Ina rongo tātou i te kupu "pokanga roro," ka ngoikore te tinana, tika? Ka puta tonu mai ki roto i ō tātou hinengaro he mea tino kino, he mea morearea hoki. He tika te whakaaro pēnā nā te mea he pokanga tēnei ki te pokapū matua e whakahaere ana i tō tātou tinana katoa. Engari nā te whanaketanga o te rongoā i ēnei rā, he tikanga maimoatanga haumaru ake, he huarahi angitu ake hoki te pokanga roro i tō mua. Nō reira, hei whakakore i te wehi me ngā ruarua mō tēnei mea, me kōrero noa tātou he aha te pokanga roro.
Hei whakarāpopototanga, he aha tēnei pokanga roro?
Ko te pokanga roro he tikanga e rongoā ana i tētahi āhua rerekē, i tētahi raruraru rānei i roto, i te taha rānei o tō roro. E mōhio ana koe, ko te roro te pokapū whakahaere matua o tō tātou tinana. Ka kōrero tātou, ka whakaaro, ka hikoi, ka mahara, ā, ko ngā mea katoa e whakahaeretia ana e te roro. Nō reira, ko te whāinga matua o tēnei pokanga he rongoā i tētahi raruraru i roto i te roro, me te kore e kino ki ngā tukanga nui kua whakahuatia ake nei.
He maha ngā take e taea ai te mahi i tēnei momo pokanga. Hei tauira, ka mahia hei tango i te pukupuku roro, hei tango i tētahi wāhanga o te roro mō tētahi āhuatanga pēnei i te mate haurangi, hei whakaiti rānei i te pikinga o te pēhanga i roto i te roro nā te toto totoka, nā tētahi atu take rānei. Ka whakamahia hoki te pokanga roro hei rongoā i ngā āhuatanga pēnei i ngā oko toto rerekē i roto i te roro (aneurysms).
He tūponotanga kei roto i ēnei pokanga, koia koe ka puritia ai ki te hōhipera i muri i te pokanga, ā, ka aroturukihia e te tīma hauora tō whakaoranga.
Nā wai ēnei pokanga e mahi?
Ka whakahaerehia te pokanga roro e te taote pokanga roro . Ka āwhinahia ia e te rōpū nui o ngā tākuta me ngā nēhi kua whakangungua motuhake. Kei reira anō hoki te tohunga whakamoe hei hoatu i ngā rongoā whakamoe e tika ana kia kore ai koe e mamae i te wā e pokangahia ana.
He aha ngā momo matua o ngā pokanga roro?
He maha ngā momo pokanga roro. Kāore e rite te maimoatanga mō te katoa. Mā ngā tākuta e whakatau te momo pokanga tino tika i runga i tō āhua. Me titiro tātou ki ētahi o ngā momo pokanga tino noa.
