He ringa wiriwiri tōu, ā, kāore e taea te pupuri tika i te kapu tī? Kei te wiriwiri koe i a koe e tuhituhi ana, e haina ana rānei? Koinei te mea e kiia nei e mātou ko te 'Essential Tremor'. Ahakoa ka ngana koe ki te whakahaere i tēnei āhuatanga mā te tango rongoā, tera pea ētahi tāngata kāore e makona ki a ia. Nō reira, mō ēnei tāngata, i tēnei rā ka kōrero tātou mō tētahi tikanga maimoatanga tino matatau hei whakahaere i tēnei wiriwiri. Ko te whakaohooho roro hohonu , ko te maimoatanga DBS rānei.
He aha te Whakaoho Roro Hōhonu (DBS)?
Ko te Whakaoho Roro Hōhonu (DBS) he tikanga e whakamahia ana hei rongoā i te maha o ngā mate nekehanga, inā koa ko te wiri nui.
Kei reira tētahi wāhanga o tō tātou roro e kiia nei ko te thalamus. Whakaarohia he pokapū whakahaere matua e whakarite ana, e whakahaere ana hoki i ngā mahi a ngā uaua o tō tātou tinana. Ahakoa kāore i te mōhiotia te tino take o te wiri nui, e whakaponohia ana ko te mahi roro rerekē e puta ai ngā wiri ka haere mā roto i tēnei thalamus.
Ko te maimoatanga DBS he pokanga ki te whakato i ētahi irahiko tino kikokore ki roto i tētahi wāhanga o te roro e kiia nei ko te thalamus. Kātahi ka honoa ēnei irahiko mā roto i ngā waea ki tētahi taputapu iti ka whakatohia ki raro i te kiri, i raro noa i te wheua kaki. He rite tēnei taputapu ki tētahi taputapu whakatere i roto i te ngākau. Ka kiia e mātou he kaiwhakaputa ihiihi (IPG).
Kia whakahohehia te taputapu, ka tukuna tonutia he pāorooro hiko iti , kore mamae ki te thalamus, ka ārai i ngā tohu rerekē e puta ai te wiri. Ka āwhina tēnei ki te whakahaere i te wiri me te kore e kino tetahi wāhanga o te roro.
He rite tēnei ki te whakaweto i tētahi 'pana' e hē ana i roto i te roro, engari kāore e pā kino ki te roro.
Ka taea te whakarite ngāwari i tēnei taputapu IPG (prog RA m) mā ngā tohu reo irirangi mā te rorohiko. Ka hoatu hoki ki te tūroro he aukume motuhake, ka taea te whakamahi hei whakakā/whakaweto i te taputapu mai i waho. Ka taea te whakamahi i te pākahiko o tēnei taputapu mō ngā tau e toru ki te rima. He tino māmā hoki te pokanga whakakapi pākahiko.
He aha ngā painga me ngā ngoikoretanga o tēnei maimoatanga DBS?
Pērā i ngā maimoatanga hauora katoa, he painga, he ngoikoretanga hoki tō tēnei. Me titiro tātou ki ēnei.
| Ngā Painga | Ngā ngoikoretanga |
|---|---|
| Kāore te kiko roro e whakangaromia tuturu, nō reira e kore e aukati i ngā maimoatanga hou a muri ake nei. | He tūponotanga kei pāngia koe e te mate nā te mea kua whakaurua he mea tauhou ki roto i te tinana. |
| Ka taea te tango i tēnei taputapu mā te pokanga i ngā wā katoa. | Me mahi anō koe i te pokanga hei whakakapi i te pākahiko i ia 3-5 tau. |
| Ka taea te whakarite i te mahi a te taputapu kia rite ki te hiahia. | I ētahi wā, ka pā te mamae, ngā kare ā-roto rerekē rānei i te wā e whakaohoohohia ana. |
| Tērā pea he whai hua ake tēnei mō te whakahaere i ngā wiri i ngā pokanga e whakangaro ana i ngā wāhanga o te roro (thalamotomy). | - |
Ko wai me whakaaro ki te pokanga DBS?
He pātai tino nui tēnei. I mua i te whakaaro ki te DBS, me whakamātau koe i ngā rongoā katoa kua tohua . Mena kei te pai te whakahaere i tō āhua mā te rongoā, mā ētahi atu taputapu o waho rānei, kāore i te tūtohutia te pokanga.
I mua i te whakatau mēnā he tika tēnei māu, me kōrero pai koe ki tētahi tohunga mō ngā mate nekehanga, ki tētahi tohunga roro rānei kua whakangungua mō tēnei mahi. Ko tō tākuta te tangata pai rawa atu hei tohutohu i a koe mō tēnei.
He aha ngā mea ka tupu i te wā o te pokanga?
