Kei te raru koe i te pouri? Kua whakamātau pea koe i ngā rongoā i tohua e tō tākuta, kua tae ki te kaunhera, ā, kāore anō kia tino pai ake tō āhua. He mea noa te ngākau pouri me te kore tumanako i ngā wā pēnei. Engari kia mahara, ehara i te mea ko koe anake. Kei te ahu whakamua te pūtaiao hauora i ia rā, i ia rā. Koia te take he maimoatanga hou, matatau hoki hei āwhina i te hunga kāore e pai te aro ki ngā maimoatanga tuku iho. Koinā te mea e kōrerohia ana i tēnei rā.
He aha te 'pouri ātete-maimoatanga'?
Hei whakarāpopototanga, koinei te āhua i kōrerohia i runga ake nei. Arā, ka kiia e mātou he pouri ātete-maimoatanga ina kore ngā tohu e pai ake me ngā maimoatanga kua whakaaetia mō te pouri (hei tauira, e rua, neke atu rānei ngā momo rongoā ārai pouri, i te horopeta tika, mō te wā e ranea ana).
Whakaarohia, ka hoatu e tō tākuta he rongoā ki a koe, ā, i muri i ētahi marama o te whakamahinga, kāore he rerekētanga nui. Kātahi ka whakawhitia koe e ia ki tētahi atu rongoā. Ki te kore e mahi, ka uru pea koe ki tēnei kāwai. I ngā wā pēnei ka whakaarohia e ngā tākuta ēnei maimoatanga motuhake, matatau ka kōrerohia e tātou.
Ko te mea nui, kaua e mutu te tumanako. Ahakoa kāore i angitu tētahi maimoatanga, ehara i te mea kāore koe e ora ake. He maimoatanga kei reira e whai hua ana mōu.
Te rongoā hiko-ā-ringa (ECT) - me mataku rawa koe pērā i tō whakaaro?
Ina rongo koe i te kupu "Electroconvulsive therapy (ECT)," tera pea ka mahara koe ki ngā wāhanga o ngā kiriata Sinhala me Hindi tawhito, ā, ka mataku koe. Engari i roto i te ao tūturu, he maimoatanga tino haumaru, he maimoatanga whakahaere hoki te ECT i ēnei rā.
Ko te mea ka tupu i roto i tēnei, ka whakamoea rawatia koe (ka whakamoea) ā, ka oti tēnei maimoatanga. Nō reira, kāore koe e rongo i tetahi mea. Kei reira tētahi rōpū tohunga (he tohunga hinengaro, he tohunga whakamoe, me ngā nēhi) mō tēnei. Ka tukuna e rātou he pāorooro hiko iti rawa, e whakahaeretia ana ki tō roro mā roto i ngā irahiko kua whakatakotoria ki tō mahunga. E whakaponohia ana ka whakahokia mai e tēnei te whakawhitiwhiti kōrero i waenga i ngā pūtau io i roto i te roro, ā, ka tere te whakaiti i ngā tohu o te pouri.
I te nuinga o te wā , e 6 ki te 12 ngā wā e hiahiatia ana, e rua ki te toru ngā wā i te wiki. He maimoatanga tino whai hua te ECT, inā koa mō te hunga e pāngia ana e te pouri nui e ātete ana ki te maimoatanga me te hunga e whakaaro ana ki te whakamomori.
Heoi, pērā i ngā mea katoa, kei reira ngā mōrearea me ngā pānga taha. Tērā pea ka pāngia ētahi tāngata e ngā raruraru mahara (ina koa i te wā e rongoatia ana) mō te wā poto i muri i te rongoa. Nō reira, he mea nui kia kōrerohia ēnei mea katoa ki tō tākuta i mua i te tīmatanga o te rongoa.
Te Whakaora Pūoro Aukume (TMS me te MST) - He aha ēnei?
E whakamahia ana e ēnei tikanga e rua ngā papa aukume hei awe i te roro, engari he rerekē paku ngā tikanga e rua.
1. Te Whakaoho Aukume Whakawhiti-Angaanga (TMS)
He tikanga māmā ake tēnei i te ECT. Kāore koe e tukua kia moe. Ka taea e koe te noho ki runga i te tūru. Ka whakatakotoria e te tākuta, e te tohunga hangarau rānei tētahi taputapu motuhake (he `he koiri waea ārai`) ki tō tumuaki, ā, ka tukuna atu he aukume mā roto i taua taputapu ki ngā wāhi motuhake o te roro e whakaarohia ana kei roto i te pouri. Kāore he mamae.
E 30 meneti pea te roa o tētahi wā, ā, me whiwhi pea koe i te maimoatanga mō te 5 rā i te wiki mō te 4-6 wiki. Ko tētahi o ngā painga nui o te TMS he iti noa ngā pānga taha, ā, kāore e hiahiatia he noho hōhipera. Tērā pea ka rongo ētahi tāngata i te ngau o te tumuaki, ka pāngia rānei e te ānini ngawari, te whanoke rānei. Heoi, kāore anō kia pūrongohia he pānga nui ki te mahara pērā i te ECT. Heoi, he mea nui kia mahara kāore te TMS e whakaputa hua kaha pērā i te ECT.
