I ētahi wā ka rongo koe i te āhua pōuri ohorere, me te mea kei te hurihuri ngā mea katoa e karapoti ana i a koe, pērā i te pōro hurihuri? Kāore rānei, ka ngaro whakarere tō taurite i a koe e hikoi ana, ā, ka rite koe ki te hinga? He maha ngā take mō ēnei mea. Heoi, i tēnei rā ka kōrero tātou mō tētahi whakamātautau motuhake hei rapu mēnā he raruraru kei ngā io e whakahaere ana i te taurite i roto i tō tātou roro me te taringa o roto. Ko te whakamātautau ENG tēnā.
He aha te tikanga o tēnei whakamātautau ENG?
Ko te ingoa katoa o ENG ko Electronystagmography. Ahakoa te ahua uaua o te ingoa, he tino māmā noa iho tana mahi. He whakamātautau a ENG e tirotiro ana i te mahi a ētahi o ngā io nui o tō roro (ngā io angaanga) e whakahaere ana i te nekehanga o te kanohi, te whakarongo, me te taurite .
Ko te nuinga o tēnei whakamātautau he tirotiro mēnā ka tere te neke o ō kanohi ki mua, ki muri, i roto i te āhua e kore e taea te whakahaere. I roto i ngā kupu hauora, ka kiia tēnei mate he 'nystagmus' . Mā te tātari i te huarahi e neke ai ō kanohi, ka taea e tō tākuta te mārama ki te mahi a tō taringa o roto me ngā wāhanga o tō roro e kawenga ana mō te taurite.
He aha aua io nui e whakamatautauria ana ki te ENG?
Tata ki ngā mahi katoa o tō tātou tinana e whakahaerehia ana e ngā io e ahu mai ana i te roro. E whā ngā io matua he mea nui mō ō tātou kanohi, taringa, me te taurite ka arotahi tātou ki tēnei whakamātautau ENG. Me titiro tātou ki te aha rātou me te aha e pā ana ki a rātou.
| Ingoa Io | Ngā mahi (i roto i ngā kupu māmā) |
|---|---|
| Te io oculomotor | E honoa ana ngā uaua o te kanohi ki te roro, ā, ka āwhina i te neke o ngā kanohi ki runga, ki raro, ki roto hoki. |
| Te io o te Trochlear | He io nui e āwhina ana ki te tahuri i ngā kanohi ki raro, me te ihu ki te taha. |
| Te io o Abducens | He āwhina ki te tahuri i ngā kanohi ki te taha, arā, ki waho i te ihu. |
| io vestibular | Koinei te io matua e hono ana i tō tātou roro mai i roto i tō tātou taringa, ā, e whakahaere ana hoki i te taurite me te whakarongo o te tinana. |
Āhea te wā e hiahiatia ai he whakamātautau ENG?
E rua ngā take matua ka tonoa ai e tō tākuta tēnei whakamātautau. Ko tētahi he mea nā ō tohumate. Ko tētahi he whakaū i tētahi mate hauora e whakapaetia ana.
Kei a koe ēnei tohumate?
Mena kei te mau tonu tētahi, ētahi rānei o ngā tohu i raro nei, ka tūtohu pea tō tākuta kia whakamātauria he whakamātautau ENG.
- Ngā raruraru taurite: Te āhua pōturi, te ānini rānei i te wā e hikoi ana, me te hinga pinepine.
- Te whanoke me ngā momo pōturi: Ehara i te mea he kare ā-hurihuri noa iho tēnei. Ko te 'Pōturi' te wā e rongo ana koe kei te tere te huri o te ao e karapoti ana i a koe, ahakoa kei te tū tonu koe.
- Te ngaronga o te whakarongo kāore i te mārama: Mena ka pāngia koe e te ngaronga o te whakarongo ohorere, āta haere rānei i roto i te taringa kotahi, ka taea e tēnei whakamātautau te āwhina ki te whakatau mena he raruraru kei ngā io o te taringa o roto te take.
Ka āwhina hoki a ENG ki te tautuhi i ēnei āhuatanga.
