Kua kite koe i tētahi e pāngia ana e te "hauā" ohorere? Ka mataku te katoa ina kite i ngā mea pēnei i te wiri o te tinana me te ngaro o te māramatanga, tika? He maha ngā wā ka karangatia tēnei mate ko te mate haurangi. Nā, he aha rawa te mate haurangi? He aha tēnei ka puta? He mea morearea? I tēnei rā ka kōrerohia e tātou ēnei mea katoa i roto i te huarahi māmā noa iho, i roto i te huarahi e mārama ai koe.
He aha te mea e tupu ana i roto i te roro?
Hei mārama ki tēnei, me tango he tauira iti. Whakaarohia he rite tō tātou roro ki tētahi pūnaha hiko i roto i tētahi whare. Ka tukuna ngā karere e ngā pūtau (ngā neuron) i roto i te roro ki a rātou anō mā roto i ngā tohu hiko iti. Ka puta ngā mea katoa i roto i tētahi huarahi tino raupapa, tino manawataki.
Heoi, i roto i te roro o te tangata e pangia ana e te mate haurangi, ka "pōturi" ohorere tēnei pūnaha tohu hiko. Ka tīmata ohorere ngā pūtau i tētahi, neke atu rānei o ngā wāhi o te roro ki te pupuhi me te kore e taea te whakahaere, ka puta he tohu hiko nui rawa atu. Pērā i te awha uira. Koinei te wā ka pā mai he mate e kiia nei ko te hopuhopu . Mā tēnei raruraru hiko ka ngaro te māramatanga o te tangata, ka wiriwiri, ka huri hoki i te whanonga.
Ki te kī ngāwari, ehara te mate haurangi i te mate noa iho. He mate mau tonu e puta ana i roto i te mahi hiko o te roro. Kāore te hopu kotahi e tohu he mate haurangi te tangata. Mēnā ka maha tonu ngā wā o te mate haurangi, tera pea he mate haurangi.
He aha ngā momo hopuhopu kei reira?
Ina whakaaro te nuinga o tātou ki te 'hauā', ka whakaaro tātou ki tētahi āhua kino ka hinga tātou ki te whenua, ka wiri, ka huaki te huware. Engari i mōhio koe he maha ngā momo hopu? Ka taea te wehewehe i ēnei ki ngā wāhanga matua e rua: ko tētahi e ahu mai ana i te wāhi i roto i te roro ka tīmata te hopu.
| Kāwai hopuhopu | Whakaahuatanga me ngā tohu |
|---|---|
| 1. Ngā Hoputanga Arotahi | Ka tīmata ēnei i tētahi wāhi motuhake i te taha kotahi o te roro. E rua anō ngā momo o tēnei. Te Hopu Arotahi: • I tēnei wā, kua mārama te tūroro, ā, ka taea e ia te rongo i ngā mea e tupu ana i tōna taha. • Te wiriwiri, pērā i te ringa kotahi, i te waewae rānei. • Ka pāngia ohoreretia he kakara, he reka rānei e tetahi mea ke. • Te āhua nei kei te kite koe i ngā mārama i mua i ō kanohi, te whanoke. Te Hopu i te Hinengaro o te Arotahi: • I tēnei wā, tērā pea ka ngaro tō māramatanga, ka kore rānei koe e mōhio ki te taiao e karapoti ana i a koe. • Te titiro kau noa. • Te mahi anō i ngā mea ōrite, pērā i te kōmiomio i ngā ngutu, te mirimiri i ngā ringa, te kimo rānei i ngā kanohi. |
| 2. Ngā mate hopuhopu e horapa ana puta noa i te roro i te wā kotahi (Ngā Mate Pūhopu Whānui) | Ka pāngia ngā taha e rua o te roro i te wā kotahi. Ko ngā momo e kitea ana e tātou i te nuinga o te wā no tēnei kāwai. Ngā Mate Ngaro: • He maha ngā wā ka pā tēnei ki ngā tamariki nohinohi. Ka mutu ohorere ā rātou mahi mō ētahi hēkona, ka titiro pōuri. Me te mea kua riro rātou ki te ao moemoeā. He tokomaha e whakaaro ana he moemoeā noa iho tēnei. Ngā Hopu Tonic-Clonic: • Koinei te 'taunga' e mōhiotia ana e tātou katoa (ingoa tawhito ko Grand Mal). • Kātahi ka ngaro tō mārama, ka hinga ki te whenua. Tuatahi, ka mārō tō tinana (wāhanga Tonic), kātahi ka tīmata te wiriwiri o tō tinana (wāhanga Clonic). • Tērā pea ka puta te kopikopiko o te arero, te turuturu o te wai, me te mimi/paru i runga i ngā kākahu. I te nuinga o te wā ka roa tēnei i waenga i te 1-5 meneti. Ngā Hoputanga Atonic: • Ka kiia hoki tēnei ko te 'Hoputanga Taka'. Ka ngaro whakarere te kaha o ngā uaua o te tinana, ā, ka hinga koe ki te whenua, pērā i te pēpi kua whati te aho. Ngā Hopu Myoclonic: • He oho ohorere o te ringa, o te waewae, o te tinana katoa rānei, me te mea nei e pāngia ana e te uira. He poto noa te wā e mau ana tēnei, tata ki te hēkona, e rua rānei. |
He aha ngā mea e whakaoho ai te mate hopuhopu?
