Kei te pāngia koe, tō whanaunga rānei e te mate a Parkinson, e te wiri rānei e kore e taea te whakahaere ( Tūmor )? He tino mamae te ngākau ina kite koe i te kino haere o tō āhua i ia rā, i ia rā, ahakoa te rongoā tonu. Heoi, kua tae te pūtaiao hauora ki tētahi wāhi ka taea e tātou te tuku i tētahi hihi hou o te tumanako. Ko te ingoa o tēnei maimoatanga ko te Deep Brain Stimulation, ko te DBS rānei te whakarapopototanga.
He aha te Whakaohooho Roro Hōhonu (DBS)?
I te whakarapopototanga, he tikanga hauora te DBS e tuku ana i ngā iahiko hiko tika, ngawari ki ngā wāhi motuhake o tō roro. Whakaarohia he ' Pacemaker ' mō tō roro. I te wā o te tikanga, ka whakatōkia he taputapu iti ki raro i te kiri e tata ana ki tō wheua kaki. Mā ngā waea angiangi e hono ana ki tēnei taputapu ka tuku tika i ngā tohu hiko ki ngā wāhi o te roro e hiahia ana. Ka āwhina ēnei tohu ki te whakaoho i ngā pūtau roro kāore i te kaha te mahi, ka taea te whakahaere pai i ngā tohu o ngā momo mate pūnaha io.
Ko wai e hiahia ana ki tēnei maimoatanga, ā, he aha ai?
Ko ngā pūtau io o tō tātou roro, e mōhiotia ana ko ngā neurons , ka whakawhitiwhiti kōrero tetahi ki tetahi mā roto i ngā tohu hiko me ngā tohu matū. I roto i ētahi āhuatanga hauora, ka heke te mahi a ēnei neurons i ngā wāhi motuhake o te roro, ka kore e mahi tika aua rohe. Hei tauira, ki te ngoikore ngā neurons e whakahaere ana i te nekehanga, ka raru pea koe ki te hikoi, ki te whakahaere rānei i ō waewae.
Ka whakamahia e te DBS ngā iahiko hiko horihori hei "whakaara anō" i ēnei neuron kore mahi. Ahakoa kei te ako tonu ngā kairangahau i ngā tikanga tuturu, kua tino rerekē te ao o ngā hua haumanu mō te tini.
| Ngā Āhuatanga kua Whakaaetia i nāianei mō te Maimoatanga DBS | |
|---|---|
| Dystonia | He āhuatanga e hua ai te kōpiritanga o ngā uaua, te takahuri, me ngā tū rerekē. |
| Te wiri nui | Te rūrū kore e taea te whakahaere i ētahi wāhanga o te tinana, tae atu ki ngā ringaringa. |
| Mate haurangi ātete rongoā | Ngā haurangi kāore e taea te whakahaere tika mā te rongoā. |
| Te mate a Parkinson | Ina haere whakamua te mate, ā, ka tīmata te heke o te whai huatanga o te rongoā. |
| OCD ātete-rongoa | Ngā whakaaro pokanoa me ngā whanonga auau, kāore e aro ki te rongoā. |
He mea nui: Kei te haere tonu ngā rangahau mō ētahi atu āhuatanga maha, tae atu ki ngā waranga , te mate a Alzheimer , te manukanuka, te pouri nui, me te mate Tourette. Heoi, kāore anō kia kiia te DBS hei maimoatanga paerewa mō ēnei āhuatanga.
Me pēhea te mahi i te pokanga?
Ehara tēnei i te pokanga kotahi, engari he tukanga e oti ana i roto i ngā wāhanga pokanga e rua, e toru rānei.
Te whakarite
I mua i te pokanga, ka whakamāramahia e tō tīma hauora ngā painga, ngā mōrearea, me ngā tumanakohanga. Ka whakamātauhia koe pērā i te MRI, i te CT scan rānei hei whakatau mēnā he pai koe mō te pokanga. Hei tāpiri:
- Arotake Rongoā: Tērā pea ka tonoa koe kia whakamutu i ētahi rongoā, inā koa ngā rongoā whakaiti toto. Kaua rawa e mutu te tango i tētahi rongoā kua tohua me te kore he tohutohu tika mai i tō tākuta.
- Akuaku: Me whakamahi pea koe i tētahi hopi, i tētahi hopi paturopi rānei hei whakarite i tō kiri tumuaki.
- Nohopuku: Nā te mea he rongoā whakamoe te mahi i roto i te pokanga, me mutu te kai i ngā hāora e 8 i mua atu, me mutu hoki te inu wai i ngā hāora e 2 i mua i te pokanga.
I te wā o te pokanga
Wāhanga 1: Te Whakatakotoranga Arataki
Koinei te taahiraa pokanga tuatahi. Ka whakauhia tō mahunga ki roto i tētahi anga motuhake. Ka hangaia e te taote pokanga he kōhao iti ki roto i tō angaanga hei whakauru i ngā waea angiangi me ngā irahiko ki te wāhi tika i roto i tō roro.
He mea whakamiharo, tera pea ka noho mataara tonu koe i ētahi wāhanga o tēnei pokanga. Nā te mea kāore te roro e rongo i te mamae, ka taea e tō tīma hauora te tono atu ki a koe kia mahi i ngā mahi māmā (pēnei i te neke i ō waewae, i te kōrero rānei) kia tika ai te whakanoho o ngā hiko ki te wāhi tika.
