Oliguria - izo ... Amachititsa, zizindikiro ndi mankhwala a oliguria

Oliguria - chikhalidwe chimene yafupika mkodzo kupanga mu thupi. Pali zinthu zina chifukwa zodabwitsazi, kuphatikizapo kutupa kwa impso, matenda, mankhwala, kuchepa madzimadzi madyedwe, adrenal nkhawa ayankhe ndi ena. Nkhaniyi ikufotokoza nkhani ngati zimayambitsa matenda a "oliguria", zizindikiro, chithandizo cha matenda, njira matenda. Komanso anapereka ena azitsamba wowerengeka mankhwala a matenda.

oliguria Kodi

matenda kumachitika pamene thupi inachepetseratu kuchuluka kwa mkodzo umatulutsa. Ponseponse kuti aimpso ankaona mkodzo buku la lita 1.5 patsiku. Matenda chithunzi ichi kusanduka 300-500 ml ya kapena zochepa. Madokotala Musanyoze oliguria monga matenda osiyana, yaima mbali boma poyankha matenda ena. Zomwe zingachititse kuti chitukuko cha matenda? Werengani za izo.

Oliguria: Zoyambitsa

zinthu zazikulu zimene zimachititsa matenda. Oliguria - chikhalidwe mu thupi limapanga mkodzo zocheperatu. Zotsatira izi zikhoza kukhala kupanda wambiri madzimadzi, vuto la impso, amene akulephera liziyenda bwino ndi kubala mkodzo. Ndithu zosiyanasiyana zinthu zimene zimachititsa kuti chitukuko cha matenda "oliguria". zifukwa mwina madzi m'thupi, matenda a mtima (mtima kulephera, kugwa kwa mtima dongosolo, amatchedwanso mantha hypovolemic). pamlingo wochepa voliyumu madzimadzi kumabweretsa mfundo yakuti mu impso sichitha, kuchuluka kwa mkodzo inalili.

Infection, glomerulonephritis

Oliguria - ndi kudwala, zomwe zimayamba ndi ena matenda opatsirana bakiteriya, monga kolera, zikubweretsa madzi m'thupi chifukwa imfa ya madzimadzi ndi electrolytes, chitukuko cha kufooka, hypotension, ludzu kwambiri, omangana minofu, pachimake madzi m'mimba, kusanza ndi tachycardia. Ngati kolera ndi sanalandire chithandizo, munthu akhoza kufa pasanathe maola ochepa.

Pachimake glomerulonephritis - Chinthu china chimene chikanakhoza imautsa zikamera wa matenda "oliguria". Zizindikiro Pankhaniyi monga kutopa, malungo otsika kalasi, kuthamanga magazi ndi kutupa, nseru, kusanza, kupweteka kuchulukana mu mapapo ndi ululu m'mimba.

kulephera mtima

Mu matenda a mtima akhoza imodzi kukhala oliguria, lomwe ndi zotsatira za kuchepetsa ejection magazi mtima ndi ukuwonjezeka aimpso perfusion. Zikatero, munthu akhoza kukumana kutopa ndi kufooka, kutupa kwa mitsempha khosi, tachycardia, dyspnea, ndi edema zotumphukira, ndi chifuwa youma.

hypovolemia

Hypovolemia ndi chinthu china matenda "oliguria". zizindikiro, zochizira matenda zochokera kugonjetsa zizindikiro matenda oti kutopa, ulesi, kufooka kwa thupi, anorexia, nseru, chizungulire, hypotension. Oliguria hypovolemia amadziwika zizindikiro anachititsa ndi dryness wa nembanemba mucous ndi eyeballs olowa.

zinthu zina

Zina monga matenda monga kulephera aakulu aimpso, makamaka gawo lomaliza, pachimake pyelonephritis, aimpso mtsempha occlusion, preeclampsia pa mimba. Pali anthu ena odwala amene amayamba oliguria pambuyo opaleshoni, ndipo mu nkhani iyi, matenda ndi yankho thupi zifukwa - madzi m'thupi, kusowa wambirimbiri magazi, matenda aakulu, zikubweretsa mantha poizoni, mkodzo kutsekeka anachititsa ndi Prostate zikuluzikulu. N'zothekanso anachita mankhwala pambuyo kugwira ntchito, mwachitsanzo, okodzetsa, mankhwala "Methotrexate" ndi mankhwala anticholinergic.

diagnostics

Matenda "oliguria" chithandizo Kwalamulidwa pambuyo matenda ndi kupeza zimayambitsa chenicheni cha kudwala. Dokotala kufufuza mtima, ndikuwerenga mbiriyakale yake ya udokotala, kuchititsa kukambirana zimene Chofunika ndi kuchuluka kwa madzimadzi ankadya patsiku, chiwerengero ndi mtundu wa mkodzo. chidwi linaperekedwa kwa kupezeka kwa zinthu aliyense kukulitsa ndi zizindikiro m'munsili - malungo, nseru, m'mimba, kusanza, amaika ludzu, kuvulala posachedwapa, mankhwala chifuwa.

