Ke manaʻo nei ʻoe i kekahi manawa he paʻakikī iā ʻoe ke mimi , me he mea lā ʻaʻole e hoʻokahe pono ana kou ʻōpū mimi ? A i ʻole ʻaʻole hiki iā ʻoe ke mimi ma muli o kahi maʻi? I kēia lā, e kamaʻilio mākou e pili ana i kahi ʻano hana maʻalahi e hiki ke kōkua iā ʻoe e mimi no kekahi manawa. Ua kapa ʻia kēia ʻo Credé Maneuver.
He aha ka hana a Credé Maneuver?
I ka ʻōlelo maʻalahi, pili kēia i ke kaomi mālie ʻana i waho i kou ʻōpū haʻahaʻa, ma lalo o kou piko, e kōkua i ka hoʻokahe ʻana i kou ʻōpū mimi. Ua like ia me ke kaomi ʻana i kahi pōpō piha i ka wai a hoʻokuʻu i ka wai i waho.
Ua hoʻolauna mua ʻia kēia ʻano hana e kōkua i ka wehe ʻana i ka placenta i ka wā hānau keiki, akā ma hope mai ua hoʻomaka ʻia e hoʻohana ʻia e kōkua i ka poʻe i pilikia i ka mimi . Aia kekahi ʻiʻo i loko o ko kākou ʻōpū mimi, i kapa ʻia ʻo "detrusor muscle". Ke ʻūlū kēia ʻiʻo, mimi mākou. Ma muli o kekahi mau kūlana olakino, ʻaʻole paha e hana pono kēia ʻiʻo. ʻO ia ka manawa e hoʻohana ʻia ai kēia ʻano hana puhi kino, e kau ana i ke kaomi mai waho e hoʻokahe i ka ʻōpū mimi.
I nā kūlana hea e hoʻohana ʻia ai kēia ʻano hana?
Hoʻohana nui ʻia ke ʻano Crede no ka mālama ʻana i kahi kūlana i kapa ʻia ʻo ka paʻa ʻana o ka mimi , ʻo ia hoʻi ka wā hiki ʻole i ka ʻōpū mimi ke hoʻokahe piha. Hiki i kēia ke loaʻa i kekahi mau kumu.
| Nā kumu o ka paʻa ʻana o ka mimi | He wehewehe maʻalahi |
|---|---|
| Nā Maʻi ʻAla Mimi (UTI) | Hiki i ka urethra ke pehu a loaʻa ka maʻi, e ālai ana i ke kahe o ka mimi. |
| Ka pōʻino o ke aʻalolo | Hiki ke hōʻike ʻia kēia kūlana ke hōʻino ʻia nā aʻalolo e kāohi ana i ka mimi ʻana ma muli o ka ʻeha o ke kaula kuamoʻo a i ʻole nā maʻi ʻē aʻe (neurogenic bladder). |
| Ka Prostate i hoʻonui ʻia | I ka wā e ʻelemakule ai nā kāne, hiki i ka prostate gland (Benign Prostatic Hyperplasia - BPH) ke hoʻonui a ālai i ka urethra. |
| Nā Pōhaku Puʻupaʻa | Inā paʻa nā pōhaku puʻupaʻa i loko o ke ala mimi, hiki ke oki ke kahe o ka mimi. |
He palekana anei ka hoʻomau ʻana i ka hoʻohana ʻana i kēia ʻano hana?
He mea nui loa kēia. ʻAʻole loa he hopena lōʻihi ke ʻano hana Credo. Pono e hoʻohana wale ʻia no kekahi manawa. Inā he pilikia kou me ka paʻa ʻana o ka mimi, pono ʻoe e ʻike i kāu kauka a loaʻa i ka lāʻau kūpono no ia, no ka laʻana, ua hoʻokomo ʻia kahi paipu (Foley catheter ).
E hoʻomanaʻo, he hana manawa pōkole kēia i hoʻohana ʻia i ka wā pilikia, ʻaʻole ia he lāʻau lapaʻau i kēlā me kēia lā.
