{"id":246,"date":"2026-06-08T08:39:46","date_gmt":"2026-06-08T08:39:46","guid":{"rendered":"https:\/\/zdravo.emonicum.si\/?p=246"},"modified":"2026-06-08T08:42:22","modified_gmt":"2026-06-08T08:42:22","slug":"prekomerno-aktiven-secni-mehur-in-urgentna-inkontinenca-samopomoc","status":"publish","type":"post","link":"https:\/\/zdravo.emonicum.si\/?p=246","title":{"rendered":"Prekomerno aktiven se\u010dni mehur in urgentna inkontinenca \u2013 samopomo\u010d"},"content":{"rendered":"\n<p>Definicija urgentne inkontinence:<\/p>\n\n\n\n<p>Urgentna inkontinenca je nenadna, nezaustavljiva potreba po uriniranju. \u010ce urina ne odvajamo takoj, nam nekaj urina nehote uide. Te\u017eave imajo \u017eenske in mo\u0161ki.<\/p>\n\n\n\n<p>Nova metoda za prepre\u010ditev urgentne inkontinence:<\/p>\n\n\n\n<p>Overactive bladder inhibitor maneuver by Svolj\u0161ak<\/p>\n\n\n\n<p>Namen manevra:<\/p>\n\n\n\n<p>Zmanj\u0161ati pritisk v se\u010dnem mehurju in s tem zaustaviti kr\u010denje mehurja (detruzorja) ter prekiniti potrebo po uriniranju.<\/p>\n\n\n\n<p>&#8212;<\/p>\n\n\n\n<p>Trije sinergisti\u010dni u\u010dinki metode na mehur<\/p>\n\n\n\n<p>a) Z zmanj\u0161anjem pritiska v prsnem ko\u0161u zmanj\u0161a pritisk v trebuhu in posledi\u010dno v se\u010dnem mehurju.<\/p>\n\n\n\n<p>b) Zni\u017ean pritisk v prsnem ko\u0161u spro\u017ei povi\u0161an tonus simpati\u010dnega \u017eiv\u010devja (M\u00fcllerjev manevrski refleks). Povi\u0161an simpatikotonus zavre kr\u010denje mehurja (detruzorja).<\/p>\n\n\n\n<p>c) Zavestno kr\u010denje zunanjega sfinktra se\u010dnice refleksno povzro\u010di kr\u010denje notranjega sfinktra se\u010dnice in refleksno umiri kr\u010denje mehurja (detruzorja).<\/p>\n\n\n\n<p>&#8212;<\/p>\n\n\n\n<p>Kdaj izvesti manever?<\/p>\n\n\n\n<p>Takoj, ko za\u010dutimo nujno potrebo po uriniranju.<\/p>\n\n\n\n<p>&#8212;<\/p>\n\n\n\n<p>Opis metode (5 faz)<\/p>\n\n\n\n<p>1. Izdihnemo zrak, povesimo ramena in sklonimo glavo.<\/p>\n\n\n\n<p>&nbsp;&nbsp; S tem maksimalno zmanj\u0161amo volumen prsnega ko\u0161a in sprostimo dihalno mi\u0161i\u010devje.<\/p>\n\n\n\n<p>2. Zapremo sapnik \u2013 tako da zrak pri poskusu vdiha ne more prodreti v plju\u010da (forsiran vdih pri zaprtem glotisu).<\/p>\n\n\n\n<p>3. Ob zaprtem sapniku maksimalno napnemo inspiratorne mi\u0161ice, dvignemo ramena in izravnamo prsni in vratni del hrbtenice.<\/p>\n\n\n\n<p>&nbsp;&nbsp; S tem dose\u017eemo negativni pritisk v prsnem ko\u0161u, kar zmanj\u0161a pritisk v trebuhu in mehurju.<\/p>\n\n\n\n<p>4. Hkrati mo\u010dno stisnemo zunanjo zapiralko se\u010dnice (sfinkter, ki ga sicer uporabljamo za prekinitev uriniranja).<\/p>\n\n\n\n<p>5. Takoj po izvedenem manevru lahko zrak vdihnemo.<\/p>\n\n\n\n<p>S tem je manever kon\u010dan.<\/p>\n\n\n\n<p>&#8212;<\/p>\n\n\n\n<p>U\u010dinek<\/p>\n\n\n\n<p>\u010ce smo manever pravilno izvedli, se mehur preneha kr\u010diti za 1\u201320 minut in potreba po uriniranju preneha. V tem \u010dasu lahko pridemo do toalete in normalno odvajamo urin.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Definicija urgentne inkontinence: Urgentna inkontinenca je nenadna, nezaustavljiva potreba po uriniranju. \u010ce urina ne odvajamo takoj, nam nekaj urina nehote uide. Te\u017eave imajo \u017eenske in mo\u0161ki. Nova metoda za prepre\u010ditev urgentne inkontinence: Overactive bladder inhibitor maneuver by Svolj\u0161ak Namen manevra: Zmanj\u0161ati pritisk v se\u010dnem mehurju in s tem zaustaviti kr\u010denje mehurja (detruzorja) ter prekiniti potrebo [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":249,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-246","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/zdravo.emonicum.si\/index.php?rest_route=\/wp\/v2\/posts\/246","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zdravo.emonicum.si\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zdravo.emonicum.si\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zdravo.emonicum.si\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/zdravo.emonicum.si\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=246"}],"version-history":[{"count":1,"href":"https:\/\/zdravo.emonicum.si\/index.php?rest_route=\/wp\/v2\/posts\/246\/revisions"}],"predecessor-version":[{"id":247,"href":"https:\/\/zdravo.emonicum.si\/index.php?rest_route=\/wp\/v2\/posts\/246\/revisions\/247"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zdravo.emonicum.si\/index.php?rest_route=\/wp\/v2\/media\/249"}],"wp:attachment":[{"href":"https:\/\/zdravo.emonicum.si\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=246"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zdravo.emonicum.si\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=246"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zdravo.emonicum.si\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=246"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}