Me kōrero tātou mō te Chronic Traumatic Encephalopathy (CTE), he mate roro e puta mai ana i ngā whara o te upoko?

He tino taonga, he tino tairongo hoki ō tātou mahunga, kāore? Engari i ētahi wā, ina takaro hākinakina tātou, ina hinga, ina pāngia rānei e ētahi atu aituā, ka pāngia pea ō tātou mahunga e ngā whara iti me ngā maru. Kua rongo pea koe, ina pāngia ō tātou mahunga e ēnei pānga, ehara i te mea kotahi, e rua rānei, engari tonu, mō ngā tau, ka kino pea ō tātou roro. Koinei tētahi o ngā mate kino, roa hoki ka kōrerohia e tātou i tēnei rā, ko te encephalopathy traumatic mau tonu, ko te CTE rānei.

He aha te CTE (Chronic Traumatic Encephalopathy)?

He kupu ngāwari noa iho, ko te CTE he mate roro e puta mai ana i ngā whiunga maha ki te mahunga me ngā whara o te roro. Ka taea e ia te whakarerekē i te mahi me te whakawhitiwhiti kōrero o ngā wāhanga rerekē o tō roro. He rite ki tētahi mīhini e tino mahi ana ka hē te haere. I runga i te nui o te kino me ngā wāhanga o te roro e pāngia ana, ka tino kino.

Me wehewehea te tikanga o te ingoa CTE:

• Pūmau: Ko te tikanga o tēnei , ehara te CTE i te mea ka puta, ka memeha haere i roto i te wā poto, engari he mate mō te wā roa .
• Traumatic: Ko te tikanga he pānga ki tētahi whara, ki tētahi whara rānei .
• Encephalopathy: He kupu tēnei i ahu mai i ngā kupu Kariki e rua. Ko te tikanga o te kupu ko "te mate o te roro".

Nā, ki te huihuia ēnei mea katoa, ka mārama tātou ko te CTE he mate roro roa e hua mai ana i ngā whara o te mahunga.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i te CTE?

Ka taea e te CTE te puta i roto i te tangata kua pāngia e te whara o te roro. Engari kāore e puta i roto i te pō kotahi. Mō te tini o te tangata, ka roa pea ngā tau, tae atu ki ngā tekau tau, kia puta ai ngā tohu. Ko te tikanga, ko te hunga kua pāngia e te whara o te roro mō ngā tau. He tino teitei tēnei mōrearea i roto i ngā kaitākaro ngaio.

Whakaarohia, te hunga e takaro ana i ngā hākinakina pēnei i te mekemeke, te MMA (toi whawhai whakauru), te whutupōro, me te whutupaoro. E hia ngā wā ka pāngia ai rātou ki te mahunga? Waihoki, kei te mōrearea ētahi o ngā hōia nā te mea me aro atu rātou ki ngā mea pēnei i te pahūtanga.

Engari koinei te mea. Ehara i te katoa o ngā kaitākaro hākinakina i te taumata kura ka pāngia e tēnei mate. Ko te tau toharite o te hunga kua tātaritatia he CTE kei waenganui i te 42-43 tau. Ko te tikanga ka puta wawe mai.

Ki te titiro mārama ake tātou ko wai te hunga tino mōrearea:

• Ko te hunga e takaro ana i ngā hākinakina whawhai: Mekemeke, ngā toi whawhai whakauru (MMA), me ngā toi whawhai tuku iho pērā i te taekwondo me te judo kei roto hoki i te mōrearea.
• Ngā tāngata e tākaro ana i ngā hākinakina pā: inā koa ngā hākinakina pēnei i te whutupaoro (Amerika), te hoki hukapapa, me te whutupōro.
• Ngā tāngata e mahi ana i ngā mahi rori: ngā kaieke pahikara, ngā kaieke roera, ngā kaieke papa reti (ka nui ake te mōrearea mēnā kāore e mau potae).
• Ngā tāngata hōia: Ko te hunga i pāngia e ngā pahūtanga me ngā whara roro rite tonu.

E hia te auau o tēnei āhuatanga?

Ina hoki, kāore ngā tohunga i te tino mōhio ki te whānui o te CTE. Ko tētahi take , kāore he huarahi e tino mōhiotia ai kei te pāngia te tangata e te mate i a ia e ora tonu ana. Ka taea e ngā tākuta te whakapae, engari kāore e taea te kī tino tika me te kore e tirotirohia te roro i te wā o te tātaritanga tupapaku.

Heoi anō, he tino rite ngā tohu o te CTE ki ētahi atu mate roro pērā i te mate a Alzheimer me te mate wareware frontotemporal , nō reira he uaua ki te wehewehe i waenga i ngā mea e rua.

He aha ngā tohu o te CTE?

