Ingabe uvuka ebusuku uma udinga ukuchama ngokuzumayo? Ake sithi kulungile uma kwenzeka kanye, kodwa uma kufanele uvuke kabili noma kathathu ebusuku, kuyinto evamile ukuzizwa wesaba kancane. "Ngiyagula?" Ungase uzibuze. Ngokuvamile, umuntu omdala akudingeki avuke ukuze achame izikhathi ezingaphezu kwesisodwa uma elele amahora angu-6-8 elandelana. Uma kwenzeka ngaphezu kwalokho, odokotela babiza lesi simo ngokuthi i-nocturia . Ngezinye izikhathi, lokhu kungaba uphawu lokuqala lwesifo esifana nesifo sikashukela.
Kungani isifo sikashukela sibangela lokhu?
Esinye sezimpawu zokuqala eziyinhloko nezivame kakhulu zesifo sikashukela isidingo sokuchama njalo emini. Kodwa-ke, lokhu kungenzeka nasebusuku.
Kalula nje, yilokhu okwenzekayo. Uma unesifo sikashukela, amazinga kashukela egazini lakho aba phezulu kakhulu. Khona-ke izinso, ezisebenza njengezihlungi emzimbeni wethu, kufanele zisebenze kanzima kunokuvamile ukususa lo shukela omningi emzimbeni. Kule nqubo, izinso zikhiqiza umchamo omningi. Le nqubo ayimi ngoba nje ulele ebusuku. Yingakho isinyi sigcwala ngokushesha ebusuku futhi sikuvuse.
Akukhona lokho kuphela, kodwa isifo sikashukela esingalawuleki singalimaza nezinso noma esinyeni sakho ngokuhamba kwesikhathi. Lo monakalo ungabangela nokuthi udinge ukuchama kaningi.
Ezinye izimbangela zokuchama njalo ebusuku
Kodwa khumbula, isifo sikashukela akusona sodwa isizathu esenza uvuke njalo ebusuku uyochama . Kunezinye izizathu eziningi ezingathinta lokhu. Ake sibheke ukuthi ziyini.
| Isizathu | Incazelo elula |
|---|---|
| Ukuguga | Njengoba sikhula, ukukhiqizwa komzimba kwe-hormone elawula ukukhiqizwa komchamo ebusuku kuyancipha, kanti nekhono lesinyi lokubamba umchamo nalo liyancipha. |
| Ukuphuza uketshezi ngaphambi kokulala | Ukuphuza amanzi amaningi, ikhofi, itiye, noma utshwala ngaphambi kokulala kungabangela ukuthi isinyi sigcwale ngokushesha. |
| Ukutheleleka komgudu womchamo (UTI) | Uma unesifo somchamo, ungase uzizwe udinga ukuchama njalo futhi ungase uzizwe ungakhululekile njengokusha lapho uchama. |
| Ezinye izimo ezingahlobene nesifo sikashukela | Lokhu kungenzeka futhi ngenxa yezimo ezinjengokwehluleka kwenhliziyo, ukwanda kwe-prostate (kwabesilisa), ukukhulelwa, isifo sezinso esingamahlalakhona, isifo sesibindi, kanye ne-sleep apnea (sleep apnea). |
| Isifo sikashukela i-Insipidus | Lokhu akuhlobene nesifo sikashukela esivamile esikhuluma ngaso (i-Diabetes Mellitus). Kulesi sifo, izinso zikhiqiza umchamo omningi kakhulu. |
Yiziphi ezinye izimpawu zesifo sikashukela?
Ake sithi uvame ukuchama ebusuku kanye nezinye izimpawu ezingezansi. Khona-ke kungenzeka kakhulu ukuthi kube uphawu lwesifo sikashukela.
- Ukuzizwa womile kakhulu: Ukuzizwa sengathi awukaze wome kungakhathaliseki ukuthi uphuza amanzi angakanani.
- Ukwanda kwesifiso sokudla: Ukuzizwa ulambile kakhulu kunokujwayelekile.
- Ukwehla kwesisindo ngaphandle kwesizathu: Ukwehla kwesisindo kwenzeka ngaphandle kokushintsha ukudla noma ukuzivocavoca umzimba.
