Te Whiu Toto: Me kōrero tātou mō tēnei āhuatanga morearea!

Āe, whakaarohia te mea ka tupu mēnā ka pakaru ohorere tētahi oko toto iti i roto i tōu mahunga, arā, i roto i tōu roro? He tino whakamataku te whakaaro, kāore? Koinei te mea e kiia nei e tātou he ' whiu toto', he āhua o te pararutiki i puta mai i te pakaru o tētahi oko toto i roto i te roro, ā, ka toto. He āhuatanga tino morearea tēnei, he āhuatanga ohorere. Ko te "toto toto" he kupu e whakamahia ana e ngā tākuta, i te kīanga māmā noa, mō te toto mai i tētahi wāhi i roto i te tinana.

Ina tīmata te rere o te toto ki roto i te roro i tēnei ara, kāore te roro e whiwhi toto, hāora rānei i te nui. Nō reira, kāore e taea e te roro te mahi. Ehara i te mea koinā anake, engari ko te pēhanga tāpiri i roto i te upoko ka taea te kino i ngā pūtau roro, tae atu ki te whakamate i a rātou. He tino kino tēnei momo whiu (hemorrhagic stroke) nā te mea ka puta wawe ngā tohu, ā, ka tere te kino haere. Ki te kore koe e whiwhi wawe i te maimoatanga hauora, ka taea e koe te whara tonu i te roro, tae atu ki te mate. Ki te whakaaro koe kei te pāngia koe, kei tētahi rānei kei a koe e te whiu , waea atu ki te 911 (ki tō nama urupare ā-rohe rānei). Ko te mea nui ko te kawe wawe i te tūroro ki te hōhipera, ka tīmata te maimoatanga. He mea nui ia hēkona i konei.

He aha ngā tohu o te 'whiu toto'?

Ina pā mai te whiu toto, ka puta mai pea tētahi, neke atu rānei o ngā tohu i te wā kotahi. Anei ētahi o aua tohu:

• Ngā ānini o te upoko: He ānini ohorere, kāore e taea te whakamanawanui, he nui hoki.
• Te mataku i te hihi o te rā: Ka kikorangi ngā kanohi ina pāngia e ngā rama kanapa, e te rā rānei.
• Pōuriuri, pōturi rānei.
• He uaua ki te mārama ki ngā kōrero a ētahi atu, he uaua rānei ki te kōrero (Aphasia).
• Ka pōturi ngā kupu, ka kore e mārama te kōrero (Dysarthria).
• Te ngoikore o te taha kotahi, te pararutiki rānei.
• Ka ngaro te mahi a ngā okana kite pērā i te tirohanga, te whakarongo, me te pā .
• Te pakari o te kaki, te uaua ki te piko.
• Te ruaki me te whakapairuaki .
• Kei te haere mai te mate urutā (ngā haurangi).
• Te hemonga, te ngarongaro rānei.
• Koma.

He aha ngā tohu whakatūpato o te 'whiu toto'?

Ka taea e tēnei pararutiki te whakaputa i ngā tohu maha. Hei kimi mēnā kei a koe, kei tētahi rānei o tō whānau tēnei mate, KIA TEREKia maumahara ki te kupu whakarāpopoto. Mā te whakakotahi i ngā reta tuatahi o ētahi kupu Ingarihi.

• B - Taurite : Kia tūpato ki te ngaro ohorere o te taurite. Me te mea nei kāore e taea e koe te tū tika.
• E - Kanohi: Tirohia mēnā kua ngaro te tirohanga ohorere i tētahi, i ngā kanohi e rua rānei, ā, mēnā he huringa kei te kitea.
• F - Kanohi: Whakamātauria te menemene. Tirohia mēnā kei te piko tetahi taha, ngā taha e rua rānei o tō mata.
• A - Ringaringa: Whakamātauria kia hiki ake ngā ringa e rua. Ki te pararutiki koe, tērā pea kāore e taea e koe te hiki i tētahi ringa, ka hinga koe ki raro, ā, ka tino ngoikore koe.
• S - Kōrero: Tirohia mēnā he pōturi te kōrero, mēnā rānei he uaua ki te tiki kupu tika.
• T - Wā: He mea nui te wā - rapua he āwhina tonu. Ki te taea, tirohia he mātaaratanga, he waea rānei, ka tuhia te wā i tīmata ai ō tohumate. Mā te kōrero ki te tākuta i te wā i tīmata ai ō tohumate ka āwhina i a ia ki te whakatau ko tēhea te maimoatanga pai mōu.

Kia maumahara, ki te kitea e koe tētahi o ēnei tohu BE FAST, tera pea he whiu. Nō reira kaua e moumou taima, haere tonu ki te hōhipera.

