Kei te pāngia koe e ngā uauatanga tinana maha? Tērā pea kāore e taea e koe te hikoi, te wiri o ō waewae, te pāngia koe e te mate haurangi, te uaua rānei ki te kōrero. Engari ina kite koe i te tini o ngā tākuta, ina whakamātauhia, ā, ina matawaihia rānei, e kī ana rātou kāore koe i te mate? Kei te tino pouri koe nā tēnei? Kāore tetahi e mārama ana ki tō raruraru, kei te whakaaro ētahi atu kei te mahi koe i te mea tika? Ki te pērā, kaua e manukanuka. Kāore koe i te mokemoke. I tēnei rā kei te kōrero tātou mō tētahi āhuatanga e pāngia ana e te tini o te hunga e pāngia ana e ngā wheako ōrite, engari he uaua ki te tautuhi. Ko te Functional Neurological Disorder, ko te FND rānei te whakarapopototanga.
He aha te FND (Functional Neurological Disorder)?
Whakaarohia tō roro hei taputapu o te rorohiko. He rite te pūnaha io ki ngā waea e hono ana ki taua rorohiko. He tino pai te mahi a ēnei e rua. Arā, ki te mahi koe i te matawai CT, i te matawai MRI rānei, kāore he he o tō roro. He hauora ngā mea katoa.
Nō reira, kei hea te raruraru?
Kei roto i te pūmanawa e rere ana i runga i te rorohiko te raruraru. Arā, he hapa iti kei roto i te pūnaha karere e kawe ana i ngā mōhiohio i waenga i te roro me te tinana. Kāore e whakawhitiwhiti tika ana ngā karere e tukuna ana e te roro ki te tinana, me ngā karere e whiwhihia ana e te tinana mai i te roro. Pērā i te ngaronga o te tohu waea, ka pakaru te waea, ka hē te tangi. Nā tēnei hapa tohu, ka tīmata tō tinana ki te whakaatu i ngā tohu.
He tohu tūturu ēnei. Kāore koe e whakaaro noa iho ana. Engari nā te mea kāore e taea e te tangata o waho te kite i te take o tēnei, tera pea ka whakaaro rātou kei te hanga noa koe i tētahi mea. He wheako tino mamae tēnei māu.
I mua ko te Conversion Disorder te ingoa o tēnei. He aha i rerekē ai te ingoa?
I ngā wā o mua, i whakaaro ngā tākuta he raruraru hinengaro noa iho tēnei. Arā, i whakaaro rātou ko ngā mea pēnei i te ahotea, te pouri, me ngā wheako mamae ka "hurihia" hei tohu tinana. Koia i tapaina ai ko te "Conversion Disorder".
Engari kua kitea e ngā rangahau hou he uaua ake i tērā. Ko ngā matawai motuhake, pērā i te MRI mahi (fMRI), e whakaatu ana i ngā huringa o te mahi roro o te hunga whai FND. Waihoki, ehara i te katoa o te hunga whai FND kua pāngia e tētahi huihuinga whara, whara roro whara rānei. Nō reira, kāore te ingoa tawhito e whakamahia ana i ēnei rā.
He aha ngā tohu ka pā ki te tangata whai FND?
Ko ngā tohumate FND ka puta ohorere mai. Ka taea hoki e rātou te whakararuraru i ō mahi o ia rā. I ētahi wā, ka kino haere ngā tohumate ina whakaarohia e koe, ka ngaro atu rānei ina arotahi koe ki tētahi atu mea.
Anei ētahi o ngā tohu tino kitea o tēnei mate.
