Kei te wiriwiri ō ringaringa i ētahi wā ina tangohia e koe tētahi mea, ina tuhituhi, ina pupuri rānei i tētahi kapu? Tērā pea ka wiriwiri tō reo ina kōrero koe. He mate tēnei e pāngia ana e te tini tāngata, ā, ka ahua hoha pea. Me kōrero tātou mō tēnei i tēnei rā, me te mārama noa iho.
He aha te 'Whiriwhiri Matua'?
He māmā noa iho, ko te Essential Tremor he mate pūnaha io e wiri ai ngā wāhanga o tō tinana, inā koa ō ringaringa. Kāore e taea te aukati i tēnei wiri.
Ko te nuinga o te wā ka pā ki ō ringaringa, engari ka pā hoki ki ētahi atu wāhanga o tō tinana, pērā i tō mahunga me tō reo. Ina kino rawa tēnei āhuatanga, ka uaua pea te mahi i ngā mahi o ia rā pērā i te kai, te inu, me te kakahu. He tokomaha hoki ngā tāngata e whakama ana, e manukanuka ana hoki mō ēnei tohu.
He aha te rerekētanga i waenga i te Essential Tremor me te mate a Parkinson?
Ko te wiri nui me te mate a Parkinson he mate nekehanga e puta ai te wiri. Engari he rerekētanga nui kei waenganui i ngā mea e rua.
- Te āhua o te wiri : Ka wiri ngā ringa o te tangata e pāngia ana e te wiri nui ina ngana ana ia ki te mahi i tētahi mea , pērā i te pupuri i tētahi kapu, te tuhituhi rānei. Engari i roto i te mate a Parkinson , ka wiri te ringa i te wā okioki . Arā, ka wiri ngā ringa ina pupuri noa i te mea, ā, ka heke te wiri ina mahi ia i tētahi mea.
- Ētahi atu tohu: Ka taea e te mate a Parkinson te haere tahi me ētahi atu tohu. Hei tauira, te uaua ki te hikoi, te pakari, me te ngaro o te taurite . Heoi, i roto i te wiri nui, ko te tohu matua ko te wiri.
- Ira Tuku Iho: He maha ngā wā ka puta te wiri nui ira tuku iho, engari he iti ake te kitea o te mate a Parkinson.
Nō reira, he mea tino nui kia mārama ki ēnei huringa.
Ko wai ka pāngia e te 'Tūmomo Tino'?
Ka taea e te tangata te pāngia e tēnei mate. Heoi, he nui ake te tūponotanga ka pāngia e te pakeketanga.
I te nuinga o te wā ka tīmata i waenga i te 10 me te 19 tau te pakeke, i waenga rānei i te 50 me te 59 tau te pakeke. E ai ki taku kōrero i mua, ka taea te horapa i roto i ngā whānau, nō reira ka kiia i ētahi wā ko te "familial tremor".
He pēhea te noa o tēnei āhuatanga?
He tino noa te wiri nui. E ai ki ngā tohunga, tata ki te 1% o te taupori o te ao ka pāngia. Tata ki te 5% o te hunga neke atu i te 60 tau te pakeke ka pāngia
. Koinei te momo wiri nui rawa atu, ā, ko tētahi o ngā mate nekehanga tino noa. He aha te pānga o te Essential Tremor ki tōku tinana?
Ka wiriwiri ngā wāhanga o tō tinana i te wā e ngana ana koe ki te whakamahi. He mea tino noa tēnei ina whakamahia ō ringaringa. Engari ka pā anō hoki ki ngā mea pēnei i tō mahunga me tō reo. Ka
tino puhoi te whanaketanga, ā, ka kore e kitea mō ngā tau. I te tīmatanga, ehara i te raruraru nui te wiriwiri. He uaua ki ētahi tāngata te mahi i ētahi mahi, engari ko te nuinga o te tangata ka urutau ki tēnā. Engari i te haere whakamua o te mate, ka uaua pea te mahi i ngā mahi pai. Hei tauira, te tuhituhi ā-ringa, te whakamahi i ngā taputapu kai, te tuitui, ētahi atu mahi rānei e hiahia ana kia tino tika. I te kino haere o te mate, ka nui ake te kino o ngā pānga. Kāore e taea e ētahi tāngata te kai, te tunu kai rānei nā te wiri o ō rātou ringaringa. Tērā pea he uaua ki ētahi atu te mahi i ngā mahi taketake pēnei i te tuhituhi, te whakakakahu, te kaukau rānei.