| Momo pokanga | I te kīanga māmā noa iho, he aha te mea ka tupu ki tēnei? |
|---|---|
| Te koiora | Ka tangohia he wāhanga iti rawa o te kiko, o te wai rānei mai i te roro, ka whakamatautauria. Ko te mahi matua o tēnei hei whakatau mēnā he pukupuku kei roto i te roro. I ētahi wā, ka taea te tango i tēnei tauira me te kore e whakatuwhera i te angaanga, mā te whakamahi i tētahi taputapu iti rite ki te ngira. |
| Te craniotomy | Koinei te mea e kiia nei e tātou ko te 'pokanga roro tuwhera'. I konei, ka tangohia e te taote pokanga tētahi wāhanga iti o te angaanga hei urunga atu ki te roro. Kātahi ka mahia te maimoatanga e tika ana (pēnei i te tango i te pukupuku, i te toto totoka rānei) ā, ka honoa anō te wāhanga angaanga kua tangohia. |
| Te tango i te angaanga | He rite tonu tēnei ki te tikanga kua whakahuatia ake nei. Heoi, i konei, kāore te wāhanga o te angaanga e tangohia ana e honoa tonutia ana. Ko te take o tēnei, kia kore ai e piki te pēhanga nā te mea ka pupuhi pea te roro i muri i te pokanga. Ā muri ake nei, ka honoa anō te wāhanga o te angaanga i roto i tētahi pokanga motuhake. |
| Te Whakaoho Roro Hōhonu (DBS) | He rongoā mō ngā mate pūnaha io pērā i te mate a Parkinson. I roto i tēnei, ka whakauruhia ngā irahiko ki roto i te roro. Ka tukuna e tētahi taputapu iti i waho o te tinana ngā tohu hiko mā roto i ēnei irahiko hei whakahaere i te mate. |
| Pokanga Endovascular | He tikanga hou e kore e whakatuwhera i te angaanga. I konei, ka tapahia he tapahi iti rawa ki te rohe o te hope, ā, ka whakauruhia he ngongo angiangi e kiia nei ko te catheter mā roto ki roto i te oko toto. Ka tukuna tēnei ngongo mā te oko toto ki te roro hei tango i ngā toto totoka, hei whakatika rānei i ngā oko toto. |
| Neuroendoscopy | He tikanga whakaeke iti rawa tēnei. Engari i te tapahi i te angaanga, ka tukuna he ngongo angiangi me te kāmera e piri ana, e kiia nei ko te endoscope, mā te ihu, mā te waha rānei ki te roro. Kātahi ka tukuna ngā taputapu pokanga mā te ngongo hei mahi i ngā mahi pēnei i te tango i ngā pukupuku. |
He aha ngā momo mate e rongoatia ana e te pokanga roro?
He maha ngā take e taunakihia ai te pokanga roro. Ko ētahi o ēnei ko:
- Ngā Pūngāwerewere Roro
- Ngā Pukupuku Toto i roto i te Roro
- Ngā Aneurysm o te Roro
- Mate haurangi
- Ngā Whara Roro me ngā Whati o te Angaanga
- Te toto ki roto i te roro (Hemorrhages)
- Te kohi wai i roto i te roro (Hydrocephalus)
- Whiu
- Te mate a Parkinson
Me pēhea te whakarite mō te pokanga?
He tikanga tino whakamaheretia te pokanga roro, ā, mā tō tīma hauora koe e whakarite pai mō tēnā.
Ngā whakamātautau i mua i te pokanga
I mua i te pokanga, ka whakahaerehia e tō tākuta he whakamātautau tinana, ā, ka whakahaerehia hoki ētahi whakamātautau toto hei whakarite kei te ora pai koe. Hei tāpiri, ka whakahaerehia e rātou ngā whakamātautau pēnei i ēnei hei tiki i tētahi pikitia mārama, taipitopito hoki o tō roro:
- Matawai MRI (Whakaahua Āhua Aukume)
- Matawai CT (Tomography Rorohiko)
- Matawai PET (Positron Emission Tomography)
- Angiography - hei tirotiro i ngā oko toto
Mā ngā whakaahua o ēnei karapa ka āwhina i te taote pokanga ki te tautuhi tika i te wāhi tika e hiahia ana kia rongoatia.
Me whakarite e koe ngā mea.
Mā tō taote pokanga koe e whakamōhio atu ki ngā mea e whai ake nei i mua i te pokanga:
- Te whakarerekē i ō tikanga hauora: Mena he kaipaipa koe, me mutu rawa te kaipaipa i te iti rawa i ētahi wiki i mua i tō pokanga . Ka whakanui ake te kaipaipa i te mōrearea o ngā raruraru i te wā o te pokanga, ā, ka whakaroa i te whakaora o te patunga.
