Ngaba nawe uvuka ebusuku emva kokulala kamnandi unqwenela ukuchama ngequbuliso? Masithi kulungile ukuba kube kanye. Kodwa kuthekani ukuba kufuneka uvuke kabini okanye kathathu ebusuku, mhlawumbi nangaphezulu? Ngaba kuqhelekile ukuziva udiniwe kwaye udiniwe ngosuku olulandelayo? Oku sikubiza ngokuba yi-nocturia kumayeza. Oku akuyonto ifanele ithathwe lula njengoko abanye abantu becinga. Kuba kunokuba luphawu lwenye ingxaki yempilo efihliweyo emva kwayo. Ngoko ke namhlanje siza kuthetha ngayo yonke into ngale nto.
Yintoni kanye kanye iNocturia?
Ngamafutshane, i-nocturia yimeko yokuvuka ebusuku ukuze uchame. Siyithatha le meko njengengxaki yempilo kuphela ukuba iyenzeka kabini okanye ngaphezulu ebusuku.
Ngoku usenokuba ucinga, "Ndichama kakhulu emini, ingaba yinto efanayo?" Hayi, yimbali eyahlukileyo leyo. Sibiza ukuchama rhoqo emini ngokuthi "ukuchama rhoqo." Kodwa i-nocturia kuxa kufuneka uvuke uyokuchama , ingakumbi phakathi kwexesha olala ngalo nexesha ovuka ngalo kusasa . Oku kuphazamisa ubuthongo bakho obuxabisekileyo, obunokukwenza uzive udiniwe kwaye ulele ngosuku olulandelayo.
Umntu ophilileyo kufuneka akwazi ukulala iiyure ezintandathu ukuya kwezisibhozo ngobusuku ngaphandle kokuvuka ukuze achame.
Ixhaphake kangakanani le meko kuluntu?
Oku kuqheleke kakhulu kunokuba unokucinga. Kuqheleke ngakumbi njengoko ukhula. Cinga nje, ngaphezulu kwama-50% abantu abadala abangaphezu kweminyaka engama-50 ubudala banesi sifo. Loo nto imalunga nomntu omnye kwabababini.
- Ngaphambi kokuba ube neminyaka engama-50 ubudala: I-Nocturia ixhaphake kancinci phakathi kwabasetyhini ngeli xesha.
- Emva kweminyaka engama-50: Oku kuxhaphake kakhulu phakathi kwamadoda ale minyaka.
Lilonke, le meko inokuchaphazela umntu omnye kwabathathu emva kweminyaka engama-30. Ngoko ke ungabona ukuba le ngxaki ixhaphake kangakanani.
Ziziphi iimpawu eziphambili zoku?
Nangona uphawu oluphambili lwe-nocturia kukuvuka ebusuku ukuze uchame, kukho ezinye izinto ezinxulumene nayo.
- Ukuvuka uye kuchama kabini nangaphezulu ebusuku: Olu lolona phawu luphambili nolucacileyo.
- Ukuchama okwandayo: Ngamanye amaxesha unokuba nesifo esibizwa ngokuba yi-polyuria. Oku kuthetha ukuba ayikuko kuphela ukuphindaphindeka komchamo, kodwa nobungakanani bomchamo (kwii-milliliters) obukhutshwa ngexesha elinye buphezulu kakhulu kunesiqhelo.
- Ukudinwa kakhulu kunye nokulala emini:Ngenxa yokuba uhlala unengxaki yokulala ebusuku, awusebenzi kakuhle emini, uziva udiniwe kwaye ulele. Oku kunokuba nefuthe elikhulu kubomi bakho bemihla ngemihla.
Eyona nto ibalulekileyo yimpembelelo yale mpawu ebomini bakho. Ukulala kakuhle kubalulekile ukuze ube sempilweni. Xa kulahlekile, iinkqubo ezininzi emzimbeni zinokuphazamiseka.
Kutheni kufuneka sichame rhoqo ebusuku? Zithini izizathu?
