Kungani Ngomile Ebusuku Kangaka?

-Delile

• Ingabe indawo yami yokulala?
• Ngiphelelwe ngamanzi emzimbeni?
• Ingabe lokhu kuhlobene nomuthi engiwudlayo?
• Ingabe lesi isihlahlakali?
• Ingabe lokhu kungenxa yokuphefumula ubuthongo?
• Kungenzeka ukuthi lokhu kube yisikhathi sokunqamuka noma ukunqamuka kokuya esikhathini?
• Ingabe lokhu kungaba uphawu lwesifo sikashukela?
• Yini enye engaba yiyo?
• Isifo seSjögren
• Ukushoda kwegazi
• Ukuhluleka kwenhliziyo, izinso, noma isibindi
• Ingabe kufanele ngiye kudokotela?
• Okubalulekile

Ukuvuka womile kungaba yinto encane ecasulayo, kepha uma kwenzeka kaningi, kungakhombisa isimo sempilo esidinga ukunakwa.

Nawa amanye amathuba wokucabanga uma isidingo sakho sento yokuphuza sikuvusa ebusuku.

Ingabe indawo yami yokulala?

Uma ufuna ukulala kahle, igumbi elipholile lingcono kunelifudumele. Ochwepheshe batusa ukuthi usethe ukushisa kwekamelo lakho lokulala phakathi kuka-60 no-70 ° F (16 no-21 ° C).

Uma uvuka womile, kungenzeka futhi ukuthi umoya wasekhaya lakho womile kakhulu.

I-Environmental Protection Agency (EPA) incoma ukuthi ugcine umswakama ekhaya lakho phakathi kwamaphesenti angama-30 kuye kwangama-50. Lokhu kome ngokwanele ukukhawulela ukukhula kwesikhunta.

Ngiphelelwe ngamanzi emzimbeni?

Empeleni ukuthi abantu badinga amanzi angakanani nsuku zonke angahluka. Ngokuvamile, phuza izingilazi zamanzi eziyisishiyagalombili ezingama-8 ngosuku.

Uma uzivocavoca kakhulu, sebenza ekushiseni, noma muva nje ulahlekelwe uketshezi oluningi oluvela ekuhlanzeni, kuhudo, noma kumkhuhlane, kungadingeka ukuthi uphuze uketshezi oluningi ukuze ungene esikhundleni samanzi nama-electrolyte olahlekile.

Ukunaka kakhulu ukuphuza amanzi kubaluleke kakhulu ezinganeni nakubantu abadala asebekhulile, abanomqondo wokoma okungenzeka bangabi isilinganiso esinembile samazinga abo we-hydration.

Ingabe lokhu kuhlobene nomuthi engiwudlayo?

Ukoma kungumphumela wecala emithini eminingi enqunyiwe, kufaka phakathi:

• ama-corticosteroids
• I-SGLT2 inhibitors
• ama-antipsychotic
• imishanguzo
• ama-anticonvulsants
• anticholinergics

Uma uvuka womile ngemuva kokusebenzisa owodwa wale mithi, ungahle uthande ukukhuluma nodokotela wakho ukuze ubone ukuthi ngabe kukhona yini enye engeke ikubhekise empompini phakathi kobusuku.

Ingabe lesi isihlahlakali?

Uma ubuphethe iziphuzo ezingaphezu kwezimbalwa zotshwala ngesikhathi esifushane, ubungavuka uzizwa usomile.

Impendulo yakho yokoma kungenzeka ibangelwa yi-diuresis - okuwukulahleka koketshezi ngokuchama - kanye nezinye izindlela zamakhemikhali emzimbeni.

Lapho umzimba wakho wephula utshwala, kukhiqizwa ikhemikhali ebizwa ngokuthi. Leyo khemikhali ivuselela imiphumela ekuzweleni kokoma, ngaphezu kokubanga okunye ukusabela komzimba.

Uma ulambile, ungazama ukusipha kancane:

• amanzi
• itiye elinamakhambi
• iziphuzo zezemidlalo ukubuyisa ama-electrolyte alahlekile
• sula umhluzi ukubuyisela izinga lakho le-sodium

Ingabe lokhu kungenxa yokuphefumula ubuthongo?

Uma une-apnea yokulala, kungenzeka uphefumula ngomlomo wakho ebusuku. Ukungakhululeki komlomo owomile kungakuvusa. Ukusebenzisa idivaysi yengcindezi yomoya oqhubekayo (CPAP) eqhubekayo kungalimaza nomlomo owomile.

Uma usebenzisa umshini we-CPAP, ungakhuluma nodokotela wakho ngomshini ongeke womise umlomo wakho ebusuku.

Kubalulekile ukukhuluma nodokotela wamazinyo ngomlomo owomile, futhi. Amathe amancane emlonyeni wakho angaholela ekubola kwamazinyo.

Kungenzeka ukuthi lokhu kube yisikhathi sokunqamuka noma ukunqamuka kokuya esikhathini?

Ama-hormone okuzala i-estrogen ne-progesterone womabili adlala indima ebalulekile ekulawuleni uketshezi nokoma emzimbeni wakho. Ngesikhathi sokuphela kwesikhathi nokunqamuka kokuya esikhathini, izinguquko ze-hormonal zingadala ukushisa okukhulu, ukujuluka ebusuku nokwanda kokoma.

