Ka pāngia tō tinana e ō raruraru hauora hinengaro? Me kōrero tātou mō te Mate Huringa!

I ētahi wā, ka rite koe ki te pāngia e ngā momo mamae me ngā mate katoa, kāore he take e kitea ana? Whakaarohia, ka ngaro whakarere te mana whakahaere o ō ringaringa, o ō waewae rānei, ka tīmata ohorere te wiri, ka ngaro te tirohanga i ētahi wā, ka kore rānei e taea te kōrero. Ahakoa te maha o ngā whakamātautau a ngā tākuta, ka mea rātou, "Kāore ā mātou taunakitanga hei kī he mate tinana tēnei." I ēnei wā, me whakaaro hohonu ake tātou ki tēnei āhuatanga e kiia nei ko te `(Conversion Disorder).` Ahakoa e pā ana tēnei ki te hauora hinengaro, ehara ngā tohu tinana e puta mai ana i te rūpahu, he mea tūturu.

He aha rawa te Mate Huringa?

Ki te kī māmā noa, ko te `(Te Mate Huringa)` he āhuatanga e whakararuraruhia ai te mahi a te roro, te pūnaha io rānei nā te mea he pānga ki tō hauora hinengaro, ā, ka puta he tohu tinana. Ko te mea e tupu ana i konei ko te "huringa" o tētahi mea pēnei i te ahotea hinengaro, te whara, me ētahi atu hei tohu tinana. Ko te mea nui kia tūturu ēnei tohu. Ehara tēnei i te mea e hangai ana koe, e mahi ana rānei hei kukume i te aro o ētahi atu. Waihoki, ehara tēnei i te mea kei roto noa i tō hinengaro. Kāore e taea te whakahaere i ēnei tohu mā te whakaaro noa.

Kia maumahara, he mate hinengaro tūturu te "Haukino Whakawhiti". He tūturu ngā mamae tinana e pā mai ana.

He aha te rerekētanga i waenga i te Mate Huringa me te Mate Tohumate Somatic?

Kei roto i te kāwai kotahi ēnei āhuatanga e rua i te whakarōpūtanga o ngā mate hinengaro a te American Psychiatric Association (DSM-5). Ko te tikanga he maha ngā āhuatanga ōrite i waenganui i ngā mea e rua, ā, i ētahi wā ka taea e rāua te noho tahi.

I roto i te Mate Pūnaha Tinana, kotahi, neke atu rānei ngā tohu ka puta he raruraru nui, he kore whakamarie hoki i roto i tō koiora. Nō reira, ka:

• Kei te whakaaro tonu ahau ki aua tohu.
• Kei te āwangawanga tonu ahau, kei te wehi hoki mō aua tohu.
• He nui rawa te wā me te kaha e pau ana i a rātou ki aua tohu.

Heoi, ko te āhuatanga matua o te `(Conversion Disorder)` ko te whakawhanaketanga o tētahi, neke atu rānei o ngā tohu e pā ana ki te roro. Ka taea e ēnei te tino whakararuraru, ā, kāore e taea e koe te mahi i ō mahi o ia rā. Heoi, kāore e kitea he mate io hei whakamārama i ēnei tohu.

Ko wai te mea ka tino pāngia e tēnei āhuatanga?

Ka taea te puta te Mate Huringa i ngā tau katoa, tae atu ki ngā tamariki nohinohi. Heoi, he nui ake te kitea o ētahi tohu i roto i ētahi rōpū tau. Hei tauira, ko ngā tohu pēnei i te haurangi he mea tino kitea i roto i te hunga i waenga i te 20 me te 29 tau te pakeke, ā, ko ētahi atu tohu e pā ana ki ngā nekehanga tinana he mea tino kitea i roto i te hunga i waenga i te 30 me te 39 tau te pakeke. Kua kitea hoki he nui ake te kitea o tēnei mate i roto i ngā wāhine .

Ehara tēnei i te mate tino noa. E ai ki ngā tohunga, e whā ki te tekau mā rua ngā tāngata i roto i ia rau mano ka kitea he "mate huringa" i ia tau.