- Umbono ofiphele: Umbono emehlweni womabili uba lufiphele kancane.
- Ukukhathala: Ukuzizwa ukhathele ngaso sonke isikhathi, uzizwa sengathi awunawo amandla, ngisho nangemva kokulala kahle.
- Ukuqaqamba kwezandla nezinyawo: Ukuqaqamba noma ukuba ndikindiki kwezandla nezinyawo.
- Ukwanda kokutheleleka kanye nokuphola kwenxeba okulibazisekayo: Ukutheleleka kwesikhumba okuvamile, ukutheleleka komgudu womchamo, njll. Ngisho nesilonda esincane sithatha isikhathi eside ukuphola.
Uma unesinye noma ngaphezulu salezi zimpawu, sicela ungazinaki bese ubona udokotela wakho ngokushesha .
Wazi kanjani ukuthi unesifo sikashukela?
Isifo sikashukela yisimo esibi kakhulu esingalimaza izitho eziningi zomzimba, okuhlanganisa amehlo, izinso, inhliziyo, kanye nesimiso sezinzwa, uma singaphathwa kahle. Ngakho-ke, kubaluleke kakhulu ukwazi kahle ukuthi unesifo sikashukela noma cha.
Udokotela wakho angenza ukuhlolwa kwegazi okuningana ukuqinisekisa noma ukuqeda lokhu.
| Ukuhlolwa Kwegazi | Ubonani kulokho? |
|---|---|
| Ukuhlolwa kwe-HbA1c | Lokhu kunikeza umbono wezinga lakho elijwayelekile likashukela egazini ezinyangeni ezi-2-3 ezedlule. Akudingeki uzile ukudla ngalokhu. Ukufundwa okungu-6.5% noma ngaphezulu kubhekwa njengesifo sikashukela. Ukufundwa okungaphansi kuka-5.7% kuyinto evamile. |
| Ukuhlolwa Koshukela Wegazi Lokuzila Ukudla | Ukuhlolwa okuhilela ukuzila ukudla ubusuku bonke (okungenani amahora angu-8) nokuthathwa kwegazi ekuseni. Inani elingu-126 mg/dL noma ngaphezulu (elihlolwe kabili) libhekwa njengesifo sikashukela. Noma yini engaphansi kuka-100 mg/dL ijwayelekile. |
| Ukuhlolwa Kokubekezelela I-glucose Yomlomo (OGTT) | Kuthathwa isampula yegazi ngemva kokuzila ukudla. Bese kunikezwa isiphuzo se-glucose, bese igazi lihlolwa futhi ngemva kwamahora amabili. Uma inani ngemva kwamahora amabili lingaphezu kuka-200 mg/dL, kubhekwa njengesifo sikashukela. Uma lingaphansi kuka-140 mg/dL, kuvamile. |
| Ukuhlolwa Koshukela Ongahleliwe | Ukuhlolwa kwegazi okwenziwa nganoma yisiphi isikhathi sosuku. Uma leli nani lingu-200 mg/dL noma ngaphezulu, kanye nezimpawu zesifo sikashukela, ungase ube nesifo sikashukela. |
Ngokuvamile, udokotela uzokwenza lezi zivivinyo kabili ukuze athole ukuxilongwa okunembile. Ngakho-ke, ungasheshi ufinyelele eziphethweni ngokusekelwe emiphumeleni yokuhlolwa okukodwa.
Umlayezo Wokuya Nawe Ekhaya
- Ukuvuka njalo ebusuku ukuze uchame (i-nocturia) kungaba uphawu lwesifo sikashukela, kodwa ungakhohlwa ukuthi kunezinye izimbangela eziningi.
- Uma unezimpawu ezinjengalezi, ungesabi bese uzama ukuzixilonga.
- Qaphela ezinye izimpawu zesifo sikashukela, njengokoma ngokweqile, ukwehla kwesisindo, kanye nokungaboni kahle.
- Ukuphela kwendlela yokwazi ngokuqinisekile ukuthi unesifo sikashukela noma cha ukubona udokotela wakho bese uthola ukuhlolwa kwegazi okudingekayo.
- Uma usheshe uthole isifo sikashukela, kulapho ungasilawula kangcono futhi uphile impilo enempilo.
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