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.
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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.
Mā tēnei ka aukati i ngā tohu hiko e puta ana i te wā o te hopuhopu kei peke atu i tetahi taha o te roro ki tetahi taha. Ko te tikanga o tēnei ka herea te horapa o te hopuhopu puta noa i te roro.
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.
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Check Availability →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.
| Ingoa Whakamātautau | He aha tāu e mahi ai ki taua mea? |
|---|---|
| Te whakamātautau hiko o te roro (EEG) | Ka whakamātauhia e tēnei te ngohe hiko (ngā ngaru i roto i tō roro) i roto i tō roro. |
| Whakaahua aukume (MRI) | Ka rapua e te matawai MRI ngā huringa katoa o te hanganga o te roro e raru ai te roro. |
| Tomography tukunga positron (PET) | Mā te matawai PET ka āwhina te tākuta ki te kimi i te wāhi tika i roto i te roro e tīmata ai te hopukanga. |
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.
Ko te mea nui, kāore e taea e tēnei pokanga te aukati i ngā mate haurangi katoa. Nō reira, me haere tonu te tango i te rongoā mō ngā mate haurangi ahakoa kua oti te pokanga.
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.
| Ki te pāngia koe e ēnei tohu i muri i te pokanga, me whakamōhio tonu atu ki tō tākuta. | |
|---|---|
| Ngā tohu o te mate | He kirika, he whero, he pupuhi, he mamae, he rerenga wai kōwhai mai i te pokanga i tapahia. |
| He huringa o te taunga | He kino rawa te āhua o te mate pāwera, he nui ake rānei te auau o te puta mai i te wā noa. |
| Te ānini nui | Te ānini nui, te whakapairuaki rānei, kāore e taea te whakahaere. |
| Ngā tohu o te whiu | Te kōrero pōturi, te tirohanga pōuri, te ngaro ohorere rānei o te māramatanga i tetahi taha o te tinana. |
| Ngā raruraru kōrero | He uaua ki te kōrero pōturi, ki te mārama rānei ki ngā kōrero a ētahi atu. |
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.
Karere Tangohia ki te Kāinga
- He pokanga roro motuhake te Corpus Callosotomy e mahia ana mō te mate haurangi kino (ina koa ko ngā 'takanga maturuturu') e kore e taea te whakahaere mā te rongoā.
- Ka tapahia e tēnei te piriti io (corpus callosum) e hono ana i ngā taha e rua o te roro, ā, ka ārai i te horapa o te mate.
- Ahakoa kāore tēnei e whakaora katoa i te mate, ka taea e ia te whakaiti i tōna kaha, ā, ka tino whakapai ake i te kounga o te oranga.
- Pērā i ngā pokanga nui katoa, he tūponotanga anō kei reira. He mea nui kia kōrerohia ngā painga me ngā huakore o te pokanga me tō taote pokanga roro mō tō āhuatanga motuhake.
- I muri i te pokanga, me ata whai i ngā tohutohu a tō tākuta, ā, me ripoata tonu atu ki tō tākuta mēnā ka puta he tohu whakapae.
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