Kua pōuri koe, kua koretake ō waewae, kua koretake rānei tō kōrero? I ētahi wā ka whakaaro tātou he mea noa ēnei, engari i ētahi wā he tohu pea nō te whiu roro . Kaua e manukanuka, ka kōrerohia tēnei i tēnei rā.

He aha te whiu roro?

Ki te kī ngāwari, ko te whiu roro iti he whiu e pā ana ki te roro iti, he wāhanga o te roro. E kīia ana hoki e ētahi ko te "Cerebellum Stroke".

Whakaarohia, he wāhanga nui te roro iti o te roro kei muri o tō tātou mahunga, e tata ana ki te wāhi e hono ai te taurakira ki te roro. Mā tēnei wāhanga iti tātou e āwhina ki te hikoi, ki te oma, ki te whakahaere i ō tātou waewae, ki te pupuri i te taurite o tō tātou tinana, ki te ako i ngā nekehanga hou, tae atu ki ētahi tukanga whakaaro. Nō reira, ki te puta he whiu ka kino ai tēnei roro iti, ka pāngia tonutia ēnei pūkenga.

Ka puta te whiu roro iti ina āraia te oko toto e tuku toto ana ki te roro iti e te toto totoka , ina pakaru rānei taua oko toto ka toto .

He aha ngā tohu o te whiu roro?

Ka rerekē pea ngā tohu o te whiu roro i runga i te pūtake. Heoi, ko ētahi o ngā tohu tino kitea ko:

• Te āhua nei kei te ngaro tō mana whakahaere i tō tinana, te tūtuki (Ataxia): Te tūtuki i te hikoi, pērā i te tangata haurangi, me te uaua ki te whakahaere i ō waewae me ō waewae.
• Wiri: Te wiri kore e taea te whakahaere o ngā ringa me ngā waewae.
• Te uaua ki te hikoi: Kāore e taea e koe te hikoi tika.
• Pōuriuri, Pōturi rānei: Ka rite ki te mea kei te hurihuri ngā mea katoa e karapoti ana i a koe.
• Mamae upoko: Tērā pea ka pā mai he mamae upoko nui.
• Te tirohanga pōuri: Te kore e taea te kite mārama.
• Te nekehanga tere, kore e taea te whakahaere o ngā kanohi (Nystagmus).
• Te pōhēhē, te oho rānei.
• Te ngoikore o te mata me te tinana i te taha kotahi o te tinana (Hemiparesis) te pararutiki rānei (Hemiplegia).
• Te ngaronga o te mana whakahaere uaua i te taha kotahi o te mata.
• Te ngaronga ohorere, te ngoikore rānei o ngā māia (te tirohanga, te whakarongo, te hongi, te reka, te pā).
• Te koretake o te kōrero i te wā e kōrero ana, e rite ana ki te kīkī (Dysarthria).

He mea nui: Ko ētahi o ngā tohu o te whiu roro, pērā i te whanoke, te ānini, me te ngaronga o te taurite, tera pea he mea e kore e taea e tātou te aro atu. Heoi anō,Kaua e warewarehia ēnei tohu, ina koa ka puta ohorere mai.

Ko tētahi atu mea, ko te taha kotahi o tō tātou roro iti e whakahaere ana i tētahi atu taha o te tinana. Ko te tikanga tēnei, ki te pakaru te taha maui o te roro iti i te whiu, ka rongo koe i ngā tohu i te taha matau. Ki te pakaru te taha matau, ka puta ngā tohu i te taha maui.

He aha ngā tohu whakatūpato o te whiu roro?

E mōhio ana tātou ināianei he maha ngā tohu ka puta mai i te whiu roro. Hei kite i ngā tohu whakatūpato o te whiu i roto i a koe, i tō whanaunga rānei, kia maumahara ki te kupu whakarāpopoto 'BE FAST' . He mea tino nui tēnei:

• B - Taurite: Tirohia mēnā ka ngaro whakarere tō taurite, ā, ka rite koe ki te mea kua tata koe te hinga.
• E - Kanohi: Tirohia mēnā he ngaronga ohorere o te tirohanga, he pōuri te tirohanga, he rerekētanga rānei i tētahi o ngā kanohi, i ngā kanohi e rua rānei.
• F - Kanohi: Whakamātauria te menemene. Tirohia mēnā kei te piko tetahi, e rua rānei ngā taha o te kanohi.
• A - Ringaringa: Hiki ake ngā ringa e rua. Ki te pāngia koe e te whiu, tērā pea kāore e taea e koe te hiki i tētahi ringa, tērā pea ka ngoikore rawa, ka hinga ki raro.
• S - Kōrero: Tirohia mēnā he kōrero pōturi, he uaua ki te kōwhiri kupu, he whewhe rānei.
• T - Wā: He mea nui te wā! Ki te pāngia koe e tētahi o ēnei tohu, rapua he āwhina tonu (waea atu ki te waka tūroro). Ki te taea, tuhia te wā i tīmata ai ngā tohu mā te titiro ki tō mātiti, ki tō waea rānei. Mā te kōrero ki te tākuta i te wā i tīmata ai ō tohu ka āwhina i a ia ki te whakatau ko tēhea te maimoatanga pai mōu.