He aha te pānga o te Mate Huringa ki tōku tinana?

I roto i tēnei āhuatanga, ka puta ngā tohu ā-tinana nā ngā huringa o te mahi a tō roro. Ka taea e ngā matawai motuhake, pērā i te MRI mahi, te tirotiro i te mahi a te roro o te hunga whai āhuatanga nei, me te whakaatu mēnā kei te iti ake te mahi a ngā wāhanga o te roro e pā ana ki aua tohu, kua rerekē kē rānei. Ehara tēnei i te mea ka taea e te tangata te rūpahu.

He aha ngā tohu o te Mate Huringa?

Ka rerekē rawa ngā tohu i runga i te wāhanga o te roro e pāngia ana. Anei ētahi o ngā tohu e tino kitea ana:

• Ngā Hopu Mate Hinengaro Kore-Epileptic (PNES): Ko ngā hopu mate ka puta mai i te raruraru o te hanganga, o te mahi rānei o te roro. Heoi, ko tēnei momo hopu mate, e kiia nei ko te PNES, ka puta mai i te raruraru hauora hinengaro.
• Ngā raruraru o te tirohanga, te whakarongo, te hongi, te reka, me te pā. Hei tauira, te kite i ngā whakaahua e rua i te wā kotahi, te tirohanga ā-roto, te ngaronga o te rongo, te ngau, me te ngaronga o te kare ā-roto ina pā tetahi mea ki te kiri.
• Mamae: Tērā pea ka pāngia te hunga whai Mate Huringa e te mamae tonu. I ētahi wā ka haere tahi me ētahi atu tohu, i ētahi wā he mamae noa iho.
• Te pakari o ngā uaua, te wiriwiri, te oho, me te wiriwiri: Nā te panoni o te whakahaere a tō roro i ō uaua ēnei katoa i puta ai.
• Ngā āhuatanga pēnei i te ngoikore o te uaua, te pararutiki rānei.
• Te uaua ki te horomi (Dysphagia).
• Pōuriuri.
• Te mātao, te ngoikore rānei (Syncope).
• Te ngenge mau tonu, te kore rānei o te kaha.

Engari ko te mea rerekē, ahakoa he tino kino ngā tohu o ētahi tāngata, te āhua nei kāore rātou e tino manukanuka, e mataku rānei mōna. E mea ana rātou, 'He aha tēnā?' Ka karangahia tēnei e ngā tākuta ko te "la belle indifference." Engari ehara tēnei i te mea e pā ana ki te katoa, ā, kāore e taea te kī he tohu.

He aha ngā pūtake o te Mate Huringa?

Kāore anō kia tino mōhiotia e ngā tohunga te take. Heoi, kua kitea e rātou he hononga tēnei ki ētahi āhuatanga me ngā mate hauora. Ko ngā āhuatanga tino noa ko:

• Te tukino i te taha moepuku, te taha tinana, te taha hinengaro rānei i a koe e tamariki ana.
• Kei a koe ētahi atu āhuatanga hauora hinengaro, inā koa te pouri, te manukanuka rānei .
• He ahotea nui, he huihuinga mamae rānei i pā mai i nā tata nei.
• Tērā pea ko tētahi mate tinana, he āhuatanga rānei i pā mai i nā tata nei te take i tīmata ai te Mate Huringa.

Kāore tēnei mate e horapa. Arā, kāore e taea te hopu mai i ētahi atu tāngata, kāore hoki e taea te hora atu ki ētahi atu.

Me pēhea te tātaritanga o te Mate Huringa?

