I tēnei rā, kei te kōrero tātou mō tētahi mate nui e tika ana kia mārama koe: te whiu Lacunar. Kua rongo pea koe i te whiu whānui, engari he momo motuhake te whiu Lacunar. Ki te kī māmā, ka puta mai i te wā e āraia ai tētahi oko toto iti, angiangi i roto i tō roro e te toto totoka, he rite tonu ki tētahi paipa whaiti e āraia ana, e aukati ana i te rere o te wai.
Ka puta te whiu Lacunar ina mutu te rere o te toto ki tētahi wāhi iti rawa i roto i tō roro nā te aukati, ka pakaru taua kiko. Ka whakarōpūtia tēnei i raro i te wāhanga whānui o te whiu Ischemic . He maha ngā wā ka kiia tēnei e ngā tākuta he 'Lacunar Infarct'. Ko te kupu 'infarction' e pā ana ki te matenga o te kiko i puta mai i te korenga o te rere o te toto. Ko te tikanga, ko te whiu he mea e aukati ana i te rere o te toto ki tō roro.
He āhuatanga ohorere hauora tēnei e morearea ana ki te ora, me tere tonu te wawaotanga. Mēnā kei a koe, kei tētahi atu rānei kei a koe ngā tohu o te whiu, waea atu ki te 911, ki tō ratonga ohorere ā-rohe rānei. Ko te tere o tō whiwhinga i te tiaki hōhipera me te tīmata i te maimoatanga, ka nui ake te tūponotanga o te ora pai me te whakaora i tō ora. He mea nui ia hēkona.
Kia noho mohio ki a Nirogi Lanka.
He aha ngā tohu o te whiu Lacunar?
He tino rite ngā tohu o te whiu lacunar ki ētahi atu momo whiu ischemic. Tērā pea ka pāngia koe e tētahi, e ētahi rānei o ēnei tohu ohorere:
- Te ngoikore, te māuiui rānei i tetahi taha o tō mata, o tō tinana rānei.
- Te uaua ki te kōrero, te koretake o te kōrero, te ngaro katoa rānei o te kōrero, e mōhiotia ana ko te Aphasia .
- Te kōrero kore mārama, te kīkī rānei, e kiia ana i te taha haumanu ko te Dysarthria .
- Te ngaronga o te mana whakahaere i ngā uaua o te mata, e puta pinepine ana hei taha e piko ana o te waha.
- He hekenga ohorere, he ngaronga rānei o te mahi a tētahi o ōu māia e rima (tirohanga, whakarongo, hongi, reka, pā rānei).
- Te tirohanga pōuri, te tirohanga takirua rānei, e mōhiotia ana ko te Diplopia .
- Te ngaronga o te taurite, te taunga o te tinana, te uaua rānei ki te whakahaere i ngā nekehanga o ngā peka, e ahua rite ana ki te tangata haurangi, e mōhiotia ana ko te Ataxia .
- Pōuriuri, pōturi rānei.
- Whakapairuaki me te ruaki.
Kei te whakapae koe kei te pāngia koe e te whiu? Kia maumahara ki te tikanga 'KIA TERE'!
Hei āwhina i a koe ki te tautuhi wawe mēnā kei te pāngia koe, kei te pāngia rānei koe e tētahi o ō whanaunga, kia maumahara ki te kupu whakarāpopoto 'BE FAST' :
- B mō te Taurite: Kei te ngaro ohorere te taurite? He uaua ki a koe te tū, te hikoi rānei?
- E mō ngā Kanohi: Kei te ngaro ohorere te tirohanga o tētahi, o ngā kanohi e rua rānei, kei te pōuriuri, kei te rerekē rānei tō tirohanga?
- F mō te Kanohi: Me tono atu ki te tangata kia menemene. Kei te piko tetahi taha o te kanohi? Kei te tōia te waha ki tetahi taha?
- A mō ngā Ringa: Me tono atu ki te tangata kia hiki ake i ōna ringa e rua. I te wā e whiua ana, ka heke pea tetahi ringa ki raro, ka ahua kore rānei e taea te hiki.
- S mō te Kōrero: He pōturi te kōrero, he ngunguru, he uaua rānei ki te mārama? Ka taea e te tangata te whakahua mārama i tētahi rerenga kōrero māmā?
- T mō te Wā: He mea nui te wā! Ki te kite koe i tētahi o ēnei tohu, waea atu ki te 911, ki tō ratonga ohorere rānei o te rohe. Ki te taea, tuhia te wā i tīmata ai ngā tohu. Mā te whakapuaki i tēnei wā ki ngā tohunga hauora ka āwhina i a rātou ki te whakatau i te maimoatanga tino whai hua māu.
