Urination akai-akai na iya zama sakamakon shan ruwa mai dumbin yawa a rana mai zafi, ko kuma na iya nuna alamar polyuria, alama ce ta mummunan aikin hana ƙarancin haya.
Menene wannan Polyuria wata cuta ce wacce aka halatta fitowar fitsari a kowace rana.
A wannan yanayin, yawan fitsari yau da kullun na iya zama sama da lita uku, yayin da mutum mai lafiya ya bar sama da lita 1-1.5.
Babban labarin rashi
Daga dukkan ruwan dake shiga jiki, na hudun ya fito ne yayin aikin numfashi, gumi da kuma cikin hanji, sauran kuma gwal din ya kebe shi.
A yayin aiwatar da tace duniya, sannan kuma yin tacewa a cikin tsarin tirinle na koda, dukkan abubuwan gina jiki suna shiga cikin hanyoyin jini, sannan kuma an kewaya sauran ayyukan cikin mafitsara. Idan ruwa ya lalata, to yawan fitsari yana ƙaruwa.
Jiki yana daidaita juyar da ruwa a cikin tubules ta hanyar haɓaka ko rage yawan samar da ƙwayoyin antidiuretic. Idan akwai babban asarar ruwa, ana sanya hormone a cikin damuwa tare da sha da fitsari kaɗan, amma ƙara haɓaka.
Wannan na faruwa ne da tsananin rashin ruwa a jiki:
- tsawan zawo ko amai;
- zazzabi mai zafi;
- karuwar gumi a rana mai zafi;
- shan diuretics;
- bayyanar cututtukan bugu mai zafi.
Idan yawan ruwa mai yawa ya shiga jiki, to samarda sinadarin antidiuretic yana raguwa, yanayin ganuwar tubules yana ƙaruwa, bi da bi, ana fitar da babban adadin fitsari mai saurin raguwa. Idan aka karya tsarin aikin-kai, to ya kunshi hanyoyin ci gaban polyuria.
Sanadin cutar
A cikin ciwon sukari mellitus, haɗuwa da yawan ƙishirwa tare da urination akai-akai ana lura da shi, tare da sakin babban adadin fitsari. Wannan ciwo yana faruwa ne akan asalin cututtukan hormonal.
Me yasa polyuria zai iya ci gaba? Saurin saurin fitar fitsari na iya faruwa sakamakon cututtukan da ke kamawa, rikicin hauhawar jini ko daukar ciki, kuma ana kiran wannan yanayin na wucin gadi ko na lokaci-lokaci. Polyuria na dindindin na tasowa ne sakamakon lalacewa a cikin kodan.
Dalilan da ke ba da gudummawa ga ci gaban ilimin halittu na iya zama na ilimin halayyar mutum.
Abubuwan cututtukan ƙwaƙwalwar ƙwayar cuta sun haɗa da:
- samuwar cystic a cikin koda;
- cututtukan mahaifa;
- gazawar koda
- cutar baser;
- urolithiasis;
- hydronephrosis;
- Pathology na tsarin juyayi;
- amai da gudawa a cikin mafitsara;
- kumburi da prostate;
- diverticulitis;
- kumburi mafitsara;
- ciwon sukari mellitus;
- myeloma.
Dalilai na kayan aikin sun hada da:
- hypothermia;
- zagi kayayyakin da ke dauke da glucose;
- shan dumbin ruwa;
- shan diuretics.
Siffar halayyar ƙwayar polyuria shine sauƙin urination da dare.
Tafiya da maraice zuwa bayan gida a cikin mata da maza na iya faruwa saboda irin waɗannan dalilai:
- sakandare amyloid nephrosis;
- m pyelonephritis;
- ciwon sukari mellitus;
- ƙarshen ciki da na kullum pyelonephritis a cikin mata masu ciki;
- bugun zuciya.
Etiology na cutar
Babban bayyanuwar cutar shine, ba shakka, yawan ziyartar gida zuwa bayan gida tare da sakin yawan fitsari.
Wannan ya bambanta daga cututtukan ƙwayar cuta ta polyuria, wanda shima ake kamanta shi da yawan urination.
Sai kawai tare da cystitis, sassan fitsari da aka keɓe ana sakaci, kuma sha'awar zuwa bayan gida shine yawanci karya ne.
Bugu da kari, ana iya lura da irin wannan alamun rashin ruwa a jiki:
- rage matsin lamba;
- bushe bakin da ƙaruwar ƙishirwa;
- canje-canje a cikin ƙarfin zuciya;
- bushe fataccen fata da membranes na mucous;
- tsananin fushi da rushewa;
- duhu cikin idanu.
