Tabbatarwa tabbaci cewa ayyukan masu ciwon sukari suna cikin cikewa a cikin jikin mutum shine yawan buƙatar bayan gida.
Wannan sabon abu ba wai kawai yana haifar da matsala mai yawa ba, har ma yana haifar da haɗari mara tabbas ga lafiyar mai haƙuri, wanda ke cutar da yanayin ƙodan, zuciya, jijiyoyin jini, da tsarin juyayi na tsakiya.
Sau da yawa, marasa lafiya suna rikitar da wannan karkatarwa tare da yawan urination da tsoro, suna ɗauka don alama mai alamar tsoro. Koyaya, abubuwan da aka lissafa sun bambanta.
Kuma idan cikin yanayin saurin saurin kumbura, yawan ƙwayoyin ruwan da jikin mutum yake toyawa ya zama al'ada, to tare da polyuria adadin kayan da aka cire zai sha tsayayye sosai, ƙayyadadden nauyin shi zai zama ƙari.
Menene dalilin polyuria a cikin ciwon sukari?
A cikin masu ciwon sukari, wannan yanayin yana faruwa a duk lokacin da matakin glucose a cikin jini ya tashi kuma ya kasance har sai yawan abu ya dawo daidai.
A wannan yanayin, ana sake samun ruwa a cikin tubules na koda da kuma cikakkiyar kawarwa daga jiki.
Wato, don rage matakin glucose da kuma tsarkake jini, kodan yana ƙaruwa da aiki sosai. Sakamakon haka, ƙaruwar aiwatar da cire glucose daga jiki, kuma tare da shi ruwan da ake buƙata don rayuwa ta yau da kullun, yana farawa.
Kowane gram na glucose yayin shakatawa zai “dauki” kimanin 30-40 g na fitsari da shi. Idan mai haƙuri ba ya shan ruwa mai yawa tare da hyperglycemia, yanayin zai iya cutar da ƙimajin kodan, jijiyoyin jini, zuciya da wasu gabobin.
Polyuria ya zama ruwan dare a cikin nau'in 1 da nau'in ciwon sukari na 2. Koyaya, har yanzu akwai wasu bambance-bambance a cikin yanayi:
- tare da nau'in ciwon sukari na 1. Mai haƙuri yana da kusan polyuria na yau da kullun, musamman an nuna shi sosai cikin dare. Samun kulawa da yanayin yana da matukar wahala saboda yawan karuwar yawan sukarin jini da kasancewar dogaro da insulin;
- nau'in ciwon sukari na 2. Hakanan akwai bukatar yin amfani da bayan gida a lokutan dare da rana kuma. Amma a wannan yanayin, yanayin yana da sauƙin ɗauka a ƙarƙashin kulawa, bin wani abinci, aiwatar da motsa jiki, ɗaukar magunguna na musamman da kuma lura da matakin sukari koyaushe. A cikin kusan 50% na marasa lafiya da ciwon sukari, polyuria baya faruwa;
- tare da ciwon sukari insipidus. Siffofin bayyanar polyuria a cikin insipidus na sukari iri daya ne da na ciwon suga. Yana yiwuwa a tantance cewa mai haƙuri yana haɓaka daidai da wannan nau'in rashin lafiya ta musamman tare da taimakon bincike na asibiti, ƙaddamar da bincike don bincika matakin samar da hormone antidiuretic.
Pathogenesis da etiology
Me yasa daidai da yadda polyuria ke faruwa - za'a iya kafaɗa kawai tare da taimakon cikakken binciken asibiti.
Bayyanar cututtuka na iya zama fiye da ƙasa da sanarwa. Koyaya, a kowane hali, mai haƙuri zai sha wahala daga yawan fitowar fitowar fitsari da kuma yawan buƙatar ɗakin bayan gida.
Jiki lafiya yana iya fitar da fitsari sau 2-2.5 a rana ɗaya. Idan adadin samfurin yau da kullun ya wuce madaidaicin ƙa'idar (a cikin marasa lafiya da masu ciwon sukari, wannan adadi na iya isa 10 l), likita zai yi binciken da ya dace. Yawancin jikin mai haƙuri yana cutar da ciwon sukari, ƙari polyuria zai bayyana kansa.
