Ðe wòsena le ɖokuiwò me ɣeaɖewoɣi be esesẽna na wò be nàɖe aɖuɖɔ , abe ɖe wò tsinyegoe me mekɔ nyuie o enea? Alo ɖe mète ŋu le aɖuɖɔ tom le atikewɔwɔ ƒe nɔnɔme aɖe ta oa? Egbea, míele nu ƒom tso mɔnu bɔbɔe aɖe si ate ŋu akpe ɖe ŋuwò nàɖe aɖuɖɔ hena ɣeyiɣi aɖe ŋu. Woyɔa esia be Credé Maneuver.
Nukae nye Credé ƒe Mɔnukpɔkpɔ?
Kpuie ko la, esia bia be nàtsɔ gotagome nyaƒoɖeamenu ade wò ƒodo ƒe akpa si le anyime, si le wò akɔta te, blewuu be wòakpe ɖe ŋuwò nàkɔ wò tsinyegoea me. Ele abe alesi nèmimi ʋuƒo si me tsi yɔ fũu eye nèɖe asi le tsia ŋu ene.
Woto mɔnu sia vɛ gbã be wòakpe ɖe wo ŋu woaɖe vidzidɔa ɖa le vidzidzi me, gake emegbe wova nɔ ezãm tsɔ kpe ɖe amesiwo aɖuɖɔtoe sesẽ na ŋu . Lãmetsi aɖe le míaƒe tsinyegoe me, si woyɔna be ``detrusor muscle''. Ne lãmeka sia vuvu la, míeɖea aɖuɖɔ. Le atikewɔwɔ ƒe nɔnɔme aɖewo ta la, lãmeka sia mate ŋu awɔ dɔ nyuie o. Ɣemaɣie wozãa dzotɔtɔ ame kuku ƒe mɔnu sia, tsɔa nyaƒoɖeamenu tso gota be tsinyegoea nakɔ.
Nɔnɔme kawo mee wozãa mɔnu sia le?
Wozãa Crede mɔnu koŋ tsɔ kpɔa nɔnɔme aɖe si woyɔna be urinary retention , si nye ne tsinyegoea mete ŋu ƒua tsi keŋkeŋ o la gbɔ. Esia ate ŋu atso nu vovovowo gbɔ.
| Nusiwo hea aɖuɖɔtoe ƒe ʋuʋu vɛ | Numeɖeɖe bɔbɔe aɖe |
|---|---|
| Aɖuɖɔtoedɔlélewo (UTIs) . | Aɖuɖɔtoea ate ŋu avuvu eye wòaxɔ dɔlékuiwo, si ana aɖuɖɔtoea naxe mɔ. |
| Lãmetsiŋusẽ ƒe Gbegblẽ | Nɔnɔme sia ate ŋu adzɔ ne lãmeka siwo kpɔa aɖuɖɔtoe dzi gblẽ le aklã ƒe abi alo dɔléle bubuwo (neurogenic bladder) ta. |
| Prostate si Wololo Ðe Edzi | Ne ŋutsuwo le tsitsim la, tsinyegoe ƒe lãkusi (Benign Prostatic Hyperplasia - BPH) ate ŋu alolo eye wòaxe tsinyegoea. |
| Ayiku me Kpewo | Ne ayiku me kpewo va ge ɖe aɖuɖɔtoe me la, aɖuɖɔtoe ate ŋu atɔ. |
Ðe wòle dedie be nàyi mɔnu sia zazã dzia?
Esia nye nya vevi aɖe ŋutɔ . Credo ƒe mɔnua menye egbɔkpɔnu si anɔ anyi ɣeyiɣi didi gbeɖe o . Ɣeyiɣi kpui aɖe koe wòle be woazãe. Ne aɖuɖɔtoe me tsi ƒe kuxi aɖe le ŋuwò la, ele be nàkpɔ wò ɖɔkta godoo eye nàxɔ atike nyuitɔ nɛ, le kpɔɖeŋu me, woatsɔ mɔ̃ (Foley catheter ) ade eme.