Kāore te tangata e pangia ana e te mate haurangi e pāngia tonutia e ngā mate haurangi. Engari ka taea e ētahi mea te whakanui ake i te mōrearea o te pāngia e te mate haurangi. Ka kiia ēnei he mea whakaoho . Ka rerekē ēnei i ia tangata, i ia tangata.
- Te kore e tango rongoā: Koinei te take matua. Ki te kore koe e tango i te rongoā i tohua e te tākuta i te wā tika, he nui te tūponotanga ka pāngia koe e te haurangi.
- Te kore moe: Ka pāngia te roro e ngā āhuatanga pēnei i te kore moe me te kaha rawa o te mahi.
- Taumahatanga: Ka taea hoki e ngā mate haurangi te puta mai i ngā mea pēnei i te nui rawa o te pēhanga me te manukanuka.
- Te mate me te kirika: Ina uru te mate ki roto i te tinana, ā, ka puta he kirika, ka rerekē pea te mahi a te roro.
- Mārama kanapa: Ka pāngia ētahi tāngata e ngā rama e mura ana, ētahi kēmu ataata, me ngā whakaaturanga pouaka whakaata.
- Te waipiro me ngā raau taero:Ka taea e te inu waipiro, ina koa i te wā e mutu ana te inu waipiro, te arahi i te haurangi.
- Ngā huringa homoni i roto i ngā wāhine: Ka pāngia ētahi wāhine e ngā mate haurangi me ngā huringa homoni e pā ana ki te huringa paheketanga.
- Ētahi rongoā: Ko ētahi rongoā mō te makariri me te mate pāwera (hei tauira, ko ērā kei roto ko te diphenhydramine) kāore pea e whakaaetia mō te hunga e pāngia ana e te migraines.
He aha ngā pūtake o te migraines?
I te nuinga o te wā, tata ki te 70% o ngā wā, kāore e kitea he tino take mō te migraines. Heoi, he maha ngā take kua tautuhia.
- Ira: Mena he mate pōuri kei roto i te whānau, he iti noa te tūponotanga ka pāngia anō hoki ētahi atu. Engari ehara i te mea ka tino pāngia rātou e te mate pōuri.
- Ngā Whara o te Upoko: Ko ngā whara nui o te upoko, pērā i te aituā motuka, te hinganga rānei, ka kino te roro, ka puta he whara roro.
- Ngā mate pukupuku roro: Ka pā mai pea tēnei āhuatanga i ngā mate pukupuku pērā i te encephalitis me te meningitis, ka kino ai te roro.
- Te Whiu me ngā Puku Roro: Ina mutu te rere o te toto ki te roro nā te whiu, ina puta rānei he pukupuku roro, ka pakaru ngā pūtau roro, ā, ka tīmata te haurangi.
- Ngā raruraru i te wā whānau: Ka puta hoki te rewharewha i te korenga o te hāora ki te roro i te wā whānau, i ētahi raruraru rānei ki te whanaketanga o te roro.
Me pēhea te tautuhi i tēnei?
Ki te pāngia koe e te mate haurangi, ko te mea tuatahi me mahi e koe ko te toro atu ki te tākuta. Ka pātai atu ia ki a koe me te hunga katoa i kite i te mate haurangi kia whakaahua mai i te mea i tupu.
Hei tāpiritanga, e rua ngā whakamātautau matua ka taea te whakahaere.
