E hia ngā mea e tupu ana i roto i ō tātou tinana, kāore tātou e mōhio? Kāore tātou e whakaaro tonu ki ngā mea pēnei i te manawa, te ngakau, te nakunaku, me te whakahaere i te pāmahana o te tinana. Ka puta aunoa ēnei mea, pērā i te pūnaha pairati-aunoa o te motuka. Ko ngā mea katoa e puta aunoa ana ka whakahaerehia e tētahi wāhanga motuhake o tō tātou pūnaha io. Engari, he aha te mea ka tupu mēnā ka pakaru tēnei pūnaha io nā ētahi mate? Koinā te wā ka tīmata ai tēnei whakahaere aunoa ki te pōrearea. Ko te 'Autonomic Neuropathy', e kōrerohia ana e tātou i tēnei rā, e pā ana ki tētahi āhuatanga pēnei.
He aha tēnei mate pūnaha io?
I te whakarapopototanga, ko te 'Neropathy Aunoa' he kino ki ngā io e whakahaere ana i ngā mahi aunoa o tō tātou tinana. Ka kiia ēnei io ko te 'Pūnaha Io Aunoa'. Ko ēnei io, me tō tātou roro me te taurakira, e whakahaere ana i te mahi a ngā whekau nui pēnei i te ngākau, te puku, ngā whekau, me te pūkahukahu.
Whakaarohia, ahakoa ngā mea pēnei i te nui haere o ngā porowhita pango i roto i ō kanohi ina tomo koe ki roto i tētahi rūma pōuri, te wai rānei o te waha ina hongi koe i tētahi kai reka, ka whakahaerehia e tēnei pūnaha. Nō reira, ina pakaru ēnei io, kāore ēnei mea aunoa e mahi tika. Ko ngā mea matua ka pāngia ko:
- Te toto totoka
- Te tere o te manawa
- Te nakunaku
- Te mimi
- Ngā nekehanga o te puku
- Te whakahaere i te pāmahana tinana
- Te mahi ā-ira tangata
He aha ngā tohu o tēnei?
Ka whakawhirinaki ngā tohu ka pā ki a koe ki ngā io e pāngia ana. Ka rerekē pea ngā tohu i ia tangata, i ia tangata. Me titiro tātou ki ngā tohu matua.
| Pūnaha e pāngia ana | Ngā tohu pea |
|---|---|
| Pūnaha nakunaku | Te korere, te kōroke, te mākona ahakoa he iti noa te kai i muri i te kai, te ruaki, te ruaki o te kai kāore i nakunaku, te uaua ki te horomi, me te mamae o te uma. |
| Ngā uaua ngākau me ngā toto | Te whanoke, te hemo rānei i puta mai i te hekenga ohorere o te toto toto i te wā e tū ana, te tere o te ngakau (ina koa i te wā e whakakorikori tinana ana), te toto toto tiketike. |
| Pūnaha mimi | Te uaua ki te mimi, te kore e taea te whakahaere i te mimi, te kore e taea te whakakore katoa i te pūkahukahu, ngā mate urutā maha o te ara mimi. |
| Te pāmahana tinana | Te werawera i te pō, te nui rawa, te iti rawa rānei o te werawera, te werawera i te wā e kai ana. |
| Ngā mahi moepuku | Ka pāngia ngā tāne e te uaua ki te whakatū i te ure, ka pāngia ngā wāhine e te maroke o te tara, te heke o te hiahia moepuku, me te uaua ki te whakatutuki i te orgasm. |
| Ngā pūkahukahu me te tirohanga | Te uaua ki te manawa, te uaua ki te whakarerekē i te tirohanga ina neke atu i te wāhi mārama ki te wāhi pōuri, te uaua ki te taraiwa i te pō. |
Te Kore Mōhiotanga ki te Mate Huka me te Hypoglycemia
Ki te pāngia te tangata e te mate huka e te 'Neuropathy Autonomic', ka puta mai tētahi atu raruraru nui. Arā, te kore e mōhio ki ngā tohu whakatūpato o te iti rawa o te huka toto (Hypoglycemia). Ka kiia tēnei e ngā tākuta ko te 'Hypoglycemia Unawareness'.
