A chang chuan zun harsa i ti thin em , i bladder a empty tha lo ang maiin i inhria em? A nih loh leh damdawi lam thil vangin i zun thei lo em ni? Vawiin hian hun eng emaw chen atana zun chhuah theihna tur kawng awlsam tak kan sawi dawn a ni. Hei hi Credé Maneuver an ti a.
Credé Maneuver hi eng nge ni?
A awlsam zawngin, hei hian i pum hnuai lam, i navel hnuai lam, i bladder empty-na tura pui turin pawn lam pressure zawi zawia pek a huam a ni. Tui khat balloon chu hrual a, tui chu chhuah tir ang mai a ni.
Hetiang hmanrua hi nau neih laiin nausen (placenta) lakchhuahna atana hman tan a ni a, mahse a hnuah chuan zun harsatna nei te tanpui nan hman tan a ni ta a ni Kan bladder-ah hian taksa ruh pakhat a awm a, chu chu ``detrusor muscle'' an ti a. He thau hi a inzawm khawm chuan kan zun thin. Damdawi lam thil thenkhat avang hian he ruh hi a thawk tha lo thei a ni. Chu chu he ruang hal dan hi hman a ni a, pawn lam atanga pressure pein bladder chu a hring chhuak thin.
Eng dinhmunah nge he hmanrua hi hman a nih?
Crede method hi urinary retention tih hming pu condition enkawl nan hman a ni ber a, chu chu bladder a empty vek theih loh hun a ni. Hei hian chhan hrang hrang a nei thei.
| Urinary retention awm chhan te | A sawifiahna awlsam tak |
|---|---|
| Zun kawng natna (UTIs) . | Urethra chu a lo hring thei a, a natna a awm thei bawk a, chu chuan zun kalna a tikhawlo thei a ni. |
| Nerve tihchhiat a ni | Hetiang dinhmun hi zunthlum control tu nerve te chu spinal cord injury emaw natna dang (neurogenic bladder) avanga chhiat a nih chuan a lo awm thei a ni. |
| Prostate lian zawk | Mipa an lo upat deuh deuh chuan prostate gland (Benign Prostatic Hyperplasia - BPH) hian a lian thei a, zunthlum a tikhawlo thei bawk. |
| Kidney Lung a awm | Kidney lungte chu zun kawng (urinary tract)-ah a lo awm chuan zun kalna chu a tawp thei a ni. |
Hetiang hmanrua hi hman chhunzawm zel hi a him em?
Hei hi thil pawimawh tak a ni. Credo method hi hun rei tak chhunga solution a ni ngai lo . Hun eng emaw chen chauh hman tur a ni. Urinary retention lama harsatna i neih chuan i doctor hmu ngei tur a ni a, a enkawlna dik tak i la tur a ni a, entirnan, tube (Foley catheter ) dah tur a ni.
Hei hi nitin enkawlna ni lovin, emergency-a hman hun eng emaw chen atana hman tur a ni tih hre reng ang che.
Credé Maneuver hi engtin nge kan tih ang?
Hei hi nangmah ngeiin i ti thei a, mahse doctor emaw, nurse trained emaw hnen atanga tih dan dik zir hmasak a pawimawh hle. A dik taka tih a nih leh nih loh hriat chian nan an hnenah entir a tha ber.
Hei hi hetiang hian tih a ni tlangpui:
- A hmasa berin toilet-ah emaw, khumah emaw thu/ding rawh.
- Tichuan i kut chu i pum hnuai lam, i navel hnuai lam leh i pubic bone chungah dah la.
- Tunah chuan i kutphah hmangin hnuai lam hawiin zawi zawiin hnawih rawh. A nih loh leh i kut zungtang hmangin zawi zawiin tap rawh. Hei hian bladder chu a empty tan ang.
- Thil dang chu i kutphah emaw, kut zungtang emaw hmangin a chhung lam hawiin zawi zawiin i hmet a ni. Hetiang pressure hi zun a chhuah loh thlengin i vawng reng tur a ni.
- Nangmah ngeiin hetiang hian i ti a nih chuan hmalam pan tlem a, squeezing hmangin pressure tam zawk i pe thei ang.
Hei hian eng hlawkna leh hlauhawmna nge a neih?