Komanso, mayesero matenda akufunika kuti atsimikizire zimayambitsa oliguria. dokotala salamula ndi mkodzo mayeso Yang'anani kutupa kapena matenda a impso ndi. X-ray Kupenda ndi kusiyana jekeseni Zimathandizanso kudziwa miyala impso ndi zotupa, ndi ultrasound matenda m'pofunika kufufuza chotupa.

Njira zina matenda monga yopangidwa tomography wa pamimba ndi mafupa a chiuno, tsitoskopiya limene makinawa kusintha anadzetsa mkodzo ndi. atayezetsa limasonyeza kukhalapo kwa magazi m'thupi, kulephera aimpso ndi matenda thirakiti mkodzo zotheka.

Zizindikiro

Oliguria zimagawidwa pa maziko a zinthu zimene zimayambitsa matendawa. Mwachitsanzo, chisanadze aimpso oliguria akufotokozera chifukwa cha hypoperfusion aimpso ndi kuchepetsa kadyedwe madzimadzi, kuchepa madzi m'thupi kumachitika chifukwa, kutsekula m'mimba, magazi ndi sepsis. Aimpso tingafunse pa kuphwanya ntchito impso chifukwa cha mankhwala osokoneza bongo, hypoperfusion, ndiyo kuchepetsa zosefera luso lawo. Postrenal oliguria kumachitika pamene otaya mkodzo ndi zovuta chifukwa Prostate kukulitsa, zotupa, hematomas.

Matendawa anatsimikiza zochokera kuchuluka kwa mkodzo. Mwachitsanzo, amawapeza makanda pamene mkodzo buku la zosakwana 1 ml pa kilogalamu ya kulemera kwa thupi pa ola limodzi mwa ana okulirapo - zosakwana 0.5 ml ya pa kilogalamu ya kulemera kwa thupi pa ora, akuluakulu - osachepera 400 ml ya patsiku. Ngati munthu anaona azilandira kuchepa kuchuluka kwa mkodzo kupangidwa ndi vuto ndipo akhoza chizindikiro pamaso pa matenda, "oliguria". Ana, woyamba masiku 3 moyo osakwanira kuchuluka kwa mkodzo opangidwa imatengedwa ponseponse. Mbali imeneyi ya ntchito kwa impso nthawi imeneyi. umatchedwa "chosakhalitsa oliguria".

Pa akuluakulu matenda zambiri kuwonetsera zizindikiro ngati wamba monga chizungulire, palpitations, kutsekula m'mimba, nthawi zina malungo, ndi kusanza. Ngati pali kuchepa pang'onopang'ono linanena bungwe mkodzo milungu iwiri, zikuoneka kuti mwina matenda pachimake aimpso tubular necrosis. Zizindikiro Mwina mulinso arrhythmias oliguria, kufooka kwa thupi, ulesi, chisokonezo, pruritus, unam'tsalimitsa, mtima kulephera. Mapangidwe miyala ureter, mkodzo ndi impso komanso nthawi zambiri kumayambitsa oliguria. Zizindikiro izi zikuphatikiza: ululu mu groin, malo ena obisika ndipo m'dera wa maliseche kunja, nseru, bloating, kusanza, malungo ndi kuzizira.

Oliguria, ndi nephrotic syndrome ana

Popeza impso ndi udindo kwa kupanga mkodzo m'thupi, makamaka diuresis akhoza ankamuona ngati chithunzithunzi cha udindo wa matupi awa. syndrome Nephrotic vuto wamba a impso ana ndiponso nthawi zambiri kumayambitsa chitukuko cha kulephera aimpso. Mu impso wathanzi, magazi chimadutsa ndi amapereka muyeso madzimadzi, zinyalala ndi creatinine kupanga mkodzo. Ana ndi matenda nephrotic, utachepa mkodzo linanena bungwe limasonyeza kuti impso sangathe bwino zosefera magazi. Zing'onozing'ono ndi mkodzo opangidwa patsiku, boma kwambiri a impso. Oliguria ana ndi matenda nephrotic ndi chizindikiro choopsa, kuyambira Izi zikusonyeza kuti kuonongeka impso minofu sangathe anachira. Izi zikachitika, chisamaliro mwamsanga mankhwala ndi mankhwala ndi njira yokhayo kupewa kufunika dialysis ndi impso kupatsidwa zina.

