I ētahi wā ka pōuriuri tātou, kāore? Tērā pea he ngoikore te mahara. Tērā pea ka whakaaro ētahi he mea noa tēnei ka puta i a tātou e pakeke haere ana. Heoi, i ētahi wā ka hohonu ake tēnei i tērā. I tēnei rā ka kōrero tātou mō tētahi mea pēnei. Arā, mō tētahi āhuatanga e kiia nei ko te `(Cerebral Amyloid Angiopathy)` `(CAA)` rānei.
He aha te `(Cerebral Amyloid Angiopathy - CAA)`?
I te whakarapopototanga, ko te Cerebral Amyloid Angiopathy (CAA) he āhua e hangai ana tētahi pūmua rerekē ki roto i ngā oko toto iti o tō tātou roro, ka ngoikore haere, ka turuturu te toto. Ko te tino take o tēnei ko te kohikohinga o tētahi pūmua rerekē e kiia nei ko te amyloid ki roto i ngā pakitara o ngā oko toto o te roro. Whakaarohia he rite ki tētahi paipa wai e purua ana. I roto i te wā, ka meinga e tēnei pūmua amyloid ngā pakitara o ngā oko toto kia angiangi, kia ngoikore, kia ngāwari hoki te pakaru.
Ina ngoikore ngā oko toto i tēnei ara, ka tīmata te turuturu o te toto ki roto i te roro. I ētahi wā he tino iti ēnei turuturu, pērā i ngā "toto iti" . Arā, he tino iti ngā pata toto e taka ana. He tino iti ēnei, ā, i ētahi wā kāore tātou e kite i tētahi tohu. Engari i ētahi wā ka tae pea tēnei ki te "toto toto i roto i te angaanga" , arā, he toto nui i roto i te roro. Ki te puta tēnei toto, ka kino pea te kiko o te roro, ā, ka puta he raruraru nui.
Ko tēnei āhuatanga, e kiia nei ko te ``CAA'', kua tautuhia hoki hei tino take o te āhuatanga e kiia nei ko te ``hekenga hinengaro`' . Ko te ``(Hekenga hinengaro)'' e pā ana ki te hekenga āta haere o ō tātou pūkenga whakaaro, pērā i te mahara, te aro, te whakaaro, me ngā pūkenga whakaoti rapanga. He rite ki te ``pūhoi te mahi a te ``tukatuka'' o tō tātou roro. E ai ki ngā tohunga, i waenga i te 23% me te 29% o te hunga neke atu i te 50 tau te pakeke ka pāngia pea e tēnei āhuatanga ``(CAA)'' i te taumata ngawari, kino rānei. Ko te tikanga ehara i te mea onge.
He aha ngā tohu pea o te `(CAA)`?
Kāore ngā tohu e puta ana i tēnei take i te ōrite mō te katoa. Kei te nui o te toto e turuturu ana ki te roro.
Whakaarohia ka pāngia ētahi tāngata e te "CAA" me te kore he tohu. Ko te take he iti noa iho ngā turuturu toto e kitea ana i roto i ō rātou roro (ngā "toto toto iti puku"), kāore e kitea. He rite ki te wai e turuturu mārire ana mai i tētahi kōhao iti, engari ehara i te turuturu nui hei whakakī i te peere.
Heoi, ki te nui te toto i roto i te roro, ka puta pea ngā raruraru pūnaha io. Waihoki, ka kitea e ētahi tāngata te "CAA" ina whai "MRI" rātou i te roro mō tētahi atu raruraru.
Mena ka nui haere te toto, ka puta pea ēnei tohu:
- Te mamae nui o te upokoEhara i te mamae upoko noa, he ahua kino noa iho.
- Pōhēhētanga : Ka pōhēhētia ngā mea pēnei i te wāhi, te wā, me te tangata kei te taha.
- Te uaua ki te kōrero : Te koretake o te kupu, me te uaua ki te kī i tāu e hiahia ana ki te kōrero.
- Ngoikore ohorere : He ngoikore ohorere i te taha kotahi o te tinana, te ringa, te waewae rānei.
- Te ngoikore o te hinengaro : Ka heke te mahara, ka uaua te whakatau kaupapa.
