Kua rongo koe i te wiri o ō ringaringa i a koe e pupuri ana i tētahi kapu tī, e haina ana i tētahi tuhinga, e noho puku ana rānei? Tērā pea ka whakaaro koe he mea tēnei ka puta i a koe e ngenge ana, e mataku ana rānei. Engari ki te mau tonu, tera pea nā tētahi āhuatanga e kiia nei ko te ' Essential Tremor '. Kaua e mataku ina rongo koe i tēnei ingoa. Me kōrero tātou mō ēnei mea katoa i roto i te reo māmā, mārama hoki.
He aha te wiri nui?
He whakarāpopototanga noa iho, ko te Essential Tremor he mate nekehanga e pā ana ki tō tātou pūnaha io. Ka meinga e ia ētahi wāhanga o tō tātou tinana kia wiri i roto i te āhua auau e kore e taea e tātou te whakahaere. He maha ngā wā ka tīmata i ngā ringaringa . Ka kitea ake tēnei wiri ina whakamahia ō ringaringa ki te mahi i tētahi mea.
He āhuatanga whanake haere tēnei. Ko te tikanga, i roto i ngā tau, kāore pea ngā wiri e pā noa ki ngā ringaringa, engari ka horapa pea ki te mahunga, ki te pouaka reo (korokoro), ki te kauae, ki te mata, ki te tinana, ā, i ētahi wā ki ngā waewae. Engari he tino puhoi te puta o tēnei āhuatanga, ā, kāore pea koe e hiahia ki tētahi maimoatanga mō ngā tau maha.
Ko te mea nui, ehara tēnei mate i te mea mōrearea ki te ora. Ā, kāore e whakapoto i tō roanga o te ora. Heoi, mō ētahi tāngata, ka uaua pea te mahi i ngā mahi o ia rā , pērā i te kai, te whakakakahu, me te tuhituhi.
He aha te take o te wiri nui?
Kāore anō kia tino mārama ngā tākuta he aha te tino take o tēnei, engari e whakapono ana rātou he mate pūnaha io tēnei e tīmata ana i roto i te pūnaha io, arā, te roro, te taurakira, ngā io rānei.
E mōhiotia ana i tēnei wā, tata ki te 50% o te hunga e pāngia ana e te Essential Tremor, he mema whānau anō tō rātou e pāngia ana e te mate. Ko te tikanga he hononga tuku iho kei waenganui i a rātou. Heoi, kāore anō kia kitea he ira kotahi te take o tēnei mate. Tērā pea nā te huinga o ngā āhuatanga tuku iho me ngā āhuatanga taiao i puta ai.
He whakarāpopototanga noa iho, kei reira tētahi wāhanga o tō tātou roro e kiia nei ko te 'Cerebellum' . Koinei te mea e whakarite ana , e whakahaere pai ana hoki i ngā nekehanga o ō tātou uaua. Mō te Essential Tremor, e whakaarohia ana he huringa kei roto i ngā hononga whakawhitiwhiti kōrero i waenga i tēnei cerebellum me ētahi atu wāhanga o te roro.
Ētahi atu take o te wiri
Ahakoa ko te wiri nui te tino take o te wiri, tera atu anō ētahi take o tēnei momo wiri, koia te mea nui kia kite koe i tō tākuta kia kitea ai te tino take.
| Ētahi atu āhuatanga e pā ana ki ngā wiri |
|---|
| Ko ētahi atu mate pūnaha io pērā i te mate a Parkinson, te sclerosis maha, te whiu rānei. |
| Te tairoi kaha rawa. |
| Te ngoikore o te mahi a te ate, o te whatukuhu rānei. |
| Te ahotea nui, te manukanuka, te ngenge rānei. |
| Te inu nui rawa atu i ngā inu kei roto te kawheine (tī, kawhe). |
| Ko ētahi rongoā mō te mate huango me te mate hinengaro. |
| Te pānga ki ngā paitini pērā i te konukōre taumaha me te mata, me ngā patupatu. |
He aha ngā tohu matua o te wiri nui?
He maha ngā tohu matua ka pā ki a koe i roto i tēnei āhua, engari kāore e pāngia e te katoa ēnei tohu katoa.
| Tohu | Whakaahuatanga |
|---|---|
| Te wiri i roto i ngā ringaringa | Koinei te tohu tino kitea, ā, tino kitea hoki. |
| Te wiri o te reo | Te wiri o te reo i te wā e kōrero ana. |
| Te ruru o te upoko | Te ruru i te mahunga kāore e taea te pupuri, me te mea nei kei te kī ia 'āe', 'kāo' rānei. |
| Whakanuia me te nekehanga | Ka kitea ake ngā wiri i a koe e neke ana, pērā i te pupuri i tētahi mea, te tuhituhi rānei, i te wā e okioki ana koe. |
| Te pikinga ake o ētahi mea | Ka taea e te ahotea, te nui rawa o te mahi, te kawheine, me ētahi rongoā te whakanui ake i te wiri mō tētahi wā poto. |
| Te whakaiti i te waipiro | He mea whakamiharo, e kitea ana e ētahi mā te inu i te iti o te waipiro ka whakaiti i te wiri mō te wā poto (engari kāore tēnei i te tūtohutia hei rongoā). |
Me pēhea te tātaritanga tika a te tākuta i tēnei?
