Whakaarohia kei te mahi koe i tētahi mea, ā, kātahi ka rite te ao katoa ki te hurihuri i a koe. I taua wā anō, ka rongo koe i tētahi tangi "goo..." rerekē i roto i tō taringa, ā, ka rite koe ki te mea kua ngaro te rongo i roto i tētahi taringa i tētahi atu. Ehara ianei tēnei i te wheako tino whakamataku, tino whakamā hoki? Koinei te whakamā e pā pinepine mai ana me te Mate a Ménière. Ahakoa ehara i te mea noa pēnei i tō whakaaro, he mea tino nui kia mōhio koe ki tēnei mate.
He aha te mate a Ménière?
Ko te mate a Meniere he mate e puta ana i roto i tō tātou taringa o roto. Ko tō tātou taringa o roto te kawenga matua mō te taurite me te whakarongo o tō tātou tinana. Nō reira, ina pā mai tēnei mate, ka raru te mahi a ēnei pūnaha e rua.
Ko te tohu matua ko te āhua e hurihuri ana te ao katoa ahakoa kei te noho puku koe. I roto i te rongoā, ka kiia tēnei he pōturi . Waihoki, ko te rongonga i ngā oro rerekē i roto i ngā taringa, me te mea kei te kī tetahi 'whoo' i roto i te taringa, he tohu. Ka kiia tēnei he tinnitus . Ka tīmata ohorere ēnei tohu, kāore he whakatūpato , ā, ka ngaro i muri i tētahi wā. Heoi, ka taea e rātou te puta anō i muri i tētahi wā.
Ki te kore e rongoatia, ka kino haere pea ngā tohu i roto i te wā. Tērā pea ka pāngia koe e te ngaronga o te rongo me ngā raruraru taurite tuturu . Engari kaua e manukanuka. Mā te mahi tahi me tō tākuta ki te kimi i te maimoatanga tika māu, ka taea e koe te whakahaere i te mate me te noho ora.
He aha ngā tohu matua o tēnei mate?
Ka puta ohorere mai ngā tohu o te mate a Meniere. Ka kiia tēnei he "whakaeke" he "wāhanga" rānei. Ka roa pea te "whakaeke" ki te 20 meneti, ki te 24 hāora rānei. He maha ngā "whakaeke" karapīpiti a ētahi tāngata. Waihoki, ka taea e ētahi tāngata te noho marama, tau rānei, kāore he tohu.
Kia mārama ake tā tātou kōrero mō ēnei āhuatanga matua i te ripanga i raro nei.
| Tohu | He whakaahuatanga noa iho |
|---|---|
| Te pōuri nui (Vertigo) | Koinei te tohu tino kino. Ahakoa kei te tū koe, e ahua ana kei te hurihuri te rūma katoa i a koe. Mō ētahi tāngata, he tino kino tēnei pororaru, kāore e taea e rātou te tū, ā, ka hinga ohorere ki te whenua. Ka kiia hoki tēnei he "whakaekenga taka." |
| Ngā uauatanga o te whakarongo me te ngaronga o te whakarongo | Kotahi te taringa e pāngia ana e te mate. I te tīmatanga, he tokomaha ka ngaro te kaha ki te whakarongo ki ngā oro iti. Ki te kore e rongoatia, ka roa pea tēnei ngaronga o te whakarongo. |
| Tinnitus | He tangi tonu kei roto i te taringa e pāngia ana. He tangi pea nō te mīhini e mahi ana, he hau mārie, he tangi "goo..." rānei ka rangona e koe ina pupuri koe i tētahi angaanga ki tō taringa. |
| Te Pēhanga o te Taringa | He kare ā-roto kī tonu, he pēhanga rānei i roto i te taringa. Tērā pea ka rite ki te mea kei te mau tetahi mea i roto i te taringa. |
Haunga ēnei tohu matua, tera pea ētahi tāngata ka pāngia e te whakapairuaki me te ruaki .
He aha tātou ka pāngia ai e tēnei mate?
Ina hoki, kāore anō kia kitea e ngā tākuta te tino pūtake o te mate a Meniere. Heoi anō, kotahi te ariā matua e whakaponohia ana e te tini o te tangata.
