He aha te NDPH? Kia mārama tātou!
Ki te whakarapopoto, ko te New Daily Persistent Headache (NDPH) he momo headache ka tīmata ohorere, ka roa mō ngā marama, ā, ka rerekē mai i te āhua ngawari ki te kino. Ehara i te mate kino, arā, ehara i te mea mōrearea ki te ora. Heoi, ka taea e ia te whakararuraru i ō mahi o ia rā me tō momo noho. He uaua ki te rongoā. E rua ngā momo matua o te NDPH: 1. NDPH Tuatahi: Ka karangatia hoki e ngā tākuta (idiopathic) ko te NDPH . Ko te tikanga tēnei kāore e kitea he take motuhake mō te take e puta ai. 2. NDPH Tuarua: Ka puta mai i te hononga ki tētahi atu mate hauora, i te hua rānei o tētahi atu mate. I te nuinga o te wā, ka puta mai i tētahi mate huaketo .Ko wai te hunga e tino pāngia ana e tēnei āhuatanga NDPH?
Ka taea e te tangata te pāngia e te NDPH. Heoi, he paku noa ake te kitea i roto i ngā wāhine. Ahakoa he tino kitea tēnei mate i roto i ngā tamariki me ngā taiohi, inā koa ko te hunga i waenga i te 10 me te 18 tau te pakeke, ka taea e ia te pāngia e te tangata o ngā tau katoa.He pēhea te noa o te NDPH?
He iti noa ngā rangahau mō te whānui o te NDPH. Engari i runga i ngā raraunga e wātea ana, he tino onge tēnei mate. E whakaatu ana ngā rangahau mai i ngā whenua pēnei i a Nōwei me Pāniora e puta ana i waenga i te 30 me te 100 mō ia 100,000 tāngata. Nō reira, ka kite koe i te onge o tēnei mate.He aha ngā mea ka pā ki ō tātou tinana mai i te NDPH?
Ko te NDPH te mea nui ka pā ki tō roro . Heoi, ki te mea he rite ō tohu ki te migraine , ka pāngia pea koe e te aro ki te mārama, te aro ki te oro, te wiri, te whakapairuaki, te ruaki rānei.He aha tonu ngā tohu o te NDPH?
He rite tonu ngā tohu o te NDPH ki ētahi atu ānini, engari he motuhake tēnei.- He roa te mamae o te upoko: Kia taea ai e te tākuta te tautuhi i te NDPH, me pāngia koe e te mamae o te upoko mō te iti rawa e toru marama karapīpiti.
- He mamae tonu: E ai ki te tini o ngā tohunga , ina tīmata te NDPH, ka mau tonu te mamae.
- Kei te maumahara koe ki te rā i tīmata ai tēnei: he mea tino nui tēnei.E ai ki ngā aratohu mana o te International Headache Society, hei tautuhi i te NDPH, me mahara koe ki te rā, te wā, te wāhi i noho ai koe, me te aha i mahia e koe i te tīmatanga o te mamae o te upoko. Whakaarohia, e mahara ana koe ki te kī, "I te mahi ahau i te tari i te ata o te Tūrei ka puta whakarere mai tēnei mamae o te upoko." Koinei te mārama o te mahara e hiahiatia ana e koe.
- He mamae ngawari ki te kino te nuinga: He maha ngā wā ka pāngia te hunga whai NDPH e te mamae ngawari, te mamae kino rānei. He mamae pumau tēnei, ā, he uaua ki te mahi i ngā mahi noa.
Ngā āhuatanga o te ānini taumahatanga:
- Te mamae i ngā taha e rua o te māhunga.
- Me te mea kei te pēhia tō mahunga i roto, me te mea kei te whakamomorihia.
- Kāore te mamae e piki ake i runga i tāu mahi.
Ngā tohu o te migraine:
- Te mamae i te taha kotahi o te upoko.
- He rite ki te mamae e ohooho ana, e pāorooro ana.
