Oliguria - nā kumu, nā hōʻailona, ​​​​ka mālama ʻana i nā keiki a me nā pākeke

Maikaʻi i hōʻoia ʻia

ʻO Oliguria kahi maʻi i loaʻa i ka wā e hoʻokuʻu ai kahi pākeke i ka 400-100 ml o ka mimi i kēlā me kēia lā. ʻO ka hele ʻana i kēia nui o ka mimi e hōʻike maʻamau i kahi maʻi olakino, e like me ka maʻi kīkī a i ʻole ka puʻuwai puʻuwai. Aia paha nā kumu like ʻole o ka oliguria.

He aha ka oliguria?

ʻO Oliguria kahi maʻi me nā kumu like ʻole. ʻO ka poʻe maʻi e loaʻa ana i kēia ʻano urinate i nā mea liʻiliʻi, ʻoi aku ka liʻiliʻi ma mua o 400/500 ml i kēlā me kēia lā i nā pākeke. ʻO ka nui maʻamau o ka mimi i hoʻokuʻu ʻia i ke kanaka olakino he 2,5 lita i kēlā me kēia lā. I nā kamaliʻi, ʻike ʻia ka oliguria ke emi ka nui o ka mimi i hoʻokuʻu ʻia ma mua o 1 millimeter no ke kaumaha o ke kino i kēlā me kēia hola. I nā keiki, loaʻa ka oliguria i ka wā e hele ai lākou i ka hapalua milliliter o ka mimi no ka kilo o ke kaumaha o ke kino i kēlā me kēia hola. I ka manawa pinepine, lilo ka oliguria i anuria. Hōʻike pinepine ʻo Oliguria i ka ʻoiaʻiʻo o ko mākou kino e hoʻololi nei i nā loli pathological koʻikoʻi i ka ʻāpana mimi. E like me ka anuria, he hōʻailona ia e koi ai i ka hoʻoholo wikiwiki i ke kumu a me ka hoʻokipa.

ʻO ka nui o ka mimi a mākou e mimi ai ma muli o ka nui o ka wai a mākou e inu ai i ka lā. ʻIke ʻia inā inu liʻiliʻi mākou, ʻoi aku ka liʻiliʻi o ka mimi. Eia nō naʻe, inā ʻoiai ka nui o ka wai i ʻai ʻia, hoʻomau mau ka oliguria, a he mau hōʻailona e like me ka nele o ka ʻai, nāwaliwali a i ʻole hematuria - pono ʻoe e ʻike koke i ke kauka.

Nā ʻano oliguria

ʻEkolu ʻano oliguria i loko o nā huaʻōlelo lapaʻau.

1. Prerenal oliguria - he hopena ia mai nā maʻi i loko o ke kahe o ka renal, kahi e alakaʻi ai i ka huna ʻana o ka mimi liʻiliʻi e ka mea maʻi.

2. ʻOliguria Renal - hiki mai ma muli o ka pōʻino i ke ʻano o nā puʻupaʻa, no laila hiki ke hoʻōki i ka kānana (ʻo kā lākou hana nui kēia).

3. ʻO Oliguria o ke kumu ʻole o ka renal - he hopena ia ma muli o ke ālai ʻia o ka puka ʻana o ka mimi mai ka ʻāpana mimi.

ʻO nā kumu o ka oliguria

Hiki ke ʻokoʻa nā kumu o ka oliguria ma muli o ke kumu o ke ʻano.

ʻO nā kumu o ka oliguria renal:

1. nā maʻi kīkī, ʻo ia hoʻi: glomerulonephritis, acute a i ʻole ka maʻi renal hemahema, uremia a i ʻole hydronephrosis. Ma waho aʻe o ka oliguria, hiki i ka maʻi kīkī ke hoʻomohala i nā hōʻailona ʻē aʻe, e like me ke ahi a me ka ʻeha i ka wā e mimi ai, ke koko i loko o ka mimi, ka pehu o nā lima, nā wāwae a me nā kuʻekuʻe wāwae; ka pehu a puni nā maka a i ʻole ka mimi pohu;
2. sarcoidosis: he maʻi kēia i hōʻike ʻia e ka nele o ka ʻai, ka ʻeha hui a i ʻole ke kuni kiʻekiʻe;
3. ʻO ke koko kiʻekiʻe o ka arterial malignant: nā pilikia ʻike, nāwaliwali, kiʻekiʻe diastolic pressure;
4. nā mea hoʻohālikelike radiological;
5. nā mea ʻawaʻawa;
6. ka lawe ʻana i nā lāʻau anti-inflammatory non-steroidal a i ʻole nā ​​lāʻau no ke koko kiʻekiʻe.

ʻO nā kumu o ka oliguria prerenal:

1. ʻaʻole i ʻae ʻia ka naʻau: ma kahi o ka oliguria, he pōkole o ka hanu, ka puʻuwai maʻamau, ka hoʻoikaika ʻole ʻia, hoʻemi ʻia ka nui o ke koko e kahe ana i loko o ke kino (ma muli paha o ka hemorrhage a i ʻole ke ahi);
2. cardiogenic a i ʻole septic shock;
3. dehydration ka mea, ma waho aʻe o ka oliguria, i hōʻike ʻia e ke kuni, ka maʻi maʻi a me ka luaʻi.

