He nui rawa te pane o tāu tamaiti? Me ako tātou mō te Macrocephaly.

E ngā māmā, e ngā pāpā, kua kite pea koutou he nui ake te mahunga o tā koutou tamaiti i ērā atu pēpi o taua tau. I inehia rānei e te tākuta i te whare hauora te porowhita o te mahunga, ā, i kī mai? Koinei te ingoa e kiia nei e te taote ko te "Macrocephaly". Kaua e mataku ina rongo koe i tēnei ingoa, āe? Nā te mea ehara i te mea he mate ngā mahunga nunui katoa. Me kōrero taipitopito tātou mō tēnei.

He aha te Macrocephaly?

Ki te kī ngāwari, ko te tikanga o te (Macrocephaly) he upoko nui.'' Mena he (Macrocephaly) tō pēpi, ko tōna tikanga he nui ake te porowhita o tōna upoko i ērā atu pēpi o tōna tau me tōna ira tangata. Hei whakamārama, e ai ki ngā tākuta, ko tōna tikanga he nui ake te porowhita o te upoko o te pēpi (te ine huri noa i te wāhanga nui rawa o te upoko) i te 97 o roto i te 100 tamariki o taua tau (te 97th percentile i runga i ngā tūtohi e whakamahia ana e ngā tākuta). Ko tōna tikanga he nui ake tōna upoko i te 97% o ngā tamariki o tōna tau me tōna ira tangata.

Kaua e mataku ina rongo koe i tēnei. I ētahi wā, ko te '(Macrocephaly)' he tohu pea nō tētahi mate e hiahia ana kia rongoatia. Heoi anō, ko te take he nui te pane o tō pēpi, tera pea he mea nō roto i tō whānau. He mate kino tēnei kāore e hiahia kia rongoatia. Ka kiia tēnei he '(Benign Familial Macrocephaly)' .

He pēhea te noa o tēnei āhuatanga?

E kiia ana ka pāngia te mate e kiia nei ko te "Macrocephaly" e te 2% me te 5% o te taupori i te Hononga o Amerika. E kitea ana hoki tēnei mate i tō tātou whenua. Nō reira, ehara i te mea miharo te rongonga i tēnei.

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He aha ngā tohu o te Macrocephaly?

Nā, kia tirohia tātou he aha ngā tohu ka kitea me te (Macrocephaly). Engari kia maumahara, ehara i te mea me pāngia e ia pēpi ēnei tohu katoa. Tērā pea kāore he tohu o ētahi pēpi, he upoko nui anake.

• Te tere o te tipu o te upoko: Mena kei te tere ake te tipu o tō upoko i tō te whakaaro, he mea tēnei hei aro atu.
• Ngā uaua e kitea ana i te tumuaki: I ētahi wā, ka kitea mārama ngā uaua i raro i te kiri o te tumuaki.
• Ngā Whakaroa Whanaketanga: Mena ka tomuri te pēpi ki te mahi i ngā mea e tika ana kia mahia e rātou i tētahi tau (hei tauira: te menemene, te whakapakari i tōna kaki, te hurihuri, te noho, te hikoi, me ētahi atu), ko te tikanga he "Whakaroa Whanaketanga" tā rātou.
• Ngā kanohi e anga whakararo ana: Mena kei te titiro tonu ngā kanohi o te pēpi ki raro, kaua ki mua tonu (e kiia ana hoki tēnei ko te "Tūnga Kanohi o te Rā e Torengi Ana").
• Te whakapakeketanga, te pupuhitanga rānei o ngā āputa i waenganui i ngā wheua o te angaanga (ngā matapā): Mena he pakeke, he pupuhitanga rānei ngā wāhi ngohengohe (e kiia ana e mātou ko ngā matapā, e kiia ana e ngā tākuta ko ngā "matapā") i roto i te angaanga o te pēpi nā te mea kāore anō kia tino honoa ngā wheua.
• Hiahia kai: Mena ka whakakahore te pēpi ki te kai, ki te inu rānei, kāore rānei he hiahia ki te kai, ki te inu rānei.
• Te pā tahi me ētahi atu mate: I ētahi wā ko te (Epilepsy) (ngā hopuhopu/ ngā wiriKa kitea tēnei "(Macrocephaly)" me ngā āhuatanga pēnei i te "(Autism)".

