Urencing hou i ka pō

ʻO ka maʻamau, ʻo ka nui o ka mimi a kou kino e hana ai e iho ana i ka pō. ʻAe kēia i ka hapanui o ka poʻe e hiamoe 6 a 8 mau hola me ka ʻole o ka mimiki.

Ala kekahi poʻe mai ka hiamoe pinepine ʻana e mimi i ka pō. Hiki i kēia ke hoʻopilikia i nā pōpō hiamoe.

ʻO ka inu ʻana i ka nui o ka wai i ke ahiahi hiki iā ʻoe ke mimi pinepine i ka pō. Caffeine a me ka waiʻona ma hope o kaʻaina ahiahi hiki ke alakaʻi i kēia pilikia.

ʻO nā kumu maʻamau o ka urination i ka pō e:

• ʻO ka maʻi o ka bladder a i ʻole ka urinary tract
• Ke inu nei i ka nui o ka waiʻona, caffeine, a i ʻole nā ​​wai ʻē aʻe ma mua o ka hiamoe
• Pā nui prostate gland (BPH)
• Hapai keiki

ʻO nā kūlana ʻē aʻe i hiki ke alakaʻi i ka pilikia me:

• Ka hōʻeha kīnā ʻole
• Diabetes
• Ke inu nei i ka nui o ka wai
• Hewa puʻuwai
• Kiʻekiʻe pae kalipuna kiʻekiʻe
• ʻO kekahi mau lāʻau, e like me nā pila wai (diuretics)
• Insipidus diabetes
• ʻO ka pehu ʻana o nā wāwae

ʻO ke ala pinepine ʻana i ka pō e mimi hiki ke hoʻopili ʻia i ka maʻi hiamoe a me nā maʻi hiamoe ʻē aʻe. Hele paha ʻo Nocturia ke kaohi ʻia ka pilikia hiamoe. Hiki i ke koʻikoʻi a me ka hoʻomaha ʻole ke hoʻāla iā ʻoe i ka pō.

E nānā i ka pilikia:

• E mālama i kahi diary o ka nui o ka wai āu e inu ai, i ka manawa e mimi ai ʻoe, a i ka nui o kou mimi.
• E hoʻopaʻa i kou kaumaha o ke kino i nā manawa like a ma ka pālākiō like i kēlā me kēia lā.

Kāhea i kāu kahu mālama ola inā:

• Ke hoʻomau nei ke ala ʻana i ka mimi pinepine i nā lā he nui.
• Hoʻopilikia ʻia ʻoe e ka helu o nā manawa pono e mimi ai i ka pō.
• He naʻau wela kou i ka wā e mimi ai ʻoe.

E hana ana kāu mea hāʻawi i kahi hoʻokolohua kino a nīnau i nā nīnau e like me:

• I ka manawa hea i hoʻomaka ai ka pilikia a ua loli paha i ka hala ʻana o ka manawa?
• Ehia mau manawa e mimi ai ʻoe i kēlā me kēia pō a pehea ka nui o ka mimi e hoʻokuʻu ai i kēlā me kēia manawa?
• Loaʻa paha iā ʻoe nā "ulia pōpilikia" a i ʻole ka moe moe?
• He aha ka mea e ʻoi aku ai ka maikaʻi o ka pilikia?
• Ehia mau mea inu e inu ai ma mua o ka hiamoe? Ua hoʻāʻo anei ʻoe e kaohi i nā wai ma mua o ka hiamoe?
• He aha nā hōʻailona ʻē aʻe āu? Ua hoʻonui ʻoe i ka make wai, ʻeha a i ʻole ke ahi ʻana i ka urination, ke kuni, ka ʻeha o ka ʻōpū, a me ka ʻeha hope.
• He aha nā lāʻau e lawe nei ʻoe? Ua hoʻololi paha ʻoe i kāu papaʻai?
• Inu ʻoe i ka caffeine a me ka waiʻona? Inā pēlā, ehia mau mea āu e ʻai ai i kēlā me kēia lā a i ka wā o ka lā?
• Ua loaʻa paha ʻoe i nā maʻi maʻi bladder i ka wā i hala?
• Loaʻa iā ʻoe kahi moʻolelo ʻohana o ka maʻi diabetes?
• Hoʻopilikia ka urination o ka pō i kou hiamoe?

Nā hoʻokolohua e hana ʻia ai paha:

• Koko kō (glucose)
• Nokena urea koko
• Ka hoʻonele wai
• Osmolality, koko
• ʻO ka creatinine serum a i ʻole ka ʻae creatinine
• Nā electrolytes serum
• Urinalysis
• Piʻipiʻi kōmi
• Moʻomeheu mimi
• Ke noi nei paha ʻoe e nānā i ka nui o ka wai āu e lawe ai a me ka nui o kou hōʻole ʻana i ka manawa (voiding diary)

Pili ka mālama ʻana i ke kumu. Inā nui ka urination o ka pō ma muli o nā lāʻau diuretic, ʻōlelo ʻia ʻoe e lawe i kāu lāʻau i ka lā mua.

Nocturia

• ʻĀpana mimi wahine
• ʻĀpana mimi kāne

ʻO Carter C. Nā maʻi maʻi urinary. I: Rakel RE, Rakel DP, eds. Puke aʻo o ka lāʻau lapaʻau ʻohana. 9th ed. Piladelapia, PA: Elsevier Saunders; 2016: chap 40.

ʻO Gerber GS, Brendler CB. Ka loiloi o ka mea hoʻomanawanui urologic: mōʻaukala, hoʻokolokolo kino, a me ka urinalysis. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 1.

Landry DW, Bazari H. Ke hoʻokokoke aku i ka mea maʻi me ka maʻi hōʻeha. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 106.

ʻO Lightner DJ, Gomelsky A, Souter L, Vasavada SP. ʻIke a me ka mālama ʻana i ka bladder overactive (non-neurogenic) i nā mākua: AUA / SUFU Alakaʻi Hoʻololi 2019. J Urol. 2019; 202 (3): 558-563. PMID: 31039103 www.ncbi.nlm.nih.gov/pubmed/31039103.

Samarinas M, Gravas S. ʻO ka pilina ma waena o ka palaho a me LUTS / BPH. I: Morgia G, ed. Nā Hōʻailona Urinary Tract Low a me Benign Prostatic Hyperplasia. Cambridge, MA: Elsevier Academic Press; 2018: chap 3.