Ā, me pēhea te 'Mini-Stroke'?
I ētahi wā, ka pāngia koe e te Attack Ischemic Transient (TIA) , e kiia ana ko te 'mini-stroke'. He rite ēnei tohu ki te whiu noa engari ka memeha haere, i roto i ngā haora 24. Heoi, he tohu whakatūpato nui tēnei e pā mai ana he whiu nui i roto i te wā tata.Me tere tonu te tirotiro hauora mō te TIA; kaua rawa e warewarehia.
He aha te take o te whiu Lacunar?
E ai ki te kōrero, ka puta te whiu lacunar ina aukatia he uaua iti i roto i tō roro. Kei roto i ēnei wāhi ngā pokapū nui pērā i te Basal Ganglia me te Thalamus , e whakahaere ana i ō tirohanga ā-pūmanawa me ngā mahi nekeneke.
He maha ngā āhuatanga hauora e whai wāhi ana ki te hanganga o ēnei toto totoka, tae atu ki:
- Te toto toto tiketike (te toto toto tiketike): Koinei te take mōrearea matua, ā, ko te mea tino kino rawa atu. Mena he toto toto tiketike tōu, he mea nui te whakahaere i tōna taumata mō tō hauora mō te wā roa.
- Hyperlipidemia (Te Korekore Nui): Ka taea e te nui o te cholesterol 'kino' te kohikohi i roto i ngā oko toto, ka whakawhāiti, ka aukati hoki i te rere o te toto.
- Ngā Mate Pukupuku: He nui ake te tūponotanga o ētahi tāngata ki te ngawari o te pupuhi toto.
- Te mate urutā COVID-19: Kua honoa tēnei ki te pikinga ake o te mōrearea o te toto totoka i roto i ētahi tūroro.
- Ngā mate pāwera e pā ana ki te kiko: Ka taea e ngā mate kino pēnei i te Sepsis te whakauru i ngā para kiko ki roto i te toto, ka aukati hoki i ngā oko toto i roto i te roro.
Kia maumahara, ko te toto toto tiketike kāore e taea te whakahaere te hoariri nui rawa atu mō ngā whiu lacunar. Whakawhitiwhiti kōrero ki tō tākuta i Nirogi Lanka kia mau tonu ai tō toto toto i roto i te awhe hauora, whainga.
Ko wai kei te mōrearea nui ake ki te whiu Lacunar?
Ahakoa ka pāngia te tangata e te whiu lacunar, ka piki ake te mōrearea o ētahi āhuatanga:
- 65 tau te pakeke, neke atu rānei.
- Ngā tāngata whai uri Pango (e hono ana ki te huinga o ngā āhuatanga ira me ngā āhuatanga pāpori-ōhanga).
- Te momi hikareti, te whakamahi rānei i ngā hua kei roto te nikotīni (hei tauira, te vaping).
- Te whakamahi i ngā raau taero turekore.
Hei tāpiri, ka whakanui ake ētahi āhuatanga hauora i tō mōrearea:
- Ngā whakarerekētanga ira i roto i te ira 'NOTCH3' (e pā ana ki tētahi mate onge e kiia nei ko CADASIL).
- Te fibrillation atrial , ētahi atu hapa rānei o te manawa o te ngakau (ka arahi pea ki te hanganga toto totoka).
- Te mate whakamahi waipiro.
- Ko te Atherosclerosis , he āhuatanga e matotoru ai, e whakapakeke ai hoki ngā pakitara o ngā uaua toto.
- Mate huka.
Me pēhea te tautuhi tika a ngā tākuta i te whiu Lacunar?
He rataKa whakatauhia mēnā kua pāngia koe e te whiu lacunar i runga i ō tohumate, he whakamātautau pūnaha io, he aromatawai tinana, me ētahi whakamātautau tātaritanga motuhake. Mēnā ka haria koe ki te tari ohorere, ka taea e te tīma hauora te mahi i ēnei aromatawai hei whakaū i te tātaritanga.
Hei whakaū kua pāngia koe e te whiu lacunar, ka whakamahia pea e ngā tākuta ngā whakamātautau e whai ake nei:
- Ngā whakamātautau toto: Hei tirotiro i ngā raruraru pēnei i te mate toto totoka, te mate huka, me ngā taumata cholesterol.
- Matawai CT: Hei tango whakaahua o tō roro, kia tere ai te whakatau mēnā nā te toto i puta ai te whiu, nā te oko toto rānei i aukati.
- EEG (Electroencephalogram): Hei aroturuki i ngā mahi hiko o tō roro (e hiahiatia ana i ētahi wā).
