Ukuchama ngakumbi ebusuku

Ngokwesiqhelo, isixa somchamo esiveliswa ngumzimba wakho sinciphisa ebusuku. Oku kuvumela abantu abaninzi ukuba balale iiyure ezi-6 ukuya kwezi-8 ngaphandle kokuchama.

Abanye abantu bavuka ebuthongweni rhoqo ukuze bachame ebusuku. Oku kunokuphazamisa ukulala.

Ukusela ulwelo oluninzi kakhulu ngokuhlwa kunokubangela ukuba uchame rhoqo ebusuku. I-caffeine kunye notywala emva kwesidlo sangokuhlwa kungakhokelela kule ngxaki.

Ezinye izizathu eziqhelekileyo zokuchama ebusuku zibandakanya:

• Usulelo lwesinyi okanye lomchamo
• Ukusela kakhulu utywala, icaffeine, okanye olunye ulwelo ngaphambi kokulala
• I-prostate gland eyandisiweyo (BPH)
• Ukukhulelwa

Ezinye iimeko ezinokukhokelela kwingxaki zibandakanya:

• Ukusilela kwezintso okungapheliyo
• Seswekile
• Ukusela isixa esikhulu samanzi
• Ukumelwa yintliziyo
• Inqanaba eliphezulu le-calcium yegazi
• Amayeza athile, kubandakanya iipilisi zamanzi (i-diuretics)
• Isifo seswekile
• Ukudumba kwemilenze

Ukuvuka rhoqo ngexesha lokuchama ebusuku kunokunxulunyaniswa nokuphazamiseka kokuphefumla kokulala kunye nezinye iingxaki zokulala. I-Nocturia inokuhamba xa ingxaki yokulala iphantsi kolawulo. Uxinzelelo kunye nokungazinzi kunokubangela ukuba uvuke ebusuku.

Ukujonga ingxaki:

• Gcina idayari yokuba ulisela kangakanani ulwelo, uchama kangaphi, kwaye uchama kangakanani.
• Rekhoda ubunzima bomzimba wakho ngamaxesha afanayo nakwisikali esifanayo yonke imihla.

Fowunela umboneleli wakho wezempilo ukuba:

• Ukuvuka ukuvuthwa rhoqo kuyaqhubeka ngaphezulu kweentsuku ezininzi.
• Uyakhathazwa linani lamaxesha ekufuneka uchame ngawo ebusuku.
• Uvutha xa uchama.

Umboneleli wakho uya kwenza uvavanyo lomzimba kwaye abuze imibuzo enje:

• Iqale nini ingxaki kwaye itshintshile ngokuhamba kwexesha?
• Uhlala uchama kangakanani ubusuku ngabunye kwaye ukhupha umchamo ongakanani ixesha ngalinye?
• Ngaba ukhe waba "neengozi" okanye ukothuka ebhedini?
• Yintoni eyenza ingxaki ibe mbi ngakumbi okanye ibengcono?
• Usela amanzi angakanani ngaphambi kokulala? Ngaba ukhe wazama ukunciphisa ulwelo ngaphambi kwexesha lokulala?
• Zeziphi ezinye iimpawu onazo? Ngaba ukonyuka unxano, iintlungu okanye ukutshisa xa uchama, umkhuhlane, iintlungu esiswini okanye umqolo obuhlungu?
• Ngawaphi amayeza owasebenzisayo? Ngaba utshintshe indlela otya ngayo?
• Ngaba uyasela ikhafeyini notywala? Ukuba kunjalo, uchitha malini ngosuku kwaye nini emini?
• Ngaba ukhe waba nosulelo lwesinyi kwixesha elidlulileyo?
• Ngaba unayo imbali yosapho yeswekile?
• Ngaba ukuchama ebusuku kuyaphazamisa ekulaleni kwakho?

Uvavanyo olunokwenziwa luya kubandakanya:

• Iswekile yegazi (iswekile)
• Igazi urea nitrogen
• Ukuncitshiswa kolwelo
• Osmolality, igazi
• Iserum creatinine okanye imvume yokudala
• Iserum electrolyte
• Uhlalutyo lomchamo
• Umchamo woxinzelelo
• Inkcubeko umchamo
• Usenokuba ucela ukuba ugcine umkhondo wokuba ungakanani ulwelo oluthathayo kwaye ungakanani ongakusebenziyo ngexesha (ukuvota kwidayari)

Unyango luxhomekeke kwisizathu. Ukuba ukuchama okugqithisileyo ebusuku kungenxa yamayeza okuhambisa umchamo, unokuxelelwa ukuba uthathe amayeza akho kwangoko ngemini.

Nocturia

• Iphecana lomchamo labasetyhini
• Indoda yokuchama

UCarter C. Ukuphazamiseka kwendlela yokuchama. Ku: Rakel RE, Rakel DP, ii-eds. Incwadi yesikhokelo samayeza osapho. Umhla we-9. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 40.

IGerber GS, iBrendler CB. Uvavanyo lwesigulana se-urologic: imbali, uvavanyo lomzimba, kunye novavanyo lokuchama. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2016: isahluko 1.

Landry DW, Bazari H. Indlela eya kwisigulana esinesifo sezintso. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 106.

Umkhanyisi we-DJ, uGomelsky A, uSouter L, uVasavada SP. Ukuchongwa kunye nonyango lwesinyi esisebenzayo (esingeyiyo-neurogenic) kubantu abadala: Isilungiso seSikhokelo se-AUA / SUFU. J Urol. Ngo-2019; 202 (3): 558-563. IINKCUKACHA: 31039103 www.ncbi.nlm.nih.gov/pubmed/31039103.

I-Samarinas M, Gravas S. Ubudlelwane phakathi kokudumba kunye ne-LUTS / BPH. Ku: Morgia G, ed. Iimpawu ezisezantsi zoMchamo kunye neBenign Prostatic Hyperplasia. ICambridge, MA: Elsevier Academic Press; I-2018: isahluko 3.