Ukulala Kwama-apnea, Isifo Sikashukela, Nezinkinga Ze-Prostate Kungase Kubambelele Ekubhekeni Ebusuku
Uma uvuka ebusuku, ungaba nesithakazelo ekufundeni ngezimbangela ezivamile zalesi senzakalo. Kuyini i-nocturia? Yiziphi ezinye zezimbangela ezikhona? Kungani kuvame kakhulu njengoba sikhula? Thola imisebenzi engaba khona yesifo sikashukela, i-obnetive obstructive sleep apnea, ne-prostate noma izinkinga zesisindo ekuvukeni ukuvuthwa ebusuku.
Kuyini i-Nocturia?
I-Nocturia ichazwa njengesidingo esikhulu kakhulu sokuvuka nokuvuthwa phakathi nobusuku.
Ungase uzithole usebenzise indawo yokugezela izikhathi eziningana ubusuku bonke futhi lokhu kungaphazamisa ukulala kwakho. Ngokuvamile kubhekwa kungavamile ukuba uvuke ukuvuthwa lapho kwenzeka okungaphezu kwesisodwa ebusuku. Ahluke ku- enuresis (noma ukulala), okuvame ukuvela ezinganeni.
Yini Ebangelwa Ukuhlaziya Ebusuku Ukuze Ufike?
Kunezimbangela eziningana zezimbangela eziningi ze-nocturia. Okuvame kakhulu ukuphuza amanzi amaningi noma amanye amanzi (ikakhulukazi i-caffeine noma utshwala) eseduze kakhulu nokulala. Ukunciphisa ukungenisa kwamanzi okudliwayo ngemva kokudla kungasiza ekwehliseni lo mnikelo.
Ngokuvamile imizimba yethu ikwazi ukugxila emcimbini wethu futhi isenze silale ubusuku ngaphandle kokuvuka, kodwa njengoba sikhula lokhu kungase kungasebenzi. Ngaphezu kwalokho, amadoda amadala angase abe nocturia njengomphumela wokugcina umchamo ngenxa ye- benign prostatic hyperplasia (BPH) . Abesifazane bangabhekana nobuthakathaka besisu kanye nezinye izinkinga zokuhlukunyezwa.
Ukuvuvukala noma ukutheleleka kwesigqila noma umchamo kungase kubangele ukuvuthwa okwandayo ebusuku. Ezinye izinkinga ezinkulu zezokwelapha nazo zingafaka isandla, kubandakanya:
- Isifo sikashukela
- Ukuhluleka kokuguguzwa kwezinsolo (izinso)
- Ukuhluleka kwenhliziyo ukulahla
- I-Hypercalcemia (izinga eliphezulu le-calcium legazi)
Kunemithi eminingi engabangela i-nocturia.
Okuvamile kakhulu imishanguzo yesisu esetshenziselwa ukwelapha umfutho wegazi ophezulu noma i-edema yedolobha (ukuvuvukala ezinyaweni nasezinyaweni). Isibonelo esisodwa singaba furosemide (Lasix). Ezinye izidakamizwa ezingabangela i-nocturia zifaka okulandelayo:
- Demeclocycline
- Lithium
- I-Methoxyflurane
- Phenytoin
- I-propoxyphene
Okokugcina, kunezinkinga ezithile zokulala ezingase zibangele nocturia. I-apnea yokulala engavimbeleki iyaziwa ngokubamba iqhaza ekuvuthweni kwebusuku njalo. Lokhu kungenxa yokuthi ukulala kwe-apnea kubangela ukulala okulula, okuholela ekuqaliseni ukugcwalisa kwesinye. Ngaphezu kwalokho, ukucindezeleka kwe-apnea yokulala kuholela enhliziyweni ekuboniseni izinso zokulahla uketshezi kwamanzi, njengoba kubhekana nesisindo esivela ekucindezelekeni kwe-intra-thoracic, okufana nalokho okwenzeka emphakathini wokukhulula ngokweqile. Isibonakaliso se-hormone esivela enhliziyweni siholela emanzini amancane omchamo akhiqizwa izinso, okuholela ekutheni ubambe njalo ebusuku. Ukuphulukiswa kwe-apnea yokulala ngokuvamile kunciphisa kakhulu imvamisa.
Indima ye-Benign Prostatic Hypertrophy (BPH) kuMadoda
I-Benign prostatic hypertrophy (i-BPH) iyimbangela ejwayelekile kakhulu ye-nocturia kumadoda amadala futhi ibhekisela esimweni esingenomdlavuza, noma esimweni esibucayi lapho i-prostate gland, ejikeleza i-urethra noma i-pee tube, ikhuliswa futhi ingavimbela ukugeleza komchamo .
Ngokungavumelani, udonga lwesibindi luyancipha, okwenza kube nzima kuwe ukuba ususe umchamo ngendlela efanele.
Phakathi kwamadoda angaphezu kuka-50, i-BPH yisifo esivame kakhulu se-prostate. Ngokwe-NIH ngo-2010, kulinganiselwa ukuthi izigidi ezingu-14 zaseMelika zinezibonakaliso ezibonisa iBPH. Lesi simo sithinta cishe isigamu sawo wonke amadoda aphakathi kweminyaka engu-51 no-60. Ngaphezu kwalokho, lesi simo sithinta ngamaphesenti angama-90 amadoda aneminyaka engu-80 noma ngaphezulu.
Uma izimpawu zivele ebusuku, cabangela indima yokuphefumula kokulala ngaphambi kokusola ukukhulisa i-prostate.
Kunezindlela ezahlukene ukuthi i-BPH ingaphathwa, kuhlanganise nokuhlinzwa kanye nemithi .
Abanye abantu abangakwazi ukubekezelela izimpawu ze-BPH banganquma ukuyeka ukulashwa ngemva kokukhuluma nodokotela wabo. Uma ucabanga ukuthi unayo i-BPH ngokusekelwe ezimpawu ozizwayo, kufanele wenze i-aphoyintimenti nodokotela wakho ukuze uxoxe ngokuxilongwa nokuphathwa.
Ukuthola Usizo Lokunciphisa Izinyathelo Zokulala Ebusuku
Uma unenkinga yokukhuphuka kaningi phakathi nobusuku ukuze upee, ungase ufune ukukhuluma nodokotela wakho ukuphenya ukuthi yini eyimbangela yakho. Cabanga kakhulu ngendima ye-apnea yokulala engaziwa futhi, uma ukhona, phishekela ukwelashwa njengoba kungasiza ukugwema ukuhlinzwa okungadingekile noma imithi.
> Imithombo:
> Dugdale, DC. "Ukuthutha - ukuphuza ngokweqile ebusuku." I-MedlinePlus , amaNational Institutes of Health.
> Kryger MH, et al . "Izimiso Nemisebenzi Yokulala Imithi." Elsevier , edition 6, 2016.