Polyuria a kan asalin cututtukan cututtukan tsarin endocrine na iya haifar da irin waɗannan alamun:
- karuwar ci;
- bayyanar ciyayi a fuska da kirji a cikin mata;
- kiba
Idan cutar ta haifar da cutar koda, to alamu na gaba suna bayyana:
- tashin hankali na barci da migraine;
- zawo da amai da safiya;
- bugun zuciya da bugun zuciya;
- ƙananan ciwon baya da ke shimfidawa zuwa yanki mai ciki;
- ciwon kai da kumburi na fuska;
- rauni na tsoka;
- yankan zafi yayin urination;
- karuwa cikin matsin lamba;
- urinary rashin daidaituwa.
A wasu cututtuka tare da polyuria, jiki yana asarar abinci mai yawa tare da fitsari.
An tattara fitsari a cikin irin waɗannan cututtukan:
- tumo na adrenal bawo;
- sarcoidosis;
- ciwon sukari mellitus;
- myeloma;
- Cutar ta Hisenko-Cushing;
- acromegaly;
- szarinicharsus.
Ana lura da fitsari mara ƙarancin haske tare da polyuria a cikin waɗannan lokuta:
- cutar koda na koda
- barasa giya;
- karancin potassium;
- rikicin hauhawar jini;
- gazawar koda
- bugun zuciya;
- thirstara yawan ƙishirwa daga asalin rashin hankalin mutum;
- samarin
Hanyoyin bincike
Bayyanar cututtuka ta fara ne da tarin bayanai game da gunaguni da mara lafiya na mai haƙuri, game da cututtukan da ya gabata da alaƙa. Haƙiƙa, bisa ga irin waɗannan bayanan, mutum na iya ɗaukar dalilin ƙara yawan fitsari fitsari.
Misali, idan mara lafiya yana da kiba kuma mai hauhawar jini, to cutar sankara na iya zama sanadin cutar polyuria. Kuma idan kwanan nan an ba mai haƙuri ciki na ciki, to watakila dalilin ya dogara ne da yawan ruwan da aka karɓa ta hanyar ruwan.
An kuma tsara karatun dakin gwaje-gwaje da kayan aikin:
- gwajin jini don hormones, glucose;
- nazarin tsarin jini da kuma yawan coagulation;
- urinalysis;
- urography;
- X-ray na kasusuwa na kasusuwa, glandon adrenal da sirdi na Turkiyya;
- cystoscopy
- nazarin duban dan tayi na glandar thyroid, kodan da gabobin ciki;
- jarrabawa na jijiyoyin jini;
- MRI
- lissafin tomography;
- kwayoyin halittar koda.
Gwaje-gwaje na gwaje-gwaje marasa ƙima a cikin ganewar asali na polyuria samfuri ne na fitsari a cewar Zimnitsky da samfurin akan asalin rashin ruwa.
Gwajin Zimnitsky zai baka damar sanin adadin fitsari da aka cire kowace rana kuma a lokaci guda. A saboda wannan, ana ɗaukar kowane yanki na fitsari da girma da takamaiman nauyi. Idan jimlar ba ta wuce ka'idodin halal din ba, to ba a tabbatar da cutar ba.
Nazarin mahaifa a cewar Zimnitsky
Samfuran akan asalin rashin ruwa a jiki yana taimakawa wajen tantance yawan samin maganin antidiuretic da kuma matsayin yawan fitsari.
Don sa'o'i da yawa, yawanci 4 hours, amma zai iya zama ya fi tsayi, ba a yarda mai haƙuri ya sha wani ruwa. A wannan lokacin, ana yin fitsari a kowace sa'a don osmolarity (maida hankali), har sai a cikin kashi uku na fitsari da aka ɗauka a jere, alamar bazai wuce masallaci / kg ba.
A lokaci guda, ana auna mai haƙuri: daga farkon binciken zuwa samfuran karshe, mai haƙuri dole ne ya rasa nauyi da akalla 5%. Bayan haka, ana ba mai haƙuri abu wanda ya ƙunshi ƙwayar maganin antidiuretic, kuma ana ƙarin ƙarin sassan fitsari uku bayan minti 30, minti 60 da sa'o'i biyu.
Yayin binciken, ana ɗaukar samfurori na jini guda uku: a gaban samfurin, bayan shi kuma nan da nan bayan gudanar da abu tare da hormone. Ana auna jini don osmolarity kuma idan aka kwatanta shi da fitsari. Dangane da sakamakon kwatancen, an ƙaddara dalilin da ya haifar da ci gaban polyuria.