Mā te whakamātautau ENG ka whakaratohia he mōhiohio whai hua i te wā e tātaritangahia ana, e rongoātia ana rānei ētahi mate hauora.
- Neuroma oro: He pukupuku kore-matepukupuku e tupu ana i runga i te io e rere ana mai i te taringa ki te roro.
- BPPV (Benign Paroxysmal Positional Vertigo): He whanoke ohorere, kino hoki e puta ana ina tahuri te upoko ki ētahi taha. Te labyrinthitis, te vestibular neuritis rānei: Te ngaronga o te taurite nā te mate, te pupuhi rānei o te taringa o roto.
- Te mate a Ménière: He āhuatanga e tohuhia ana e te pikinga o te pēhanga i roto i te taringa o roto, e puta ai ngā tohu pēnei i te pororaru, te ngaronga o te rongo, me te tangi o ngā taringa.
- Te mate Usher: He mate ira e pā ana ki te whakarongo me te tirohanga.
Ki te pā mai ēnei tohu ki a koe, me toro atu koe ki te tākuta me te rapu tohutohu. Kaua e whakaaro noa he mate tōu i runga i ngā kōrero i runga i te ipurangi.
He aha te rerekētanga i waenga i te ENG me te VNG?
Tērā pea ka tūtohu tō tākuta i tētahi VNG (Videonystagmography) hei utu mō te ENG. Ahakoa he rite tonu ngā hua e tumanakohia ana, he iti noa ngā rerekētanga o te huarahi e mahia ai.
- I roto i te whakamātautau ENG: Ka inehia te nekehanga o te kanohi mā te tāpiri i ngā pereti whakarewa iti (ngā hikohiko) ki te kiri e karapoti ana i ō kanohi.
- I te wā o te whakamātautau VNG: Ka hoatu ki a koe ētahi mōhiti motuhake e whakamahi ana i ngā kāmera infrared hei hopu i ngā nekehanga o ō kanohi.
Ahakoa he iti noa ngā rerekētanga i waenga i ngā tikanga e rua, ka hoatu e rāua ngā mōhiotanga nui ki te tākuta mō te mahi a ō io me tō taringa o roto.
Me pēhea te whakaoti i te whakamātautau ENG?
Tērā pea ka mataku koe ina whakaaro koe ki tēnei whakamātautau. Engari ehara i te whakamātautau mamae. Me titiro tātou ki ngā mea ka tupu i mua, i te wā, me muri i te whakamātautau.
Me pēhea tāu whakarite i mua i te whakamātautau?
Kāore e hiahiatia he whakaritenga motuhake mō tēnei. Heoi, he mea tino nui kia whai i ngā tohutohu a tō tākuta.
- Kōrerotia ki tō tākuta ngā rongoā katoa e tangohia ana e koe. Me kōrero e koe ki a ia ngā mea katoa e tangohia ana e koe, tae atu ki ngā huaora me ngā tāpiringa.
- Ka tohutohu pea tō tākuta kia mutu te tango i ētahi rongoā mō te wā poto, inā koa ngā rongoā whakamoe, ngā rongoā ārai-vertigo rānei, 24 ki te 48 hāora i mua i te whakamātautau.
He aha ngā mea ka tupu i te wā o te whakamātautau?
Ko te whakamātautau ENG ka mahia e te tohunga whakarongo. E 90 meneti pea te roa.
1. Te whakatakotoranga o te hikohiko: Tuatahi, ka whakatakotoria ētahi kōpae whakarewa iti, piri, e kiia nei ko ngā hikohiko ki runga ake, ki raro, me te taha tata ki ngā kokonga o waho o ō kanohi. Tērā pea ka whakatakotoria tētahi atu ki tō rae.
2. Rūma pōuri: Kātahi koe ka meinga kia noho pai i runga i tētahi tūru i roto i tētahi rūma pōuri.
3. Ngā wā whakamātautau: Koinei te tīmatanga o te whakamātautau. He maha ngā mahi ka mahia e rātou hei hopu i ngā nekehanga o ō kanohi.
