Oliguria - ke ... Ubangela, izimpawu kanye nokwelashwa oliguria

Oliguria - isimo lapho i production umchamo encishisiwe emzimbeni. Kunezici ezithile ngoba lesi simanga, kuhlanganise ukuvuvukala izinso, izifo, imithi, ukungeneli uketshezi eyanele, adrenal ukucindezeleka impendulo nabanye. Lesi sihloko sixoxa nezindaba ezifana izimbangela zesifo "oliguria", izimpawu, ukwelapha lesi sifo, izindlela ukuxilongwa. Futhi inqobo ezinye ukwelashwa amakhambi abantu yalesi sifo.

Kuyini oliguria

Lesi sifo kwenzeka lapho umzimba wancipha inani umchamo kukhiqizwa. Sivamile kwezinso kubhekwe umchamo ivolumu 1.5 litre ngosuku. Lapho ukugula lesi sibalo sehliselwe 300-500 ml noma ngaphansi. Odokotela ungamphathisi oliguria njengoba isifo abahlukene, kusobala isimo ohlangothini ekuphenduleni nezinye izinkinga zempilo. Okungaholela ukuthuthukiswa zesifo? Funda mayelana kuwo.

Oliguria: Izimbangela

Izinto eziyinhloko nomthelela ezifweni. Oliguria - isimo lapho umzimba ukhiqiza umchamo omncane kakhulu. Lo mphumela kungaba ukungabi baphuza uketshezi, ukulimala kwezinso, abangakwazi kahle futhi ukukhiqiza umchamo. Izimo zethu zihluke kakhulu ezahlukahlukene ezibanga ukuthuthukiswa lesi sifo "oliguria". Izizathu ingase ibe amanzi emzimbeni, isifo senhliziyo (inhliziyo ukwehluleka, kwachitheka senhliziyo uhlelo, eyaziwa nangokuthi i ukushaqeka hypovolemic). amazinga aphansi umthamo woketshezi kuholela yokuthi ku izinso ehluleka, inani umchamo siyehla.

Ukutheleleka, glomerulonephritis

Oliguria - a zokugula, ezingasetshenziswa futhi kubangelwe ezinye izifo ezithathelwanayo ezibangelwa amagciwane, ezifana nekholera, okuholela amanzi emzimbeni ngenxa ukulahlekelwa uketshezi electrolyte, ukuthuthukiswa lobuthakathaka, hypotension, ukoma ezinzima, imisipha amajaqamba, acute sohudo lwamanzi, ukuhlanza kanye tachycardia. Uma ikholera iyekwa ingelashwa, umuntu ungafa ngaphakathi kwamahora ambalwa.

glomerulonephritis olunamandla - esinye isici ezingase avuse ukuvela sifo "oliguria". Izimpawu kulokhu zihlanganisa ukukhathala, ongaphakeme-ebangeni imfiva, umfutho wegazi ophezulu kanye ukuvuvukala, isicanucanu, ukuhlanza, ikhanda elibuhlungu kanye ukuminyana emaphashini futhi ubuhlungu besisu.

ukuhluleka kwenhliziyo

Ngo senhliziyo Ungase futhi kanyekanye ukuthuthukisa oliguria, okuyinto is phetho ukunciphisa ejection wegazi inhliziyo futhi inyuka perfusion kwezinso. Ezimweni ezinjalo, umuntu bangase bakhathale kanye ubuthakathaka, ukuvuvukala ngemithambo entanyeni, tachycardia, dyspnea, futhi edema neuropathy, futhi isifuba esomile.

hypovolemia

Hypovolemia kungenye imbangela yesifo "oliguria". Izimpawu, ukwelapha izifo esekelwe sokunqoba eyinhloko izimpawu isifo zihlanganisa ukukhathala, ukucobeka, ukuba buthakathaka kwezicubu, sokuzincisha ukudla, isicanucanu, isiyezi, hypotension. Oliguria hypovolemia izimpawu litshwayo eyenga iyona kome nolwelwesi lwamafinyila kanye zamehlo lushone.

Ezinye izici

Okunye izimbangela zihlanganisa izifo ezifana ezingamahlalakhona ukwehluleka kwezinso, ikakhulukazi sokugcina, pyelonephritis acute, kwezinso vein occlusion, preeclampsia ngesikhathi sokukhulelwa. Kukhona ezinye iziguli ukuthuthukisa oliguria emva kokuhlinzwa, futhi kulokhu, lesi sifo singumbulali ukusabela komzimba ukuze zibe ziningana izici - amanzi emzimbeni, ukulahlekelwa semali igazi, ukutheleleka ezinzima, okuholela ukushaqeka anobuthi, isimiso urinary odalwe wendlala lakhulisiwe. Kungenzeka futhi yokusabela kuya imithi post-operative, isibonelo, kwi isisu, imithi "Methotrexate" nezidakamizwa anticholinergic.

ukuhlola

Ukuze isifo "oliguria" ukwelashwa ebekiwe emva kokukhishwa Ihlahlubo ukuhlonza izimbangela ngqo zokugula. Udokotela uhlola isiguli, ukutadisha umlando wakhe wokwelapha, uqhuba ingxoxo lapho ulwazi olubalulekile inani loketshezi idliwe ngosuku, inombolo bese umbala umchamo. Ngokukhethekile ikhokhelwa kuze kube sekubeni khona noma yimaphi zici isihluku kanye nezimpawu ohambisana - imfiva, isicanucanu, uhudo, ukuhlanza, ukoma ngokweqile, ukulimala yamuva, imithi, komzimba.