Whai muri i tēnei, ka tirotirohia koe i te hōhipera mō te rā kotahi i mua i te tukunga ki te hōhipera.
Wāhanga 2: Te Whakanoho i te Pūhiko Pūhiko
Ka mahia tēnei hei tikanga motuhake i raro i te mate whakamoe whānui. Ka hangaia he pute iti i raro i te kiri e tata ana ki tō wheua kaki hei pupuri i te pūhiko whakaputa pā (te pūhiko). Ka whakakōhia ngā waea mai i tō roro ki raro i te kiri, ka honoa ki te taputapu, ā, ka katihia ngā tapahi. I te nuinga o te wā ka taea e koe te hoki ki te kāinga i taua rā anō.
He aha ngā mea ka tupu i muri i te pokanga?
I muri i ētahi wiki i te pokanga, ka toro atu koe ki tō tākuta kia whakaritea te pūnaha whakaputa pātītī. I tēnei wā, ka whakatikatikaina ngā tauira hiko kia rite ki ō hiahia. Tērā pea ka roa ētahi wā tirotiro anō kia kitea ai ngā tautuhinga tino pai mō ō tohumate.
E toru ki te rima tau te roa o ngā pākahiko, engari ka roa pea ngā tauira hou ka taea te whakahou ake mō te iwa tau. He mahi pokanga iti noa iho te whakakapi i te pākahiko.
| Ngā Painga | Ngā Tūponotanga me ngā Āhuatanga Whakararuraru |
|---|---|
| He huarahi tino whai hua ina kore e ranea te whakaora a ngā rongoā. | Ngā mōrearea pokanga paerewa, pērā i te toto, te mate pāwera rānei. |
| He maimoatanga rerekē te ao, kua hangaia hei whakapai ake i te kounga o tō oranga. | Ngā take e pā ana ki te taputapu, pērā i te nekenga o te mata, te hē rānei o te pākahiko. |
| Ka taea te whakarerekē i ngā tautuhinga i ngā wā katoa, kāore he pokanga, kia rite ki ō hiahia hurihuri. | Ngā pānga taha pea i te wā whakatikatika, pērā i te kore taurite, te pōhēhē rānei. |
| Ka taea te whakakore i te tukanga; ka taea te tango i te taputapu mā te pokanga mēnā e tika ana. | Ngā mamae rangitahi pērā i te ānini, te ngoikore ngāwari rānei. |
Āhea te Rapu Hauora
Nā te mea he tikanga pokanga roro te DBS, he mea nui kia tūpato koe mō tō whakaoranga. Mēnā ka pāngia koe e tētahi o ēnei e whai ake nei, whakapā atu ki tō rōpū hauora tonu atu, haere rānei ki te tari urupare tata.
- He ānini ohorere, he mamae roa, he mamae nui tonu.
- Te toto mai i ngā wāhi i tapahia ai te pokanga.
- Te whero, te pupuhi, te mahana rerekē rānei i te taha o ō tapahi (he tohu pea tēnei o te mate).
- Ngā panonitanga ohorere o te tirohanga, pērā i te tirohanga takirua, te tirohanga pōuri rānei.
- He kirika 38.3°C (101°F) neke atu rānei.
Te noho tahi me tō pūrere DBS
Ka taea e au te whakamahi i ngā taputapu hiko?
Ko ngā taonga o te whare pēnei i te ngaruiti, ngā rorohiko, me ngā waea atamai, kāore e whakararuraru i tō pūrere. Heoi, ko ngā pūnaha haumaru teitei pēnei i ngā taputapu kite whakarewa o te taunga rererangi ka tūpono he mōrearea. Ka whakaratohia he kāri tuakiri tūroro hei whakaatu māu i roto i ēnei āhuatanga.
Ka taea e au te whai i tētahi matawai MRI?
Kāo. He mea nui tēnei: I te nuinga o te wā, kāore e taea e ngā tūroro he DBS implant te tirotiro haumaru i te MRI. Ka taea e ngā papa aukume kaha e whakamahia ana i roto i ngā mīhini MRI te kino i tō pūrere. Me whakamōhio atu ki ō kaiwhakarato hauora kei a koe he pūnaha DBS i mua i te whakahaere i tētahi tikanga tātaritanga hauora.
Ka rongoātia e te DBS te mate taketake?
Kāo. He mea nui kia mārama ko te DBS he taputapu whakahaere, ehara i te rongoā. Ko tōna kaupapa matua he āwhina i te whakahaere i ō tohumate me te whakapai ake i tō mahi o ia rā.
Karere Kawea-Kainga (Nirogi Lanka)
- Ko te Whakaoho Roro Hōhonu (DBS) he maimoatanga matatau, e ahu mai ana i ngā taunakitanga, e tuku ana i te tumanako hou mō ngā mate pēnei i te mate a Parkinson me te mate haurangi ina kore e whai hua ngā rongoā.
- Ahakoa he pokanga roro tēnei e mau ana ngā mōrearea, mā te mahi angitu ka taea e koe te whakapai ake i tō tū motuhake me te kounga o te oranga.
- Kāore te DBS e rongoā i te mate, engari he tino whai hua ki te whakatau i ngā tohu.
- He whakatau hauora nui tēnei. Ka akiaki mātou i a koe kia kōrero whānuitia, taipitopito hoki ki tō tākuta kia tika ai te huarahi mō tō haerenga hauora.
whakaohooho roro hōhonu, DBS, pokanga roro, mate a Parkinson, mate haurangi, wiri, dystonia
