Kua rongo pea koe i tō tākuta e kī ana me toro atu koe ki tētahi 'tohunga roro'. Kua rongo pea koe i te ingoa, ā, ka whakaaro koe, "Āe, he aha te momo tākuta ?" Ahakoa he kupu uaua te tangi, he tino nui te mahi a ēnei tāngata. I tēnei rā, me kōrero tātou ko wai tonu te tohunga roro, me pēhea hoki rātou e āwhina ai i tō hauora.

Ko wai te tohunga roro? He māmā noa iho...

I te whakarapopototanga, he kaiwhakarato hauora te tohunga roro e tohunga ana ki te mahi a tō pūnaha io, inā koa ko tana mahi hiko. Ko te tikanga ka tirohia e rātou mēnā kei te mahi tika tō roro, tō taurakira (te taurakira i roto i tō tuaiwi), me ētahi atu io. Ka taea e rātou te mahi i ngā momo whakamātautau hei āwhina i te tautuhi i ngā āhuatanga e pā ana ki te pūnaha io.

Whakaarohia, he rite tō tātou tinana ki tētahi mīhini tino uaua. Ko te pūnaha io te pokapū whakahaere o tēnei mīhini. Ko ngā mea katoa e whakaarohia ana e koe, ngā mea katoa e pā ana ki a koe, ngā mea katoa e mahia ana e koe – mai i te ruru i tō ringa ki te pā o tō ngākau – e whakahaerehia ana e tēnei pūnaha io. Nō reira, ka āwhina mai tētahi tohunga roro ki a tātou kia kite mēnā he raruraru kei roto i tēnei pūnaha, me pēhea hoki tana mahi.

He aha te rerekētanga i waenga i te tohunga hinengaro me te tohunga neurologist?

He mea tēnei e whakapoauau ana i te tini o te tangata. He tohunga te tohunga roro i roto i te mara o te neurology .

Whakaarohia pēnei, he tākuta roro he tākuta whai mātauranga nui ki ngā mea katoa e pā ana ki tō pūnaha io – tōna hanganga noa, tana mahi, me ngā āhuatanga e pā ana ki a ia. Ko rātou te hunga e tātaritanga me te rongoā ana i ngā mate roro.

He tohunga roro te tohunga roro e tohunga ana ki te *mahi* o te pūnaha io, arā, me pēhea te mahi. Ka whakahaerehia e rātou ngā whakamātautau maha hei ine i taua mahi, hei tātari hoki i ngā hua o te whakamātautau.

Ko te mea nui, kāore te tohunga roro e tūtohu i te rongoā mō ngā mate roro. Mā te tohunga roro tēnā e mahi. Heoi, he tino āwhina te tohunga roro ki te kimi i te tino take o te mate, arā, ki te hoatu i te tātaritanga tika .

He aha tonu te mahi a te tohunga roro?

Ko te tohunga roro te mea matua e tātaritanga ana, e aromatawai ana hoki i ngā āhuatanga e pā ana ki te mahi a tō pūnaha io. Ko te mea nui, ka whakamahia e rātou ngā whakamātautau maha hei hopu i ngā mahi hiko o tō pūnaha io.

E rua ngā momo matua o ngā tohunga hinengaro:

1. Ngā Tohunga Pokanga o te Niho

2. Ngā Kairangahau Hauora Hauora

He rerekē paku ngā mahi a ngā mea e rua. Ko ētahi o ngā tohunga roro he rangahau anō hoki te kaupapa o ā rātou mahi.

Ngā Tohunga Pokanga o te Niho

E ai ki te ingoa, he wāhanga ēnei tāngata o te tīma pokanga. He tino piripono tā rātou mahi tahi me ngā taote pokanga pērā i ngā tohunga whakamoe me ngā taote pokanga roro.

I te wā o te pokanga, ka tirotirohia, ka aroturukihia hoki tō pūnaha io e tēnei tohunga roro. I runga i te momo pokanga e mahia ana, ka taea e tēnei aroturuki te āwhina i ngā taote pokanga ki te whakaiti i te mōrearea o ngā raruraru nui pērā i te pararutiki, te ngaronga o te rongo, te whiu rānei. Ka kiia tēnei ko te aroturuki roro ā-roto (IONM) i te wā o te pokanga .