Mā tō tākuta e tātaritanga tēnei mate mā te whakakotahi i ētahi āhuatanga, tae atu ki ngā whakamātautau tinana me ngā whakamātautau io, ngā whakamātautau tātaritanga, me ngā matawai. Hei tātaritanga mō te "Conversion Disorder", me tutuki ēnei āhuatanga e whā:

1. Me whai tohumate koe e pā ana ki te roro e whakahaere ana i ō nekehanga, i ō kare ā-roto rānei.

2. Kaua ō tohumate e tino ōrite ki ētahi atu mate kua whakamanahia e te hauora.

3. Kaua ō tohumate e whakamāramahia e tētahi atu āhuatanga tinana, raruraru hinengaro rānei.

4. Me whakararuraru ēnei tohumate, ēnei raruraru rānei i tō oranga o ia rā, inā koa te mahi me ngā whanaungatanga pāpori.

He aha te tikanga o te "kore hototahitanga"?

I roto i te `(Conversion Disorder),` he āhuatanga tino nui ko te "kāore ō tohumate e ōrite" ki tētahi mate hauora kua mōhiotia. Me rapu e tō tākuta ngā huarahi e kore ai ō tohumate e ōrite ki ētahi atu mate e mōhiotia ana. Ehara tēnei i te kī kāore rātou e whakapono ana ki a koe, kāore hoki e teka ō tohumate. Inaa, ko te kimi i ēnei momo rerekētanga te mea e āwhina ana ki te tautuhi tika i te `(Conversion Disorder).` Arā, ka taea e rātou te whakaū kāore he mate roro kino ake āu, he kino ake pea.

He aha ngā whakamātautau e mahia ana hei tautuhi i tēnei mate?

Mā tō tākuta e whakatau ngā whakamātautau hei mahi i runga i ō tohumate. Ko ngā whakamātautau e whai ake nei te tikanga e taunakihia ana:

• Ngā whakamātautau toto (ka taea e ēnei te tirotiro mō ngā mea pēnei i ngā raruraru pūnaha ārai mate, ngā paitini, me ētahi konganuku).
• `Matawai (Tomography Rorohiko - CT)`.
• Te whakamātautau Electroencephalogram (EEG) (he whakamātautau e tirotiro ana i ngā tauira hiko o te roro).
• Te Electromyogram (EMG) (he whakamātautau e tirotiro ana i te mahi a ngā uaua me ngā io).
• 'Whakamātautau pūmanawa whakaoho' (he whakamātautau e titiro ana ki te urupare a te roro ki ngā kare ā-roto).
• Matawai Whakaahua Āhua Aukume (MRI).

Me pēhea te rongoā i te Mate Huringa? Ka taea te whakaora?

Nā te mea he mate hinengaro te Conversion Disorder e puta ai ngā tohumate tinana, ko te maimoatanga e aro nui ana ki te taha hinengaro. Ko te hinengaro whakaora te taahiraa tuatahi, ā, koinei hoki te huarahi tino whai hua. Ko ngā tikanga hinengaro whakaora e whakamahia whānuitia ana ko:

• Te Whakaora Hinengaro Whanoke (CBT): Koinei te momo whakaora tino taunakitia me te tino whai hua. Ka āwhina i a koe ki te huri i ō whakaaro, ō kare ā-roto, me ō tauira whanonga.
• (Whakaora Hinengaro):Ka whakamahia tēnei hei kōwhiringa tuarua i ētahi wā, inā koa mō te hunga he uaua ki te kōrero, he tohu rānei o te pānga o te rongo.
• Te tohutohu ā-rōpū, ā-whānau rānei: Mā te tohutohu ā-rōpū ka taea e koe te whakawhitiwhiti i ō wheako ki ētahi atu e pāngia ana e ngā raruraru ōrite, me te whiwhi tautoko mai i a rātou. Mā te tohutohu ā-whānau ka āwhina i ō whanaunga kia mārama ki tō āhuatanga, ā, ka ārahi i a koe ki te āwhina i a rātou.

