Makemake - keu

ʻO ka make wai nui loa kahi manaʻo maʻamau o ka makemake mau e inu i nā wai.

ʻO ka inu ʻana i ka wai he olakino i ka hapanui o nā hihia. ʻO ka ʻiʻini e inu i ka nui loa ka hopena o kahi maʻi kino a i ʻole naʻau. ʻO ka make wai nui paha he hōʻailona o ke kō kō (kiʻekiʻe i ke koko), i hiki ke kōkua i ka ʻike ʻana i ka maʻi kō.

ʻO ka make wai nui ka hōʻailona maʻamau. ʻO ka hopena pinepine ia i ka lilo o ka wai i ka wā hoʻoikaika a i ʻole ka ʻai ʻana i nā meaʻai paʻakai.

Nā kumu e komo pū paha:

• ʻO kahi pāʻakai liu a ʻono paha
• Kahe pono kahe ʻana e hoʻemi i ka nui o ke koko
• Diabetes mellitus
• Insipidus diabetes
• Nā lāʻau e like me anticholinergics, demeclocycline, diuretics, phenothiazines
• Ka nalowale ʻana o nā kino o ke kino mai ke kahe o ke koko i loko o nā aʻa ma muli o nā kūlana e like me nā maʻi ʻino (sepsis) a i ʻole nā ​​ʻā ʻana, a i ʻole ka puʻuwai, ka ate, a i ʻole ke kōkole
• Psychogenic polydipsia (kahi maʻi noʻonoʻo)

Ma muli o ka make wai ka hōʻailona o ke kino e pani i ka nalo ʻana o ka wai, kūpono pinepine ia e inu i nā wai he nui.

No ka make wai i hoʻokumu ʻia e ka maʻi diabetes, e hāhai i ka lāʻau i kauoha ʻia e kāohi pono i kāu pae kō kō.

Kāhea i kāu kahu mālama ola inā:

• Ke hoʻomau nei ka make wai nui a wehewehe ʻole ʻia.
• Hele pū ka make wai me nā ʻōuli ʻē aʻe ʻole i wehewehe ʻia, e like me ka ʻike maka a luhi paha.
• Ke hele nei ʻoe ma mua o 5 mau kuata (4.73 liters) o ka mimi i kēlā me kēia lā.

E loaʻa i ka mea hāʻawi i kāu mōʻaukala olakino a hana i kahi hoʻokolohua kino.

E nīnau paha ka mea hāʻawi iā ʻoe e like me:

• Pehea kou lōʻihi e ʻike ai i ka hoʻonui ʻana i ka make wai? Ua ulu a lohi paha ia?
• Kū like paha kou make wai i ka lā holoʻokoʻa?
• Ua hoʻololi paha ʻoe i kāu papaʻai? Ke ʻai nei paha ʻoe i nā meaʻai ʻono a nīoi paha?
• Ua ʻike anei ʻoe i ka hoʻonui ʻana o ka makemake?
• Ua lilo anei ʻoe i kaupaona a i ʻole loaʻa ka kaumaha me ka hoʻāʻo ʻole?
• Ua hoʻonui ʻia kāu pae hana?
• He aha nā hōʻailona ʻē aʻe e hana nei i ka manawa like?
• Ua ʻeha ʻeha ʻoe i kahi ʻeha a i ʻole ʻeha ʻē aʻe?
• Ke mimi nei ʻoe i ʻoi aku a i ʻole pinepine ma mua o ka maʻamau? Ke hana nei ʻoe i ka mimi ʻoi aku a ʻoi paha ma mua o ka maʻamau? Ua ʻike anei ʻoe i ke kahe ʻana o ke koko?
• Ke sweating nei ʻoe ma mua o ka maʻamau?
• Aia kekahi ʻōhū o kou kino?
• He kuni paha kāu?

ʻO nā hoʻokolohua i kauoha ʻia e komo pū me kēia:

• Pae kō glucose
• CBC a me ke keʻokeʻo o ke koko keʻokeʻo
• Kalipuna serum
• Serum osmolality
• Sodium soma
• Urinalysis
• ʻO osmolality mimi

E paipai kāu mea hāʻawi i ka lāʻau inā pono e kau ʻia ma kāu hōʻike a me nā hoʻokolohua. ʻO kahi laʻana, inā hōʻike nā hoʻokolohua he maʻi diabetes ʻoe, pono ʻoe e mālama ʻia.

ʻO ka ikaika loa, koi mau i ka inu ka hōʻailona o kahi pilikia psychological. Pono paha ʻoe i kahi loiloi psychological inā manaʻo ka mea hāʻawi he kumu kēia. E nānā pono ʻia kāu lawe ʻana i ka wai.

Hoʻonui i ka make wai; Polydipsia; Make wai nui loa

• Ka hana insulina a me ka maʻi kō

ʻO Mortada R. Diabetes insipidus. I: Kellerman RD, Rakel DP, eds. ʻO kā Conn Therapy Therapy 2019. Piladelapia, PA: Elsevier; 2019: 277-280.

Slotki I, Skorecki K. Nā maʻi o ka sodium a me ka homeostasis wai. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 116.