Ko ngā tohu o te CTE ka āta puta, ka piki haere i roto i te wā. He uaua ki te kī ko te wā tonu ka tīmata, ko te tere rānei o te whanaketanga.

Ko ētahi o ngā tohu tino kitea ko:

• Te uaua ki te arotahi me te whakaaro ki tētahi mea (e kiia ana hoki tēnei he "hauātanga hinengaro ngawari").
• Te mamae o te upoko i ngā wā maha.
• Te ngaronga o te mahara mō te wā poto (kāore e taea te maumahara ki ngā mea i mahia, i kōrerotia rānei).
• Ngā huringa whanonga: Ngā mea pēnei i te riri ohorere, te riri nui tae noa ki te pahū.

Hei tāpiri atu ki tēnei, tera pea ka puta mai ētahi atu tohu:

• Te pouri (te pōuri, te kore aro ki tetahi mea).
• Te uaua ki te whakamahere me te whakahaere tika i ngā mahi (`(Te ngoikore o te whakahaere)`).
• Te kōrero pōturi, te kōrero pōturi.
• Te wiri o ngā peka me ngā nekehanga uaua kāore e taea te whakahaere (e kiia ana ko te "Parkinsonism", he rite ki ngā tohu o te mate a Parkinson).
• He rite ki te ngaro o te taurite i a koe e hikoi ana, e tūtuki ana.
• Te ngaronga o te taunga o ngā waewae me ngā waewae (`(Ataxia)`).
• Te pikinga ake o te whanonga pukuriri.
• Ngā whakaaro ki te whara i a koe anō, ngā whakaaro whakamomori, ngā ngana rānei ki te whara i a koe anō.

He mea nui: Ki te mea kei te pāngia koe, kei tētahi atu rānei e mōhio ana koe e ēnei whakaaro, rapua he āwhina tonu. Waea atu ki tētahi tākuta, ki tētahi hoa, ki tētahi nama waea ohorere rānei.

He aha ngā take o te CTE?

E rua ngā āhuatanga matua e whai wāhi ana ki te whanaketanga o te CTE.

1. Ngā whara o te upoko e pāngia ana e ngā wā maha:

Koinei te tino take o te CTE. Ko te mea nui, ehara i te mea me "tukituki" te tangata i roto i ngā whara katoa.Ahakoa ngā puku me ngā maru iti, ka kohikohi haere i roto i ngā tau ka hanga i tēnei āhuatanga. Whakaarohia he rite ki te patu pinepine i te pakitara ki te hama. Kāore he painga o te patu kotahi, engari ki te nui haere tonu tō patu, ka nui ake te kino o te pakitara.

2. Te kohikohinga o ngā pūmua kua takai hē ki roto i te roro:

He tino hira ngā pūmua i roto i te tinana. E hiahiatia ana ēnei pūmua mō ia mahi. He momo pūmua motuhake kei roto i te roro e kīia ana ko te 'tau' . Ko tēnei pūmua 'tau' te tautoko i ngā pūtau roro.

Kia tika ai te mahi a te pūmua, me tika tōna āhua. Pērā i te kī e tika ana kia uru ki roto i te raka. Engari, nā ēnei whara maha ki te upoko, ka huri te āhua o ēnei pūmua `(tau)`, ā, ka mutu te mahi tika. Kātahi ka tīmata te kohikohi o ēnei pūmua `(tau)` koretake ki ngā wāhi rerekē o te roro. Pērā i te para. Koia te āhua, ki te kite koe i ēnei pūmua `(tau)` e kohikohi ana i roto i tētahi tauira motuhake, ka whakaūtia te CTE i te wā o te tātaritanga tupapaku.

Me pēhea te tautuhi tika i te CTE?

He take uaua tēnei. Kāore anō kia kitea he huarahi hei whakaū 100% mēnā kei te ora tonu te tangata i te CTE. Ko te huarahi anake ko te tango tauira kiko roro i muri i te matenga, ka tirotirohia i raro i te karu hiko.

Heoi, ka taea e ngā tākuta te tirotiro i ngā tohu o te tangata, te hītori o ngā whara o te upoko, ngā whakamātautau tinana me ngā whakamātautau io, ā, ka whakatau, "Tērā pea he CTE tō tēnei tangata." Ka kiia tēnā he "taataritanga whakapae".

Ina whakapae ngā tākuta kei te pāngia koe e te CTE, ka whakahaua e rātou he raupapa whakamātautau hei whakakore i ētahi atu mate. Ahakoa kāore e taea e ēnei whakamātautau te tautuhi tika i te CTE, ka taea e rātou te āwhina ki te whakakore i ētahi atu take. Kei roto i ēnei whakamātautau:

• Ngā matawai CT
• Ngā matawai MRI
• Ngā matawai PET
• Ngā whakamātautau e uru ana ki te tango wai mai i te taurakira (e kiia ana tēnei he "Lumbar puncture" he "Spinal tap" rānei)

He rongoā kei reira mō tēnei? Ka taea te whakaora?