- Te aro nui ki te māramatanga: Te mamae i te tirohanga ki te māramatanga, te aro nui ki te māramatanga.
- Phonophobia: Te aro nui ki te oro, te mamae ina rongo i ngā oro.
- Whakapairuaki me te ruaki .
- Pōturi : Pōuriuri .
- Ngā aura tirohanga: Te kitenga i ngā rama me ngā aho rerekē i mua i ngā kanohi.
He aha ngā take o te NDPH? He aha ai tēnei e tupu ai?
Kāore anō kia tino mōhiotia e ngā tohunga te take o te whanaketanga o te NDPH. Heoi, e whakapae ana rātou ko ētahi huihuinga me ngā āhuatanga ka taea te whakaoho . Ka puta te NDPH i ngā wā o te ahotea nui. Ka taea hoki te puta te NDPH i muri i ētahi mate. Heoi, kāore i te nui ngā raraunga hei whakaū koinei ngā take o te NDPH. Ko tētahi o ngā whakaoho nui ko ngā mate pāwera . He maha ngā wā ka puta te NDPH ina he mate huaketo, he mate kitakita rānei. Anei ētahi tauira:- Te huaketo Epstein-Barr : Koinei te tino take o te mate e kiia nei ko te mononucleosis (mono) .
- Salmonella
- E. coli
- Te kirika dengue:He mea tino noa tēnei i tō tātou whenua, kāore?
- Covid-19 ( COVID-19 )
- Te Meningitis , te Encephalitis rānei: He momo mate roro ēnei.
- Te toto toto i raro i te roro: He toto tēnei e rere ana ki roto i ngā kiriuhi e karapoti ana i te roro. He maha ngā wā ka tīmata ohorere me te "mamae upoko nui e pā ana ki te whatitiri".
- Te iti o te pēhanga o te wai cerebrospinal (CSF) : Ka puta mai tēnei i te turuturu o te CSF mai i tētahi wāhi o te angaanga, o te taurakira rānei. (Ko te CSF te wai e karapoti ana, e tiaki ana hoki i tō tātou roro me te taurakira.)
- Te mamae o te upoko i puta mai i te pikinga o te pehanga CSF.
- Ngā mamae o te upoko e pā mai ana i muri i te whara (hei tauira, i muri i te whara o te roro ).
- Ko te nui rawa o te whakamahinga o te rongoā, inā koa mō ngā ānini me ngā migraines, ka arahi pea ki tētahi āhuatanga e kiia nei ko ngā "rebound headaches," arā, ka kino haere te ānini i muri i te tango i te rongoā.
He mate hopuhopu te NDPH?
Kāo, kāore te NDPH e horapa mai i tētahi tangata ki tētahi atu. Ahakoa ka taea te whakawhanake i te NDPH i muri i ētahi mate, ehara i te mea ko te hunga katoa e pangia ana e taua mate ka whakawhanake i te NDPH.Me pēhea te tātaritanga a te tākuta i te NDPH?
He tukanga maha-taahiraa te tātaritanga o te NDPH. 1. Taahiraa 1: Kohikohi mōhiohio mō ō tohumate. Kei roto i tēnei ko te roa o te mamae o te upoko, te wā i tīmata ai, me ō kare ā-roto. 2. Taahiraa 2: Whakakorehia ētahi atu take o tō mamae o te upoko. I te taahiraa tuatahi, ka pātai atu tō tākuta ki a koe, ka tirotirohia hoki koe. Tērā pea ka whakahaerehia e ia he whakamātautau io hei tirotiro mēnā he hē kei roto i tō pūnaha io. Kātahi, ka hiahia tō tākuta ki te whakarite kāore he take kē atu. He rite ngā tohumate o te NDPH ki ērā o ngā mate io maha atu.Te tātaritanga i mua i te wā e toru marama: He maha ngā wā ka rapu āwhina hauora te tangata i mua i te wā e toru marama e hiahiatia ana hei whakaū kua pahemo te NDPH. I taua wā, ka whakahaerehia pea e te tākuta ngā whakamātautau katoa me te kī "tērā pea he NDPH" me te kore e whakatau i te tātaritanga. I muri i te toru marama o ngā tohu, ka taea e te tākuta te tātaritanga mana mō te NDPH.