Damdawi lam thil dang ang bawkin he thil hian hlawkna leh hlauhawmna a nei vek a ni.
| Hlawkpuina | Risk & Complication awm thei te |
|---|---|
| Bladder empty vek turin a pui thin. Hei hian bladder lung siam te, bladder swelling, kidney swelling, leh kidney chhiatna awm reng tur a veng thei a ni. | Hei hi pum chhunga zai tawh tan chuan a tha lo tak zet a ni . Natna a thlen thei a, stitches a chhe thei a, thisen a chhuah thei a, infection a thlen thei bawk. |
| Chhawmdawlna a pe nghal. | Naupang thluak lam harsatna nei te chunga hetianga tih hian kal (renal rupture) a tichhe thei a ni. |
| Thil hmanraw bik a ngai lo. | Hun rei tak hman a nih chuan zun chu hnunglam hawiin kal (Vesicoureteral Reflux - VUR) ah a luang lut thei a ni. |
| Hlauhawm dangte: Hrisel lohna, hernia, hemorrhoids, bladder-a pressure sang, leh kal (hydronephrosis) te. |
Crede system ai chuan eng nge tih danglam theih ang?
Vanneihthlak takin zun chhuah lohna enkawl dan dang him leh rei tak a awm bawk. I doctor chuan i dinhmun atana tha ber tur a thlang ang.
- Foley Catheter : Doctor chuan urethra-ah catheter a thun a, bag-ah zun a khawl khawm thin.
- Self-catheterization: Temporary catheter dah a, zun chhuah a, chutah chuan catheter chu lakchhuah nghal a ni. Hei hi Doctor hnen atanga zir tur a ni bawk.
- Damdawi: Urinary tract infection tan antibiotics, prostate enlargement atana alpha-blockers, etc.
- Surgery: Kidney lungte lakchhuahna tur operation (ureteroscopy, shockwave lithotripsy), prostate gland lakchhuahna surgery (prostatectomy).
- Pelvic floor exercise: Kegel exercise tih hi a niUrination control tu muscle te chu exercise ang chi hmangin i tichak thei ang:
Engtikah nge Doctor ka hmuh ang?
Hei hi i hriat reng tur a ni. Zun laiin harsatna emaw, natna emaw i neih chuan , a bik takin darkar 6 aia tam i zun loh a, i pum hnuai lam a tight emaw pressure emaw i hriat chuan doctor pan nghal rawh A châng chuan hei hi emergency a ni thei bawk. Chutiang a nih chuan Emergency Department (ETU) ah hruai nghal i ni ang. Hetiang thil hi dah bo suh, i kal (kidney) a tichhe vek thei a ni.
Take-Home Thuchah a ni
- Credé Maneuver hi hun eng emaw chen atana hman tur a ni a, zun chhuah lohna a awm chuan pum hnuai lam tihkhauh a, zun chhuah theihna tura puitu a ni.
- Hei hi hun rei tak chhunga chinfel theih a ni lo . Zun lama harsatna i neih chuan Doctor pan ngei ngei tur a ni a, inenkawlna mumal tak dawng ngei ngei tur a ni.
- Hei hi pum surgery nei tawh leh naupang thluak lam harsatna nei tan chuan a tha lo .
- Hetiang method hi nangmah ngeiin i enchhin hmain doctor emaw, trained professional emaw hnen atangin a tih dan dik tak zir hmasa phawt ang che.
- Darkar eng emaw zat i zun theih loh chuan emergency a ni thei. Damdawi lam thurawn zawng nghal rawh.
👩🏽 ⚕️ Doctor hnen atanga zawhna zawh fo (FAQ) te
💬 Crede system hi eng nge ni?
A awlsam zawngin sawi ila, hei hi pum hnuai lam pawn lam atanga pressure nem tak hmanga bladder empty-na atana puihna hmanraw a ni. Hei hian bladder muscle te hnathawh that loh hunah zun a chhuah tir thin.
💬 Engvangin nge zun a tlakbuak?
Urinary retention hi chhan hrang hrang a awm a. A tam ber chu mipaah nerve chhiatna (e.g., spinal cord injury), urinary tract infection (UTIs), leh prostate glands lian zawk te hi a ni.
💬 Prostate lian hian zun a nghawng em?
Ni e, mipaah zun chhuah lohna thlentu tlanglawn tak a ni. Kan tar chhoh zel chuan prostate gland hi a lian thei a, zun kalna tur a tikhawlo thei bawk. Hei hian bladder chu a khar vek a ti harsa hle.
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