Tunda kodan mai haƙuri tare da ciwon sukari suna aiki a cikin yanayin haɓaka, raguwarsu tana faruwa akan lokaci, sakamakon abin da gabobin suke rasa ikon aiwatar da jini mai ɗauke da adadin glucose mai yawa. Sakamakon haka, fitsari ya zama denser, saboda abin da yake ciki yana rage matakin manyan abubuwan urea da ake buƙata don tabbatar da metabolism na metabolism.
Kwayar cutar
Babban alamar cutar polyuria shine yawan buƙatar ɗakin bayan gida da kuma cire adadin fitsari da ƙarancin digiri a lokacin urination.Abin fitsari na iya zama daidaiton rana ko dare.
Wata alama da ke nuna kasancewar polyuria shine jin ƙishirwa koyaushe.
Ba tare da la'akari da abincin ba, irin waɗannan marasa lafiya suna buƙatar shan babban adadin ruwa.
Yadda za a wuce diuresis kullum?
Ba a buƙatar shiri na musamman don bincike ba. A ranar Hauwa na tarin kayan aiki mai mahimmanci, wajibi ne don ware magungunan diuretic, tare da lura da tsarin shan ruwan da aka saba.
Ana tattara abubuwan, ana yin amfani da kwantena masu sirtacce tare da rarrabuwa don samar da sauƙin tantance ƙarar fitsari.
Ana fitar da fitsari safe don cikin banɗaki, kuma duk sassan da suka biyo baya na halittu yayin rana (ana ɗaukar farkon urination na farko a matsayin wurin farawa) ana tattara su a cikin akwati da aka shirya. Yana da mahimmanci cewa an tattara duk fitsari a cikin rana. Ana ajiye akwati na kayan halitta a cikin firiji.
Bayan tattarawa, ana zubar da fitsari 200 na fitsari a cikin wani keɓaɓɓen akwati kuma an kawo shi dakin gwaje-gwaje, yana nuna lokacin da aka yi tarin kayan, nawa aka tattara, har ma (idan ya cancanta) yana nuna nauyinku da tsayinku.
Jiyya da rigakafin
Rashin kawar da haɓakar fitsari yana yiwuwa ne kawai idan an kawar da sanadin tushen - yawan abubuwan sukari.
Don maganin polyuria a cikin ciwon sukari na kowane nau'in, mai haƙuri yana buƙatar:
- bi abinci mai ƙarancin carb;
- ƙara yawan aiki na jiki;
- ƙananan matakan glucose na jini zuwa al'ada.
Idan ba za a iya samarda sukari ta al'ada ta amfani da hanyoyin da ke sama ba, zaku nemi allurar insulin ko Metformin.
A cikin yara
A cikin yara, ciwon sukari sau da yawa yakan faru a cikin m nau'i. Don haka, ya kamata iyaye su kula sosai da lafiyar lafiyar yarinyar.
Tafiye-tafiye akai-akai zuwa bayan gida, rashin ikon farkawa da kama banɗaki (yaro yana yawan farkawa "rigar", duk da cewa ya riga ya koya farkawa don amfani da bayan gida), gunaguni na bushe baki da ƙishirwa suna alamu masu ba da tsoro waɗanda ke nuna ci gaban polyuria, wanda hakan ke haifar da mafi muni rashin lafiya.
Polydipsia a matsayin amintaccen abokin polyuria a cikin masu ciwon sukari
Polydipsia bangare ne na polyuria. Wannan yanayi ne na kishin ruwa na halitta wanda ke faruwa da asalin fitsari da yawan fitsari a jiki. Kuna iya kawar da wannan bayyanuwar ta hanyar daidaita matakan glucose a cikin jini.
Bidiyo masu alaƙa
Game da sanadin da kuma maganin polyuria a cikin ciwon sukari a cikin bidiyon:
Don kawar da bayyanar polyuria, ana buƙatar ingantaccen tsarin haɗin gwiwa, zaɓin wanda likita ya kamata ya yi. Ba'a ba da shawarar zabi magunguna don kawar da cutar da kanku ba.