- Ngā tohu o te mate haurangi (Hūpeketanga) : Ka rite ki te mate pāwera.
I ētahi wā tino kino, ka taea e te tangata te moe pōuri nā te nui o te toto.
He aha te mea ka tupu ina he `(CAA)`?
Ko te angiopathy amyloid cerebral he momo whiu toto . Mena kei a koe tēnei mate, kua piri tetahi pūmua rerekē e kiia nei ko te amyloid ki roto i ngā oko toto o tō roro.
I roto i ngā tau, ka ngoikore haere ngā pakitara o ō uaua toto, ka puta he kapiti moroiti, he pakaru rānei e taea ai e te toto te turuturu ki roto i tō roro. Ina turuturu te toto mai i ēnei uaua toto, ka kino te kiko o te roro.
I te nuinga o te wā, ka rite te toto o tēnei taira ki te mea e tukuna mārire ana te hau ki waho. I te tīmatanga, kāore koe e rongo i te rerekētanga nui.
He tokomaha te hunga kāore e aro nui ana ki ngā mea pēnei i te ngaronga o te mahara me te pōhēhē i te tīmatanga. Tērā pea ka whakaaro rātou, "Āe, he mea noa iho tēnei ka puta ina kaumātuatia." Engari i te roanga o te wā, i te mea ka pakaru ngā oko toto i te pūmua amyloid, ka nui ake hoki te toto e turuturu ana ki te roro, ka kino haere ngā tohu.
Ka taea te hanga ohorere i te `(CAA)`?
Kāore e tere te whanake. Heoi, ka taea anake te tupu mēnā ka riro mai i a koe ētahi whakarerekētanga ira e puta ai te mate. Hei tauira, ko te momo mate pūkahukahu tuku iho (CAA) tino noa ko te whiu nui, e morearea ana ki te ora.
Ko ēnei whiu nui ngā tohu tuatahi. Ahakoa ka ora rātou i te whiu, ka pāngia pea rātou e te mate wareware , te mate haurangi , me ngā whiu maha ka kino ake te roro. Ko te nuinga o te hunga whai i tēnei momo CAA tuku iho ka mate i roto i ngā tau 10 o ngā tohu. Engari me mahara anō hoki koe he tino onge te CAA tuku iho .
He aha ngā take i whakatūria ai te `(CAA)`?
Kāore anō kia mōhiotia e ngā tohunga te tino take, engari kua kitea e ngā rangahau ka taea e ēnei mea te whakanui ake i te mōrearea:
- Te mate a Alzheimer: Ko te hunga e pāngia ana e te mate a Alzheimer ka nui ake te tūponotanga ka pāngia e tēnei. Tērā pea nā te mea kei roto i ngā mate e rua te pūmua amyloid.
- Iwi:E whakaatu ana ngā rangahau he nui ake te kitea o tēnei mate i roto i ētahi iwi. Hei tauira, e kī ana ētahi rangahau he nui ake te kitea o te CAA i roto i te hunga Pākehā. Heoi, ehara tēnei i te mate whānui, ā, me nui ake ngā rangahau.
- Te toto toto tiketike: Ko te toto toto tiketike tētahi atu take e whakanui ana i te mōrearea o te CAA mā te pēhanga nui ki runga i ēnei uaua toto.
Me pēhea te mōhio ki te `(CAA)`?
Koinei te wāhanga tino uaua. Kāore rawa he huarahi hei whakaū i tēnei mate me te tino pono i te wā e ora ana te tangata. Ko te huarahi anake hei whakaū ko te tango i te kiko roro i muri i te matenga ka tirotirohia i raro i te karuārai. Arā, mā te "tātaritanga tupapaku".
Heoi, ahakoa kāore e taea te whakaū i te "CAA" i mua i te matenga, ka taea e ngā tākuta te "tātaritanga whakapae" kei te kitea pea te mate. Ka mahia tēnei mā te whakamahi i:
- Matawai Whakaahua Āhua Aukume (MRI) o te roro: Ka taea e tēnei te kite i ngā toto iti (ngā toto iti) i roto i te roro.