Futhi, ukuhlola ukuthi kungakanani abakwaziyo kudingeka ukuqinisekisa izimbangela oliguria. Udokotela esabela ukuhlolwa noma omchamo ukuze bahlole nezilonda noma izifo ezithile kule izinso. -X-ray Ukuhlolwa nge Ngokuphambene umjovo kuyabaveza ezinso ezithile nezimila, kanye ultrasound uphethwe kuyadingeka ukuhlola simila.

Kunezinye futhi izinqubo zokuxilonga buhlanganisa i-computed tomography esiswini kanye ukhalo, tsitoskopiya lapho isibonakude nezimo is busuka le urethra. Igazi ukuhlolwa kubonisa khona igazi, ukwehluleka kwezinso kanye pheshana urinary nezifo kungenzeka.

Izimpawu nezinkomba

Oliguria libhekwa ngesisekelo izici ezibangela isifo. Ngokwesibonelo, oliguria zangaphambi kwezinso eba ngenxa hypoperfusion kwezinso futhi ukunciphisa baphuza uketshezi, ukuntuleka kwamanzi emzimbeni kwenzeka ngenxa yalokho, uhudo, ukopha futhi sepsis. kuphakama kwezinso kusukela ukwephulwa umsebenzi izinso kubangelwa ukuphuza imithi, hypoperfusion, okungukuthi, ekunciphiseni zokuhlunga ikhono lazo. oliguria Postrenal kwenzeka uma ukugeleza umchamo kunzima ngenxa yesinye, izimila, hematomas.

Lesi sifo kunqunywa isekelwe inani umchamo. Isibonelo, sitholakale izinsana lapho ivolumu umchamo engaphansi kuka-1 ml amakhilogramu esisindo ngehora, ngamunye izingane ezindala - esingaphansi 0.5 ml amakhilogramu esisindo ngehora ngalinye, abadala - ngaphansi kuka-400 ml ngosuku. Uma umuntu othile Ukuwohloka okuqhubekayo inani umchamo ekhiqizwa, kuba iyimbangela yokukhathazeka futhi kungaba eyobonisa khona isifo, "oliguria". Ezinganeni, 3 izinsuku zokuqala zokuphila lemali obanele of umchamo ekhiqizwa kubhekwa evamile. Lesi sici ukusebenza izinso ngalesi sikhathi. ibizwa ngokuthi "oliguria lezivakashi".

Ngo abadala, lesi sifo ngokuvamile ubonisa leso izimpawu ezivamile njengoba isiyezi, palpitations, uhudo, ngezinye izikhathi imfiva, nokuhlanza. Uma kukhona ukwehla kancane kancane umchamo okukhipha kungakapheli amasonto amabili, imbangela kungase kube ukuphazamiseka acute kwezinso necrosis ijabulise. Izimpawu zingase futhi zihlanganisa arrhythmias oliguria, ukuba buthakathaka kwezicubu, ukucobeka, ukudideka, pruritus, ngezwi elikhulu, ukuhluleka kwenhliziyo. Ukwakheka amatshe e-ureter, urethra nezinso futhi ngokuvamile kuholela oliguria. Izimpawu zalokhu zihlanganisa: nobuhlungu obukhulu imbilapho, endaweni pubic futhi endaweni zangasese zangaphandle, isicanucanu, ukuqunjelwa, ukuhlanza, imfiva kanye Ukugodola.

Oliguria, futhi syndrome nephrotic ezinganeni

Kusukela izinso banesibopho ukwenziwa umchamo emzimbeni, le diuresis ikakhulukazi kungase kubhekwe njengokwelapha obonakalisa isimo kulezi zinhlangano. Nephrotic syndrome kuyinkinga ezivamile izinso ezinganeni futhi ngokuvamile kuholela ukuthuthukiswa ukwehluleka kwezinso. Ku-izinso enempilo, igazi sidlula ke futhi unikeza ngokweqile uketshezi, imfucuza kanye creatinine ukwakha umchamo. Ukuze izingane nephrotic syndrome, kwehle umchamo okukhipha ubonisa ukuthi izinso abakwazi ukuhlunga igazi. I umncane umchamo ekhiqizwa ngelanga, isimo ezinzima ngaphezulu izinso. Oliguria nezingane nephrotic syndrome kuwuphawu kuyingozi, ngoba kubonisa ukuthi ezilimele izinso izicubu ayikwazi ukutholwa. Ezimweni ezinjalo, ukunakekelwa ngokushesha yezokwelapha futhi welashwe VO ukugwema isidingo zelashwe nezinso ukufakelwa.