He aha ngā tohu o te 'Whiriwhiri Tino'?
Ko te tohu matua ko
te wiri ina ngana koe ki te whakamahi i ō ringaringa. Ka puta pea tēnei wiri i ngā huarahi rerekē me ngā wā rerekē. Koinei ngā momo me ngā wā o taua wiri:
- Te wiri mahi: Ka puta tēnei ina mahi koe i tētahi mea. Hei tauira, ina totoro atu tō ringa ki te tango i tētahi mea. Ka karangahia hoki tēnei e ngā tākuta ko te "wiri mahi".
- Te wiri tū: Ka puta tēnei ina pupuri koe i tētahi wāhanga o tō tinana i tētahi tūranga. Hei tauira, ina totoro tō ringa ki mua i a koe, ka pupuri i taua taumata. Ka kiia hoki tēnei ko te "wiri tū".
Tata tonu ka pāngia ngā taha e rua o te tinana e te wiri nui. Engari
he maha ngā wā ka pāngia tetahi taha nui atu i tētahi taha. Haunga ngā ringaringa, ka pāngia hoki ētahi atu wāhanga o te tinana e te wiri, pērā i te upoko, te reo, te mata, me te tinana. Kāore te wiri i te mea morearea. Heoi, ina kino te āhua, ka uaua pea te mahi i ngā mahi o ia rā. I roto i te wā, ka uaua pea te kai me te pūnu, te inu mai i te karāhe, te kakahu, me te tuhituhi. I ētahi wā, ka kaha ake, ka iti ake rānei te kaha o te wiri. Hei tauira:
- Te ahotea, te manukanuka , te ngenge: Ka taea e ēnei mea te whakanui ake i te wiri.
- Kawheine : Mā te inu i ngā mea pēnei i te kawhe me te tī ka nui ake te wiri i roto i ētahi tāngata.
- Ētahi rongoā: Ka pāngia hoki te wiri e ētahi rongoā.
- Waipiro: Ki tā ētahi he whakaiti te inu waipiro i ō rātou wiri mō te wā poto, engari ehara i te mea pai te whakamahi i te waipiro hei rongoā nā te mea he tūponotanga ka waranga. Waihoki, ka pāngia pea ētahi rongoā mō te wiri nui e ngā pānga kino ina tangohia me te waipiro. Nō reira he mea nui kia kōrero koe ki tō tākuta mō tō whakamahinga waipiro .
E rua ngā kupu hei mōhio māu mō ngā wiri
Ina tātaritangahia e ngā tākuta te wiri nui, ka tātarihia e rātou te āhua o te wiri. E rua ngā mea nui ko
te kaha me
te auau o te wiri. Kia mārama noa tātou ki ēnei:
- Te Whānui: Koinei te tawhiti e nekehia ana e tō ringa ina rūrū koe. Ka nui ake te tawhiti, ka nui ake te whānui. I te piki haere o te wiri nui, ka piki ake te whānui. Ka rerekē anō hoki tēnei ina mahi koe i tētahi mahi, ina pupuri rānei i tētahi tūranga.
- Auautanga: Ko te maha o ngā wā e wiri ai tō ringa ka kiia he huringa wiri. Ko te auautanga ko te maha o aua huringa e puta ana i ia hekona. Ko te waeine ine ā-ao ko Hertz (Hz). I roto i te wiri nui, e 6 ki te 12 ngā huringa wiri i ia hekona. Heoi, ka iti haere pea tēnei i te pikinga o te kaha, ā, ka rerekē hoki i ia tangata, i ia tangata.
He aha te take o te wiri nui? He mea kei te kino ake?
Kāore anō kia tino mōhiotia e ngā tohunga te take o te Essential Tremor, mehemea rānei he pūtake motuhake mōna. Heoi, kei reira ngā taunakitanga e kī ana nā ngā huringa i roto i ētahi wāhanga o te roro i puta ai. Ahakoa kāore i te mōhiotia te pūtake tuturu, e mōhiotia ana ka taea te tuku iho i te mate. Tata ki te haurua o te hunga e pāngia ana e te Essential Tremor kua tuku iho i a rātou. Te āhua nei he mate autosomal dominant. Ko te tikanga o tēnei, ki te mea he whakarerekētanga ira tō tētahi o ō mātua e puta ai, ā, ka riro mai i a koe, e 50% pea te tūponotanga ka pāngia koe e te mate.