ʻO nā kumu o ka extrarenal oliguria:

1. nā maʻi maʻi neoplastic: hoʻokomo lākou i ke kaomi i ka'āpana urinary, i ka mua he hematuriaʻeha, a laila pono e mimi pinepine, koi mau i ka mimi a me kaʻeha;
2. nephrolithiasis: ma waho aʻe o ka oliguria, aia ka ʻeha nui loa ma ka ʻāina lumbar, ʻike ka mea maʻi i ke kaomi ʻana i ka ʻōpū, ʻoi aku ka luaʻi, nausea a me ka wela kiʻekiʻe;
3. ʻO ka ʻōpū neurogenic: He ʻano kēia kahi e hiki ʻole ai i ka ʻōpū ke lilo hou i waihona o ka mimi. ʻO ka hopena, paʻa ka mimi i loko o ka ʻōpū a me nā pilikia me kāna excretion;
4. ka maʻi maʻi prostate a i ʻole ka prostate nui: hoʻopiʻi ka poʻe maʻi i ka pilikia o ka mimi ʻana a me ka lōʻihi o ka hemo ʻana o ka ʻōpū;
5. hematuria;
6. adhesions postoperative;
7. schistosomiasis (he maʻi pāpaʻi i hana ʻia e ka flukes).

ʻO nā wahine hāpai a me ka oliguria

Hiki ke hōʻike ʻia ka oliguria i nā wahine hāpai pre-eclampsiae hoopilikia ana i ke ola o ka makuahine a me ke keiki. Hōʻike pinepine ʻia kēia maʻi e ka hypertension koʻikoʻi ma hope o 20 pule o ka hāpai ʻana a me ka proteinuria, a ʻike ʻia paha ka oliguria. ʻO ka hopena o ka pre-eclampsia ka eclampsia hāpai, kahi e alakaʻi pinepine ai i ka hānau mua ʻana, ʻaʻole makahiki, wehe ʻia ka placenta, a hiki i ka make ʻana o ke keiki. Eia kekahi, he mea weliweli kēia maʻi i ka makuahine, hiki ke hoʻomohala ʻia ka puʻuwai a i ʻole ka hōʻino ʻana i ke kīpē.

Ka mālama ʻana a me ka hōʻoia ʻana o ka oliguria

ʻAʻole hiki ke mālama i ka oliguria iā ʻoe iho, e ʻike i kona kumu a koho i ka mālama kūpono, pono ʻoe e nīnau i ke kauka. I ka wā o kahi mākaʻikaʻi lapaʻau, alakaʻi kahi loea i kahi nīnauele me mākou, a nīnau ʻo ia i nā nīnau he nui, no ka laʻana, mai ka manawa hea mākou i loaʻa ai nā hōʻailona o ka oliguria, ʻike koke ʻia lākou, noho lākou i ka pae like a i ʻole e lilo i mea hoʻonui. Pono mākou e haʻi i ke kauka e pili ana i ka nui o ka wai i hoʻopau ʻia a me ka urination (pono e hana i ke kaulike).

Hiki i ke kauka ke ʻōlelo aku e hāʻawi i ka nui o ka mimi, a laila nānā ʻia no: kala, ʻakika uric a me ka protein, a i ʻole kekahi maʻi e hiki mai ana.

Mea nui! Pono ʻoe e hoʻomaopopo i kāu kauka e pili ana i nā hōʻailona ʻē aʻe a i ʻole nā ​​lāʻau lapaʻau āu e lawe nei (ʻo ia hoʻi nā lāʻau lapaʻau kūʻai ʻole, e laʻa me nā mea hoʻohui meaʻai).

A laila, ʻōlelo ke kauka i nā hoʻokolohua diagnostic i ka mea maʻi, ʻo ia hoʻi:

1. helu helu ʻia,
2. ka nānā ʻana i ke koko,
3. ʻO ka ultrasound ʻōpū.

He aha ka lāʻau e hāʻawi ʻia ma muli o ke kumu o ka oliguria. Hiki ke hāʻawi ʻia i ka mea maʻi i ka wai inu e hoʻihoʻi hou i ka hydration a i ʻole ma ka dialysis a hiki i ka hana pono o nā puʻupaʻa.

Oliguria - pale

ʻAʻole hiki ke pale ʻia ka oliguria inā he maʻi maʻi ʻē aʻe. Eia nō naʻe, hiki iā mākou ke pale aku, no ka laʻana, dehydration, ka mea e hoʻoulu ai i kēia maʻi, ma ka ʻai mau ʻana i ka nui o ka wai kūpono, ʻoi aku hoʻi i nā kūlana feverish a i ʻole ka maʻi maʻi. Hiki iā ʻoe ke lawe i nā mea inu prophylactic e pani i nā electrolytes nalowale.

I ka mālama ʻana a me ka pale ʻana i ka oliguria, pono ia e inu i nā infusions herbal me nā hopena diuretic a me nā anti-inflammatory. E kauoha iā Prostata i kēia lā - kahi hui o nā mea kanu i loaʻa ma ke kumukūʻai hoʻolaha ma ka Mākeke ʻo Medonet.