Kia ako tātou i ētahi atu kōrero mō te mate wareware. Tērā pea kei te pāngia ō whanaunga e tēnei mate?

Ka wareware koe i ētahi wā ki ngā mea iti? Pērā i te wāhi kei reira ō kī, te ingoa rānei o tētahi. He mea noa pea. Engari mō ētahi tāngata, ka tino kino rawa atu tēnei warewaretanga, ā, kāore e taea e rātou te mahi i ngā mahi o ia rā. Koinei te wā e tika ana kia kōrerohia he mate e kiia nei ko te mate wareware.

Ki te kī māmā noa iho, ehara te mate wareware i te mate kotahi. He kupu whānui tēnei e kapi ana i ngā momo ngoikoretanga hinengaro. Ka kiia te mate wareware ina heke haere te mahi hinengaro pai o te tangata ki te wāhi ka tino kino rawa atu, ā, ka whakararuraru i te oranga o ia rā. Hei tātaritanga mō te mate wareware, me rua pea ngā āhuatanga e whai ake nei i te tangata:

• Mahara
• Te Whakaaroaro
• Reo
• Te Whakaritenga
• te wairua
• Whanoke

He rite tonu te mate wareware me te mate a Alzheimer? He rite tonu rānei rāua?

He tokomaha te hunga e whakaaro ana he rerekē ngā mea e rua o te mate wareware me te mate a Alzheimer. Inaa, he maru nui te mate wareware, e ai ki taku i kōrero ai i mua ake nei. Ko te mate a Alzheimer te tino take o te mate wareware i raro i taua maru. Ara, ehara i te katoa o te hunga e pāngia ana e te mate a Alzheimer he mate wareware, engari ehara i te katoa o te hunga e pāngia ana e te mate wareware he mate a Alzheimer. Tērā pea ētahi atu take.

Ko wai ka pāngia e te mate wareware? He pēhea te noa o tēnei?

Ka puta te mate wareware i a tātou e pakeke haere ana. Kua kite koe i te ngaronga o te mahara o ō tātou tūpuna? I waenga i te 5% me te 8% o te hunga neke atu i te 65 tau te pakeke he momo mate wareware. Ka ruarua tēnei tau i ia rima tau. Whakaarohia, i te 85 tau te pakeke, tera pea kotahi i roto i te rua o te hunga ka pāngia e te mate wareware.

He mate wareware tonu te tikanga o te ngaronga o te mahara?

Inaianei pea kei te whakaaro koe, 'Āe, ka wareware hoki ahau ki ngā mea, nō reira he mate wareware tōku?' Kaua e mataku. Ahakoa kua ngaro tō mahara, ehara i te mea he mate wareware tōu. He mea noa te wareware i te mea ka mate ētahi o ngā io i roto i tō tātou roro i a tātou e pakeke haere ana. Engari kāore e whakararuraru i ā tātou mahi o ia rā.

Ehara te mate wareware i te wāhi i whakatakotoria ai ō kī. Ka taea hoki e te tangata he mate wareware te wareware ki te mea hei mahi mā te kī. Koinā te rerekētanga. Ehara te mate wareware i te wāhanga noa o te koroheketanga.

He rerekē ngā momo mate wareware?

Ka taea te wehewehe i te Dementia ki ngā wāhanga matua e toru:

1. Te Mate Pōuri Tuatahi: I tēnei, ko te mate pōuri te mate matua.

2. Te Mate Pouri Tuarua: Te mate pouri i puta mai i tētahi atu mate.

3. Ngā tohumate rite ki te mate wareware ka taea te whakahuri: Ka taea e ētahi mate, āhuatanga rānei te whakaputa i ngā tohumate rite ki te mate wareware, engari ka memeha haere ēnei tohumate ina rongoatia.

