Kei te pēhia noa iho koe e te nekeneke haere, e te nekeneke haere? Tērā pea he Mal de Débarquement Syndrome (MdDS)?

Kua eke koe i runga kaipuke, poti, i runga tereina, pahi rānei, kātahi ka hoki ki uta, ā, i rongo koe kei te neke tonu te waka, kei te wiri te whenua, kei te nekeneke rānei? He rite tonu ōu kare ā-roto ina tū ake koe, ina haere rānei koe ki te moenga? Ehara tēnei i te mea e pāngia ana e te nuinga o te tangata i ētahi wā, engari ki te pāngia koe e tēnei, he tohu pea nō tētahi mate onge e kiia nei ko te Mal de Débarquement Syndrome (MdDS) . Me kōrero tātou mō tēnei i tēnei rā, he mea nui rawa atu kia mōhio ki tēnei.

He aha te Mal de Débarquement Syndrome (MdDS)?

Ki te whakarapopoto, ko te tikanga o te Mal de Débarquement Syndrome ko te "disembarkation sickness." He kupu Wīwī tēnei. Ko te "Disembarkation" ko te wā e heke ai tātou i te kaipuke, i te waka rererangi rānei. Nō reira, ko te MdDS ko te wā e rongo ana tātou kei te neke tātou, ahakoa kāore . Tērā pea ka rongo koe kei runga tonu koe i te poti, i te tereina rānei. Ka pā pea tēnei ki tō pumau me tō taurite .

He mate te MdDS o te pūnaha vestibular . Ko te pūnaha vestibular te pūnaha e whakahaere ana i te taurite o tō tātou tinana. Kei roto i tō tātou taringa o roto me te roro te nuinga o te wā. E whakapono ana ngā tohunga ka puta te MdDS ina taunga tātou ki ngā nekehanga rerekē (pērā i te wā e noho ana tātou i runga i te kaipuke), kātahi ka uaua te urutau anō o tō tātou roro ina mutu taua nekehanga. Whakaarohia kua noho koe i runga i te kaipuke mō ētahi rā. I muri i ētahi rā, ka taunga koe ki te rūrū o te kaipuke, e kiia nei ko ngā "waewae moana." Kātahi ka māmā ake te neke haere i roto i te kaipuke. Engari i muri i te hokinga ki uta, ka ngaro i ētahi tāngata ēnei "waewae moana" ā, e rua ngā rā ka hoki mai ngā "waewae whenua". Engari ko te tangata whai MdDS kei te rongo tonu i taua kare o te rūrū, o te rūrū ahakoa kei uta rātou.

Engari ehara i te mea ko te haerenga waka rererangi anake e pā ana ki te katoa. Ka taea hoki te tupu i muri i te haerenga waka rererangi, i te haerenga roa i runga pahi, i te tereina rānei, i te moe rānei i runga i te moenga wai. He mea whakamiharo, ka taea hoki te tupu i muri i tētahi huihuinga kore e neke (pēnei i te pokanga, te whānautanga rānei) me te kore take e kitea (MdDS ohorere) .

He pēhea te noa o te MdDS?

Ina hoki, he tino onge te mate Mal de Débarquement Syndrome (MdDS). E ai ki ētahi rangahau, e kiia ana tata ki te 150,000 ngā tāngata i te Hononga o Amerika anake e pangia ana e tēnei mate. Ehara i te mea he tau nui rawa.

Ahakoa ka taea e te tangata katoa te pāngia e te MdDS, he mea nui kia mōhiotia ko te 85% o ngā keehi kua pūrongohia he wāhine i waenga i te 30 me te 60 tau te pakeke. Kua kitea hoki ko te hunga e pāngia ana e te migraines he nui ake te tūponotanga ka pāngia e tēnei mate.

He aha ngā tohu o te MdDS?

Ko te tangata whai MdDS ka pāngia e ēnei tohu:

• He kare ā-roto e rurerure ana, e nekeneke ana, e piki haere ana, e heke ana rānei. He rite ki te noho i roto i te poti.
• Te kore pumau, te kore pumau.
• Ngā raruraru taurite. Tērā pea ka rite koe ki te ngaro o tō taurite i a koe e hikoi ana.
• Pōhēhē, uaua ki te arotahi.
• Te manukanuka me te wehi pinepine.
• Te pouri.
• He kohu roro, he uaua ki te whakaaro mārama.

Ka kitea nuitia ēnei tohu ina tū tonu koe, pērā i te tū, i te takoto rānei i runga i te moenga . Kāore i rite ki ētahi atu mate vestibular, kāore te MdDS e puta ai te tangi o ngā taringa (tinnitus), te ruaki, te ngaronga o te rongo, te hurihuri rānei . He āwhina anō hoki tēnei ki te tautuhi i te mate.

He aha ngā tino take e pā ai te mate MdDS?

