Ingabe uvuka ebusuku ngemva kokulala kahle ebusuku uzizwa sengathi ufuna ukuchama? Ake sithi kulungile uma kwenzeka kube kanye. Kodwa kuthiwani uma kufanele uvuke kabili noma kathathu ebusuku, mhlawumbe ngisho nangaphezulu? Ingabe kuyinto evamile ukuzizwa ukhathele futhi ukhathele ngosuku olulandelayo? Lokhu yilokho esikubiza ngokuthi i-nocturia kwezokwelapha. Lokhu akuyona into okufanele ithathwe kalula njengoba abanye abantu becabanga. Ngoba kungaba uphawu lwenye inkinga yezempilo efihliwe ngemuva kwayo. Ngakho-ke namuhla sizoxoxa ngakho konke ngalokhu.
Iyini ngempela i-Nocturia?
Kalula nje, i-nocturia yisimo sokuvuka ebusuku ukuze uchame. Sibheka lokhu njengesifo kuphela uma kwenzeka kabili noma ngaphezulu ebusuku.
Manje ungase ucabange ukuthi, "Ngichama kakhulu emini, ingabe lokho kuyinto efanayo?" Cha, lokho kuyinto ehlukile. Sibiza ukuchama okuvamile emini ngokuthi "ukuchama okuvamile." Kodwa i-nocturia yilapho kufanele uvuke uyochama , ikakhulukazi phakathi kwesikhathi olala ngaso nesikhathi ovuka ngaso ekuseni . Lokhu kuphazamisa ubuthongo bakho obuyigugu, okungakwenza uzizwe ukhathele futhi ulele ngosuku olulandelayo.
Umuntu ophilile kufanele akwazi ukulala amahora ayisithupha kuya kwayisishiyagalombili ebusuku ngaphandle kokuvuka ukuze achame.
Sivame kangakanani lesi simo emphakathini?
Lokhu kuvame kakhulu kunalokho ongase ukucabange. Kuvame kakhulu njengoba ukhula. Cabanga nje, abantu abadala abangaphezu kuka-50% abangaphezu kweminyaka engu-50 bahlushwa yilesi simo. Lokho cishe umuntu oyedwa kwababili.
- Ngaphambi kweminyaka engu-50: I-Nocturia ivame kakhulu phakathi kwabesifazane ngalesi sikhathi.
- Ngemva kweminyaka engu-50: Lokhu kuvame kakhulu phakathi kwabesilisa abakule minyaka.
Sekukonke, lesi simo singathinta cishe umuntu oyedwa kwabathathu ngemva kweminyaka engama-30. Ngakho-ke ungabona ukuthi le nkinga ivame kangakanani.
Yiziphi izimpawu eziyinhloko zalokhu?
Nakuba uphawu oluyinhloko lwe-nocturia ukuvuka uyochama ebusuku, kunezinye izinto ezihlobene nayo.
- Ukuvuka uyochama kabili noma ngaphezulu ebusuku: Lolu uphawu oluyinhloko nolusobala kakhulu.
- Ukuchama okwandayo: Ngezinye izikhathi ungase ube nesimo esibizwa ngokuthi i-polyuria. Lokhu kusho ukuthi hhayi nje kuphela ukuthi umchamo uphuma kangaki, kodwa futhi nenani lomchamo (ngama-milliliters) ngesikhathi esisodwa liphakeme kakhulu kunokuvamile.
- Ukukhathala ngokweqile kanye nokulala emini:Ngenxa yokuthi uhlala unenkinga yokulala ebusuku, awukhiqizi kahle emini, uzizwa ukhathele futhi ulele. Lokhu kungaba nomthelela omkhulu empilweni yakho yansuku zonke.
Into ebaluleke kakhulu ukuthi lezi zimpawu zinamthelela muni empilweni yakho. Ukulala kahle kubalulekile ukuze ube nempilo enhle. Uma kulahleka, izinqubo eziningi emzimbeni zingaphazamiseka.
Kungani kufanele sichame kaningi kangaka ebusuku? Yiziphi izizathu?