- Te whakahaere rongoā: Me mutu pea te tango i ētahi rongoā (ina koa ko ngā rongoā whakaiti toto) i ētahi rā i mua i te pokanga. Tērā pea ka tūtohu tō tākuta kia tīmatahia he rongoā hou hei ārai i te pupuhi o te roro, te mate pāwera, te haurangi rānei.
- Te Mārama ki te Pokanga: Ka whakamāramahia e tō taote pokanga te tikanga, ngā pānga taha pea, me ngā mea ka tūpono mai i muri i te pokanga. Pātai atu ki a koe mēnā he pātai, he āwangawanga rānei āu i taua wā.
He aha ngā mea ka tupu i te wā o te pokanga?
Ka rerekē tēnei i runga i te momo pokanga e mahia ana e koe. Hei tauira, me titiro tātou ki te mahi i tētahi 'pokanga roro tuwhera' ('Craniotomy').
1. Tuatahi, ka tukuna koe e te tohunga whakamoe ki raro i te whakamoe whānui. Ko te tikanga kāore koe e rongo i tetahi mea, ka moe koe.
2. Ka tangohia ngā huruhuru e karapoti ana i te wāhi i pokangahia, ā, ka horoia rawatia te wāhi.
3. Ka tapahia e te taote pokanga te kiri o te tumuaki.
4. Kātahi ka tangohia marietia tētahi wāhanga iti o te tumuaki mā te whakamahi i tētahi taputapu pokanga motuhake (`surgical drill`).
5. Nā te mea kua uru atu ki te roro, ka mahia te maimoatanga e tika ana (hei tauira, te tango i te pukupuku, te tango i te toto totoka).
6. Kia oti te maimoatanga, ka honoa anō te wāhanga o te angaanga kua tangohia ki tōna tūranga taketake, mā te whakamahi i ngā pereti iti me ngā tīwiri motuhake.
7. Hei whakamutunga, ka tuituia te tapahi i mahia ki te kiri.
He mea nui: Ehara i te mea ko ngā pokanga katoa e whakatuwhera ana i te angaanga. I roto i ngā tikanga pēnei i te 'Neuroendoscopy', ka tukuna ngā taputapu mā te ihu, mā te hope rānei i te taha o ngā uaua toto i roto i ngā pokanga 'Endovascular', ka taea ai te maimoatanga o te roro me te kore e tapahia nui.
Ka ara ake ahau i te wā o te pokanga?
He raruraru tēnei e pā ana ki te tini tāngata. I ētahi wā, āe, ka taea tonu te noho mataara i te wā e pokanga ana.
Ko te nuinga o ngā pokanga ka mahia i te wā e whakamoea katoatia ana koe. Heoi, ko ētahi momo pukupuku roro me ngā pokanga mō te mate haurangi me ara ake koe. Kaua e manukanuka, ka whakangāwarihia tō mahunga e te whakamoea, nō reira kāore koe e mamae.
Ka mahia tēnei e te taote pokanga kia tino mohio ai koe kāore ngā mahi nui o te roro (pēnei i te kōrero me te nekehanga) e pakaru. I te wā o te pokanga, ka tono ngā tākuta kia kōrero koe, kia tautuhi i tētahi pikitia, kia neke rānei i tētahi ringa, i tētahi waewae rānei. Ina mahia ēnei mea, ka taea e te taote pokanga te mahi i te pokanga me te kore e pakaru ngā wāhanga o te roro e whai wāhi ana ki aua tukanga.
He aha ngā mea ka tupu i muri i te pokanga? He aha ngā mōrearea?
I muri i te pokanga, ka puritia koe ki te hōhipera hei tirotiro māu mō ētahi rā. I muri i te pokanga tuwhera, ka noho pea koe mō te 10 rā pea. Tērā pea ka puritia koe ki te wāhanga tiaki nui (ICU) mō te rā tuatahi, e rua rānei.
He mea noa te ngenge, te mamae, me te pāngia e te ānini i muri i te pokanga. Ka hoatu e te tīma hauora he rongoā whakamamae hei āwhina i a koe. Ka tohua hoki he rongoā mō tētahi wā i muri i te pokanga.