Ngā Momo o te Mate Pōuri Tuatahi

• Te mate a Alzheimer:Koinei te momo tino noa. E rua ngā momo pūmua rerekē, arā, ngā pūmua Tau me ngā pūmua Amyloid, ka kohia ki roto i te roro. Ka whakararuraru ēnei i te whakawhitiwhiti kōrero i waenga i ngā pūtau io i roto i te roro, ā, ka tīmata te mate o ngā pūtau. Tuatahi, ka ngaro te mahara mō te wā poto, ka pōhēhē, ka huri hoki ngā whanonga. Kātahi ka uaua ki te kōrero, ki te wareware i ngā mea tawhito, me te uaua ki te hikoi. Ko te nuinga o te wā ka pā ki ngā kaumātua. Mena kei roto i tētahi o te whānau tēnei mate, ka nui ake te tūponotanga ka pāngia koe e tēnei mate. Kei waenganui i te 60% me te 80% o te hunga e pāngia ana e te mate wareware tēnei mate.
• Te mate wareware toto: Koinei te tuarua o ngā mate e tino kitea ana. Ka puta mai i te aukati, i te kino rānei o ngā oko toto e kawe ana i te toto ki te roro (hei tauira, te whiu, te atherosclerosis). Ko ngā tohu ko ngā raruraru mahara, te pōhēhē, te uaua ki te arotahi, me te uaua ki te whakaoti i ngā mahi. Ka puta ohorere mai (i muri i te whiu nui) ka puta mārire rānei (i muri i ētahi whiu iti). Ko te hunga he toto toto tiketike, he mate huka, he cholesterol tiketike hoki kei roto i te mōrearea nui ake.
• Te mate wareware tinana Lewy: I roto i tēnei, ka kohikohi ngā pūmua e kiia nei ko ngā tinana Lewy i roto i ngā pūtau io o te roro. Ka kino ēnei i ngā pūtau io. Ko ngā tohu ko ngā raruraru ki te nekehanga me te taurite o te tinana, ngā huringa o ngā tauira moe, te ngaronga o te mahara, te uaua ki te whakamahere me te whakaoti rapanga, me ngā moemoeā tirohanga .
• Te mate wareware o te roro o mua me te roro o te wā (FTD): Ka puta tēnei i te kino o ngā pito o mua me te roro o te wā. Ka taea e ia te whakaputa i ngā whanonga pāpori, ngā huringa o te tuakiri, te ngaronga o ngā pūkenga reo (te kōrero, te mārama, te wareware i te tikanga o ngā kupu noa), ngā raruraru rānei ki te taunga nekehanga. He momo mate wareware tēnei e pā ana ki te hunga i waenga i te 45 me te 64 tau te pakeke, arā, ka puta i te wā taitamariki.
• Te mate wareware whakauru: He huinga tēnei o ngā momo mate wareware e rua, neke atu rānei. Ko te momo tino noa ko te mate a Alzheimer me te mate wareware vascular. He mea tino noa i roto i te hunga neke atu i te 80 tau te pakeke. He uaua ki te kite i tēnei momo mate wareware nā te mea kotahi anake te momo mate wareware e kitea mārama ana. Ka tere ake te whanake o ngā tohu i roto i ēnei tāngata i te hunga kotahi anake te momo.

Te Mate wareware Tuarua (Te mate wareware i puta mai i ētahi atu mate me ngā āhuatanga)

• Te mate a Huntington: He mate roro tēnei e puta mai ana i tētahi hapa ira. Ka puta he raruraru ki te whakahaere nekehanga o te tinana, te whakaaro, te whakatau kaupapa, te mahara, me ngā huringa o te tuakiri.
• Te mate a Parkinson: He maha ngā tāngata e pāngia ana e te mate a Parkinson ka pāngia e te mate wareware i ngā wāhanga whakamutunga. He raruraru ki te whakaaro, ki te mahara, ki ngā moemoeā, ki te pouri, me te uaua ki te kōrero.
• Te mate Wernicke-Korsakoff:He mate roro tēnei e puta ana ina he nui te korenga o te thiamine (huaora B1). Ka puta te toto i ngā wāhi o te roro e pā ana ki te mahara. He maha ngā wā ka puta mai i te nui rawa o te inu waipiro.
• Whara roro whara: Ka puta pea tēnei āhuatanga i ngā whiunga maha ki te upoko. Tērā pea ka puta mai ngā tohu pēnei i te ngaronga o te mahara me ngā huringa whanonga i muri i ngā tau.

