Ukulala nge-Apnea, iSifo sikashukela, kunye neengxaki zeProstate zingabangela ukuba zihlaziye ebusuku
Ukuba uvuka ngobusuku ukukhawuleza, unokuba nomdla ekufundeni ngezizathu eziqhelekileyo zezi ziganeko. Yintoni i-nocturia? Ziziphi ezinye zezizathu ezinokubangela? Kutheni kubonakala ngokuqhelekileyo njengoko sikhula? Ukufumanisa iimbopheleleko ezinokwenzeka zesifo sikashukela, ukuphazamiseka kokuphefumula kokulala, kunye neengxaki ze-prostate okanye i-bladder ekuvukeni ukuvuthwa ebusuku.
Yintoni i-Nocturia?
I-Nocturia ichazwa njengesidingo esiphezulu sokuvuka nokuvuthwa ebusuku.
Unokuzifumana usebenzise indlu yokuhlambela ngamanye amaxesha ngokuhlwa kwaye oku kunokuphazamisa ukulala kwakho. Ngokuqhelekileyo kuthathwa njengesiqhelo ukuvusa ukuvuthwa xa kwenzeka ngaphezu kweyodwa ebusuku. Ihluke kwi- enuresis (okanye i-bedwetting), eyenziwa ngokubanzi kubantwana.
Yintoni Ebangela Ukuba Kubuhlungu Ubusuku?
Kukho iindawo ezimbalwa ezibangela i-nocturia rhoqo. Okuqhelekileyo kunokusela amanzi amaninzi okanye amanye amanzi (ikakhulukazi i-caffeine okanye utywala). Ukunciphisa ukungena kwamanzi emva kokutya kunokunceda ukunciphisa eli galelo.
Ngokuqhelekileyo imizimba yethu iyakwazi ukugxininisa umchamo wethu kwaye ivumele ukuba silale ubusuku ngaphandle kokuvuka, kodwa njengoko sikhula kule nto ayinakusebenza. Ukongeza, amadoda amadala angaba nocturia njengesiphumo sokugcina umchamo ngenxa ye- prostatic hyperplasia (BPH) . Abasetyhini banokufumana ubuthakathaka bebladder kunye nezinye iingxaki zesifo.
Ukuvuvukala okanye ukusuleleka kwesigqabi okanye i- urinary tract kungakhokelela ekwenzeni ukwanda kokuhamba ebusuku. Ezinye iingxaki ezinkulu zonyango nazo zinokufaka isandla, kuquka:
- Sikashukela
- Ukuphelelwa kwesigxina esingapheliyo (isifo)
- Ukukhubazeka kwentliziyo
- I-Hypercalcemia (izinga eliphezulu le-calcium yegazi)
Kukho inani lamachiza angenza i-nocturia.
Ezona zixhaphakileyo ziyeza zonyango ezisebenzisayo ukunyanga uxinzelelo lwegazi okanye i-edema yengingqi (ukuvuvukala ezinyaweni nasezintanjeni). Omnye umzekelo wawuya kuba furosemide (Lasix). Amanye amayeza angabangela i-nocturia zibandakanya oku kulandelayo:
- Demeclocycline
- Lithium
- Methoxyflurane
- Phenytoin
- Propoxyphene
Ekugqibeleni, kukho ukuphazamiseka kokulala okungabangela nocturia. Ukukhusela i-apnea yokulala iyakwazi ukuba negalelo ekuhambeni kokuhlwa. Oku kungenxa yokuba i- apnea yokulala ibangela ukulala okulula, okukhokelela ekuqaliseni ukugcwala kwe-bladder. Ukongezelela, ukuxhamla kwe-apnea yokulala kubangela ukuba intliziyo ibonakalise izintso zokulahla izifo zamanzi, njengoko zifumana ulwaluko oluvela kumxinzelelo olunzulu lwe-intra-thoracic, olufana noko kwenzeka kummandla we-overload volume. Isibonakaliso se-hormone esisuka entliziyweni sikhokelela kumncinci omchamo we-urine oveliswa yizintso, okubangela ukuba uhlale ubona ebusuku. Unyango lwe-apnea yokulala kaninzi luyanciphisa kakhulu ukuvama.
Indima yeBenign Prostatic Hypertrophy (BPH) kuMadoda
I-Benign prostatic hypertrophy (i-BPH) iyona nto ibangela ukuba i-nocturia kumadoda amadala kwaye ibhekisela kumntu ongenomdlavuza, okanye enobungozi, apho i-prostate gland, ejikeleze i-urethra okanye ityhubhu ye-pee, iyanda kwaye ikhusele ukukhupha komchamo .
Ngokugqithisileyo, udonga lwentsimbi luyancipha, okwenza kube nzima kuwe ukuba uphume umchamo ngokuchanekileyo.
Phakathi kwamadoda aneminyaka engama-50, i-BPH yisona sifo esiqhelekileyo seprotrate. Ngokutsho kwe-NIH ngo-2010, ukuqikelelwa kwezigidi ezili-14 zaseMerika zinempawu ezibonisa ukuba i-BPH. Le meko ichaphazela malunga nesiqingatha sabo bonke abantu abaneminyaka engama-51 no-60. Ngaphezu koko, le meko ichaphazela malunga neepesenti ezingama-90 zamadoda aneminyaka engama-80 okanye ngaphezulu.
Ukuba iimpawu zenzeka ebusuku, qwalasela indima yokulala i-apnea ngaphambi kokugxeka ukunyuka kweprothete.
Kukho iindlela ezahlukeneyo zeBPH ezingaphathwa ngayo, kuquka ukuhlinzwa kunye neyeza .
Abanye abantu abanokunyamezela iimpawu zeBPH banokugqiba isigqibo sokuyeka unyango emva kokuthetha nodokotela wabo. Ukuba ucinga ukuba unayo i-BPH ngokusekelwe kwiimpawu ozijongene nazo, kufuneka wenze i-aphoyintimenti kunye nodokotela wakho ukuxoxa ngokuxilongwa nokuphathwa.
Ukufumana Uncedo Lokunciphisa Ukuhamba Kwamabala Ebusuku ebusuku
Ukuba unenkathazo ekuvukeni ngokuphindaphindiweyo ebusuku ukuba uphawule, unokufuna ukuthetha nodokotela wakho ukuba uphando malunga nokuba yintoni isizathu esona sizathu. Cinga ngenyameko indima ye-apnea yokulala engaziwayo kwaye, ukuba kukho, landela unyango njengoko kunokunceda ukuphepha ukuhlinzwa okungadingekile okanye unyango.
> Imithombo:
> Dugdale, DC. "Ukuxhoma - ngokugqithiseleyo ebusuku." I-MedlinePlus , iiNational Institutes of Health.
> Kriger MH, et al . "Imigaqo kunye nokuSebenza kweMithi yokulala." Elsevier , edition 6, 2016.