Ðo ŋku edzi be esia nye ɣeyiɣi kpui aɖe ƒe mɔnu si wozãna le nɔnɔme kpata aɖe me, ke menye gbesiagbe dɔdamɔnu o.
Aleke woawɔ Credé Maneuver lae?
Togbɔ be wò ŋutɔ àte ŋu awɔ esia hã la, ele vevie be nàsrɔ̃ mɔ nyuitɔ si dzi nàto awɔ esia tso ɖɔkta alo dɔnɔdzikpɔla si xɔ hehe gbɔ gbã. Anyo wu be nàwɔe ƒe wɔwɔfia na wo be woakpɔ egbɔ be wowɔe nyuie.
Zi geɖe la, wowɔa esia ale:
- Gbã la, nɔ anyi/tsi tre ɖe nugododeƒe alo aba dzi.
- Emegbe nàda wò asiwo ɖe wò dɔgbo ƒe akpa si le anyime, wò akɔta te kple wò akɔtaƒu tame.
- Azɔ nàtsɔ wò asibidɛ atutu ɖe anyi blewuu. Alo nàtsɔ asibidɛwo aƒoe blewuu. Esia ana tsinyegoea nadze ƒuƒlu.
- Mɔnu bubue nye be nàtsɔ wò asibidɛ alo asibidɛwo ami teƒea blewuu ayi eme. Ele be nàlé nyaƒoɖeamenu sia me ɖe asi vaseɖe esime aɖuɖɔa nadzudzɔ sisi.
- Ne wò ŋutɔe le esia wɔm la, àte ŋu awɔ nyaƒoɖeamenu geɖe wu ne èbɔbɔ ɖe ŋgɔ vie eye nèmimie.
Viɖe kple afɔku kawoe le esia me?
Abe atikewɔwɔ ɖesiaɖe ene la, viɖe kple afɔku siaa le esiawo ŋu.
| Viɖe | Afɔkuwo & Kuxiwo |
|---|---|
| Ekpena ɖe ame ŋu be tsinyegoea me kɔ keŋkeŋ. Esia ate ŋu axe mɔ na tsinyegoe me kpewo, tsinyegoe ƒe vuvu, ayiku ƒe vuvu, kple ayiku ƒe gbegblẽ tegbee. | Esia mesɔ kura na amesi wowɔ dɔ na eƒe ƒodo o. Ate ŋu ana ame nase veve, aŋe nagbã, ʋu nado le ame ŋu, eye wòaxɔ dɔlékuiwo. |
| Enaa gbɔdzɔe enumake. | Esia wɔwɔ na ɖevi siwo ŋu ahɔhɔ̃mekawo ƒe dɔléle le ate ŋu ana ayiku nagblẽ (ayiku ƒe gbagbã). |
| Womehiã dɔwɔnu tɔxɛ aɖeke o. | Ne wozãe ɣeyiɣi didi la, aɖuɖɔ ate ŋu atrɔ ayi ayikuawo me (Vesicoureteral Reflux - VUR). |
| Afɔku bubuwo: Abi, ʋuʋudedi, ʋusisi, tsinyegoe ƒe nyaƒoɖeamenu sesẽ, kple ayiku ƒe vuvu (hydronephrosis). |
Nukawoe nye mɔnu bubu siwo woate ŋu azã ɖe Crede ƒe ɖoɖoa teƒe?
Dzɔgbenyuietɔe la, mɔ bubu siwo le dedie eye wonɔa anyi didi hã li siwo dzi woato ada aɖuɖɔtoe me dɔléle. Wò ɖɔkta atia esi sɔ na wò nɔnɔmea.
- Foley Catheter : Ðɔkta aɖe dea aɖuɖɔtoe me eye wòƒoa aɖuɖɔ nu ƒu ɖe akplo me.
- Aɖuɖɔtoe dodo na ame ɖokui: Catheter dede ɣeyiɣi kpui aɖe ƒe aɖuɖɔtoe me, aɖuɖɔtoe dodo, eye emegbe woaɖe catheter la ɖa enumake. Ele be woasrɔ̃ esia tso ɖɔkta hã gbɔ.