He aha ngā whakamātautau e mahia ana hei tautuhi i te NDPH?
Kāore he whakamātautau motuhake hei tautuhi tika i te NDPH.Engari, ka mahia ngā whakamātautau hei whakakore i ētahi atu mate he rite ngā tohu, inā koa ko ērā he morearea, he morearea rānei ki te ora. Ko ētahi o ēnei ko:- Matawai Tomography Rorohiko (CT).
- Matawai Whakaahua Āhua Aukume (MRI).
- Te Werohanga o te Lumbar (te werohanga o te tuaiwi): Ko te tango i tētahi wai cerebrospinal (CSF) mai i te tuarā o te kaki, e karapoti ana i te taurakira, ka whakamātautau i taua wai. Ka āwhina tēnei ki te kite i ngā mea pēnei i ngā mate me te pēhanga ki te roro.
- Ngā whakamātautau toto: Tirohia mēnā he mate pāwera.
Me pēhea te rongoā i te NDPH? Ka taea te whakaora katoa?
He uaua te rongoā i te NDPH. Ko ētahi mate, inā koa ko ngā mea he rite ki te migraine, ka ngāwari ake te whakahaere. Heoi, ko te NDPH me ngā tohu momo taumahatanga he iti ake te tūponotanga ka aro ki te rongoā. He mea nui te wā. He nui ake te tūponotanga ka whai hua te rongoā wawe i ngā tau i muri i te tīmatanga o ngā tohu. Ko ngā rongoā te rongoā matua mō te NDPH. Heoi, he uaua pea te kimi i te rongoā tika mō tēnei mate. Anei ētahi o ngā rongoā ka taea te whakamahi:- Ngā rongoā ārai pouri: Ka taea e ngā rongoā pēnei i te (Amitriptyline), (Nortriptyline), me te (Venlafaxine) te āwhina i te NDPH nā te mea ka āwhina anō hoki rātou ki te whakahaere i te mamae.
- Ngā rongoā ārai-hopu: Ngā rongoā pēnei i te Gabapentin , Topiramate rānei.
- Ngā werohanga paitini botulinum: E mōhiotia ana e te tini ko Botox® , ka aukati i ngā tohu io, tae atu ki ngā tohu mamae. Tērā pea ka āwhina anō hoki ētahi atu maimoatanga aukati io .
- Ngā rongoā hei ārai i te migraines: Ngā Beta-blockers (hei tauira, Propranolol) me ngā Angiotensin-II receptor blockers (hei tauira, Candesartan).
- Ngā rongoā whakamātau/rongoā ārai pouri: Kei te whakamahia te Ketamine, he rongoā whakamātau kaha, i roto i ngā rangahau hei rongoā i ngā āhuatanga pēnei i te pouri kāore e aro ki te maimoatanga. Tērā pea ka āwhina anō hoki tēnei i ētahi wā ki te NDPH.
Ngā raruraru, ngā pānga taha rānei o te maimoatanga
Ko ngā raruraru me ngā pānga taha o ēnei maimoatanga e whakawhirinaki ana ki ngā mea maha, tae atu ki te momo rongoā e whakamahia ana. Kōrero ki tō tākuta mō te maimoatanga e pai ana mōu, ngā pānga taha ka pā mai, me pēhea te ārai, te whakaiti rānei i aua pānga.Me pēhea taku tiaki i ahau anō, me pēhea rānei te whakahaere i ngā tohumate?