Kuthana ndi matenda nephrotic kungakhale kugwiritsira ntchito mankhwala, koma ndi kovuta kuti achire bwanji impso minofu.

chithandizo matenda

Oliguria - matenda, ogwira mankhwala omwe predusmatirivaet magawo atatu motsatizana:

• kuchotsa zimayambitsa pathological, matenda chachikulu;
• kubwezeretsa homeostasis wa chamoyo;
• chithandizo cha mavuto.

matenda chithandizo nthawi zonse zimadalira chifukwa cha izo, ndipo nthawi zambiri diuresis n'zotheka kuti abwezeretse ndi matenda chikhalidwe cha thupi. njira imodzi ya chithandizo lero kumayambiriro catheter mu mkodzo kuti kuthetsa kutsekeka ake ndipo kudzikundikira linanena bungwe mkodzo. Ngati pali chiopsezo kulephera impso, impso, m'malo ntchito fyuluta yokumba kuti amalola kuti abwezeretse kuchotsa yachibadwa katundu zinyalala kwa magazi.

Nthawi zina m'chipatala ndi kofunika, m'chipatala wapatsidwa madzi mtsempha, ngati madzi m'thupi kumachitika. Iwo amasonyezanso kuti asiye kumwa mankhwala alionse amene angakumane ndi zotsatira poizoni pa impso. Nkofunika kubwezeretsa yachibadwa aimpso perfusion, pamafunika kuwukonza hypotension ndi vasodilator mankhwala.

Polyuria, anuria, oliguria

Mavuto ndi chitukuko ndi Kupha mkodzo kungakhale khalidwe lina. Palinso mitundu ya kuyan'anila diuresis, kuwonjezera pa kulephera izi, monga oliguria. Anuria - ndi kudwala, imene inaimitsidwa otaya mkodzo mu chikhodzodzo. Nkofunika kuti tisasokoneze anuria ndi mkodzo posungira pachimake, tikafika kuwira, koma si kuchotsedwa apo. kuphwanya lina - ali polyuria, pamene mkodzo, mosiyana, anapanga kwambiri. Kuwonjezeka mkodzo mapangidwe mwina chifukwa matenda a impso okha, matenda m'thupi ndi zina za thupi. Polyuria, oliguria, anuria amafuna chithandizo, zomwe zachokera, poyamba pa zonse, kuwonongedwa kwa zimayambitsa muzu.

Home mankhwala ochizira matenda a

Pali zingapo zachilengedwe ndi otetezeka zochizira oliguria, ngozi za zotsatira zoyipa ntchito zawo ndi kochepa. Ena mwa maphikidwe wotchuka ndi wotchuka kwambiri ndipo akhala ntchito kwa normalization wa diuresis. Mwachitsanzo, kwambiri zipatso mlombwa, zomwe zimathandiza kuchotsa poizoni m'thupi, komanso Zimachititsa impso ndi kapamba.

kwambiri osakaniza kufwanyulira mapira ndi buttermilk (skimmed byproduct pokonza batala). Kumwa chakumwa zoterezi pa chilichonse chakudya. Masamba ndi mizu Anemarrhenae kwambiri mankhwalawa oliguria. Zonse muyenera kuchita - ndi kutsanulira supuni ya osakaniza zouma zomera ndi 300 ml ya madzi otentha ndipo tiyeni tiyime kwa maola angapo. Kuonjezera chakumwa magalasi awiri a kulowetsedwa tsiku lililonse mpaka akadzabweranso mkodzo linanena bungwe mwakale.

kwambiri pa matenda a matenda amaonedwa mbewu za plantain ndi gentian mizu. Kulandira decoction zomera amenewa kumathandiza uropoiesis zikutanthauza mopitirira kumachepetsa kutupa prostate. ochiritsa ambiri akulangizidwa kumwa madzi, mkuwa otchedwa. Thirani oyera madzi usiku m'chiwiya chamkuwa, ndipo tsiku lotsatira kumwa madzi ndi ayoni mkuwa. Kuonjezera mkodzo otaya pogwiritsa ntchito cardamom ufa kuchepetsedwa mu mkaka ofunda. Kumwa chakumwa tsiku lililonse zotsatira.

Choncho, takambirana nkhani monga oliguria, zizindikiro, chithandizo cha matenda. Ngati njira iliyonse matenda yomweyo funsani dokotala. Komanso, m'pofunika kupewa mafuta ndi zakudya mchere, kudya moyenera kuti monga chakudya chanu zipatso monga ambiri ndi ndiwo zamasamba ngati n'kotheka. Kukodza mwamsanga pamene pali chilakolako kukodza. Imwani madzi ambiri, kuteteza thupi ku madzi m'thupi.