- Atikewo: Dɔlékuiwutikewo na aɖuɖɔtoedɔlélewo, alpha-blockers na aɖuɖɔtoe ƒe lolome, kple bubuawo.
- Amekoko: Amekoko be woaɖe ayiku me kpewo ɖa (ureteroscopy, shockwave lithotripsy), amekoko be woaɖe ayiku me kpewo ɖa (prostatectomy).
- Akɔta ƒe kamedede: Kegel kamededeÀte ŋu ado ŋusẽ lãmeka siwo kpɔa aɖuɖɔtoe dzi to kamededewo abe:
Ɣekaɣie wòle be makpɔ ɖɔkta?
Esia nye nusi dzi wòle be nàɖo ŋkui godoo. Ne esesẽna na wò alo nèle veve sem ne èle aɖuɖɔ tom , vevietɔ ne mèɖe aɖuɖɔ wu gaƒoƒo 6 o eye nèse le ɖokuiwò me be yeƒe ƒodo ƒe akpa si le anyime le tetem alo te ɖe ye ŋu la, yi ɖɔkta enumake . Ɣeaɖewoɣi la, esia ate ŋu anye nudzɔdzɔ kpata. Ne edzɔ alea la, woakplɔ wò ayi Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) tẽ . Mègahe nu siawo tɔgbe ɖe megbe o, elabena ate ŋu agblẽ nu le wò ayiku ŋu tegbee.
Gbedasi si Wotsɔ Yi Aƒeme
- Credé Maneuver nye mɔnu si wozãna hena ɣeyiɣi kpui aɖe si dzi woato akpe ɖe aɖuɖɔ dodo ŋu to ƒodo ƒe akpa si le ete la sesẽ me ne aɖuɖɔtoe me tsi.
- Esia menye egbɔkpɔnu si anɔ anyi ɣeyiɣi didi o . Ne aɖuɖɔtoe me kuxi aɖe le ŋuwò la, kpɔ egbɔ be yeyi ɖɔkta gbɔ eye nàxɔ atike nyuitɔ.
- Esia mesɔ na amesiwo wowɔ dɔ na le ƒodo kple ɖevi siwo ŋu ahɔhɔ̃mekawo ƒe dɔléle le o .
- Hafi wò ŋutɔ nàte mɔnu sia kpɔ la, srɔ̃ alesi tututu nàwɔe tso ɖɔkta alo dɔnyala bibi aɖe gbɔ.
- Ne mète ŋu le aɖuɖɔ tom gaƒoƒo geɖe o la, ate ŋu anye nusi dzɔ kpata. Di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.
👩🏽 ⚕️ Nyabiase Siwo Wobiana Enuenu (FAQ) tso Ðɔkta gbɔ
💬 Nukae nye Crede ƒe ɖoɖoa?
Kpuie ko la, esia nye mɔnu aɖe si dzi woato akpe ɖe tsinyegoea ŋu wòakɔ to nyaƒoɖeamenu blewuu tso ƒodo ƒe akpa si le ete ƒe gota gome. Esia kpena ɖe ame ŋu be aɖuɖɔ dona ne tsinyegoe ƒe lãmekawo mele dɔ wɔm nyuie o.
💬 Nukatae aɖuɖɔ tsina?
Nu vovovowoe nana aɖuɖɔtoe me tsina. Wo dometɔ siwo bɔ wue nye lãmekawo ƒe gbegblẽ (e.g., aklã ƒe abixɔxɔ), aɖuɖɔtoedɔléle (UTIs), kple ʋuka siwo lolo le ŋutsuwo me.
💬 Ðe prostate ƒe lolome gblẽa nu le aɖuɖɔtoe ŋua?
Ẽ, enye nusi gbɔ ŋutsuwo ƒe aɖuɖɔtoe me tsina zi geɖe. Ne míele tsitsim la, aɖuɖɔtoea ate ŋu alolo eye wòaxe mɔ na aɖuɖɔtoe. Esia wɔnɛ be esesẽna be woaɖe tsinyegoea me keŋkeŋ.
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