Tērā pea kei te pāngia tētahi o tō whānau, tō whaea, tō pāpā, tō kuia, tō whaea kēkē rānei e te mate a Alzheimer. Tērā pea kei te hiahia koe ki te ako atu mō tēnei mate. Ko te mate a Alzheimer te momo mate wareware e tino kitea ana, he āhuatanga e ngaro haere ana ngā pūkenga whakaaro pērā i te mahara, ngā pūkenga whakaoti rapanga, me te reo. Ka uaua pea tēnei ki te mahi i ngā mahi o ia rā.
Ko te tino take mōrearea mō te mate a Alzheimer ko te koroheketanga. Ahakoa ka taea e ngā rongoā o nāianei te whakahaere i ngā tohu ki tētahi taumata, kāore e taea te aukati katoa i te mate. Koia te take e rapu ana ngā kairangahau i ngā maimoatanga hou hei whakaroa i te whanaketanga o te mate. I tēnei rā, ka kōrero tātou mō ētahi o ēnei maimoatanga e rua e whakaoho ana i te roro. He māmā noa iho, ka whakamahia e ēnei maimoatanga ngā ngaru hiko, ngā ngaru aukume rānei hei "whakakā" hei "whakaweto" rānei i te mahi a ētahi wāhanga o te roro.
He aha te rongoā rTMS (Repetitive Transcranial Magnetic Stimulation)?
Ko tētahi tēnei o ngā maimoatanga hou e whakamatautauria ana mō ngā tūroro a Alzheimer. Kei roto i tēnei ko te whakamahi i tētahi aukume o waho hei whakahohe i tētahi wāhanga motuhake o te roro, me te kore pokanga. Ka kiia tēnei ko te "whakahoki" nā te mea e rima ngā rā o te wiki e mahia ana te maimoatanga, i ia rā, mō ngā wiki e whā ki te ono.
Whakaarohia kei te noho koe i runga i tētahi tūru noa. Ka whakatakotoria e te tākuta he koiri hikohiko ki runga i tōu mahunga. Ina whakahohehia, ka rite ki te mea kei te pā mai he tukanawaka iti ki tō rae me te tangi "pā" "pā" e roa ana mō ētahi hēkona. Kāore e hiahiatia he rongoā whakangote (he whakangoikore i tō mahunga). Nā te mea ehara i te pokanga, ka taea te mahi i roto i te tari o te tākuta, i te whare hauora rānei.
Kāore i te tino mārama te mahi a te rTMS i roto i ngā tūroro mate a Alzheimer. E whakapono ana ngā kairangahau mā te whakaohooho i te roro i tēnei ara ka taea te tere ake, te whakaroa rānei i te mahi a te roro e pā ana ki te mahara me te whakaaro.
He pēhea te angitu o tēnei?
Ko te angitu o te maimoatanga rTMS e whakawhirinaki ana ki ētahi āhuatanga. Hei tauira, kua whakaatuhia te whakaiti i te mahi a te roro mā te whakaoho auau-iti, engari kua whakaatuhia te whakanui ake i te mahi a te roro mā te whakaoho auau-nui. Waihoki, ko te wāhi o te roro e arohia ana e te maimoatanga me ētahi atu rongoā e tangohia ana e te tūroro ka pā ki ngā hua.
I te nuinga o te wā, kua whakaatuhia he pai ake te whakaohooho auau-teitei mō te hunga he mate wareware ngawari i te hunga he mate wareware kino rawa atu. I ētahi wā, ka kitea tonutia ngā hua pai i muri i te maimoatanga, engari mō ētahi tāngata, ka roa pea te 6 wiki ka kitea ngā hua. Ka roa pea ēnei painga mō te 3 marama, neke atu rānei.
I ētahi wā, he momo whakangungu hinengaro tēnei maimoatanga rTMS mō te roro.Ka mahia ngātahitia. Arā, te whakarato i ngā momo mahi me ngā whakakori tinana hei whakapai ake i te mahi a te roro. Ina mahia ngātahitia ēnei e rua, kua puta he hua pai ake, inā koa mō ngā tūroro Alzheimer's ngawari ki te ngoikore.
He mea nui, tata ki te haurua o ngā tūroro o Alzheimer e pāngia ana e te pouri. Ko te rTMS he maimoatanga kua whakaaetia e te FDA mō te pouri. Nō reira, he uaua ki te wehewehe mēnā ko te painga o te maimoatanga rTMS mō ngā tūroro o Alzheimer nā te mate tuturu, nā te pouri rānei e pā ana.
| Ngā pānga taha me ngā raruraru o te maimoatanga rTMS | Whakaahuatanga |
|---|---|
| Ngā pānga taha noa | Tērā pea ka pāngia e te mamae o te wāhi i piri ai te aukume, te wiriwiri o te kauae, te tumuaki, te mata rānei, te ānini me te whanoke. |
| Ngā pānga taha kino engari onge | Kāore pea e tino kitea ngā mate haurangi. Kāore anō kia nui ngā mōhiohio e pā ana ki ngā pānga taha mō te wā roa. |
| Ngā raruraru me ngā uauatanga | E ai ki ētahi kairangahau, kei te āwangawangahia pea te whakahihiri auau teitei ka kino ake te mate a Alzheimer. Me nui ake ngā rangahau mō tēnei. |
He aha te Whakaohooho Roro Hōhonu (DBS)?
