Umchamo okukhipha - kuyini? Izimpawu kanye Ukwelashwa

Enye yemikhiqizo umzimba umzimba womuntu owenziwe kahle umchamo. Kumiswa It is e izinso ku esinyeni futhi isuswe therefrom nibonakala ngokusebenzisa urethra. Ochwepheshe ngalesi sihloko, sebenzisa eside ezifana "diuresis". Kuyini lokhu? Njengoba lo mqondo ihlobene ukusebenza uhlelo urinary?

Ingqikithi diuresis

Lokhu ochwepheshe eside ukuqonda ngevolumu umchamo akhishwa emzimbeni ngaphakathi kwenkathi ethile yesikhathi. Ngokuvamile kulinganiswa nsuku okukhipha umchamo. Kuyinsakavukela kufanele kube ngale ndlela:

• 1 inyanga - 320 ml;
• 1-2 iminyaka - 450 ml;
• eminyakeni 2-5 - 520 ml;
• eminyakeni 5-8 - 680 ml;
• iminyaka 8-11 - 850 ml;
• eminyakeni 11-18 - kusuka 1 kuya 1.1 l;
• abadala - kusuka 1.2 kuya 1.5 amalitha.

Nolimi imiqondo - nsuku zonke umchamo okukhipha nokulinganisela uketshezi. iziphuzo ngamunye nsuku zonke kusuka 1.5 2 amalitha. Lapho eqhathanisa ivolumu wathi kanye nenani umchamo etholwe inkomba "Okusele amanzi". Ngokuvamile, kuba ilingana u-75%. ibhalansi Water kuyinto negative noma positive. Endabeni umchamo lokuqala ikhishwe ngaphansi kuka-75%, futhi owesibili - mkhulu kunezinhliziyo 75% of the odakiwe ketshezi. Ukukhubazeka ukudalula ukuhlukumeza kwezitho kohlelo urinary.

diuresis okungafanele

Ukusebenza evamile uhlelo urinary e abantu bangase bahluleke ngenxa yezizathu ezihlukahlukene:

• izifo ezithathelwanayo kwazo lezi zitho (isib pyelonephritis);
• kahle kwezinso ukugeleza kwegazi (esifundazweni ukushaqeka, isifo sokuqina kwemithambo yegazi);
• yesifo azalwa naso (hypoplasia polycystic);
• ukwephulwa umsebenzi excretory (urolithiasis);
• isifo sezinso futhi ubuthi nezifo esindayo ezenzeka (sepsis).

Polyuria - isimo lapho i anda diuresis (kuyinsakavukela kakhulu lidlule). Ukwehlisa inani loketshezi excreted libizwa oliguria. Kwesinye isikhathi umchamo nhlobo eyeka ukungena esinyeni. Lesi simo sibizwa ngokuthi anuria. Kodwa lapho ochwepheshe bathi mayelana ischuria, zisithinta nokugcinwa urinary esinyeni ngenxa ukungabi nakwenzeka kwento self-ukuchama.

mayelana polyuria

Kuleli zinga, diuresis nsuku zonke kungaphezu 2 amalitha. Polyuria kwenzeka kubantu engumqemane ngenxa ukusetshenziswa esiningi amanzi. Ngezinye izikhathi kwenzeka ngesikhathi sokukhulelwa. Ukwandisa umchamo nsuku zonke kungaba futhi kubangelwe ezinye izifo (sikashukela insipidus nesikashukela, polycystic isifo sezinso, umfutho ophakeme wegazi).

Polyuria wabonakaliswa ukuchama kaningi. Ezinye izimpawu ukwandisa nsuku okukhipha umchamo akuyona. Iziguli bangezwa izimpawu kuphela nobuntu izifo ezibangwa polyuria. Nokho, ngamunye libhekene siqu izimpawu zaso isifo.

aphathe polyuria akudingeki ngaso izimbangela bokuphila. Kunconywa ukuba kuphela lesikhona kubuketa yokudla, gwema ukudla semali ketshezi. Ngo izimbangela sokugembula kumele ziphathwe ngokufanele. Ukwelashwa kuncike isifo ekhona. Ngaphezu ekwelapheni lesi sifo, ochwepheshe zithatha izinyathelo zokwanelisa ekulahlekelweni electrolyte nasoketshezini.

ku oliguria

Yibuze: "Umchamo okukhipha:? Kuyini", Kuyinto ukuzicabangela oliguria. Lapho-ke nomzimba womuntu ingaboniswa cishe 500 ml umchamo ngosuku. Lesi simo kuyinto bokuphila, ukuthi lihlotshaniswa ukusetshenziswa kwamanzi ngaphansi noma ukujuluka kule sizini hot. Ngezinye izikhathi oliguria kwenzeka ngoba izizathu sokugembula (lokushisa lomzimba okusezingeni eliphezulu, uhudo isikhathi eside, ukuhlanza, ukopha).