He mate hopuhopu te wiri nui?
Kāo, ehara te Essential Tremor i te mate hopuhopu. Kāore e taea te pangia e tētahi atu, kāore hoki e taea te pangia e tētahi atu.
Me pēhea te tautuhi i te wiri nui?
Ka taea e tō tākuta te tātaritanga i te Essential Tremor i runga i ō tohu me te whakamātautau io.
Kāore he whakamātautau motuhake i tēnei wā hei whakaū mēnā kei a koe, kāore rānei. Heoi, ko tētahi o ngā mea nui hei whakaaroaro māu i te wā e tātaritanga ana ko,
He mea nui anō hoki kia tirohia mēnā he mate kē atu e puta ai ngā tohu. Ka mahia ngā whakamātautau toto me ngā whakamātautau whakaahua hei whakarite kāore he mate kē atu. He aha ngā whakamātautau ka taea te mahi hei tautuhi i te wiri nui?
Mena kei te whakapae tō tākuta kei te pāngia koe e te wiri nui, ka mahia pea e rātou ēnei whakamātautau hei whakakore i ētahi atu āhuatanga:- Ngā whakamātautau toto: Ka taea e ēnei te whakakore i ētahi atu āhuatanga e rite ana ki te wiri nui, inā koa ko ngā āhuatanga tairoi, te mate a Wilson, me ngā āhuatanga paitini i puta mai i ngā konganuku pēnei i te mata, te konupora rānei.
- Matawai tomography rorohiko (CT)
- Whakamātautau ira
- Whakaahua aukume (MRI)
- Matawai i te tomografi tukunga Positron (PET)
Me pēhea te rongoā i te Essential Tremor? He rongoā anō kei reira?
Kāore he rongoā mō te wiri nui. Heoi anō, kei reira ngā maimoatanga hei āwhina i te whakahaere i ngā tohu. Ko ngā kōwhiringa maimoatanga matua ko:- Rongoā: Ko ngā rongoā e whakamahia whānuitia ana ko ngā beta-blockers pērā i te propranolol me ngā rongoā ārai-ohorere pērā i te primidone. Ka taea ēnei te hoatu takitahi, te hoatu tahi rānei.
- Ngā taputapu urutau: He maha ngā taputapu e wātea ana ināianei hei āwhina i te whakahaere i te wiri, tae atu ki ngā taputapu taumaha, ngā taputapu whakakore wiri, ngā taputapu wiri, me te whakaohooho io ā-taha.
- Paitini botulinum: Ko te werohanga tēnei ki ngā uaua e wiri ana. Ka ngoikore ngā uaua mō te wā poto, ā, ka whakaiti i te kaha o te wiri.
- Te whakaohooho hohonu i te roro: He tikanga pokanga tēnei e whakauruhia ai he taputapu ki tētahi wāhi motuhake o te roro e tuku ana i ngā hiko. Ka whakakorengia e ēnei hiko ngā tohu e puta ai te wiri nui. Ka taea e tēnei te whakaiti i te wiri i ngā taha e rua o te tinana.
- Te orooro arotahi: Ka whakamahia e tēnei tikanga ngā ngaru oro auau-teitei hei whakangaro i te kiko o te roro e puta ai te wiri. Ka taea e tēnei whakangaromanga te whakaiti i te kaha o te wiri me te whakapai ake i te pumau o te ringa. Ka taea hoki te whakamahi hei rongoā i ngā wiri i ngā taha e rua o te tinana.
Mena kāore koe i te makona ki ētahi atu maimoatanga, ka tūtohu pea tō tākuta i te whakaohooho roro hōhonu, i te ultrasound arotahi rānei. Ngā raruraru/ngā pānga taha o te maimoatanga
Ko ngā raruraru me ngā pānga taha o te maimoatanga wiri nui e whakawhirinaki ana ki ngā āhuatanga maha, tae atu ki te momo maimoatanga. Ka taea e tō tākuta te whakamārama pai ake i ngā pānga taha ka puta pea i roto i tō āhua motuhake me pēhea te whakahaere i aua pānga. Me pēhea taku tiaki i ahau anō/te whakahaere i ngā tohumate?
