E noʻonoʻo i kou makuahine, kou makuakāne, a i ʻole kekahi mea ʻelemakule iki ma ka home e nīnau koke mai ana iā ʻoe, "He aha ka lā o kēia lā?", "Aia kākou i hea?". Ma hope o kāu pane ʻana, nīnau hou lākou iā ʻoe i nā nīnau like i kekahi mau minuke ma hope. Akā, ʻo ka mea kupaianaha, ua ʻike maikaʻi lākou iā ʻoe a me nā mea a pau o ka hale. ʻAʻole anei kekahi e makaʻu i ka ʻike ʻana i kahi mea e like me kēia? Manaʻo lākou, "Auē kuʻu Akua, he maʻi lolo anei kēia? He hahau anei?" Akā, mai hopohopo. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi kūlana kikoʻī loa i ʻike ʻole ʻia e ka poʻe he nui, akā e hōʻike ana i nā hōʻailona like.
He aha ka Transient Global Amnesia (TGA)?
I ka ʻōlelo maʻalahi, ʻo Transient Global Amnesia (TGA) kahi kūlana kahi e nalowale koke ai ka hoʻomanaʻo no ka manawa pōkole. ʻO ke ʻano o ka huaʻōlelo "transient" ma ʻaneʻi he "manawa pōkole." ʻO ia hoʻi, ʻaʻole ia he mea mau loa. Hoʻomaka koke kēia nalowale hoʻomanaʻo a hoʻopau pinepine ʻia ma kāna iho i loko o kekahi mau hola.
Ke hana ʻia kēia kūlana TGA, ʻelua mau mea nui e hana ʻia:
1. ʻAʻole hiki ke hoʻokumu i nā hoʻomanaʻo hou: I ka lāʻau lapaʻau, kapa mākou i kēia he "Anterograde Amnesia." ʻO ia hoʻi, ʻaʻole ʻo ia e hoʻomanaʻo i nā hanana a me nā kamaʻilio i hana ʻia i loko o kēia wā. ʻO ia ke kumu e nīnau hou ai ʻo ia i nā nīnau like.
2. Ka poina ʻana i nā hanana i hala koke aku nei: Ua kapa ʻia kēia ʻo "Retrograde Amnesia." ʻO ia hoʻi, nalowale ʻoe i ka hoʻomanaʻo o nā hanana i hana ʻia i kekahi mau hola a i ʻole hoʻokahi a ʻelua paha lā ma mua o ka hanana.
Akā ʻo ka mea nui loa ma ʻaneʻi , ʻaʻole e poina i ke kanaka me kēia maʻi ko lākou ʻano, ko lākou ʻohana a me nā hoaaloha. Eia kekahi, hiki iā lākou ke hana i nā hana o kēlā me kēia lā, no ka laʻana, ke kalaiwa kaʻa, a me nā hana paʻakikī e like me ka māla. ʻAʻole loli ke ʻano o kā lākou kamaʻilio ʻana a me ke ʻano o ka nohona. Akā, ʻike lākou i ka huikau nui e pili ana i ko lākou wahi, ka manawa hea, a me ka lā hea.
ʻOiai ua ʻoi aku ma mua o 50 mau makahiki o ka noiʻi ʻana i ka TGA, ʻaʻole hiki i nā kauka ke ʻike me ka 100% maopopo no ke aha e hana maoli ai kēia a i ʻole ke kumu.
He aha nā hōʻailona o TGA?
He mea nui loa ka ʻike pololei ʻana i kēia maʻi. No ka mea, ʻoiai hiki i kēia mau hōʻailona ke like me nā maʻi ʻoi aku ka koʻikoʻi, loaʻa iā TGA kekahi mau ʻano kūikawā. E wehewehe kākou iā ia e hoʻomaopopo pono ai.
| He aha ka mea e hana ʻia ma TGA? | Nā mea i hana ʻole ʻia ma TGA |
|---|---|
| ʻO ka hōʻailona nui ka hiki ʻole koke ke hana i nā hoʻomanaʻo hou . | ʻAʻohe nalowale o ka ʻike. Ua maikaʻi ka ʻike o ka mea maʻi. |
| Ke hōʻike nei i ka huikau a me ka pioloke. | ʻAʻole i nalowale ka hiki ke ʻōlelo, ʻo ka ʻōlelo. ʻAʻole i huikau nā huaʻōlelo. |
| Ke nīnau nei i nā nīnau like (e.g., "ʻAuhea kākou?", "Pehea wau i hiki ai i ʻaneʻi?") hou a hou. | ʻAʻohe hōʻailona neurological e like me ka nalowale o ka ʻike a i ʻole ka numbness ma kekahi ʻaoʻao o ke kino. |
| Ke poina nei i nā mea i hala koke aku nei (nā hanana mai kekahi mau hola a i ʻole nā lā i hala). | ʻAʻole maʻamau kēia ʻano ke ala ʻoe i ke kakahiaka. Loaʻa ia ma hope o ke ao. |
Ma waho aʻe o kēia mau hōʻailona nui, hiki i kekahi poʻe ke loaʻa nā hōʻailona e like me:
- ʻEha poʻo
- Ka luaʻi a me ka luaʻi
- Pōʻino
- Hopohopo a me ka hoʻomaha ʻole
ʻO ka mea nui, ʻo ia ka nalowale loa ʻana o kēia mau hōʻailona i loko o 1-10 mau hola (ma kahi o 6 mau hola). He mea kākaʻikahi loa, hiki iā lākou ke mau a hiki i 24 mau hola. Inā e piʻi mālie ana ka nalowale o ka hoʻomanaʻo a i ʻole e mau ana ma mua o hoʻokahi lā, ʻaʻole paha he TGA, akā he maʻi ʻē aʻe.