Ngā raruraru pea me ngā pānga taha
Pērā i ngā pokanga katoa, he mōrearea anō hoki ō te pokanga roro.
| Momo mōrearea | He aha ngā mea kei roto? |
|---|---|
| Ngā mōrearea noa e pā ana ki te pokanga | Te toto, te mate pāwera, ngā pānga kino ki te rongoā whakamoe, te ānini. |
| Ngā pānga taha rangitahi ka puta pea i muri i te pokanga | Te uaua ki te kōrero, te pupuhi o te roro, te pōhēhē, te whanoke, ngā raruraru ki te hikoi, ki te taurite rānei. |
| Ngā mōrearea mō te wā roa | Ngā panonitanga whanonga, te ngaronga o te mahara, ngā raruraru kōrero, te ngoikore o ngā waewae me ētahi whara o te roro. |
He mea nui, kua tino whakaitihia ēnei mōrearea mā ngā tikanga pokanga hou, iti rawa te whakaekenga. Ka matapakihia māramatia e tō tākuta ngā mōrearea e pā ana ki tō āhuatanga.
Kia pēhea te roa o te wā e ora ai?
Ka rerekē anō hoki tēnei i runga i te momo pokanga. Mēnā he iti noa te whakaekenga o te tinana, ka taea e koe te ora i roto i ētahi wiki. Mēnā he pokanga tuwhera, ka roa pea mai i te 6 wiki ki te maha marama hei whakaora katoa.
Me whakaora ētahi tāngata i muri i te pokanga, arā, me āwhina ki te whakahoki mai i te mahi noa o te tinana mā roto i ngā mahi pēnei i te whakaora kōrero me te whakaora tinana.
Āhea te wā e kite ai i te tākuta
He mea noa te pāngia e te mamae i muri i te pokanga. Heoi anō, me mōhio koe ki ētahi tohu. Mena kei a koe tētahi o ēnei tohu, me kōrero tonu atu ki tō tākuta:
- Te uaua, te kore rānei e taea te whakahaere i te mimi.
- Te moe tino rerekē, te uaua rānei ki te whakaara.
- Te kirika, te ruaki, te whakapairuaki rānei.
- Te ānini nui, te kaki rānei.
- Te pōhēhētanga hinengaro nui, te huringa nui o te whanonga.
- Te uaua ki te kite, ki te whakarongo, ki te kōrero rānei.
- Te ngenge, te ngaro rānei o te rongo i ngā ringa, i ngā waewae, i te mata rānei.
- Te ngaronga o te māramatanga.
He āhuatanga ohorere ēnei! Haere tonu ki te Wāhanga Ohotata (ETU) o te hōhipera!
- Te uaua ki te manawa
- Te pāngia e te haurangi (convulsion)
- Ngā tohu o te whiu (te piko ki te taha kotahi o te mata, te ngoikore o te ringa, te uaua ki te kōrero)
Karere Tangohia ki te Kāinga
- He maimoatanga tino matatau, he haumaru hoki te pokanga roro i ēnei rā, nō reira kaua e mataku noa.
- He maha ngā momo pokanga. Ehara i te mea ko te whakatuwhera i te angaanga te tikanga e hiahiatia ana mō ngā pokanga katoa. Mā ngā tākuta e whiriwhiri te tikanga haumaru me te tikanga tino tika mō tō āhua.
- He mea tino nui kia ata whai i ngā tohutohu a tō tākuta i mua atu, ā, i muri hoki i te pokanga. Kia tuwhera ki tō tākuta ō āwangawanga, ō wehi rānei.
- Ka mahia te pokanga roro hei whakaora i ngā oranga me te whakapai ake i te kounga o te oranga. Nō reira, he maimoatanga tino nui tēnei mō ngā mate kino.
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