He aha te Whakaekenga Ischemic Poto (TIA)?

He rite te whakaekenga ischemic poto (TIA), e kiia ana i ētahi wā ko te "mini-stroke", ki te whiu, engari he wā poto noa iho ōna pānga. Ka memeha haere ngā tohu i roto i ētahi haora. Heoi, he maha ngā wā he tohu whakatūpato ēnei kei te tata te puta o te whiu nui. Me tere tonu te maimoatanga hauora mō te tangata kua pāngia e te TIA. Waea atu ki te 911 tonu.

He aha ngā take o te whiu roro?

E rua ngā momo whiu o te roro iti, ā, he rerekē ngā pūtake.

1. Ngā Whiu Ischemic: Ka puta ēnei ina āraia e te toto totoka te oko toto i roto i te roro iti. Ko ngā āhuatanga hauora e whakanui ake ana i te mōrearea o te toto totoka ko:

• Te toto toto tiketike (hypertension)
• Ngā taumata cholesterol toto tiketike (Hyperlipidemia)
• Atherosclerosis / te matotoru o ngā pakitara o te uaua
• Ngā mate toto totoka
• Te fibrillation atrial (ina koa ka puta mai i te apnea moe)
• Te kino o ngā oko toto i puta mai i te whara, pērā i te whara o te upoko, i te aituā motuka rānei.
• Ngā mate ngākau whānau (hei tauira, te mate o te atrial septal, te mate o te ventricular septal)

2. Ngā Whiu Toto: Ka puta mai ēnei i te pakaru, i te haehae rānei o tētahi oko toto i roto i te roro iti . Ka puta pea tēnei i:

• Te toto toto tiketike (te toto toto tiketike) (ina koa mēnā kāore e taea te whakahaere, ā, kei te tino tiketike tonu, kua roa rānei e mau ana).
• Ngā pukupuku roro
• Ngā aneurysms roro
• Te mate Moyamoya (me tetahi atu āhuatanga e ngoikore ai ngā oko toto i roto i te roro).

He aha ngā āhuatanga mōrearea?

Ka pāngia te tangata katoa e te whiu. Heoi, he paku teitei ake tō mōrearea mēnā kei a koe ēnei āhuatanga:

• Mena kei te momi hikareti koe, kei te whakamahi rānei i ētahi atu momo tupeka, nikotīni rānei (hei tauira, te vaping).
• Mena kua neke atu i te 65 tau tō pakeke.
• Mena he mangu koe (nā ētahi āhuatanga ira me ngā āhuatanga pāpori).
• Mena kei te whakamahi koe i ngā raau taero mō te whakangahau, kāore rānei he whakahaunga a te taote.

Ka taea hoki e ētahi āhuatanga hauora te whakanui ake i te mōrearea o te whiu:

• Te toto toto tiketike (hypertension)
• Ngā taumata cholesterol toto tiketike (Hyperlipidemia)
• Mate Huka (Diabetes Mellitus)
• Te moe pōrearea
• Covid-19 (COVID-19) me ētahi atu mate urutā.
• Te mate whakamahi waipiro.

Me pēhea te tautuhi i te whiu roro?

Ka tātaritatia e te tākuta te whiu roro mā te whakamātautau tinana , te whakamātautau io, me ētahi atu whakamātautau motuhake . Mēnā ka haria koe ki te rūma whawhati tata (ETU) , ka taea e ngā tākuta o reira te tātaritatia tēnei.

Hei whakaū kua pāngia koe e te whiu, ka whakamahia e tō tākuta ngā whakamātautau penei:

• Matawai CT
• Matawai MRI (MRI)
• Te hiko o te manawa (EKG)
• Te whakamātautau hiko o te roro (EEG)
• Ngā whakamātautau toto

He aha ngā maimoatanga mō te whiu cerebellar?

