Kei te ahua koe kei te ngaro tō taurite i a koe e hikoi ana, kei te uaua rānei ki te whakahaere i ō waewae me ō waewae? Tērā pea ka wiri ō ringaringa ina tuhituhi koe, ina pupuri i tētahi kapu, ina kōrero rānei koe? Ehara ēnei i te mea noa iho. Tērā pea he take hauora kei muri i tēnei. I tēnei rā ka kōrero tātou mō tētahi āhuatanga e kiia nei ko te ataxia, e puta ai ēnei tohu. He mea nui kia mōhio koe ki tēnei.
He aha te ataxia?
Ehara te ataxia i te mate, engari he tohu. Hei whakamārama, ka kiia e tātou ko te ataxia ngā nekehanga whakauaua, rerekē e puta mai ana i te ngoikore o tō tātou kaha ki te whakahaere i ō tātou uaua . Whakaarohia, ko tō tātou roro te pokapū matua e whakahaere ana i ngā nekehanga katoa o te tinana. Ina he raruraru, he motu rānei i ngā tohu mai i tēnei pokapū ki ngā peka, ka pōrearea ā tātou nekehanga. Ka pāngia pea te hikoi, te taurite, ngā ringa, ngā kanohi, tae noa ki te kōrero.
I ētahi wā ka pōhēhē ngā āhuatanga e rua, arā, ko te Ataxia me te Apraxia. I roto i te Apraxia, ka wareware te roro ki te mahi i tētahi mahi, ahakoa kei te mahi tonu ngā uaua. I roto i te Ataxia, ka ngaro te kaha tinana ki te whakahaere i ngā uaua.
Ngā tohu noa e kitea ana i te ataxia
Ka taea e te tangata e pāngia ana e te ataxia te whakaatu i ngā momo tohu. Tirohia mēnā kei a koe tētahi, ētahi rānei o ēnei.
| Tohu | He whakamārama māmā |
|---|---|
| Te hikoi pōturi | Ina haere ahau, ka tutuki oku waewae me te mea he tangata haurangi, ā, he uaua ki te haere tika. |
| Whānui te Haerenga | I a koe e ngana ana ki te pupuri i te taurite, ka whakamatautauria koe ki te hikoi me ō waewae wehe. |
| Taurite Kino | Ahakoa kei te noho noa koe, kei te tū rānei, ka ngaro tō taurite ka tīmata te hinga. |
| Te Whakaritenga Kino | He uaua ki te whakahaere i ngā peka me ngā waewae. Ina ngana ahau ki te toro atu ki tētahi mea, ka neke whakamua, ka neke whakamua. |
| Te uaua ki te mahi i ngā mahi ngawari | Ka uaua te mahi i ngā mahi tairongo pērā i te tuhituhi, te pātene i te hāte, me te kai. |
| Kōrero Pōturi | I te wā e kōrero ana, ka rarau ngā kupu, ka pōturi te tere, ā, kāore e taea te kōrero i roto i te manawataki ōrite. |
| Te uaua ki te horomi | He rite ki te mea kei te kōkō ina horomia te kai, te inu rānei. |
| Ngā nekehanga kanohi kāore e taea te whakahaere | Ka tere te neke o ngā kanohi ki mua, ki muri rānei, ki runga, ki raro rānei (Nystagmus). |
He maha ngā momo ataxia, kei runga i te pūtake.
I runga i te tino take o te ataxia, ka taea te wehewehe ki ētahi momo matua.
1. Te Ataxia o te Cerebellar
Koinei te momo tino noa. Ka puta ina pakaru te cerebellum , te wāhanga iti o te roro kei muri o te roro. Koia te kaiwhakahaere o tō tātou taurite, te hikoi, me ngā nekehanga o ngā peka. Ina pakaru tēnei wāhanga, ka puta pea ngā tohu pēnei i te hurihanga o te reo, te whanoke, te ngenge, te ānini, me te wiri o ngā uaua.
2. Te Ataxia Pūrongo
Ko tēnei momo mate ka puta mai i te kino o ngā io i roto i tō tātou taurakira, i te pūnaha io taha rānei puta noa i tō tātou tinana. Nō reira, ka ngaro te kaha o ō tātou waewae ki te pā ki te whenua. Ka ngoikore ngā tohu e whiwhi ana te roro mō te wāhi e tū ai te tinana e pā ana ki te whenua.