Engari, kāore anō kia kitea he rongoā mō te CTE i tēnei wā. He pakaru roro tuturu tēnei.

Heoi anō, ka taea te rongoā i ētahi o ngā tohu e puta ake ana. Hei tauira, kei reira ngā maimoatanga mō ngā raruraru mahara, ngā huringa whanonga, me te pouri. Ko te āhua o aua maimoatanga me te āhua o te hoatutanga ka whakawhirinaki ki ngā mea maha, tae atu ki ō tohu me tō hītori hauora. Nō reira, ko tō tākuta te tangata pai rawa atu hei tuku tohutohu ki a koe mō tēnei.

Hei tāpiritanga, kei reira ētahi tikanga noho e whai hua ana mō te hauora o te roro whānui, ā, he mea nui anō hoki kia whai i aua tikanga.

Me pēhea te whakaiti i te mōrearea? Ka taea te ārai?

Ngā mea me mahi e koe hei karo katoa i te CTEKo te mea pai ko te whakaiti i te tūponotanga o ngā whara o te mahunga me ngā whara o te roro i te mea ka taea. Anei ētahi mea ngāwari ka taea e tātou te mahi hei whakatutuki i tēnei:

• Tākaro haumaru: I te wā e tākaro ana i ngā hākinakina pānga nui pēnei i te whutupaoro me te whutupōro , kia mau koe i ngā taputapu haumaru tika (pēnei i te potae). He mea nui hoki kia karohia ngā tukinga morearea, me te tākaro me te kore e whakararu i a koe anō, i ētahi atu rānei.
• Kaua e tākaro me te whara: Ahakoa kāore koe i ngaro te mārama i muri i te whara o te upoko, he mea morearea te tākaro me te whakaaro, "Kei te pai ahau, kei te pai ahau." Ehara i te mea ko te haruru o te upoko te tikanga ka ngaro te mārama. Ki te pāngia koe e te haruru o te upoko, kātahi ka pā anō ki te upoko, he tino morearea.
• Mauria he potae ina eke pahikara, he wira e rua: Kia mau tonu te potae ina eke pahikara, he reti reti, he reti reti rānei. Ka taea e ia te whakaiti i te tūponotanga o ngā whara o te mahunga me ngā whara o te roro.
• Mauria he whitiki nohoanga: Ko ngā aituā motuka te tino take o ngā whara o te upoko i waenga i te hunga ehara i te kaitākaro. Mā te mau i te whitiki nohoanga ka āwhina i te whakaiti i te tūponotanga o te whara o te upoko i roto i tētahi aituā.

He aha ngā mea ka taea e te tangata whai CTE te tumanako atu?

E ai ki tā mātou i kōrero ai i mua, he mate roro pirau te CTE. Ko te tikanga ka kino haere ngā tohu i roto i te wā. Ka roa pea tēnei i ngā tau, tae atu ki ngā tekau tau. Kāore he huarahi a ngā tohunga ki te matapae i te roa o te wā ka heke te mahi a te roro.

Kia pēhea te roa o tēnei āhuatanga?

He mate pumau te CTE, mō te wā katoa.

He aha te tirohanga mō tēnei āhuatanga?

E ai ki ngā rangahau me ngā māramatanga o nāianei, ehara te CTE i te mea whakamate tika. Heoi, ka taea e ia te whakaputa i ētahi atu raruraru hauora ka pā kino ki tō hauora me te kounga o te oranga. Hei tauira, kāore pea koe e kaha ki te mahi i ngā mahi pēnei i te kai, te kaukau, me te whakakakahu i a koe anō. He maha ngā wā ka noho ēnei tāngata ki ngā whare tiaki mō te wā roa, kei reira he kaimahi hauora.

I te haere whakamua o te mate, ka pāngia pea te horomitanga (dysphagia) , ka piki ake te mōrearea o te niumōnia me te ngoikore o te manawa.

Me pēhea koe e tiaki ai i a koe anō?

I ngā wāhanga tōmua o te mate, ka taea e koe te tiaki i a koe anō i raro i te arataki a te tākuta. Ka tohutohu tō tākuta i a koe mō ngā huringa āhua noho hei whakahaere i ō tohumate. Heoi, i te whanaketanga haere o te mate, ka uaua pea te mahi i ngā mea ko koe anake. Engari, ina tae ō tohumate ki tētahi taumata, ka kitea pea e koe kāore e taea te noho ko koe anake.