ʻO wai ka mea kūpono loa e loaʻa i kēia maʻi?
He maʻi laha ʻole loa ʻo TGA. Eia nō naʻe, ʻoi aku ka maʻamau o ia ma waena o ka poʻe ma waena o 50 a me 80 mau makahiki. Aia he 75% o nā maʻi i loko o kēia hui makahiki. He mea laha ʻole loa ia no kekahi ma lalo o 40 mau makahiki ke loaʻa iā TGA.
Eia kekahi, ua ʻike kekahi mau haʻawina he nui ka pilikia o ka poʻe me nā kūlana olakino e hiki mai ana i ka hoʻomohala ʻana i ka TGA:
- Maʻi puʻuwai
- Migraine
- Hoʻonui ʻia nā pae cholesterol koko (Hyperlipidemia)
He aha nā kumu o TGA? He aha nā mea hoʻonāukiuki?
E like me ka mea i ʻōlelo ʻia ma mua, ʻaʻole ʻike ʻia ke kumu kikoʻī o kēia, akā manaʻoʻiʻo nā kauka ua hana ʻia e kahi pilikia manawa pōkole ma ka hippocampus, kahi ʻāpana koʻikoʻi o ko kākou lolo e pili ana i ka hoʻomanaʻo a me ke aʻo ʻana.
ʻElua mau manaʻo nui:
1. Ka emi ʻana o ke kahe koko i ka lolo no kekahi manawa (Ischemia): Ua like ia me kahi kīʻaha koko e ālai ʻia ana no kekahi manawa.
2. He hana like me ka hopu ʻana i ka lolo: Ua like ia me kahi ʻūlū liʻiliʻi, akā ʻaʻohe hōʻailona waho i ʻike ʻia.
Ua ʻike ʻia hoʻi hiki ke hana ʻia ʻo TGA ma hope o kekahi mau hanana. Kāhea mākou i kēia mau mea ʻo 'Triggers'.
- Ke komo ʻana i ka hoʻoikaika kino ikaika a i ʻole ka hana luhi.
- Ke kaumaha nui a i ʻole ka haʻalulu o ka naʻau (e like me ka lohe ʻana i nā nūhou maikaʻi ʻole)
- ʻO ka ʻike koke ʻana i ka wai anuanu a wela paha (e like me ka ʻauʻau anu ʻana)
- ʻEha nui.
- Moe kolohe.
- Ke hana ʻana i ka hana Valsalva: Ua like kēia me ka paʻa ʻana i kou hanu a me ke kaomi ikaika ʻana.
Hiki i nā lāʻau lapaʻau ke hana i ka TGA?
ʻAe. Hiki i kekahi mau lāʻau lapaʻau a me nā lāʻau lapaʻau ke hana i kēia ʻano nalowale hoʻomanaʻo no ka manawa pōkole.
- Ka inu nui ʻana i ka waiʻona.
- Ke lawe nei i kahi overdose o kekahi mau lāʻau hiamoe (Barbiturates).
- Ka hoʻohana ʻana i kekahi mau lāʻau lapaʻau.
- Ke lawe nei i nā lāʻau liʻiliʻi o kekahi mau lāʻau lapaʻau no ka hopohopo (Benzodiazepines).
Inā hōʻike ʻoe a i ʻole kekahi mea kokoke iā ʻoe i nā hōʻailona o ka nalowale koke o ka hoʻomanaʻo, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila. ʻO kēia ke ʻike koke inā he TGA kēia a i ʻole kekahi maʻi koʻikoʻi e hoʻoweliweli ana i ke ola.
He like anei ka TGA a me ka stroke?
He kuhi hewa maʻamau kēia a me ka makaʻu. ʻAʻole ʻo TGA he hahau a he hahau liʻiliʻi paha (TIA). Hiki ke huikau nā hōʻailona o nā mea ʻelua no ka mea hiki koke mai lākou. Eia nō naʻe, aia nā ʻokoʻa maopopo ma waena o nā mea ʻelua.