Bhekana nephrotic syndrome kungaba ukusebenzisa imithi, kodwa kunzima kakhulu ukuba alulame abathintekayo izicubu izinso.

ukuphathwa isifo

Oliguria - isifo, ukwelashwa okuphumelelayo okuyinto predusmatirivaet izigaba ezintathu ngokulandelana kwazo:

• ekuqedeni izimbangela sokugembula, isifo eyinhloko;
• nokubuyiselwa homeostasis umzimba;
• ekwelapheni izinkinga.

ukuphathwa isifo njalo kuncike imbangela, futhi ezimweni eziningi, diuresis kungenzeka lokuba kubuyiselwe futhi kujwayeleke nesimo umzimba. Omunye indlela yokwelashwa namuhla ukwethulwa ipayipi phakathi urethra ukuze aqede isimiso yayo kanye ekuqongeleleni umchamo okukhiphayo. Uma kukhona ingozi ukuphathwa izinso, izinso, esikhundleni sokusebenzisa nesihlungi yokufakelwa elikuvumela ukubuyisela ukususwa evamile imikhiqizo imfucuza kusukela egazini.

Kwezinye izimo, esibhedlela kuyadingeka, e esibhedlela kunikezwa uketshezi emthanjeni, uma kwenzeka amanzi emzimbeni. Liphinde kuboniswe ukuyeka ukuphuza noma yimuphi umuthi ukuthi kungaba nomphumela anobuthi izinso. Kubalulekile ukubuyisela evamile perfusion kwezinso, it kudinga ukulungiswa hypotension futhi vasodilator ukwelashwa.

Polyuria, anuria, oliguria

Izinkinga ukuthuthukiswa kanye nokuqedwa umchamo angase akhishwe inyumbazane ngenxa uhlamvu ezahlukene. Kukhona futhi izinhlobo ukwephulwa diuresis, ngaphezu kwalokhu ukwehluleka, njengoba oliguria. Anuria - a zokugula, lapho ukugeleza okwesikhashana umchamo esinyeni. Akubalulekile nje ukudida anuria nge acute nokugcinwa urinary, lapho singena ibhamuza, kodwa akakhishwanga khona. Enye ukwephulwa - kuyinto polyuria, lapho umchamo, ngokuphambene, kwakhiwa eningi. Ukwandisa kumiswa umchamo kungenzeka kubangelwa izinso izifo ngokwabo, iziyaluyalu hormone namanye zomzimba. Polyuria, oliguria, anuria zidinga ukwelashwa, ogxile, okokuqala kunakho konke, ukuqedwa izimbangela.

amakhambi Ikhaya ekwelapheni

Kunezinhlobo eziningana yemvelo futhi iphephile ekwelapheni oliguria, ingozi nemiphumela engathandeki yalawo maphilisi ekusebenziseni kwazo incane. Ezinye zokupheka athandwayo athandwa kakhulu futhi Sekuyisikhathi eside kusetshenziswa ukuze ukuzinza of diuresis. Ngokwesibonelo, ewusizo kakhulu amajikijolo zokhuni, ezisiza ukususa ubuthi emzimbeni, futhi sikhuthaze izinso kanye amanyikwe.

ingxube ephumelela kakhulu fluff coriander futhi elinebhotela (skimmed eceleni ekulungiseleleni ibhotela). Phuza isiphuzo ezinjalo phakathi esidlweni ngasinye. Amahlamvu nezimpande Anemarrhenae iyasiza ekwelapheni oliguria. Odinga ukukwenza - iwukuba uthele isipuni ingxube omisiwe izitshalo nge 300 ml amanzi abilayo futhi ake ume kwamahora ambalwa. Ukuze uthuthukise isiphuzo ezimbili izibuko lokhu ukumnika nsuku zonke kuze kube umchamo okukhipha ubuyela evamile.

ngempumelelo kakhulu ekwelapheni isifo ezibhekwa imbewu ukhova futhi impande gentian. Ukuthola decoction zezitshalo ezifana kunomthelela uropoiesis kusho Ukwedlula kunciphisa nokuvuvukala wendlala. abelaphi Abaningi belulekwa ukuba baphuze amanzi, ithusi okuthiwa. Thela ngobusuku obubodwa amanzi ahlanzekile esitsheni sethusi, futhi ngosuku olulandelayo aphuze la manzi kanye ion zethusi. Khulisa umchamo ukugeleza ngokusebenzisa cardamom powder buhlanjululwe in ubisi olufudumele. Phuza lokhu isiphuzo nsuku zonke kube yi.

Ngakho, siye sacabangela nezindaba ezifana oliguria, izimpawu, ekwelapheni lesi sifo. Uma noma yiluphi uhlobo isifo ngokushesha uxhumane udokotela. Ngaphezu kwalokho, kuhle ukugwema okunamafutha kanye nokudla okunosawoti, udle enokulinganisela afake ekudleni kwakho izithelo eziningi kanye nemifino ngangokunokwenzeka. Ukuchamela ngokushesha uma kukhona isifiso sokuzilimaza ukuchamela. Phuza amanzi amaningi, ukuvikela umzimba kusuka ukuphelelwa amanzi emzimbeni.