I ētahi wā, ka pēnei koe i te kore o te kaha, ka tino ngenge koe i te oho ake i te ata, ā, kāore koe e hiahia ki te mahi i tetahi mea mō te rā? I ngā wā pēnei, he tokomaha o tātou e whakaaro ana, "Kei te pāngia ahau e te pouri?" He pono ka puta ēnei tohu i roto i te āhua e kiia nei ko te pouri. Engari, kāore pea te pouri tonu te take. Tērā pea ko te take he āhuatanga motuhake kāore pea koe e whakaaro, engari he rite tonu ngā tohu ki te pouri. I tēnei rā, ka kōrero tātou mō ngā āhuatanga e rua tino rerekē e ngāwari ana te whakapoauau. Ko te Chronic Fatigue Syndrome me te Depression.
He aha te mate ngenge mau tonu (ME/CFS)?
He whakarāpopototanga noa iho, ko te mate ngenge roa (ME/CFS) he āhuatanga e pāngia ai koe e te ngenge nui, rerekē hoki, kāore he take e kitea ana. Kāore i rite ki te ngenge noa. Whakaarohia, ahakoa moe pai koe i te pō katoa, ka oho ake koe me te ngenge nui atu i te ata. Ahakoa te mahi i ngā mahi māmā noa, pērā i te haere ki te toa, te horoi rānei i te whare, ka taea e koe te ngenge i te rā katoa.
Ka tino kino rawa atu tēnei āhuatanga, ā, ka ngoikore haere ētahi tāngata, kāore e taea te ara ake i te moenga, te horoi i a rātou anō, te tunu kai rānei. He rite ki te waea kua kī katoa engari kua pau te pākahiko i mua i te taea e koe te waea atu.
Haunga te ngenge, he maha atu anō ngā tohu o te ME/CFS:
- Mamae tinana: Mamae uaua me ngā hononga, me te mamae o te upoko i ngā wā katoa.
- Ngā raruraru mahara me te aro: Te āhua nei kua pōuri te roro, kua wareware ki ngā mea, ā, kāore e taea te arotahi ki tētahi mea.
- Ngā raruraru moe: Te uaua ki te moe, te oho ake rānei i te wā e moe ana.
- Ko ētahi atu tohu: te whanoke, te pupuhi me te ngawari o ngā kōpū lymph i te kaki, i ngā kēkē rānei, te mamae pinepine o te korokoro, te mamae o te puku, te pōuri o te tirohanga, te aro ki te mārama, ki te tangi rānei, te ngakau pōturi, me te uaua ki te manawa.
Ahakoa kāore anō kia kitea te tino pūtake, e whakaponohia ana ko ētahi mate huaketo (hei tauira, te huaketo Epstein-Barr), te kore taurite o ngā homoni, te kaha rawa o te pūnaha ārai mate, me ngā awe ira ka whai wāhi pea ki tēnei.
Nā, he aha te pouri?
He mate hinengaro kino te pouri, ehara i te mea ko te pouri anake. He kare ā-roto roa o te pouri, te koretake, me te kore tumanako. Ka pā nui ki tō whakaaro, ki ō kare ā-roto, me ō whanonga.
I te wā pouri, ko ngā mea i pai ai te noho, pērā i te kōrero ki tētahi hoa, te mātaki kiriata, te whai wāhi rānei ki tētahi mahi whakangahau, ka kore e whai tikanga, ka hoha. Tērā pea ka whakama ētahi tāngata mō rātou anō, ka koretake hoki. I ngā wā kino rawa atu, tērā pea ka hoha rātou ki te ao, ā, ka whakaaro pea ki te whakamomori.
Ahakoa he mate hinengaro te pouri, ka puta anō hoki ngā tohu ā-tinana.
- Ngā raruraru o te ngenge me te moe: Ngā āhuatanga pēnei i te kore e taea te moe, te moe nui rawa, te oho wawe rawa rānei.
- Ngā huringa o te hiahia kai: Te ngaronga o te hiahia kai, te kai nui rānei. Ka taea e tēnei te heke, te piki rānei o te taumaha.
- Ngā mamae tinana: ngā mamae tuara, ngā mamae upoko e puta mai ana me te kore take.
- Ētahi atu tohu: Te tangi pinepine, te kore okiokinga, te puhoi o te kōrero me te nekehanga, te mamae o te puku, me ētahi atu.
Kāore he pūtake e mōhiotia ana mō te pouri. Tērā pea ka puta mai i ngā huringa tinana o te roro, i te kore taurite o ngā neurotransmitters e whakahaere ana i te wairua, i ngā huringa o ngā taumata homoni (hei tauira, i muri i te whānautanga, i te menopause), i ngā raruraru tairoi, me te āheinga ira. Ka taea hoki te whakaoho i te pouri e ngā wheako mamae o te ao, pērā i te matenga o tētahi e arohaina ana, te ngaronga o tētahi mahi, te mate kino rānei.
He aha ngā āhuatanga ōrite me ngā āhuatanga rerekē o ēnei mate e rua?
