Ka ara ake anō hoki koe i te pō i muri i te moe pai me te hiahia ohorere ki te mimi? Me kī he pai mēnā kotahi noa iho. Engari me pēhea mēnā me ara ake koe i ngā wā e rua, e toru rānei i te pō, neke atu rānei? He mea noa te ngenge me te ngenge i te aonga ake? Koinei te mea e kiia nei e tātou ko te nocturia i roto i te rongoā. Ehara tēnei i te mea hei whakaaro māmā noa iho, pērā i te whakaaro o ētahi. Nā te mea he tohu pea tēnei mō tētahi atu raruraru hauora e huna ana i muri. Nō reira, i tēnei rā ka kōrero tātou mō ngā mea katoa mō tēnei.
He aha rawa te Nocturia?
Ki te kī māmā noa, ko te nocturia te āhua o te oho ake i te pō ki te mimi. E kiia ana tēnei he mate hauora mēnā ka puta rua, neke atu rānei i te pō.
Inaianei pea kei te whakaaro koe, "He nui taku mimi i te awatea, he rite tonu?" Kāore, he kōrero rerekē tēnā. Ka kiia e tātou te mimi pinepine i te awatea he "mimi pinepine." Engari ko te nocturia te wā me ara ake koe ki te mimi , inā koa i waenganui i te wā e moe ai koe me te wā e ara ake ai koe i te ata . Ka whakararuraru tēnei i tō moe utu nui, ka taea ai e koe te ngenge me te hiamoe i te aonga ake.
Me āhei te tangata hauora ki te moe mō ngā haora e ono ki te waru i te pō, me te kore e ara ake ki te mimi.
E pēhea te noa o tēnei āhuatanga i roto i te hapori?
He nui ake te kitea o tēnei i tō whakaaro. He nui ake te kitea i a koe e pakeke haere ana. Whakaarohia, neke atu i te 50% o ngā pakeke neke atu i te 50 tau te pakeke e pāngia ana e tēnei mate. Tata ki te kotahi i roto i te rua tāngata.
- I mua i te 50 tau te pakeke: He nui ake te kitea o te nocturia i roto i ngā wāhine i tēnei wā.
- I muri i te 50 tau: Ko te mea tino noa tēnei i waenga i ngā tāne o tēnei tau.
I te nuinga o te wā, ka pā pea tēnei mate ki te kotahi i roto i te toru o ngā tāngata i muri i te 30 tau te pakeke. Nō reira, ka kite koe i te whānui o tēnei raruraru.
He aha ngā tohu matua o tēnei?
Ahakoa ko te tohu matua o te nocturia ko te ara ake i te pō ki te mimi, tera atu anō ngā āhuatanga e pā ana ki tēnei.
- Te ara ake ki te mimi e rua, neke atu rānei, i te pō: Koinei te tohu matua, te tohu tino kitea hoki.
- Te nui haere o te mimi: I ētahi wā, ka pāngia koe e te mate e kiia nei ko te polyuria. Ko te tikanga, ehara i te mea ko te auau anake, engari ko te nui hoki o te mimi (i roto i ngā miririta) e tukuna ana i te wā kotahi, he nui ake i te mea noa.
- Te ngenge nui me te hiamoe i te awatea:Nā te mea he uaua tonu tō moe i te pō, ka iti ake tō hua i te awatea, ka ngenge, ka hiamoe hoki. Ka pā nui tēnei ki tō oranga o ia rā.
Ko te mea nui ko te pānga o ēnei tohu ki tō oranga. He mea nui te moe pai mō te oranga hauora. Ina ngaro, ka taea te whakararuraru i ngā tukanga maha o te tinana.
He aha tātou i mimi pinepine ai i te pō? He aha ngā take?
He maha ngā take mō tēnei. Ko ētahi he tino māmā noa iho, e pā ana ki ā tātou tikanga. Engari i ētahi wā he mate hauora nui kei muri i tēnei. Me wehewehe ēnei take kia rua ngā wāhanga.