Me ako anō hoki tātou mō te whiu poto (Transient Ischemic Attack - TIA).

I ētahi wā ka puta he āhuatanga e kiia nei ko te 'mini-stroke', e kiia nei e ngā tākuta he 'transient ischemic attack' ( TIA ) . He rite tēnei ki te whiu, engari ka ngaro ngā tohu i muri i tētahi wā. Engari he whakatūpato tino nui tēnei! Ko te tangata kua pāngia e te TIA he tino mōrearea ki te pāngia e te whiu nui i roto i ngā rā tata nei. Nō reira, he mea nui kia rapua e te tangata kua pāngia e te TIA he maimoatanga hauora i te wā e taea ai.

He aha ngā take o tēnei 'whiu toto'?

Ki te kī ngāwari, ko ngā mea katoa e kino ana i ngā oko toto i roto i tō roro, e pā ai ki te pakaru, ka puta ai tēnei. Ko te toto toto tiketike (te toto toto tiketike) te tino take, me te tino take o tēnei. He tino teitei tēnei mōrearea mēnā he tino tiketike tō toto toto, mēnā rānei kua roa e kore e taea te whakahaere.

Anei ētahi atu take:

• Ko ngā aneurysm roro he uaua toto i roto i te roro e pupuhi ana , e pupuhi ana rānei pērā i te poihau. Ka ngoikore pea ēnei, ka pahū ohorere.
• Ngā pukupuku roro.
• Te mate Moyamoya: I tēnei āhuatanga, ka āraia ngā oko toto matua e tuku toto ana ki te roro, ā, ka puta mai he oko toto iti hou, engari he tino ngoikore.
• Te angiopathy amyloid cerebral: I roto i tēnei, ka whakatakotoria he pūmua ki roto i ngā pakitara o ngā oko toto i roto i te roro, ka ngoikore ai.
• Ngā whara o te upoko.
• Kua kitea ko te mate COVID -19 te take o tēnei i ētahi wā.
• I ētahi wā, i muri i te whiu ischemic i hua mai i te toto totoka i roto i te roro, ka tīmata te toto i taua wāhi.

He momo 'whiu toto' anō kei reira?

Āe, e rua ngā huarahi e rere ai te toto ki roto i te roro pēnei:

1. Te toto i roto i te roro: Koinei te wā e pakū ai te oko toto i roto i te roro . Kātahi ka kohia te toto ki roto i te kiko o te roro, ka puta he pēhanga. Whakaarohia he rite ki te pakū o te poihau wai ki roto.

2. Te toto o raro i te arachnoid: Kei roto i tō tātou roro he kiriuhi angiangi e kiia nei ko te kiriuhi arachnoid. Ko te wāhi i waenganui i tēnei kiriuhi me te roro e kiia ana ko te wāhi o raro i te arachnoid. Mēnā ka pakaru tetahi oko toto e tika ana mā roto i tēnei, ka kohia te toto ki roto i tēnei wāhi. Ka pēhia te roro mai i roto i te angaanga.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i ēnei?

Ka pāngia te tangata katoa e te whiu toto, engari ko ēnei tāngata e whai ake nei te hunga e tino mōrearea ana:

• Ngā tāngata neke atu i te 65 tau te pakeke.
• Ngā tāngata e momi hikareti ana (e whakamahi ana rānei i ētahi atu momo tupeka).
• Ngā tāngata e whakamahi ana i ngā raau taero turekore.

Waihoki, ki te mea kei a koe tētahi o ēnei āhuatanga hauora e pā ana ki tō pūnaha tohanga toto, ka nui ake tō tūponotanga ki te pāngia e te whiu:

• Te toto toto tiketike (hypertension).
• Te mate whakamahi waipiro.
• Te cholesterol teitei (Hyperlipidemia).
• Ngā mamae o te upoko, inā koa ko ērā he aura.
• Mate huka (Diabetes Mellitus).

Me pēhea te mōhio o ngā tākuta ki tēnei?

Ka tātaritatia e te tākuta he whiu toto mā te whakahaere i tētahi whakamātautau io me ngā whakamātautau pēnei i:

• Matawai CT: Koinei anake te huarahi hei tirotiro tere mō te toto i roto i te roro.
• Ngā whakamātautau toto: Tirohia mēnā he raruraru toto totoka me ngā taumata huka.
• ECG (Electrocardiogram - EKG): Ka tirohia te mahi a te ngākau.
• MRI: Mā tēnei ka āwhina i te kite i te roro me ngā taipitopito atu.

He aha ngā maimoatanga matua mō te whiu toto?

Ko ngā maimoatanga matua e rua mō tēnei ko ngā rongoā me te pokanga.