- ECG (Electrocardiogram): Hei tirotiro mēnā he rerekē te pā o te ngakau, mēnā rānei he tohu o te mate ngakau.
- MRI: Hei tiki whakaahua mārama, taipitopito hoki o tō roro. He mea nui tēnei hei aromatawai tika i te nui o te kino i puta mai i te whiu.
He aha ngā maimoatanga e wātea ana mō ngā whiu lacunar?
Ko te kaupapa matua i te rongoā i te whiu lacunar ko te whakahoki wawe i te rere o te toto ki tō roro. Ka mahi tere ngā tākuta ki te whakaiti i te mōrearea o te kino tuturu o te roro, te mate rānei.
E rua ngā tikanga maimoatanga matua:
- Te rongoā thrombolytic: He rongoā ēnei hei whakarewa i ngā toto totoka. I te nuinga o te wā ka tukuna i roto i ngā haora e whā me te hawhe i muri i te tīmatanga o ngā tohu. I tua atu i tēnei wā, ka nui ake te mōrearea o te toto ā-roto kino.
- Te tango i te toto totoka ā-ringa: He tikanga tēnei hei tango i te toto totoka. Ka whakauruhia e te taote pokanga he ngongo angiangi (he catheter ) ki roto i tētahi oko toto i tētahi atu wāhanga o tō tinana, ā, ka arahina ki te oko toto kua āraia i roto i tō roro. Kātahi ka momihia te toto totoka, ka pakaruhia rānei. Kia mahara ko ngā oko toto e pāngia ana e te maha o ngā whiu lacunar he iti rawa pea mō tēnei tikanga; mā tō rōpū hauora koe e tohutohu ki te huarahi mahi pai rawa atu.
Hei tāpiri, ka hiahia pea koe ki ngā maimoatanga e whai ake nei:
- Ngā rongoā whakaheke toto: Ka ārai ngā rongoā anticoagulant i te totoka ngāwari, ā, ka tohua pea i muri i te rongoā thrombolytic.
- Te whakahaere i te toto toto: Ka whakaratohia e ngā tākuta he rongoā hei whakahaere i tō toto toto me te pupuri i tōna taumata haumaru.
He mea nui te whakaora i muri i te whiu?
Āe, tino tika! He wāhanga nui te whakaora i a koe anō mō tō oranga. Ka āwhina i a koe ki te urutau ki ngā huringa i puta mai i te whiu me te whakahoki mai i ngā pūkenga kua ngaro, ki te ako rānei ki te whakatere i ngā wero hou. I runga i ō hiahia, ka taea e koe te whai wāhi ki tētahi, ki ētahi atu rānei o ēnei e whai ake nei:
- Whakaora kōrero: Ka āwhina i te whakapai ake i ō pūkenga reo, te kōrero, me te whakahaere uaua e hiahiatia ana mō te manawa, te kai, me te horomi. Kia mahara, i muri i te whiu lacunar, he maha tonu te hiahia ki ngā rongoā antiplatelet .
- Te whakaora tinana:E arotahi ana ki te whakapakari i ō uaua, te whakapai ake i tō taurite, me te whakaora i te mahi a ō ringa me ō waewae.
- Whakaora mahi: Ka āwhina i a koe ki te mahi haumaru i ngā mahi o ia rā, inā koa ko ngā mea e hiahia ana ki ngā pūkenga nekeneke pai (hei tauira, te kai, te whakakakahu, te tuhituhi).
- Whakaora hinengaro: I hangaia hei whakapai ake i tō mahara, tō aro, me ētahi atu mahi hinengaro.
He aha te āhua o te oranga i muri i te whiu lacunar? Ka taea e au te ora katoa?
Kei te piki haere ngā reiti oranga nā te tere me te matatau o te maimoatanga. Heoi, he ahurei ia haerenga whakaora. Ahakoa he nui ake ngā reiti oranga o ngā whiu lacunar (me ētahi atu whiu ischemic) i ngā whiu hemorrhagic , kāore tēnei e kī taurangi he hua motuhake mōu.
He mea takitahi te whakaoranga; tērā pea ka hoki anō koe ki te mahi katoa, tērā pea ka tūtaki koe ki ngā wero hou, ki ngā wero roa rānei. Ko tō putanga ka whakawhirinaki ki ngā āhuatanga pēnei i tō tau, te tere o tō wawaotanga hauora, me tō hauora whānui. He maha ngā marama e hiahiatia ana e te nuinga o te tangata hei whakaora. Mā tō tākuta o Nirogi Lanka koe e ārahi i roto i tō mahere whakaora i runga i ō hiahia motuhake.
