Txoj kev ntawm qee yam kab mob yog nrog los ntawm kev nqhis dej heev, uas yuav luag tsis tuaj yeem quench. Polydipsia yog ib qho mob uas qhov ntim ntawm cov kua dej haus ib hnub twg ntau dua li cov qauv rau tus neeg noj qab haus huv.
Txoj kev xav
Ib qho ntawm qhov tsis zoo no yog qhov nqhis dej tas li. Ib tug neeg nqhis dej txhua lub sijhawm thiab tuaj yeem haus txog li 20 litres dej ib hnub. Tab sis txawm tias cov kua ntim no tsis tas yuav pab tiv nrog nqhis dej.
Polydipsia tsis yog ib qho kab mob ywj pheej, tab sis yog ib qho kev qhia tias qee cov txheej txheem pathological tau tshwm sim hauv lub cev. Raws li txoj cai, nrog kev kho kom zoo, qhov kev xav ntawm kev nqhis dej heev dhau los ua qhov tsis meej lossis ploj tag nrho.
Yog vim li cas
Tab sis polydipsia tsis yog ib qho tsos mob ntawm cov kab mob txaus ntshai.
Cov kws kho mob faib ua 2 hom:
- physiological;
- pathological.
Hauv thawj kis, qhov ua rau polydipsia tuaj yeem yog:
- kev noj zaub mov tsis sib npaug uas muaj rog, haus luam yeeb, ntsim thiabkhoom noj qab zib;
- kev tawm dag zog siab, tshwj xeeb tshaj yog thaum qoj ib ce ntawm qhov kub siab;
- III lub peb hlis ntuj ntawm cev xeeb tub.
nqhis dej los ntawm cov xwm txheej no yooj yim quenched nrog dej ntau thiab tsis thab koj txhua lub sijhawm. Tsis tas yuav kho thiab ploj mus ntawm nws tus kheej.
Pathological polydipsia tuaj yeem yog:
- Pib. Nws lwm lub npe yog psychogenic. Nws cuam tshuam nrog kev cuam tshuam hauv kev ua haujlwm ntawm lub paj hlwb, uas ua rau kev ua kom lub cev haus dej hauv lub hlwb.
- Secondary. Nws tseem hu ua neurogenic. Cov txheej txheem ntawm kev txhim kho cov tsos mob ncaj qha nyob ntawm tus kab mob uas ua rau nws.
Primary polydipsia feem ntau cuam tshuam nrog cov kab mob hauv qab no:
- neuroses;
- schizophrenia;
- Yhypothalamic syndrome.
Secondary polydipsia yog qhov tshwm sim ntawm lub cev qhuav dej thiab kev hloov pauv hauv cov ntshav muaj pes tsawg leeg. Nws tuaj yeem tshwm sim los ntawm cov kab mob hauv qab no:
- mob ntshav qab zib thiab ntshav qab zib insipidus;
- kab mob raum thiab siab;
- ntshav siab sodium;
- hyperparathyroidism ua rau nce calcium ntau hauv cov kua dej txuas;
- kev tsis sib haum xeeb hauv kev ua haujlwm ntawm cov hlab plawv thiab cov kabmob hauv plab hnyuv.
Tsis tas li ntawd, qhov tshwm sim ntawm polydipsia yog qhov nce ntxiv thaum noj qee yam tshuaj (qhov tshwm sim ntawm cov kev mob tshwm sim yuav tsum tau kuaj ua ntej nrogmus koom tus kws kho mob).
Cov tsos mob thiab cov cim qhia txog
thawj qhov cim ntawm polydipsia yog nqhis dej heev. Nyob rau tib lub sijhawm, qhov ntim ntawm cov dej haus yuav txawv ntawm qhov ntsuas ib txwm muaj ob qho tib si me ntsis thiab tseem ceeb. Piv txwv li, nrog edema thiab quav quav, ib tus neeg tuaj yeem haus dej txog 3 litres ib hnub, thiab nrog ntshav qab zib insipidus - 20 litres lossis ntau dua.
Hauv qee qhov xwm txheej, qhov hnyav ntawm polydipsia tuaj yeem sib txawv raws li cov hauv qab no:
- khoom noj;
- kev siv lub cev siv zog;
- cua kub.
Hauv lwm qhov xwm txheej (piv txwv li, hauv ntshav qab zib), nws tsis qiv nws tus kheej rau ib puag ncig thiab hloov pauv tsuas yog los ntawm kev kho mob.
Polydipsia yog ib qho tsos mob uas cuam tshuam nrog polyuria. Kev tso zis ntau ntxiv, ua ke nrog kev nqhis dej tsis txaus, feem ntau yog cov cim qhia ntawm ntshav qab zib. Kev xav tau ntawm cov kua dej ntau yog txuam nrog kev nce qib ntawm cov piam thaj hauv cov ntshav, lub cev qhuav dej thiab cov khoom pov tseg. Raws li kev cuam tshuam ntawm cov xwm txheej no, kev ua haujlwm ntawm cov qog sebaceous zuj zus, vim tias cov mucous membrane ntawm qhov ncauj dries tawm.
Raws li kev txheeb cais, cov neeg mob ntshav qab zib xav tau cov kua dej uas yog 2-3 npaug ntawm cov qauv. Kev tso zis ntau ntxiv yog qhov tshwm sim ntawm kev nce qib ntawm cov tshuaj hormones ua lub luag haujlwm rau diuresis. Mob ntshav qab zib insipidus kuj nrog polyuria thiab nqhis dej heev.
