He rā anō kei te ahua kei te hē katoa ngā mea, tika? Ahakoa te mea iti rawa ka taea e koe te taumaha rawa, ka riri ohorere koe, ka pouri rānei koe. I ētahi wā ka pōuri koe nā te mea kāore e taea e koe te whakahaere i ēnei kare ā-roto? Kei te ahua koe he kaha ake ō kare ā-roto i a koe? I tēnei rā kei te kōrero tātou mō tēnei mate e pā ana ki te tini o te tangata, engari kāore i te tino kōrerohia.
He aha te koretake o te whakahaere o ngā kare ā-roto?
Ki te whakarapopoto, ko te koretake o te whakahaere i ngā kare ā-roto ko te uaua ki te whakahaere i ō kare ā-roto me te āhua o tō urupare ki aua kare ā-roto. I ēnei wā, ki te hunga e karapoti ana i a koe, ka āhua "nui atu" tō whakaaturanga kare ā-roto i te kaupapa e whakautu ana koe.
Whakaarohia kei a koe te mana whakahaere oro o ō kare ā-roto. Ko te tikanga, ka whakahaere tātou i ō tātou kare ā-roto mā te whakanui, te whakaiti rānei i aua kare ā-roto. Ina pōuri tātou, ka tangi tātou kia marino ai, ā, ina riri tātou, ka whakahaere tātou i taua kare ā-roto. Engari i tēnei wā, kāore taua mana whakahaere oro i roto i tō roro e mahi tika ana. Nō reira, ka tino "kaha" te rongo i ngā kare ā-roto, arā, he tino kaha te rongo, ā, koia te take he tino uaua ki te whakahaere.
Kia maumahara, he tohu tēnei nō te mate hinengaro, ehara i te ngoikore o te tuakiri. Pērā i te ako a ngā tamariki ki te whakahaere i ō rātou kare ā-roto i a rātou e pakeke haere ana, e pā ana hoki tēnei ki te mahi a tō tātou roro.
He pēhea te āhua o tēnei āhuatanga mai i waho?
E kitea mārama ana tēnei i roto i ngā whanonga me ngā kōrero a te tangata e pāngia ana e te ngoikore o ngā kare ā-roto. Tērā pea kua pāngia koe e ngā āhuatanga ōrite.
| Āhuatanga | He whakamārama māmā |
|---|---|
| Te kore e taea te whakarerekē i te wairua i te wā e pai ai | Ina tae mai te pouri, te manukanuka rānei, ka noho pūmau koe i te wāhi kotahi, kāore e taea te puta atu. |
| Te ngawari o te riri mō ngā mea iti | Ahakoa te iti noa o te raruraru, ka tere tonu te riri. |
| Ngā huringa ohorere o te wairua | Ka huri whakarere mai i te harikoa ki te pouri, ka riri whakarere rānei. |
| Whanoke ā-whakaaro | Te mahi ohorere i ngā mea, me te kore e whakaaro ki ngā hua ka puta (hei tauira, te whakapau moni i te wā kotahi, te whakatau wawe). |
| Tere ki te riri | Te riri pinepine, kāore e taea te pupuri. |
| Ngā arai ki te whakatutuki i ngā whāinga | Ko te kore e taea e te tangata te mahi tika i tana mahi, te whakatutuki rānei i tētahi whāinga nā te awe o ngā kare ā-roto. |
Ina kaha rawa atu ēnei tohu, ka uru atu pea te hamama, te whiu taonga ki te papa, me ngā pakanga tutu ki ētahi atu. Ka pā nui tēnei ki ngā whakahoahoa, ki ngā whanaungatanga whānau, me te mahi.
He aha ngā tino take o te koretake o te whakahaere i ngā kare ā-roto?
Kāore he take kotahi mō tēnei āhua. He tohu noa iho tēnei nō tētahi atu āhua. E toru ngā momo take matua.
1. Ngā āhuatanga hauora hinengaro: Ka kitea tēnei hei āhuatanga matua o ētahi mate hinengaro.
2. Neurodivergent: He rerekē te whanaketanga, te mahi rānei o ngā roro o ētahi tāngata i tērā e whakaarohia ana. Tērā pea ka uaua ki ēnei tāngata te whakahaere i ō rātou kare ā-roto.
