse
Masamba a Walnut amagwiritsidwa ntchito kupanga tiyi wamankhwala. Masamba a Lingonberry amathandiza kuthana ndi matenda a impso.
Kulowetsedwa ndi achikulire kumakuthandizani kuthetsa ludzu lanu

Kuneneratu Chithandizo ndi Kuteteza

Matendawa amatengera matenda omwe adayambitsa kukula kwa polyuria. Mulimonsemo, wodwala akangofunafuna thandizo, amakhala ndi mwayi waukulu wolimbana ndi matendawa. Ndikosatheka kunyalanyaza polyuria. Madzi amadzimadzi amatha, zomwe zimabweretsa zovuta zotsatirazi:

• zovuta zamitsempha
• zovuta zam'mimba
• matenda a mtima
• Kuthetsa kubereka mwa akazi ndi amuna,
• kuwonda msanga.

Muzovuta kwambiri, imfa siyimachotsedwa.

Tsoka ilo, kupewa kwapadera kwa polyuria kulibe. Komabe, mwayi wokumana ndi matenda am'mimbawa umachepetsedwa ngati wodwalayo atakhala ndi moyo wathanzi, kusiya zizolowezi zoipa komanso kusapeza zakudya zoyenera, ndikupeza chithandizo chamankhwala ngati zingachitike zovuta zina zilizonse.

Momwe mungadziwire polyuria?

Polyuria - mkodzo wowonjezereka wotulutsidwa patsiku - oposa 2 malita. Mapangidwe a mkodzo amadutsa magawo awiri. Choyamba, magazi amadzimadzi amatulutsidwa omwe amalowa mu impso ya impso. Kenako imadutsa kusefera ndi kudutsa ma tubules. Munthawi imeneyi, zinthu zofunikira zimatsata thupi, ndipo zovulaza zimalowa mchikhodzodzo. Madziwo amatchedwa kuti mkodzo. Ngati njirayi idasokonekera pazifukwa zina, ndiye kuti madzi ambiri amalowa mu kuwira ndipo samalowetsedwa m'thupi. Nthawi zina mkodzo umatuluka maola 1-2 aliwonse, ndipo nthawi zambiri.

Polyuria imatha kumapitilira mosakhalitsa. Komanso, matenda oterewa nthawi zambiri amakhala ndi matenda osokoneza bongo komanso matenda: tachycardia, vuto la matenda oopsa.

Zomwe zimayambitsa kwambiri polyuria

Kutulutsa kwambiri mkodzo kumalumikizidwa ndi pathological ndi zokhudza thupi. Ngati choyambitsa cha polyuria chili mu gwero lanyama, ndiye kuti atachotsedwa vutolo limatha lokha. Polyuria nthawi zambiri imayamba chifukwa cha kupsinjika kwakanthawi kapena kukhumudwa kwambiri. Zinthu zina zokhudza thupi zimasiyananso:

• Kumwa madzi ambiri tsiku lonse. Anthu ambiri akamamwa madzi, mkodzo wambiri umatuluka.
• Kuchuluka kwa zakudya zamagulu a shuga. Maswiti osiyanasiyana ndi ma confectionery amaphwanya njira yosinthira kuyamwa kwamkodzo mu impso tubules, chifukwa mkodzo wambiri umalowetsa kuwira.
• Hypothermia wa ziwalo za m'chiuno. Chifukwa chakuti munthu akakhala kuzizira, madzi samatuluka m'matumba a thukuta, amalowa mu chikhodzodzo chochuluka.

Zifukwa za m'matumbo zimaphatikizira ziwalo zosiyanasiyana komanso zamkati:

• kulephera kwa aimpso
• kutupa mu ziwalo zophatikizidwa,
• sarcoidosis
• CNS matenda,
• ma neoplasms owopsa, makamaka m'matumbo am'mimba,
• kulephera kwa mtima
• kutupa kwa
• matenda ashuga
• calculi ziwalo zamkodzo.

Ndi zizindikiro ziti zomwe zimathandiza kuzindikira zamatsenga?

Munthu aliyense ali ndi chithunzi cham'thupi, zomwe zimatengera ndi gawo liti la polyuria. Chizindikiro chachikulu cha matenda ndicho kukodza mwachangu, mosasamala nthawi ya tsiku. Mlingo wa tsiku ndi tsiku umakwera mpaka malita awiri kapena kupitilira. Chifukwa cha matenda ashuga, kuchuluka kwa mkodzo womwe umachotsedwa nthawi zina kumakhala malita 10, pomwe munthu amathamangira kuchimbudzi kwa mphindi zochepa atachotsa chikhodzodzo.Ndi polyuria, monga lamulo, palibe zizindikiro zina zomwe zimadziwika ngati matendawa sakukhudzidwa ndi matenda apakati.

Zizindikiro mwa ana

Muubwana, zizindikiro za polyuria ndizosowa kwambiri. Kuphwanya kwamkodzo kumachitika chifukwa cha zinthu izi:

• kudya kwambiri madzi
• mavuto amisala
• Matenda a Cohn
• kulephera kwa mtima kapena impso,
• nkhawa.

Polyuria mwa ana amakula, ngati lamulo, mopweteka. Wodwala pang'ono amakhala ndi nkhawa ndi chizindikiro chimodzi - maulendo pafupipafupi kupita kuchimbudzi. Makolo akhozanso kuwona kuti mtundu wa mkodzo wasintha mwa mwana. Ndikofunika kuwonetsa mwanayo kwa adotolo posachedwa, chifukwa kuyang'aniridwa kumatha kupangitsa kuti madzi azisowa m'thupi komanso mavuto ena akuluakulu.

Chifukwa chiyani kuvutikira pa nthawi ya pakati?

Mwa akazi, polyuria pa nthawi yapakati sichachilendo ndipo imadziwika m'magawo omaliza a phukusi. Nthawi zambiri, limodzi ndi polyuria, njira yotupa imayamba m'mitsempha, yomwe sikuwonetsedwa ndi zisonyezo zilizonse ndipo imatha kupezeka ndi kusanthula kwamkodzo kwamankhwala. Matendawa ndi owopsa kwa mayi woyembekezera ndipo angakhudze mwana wake wakhanda, chifukwa chake muyenera kupita kuchipatala chakutsogolo ndikukayezetsa mayeso onse.