Weti yevasungwa bvunzo

Weti yevasungwa yekuyera inoyera kugona kweitsvo kuchengetedza kana kuburitsa mvura.

Kune iri bvunzo, iyo yakakosha giraidhi yeti weti, weti electrolyte, uye / kana weti osmolality inoyerwa pamberi uye mushure meimwe kana kupfuura eanotevera:

• Kutakura kwemvura. Kunwa huwandu hwakawanda hwemvura kana kugamuchira zvinwiwa kuburikidza nemutsinga.
• Kubviswa kwemvura. Kwete kunwa zvinwiwa kweimwe nguva yakati.
• ADH manejimendi. Kugamuchira antidiuretic hormone (ADH), iyo inofanirwa kukonzera kuti weti iwedzere.

Mushure mekupa iwe weti sampuro, inoedzwa ipapo ipapo. Kune weti yakadzama giravhiti, mutapi wezvehutano anoshandisa chidimbu chakagadzirwa nepadhi-inonzwisisika pad. Ruvara rwedipstick runochinja uye runotaurira mupi kukosha kweuweti hwako. Iyo dipstick bvunzo inopa chete yakashata mhedzisiro. Kuti uwane chaiyo yakatarwa giravhiti mhedzisiro kana kuyerwa kweiyo weti electrolyte kana osmolality, mupi wako anotumira yako weti sampuro kubazi.

Kana zvichidikanwa, mupi wako anokukumbira kuti utore weti yako kumba pamusoro kwemaawa makumi maviri nemana. Wako mupi achakutaurira maitiro ekuita izvi. Tevera mirairo chaizvo.

Idya zvakajairwa, zvine mwero kudya kwemazuva akati wandei usati wayedzwa. Wako mupi achakupa mirairo yekurodha mvura kana kushaiwa kwemvura.

Mubatsiri wako anokukumbira kuti umbomisa chero mishonga inogona kukanganisa mhedzisiro yekuedzwa. Ive neshuwa yekuudza mupi wako nezveese mishonga yaunotora, kusanganisira dextran uye sucrose. Usarega kutora chero mushonga usati wataura nemupi wako.

Uyezve udza mupi wako kana iwe uchangobva kugamuchira intravenous dhayi (musiyano wepakati) wekuyedza imaging senge CT kana MRI scan. Iyo dhayi inogona zvakare kukanganisa mhedzisiro yekuedzwa.

Muedzo unosanganisira kungoita weti chaiyo. Iko hakuna kusagadzikana.

Uyu muedzo unowanzoitwa kana chiremba wako achifungidzira pakati chirwere cheshuga insipidus. Iyo bvunzo inogona kubatsira kuudza icho chirwere kubva nephrogenic chirwere cheshuga insipidus.

Iyi bvunzo inogona kuitwawo kana iwe uine zviratidzo zvechirwere cheasina kukodzera ADH (SIADH).

Muzhinji, zvakajairwa tsika kune yakatarwa giravhiti zvinotevera:

• 1.005 kusvika 1.030 (zvakajairika giravhiti)
• 1.001 mushure mekunwa yakawandisa mvura
• Kupfuura 1.030 mushure mekudzivirira zvinwiwa
• Yakagadziriswa mushure mekugamuchira ADH

Zvakajairika kukosha masenduru anogona kusiyana zvishoma pakati pemarabhoritari akasiyana. Mamwe marabhu anoshandisa zviyero zvakasiyana kana kuyedza akasiyana sampuli. Taura nemupi wako nezve zvinorehwa nemimwe miedzo yako.

Kuwedzera kwemuti weti kunogona kunge kuri nekuda kwenzvimbo dzakasiyana, senge:

• Kutadza kwemoyo
• Kurasikirwa nemvura yemuviri (kupera mvura mumuviri) kubva mumanyoka kana kudikitira zvakanyanya
• Kuderedza kweiyo itsvo tsinga (renal arterial stenosis)
• Shuga, kana glucose, mune weti
• Syndrome isina kukodzera antidiuretic hormone secretion (SIADH)
• Kusvipa

Kupera kwemuti weti kunogona kuratidza:

• Chirwere cheshuga insipidus
• Kunwa mvura yakawandisa
• Itsvo kutadza (kurasikirwa kwekugona kudzoreredza mvura)
• Yakakomba itsvo hutachiona (pyelonephritis)

Iko hakuna njodzi nemuedzo uyu.

Yemvura kurodha bvunzo; Kuedzwa kwekushaiwa kwemvura

• Weti yevasungwa bvunzo
• Yechikadzi weti turakiti
• Varume urinary turakiti

Fogazzi GB, Garigali G. Urinalysis. Muna: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Yakakwana Kliniki Nephrology. 6th ed. Philadelphia, PA: Elsevier; 2019: chits.

Riley RS, McPherson RA. Yekutanga kuongorora weti. Mune: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis uye Management nemaLabhoritari Maitiro. 23rd ed. St Louis, MO: Elsevier; 2017: chitsiko 28.