Ko ētahi o ngā pokanga e whai wāhi pinepine ana ēnei tāngata ki:

• Te pokanga tuaiwi .
• Ētahi momo pokanga roro.
• Ko ētahi pokanga taringa, ihu, me te korokoro (ngā mahi ENT).
• Te pokanga io ā-taha.
• Ngā pokanga toto, pērā i te Carotid Endarterectomies me te Thoracic-Abdominal Aortic Aneurysms (TAAA).

Anei ētahi o ngā pūnaha whakamātautau me te aroturuki e whakamahia ana e rātou i te wā pokanga:

• `SSEP (Somatosensory Evoked Potentials)`: Ko te tikanga o tēnei he hoatu i tētahi whakaoho hiko iti ki tētahi io taha i roto i tō ringa, i tō waewae rānei. Kātahi ka ine i te urupare a tō roro, tō pūnaha io, tō taurakira rānei ki tēnei mea. He maha ngā wā ka whakamahia i roto i ngā pokanga tuaiwi, i ētahi pokanga roro me ngā io taha.
• `TCeMEP (Ngā Pūmanawa Whakaoho i te Motuka Hiko Whakawhiti-Angaanga)`: Kei roto i tēnei whakamātautau te whakamahi i te whakaoho hiko ki te ``Motor Cortex`` o tō roro, me te tuhi i te urupare a tō taurakira, ngā uaua rānei o ō peka ki tēnei. He mea whakamahi noa hoki tēnei i roto i ngā pokanga tuaiwi.
• ``BSEP (Ngā Pūmanawa Whakaoho Roro o te Take Roro)'':Ko te tikanga o tēnei me whakarongo koe ki tētahi oro, he "pāwhiri" noa iho mā roto i ngā taringa, me te mātakitaki i te urupare a tō roro ki taua oro. Ka āwhina tēnei ki te aroturuki i te mahi a te roro me te tiaki i te whakarongo i te wā e pokanga ana hei tango i ngā pukupuku pērā i ngā neuromas acoustic me ngā pukupuku o te roro.
• EEG (Electroencephalogram): Ka tuhia e tēnei te mahi hiko tūturu o te roro. Ka whakamahia hei ārai i ngā kino i puta mai i te whakahekenga o te rere o te toto ki te roro (ischemia) i ngā wā pokanga pērā i te Carotid Endarterectomies me te Aneurysm cuttings, me te aroturuki i te mahi me te "hauora" o te cerebral cortex.

Ngā Kairangahau Hauora Hauora

Ka mahi tahi ēnei tāngata me ngā tākuta roro me ngā taote pokanga roro. Ka aromatawaihia e rātou te mahi a tō pūnaha io, ka tātaritanga hoki i ngā āhuatanga o te io me te uaua-io. I runga i tō āhua, ka taea te mahi i ēnei whakamātautau i waho o te hōhipera, i a koe rānei e noho ana i te hōhipera.

Anei ētahi o ngā whakamātautau e whakamahia ana e ngā tohunga roro:

• EMG (Electromyography): Mā tēnei ka whakamātautau i te hauora me te mahi a ō uaua angaanga me ngā io e whakahaere ana i aua uaua. Ka taea e ia te āwhina ki te tautuhi i ngā mate maha, tae atu ki te Peripheral Neuropathy, te Carpal Tunnel Syndrome, te Muscular Dystrophy, me te Amyotrophic Lateral Sclerosis (ALS).
• Rangahau Whakahaere Io (NCS): Mā tēnei ka whakamātautau i te pai o te mahi a ō io taha. Ka taea te whakatau mēnā kua pakaru tētahi io taha, me te whānui o tōna horapa. He maha ngā wā ka mahia ngātahitia ngā whakamātautau EMG me te NCS.
• EEG (Electroencephalogram): Ko tēnei he tāpiri i ngā irahiko iti ki tō tumuaki me te tuhi i ngā mahi hiko mai i te cortex roro. Ka whakamahia hei tātaritanga i ngā āhuatanga pēnei i te haurangi me ngā momo rerekētanga o te pūnaha io matua.
• Whakamātautau Pūmanawa Whakaoho: Ka inehia e ēnei whakamātautau te ngohe hiko i ngā wāhanga rerekē o tō roro me tō taurakira hei whakautu ki tētahi whakaohooho. Ka taea e tēnei te whakaatu i te tere me te tino tere o te haere o ngā tohu io ki te roro. He maha ngā momo o ēnei, pērā i te Rorohiko Whakaoho Auditory (BAER), te Tirohanga Whakaoho Visual (VEP), me te Somatosensory Evoked Potential (SEP).
• Te Rangahau Moe / Te Polysomnography:Mā te tuhi tonu i te mahi a ngā pūnaha o tō tinana (pērā i te ngākau, te manawa, me te mahi a te roro) i a koe e moe ana ka mahia tēnei. He mea tino nui tēnei mō te tautuhi i ngā mate moe.