Ka aha koe mēnā i hiahia koe kia puta ngā mea i te ara i hiahia ai koe?

Mena ka kitea tō mate CTE (he mate roro pirau rite rānei) i ngā wāhanga tōmua, he mea nui kia kōrero koe ki tō tākuta, ki tō whānau, me te hunga e whakawhirinaki ana koe ki a rātou hei whakatau i ngā whakataunga nui māu. Mā tēnei kōrero ka āwhina i a rātou ki te mōhio ki ngā mea e hiahia ana koe ki te mahi mena kāore e taea e koe te whakatau i a koe anō.

He ahua whakamā, he āhua pōuri hoki ēnei momo kōrero. Engari he pai ake kia wawe te kōrero, kaua e roa. Pērā ai, ka mōhio wawe ō whanaunga ki ō hiahia. Kāore rātou e waiho kia whakapae noa iho.

Haunga taua kōrero, he mea pai hoki kia tuhia ō hiahia me ō whakatau. Kei roto i tēnei ko ngā tuhinga ture, ngā mea pēnei i te aha me mahi mēnā kāore e taea e koe te tiaki i a koe anō, te whakatau rānei mō tō hauora. He maha ngā tāngata e whakamahi ana i tētahi rōia hei āwhina i a rātou ki te hanga i ēnei momo tuhinga.

Āhea ahau me toro atu ki te tākuta?

Ki te kite koe i ētahi huringa o tō whakaaro, o tō mahara, o tō aro, o tō wairua, o tō whanonga rānei, me toro atu koe ki te tākuta.

Āhea koe me haere ki te rūma whawhati tata?

Ki te mea kei te whakaaro koe ki te whara i a koe anō (tae atu ki ngā whakaaro whakamomori) me te whara rānei i ētahi atu, rapua tonutia te āwhina. Waihoki, ki te whakapae koe kei roto tētahi e mōhio ana koe i tētahi mōrearea pēnei, me whakamōhio wawe atu.

Hei whiwhi āwhina i roto i tētahi āhuatanga pēnei, ka taea e koe te:

• Ngā waea āwhina mō te ārai i te whakamomori i Sri Lanka (hei tauira, Sumitrayo 1333, CCCline 1926).
• Ngā ratonga hauora hinengaro i tō rohe.
• 1990 (Suvaseriya) 119 rānei (Nama Āwhina Pirihimana). Ka taea e koe te waea atu ki ēnei nama ki te tono āwhina mō tētahi e pāngia ana e te āhuatanga ohorere.

He aha te rerekētanga i waenga i te mate urutā muri-marumaru (PCS) me te CTE?

Ahakoa e whakaaro ana ētahi he rite tonu te "Post-concussion syndrome (PCS)" me te "Chronic Traumatic Encephalopathy (CTE)", he rerekē ngā āhuatanga e rua.

• PCS `(Post-concussion syndrome)`: He āhuatanga tēnei e puta ana i muri i te whara o te upoko `(concussion)`. Ka roa pea mō ētahi wiki, mō ētahi marama rānei, engari ka memeha haere i te wā e ora ana te roro. Tērā anō hoki tētahi āhuatanga PCS mō te wā roa, engari i roto i taua āhuatanga, kāore te pūmua `(tau)` i kōrerotia e tātou e kohikohi rerekē ana i roto i te roro.
• CTE (Te Mate Pūngāwerewere Tūkino Mau tonu): He mate roro pumau, e ahu whakamua ana tēnei, e tohuhia ana e te kohikohinga rerekē o te pūmua tau.

Hei whakamutunga, kia mahara ki tēnei.

He mate kino te CTE ka puta mai i ngā whiunga maha ki te upoko. Ka roa pea ngā tau ki te whanake, ā, he mate e kino ai te roro, ā, ka kino haere i roto i te wā. Kāore anō kia kitea he rongoā i tēnei wā.

Heoi anō, kei reira ētahi mea ka taea e tātou te mahi hei ārai i tēnei. Ko te mea nui ko te tiaki i a tātou anō mai i ngā whiu kino, auau ki te mahunga. He mea nui rawa te whakamahi i ngā taputapu tiaki me te whai i ngā tikanga haumaru i te wā e takaro ana i ngā hākinakina, e whai wāhi ana rānei ki ngā mahi morearea.

Kei te haere tonu ngā rangahau mō tēnei mate. Tērā pea ka kitea ētahi atu kōrero mō te āhua o tēnei mate, me ētahi atu maimoatanga hou pea. Nō reira, kia tupato tātou katoa ki te tiaki i ō tātou mahunga.

` CTE, ngā mate roro, ngā whara o te mahunga, ngā whara o te roro, te pūmua tau, ngā whara hākinakina, ngā mate pūnaha io