Whakaarohia, mēnā he "Benign Familial Macrocephaly" tō pēpi (arā, he upoko nui, kāore he kino e ahu mai ana i te whānau), kāore koe e kite i tētahi atu tohu i tua atu i te upoko nui rawa.

He aha ngā take o te macrocephaly?

Āe, me titiro tātou ki te take e puta ai tēnei (Macrocephaly), me ngā take. Ka rerekē ngā take mai i te pai ki te kino.

Mena he "Benign Familial Macrocephaly" tō pēpi, ko te tikanga he nui ake tōna upoko i te toharite. He uri tuku iho tēnei upoko nui, ā, tera pea he rite te rahi ki tētahi atu o te whānau. Kāore he take e manukanuka ai.

Heoi anō, kei reira ētahi atu take, he kino i ētahi wā, o te "Macrocephaly". Ko ētahi o ēnei he whānautanga mai, ko ētahi ia ka puta ake i roto i te wā. Kei roto i ēnei ko:

• Megalencephaly: He rahinga rerekē o te roro.
• Te Hydrocephalus: Koinei te wā he nui rawa te wai cerebrospinal (CSF) e karapoti ana i te roro. Ka panaia te roro e tēnei wai nui ki roto i te angaanga, ka pēhi i te roro.
• Te toto i roto i te roro: I ētahi wā ka puta mai i ngā āhuatanga rerekē o ngā oko toto i roto i te roro (pērā i te 'Arteriovenous Malformation').
• Hyperostosis o te angaanga: Te matotoru rawa o ngā wheua o te angaanga.
• Ngā pukupuku roro.
• Hematomas: He toto totoka ēnei. Ka puta pea i ngā mea pēnei i te whara o te upoko, te hinganga, te rūrū rānei i te pēpi.
• Ngā mate roro: Hei tauira, te meningitis, te encephalitis, te whēwhe roro rānei.
• Ngā mate ira: Hei tauira, ngā āhuatanga ira pēnei i te (Achondroplasia) (he āhuatanga e ārai ana i te tipu), (Fragile X Syndrome), (Neurofibromatosis Type 1), (PTEN Hamartoma Tumor Syndrome) (e kiia ana ko (Cowden Syndrome)), (Gorlin Syndrome) me (Greig Cephalopolysyndactyly Syndrome).
• Te Pēhanga Piki Ake i roto i te Angaanga: He pikinga ake o te pēhanga i roto i te angaanga nā tetahi take.

Me pēhea te mōhio ki te (Macrocephaly)?

Nā, kia tirohia me pēhea te tautuhi a ngā tākuta i te macrocephaly, me pēhea hoki te kimi i te pūtake.

I mua i te whānautanga

Ka taea e tō tākuta te kite mēnā he macrocephaly tō pēpi mā te matawai ultrasound i a koe e hapū ana, inā koa i te mutunga o te toru marama tuarua, i te tīmatanga rānei o te toru marama tuatoru.

I muri i te whānautanga

I muri i te whānautanga o te pēpi, i ia whare hauora mō te rima tau pea, ka ine te tākuta i te porowhita o te māhunga o te pēpi. Kātahi ka whakaritea te ine ki tētahi tūtohi tipu noa mō ētahi atu pēpi o taua tau me taua ira tangata. Ka whakaarohia hoki te rahi o te māhunga o te whaea, o te pāpā, me ngā tūpuna pea.