E ai ki tā tātou i kōrero ai i mua, ko te mea tino kitea, ko te mea e tino pāngia ai te MdDS ko te haereere i te moana, i ētahi atu mahi wai rānei . Hei tauira, me taunga ngā tāngata i runga i ngā kaipuke tere ki te ruirui tonu me te hurihuri o te kaipuke. I muri i tētahi wā, ka whiwhi rātou i ngā "waewae moana" ā, ka taea te hikoi huri noa i te kaipuke me te kore e tukinga ki ngā pakitara. Kia tae rātou ki uta, ka hoki te nuinga o te tangata ki te āhua noa i roto i ngā rā torutoru. Engari mō te hunga whai MdDS, ka mau tonu te kare o te ruirui me te hurihuri ahakoa kua heke iho i te kaipuke. Me kī, i hoki mai a Nimali i te haerenga tere mō ētahi rā. Engari i tōna taenga ki te kāinga, i rite tonu ia ki te mea kei runga ia i te kaipuke, me te mea kei te ruirui te whenua. Ahakoa te noho i runga i te tūru, te takoto rānei i runga i te moenga, kāore i āwhina. Koinei te mahi a MdDS.

Kua tautuhia hoki ēnei e whai ake nei hei mea whakaohooho iti ake te kitea :

• Te haereere i runga i te waka rererangi.
• Te haere tawhiti i runga i te whenua (mā runga motuka, tereina rānei).
• Te whakamahinga o ngā ararewa.
• Te hikoi i runga i ngā tauranga.
• Te moe i runga i ngā moenga wai.
• Te whakamahi i ngā mōhiti mooni mariko (VR).

I ētahi wā, ka puta ngā wā MdDS ohorere, kāore he nekehanga . Ka taea tēnei te whakaoho e ētahi huihuinga taumaha o te ao . Hei tauira:

• Te whānautanga.
• E pokanga ana.
• Te whara o te upoko .

Me pēhea te tātaritanga o te MdDS?

Ki te whakapae tō tākuta whānau (PCP) kei a koe te MdDS, ka tukuna pea koe e ia ki tētahi tohunga taringa, ihu, me te korokoro (otolaryngologist) tētahi tohunga roro rānei.Ka tukuna koe ki tētahi tākuta mō ētahi atu whakamātautau. Ka puta tēnei i te nuinga o te wā mēnā kua pāngia koe e ngā tohu mō te iti rawa i te kotahi marama.

Ina hoki, kāore he whakamātautau kotahi e taea ai te tautuhi i te MdDS. Nō reira, me whakakore e ngā tākuta ētahi atu mate he rite ngā tohu (pēnei i te migraines vestibular). Ka tono pea rātou i ngā whakamātautau pēnei i ēnei:

• Ngā whakamātautau toto.
• Ngā whakamātautau whakarongo.
• Ngā whakamātautau taurite.
• Ngā whakamātautau whakaahua pēnei i te CT scans (Computed Tomography scans) te MRI rānei (Magnetic Resonance Imaging).

I te tau 2020, i whakaputa te Bárány Society , he whakahaere o te ao, i tētahi pūnaha paearu tātaritanga mō te MdDS i raro i te International Classification of Vestibular Disorders (ICVD). Mā tēnei kohinga mōhiohio ka āwhina i ngā tākuta hauora huri noa i te ao ki te whakamahi i ngā paerewa me ngā aratohu ōrite hei tātaritanga i te MdDS.

Me pēhea taku whakakore i tēnei mate MdDS?

Kāore anō kia kitea he rongoā tuturu mō te MdDS , engari ko te rongo pai, he maha ngā wā ka ea ko ia anake .

I tēnei wā, he maha ngā huarahi hei āwhina i te whakaiti i ō tohumate. Heoi, kāore ēnei maimoatanga e whai hua mō te katoa. Me whakamātau pea koe i ētahi tikanga kia kitea ai te mea e whai hua ana mōu.

Anei ētahi maimoatanga pea mō te MdDS:

• Rongoā.
• Te rongoā whakaohooho roro.
• Ngā mahi maimoatanga - te whakaora i ngā uaua vestibular.

Rongoā

Tērā pea ka whakaaro koe ko te rongoā mō te mate nekeneke te otinga. Engari i roto i te ao tūturu, kāore aua rongoā e tino āwhina i ngā tohu o te MdDS. Heoi, i ētahi wā, ka taea e ngā rongoā mō ngā āhuatanga pēnei i te manukanuka, te pouri, me te kore moe te āwhina i te whakamama i tō mamae.

Mena kei a koe te MdDS, ā, he maha hoki ngā mate pōuri o te upoko, ka tohua pea e tō tākuta he rongoā mō ngā mate pōuri. I ētahi wā, kua whakaatuhia he āwhina anō hoki ēnei rongoā ki ngā tohu o te MdDS.