- He uaua te hikoi i te pōuri.
- He uaua ki te pā atu ki tō ihu ki tō matihao ina noho koe me te katia ō kanohi.
- I a rātou e hikoi ana, ka takahia kahatia ō rātou waewae ki te whenua, ā, ka hikoi me te tangi "haruru".
3. Te Ataxia Vestibular
Ka pā tēnei ki te pūnaha vestibular i roto i tō tātou taringa o roto. Mā tēnei pūnaha e kite ngā nekehanga o tō tātou mahunga, ā, ka āwhina i a tātou ki te pupuri i te taurite . Ina pakaru tēnei pūnaha,
- Te pōuri nui (Vertigo)
- Whakapairuaki me te ruaki
- Te tirohanga pōuri
- Ko ngā tohu pea ko te uaua ki te tū tika, ki te noho tika rānei.
4. Ngā momo ira o te ataxia
He mate onge ēnei e tukuna iho ana mai i ngā mātua mā roto i ngā ira.
- Te Ataxia a Friedreich: Ka tīmata tēnei i te tamarikitanga, i waenga i te 5-15 tau te pakeke. Ka kino haere ngā tohu i te roanga o te wā. Ko ētahi o ngā tohu ko te uaua ki te hikoi, te ngaro o te rongo i ngā waewae, te kōrero pōturi, me ngā raruraru o te ngākau.
- Ataxia-telangiectasia: He mate ira onge anō hoki tēnei e tīmata ana i te tamarikitanga. Ko tōna āhua he puta mai i ngā oko toto iti, whero, rite ki te pungawerewere (ngā uaua pungawerewere) i ngā kokonga o ngā kanohi, i ngā paparinga rānei. Hei tāpiri, ka ngoikore te pūnaha ārai mate.
- Te Ataxia Spinocerebellar (SCA): Neke atu i te 40 ngā momo o tēnei. Ka puta mai ēnei i te pakeketanga, ā, ka piki haere te kino. Ka taea hoki e rātou te whakararu i te mahara me te aro.
He aha te take o te ataxia?
Ka taea te whakarōpū i ngā take o te ataxia ki ngā momo e toru.
1. Ngā take ira: E ai ki tā tātou i kōrero ai i mua ake nei, ka puta te ataxia i tētahi ira hapa i tukuna mai i tētahi mātua.
2. Ngā take i whiwhi: E pā ana tēnei ki te ataxia i puta mai i te kino o te taurakira, o ngā io rānei nā tētahi huihuinga, mate rānei i te wā o te oranga.
- Ngā whara nui o te upoko
- Te whiu, te toto rānei o te roro
- Ngā pukupuku roro
- Ngā mate pūnaha io pērā i te sclerosis maha
- Ngā raruraru o ētahi mate urutā, pērā i te rewharewha
- Te korenga o te huaora E, te B12 rānei
- Te nui rawa o te whakamahi waipiro
- Ngā tauhohenga ki ētahi rongoā
- Te horomitanga o ngā paitini
3. Ngā take idiopathic: I ētahi wā, ka puta te ataxia me te kore he take ira, he take i whiwhi rānei. Mena kāore e taea te kimi i tētahi take motuhake ahakoa i muri i ngā whakamātautau hauora, ka taka ki tēnei kāwai.
E te tākuta, me pēhea e tautuhia ai tēnei?
Mena kei a koe ngā tohu o te ataxia, ka whakahaerehia e tō tākuta ētahi whakamātautau hei tautuhi i te mate.
- Whakamātautau tinana me te whakamātautau io: Ka tirohia tō taurite, tō taunga, tō hikoi, tō urupare, tō tirohanga, tō whakarongo, me tō mahara.
- MRI, CT scan rānei: Ka taea e ēnei whakamātautau whakaahua te tirotiro i te hanganga o te roro, ka kitea ai te kino o te cerebellum, he pukupuku, he atu āhuatanga rerekē rānei.
- Whakamātautau Wai o te Tuaiwi: I ētahi wā, ka taea te whakamahi i te poka lumbar hei tiki mōhiohio mō te mate, mō ētahi atu raruraru rānei mā te tango tauira wai mai i te tuaiwi.
