Polydipsia (Yakawandisa Nyota)
Zvemukati
Chii chinonzi polydipsia?
Polydipsia izita rekurapa rekunzwa kwenyota yakanyanyisa.
Polydipsia inowanzo kuve yakabatana nemamiriro eurinary ayo anoita kuti iwe urine zvakanyanya. Izvi zvinogona kuita kuti muviri wako unzwe kuda nguva dzose kutsiva zvinwiwa zvakarasika mukuita weti. Inogona zvakare kukonzerwa nemaitiro epanyama anoita kuti iwe urasikirwe neakawanda emvura. Izvi zvinogona kusanganisira kudikitira panguva yekurovedza muviri, kudya chikafu chine munyu wakawanda, kana kutora zvinodhaka zvinoita kuti upfuure mvura zhinji, senge diuretics.
Iyi mamiriro anoonekwa seimwe yekutanga zviratidzo zveshuga. Inonyanya kuzivikanwa nechirwere cheshuga mellitus. Rudzi urwu rwechirwere cheshuga runosanganisira mashoma mamiriro anoita kuti zviomere muviri wako kugadzirisa uye kushandisa glucose, inonzi zvakare shuga yeropa. Kana muviri wako usingakwanise kugaya mashuga eropa, mashuga eropa rako anogona kukwira zvisina kujairika. Huru hwehuga hweropa hunogona kukonzera iwe kuti unzwe nyota zvakanyanya semhedzisiro.
Chii chinokonzera polydipsia?
Polydipsia inogona kukonzerwa nekungonwa mvura isina kukwana mushure mekunge warasikirwa neakawanda mvura. Kana iwe ukadikitira zvakanyanya kana kunwa zvimwe zvinwiwa, senge kofi kana girini uye tii tii, iwe unowanzo kunzwa uine nyota zvakanyanya sezvo muviri wako uchitsvaga kutsiva iro mvura yarasika. Kushaya mvura mumuviri nekuda kwekusanwa mvura yakakwana zvakare chikonzero chinowanzoitika che polydipsia. Unogona kunzwa izvi kunyangwe kana wanga uchidikitira kana kuita weti yakawanda. Polyuria, mamiriro aunopfuura akawanda weti weti, zvinogona kukonzera polydipsia.
Polydipsia zvakare chiratidzo chekutanga cheshuga mellitus uye chirwere cheshuga insipidus. Chirwere cheshuga chinokonzera polydipsia nekuti shuga yako yeropa inokwira zvakanyanya uye inoita kuti unzwe nyota, zvisinei nekuti unonwa mvura yakawanda sei. Chirwere cheshuga insipidus inoitika kana huwandu hwemvura yemuviri wako husisina kuenzana. Kunyangwe iwe ukanwa mvura yakawanda, iwe uchiri kungonzwa kuda kukurumidza kunwa mamwe mvura. Iwe unogona kuita weti yakawanda kunyangwe iwe usati wave nezvakawanda zvekunwa.
Zvimwe zvikonzero zvakanyorwa zvepolydipsia zvinosanganisira:
- mimwe mishonga, yakadai secorticosteroids kana diuretics mune fomu piritsi, senge mapiritsi emvura
- kushandisa munyu wakawanda kana vhitamini D mune zvekudya kana zvinwiwa
- kufinhwa kana kushushikana kunoita kuti unwe mvura yakawanda nekuda kwekutya, uko kwakaonekwawo mumabhiza nembwa
Zviratidzo
Chiratidzo chakajeka kwazvo che polydipsia kunzwa kwekunzwa nyota zvakanyanya. Ichi chiratidzo chinonyanya kuoneka kana iwe uchinzwa nenzira iyi kunyangwe mushure mekunge watonwa mvura yakawanda.
Zvimwe zviratidzo zvakajairika zve polydipsia zvinosanganisira:
- kupfuura zvisingaenzaniswi huwandu hwakawanda weti (anopfuura mashanu litita pazuva)
- kunzwa kusingaperi kwekuoma mumuromo mako
Unogona kucherechedza zvimwe zviratidzo kana yako polydipsia iri nekuda kwechimiro chepasi sechirwere cheshuga. Zvimwe zvinowanzoitika chirwere cheshuga mellitus zviratidzo zvinogona kuperekedza polydipsia zvinosanganisira:
- kunzwa nzara zvisina kujairika
- kuva nemaonero mashoma
- kupera simba
- kuora muviri kushoma
- kuwana maronda anowanzoitika kana kutapukirwa
- kunonoka kupora kwemaronda kana hutachiona
Kunwa mvura yakawandisa kunogona zvakare kukonzera kudhakwa kwemvura, iyo dzimwe nguva inonzi kunwa mvura. Aya mamiriro anoitika kana iwe ukanwa zvakawandisa huwandu hwemvura. Kuita izvi kunogona kudzikisira huwandu hwesodium muropa rako uye kudzikisa ropa rako re sodium kune nengozi zvine mwero, inonziwo hyponatremia. Izvi zvinogona kukonzera zviratidzo zvakadai se:
- kutemwa nemusoro
- kunzwa dzungu kana kusagadzikana
- tsandanyama kana mhasuru
- kusagadzikana kusinga tsanangurike
Kurapa
Mune zvimwe zviitiko, unogona kukanganisa imwe yenguva pfupi yenyota yakanyanyisa yepolydipsia. Usati waona chiremba wako kune polydipsia, nyatsoongorora zvaunonzwa nezve nyota yakanyanyisa:
- Kangani kaunonzwa nyota?