Kua kite pea koe ināianei he maha ngā āhuatanga ōrite o ēnei mate e rua. Koia te take he tino ngāwari ki te whakapoauau i ngā mea e rua. Kia tirohia tātou he aha ngā rerekētanga matua i waenganui i ngā mea e rua. Tirohia tēnei ripanga.
| Āhuatanga motuhake | Te mate ngenge mau tonu (ME/CFS) | Te pouri |
|---|---|---|
| Te pānga o te korikori tinana | Ka tino kino haere te ngenge me ētahi atu tohu ahakoa he iti noa te whakakori tinana. | Ka pai ake ngā tohu me te wairua i muri i te whakakori tinana. |
| Ngā tohu matua | He mea noa te mamae o ngā korokoro, te pupuhi me te mamae o ngā kapia, te mamae o ngā uaua me ngā hononga. | Ko te pōuri nui, te pouri, te hara, me te whakarihariha ki ngā mea i pai ai koe ki mua koia ngā mea matua. |
| Te āhua o te mamae | He nui ake te mamae o te tinana, inā koa te mamae o te uaua me ngā hononga, i te pouri. | Tērā pea ka puta he mamae pēnei i te ānini me te mamae tuara kāore i te mārama, engari kāore i te tino kitea pērā i te ME/CFS. |
| Te tirohanga a te tūroro | He maha ngā wā ka kiia tēnei he mate tinana. | He maha ngā wā ka kiia tēnei he mate hinengaro. |
Ko te mea nui, ka taea te whakanui ake i te ME/CFS mā te whakakori tinana, engari ka taea te whakaora i te pouri mā te whakakori tinana. He mea tino nui tēnei hei wehewehe i waenga i ngā āhuatanga e rua.
Me pēhea te tātaritanga tika a te tākuta i tēnei?
Ki te pā mai ēnei tohu ki a koe, ko te mea pai ko te toro atu ki te tākuta. Ka tirotirohia koe e te tākuta, ā, ka whakatauhia ko tēhea o ēnei mate e rua kei a koe.
1. Te kōrero ki a koe: Tuatahi, ka kōrero pai te tākuta ki a koe, ka pātai atu hoki ki a koe mō ō tohumate, tae atu ki te rā i tīmata ai, te wā i piki ake ai, i heke iho ai rānei, me te mea kua pāngia tētahi o tō whānau e ngā mate ōrite.
2. Whakamātautau tinana: Kātahi ka whakahaerehia he whakamātautau tinana katoa.
3. Ngā paearu tātaritanga:
- Mō te ME/CFS: I te nuinga o te wā, ka whakapaetia te ME/CFS mēnā he tino ngenge kāore i te whakamāramatia, e roa ana mō te neke atu i te 6 marama , kāore e whakaorangia e te okiokinga, ka kino ake i te mahi iti, ā, ka haere tahi me ngā tohu pēnei i te raruraru mahara, aro rānei, te whanoke rānei i te tū.
- Mō te pouri: Mena ka roa ētahi tohu mō te rua wiki pea, ka taea te tautuhi he pouri.
4. Ngā whakamātautau toto: Ka whakahaerehia ngā whakamātautau toto hei whakarite kia kore he mate hauora kē atu e pāngia ai te ngenge (hei tauira, te anemia, te mate huka, te mate tairoi).
5.Ētahi atu whakamātautau: Tērā pea ka tukuna koe ki tētahi tohunga mō tētahi rangahau moe hei tirotiro i ō tauira moe, hei aromatawai rānei i te hauora hinengaro.
Me aha i roto i tētahi āhuatanga ohorere?
Ki te mea kei te whakaaro whakamomori koe, kei te whakaaro rānei tētahi e mōhio ana koe ki te whakamomori, kaua rawa e noho mokemoke. Kōrerotia tonutia ki tētahi e whakawhirinaki ana koe. Haere rānei ki te Wāhanga Maimoatanga Ohotata (ETU) i te hōhipera tata ki a koe. Kaua e wehi ki te kōrero ki tō tākuta mō tēnei. Kei reira tonu rātou hei āwhina i a koe.
Karere Tangohia ki te Kāinga
- Ehara i te mea he mea hanga noa te mate ngenge mau tonu (ME/CFS) me te pouri. He mate tūturu, he mate kino hoki e tika ana kia rongoatia.
- I te mea he tino ōrite ngā tohu, kaua e ngana ki te tautuhi i a koe anō i runga i ngā mea e pānuihia ana e koe i te ipurangi, e rongohia ana rānei e te tangata. Tērā pea he mea morearea.
- Ko te rerekētanga matua i waenga i ngā mate e rua ko te urupare a te tinana ki ngā mahi ā-tinana. I roto i te ME/CFS, ka kino haere te āhua, engari i roto i te pouri ka taea te whakapai ake.
- Mena kua roa koe e pāngia ana e ēnei tohu, tēnā whakapā atu ki tētahi tākuta whai tohu mō ngā tohutohu me ngā maimoatanga tika. Ko te tautuhi tika i te mate te taahiraa tuatahi ki te oranga.
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