He nui tō werawera i ētahi wā, kāore he take, he iti rānei te werawera i ētahi wāhi? He iti noa iho rānei ō āhuatanga pēnei i te ngoikore o ō waewae, te whanoke rānei? I ētahi wā, he uaua ki te tākuta te kimi tonu i te pūtake o ēnei tohu. I ēnei wā, ka tūtohutia pea he whakamātautau motuhake hei tirotiro mēnā he raruraru kei te pūnaha io e mahi ana tātou i roto i te tinana (te wāhanga e whakahaere ana i ngā mea pēnei i te manawa me te werawera). Ko tētahi o ēnei whakamātautau ko te QSART.
He aha te QSART?
Ko te QSART he whakarāpopototanga mō te 'Quantitative Sudomotor Axon Reflex Test'. Ahakoa te ahua uaua o te ingoa, he tino māmā noa iho. He whakamātau tēnei e ine ana i te pai o te mahi a ngā io e whakahaere ana i tō werawera. Ka kiia hoki e mātou he 'whakamātautau werawera'.
Whakaarohia, he mea tino nui te werawera hei whakahaere i te pāmahana o tō tātou tinana. Ka whakahaerehia tēnei werawera e tētahi wāhanga motuhake o tō tātou pūnaha io. I roto i tēnei whakamātautau, ka whakamahia he whakaoho hiko iti ki tētahi wāhi iti o tō kiri, ā, ka ine i te nui o te werawera e puta mai ana i ō repe werawera. Mā te ine i te nui o te werawera e puta mai ana i tēnei ara, ka taea e tātou te mārama ki te mahi a ngā io e pā ana.
I roto i ngā āhuatanga hea ka tūtohu te tākuta kia mahia tēnei whakamātautau?
He tino āwhina tēnei whakamātautau QSART mō te tautuhi i ngā mate o te Pūnaha Io Ā-Whaiaro, e whakahaere ana i ngā mahi a tō tātou tinana kāore e whakahaeretia e tātou (hei tauira, te tere o te manawa, te toto totoka, te werawera, te nakunaku). Ka whakamahia hoki hei tautuhi i ngā mate io ā-taha, e pā ana ki ngā mea pēnei i te ngoikore o ngā peka me ētahi āhuatanga mamae.
Ka tūtohu pea tō tākuta i tēnei whakamātautau mēnā kei a koe tētahi o ēnei āhuatanga e whai ake nei:
- Te neuropathy ā-roto: Te pakaru o ngā io e whakahaere ana i ngā mahi aunoa i roto i te tinana.
- Te mamae ā-rohe matatini (CRPS): He mamae nui, he mamae roa i roto i te ringa, i te waewae rānei, i muri i te aituā.
- Neuropati e pā ana ki te mate huka: Te kino o ngā io i puta mai i te mate huka.
- Te mate maha-sclerosis: He mate e kino ai ngā io o te roro me te taurakira.
- Te mate tachycardia orthostatic postural (POTS): He āhuatanga e piki haere ai te tere o te manawa ina tū ana.
- Te mate a Sjögren:He mate pūnaha ārai mate e pā ana ki ngā repe e whakaputa ana i te makuku i roto i te tinana (roimata, huware).
- Te neuropathy muka iti: Ka puta ngā tohu pēnei i te mamae me te māuiui nā te kino o ngā muka io iti i roto i te kiri me ngā okana.
Me pēhea taku whakarite mō tēnei whakamātautau?
I mua i te whakamātautau QSART, ka kōrero tō tākuta ki a koe, ka whakamārama i ngā mea katoa. Ka hoatu hoki e ia ētahi tohutohu motuhake hei whai māu kia tika ai ngā hua o te whakamātautau. He mea tino nui kia tino whai koe i ēnei tohutohu.
Me titiro tātou ki te ripanga i raro nei kia kite ai me pēhea tā tātou whakarite.