I te nuinga o te wā, ki te pai te mahi a tō pūnaha io ā-roto, ina tino heke te huka toto, ka pāngia koe e ngā tohu pēnei i te wiri, te werawera, me te tere o te pao o te ngakau. Koinei ngā "tohu whakatūpato" e tukuna ana e tō tinana. Heoi, ko te tangata whai Autonomic Neuropathy, kāore pea ia e rongo i ēnei tohu whakatūpato.
He āhuatanga tino morearea tēnei nā te mea, ki te kore koe e mōhio kei te heke haere te huka o tō toto, ka hemo pea koe, ka ngaro te māramatanga, ka kino atu rānei ngā pānga.
Mena kei a koe tēnei momo 'Hypoglycemia Unawareness', ka kī atu tō tākuta kia tirohia e koe ō taumata huka toto i ngā wā katoa. Tērā pea ka tūtohu rātou kia whakamahia he 'Continuous Glucose Monitor', e ine ana i ō taumata huka toto i ngā wā katoa, ā, ka whakatangihia he whakaoho mena ka heke.
He aha ngā take o tēnei āhuatanga?
Ko te mate huka te tino take o tēnei kino ki ngā io. I roto i te wā, ka taea e te mate huka kore e whakahaeretia te kino ki ēnei io. Haunga tēnā, he maha atu anō ngā take.
- Mate huka: Te tino take.
- Ngā mate ārai mate: Ngā mate e whakaekea ai ngā io e te pūnaha ārai mate o te tinana. Hei tauira, ko te 'Rheumatoid Arthritis', te 'Lupus', me te 'Guillain-Barré syndrome'.
- Ngā mate urutā: Ngā mate urutā pēnei i te HIV me te mate Lyme.
- Ētahi atu mate: Te mate a Parkinson, te amyloidosis, he mate e puta mai ana i ngā putunga pūmua rerekē.
- Ko ētahi rongoā e hoatu ana mō te mate pukupuku: Ko ētahi rongoā chemotherapy.
- Te inu nui rawa o te waipiro.
- Ngā pokanga, ngā whara rānei ki te tuaiwi.
- Te pānga ki ngā matū: Hei tauira, ngā konganuku taumaha.
- Ētahi mate tuku iho.
Me pēhea te tautuhi i te mate?
Kāore he whakamātautau kotahi hei tautuhi i tēnei mate. Ka whakarongo tuatahi tō tākuta ki ō tohumate, kātahi ka whakahaere i tētahi whakamātautau tinana. Kātahi ka tūtohu pea rātou i ētahi whakamātautau toto hei kimi i te pūtake.
- Tirohia mēnā he mate huka.
- Tirohia mēnā he mate pūnaha ārai mate kē atu.
- Tirohia mēnā he mate urutā pēnei i te HIV.
Hei tāpiritanga, ka taea te whakahaere i ētahi atu whakamātautau motuhake i runga i ngā tohu:
- Whakamātautau tēpu-tītaha: Ka takoto koe i runga i tētahi taputapu rite ki te moenga, ā, ka hikitia haeretia tō tinana o runga me te mea kei te tū koe. Ka aroturukitia tō toto toto me tō tere o te manawa. He mea tino whai hua tēnei mō te hunga e pōuri ana ina tū ana rātou.
- Whakamātautau Whakaata Axon Sudomotor Tauanga (QSART): Ka whakamātautauhia e tēnei te mahi a ō repe werawera mā te whakamahi i tētahi iahiko hiko iti rawa.
- Ngā whakamātautau Urodynamic: Ngā whakamātautau e tirotiro ana i te pai o te penapena me te whakawātea mimi a te pūkahukahu.