Hei tāpiri atu ki tēnei, tera atu anō ngā maimoatanga hei āwhina:

• Whakaora Tinana: Ahakoa ka tīmata te "Mate Huringa" i tētahi take hinengaro, he tūturu ngā pānga tinana. Ka taea e te whakaora tinana te āwhina i a koe ki te ora mai i aua tohu tinana, ki te urutau rānei ki aua tohu tinana.
• Rongoā: Mena kei a koe ētahi atu āhuatanga pēnei i te pouri, te manukanuka rānei, me te Conversion Disorder, ka āwhina pea ngā rongoā mō aua āhuatanga ki te whakaora i ngā tohu o te Conversion Disorder. Ka taea e ngā rongoā ārai pouri te āwhina, inā koa mō ngā tohu e pā ana ki te mamae.
• Urupare Koiora: He tikanga rongoā rerekē tēnei. I roto i tēnei, ka ako koe i a koe anō ki te whakarerekē i te mahi a tō tinana. Mā te whakamahi i ngā taputapu, ka ine koe i te mahi a tō tinana, ā, ka whakangungua koe ki te hanga huringa i runga i aua urupare.

Ka rerekē ngā raruraru, ngā pānga taha rānei ka pā mai i ēnei maimoatanga, inā koa ngā rongoā, i runga i te maimoatanga. Ko tō tākuta te tangata pai rawa atu hei whakamārama i tēnei ki a koe.

Me pēhea taku tiaki i ahau anō/te whakahaere i ngā tohumate?

Ahakoa he uaua te tautuhi i te `(Conversion Disorder)` mō te tākuta mātau, he rite tonu ngā tohu e pā ana ki tēnei mate ki ngā tohu o ngā mate kino, mōrearea hoki pērā i te `(Stroke)` e pā ana ki te roro. Nō reira, kaua rawa e ngana ki te tautuhi i tēnei mate māu ake, kaua hoki e rongoā māu ake. Me rapu tohutohu hauora tonu.

He maha ngā āhuatanga e whakawhirinaki ana ki te roa o te wā ka pai ake ai tōku āhua i muri i te tīmatanga o te maimoatanga, he mate hinengaro hoki tēnei. Ko tō tākuta te tangata pai rawa atu hei whakaatu i tēnei ki a koe.

Ka taea e au te ārai i te mate tahuritanga?

He mate hinengaro ohorere te Mate Huringa. Nō reira, kāore he huarahi motuhake hei ārai, hei whakaiti rānei i te tūponotanga o te whanaketanga.

He aha ngā mea ka puta mēnā kei a au te Mate Huringa?

Ka pā nui tēnei mate ki tō oranga, i runga i ngā tohu e pā ana ki a koe. He tokomaha te hunga kāore e taea te pupuri i ā rātou mahi, te mahi i ngā mahi o ia rā, te whai wāhi atu rānei ki ngā mahi whakangahau nā te kaha o ngā tohu.

He tokomaha te hunga e raru ana ki ō rātou kare ā-roto mō tēnei mate, me te āhua o te mahi a ētahi atu ki a rātou. He maha tonu ā rātou kare ā-roto pēnei i te, "Kāore tetahi e whakapono ana ki ahau," "E whakaaro ana te katoa kei te teka ahau, kei te mahi tinihanga," ā, ka mutu pea tā rātou rapu maimoatanga, inā koa mēnā ka pāngia rātou e ēnei momo urupare e ngā tākuta.

Ka roa pea te Mate Huringa. He mate kino kei ētahi tāngata, ā, kāore e ono marama te roa, ko ētahi he mate pumau, ā, neke atu i te ono marama te roa. I ētahi wā, he raruraru rangitahi, he raruraru poto noa iho, inā koa i roto i ngā tamariki. Heoi, mō te hunga he nui ngā tohu, kāore e rapu maimoatanga, kāore rānei e whai tika ana i te maimoatanga, ka roa pea mō ngā tau, tae noa ki te oranga katoa.

He aha te tirohanga mō te Mate Huringa?

Ehara tēnei i te āhuatanga e morearea ai te ora, ehara hoki i te āhuatanga morearea tika, engari ka pā nui pea ki tō hauora hinengaro me tō oranga tinana whānui.

Ka heke te tūponotanga o te hua pai:

• Ki te whakaroa koe i te rapu tohutohu hauora.
• Ki te kore rātou e whakaae kei a rātou tēnei mate.
• Mena kāore he whanaungatanga pai, he whakawhitiwhiti kōrero rānei āu ki tō tākuta.
• Ki te kore koe e whai i te mahere maimoatanga i tūtohutia e te tākuta kia tika.