| Kāwai tohu | Whakaahuatanga me ngā tauira |
|---|---|
| Ngā āhua rite ki te hopuhopu (PNES) | Tērā pea he rite ēnei ki te mate haurangi. Tērā pea ka puta he wiri me te ngaronga o te māramatanga. Heoi, e ai ki te whakamātautau roro (Electroencephalogram - EEG) he noa. Ka kiia ēnei ko (Psychogenic Non-Epileptic Seizures - PNES) . |
| Ngā raruraru ki te nekehanga o te tinana | Te wiri, te wiri o te tinana, te uaua ki te hikoi, me te ngaro o te mana whakahaere tinana. E ahua ana ēnei mea kei waho i tō mana whakahaere. |
| Ngā raruraru e pā ana ki ngā mātai e rima | Ngā raruraru ki te tirohanga, te whakarongo, te hongi, te reka, me te pā. Hei tauira, ka pōuri te tirohanga, ka rua te tirohanga, ka ngoikore te whakarongo, ka ngoikore rānei ētahi wāhanga o te tinana. |
| Ngā raruraru ki te whakaaro me te mahara | Te kohu roro, te wareware ohorere ki tāu e kōrero ana i a koe e kōrero ana, te wareware i ngā kupu, te wareware ki te wāhi i whakatakotoria ai e koe ngā mea nui. Tērā pea he uaua ki te noho arotahi. |
| Pōuri me te taurite | Te āhua nei kei te mānu koe i runga i te poti, kaua ki te pōuri. Tērā pea ka ngaro tō taurite i a koe e tū ana. |
| Mamae | Ngā mamae tinana, ngā mamae wero koi, ngā kare ā-wera. Ka roa pea tēnei mamae, ka haere mai, ka haere atu rānei. Ka puta pinepine hoki ngā maikaraine. |
Hei tāpiritanga, ka taea hoki e koe te kite i ēnei āhuatanga:
- Te ahua tonu o te ngenge nui me te kore o te kaha.
- Te uaua ki te kōrero, te whanoke rānei.
- Ngā āhuatanga pēnei i te ngoikore o te uaua, te pararutiki rānei.
- Te uaua ki te horomi i tētahi mea.
He aha te take e whanake ai te FND? He aha ngā āhuatanga e pā ana ki tēnei?
Kāore anō kia tino mōhiotia e ngā tākuta te take o te FND. Engari e mōhio ana mātou he raruraru kei te huarahi e tukuna ai ngā karere i waenga i te roro me te tinana. Mā te whakamahi i te tauira rorohiko kotahi i kōrerohia i mua ake nei, he pai katoa ngā taputapu me ngā waea, engari he "raruraru" iti kei roto i te pūmanawa.
Ka whakarerekē tēnei hapa i te huarahi e tuku karere ai, e whiwhi ai hoki te roro. Arā, kei te whakahaere te roro i tētahi "kaupapa hē." Ko te maimoatanga ko te tango i tēnei kaupapa hē me te "whakangungu anō" i te roro me te pūnaha io kia rere tika ai anō ngā karere.
Ko te mea nui, kāore he mea o tō tinana i "pakaru", i "kino rawa rānei." Ko te mahi anake te raruraru.
Ngā mea e whakaoho ana i ngā tohu FND
Ka taea e ētahi huihuinga, āhuatanga rānei te puta ohorere mai o ngā tohumate FND.
- Ngā momo mate pāwera
- Ngā migraines
- Ngā aituā tinana, ngā whara rānei
- Te ahotea nui, ngā āhuatanga mamae rānei
I ētahi wā, i muri i tētahi whakaoho pēnei, ka "mau" te roro ki taua tohu, pērā i te kōpae pakaru e hurihuri ana i te wāhi kotahi. E whakapono ana ngā tohunga ka taea e tēnei tauira te arahi ki te FND.
Me pēhea te tautuhi a ngā tākuta i te FND?
He mahi uaua te tātaritanga o te FND, nā te mea he rite ngā tohu ki ērā o ētahi atu mate pūnaha io, ā, he uaua ki te wehewehe i waenganui i ngā mea e rua.
Tērā pea me toro atu koe ki te tini o ngā tākuta, me te maha o ngā whakamātautau. He haerenga tino hoha, tino whakarihariha hoki tēnei. Tērā pea ka kī mai ētahi ki a koe "kei roto katoa i tō hinengaro" tō mate. Engari ka whakamanahia koe e tō tākuta he pono ō tohumate, ā, kei te tika tāu mahi.
Ko te tikanga, ka mahi tahi tētahi tīma maha-mātauranga, tae atu ki ngā tākuta roro, ngā tākuta hinengaro, me ngā kaiwhakaora tinana, ki te tautuhi i te FND.
