He maha ngā wā ka wareware tō māmā, tō pāpā, tō kuia, tō koroua rānei i ngā mea iti i ēnei wā tata nei? Ka wareware ohorere rānei rātou ki tā rātou e kōrero ana i a rātou e kōrero ana? Ka rapua e rātou te wāhi kei reira ā rātou kī, kei hea rānei ā rātou mōhiti? He maha ngā wā ka whakaaro tātou he mea noa ēnei mea ka puta i a tātou e pakeke haere ana. Engari i ētahi wā ka nui ake te kino o tēnei warewaretanga. Ina koa ka wareware koe ki ngā kaupapa o nā tata nei, ā, ka mahara mārama koe ki ngā mea i tupu i ngā tau kua pahure ake nei, tera pea he tohu tōmua tēnei o te mate a Alzheimer. Kaua e manukanuka, me kōrero tātou mō tēnei mea me te taipitopito me te ngāwari.
He aha te mate a Alzheimer?
He mate a Alzheimer's e whakangaro haere ana i tō mahara i roto i te wā. He mate e pā ana ki te roro. I ngā wāhanga tōmua, tera pea ka uaua ki a koe te maumahara ki ngā kaupapa o nā tata nei. Engari he mea miharo, tera pea ka taea e koe te maumahara ki ngā mea i tupu i ngā tau kua pahure.
I te roanga o te wā, i te kaha haere o te mate, ka tīmata te puta mai o ētahi atu tohu.
- Te uaua ki te arotahi: Kāore e taea te arotahi ki tētahi mea.
- Te uaua ki te mahi i ngā mahi o ia rā: Ahakoa ngā mahi māmā pēnei i te hanga tī, te kai tahi rānei, ka warewarehia.
- Pōhēhē, pōuri: Ka puta ake ngā mea ki te hinengaro tetahi i muri i tetahi, inā koa i te pō.
- Ngā panonitanga ohorere o te wairua: Ngā kare ā-roto o te riri, te riri pōuri, te manukanuka, me te pouri.
- Te ngaro: Kāore e kitea tō ara, te wareware kei hea koe.
- Ngā raruraru tinana: Ka rerekē te āhua o tō hikoi, ka ngaro tō taurite ka hinga.
- Te uaua ki te kōrero: Te uaua ki te kimi kupu, te uaua ki te mārama ki te mea e kōrerotia ana.
I te whanaketanga o te mate, ka wareware pea koe ki āu ake tamariki me ō whānau. Tērā pea kāore e taea e koe te whakakakahu i a koe anō, te kai, te haere rānei ki te wharepaku ko koe anake. Ka whakangaro haere tēnei mate i ngā kiko roro i roto i te wā. Ko te nuinga o te wā ka puta tēnei mate i roto i te hunga neke atu i te 65 tau te pakeke .
Te rerekētanga i waenga i te mate a Alzheimer me te mate wareware
He tokomaha te hunga e whakapoauau ana i ēnei kupu e rua. Me whakamārama tātou.
Ehara te mate wareware i te ingoa o tētahi mate motuhake. He kupu whānui tēnei mō tētahi kohinga tohu e pā ana ki ngā mea pēnei i te mahara, te kaha whakaaro, me te whanonga.
He māmā noa iho, he rite te mate wareware ki te "kirika." He maha ngā momo take o te kirika, pērā i te kirika dengue me te rewharewha. Waihoki, he maha ngā take o te mate wareware. Ko te mate a Alzheimer te tino take me te tino take matua o te mate wareware. Arā, ka puta te mate wareware nā ētahi atu take, ahakoa kāore he mate a Alzheimer.
He aha ngā wāhanga o te mate a Alzheimer?
Ka ahu whakamua mārire te mate a Alzheimer mā roto i ngā wāhanga matua e toru.
| Wāhanga mate | Whakaahuatanga |
|---|---|
| Wāhanga tōmua (Ngawari) | I tēnei wā, kāore e kitea ngā tohu. Ko te hunga anake e tata ana ki te tūroro ka kite i ngā huringa iti. Ka taea e rātou te taraiwa i te motuka me te whai wāhi atu ki ngā mahi pāpori. Engari ka tīmata rātou ki te wareware i ngā taipitopito, ki te whakamahere mahi, me te wāhi kei reira ngā mea. |
| Waenga | Koinei te wāhanga roa rawa atu o te mate. Ka roa pea mō ngā tau. Ka kino haere ngā tohu, ā, ka tīmata ētahi atu ki te kite i ēnei huringa. Tērā pea ka kitea ake ngā huringa whanonga (te riri, te oho) i te mea ka uaua te mahi i ngā mahi o ia rā. I tēnei wāhanga, me whai tangata te tūroro hei tiaki me te manaaki. |
| Wāhanga whakamutunga (Nui rawa) | I tēnei wā, me tiaki pea te tūroro mō ngā haora 24. Tērā pea kāore rātou e mōhio ki te taiao e karapoti ana i a rātou. Tērā pea kāore e taea e rātou te mahi i ngā mahi māmā pēnei i te hikoi, te noho, me te horomi. He tino uaua te kōrero. |
He aha ngā pūtake o te mate a Alzheimer?
Kāore anō kia mōhiotia e ngā kaipūtaiao te tino take o te mate a Alzheimer. Engari ehara i te mea noa o te koroheketanga. Kei te rangahauhia tonutia te take e pāngia ai ētahi tāngata, ā, kāore ētahi e pāngia. Engari e mōhio ana rātou e rua ngā huringa matua e puta ana i roto i te roro e arahi ana ki ēnei tohu:
1. Ngā raranga neurofibrillary: Ka raranga ngā pūtau io o te roro pērā i ngā pōro miro. Ka kiia ēnei he raranga neurofibrillary .
