N 'chifukwa Chiyani Ndimamva Ludzu Usiku?

Zamkati

• Kodi ndimalo anga ogona?
• Kodi ndasowa madzi m'thupi?
• Kodi izi zikugwirizana ndi mankhwala omwe ndikumwa?
• Kodi awa ndi matsirere?
• Kodi izi ndi chifukwa cha matenda obanika kutulo?
• Kodi kutha kumeneku kumatha?
• Kodi ichi chingakhale chizindikiro cha matenda ashuga?
• Ndi chiyani china chomwe chingakhale?
• Matenda a Sjögren
• Kuchepa kwa magazi m'thupi
• Mtima, impso, kapena chiwindi kulephera
• Ndiyenera kukaonana ndi dokotala?
• Mfundo yofunika

Kudzuka ndi ludzu kungakhale kukhumudwitsa pang'ono, koma ngati kumachitika kawirikawiri, kumatha kuwonetsa zaumoyo womwe umafunikira chidwi.

Nazi zina zomwe mungaganizire ngati kufunikira kwanu kwakumwa kukudzutsa usiku.

Kodi ndimalo anga ogona?

Ngati mukufuna kugona mokwanira, chipinda chozizira ndibwino kuposa chotentha. Akatswiri amalangiza kuti muzitha kutentha m'chipinda chanu pakati pa 60 ndi 70 ° F (16 mpaka 21 ° C).

Ngati mukudzuka muli ndi ludzu, ndizothekanso kuti mpweya wanyumba yanu ndiwouma kwambiri.

Environmental Protection Agency (EPA) ikukulimbikitsani kuti musunge chinyezi mnyumba mwanu pakati pa 30 ndi 50%. Izi zauma mokwanira kuti muchepetse kukula kwa nkhungu.

Kodi ndasowa madzi m'thupi?

Momwe madzi amafunikira tsiku ndi tsiku amatha kusiyanasiyana. Mwambiri, imwani magalasi asanu ndi atatu a madzi tsiku lililonse.

Ngati mwachita masewera olimbitsa thupi kwambiri, gwirani ntchito yotentha, kapena posachedwapa mwataya madzi ambiri ochokera kusanza, kutsegula m'mimba, kapena malungo, mungafunike kumwa zakumwa zina m'malo mwa madzi ndi ma electrolyte omwe mwataya.

Kuyang'anitsitsa kumwa madzi ndikofunikira kwambiri kwa ana komanso achikulire, omwe ludzu lawo silingakhale mulingo woyenera wamafuta awo.

Kodi izi zikugwirizana ndi mankhwala omwe ndikumwa?

Ludzu ndi zotsatira zoyipa zamankhwala ambiri omwe akupatsidwa, kuphatikiza:

• corticosteroids
• SGLT2 zoletsa
• mankhwala opatsirana
• mankhwala opatsirana pogonana
• anticonvulsants
• anticholinergics

Ngati mukudzuka muli ndi ludzu mutamwa imodzi mwa mankhwalawa, mungafune kuyankhula ndi dokotala wanu kuti muwone ngati pali njira ina yomwe simukuyang'ana pampopi pakati pausiku.

Kodi awa ndi matsirere?

Ngati mumamwa zakumwa zoledzeretsa zingapo munthawi yochepa, mutha kudzuka mukumauma.

Ludzu lanu mwina limayambitsidwa ndi diuresis - komwe kumatayika kwamadzi kudzera mukukodza - komanso njira zina zamankhwala m'thupi.

Thupi lanu likamamwa mowa, mankhwala omwe amatchedwa amapangidwa. Mankhwalawa amachititsa kuti munthu azimva ludzu, kuwonjezera pakuyambitsa zina.

Ngati muli ndi njala, mutha kuyesa kupopera pang'onopang'ono:

• madzi
• tiyi wazitsamba
• zakumwa zamasewera kuti zibwezeretse ma electrolyte omwe atayika
• tsukani msuzi kuti mubwezeretse msinkhu wanu wa sodium

Kodi izi ndi chifukwa cha matenda obanika kutulo?

Ngati muli ndi vuto lobanika kutulo, mwina mumakhala mukupuma mkamwa mwanu usiku. Kusamva kwa pakamwa pouma kumatha kukudzutsani. Kugwiritsira ntchito chida chopitirirabe cha airway pressure (CPAP) kungayambitsenso pakamwa pouma, nanunso.

Ngati mukugwiritsa ntchito makina a CPAP, mutha kuyankhula ndi adotolo za makina omwe sangayime pakamwa panu usiku.

Ndikofunika kuti mulankhule ndi dokotala wa mano za pakamwa pouma, nanunso. Malovu ochepa mkamwa mwanu amatha kubweretsa kuwonongeka kwa mano.

Kodi kutha kumeneku kumatha?

Mahomoni obereka estrogen ndi progesterone onse amatenga gawo lofunikira pakuwongolera kwamadzi ndi ludzu mthupi lanu. Nthawi yopuma komanso kusintha kwa msambo, kusintha kwa mahomoni kumatha kubweretsa kutentha, thukuta usiku, komanso ludzu lowonjezeka.