Ngā tohumate rite ki te mate wareware ka taea te whakahuri

I ētahi wā he rite ki te mate wareware, engari he tohu pea nō tētahi atu mate. Ko te mea pai rawa atu, ina rongoatia, ka memeha haere ngā tohu rite ki te mate wareware!

• Ngā pānga taha o ētahi rongoā: Ka pāngia pea te mahara e ētahi rongoā, pērā i ngā pire moe me ngā rongoā whakamarie.
• Te korenga o ngā huaora: Ina koa ka iti te huaora B12.
• Ngā raruraru o te tairoi (Hypothyroidism).
• Ngā mate urutā: Ngā mate pēnei i te mate mimi (UTI), inā koa i roto i ngā kaumātua.
• Te hydrocephalus pēhanga noa (NPH): He putunga wai cerebrospinal (CSF). Ka taea te rongoā mā te pokanga shunt.

He aha ngā tohu o te mate wareware?

I ngā wāhanga tuatahi o te mate, ka kitea pea e koe ngā tohu penei:

• Te wareware i ngā kaupapa me ngā mōhiohio o nā tata nei.
• Te whakahoki/te pātai i ngā mea kua kōrerotia me ngā pātai kua pātaihia.
• Kua ngaro, kua noho rānei ki ngā wāhi tauhou ngā taonga e whakamahia pinepinetia ana.
• Te kore mārama ki te marama, te tau, me te wā.
• He uaua ki te kimi i ngā kupu tika.
• He panonitanga o te wairua, o te whanonga, o ngā manakohanga rānei.

I te kino haere o te āhua, ka puta ngā tohu pēnei i:

• Ka heke haere te mahara me te kaha ki te whakatau kaupapa.
• Ka uaua haere te kōrero, te kimi i ngā kupu tika.
• Ahakoa ngā mahi māmā o ia rā, pērā i te parai i ō niho, te hanga kawhe, te whakamahi i te mana mamao o te pouaka whakaata, me te utu pire, ka uaua tonu.
• Ka heke te whakaaro whaitake, te whanonga, me ngā pūkenga whakaoti rapanga.
• Ka rerekē ngā tauira moe.
• Ka piki ake te manukanuka, te pouri, te pōhēhē, te kore okiokinga, te ruarua, te pouri, me te pouri.
• Me āwhina koe ki ngā mahi o ia rā (te kakahu, te kaukau, te kai)
• Kei te moemoeā koe i ngā mea kāore i te tino wāhi.

He aha ngā pūtake o te mate wareware?

Ki te whakarapopototanga, ka puta te mate wareware i te kino o tō roro. Nā tēnei kino ka kore e taea e ngā pūtau io o tō roro te kōrero tetahi ki tetahi. I ētahi wā, ka heke te rere o te toto ki te roro, ka kore e nui te hāora me ngā matūkai, ā, ka mate pea te kiko o te roro.

Me pēhea te tātaritanga o te mate wareware?

He uaua pea te tātaritanga i te mate wareware nā te mea he rite ngā tohu ki ngā mate maha atu. Mā tō tākuta ēnei mahi e whai ake nei:

• Kei te pātai atu ahau mō ō tohumate.
• Kei te pātai atu ahau mō tō mate tawhito.
• Ka tirohia e au te rongoā e tangohia ana e koe i tēnei wā.
• E whakaaro ana ahau mēnā kua pāngia tetahi o te whānau e te mate wareware.

Hei tāpiritanga, ka taea pea te mahi i ngā whakamātautau toto, ngā matawai roro (whakamātautau whakaahua) pērā i te `(Computed tomography - CT)`, `(Magnetic resonance imaging - MRI)`, me te `(FDG-PET scan)` pea, me ngā whakamātautau neurocognitive hei ine i tō kaha whakaaro. Tērā pea ka hiahia koe ki te āwhina a te tohunga hinengaro.

He rongoā kei te wātea mō te mate wareware?

I konei, me mārama tātou ki ngā kupu 'ka taea te rongoā', 'ka taea te hoki whakamuri', me te 'ka taea te whakaora katoa'.