Ngā rongoā mō te 'whiu toto'

He maha ngā momo rongoā e whakamahia ana e ngā tākuta hei rongoā i tēnei mate. E rua ngā huarahi matua e mahi ai rātou:

1. Te tere ake o te toto totoka: He tokomaha e whakaaro ana he mea kino ngā toto totoka (inaa, he mea morearea ngā toto totoka). Engari ko te toto totoka te huarahi maori a te tinana ki te whakamutu i te toto. Ka taea e ngā tākuta te hoatu rongoā ki a koe pēnei i te whakaora Huaora K , te matūriki Prothrombin rānei hei āwhina i tō tinana ki te whakamutu i te toto i roto i te roro.

2. Whakahaerehia tō toto toto: Mā te pupuri i tō toto toto ki te taumata haumaru ka āwhina i te whakaiti i te toto i roto i te roro. Ka āwhina hoki i te aukati i te hanganga o ngā toto totoka i roto i ngā oko toto kua pakaru. Ka tīmata pea tō tākuta ki te tuku rongoā whakaheke toto IV (i roto i te uaua).

Te pokanga mō te 'whiu toto'

Ko te toto e kohia ana e te whiu ka nui te pēhanga ki runga i te kiko roro e karapoti ana i te uaua toto e toto ana. Mena ka nui rawa te pikinga o te pēhanga i roto i te angaanga (te pēhanga o roto o te angaanga), me mahi pokanga ohorere pea koe. Ka tangohia hoki e te taote pokanga te toto kua kohia, ā, ka whakaiti i te pēhanga ki runga i te roro.

Te Whakaora i te Whiu

He wāhanga nui te whakaora i te mate whiu toto. Ka āwhina i a koe ki te urutau ki ngā huringa o tō roro me tō tinana. Me whakahoki mai pea ō pūkenga kua ngaro, me ako rānei ki te noho me ngā hauātanga hou. Me hiahia pea koe ki tētahi, ki tētahi huinga rānei o ēnei maimoatanga e whai ake nei:

• Whakaora kōrero: Whakaora, whakapai rānei i tō reo me ō pūkenga kōrero. Ka āwhina tēnei ki te whakahaere i ngā uaua e āwhina ana i a koe ki te kōrero, ki te manawa, ki te kai, me te horomi.
• Whakaora tinana: Whakakahangia ngā uaua, whakapai ake i te taurite, me te whakaora i te mahi a ngā ringa me ngā waewae.
• Whakaora mahi: Ka āwhina i a koe ki te mahi haumaru i ō mahi o ia rā, inā koa ko ngā mahi e hiahia ana kia nekenekehia ngā nekehanga maeneene.
• Whakaora hinengaro: Ka āwhina ki te whakapai ake i te mahara, te aro, me ētahi atu pūkenga hinengaro.

Ka taea te ārai i te whiu toto?

Ko te pupuri i te toto toto hauora te huarahi tino nui hei ārai i te whiu toto. Mena he toto toto tiketike tōu, ka taea e tō tākuta te āwhina i a koe ki te whakahaere. Ka taea e rātou te tuku tohutohu ki a koe mō ngā rongoā me ngā huringa me mahi e koe ki tō mahinga o ia rā.

Ko ētahi atu mea ko:

• Kia mau tonu te whakahaere i ētahi atu mate hauora kei a koe (pērā i te mate huka me te cholesterol).
• Kai i ngā kai hauora ake, me te pupuri i te taumaha hauora e tika ana mōu.
• Whakakorikori tinana kia pai.
• Me tirotiro hauora koe i ia tau (kia rite rānei ki ngā tohutohu a tō tākuta).
• Ki te kai paipa koe, kati tonu.

Kia pēhea te roa o te ora i muri i te whiu toto?

He uaua ki te kī tika kia pēhea te roa o te ora i muri i te whiu toto, me te tere o te whakaoranga, nā te mea he rerekē te tinana me te hauora o ia tangata.

Ka mate pea te pararutiki, ā, ka puta he hauātanga tuturu, engari kāore he kaupapa whakaora kotahi mō te katoa.

He nui ake te tūponotanga ka mate koe i te whiu toto ischemic, e puta mai ana i te toto totoka i roto i te roro. Engari ehara i te mea ka tino kino ake te putanga i ētahi atu.

He rerekē te urupare a te tinana o ia tangata ki te whiu. Ko te āhua o te mate i muri i te whiu ka whakawhirinaki ki ētahi āhuatanga:

• Ko ēhea ngā wāhanga o te roro i pāngia?
• Te tere o te whiwhinga o te maimoatanga.
• Tō hauora whānui.

Mā tō tākuta koe e kōrero ki ngā mea hei tumanako atu. Mā rātou koe e āwhina ki te whakatakoto i ō whāinga me ō tumanakohanga whakaora i runga i tō hauora me tō āhua.