Kungaba nezizathu eziningi zalokhu. Ezinye zilula kakhulu, zihlobene nemikhuba yethu. Kodwa ngezinye izikhathi kungaba khona isimo sempilo esibucayi ngemuva kwalokhu. Ake sihlukanise lezi zizathu zibe yizigaba ezimbili.
| Isizathu | Incazelo elula |
|---|---|
| Izimbangela ezivamile kanye nemikhuba yokuphila | |
| Ukuphuza uketshezi ngaphambi kokulala | Ikakhulukazi uma uphuza izinto ezifana netiye, ikhofi, notshwala amahora amabili kuya kwamathathu ngaphambi kokulala, kuzodingeka uchame kaningi ebusuku. |
| Eminye imithi | Ama-diuretics, noma imithi ebizwa ngokuthi 'amaphilisi amanzi' (isib. lawo asetshenziselwa umfutho wegazi ophakeme), andisa ukuchama ngokukhipha amanzi angaphezulu emzimbeni. |
| Ukwehla kwamandla esinyini | Uma isinyi singagcwele ngokuphelele noma singaphelele, isifiso sokuchama singabuya ngemva kwesikhathi. Lokhu kungabangelwa izinto ezifana nokutheleleka noma amatshe. |
| Ukuvuka njengenjwayelo | Abanye abantu bengazi baqala umkhuba wokuvuka ngesikhathi esifanayo ebusuku. Baya kochama ngokushesha nje lapho bevuka, noma ngabe abanaso ngempela isidingo sokuchama. |
| Izifo okufanele uziqaphele | |
| I-Polyuria | Ukukhiqizwa komchamo ngokweqile ngumzimba. Lokhu kungaba uphawu lwezifo ezifana nesifo sikashukela. |
| Isifo sikashukela | Uma amazinga kashukela egazini engalawulwa, izinso zizama ukukhipha ushukela omningi ngomchamo. Lokhu kudinga amanzi amaningi, ngakho-ke ukuchama kuyanda. |
| Umfutho wegazi ophakeme | Umfutho wegazi ophakeme kanye neminye imithi (i-diuretics) kungabangela i-nocturia. |
| Izinkinga ze-prostate (BPH) | Njengoba amadoda ekhula, indlala ye-prostate iyakhula (i-Benign Prostatic Hyperplasia), engavimba i-urethra. Lokhu kwenza kube nzima ukukhipha ngokuphelele isinye, futhi kubangele isidingo sokuchama kaningi. |
| Isifo senhliziyo | Uma inhliziyo isesimweni sokuhluleka kwenhliziyo okuvalekile, uketshezi oluqongelela emilenzeni emini luyakhishwa ebusuku bese luphinde lungene egazini, lapho luhlungwa khona ngezinso bese lukhishwa njengomchamo. |
| Ukukhonkotha (i-Obstructive Sleep Apnea) | Lesi simo, lapho ukuphefumula kuyeka khona ngesikhathi sokulala, singabangela izinguquko zamahomoni emzimbeni futhi sandise ukukhiqizwa komchamo. |
| Izizathu ezithile zabesifazane | Izimo ezinjengokukhulelwa, ukunqamuka kokuya esikhathini, kanye nokuwa kwezitho zesitho se-pelvic kungacindezela esinyeni futhi kubangele i-nocturia. |
Udokotela ukuthola kanjani lokhu?
Uma uya kudokotela onale nkinga, into yokuqala azokwenza ukukubuza imibuzo bese ethola incazelo ephelele. Kungaba usizo kakhulu uma ubhala phansi lezi zinto ngaphambi kokuba uye kudokotela.
- Bhala phansi idayari: Izinsuku ezimbili kuya kwezintathu, bhala phansi ukuthi uvuka kangaki ebusuku, isikhathi esingakanani, ukuthi ukhipha umchamo ongakanani ngesikhathi (omncane noma omningi), nokuthi uphuzani ngaphambi kokulala. Lokhu kuzosiza udokotela wakho ukuthi athole umbono omuhle ngesimo sakho.
- Imibuzo ongayibuza:
- Kusukela nini waqala ukulala ebusuku kanje?
- Uvame ukuvuka kangaki ebusuku?
- Ingabe inani lomchamo elidlulile ngesikhathi esisodwa liningi kakhulu noma lincane kakhulu?
- Uphuza ikhofi netiye elingakanani ngosuku?
- Uyaphuza utshwala?
- Yimiphi imithi oyithathayo njengamanje?
- Ingabe kube noshintsho emikhubeni yakho yokudla muva nje?
Ngaphezu kwale mibuzo, udokotela uzokuxilonga bese ekuthumela kwezinye izivivinyo uma kudingeka.
- Ukuhlolwa komchamo: Kuhlola umchamo ukuthi awutholi yini izifo, ushukela kanye neprotheni.
- Ukuhlolwa kwegazi: Hlola ukusebenza kwezinso kanye nezimo ezifana nesifo sikashukela.
- Ezinye izivivinyo: Uma kudingeka, ungathunyelwa ukuyohlolwa kwesinye noma ukuhlolwa kusetshenziswa ikhamera ebizwa ngokuthi i-cystoscopy.
