Ukuchama kakhulu ebusuku

Imvamisa, inani lomchamo okhiqizwa ngumzimba wakho liyancipha ebusuku. Lokhu kuvumela abantu abaningi ukuthi balale amahora ayisithupha kuya kwayisishiyagalombili ngaphandle kokuchama.

Abanye abantu bavuka ebuthongweni kaningi ukuze bayochama ebusuku. Lokhu kungaphazamisa imijikelezo yokulala.

Ukuphuza uketshezi oluningi kakhulu kusihlwa kungadala ukuthi uchame kaningi ebusuku. I-caffeine notshwala ngemuva kwesidlo nakho kungaholela kule nkinga.

Ezinye izimbangela ezivamile zokuchama ebusuku zifaka:

• Ukutheleleka kwesinye noma komchamo
• Ukuphuza utshwala obuningi, i-caffeine, noma olunye uketshezi ngaphambi kokulala
• Indlala ye-prostate eyandisiwe (BPH)
• Ukukhulelwa

Ezinye izimo ezingadala inkinga zibandakanya:

• Ukwehluleka kwezinso okungamahlalakhona
• Isifo sikashukela
• Ukuphuza amanzi ngokweqile
• Ukwehluleka kwenhliziyo
• Izinga le-calcium ephezulu yegazi
• Imithi ethile, kufaka phakathi amaphilisi amanzi (isisu)
• Isifo sikashukela insipidus
• Ukuvuvukala kwemilenze

Ukuvuka kaningi phakathi nobusuku ukuchama nakho kungaxhunyaniswa nokuphazamiseka kokulala nokuphefumula nezinye izifo zokulala. I-Nocturia ingahle ihambe lapho inkinga yokulala ilawulwa. Ukuxineka nokungazinzi nakho kungadala ukuthi uvuke ebusuku.

Ukuqapha inkinga:

• Gcina idayari yokuthi uphuza uketshezi olungakanani, uchama kangaki nokuthi uchama kangakanani.
• Qopha isisindo somzimba wakho ngezikhathi ezifanayo nangesilinganiso esifanayo nsuku zonke.

Shayela umhlinzeki wakho wezempilo uma:

• Ukuvuka ukuze uchame kaningi kuyaqhubeka ezinsukwini ezimbalwa.
• Uyakukhathaza inani lezikhathi okufanele uchame ngazo ebusuku.
• Unomuzwa ovuthayo lapho uchama.

Umhlinzeki wakho uzokwenza ukuhlolwa ngokomzimba futhi abuze imibuzo efana nale:

• Inkinga iqale nini futhi ishintshile ngokuhamba kwesikhathi?
• Uchama kangaki ubusuku ngabunye futhi ukhipha umchamo ongakanani isikhathi ngasinye?
• Wake waba "nezingozi" noma ukukhaliswa embhedeni?
• Yini eyenza inkinga ibe yimbi noma ibe ngcono?
• Uphuza okungakanani uketshezi ngaphambi kokulala? Uke wazama ukunciphisa uketshezi ngaphambi kokulala?
• Yiziphi ezinye izimpawu onazo? Ngabe ukhuphukile ukoma, ubuhlungu noma ukushisa ekuchameni, umkhuhlane, ubuhlungu besisu, noma ubuhlungu beqolo?
• Imiphi imithi oyiphuzayo? Ngabe usushintshile indlela odla ngayo?
• Uyaphuza i-caffeine notshwala? Uma kunjalo, udla malini ngosuku futhi nini phakathi nosuku?
• Wake waba nokutheleleka kwesinye kwesinye esikhathini esedlule?
• Unomlando womndeni wesifo sikashukela?
• Ingabe ukuchama ebusuku kuyaphazamisa ukulala kwakho?

Ukuhlolwa okungenziwa kufaka phakathi:

• Ushukela wegazi (i-glucose)
• Igazi urea nitrogen
• Ukuncishwa kuketshezi
• Osmolality, igazi
• I-serum creatinine noma i-creatinine clearance
• Ama-electrolyte weSerum
• Ukuhlolwa komchamo
• Ukuhlushwa komchamo
• Isiko lomchamo
• Kungenzeka ukuthi ucela ukugcina umkhondo wokuthi ungakanani uketshezi olutholayo nokuthi ulahlekelwa kangakanani ngasikhathi (idayari yokuvota)

Ukwelashwa kuya ngesizathu. Uma ukuchama ngokweqile ebusuku kungenxa yemithi ekhishwa isisu, ungatshelwa ukuthi uphuze umuthi wakho ngaphambi kosuku.

I-Nocturia

• Umgudu womchamo wabesifazane
• Umgudu womchamo wabesilisa

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IGerber GS, iBrendler CB. Ukuhlolwa kwesiguli se-urologic: umlando, ukuhlolwa komzimba, nokuhlolwa kwe-urinalysis. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 1.

I-Landry DW, iBazari H. Indlela eya esigulini esinesifo so-renal. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 106.

I-Lightner DJ, uGomelsky A, uSouter L, uVasavada SP. Ukuxilongwa nokwelashwa kwesisu esisebenza ngokweqile (okungeyona i-neurogenic) kubantu abadala: Ukuchitshiyelwa Kweziqondiso ze-AUA / SUFU 2019. J Urol. 2019; 202 (3): 558-563. I-PMID: 31039103 www.ncbi.nlm.nih.gov/pubmed/31039103.

I-Samarinas M, i-Gravas S. Ubudlelwano phakathi kokuvuvukala ne-LUTS / BPH. Ku: Morgia G, ed. Izimpawu Ze-Urinary Tract Lower neBenign Prostatic Hyperplasia. ICambridge, MA: I-Elsevier Academic Press; 2018: isahluko 3.