3. Te kino o te roro: Ka pā mai pea tēnei āhuatanga nā te kino o ētahi wāhanga o te roro nā tētahi aituā, mate, take rānei.
| Ngā āhuatanga matua e pā ana ki te koretake o te whakahaere kare ā-roto | |
|---|---|
| Ngā Āhuatanga Hauora Hinengaro | |
| - Mate Pūrua - Ngā Mate Pouri (Ngā Mate Pouri) - Ngā Mate Manukanuka - Ngā mate tuakiri (ina koa ko te Mate Tuakiri Rohe) | - Mate ahotea muri-whara (PTSD) - Mate Āwangawanga-Ārai (OCD) - Ngā raruraru whanonga me te whakahaere hihiri (Ngā Mate Whanoke) |
| Ngā Āhuatanga Neurodivergent | |
| - Mate Kore-Aro/Mate Hirahira (ADHD) - Mate Autōmia | |
| Te Pakaru/Te Whakararuraru o te Roro | |
| - Ngā whara o te upoko (ngā whara o te roro, ngā whara o te roro) - Whiu - Ngā Pūngāwerewere Roro - Mate haurangi | - Ngā mate roro (Encephalitis, Meningitis) - Te whakamahi waipiro me te tarukino - Ngā mate roro (Alzheimer's, Dementia) |
He aha ngā maimoatanga mō tēnei?
Ko te rongo pai, ka taea te whakahaere i tēnei mate. Engari ehara i te mea ka taea e koe te tātaritanga me te rongoā i a koe anō. He mea nui te āwhina a tō tākuta hei tautuhi i te mate taketake e puta ai.
He maha ngā tikanga maimoatanga matua:
- Hinengaro Whakaora: Koinei te maimoatanga matua. Mā te kōrero ki tētahi kaitohutohu hauora hinengaro , ka taea e koe te ako i te putanga mai o ō kare ā-roto me te whakahaere i aua kare ā-roto. Ka taea e tēnei te āwhina i a koe ki te ako i ngā pūkenga hou hei whakatau i ngā raruraru.
- Ngā Rongoā: I runga i te āhua o te mate (hei tauira, te mate hinengaro rua, te pouri), ka taea e ngā rongoā i tohua e tō tākuta te āwhina i a koe ki te whakahaere i ō kare ā-roto.
- Manaaki Tautoko: Mena he take tinana tēnei (hei tauira, he whara o te upoko), ka heke iho anō hoki ēnei tohu ina rongoatia taua take.
Āhea koe me rapu tohutohu hauora?
Mena kei te pāngia tō oranga o ia rā, ō hoa, tō mahi, tō oranga whānau rānei e tēnei uauatanga ki te whakahaere i ngā kare ā-roto, he mea tino nui kia kōrero koe ki te tākuta mō tēnei mea. Ina koa ka puta ohorere mai ēnei tohu kāore i kitea i mua, he tohu pea tēnei mō tētahi mate hauora nui. Nō reira kaua e whakaroa ki te rapu tohutohu hauora.
Mena kei tō tamaiti ēnei tohu...
Ka ako ngā tamariki nohinohi ki te whakahaere i ō rātou kare ā-roto mā te āta haere. He wāhanga tēnei o tō rātou whanaketanga. Engari ki te whakaaro koe he uaua ki tāu tamaiti te whakahaere i ō rātou kare ā-roto mō tōna tau, kōrero ki tētahi tākuta tamariki mō tēnei mea. Ka taea e ia te āwhina i a koe ki te whakatau mēnā he mea noa, mēnā rānei he mea hei aro atu māu.
Me aha i roto i tētahi āhuatanga ohorere?
He mea tino nui tēnei: Ina kaha rawa te koretake o te whakahaere i ngā kare ā-roto, ka puta ake pea ngā whakaaro ki te whara i a ia anō, ki te whakamomori rānei.
