Ukuchama okugqithisileyo ebusuku (Nocturia)

Umxholo

• Oonobangela
• Iimeko zonyango
• Ukukhulelwa
• Amayeza
• Indlela yokuphila
• Kufunyaniswa njani
• Unyango
• Ungayikhusela njani
• Imbonakalo

Yintoni i-nocturia?

I-Nocturia, okanye i-polyuria yasebusuku, ligama lonyango lokuchama kakhulu ebusuku. Ngexesha lokulala, umzimba wakho uvelisa umchamo omncinci oxineke ngakumbi. Oku kuthetha ukuba uninzi lwabantu aludingi kuvuka ebusuku ukuze uchame kwaye banokulala bengaphazanyiswa kangangeeyure ezi-6 ukuya kwezi-8.

Ukuba ufuna ukuvuka kabini okanye nangaphezulu ngobusuku bonke ukuze uchame, unokuba nocturia. Ngaphandle kokuphazamisa ubuthongo bakho, i-nocturia inokuba luphawu lwemeko yezonyango.

Oonobangela

Unobangela woluhlu lwe-nocturia ukusuka kukhetho lwendlela yokuphila ukuya kwimeko zonyango. I-Nocturia ixhaphake kakhulu kubantu abadala, kodwa inokwenzeka nakweyiphi na iminyaka.

Iimeko zonyango

Iimeko ezahlukeneyo zonyango zinokubangela i-nocturia. Izizathu eziqhelekileyo ze-nocturia yintsholongwane ye-urinary (UTI) okanye isifo sesisu. Ezi zifo zibangela ukuvutha rhoqo kunye nokuchama okungxamisekileyo imini nobusuku. Unyango lufuna i-antibiotics.

Ezinye iimeko zonyango ezinokubangela i-nocturia zibandakanya:

• usulelo okanye ukwandiswa kweprotrate
• Ukuqhekeka kwesinyi
• isinyi esingaphezulu (OAB)
• amathumba esinyi, iprotrate, okanye indawo ye-pelvic
• isifo seswekile
• ixhala
• usulelo lwezintso
• ukudumba okanye ukudumba kwemilenze esezantsi
• ukuthintela ukuphefumla xa ulala
• ukuphazamiseka kwemithambo-luvo, njenge-multiple sclerosis (MS), isifo sika-Parkinson, okanye uxinzelelo lomqolo womqolo

I-Nocturia ixhaphake kakhulu kubantu abanokungaphumeleli komzimba, njengentliziyo okanye ukungaphumeleli kwesibindi.

Ukukhulelwa

I-Nocturia inokuba luphawu lokuqala lokukhulelwa. Oku kunokukhula ekuqaleni kokukhulelwa, kodwa kuyenzeka kamva, xa isibeleko esikhulayo sicinezela ngokuchasene nesinyi.

Amayeza

Amanye amayeza anokubangela i-nocturia njengempembelelo yecala. Oku kuyinyani ngokukodwa kwi-diuretics (iipilisi zamanzi), ezimiselwe ukunyanga uxinzelelo lwegazi oluphezulu.

Kuya kufuneka ufumane unyango olukhawulezileyo kugqirha ukuba uphulukana namandla okuchama okanye ukuba awusenakho ukulawula umchamo wakho.

Indlela yokuphila

Omnye unobangela oqhelekileyo we-nocturia kukusetyenziswa gwenxa kolwelo. Utywala kunye neziselo ezinecafineine zii-diuretics, nto leyo ethetha ukuba ukusela kubangela ukuba umzimba wakho uvelise umchamo ongaphezulu. Ukusela utywala okanye iziselo ezine-caffeine ezigqithileyo kunokukhokelela ekuvukeni ebusuku kwaye kufuneka uchame.

Abanye abantu abane-nocturia baye bavelisa nje umkhwa wokuvuka ebusuku ukuze uchame.

Kufunyaniswa njani

Ukuchonga unobangela we-nocturia kunokuba nzima. Ugqirha wakho uya kufuna ukubuza imibuzo eyahlukeneyo. Kunokuba luncedo ukugcina idayari kangangeentsuku ezimbalwa ukurekhoda into oselayo kunye nokuba ungakanani, kunye nokuba kufuneka uchame kangaphi.

Imibuzo ugqirha anokukubuza yona ibandakanya:

• Iqale nini i-nocturia?
• Kukangaphi ebusuku kufuneka uchame?
• Ngaba uvelisa umchamo omncinci kunangaphambili?
• Ngaba uneengozi okanye umanzise ibhedi?
• Ngaba ikhona into eyenza ingxaki ibe mbi ngakumbi?
• Ngaba unazo ezinye iimpawu?
• Loluphi unyango oluthathayo?
• Ngaba unayo imbali yosapho yeengxaki zesinyi okanye isifo seswekile?

Banokuvavanywa ngolu hlobo:

• uvavanyo lweswekile egazini ukujonga isifo seswekile
• ezinye iimvavanyo zegazi zokubalwa kwegazi kunye ne-chemistry yegazi
• Uvavanyo lomchamo
• inkcubeko yomchamo
• uvavanyo lokuswela ulwelo
• iimvavanyo zokucinga, ezinje nge-ultrasound okanye i-CT scans
• iimvavanyo zomchamo, njengecystoscopy

Unyango

Ukuba i-nocturia yakho ibangelwa lunyango, ukuthatha amayeza kwangoko ngemini kunokunceda

Unyango lwe-nocturia ngamanye amaxesha lunokubandakanya amayeza, anje ngala:

• iziyobisi ezichasene ne-anticholinergic, ezinceda ukunciphisa iimpawu zesinyi kakhulu
• desmopressin, ebangela ukuba izintso zakho zivelise umchamo omncinci ebusuku

I-Nocturia inokuba luphawu lwesimo esibi kakhulu, njengesifo seswekile okanye i-UTI enokuba mandundu okanye isasazeke ukuba ayinyangwa. I-Nocturia ngenxa yemeko engaphantsi iya kuhlala iyeka xa imeko inyangwa ngempumelelo.

Ungayikhusela njani

Kukho amanyathelo onokuwathatha ukunciphisa ifuthe le-nocturia ebomini bakho.

Ukunciphisa isixa oselayo kwiiyure ezi-2 ukuya kwezi-4 ngaphambi kokuba ulale kunokukunceda ekuthinteleni ekuchameni ebusuku. Ukuphepha iziselo ezinotywala kunye necaffeine nako kunokunceda, njengokuchama ngaphambi kokuba ulale. Ezinye izinto zokutya zinokucaphukisa isinyi, ezinje ngetshokholethi, ukutya okuqhwethayo, ukutya okuneasidi, kunye nezinto eziswiti ezenziwe ngumntu. Ukuzivocavoca kukaKegel kunye nonyango lomzimba lwe-pelvic kunokunceda ukomeleza izihlunu zakho zangasese kunye nokuphucula ulawulo lwesinyi.

Nika ingqalelo kwizinto ezenza ukuba iimpawu zakho zibe zibi ngakumbi ukuze uzame ukuguqula imikhwa yakho ngokufanelekileyo. Abanye abantu bakufumanisa kuluncedo ukugcina idayari yezinto abaselayo kunye nexesha.

Imbonakalo

Ngenxa yokuba i-nocturia ichaphazela umjikelo wakho wokulala, inokukhokelela ekunciphiseni ukulala, ukukhathala, ukozela, kunye nokutshintsha kwemood xa kunganyangwa. Thetha nogqirha wakho ukuba nixoxe ngotshintsho kwindlela yokuphila kunye nonyango olunokukunceda.