He pokanga roro motuhake i mahia hei whakapakari tinana (Corpus Callosotomy) - me kōrero tāua mō tēnei?

Kei a koe, kei tētahi rānei o tō whānau tētahi mate e pā ai te mate haurangi, arā, te mate haurangi? I ētahi wā, ahakoa te rongoā kua tohua e te tākuta, he tino uaua ki te whakahaere i tēnei mate. Ina koa, mēnā ka puta ngā āhuatanga pēnei i te 'takanga o te tinana', ka ngaro ohorere te māramatanga o te tinana, ka hinga ki te whenua, he tino morearea. I tēnei rā, kei te kōrero tātou mō tētahi pokanga motuhake e taunakihia ana e ngā tākuta mō ēnei tāngata.

He aha te Corpus Callosotomy?

He ngāwari noa iho, he mahi pokanga te Corpus Callosotomy mō te mate haurangi. He tikanga tēnei e mahia ana ki te hunga he mate haurangi kino e uaua ana ki te whakahaere mā te rongoā.

Whakaarohia kua wehea tō tātou roro kia rua ngā wāhanga. Ka kiia ēnei wāhanga e rua ko ngā hemispheres. Ka honoa ēnei hemispheres e rua tetahi ki tetahi, ā, ka whakawhitiwhiti kōrero mā roto i tētahi muka io e rite ana ki tētahi piriti. Ko te Corpus Callosum te ingoa o taua muka io.

I te wā o te Corpus Callosotomy, ka mahi te taote pokanga roro i tētahi pokanga ātaahua mā roto i tēnei piriti e kiia nei ko te Corpus Callosum, ā, ka tapahia.

He aha tonu ngā mahi e pā ana ki tēnei pokanga, ā, mā wai e tino tika ai?

I muri i tēnei pokanga, nā te mea kua mutu te whakawhitiwhiti kōrero i waenga i ngā taha e rua o te roro, ahakoa ka pā mai he raruraru, ka herea ki te taha kotahi o te roro. Nō reira, ka tino whakaitihia te kaha o te raruraru.

He tino whai hua tēnei pokanga mō te hunga e pāngia ana e te mate hopuhopu atonic . Koinei te wā ka ngaro ohorere te kaha o ngā uaua o te tinana, kāore he whakatūpato , ka hinga ki te whenua. Ka kiia hoki ēnei he 'takanga maturuturu'. I ēnei wā, he nui te mōrearea o te whati wheua me te pā kino ki te upoko, ka puta he whara kino (concussions). Nō reira, ka taea e tēnei pokanga te hanga i tētahi rerekētanga nui ki te oranga o te tangata e pāngia ana e tētahi momo hopuhopu morearea.

Heoi, kāore tēnei pokanga i te tino whai hua mō te hunga e pāngia ana e ngā mate hopuhopu wāhanga/arotahi, e tīmata ana i tētahi wāhi iti o te roro, ā, ka herea ki taua wāhi anake. Nā te mea kāore te mate hopuhopu e horapa ki ētahi atu wāhanga o te roro.

He aha ngā mea hei tumanako atu i mua i te pokanga?

Mā tō tākuta e whakamārama ngā mea katoa e hiahia ana koe kia mōhio i mua i te pokanga. Me whakahaere e ia ētahi whakamātautau kia kitea ai te tīmatanga o te hopuhopu i roto i te roro.

Me pēhea te mahi i te pokanga?

Ka mahia tēnei pokanga i raro i te rongoā whakamoe whānui, arā, kāore koe e rongo i tetahi mea, ā, ka moe rawa koe. Ka hangaia e te taote pokanga roro he kōhao i roto i tō angaanga (craniotomy).

Ko ngā mahi i te wā o te pokanga he penei:

• Ka tangohia he wahi iti o te wheua mai i te angaanga hei hanga wāhi mō te pokanga.
• Ka āta tangohia te kiriuhi kaha e kiia nei ko te 'dura' e tiaki ana i te roro kia tae atu ki te roro.
• Mā te whakamahi i ngā taputapu pokanga motuhake me te karu hiko, ka kimihia te paihere io e kiia nei ko te Corpus Callosum, ā, ka tapahia he kiko iti mā roto.
• Kātahi ka whakahokia te dura mater ki tōna tūranga tika, ka tāpirihia anō te wheua angaanga kua tangohia, ā, ka katihia te tapahi ki ngā tuitui, ki ngā staples rānei.