Zininzi izizathu zoku. Ezinye zilula kakhulu, zinxulumene nemikhwa yethu. Kodwa ngamanye amaxesha kunokubakho imeko yempilo enzulu emva koku. Masiwahlule la maqela abe ngamaqela amabini.
| Isizathu | Ingcaciso elula |
|---|---|
| Izizathu eziqhelekileyo kunye nemikhwa yendlela yokuphila | |
| Ukusela ulwelo ngaphambi kokulala | Ingakumbi ukuba usela izinto ezifana neti, ikofu, kunye notywala iiyure ezimbini ukuya kwezintathu ngaphambi kokuba ulale, kuya kufuneka uchame rhoqo ebusuku. |
| Amanye amayeza | I-Diuretics, okanye amayeza abizwa ngokuba 'ziipilisi zamanzi' (umz., ezo zisetyenziselwa uxinzelelo lwegazi oluphezulu), andisa ukuchama ngokususa amanzi angaphezulu emzimbeni. |
| Ukuncipha komthamo wesinyi | Ukuba isinyi asizalanga ngokupheleleyo okanye asikapheli ngokupheleleyo, umnqweno wokuchama unokubuya emva kwexesha elithile. Oku kunokubangelwa zizinto ezifana nosulelo okanye amatye. |
| Ukuvuka njengesiqhelo | Abanye abantu bengazi baqalisa umkhwa wokuvuka ngexesha elinye ebusuku. Baya kuchama kwangoko xa bevuka, nokuba abanayo imfuneko yokuchama ngokwenene. |
| Izifo ekufuneka uziqaphele | |
| I-Polyuria | Ukuveliswa komchamo omninzi ngumzimba. Oku kungaba luphawu lwezifo ezifana nesifo seswekile. |
| Isifo seswekile | Xa amanqanaba eswekile egazini engalawulwa, izintso zizama ukukhupha iswekile egqithisileyo ngomchamo. Oku kufuna amanzi amaninzi, ngoko ke ukuchama kuyanda. |
| Igazi elonyukayo | Uxinzelelo lwegazi oluphezulu kunye namayeza athile (i-diuretics) anokubangela i-nocturia. |
| Iingxaki zeprostate (BPH) | Njengoko amadoda ekhula, i-prostate gland iyanda (i-Benign Prostatic Hyperplasia), enokuthi ivale i-urethra. Oku kwenza kube nzima ukukhupha yonke into kwisinyi, kwaye kubangela isidingo sokuchama rhoqo. |
| Isifo sentliziyo | Xa intliziyo ikwimeko yokungakwazi ukusebenza kakuhle kwentliziyo, ulwelo oluqokelelana emilenzeni emini luyakhutshwa ebusuku luze lungene kwakhona egazini, apho luhluzwa khona ngezintso luze lukhutshwe njengomchamo. |
| Ukurhona (i-Obstructive Sleep Apnea) | Le meko, apho ukuphefumla kuyeka xa ulele, inokubangela utshintsho lweehomoni emzimbeni kwaye inyuse imveliso yomchamo. |
| Izizathu ezithile zabasetyhini | Iimeko ezinje ngokukhulelwa, ukuyeka ukuya exesheni, kunye nokuwa kwamalungu esinqe zinokubangela uxinzelelo kwisinyi kwaye zibangele i-nocturia. |
Ugqirha uyifumana njani le nto?
Xa usiya kugqirha onengxaki, into yokuqala aza kuyenza kukubuza imibuzo aze afumane ingcaciso epheleleyo. Kuya kuba luncedo kakhulu ukuba ubhala phantsi ezi zinto ngaphambi kokuba uye kugqirha.
- Bhala phantsi idayari: Kangangeentsuku ezimbini ukuya kwezintathu, bhala phantsi ukuba uvuka kangaphi ebusuku, lixesha lini, umchamo wakho uphuma kangakanani ngexesha (omncinci okanye omninzi), kunye nokuba usela ntoni ngaphambi kokuba ulale. Oku kuya kunceda ugqirha wakho ukuba aqonde kakuhle imeko yakho.
- Imibuzo onokuyibuza:
- Ukususela nini waqala ukulala ebusuku ngolu hlobo?
- Uvuka kangaphi ebusuku?
- Ingaba umchamo odlulayo ngexesha elinye ungaphezulu kakhulu okanye uncinci kakhulu?
- Usela ikofu neti engakanani ngosuku?
- Uyasela utywala?
- Ngawaphi amayeza owasebenzisayo ngoku?
- Ngaba kukho utshintsho kwindlela otya ngayo kutshanje?
Ukongeza kule mibuzo, ugqirha uza kukuhlola aze akuthumelele uvavanyo oluthile ukuba kuyimfuneko.
- Uhlalutyo lomchamo: Uhlola umchamo ukuba awufumani zifo, iswekile, kunye neproteni.
- Uvavanyo lwegazi: Jonga ukusebenza kwezintso kunye neemeko ezifana nesifo seswekile.
- Ezinye iimvavanyo: Ukuba kuyimfuneko, ungathunyelwa kwi-scan yesinyi okanye uvavanyo olusebenzisa ikhamera ebizwa ngokuba yi-cystoscopy.
Yintoni onokuyenza ukuze uyeke ukuvuka ebusuku?