He maha ngā momo mate wareware he rongoā hei āwhina i te whakahaere i ngā tohumate. Heoi, kāore e taea te whakaora katoa, te whakakore rānei i te nuinga o ngā momo mate wareware. He iti noa te whakaora e tukuna ana e ngā maimoatanga.

Heoi, e ai ki te kōrero i mua ake nei, ko ētahi āhuatanga e rite ana ki te mate wareware (hei tauira, te korenga o ngā huaora, ngā pānga taha o ētahi rongoā, ngā raruraru tairoi) ka taea te rongoā me te tino ora.

Mō ngā momo mate wareware kāore e taea te rongoā (hei tauira, te mate a Alzheimer, te mate wareware vascular), kei reira ngā rongoā hei whakahaere i te ngaronga mahara me ngā raruraru whanonga. Hei tauira, ka whakamahia ngā aukati cholinesterase (pēnei i te donepezil (Aricept®) me te rivastigmine (Exelon®)) me te NMDA receptor antagonist memantine (Namenda®). Kei te wātea hoki ngā rongoā hou pēnei i te anti-amyloid antibody aducanumab (Aduhelm®). Ahakoa kāore e taea e ēnei rongoā te aukati katoa i te mate, ka taea e rātou te whakaroa i te tere o te kino haere.

Ngā raruraru i puta mai i te mate wareware

Ko ētahi o ngā raruraru ka puta mai i te mate wareware ko:

• Te kore wai me te kore kai pai.
• Ngā mate pēhanga (ngā mate pāwera moenga).
• Ngā whara me ngā whatiwhatinga i puta mai i te hinganga.
• Ngā whiu.
• Te niumōnia me te niumōnia manawa.
• Sepsis (te horapa o te mate puta noa i te tinana).

He aha te āhua o te oranga me te mate wareware?

He mea tino pouri te kitea he mate wareware tō te tangata. Heoi, he rerekē te roa o te oranga me tēnei mate i ia tangata, i ia tangata. Ko ētahi e ora ana mō te 8 tau me tētahi momo mate wareware noa, pērā i te mate a Alzheimer, ko ētahi e ora ana mō te 20 tau. Ko te mea nui ko te pupuri i te kounga o te oranga o te tūroro. Kei te rangahau tonu ngā kairangahau i tēnei mate me ngā huarahi hei whakahaere.

Ka taea te ārai i te mate wareware?

Ahakoa kāore e taea te ārai katoa i te mate wareware, mā te noho hauora ka taea te whakaiti i te tūponotanga o te whakawhanake i ētahi momo mate wareware.

• Kati te momi hikareti.
• Whāia he kai pai (hei tauira, te kai Mediterranean - me nui ake ngā huawhenua, ngā hua rākau, ngā ika, ngā witi, te hinu oriwa, me whakaiti te mīti whero).
• Whakakorikori tinana. Neke atu i te 30 meneti i te nuinga o ngā rā o te wiki.
• Kia kaha tonu tō roro. Whakaotihia ngā panga, tākarohia ngā kēmu kupu. Ka taea e ēnei te whakaroa i te tīmatanga o te mate wareware.
• Kia pāpori. Kōrero, kia whakawhanaunga hoki ki ētahi atu.

Ngā āhuatanga e whakanui ake ai i te mōrearea o te whakawhanake i te mate wareware

• Tau: Ko te mea matua. Ka piki ake te mōrearea i te kaumātuatanga. Ko te hunga neke atu i te 65 tau te pakeke te mea tino pāngia.
• Hītori whānau: Mena kei ō mātua, kei ō tuākana, teina rānei tēnei mate, he nui ake te tūponotanga ka pāngia koe e tēnei mate.
• Te mate Down: Ko te hunga whai mate Down ka tūpono ki te pāngia e te mate a Alzheimer i te tīmatanga o te pakeketanga.
• Hauora ngoikore o te ngākau: Ko te nui o te cholesterol, te toto toto tiketike, te atherosclerosis, te momi hikareti rānei ka piki ake te mōrearea o te mate wareware. Ka pāngia ō uaua toto e ēnei raruraru hauora, pērā i te mate huka. Ka taea e ngā uaua toto kua pakaru te whakaiti i te rere o te toto, ā, ka arahi ki ngā whiu.
• Whara nui o te upoko (Whara roro): Mena kua pāngia koe e te whara nui o te upoko, he nui ake te tūponotanga ki te pāngia koe e te mate wareware.