Pehea e hana ai i ka Credé Maneuver?
ʻOiai hiki iā ʻoe ke hana i kēia iā ʻoe iho, he mea nui e aʻo mua i ke ala kūpono e hana ai mai ke kauka a i ʻole ke kahu maʻi i aʻo ʻia. ʻOi aku ka maikaʻi o ka hōʻike ʻana iā lākou e hōʻoia i ka hana pololei ʻia.
Hana pinepine ʻia kēia penei:
- ʻO ka mua, e noho/kū ma ka lua a i ʻole ma luna o kahi moe.
- A laila e kau i kou mau lima ma ka ʻaoʻao haʻahaʻa o kou ʻōpū, ma lalo o kou piko a ma luna o kou iwi pubic.
- I kēia manawa, e hamo mālie i lalo me kou poho lima. A i ʻole e pā mālie me kou mau manamana lima. E hoʻomaka kēia i ka hoʻokahe ʻana o ka ʻōpū mimi.
- ʻO kekahi ʻano hana, ʻo ia ke kaomi mālie i ka ʻāpana i loko me kou poho lima a i ʻole kou manamana lima. Pono ʻoe e mālama i kēia kaomi a hiki i ka pau ʻana o ke kahe ʻana o ka mimi.
- Inā ʻoe e hana ana i kēia iā ʻoe iho, hiki iā ʻoe ke kau i ke kaomi hou aku ma ke kūlou iki ʻana i mua a me ke ʻūmiʻi ʻana.
He aha nā pōmaikaʻi a me nā pilikia o kēia?
E like me kekahi kaʻina hana olakino, loaʻa i kēia kaʻina hana nā pono a me nā pilikia.
| Nā Pōmaikaʻi | Nā Pōʻino a me nā Pilikia |
|---|---|
| Kōkua ia i ka hoʻokahe loa ʻana i ka ʻōpū mimi. Hiki i kēia ke pale i ke kūkulu ʻia ʻana o nā pōhaku ʻōpū mimi, ka pehu ʻana o ka ʻōpū mimi, ka pehu ʻana o nā puʻupaʻa, a me ka hōʻino mau ʻana o nā puʻupaʻa. | ʻAʻole kūpono loa kēia no kekahi mea i hana ʻia ke ʻoki ʻōpū. Hiki iā ia ke hōʻeha, haki nā humuhumu, kahe ke koko, a me ka maʻi. |
| Hāʻawi koke i ka hōʻoluʻolu. | ʻO ka hana ʻana i kēia i nā keiki me nā maʻi neurological hiki ke hōʻino i nā puʻupaʻa (renal rupture). |
| ʻAʻohe pono kūikawā. | Me ka hoʻohana lōʻihi, hiki i ka mimi ke kahe i hope i loko o nā puʻupaʻa (Vesicoureteral Reflux - VUR). |
| Nā pilikia ʻē aʻe: ʻO ka palapū, ka hernia, nā hemorrhoids, ke kaomi nui ma ka ʻōpū mimi, a me ka pehu ʻana o nā puʻupaʻa (hydronephrosis). |
He aha nā koho ʻē aʻe i ka ʻōnaehana Crede?
ʻO ka mea pōmaikaʻi, aia kekahi mau ala palekana a lōʻihi hoʻi e mālama ai i ka paʻa ʻana o ka mimi. Na kāu kauka e koho i ka mea kūpono loa no kou kūlana.
- Foley Catheter : Hoʻokomo ke kauka i kahi catheter i loko o ka urethra a hōʻiliʻili i ka mimi i loko o kahi ʻeke.
- Ka hoʻokomo ʻana i kahi catheter ponoʻī: Ke hoʻokomo ʻana i kahi catheter no ka manawa pōkole, ka mimi ʻana, a laila wehe koke i ka catheter. Pono hoʻi e aʻo ʻia kēia mai ke kauka.
