Oliguria - it ... Ubangela, iimpawu kunye nonyango oliguria

Oliguria - yimeko apho imveliso umchamo reduced emzimbeni. Kukho izinto ezithile ngenxa yale meko, kubandakanywa ukudumba izintso, izifo, amayeza, ezingonelanga ulwelo eyanele, adrenal impendulo xi kunye nabanye. Eli nqaku nokuxoxa ngemiba efana ngoonobangela sifo "oliguria", iimpawu, unyango esi sifo, iindlela kokuxilongwa. Kwakhona wenza ezinye unyango amayeza abanam kwesi sifo.

Yintoni oliguria

Le sifo kwenzeka xa umzimba wancipha isixa umchamo zaveliswa. Ummiselo for sezintso luthathwa umchamo umthamo ngelitha 1.5 ngosuku. Xa ukugula eli nani lincitshiswe ukuba ml 300-500 okanye ngaphantsi. Oogqirha musa ukumphatha oliguria njengoko sisifo ecacileyo, sime karhulumente ecaleni ukuphendula nezinye iingxaki zempilo. Leyo kukhokelela kuphuhliso kwesi sifo? Funda ngako ku.

Oliguria: Oonobangela

Eyona ezisemqoka ezinegalelo izifo. Oliguria - i imeko apho umzimba uvelisa umchamo encinane kakhulu. Le umphumo kuba ukungabikho zokungenisa fluid, nomonakalo wezintso, abangakwaziyo ukusebenza ngokufanelekileyo kwaye umchamo. Lidla ezahlukeneyo izinto engabangela uphuhliso sifo "oliguria". Izizathu abe emzimbeni, isifo sentliziyo (sentliziyo ukungaphumeleli, ekuweni sentliziyo inkqubo, okwabizwa ngokuba zomzimba ngenxa). amaqondo aphantsi ngokomthamo fluid kukhokelela ekubeni kwi kidney akaphumeleli, isixa umchamo luyancipha.

Gciwane, glomerulonephritis

Oliguria - a ngezifo, leyo nayo zisenokubangelwa ezinye izifo ezosulelayo yintsholongwane, ezifana ikholera, okukhokelela emzimbeni ngenxa yokulahlekelwa kolwelo kunye electrolytes, uphuhliso buthathaka, hypotension, unxano kakhulu, amahlaba kwezihlunu, utyatyazo etsolo anzongonzongo, ukugabha kunye tachycardia. Ukuba ikholera okuseleyo lunganyangwa, umntu uyafa kwisithuba kwiiyure ezimbalwa.

glomerulonephritis Acute - esinye into enokukucaphukisa ukuvela sifo "oliguria". Iimpawu kulo mzekelo ziquka ukudinwa, icesina ephantsi-grade, uxinzelelo oluphezulu lwegazi kwaye ukudumba, isicaphucaphu, ukugabha, intloko ebuhlungu nokumfixana imiphunga kunye neentlungu esiswini.

senhliziyo

Ukuhluleka intliziyo kwakhona ngaxeshanye ukuphuhlisa oliguria, nto leyo ngenxa yokunciphisa ejection igazi intliziyo kunye nokunyuka perfusion kwezintso. Kwiimeko ezinjalo, umntu bangase lidiniwe buthathaka, iindumbisa imithambo entanyeni, tachycardia, dyspnea, kunye nokudumba neuropathy, kunye ukhohlokhohlo owomileyo.

hypovolemia

Hypovolemia esinye isizathu zokugula "oliguria". Iimpawu, unyango lwezifo ezisekelwe silwe iimpawu sifo yokuqala zibandakanya ukudinwa, silale, buthathaka kwezihlunu, ukudla, isicaphucaphu, isiyezi, hypotension. Oliguria hypovolemia Iimpawu lolona eyabangelwa ke kome inwebu yangaphakathi kunye amehlo nechibi.

ezinye izinto

Ezinye izinto ziquka izifo ezifana ukusilela ezondeleyo kwezintso, ingakumbi kwisigaba sayo sokugqibela, pyelonephritis etsolo, sezintso umthambo occlusion, yokukhulelwa ngexesha lokukhulelwa. Kukho ezinye izigulane ukuphuhlisa oliguria emva kotyando, yaye kulo mzekelo, esi sifo impendulo umzimba ukuba eziliqela - emzimbeni, ukulahlekelwa isixa esikhulu igazi, usuleleko kakhulu, okukhokelela umothuko ityhefu, isithintelo wokuchama okubangelwa kukuvela kwemeko wendlala landile. Kwakhona basabele ukuba amayeza post-operative, umzekelo, kwi womchamo, iyeza "Methotrexate" kunye neziyobisi anticholinergic.

ekuxilongweni

Kuba isifo unyango "oliguria" imiselwe emva kokuba ukhubazwa uchonge oonobangela ngqo ngezifo. Ugqirha ehlola isigulane, ukufunda imbali yakhe yempilo, ukuqhuba incoko apho ulwazi olubalulekileyo sisixa ulwelo osetyenzisiweyo ngamnye ngosuku, inombolo kunye umbala umchamo. ingqalelo ekhethekileyo ihlawulwe phambi nayiphi na imiba mandundu kunye neempawu ezihamba - fever, isicaphucaphu, urhudo, ukugabha, unxano ngokugqithiseleyo, ukonzakala kutshanje, amayeza, allergies.