Te rongoā whakaohooho roro

He maimoatanga hou tēnei. Ko te whakamahi i ngā tohu hiko hei whakahohe, hei whakakore rānei i ngā wāhanga rerekē o tō roro. I roto i tēnei maimoatanga, ka tāpirihia e te tākuta ngā hiko motuhake ki tō tumuaki. Tērā pea ka āwhina tēnei maimoatanga ki te whakangungu anō i tō roro kia wikitoria i ngā tohu o te MdDS.

Nga mahi maimoatanga (Mal de débarquement treatment exercises)

Mō tēneiE kiia ana hoki ko te Vestibular Rehabilitation Therapy (VRT) , ka taea e ēnei mahi whakakori tinana te āwhina i a koe ki te whakahaere i ngā raruraru taurite i puta mai i te MdDS. Kei roto i ēnei ko ngā maimoatanga motuhake pēnei i te whakangungu anō i te taurite me te whakahaere nekehanga kanohi .

Ka taea e tō tākuta te tūtohu i tētahi kaupapa e hāngai ana ki ō hiahia, engari me haere pea koe ki ētahi wānanga kia kite ai i ngā hua.

Kia pēhea te roa o te wā e ora ai?

He rerekē te whakautu ki tēnei pātai i ia tangata, i ia tangata. Ko te nuinga o te tangata ka ora i roto i ngā haora 24. Ko ētahi ka roa pea mō te wiki, e rua rānei. Heoi, ko ētahi ka pāngia e ngā tohu mō te tau, neke atu rānei. Nō reira kaua e mataku, kia manawanui, me rapu maimoatanga.

Ka taea te ārai i te MdDS?

Mena he pūtake motuhake tōu mō ēnei tohu, kāore he huarahi hei ārai i te MdDS i tua atu i te karo tonu i taua pūtake. Mena he maha tonu ōu MdDS, kōrero ki tō tākuta mō ngā rongoā hei āwhina.

Kia pēhea te roa o te mate o MdDS?

I te nuinga o te wā, ka memeha te MdDS i roto i ngā haora 24. Ahakoa kāore he maimoatanga, he tokomaha te hunga ka ora i roto i te tau kotahi. Heoi, he tino onge, ka pāngia ētahi e ngā tohu mō ngā marama, mō ngā tau rānei.

Ka memeha haere te mate taunga whenua?

Ae, i te nuinga o te wā, ka kite te hunga whai MdDS i te whakapai ake i ō rātou tohu i roto i ngā haora 24.

He aha te āhua o te noho tahi me te MdDS?

I te nuinga o te wā ka pai ake te MdDS i roto i ngā haora 24. Ki te kore, me mahi pea e tō tākuta he whakamātautau hei whakakore i ētahi atu mate, pērā i te migraine vestibular. Tērā pea ka roa te wā mō tēnei, ā, me whakamātau me te hapa pea. Ahakoa he ahua whakarihariha tēnei, he mea nui kia mārama he roa pea te wā ka kitea ai te otinga tika māu.

Ko te mea nui ko te mōhio kāore koe i te mokemoke. Tērā ētahi atu kua pāngia e ngā wheako ōrite.

Āhea ahau me toro atu ki te tākuta?

Ki te mea kei te neke haere koe ahakoa kāore koe e neke ana, me kōrero koe ki te tākuta . Ina koa ka roa ake ō tohumate i te 24 hāora, me rapu tohutohu hauora.

He aha ngā pātai me pātai atu koe ki te tākuta?

Mena kei a koe te MdDS, ka hiahia pea koe ki te pātai atu ki tō tākuta i ngā pātai penei:

• He aha ngā kōwhiringa maimoatanga kei a au?
• Kia pēhea te roa o taku maimoatanga ki tō whakaaro?
• Āhea ahau ka taea te tumanako i ngā hua?
• I tēnei wā, he aha taku e taea ai te whakaiti i aku tohumate?

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

He mate onge te Mal de Débarquement Syndrome (MdDS). Ka pai ake ngā tohu i roto i ngā haora 24, engari i ētahi wā ka roa pea mō ngā marama, tae noa ki ngā tau. He uaua pea te aro atu ki ngā kare ā-roto me ngā kare ā-roto e pā ana ki a koe, inā koa ka mau tonu ngā tohu.

He tino āwhina te kōrero ki ētahi atu kua pāngia e tēnei āhuatanga ki tō oranga hinengaro me tō oranga kare ā-roto. Pātai atu ki tō tākuta mō ētahi atu ratonga tautoko, me te mea he maimoatanga hou e tika ana māu. Kaua e mutu te tumanako, mā te tautoko me te maimoatanga tika, ka taea te whakahaere i tēnei āhuatanga.

` Mal de Débarquement Syndrome, MdDS, piu, raruraru taurite, kare o te neke, te mate i muri i te waka, te punaha vestibular