| Take | He whakamārama māmā |
|---|---|
| Ngā take noa me ngā whanonga noho | |
| Te inu wai i mua i te moenga | Ina koa ka inu koe i ngā mea pēnei i te tī, te kawhe, me te waipiro e rua, e toru rānei hāora i mua i te moe, ka nui ake tō mimi i te pō. |
| Ētahi rongoā | Ka whakanuia e ngā rongoā diuretic, arā, ngā 'pire wai' (hei tauira, ko ērā e whakamahia ana mō te toto toto tiketike), te mimi mā te tango i te wai nui mai i te tinana. |
| Te iti o te kaha o te pūkahukahu | Ki te kore te pūkahukahu e tino kī, e kore rānei e tino takoto kau, ka hoki mai anō te hiahia ki te mimi i muri i tētahi wā. Tērā pea nā ngā mate pāwera, ngā kōhatu rānei tēnei. |
| Te ara ake pērā i te tikanga | Ka uru ētahi tāngata ki te tikanga o te ara ake i te wā kotahi i te pō, kāore i te mōhiotia. Ka mimi tonu rātou ina oho ake, ahakoa kāore e tino hiahiatia ana kia mimi. |
| Ngā mate hei tūpato | |
| Polyuria | Te nui rawa o te mimi e whakaputaina ana e te tinana. He tohu pea tēnei nō ngā mate pēnei i te mate huka. |
| Mate huka | Ina kore e taea te whakahaere i ngā taumata huka toto, ka ngana ngā whatukuhu ki te tuku i te huka nui mā te mimi. Me nui ake te wai e hiahiatia ana mō tēnei, ā, ka nui ake te mimi. |
| toto toto tiketike | Ka taea e te toto toto tiketike me ētahi rongoā (diuretics) te whakaputa i te nocturia. |
| Ngā raruraru o te repeure (BPH) | I te pakeketanga o ngā tāne, ka nui haere te repe prostate (Benign Prostatic Hyperplasia), ka ārai i te urethra. Nā tēnei ka uaua te whakakore katoa i te pūkahukahu, ā, ka nui ake te hiahia ki te mimi. |
| Mate ngakau | Ina pāngia te ngākau e te ngoikore o te ngākau, ka tukuna te wai e kohia ana i roto i ngā waewae i te awatea i te pō ka hoki anō ki roto i te toto, ka tātarihia mā roto i ngā whatukuhu ka tukuna hei mimi. |
| Te ngongoro (Apnea Moe Ārai) | Mā tēnei āhuatanga, ka mutu te manawa i te wā e moe ana, ka puta he huringa homoni i roto i te tinana, ka nui ake hoki te hanga mimi. |
| Ngā take motuhake a ngā wāhine | Ka taea e ngā āhuatanga pēnei i te hāputanga, te paheketanga, me te heke o te whekau pelvic te pēhi i te mimi, ā, ka puta ai te nocturia. |
Me pēhea te kitenga a te tākuta i tēnei?
Ina haere koe ki te kite i tētahi tākuta e pāngia ana e tēnei raruraru, ko tāna mahi tuatahi ko te pātai atu ki a koe me te tiki whakamārama katoa. He tino āwhina mēnā ka tuhia e koe tētahi kōrero poto mō ēnei mea i mua i tō haerenga ki te kite i te tākuta.
- Puritia he rātaka: Mō ngā rā e rua, e toru rānei, tuhia te maha o ngā wā ka ara ake koe i te pō, te wā, te nui o te mimi ka tukuna e koe i ia wā (he iti, he nui rānei), me te nui o te mimi ka inuhia e koe i mua i te moe. Mā tēnei ka āwhina i tō tākuta kia mārama ake ai koe ki tō āhua.
- Ngā pātai ka taea e koe te pātai:
- Nō hea koe i tīmata ai ki te noho ara i te pō pēnei?
- E hia ngā wā ka ara ake koe i te pō?
- He nui rawa, he iti rawa rānei te nui o te mimi i tukuna i te wā kotahi?
- E hia te nui o te kawhe me te tī e inuhia ana e koe i ia rā?
- E inu waipiro ana koe?
- He aha ngā rongoā e tangohia ana e koe i tēnei wā?
- Kua rerekē kē ō tikanga kai i ngā wā tata nei?
Haunga ēnei pātai, ka tirotirohia koe e te tākuta, ā, ka tukuna pea koe kia whakamātautauhia mēnā e tika ana.
- Tātaritanga mimi: Ka tirohia te mimi mō ngā mate urutā, te huka, me te pūmua.
- Ngā whakamātautau toto: Tirohia mēnā he mahi tākihi me ngā āhuatanga pēnei i te mate huka.
- Ētahi atu whakamātautau: Mena e tika ana, ka tukuna pea koe kia tirohia te mimi tōngāmimi, kia whakamātautauhia rānei mā te whakamahi i tētahi kāmera e kiia nei ko te cystoscopy.