| Tohutohu | Whakaahuatanga me te Take |
|---|---|
| Ētahi rongoā | Tērā pea ka tonoa koe kia mutu te tango i ētahi rongoā mō te rā kotahi, e rua rānei, ka pā pea ki ngā hua o te whakamātautau. Mā tō tākuta koe e kī atu he aha tonu aua rongoā. Kaua rawa e mutu te tango i tētahi rongoā me te kore e pātai tuatahi ki tō tākuta. |
| Ngā hua tupeka | Kaua e momi hikareti me te whakamahi i ētahi atu hua tupeka mō te iti rawa i ngā hāora e whā i mua i te whakamātautau. Ka pā pea ēnei ki te pūnaha io. |
| Kākahu | Kia mau i ngā kākahu korekore, whakamarie hoki i te rā o te whakamātautau. Kaua e mau i ngā tōkena piripono (tōkena pēhi) i te rā o te whakamātautau. |
| Ngā hinu me ngā kirimi | I te ata o te whakamātautau, kaua e pania he hinu, he kirimi, he hinu rānei ki ō ringaringa me ō waewae. Ka ārai pea ēnei i te pa atu o ngā taputapu whakamātautau ki te kiri. |
| Kai me te inu | He tohutohu motuhake anō mō tēnei, ka matapakihia e mātou ēnei i raro nei. |
Ngā mea me mōhio koe mō te kai me te inu i mua i te whakamātautau
| Me aha? | Te Wā |
|---|---|
| Kaua e inu i tētahi mea kei roto he waipiro. | Mai i te 12 hāora i mua i te whakamātautau. |
| Kaua e kai i tētahi mea kei roto te kawheine (tī, kawhe, tiakarete, ētahi inu ngohengohe). | Mai i te 8 hāora i mua i te whakamātautau. |
| Kai i tētahi kai māmā (hei tauira, he raihi, he poro taro) | 3 hāora i mua i te whakamātautau. |
| Kaua e inu i tetahi mea (ahakoa te wai). | Mai i te 3 hāora i mua i te whakamātautau. |
| Inumia he nui te wai, kia mau tonu te makuku o te tinana. | Te rā i mua i te whakamātautau. |
He aha ngā rongoā me mutu te tango i mua i te whakamātautau?
Ko te mea nui: Kaua e mutu te tango i tētahi rongoā kia tohutohu rā anō tō tākuta. Tērā pea ka pā mai ētahi atu raruraru ki ētahi rongoā mēnā ka mutu te tango. Nō reira, me kōrero ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe (tae atu ki ngā huaora me ngā rongoā otaota). Māna koe e kōrero mēnā me mutu te tango i tētahi, me te wā e tika ana.
Kei raro nei ētahi rongoā ka pā ki ngā hua o te whakamātautau QSART. Tērā pea ka tono atu tō tākuta kia mutu te tango i ētahi o ēnei mō ngā hāora 48 i mua i te whakamātautau.
- Ngā rongoā whakangāwari
- Ngā rongoā ārai pouri
- Ngā rongoā antihistamine (ngā rongoā mō ngā mate pāwera)
- Ngā kaihoko ārai-mumura
- Āpipirini
- Ngā rongoā toto toto tiketike
- Ngā rongoā whakaheke toto
- Ngā rongoā makariri, maremare rānei e hokona ana i runga i te kaute
Āe, kia kite tātou he aha ka puta ina mahia te whakamātautau.
Mā te mōhio i mua i te whakahaerenga o te whakamātautau ka āwhina i te whakaiti i te manukanuka. He tino māmā te tukanga.
1. Te Whakarite: Tuatahi, ka tonoa koe kia tangohia ō hu me ō tōkena. Kātahi ka tonoa koe kia noho ki runga i te tēpu whakamātautau, kia takoto rānei.
2. Te horoi kiri: Ka horoia rawatia e te kaimātai te kiri huri noa i ō waewae, ō waewae, me ō ringaringa.
3. Te whakapiri i ngā irahiko: Muri iho, ka whakapirihia ngā pāti kirihou iti e whā e kīia ana he irahiko ki tō kiri. I te nuinga o te wā, e toru ka whakapirihia ki ō waewae, kotahi ki ō ringaringa.
4. Te paninga i tētahi otinga motuhake: Muri iho, ka pania he otinga e kīia nei ko te `acetylcholine` ki te kiri kei reira ngā irahiko. Ko te `acetylcholine` he matū (neurotransmitter) kei roto i tō tātou tinana, ā, ka kawe i ngā karere i waenga i ngā io. I konei, ka whakamahia hei whakaoho i ō repe werawera.
5. Te tīmatanga o te whakamātautau: Kua tahuri te mīhini QSART. Kātahi ka tukuna he iahiko iti rawa ki tō kiri mā roto i ngā irahiko. Ehara tēnei i te iahiko nui, nō reira kāore he mea e wehi ai.
6. Te ine i te werawera: Mā tēnei iahiko hiko me te otinga 'acetylcholine' ka tīmata ō repe werawera ki te whakaputa werawera. Ka ine te mīhini i te nui o te werawera e puta ana.
7. Whakahokia: Ka tangohia pea e te āpiha ngā hikohiko ka tāpiri atu ki ētahi atu wāhanga o te tinana, me te whakahoki anō i te tukanga.
