Kukodza kwambiri usiku

Nthawi zambiri, kuchuluka kwa mkodzo komwe thupi lanu limatulutsa kumachepa usiku. Izi zimapangitsa anthu ambiri kugona maola 6 mpaka 8 osakodza.

Anthu ena amadzuka tulo nthawi zambiri kuti akodzere usiku. Izi zitha kusokoneza magonedwe.

Kumwa madzi ambiri nthawi yamadzulo kumatha kukupangitsani kukodza nthawi zambiri usiku. Caffeine ndi mowa mutadya zingayambitsenso vutoli.

Zina mwazomwe zimayambitsa kukodza usiku ndi monga:

• Kutenga chikhodzodzo kapena thirakiti
• Kumwa mowa wambiri, tiyi kapena khofi kapena madzi ena asanagone
• Kukula kwa prostate gland (BPH)
• Mimba

Zina zomwe zingayambitse vutoli ndi monga:

• Kulephera kwa impso
• Matenda a shuga
• Kumwa madzi ochulukirapo
• Mtima kulephera
• Mlingo wambiri wa calcium
• Mankhwala ena, kuphatikiza mapiritsi amadzi (okodzetsa)
• Matenda a shuga
• Kutupa kwa miyendo

Kudzuka nthawi zambiri usiku kuti ukodze kumatha kulumikizananso ndi zolepheretsa kugona tulo ndi mavuto ena ogona. Nocturia ikhoza kutha vuto la kugona likamayang'aniridwa. Kupsinjika ndi kusakhazikika kumatha kukupangitsani kudzuka usiku.

Kuwunika vutoli:

• Sungani zolemba zanu zakumwa kwamadzi, kumwa kangati, ndi kuchuluka kwa madzi omwe mumakodza.
• Lembani kulemera kwa thupi lanu munthawi yomweyo komanso muyeso wofanana tsiku lililonse.

Imbani wothandizira zaumoyo wanu ngati:

• Kudzuka pokodza nthawi zambiri kumapitilira masiku angapo.
• Mumasokonezeka chifukwa cha kuchuluka kwa nthawi yomwe muyenera kukodza usiku.
• Mumamva kutentha mukamakodza.

Wothandizira anu amayesa mayeso ndikufunsa mafunso monga:

• Vutoli lidayamba liti ndipo lasintha pakapita nthawi?
• Kodi mumakodza kangati usiku uliwonse ndipo mumatulutsa mkodzo wochuluka bwanji nthawi iliyonse?
• Kodi mumakhalapo ndi "ngozi" kapena kulira m'mabedi?
• Nchiyani chimapangitsa kuti vutoli likhale loipa kapena labwino?
• Kodi mumamwa madzi ochuluka motani musanagone? Kodi mwayesapo kuchepetsa madzi asanagone?
• Ndi zisonyezo zina ziti zomwe muli nazo? Kodi muli ndi ludzu lowonjezeka, kupweteka kapena kutentha pakukodza, kutentha thupi, kupweteka m'mimba, kapena kupweteka msana?
• Mukumwa mankhwala ati? Kodi mwasintha zakudya zanu?
• Kodi mumamwa caffeine ndi mowa? Ngati ndi choncho, mumadya zochuluka motani tsiku lililonse komanso nthawi yanji masana?
• Kodi mudakhalapo ndimatenda a chikhodzodzo m'mbuyomu?
• Kodi muli ndi mbiri yakubadwa ndi matenda ashuga?
• Kodi kukodza usiku kumasokoneza kugona kwanu?

Mayeso omwe angachitike ndi awa:

• Shuga wamagazi (shuga)
• Magazi urea asafe
• Kutaya kwamadzi
• Osmolality, magazi
• Serum creatinine kapena chilolezo cha creatinine
• Ma seramu ma electrolyte
• Kupenda kwamadzi
• Mkodzo ndende
• Chikhalidwe cha mkodzo
• Mutha kufunsa kuti muwone kuchuluka kwamadzimadzi omwe mumamwa komanso kuchuluka kwa zomwe mumasowa panthawi (voiding diary)

Chithandizo chimadalira chifukwa. Ngati kukodza kwambiri usiku chifukwa cha mankhwala okodzetsa, mungauzidwe kuti mukamwe mankhwala koyambirira kwa tsiku.

Nocturia

• Thirakiti lachikazi
• Njira yamkodzo wamwamuna

Carter C. Matenda amkodzo. Mu: Rakel RE, Rakel DP, olemba. Buku Lophunzitsira La Banja. 9th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 40.

Gerber GS, Brendler CB. Kuunika kwa wodwala wa mumikodzo: mbiri, kuwunika kwakuthupi, ndikuwunika kwamitsempha. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 1.

Landry DW, Bazari H. Njira kwa wodwala yemwe ali ndi matenda aimpso. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 106.

Wopepuka DJ, Gomelsky A, Souter L, Vasavada SP. Kuzindikira ndikuchiza chikhodzodzo chopitirira muyeso (chosagwiritsa ntchito neurogenic) mwa akuluakulu: AUA / SUFU Guideline Amendment 2019. J Urol. 2019; 202 (3): 558-563. (Adasankhidwa) PMID: 31039103 www.ncbi.nlm.nih.gov/pubmed/31039103.

Samarinas M, Gravas S. Chiyanjano pakati pa kutupa ndi LUTS / BPH. Mu: Morgia G, mkonzi. Zizindikiro Zotsika M'mitsinje ndi Benign Prostatic Hyperplasia. Cambridge, MA: Atolankhani a Elsevier Academic; 2018: mutu 3.