- Nā lāʻau lapaʻau: Nā lāʻau antibiotic no nā maʻi ʻōpū mimi, nā alpha-blockers no ka hoʻonui ʻana o ka prostate , a pēlā aku.
- ʻOki kino: ʻOki kino e wehe i nā pōhaku puʻupaʻa (ureteroscopy, shockwave lithotripsy), ʻoki kino e wehe i ka prostate gland (prostatectomy).
- Nā hoʻomaʻamaʻa papahele pelvic: Nā hoʻomaʻamaʻa KegelHiki iā ʻoe ke hoʻoikaika i nā ʻiʻo e kāohi ana i ka urination me nā hoʻomaʻamaʻa e like me:
Āhea wau e ʻike ai i ke kauka?
He mea kēia e pono ai ʻoe e hoʻomanaʻo. Inā loaʻa iā ʻoe kekahi pilikia a ʻeha paha i ka wā e mimi ai , ʻoiai inā ʻaʻole ʻoe i mimi no nā hola he 6 a ʻoi aʻe a manaʻo ʻoe i ka paʻa a i ʻole ke kaomi ma kou ʻōpū lalo, e ʻike koke i ke kauka . I kekahi manawa hiki ke lilo kēia i pilikia. Inā hana ʻia kēia, e lawe pololei ʻia ʻoe i ka Emergency Department (ETU) . Mai hoʻopaneʻe i nā mea e like me kēia, no ka mea hiki ke hōʻino mau i kou mau puʻupaʻa.
Leka Lawe-Home
- ʻO ka Credé Maneuver kahi hana manawa pōkole e kōkua ai i ka hoʻokuke ʻana i ka mimi ma o ka hoʻopaʻa ʻana i ka ʻōpū lalo i ka wā e paʻa ai ka mimi.
- ʻAʻole kēia he hopena lōʻihi . Inā he pilikia kou me ka mimi ʻana, e ʻike pono i ke kauka a loaʻa ka lāʻau kūpono.
- ʻAʻole kūpono kēia no ka poʻe i hana ʻia ke ʻoki ʻōpū a me nā keiki me nā maʻi neurological .
- Ma mua o kou hoʻāʻo ʻana i kēia ʻano hana nou iho, e aʻo pono pehea e hana ai mai ke kauka a i ʻole kekahi loea i aʻo ʻia.
- Inā ʻaʻole hiki iā ʻoe ke mimi no kekahi mau hola, he pilikia paha ia. E ʻimi koke i ke kōkua lapaʻau.
👩🏽⚕️ Nā nīnau i nīnau pinepine ʻia (FAQ) mai ke Kauka
💬 He aha ka ʻōnaehana Crede?
I ka ʻōlelo maʻalahi, he ʻano hana kēia e kōkua ai i ka hoʻokahe ʻana i ka ʻōpū mimi ma ke kaomi mālie ʻana mai waho o ka ʻōpū lalo. Kōkua kēia i ka hoʻokuʻu ʻana i ka mimi ke hana pono ʻole nā ʻiʻo o ka ʻōpū mimi.
💬 No ke aha e paʻa ai ka mimi?
Aia kekahi mau kumu o ka paʻa ʻana o ka mimi. ʻO nā mea maʻamau ka hōʻino ʻana o ke aʻalolo (e.g., ka ʻeha o ke kaula kuamoʻo), nā maʻi ʻaʻai mimi (UTI), a me ka hoʻonui ʻia ʻana o nā kelepa prostate i nā kāne.
💬 Hoʻopilikia anei ka hoʻonui ʻia ʻana o ka prostate i ka mimi ʻana?
ʻAe, he kumu maʻamau ia o ka paʻa ʻana o ka mimi i nā kāne. I ko kākou ʻelemakule ʻana, hiki i ka ʻōpū prostate ke hoʻonui a ālai i ke kahe ʻana o ka mimi. ʻO kēia ka mea e paʻakikī ai ke hoʻokuʻu loa i ka ʻōpū mimi.
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