Kia pēhea te roa o tēnei whakamātautau? He mamae?
E 45 meneti ki te haora te roa o te whakamātautau katoa.
Ehara tēnei i te whakamātautau mamae. Heoi, tera pea ētahi tāngata ka pāngia e te mamae iti. Ina pā te iahiko iti i roto i te kiri, tera pea ka rite ki te ngau, ki te ngau iti, ki te wera iti rānei, pērā i te werohanga o te ngira . He rerekē tēnei i ia tangata, i ia tangata. Heoi, ehara i te mamae e kore e taea te whakamanawanui. Ki te tino mamae koe, kōrero tonu atu ki te tangata e mahi ana i te whakamātautau.
He aha ngā mea ka tupu i muri i te whakamātautau? Āhea ka puta mai ngā hua?
Kia oti te whakamātautau, ka tangohia e te āpiha ngā hikohiko i tō kiri. Whai muri i tēnā, ka taea e koe te mau anō i ō tōkena me ō hu, ā, ka noho noa.
Tērā pea ka kite koe i te whero pakupaku, i te rerekētanga rānei o te kiri i te wāhi i whakatakotoria ai ngā hiko. He mea noa tēnei, ā, ka ngaro katoa i roto i ētahi haora.
Ka tukuna ngā raraunga i kohia mai i te whakamātautau ki te tākuta nāna koe i tuku mō tēnei whakamātautau. Ka whakapā atu ia ki a koe i roto i ētahi rā ina puta mai ngā hua.
Me pēhea te mārama ki ngā hua o te whakamātautau QSART?
Ka tātarihia e tō tākuta ngā hua, ā, ka whakamāramahia tōna tikanga ki a koe. Ina tirohia ēnei hua, e toru ngā mea matua hei tirotiro māu:
- Te roa o te wā e puta ai te werawera: Kia pēhea te roa o te wā i puta ai te werawera i muri i te whakaohooho?
- Te nui rawa o te werawera e puta ana: Āhea te wā e nui rawa ai te werawera e puta ana?
- Te rahinga katoa o te werawera: E hia te nui o te werawera i puta i te wā whakamātautau katoa?
Ka taea e ēnei hua te 'Noa' te 'Kāore i te ōrite' rānei.
He aha te hua noa?
Mena he 'Noa' te hua (e kiia ana i ētahi wā he 'hua kino'), ko te tikanga kei roto i te awhe e tumanakohia ana te nui me te roa o tō whakaputanga werawera mō tō tau me tō ira tangata. Ko te tikanga o tēnei, kāore te whakamātautau e tohu i tētahi raruraru nui ki te mahi a ngā io e whakahaere ana i te werawera.
He aha te hua rerekē/pai?
Mena he 'Pai' te hua, he rerekē rānei, ko te tikanga he rerekē ngā uara whakamātautau i tā te mea e tumanakohia ana. Hei tauira, tera pea ka roa te wā ka tīmata te werawera, tera pea he iti rawa, he nui rawa rānei te nui o te werawera e puta ana.
E tohu ana tēnei kei te whakararuraru pea tetahi mea i te mahi a tō pūnaha io motuhake.
Ko te mea nui kia mārama ki konei, ko te hua o te whakamātautau QSART 'pai' ehara i te tohu tika kei a koe he mate. Ko tōna tikanga kāore tetahi mea e mahi tika ana i roto i tō pūnaha io ā-roto, ā, me whai atu he rangahau. He tohu nui noa iho tēnei ka taea e te tākuta te tātaritanga i tō āhua. Kātahi ka taea e ia te whakatau mēnā me mahi atu i ētahi atu whakamātautau, me tīmata rānei i te maimoatanga e tika ana māu.
Karere Tangohia ki te Kāinga
- He whakamātautau haumaru, kore mamae hoki te QSART e ine ana i te mahi a ngā io e whakahaere ana i tō werawera.
- Hei whakatutuki i ngā hua tika, he mea nui kia tino whai i te kai, te rongoā, me ētahi atu tohutohu i homai e te tākuta i mua i te whakamātautau.
- Kōrerotia ki tō tākuta ngā rongoā katoa e tangohia ana e koe. Kaua e mutu te tango i tētahi rongoā me te kore he tohutohu a tō tākuta.
- Ko te mamae e pā ana ki te tinana i te wā o te whakamātautau he ngau kino, he wera ngawari rānei. Ehara i te mamae e kore e taea te pupuri.
- Ehara te hua o te whakamātautau 'pai' (he rerekē) i te tohu mate. He kōrero nui noa iho hei āwhina i tō tākuta ki te tirotiro anō i tō āhua.
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