Pakafukufuku wa 2013, ofufuza adaphunzira thukuta m'mayendedwe a premenopausal, perimenopausal, ndi postmenopausal azimayi momwe amathandizira. Kafukufukuyu adawona kuti omwe akutenga nawo gawo pakadali pano azindikira kuti ali ndi ludzu poyerekeza ndi omwe akuchita nawo premenopausal asanachite masewera olimbitsa thupi asanakwane.

Ngati muli mumsambo, ndikofunikira makamaka onetsetsani kuti mumamwa madzi ambiri tsiku lililonse.

Kodi ichi chingakhale chizindikiro cha matenda ashuga?

Matenda a shuga amachititsa ludzu kwambiri. Pamene thupi lanu silingagwiritse bwino ntchito shuga, impso zanu zimagwira ntchito nthawi yochulukirapo kuyesa kuchotsa magazi omwe ali ndi shuga wochulukirapo. Impso zanu zimatulutsa mkodzo wambiri, zomwe zimayambitsa chidwi cha ludzu kuti mumwe madzi ambiri.

Zina zokhudzana nazo zitha kuchititsanso ludzu, monga:

• matenda a shuga insipidus
• nephrogenic shuga insipidus
• dipsogenic shuga insipidus

Central and nephrogenic diabetes insipidus imatha kukhudza kapangidwe kanu kapenanso kuyamwa kwa vasopressin, motsatana. Vasopressin, yotchedwanso antidiuretic hormone, ndi mahomoni omwe amayang'anira kuchuluka kwa madzi m'thupi.

Zotsatira zake ndikuti thupi lanu limataya mkodzo wambiri, chifukwa chake mumamva ludzu.

Ndi chiyani china chomwe chingakhale?

Matenda a Sjögren

Matenda a Sjögren ndimatenda amthupi omwe amachititsa kuti thupi lanu lizilimbana ndi tiziwalo timene timatulutsa maso ndi pakamwa panu. Zimakhudza amayi ambiri kuposa amuna. Ikhozanso kuyambitsa:

• kuuma kwa nyini
• totupa
• khungu lowuma
• kupweteka pamodzi
• kutupa kwadongosolo

Kutafuna chingamu ndikugwiritsa ntchito lozenges kumatha kuthandizira pakamwa pouma. Dokotala wanu akhoza kukupatsani mankhwala kuti athandize kuwongolera mayankho a chitetezo chamthupi lanu.

Kuchepa kwa magazi m'thupi

Kuchepa kwa magazi ndimatenda omwe amakhudza maselo anu ofiira. Chizindikiro chodziwika kwambiri cha kuchepa kwa magazi ndikutopa kapena kutopa.

Komabe, kuwonjezeka kwa ludzu kungakhalenso chizindikiro. Mitundu ina ya kuchepa kwa magazi nthawi zina imatha kubweretsa kusowa kwa madzi m'thupi.

Kuchepa kwa magazi nthawi zambiri kumakhala kofatsa, koma ngati singalandire chithandizo, kumatha kubweretsa zovuta zina zathanzi. Lankhulani ndi dokotala ngati mukuganiza kuti mwina ndizokhudzana ndi zomwe zikudzutsani usiku.

Mtima, impso, kapena chiwindi kulephera

Ngati muli ndi vuto la mtima, impso, kapena chiwindi, mutha kumva ludzu kwambiri thupi lanu likamayesetsa kuchepetsa madzi ndi ma electrolyte.

M'maphunziro angapo, kuzungulira anthu omwe ali muzipinda zosamalirako anthu odwala matendawa amakhala ndi ludzu lokwanira.

Ndiyenera kukaonana ndi dokotala?

Ndibwino kuyankhula ndi wothandizira zaumoyo nthawi iliyonse mukakhala ndi nkhawa zokhudzana ndi chizindikiro kapena vuto lomwe mukukumana nalo.

Konzani ulendo wa dokotala ngati:

• Simungathe kuthetsa ludzu lanu ngakhale mutamwa kwambiri.
• Mukukodza mkodzo wochulukirapo tsiku lililonse.
• Nthawi zambiri mumakhala otopa kapena otopa.
• Masomphenya anu sakuoneka bwino.
• Muli ndi zilonda, mabala, kapena zilonda zomwe sizipola bwino.
• Ludzu lanu limatsagana ndi njala yochulukirapo.

Mfundo yofunika

Mukadzuka usiku chifukwa muli ndi ludzu, chomwe chimayambitsa matendawa ndi malo ogona, zizolowezi zamadzi, kapena mankhwala omwe mumamwa.

Kusintha kosavuta pamachitidwe anu kumatha kubweretsa kugona kosadodometsedwa usiku.

Koma ngati nthawi zonse mumadzuka muli ndi ludzu, mwina thanzi lanu ndi lomwe limakuchititsani kuti mukhale ndi thanzi labwino.

Zikatero, onetsetsani kuti mumadzuka kangati mdziko lino ndikuwona zina mwazomwe mukuwona. Lankhulani ndi dokotala wanu za zomwe zikuchitika. Thupi lanu likhoza kukhala likufuna kukuwuzani china chake chofunikira.