Mena ka kitea te mate macrocephaly, ko te mahi e whai ake nei ko te kimi i te pūtake. Mō tēnei, ka whakahaerehia e te tākuta ngā whakamātautau maha.

Whakamātautau Neurological

I tēnei whakamātautau, ka mahia e te tākuta ngā mahi e whai ake nei:

• Ka pātai atu rātou ki a koe, ka whakahaere rānei i ētahi whakamātautau iti ki tō pēpi kia mōhio ai koe ki te hītori whanaketanga o te pēpi me tōna āhua o nāianei.
• Pātai atu mēnā kua whara te pēpi i te mahunga, kua pakaru rānei te roro, te pūnaha io rānei.
• Ka pātai atu rātou mēnā i pāngia koe e ētahi mate i te wā e hapu ana, mēnā rānei i pāngia koe e tētahi mate pēnei i te meningitis i muri i te whānautanga o te pēpi. Ka taea e ēnei te whakaputa i te hydrocephalus (te putunga wai ki te roro).
• Pātai atu mēnā kei te ruaki te pēpi, kei te pukuriri haere i te tikanga, kei te whakaatu rānei i ngā tohu o te ānini (arā, he panoni whanonga, he tangi kore e taea te whakamarie). He tohu pea ēnei o te pikinga o te pēhanga i roto i te roro.
• Pātai atu mēnā kua pāngia te pēpi e te mate haurangi i mua.

Whakamātautau Tinana

I tēnei whakamātautau, hei tāpiri atu ki te ine i te porowhita o te upoko, ka tirohia anō hoki e te tākuta ngā mea e whai ake nei:

• Ngā momotuhi: Koinei ngā wāhi ngohengohe kei runga i te upoko o te pēpi, e kiia nei ko ngā momotuhi. Koinei ngā wāhi kāore anō kia tino honoa ngā wheua o te angaanga. Koinei te mea e ngāwari ai te puta mai o te upoko o te pēpi i te whānautanga. Ko te momotuhi kei muri o te upoko ka kati i te 2-3 marama. Ko te momotuhi kei mua o te upoko ka kati i waenga i te 9 me te 18 marama. Mena he nui, he pupuhi, he mārō hoki tēnei momotuhi, he tohu pea tēnei mō te pikinga o te pēhanga o roto o te angaanga (ICP).
• Ngā uaua nunui o te mahunga: He tohu tēnei o te nui haere o te toto i roto i ngā uaua toto o roto i te roro.
• "Te Āhuatanga o te Kanohi o te Rā e Torengi Ana": Kei te anga tonu ngā kanohi o te pēpi ki raro, kaua ki te titiro tika ki mua. He tohu anō hoki tēnei mō te pikinga o te pēhanga i roto i te roro.
• Te korenga e piki te taumaha: Ko te korenga e piki te taumaha nā te kore hiahia kai, he āhuatanga e kīia nei e tātou ko te "Te Korenga e Tupu", ka pā pea ki tētahi raruraru roro.

Ngā Whakamātautau Whakaahua

Tērā pea kei roto i tēnei ngā mea e whai ake nei:

• (Matawai Ultrasound) (Matawai Ultrasound): Koinei te whakamātautau tuatahi ka mahia pea e te tākuta. Nā te mea he haumaru (kāore he irahiko), he tere, he ngāwari ki te mahi, ā, kāore e hiahiatia kia moe te pēpi. Mena kāore te fossa o mua o te pēpi (ina koa ko te mea kei mua o te upoko) i kati, ka taea e tēnei matawai te tirotiro i ngā mea maha i roto i te roro.
• (Rorohiko Tomography - CT Scan) (CT Scan): Ka taea e tēnei matawai te rapu i ngā huringa o te kiko roro. Heoi, nā te mea e whakamahia ana te irahiko, ka tūtohu noa te tākuta i tēnei mēnā kāore i homai e te (Ultrasound) ngā mōhiohio tika, mēnā rānei kāore e taea te whakamoe i te pēpi.
• Matawai Whakaahua Āhua Aukume (MRI): He tikanga MRI motuhake, tere hoki tēnei. Kāore e hiahiatia kia whakamoea te pēpi. Ka taea e ia te kite i te wai nui rawa i roto i te roro.