He aha tāu e taea ai te mahi hei aukati i te ara ake i te pō?
Ko te rongo pai, he mate ka taea te rongoā i te nocturia. Ko ngā kōwhiringa maimoatanga ka whakawhirinaki ki te pūtake.
1. Te rongoā i te mate pūtake
Ko te mea tuatahi hei mahi ko te rongoā i tētahi mate e pā ana ki te nocturia. Hei tauira:
- Mena he mate huka koe, me tino whakahaere e koe te taumata o te huka i roto i tō toto.
- Mena kua rahi te repe prostate , tera pea ka hiahiatia he rongoā, he pokanga rānei.
- Mena he mate moe pōrearea tōu, me toro atu koe ki tētahi tohunga mō te maimoatanga.
2. Ngā huringa āhua noho māmā
Ahakoa te take, kei reira ētahi whakarerekētanga āhua noho māmā hei āwhina i te nuinga o te tangata. He mea tika kia whakamātauria ēnei.
- Whakaitihia te inu wai i muri i te 6 i te ahiahi: Kati te inu wai, tī, kawhe, me te miraka, ina koa 2-3 hāora i mua i te moe. Inuhia te wai e inuhia ana e koe i te awatea.
- Inumia ngā 'pire wai' (ngā rongoā whakaheke toto) i te ata:Mena kei te tango koe i te rongoā whakaheke toto mō te toto toto tiketike, kōrero ki tō tākuta mō te tango i te rongoā i te iti rawa i te 6 hāora i mua i te moe, i te ata rānei.
- Moe i te ahiahi: He āhua rerekē pea, engari mā te moe i te awatea ka āwhina i te mimiti i te wai tāpiri kua kohia i roto i te tinana ki roto i te toto, ā, ka whakakorea hei mimi. Ka whakaitihia te nui o te wai e kohia ana i te pō.
- Kia teitei ō waewae: Ina noho koe i runga i tētahi tūru i te awatea, kia teitei ake ō waewae, me te mea kei runga i tētahi atu tūru. Mā tēnei ka whakaiti i te kohikohinga wai i roto i ngā waewae (edema).
- Mauria ngā Tōkena Kōpeke: Mā te mau i ēnei momo tōkena motuhake ka āwhina i te whakahaere i te kohikohinga wai i roto i ngā waewae.
3. Ngā momo rongoā
Mena kāore e ranea ngā huringa āhua noho anake hei whakahaere i ō tohumate, ka tohua pea e tō tākuta ētahi rongoā.
- Ngā rongoā ārai-kōriniki: Ka whakahaere ēnei i ngā kōpiripiri kāore e hiahiatia o te pūkahukahu, ā, ka whakaiti i te hiahia ki te mimi pinepine.
- Desmopressin: Ka whakaitihia e tēnei rongoā te nui o te mimi e whakaputaina ana e ngā whatukuhu i te pō.
Ko te mea nui: Kaua e tango i tētahi o ēnei rongoā ko koe anake. Kia mahara ki te kōrero ki tō tākuta, ā, me tango noa i te rongoā e tohua ana e ia, kia rite ki te mea i tohua.
Āhea ahau me toro atu ki te tākuta?
He mea noa pea te ara ake i te pō kotahi ki te mimi. Heoi anō,
- Ki te mea me ara ake koe i te pō neke atu i te rua,
- Ki te whakararuraru tēnei i tō moe, ā, ka tino ngenge koe i te aonga ake,
- Mena kua pāngia tō oranga o ia rā e tēnei āhuatanga,
Haere tonu ki te toro atu ki tō tākuta whānau. Ehara tēnei i te mea e tika ana kia pāngia koe mō te toenga o tō oranga. Ka taea te whakahaere pai mā te maimoatanga tika.
Karere Tangohia ki te Kāinga
- He tino noa te ara ake i te pō ki te mimi (nocturia), engari kaua rawa e warewaretia.
- Kei muri i tēnei pea kei te huna ētahi atu raruraru hauora, pērā i te mate huka, te mate ngakau, me ngā raruraru prostate.
- Ka nui te pānga o ngā whakarerekētanga ngāwari o te noho, pērā i te whakaiti i te inu wai i te ahiahi.
- Mena kei te pāngia tō moe me tō oranga o ia rā e tēnei āhuatanga, me rapu tohutohu hauora koe.
- He mate ka taea te rongoā i te pōturi. Mā te maimoatanga tika, ka taea e koe te moe marino, kore e mutu.
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