Polydipsia

Polydipsia
Luokitus
ICD-10 R63.1
ICD-9 783.5
MedlinePlus 003085
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Polydipsia eli vesijuoppous on tila, jossa potilaalla on jatkuvasti merkittävissä määrin kasvanut jano sekä poikkeuksellisen voimakas tarve juoda nesteitä.[1]

Polydipsia saattaa olla merkki tietyistä fyysisistä sairauksista, kuten diabeteksesta (diabetes mellitus) tai vesitystaudista (diabetes insipidus).[2] Psykogeeninen polydipsia on polydipsian toinen muoto. Siinä kyseessä on psyykkinen oire, eikä mitään polydipsian selittävää sairautta tai elimellistä vikaa ole todettavissa. Useasti psykogeenisesta polydipsiasta kärsivällä on taustallaan myös muita mielenterveydellisiä ongelmia ja sairauksia. Liiallinen vedenjuonti saattaa joillakin selittyä erilaisilla ahdistuneisuustiloilla. Polydipsia ilmenee myös tiettyjen lääkeaineiden mahdollisena sivuvaikutuksena. Arviolta 10–25 prosentista pitkäaikaisista skitsofreenikoista tulee myös polydiptikkoja.[3]

Polydipsia voi liittyä polyurian, epätavallisen runsaan virtsanerityksen aiheuttamaan dehydraatioon. Hyvin nopeasti nautittu suuri määrä vettä saattaa johtaa vesimyrkytykseen ja olla merkittävä haitta potilaan terveydelle. Yleisiä komplikaatioita ovat aivoödeema, sekavuus ja kouristelu.[4]

Lähteet

  1. ↑ Polydipsia - RightDiagnosis.com www.rightdiagnosis.com. Viitattu 18.3.2019.
  2. ↑ Polyuria and Polydipsia The Diabetes Insipidus Foundation, Inc. Arkistoitu 27.10.2010.
  3. ↑ Quitkin Frederic, Garakani Amir, Kelly Katie: Electrolyte-Balanced Sports Drink for Polydipsia-Hyponatremia in Schizophrenia ajp.psychiatryonline.org. 2003. Arkistoitu 25.3.2008.
  4. ↑ Hurri, Suvi: Voiko vettä juoda liikaa? Kotiliesi. 11.7.2006. Yhtyneet Kuvalehdet Oy. Arkistoitu 14.8.2014.
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