Ingabe ngezinye izikhathi uzizwa sengathi unenkinga yokuchama , sengathi isinyi sakho asiphumi kahle? Noma awukwazi ukuchama ngenxa yesimo sempilo? Namuhla, sizokhuluma ngendlela elula engakusiza ukuthi uchame okwesikhashana. Lokhu kubizwa ngokuthi i-Credé Maneuver.
Iyini i-Credé Maneuver?
Kalula nje, lokhu kuhilela ukufaka ingcindezi yangaphandle kancane esiswini sakho esingezansi, ngaphansi kwenkaba yakho, ukusiza ukukhipha isinye sakho. Kufana nokucindezela ibhaluni eligcwele amanzi bese ukhipha amanzi.
Le ndlela yaqala ukwethulwa ukusiza ukususa i-placenta ngesikhathi sokubeletha, kodwa kamuva yaqala ukusetshenziswa ukusiza abantu abanobunzima bokuchama . Kukhona umsipha esinyeni sethu, obizwa ngokuthi "umsipha we-detrusor". Uma lo msipha ufinyela, siyachama. Ngenxa yezinye izimo zezokwelapha, lo msipha ungase ungasebenzi kahle. Yilapho kusetshenziswa khona le ndlela yokushiswa, kusetshenziswa ingcindezi evela ngaphandle ukuze kukhishwe isinye.
Kuziphi izimo lapho le ndlela isetshenziswa khona?
Indlela yeCrede isetshenziswa kakhulu ukuphatha isimo esibizwa ngokuthi ukugcinwa komchamo , okuyilapho isinye singakwazi ukukhipha konke. Lokhu kungaba nezimbangela eziningana.
| Izimbangela zokugcinwa komchamo | Incazelo elula |
|---|---|
| Izifo Zomgudu Womchamo (UTIs) | I-urethra ingavuvukala futhi itheleleke, okubangela ukuvaleka komchamo. |
| Ukulimala Kwezinzwa | Lesi simo singase senzeke uma imizwa elawula ukuchama yonakele ngenxa yokulimala komgogodla noma ezinye izifo (isinyi se-neurogenic). |
| I-Prostate Ekhulisiwe | Njengoba amadoda ekhula, indlala ye-prostate (i-Benign Prostatic Hyperplasia - BPH) ingakhulisa futhi ivimbe i-urethra. |
| Amatshe Ezinso | Uma amatshe ezinso ehlala emgudwini womchamo, ukugeleza komchamo kungayeka. |
Ingabe kuphephile ukuqhubeka nokusebenzisa le ndlela?
Leli iphuzu elibaluleke kakhulu . Indlela yeCredo ayilona ikhambi lesikhathi eside . Kufanele isetshenziswe okwesikhashana kuphela. Uma unenkinga yokugcina umchamo, kufanele nakanjani ubone udokotela wakho bese uthola ukwelashwa okufanele ngayo, isibonelo, ukufakwa kwepayipi (i-Foley catheter ).
Khumbula, lena yindlela yesikhashana esetshenziswa ezimweni eziphuthumayo, hhayi ukwelashwa kwansuku zonke.
Ungayenza kanjani i-Credé Maneuver?
Nakuba ungakwenza lokhu ngokwakho, kubalulekile ukufunda indlela efanele yokukwenza kudokotela noma kumhlengikazi oqeqeshiwe kuqala. Kungcono ukubabonisa ukuze uqiniseke ukuthi kwenziwa kahle.
Lokhu kuvame ukwenziwa kanje:
- Okokuqala, hlala/ume endlini yangasese noma embhedeni.
- Bese ubeka izandla zakho engxenyeni engezansi yesisu sakho, ngaphansi kwenkaba yakho nangaphezu kwethambo lakho le-pubic.
- Manje hlikihla kancane phansi ngesandla sakho. Noma thinta kancane ngeminwe yakho. Lokhu kuzoqala ukukhipha isinye.
- Enye indlela iwukucindezela indawo ngaphakathi ngesineke ngesandla noma ngeminwe yakho. Kufanele ugcine lokhu kucindezela kuze kube yilapho umchamo uyeka ukugeleza.
- Uma uzenzela lokhu wena, ungafaka ingcindezi eyengeziwe ngokugoba kancane bese ucindezela.
Yiziphi izinzuzo nezingozi zalokhu?