- He matawai `(PET)` (Positron Emission Tomography scan) me te (Amyloid tracer labeling) : Ka taea te whakamahi i tēnei hei tirotiro mēnā kei te tāpuihia te pūmua `(amyloid)` ki roto i te roro.
I runga i ngā mōhiohio i riro mai i ēnei whakamātautau ka whakatau ngā tākuta mēnā ka taea e rātou te noho hei CAA.
He rongoā kei te wātea mō te `(CAA)`?
Heoi anō, kāore anō kia kitea he rongoā tuturu mō tēnei, kāore anō hoki he huarahi hei ārai i tōna puta.
Nō reira, ki te whakaatu mai ō whakamātautau kei a koe tēnei mate, ka ngana tō tākuta ki te whakaiti i te tūponotanga o te toto o te roro, te nui ake o ngā toto, te kino haere rānei o ngā toto o mua. Ko te tikanga o tēnā ko te whakahaere i ō tohu me te whakahaere i te mate kia kore ai e kino haere.
Hei hoatu i ētahi tauira:
- Te whakahaere i te toto toto tiketike: Ka whakanui ake te toto toto tiketike mau tonu i te mōrearea o te toto toto. Mena ka whakaatuhia e ngā whakamātautau ngā tohu o te "CAA" ā, he toto toto tiketike anō hoki tōu, ka aro turukihia e tō tākuta tō hauora whānui me tō toto toto. Ka tūtohu pea rātou i ngā rongoā me ngā huringa āhua noho (kai, whakakori tinana) hei whakaheke i tō toto toto.
- Kia tūpato ki ngā rongoā whakaiti toto: Mena kei a koe te CAA, ā, kei te tango koe i ngā rongoā ārai toto, pērā i te warfarin, i te aspirin rānei, mō te mate toto totoka, ka kaha ake te toto o tō roro. Mena kei a koe tēnei mate, ka kī atu pea tō tākuta kia mutu te tango i te rongoā whakaiti toto , ā, ka tūtohu pea i ētahi atu huarahi haumaru ake hei ārai i te toto totoka. Koia te mea nui kia kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe.
Kia pēhea te roa ka taea e koe te ora me te `(CAA)`?
He pātai tēnei e pātaihia ana e te tini tāngata. Heoi, he uaua ki te hoatu i tētahi whakautu kotahi. He rerekē rawa atu i runga i tō āhuatanga.
Ko tō tau, te āhua o ō tohu o nāianei, tō hauora whānui, me ētahi atu āhuatanga hauora e whakanui ana i te mōrearea o te toto nui o te roro (hei tauira, te mate huka, te cholesterol tiketike) ka pā katoa ki te roa o tō oranga.
Ko tō tākuta te puna pai rawa atu o ngā mōhiotanga mō ngā mea hei tumanako atu māu. Ka mōhio ia ki tō āhuatanga, ā, ka taea e ia te tuku tohutohu ki a koe.
Me pēhea taku tiaki i ahau anō?
Ina kitea e koe kei a koe (CAA), he mea nui kia tiakina koe. Ko te mārama ki tō mōrearea te mea pai rawa atu ka taea e koe te mahi hei tiaki i a koe anō.
Hei tauira, ki te whakaatu ngā whakamātautau kei a koe te ``(CAA)'' engari kāore he tohu nui, ka tohutohu pea tō tākuta i a koe ki ngā huarahi hei ārai i te toto toto tiketike, hei karo rānei i ngā rongoā whakaheke toto kore e hiahiatia. Kei roto i tēnei ko:
- Tirohia tō pēhanga toto i ia wā, ā, whakahaerea kia rite ki ngā tohutohu a tō tākuta.
- Kai i tētahi kai hauora.
- Whakakorikori tinana i ia wā, i ia wā.
- Ki te kai paipa koe, kati.
Āhea ahau me toro atu ki te tākuta?
Ki te kino haere ō tohu, me toro atu ki tō tākuta tonu.
Hei tauira, ka pā te CAA ki tō mahara me ō pūkenga whakaaro. Mena kei te raru koe, kei te ngaro rānei tetahi o ōu mōhiotanga i te mahara (te wareware kupu, te ngaro), kei te pōhēhē haere koe, kei te uaua rānei te kōrero i tō mua, ka hiahia pea tō tākuta ki te whakamātautau i a koe mō te toto hou o te roro. Nō reira kaua e warewarehia ēnei huringa.