Kāore koe e tukua kia moe i te wā e pokangahia ana. Engari, ka noho koe i roto i te āhua "pōuriuri". Nā te mea me kōrero te tīma pokanga ki a koe, me tirotiro hoki i ngā pānga o te whakaohooho. Ka hoatu he rongoā whakamoe ā-rohe ki a koe hei whakangāwari i ngā wāhi tairongo, ā, kia kore ai e pāngia e te mamae. Koia te take he iti noa te mamae o te nuinga o te tangata i te wā e pokangahia ana.
Ka whakamahia e ngā tākuta he matawai CT, MRI rānei hei mahere i te wāhi tika o ngā irahiko i roto i te roro. Kia kitea te wāhi tika, ka whakatōngia ngā irahiko tūturu ki roto i te roro. Kātahi ka kawea mai ngā waea ki raro i te kiri o te tumuaki, ka honoa ki tētahi taputapu IPG kua whakatōngia ki raro i te kiri o te uma.
Ka whakakāhia te IPG, ā, ka whakatikatikaina i roto i ngā wiki e rua ki te whā i muri i te pokanga. Tērā pea ka roa ake ētahi wiki hei whakatikatika i te taputapu me ngā rongoā ka hoatu ki a koe kia whiwhi ai koe i te nui o te whakaora tika mō ō tohumate .
He aha ngā mea hei tumanakohia i muri i te pokanga?
I muri i te pokanga, tera pea ka paku ngenge koe, ka mamae hoki te tinana. Heoi, ka hoatu he rongoā ki a koe hei āwhina i a koe kia noho humarie. Tērā pea ka mamae, ka ngawari rānei te taha o ngā tuitui me ngā wāhi e piri ana te titi.
Me pēhea te tiaki i ō patunga i muri i tō taenga ki te kāinga?
- Ka tangohia ō tuitui, ō tākai rānei i ngā rā 7-10 i muri i te pokanga.
- Me hipoki tonu ngā wāhi e whā i piri ai ngā whao ki te māhunga ki ngā whitiki whakapiripiri tae noa ki te maroke. Mēnā e tika ana, whakawhitia i ia rā.
- Ka taea e koe te horoi i tō mahunga ki te kakahu haukū, me te karo i ngā wāhi he mate pāwera .
- Ka taea e koe te horoi i ō makawe i te rā i muri i te tangohanga o ngā tuitui, engari kia tino tūpato . Kaua e rakuraku, kaua hoki e wero i ngā patunga.
Kei te hiahia koe ki te whakawhāiti i tāu mahi?
- Me noho tawhiti atu i ngā mahi māmā pēnei i te mahi whare me te moepuku mō ngā wiki e rua i muri i te pokanga.
- Āta karohia ngā mahi whakakori tinana taumaha pērā i te oma tere me te kaukau mō ngā wiki e whā ki te ono i muri i te pokanga.
- Kaua e hiki i tētahi mea taumaha ake i te rima pauna (2.3 kg) mō te iti rawa i te rua wiki.
- I runga anō i te āhua o tō mahi, tērā pea ka taea e koe te hoki ki te mahi i roto i ngā wiki e whā ki te ono.
Kia tupato: Waea atu ki te tākuta tonu!
Mena ka pāngia koe e tētahi o ngā tohu e whai ake nei i muri i te pokanga, me whakapā atu koe ki tō tākuta tonu atu, me te kore e whakaroa .
| Ngā Tohu Whakatūpato | |
|---|---|
| 1. | Te ānini nui me te pumau. |
| 2. | Te toto e rere ana mai i te patunga. |
| 3. | Te whero nui haere, te pupuhi rānei huri noa i te patunga. |
| 4. | Te ngaronga o te tirohanga, te whakarerekētanga ohorere rānei o te tirohanga. |
| 5. | He kirika pumau neke atu i te 101 nekehanga Fahrenheit. |
Karere Tangohia ki te Kāinga
- Ko te Whakaoho Roro Hōhonu (DBS) he maimoatanga matatau mō te wiri nui e uaua ana ki te whakahaere mā te rongoā.
- Kāore tēnei e whakangaro i ngā wāhanga o te roro, engari ka whakaratohia he whakaoho hiko hei aukati i ngā tohu hē e hua ai te wiri.
- Ka taea te whakarerekē i tēnei taputapu ina hiahiatia, ā, ka taea te tango atu mēnā e tika ana.
- Pērā i ngā pokanga katoa, he pai, he kino, he mōrearea hoki. He mea nui kia kōrerohia ēnei mea katoa me tō tākuta i mua i te whakatau.
- He mea tino nui te whai i ngā tohutohu a tō tākuta i muri tonu i te pokanga kia tere ai te ora me ngā hua angitu.
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