Umchamo output - ntoni na? Iimpawu and Treatment

Enye imveliso pathways omzimba womntu ngumchamo. It senziwa izintso kungena lwesinyi kususwa zoko ngokwangaphandle ngokusebenzisa urethra. Iingcali bexoxa le topic, sebenzisa ibinzana ezifana "diuresis". Yintoni na? Njengoko le ngcamango kunxulumene nokusebenza kwenkqubo womchamo?

Eli diuresis

Oku iingcali gama ukuqonda umthamo umchamo kufunxwa emzimbeni kwisithuba sexesha elithile. Amaninzi kulinganiswa output umchamo ngemihla. Ummiselo kufuneka kwenziwe ngolu hlobo lulandelayo:

• ngenyanga 1 - 320 ml;
• kwiminyaka 1-2 - 450 ml;
• kwiminyaka 2-5 - 520 ml;
• kwiminyaka 5-8 - 680 ml;
• iminyaka 8-11 - 850 ml;
• kwiminyaka 11-18 - ukusuka ku-1 ukuya 1.1 l;
• abadala - ukusuka kwiilitha 1.2 ukuya 1.5.

amagama njalo - output umchamo ngemihla kunye nokulungelelana fluid. iziselo ngemihla ngabanye ukusuka kwiilitha 1.5 ukuya 2. Xa kuthelekiswa umthamo uthe kunye nemali umchamo wafumana Isalathisi "imali eseleyo yamanzi". Ngokuqhelekileyo, ilingana no 75%. balance Amanzi alivumi okanye positive. Xa umchamo Kwimeko yokuqala uyakhululwa ngaphantsi kwama-75%, kwaye yesibini - omkhulu kwe-75% ye-enxilile engamanzi. Ukungaqheleki liveze ukuhlukunyezwa amalungu kwenkqubo womchamo.

diuresis engafanelekanga

Kwindlela eqhelekileyo yokusebenza kwenkqubo wokuchama ebantwini banokusilela ngenxa yezizathu ezahlukeneyo:

• Izifo ezosulelayo ezi amalungu (umz, pyelonephritis);
• akaboni flow kwegazi kwezintso (urhulumente bothukile, yamafutha);
• yesifo azalwa (hypoplasia polycystic);
• ukuhlukunyezwa umsebenzi excretory (urolithiasis);
• isifo sezintso ubuthi kunye nezifo enzima ziyenzeka (nokudumba).

Polyuria - yimeko apho landa diuresis (norm bugqithe kakhulu). Ukunciphisa umlinganiselo ulwelo idubule kuthiwa oliguria. Ngamanye amaxesha umchamo maxa onke kunqanda ukuba bangene isinye. Le meko kuthiwa anuria. Kodwa xa iingcali zithi malunga ischuria, ukuthini ukugcinwa wokuchama esinyini ngenxa nakwenzeka self-ukuchama.

malunga polyuria

Kule meko, diuresis imihla ube ngaphezu kweelitha 2. Polyuria kwenzeka kubantu abasempilweni ngokupheleleyo ngenxa yokusetyenziswa izixa ezikhulu zamanzi. Maxa wambi kwenzeka ngexesha lokukhulelwa. Luyanda umchamo yosuku kwakhona zisenokubangelwa ezinye izifo (iswekile insipidus seswekile, isifo sezintso polycystic, hypertension).

Polyuria wabonisa echama rhoqo. Ezinye iimpawu kwandisa imveliso umchamo mihla akunjalo. Izigulane ungathi ugagane imiqondiso ukuba uphawu izifo ezibangelwa polyuria. Noko ke, ngamnye luphawulwa iimpawu zayo isifo lakhe.

ngayo polyuria akukho mfuneko kwi oonobangela nokomzimba. Kucetyiswa ukuba lihlaziywe ukutya kuphela, kuphephe ukutya isixa esikhulu ulwelo. Xa izinto yezifo kufuneka aphathwe ngokufanelekileyo. Unyango kuxhomekeke sifo okhoyo. Ukongezelela zokunyanga esi sifo, iingcali ngokuthatha amanyathelo ukuba bazalise ilahleko electrolytes kunye iziselo.

ku oliguria

Buza: "Umchamo output:? Yintoni na", Kubalulekile ucinga oliguria. Xa ivela emzimbeni womntu ingabonakaliswa nama-500 ml umchamo ngosuku. Le meko ke komzimba, into enxulumene nokusetyenziswa kwamanzi ngaphantsi okanye ukubila ngexesha eshushu. Ngamanye amaxesha oliguria kwenzeka ngenxa yezizathu zophendlo lwezifo (ubushushu bomzimba phezulu, sorhudo elide, ukugabha, ukopha).