Mena kei a koe ēnei tohu, ko te mea pai ko te toro atu ki te tākuta . Ka pātai atu te tākuta ki a koe mō tō hītori hauora, mēnā kua pāngia tētahi o tō whānau e ēnei tohu, kātahi ka whakahaere i tētahi whakamātautau tinana.
Mā te whakamātautau io, e pā ana ki te pūnaha io, ka kitea ngā mea e whai ake nei:
- Te kaha me te āhua o ō uaua.
- Ngā whakaata .
- Te taurite o te tinana.
- He aha ō kare ā-roto ina neke koe, ina okioki hoki koe?
- Te tere me te nui o te rūrū.
Hei tāpiritanga, ka taea te whakahaere i ngā whakamātautau toto me te mimi hei whakakore i ētahi atu āhuatanga e puta ai te wiri. I ētahi wā, ka tūtohutia hoki he matawai roro.
He aha ngā maimoatanga mō te wiri nui?
Tuatahi, ki te kore tō wiri e tino whakararuraru i ō mahi o ia rā, kāore pea koe e hiahia ki tētahi maimoatanga. Heoi, ki te pāngia tō kounga o te oranga, he maha ngā maimoatanga hei āwhina.
Rongoā
He maha ngā momo rongoā hei āwhina i te whakahaere i te wiri. Me whakamātau pea koe i ētahi momo rerekē kia kitea ai te mea e pai ana mōu. Ko te mea nui ko te whakamahi i ēnei rongoā katoa i raro i te tirotiro a te tākuta anake.
| Taumata maimoatanga | Ngā momo rongoā (tauira) |
|---|---|
| Ngā rongoā tuatahi - ngā mea e whakamahia whānuitia ana | |
| 1 | Propranolol (Hemangeol, Inderal) |
| 2 | Primidone (Mysoline) |
| Ngā rongoā raina tuarua | |
| - | Ngā rongoā pēnei i te Alprazolam (Xanax), Atenolol, Gabapentin (Neurontin), Topiramate (Topamax). |
Ētahi atu maimoatanga
- Ngā taputapu urutau: Ka taea e ētahi tāngata te whakahaere i te wiri mā te whakamahi i ngā mea pēnei i ngā taumaha ringaringa me ngā taputapu taumaha ake.
- Werohanga paitini botulinum: Tērā pea he āwhina tēnei werohanga mō te hunga e wiri ana te mahunga, te reo rānei.
- Te Whakaoho Roro Hōhonu (DBS): He tikanga pokanga tēnei. I roto i tēnei tikanga, ka whakaurua he hiko tino angiangi ki roto i te wāhanga o te roro e kiia nei ko te thalamus e puta ai ngā wiri, ā, ka honoa ki tētahi taputapu iti (pēnei i te taputapu whakatere) e whakatakotoria ana i raro i te kiri o te uma. Ka taea e tēnei taputapu te whakahaere i ngā karere hiko rerekē e haere ana ki te roro, ka whakaiti i ngā wiri mā te 70%-90%.
- Te oro-oro arotahi e arahina ana e te MRI:He hangarau hou tēnei. Ki te kore he pokanga, ka tukuna ngā hihi ultrasound kaha-teitei, me te āwhina o tētahi mīhini MRI, ki te whakangaro i ngā pūtau e tika ana i roto i te thalamus o te roro.
Karere Tangohia ki te Kāinga
- He mate noa te wiri nui o te pūnaha io, engari ehara i te mea morearea ki te ora.
- Ko te tohu matua o tēnei ko te wiri i ngā ringa, i te mahunga, i te reo rānei, ka piki ake i te wā e mahi ana.
- Tērā pea he hononga tuku iho ki tēnei, engari ka taea tonu e koe te whakawhanake ahakoa kāore he mema o tō whānau e pangia ana e tēnei mate.
- Mena kei te uaua te mahi i ngā mahi o ia rā nā te wiri o te tinana, kaua e mataku, engari me toro atu ki te tākuta . He maha ngā maimoatanga whai hua hei whakahaere i tēnei.
- Kaua rawa e tātaritanga i a koe anō, e tango rongoā rānei me te kore tohutohu a te tākuta.
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