Sengoli: Morris Wright
Letsatsi La Creation: 25 April 2021
Ntlafatsa Letsatsi: 1 November 2024
Anonim
Polydipsia ke eng, lisosa le kalafo - Bophelo
Polydipsia ke eng, lisosa le kalafo - Bophelo

Litaba

Polydipsia ke boemo bo etsahalang ha motho a nyoriloe haholo mme ka lebaka leo o qetella a noa metsi a mangata le lino tse ling. Boemo bona hangata bo tsamaea le matšoao a mang a joalo ka ho eketseha ha ho ntša metsi, molomo o omeletseng le ho tsekela 'me ho na le lisosa tse fapaneng tse ka bang lefu la tsoekere kapa liphetoho tšoelesa ea pituitary.

Bopaki ba sesosa sa polydipsia bo etsoa ke ngaka e akaretsang kamora liteko tsa mali kapa moroto, tse sebelisetsoang ho sekaseka maemo a tsoekere, sodium le lintho tse ling 'meleng. Kalafo e ipapisitse le sesosa, leha ho le joalo, e ka ipapisa le ts'ebeliso ea meriana ea lefu la tsoekere le litlhare tsa khatello ea maikutlo le khatello ea maikutlo, mohlala.

Matšoao a mantlha

Letšoao le ka sehloohong la polydipsia ke maikutlo a lenyora khafetsa, empa matšoao a mang a ka hlaha, joalo ka:


  • Ho eketseha ha makhetlo a ho ntša metsi;
  • Molomo o omileng;
  • Hlooho e bohloko;
  • Ho ikutloa u tsekela;
  • Likerethe;
  • Ho phatloha ha mesifa.

Matšoao ana a ka hlaha, haholo-holo, ka lebaka la tahlehelo ea sodium morotong o bakoang ke ho felisoa ha moroto ho eketsehileng. Haeba motho a e-na le lefu la tsoekere, le bona ba ka ba le matšoao ana, ntle le tlala e feteletsang, pholiso e liehang kapa tšoaetso khafetsa. Hlahloba matšoao a mang a lefu la tsoekere.

Lisosa tse ka bang teng

Polydipsia e tšoauoa ka lenyora le fetelletseng mme sena se ka bakoa ke mathata a bophelo bo botle, joalo ka lefu la tsoekere kapa lefu la tsoekere insipidus, liphetoho ho pituitary gland, e leng tšoelesa e ikarabellang mesebetsing e fapaneng 'meleng, le mafu a kang Langerhans cell histiocytosis le sarcoidosis.

Boemo bona bo ka bakoa hape ke ho lahleheloa ke maro a 'mele, ka lebaka la letšollo le ho hlatsa, ka mohlala, le ts'ebeliso ea meriana e meng, joalo ka thioridazine, chlorpromazine le li-anti-depressing. Ho netefatsa sesosa sa polydipsia, ho hlokahala hore o buisane le ngaka e akaretsang e le hore ho khothaletsoa liteko tsa mali le moroto ho sekaseka likhakanyo tsa tsoekere le sodium 'meleng.


Mefuta ea polydipsia

Ho na le mefuta e fapaneng ea polydipsia ho latela lisosa mme e ka ba:

  • Polydipsia ea mantlha kapa ea psychogenic: e etsahala ha lenyora le feteletseng le bakoa ke bothata ba kelello, joalo ka lefu la ho tšoenyeha, khatello ea maikutlo le schizophrenia. Maemong a mangata, motho ea nang le mofuta ona o na le tlhoko e feteletsang ea ho noa metsi ka lebaka la ho tšaba ho ba le lefu, mohlala;
  • Polydipsia e bakoang ke lithethefatsi: e bakoa ke ho kenoa ha lithethefatsi tse ling tse bakang polyuria, e leng nako eo motho a hlokang ho ntša metsi makhetlo a 'maloa ka letsatsi, joalo ka diuretics, vithamine K le corticosteroids;
  • Puseletso ea polydipsia: mofuta ona o hlaha ka lebaka la ho theoha ha li-hormone tsa antidiuretic, tse ikarabellang ho khutliseng metsi ka liphio, mme boemo bona bo lebisa ho tahlehelo ea moroto o mongata, mme ka lebaka la tlhoko ea 'mele ea ho mokelikeli, motho eo o qetella a nyoriloe haholoanyane, a baka polydipsia.

Kamora ho etsa liteko, ngaka e hlahloba mofuta oa polydipsia eo motho a nang le eona mme kalafo e tla bontšoa ho latela sephetho sena.


Kalafo e etsoa joang

Kalafo ea polydipsia e bontšoa ke ngaka ho latela lisosa le mofuta oa boemo bona, mme haeba e bakoa ke lefu la tsoekere, ho ka buelloa meriana ea ho laola maemo a tsoekere ea mali joalo ka metformin le liente tsa insulin, ntle le ho eletsa liphetoho tse ling tseleng ea bophelo. litloaelo tse ipapisitseng le phepo e tlase ea tsoekere le ho ikoetlisa. Sheba malebela a mang a ho laola lefu la tsoekere.

Haeba polydipsia e bakoa ke mathata a kelello, ngaka e ka khothaletsa meriana e loantšang khatello ea maikutlo, kalafo ea khatello ea maikutlo le kalafo ea kelello e le ho thusa motho ho hlaphoheloa ha a qobelloa ho noa metsi a mangata.

Na ho noa metsi a mangata haholo ho fosahetse?

Kotsi e kholo ea ho noa metsi a mangata ke hore motho o na le hyponatremia, e leng ho lahleheloa ke sodium ka moroto, e ka bakang hlooho, ho tsekela, ho otsela esita le maemo a tebileng, joalo ka ho oa le ho akheha.

Litlamorao tse mpe 'meleng li ka hlaha ha motho a noa metsi a fetang 60 ml ka kg ea boima ba' mele, ke hore, motho ea nang le 60 kg a ka ba le litlamorao haeba a ka noa metsi a fetang lilithara tse 4 ka letsatsi. Ho bohlokoa ho hlokomela hore batho ba nang le bothata ba liphio le ba hlasetsoeng ke lefu la pelo ha baa lokela ho noa metsi a mangata e le hore ba se ke ba imetsa 'mele le ho mpefatsa maemo ana. Leha ho le joalo, ho noa metsi a lekaneng, joalo ka lilithara tse 2 ka letsatsi, ho bohlokoa haholo ho thibela nts'etsopele ea mathata a mang a bophelo bo botle, joalo ka majoe a liphio, ka mohlala. Bona kamoo ho noa metsi a mangata ho ka bang kotsi bophelong ba hau.

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