Urination nui loa i ka pō (Nocturia)

Anter

• Nā Kumu
• Nā kūlana olakino
• Hapai keiki
• Nā Lapaʻau
• Nā koho nohona
• Pehea e hōʻoia ʻia ai
• Nā hoʻoponopono
• Pehea e pale aku ai iā ia
• Outlook

He aha ka nocturia?

ʻO Nocturia, a i ʻole nocturnal polyuria, ka wā lapaʻau no ka mimiki nui loa i ka pō. I ka wā hiamoe, hana ka nui o kou kino i ka mimi e nui ka noʻonoʻo. ʻO kēia ka manaʻo ʻaʻole pono ka hapanui o nā poʻe e ala i ka pō e mimi a hiki ke hiamoe ʻole no 6 a 8 mau hola.

Inā pono ʻoe e ala i ʻelua mau manawa a ʻoi paha i kēlā me kēia pō e mimi, loaʻa paha iā ʻoe ka nocturia. Ma waho o ka hoʻohaunaele ʻana i kou hiamoe, hiki i ka nocturia ke hōʻailona o kahi ʻano maʻi olakino.

Nā Kumu

ʻO nā kumu o ka nocturia mai nā koho o ka nohona i nā kūlana olakino. ʻOi aku ka maʻamau o Nocturia i waena o nā mākua makua, akā hiki ke hana i kēlā me kēia makahiki.

Nā kūlana olakino

Hiki i nā ʻano lāʻau lapaʻau ke kumu nocturia. ʻO nā kumu maʻamau o ka nocturia kahi maʻi urinary tract (UTI) a i ʻole ka maʻi ʻaʻai. Hoʻokumu kēia mau maʻi i nā wela wela pinepine a me ka urination urgent ma loko o ka lā a me ka pō. Pono ka lāʻau lapaʻau i nā lāʻau antibiotic.

ʻO nā kūlana olakino ʻē aʻe e hiki ke kumu i ka nocturia:

• maʻi a hoʻonui paha o ka prostate
• hoʻolaha i ka ʻai
• ʻōkuhi overactive (OAB)
• nā tumors o ka ʻōpū, prostate, a i ʻole pelvic ʻāpana
• diabetes
• hopohopo
• maʻi ʻaʻai
• edema a i ʻole ka pehu ʻana o nā wāwae lalo
• pāʻālua hiamoe ʻaʻano
• nā maʻi neurological, e like me sclerosis maha (MS), maʻi ʻo Parkinson, a i ʻole ke kaohi ʻana o ka iwi maha

ʻO ka Nocturia ka mea maʻamau i ka poʻe me ka maikaʻi ʻole o ka ʻōpū, e like me ka maikaʻi ʻole o ka naʻau a me ke ake.

Hapai keiki

Hiki i ka Nocturia kahi hōʻailona mua o ka hāpai keiki. Hiki i kēia ke ulu i ka hoʻomaka o ka hāpai ʻana, akā hana ʻia ia ma hope, ke kaomi ka ʻōpū ulu e kūʻē i ka pūpū.

Nā Lapaʻau

Hoʻokumu paha kekahi mau lāʻau i ka nocturia ma ke ʻano he ʻaoʻao. Kūpono maoli kēia i nā diuretics (nā wai wai), i kuhikuhi ʻia e mālama i ke kahe koko kiʻekiʻe.

Pono ʻoe e ʻimi i ka mālama olakino olakino mai ke kauka inā lilo ʻoe i ka hiki ke mimiki a i ʻole inā ʻaʻole hiki iā ʻoe ke kaohi hou i kāu urination.

Nā koho nohona

ʻO kekahi kumu maʻamau o ka nocturia ka hōʻemi wai nui. ʻO ka waiʻona a me nā mea inu caffeinated he diuretics, ʻo ia hoʻi ka inu ʻana iā lākou e kumu i ka nui o ka mimi o kou kino. ʻO ka inu ʻana i ka wai ʻona a me nā mea inu caffeine paha i keu aku ke alakaʻi i ka ala ʻana i ka pō a me ka pono e mimi.

ʻO nā poʻe ʻē aʻe nocturia i hoʻomohala maʻalahi i kahi ʻano o ke ala ʻana i ka pō e mimi.

