Polydipsia (make wai nui)
Anter
He aha ka polydipsia?
ʻO Polydipsia kahi inoa olakino no ka make wai loa.
Pili pinepine ʻia ʻo Polydipsia i nā kūlana mimi e hoʻonāukiuki iā ʻoe i ka nui. Hiki i kēia ke hōʻoluʻolu i kou kino e pono e pani i nā wai i nalowale i ka urination. Hiki iā ia ke kumu ʻia e nā hana kino e lilo i ka nui o ka wai. Hiki i kēia ke hoʻopili i ka hou ʻana i ka wā hoʻoikaika kino, ka ʻai ʻana i ka paʻakai paʻakai kiʻekiʻe, a i ʻole ka lawe ʻana i nā lāʻau i hoʻoheheʻe ʻia i ka wai, e like me diuretics.
Manaʻo ʻia kēia ʻano he hōʻailona mua loa o ka maʻi kō. ʻO ka mea maʻamau i ka diabetes mellitus. ʻO kēia ʻano diabetes e pili ana i kekahi mau ʻano i mea paʻakikī i kou kino e hana a hoʻohana i ka glucose, i kapa ʻia he kō kō. Ke hiki ʻole i kou kino ke ʻeli pono i nā kō kō, hiki i nā pae kō kō i ke kiʻekiʻe kiʻekiʻe ʻole. Hiki i nā pae kō kō kiʻekiʻe ke hoʻolilo iā ʻoe i ka make wai loa i kahi hopena.
He aha ke kumu o ka polydipsia?
Hiki ke kumu ʻia ʻo Polydipsia e ka inu ʻole ʻana i ka wai ma hope o kou lilo ʻana i ka wai. Inā nui ʻoe i ka hou a inu paha i kekahi wai, e like me ke kope a i ʻole ʻomaʻoma a me ka tī ʻeleʻele, e make wai ʻoe i ka make wai loa i ka ʻimi ʻana o kou kino e pani i ka wai i nalowale. ʻO ka make wai ma muli o ka inu ʻole ʻana o ka wai he kumu maʻamau ia o polydipsia. Hiki iā ʻoe ke manaʻo i kēia inā ʻaʻole paha ʻoe i ka hou ʻana a i ʻole ka mimiki nui ʻana. ʻO Polyuria, kahi ʻano āu e hele ai i ka nui o ka nui o ka mimi, hiki ke hana iā polydipsia.
ʻO Polydipsia kekahi hōʻailona mua o ka diabetes mellitus a me ka diabetes insipidus. ʻO ka maʻi diabetes mellitus ke kumu o ka polydipsia no ka mea kiʻekiʻe a kiʻekiʻe kou kō kō i ke kiʻekiʻe a makemake ʻoe i ka make wai, me ka nānā ʻole i ka wai e inu ai ʻoe. Kū ka diabetes insipidus ke hele ʻole nā pae wai o kou kino i ke kaulike ʻole. ʻOiai paha ʻoe e inu i ka nui o ka wai, manaʻo paha ʻoe i kahi pono e inu hou i nā wai. Hiki paha iā ʻoe ke mimiki nui ʻoiai ʻaʻole i nui kāu inu.
ʻO nā kumu ʻē aʻe i hoʻopaʻa ʻia o polydipsia e:
- kekahi mau lāʻau, e like me corticosteroids a i ʻole diuretics i ke ʻano pila, e like me nā wai wai
- e ʻai ana i ka nui o ka paʻakai a i ʻole ka wikamina D i nā meaʻai a mea inu paha
- luhi a hopohopo paha e hoʻoinu ai iā ʻoe i ka nui o ka wai ma muli o ka pīhoihoi, i ʻike ʻia hoʻi i nā lio a me nā ʻīlio
Nā ʻōuli
ʻO ka hōʻailona maopopo loa o polydipsia kahi manaʻo o ka make wai loa. ʻIke loa kēia ʻōuli ke ʻike ʻoe i kēia ala ʻoiai ma hope o kou inu mua ʻana i ka wai he nui.