Ko te momo maimoatanga e hiahiatia ana e koe ka whakawhirinaki ki te momo whiu roro e pāngia ana e koe. Ka ngana ngā tākuta ki te whakahoki i te rere o te toto ki tō roro i te wā tere tonu.Koia anake ka taea te whakaiti i te mōrearea o te kino o te roro tuturu me te mate.

• Mena he ischemic te whiu: Ka ngana ngā tākuta ki te wawahi, ki te whakarewa rānei i te toto totoka. Tērā pea ka hoatu he rongoā thrombolytic ki a koe. Ko te Tissue Plasminogen Activator (tPA) me te Tenecteplase (TNK-tPA) ētahi o ngā rongoā e whakamahia whānuitia ana. Tērā pea me pokanga koe hei wawahi i te toto totoka (mechanical thrombectomy) . Tērā pea ka hoatu he rongoā ki a koe hei whakahaere i tō toto totoka.

• Mena he toto te whiu: Ka ngana ngā tākuta ki te aukati i te toto i roto i tō roro. Tērā pea ka hoatu e rātou he rongoā ki a koe hei whakahaere i te toto me te whakahaere i tō toto toto. Tērā pea ka whakahaerehia hoki e rātou he pokanga hei whakaiti i te toto i roto i te roro.

Mā ngā tākuta koe e whakamārama ko ēhea ngā maimoatanga e tika ana māu, me ngā mea ka taea e koe te tumanako mai i aua maimoatanga.

Te Whakaora i muri i te Whiu Cerebellar

He wāhanga tino nui o te maimoatanga whiu te whakaora i te whiu. Me whakaora koe hei āwhina i a koe ki te urutau ki ngā huringa o tō roro me tō tinana i muri i te whiu. Tērā pea ka uru atu ki tēnei he huinga o ēnei e whai ake nei:

• Whakaora tinana: Whakakahangia ngā uaua, whakapai ake i te taurite, me te whakamahi anō i ngā ringa me ngā waewae.
• Whakaora kōrero: Hei whakaora, hei whakapai ake rānei i te reo me ngā pūkenga kōrero, me te whakahaere hoki i ngā uaua e āwhina ana i a koe ki te kōrero, ki te manawa, ki te kai, me te horomi.
• Whakaora hinengaro: Whakapai ake i te mahara, te aro, me ētahi atu pūkenga hinengaro.
• Whakaora mahi: Āwhina i a koe ki te mahi haumaru i ngā mahi o ia rā, inā koa ngā mahi e hiahia ana ki ngā nekehanga maeneene o te tinana.

He aha ngā tūponotanga ka ora mai i te whiu roro?

He uaua ki ngā tohunga te homai i te reiti ora tika mō te whiu roro. Ka taea e tetahi whiu te whakamate, te whakararuraru tuturu, ā, ka pā ki te roa o te oranga (te roanga o te oranga). Kāore he anga wā whakaora paerewa, he tirohanga rānei e tika ana mō te katoa.

Ahakoa he pai ake ngā hua o ngā whiu ischemic i ngā whiu toto , ehara i te mea ka māmā ake, ka tere ake, ka pai ake rānei tō ora mēnā he momo whiu tōu. He rerekē te urupare a te tinana o ia tangata ki te whiu.

Ka taea te whakaora katoa i te whiu roro?

Ko te mea ka taea e koe te tumanako (te matapae) i muri i te whiu roro ka whakawhirinaki ki ētahi āhuatanga:

• Te tere o te whiwhinga o te maimoatanga.
• He aha te momo whiu i pā mai ki a koe?
• Tō hauora whānui.
• tō tau.

He rerekē te whakaoranga katoa i ia tangata, i ia tangata. Tērā pea ka taea e koe te whakahoki mai i tō mahi roro taketake me ō pūkenga nekehanga. He maha ngā marama e pau ana mō tēnei. Heoi anō, tera pea ka pāngia koe e ngā pānga roa, pērā i ngā momo hauātanga hou, ngā momo hauātanga rerekē rānei.

Mā tō tākuta koe e kōrero ki ngā mea hei tumanako atu. Mā rātou koe e āwhina ki te whakatakoto whāinga me ngā tumanakohanga whakaora e tika ana mō tō āhua hauora ahurei me tō mooni.

Ka taea te ārai i te whiu o te roro iti?

Ko te pupuri i te hauora whānui te huarahi pai rawa atu hei whakaiti i tō tupono ki te whiu roro. I te nuinga o te wā, ngana ki te mahi i ēnei mea:

• Whakahaerehia tō toto totoka, tō taumata cholesterol, me ngā āhuatanga hauora katoa kei a koe.
• Ki te kai hikareti koe, kati.
• Kai i ngā kai totika, kia mau tonu hoki tō taumaha hauora.
• Whakakorikori tinana i ia wā, i ia wā.
• Kia ora te moe.

