Tus Sau: Morris Wright
Hnub Kev Tsim: 25 Lub Plaub Hlis Ntuj 2021
Hloov Hnub: 1 Lub Kaum Ib Hli Ntuj 2024
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Dab tsi yog polydipsia, ua rau thiab kho mob - Noj Qab Haus Huv
Dab tsi yog polydipsia, ua rau thiab kho mob - Noj Qab Haus Huv

Zoo Siab

Polydipsia yog ib qho mob uas tshwm sim thaum ib tus neeg tseem nqhis dej ntau dhau thiab vim tias qhov ntawd yuav nqos noj ntau dhau ntawm cov dej thiab lwm yam kua dej. Tus mob no feem ntau yog nrog lwm cov tsos mob xws li tso zis ntau zog, qhov ncauj qhuav thiab kiv taub hau thiab muaj qhov sib txawv uas tuaj yeem yog ntshav qab zib lossis hloov hauv cov qog pituitary.

Kev lees paub tias yog vim li cas polydipsia yog tsim los ntawm tus kws kho mob tom qab kuaj ntshav lossis tso zis, uas yog siv los soj ntsuam cov qib qab zib, sodium thiab lwm yam tshuaj hauv lub cev. Kev kho mob yog nyob ntawm qhov laj thawj, txawm li cas los xij, nws tuaj yeem yog raws li kev siv tshuaj kho mob ntshav qab zib thiab kho cov kev nyuaj siab thiab ntxhov siab, piv txwv.

Cov tsos mob tseem ceeb

Cov tsos mob tseem ceeb ntawm polydipsia yog qhov kev xav ntawm kev nqhis dej tsis tu ncua, tab sis lwm cov cim yuav tshwm sim, xws li:


  • Nce tso zis ntau zaus;
  • Lub qhov ncauj qhuav;
  • Mob taub hau;
  • Mloog li kiv taub hau;
  • Cramps;
  • Mob leeg pob txha.

Cov tsos mob no tuaj yeem tshwm sim, feem ntau, vim tias cov dej qab ntsev poob rau hauv cov zis ua los ntawm kev muaj peev xwm tso zis ntau ntxiv. Yog tias tus neeg muaj ntshav qab zib, lawv yuav muaj cov tsos mob no, ntxiv rau kev tshaib kev nqhis, kho qeeb qeeb lossis nquag muaj tus kab mob. Txheeb xyuas lwm cov tsos mob ntshav qab zib.

Cov teeb meem muaj peev xwm

Polydipsia yog tus yam ntxwv nqhis dej ntau dhau thiab qhov no tuaj yeem yog cov teeb meem kev noj qab haus huv, xws li ntshav qab zib mellitus lossis ntshav qab zib insipidus, hloov pauv hauv lub caj pas pituitary, uas yog lub caj pas ua lub luag haujlwm ntau yam hauv lub cev, thiab los ntawm cov kab mob xws li Langerhans cell histiocytosis thiab mob sarcoidosis.

Qhov xwm txheej no tseem tuaj yeem ua rau poob ntawm lub cev tsis txaus, vim yog mob raws plab thiab ntuav, piv txwv, thiab los ntawm kev siv qee yam tshuaj, xws li thioridazine, chlorpromazine thiab antidepressants. Txhawm rau paub tseeb tias yog vim li cas polydipsia, nws yog ib qho tsim nyog kom sab laj rau cov kws kho mob dav dav kom thiaj li kuaj ntshav thiab tso zis tawm tswv yim rau kev soj ntsuam cov kua nplaum thiab sodium ntau hauv lub cev.


Cov hom polydipsia

Muaj ntau hom polydipsia nyob ntawm cov laj thawj thiab tuaj yeem yog:

  • Thawj lossis thawj theem siab ntawm kev xav (psychogenic polydipsia): tshwm sim thaum nqhis dej ntau dhau los ntawm qhov teeb meem puas hawv, xws li ntxhov siab ntxhov plawv, kev nyuaj siab thiab mob schizophrenia. Feem ntau, tus neeg uas muaj hom no muaj qhov tsis txaus ntseeg nws yuav tsum haus dej rau qhov ntshai tsam muaj kab mob, piv txwv;
  • Cov tshuaj hle polydipsia: nws tshwm sim los ntawm kev siv qee yam tshuaj uas ua rau mob polyuria, uas yog thaum tus neeg yuav tsum tso zis ntau zaug ib hnub, xws li cov tshuaj diuretics, vitamin K thiab corticosteroids;
  • Kev them nyiaj polydipsia: hom no tshwm sim vim los ntawm kev poob qis hauv cov tshuaj tiv thaiv kab mob, uas yog lub luag hauj lwm rau cov dej rov qab ua haujlwm hauv lub raum, thiab cov xwm txheej no ua rau muaj qhov tso zis ntau, thiab vim lub cev xav tau los hloov lub ua kua, tus neeg xaus rau kev nqhis dej ntau, ua rau mob polydipsia.

Tom qab ua tiav kev sim, tus kws kho mob tshawb xyuas seb hom mob polydipsia uas tus neeg mob thiab kho yuav raug qhia raws li cov txiaj ntsig no.


Yuav kho tus mob li cas

Kev kho mob rau polydipsia yog qhia los ntawm tus kws kho mob nyob ntawm qhov ua rau thiab hom mob no, thiab yog tias nws mob ntshav qab zib, cov tshuaj los tswj cov ntshav qab zib ntau ntau xws li metformin thiab insulin txhaj tshuaj tuaj yeem pom zoo, ntxiv rau kev qhia qee qhov kev hloov pauv hauv kev ua neej kev coj noj coj ua uas ua raws li kev noj zaub mov kom tsis muaj piam thaj thiab lub cev ua si. Tshawb nrhiav lwm cov tswv yim los tswj ntshav qab zib.

Yog tias polydipsia tshwm sim los ntawm kev puas siab puas ntsws, tus kws kho mob tuaj yeem pom zoo rau cov tshuaj tiv thaiv kev ntxhov siab, kev ntxhov siab thiab kev kho lub hlwb kom pab tus neeg rov qab los ntawm kev quab yuam kom haus dej ntau dhau.

Yog haus ntau dhau cov dej tsis zoo?

Qhov kev pheej hmoo tseem ceeb ntawm haus dej ntau dhau yog qhov tus neeg mob hyponatremia, uas yog cov dej qab ntsev poob ntawm cov zis, uas tuaj yeem ua rau mob taub hau, kiv taub hau, tsaug zog thiab txawm tias mob hnyav, xws li qaug dab peg thiab coma.

Qhov tshwm sim tsis zoo rau lub cev tuaj yeem tshwm sim thaum ib tug neeg haus dej ntau dua 60 ml ntawm ib khob ntawm qhov hnyav, uas yog, tus neeg muaj 60 kg tuaj yeem raug txim yog tias nws haus ntau tshaj, kwv yees li, 4 liv dej rau ib hnub. Nws yog ib qho tseem ceeb kom nco ntsoov tias cov neeg uas muaj teeb meem lub raum tsis ua haujlwm thiab muaj lub plawv yuav tsum tsis txhob haus dej ntau dhau xwv kom tsis txhob ua lub cev ntau dhau thiab tsis txhob ua rau cov mob no loj dua. Txawm li cas los xij, haus dej txaus, xws li 2 litres ib hnub, nws yog qhov tseem ceeb heev los tiv thaiv kev txhim kho ntawm lwm yam teeb meem kev noj qab haus huv, xws li lub raum pob zeb, piv txwv. Pom tias haus dej ntau dhau yuav ua teeb meem rau koj kev noj qab haus huv.

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