2. Te Whakaora i te Hopu Aukume (MST)
Kei te wāhanga rangahau tonu tēnei, ā, he rite ki te whakawhiti i waenga i te ECT me te TMS. I konei, ka whakamahia he papa aukume kaha hei whakaoho i te hopukanga kua whakahaeretia i roto i te roro. Ahakoa kāore i te mōhiotia te take tuturu, ka tere te whakaora a tēnei hopukanga i ngā tohu o te pouri. Me whai rongoā whakamoe hoki, pērā i te ECT. Heoi, ko te tumanako a ngā tākuta, nā te mea ka taea e te ECT te aro tika ake ki ngā wāhi o te roro, ka iti ake te pānga ki te mahara.
| Tikanga maimoatanga | He mea tika te rongoā whakamoe? | Painga matua | Ngā ngoikoretanga matua/ngā pānga taha |
|---|---|---|---|
| ECT (Whakaora Hiko-ā-rangi) | Āe, he mea whakahau. | He tino tere, he tino kaha hoki ngā hua. | Tērā pea ka pāngia te mahara mō tētahi wā poto. |
| TMS (whakaohooho aukume whakawhiti angaanga) | Kāore, kāore he take. | He iti noa iho ngā pānga taha, ā, kāore he take e hiahiatia ai te hōhipera. | Kāore pea e tere/kaha ngā hua e puta mai ana pērā i te ECT. |
| MST (Ngaru Ru Aukume) | Āe, e tika ana. | Kāore pea he pānga nui ki te mahara i tērā i te ECT. | Kei roto tonu i te wāhanga rangahau. |
Ētahi atu maimoatanga e pā ana ki te pokanga
He maimoatanga pokanga matatau ake ēnei. He tikanga tēnei mō ngā take tino kino kua kore e angitu ngā maimoatanga katoa.
1. Te Whakaohooho Roro Hōhonu (DBS)
He maimoatanga tēnei e whakamahia ana mō te mate a Parkinson. I roto i tēnei, ka pokangahia ngā irahiko ki roto i ngā wāhi tino motuhake, hohonu o te roro. Ka whakakahangia ēnei irahiko e te pākahiko kua whakatōkia ki raro i te kiri o te uma, o te puku rānei. Ka tukuna e ēnei irahiko ngā tohu hiko ki ngā ara iahiko i roto i te roro e whakahaere ana i te wairua, e whakahaere ana i ngā tohu o te pouri. Ahakoa he iti tonu ngā rangahau, he pai ngā hua.
2. Te Whakaoho i te Io Vagus (VNS)
He io roa te io vagus e rere ana mai i te roro ki ngā wāhanga rerekē o te tinana. E hono ana hoki tēnei io ki ngā wāhanga o te roro e whakahaere ana i te kare ā-roto. I roto i tēnei maimoatanga, ka whakatōngia he taputapu iti, he rite ki te pacemaker, ki raro i te kiri o te uma. Ka tukuna e te taputapu ngā nekehanga hiko ki te io vagus. Ka whakapai ake tēnei i te whakawhitiwhiti kōrero io i roto i te roro, ā, ka whakamamae i te pouri. Heoi, tera pea ka roa pea ētahi marama ka kitea ngā hua.
Ketamine - he whakaora tere tonu?
He rongoā whakangote te Ketamine. Engari kua kitea i roto i ngā rangahau tata nei, ina hoatu i roto i ngā horopeta tino iti, ka taea e ia te whakaora wawe i roto i ētahi o ngā tūroro pouri nui.
Kua whakaaetia inaianei te maimoatanga rehu ihu e kiia nei ko Ketoconazole mō te hunga kāore e aro ki ētahi atu rongoā ārai pouri, e whakaaro ana rānei kia whakamomori. Hei tāpiri, ka whakamahia hoki te werohanga ā-uaua (infus IV). He maha ngā wā ka mahia tēnei i roto i te hōhipera, i raro i te tirotiro a te rata.
Karere Tangohia ki te Kāinga
- Kaua e mutu te tumanako kāore tō pouri e memeha mā te rongoā noa. He maimoatanga matatau kei reira hei āwhina i a koe.
- He rerekē rawa atu, he haumaru ake, he whai hua ake hoki ngā maimoatanga pēnei i te ECT me te TMS i ērā e kitea ana i ngā kiriata.
- He maha tonu ēnei maimoatanga e whakamahia ana i roto i ngā āhuatanga motuhake anake. He painga, he ngoikoretanga hoki tō ia maimoatanga.
- Ko tō tākuta anake te mea hei whakatau mēnā he tika tēnei momo maimoatanga māu. Nō reira, kia tuwhera ki a ia ō kare ā-roto me ō wheako.
- He rite tonu te hiranga o te hauora hinengaro ki te hauora tinana. Kaua e mangere ki te tono āwhina.











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