Kwakhona, iimvavanyo zokufumanisa isifo ziyafuneka ukuqinisekisa ezibangela oliguria. Ugqirha unika uvavanyo lomchamo ukukhangela nezilonda okanye zokugula kwizintso. iimviwo X-ray kunye isitofu umahluko kunceda ukuchonga amatye wezintso kwaye nangezilonda, ultrasound uphethwe kuyimfuneko ukuhlola cyst.

Ezinye iindlela zokuxilonga ziquka ayinakubalwa Itomography le esisu kunye isinqe, tsitoskopiya apho teleskopu bhetyebhetye yaziswa kulo urethra. test Igazi ibonisa ubukho kwegazi, ukusilela kwezintso kunye nosulelo womchamo kunokwenzeka.

Lweempawu

Oliguria lichazwa ngokuthi kujongwe izinto ezibangela isifo. Umzekelo, oliguria pre-sezintso liphuhlisa ngenxa hypoperfusion kwezintso kunye nokunciphisa inani fluid, emzimbeni kwenzeka ngenxa yoko, urhudo, ukopha kunye nokudumba. kuvela renal evela nokuhluthwa umsebenzi kwezintso ezibangelwa iziyobisi, hypoperfusion, oko kukuthi, ukunciphisa ukukwazi kwabo lokuhluza. oliguria Postrenal kwenzeka xa ukuhamba umchamo kunzima ngenxa yesinye, nangezilonda, hematomas.

Isifo uzimisele kusekelwe kwisixa umchamo. Ngokomzekelo, kubhaliwe unesifo kwiintsana xa umchamo umthamo ngaphantsi kwe-1 ml kwekilogram ubunzima bomzimba ngeyure nganye, nganye abantwana abadala - ngaphantsi kwe-0.5 ml kwekilogram ubunzima bomzimba ngeyure nganye, xa abadala - ngaphantsi kwe 400 ml ngosuku. Ukuba umntu wabona ukuhla okuthe umlinganiselo umchamo eveliswe, oku kudala inkxalabo kwaye ukubonakalisa ubukho sifo, "oliguria". Ebantwaneni, imihla 3 yokuqala yobomi zaneleyo mali umchamo eveliswe uthathwa eqhelekileyo. Olu phawu we ukusebenza izintso ngeli thuba. ibizwa ngokuba "oliguria idlule".

Xa abadala, isifo badla ubonisa iimpawu eziqhelekileyo ezifana nesiyezi, iyangongoza, urhudo, ngamanye amaxesha umkhuhlane, kunye nokugabha. Ukuba kukho ukuhla kancinane kwimveliso umchamo kwisithuba seeveki ezimbini, ngumtyholwa inokuba ukuphazamiseka etsolo sezintso necrosis tubular. Iimpawu kwakhona ziquka arrhythmias oliguria, buthathaka kwezihlunu, silale, ukudideka, pruritus, kokumxhuzulisa, ukusilela intliziyo. Ukuqulunqwa yamatye ureter, urethra kunye nezintso kwakhona kukhokelela oliguria. Iimpawu le ziquka: intlungu qatha nasemiphakathweni, indawo zikawonke wonke kunye nakummandla ye esini yangaphandle, isicaphucaphu, ukuqumba, ukugabha, icesina kunye Ukugodola.

Oliguria, kunye syndrome nephrotic kubantwana

Ekubeni izintso banoxanduva yemveliso umchamo emzimbeni, ingakumbi diuresis zingathathwa ngokuba zibonisa ubume kula maqumrhu. Nephrotic syndrome siyingxaki eliqhelekileyo ezintso ebantwaneni yaye kukhokelela kuphuhliso ukusilela kwezintso. Abaphile kidney, igazi kungenela singenelayo, kwaye unika ulwelo kwemfuneko, inkunkuma kunye creatinine zenze ukuchama. Abantwana nephrotic syndrome, sinciphise umchamo yemveliso ibonisa ukuba izintso bengenako ukuhluza kakuhle igazi. I ezincinane umchamo eveliswa ngosuku, imeko kakhulu ngakumbi sezintso. Oliguria kubantwana kunye nephrotic syndrome ngumqondiso liyingozi, kuba ibonisa ukuba kidney inyama yonakele ayikwazi wachacha. Kwiimeko ezinjalo, ukhathalelo kwangoko unyango kunye nonyango kuphela ukhetho ukuze imfuno dialysis kwaye wezintso abohlukeneyo.