He tino uaua te rongoā i te NDPH i a koe anō, ina koa kāore he tātaritanga mōu. Nā te mea he maha ngā wā ka pāngia te mate e te mate.Kāore e pai ki ngā rongoā ānini noa. Ko te tikanga, ehara i te mea ko ngā rongoā hoko kore-tohu anake, engari he maha anō hoki ngā rongoā kua tohua e te tākuta, kāore pea e taea te aukati i te NDPH.He mea tino nui: Kaua rawa e tātaritanga whaiaro, kaua hoki e rongoā i te NDPH. Nā te mea ko te tīmatanga ohorere o te ānini taumaha ki te taumaha he tohu pea nō te whiu . Ka puta te whiu i te aukati, i tētahi atu aukati rānei o te uaua toto i roto i te roro. Ko te roa o te wā ki te tiki awhina hauora i muri i te tīmatanga o ngā tohu, ko te iti ake o te tūponotanga ka hoki te āhua. I te mutunga, ka taea e te whiu te arahi ki te kino tuturu o te roro, tae noa ki te mate.Mena kei a koe, kei tētahi atu rānei kei tō taha, tētahi o ēnei tohu, inā koa me ētahi atu tohu o te whiu, waea atu ki te 911 (ki tō nama urupare ā-rohe rānei). Kia maumahara ki tēnei hei mōhio ki ngā tohu o te whiu: TERE
- F - Kanohi: Me tono atu ki te tangata kia menemene. Tirohia mēnā kei te piko tetahi taha, e rua rānei o te mata. He tohu pea tēnei o te pararutiki (hemiplegia kanohi) te ngoikore rānei o te uaua.
- A - Ringa: He maha ngā wā ka ngoikore te uaua, ka māuiui rānei te taha kotahi o te tangata pararutiki. Me tono atu ki te tangata kia hiki ake i ōna ringa e rua. Mena he ngoikore hou, he māuiui rānei kei tētahi taha, ka taka te ringa kē atu ina hikihia te ringa kotahi, kāore rānei e taea te hiki ake.
- S - Kōrero: He maha ngā wā ka ngaro te kaha ki te kōrero i te pararutiki. Tērā pea ka pōturi te kōrero, ā, kāore pea i te tika te whiriwhiri i ngā kupu.
- T - Wā: He mea nui te wā, nō reira kaua e whakaroa ki te tiki āwhina! Ki te taea, tirohia te karaka, kia maumahara ki 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 pēhea te roa ka pai ake ai taku āhua i muri i te maimoatanga?
Engari, kāore he huarahi e mōhio ai ko tēhea o ngā maimoatanga ka whai hua, kāore rānei. He mea noa te kore pānga o te maha o ngā rongoā ki te NDPH. I te nuinga o te wā, e ono ki te waru wiki te roa o te whai huatanga o tētahi mahere maimoatanga ārai. Ka taea e tō tākuta te hoatu ki a koe te tohutohu pai rawa atu mō te tere o te mahi a tētahi rongoā – mēnā he whai hua. Māna anō hoki koe e kī atu ki te aha me mahi mēnā kāore te maimoatanga e angitu.He huarahi hei whakaiti, hei ārai rānei i te hanganga o te NDPH?
Engari, ka puta te NDPH i roto i te āhua kāore e taea te matapae. Ko te tikanga tēnei kāore he huarahi hei ārai. Nā te mea he maha ngā mea ka puta mai i te wā ohorere, kāore he huarahi whai hua hei whakaiti i te mōrearea.Mena kei a au te NDPH, he aha ngā mea ka tumanakohia e au?
Mena kei a koe te NDPH, tera pea ka pāngia koe e te mamae upoko ngawari ki te kino. E toru marama te roa o ēnei mamae upoko, e kitea tonutia ana, ā, he pumau tonu.Ka kitea e ētahi te whakaoranga mai i te maimoatanga, engari he tokomaha kāore.Kia pēhea te roa o te NDPH?