Ko te hua pai rawa atu ko te whakaoranga katoa. I te whakapai ake o te hauora hinengaro me te oranga o te tangata, ka taea te whakaiti, te whakakore rānei i ngā raruraru o te roro.

Me pēhea taku tiaki i ahau anō?

Ahakoa he uaua ki te mārama me pēhea te puta o ngā tohumate tinana i roto i tō hauora hinengaro, he mea nui kia mahara he pono tēnei mō ētahi atu mate. Whakaarohia, ka taea e te ahotea, te manukanuka, me te wehi te whakararuraru i ngā āhuatanga pēnei i te mate pukupuku, te toto toto tiketike, me te mate ngakau, tika?

Mena kei a koe te `(Conversion Disorder),` ko te mea pai rawa atu māu ko te mahi tahi me tō tākuta me te whai i ā rātou taunakitanga maimoatanga. He maha ngā tāngata e uaua ana ki te whakaae ki tēnei tātaritanga. Mena he rite tonu ō whakaaro, ehara i te mea ko koe anake.

Ki te mea he uaua ki a koe te whakaae ki tēnei mate, kōrero ki tō tākuta mō tēnei mea. Ko tētahi o ngā mea nui rawa atu ka taea e koe te mahi hei āwhina ko te hanga i tētahi whanaungatanga kaha, tuwhera hoki ki tō tākuta.

Me mahi hoki ēnei mea:

• Haere ki te tākuta kia rite ki te tohutohu.
• Whai wāhi atu ki ngā wā whakawā (whakaora tinana, whakawā hinengaro) me te whai wāhi atu hoki.
• Mena kua tohua he rongoā, me tango kia rite ki te mea i tohua.

He ahunga whakamua te ahunga whakamua!

Kāore i te tino tika te whakaoranga me te whakapai ake i ngā āhuatanga hauora hinengaro. He mea noa te haere i roto i ngā wā uaua o te whakaoranga. I ētahi wā ka kino haere ō raruraru, ō tohumate rānei, kaua e pai ake. He mea tino noa tēnei. Ehara i te mea he rahua koe, he koretake rānei tō āhuatanga.

Mena kei te pāngia koe e tēnei momo uauatanga, kōrero ki tō tākuta. Ka taea e rātou te tuku tohutohu hauora ki a koe mō tō ara ki te ora. Ka taea hoki e rātou te whakaaro rautaki hei āwhina i a koe ki te wikitoria i ēnei arai me ngā wā uaua.

Āhea ahau me rapu maimoatanga ohorere?

Ko te hunga whai mate tahuritanga he nui ake te tūponotanga ka pāngia e ētahi atu raruraru hauora hinengaro, pērā i te pouri me te manukanuka. He nui ake hoki te tūponotanga o te whakamātau whakamomori.

Mena kei te whakaaro koe ki te whara i a koe anō, ki te whakamomori, ki te whara rānei i ētahi atu, me rapu tonu koe i te awhina hauora ohorere. Mena kei te whakaaro koe ki ēnei, i Sri Lanka, ka taea e koe te waea atu ki te 1926 (te Raina Āwhina Hauora Hinengaro ā-Motu) me te haere rānei ki te rūma ohorere o te hōhipera tata.

Me pēhea taku āwhina i tētahi e arohaina ana e te Mate Huringa?