Ka taea te ārai i te whiu lacunar?
Ae, he mea nui! Ko te whakahaere i tō hauora whānui te parepare pai rawa atu. Ngāna kia arotahi ki ngā mea e whai ake nei:
- Kia mau tonu te whakahaere i tō toto toto, i tō taumata cholesterol, me ērā atu mate pūmau (pērā i te mate huka). Me tango tonu ō rongoā kua tohua kia rite ki ngā tohutohu.
- Kai i ngā kai hauora mō te ngākau , he nui ngā huawhenua, ngā hua rākau, ngā rau rau, me te muka. Mahi tahi me tō tākuta kia mau tonu te taumaha tinana hauora.
- Ki te kai paipa koe, kati tonu. Āta karohia hoki ngā hua nikotīni katoa.
- Me mahi i ngā mahi whakakori tinana auau. Kia 30 meneti pea te iti rawa o te whakakori tinana ngāwari, pērā i te hikoi tere, i ia rā.
Whakaritea he tirotiro hauora i ia tau (i runga rānei i ngā tohutohu a tō tākuta). He maha ngā āhuatanga e arahi ana ki ngā whiu lacunar ka puta haere i roto i te wā, ā, he maha ngā wā kāore e kitea he tohu. Ka taea e tō tākuta te āwhina i a koe ki te tautuhi wawe i ēnei tohu whakatūpato me te whakarato i ngā wawaotanga e tika ana hei pupuri i a koe kia haumaru.
Me pēhea taku tiaki i ahau anō i muri i te whiu?
He uaua te whakaora me te whakaora i muri i te whiu, ā, he uaua hoki te tinana me te hinengaro. Kia oti i a kōrua ko tō tākuta te whakarite i tētahi mahere maimoatanga whaiaro, he mea nui kia whai tonu i tēnei mahere. I te nuinga o te wā, me arotahi koe ki ngā mea e whai ake nei:
- Tangohia ō rongoā kia rite ki te mea i tohua. He mea nui rawa tēnei mēnā kei te tango koe i ngā rongoā whakaiti toto. Mā te whakahaere tonu i ngā rongoā ka āwhina i te ārai i ngā toto totoka a muri ake nei, ā, ka tautoko hoki i te tukanga whakaora o tō tinana.
- Haere ki ō wā whakaora me te whakaora tinana katoa. Mēnā ka pāngia koe e te mamae, ka noho mōrearea rānei tētahi mahi, kōrero tonu ki tō kaiwhakaora hinengaro. Ahakoa he nui te whakapau kaha e hiahiatia ana i roto i te whakaora tinana, kaua koe e akiakihia kia mamae rawa.
- Whakatairangahia tō hauora hinengaro. He mea noa te pāngia e te pouri, te manukanuka rānei i muri i te whiu. He rite tonu te hiranga o tō oranga hinengaro ki tō oranga tinana. Ahakoa te taumaha, te pouri rānei, ehara i te mea ka ngoikore koe. Mēnā kei te raru koe, whakapā atu ki tō tākuta, ki tētahi kaitohutohu hauora hinengaro whai tohu rānei.
Ko ēhea ngā kai me ngā inu me karo e au?
Tērā pea ka tūtohu tō tākuta i ētahi whakarerekētanga kai motuhake hei whakahaere i ō āhuatanga hauora, hei whakaiti hoki i te mōrearea o ngā toto totoka ā muri ake nei whai muri i te whiu lacunar. Ka taea e ngā whakarerekētanga iti ki ō tikanga o ia rā te hanga i tētahi rerekētanga nui.
Ko te tikanga, me ngana koe ki te whakawhāiti, ki te karo rānei i:
- Waipiro
- Ngā inu kawheine (ngana ki te whakaiti i te kai tī me te kawhe)
- Ngā kai me ngā inu he nui te huka
- Ngā kai he nui te konutai (whakaitihia te tote i te wā e tunu ana, ā, karohia ngā kai tukatuka he nui te tote)
- Ngā kai parai
- Ngā kai tino tukatukahia (hei tauira, ngā hōtiti, ngā mītiporo, ngā kai reka kua takaihia)
Āhea ahau me rapu awhina āwhina ohorere?
Ki te pāngia koe e ētahi tohu o te whiu anō, waea atu ki te 911, ki tō ratonga ohorere ā-rohe rānei. Ka pāngia pea koe e te whiu i muri mai e ngā raruraru kino, ā, ka mōrearea pea te ora. Kaua e whakaroa ki te rapu āwhina ohorere.
