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Umchamo ophuma ezinso ezinesifo uhlukile ezinso ezinempilo ene-polyuria ne-nocturia njengezixwayiso

Laboratório, teste, urina
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Umchamo womuntu ophile kahle unezici ezithile ezibonisa ukusebenza kahle kwezinso ekuhlungeni igazi nasekulawuleni ibhalansi yamanzi ne-electrolyte yomzimba. Izinso zikhiqiza phakathi kwamamililitha angu-700 namalitha amathathu omchamo ngosuku ngokwesilinganiso, onombala ophuzi okhanyayo ophaphathekile futhi awunagwebu eliningi noma imfucuza ebonakalayo. Ukukhiqizwa kwe-Essa kwenzeka ngendlela egxilile phakathi nosuku, okuvumela umzimba ukuthi ugcine amanzi nosawoti odingekayo kuyilapho ukhipha udoti we-metabolic njenge-urea.

Lapho ukusebenza kwezinso kuncipha, amandla okugxilisa umchamo kancane kancane ayancipha. Umphumela uwukuqedwa kwemiqulu emikhulu yoketshezi oluxutshiwe ngisho nangezikhathi zokuvinjelwa kwamanzi okuvamile. Pessoas ngalolu shintsho lubika isidingo sokuchama amanani amakhulu kokubili emini nasebusuku, okuphazamisa ukulala nokuphumula okwanele.

  • Umchamo onempilo uvame ukugxila futhi uphuzi ngokumnyama lapho uzila ukudla noma lapho uphuza uketshezi oluncane.
  • Ekuqaleni kwesifo sezinso, umchamo uyacaca futhi ube namandla kungakhathaliseki ukuthi amanzi anjani.
  • Igwebu eliqhubekayo emchameni lingabonisa ukuba khona kwamaprotheni, isibonakaliso somonakalo we-glomerular.

I-Polyuria ichazwa njengokukhiqizwa komchamo ongaphezu kuka-2.5 amalitha emahoreni angama-24. I-Ela ivela lapho izinso zilahlekelwa amandla okumunca kabusha amanzi nosawoti ngokuphumelelayo kumashubhu ezinso. I-Diferente yokuchama kaningi okulula, okuhilela uhambo oluningana lokuya endlini yokugezela ngamavolumu amancane ngesikhathi, i-polyuria ibonakala ngamavolumu aphezulu ekuchameni ngakunye, okuvame ukuhlotshaniswa nezinguquko eziqondile ze-hormonal noma zezinso.

Izici zomchamo ezinkingeni zezinso zakuqala

Umchamo weziguli ezinokuncipha kokuqala kokusebenza kwezinso uvame ukuhlanjululwa futhi ucace usuku lonke. Ushintsho lwe-Essa lwenzeka ngenxa yokuthi ama-nephron asele awakwazi ukugxilisa i-glomerular filtrate ngokwanele. Como Ngenxa yalokho, umzimba ususa inani elikhulu lamanzi ukuze uzame ukukhipha imfucuza enqwabelene.

Ochwepheshe bagqamisa ukuthi i-nocturia, noma isidingo sokuvuka izikhathi eziningana ngobusuku ukuze uchame, simelela esinye sezimpawu zokuqala eziyisixwayiso. Durante ngosuku, usawoti ongenisiwe uyagcinwa futhi umzimba uzama ukuwukhipha ebusuku lapho umuntu elele, okwandisa umthamo womchamo ngaleso sikhathi. I-Nocturnal polyuria ihlukile emikhubeni yokuphuza elula ngaphambi kokulala.

Iziguli ezikhiqiza amalitha angaphezu kuka-2.5 omchamo nsuku zonke kufanele ziphenye imbangela ngokuhlolwa okuphelele kwezokwelapha. Umehluko phakathi kwe-polyuria ne-pollakiuria usiza ukuqondisa ukuxilongwa, njengoba eyokuqala ivame ukukhomba ukungasebenzi kahle kwezinso noma kwehomoni kuyilapho okwesibili kuhlobene kakhulu nezinkinga zesinye noma ze-prostate.

Umehluko Phakathi Kwe-Polyuria Nokuchama Kaningi

I-Polyuria nokuchama njalo yizimo ezihlukile, nakuba zingahlala ndawonye kwezinye izimo. I-Polyuria ihilela umthamo omkhulu ophelele womchamo, lapho ukuchama ngakunye kukhiphe amanani amakhulu kunokuvamile. Já Ukuchama njalo kubonakala ngokunyuka kwenani lohambo lokuya endlini yokugezela, kodwa ngamavolumu amancane ngamanye.

