Kua pāngia koe e tēnei raruraru me ngā oko toto o tō roro? (Cerebral Amyloid Angiopathy - CAA) Me kōrero tātou mō tēnei!

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.

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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.