Ko te hunga kua pāngia e te whiu lacunar he nui ake te mōrearea ki ngā raruraru nui, tae atu ki:
- Te toto toto i roto i ngā uaua hohonu o ngā waewae (DVT )
- Te whakaekenga o te ngakau
- Pūkahukahu
- Te toto totoka i roto i te pukahukahu (te toto totoka i roto i te pukahukahu)
- Ngā mate hopuhopu
Ki te kite koe i ngā tohu o tētahi o ēnei āhuatanga, rapua tonutia he āwhina whawhati tata.
He aha ngā pātai me pātai atu e au ki taku tākuta?
Kaua e mangere ki te pātai atu ki tō tākuta i a koe e toro atu ana ki te tākuta. Whakaarohia ēnei e whai ake nei:
- 'Kei hea rawa i roto i tōku roro i puta ai tēnei whiu lacunar?'
- 'He aha te tino take, te āhua rānei i arahi ai tēnei?'
- 'He aha ngā rongoā e hiahiatia ana e au, ā, me pēhea taku tango i aua rongoā?'
- 'He aha ngā huringa āhua noho e tino hira ana ki ahau i tēnei wā?'
- 'He aha atu ngā mahi ka taea e au te mahi hei ārai i tētahi atu whiu?'
- 'Kia pēhea te roa o taku kaupapa whakaora, ā, he aha ngā hua ka taea e au te tumanako?'
Ngā Whakaaro Whakamutunga
Ka pāngia ngā oko toto iti o roto i te roro e te whiu lacunar (e mōhiotia ana ko te infarct lacunar), engari ka pā nui ki tō hauora whānui. Nō reira, he mea nui ngā tirotiro hauora auau. Ka mahi tahi tō tākuta me koe ki te tautuhi me te whakahaere i ngā āhuatanga mōrearea (pēnei i te toto toto tiketike, te cholesterol, me te mate huka) e whai wāhi ana ki te mōrearea o te whiu. Kōrerohia ki tō tākuta ngā rautaki pai rawa atu hei whakahaere i ēnei mōrearea.
I a koe e whakaora ana, kia maumahara ki te whakanui i ia tohu iti. Ahakoa i ngā rā uaua, he whakatutukitanga e tika ana kia whakanuia ia hikoinga whakamua. Kia whakahīhī koe ki te mahi uaua e whakapaua ana e koe ki tō whakaora.
Ko te tumanako ka whai hua ēnei kōrero. Kia ora tonu koe, ā, kia mahara kei konei a Nirogi Lanka hei tautoko i a koe.
👩🏽⚕️ Ngā Pātai Auau (FAQs)
💬 He mataku noa iho rānei te Misophonia i ngā oro?
Ehara i te mea he wehi noa iho. He mate pūnaha io uaua te Misophonia, ka puta he urupare kare ā-roto kaha, kāore i te āta whakaarohia i roto i a koe nā ngā "oro whakaoho" motuhake, auau - pērā i te ngaungau, te pāwhiri pene, te manawa taumaha rānei - e kore e arohia e ētahi atu. Tērā pea ka puta tēnei hei riri nui, hei mamae, hei hiahia nui rānei ki te oma atu i te āhuatanga. He "mauahara ki te oro" tēnei e kore e taea te whakahaere ngāwari.
💬 He aha ahau ka tino riri ai ina rongo ahau i ngā oro kai?
Kia mōhio koe, ehara tēnei i te kōwhiringa, i te mahi whanoke rānei; he mea kore e taea te whakaaro. Kāore te hunga whai Misophonia i te whakarongo pai ake i tētahi atu. Engari, nā te rerekētanga o te tukatuka a te roro i ēnei oro motuhake, ka nui rawa te kawenga o ō pokapū whakahaere kare ā-roto. Ka puta he urupare "whawhai-rere rānei", ka puta he kare riri kaha, pahū, he tino uaua ki te pehi.
💬 Ka taea te rongoā i tēnei mate mā te rongoā?
I tēnei wā, kāore he rongoā motuhake hei rongoā i te Misophonia. Ko ngā rautaki whakahaere tino whai hua ko te Cognitive Behavioral Therapy (CBT) me te whakamahi i ngā taringa whakarongo hei whakaiti i te pānga ki ngā mea whakaoho. Ko te mea nui, ko te mārama me te tautoko mai i ō whanaunga, ka taea te āwhina ki te whakaiti i ēnei oro i roto i tō taiao, he wāhanga nui o tō tiaki i Nirogi Lanka.
Kupumatua: Te Whiu Lacunar, Te Infarct Lacunar, Te Whiu Roro, Te Whiu, Te Totoka Toto, Te Toto Toto Nui, Ngā Tohu o te Whiu