- Matawai Ultrasound: Mā tēnei ka āwhina i te tiki whakaahua o roto o ngā whekau pēnei i te pūkahukahu, kia kitea ai te raruraru.
- Whakamātautau whakawātea puku: He whakamātautau e tirotiro ana mō te nakunaku koretake, inā koa te puhoi o te whakawātea puku (Gastroparesis).
Me pēhea te rongoā?
Ko te maimoatanga matua i konei koTe rongoā i te mate pūtake i puta ai te kino o te io. Hei tauira, ki te mea he mate huka tōu, me whakahaere e koe te taumata huka toto mā te kai, te whakakori tinana, ā, ki te tika, te rongoā. Mena he mate pūnaha ārai mate, me whiwhi rongoā koe mōna.
I taua wā anō, ka tūtohu te tākuta i ngā momo mea hei whakahaere i ngā tohu kua puta ake.
He mea nui: Me kōrero ki tō tākuta i mua i te whai i tētahi rongoā, tikanga rānei kua whakahuatia i konei.
| Tohu/Pūnaha | Ngā mahi me ngā maimoatanga |
|---|---|
| Ngā raruraru nakunaku | - Kaua e kai nui i te wā kotahi, engari me kai i ngā kai iti kia maha. - Āraia te mate puku mā te kai i ngā kai me ngā wai he nui te muka. - Te tango i ngā rongoā whakamāmā e ai ki te whakahau a te tākuta. - Te tango rongoā mō te mate korere me te mamae o te puku. |
| Ngā raruraru mimi | - Whakatūria he tikanga mō te mimi i ngā wā auau. - Te tango i ngā rongoā hei āwhina i te whakawātea katoa i te pūkahukahu. - Te tango i te mimi mā te whakauru i tētahi catheter ki roto i te pūkahukahu. |
| Ngā raruraru werawera | - Te tango i ngā rongoā hei whakaiti i te werawera (hei tauira, te glycopyrrolate) e ai ki te whakahau a te tākuta. - Te noho ki roto i te whare i te wā tino wera. |
| Ngā raruraru o te ngakau me te toto toto | - Te tango i ngā rongoā e whakanui ana i te toto toto (fludrocortisone, midodrine). - Te tango i ngā rongoā pēnei i ngā `beta-blockers` hei whakahaere i te tere o te manawa. - Whakatika mārire kia kore ai e pōuri. - Me kai noa i te tote me te wai mēnā kua tūtohutia e tō tākuta. |
| Ngā raruraru moepuku | - Te whakamahi i ngā rongoā pēnei i te `sildenafil (Viagra)` mō te ngoikore o te ure, e ai ki te whakahau a te tākuta. - Mō ngā wāhine, whakamahia he hinu whakahinuhinu wai hei whakamama i te maroke o te tara. |
Karere Tangohia ki te Kāinga
- Ko te neuropathy ā-roto he kino ki ngā io e whakahaere ana i ngā mahi aunoa i roto i te tinana (pēnei i te manawa pā, te nakunaku).
- Ahakoa ko te mate huka te tino take o tēnei, he maha atu anō ngā mate me ngā take ka whai wāhi atu.
- Tērā pea ka puta whakarere mai ngā tohu kāore e pā ana ki a rātou pērā i te whanoke, te werawera, ngā raruraru nakunaku, me te uaua ki te mimi.
- Ko te mea nui ki te rongoā ko te rongoā i te pūtake o te mate. Ina koa mēnā he mate huka koe, mā te whakahaere pai i ō taumata huka toto ka taea te whakaroa, ā, tera pea ka taea te whakakore i ētahi o ngā kino o te io.
- Mena kei a koe ēnei tohu, he mea nui kia kaua e warewarehia, engari me toro atu ki te tākuta i te wā e taea ai kia kitea ai te take me te whiwhi i te maimoatanga e tika ana.
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