Yini ongayenza ukuze uyeke ukuvuka ebusuku?
Izindaba ezinhle ukuthi i-nocturia iyisimo esingelapheka. Izindlela zokwelapha zincike esibangweni.
1. Ukwelapha isifo esiyisisekelo
Into yokuqala okufanele uyenze ukwelapha noma yisiphi isimo esibangela i-nocturia. Isibonelo:
- Uma unesifo sikashukela , udinga ukulawula amazinga kashukela egazini lakho kahle.
- Uma indlala ye-prostate ikhulisiwe , kungadingeka imithi noma ukuhlinzwa.
- Uma une -sleep apnea , kufanele ubonane nochwepheshe ukuze akusize.
2. Izinguquko ezilula zendlela yokuphila
Kungakhathaliseki ukuthi yisiphi isizathu, kunezinguquko ezilula zendlela yokuphila ezingasiza cishe wonke umuntu. Lezi zifanele ukuzama.
- Nciphisa uketshezi ngemva kuka-6 ntambama: Yeka ukuphuza amanzi, itiye, ikhofi, nobisi, ikakhulukazi amahora angu-2-3 ngaphambi kokulala. Phuza amanzi owaphuza nsuku zonke emini.
- Phuza 'amaphilisi amanzi' (i-diuretics) ekuseni:Uma uthatha umuthi wokukhipha isisu ngenxa yento efana nomfutho wegazi ophakeme, khuluma nodokotela wakho mayelana nokuwuthatha okungenani amahora ayisithupha ngaphambi kokulala, noma into yokuqala ekuseni.
- Thatha isihlwathi ntambama: Kungase kubonakale kungavamile, kodwa ukuthatha isihlwathi emini kusiza ekumunceni uketshezi oluthe xaxa oluqongeleleke emzimbeni lungene egazini bese lususwa njengomchamo. Lokhu kunciphisa inani loketshezi oluqongeleleka ebusuku.
- Gcina imilenze yakho iphakeme: Uma uhleli esihlalweni emini, gcina imilenze yakho iphakeme kancane, njengokungathi iphezu kwesinye isihlalo. Lokhu kuzonciphisa ukunqwabelana koketshezi emilenzeni (i-edema).
- Gqoka Amasokisi Okucindezela: Ukugqoka lezi zinhlobo ezikhethekile zamasokisi kungasiza ekulawuleni ukunqwabelana koketshezi emilenzeni.
3. Izinhlobo zemithi
Uma izinguquko zendlela yokuphila zodwa zinganele ukulawula izimpawu zakho, udokotela wakho angase akunike imithi ethile.
- Imithi Yokulwa Nezinso: Le mithi ilawula ukufinyela kwesinye okungafuneki futhi inciphisa isidingo sokuchama njalo.
- I-Desmopressin: Lo muthi unciphisa inani lomchamo okhiqizwa yizinso ebusuku.
Okubaluleke kakhulu: Ungathathi noma yimuphi wale mithi wedwa. Qiniseka ukuthi ukhuluma nodokotela wakho futhi uthatha kuphela imithi ayibhalayo, njengoba nje eyalelwe.
Kufanele ngimbone nini udokotela?
Kungase kube yinto evamile ukuvuka kanye ebusuku ukuze uchame. Kodwa-ke,
- Uma kufanele uvuke izikhathi ezingaphezu kwezimbili ebusuku,
- Uma lokhu kuphazamisa ubuthongo bakho futhi ukhathele kakhulu ngosuku olulandelayo,
- Uma lesi simo sithinte impilo yakho yansuku zonke,
Bona udokotela womndeni wakho ngaphandle kokulibala. Lokhu akuyona into okufanele uhlupheke ngayo impilo yakho yonke. Kungalawulwa kahle ngokwelashwa okufanele.
Umlayezo Wokuya Nawe Ekhaya
- Ukuvuka njalo ebusuku ukuze uchame (i-nocturia) kuyisimo esivame kakhulu, kodwa akufanele neze singanakwa.
- Ngemva kwalokhu kungase kube nezinye izinkinga zempilo ezifihliwe, njengesifo sikashukela, isifo senhliziyo, kanye nezinkinga ze-prostate.
- Izinguquko ezilula zendlela yokuphila, njengokunciphisa uketshezi kusihlwa, zingenza umehluko omkhulu.
- Uma lesi simo sithinta ukulala kwakho nokuphila kwakho kwansuku zonke, qiniseka ukuthi ufuna iseluleko sezokwelapha.
- I-Nocturia iyisimo esingelapheka. Ngokwelashwa okufanele, ungaphinde ulale kahle futhi ungaphazanyiswa.
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