- Whakamātautau Ira: Mena kei te whakapaehia he momo ataxia ira, ka taea e te whakamātautau toto te tautuhi i ngā whakarerekētanga ira e tika ana.
He aha ngā maimoatanga mō te ataxia?
Ki te pono, kāore he maimoatanga motuhake mō te ataxia. Ko ngā kōwhiringa maimoatanga e whakawhirinaki ana ki te momo ataxia kei a koe me tōna pūtake.
Hei tauira, mēnā nā te korenga o te huaora tō mate ataxia, ka taea te rongoā mā te hoatu huaora. Mēnā nā te rongoā i puta, ka taea e koe te whakamutu i taua rongoā ka huri ki tētahi atu.
Mēnā kāore e taea te whakaora i te pūtake, ka āwhina te maimoatanga ki te whakahaere i ngā tohu me te whakamāmā ake i te oranga.
- Rongoā: Ka taea te hoatu rongoā hei whakahaere i ngā tohu pēnei i te whanoke, te pakari o ngā uaua, me te wiri.
- Whakaora Tinana: Ka whakaratohia ngā mahi whakakori tinana me ngā tohutohu hei whakapai ake i te taurite me te taunga o te tinana, hei whakamāmā ake hoki i te hikoi.
- Whakaora Mahi: Ka whakaako i ngā tikanga me ngā taputapu hei āwhina i a koe ki te mahi i ngā mahi o ia rā, pērā i te kai me te whakakakahu.
- Whakaora Kōrero: Ka whakamahia ngā mahi whakakorikori tinana me ngā tikanga manawa hei whakapakari i ngā uaua e hiahiatia ana hei whakatika i te kōrero korekore me te uaua ki te horomi.
He aha ngā mea ka taea e koe te mahi ina noho koe me te ataxia?
He uaua te noho me te ataxia, engari he maha ngā mea ka taea e koe te mahi hei whakamāmā ake i te oranga.
- Ngā Taputapu Whakarerekē: Kāore he whakama ki te whakamahi i te tokotoko, te taputapu hikoi, te tūru wīra rānei hei āwhina i a koe ki te hikoi. Ka hoatu e rātou he kaha nui ki a koe kia neke haere noa. Kei reira anō hoki ngā mea pēnei i ngā taputapu kai motuhake me ngā pene hei whakangāwari ake i te tuhituhi.
- Āraia te waipiro me ngā raau taero: Ka taea e ēnei te whakararu i ō tohumate ataxia, nō reira he mea nui kia matara rawa atu i a rātou.
- Whakangungu:Kōrero ki tō tākuta mō ngā mahi whakakori tinana e tika ana māu. Mā ngā mahi whakakori tinana tika ka āwhina i a koe ki te whakapai ake i tō taurite.
- Hauora hinengaro: Ka taea e te noho me tēnei mate te whakararuraru, ā, ka pōuri koe. Ki te tika, rapua he tohutohu, ka kōrero ki tō whānau me ō hoa mō tēnei mea.
Ko te mea nui ko te toro atu ki te tākuta i te wā e taea ai, me te kore e mataku mō ō tohumate. Tērā pea he take māmā kei muri i ēnei tohumate ka taea te rongoā me te whakaora.
Karere Tangohia ki te Kāinga
- Ko te ataxia he raruraru taurite me te nekehanga e hua mai ana i te ngoikore o te whakahaere uaua. He tohu noa iho tēnei nō tētahi atu mate.
- Ko te uaua ki te hikoi, te koretake o te kōrero, me te uaua ki te whakahaere i ngā waewae me ngā waewae , koinei ngā tohu matua.
- Ka taea te puta o te ataxia i ngā whara o te mahunga, te whiu, te korenga o ngā huaora, te nui o te inu waipiro, me ngā take ira.
- Mena kei a koe ēnei tohu, me toro atu ki tō tākuta i te wā e taea ai kia kitea ai te take me te whiwhi i te maimoatanga tika.
- Ka aro te maimoatanga ki te pūtake o te mate, ā, ka āwhina ngā maimoatanga pēnei i te whakaora tinana ki te whakahaere i ngā tohu me te whakapai ake i te oranga.
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