Me tātaritanga me te rongoā te wiri nui e te tākuta whakangungu, tohunga hoki. Ehara i te mate mōrearea. Heoi, ka taea e te wiri te tohu i ētahi atu mate. Ka taea te rongoā i ētahi o ēnei mate mēnā ka tātaritanga wawetia. Nō reira, ki te tīmata koe ki te pāngia e te wiri kāore i te mārama, he mea nui kia kite i te tākuta. Kia pēhea te roa ka pai ake ai taku āhua i muri i te maimoatanga? Kia pēhea te roa ka ora ai ahau?
Ko te roa o te wā whakaora mai i ngā maimoatanga rerekē e whakawhirinaki ana ki ngā āhuatanga maha, tae atu ki te tikanga maimoatanga. Ko tō tākuta te puna mōhiohio pai rawa atu mō tō āhua. Ka taea e ia te whakarato mōhiohio e pā ana ki tō āhuatanga me ngā āhuatanga motuhake. Ka taea te whakaiti, te ārai rānei i te mōrearea o te whanaketanga o te Essential Tremor?
Ka puta ohorere te wiri nui, nō reira kāore e taea te ārai i tēnei āhuatanga, te whakaiti rānei i tōna mōrearea. Ka aha mēnā ka pā mai te wiri nui ki ahau?
Ko te wiri nui he āhuatanga e kino haere ana i te roanga o te wā. He maha ngā wā ka tino puhoi te puta. Ko te wiri i roto i te ringa, i ngā ringaringa rānei, ka piki ake i te 1.5% ki te 5% ia tau. Ka tīmata iti, ka pā ki ngā ringaringa anake i te tīmatanga. I roto i te wā, i muri i ētahi tau, ka horapa te wiri ki runga i ngā ringa, ka pā ki te upoko. I te kino haere o te āhuatanga, ka uaua pea te mahi i ētahi mahi, ā, me āwhina pea koe. Kia pēhea te roa o te wiri nui? Ka ngaro atu?
He āhua pumau te wiri nui, ā, mō te wā katoa ina tīmata. Kāore e taea te whakaora, ā, kāore e memeha noa iho. He aha te tirohanga mō te tangata e pāngia ana e te Essential Tremor?
I ngā wā o mua, i whakamahia te kupu "benign" (ko te tikanga "kāore e kino") hei wāhanga o te ingoa (e kiia ana ko te "benign essential tremor"). Heoi, e mārama ana ngā tohunga i nāianei ahakoa kāore te essential tremor i te kino tika, ka taea e ia te whakararuraru nui i te oranga. He uaua ki te hunga e wiri nui ana ki ngā mahi pēnei i te tunu kai, te whakamahi i ngā taputapu kai, te inu i te kapu, te horoi i a rātou anō, me te whakakakahu. Ka mutu, ka kore e taea e ētahi tāngata te noho ko rātou anake, ā, me noho tahi rātou me te whānau, me te noho rānei i roto i tētahi wāhi manaaki tautoko.
Me pēhea taku tiaki i ahau anō?
Ko te wiri nui he āhuatanga e tīmata ana me ngā tohu tino ngawari, i ētahi wā kāore e kitea, kātahi ka āta haere. He maha ngā tau ka roa ka tae ngā tohu ki te taumata e taunakihia ana kia rongoatia. Heoi, he maha ngā tāngata kāore pea e rapu rongoā kia kaha rawa atu ō rātou tohu. Anei ētahi o ngā mea pai ka taea e koe te mahi hei tiaki i a koe anō:- Kaua e wehi ki te kōrero pono mō ō tohumate. He tokomaha te hunga e whakama ana ki tēnei mate. Ina kōrero pono koe ki tō tākuta i ōu āhuatanga, ka whiwhi ia i te tirohanga whānui mō tō mate. Mā tēnei ka āwhina i a ia ki te rongoā i a koe kia pai ake ai.