I ētahi wā, e rua ngā wāhanga o tēnei pokanga. I te wāhanga tuatahi, ka tapahia e te tākuta te wāhanga o mua o te Corpus Callosum anake. Mā tēnei ka taea e ngā taha e rua o te roro te whakawhitiwhiti tonu i ngā mea pēnei i ngā mōhiohio tirohanga.

Heoi, ki te kore te kaha o te mamae e heke i muri i tērā, ka whakatau pea te tākuta ki te mahi i tētahi atu pokanga hei wehe rawa i te Corpus Callosum.

He aha tāu e tumanako ai i muri i te pokanga?

Me noho koe ki te hōhipera mō ētahi rā i muri i te pokanga. I te nuinga o te wā ka taea e koe te hoki ki ō mahi o ia rā i roto i ngā wiki e 6 ki te 8. Heoi, tera pea ka roa ake te ora o ētahi tāngata. Ka whakawhirinaki tēnei ki ngā āhuatanga maha, pērā i te āhua o te pokanga me ngā pānga taha ka puta.

I te wā e ora ana koe, ka pāngia pea koe e ēnei āhuatanga mō tētahi wā poto:

• Tino ngenge te ngenge
• Te pouri
• Ānini
• Ngā raruraru mahara
• Whakapairuaki
• Te ngenge huri noa i te tapahi pokanga
• Te uaua ki te kōrero

He aha ngā mōrearea me ngā raruraru o tēnei pokanga?

Pērā i ngā pokanga roro katoa, he tūponotanga kei reira. Engari ka tūtohu noa tō tākuta kia pokanga mēnā he nui ake ngā painga i ngā tūponotanga. He tino onge ngā raruraru nui.

• Te Mate Momotu: Koinei te raruraru tino noa ka puta i muri i te pokanga. Ki te kī māmā, nā te mea kua momotu ngā taha e rua o te roro, ka tīmata pea ngā taha e rua o te tinana ki te mahi tahi me te kore e hono tetahi ki tetahi. Hei tauira, tera pea ka rite te ringa maui ki te mea kei te pokanoa ki ngā mahi a te ringa matau.

• Ētahi atu mōrearea:
• Te ngaronga o te taurite o te tinana (Te ngaronga o te taunga o ngā nekehanga)
• Tērā pea ka piki ake ngā mate hopu wāhanga, e puta ana i te taha kotahi anake o te roro.
• Ngā raruraru kōrero: Ngā āhuatanga pēnei i te uaua ki te hanga kupu (apraxia) me te uaua ki te mārama me te kōrero (aphasia).
• Te mōrearea o te whiu.
• Te pupuhi o te roro.
• Te Hydrocephalus. He maha ngā wā ka hiahiatia he pokanga anō hei whakatū i tētahi shunt.

I pēhea te angitu o te pokanga?

Kua whakaatuhia e ngā rangahau he maimoatanga tino whai hua tēnei mō ngā mate pāwera e kore e taea te whakahaere mā te rongoā.

• Tata ki te haurua (50%) o te hunga e pokangahia ana ka mutu katoa ngā 'whakaeke maturuturu'.
• I muri i te pokanga, 1 i roto i te 5 tāngata (tata ki te 20%) ka mutu katoa ngā haurangi.

Ehara i te mea ngāwari te noho me te mate e kiia nei ko te mate haurangi. Ka taea te whakararu i te ora, ā, ka taea hoki te whakararu i te ora. Mēnā kāore e taea te whakahaere i ngā mate hopuhopu kino, pērā i te 'takanga o te mate', mā te rongoā, ka tūtohu pea tō tākuta kia pokangahia. Ka taea e tēnei te whakapai ake i te kounga o tō oranga.