He aha ngā raruraru ka pā mai i te Macrocephaly?

Me mōhio hoki tātou ki ngā raruraru pea e pā ana ki te mate "(Macrocephaly)". Ehara i te katoa ka pāngia e ēnei, engari he mea pai kia mōhio.

• Te pēhanga o te kakau roro: Ki te kore e nui te wāhi o te roro i roto i te angaanga nā te nui o te upoko, ka taea te pēhanga o te kakau roro.
• Te wai i runga i te roro (hydrocephalus): Ki te kore e rongoatia wawetia, ka mate pea.
• Ngā mate hopuhopu me te mate haurangi.
• Ngā Whakaroa o te Whanaketanga.
• Te mahi roro rerekē.

Me pēhea te rongoā mō te Macrocephaly?

Āe, me pēhea te rongoā i tēnei (Macrocephaly)? Ko te mea nui ko te rongoā e whakawhirinaki ana ki te pūtake.

(Te Macrocephaly Whānau Pai) me te (Te Whakanui Pai o te Wāhi Subarachnoid i te Pēpitanga - BESSI)

Mena kāore he tohu mate io o tō pēpi, kei te tika te whanaketanga o ngā tohu, ā, he hītori whānau tōna o te upoko nui, tera pea he mate tuku iho tēnei upoko nui. Mēnā koinā , kāore he maimoatanga e hiahiatia ana. He mate kino hoki te (BESSI). I roto i tēnei, he iti noa te (Cerebrospinal Fluid) (wai roro tuaiwi) i roto i ētahi wāhanga o te roro, engari kāore e kino, ā, ka memeha haere i roto i te wā me te kore maimoatanga.

Ngā take ira (Macrocephaly)

I ēnei āhuatanga, me haere tonu pea te maimoatanga. Kei roto pea i tēnei ko te whakaora tinana, te whakaora mahi, te whakaora kōrero me te reo, me te whakaora whanonga.

Te pupuhi o te roro, te toto rānei i roto i te roro

I tēnei wā, me mahi pokanga pea hei tango i te wai nui, hei whakamutu rānei i te toto.

Puku roro

Ko ngā kōwhiringa maimoatanga ko te pokanga, te chemotherapy, te radiotherapy, me ngā steroids.

Ka taea te ārai i te Macrocephaly?

He kupu noa iho te Macrocephaly hei whakaahua i te upoko nui. Ehara te kupu i te kī he kino. Mēnā e mōhiotia ana he nui ngā upoko o tō whānau, he āhua noa, he āhua hauora hoki te nui o te upoko. Mā te tākuta o tō pēpi e whakatau mēnā he take hauora te macrocephaly.

Kāore rawa he mea e taea te mahi hei ārai i te macrocephaly. Heoi, kei reira ngā maimoatanga hei whakahaere i te nuinga o ngā āhuatanga e puta ai.

Ka aha mēnā ka pāngia taku pēpi e te Macrocephaly?

Ka aha mēnā he (Macrocephaly) tō pēpi?

Mena he nui te pane o tō pēpi engari he noa (ngā tohu whanaketanga, ngā whakamātautau io), kāti kāore te "macrocephaly" e kino, ā, he pai te putanga. Kāore he maimoatanga e hiahiatia ana. Koinei te āhua mena kua tāpaetia tō pēpi he "benign familial macrocephaly".

Heoi, ki te mea he tino take o te macrocephaly, ko te mea e tumanakohia ana ka whakawhirinaki ki te take motuhake. Ka motuhake te mahere maimoatanga a tō pēpi ki a ia.