Ki te mea kei te whakaaro koe, kei te whakaaro rānei tētahi atu e mōhio ana koe ki te whara i a rātou anō, ki te whakamomori, ki te whara rānei i ētahi atu, he āhuatanga ohorere tēnei. Haere tonu ki te Tari Ohorere (ETU) o te hōhipera tata. Ka rite rātou ki te whakarato i te tautoko hauora me te hinengaro e hiahiatia ana e koe. Kaua e noho mokemoke i ēnei wā. Pātai atu ki tētahi e whakawhirinaki ana koe mō te āwhina.
Karere Tangohia ki te Kāinga
- Ehara te koretake o te whakahaere i ngā kare ā-roto i te ngoikore nōu, engari he tohu nō tētahi mate kei raro i a koe.
- Ko te mea ka tupu i tēnei āhuatanga, ka nui haere te 'rahinga' o ō kare ā-roto, ā, ka uaua ki te whakahaere.
- He maha ngā take mō tēnei, nō reira he mea nui kia kite i te tākuta kia kitea ai te tino take, kaua e whakatau i a koe anō.
- Ka taea te whakahaere angitu i tēnei āhuatanga mā te rongoā, ā, mēnā e tika ana, mā te whakamahi i te rongoā.
- Ki te mea kei te whakaaro koe, kei te whakaaro rānei tētahi atu ki te whara i a rātou anō, he āhuatanga ohorere tēnei. Haere tonu ki te tari ohorere o te hōhipera tata (ETU). Kāore koe i te mokemoke, rapua he āwhina.
👩🏽⚕️ Ngā pātai tāpiri (FAQs)
💬 He rongoā tino motuhake ngā papa Riociguat (Adempas) e hoatu ana mō tēhea mate?
Ehara tēnei i te rongoā noa! Koinei te rongoā whakaora-ngākau 'kotahi anake, tino kaha rawa atu' o te ao, kāore he pokanga (sGC Stimulator), e hoatu ana ki te hunga e pāngia ana e te 'Pulmonary Arterial Hypertension (PAH)' me te 'CTEPH - Chronic Thromboembolic Pulmonary Hypertension', e hua ai te pikinga nui o te toto i roto i ngā pukahukahu nā te 'totoka toto'!
💬 Ina tata koe te mate i te aukati o te oko toto i roto i ōu pukahukahu, me pēhea te tango i ēnei pire (Riociguat) hei whakawhānui i ngā uaua whakamate?
He hau kei roto i ō tātou tinana e kīia nei ko te 'Nitric Oxide (NO)' hei whakangāwari i ngā oko toto. Ko tāna mahi he tahuri i tētahi whākōkī e kīia nei ko te 'sGC' (e hanga ana i te cGMP me te whakangāwari i ngā oko toto). Kāore i te tika te hau o ngā tūroro PAH. Ina uru tēnei pire ki te tinana, ka haere tika atu ki taua mīhini 'sGC' (ahakoa kei reira te hau, kāore rānei) ka pēhi i te pātene ka tahuri i te mīhini! Kātahi ka whānui haere ngā uaua katoa i roto i ngā pukahukahu i piri, i purua hoki e ngā toto totoka (Vasodilation), ā, ka whakamama tonutia te taumahatanga ki te ngākau.
💬 He aha ngā tūponotanga whakamate e 'kaua rawa' e pā ki te hunga e tango ana i tēnei rongoā (Adempas)? (Ngā Whakatūpato Pouaka Pango)?
Ko te ture nui rawa atu, ko te ture anake! Ki te mea kei te tango koe i tēnei pire, ki te mea kei te tango koe i te Viagra (Sildenafil / Cialis) me ngā pire nitrate hei whakaohooho i te moepuku, kaua rawa e tango tahi i tēnei me aua pire! Ki te tango tahi koe, ka tino whānui ngā uaua toto katoa, ka heke te toto toto ki te kore (Fatal Hypotension) ā, ka taea e koe te moe pōuri, ka mate! Waihoki, he tino rāhuitia mō ngā whaea 'Haputanga', ka rerekē te āhua o te pēpi, ā, ka tino mate!
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