Hanyoyin jiyya
Polyuria ba cuta ce mai zaman kanta ba. Wannan wata alama ce ta wata sabuwar cuta, kuma zai bace da zaran an warke dalilin bayyanarsa.
Baya ga magunguna da aka tsara, ana shawarar canza canjin abinci:
- ware soda da giya;
- iyakance amfani da gishiri, kayan yaji da mai yaji;
- muhimmanci rage yawan kayan yaji da kayan yaji;
- Abincin gwangwani, shayi mai ƙarfi da kofi ya kamata su fito akan tebur kamar yadda zai yiwu;
- idan polyuria ya tashi a kan tushen ciwon sukari, to, za a cire kitse, kayan lefe, kayan lemo da kayan abinci waɗanda ke kunshe da carbohydrates mai sauri daga abincin.
Bayan yarjejeniya tare da likita, kamar yadda matakan tsufa, zaku iya juya zuwa hanyoyin magungunan gargajiya.
Hanya mai kyau don koyon yadda ake sarrafa tsari na fitar fitsari wani saiti ne na motsa jiki don ƙarfafa tsokoki na karamin ƙashin ƙugu, wanda ake kira Kegel motsa jiki. Irin wannan hadadden zai taimaka wajen rage yawan urination da kuma shawo kan matsalar fitar urination.
Abubuwan bidiyo akan ƙwayar ƙwayar ƙwayar cuta:
Magunguna
An wajabta maganin magani dangane da cutar da ta haifar da yawan urination.
- polyuria tasowa daga ciwon sukari mellitus ana cire shi ta hanyar amfani da magunguna masu rage sukari ko maganin insulin;
- tare da insipidus na ciwon sukari, ana bada shawara a dauki thiazide diuretics wanda ke hana motsin abubuwa masu amfani da fitsari;
- guda diuretics a hade kuma cututtukan zuciya an wajabta su don cututtukan zuciya;
- a gaban ciwace-ciwacen daji, an nuna kutse cikin tiyata;
- An tsara magungunan hormonal don rikicewar endocrine;
- idan yanayin pathological ne ya haifar da rikice-rikice na hankali, to za a buƙaci ƙwararren masani.
A kowane hali, ana buƙatar maido da tushen acid-da ma'aunin ruwa a jikin mutum, kazalika da sake haɗa ƙwayoyin lantarki da suka ɓace. Don yin wannan, ana saukad da ruwan 'ya'yan itace tare da gishirin, sinadarin alli da potassium chloride, suna ɗaukar shirye-shirye waɗanda ke ɗauke da potassium da alli, kazalika da gabatar da abinci mai wadata a cikin ma'adanai (alayyafo, cuku, kayan kiwo, ƙyashi, kwayoyi, buckwheat) a cikin abincin.
Girke-girke na gargajiya
Don lura da cututtukan koda, zaka iya gwada amfani da hanyoyin da aka tabbatar na madadin magani.
Tafasa 250 ml na ruwa kuma zuba 1 tbsp. l plantain iri. Kwata na awa daya don karewa da tacewa. Kafin karin kumallo, abincin rana da abincin dare, ku sha babban cokali na broth.
Ta wannan hanyar, ana yin jiko na ƙwayar anise, ana ɗaukar 10 g na tsaba a gilashin ruwa. Aauki kayan ado akalla sau 4 a rana don 50 ml na tsawon makonni 4.
Siffofin hanya a cikin yara
Za'a iya lura da saurin motsa jiki a cikin yara. Yaro yakan iya gudu zuwa bayan gida kawai saboda al'ada ko ƙoƙarin jawo hankalin mutane. Amma idan tafiya ta dare bisa ga buƙata ta zama mafi yawan lokuta kuma yana tare da yawan ƙishirwa, to yaron yana buƙatar yin cikakken nazari don ware manyan cututtuka.
Ainihin, polyuria yana faruwa a ƙarƙashin rinjayar abubuwan da ke biyo baya:
- ciwon sukari mellitus;
- de Toney ciwo - Debre - Fanconi;
- Ciwon Cohn;
- rikicewar kwakwalwa;
- babban adadin ruwan sha;
- bugun zuciya da cututtukan koda.
Idan ba a tsayar da Pathology cikin lokaci ba, to jiki na iya rasa iyakar halataccen ruwan zai iya faruwa. A sakamakon haka, abun da ke ciki da yawan jini yana canzawa, yanayinsa yana cikin damuwa, gabobin kuma sun fara fuskantar matsananciyar iskar oxygen. Wannan yana haifar da mummunan lalacewa ga zuciya da kwakwalwa, wanda a ƙarshe zai haifar da mutuwa.