Āhea ahau me kite i te tākuta?

He mea tino nui tēnei. Ki te kite koe i tētahi o ēnei tohu i roto i tō pēpi , me toro atu ki te tākuta tonu.

• Mena kei te pupuhi te rae (te wāhi ngohengohe ) o te māhunga o te pēpi.
• Ki te kore koe e hiahia ki te kai.
• Mena ka ruaki pinepine koe.
• Mena he rerekē ngā nekehanga kanohi.
• Ki te nui ake tō hiamoe i tō te tikanga.
• Ki te nui haere tō riri i tō te tikanga, ā, he uaua ki te whakamarie.

E tohu ana ēnei tohu kei te rerekē pea te āhua o te pēpi, nō reira ka tirotirohia e te tākuta, ka whakatauhia mēnā he mea tika kia rongoatia. Kaua e mataku, rapua tonutia he tohutohu hauora.

Kia pēhea te rahi o te māhunga o te tamaiti nohinohi?

Kia tirohia te rahi o te tipu o te upoko o te pēpi i te wā e pēpi ana. He uara noa iho ēnei? Kua whakaaetia e ngā tākuta ngā tūtohi tipu mō tēnei. Koinei ngā mea e whakatau tika ana mēnā kei te tipu noa te upoko o te pēpi. Ka tangohia ēnei inenga e te whare hauora, ā, ka whakamārama atu ki a koe.

He aha te rerekētanga i waenganui i te (Macrocephaly) me te (Megalencephaly)?

He āhua rite ēnei kupu e rua, engari he rerekētanga iti.

He kupu whānui te kupu '(Macrocephaly)'. Ko tōna tikanga he 'upoko nui rawa atu'. Ko te '(Megalencephaly)' tētahi o ngā take o te '(Macrocephaly)'.

He kupu motuhake ake te "Megalencephaly". Ko tōna tikanga he 'roro nui rawa atu'.

He aha te "Ngā kohinga pai o waho o te pēpi"?

Ka kiia hoki tēnei ko te (Benign External Hydrocephalus). Ko te tikanga o tēnei he iti noa te wai kua kohia i waenganui i te roro o te pēpi me te angaanga. He mea tino noa tēnei i roto i ngā pēpi he nui ō rātou mahunga. Kāore e hiahiatia he maimoatanga. Ka āta tirotirohia tō pēpi e tō tākuta. I te nuinga o te wā, ka memeha haere tēnei mate i a ia e pakeke haere ana ngā pēpi.

Hei whakamutunga, ngā mea hei maumahara

Āe, me titiro tātou ki ētahi o ngā mea tino nui hei maumahara māu mai i ngā mea kua kōrerohia e tātou.

Ko te tikanga o te macrocephaly he nui ake te mahunga o tō pēpi i te mea noa. He maha ngā wā ka kitea tēnei i te whānautanga.

Ko te mea nui, ehara i te mea he mate katoa ngā upoko nunui. Mena he upoko nunui anō hoki ō ētahi atu o tō whānau, ā, kāore he tohu kē atu, kāore pea he kino.

Heoi, i ētahi wā, ko te "Macrocephaly" he tohu pea nō tētahi mate kino.

Nō reira, ka whakahaerehia e te tākuta o tō pēpi he whakamātautau tinana me te tirotiro io, ā, ki te tika, ka whakahaerehia he whakamātautau whakaahua (matawai) o te upoko.

I runga i ngā hua o aua whakamātautau, ka whakatauhia e te tākuta te take me te whakarite i te mahere maimoatanga e tika ana.

Ki te mea he āwangawanga āu mō tō pēpi, inā koa ka kite koe i tētahi o ngā tohu whakatūpato i kōrerotia e tātou, kia kite koe i tētahi tākuta. Ko te mea nui kia kaua e mataku, engari kia whiwhi tohutohu hauora tika. Kia ora pai tō pēpi!