Ki ētahi, he mea e pāngia ana e te NDPH mō ngā tau, kātahi ka memeha haere i roto i te wā. Mō te hunga o tēnei rōpū, ka mutu te mamae o te upoko i roto i ngā tau e toru. Mō ētahi atu, kāore e memeha haere ngā mamae o te upoko. Ina kore te NDPH e aro ki te maimoatanga, ā, kāore e memeha noa iho, ka tino kino te āhua, ā, ka taea te whakararuraru i ngā mea pēnei i te haere ki te mahi me te whai wāhi atu ki ngā mahi pāpori. I a koe e ako ana ki te noho me te āhua, me hiahia pea koe ki te āwhina o ngā momo tohunga, pēnei i te kaitohutohu hauora hinengaro . He mea nui kia rapu maimoatanga mō ngā pānga hinengaro o te noho me te mamae mau tonu.He aha te tirohanga mō ngā NDPH?
Ehara te NDPH i te mate morearea i a ia anō. Heoi, e mōhiotia ana he pānga kino te noho me te mamae mau tonu ki te oranga hinengaro me te oranga kare ā-roto o te tangata. Ko te hunga e pāngia ana e te mamae mau tonu ka nui ake te tūponotanga ka pāngia e ngā mate hauora hinengaro pēnei i te manukanuka me te pouri . He maha ngā take e uaua ai te tautuhi i tēnei mate:- He onge tēnei āhuatanga.
- Kāore he whakamātautau tātaritanga motuhake hei whakaū i tēnei.
- Kāore ngā matawai e whakaatu i ngā huringa hei whakamārama i ngā tohu.
Me pēhea taku tiaki i tōku hauora?
Mena kei a koe te NDPH, tera pea ka hoatu e tō tākuta he whakaaro ki a koe mō ngā mea ka taea e koe te mahi hei āwhina i te mate. I te nuinga o te wā, he iti noa iho ngā mea ka taea e te nuinga o te tangata te mahi hei whakahaere i te mate. Heoi, kei reira ētahi taunakitanga e whakaatu ana ko te arotahi ki tō hauora whānui me tō oranga ka taea te whakanui ake i te tūponotanga ka angitu ētahi maimoatanga - inā koa ko ngā rongoā. I te nuinga o te wā, ko ngā tikanga hauora e whakaarohia ana he tino āwhina ko:- Kai i tētahi kai hauora.
- Whakakorikori tinana i ia wā, i ia wā.
- Moe auau, me okioki rawaka.
Āhea ahau me toro atu ki te tākuta?
I te nuinga o te wā, ki te mea kāore anō kia pāngia koe e te mamae o te upoko i mua, me toro atu koe ki te tākuta mēnā he mamae hou, he mamae ngawari tōu e tutuki ana i tētahi o ngā paearu e whai ake nei:- Mena kāore ngā rongoā ka hokona kore utu e āwhina, ā,/ranei ka kino haere tonu.
- Mena kei te taha kotahi anake o te māhunga, kei te mamae rānei e pupuhi ana, e pāorooro ana rānei.
- Mena kei a koe ētahi atu tohumate, pērā i te whakapairuaki nui me te ruaki, te aro rānei ki te mārama me te tangi.
Āhea ahau me haere ki te Tari Whawhati Tata (ETU) ?
Ko ngā ānini nui e puta ohorere mai ana, kāore e pai ake, ā, ka kino haere i roto i te wā, he tohu pea tēnei mō tētahi mate kino, mōrearea rānei. Tērā atu anō ētahi tohu e tohu ana me rapu tonu koe i te awhina hauora. Ko ētahi o ēnei ko:- Te ngoikore, te māuiui, te ngau rānei i tetahi taha, i ngā taha e rua rānei o te tinana.
- Te ngaronga o te tirohanga, ngā raruraru tirohanga rānei (hei tauira, te tirohanga pōuri, te tirohanga takirua).
- Te pōhēhē, te tino ngenge rānei.
- He uaua ki te pupuri i te taurite, ki te kōrero rānei. (Kia maumahara, he tohu pea ēnei o te pararutiki!)
He rerekē te NDPH i ētahi atu momo ānini, pērā i te migraines me te ānini tautau?