Iindaba ezimnandi zezokuba i-nocturia yimeko enokunyangwa. Iindlela zonyango zixhomekeke kwisizathu.
1. Ukunyanga isifo esisisiseko
Into yokuqala ekufuneka yenziwe kukunyanga nayiphi na imeko ebangela i-nocturia. Umzekelo:
- Ukuba unesifo seswekile , kufuneka ulawule kakuhle amanqanaba eswekile egazini lakho.
- Ukuba i-prostate gland ikhulisiwe , ingadinga amayeza okanye utyando.
- Ukuba une -sleep apnea , kufuneka ubone ingcali ukuze ufumane unyango.
2. Utshintsho olulula kwindlela yokuphila
Nokuba siyintoni na isizathu, kukho utshintsho olulula lwendlela yokuphila olunokunceda phantse wonke umntu. Olu tshintsho lufanelekile ukuzama.
- Nciphisa ulwelo emva kwentsimbi yesi-6 emva kwemini: Yeka ukusela amanzi, iti, ikofu, kunye nobisi, ingakumbi iiyure ezi-2-3 ngaphambi kokuba ulale. Sela amanzi owasela imihla ngemihla emini.
- Sela 'iipilisi zamanzi' (i-diuretics) kusasa:Ukuba usela amayeza okukhupha isisu xa unesifo soxinzelelo lwegazi oluphezulu, thetha nogqirha wakho malunga nokuwasela ubuncinane iiyure ezi-6 ngaphambi kokulala, okanye into yokuqala kusasa.
- Lala kancinci emva kwemini: Kungabonakala kungaqhelekanga, kodwa ukulala kancinci emini kunceda ukufunxa ulwelo olungaphezulu oluqokelelene emzimbeni lungene egazini kwaye lususwe njengomchamo. Oku kunciphisa ubungakanani bolwelo oluqokelelene ebusuku.
- Gcina imilenze yakho iphakanyisiwe: Xa uhleli esitulweni emini, gcina imilenze yakho iphakanyisiwe kancinci, ngokungathi iphezu kwesinye isitulo. Oku kuya kunciphisa ukuqokelelana kolwelo emilenzeni (ukudumba).
- Nxiba iisokisi zokucinezela: Ukunxiba ezi ntlobo zikhethekileyo zeesokisi kunokunceda ekulawuleni ukuqokelelana kolwelo emilenzeni.
3. Iintlobo zamayeza
Ukuba utshintsho kwindlela ophila ngayo lodwa alwanelanga ukulawula iimpawu zakho, ugqirha wakho unokukunika amayeza athile.
- I-Anticholinergics: Ezi zilawula ukufinyela okungafunekiyo kwesinyi kwaye zinciphisa isidingo sokuchama rhoqo.
- I-Desmopressin: Eli yeza linciphisa umchamo oveliswa zizintso ebusuku.
Eyona nto ibalulekileyo: Musa ukuthatha naliphi na kula mayeza wedwa. Qiniseka ukuba uthetha nogqirha wakho kwaye uthatha kuphela amayeza awabhalele wona, kanye njengoko eyalelwe.
Ndifanele ndimbone nini ugqirha?
Kusenokuba yinto eqhelekileyo ukuvuka uye kuchama kube kanye ngobusuku. Nangona kunjalo,
- Ukuba kufuneka uvuke ngaphezulu kwesibini ebusuku,
- Ukuba oku kuphazamisa ubuthongo bakho kwaye udiniwe kakhulu ngosuku olulandelayo,
- Ukuba le meko ichaphazele ubomi bakho bemihla ngemihla,
Bona ugqirha wosapho lwakho ngaphandle kokulibazisa. Le ayisiyonto omele uyinyamezele ubomi bakho bonke. Ingalawuleka kakuhle ngonyango olufanelekileyo.
Umyalezo Wokuya Ekhaya
- Ukuvuka rhoqo ebusuku ukuze uchame (i-nocturia) yimeko eqhelekileyo kakhulu, kodwa akufuneki ingananzwa.
- Emva koku kusenokufihlwa ezinye iingxaki zempilo, ezifana nesifo seswekile, isifo sentliziyo, kunye neengxaki zeprostate.
- Utshintsho olulula kwindlela yokuphila, njengokuncitshiswa kotywala ngokuhlwa, kunokwenza umahluko omkhulu.
- Ukuba le meko ichaphazela ubuthongo bakho kunye nobomi bakho bemihla ngemihla, qiniseka ukuba ufuna ingcebiso kagqirha.
- I-Nocturia yimeko enokunyangeka. Ngonyango olufanelekileyo, unokuphinda ulale uphumle, ungaphazanyiswa.
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