| ʻAno | ʻO ka Amnesia Honua Kuikawa (TGA) | Hahau (Haʻu / Hahau Liʻiliʻi) |
|---|---|---|
| Hiʻohiʻona nui | Poho koke wale nō ka hoʻomanaʻo. | Ka nāwaliwali ma kekahi ʻaoʻao o ke kino, ke kūlou ʻana o ka maka, ka ʻōlelo ʻana me ka ʻole o ka leo. |
| Nā nāwaliwali o ke kino | ʻAʻohe nalowale o ka ʻike a i ʻole ka mae ʻana o ka hanu. | Loaʻa ka maneʻo a nāwaliwali paha o ka maka, ka lima, a i ʻole ka wāwae. |
| Nā pilikia ʻike | ʻAʻole maʻamau. | Ka pohihihi koke ʻana a i ʻole ka nalowale ʻana o ka ʻike ma kekahi a i ʻole nā maka ʻelua. |
| ʻEha poʻo | Hiki paha ke hiki mai, akā he akahai. | He ʻeha poʻo nui loa e kū mai ana me ke kumu ʻole. |
I ka hanana o ka hahau ʻana, he mea nui kēlā me kēia kekona. No laila, inā ʻike ʻoe i nā hōʻailona o ka hahau ʻana, he mea nui e hele koke i ka haukapila no ka mālama ʻana.
Pehea e ʻike pololei ai ke kauka i ka TGA?
ʻAʻohe hoʻāʻo kikoʻī no TGA. E kāpae ke kauka i nā kūlana koʻikoʻi ʻē aʻe e hiki ke hana i nā hōʻailona like. Ua kapa ʻia kēia he "diagnosis of exclusion."
No ka hana ʻana i kēia, e hana kāu kauka i kēia mau mea:
- Ke hana nei i kahi hoʻokolokolo kino piha a me kahi hoʻokolokolo neurological.
- ʻO kahi scan lolo (CT a i ʻole MRI) e kāpae i kahi kūlana e like me ka hahau ʻana, ka puʻupuʻu, a i ʻole ke kahe koko.
- Nā hoʻāʻo koko (Comprehensive metabolic panel) (e nānā i nā mea e like me ka paʻakai kino a me nā pae kō).
- He hoʻāʻo lāʻau lapaʻau (pale Toxicology).
Ma hope wale nō o ka hōʻoia ʻana o kēia mau hoʻokolohua a pau ʻaʻohe pilikia ʻē aʻe e hoʻoholo ai ke kauka ʻo TGA kēia.
He aha nā lāʻau lapaʻau no TGA?
ʻO ka nūhou maikaʻi loa, ʻaʻole pono ʻo TGA i kekahi lāʻau lapaʻau. E hoʻopau loa ke kūlana iā ia iho i loko o 24 mau hola. E hoʻi hou kou hoʻomanaʻo i ka maʻamau.
ʻŌlelo pinepine nā kauka e noho i ka haukapila i kēia wā o ka nalowale o ka hoʻomanaʻo e ʻike inā loaʻa nā hōʻailona ʻē aʻe a e hōʻoia ʻaʻohe kūlana olakino ma lalo.
Aia kekahi mau hopena lōʻihi o TGA?
ʻAʻole maʻamau ka TGA e hoʻoulu i nā pilikia lōʻihi. Hoʻōla loa nā mea maʻi. Eia naʻe, ʻaʻole lākou e hoʻomanaʻo i kekahi mea i hana ʻia i ka wā o ka hanana TGA. Me he mea lā e mae wale ana kēlā mau hola mai ko lākou ola. Eia naʻe, hoʻi mai nā hoʻomanaʻo ʻē aʻe mai mua o ka hanana i loko o 24 mau hola.
He mea kākaʻikahi loa hoʻi ka hoʻi hou ʻana o TGA. ʻAʻole i hiki i ka 10% o ka poʻe i loaʻa iā TGA e loaʻa hou iā ia i ko lākou ola.
Eia kekahi, ʻaʻole hana ʻo TGA i ka nalowale o ka hoʻomanaʻo no ka manawa lōʻihi, e like me ka dementia . He kūlana manawa pōkole ʻo TGA e hele mai a hele koke mai. He maʻi ʻo Dementia e hoʻonui mālie i ka hoʻomanaʻo i ka hala ʻana o ka manawa.
Leka Lawe-Home
- ʻO ka Transient Global Amnesia (TGA) kahi kūlana hoʻoweliweli ʻole kahi e nalowale koke ai ka hoʻomanaʻo, akā hoʻopau koke ia i loko o 24 mau hola.
- ʻAʻole kēia he hahau a he dementia paha. ʻAʻole hana ʻo TGA i nā hemahema kino ʻē aʻe (e like me ka nalowale ʻana o nā lālā a i ʻole ka ʻōlelo ʻana me ka ʻole o ka ʻike).
- ʻAʻole ʻike ʻia ke kumu maoli o kēia, ʻaʻole pono ka lāʻau lapaʻau.
- Inā hōʻike koke kāu mea aloha i nā hōʻailona o ka nalowale o ka hoʻomanaʻo, mai hopohopo, akā e lawe koke iā lākou i ka ʻOihana Pilikia o ka haukapila (ETU) e hōʻoia ʻaʻohe mau kūlana weliweli ʻē aʻe, e like me ka hahau ʻana.
- ʻAʻole e poina i ke kanaka e ʻike nei i ka TGA ko lākou ʻano a i ʻole ko lākou ʻohana. No laila e hoʻāʻo e hoʻomālielie iā lākou.
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