Ocwaningweni lwango-2013, abacwaningi bafunda amaphethini wokujuluka kwabesifazane be-premenopausal, perimenopausal, kanye ne-postmenopausal njengoba bezilolonga. Ucwaningo luthole ukuthi ababambiqhaza be-perimenopausal kanye ne-postmenopausal bazibona njengabantu abomile uma kuqhathaniswa nabahlanganyeli be-premenopausal ngaphambi nangemva kokuzivocavoca.

Uma usesikhathini sokunqamuka kokuya esikhathini, kubaluleke kakhulu ukuthi uqiniseke ukuthi uphuza amanzi amaningi nsuku zonke.

Ingabe lokhu kungaba uphawu lwesifo sikashukela?

Isifo sikashukela sibangela ukoma ngokweqile. Lapho umzimba wakho ungakwazi ukucubungula kahle ushukela, izinso zakho zisebenza isikhathi esengeziwe zizama ukususa ukugeleza kwegazi kwakho koshukela omningi. Izinso zakho zikhiqiza umchamo owengeziwe, odala impendulo yokoma ukukugqugquzela ukuthi uphuze amanzi amaningi.

Ezinye izimo ezihlobene nazo zingadala ukoma ngokweqile, njenge:

• isifo sikashukela esiphakathi insipidus
• nephrogenic sikashukela insipidus
• i-dipsogenic diabetes insipidus

Isifo sikashukela esiphakathi nesinephrogenic insipidus singathinta ukukhiqizwa kwakho noma ukumuncwa kwe-vasopressin, ngokulandelana. IVasopressin, ebizwa nangokuthi i-antidiuretic hormone, iyi-hormone elawula ukulingana kwamanzi emzimbeni.

Umphumela uba ukuthi umzimba wakho ulahlekelwa umchamo omningi, ngakho-ke uzwa umuzwa ongacimi wokoma.

Yini enye engaba yiyo?

Isifo seSjögren

I-Sjögren syndrome yisifo esizimele esibangela ukuthi umzimba wakho uhlasele izindlala eziswakalisa amehlo nomlomo wakho. Ithinta abesifazane abaningi kunabesilisa. Kungadala futhi:

• ukoma kwesitho sangasese sowesifazane
• ukuqubuka
• isikhumba esomile
• ubuhlungu obuhlangene
• ukuvuvukala kwesistimu

Ukuhlafuna ushungamu nokusebenzisa ama-lozenges kungasiza ngomlomo owomile. Udokotela wakho angakunikeza imithi yokusiza ukulawula ukusabela komzimba wakho.

Ukushoda kwegazi

I-anemia ukuphazamiseka okuthinta amangqamuzana akho abomvu egazi. Uphawu olubikwa kakhulu lwe-anemia ukukhathala noma ukukhathala.

Kodwa-ke, ukoma okwandisiwe nakho kungaba uphawu. Izinhlobo ezithile ze-anemia kwesinye isikhathi zingaholela ekuphelelweni amanzi emzimbeni.

I-anemia imvamisa isimo esimnene, kepha uma iyekwa ingalashwa, ingaholela ezindabeni ezibucayi kakhulu zezempilo. Khuluma nodokotela wakho uma ucabanga ukuthi kungahle kuhlobene nalokho okuvusayo ebusuku.

Ukuhluleka kwenhliziyo, izinso, noma isibindi

Uma unokwehluleka okukhulu kwenhliziyo, izinso, noma isibindi, ungazizwa womile kakhulu njengoba umzimba wakho usebenza ukulinganisa amazinga awo wamanzi kanye ne-electrolyte.

Ezifundweni eziningana, abantu ababesezindaweni zokunakekelwa kwabagula kakhulu abanezi zimo babhekana nokoma okulingene nokulingene.

Ingabe kufanele ngiye kudokotela?

Kungumqondo omuhle ukukhuluma nomhlinzeki wezokunakekelwa kwezempilo noma kunini lapho unezinkathazo mayelana nesimpawu noma isimo obhekene naso.

Nakanjani ukuhlela ukuvakasha kukadokotela uma:

• Awukwazi ukuqeda ukoma kwakho noma ngabe uphuza kangakanani.
• Uchama inani elandayo lomchamo nsuku zonke.
• Uvame ukukhathala noma ukhathele.
• Umbono wakho ufiphele.
• Unamanxeba, ukusikeka, noma izilonda ezingapholi kahle.
• Ukoma kwakho kuhambisana nendlala eyeqile.

Okubalulekile

Uma uvuka ebusuku ngoba uzizwa womile, imbangela kungaba yindawo yakho yokulala, imikhuba ye-hydration, noma umuthi owuthathayo.

Ukulungiswa okulula enkambisweni yakho kungaholela ekulaleni okungaphazanyiswa ebusuku.

Kepha uma uvuka njalo uzizwa womile, isimo sempilo esiyimbangela yaso kungaba yiso.

Kuleso simo, landelela ukuthi uvuka kangaki kulesi simo futhi uqaphele ezinye izimpawu ozibonayo. Khuluma nodokotela wakho mayelana nokuthi kwenzekani. Umzimba wakho kungenzeka uzama ukukutshela okuthile okubalulekile.