Āhea koe me toro atu ki te tākuta?

Tirohia te tākuta mēnā ka kite koe, tetahi rānei o tō whānau i tētahi o ēnei huringa:

• Ngā huringa i roto i tō mahara.
• Ngā huringa o tō mahi hinengaro.
• Ngā huringa o tō kaha ki te mahi i ngā mahi o ia rā.
• Ngā huringa o ō whanonga.
• Ngā panonitanga o tō tuakiri.

Ka aha ina kino haere te mate wareware?

Engari, he maha ngā momo mate wareware ka kino haere i te roanga o te wā. Ina kore te roro e whiwhi i ngā matūkai me te hāora e hiahiatia ana, ina āraia rānei te whakawhitiwhiti kōrero i waenga i ngā pūtau io i roto i te roro e ngā "para" pērā i ngā pūmua rerekē, ka tīmata te mate o te kiko roro.

Ko te mate a Alzheimer me ētahi atu momo mate wareware ka tīmata i te ngaronga o te mahara me ngā hapa iti i roto i te whakatau kaupapa – he mea ka taea e koe te noho tahi mō tētahi wā. I te heke haere o te mahi a te roro, ka tīmata te pāngia o ngā mahi nui. Kei roto i ēnei ko te manawa, te nakunaku, te tere o te ngakau, me te moe.

I ngā wāhanga whakamutunga o te mate wareware, kāore e taea e te tinana te mahi i ngā mahi e hiahiatia ana hei pupuri i a ia anō kia ora. Nā te kino o te roro me te ngoikore o te uaua, ahakoa ngā nekehanga māmā, kāore e taea. Ki te kore he āwhina, kāore e taea e te tangata te kōrero, te hikoi, te whakahaere i ō rātou pūkahukahu me ō rātou puku, te kai, te ngaungau, te horomi kai rānei.

Ina kore e taea e koe te tiaki i a koe anō, te neke haere, te tiki wai me te kai e ranea ana, tae noa ki te pōuri, ka nui ake te tūponotanga ka pāngia koe e ētahi atu mate. He mate noa te niumōnia i waenga i te hunga e pangia ana e te mate wareware. Tērā pea kāore e taea e te tinana ngoikore te whawhai ki ngā mate, te whai hua rānei i ngā rongoā. Ka nui ake te mamae me te kore whakamarie o te tūroro i ngā kōwhiringa maimoatanga ka taea anake te whakarato i te whakaora mō te wā poto.

I tēnei wā, he maha ngā whānau e whiriwhiri ana i te tiaki hōhipera mō te mutunga o te ora. Ka whakaratohia e te tiaki hōhipera he whakamarie, ā, ka arotahi ki te kounga o te ora, kaua ki te whakaroa i te ora. He maha ngā tāngata e mate ana i ngā āhuatanga e pā ana ki te mate wareware, kāore i a rātou ēnei mōhiohio i roto i ā rātou tiwhikete mate. Nā te mea kua whakarārangihia te raruraru i mate ai rātou – hei tauira, te niumōnia. Ko tētahi atu take pea he maha ngā tāngata kāore i te tautuhia he mate wareware i mua i tō rātou matenga.

He wāhanga anō kei te mate wareware?

Ahakoa kāore he whakarōpūtanga motuhake o te mate wareware, e toru ngā wāhanga o te momo tino noa, arā, te mate a Alzheimer. He mea noa ēnei āhuatanga ki te maha o ngā momo mate wareware.

Wāhanga Tīmatanga (Wāhanga Ngāwari)

I tēnei wā, ka taea tonu e rātou te mahi i ngā mea ko rātou anake. Ka taea e rātou te taraiwa, te haere ki te mahi, me te whakahoahoa. Ka puta ētahi huringa kāore pea e kitea e te tangata whai mate a Alzheimer, engari ka kitea pea e ngā hoa tata me te whānau.