- Te wai, te hau rānei i roto i ngā taringa: Kia tino tupato, ka pīpīhia he wai mahana, he wai matao rānei (te hau rānei) ki roto i ō taringa i ia wā, i ia wā. Ka whakaoho tēnei i tō io vestibular, te io e tiaki ana i tō taurite. Tērā pea ka pōuri koe i tēnei wā, engari he mea noa tēnei, ā, ka memeha haere i roto i ētahi meneti.
- Te titiro matatau ki te mārama: E mea ana kia titiro matatau koe ki te mārama e neke ana, me te kore e nekehia tōu mahunga.
- Te nekehanga o te upoko: Tērā pea ka tonoa koe kia mahi i ngā mea pēnei i te whakatika wawe mai i te tūnga noho, te huri wawe rānei i tō upoko mai i tētahi taha ki tētahi taha.
He aha te mea ka tupu i muri i te whakamātautau?
Kia mutu te whakamātautau, ka taea e koe te hoki ki te kāinga me te hoki anō ki ō mahi o ia rā. Ko te whanoke, te whakapairuaki rānei ka pā ki a koe i te wā o te whakamātautau ka memeha katoa i roto i taua rā anō.
He mōrearea kei roto i tēnei?
He whakamātautau tino haumaru tēnei, he iti hoki te mōrearea. Nō reira kaua e mataku rawa.
Ko te nuinga o te iwi kāore e pāngia e ngā raruraru nui. Tērā pea ka pāngia koe e ētahi mamae iti o te kaki, o te tuara rānei nā te tere o ngā nekehanga i te wā o te whakamātautau.
He tino onge, he iti noa te tūponotanga ka pā kino te pēhanga o te wai ki roto i tō taringa. Heoi, ki te mea kua pakaru tō pūoro i mua, ka mōhio tō tīma hauora ki tēnei, ā, ka karohia te tuku wai ki roto i tō taringa. Nō reira, kāore he take e manukanuka ai koe.
He aha ngā kōrero a ngā hua o te whakamātautau?
Ki te kore ō kanohi e neke pērā i te mea e tumanakohia ana i te wā o te whakamātautau, tera pea he tohu kei te ngoikore, kei te kino rānei ngā io o te roro (ngā io angaanga). He maha ngā take mō tēnei momo kino o te io.
- Ngā mate o ngā oko toto
- He tipu kiri i te taringa waenga (Cholesteatoma)
- Ko ētahi rongoā (hei tauira, ētahi rongoā ārai mate pāwera, rongoā whakaheke toto, rongoā paturopi rānei)
- Ngā mate nekehanga
- Te mate urutā maha
- Ngā mate urutā pēnei i te rubela
- Ngā whara kino ki te upoko
Mena he rerekē ngā hua o tō whakamātautau ENG, ka tono pea tō tākuta i ētahi atu whakamātautau (pēnei i te matawai MRI) hei whakatau i te pūtake. Kātahi ka whakatauhia e rātou te maimoatanga e hiahiatia ana e koe i runga i taua take.
Karere Tangohia ki te Kāinga
- He whakamātautau haumaru, kore mamae te ENG e āwhina ana ki te whakatau i te pūtake o ō tohumate, pērā i te whanoke me te ngaronga o te taurite.
- Ko te kaupapa matua o tēnei ko te mahi a ngā io i roto i tō roro e whakahaere ana i ō kanohi, taringa, me te taurite o tō tinana.
- I te wā o te whakamātautau, ka whakatakotoria ngā hikohiko ki te taha o ngā kanohi, ka pupuhihia te wai, te hau rānei ki roto i ngā taringa, ā, ka aroturukitia ngā nekehanga o ngā kanohi mā te neke i te mahunga.
- He mea tino nui kia whakamōhiotia te tākuta mō ngā rongoā katoa e tangohia ana e koe i mua i te whakamātautau.
- Ahakoa he aha ngā hua o te whakamātautau, kaua e wehi ki te kōrero tuwhera ki tō tākuta mō tēnei mea, me te whakatau i ngā mahi e whai ake nei.
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