Āhea ahau me haere ki te rūma whawhati tata?
He mea tino nui tēnei. Mēnā ka kaha rawa ngā tohu, pērā i te ānini, te pōhēhē, te uaua ki te kōrero, te ngaro rānei o te māramatanga, me haere tonu koe ki te hōhipera.
Nā te mea kua pāngia pea koe e te whiu toto, he whiu i puta mai i te toto ka taea te whakararu i te roro tuturu, te mate rānei. He mea tino nui te whiwhi maimoatanga tere i muri i te whiu hei whakaora i ngā oranga me te whakaiti i te hauātanga mō te wā roa.
Anei ētahi tohu whakatūpato mō te whiu:
- Te piko o tetahi taha o te mata: Kāore e taea te hapai tika i tetahi taha o te mata ina menemene ana.
- Ngoikore o te ringa kotahi: Ina tonoa kia hapai ake ngā ringa e rua ki mua, ka taka tetahi o ngā ringa ki raro.
- Te uaua ki te kōrero: ka rarau ngā kupu, kāore e mārama ki te mea e kōrerotia ana.
- Te ānini nui ohorere: He ānini nui kāore anō kia pā mai i mua i roto i tōu ao.
Ki te kite koe i tētahi o ēnei tohu, kaua e whakaroa, me haere tonu ki te hōhipera.
He aha ngā pātai me pātai atu e au ki te tākuta?
Mena kei te whakaatu mai ō whakamātautau kei a koe pea te mate pukupuku (CAA), he mea noa te maha o ngā pātai. Anei ētahi pātai ka taea e koe te pātai ki tō tākuta:
- He aha tonu ngā mea e whakaatuhia ana e aku matawai MRI, PET rānei?
- He toto kei roto i tōku roro? He aha te kaha?
- Tērā pea ka kino haere tēnei toto?
- He aha te mōrearea o te pāngia e te whiu?
- He aha te pānga o tēnei ki tōku mahara me tōku kaha ki te whakaaro?
- He aha ngā huringa āhua noho me mahi e au?
- He aha ngā rongoā ka taea e au te tango? He pānga taha kei roto?
- Kia pēhea te roa me whakamātau anō ahau?
He `(Dementia)` anō hoki te `(CAA)`?
Kāo, ehara i te mea kotahi. Engari he hononga kei waenganui i ngā mea e rua. Ka taea e te Cerebral Amyloid Angiopathy te whakaputa i ngā whiu toto . Ka kino ēnei whiu i ngā pūtau roro, ka arahi pea ki te mate wareware vascular . Ko te mate wareware he āhuatanga e whakararu ana i ngā mahi roro pēnei i te mahara, te whakaaro, te reo, me te whakatau. Nō reira, ko te CAA tētahi o ngā take o te mate wareware vascular.
Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)
Ko te Cerebral Amyloid Angiopathy (CAA) he mate kino pea e whakatakotoria ai te pūmua amyloid ki roto i ngā oko toto o te roro, ka puta ai te toto.
- He tino ngawari ngā tohu tōmua – pērā i te ngaronga o te mahara, te wareware kupu. Engari ka kaha haere ēnei i roto i te wā.
- Kāore he rongoā motuhake mō tēnei, engari ka taea te whakahaere i ngā tohumate, ā, ka taea hoki te whakahaere i te āhua. He mea tino nui te whakahaere i te toto toto me te whai i tētahi momo oranga hauora.
- Ki te puta mai ētahi tohu whakahāwea (ina koa te ngaronga o te mahara, te pōhēhē, ngā huringa ohorere o te pūnaha io), rapua tonutia he tohutohu hauora.
- Mā te mōhio ki te (CAA) koe me ō whanaunga e āwhina ki te whakatau i tēnei āhuatanga.
Ko tāku tumanako ka whai hua ēnei mōhiohio ki a koe. Mēnā he pātai āu, kaua e mangere ki te kōrero ki tō tākuta.
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