Ngā whakamātautau tātaritanga
I runga i ō tohu, ka taea e tō tākuta te tono i ngā whakamātautau penei:
- Ngā whakamātautau toto
- Matawai CT
- Whakamātautau EEG
- Electromyogram (he whakamātautau e ine ana i te ngohe o te uaua)
- MRI Mahi (fMRI)
- He whakamātautau neurological katoa
Ka mahia ēnei whakamātautau katoa hei whakakore i ētahi atu āhuatanga tinana e puta ai ō tohumate (hei tauira, te mate haurangi, te mate maha-mate urutā). Mena he noa ngā hua o te whakamātautau katoa, ā, he rite ō tohumate ki te FND, ka taea e tō tākuta te whakaū i te tautuhi o te FND.
He aha ngā maimoatanga mō te FND?
Nā te mea he mate uaua te FND, kāore e taea te whakaora mā te rongoā kotahi. Ka rongoatia mā te whakakotahi i ngā maimoatanga maha. Ko te whāinga matua ko te whakaora i te pūnaha tohu i waenga i te roro me te tinana.
| Tikanga maimoatanga | Ka aha te mea ka tupu? |
|---|---|
| Te Whakaora Tinana | He mea tino nui tēnei mō te hunga he raruraru nekehanga (he uaua ki te hikoi, he wiri). Ko tāu mahi i konei he whakangungu anō i te roro ki ngā tauira nekehanga tika. Arā, he rite ki te tango i te hōtaka pūmanawa hē, ka tāuta i te mea tika. |
| Te Whakaora Mahi | Te āwhina anō ki te mahi i ngā mahi o ia rā (hei tauira, te whakakakahu, te tunu kai) me te kore e ako takitahi. |
| Whakaora Kōrero | He rongoā mō ngā uauatanga ki te kōrero, ki te horomi rānei. |
| Te Whakaora Hinengaro Hinengaro (CBT) | Ka āwhina i a koe ki te mārama ki te hononga o ō whakaaro, o ō kare ā-roto, me ō whanonga. Ka āwhina tēnei i a koe ki te tautuhi me te whakahaere i ngā tauira whakaaro e whakanui ana i ngā tohu. |
| Rongoā | Kāore he maimoatanga motuhake mō te FND. Heoi, ki te mea he mate kē atu āu, pērā i te pouri, te manukanuka, te mamae mau tonu rānei, ka tohua pea e tō tākuta he rongoā hei rongoā i a rātou. |
Ka taea e koe te whai tumanako i a koe e noho tahi ana me te FND?
He tino taea. Ehara te FND i te mate morearea. Heoi, ka pā nui ki te kounga o tō oranga.
Kāore te whakaoranga e rite ana mō te katoa. Ka tere te whakaoranga o ētahi tāngata. Ko ētahi ka roa te wā. I ētahi wā ka pai ake ngā tohu, kātahi ka hoki anō. He wāhanga tēnā o te haerenga. Ehara i te mea kua rahua koe.
He mea nui ngā mea e whai ake nei mō ngā hua angitu:
- Te kimi i te tautuhi tika i te wā e taea ai.
- Te hanga hononga pai ki tō tākuta me te tīma maimoatanga .
- Tāutuhia me te whakahaere i ngā ahotea e whakaoho ana i ngā tohu.
- Tīmata wawe te maimoatanga .
Kia maumahara, me kaha koe ki te haere i tēnei haerenga. Engari ko te mea kua tae mai koe ki konei e whakaatu ana i tō kaha. Kāore koe e hiahia ki te whakaoti i ngā mea katoa i te wā kotahi. Ahakoa he takahanga iti noa iho, he wāhanga ia o te haerenga whakaora.
Karere Tangohia ki te Kāinga
- He raruraru tūturu te FND i roto i te huarahi e kōrero ai te roro ki te tinana. Ehara i te mea "kei roto noa i tō mahunga".
- He tino pono ō tohu, arā, ngā mamae tinana e pā ana ki a koe. Ahakoa he noa ō pūrongo whakamātautau, ehara i te mea kāore koe i te mate.
- Tērā pea ka roa te wā ki te kimi i te tātaritanga tika, engari kaua e ngākau māhaki. He mea nui kia kite i te tākuta tika.
- Ko te maimoatanga he whakangungu anō i te roro. He mea tino nui ngā mahi pēnei i te whakaora tinana me te whakaora hinengaro mō tēnei.
- Kāore te whakaoranga e puta i te pō kotahi, he tukanga. Tērā ngā rā pai, ngā rā kino. Engari me haere tonu me te tumanako.
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