Tirohia te tākuta i ia tau (i runga rānei i te taunakitanga a tō tākuta). He maha ngā āhuatanga ka puta ai ngā whiu roro i roto i te wā. Ko ētahi kāore pea e puta he tohu e kitea ana e koe. Hei tauira, he maha ngā tāngata he toto toto tiketike, he cholesterol tiketike rānei kāore e rongo i tetahi mea tae noa ki te tātaritanga. Ka taea e tō tākuta te āwhina i a koe ki te hopu me te whakahaere i ngā tohu whakatūpato i mua i te whakanui ake i tō mōrearea ki te whiu.

Me pēhea taku tiaki i ahau anō i muri i te whiu?

He mahi uaua te whakaora me te whakaora i muri i te whiu. Kia oti i a kōrua ko tō tākuta te whakarite i tētahi mahere maimoatanga, me whai i te mahere kia tata tonu. I te nuinga o te wā, me mahi e koe ēnei e whai ake nei:

• Inumia tika tāu rongoā: Mā te tango i tāu rongoā i te wā tika e ai ki tā tō tākuta ka āwhina i tō tinana kia ora.
• Haere ki tō wāhi whakaora me ētahi atu wā maimoatanga: Kōrero atu ki ō kaiwhakaora hinengaro mēnā kei te pōuri koe, kei te kore rānei e pai ki a koe. He uaua pea te whakaora, engari kāore koe e hiahia kia mamae, kia kore rānei e pai ki a koe i ngā wā katoa.
• Whakaarohia tō hauora hinengaro: He mea noa te pouri me te manukanuka i muri i te whiu. Kāore te pouri, te pōuri rānei e whakangāwari i a koe, e tuku rānei i a koe. He rite tonu te hiranga o tō hauora hinengaro ki tō hauora tinana. Mena kei te pōuri koe i a koe e ora ana, kōrero ki tō tākuta, ki tētahi kaitohutohu hauora hinengaro rānei.

Āhea ahau me haere ki te Tari Whawhati Tata (ETU) ?

Ki te mea kei te pāngia anō koe e ngā tohu o te whiuWaea atu ki te 911 tonu. Mēnā ka pāngia anō koe e te whiu, ka nui ake te tūponotanga ka mate, ka pāngia rānei e ngā raruraru kino. Kaua e whakaroa ki te rapu āwhina.

Ko te hunga kua pāngia e te whiu ka nui ake te mōrearea ki ētahi atu raruraru nui, pēnei i:

• Te whakaekenga o te ngakau
• Ngā mate hopuhopu
• Pūkahukahu
• Te toto totoka i roto i te uaua hohonu (Deep Vein Thrombosis - DVT)
• Te Pukupuku Pūkahukahu

Mena ka pāngia koe e ngā tohu o tētahi o ēnei raruraru, me waea atu tonu koe ki ngā ratonga ohorere, me haere rānei ki te rūma ohorere.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Ka hiahia pea koe ki te pātai atu ki tō tākuta i ēnei pātai:

• He aha te momo whiu i pā mai ki ahau?
• He aha te momo rongoā e hiahiatia ana e au, ā, me pēhea taku tango i aua rongoā?
• He aha ngā momo tikanga whakaora e hiahiatia ana e au?
• He aha te mōrearea o te pāngia anō ahau e te whiu ā muri ake nei?

Ka taea e ngā whiu roro iti te whakaputa i ngā tohu e ngāwari ana te wareware. Engari kāore he tangata e mōhio ana ki tō tinana i a koe anō. Mena ka rongo koe i tētahi mea rerekē, he mea tauhou, he mea rānei e whakaaro ana koe kei te pāngia koe e te whiu, rapua tonutia he awhina ohorere. Ko te tere o te tātaritanga me te rongoā a ngā tākuta i te whiu roro iti, ko te pai ake o te putanga.

Hei whakamutunga, he mea hei whakaaroaro.

He āhua noa iho tēnei, engari me utu koe mō ia ahunga whakamua iti i a koe e ora ana. He maha ngā āhua o te ora, ā, he tika kia whakanuia e koe ia āhua. Mā ō tākuta me ō kaiwhakaora koe e āwhina ki te whakatutuki i ō whāinga ora.

` whiu roro, whiu roro, whiu roro, tohu whiu, KIA TERE, maimoatanga whiu, ārai whiu