Xa ufunyaniswe ukuhla umchamo ngemihla, iingcali zoviwo emiselweyo. Ngexesha kuyo uphando oonobangela le oliguria. Sivame ukuxilongwa nephritis - ukudumba wesifo sezintso. Kwezinye iimeko, imveliso umchamo imihla itshintswa ecaleni ezincinane ezimbi kwenkqubo sentliziyo.

Therapy isigulane osekelwe phezu ezibangela oliguria. Ngokubanzi, irejimeni yonyango imi ngolu hlobo lulandelayo:

• usebenzisa iziyobisi ezahlukeneyo ivaliwe into ebangela isifo, ngenxa leyo yehle diuresis yemihla ngemihla;
• Ndiliphumezile ukubuyiselwa homeostasis;
• ukuxazulula iingxaki iinkonzo.

Ukunciphisa umchamo ngemihla ngokupheleleyo reversibly banikwe unyango ngexesha kwagqirha. Ukuba awunalo igama ngalo mbuzo: "Umchamo output:? Yintoni na", Musa isicelo ngexesha oyingcali, oliguria anuria ungena.

ku anuria

Idla kubhidaniswe anuria ischuria (etsolo ukugcinwa womchamo). Nangona kunjalo, lo gama eyahlukileyo ngokupheleleyo. In acute wokuchama ukugcinwa fluid luyakha esinyini, kodwa uphuma kuyo. Ukuba anuria umchamo efanayo ngokubanzi akuthethi ingena organ. Anuria ingaba:

1. Prerenal. Oku kunxulumene kwegazi alwanelanga nezintso. Oku kwenzeka thrombosis le cava oluphantsi Vena kunye imithambo kwezintso, ukusilela intliziyo oyingozi.
2. Uxabane. Umongo wale emoyeni - ilahleko okubalulekileyo parenchyma kwezintso, zengqondo okubangela izifo ezahlukeneyo kunye nomonakalo wezintso (umz, kwi zigaba kade pyelonephritis ezingapheliyo).
3. Arenalnaya. Anuria, nto leyo kubangelwa kukungabikho nezintso.
4. Subrenal. Ukungabikho umchamo esinyini ebangelwe ucinezelo le phecana eliphezulu womchamo.

Anuria - i imeko apho isigulana kufuna uncedo lobungcali nangoko. Uxilongo kwenziwa phambi kokuba unyango. Emva koko ihaemodialysis - wokuhlanjululwa extrarenal egazini, kuqheleke electrolyte kunye eseleyo amanzi. Ukuba ngexesha uxilongo ityhila subrenal anuria sizathu, utyando oogqirha luyenziwa.

ku ischuria

Ukuxoxa ngesihloko "Umchamo output:? Yintoni na", Kufuneka sinikele ingqalelo ischuria. Le yimeko apho umchamo yaqukuqela esinyini kwimali yesiqhelo, kodwa alibonakali apho. Isigulane waphawula ehambelana iimpawu:

• ezimisele ukusebenzisa indlu yangasese;
• Buze ngaphezu pubis;
• intlungu lwesinye ngokupheleleyo.

Kakhulu kunye ischuria abajongene ngabantu. Kufuneka le meko yenzeka ngenxa ukudumba nobubovu yesinye, umhlaza yesinye, ubukho ngamatye. Xa ischuria kufuneka uncedo olungxamisekileyo. Ihlala catheterization.

Ukuba ukufakela catheter akwenzeki, iingcali bachitha cystostomy - inkqubo apho umchamo kwizondlo ivela emzimbeni ityhubhu ekhethekileyo, yaqalisa eludongeni esiswini kungena lwesinye. Emva unyango zoncedo lokuqala emiselweyo, inceda ukuphelisa izizathu ischuria.

Xa ndiqukumbela, kubalulekile ukukhumbula ukuba kukho into enje njenge "diuresis ngenkani." Eli gama libhekisela indlela therapy esetyenziselwa yityhefu. Eziphilayo fluid ngaxeshanye igalelo womchamo. Ngenxa yoko, oko kwavusa ukuchama. Ukususela umzimba ngokukhawuleza we izinto eziyityhefu kwi yokuchama. Thelekisa le ngcaciso ilandelayo: ngesiqhelo Umchamo kwabantu bephilile wabumba ml 0.7 ukuya 1.3 ngomzuzu, kwaye xa diuresis ngenkani izinga ukunyuka ukuya ml 8-10 ngomzuzu.