Ukumelana nephrotic syndrome kunokuba usebenzisa amayeza, kodwa kunzima ngakumbi ukuze kufumaneke kidney inyama abachaphazelekayo.

unyango lwezifo

Oliguria - sisifo, unyango olusebenzayo leyo predusmatirivaet amanqanaba amathathu alandelelanayo:

• ukuphelisa izinto yezifo, isifo ephambili;
• ukubuyiselwa homeostasis yento ephilayo;
• unyango yobunzima.

unyango lwesifo kusoloko kuxhomekeke unobangela wayo, yaye kwiimeko ezininzi, diuresis unako ukubuyisela ukubuyisela imeko umzimba. Enye indlela namhlanje kunyango ukuqaliswa catheter kulo urethra ukwenzela ukuphelisa ekuphazamiseni yayo kunye ukuqokelelana output umchamo. Xa kukho ingozi ukusilela kwezintso, nezintso, endaweni yokusebenzisa i filter ezenziwe ekuvumela ukuba ukubuyisela kususwe eqhelekileyo lweemveliso inkunkuma evela egazini.

Kwezinye iimeko, esibhedlele kuyimfuneko, xa isigulane esibhedlele unikwa ulwelo efakwa, ukuba emzimbeni kwenzeka. Kwakhona yabonisa ukuba ziyeke ukuthatha nayiphi na amayeza onokuba nefuthe yityhefu kwi nezintso. Kubalulekile ukuba ukubuyisela perfusion oluqhelekileyo kwezintso, oko kufuna nokulungiswa hypotension kunye vasodilator therapy neziyobisi.

Polyuria, anuria, oliguria

Iingxaki kunye nophuhliso kunye nokuphelisa umchamo ibe umlinganiswa eyahlukileyo. Kukho iintlobo zokuphula diuresis, ukongeza kule ukusilela, njengoko oliguria. Anuria - a ngezifo, apho amanzi imiswe umchamo esinyini. Kubalulekile ukuba sibhidanise anuria nokugcinwa etsolo wokuchama, xa engena iqamza, kodwa hayi asuswe apho. Omnye umthetho - na polyuria, apho umchamo, ngokuchaseneyo, kwasekwa lukhulu. Luyanda umchamo Ukwakheka inokuba ngenxa izifo zezintso ngokwabo, hormone nezinye izifo zomzimba. Polyuria, oliguria, anuria kufuna unyango, olusekelwe, kuqala kwiinto zonke, nokuphelisa ingcambu.

amayeza Ekhaya ngokuba unyango

Kukho ezininzi zendalo kunye nekhuselekileyo yonyango oliguria, umngcipheko ziziphumo ebezingalindelekanga ezivela ukusebenzisa kwabo engephi. Ezinye zokupheka ethandwayo zithandwa kakhulu yaye kudala esisetyenziselwe kuqheleke diuresis. Umzekelo, iluncedo kakhulu amaqunube konwele, ezinceda susa ubuthi emzimbeni, kwaye kananjalo ukukhuthaza izintso nepancreas.

umxube esebenzayo Lutho yekoriyandire, kunye buttermilk (skimmed eceleni ekulungiseleleni butter). Sela amanzi enjalo ngexesha esidlweni ngasinye. Amagqabi kunye neengcambu Anemarrhenae luncedo kakhulu unyango oliguria. Konke ekufuneka uyenze - kukuba ekwakuthululwa i icephe ngomxube ezomileyo izityalo kunye ml 300 amanzi abilayo ime ezimbalwa iiyure. Ukuphucula simswelise iiglasi ezimbini kule ukumnika yonke imihla de umchamo output imbuyekezo kwisiqhelo.

ngempumelelo kakhulu unyango kwesi sifo zithathwa imbewu ka ngeplantain kunye nengcambu gentian. Ukufumana decoction zezityalo enjalo kunegalelo uropoiesis kuthetha koko kunciphisa ekweneni wendlala. namagqirha abaninzi bayacetyiswa ukuba usele amanzi, ebizwa ngokuba yi-zezobhedu. Galela ebusuku amanzi acocekileyo ngesitya sobhedu, Basele Ngosuku olulandelayo lo manzi kunye ion zobhedu. Yandisa flow umchamo ngokusebenzisa cardamom umgubo exutywe ubisi ezishushu. Sela le ethululwayo yonke imihla ukuba isiphumo.

Ngenxa yoko, siye ingqalelo imiba efana oliguria, iimpawu, unyango kwesi sifo. Ukuba naluphi na uhlobo lwesifo nangoko qhagamshelana nogqirha. Ukongeza, uyacebiswa ukuphepha okunamafutha kunye nokutya ezinetyuwa, udle elungeleleneyo ukubandakanya kwisidlo sakho iziqhamo ezininzi nemifuno kangangoko kunokwenzeka. Achame kamsinya nje apho umnqweno ukuchama. Sela amanzi amaninzi, ukukhusela umzimba emzimbeni.