Lapho Kutholwe ukwehla umchamo nsuku zonke, Ochwepheshe ebekiwe luhlolo. Phakathi ke uphenyo izimbangela oliguria. Ngokuvamile kutholakala ukuthi uphethwe yini nephritis - ukuvuvukala we nesifo sezinso. Kwezinye izimo, nsuku zonke okukhipha umchamo washintsha ohlangothini encane pathologies kohlelo senhliziyo nemithambo yegazi.

Ukwelashwa isiguli inikezwa esekelwe izimbangela oliguria. Ngokuvamile, le mishanguzo ukwelashwa simiswe ngalendlela lelandzelako:

• usebenzisa izidakamizwa ezahlukene ivinjelwe isici pathogenic, ngenxa okuyinto kwehle diuresis nsuku zonke;
• kwenziwe ukubuyiselwa homeostasis;
• ukuze uxazulule izinkinga ezingase zivele ukulethwa.

Ukunciphisa umchamo nsuku ngokuphelele reversibly enikeziwe ukwelashwa esifike ngesikhathi kudokotela. Uma ungenzi acabange ngalo mbuzo hhayi: "Umchamo okukhipha:? Kuyini", Musa ukusebenzisa ngesikhathi kuchwepheshe, oliguria anuria ingena.

ku anuria

Kuvame kudidaniswe anuria ischuria (acute nokugcinwa urinary). Nokho, lokhu kuyinto umqondo ohluke ngokuphelele. Ngo-acute urinary nokugcinwa uketshezi luyakha esinyeni, kodwa akemi aphume kulo. Uma anuria umchamo efanayo ngokuvamile akusho iyangena isitho. Anuria kungaba:

1. Prerenal. Ixhunywe ku singenele igazi ligeleze nezinso. Lokhu kwenzeka ngo-thrombosis ka bakhiphe elezinga eliphansi vena cava nokuvaleka kwemithambo kwezinso, ukwehluleka oyingozi inhliziyo.
2. Kwezinso. Ingqikithi yale zokugula - ukulahlekelwa abalulekile parenchyma kwezinso, okwenzeka ngenxa yezifo ezihlukahlukene nokulimala kwezinso (isib emabangeni sekwedlule pyelonephritis zezifo ezingelapheki).
3. Arenalnaya. Anuria, okuyinto kubangelwa ukungabi khona nezinso.
4. Subrenal. Ukungabikho umchamo esinyeni kubangelwa kokucindezelwa elingenhla ngomgudu womchamo.

Anuria - isimo lapho isiguli zidinga usizo lobuchwepheshe lapho ngokushesha. Ukuxilongwa kwenziwa ngaphambi ukwelashwa. Khona-ke hemodialysis - ukuhlanzwa extrarenal negazi, ukuzinza of electrolyte nokulinganisela amanzi. Uma ngesikhathi uphethwe lembula subrenal anuria sizathu, ukuhlinzwa odokotela wenziwa.

ku ischuria

Kucoca ngesihloko "Umchamo okukhipha:? Kuyini", Wena kufanele sinake ischuria. Lena isimo lapho umchamo ageleza eya kwesinye e lemali evamile, kodwa akubonakali kukhona. Isiguli waphawula elihambisana zimpawu:

• nesifiso esinamandla sokuba usebenzisa indlu yangasese;
• protrusion ngaphezu pubis;
• ubuhlungu esinyeni egcwele.

Ngokuvamile nge ischuria ezibhekene amadoda. Sinenkosi kulesi simo kwenzeka ngenxa ukuvuvukala endlaleni engasesinyeni, umdlavuza wesinye, khona amatshe. Lapho ischuria kudingeka usizo oluphuthumayo. Ihlala ku catheterization.

Uma ukufakwa kwe-ipayipi akunakwenzeka, izazi ukuchitha cystostomy - inqubo lapho nomchamo excreted kusukela umzimba ngepayipi ekhethekile, owethulwa ogangeni besisu ku esinyeni. Ngemva ukwelashwa zokuqala zosizo ezinqunyiwe, kudambisa izizathu ischuria.

Ekuphetheni, kuyafaneleka ukuthi kusekuningi into efana "diuresis ophoqelelwe." Leli gama lisho indlela yokwelapha esetshenziselwa ubuthi. Umzimba uketshezi kanyekanye input bese isisu. Ngenxa yalokho, it kwavusa ukuchama. Kusukela umzimba ngokushesha okukhiphayo ezinobuthi umchamo. Ukuze uqhathanise, ulwazi olulandelayo: evamile e umchamo yomuntu ephile kwakhiwa kusuka 0.7 kuya 1.3 ml ngomzuzu, futhi lapho ophoqelelwe diuresis izinga ukukhuphuka 8-10 ml ngomzuzu.