Njenganoma iyiphi inqubo yezokwelapha, lena inezinzuzo kanye nezingozi.
| Izinzuzo | Izingozi Nezinkinga |
|---|---|
| Kuyasiza ukukhipha konke esinyini. Lokhu kungavimbela ukwakheka kwamatshe esinyini, ukuvuvukala kwesinyi, ukuvuvukala kwezinso, kanye nokulimala kwezinso unomphela. | Lokhu akufaneleki nhlobo kumuntu oke wahlinzwa isisu. Kungabangela ubuhlungu, ukuthungwa, ukopha, kanye nokutheleleka. |
| Inikeza impumuzo esheshayo. | Ukwenza lokhu ezinganeni ezinezinkinga zezinzwa kungabangela ukulimala kwezinso (ukuqhekeka kwezinso). |
| Akukho mishini ekhethekile edingekayo. | Uma isetshenziswa isikhathi eside, umchamo ungageleza ubuyele emuva ezinso (Vesicoureteral Reflux - VUR). |
| Ezinye izingozi: Ukulimala, i-hernia, ama-hemorrhoids, ukucindezeleka okuphezulu kwesinye, kanye nokuvuvukala kwezinso (i-hydronephrosis). |
Yiziphi ezinye izindlela zokusebenzisa uhlelo lweCrede?
Ngenhlanhla, kunezinye izindlela eziphephile nezihlala isikhathi eside zokwelapha ukugcinwa komchamo. Udokotela wakho uzokhetha eyodwa engcono kakhulu ngesimo sakho.
- I-Foley Catheter : Udokotela ufaka i-catheter e-urethra bese eqoqa umchamo esikhwameni.
- Ukuzithutha: Ukufaka i-catheter yesikhashana, ukukhipha umchamo, bese ukhipha i-catheter ngokushesha. Lokhu kufanele futhi kufundwe kudokotela.
- Imithi: Ama-antibiotic okutheleleka komgudu womchamo, ama-alpha-blockers okukhulisa i-prostate , njll.
- Ukuhlinzwa: Ukuhlinzwa kokususa amatshe ezinso (ureteroscopy, shockwave lithotripsy), ukuhlinzwa kokususa indlala yesinye (prostatectomy).
- Ukuzivocavoca phansi kwe-pelvic: Ukuzivocavoca kwe-KegelUngaqinisa imisipha elawula ukuchama ngezivivinyo ezifana nalezi:
Kufanele ngimbone nini udokotela?
Lokhu kuyinto okufanele uyikhumbule nakanjani. Uma unenkinga noma ubuhlungu lapho uchama , ikakhulukazi uma ungakachami isikhathi esingaphezu kwamahora ayisithupha futhi uzizwa ukuqina noma ukucindezeleka esiswini sakho esingezansi, bona udokotela ngokushesha . Ngezinye izikhathi lokhu kungaba yisimo esiphuthumayo. Uma lokhu kwenzeka, uzoyiswa ngqo eMnyangweni Wezimo Eziphuthumayo (ETU) . Ungazihlehlisi izinto ezinjengalezi, ngoba zingabangela umonakalo ongapheli ezinso zakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Credé Maneuver iyindlela yesikhashana yokusiza ukukhipha umchamo ngokuqinisa isisu esingezansi lapho kukhona ukugcinwa komchamo.
- Lesi akusona isisombululo sesikhathi eside . Uma unenkinga yokuchama, qiniseka ukuthi ubona udokotela futhi uthole ukwelashwa okufanele.
- Lokhu akufaneleki kubantu abake bahlinzwa esiswini kanye nezingane ezinezinkinga zezinzwa .
- Ngaphambi kokuba uzame le ndlela ngokwakho, funda kahle ukuthi ungayenza kanjani kudokotela noma kuchwepheshe oqeqeshiwe.
- Uma ungakwazi ukuchama amahora amaningana, kungaba yisimo esiphuthumayo. Funa iseluleko sezokwelapha ngokushesha.
👩🏽⚕️ Imibuzo Evame Ukubuzwa (FAQ) evela kuDokotela
💬 Iyini uhlelo lweCrede?
Kalula nje, lena indlela yokusiza ukukhipha amanzi esinyini ngokusebenzisa ukucindezela okuncane okuvela ngaphandle kwesisu esingezansi. Lokhu kusiza ukukhulula umchamo lapho imisipha yesinyi ingasebenzi kahle.
💬 Kungani umchamo ubhajwa?
Kunezimbangela eziningana zokugcina umchamo. Ezivame kakhulu ukulimala kwemizwa (isib. ukulimala komgogodla), izifo zomgudu womchamo (i-UTI), kanye nokukhula kwezindlala ze-prostate emadodeni.
💬 Ingabe ukuvuvukala kwe-prostate kuyayithinta indlela yokuchama?
Yebo, kuyimbangela evamile yokugcina umchamo kwabesilisa. Njengoba sikhula, indlala ye-prostate ingakhula futhi ivimbele ukudlula komchamo. Lokhu kwenza kube nzima ukukhipha ngokuphelele isinye.











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