- Tirohia tō tākuta kia rite ki te taunakitanga. Mā ngā haerenga whai muri ki tō tākuta ka āwhina i te aroturuki i tō āhua. Ka taea e rātou te whakarerekē i tō rongoā mēnā e tika ana, te tuku tohutohu rānei mō ngā kōwhiringa maimoatanga pai ake.
- Tangohia tō rongoā kia rite ki te whakahaunga. Ka taea e ngā rongoā te āwhina i te whakaiti i ngā tohu o te wiri nui me te whakaiti i te whakararuraru i tō oranga i puta mai i te mate. Ki te whakahaunga rongoā tō tākuta, tangohia kia rite ki te whakahaunga. Ka taea e ētahi rongoā te pāngia e ngā pānga kino, kino rānei mēnā ka mutu ohorere te tango. Nō reira kaua e mutu te tango me te kore kōrero ki tō tākuta.
- Kimihia ngā mea e whakaoho ana i tō wiri, ā, karohia atu. Ka kino haere te wiri nui ina ngenge koe, ina ahotea, ina manukanuka, ina pōrearea rānei. Ka taea hoki e te kawheine te whakakino ake i ō tohumate. Mā te karo i ēnei i ngā wā katoa e taea ai ka nui ake te rerekētanga ki ngā tohumate e pāngia ana e koe.
- Rapua he āwhina mai i te hangarau. Nā te whanaketanga o te hangarau, kei reira ngā huarahi hou hei āwhina i te hunga e pāngia ana e te wiri nui. Ko tētahi o ngā whanaketanga nui ko ngā taputapu urutau. Ka taea e ēnei te whakapai ake i tō kounga o te oranga me tō kaha ki te noho motuhake.
Āhea ahau me toro atu ki te tākuta? Me rapu tohutohu hauora rānei?
Ki te tīmata koe ki te pāngia e ngā wiri kāore i te mārama, me toro atu koe ki te tākuta. Ka whakaritea e tō tākuta he haerenga tirotiro auau hei aroturuki i tō āhua me te whakarerekē i tō maimoatanga ina hiahiatia. Ka taea e ēnei haerenga te āwhina ki te whakaiti i ngā pānga whakararuraru o te āhua, nō reira he mea nui kia haere atu koe i runga i ngā taunakitanga. Ki te kite koe kei te kino haere ō tohumate, ā, kei te whakararuraru i ō mahi o ia rā, ki te pāngia rānei koe e ētahi pānga taha whakarihariha mai i ō rongoā, i ō maimoatanga rānei, me toro atu koe ki tō tākuta. Āhea ahau me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?
Ehara te wiri nui i te āhuatanga e whakawehi tika ana i tō hauora me tō oranga. Nō reira, kāore pea e puta he tohu e hiahia ana kia arohia wawetia e te hauora. Heoi, kōrero ki tō tākuta kia kite ai mēnā he take e hiahia ana koe ki te arohia ohorere. Ka taea e ia te kī atu ki a koe he aha te mea hei tirotiro me te aha hei mahi hei tiaki i a koe anō mēnā ka puta mai aua raruraru. Hei whakamutunga, ngā mea nui hei maumahara (Karere hei tango ki te kāinga)
Ko te wiri nui he āhuatanga e wiri ai ngā wāhanga o tō tinana, arā, ko ō ringaringa me ō ringaringa. I te tīmatanga, he iti noa iho te āwangawanga. Ahakoa ehara i te āhuatanga e morearea ai te ora, ki te kaha te wiri, ka uaua pea ki a koe te tiaki i a koe anō, te noho motuhake rānei. He mea noa hoki te whakama me te manukanuka mō ngā wiri i puta mai i tēnei āhuatanga. Ka taea hoki e ia te arahi ki ngā raruraru hauora hinengaro pēnei i te manukanuka me te pouri. Heoi, ko te rongo pai he maha ngā huarahi hei rongoā i tēnei āhuatanga. He maha hoki ngā taputapu hei āwhina i a koe ki te whakahaere me te urutau ki tēnei āhuatanga. Ka taea e ēnei te whakaiti i te pānga ki tō kounga o te oranga. Nō reira kaua e mataku, kaua e whakama, me rapu tohutohu hauora i te wā e taea ai. Te wiri nui, ngā wiri, ngā mate io, ngā mate nekehanga, te mate a Parkinson, te wiri ringa, te hauora
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