Ukuchama Okweqile Ebusuku (Nocturia)

-Delile

• Izimbangela
• Izimo zezokwelapha
• Ukukhulelwa
• Imithi
• Izindlela zokuphila
• Kutholakala kanjani
• Ukwelashwa
• Ungakuvimbela kanjani
• Umbono

Yini i-nocturia?

I-Nocturia, noma i-polyuria yasebusuku, igama lezokwelapha lokuchama ngokweqile ebusuku. Ngesikhathi sokulala, umzimba wakho ukhiqiza umchamo omncane ogxile kakhulu. Lokhu kusho ukuthi abantu abaningi abadingi ukuvuka ebusuku ukuze bachame futhi bangalala bengaphazanyiswa amahora ayisithupha kuya kwayisishiyagalombili.

Uma udinga ukuvuka kabili noma ngaphezulu ubusuku ngabunye ukuze uchame, ungahle ube ne-nocturia. Ngaphandle kokuphazamisa ukulala kwakho, i-nocturia nayo ingaba uphawu lwesimo sezempilo esiyisisekelo.

Izimbangela

Izimbangela zobubanzi be-nocturia kusuka ekukhethweni kwendlela yokuphila kuya ezimweni zezokwelapha. I-Nocturia ivame kakhulu kubantu abadala asebekhulile, kepha kungenzeka nganoma yisiphi isikhathi.

Izimo zezokwelapha

Izimo ezahlukahlukene zezokwelapha zingadala i-nocturia. Izimbangela ezivamile ze-nocturia ukutheleleka kwe-urinary tract (UTI) noma ukutheleleka kwesisu. Lezi zifo zibangela imizwa evuthayo njalo nokuchama okuphuthumayo ubusuku nemini. Ukwelashwa kudinga ama-antibiotic.

Ezinye izimo zezokwelapha ezingadala i-nocturia zifaka:

• ukutheleleka noma ukukhuliswa kwesibeletho
• ukuqhuma kwesinye
• isisindo esisebenza ngokweqile (OAB)
• izimila zesinye, zesinye, noma zangasese
• isifo sikashukela
• ukukhathazeka
• ukutheleleka kwezinso
• i-edema noma ukuvuvukala kwemilenze engezansi
• ukuvimbela ukuphefumula kokulala
• ukuphazamiseka kwemizwa, njenge-multiple sclerosis (MS), isifo sikaParkinson, noma ukucindezelwa kwentambo yomgogodla

I-Nocturia nayo ivamile kubantu abanokwehluleka komzimba, njengokuhluleka kwenhliziyo noma kwesibindi.

Ukukhulelwa

I-Nocturia ingaba uphawu lokuqala lokukhulelwa. Lokhu kungakhula ekuqaleni kokukhulelwa, kodwa futhi kwenzeka ngokuhamba kwesikhathi, lapho isibeletho esikhulayo sicindezela isinye.

Imithi

Eminye imithi ingadala i-nocturia njengomphumela oseceleni. Lokhu kuyiqiniso ikakhulukazi ngama-diuretics (amaphilisi amanzi), anikezwe ukwelapha umfutho wegazi ophezulu.

Kufanele ufune usizo oluphuthumayo lwezempilo kudokotela uma ulahlekelwa amandla okuchama noma uma ungakwazi ukulawula umchamo wakho.

Izindlela zokuphila

Enye imbangela ejwayelekile ye-nocturia ukusetshenziswa ngokweqile koketshezi. Utshwala neziphuzo ezine-caffeine yizidakamizwa zokuchama, okusho ukuthi ukuziphuza kwenza umzimba wakho ukhiqize umchamo omningi. Ukuphuza utshwala noma iziphuzo ezine-caffeine ngokweqile kungaholela ekuvukeni ebusuku futhi kudinga ukuchama.

Abanye abantu abane-nocturia bavele baba nomkhuba wokuvuka ebusuku ukuze bayochama.

Kutholakala kanjani

Ukuthola imbangela ye-nocturia kungaba nzima. Udokotela wakho uzodinga ukubuza imibuzo ehlukahlukene. Kungaba usizo ukugcina idayari izinsuku ezimbalwa ukurekhoda okuphuzayo nokuthi ungakanani, nokuthi udinga ukuchama kangaki.

Imibuzo udokotela wakho angakubuza yona ifaka:

• Iqale nini i-nocturia?
• Kuchama kangaki ngobusuku ngabunye?
• Ngabe ukhiqiza umchamo omncane kunangaphambilini?
• Ingabe unezingozi noma umanzise umbhede?
• Ingabe kukhona okwenza inkinga ibe yimbi kakhulu?
• Unazo ezinye izimpawu?
• Imiphi imithi oyiphuzayo?
• Ingabe unomlando womndeni wezinkinga zesinye noma isifo sikashukela?

Bangase futhi bahlolwe njenge:

• ukuhlolwa ushukela egazini ukuhlola isifo sikashukela
• okunye ukuhlolwa kwegazi kokubalwa kwegazi namakhemikhali egazi
• Ukuhlolwa kokuchama
• isiko lomchamo
• ukuhlolwa kokuphuza uketshezi
• ukuhlolwa kwe-imaging, njengama-ultrasound noma ama-CT scan
• ukuhlolwa kwe-urological, njenge-cystoscopy

Ukwelashwa

Uma i-nocturia yakho ibangelwa umuthi, ukuthatha umuthi ekuqaleni kosuku kungasiza

Ukwelashwa kwe-nocturia kwesinye isikhathi kungafaka imithi, efana:

• izidakamizwa ze-anticholinergic, ezisiza ukunciphisa izimpawu zesinye esibi ngokweqile
• desmopressin, okwenza izinso zakho zikhiqize umchamo omncane ebusuku

I-Nocturia ingaba uphawu lwesimo esibi kakhulu, njengesifo sikashukela noma i-UTI engaba yimbi noma isakaze uma ingalashwa. I-Nocturia ngenxa yesimo esiyisisekelo ngokuvamile izoma lapho isimo siphathwa ngempumelelo.

Ungakuvimbela kanjani

Kunezinyathelo ongazithatha ukunciphisa umthelela we-nocturia empilweni yakho.

Ukwehlisa inani ophuza ngalo amahora amabili kuya kwangu-4 ngaphambi kokulala kungakusiza ekuvimbeleni ekuchameni ebusuku. Ukugwema iziphuzo eziqukethe utshwala ne-caffeine nakho kungasiza, njengokuchama ngaphambi kokulala. Ezinye izinto zokudla zingacasula isinye, njengoshokoledi, ukudla okubabayo, ukudla okune-acid, kanye nobumnandi bokuzenzela. Ukuzivocavoca kwe-Kegel kanye nokwelashwa komzimba okweqile okweqile kungasiza ekuqiniseni imisipha yakho ye-pelvic futhi kuthuthukise ukulawula isinye.

Bhekisisa lokho okwenza izimpawu zakho zibe zimbi kakhulu ukuze uzame ukuguqula imikhuba yakho ngokufanele. Abanye abantu bakuthola kuwusizo ukugcina idayari yalokho abakuphuzayo nokuthi nini.

Umbono

Ngoba i-nocturia ithinta umjikelezo wakho wokulala, kungaholela ekunciphiseni ubuthongo, ukukhathala, ukozela, kanye nokushintsha kwemizwelo uma kungalashwa. Khuluma nodokotela wakho ukuze nixoxe ngezinguquko zendlela yokuphila nezindlela zokwelashwa ezingakusiza.