2. Ngā putunga pūmua: Ka putungahia ki waenganui i ngā pūtau io tētahi momo pūmua e kīia ana ko ngā papa beta-amyloid .
Ahakoa kāore i te tino mōhiotia me pēhea, he aha rānei tēnei kino ka puta, kua kitea he pānga ira tōna. Ko te ApoE (apolipoprotein E) i roto i ō tātou totoE whakapaetia ana kei roto i tēnei mate tētahi pūmua e kiia nei ko ApoE. Ko te hunga whai momo ApoE ka nui ake te tūponotanga ki te pāngia e te mate a Alzheimer.
Ki te pāngia tētahi o tōku whānau e tēnei mate, ka pāngia anō hoki ahau? (He mea tuku iho?)
He ahua uaua te whakautu. Kāore he pūtake ira kotahi o te mate a Alzheimer. Heoi, mēnā kua pāngia tō whaea, tō pāpā, tō teina rānei e te mate, he nui ake te tūponotanga ka pāngia koe e te mate i ērā atu. Engari, ehara i te mea ka tino pāngia koe e te mate.
Me pēhea te tautuhi i te mate?
Ki te whakapae koe kei a koe ngā tohu o te mate a Alzheimer, me toro atu ki tō tākuta whānau i te tuatahi. Māna koe e tuku ki tētahi tākuta roro mēnā e tika ana. Ka pātai atu te tākuta ki a koe me tētahi mema o tō whānau kia pai ake ai tō māramatanga ki tō āhua.
Ka pātai motuhake rātou mō ēnei mea:
- He raruraru kei te mahara, kei te whakaaro rānei? Mena he pērā, he aha te āhua o aua raruraru?
- Kua puta he huringa i roto i tō whanonga, i tō tuakiri rānei?
- Kua pāngia tō oranga o ia rā e ēnei raruraru?
Hei tāpiri, ka taea te whakahaere i ngā whakamātautau e whai ake nei hei whakaū i te mate:
- Ngā whakamātautau roro: Ngā whakamātautau e ine ana i te mahara, te pūkenga whakaoti rapanga, te aro, me te pūkenga reo.
- Ngā whakamātautau toto me te mimi: Tirohia mēnā he mate hauora kē atu.
- Aromatawai hinengaro: Tirohia te āhua o te hinengaro.
- Ngā matawai roro: Ngā whakamātautau pēnei i te CT, MRI, me ngā matawai PET.
- Te tātaritanga tuaiwi: Hei tirotiro i te wai i roto i te roro me te taurakira (wai cerebrospinal - CSF).
Te maimoatanga me te whakahaere
Kāore he rongoā mō te mate a Alzheimer. Heoi, he maha ngā rongoā ka taea te whakaroa i te haere whakamua o te mate me te whakahaere i ngā tohu . Ka taea e ēnei rongoā te āwhina i te tūroro kia mau tonu te kounga o te oranga mō tētahi wā.
Hei tauira, kei te ngana ngā rongoā hou pēnei i a `Lecanemab (Leqembi)` me `Donanemab (Kinsula)` ki te whakahaere i te haere whakamua o te mate mā te tango i te pūmua kino (beta-amyloid) e kohia ana i roto i te roro. Ka tūtohu hoki ngā tākuta i ngā rongoā pēnei i a `Cholinesterase inhibitors` me `Memantine` hei whakahaere i ngā tohumate.
Ko te mea nui ko te tango i ēnei rongoā i raro i te tohutohu a te taote anake . Mā tō tākuta e whakatau te maimoatanga tino tika mō tō āhua.
He tohutohu mō te hunga e tiaki ana i te tūroro a Alzheimer
Mena he whanaunga tōu e pāngia ana e tēnei mate, he wero, he manaakitanga hoki te tiaki i a rātou. Anei ētahi mea ka taea e koe te mahi hei whakangawari ake i tō rātou oranga:
- Waihangahia he mahinga: Ngāna ki te kaukau, ki te whāngai, ki te whakakakahu i a rātou i te wā kotahi i ia rā. Mā tēnei ka whakaiti i tō rātou rangirua.
- Tangohia tō rongoā i te wā tika: Whakamahia he taputapu aroturuki pire hei aroturuki i tō rongoā o ia rā. Mēnā he kino te mate, me tango e koe te kawenga katoa mō te tango i tō rongoā.
- Kia haumaru ake tō kāinga: Tangohia ngā whāriki pahekeheke. Kia mārama te rama. Tāutahia he pae pupuri ki te wharepaku me te wharepaku.
- Kākahu whakamarie: Kōwhiria ngā kākahu ngāwari ki te mau, he rapa, kaua ki ngā pātene me ngā reti.
- Kia manawanui, kia whakaute: Kōrero ki a rātou me te aroha. Whakarongo ki ā rātou kōrero. Whakauruhia rātou ki te kōrero. Kaua e tukua kia pakaru ō rātou mana.
Karere Tangohia ki te Kāinga
- Ehara te mate a Alzheimer i te wāhanga noa o te koroheketanga. He mate e pā ana ki te roro.
- Mena he tino wareware tetahi o tō whānau, he rerekē rānei āna whanonga, kaua e warewaretia.
- Mā te kite i te mate i te wā tōmua, ka taea te whakahaere i te tere o te haere whakamua o te mate, ā, ka taea te whakapai ake i te kounga o te oranga o te tūroro.
- I te mea he maimoatanga kei reira mō tēnei, he mea tino nui kia toro atu ki tētahi tākuta whai tohu i te wā e taea ai, kia rapu tohutohu ai.
- He wero te tiaki i tētahi tūroro. Nō reira, hei kaitiaki, tiakina tō hauora hinengaro me tō hauora tinana. Inoi atu mō te āwhina mēnā e hiahiatia ana.











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