Ka penei pea ngā uauatanga:

• I muri i te whakamōhio i tētahi, ka wareware rātou ki tōna ingoa.
• He maha ngā taonga kua ngaro, kua hē rānei te tūnga.
• He uaua tonu te kimi i ngā kupu tika.
• He uaua ki te whakamahere, ki te whakarite, ki te whakahaere, ki te whakaoti rānei i ngā mahi.
• Ka wareware tonu ahau ki taku i pānui ai.

Wāhanga Waenga

Ka taea e te hunga kei waenganui o te mate a Alzheimer te noho ki tēnei wāhanga mō ngā tau. Ka taea e rātou te whai wāhi atu ki ngā mahi o ia rā me te āwhina. Kua mārama ngā tohu inaianei.

Ka penei pea ngā uauatanga:

• Kāore au i te mōhio he aha te tau/te wā, ā, kei hea hoki.
• Te wareware i ngā kaupapa, te kore e taea te maumahara ki ngā taipitopito whaiaro (nama waea, wāhitau, kura i haerehia ai).
• Ngā panonitanga o te tuakiri, te kare ā-roto, me ngā whanonga, hei tauira, te whakapae, te kite i ngā moemoeā, me te mahi anō i ngā mea ōrite tonu.
• Ka rerekē ngā tauira moe i te ao/pō.
• Te uaua ki te whakahaere i te mimi me/ranei te tūtae.
• Te mau i ngā kākahu kāore e tika mō te wā, mō te kaupapa rānei.
• Te hikoi haere, te ngaro haere.

Wāhanga Tino Kino

Kāore e taea e te hunga kei ngā wāhanga whakamutunga o te mate a Alzheimer te kōrero, kāore e mōhio ki ngā mea e tupu ana i tō rātou taha, ā, kāore e taea te whakahaere i ngā nekehanga o ō rātou tinana.

Ka penei pea ngā uauatanga:

• He uaua ki te kōrero, he torutoru noa iho ngā kupu, ngā kīanga rānei.
• He uaua te hikoi.
• He uaua ki te horomi.
• Ngāwari te pāngia e ngā mate urutā, inā koa te niumōnia.
• Me manaaki rātou i ngā hāora 24 o te rā.

Mā te tautuhi wawe i te mate wareware ka āwhina i a koe me tō whānau ki te huihui ki te whakarite mahere mō tētahi oranga whai tikanga. Ka taea hoki e ia te āwhina i a koe ki te whakarite i ō mahere ture, pūtea, me te hauora me ō hiahia. Kei te rite tō rōpū hauora, ngā tākuta, ngā kaimahi hapori, ngā kaimahi tiaki hauora, me ngā kaiārahi whakapono ki te whakarato mātauranga, tautoko, me te manaaki i a koe, i tō hoa aroha rānei. Pātai atu hoki ki tō rōpū mō ngā rōpū tautoko mate wareware i tō rohe. He wāhi pai ngā rōpū tautoko hei whakawhitiwhiti tohutohu manaaki, hei kimi whakamarie, me te mōhio kāore koe i te mokemoke.

Hei whakamutunga, ngā mea me maumahara koe

He mate kino te mate wareware. Heoi, he mea nui kia mōhio wawe koe ki tēnei. Mā tēnei ka āwhina i a koe me tō whānau ki te whakarite i ngā mahere e tika ana, me te tiaki i ngā take ture, pūtea me te hauora. Kei te rite katoa tō rōpū hauora, ngā kaimahi hapori me ētahi atu ki te āwhina i a koe. Ehara i te mea ngāwari te tiaki i tētahi e pāngia ana e te mate wareware, nō reira kaua e mangere ki te tono āwhina me te tautoko. Kia mahara, ehara koe i te mea ko koe anake.

Te mate wareware, te mate a Alzheimer, te ngaronga o te mahara, te hauora o te roro, te koroheketanga, te hekenga o te hinengaro, te warewaretanga