Kukodza Kwambiri usiku (Nocturia)

Zamkati

• Zoyambitsa
• Zochitika zamankhwala
• Mimba
• Mankhwala
• Zosankha za moyo
• Momwe amadziwika
• Mankhwala
• Momwe mungapewere
• Chiwonetsero

Kodi nocturia ndi chiyani?

Nocturia, kapena nocturnal polyuria, ndi dzina lachipatala lakukodza kwambiri usiku. Nthawi yogona, thupi lanu limatulutsa mkodzo wochepa womwe umakhala wolimba kwambiri. Izi zikutanthauza kuti anthu ambiri safunika kudzuka usiku kuti akodzere ndipo amatha kugona mosadodometsedwa kwa maola 6 mpaka 8.

Ngati mukufuna kudzuka kawiri kapena kupitilira apo usiku kuti mukodze, mutha kukhala ndi nocturia. Kuphatikiza pakusokoneza tulo tanu, nocturia itha kukhalanso chizindikiro cha matenda.

Zoyambitsa

Zomwe zimayambitsa nocturia zimasiyana ndi zomwe munthu amasankha pamoyo wake mpaka zamankhwala. Nocturia imafala kwambiri pakati pa okalamba, koma imatha kuchitika msinkhu uliwonse.

Zochitika zamankhwala

Matenda osiyanasiyana amatha kuyambitsa nocturia. Zomwe zimayambitsa nocturia ndi matenda amkodzo (UTI) kapena matenda a chikhodzodzo. Matendawa amachititsa kuti azimva kutentha pafupipafupi komanso amakodza msana usana ndi usiku. Chithandizo chimafuna maantibayotiki.

Matenda ena omwe angayambitse nocturia ndi awa:

• matenda kapena kukulitsa kwa prostate
• chikhodzodzo prolapse
• chikhodzodzo chopitirira muyeso (OAB)
• zotupa za chikhodzodzo, prostate, kapena m'chiuno
• matenda ashuga
• nkhawa
• matenda a impso
• edema kapena kutupa kwa miyendo yakumunsi
• matenda obanika kutulo
• matenda amitsempha, monga multiple sclerosis (MS), matenda a Parkinson, kapena kupindika kwa msana

Nocturia imakhalanso yofala kwa anthu omwe ali ndi ziwalo zolephera, monga mtima kapena chiwindi kulephera.

Mimba

Nocturia ikhoza kukhala chizindikiro choyambirira cha mimba. Izi zitha kuchitika koyambirira kwa mimba, koma zimachitikanso pambuyo pake, pomwe chiberekero chokulira chimakanikiza chikhodzodzo.

Mankhwala

Mankhwala ena amatha kuyambitsa nocturia ngati mbali ina. Izi ndizowona makamaka kwa okodzetsa (mapiritsi amadzi), omwe amapatsidwa kuti athetse kuthamanga kwa magazi.

Muyenera kupeza chithandizo chamankhwala mwadzidzidzi kuchokera kwa dokotala ngati simutha kukodza kapena ngati simungathe kuyendetsa kukodza kwanu.

Zosankha za moyo

Chifukwa china chofala cha nocturia ndikumwa kwambiri madzi. Zakumwa zoledzeretsa ndi zakumwa za khofi ndizodzikweza, zomwe zikutanthauza kuti kumwa kumapangitsa kuti thupi lanu lipange mkodzo wambiri. Kumwa zakumwa zoledzeretsa kapena zakumwa za khofi mopitirira muyeso kumatha kuyambitsa nthawi yakudzuka usiku ndikusowa kukodza.

Anthu ena omwe ali ndi nocturia angokhala ndi chizolowezi chodzuka usiku kuti akodzere.

Momwe amadziwika

Kuzindikira chifukwa cha nocturia kungakhale kovuta. Dokotala wanu adzafunika kufunsa mafunso osiyanasiyana. Zitha kukhala zothandiza kusunga zolemba kwa masiku angapo kuti mulembe zomwe mumamwa komanso kuchuluka kwake, komanso momwe mungafunikire kukodza.

Mafunso omwe dokotala angakufunseni ndi awa:

• Kodi nocturia idayamba liti?
• Kodi mumayenera kukodza kangati usiku uliwonse?
• Kodi mukupanga mkodzo wochepa kuposa kale?
• Kodi mwachita ngozi kapena mwanyowetsa bedi?
• Kodi pali chilichonse chomwe chikuwonjezera vutoli?
• Kodi muli ndi zizindikiro zina?
• Mukumwa mankhwala ati?
• Kodi muli ndi banja lomwe limakumana ndi mavuto a chikhodzodzo kapena matenda ashuga?

Akhozanso kukuyesani mayeso monga:

• kuyesa magazi m'magazi kuti aone ngati ali ndi matenda ashuga
• mayeso ena amwazi wamagazi ndi kapangidwe ka magazi
• kusanthula kwamkodzo
• chikhalidwe cha mkodzo
• kuyesedwa kwamadzimadzi
• kuyerekezera kujambula, monga ma ultrasound kapena ma scan a CT
• mayesero a urological, monga cystoscopy

Mankhwala

Ngati nocturia yanu imayambitsidwa ndi mankhwala, kumwa mankhwalawa tsiku lomwelo kungathandize

Chithandizo cha nocturia nthawi zina chimatha kuphatikizira mankhwala, monga:

• mankhwala anticholinergic, amene amathandiza kuchepetsa zizindikiro za chikhodzodzo mopitirira muyeso
• desmopressin, yomwe imapangitsa impso zanu kutulutsa mkodzo wochepa usiku

Nocturia ikhoza kukhala chizindikiro cha vuto lalikulu, monga matenda ashuga kapena UTI yomwe imatha kukulirakulira kapena kufalikira ngati singachiritsidwe. Nocturia chifukwa cha vuto lomwe limakhalapo nthawi zambiri limatha pamene vutoli lathandizidwa.

Momwe mungapewere

Pali zinthu zomwe mungachite kuti muchepetse zovuta za nocturia pamoyo wanu.

Kuchepetsa kuchuluka kwa zomwe mumamwa maola awiri kapena anayi musanagone kungakuthandizeni kupewa kufunika kokodza usiku. Kupewa zakumwa zomwe zili ndi mowa komanso tiyi kapena khofi kungathandizenso, monganso kukodza musanagone. Zakudya zina zimatha kukhala zotsekemera chikhodzodzo, monga chokoleti, zakudya zokometsera zokometsera, zakudya za acidic, ndi zotsekemera zopangira. Zochita za Kegel ndi mankhwala am'chiuno zimathandizira kulimbitsa minofu yanu ya m'chiuno ndikuwongolera chikhodzodzo.

Samalani kwambiri zomwe zimapangitsa kuti zizindikilo zanu zizikulirakulira kuti muthe kusintha zizolowezi zanu moyenera. Anthu ena zimawawona kukhala zothandiza kusunga zolemba za zakumwa komanso nthawi.

Chiwonetsero

Chifukwa nocturia imakhudza kugona kwanu, imatha kubweretsa kugona, kutopa, kugona, komanso kusinthasintha kwa malingaliro mukapanda kuchiritsidwa. Lankhulani ndi dokotala wanu kuti mukambirane zosintha pamoyo wanu komanso njira zamankhwala zomwe zingakuthandizeni.