1. EEG (Electroencephalography): Ko te tikanga o tēnei he tāpiri i ngā pūoko iti ki tō mahunga, me te tuhi i ngā tauira hiko i roto i tō roro. Mena he mate haurangi tōu, ka taea e ia te kite i ētahi tauira rerekē.
2. Ngā Matawai Roro: Mā te whakamātautau pēnei i te matawai MRI (Magnetic Resonance Imaging) ka taea te tirotiro mō ngā tohu o te kino i roto i te roro, pērā i te pukupuku, te koha, te whiu rānei.
He aha ngā maimoatanga?
Ehara te rewharewha i te mea e wehi ai, nā te mea he mate ka taea te whakahaere i te nuinga o te wā.
Ngā rongoā ārai-hopu
Ko te rongoā matua ko te rongoā ārai-ohorere. Tata ki te 70% o ngā tūroro ka taea te whakahaere katoa i ō rātou hopukanga mā te rongoā. Mā tō tākuta e whiriwhiri te rongoā tika māu i runga i te momo hopukanga, te tau, me ētahi atu āhuatanga hauora. Ko te mea nui ko te kaua e mutu te tango i tō rongoā, kaua hoki e whakarerekē i te horopeta me te kore he tohutohu a tō tākuta.
Te Whakaora Kai
Mō ētahi tamariki, inā koa ko te hunga kāore e pai te urupare ki te rongoā, ka tūtohu pea te tākuta i tētahi kai motuhake, pērā i te kai ketogenic . He kai nui te ngako, iti te warowaihā tēnei.
Pokanga
Mō te hunga e pāngia ana e ngā mate haurangi kāore e taea te whakahaere e te rongoā, ā, ka tīmata i te wāhi kotahi o te roro, he kōwhiringa te pokanga. Ko te tango i te wāhanga rerekē o te roro e tīmata ai ngā mate haurangi. Ahakoa kāore e taea tēnei mō te katoa, ka tino angitu pea mō te tangata tika.
Ngā wā e tika ana kia tūpato tātou
I te nuinga o te wā, ka mutu te haurangi i roto i te 1-2 meneti, engari i ētahi wā, me haere tonu koe ki te hōhipera.
Āhea te wā tika ki te haere ki te ETU (Emergency Treatment Unit):
* Mena ka roa ake te hopukanga i te 5 meneti.
* Ki te mutu tētahi mate hopu, ā, ka puta mai tētahi atu i mua i tō hokinga mai o te māramatanga.
* Mena he uaua ki a koe te manawa i te wā e pāngia ana koe e te mate hopuhopu.
* Mēnā ka pā he whara kino ki te haurangi.
* Mena ka pāngia te wahine hapu, te tangata rānei he mate huka e te mate haurangi.
He kōrero mō SUDEP
Ahakoa te āhua whakamataku o tēnei, he mea nui kia mōhio koe. Ko te SUDEP (Sudden Unexplained Death in Epilepsy) he mate ohorere te tangata e pangia ana e te mate haurangi, kāore he take e kitea ana. He tino onge tēnei āhuatanga. He nui ake te mōrearea o te hunga kāore i te pai te whakahaere i ngā mate haurangi. Ko te huarahi pai ki te whakaiti i tēnei mōrearea ko te tango i ō rongoā kia rite ki te whakahau a tō tākuta, me te whakahaere i ō mate haurangi.
Karere Tangohia ki te Kāinga
- Ehara te mate haurangi i te mate hinengaro, ehara hoki i te mea hei whakama. He mate pūnaha io o te roro.
- Ka taea e te nuinga o te tangata te whakahaere pai i ō rātou mate haurangi mā te rongoā, ā, ka ora anō hoki i te oranga noa.
- He mea nui kia tangohia te rongoā kua tohua e tō tākuta māu i te wā tika, me te horopeta tika hoki. Kaua e mutu te tango i tō rongoā ko koe anake.
- Tāutuhia ngā mea e whakaoho ana i tō mate haurangi, ā, karohia i ngā wā katoa e taea ana (hei tauira, te moe, te whakahaere ahotea).
- Mena kei a koe te mate wareware, he mea nui kia mōhio koe ki tō whānau me ō hoa tata kia taea ai e rātou te āwhina i a koe i roto i tētahi āhuatanga ohorere.
- Mena he pātai, he wehi, he ruarua rānei āu mō tēnei mea, kōrerotia marietia ki tō tākuta.
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