ʻO nā ʻōuli maʻamau o polydipsia e komo pū me:
- ke hele nei i nā kiʻekiʻe nui o ka mimi (ʻoi aku ma mua o 5 liters o ka lā)
- kahi hoʻomau hoʻomau o ka maloʻo i kou waha
ʻIke paha ʻoe i nā ʻōuli ʻē aʻe inā pili kāu polydipsia i kahi ʻano paʻa e like me ka maʻi diabetes. ʻO kekahi mau hōʻailona diabetes mellitus maʻamau e pili pū me polydipsia me:
- manaʻo pōloli maʻamau
- he ʻike hihi
- luhi
- ka pohō kaumaha
- ke kiʻi pinepine ʻana i nā ʻeha a i ʻole nā maʻi
- lohi ka hoʻōla ʻana i nā ʻeha a me nā maʻi
ʻO ka inu ʻana i ka wai he nui hiki ke alakaʻi i ka wai ʻona, kahi i kapa ʻia i kekahi manawa he wai ʻona. Hana kēia ʻano ke inu ʻoe i ka nui o ka wai. Hiki i ka hana ʻana pēlā ke hōʻemi i ka nui o ka sodium i loko o kou koko a hoʻohaʻahaʻa i kou sodium i nā pae haʻahaʻa weliweli, i kapa ʻia hoʻi he hyponatremia. Hiki i kēia ke kumu i nā hōʻailona e like me:
- ʻeha poʻo
- nā manaʻo o ka lī a disorientation paha
- ʻūpī mākala a i ʻole nā spasms
- ka hopu ʻana i ka ʻole
Lapaʻau
I kekahi mau hihia, kuhihewa paha ʻoe i kahi wā kūloko o ka make wai loa i ka polydipsia. Ma mua o ka ʻike ʻana i kāu kauka no polydipsia, e nānā pono i kou mau manaʻo o ka make wai loa:
- Ehia mau manawa e make wai ai ʻoe?
- Pehea ka lōʻihi o kou make wai i hoʻokahi manawa?
- ʻIke paha ʻoe i nā ʻōuli ʻē aʻe ke make wai ʻoe?
- Makemake wale ʻoe i ka make wai ma hope o ka hana ʻana i kekahi mau hana?
- Ke make wai nei ʻoe i ka make wai loa ma hope o ka inu ʻana i 64 auneke a ʻoi paha o ka wai i loko o ka lā?
E ʻike i kāu kauka inā lōʻihi kou lōʻihi o ka make wai ma mua o kekahi mau lā a mai hoʻololi i ka nui ma muli o kāu pae o ka hana a i ʻole ka nui o ka wai āu e inu ai.
Pili paha ka mālama ʻana i ka polydipsia i ke ʻano o ke kumu e kū mai ana. E hana paha kāu kauka i kēia mau mea e hōʻoia iā ʻoe:
- hana i nā hoʻokolohua koko
- lawe i kahi laʻana mimi
- noi aku iā ʻoe e inu i ka wai liʻiliʻi no kahi manawa manawa (kahi hōʻike hoʻowahāwahā wai)
Inā ke kumu o ka maʻi diabetes i kāu polydipsia, hāʻawi paha kāu kauka iā ʻoe i lāʻau e kāohi ai i kou kō kō. Pono paha ʻoe e hāʻawi iā ʻoe iho i nā injection insulin maʻamau. E paipai paha kāu kauka i ka hoʻomohala ʻana i kahi hoʻolālā meaʻai e kōkua iā ʻoe e ʻai a inu hoʻi i ka papaʻai kaulike e kōkua ai e mālama i kāu maʻi diabetes. Hiki i kahi hoʻolālā hoʻolālā ke kōkua iā ʻoe e mālama i ke olakino a me ke kino.