Me pēhea taku tiaki i ahau anō i muri i te whiu toto?

Ehara i te mea ngāwari te whakaora me te whakaora i muri i te whiu. Kia oti i a kōrua ko tō tākuta te whakawhanake i tētahi mahere maimoatanga, me whai i te mahere kia tata tonu. I te nuinga o te wā:

• Inumia tika tō rongoā: Mā te tango i tō rongoā e ai ki te tohutohu a tō tākuta ka āwhina i tō tinana kia ora. He mea tino nui te whakahaere i tō toto toto.
• Haere ki tō wāhi whakaora me ētahi atu wā maimoatanga i ia wā: Kōrero atu ki ō kaiwhakaora hinengaro mēnā he mea e whakamā ana i a koe, e kore rānei e haumaru. He uaua te whakaora, engari kāore koe e hiahia kia mamae tonu, kia kore rānei e pai.
• Whakaarohia tō hauora hinengaro: He mea noa te pouri me te manukanuka i muri i te whiu. Ko te pouri, te pōuri rānei, ehara i te mea he ngoikore koe, he hinga rānei. He rite tonu te hiranga o tō hauora hinengaro ki tō hauora tinana. Ki te hiahia āwhina koe ki te kōrero mō ngā mea i a koe e ora ana, kōrero ki tō tākuta, ki tētahi kaitohutohu hauora hinengaro rānei.

Āhea ahau me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?

Ki te mea kei te pāngia koe e te whiu anō, waea atu ki te 911 (ki te nama ohorere rānei). Tērā pea ka mate tētahi atu whiu, ka pāngia rānei koe e ngā raruraru kino. Kaua e whakaroa ki te rapu āwhina.

Ko te tangata kua pāngia e te whiu ka tūpono anō ki te whakawhanake i ētahi atu raruraru nui, pēnei i:

• Te embolism pūkahukahu.
• He mate manawa.
• Ngā toto totoka i roto i ngā uaua hohonu o ngā waewae (Deep vein thrombosis - DVT).

Ki te whakaaro koe kei a koe ngā tohu o tētahi o ēnei raruraru, waea atu ki ngā ratonga ohorere tonu atu, haere rānei ki te rūma ohorere.

He aha ngā pātai me pātai atu e au ki taku tākuta?

• Me pēhea taku tango i taku rongoā?
• Kia pēhea te roa e hiahiatia ai e au te rongoā?
• He aha ngā huringa me mahi e au i roto i tōku ao o ia rā?
• He aha ngā tohu whakatūpato me tirotiro e whakaatu ana kei te haere mai tētahi atu whiu?
• Āhea ahau me haere mai anō kia kite i a koe?

Ka pā nui te whiu toto ki tō oranga. He mea whakamataku te mea ka pā kino ki tō roro. Ki te whakaaro koe kei te pāngia koe e ngā tohu o te whiu, rapua tonutia te awhina. Ko te tere o te tākuta ki te tātaritanga me te rongoā i te mate, ko te pai ake.

Kia tae koe ki tētahi āhua haumaru, pumau, ka tīmata te whakaoranga. He mahi uaua, engari he pai te hua. Kaua e wareware ki ō kare ā-roto, ā, whakapuakihia ō pouri ki ō tākuta me ō kaiwhakaora hinengaro. Tērā pea ka puta mai tō whakaoranga i roto i ngā mahi iti, engari kaua e wareware ki te whakanui i ia angitu ka tutuki i a koe.

Karere Tangohia ki te Kāinga

He tino morearea te whiu toto, he mate hauora ohorere nā te pakaru o te uaua toto i roto i te roro. Ko te tino take o tēnei ko te toto toto tiketike.

Kia maumahara ki te kupu whakarāpopoto BE FAST (Balance, Eyes, Face, Arms, Speech, Time) hei tere kite i ngā tohu. Mēnā kei a koe tētahi o ēnei tohu , haere tonu ki te hōhipera.

Kei roto i te maimoatanga ngā rongoā me te pokanga. He mea tino nui te whakaora (te kōrero, te whakaora tinana, te whakaora mahi, te whakaora hinengaro) i roto i te whakaoranga.

Hei ārai i tēnei, me whakahaere tō toto totoka, me whai i te oranga hauora, ā, me karo hoki i te kai hikareti.

Kaua e wareware, i roto i tēnei āhuatanga, he mea nui ia hēkona. Mā te mahi tere ka taea te whakaora i te ora me te ārai i ngā whara kino.

` Pararutiki, Toto i roto i te Roro, Whiu Toto, Toto Toto tiketike, Ngā Tohu o te Whiu, Maimoatanga Whiu, Whakaoraora