Arā, he nui rawa te kohi o te wai e kiia nei ko te endolymph i roto i tō tātou taringa o roto. Whakaarohia, he rite tō tātou taringa o roto ki tētahi pūnaha ngongo iti. Ko te wai "endolymph" i roto i tēnei ngongo ka āwhina i te tuku tohu ki te roro e whakahaere ana i tō tātou taurite me te whakarongo. Mena he take ka nui rawa te kohi o tēnei wai, ka piki ake te pēhanga i roto i taua ngongo, ā, ka tino raruraru taua pūnaha tohu. Koinā te wā ka puta mai ai ngā tohu pēnei i te whanoke me te tangi o ngā taringa.
He maha ngā take e taea ai e te wai "endolymph" te kohikohi pēnei:
- Mate pāwera: Ka taea e ētahi mate pāwera te whakaemi wai ki roto i te taringa o roto.
- Ārai taringa o roto: He ārai i ngā ara e rere ai te wai.
- Ngā whara o te upoko: Ka puta pea tēnei āhuatanga i muri i te whara nui o te upoko.
- Ngā mate urutā: Ngā mate huaketo, ngā mate kitakita rānei.
- Ngā mamae o te upoko o te migraine:Kua kitea e ētahi rangahau he hononga i waenga i te migraines me te mate a Meniere.
Ko wai te hunga tino mōrearea ki te pangia e tēnei mate?
Ahakoa ka taea e te tangata katoa te pāngia e te mate a Meniere, he nui ake te mōrearea o ētahi tāngata.
- Tau: Ko te nuinga o te wā ka kitea tēnei mate i waenga i te 40 me te 60 tau te pakeke .
- Ira Tangata: E ai ki ētahi rangahau, he nui ake te mōrearea o ngā wāhine i ngā tāne.
- Ira Tuku Iho: I waenga i te 7% me te 10% o te hunga whai mate he mema whānau tō rātou e pangia ana e te mate, ko te tikanga tera pea he awe ira.
- Ngā mate pūnaha ārai mate: Ko ēnei ngā mate e whakaekea ai ngā pūtau o roto i ō tātou ake tinana e te pūnaha ārai mate o tō tātou tinana. Hei tauira, ko te hunga whai mate pēnei i te mate rumatiki me te lupus he nui ake te tūponotanga ki te pāngia e te mate Meniere.
He aha ngā raruraru pea ka pā mai i tēnei mate?
He tino morearea te pororaru nui e puta mai ana i te mate a Meniere.
Whakaarohia te momo tūponotanga ka pā mai mēnā ka pōuri koe i a koe e taraiwa ana, e piki ana rānei i tētahi arawhata. Nō reira, me tino tupato te hunga whai mate nei i ā rātou mahi o ia rā.
I roto i te wā (i muri i te 8-10 tau), ka taea e tēnei mate te arahi ki te ngaronga o te rongo tuturu .
Haunga ēnei pānga tinana, ka pā nui anō hoki te mate a Meniere ki tō hauora hinengaro . Mā te whakaaro tonu ki ngā mea pēnei i te "Āhea ahau ka pōuri anō?" me te "Ka ngaro katoa taku rongo?" ka arahi pea ki te manukanuka me te pouri . Nō reira, he mea nui kia kōrero noa koe ki tō tākuta mō ēnei mamae tinana, tae atu ki te ahotea hinengaro e pā ana ki a koe.
E te tākuta, me pēhea e tautuhia ai tēnei?
Mena kei a koe ēnei tohu, me toro atu koe ki tētahi tākuta taringa, ihu, me te korokoro (ENT). Māna koe e tirotiro, e pātai hoki mō ō tohu. Tērā pea ka whakahaerehia e rātou ētahi whakamātautau hei whakakore i ētahi atu mate e rite ana ngā tohu ki te mate a Meniere.
- Whakamātautau whakarongo: Tirohia tō taumata whakarongo.
- Pūhiko whakamātautau vestibular: He maha ngā whakamātautau hei tirotiro i te mahi a tō pūnaha taurite taringa o roto me ngā uaua kanohi.
- Matawai MRI roro:Tirohia mēnā he pukupuku roro, he raruraru rānei e hua ai te whanoke.