Lo mehluko ubalulekile ngoba imbangela ivame ukuhluka. Problemas Isifo sezinso noma isifo sikashukela siholela ku-polyuria yangempela, kuyilapho izifo zesinye noma ukusebenza ngokweqile kubangela i-pollakiuria engayodwa. Quando zombili izimpawu zivela ndawonye, ​​ukuhlolwa kwe-nephrological kuba okubaluleke nakakhulu ukuze kutholakale umsuka oqondile.

Lapho umthamo womchamo uyancipha ngezigaba ezithuthukile

Ezigabeni ezithuthuke kakhulu zokulimala kwezinso, ukukhiqizwa komchamo kungase kwehle kakhulu kunokuba kwande. I-Oliguria yenzeka lapho umthamo wansuku zonke wehla ngaphansi kwamamililitha angu-400, okubonisa uphawu lokuwohloka okuphawulekayo kokuhlunga kwe-glomerular. Essa isimo singase sivele ekulimaleni okukhulu kwezinso noma isifo sezinso esingamahlalakhona sokugcina.

Izinso ekuhlulekeni okuthuthukile zilahlekelwa amandla okugxilisa kokubili futhi zikhiqize umchamo owanele ukuqeda imfucuza. Ukunqwabelana kobuthi egazini kwandisa izimpawu ezinjengokuvuvukala, ukukhathala kanye noshintsho lomfutho wegazi. I-Oliguria idinga ukunakwa ngokushesha ngoba ikhombisa ukuthi ukusebenza kwezinso kuphazamiseke kakhulu.

Izici zomchamo ezifanele ukubhekwa nsuku zonke

Umbala, iphunga, nokuba khona kwegwebu emchameni kunikeza imikhondo eyengeziwe mayelana nempilo yezinso. I-Urina icace kakhulu futhi ngaphandle kwephunga elinamandla ezimeni ze-hydration ephansi iphakamisa ubunzima bokugxila. Ngakolunye uhlangothi, umchamo omnyama noma oqhubekayo onegwebu ungase ubonise ukulahlekelwa kwamaprotheni noma ukugxila kwemfucuza.

Imvamisa yokuchama ebusuku ephazamisa ukulala izikhathi ezingaphezu kwephindwe kabili ngobusuku idinga uphenyo ngisho nangaphandle kwezinye izimpawu ezisobala. I-Essa i-nocturia eqhubekayo ngokuvamile ihlobene nokungakwazi kwezinso ukulawula ibhalansi yamanzi kuwo wonke umjikelezo we-circadian.

Ukubaluleka kokuhlolwa kusenesikhathi kwezinguquko zomchamo

Izinguquko kuphethini yomchamo zisebenza njengenkomba yokuqala yokuncipha kokusebenza kwezinso ezigulini eziningi. Ukutholwa kusenesikhathi kuvumela ukungenelela okunciphisa ukuqhubeka kwesifo futhi kulondoloze izinga lempilo. Exames Umchamo olula nokuhlolwa kwegazi kuhambisana nokubhekwa kwezimpawu ezibikwa yisiguli.

Abantu ababona ukwanda okungazelelwe noma ukwehla kwevolumu yomchamo, okuhambisana ne-nocturia noma umchamo onegwebu, kufanele bafune iseluleko sezokwelapha esikhethekile. Ukuqapha njalo kusiza ukuhlukanisa izimbangela eziyingozi ezimweni ezidinga ukwelashwa okuqondiswe ezinso.

Ukuqapha okuqhubekayo kokukhiqizwa komchamo nsuku zonke

Ukulandelela umthamo wesamba somchamo emahoreni angama-24 kunikeza idatha ewusizo yokuhlola ukusebenza kwezinso ngokuhamba kwesikhathi. I-Volumes ngokuqhubekayo ngaphezu kwamalitha angu-2.5 noma ngaphansi kwamamililitha angu-400 ibonisa ukungalingani okufanele kuphenywe kabanzi. Essa Ukuzijwayeza okulula kuhambisana nezivivinyo zaselabhorethri zezikhathi ezithile.

Umehluko phakathi kwezinguquko zasemini nezasebusuku usiza udokotela aqonde indlela ehilelekile. I-Quando i-nocturia ihamba phambili, ukuhlola kugxile emandleni okugxilisa amashubhu kanye nokulawulwa kwamahomoni okuhlobene ne-antidiuresis.

Umchamo onegwebu ophikelelayo, ngisho nangemva kokunyakaziswa okuncane, ngokuvamile ubonisa i-proteinuria futhi udinga ukuhlaziya elabhorethri. Essa isici sibonisa ukulimala kwe-glomeruli evumela ukudlula kwamaprotheni ku-filtrate yomchamo.

