Kei te ahua uaua koe ki te mimi i ētahi wā, kāore rānei e taea te mimi katoa i roto i tō pūkahukahu ? Kei te pāngia rānei koe e tētahi mate hauora e kore ai e taea te mimi? I roto i ēnei āhuatanga, he tikanga māmā noa iho hei āwhina i te whakawātea i tō pūkahukahu. Ko te tikanga tēnei ko te Credé Maneuver.
He aha te mahi a Credé Maneuver?
He māmā noa iho, ko tēnei tikanga he pēhi mārire i tō puku o raro (i raro noa i tō pito puku) hei āwhina i te whakawātea i tō pūkahukahu. Whakaarohia he rite ki te pēhi mārire i tētahi poihau kī tonu i te wai hei akiaki i ngā mea o roto kia rere ki waho.
Ahakoa i whakaurua tuatahitia tēnei tikanga hei āwhina i te whānautanga o te whenua whānau i te wā whānau, kua whakamahia inaianei hei āwhina i te hunga e pāngia ana e ngā uauatanga ki te mimi . Kei roto i te pakitara o tō pūhā he uaua e mōhiotia ana ko te uaua detrusor ., e whakawhāiti ana hei āwhina i a koe ki te mimi. Nā ētahi āhuatanga hauora, kāore pea tēnei uaua e mahi tika. I ēnei wā, ka whakamahia te Credé Maneuver hei āwhina ā-ringa i te tukanga mā te pēhi i te pēhanga o waho.
Āhea koe me whakamahi ai i tēnei tikanga?
Ko te Credé Maneuver te mea matua e whakamahia ana hei whakahaere i te pupuri mimi — he āhuatanga e kore ai e taea e koe te whakawātea katoa i tō pūkahukahu. Tērā pea ka puta mai i ngā raruraru hauora maha.
| Ngā Take o te Pupuri Mimi | Whakamārama Māmā |
|---|---|
| Ngā Mate Pukupuku o te Ara Mimi (UTI) | Ka taea e te mumura me te mate pāwera i roto i te ara mimi te aukati i ngā oko toto, ā, ka uaua ai te mimi. |
| Te Pakaru o te Io | Ka taea e ngā whara o te tuaiwi, ngā mate pūnaha io rānei (te pūkahukahu neurogenic) te kino i ngā io e kawenga ana mō te whakahaere i te pūkahukahu. |
| Te Repeure Nui (BPH) | I te kaumātuatanga o ngā tāne, ka taea e te repeure kua nui (Benign Prostatic Hyperplasia) te pēhi i te urethra, ka aukati i te rere o te mimi. |
| Ngā Kōhatu Tākihi | Ka taea e ngā kōhatu e neke ana mai i ngā whatukuhu te piri ki roto i te ara mimi, ka kore ai e puta te mimi i te tinana. |
He haumaru te whakamahi tonu i tēnei tikanga?
He mea tino nui tēnei: ehara te mahi a Credé i te otinga mō te wā roa . Me whakamahi noa hei mahi rangitahi. Mena kei te mau tonu te mimi i roto i a koe, me toro atu koe ki tō tākuta kia whiwhi ai koe i te maimoatanga hauora e tika ana, pērā i te whakaurunga o te `(Foley catheter )`.
Kia maumahara, he tikanga rangitahi tēnei mō te whakamahinga ohorere anake, ehara i te tikanga maimoatanga o ia rā.
Me pēhea te mahi i te Credé Maneuver?
Ahakoa ka taea e koe te mahi i tēnei ki a koe anō, he mea nui kia ako tuatahi koe i te tikanga tika mai i te tākuta, i te nēhi rānei kua whakangungua. Mā rātou koe e mātakitaki ana i a koe e mahi ana, ka mōhio koe kei te mahi haumaru, kei te whai hua hoki koe.
Ko te tikanga, ka mahia penei:
- Noho ki runga i te wharepaku, noho/tū rānei i te taha o te moenga.
- Whakatakotoria ō ringaringa e rua ki runga i te pito o raro o tō puku, i raro i te pito, me runga ake i te `(wheua tūpāpaku)`.
- Mirimiri mārire ki raro ki ō ringaringa, ki te pato mārire rānei ki ō maihao. Ka āwhina tēnei ki te whakaoho i te pūkahukahu kia takoto kau.
- Ko tētahi atu huarahi ko te pēhi mārire ki roto mā te whakamahi i ō ringaringa, i ō matimati rānei. Kia mau tonu tēnei pēhanga kia mutu rā anō tō mimi.