Inā loaʻa ʻoe i ka insipidus diabetes, e aʻo aku kāu kauka iā ʻoe e inu i kahi nui o ka wai e ʻike pono ʻaʻole ʻoe e make wai. Hāʻawi paha kāu kauka iā ʻoe i lāʻau e mālama ai i kāu mau ʻōuli. Hiki i kēia mau lāʻau lapaʻau ke hoʻopili i ka desmopressin i ke ʻano o ka pila a i ʻole ka ʻume.
Inā loaʻa kahi kumu psychological i kāu polydipsia, hiki i kāu kauka ke koi aku iā ʻoe e ʻike i kahi kākāʻōlelo a mea hoʻoponopono paha e kōkua iā ʻoe e loaʻa i kou mau manaʻo koi e inu i ka nui o ka wai ma lalo o ka kaohi.
E kuhi paha kāu kauka i ka hoʻomaʻamaʻa lawehala noʻonoʻo (CBT) inā loaʻa kahi pilikia olakino noʻonoʻo i kāu polydipsia. Hiki i kēia ke kōkua iā ʻoe e makaʻala i ke kaiapuni a i ʻole nā mea pilikino e hoʻonāukiuki paha iā ʻoe e ʻike i ka pono e inu nui. Hiki iā ia ke aʻo iā ʻoe pehea e kū ai i kēia mau manaʻo i ke ala olakino.
Nā ʻano o polydipsia
Aia kekahi mau ʻano polydipsia i wehewehe ʻia e ko lākou kumu kumu. ʻO kekahi kumu ke kino. Hiki i nā mea ʻē aʻe ke kumu ʻia e nā pilikia psychogen, a i ʻole ka noʻonoʻo. Nā ʻano o polydipsia e:
- Psychogenic (mua) polydipsia: Kuhi ʻia kēia ʻano polydipsia e ka hopohopo, ka luhi, ke koʻikoʻi, a i ʻole ka hopena o nā pilikia olakino noʻonoʻo, ma mua o kahi meaola.
- ʻO polydipsia i hoʻokomo ʻia i ka lāʻau: Hoʻokumu ʻia kēia e kekahi mau lāʻau a i ʻole nā huamia e kumu ai ka polyuria, e like me diuretics, wikamina K, ka paʻakai, a me nā corticosteroids.
- Compensatory polydipsia: ʻO Compensatory polydipsia ka mea i hoʻohaʻahaʻa ʻia e nā pae antidiuretic i loko o kou kino. Hiki i kēia ke alakaʻi i ka urination nui.
Outlook a me ka pale ʻana
Ma muli o ke kumu a me ka kūleʻa o nā mālama ʻana o polydipsia, e ʻoi aku ana ʻoe ma mua o ka hiki ke hoʻomalu ʻia me ka ʻole o ka hoʻohaunaele ʻana i kou ola a i ʻole ka hopena ʻana i kāu hana o kēlā me kēia lā.
Hiki ke hoʻololi i kekahi ʻano nohona, e like me ka hoʻoikaika kino a maikaʻi ʻole ka meaʻai, e mālama i kāu mau ʻōuli me ke akahai, ʻoiaʻiʻo hoʻi inā he ʻano kumu kāu e like me ka diabetes mellitus. I kēia mau hihia, he mea nui ka loaʻa ʻana o kahi hoʻolālā lapaʻau mai kāu kauka e mālama iā ʻoe iho i ke olakino āpau a pale i nā pilikia ʻē aʻe o ka maʻi kō. Hiki i ka inu ʻana i ka inu nui ʻana ma lalo o ka kaohi ke pale i nā pilikia o ka inu nui ʻana i ka wai, e like me hyponatremia.
E kamaʻilio me kāu kauka e pili ana i ke ala ʻoi loa e mālama ai i kāu mau ʻōuli a mālama i kekahi ʻano loaʻa iā ʻoe.