Pehea e hōʻoia ʻia ai

ʻIke ke kumu o ka nocturia hiki i ka paʻakikī. Pono kāu kauka e nīnau i nā nīnau like ʻole. Hiki ke maikaʻi ke mālama i kahi diary no kekahi mau lā e hoʻopaʻa i ka mea āu e inu ai a me ka nui, a me nā manawa e pono ai ʻoe e mimi.

E nīnau paha kāu kauka iā ʻoe e komo pū:

• I ka manawa hea i hoʻomaka ai ka nocturia?
• Ehia mau manawa i kēlā me kēia pō āu e mimi ai?
• Ke hana nei paha ʻoe i ka mimi liʻiliʻi ma mua o kāu hana ma mua?
• Loaʻa paha ʻoe i nā ulia a i pulu paha ʻoe i ka moena?
• Hana paha kekahi mea i mea e ʻino ai ka pilikia?
• Loaʻa iā ʻoe kekahi hōʻailona ʻē aʻe?
• He aha nā lāʻau āu e lawe nei?
• Loaʻa iā ʻoe kahi moʻolelo ʻohana o nā pilikia o ka maʻi ʻaʻa a i ʻole ka maʻi diabetes?

Hoʻokolohua paha lākou iā ʻoe e like me:

• hoʻāʻo kō kō e nānā i ka maʻi kō
• nā ho'āʻo koko ʻē aʻe no ka helu o ke koko a me ke kemika o ke koko
• urinalysis
• moʻomeheu mimi
• hoʻāʻo hoʻowahāwahā wai
• nā hoʻokolohua kiʻi, e like me ultrasounds a i ʻole CT scans
• nā hoʻokolohua urological, e like me cystoscopy

Nā hoʻoponopono

Inā hoʻokumu ʻia kāu nocturia e kahi lāʻau, lawe i ka lāʻau i ka lā mua e kōkua

Hiki i ka hana nocturia ke hoʻopili i nā lāʻau i kekahi manawa, e like me:

• nā lāʻau anticholinergic, ka mea e kōkua i ka hoʻoliʻiliʻi o nā ʻōuli o kahi bladder overactive
• desmopressin, kahi e kumu ai i kāu mau puʻupaʻa e hana i ka mimi liʻiliʻi i ka pō

Hiki i ka Nocturia kahi hōʻailona o ke ʻano ʻoi aku ke koʻikoʻi, e like me ka maʻi kōkō a i ʻole ka UTI i hiki ke hōʻeha a pāhola paha inā haʻalele ʻole ʻia. ʻO ka Nocturia ma muli o kahi ʻano paʻa e kū mau ke mālama maikaʻi ʻia ke ʻano.

Pehea e pale aku ai iā ia

Aia nā ʻanuʻu hiki iā ʻoe ke lawe e hōʻemi i ka hopena o ka nocturia i kou ola.

ʻO ka hōʻemi ʻana i ka nui āu e inu ai 2 a 4 mau hola ma mua o ka hiamoe ʻana hiki ke kōkua iā ʻoe mai ka pono o ka mimi ʻana i ka pō. Hiki ke kōkua i ka pale ʻana i nā mea inu i piha i ka ʻalekohola a me ka caffeine, a hiki i ka mimi ʻana ma mua o kou hiamoe ʻana. Hiki i kekahi mea mea ʻai ke lilo i mau mea hoʻonāukiuki i ka maʻi ʻaʻai, e like me ke kokoleka, nā meaʻai nīoi, nā meaʻai waikawa, a me nā mea ʻono hana. Hiki i nā hoʻolālā Kegel a me nā pelvic papa hana hoʻoikaika kino hoʻoikaika i ka hoʻoikaika ʻana i kou mau puʻupuʻu pelvic a hoʻomaikaʻi i ka kaohi o ka ʻai.

E nānā pono i nā mea e hōʻino ai i kāu mau hōʻailona i hiki iā ʻoe ke hoʻāʻo e hoʻololi i kāu ʻano maʻamau. Manaʻo kekahi poʻe he mea kōkua ka mālama ʻana i ka diary o kā lākou mea e inu ai a i ka wā hea.

Outlook

Ma muli o ka nocturia e hoʻopili ai i kāu pōʻaiapuni hiamoe, hiki iā ia ke alakaʻi i ka hiamoe hiamoe, ka luhi, ka hiamoe, a me nā ʻano o ke ʻano inā haʻalele ʻole ʻia. E kamaʻilio me kāu kauka e kūkākūkā i nā loli nohona a me nā koho lapaʻau e hiki ke kōkua iā ʻoe.