Lub raum pathologies kuj muaj cov tsos mob tshwm sim. Ntxiv rau qhov ncauj qhuavCov txheej txheem tso zis cuam tshuam, mob hnyav tshwm sim.
Diagnosis
Polydipsia yog ib qho ntawm thawj cov tsos mob ntawm tus kab mob. Tias yog vim li cas cov tsos mob no tau muab qhov txiaj ntsig zoo heev.
Tus kws kho mob thaum kuaj thawj zaug tuaj yeem sau cov kev tshawb fawb hauv qab no:
- kuaj ntshav dav dav thiab biochemical;
- Ultrasound ntawm lub raum thiab cov thyroid;
- xam cov diuresis txhua hnub;
- kuaj ntshav rau cov tshuaj hormones;
- general urinalysis.
Yog tias pom polyuria ib txhij nrog polydipsia, qhov ntom ntawm cov khoom siv biomaterial raug txiav txim siab hauv chav kuaj thiab txiav txim siab qib qab zib. Qhov no yog qhov tsim nyog los lees paub lossis txiav txim tawm ntshav qab zib.
Yog tias cov piam thaj hauv ib txwm muaj thiab qhov txheeb ze ntawm cov zis tsawg, kev sim yog ua los ntawm kev npaj muaj vasopressin, tshuaj tiv thaiv kab mob. Nrog rau qhov txiaj ntsig zoo, tus neeg mob raug txwv tsis pub siv cov kua dej ntau li ob peb teev (tsis pub ntev tshaj rau rau). Tom qab ntawd, kev tshawb fawb txog qhov ntom ntawm tag nrho cov zis tau txais thaum lub sijhawm no yog ua tiav. Yog tias nws nyob hauv qhov qub, peb tab tom tham txog thawj polydipsia, yog tias tsis yog, qhov kev kuaj mob yog ntshav qab zib insipidus vim tsis muaj vasopressin.
Yog tias qhov kev sim nrog cov tshuaj tiv thaiv diuretic tau pom qhov tsis zoo, cov ntshav thiab cov zis yuav raug kuaj xyuas cov ntsiab lus ntawm calcium thiab potassium hauv lawv. Ntshav siab kuj ntsuas. Yog hais tias nws thiab calcium ntau ntau, peb tab tom tham txog raum pathologies. Yog tias ob qho tib si lub siab thiab qib ntawm kev tshuaj xyuasCov tshuaj yog qhov qub lossis me ntsis sib txawv ntawm nws, ntshav qab zib insipidus kuj raug kuaj pom, uas yog qhov tshwm sim ntawm qhov tsis zoo ntawm lub raum tubules rau vasopressin.
Kev xaiv cov kev tshawb fawb tsim nyog nyob ntawm qhov hnyav ntawm polydipsia thiab muaj lwm yam tsos mob. Piv txwv li, yog tias tus neeg mob noj ntau tshaj 10 litres dej ib hnub twg, kev kuaj vasopressin tau ua tam sim ntawd.
Kev kho mob
Kev kho mob tsuas yog kos tom qab kuaj pom tseeb. Piv txwv li, yog tias hom ntshav qab zib hom 1 tau lees paub, kev qhia txog cov tshuaj insulin yog qhia, qhov thib 2 - tus neeg mob yuav tsum tau noj tshuaj thawj zaug, qhov kev txiav txim ntawm lub hom phiaj yog txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau insulin. Yog tias kuaj pom tus kab mob uas tsis yog qab zib, tus kws kho mob tau sau cov tshuaj uas hloov pauv vasopressin.
Yog li, txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau nws, nws yuav tsum tau tshem tawm qhov ua rau muaj kev nqhis dej. Yog tias polydipsia tshwm sim hauv ntshav qab zib mellitus, nws yuav tsum tau them nyiaj rau nws. Kev kuaj mob kom raug thiab kev kho mob tsim nyog yog tus yuam sij rau kev ua kom tus mob sai sai.
Huab cua
Yog hais tias tus mob tau hais, nws tuaj yeem ua rau cov dej thiab electrolyte tsis txaus. Cov txiaj ntsig ntawm ntuj tsim yog o thiab convulsions.
Kev tshawb pom raws sijhawm ntawm polydipsia thiab kev kho mob ntawm tus kab mob hauv qab tau lees paub qhov kev pom zoo kom ua tiav kev pab los ntawm kev xav tsis tu ncua ntawm nqhis dej. Qee zaum, cov tshuaj yuav tsum tau noj tag nrholife.
Kuv yuav hu rau leej twg?
Yog tias koj xav tias polydipsia, uas yog mus tas li, koj yuav tsum mus ntsib tus kws kho mob. Nws yuav sau cov kev ntsuam xyuas tsim nyog thiab, raws li lawv cov txiaj ntsig, xa nws mus rau kev kho mob rau cov kws kho mob nqaim - urologist, nephrologist, endocrinologist, thiab lwm yam.
Nyob hauv kaw
Polydipsia yog thawj lub cim ntawm ntau yam kab mob, tab sis feem ntau nws qhia txog ntshav qab zib. Nrog rau qhov nce ntxiv ntawm cov kua dej txhua hnub, koj yuav tsum hu rau koj tus kws kho mob tam sim ntawd thiab dhau qhov kev ntsuam xyuas tsim nyog.