- Ki te mahi koe i tēnei i a koe anō, mā te piko paku ki mua me te pēhi i a koe anō ka āwhina i te whakapiki i te whai huatanga.
He aha ngā painga me ngā mōrearea?
Pērā i ngā tikanga hauora katoa, he painga, he mōrearea anō hoki kei roto i tēnei tikanga.
| Ngā Painga | Ngā Tūponotanga me ngā Āhuatanga Whakararuraru |
|---|---|
| Ka āwhina ki te whakawātea katoa i te pūkahukahu, ka whakaiti i te mōrearea o ngā kōhatu pūkahukahu, te mumura, me te kino pea o te tākihi mō te wā roa. | Kāore tēnei i te tūtohutia mēnā kua pokaina tō puku i ngā wā tata nei, nā te mea ka pā mai te mamae, te tango i te patunga, te toto, te mate rānei. |
| E whakarato ana i te whakaoranga tonu. | Mō ngā tamariki e pāngia ana e ngā mate pūnaha io, ka taea e tēnei tikanga te arahi ki te `(pakaru whatukuhu)`. |
| Kāore e hiahiatia he taputapu motuhake. | Ki te whakamahia mō te wā roa, ka pāngia pea te mimi e te `(Vesicoureteral Reflux – VUR)`, arā, ka rere whakamuri te mimi ki ngā whatukuhu. |
| Ko ētahi atu mōrearea ko: te marō, te `(Hernia)`, te `(Hemorrhoids)`, te pēhanga nui o te pūkahukahu, me te `(hydronephrosis)`. |
He aha ngā huarahi kē atu hei whakakapi i te Credé Maneuver?
Waimarie, kei reira ētahi atu huarahi haumaru ake, roa hoki hei rongoā i te pupuri mimi. Mā tō tākuta e whakatau te huarahi mahi pai rawa atu mō tō āhuatanga.
- Te Kātene Mimi Noho ( Foley Catheter ): He ngongo e whakauruhia ana e te rata hei tango i te mimi ki roto i te putea kohi.
- Te Tātaritanga-ā-Whaiaro: Te whakauru i tētahi ngongo rangitahi hei whakawātea i te pūkahukahu, ā, ka tangohia tonutia i muri iho. Me whakaako tēnei e tētahi tohunga hauora.
- Rongoā: Ngā paturopi mō ngā mate pipiri (UTI), ngā '(alpha-blockers)' rānei hei āwhina i te whakangāwari i te repeure .
- Pokanga: Ngā tikanga hei tango i ngā kōhatu tākihi `(ureteroscopy, shockwave lithotripsy)` te prostate `(prostatectomy)` rānei.
- Ngā mahi whakakori tinana o te papa hope: Ka taea e ngā mahi Kegel te whakapakari i ngā uaua e whakahaere ana i te mahi a te pūkahukahu. Ka taea e te kaiwhakaora tinana te tuku tohutohu mō ēnei mahi.
Āhea koe me toro atu ki te tākuta?
Kia maumahara ki tēnei. Mēnā ka pāngia koe e te uauatanga , e te mamae rānei i a koe e mimi ana , ka rongo rānei koe i te kī, i te pēhanga rānei i roto i tō puku o raro, ā, kāore e taea e koe te mimi mō te neke atu i te 6 hāora , me rapu tonu koe i te awhina hauora . I ētahi wā, he āhuatanga ohorere tēnei. Me tuku tika atu pea koe ki te Tari Ohotata (ED) . Kaua e whakaroa ki te rapu awhina, nā te mea ka taea e te pupuri mimi mō te wā roa te arahi ki te kino tuturu o te whatukuhu.
Karere Tangohia ki te Kāinga
👩🏽⚕️ Ngā Pātai Auau (FAQ) - Nirogi Lanka
💬 He aha te mahi a Credé?
He tikanga ngāwari tēnei e whakamahi ana i te pēhanga mārie o waho ki te puku o raro hei āwhina i te whakawatea i te pūkahukahu. Ka āwhina i te mimi ina kore e mahi tika ngā uaua pūkahukahu .
💬 He aha te take e mau tonu ai te mimi?
He maha ngā take e mau ai te mimi, tae atu ki te kino o ngā io (hei tauira, ngā raruraru tuaiwi), ngā mate urutā mimi (UTI), ā, i roto i ngā tāne, he nui te repeure.
💬 Ka pāngia te mimi e te nui haere o te repeure?
Ae, he tino take noa tēnei o te pupuri mimi i roto i ngā tāne. I a koe e pakeke haere ana, ka taea e te repeure te whakanui me te aukati i te urethra, ka uaua ai te whakakore katoa i tō pūkahukahu.