He rerekē te DBS i te rTMS, he maimoatanga whakaekenga e hiahia ana kia pokangahia te roro. He taahiraa nui tēnei ki mua. I roto i tēnei pokanga, ka whakatōkia he takirua irahiko ki roto i tō roro. Pērā i te taputapu whakatere, ka whakatōkia ngā pūhiko iti e rua e whakahaere ana i ēnei irahiko ki raro i te kiri o tō uma.
I mua i te pokanga, ka whiwhi koe i te matawai MRI o tō mahunga. Ka ara ake koe i te wā e pokangahia ana. Kaua e manukanuka, ka whakangāwarihia tō mahunga (whakamamae ā-rohe) kia kore ai koe e mamae. Nā te mea kāore te roro e mamae, ka taea e te tākuta te whakamahi i ngā whakaahua MRI hei whakanoho i ngā hiko ki ngā wāhi tika. Kātahi ka tukuna koe ki raro i te whakamamae whānui, ā, ka whakatōkia te pūhiko me ngā waea e hono ana i a rātou ki ngā hiko i roto i tō roro ki roto i tō uma. I muri i te pokanga, ka whakaratohia e tēnei taputapu he whakaohooho tonu ki tō roro.
I whakamahia tuatahitia te rongoā DBS hei rongoā i ngā tohu o te mate a Parkinson, pērā i te wiri me te pakari. I muri i te kitenga o tētahi tūroro i whiwhi rongoā DBS mō te momona i te whakapainga o te mahara, ka tīmata ngā kairangahau ki te rangahau mēnā ka taea hoki te whakamahi mō te mate a Alzheimer.
He pēhea te angitu o tēnei?
E whakaatu ana ngā rangahau tōmua he maimoatanga whai hua te DBS. Heoi, ko tōna angitu e whakawhirinaki ana ki te wāhanga o te mate me te mahere maimoatanga (te wāhi o te roro e arohia ana, te kaha o te whakaohooho).
I te nuinga o te wā, ka tino whai hua te maimoatanga DBS ina whakamahia i ngā wāhanga tōmua o te mate (te Alzheimer's wāhanga tōmua) . Tērā pea ka whai hua te hunga kua kitea i muri i te 65 tau te pakeke (te tīmatanga o te wā), arā, ka whakaroa pea te mate i tōna whanaketanga. Engari he mea miharo, kāore anō kia kitea he hua nui mai i tēnei maimoatanga e te hunga kua kitea i mua i te 65 tau te pakeke (te tīmatanga o te wā).
| Ngā pānga taha me ngā raruraru o te maimoatanga DBS | |
|---|---|
| Ngā raruraru e pā ana ki te pokanga | |
| Ka taea e te pokanga te whakaheke toto, te mate, me te kore mahi pai o ngā taputapu o te uma. | |
| Ngā pānga taha e pā ana ki te whakaohooho | |
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| Ētahi atu pānga taha pea | |
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Ka memeha haere ētahi pānga taha (mamae upoko, korere, ruaki) i roto i te wā, engari he mea nui kia mahara he maimoatanga morearea te DBS.
Karere Tangohia ki te Kāinga
- He mate e ahu whakamua ana te mate a Alzheimer. Ahakoa ka taea e ngā rongoā o nāianei te whakahaere i ngā tohu, kāore e taea te whakaora i te mate.
- He tikanga whakaoho roro kore-pokanga te rTMS, he iti te mōrearea, ā, tera pea he painga ki te hunga kei ngā wāhanga tōmua o te mate, engari kei roto tonu i te wāhanga rangahau.
- He maimoatanga nui, mōrearea hoki te DBS, e hiahia ana kia pokangahia te roro. Tērā pea he āwhina anō hoki mō ētahi tāngata i ngā wāhanga tōmua o te mate, engari kāore anō kia whānuitia te whakamahinga.
- He whakamātautau tonu ēnei maimoatanga e rua mō te mate a Alzheimer, ā, ehara i te mea he maimoatanga e tohua whānuitia ana.
- Ko te mea nui, mēnā kei te pāngia tētahi o tō whānau e te mate a Alzheimer, i mua i te whakatau i tētahi maimoatanga, me kōrero marie ki tō tākuta, kia mārama hoki ki te mea e pai ana mō te āhua o te tūroro.
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