Mena kei te pāngia tētahi e te Mate Huringa e tōu whanaunga, ka nui te rerekētanga o tō tautoko ki tōna whakaoranga me te putanga o tana maimoatanga. Anei ētahi "mea me" me "kaua e" hei maumahara:

Ngā mea hei mahi:

• Whakaaetia rātou, whakarongo ki a rātou: He mate hauora tūturu te Mate Huringa. Tērā pea ka whakaaro te hunga whai mate pēnei kāore ētahi atu e whakapono ana ki a rātou. Ka ārai pea tēnei kare ā-roto i a rātou ki te rapu āwhina. He mea nui te whakaaro kei te whakapono tetahi ki a rātou hei akiaki i a rātou ki te rapu maimoatanga.
• Pātai atu me pēhea e taea ai e koe te āwhina: Ka taea e te hunga whai mate huringa te noho mokemoke me te noho motuhake. Mā te mōhio kei te hiahia tetahi ki te āwhina ka nui te rerekētanga. Ka taea hoki e koe te whakatenatena i a rātou kia haere tonu ki te rapu maimoatanga ina raru ana rātou.
• Ako atu mō tō rātou āhua, kia tuwhera ki te tautoko i a rātou: Tērā pea ka hiahia te tākuta o tō whanaunga ki te kōrero ki a koe mō te āhua. Tērā pea ka pātai atu tō whanaunga, tā rātou tākuta rānei mēnā kei te hiahia koe ki te haere ki tētahi wā whakawā. Ngāna ki te haere, nā te mea ka āwhina ngā mea ka akohia e koe ki te tautoko i tō whanaunga.

Ngā mea kāore e tika ana kia mahia:

• Kaua e whakapae i a rātou mō te hanga i ngā tohu o tētahi mate tūturu, e mōhiotia ana e kiia nei ko te "Conversion Disorder" ka pā ki tō hoa aroha te mamae me te ahotea.
• Kaua e kī, "Kei roto noa i tō hinengaro": Kāore ngā pānga o te hauora hinengaro e noho noa i roto i te mahunga o te tangata. Kua whakamātauhia e ngā kairangahau me ngā tohunga ka pāngia te tinana katoa o te tangata e ngā raruraru hauora hinengaro, ā, ka taea e ētahi te whakaputa i ngā tohu kino me ngā tohu whakamataku.
• Kaua e wareware ki te tiaki i a koe anō: Pērā i ngā mate hauora maha atu, ka pāngia hoki ngā whanaunga o te hunga whai mate Huringa e te ahotea. Kaua e wareware ki te tiaki i tō ake hauora me tō oranga. Ki te kore e taea e koe te tiaki i a koe anō, e kore e taea e koe te āwhina tika i tētahi atu.

Hei whakamutunga, he mea hei whakaaroaro.

Ko te Mate Pūnaha Hinengaro Mahi, e mōhiotia whānuitia ana ko te Mate Huringa, he āhuatanga e puta ai ngā tohumate tinana i roto i tētahi raruraru hauora hinengaro. He tūturu tēnei āhuatanga, ā, ehara ngā tohumate i te mea e taea e te tangata te whakahaere. Engari, he tokomaha te hunga whai tēnei āhuatanga e whakaaro ana kāore ētahi atu – inā koa ko ngā tohunga hauora – e whakapono ana ki a rātou. Mā tēnei ka karohia e rātou te rapu maimoatanga hauora hei āwhina i a rātou, ā, ka kino ake ai ō rātou tohumate.

Mena kei a koe te `(Conversion Disorder)`, ki te whakapae rānei tō tākuta kei a koe te mate, he mea noa te mataku, te manukanuka rānei mō tōna tikanga. Mena kei te manukanuka koe mō tēnei, ki te whakaaro rānei koe mēnā e whakapono ana tō tākuta ki a koe, ko te mea pai ko te kōrero ki tō tākuta. Ehara i te mea ko te whakahē i a koe te mahi a tō tākuta. Ko tā rātou mahi he rapu i te mea e pā ana ki a koe, he aha i tupu ai, kātahi ka ngana ki te rongoā. Mena e mōhio ana tō tākuta ki ō āwangawanga me ō mataku, ka taea e rātou te whakarongo ki a koe me te tuku tautoko, tohutohu, otinga rānei hei āwhina i a koe kia marino.

Mate Hurihanga, Hauora Hinengaro, Ngā Tohu Tinana, Ngā Tohu Neurological, Hinengaro Whakaora, Taumahatanga, Ngā Mate Somatoform