He aha ngā maimoatanga? Me aha tātou mō tēnei?
Kāore he rongoā mō te mate a Meniere. Heoi, he maha ngā maimoatanga hei āwhina i te whakahaere i ngā tohu me te whakaiti i te kaha me te roa o te whakaekenga . Ka whakamātau tō tākuta i ngā maimoatanga māmā i te tuatahi. Ki te kore e whai hua, ka whakaarohia pea e ia te pokanga.
Ngā huringa āhua noho
I ētahi wā, mā te whakarerekē noa i ā tātou tikanga o ia rā ka nui te whakamarie e puta mai.
- Whakaitihia te kai tote: Kāore e tūtohutia ana e ngā tākuta kia neke atu i te 1,500 mirikaramu tote ia rā. Tata ki te ¾ o te tīpune. He mea pai hoki kia whakaitihia te kai i ngā kai kei roto te MSG (Monosodium glutamate).
- Te whakaiti i te kawheine me te waipiro.
- Te whakahaere i te ahotea me te moe nui.
Ngā rongoā
Ka tohua pea e tō tākuta ngā momo rongoā hei whakahaere i ō tohumate.
| Momo rongoā | Mahi |
|---|---|
| Ngā pire wai (Diuretics) me te Betahistine | Ka whakaitihia e ēnei te nui o te wai tāpiri i roto i te tinana me te taringa o roto, ka whakaitihia te pēhanga. |
| Ngā rongoā mō te whanoke me te whakapairuaki | Ka āwhina ēnei ki te whakahaere i te whanoke ina puta. Hei tauira: diazepam, meclizine. |
| Ngā werohanga i tukuna mā roto i te taramu taringa | Ki te kore e whai hua ngā pire noa, ka werohia pea e tō tākuta he steroid, he gentamicin rānei mā roto i te pakirau taringa. Heoi anō, tera pea ka nui ake te kino o te rongo mā te werohanga gentamicin. |
Ētahi atu maimoatanga
- Te whakaora i te pūnaha vestibular:He rite tēnei ki tētahi maimoatanga whakaora tinana. Ka ako koe i ngā mahi whakakori tinana motuhake hei āwhina i a koe ki te whakapai ake i tō taurite me te whakahaere i tō whanoke.
- Ngā taputapu whakarongo: Mena he tino ngoikore tō whakarongo, me whakamahi pea koe i tētahi taputapu whakarongo.
- Te whakatō taringa taringa: Ka taea te mahi i tēnei pokanga ki te hunga kua tata ngaro katoa ō rātou taringa, ā, kāore e taea te whakamahi i ngā taputapu whakarongo.
- Te Whakaora Hinengaro Whanoke (CBT): Ka āwhina tēnei tikanga maimoatanga ki te whakatau angitu i te ahotea, te manukanuka, me te pouri i puta mai i tēnei mate.
Pokanga
Ka whakaarohia te pokanga i ngā wā tino kino, ina kore e taea e tētahi atu maimoatanga te whakahaere i ngā tohumate. Ko te tikanga o tēnei ko te whakaiti i te pēhanga wai i roto i te taringa o roto, te tapahi rānei i te io e pā ana ki te taurite. He tino onge ēnei maimoatanga.
Karere Tangohia ki te Kāinga
- He mate taringa o roto te mate a Meniere e kore e taea te whakaora katoa, engari ka taea te whakahaere pai .
- Ko ngā tohu matua ko te whanoke ohorere , te pōuri nui (vertigo), te tangi o ngā taringa (tinnitus), me te ngaronga o te rongo .
- Ki te pā mai ēnei tohu ki a koe, kaua e mataku, engari me toro atu ki tētahi tohunga taringa, ihu, me te korokoro (ENT) i te wā e taea ai.
- Ka taea e ngā panonitanga o te āhua noho (pērā i te whakaiti i te kai tote), ngā rongoā, me ētahi atu maimoatanga te whakahaere angitu i ngā tohumate.
- Kōrerotia mārire ki tō tākuta mō te mamae tinana me te ahotea hinengaro i puta mai i tēnei mate. Ka taea hoki e koe te tiki āwhina mō tēnā.











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