Ubudlelwano phakathi kokusebenza kwezinso kanye nebhalansi yamanzi evamile

Izinso azigcini nje ngokulawula ukukhishwa kwemfucuza kodwa futhi nomfutho wegazi nokukhiqizwa kwamahomoni abalulekile. Quando lo mthetho uyahluleka, izinguquko zomchamo ziphakama njengomphumela oqondile womzamo womzimba wokunxephezela ukungalingani. I-polyuria yokuqala ingase ithuthukele ku-oliguria uma isifo siqhubeka ngaphandle kokungenelela.

Iziguli ezinomlando wesifo sikashukela, umfutho wegazi ophakeme noma ukusetshenziswa isikhathi eside kwemithi ethile zisengozini enkulu yokuthuthukisa lezi zinguquko zomchamo. Ukubonwa kusenesikhathi kwezimpawu kukuvumela ukuthi ulungise imikhuba kanye nokwelashwa ngaphambi kokuba ukusebenza kwezinso kube nomonakalo ongalungiseki.

Ukuhlolwa kwezokwelapha ukuze kuqinisekiswe izinguquko zezinso

Ukubonisana ne-nephrologist kuhlanganisa ukuhlaziywa okuningiliziwe kwephethini yomchamo ebikwe isiguli. I-Exames yohlobo 1 lomchamo, ukulinganisa amaprotheni kanye ne-serum creatinine kusiza ukulinganisa izinga lokukhubazeka kwezinso. Essa Indlela edidiyelwe ihlukanisa izimbangela zezinso kwezinye izimo ezithinta umgudu ophansi womchamo.

Umthamo womchamo, ukugxila kanye nokwakheka kwamakhemikhali kunikeza ulwazi olubalulekile mayelana nesigaba sesifo. Ezimweni ze-polyuria, ikhono lokugxila ebusuku liyaphenywa; ku-oliguria, izinga lokuncishiswa kokuhlunga kwe-glomerular liyahlolwa.

Izimpawu ezihambisanayo ezihambisana nesimo somchamo

Ngaphandle kwezinguquko zomchamo, iziguli ezinokuncipha kokusebenza kwezinso zingase zibike ukuvuvukala emilenzeni nasemaqakaleni noma ukukhathala okuqhubekayo. Esses izimpawu zivela lapho izinso zingakwazi ukukhipha uketshezi futhi zimoshe ngendlela efanele. Inhlanganisela yezimpawu iqondisa ukuxilongwa okunembile.

Ukubuka kwansuku zonke iphethini yakho yokuchama kusiza ekuboneni ukuhlukahluka okufanele ukunakwa kochwepheshe. Manter Ukurekhoda okulula kwemvamisa nevolumu kwenza kube lula ukukhuluma nodokotela ngesikhathi sokubonisana.

Ukunakekelwa kwe-hydration kanye nemikhuba yansuku zonke

Ukuphuza uketshezi olwanele kuhlala kubalulekile ngisho nezinguquko ekukhiqizweni komchamo. Kodwa-ke, umthamo kanye nesikhathi sokuthatha kufanele kulungiswe ngokuvumelana neseluleko sezokwelapha ukugwema ukugcwala noma ukuphelelwa amanzi emzimbeni. Evitar usawoti oweqile unomthelela ekwehliseni umthwalo ezinso ezisengozini.

Ukuvivinya umzimba njalo nokulawula umfutho wegazi kanye noshukela wegazi kusiza ukulondoloza ukusebenza kwezinso ezisele. Esses imikhuba isebenza ngendlela ehambisanayo yokuqapha izici zomchamo.

Udinga nini usizo lochwepheshe ngokushesha

Noma yikuphi ukwehla okungazelelwe komthamo womchamo ongaphansi kwamamililitha angu-400 ngosuku noma ukwanda okuqhubekayo ngaphezu kwamalitha angu-2.5 kudinga ukuhlolwa ngokushesha. Ukuba khona kwegazi elibonakalayo emchameni noma ubuhlungu obuphansi obuhlobene nomgogodla busheshisa isidingo sokunakekelwa. Izimpawu ezingu-Esses zibonisa ukonakala okungenzeka kwesimo sezinso.

Ukuqapha ngezikhathi ezithile ngokuhlolwa kwaselabhorethri kukuvumela ukuthi uqaphe ukuqhubeka futhi ulungise izenzo ngesikhathi. Ukubona izinguquko kusenesikhathi kwandisa amathuba okuzinzisa ukusebenza kwezinso isikhathi eside.