Ae, he rerekē te NDPH i ētahi atu momo ānini. Ahakoa he rite tonu ngā āhuatanga o te NDPH ki te ānini me ētahi atu momo ānini, he rerekē rawa atu, ā, ka whakarōpūhia e ngā tohunga hei momo motuhake.Ka tino pai ake rānei a NDPH i tētahi wā?
He pai te NDPH mō ētahi tāngata, engari kāore mō te katoa. Heoi, kāore e taea te matapae i te wā e puta ai tēnei, me te tangata rānei ka pāngia e tēnei mate.Āhea ahau me āwangawanga mō te mamae o te upoko i ngā wā katoa?
Me āwangawanga koe mō ngā mamae upoko auau, he āhua pakupaku, he kino rānei, kāore e pai ake i te rongoā, kāore rānei e memeha noa iho. Mena ka pāngia koe e te mamae upoko i ia rā, he mea pai kia kōrero koe ki tō kaiwhakarato ratonga hauora tuatahi. Ahakoa he mea noa te puta o ngā mamae upoko o ia rā i ngā take kāore he kino, pērā i te hiahia mō ngā mōhiti, ngā karāhe whakapā rānei, ka taea hoki te puta mai i ētahi atu take kino ake.He mea noa te pāngia e te mamae o te upoko i ia rā, i ia rā?
Kāo, ehara i te mea noa te pāngia e te ānini i ia rā. Mena ka pāngia koe e te ānini i ia rā, he mea pai kia kōrero koe ki te tākuta. Ka taea e ia te whakatau mena he mate kino tō ānini, me toro atu rānei koe ki tētahi tohunga mō ētahi atu maimoatanga. I roto i te nuinga o ngā wā, ka taea e te tākuta te āwhina i a koe ki te whakakore i ngā mate kino, me te kimi huarahi hei whakamutu i ō ānini, hei rongoā rānei mēnā ka puta.Karere Whakamutunga mō te Tango ki te Kāinga
Te mamae upoko pumau o ia rā (NDPH)He mate onge tēnei. Ko te mate ina pāngia te tangata e te mamae upoko hou, āhua taumaha, kino rānei, kāore e pai ake i roto i te wā, ā, ka hoki mai anō. He uaua ki te rongoā, ā, he maha ngā tāngata kua pāngia e te mamae me ētahi atu tohu mō ngā tau. I ētahi wā, ka memeha noa iho te mamae upoko, engari ka puta pea tēnei i te kore e tūmanakohia. Ahakoa ka taea e ngā tākuta te tuku whakaaro mō ngā maimoatanga, me nui ake ngā rangahau hei whakatau he aha i puta ai tēnei mate me ngā maimoatanga tino whai hua. Mena kei a koe ēnei tohu, he pai ake te toro atu ki te tākuta mō ngā tohutohu. Kaua e mamae ko koe anake, me tono āwhina. Mamae upoko, Mamae mau tonu, NDPH, Mamae upoko hou o ia rā, Migraine, Neuropathy, Ngā tohu👩🏽⚕️ Ngā Pātai Auau (FAQ) mai i te Tākuta
💬 E ngā tākuta, he aha tēnei mate upoko pumau o ia rā (NDPH)? He mate kino tēnei?
He mate upoko ohorere tēnei NDPH, ā, ka roa mō ngā marama. Ka rerekē pea mai i te āhua ngawari ki te kino. Kaua e manukanuka, ehara i te mate mōrearea. Heoi anō, ka uaua pea ō mahi o ia rā.
💬 E te tākuta, he aha i puta ai tēnei mamae? Ko wai te hunga e pāngia pinepine ana?
He pātai pai. E rua ngā momo matua o te NDPH. I ētahi wā kāore he take motuhake mōna, e kiia nei ko te 'NDPH tuatahi.' I ētahi wā anō ka puta mai i tētahi atu mate hauora, inā koa he mate huaketo, e kiia nei ko te 'NDPH tuarua.' Ahakoa ka pā ki te tangata katoa, he nui ake te kitea i roto i ngā wāhine me ngā tamariki i waenga i te 10 me te 18 tau te pakeke.
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