- Iwe une nyota kwenguva yakareba sei panguva imwechete?
- Unoona here zvimwe zviratidzo kana iwe uchinzwa nyota?
- Iwe unonzwa chete uine nyota zvakanyanya mushure mekuita zvimwe zviitiko?
- Iwe uchiri kunzwa wakanyanya nyota here mushure mekunwa makumi matanhatu nemasere emvura kana anopfuura emvura zuva rese?
Ona chiremba wako kana manzwiro ako enyota yakanyanyisa akareba kwenguva yakareba kupfuura mazuva mashoma uye asingachinje zvakanyanya zvichibva padanho rako rekuita kana huwandu hwemvura yaunonwa.
Kurapa kwepolydipsia kunogona kuvimba nemamiriro ezvinhu ari kuikonzera. Chiremba wako angangoita zvinotevera kuti akuratidze:
- ita kuongororwa kweropa
- tora weti sampuro
- kukumbira iwe kuti unwe mvura shoma kune imwe nguva yenguva (bvunzo yekushaiwa kwemvura)
Kana chirwere cheshuga mellitus chiri kukonzeresa yako polydipsia, chiremba wako anogona kukupa mushonga wekudzora shuga rako reropa. Iwe unogona zvakare kuda kuzvipa iwe wega insulin majekiseni. Chiremba wako anogona zvakare kukurudzira kugadzira chirongwa chekudya kuti ubatsire kudya uye kunwa chikafu chakaringana kuti ubatsire kurapa zviratidzo zvechirwere cheshuga. Chirongwa chekurovedza muviri chinogona kubatsira kuti ugare uine hutano hwakanaka uye wakasimba.
Kana iwe uine chirwere cheshuga insipidus, chiremba wako anokuraira kuti unwe imwe huwandu hwemvura kuti uve nechokwadi chekuti haupere mvura. Chiremba wako anogona zvakare kukupa iwe mushonga kuti uchengetedze zviratidzo zvako zvichidzora. Iyi mishonga inogona kusanganisira desmopressin muchimiro chepiritsi kana jekiseni.
Kana yako polydipsia iine chikonzero chezvepfungwa, chiremba wako anogona kukurudzira kuti iwe uone murapi kana murapi kuti akubatsire kuti uwane manzwiro ako ekumanikidzwa kunwa yakawandisa mvura iri pasi pesimba.
Chiremba wako anogona zvakare kuratidza kugona kwekuziva maitiro ekurapa (CBT) kana nyaya yehutano hwepfungwa iri kukonzera yako polydipsia. Izvi zvinogona kukubatsira iwe kuti uwedzere kuziva nezve zvakatipoteredza kana zvemunhu zvinokonzeresa izvo zvinogona kunge zvichikonzera kuti iwe unzwe kudiwa kwekunwa zvakanyanya Inogona zvakare kukudzidzisa iwe maitiro ekugadzirisa aya manzwiro nenzira ine hutano.
Mhando polydipsia
Mhando dzinoverengeka dze polydipsia dziripo dzinotsanangurwa nezvikonzero zvavo. Zvimwe zvikonzero ndezvemuviri. Zvimwe zvinogona kukonzerwa nenyaya dzepfungwa, kana dzepfungwa. Mhando dze polydipsia dzinosanganisira:
- Psychogenic (primary) polydipsia: Iyi mhando ye polydipsia inokonzerwa nekuzvidya mwoyo, kusurukirwa, kushushikana, kana kusimba kwehutano hwepfungwa, pane kuita chinhu chehupenyu.
- Zvinodhaka-zvinokonzerwa polydipsia: Izvi zvinokonzerwa nemamwe madhiragi kana mavitamini anokonzera polyuria, senge diuretics, vhitamini K, kunwa munyu, uye corticosteroids.
- Compensatory polydipsia: Compensatory polydipsia inokonzerwa nekudzikisa huwandu hwemaantidiuretic mahormoni mumuviri wako. Izvi zvinogona kutungamira mukunyanyisa kuita weti.
Maonero uye kudzivirira
Zvichienderana nechakakonzeresa uye kubudirira kwekurapa kwepolydipsia, iwe ungangodaro uchikwanisa kuzviwana pasi pekudzora pasina kukanganisa hupenyu hwako kana kukanganisa zviitiko zvako zvezuva nezuva.
Dzimwe nzira dzekuchinja mararamiro, dzakadai sekurovedza muviri kana kudya kwakanaka, dzinogona kubatsira kuchengetedza zviratidzo zvako zvakapfava, kunyanya kana uine mamiriro ezvinhu akaita seshuga mellitus. Mune zviitiko izvi, kuwana chirongwa chekurapa kubva kuna chiremba wako kwakakosha kuti ugare uine hutano zvakakwana uye kudzivirira mamwe matambudziko eshuga. Kuwana kunwisa kwako zvakanyanya pasi pesimba kunogona zvakare kudzivirira kunetseka kwekunwa mvura yakawandisa, senge hyponatremia.
Taura nachiremba wako nezvenzira yakanakisa yekugadzirisa zviratidzo zvako uye nekurapa chero mamiriro aunenge uine.