Ka haere te tohunga roro ki te kura hauora?

Āe, tino tika! He tākuta te tohunga roro. Ka haere rātou ki te kura hauora hei whiwhi i tēnei tohungatanga.

Me pēhea te noho hei tohunga neurophysiologist?

Hei te noho hei tohunga hinengaro haumanu, me whakaoti e koe ēnei mahi mātauranga me te whakangungu:

• Me whakaoti tuatahi e koe he mātauranga whakangungu hauora e whā tau te roa mai i tētahi kāreti, whare wānanga rānei, kātahi ka whiwhi i te Tohu Paetahi.
• Whai muri i tēnā, me ako koe mō ngā tau e whā i te kura hauora , ā, me whiwhi i te tohu "Dr. Rongoā - MD" me te tohu "Dr. Rongoā Osteopathic - DO" rānei.
• Me whakaoti e koe tētahi mahi tauira mō te tau kotahi i roto i te rongoā whānui.
• Kātahi, i runga i te kaupapa, me whakaoti e koe he tohu noho i roto i tētahi kaupapa neurology , ka roa pea ki te whā tau.

Whai muri i tēnei nohonga, ka haere ētahi tāngata ki ngā kaupapa karahipi hei whiwhi i ngā tohungatanga hōhonu ake i roto i tētahi wāhanga motuhake o te pūnaha io. Hei tauira, ka taea e rātou te tohunga ki ngā wāhanga pēnei i te mate haurangi, ngā mate pūnaha io, me ngā mate moe.

Nō reira, ki te whakapae te tākuta kei a koe tētahi mate pūnaha io, ki te mea rānei kua kitea kētia tō mate, tera pea he mema o tō rōpū hauora tētahi tākuta pūnaha io. He tohunga rātou i roto i tā rātou mara, ā, he mōhio rātou ki ngā whakamātautau hou ka taea te aromatawai i te mahi a tō pūnaha io. Kaua e mangere ki te pātai atu ki ō tākuta pūnaha io. Kei reira rātou hei āwhina i a koe.

Ngā mea tino nui hei maumahara (Karere hei kawe ki te kāinga)

Āe, me titiro tātou ki ētahi o ngā mea tino nui hei maumahara māu mai i ngā mea kua kōrerohia e tātou:

• He tohunga te tohunga roro e ako ana i te mahi a tō pūnaha io, tae atu ki tō roro, tō taurakira, me ngā io. Ka whakahaerehia e rātou ngā whakamātautau maha hei āwhina i te tautuhi i ngā mate.
• Ko te tākuta roro te tangata e whakarato ana i te maimoatanga, engari he nui te takoha a te tākuta roro ki te tautuhi tika i te mate.
• Ka whakamahia e ēnei tāngata ngā momo whakamātautau motuhake (hei tauira, `EEG`, `EMG`, `NCS`, `Evoked Potentials`) hei tiaki i te pūnaha io mai i te kino i te wā o te pokanga, me te tautuhi haumanu i ngā mate io.
• Ki te kī atu te tākuta kia toro atu koe ki tētahi tohunga roro, ko tōna tikanga me tirotiro hōhonu rātou i te mahi a tō pūnaha io.Kaua e wehi, mā tēnei koe e āwhina kia pai ake te maimoatanga.
• Kaua e mangere ki te pātai atu ki tō tākuta mō ngā pātai katoa e pā ana ki ō whakamātautau, ki tō āhua rānei. Kei a koe te tika ki te mōhio mārama ki ngā mea katoa.

Ko tāku tumanako kua mārama ake koe inaianei ki te tohunga roro me ā rātou mahi. Mēnā he pātai anō āu, me kōrero ki tō tākuta.

` Ngā Pūnaha Roro, Ngā Kairangahau Roro, Pūnaha Io, Ngā Whakamātautau Roro, Te Tātaritanga Roro, EEG, EMG, Te Aroturukitanga Pokanga