E wiri ana ō waewae ina tū koe? E ahua ana koe kei te ngaro tō taurite? Tērā pea he wiri Orthostatic!

Kua rongo koe i te ngoikore o ō waewae, i te wiri, i te ngaro rānei o tō taurite i a koe e tū ana, inā koa i muri i te tū roa? Engari, ki te mea, he mea miharo, ka memeha haere tēnei mamae i a koe e noho ana, e hikoi ana rānei, tera pea he mate kei a koe e kiia nei ko te "Orthostatic Tremor". He kupu rerekē pea tēnei ki te whakarongo, engari me kōrero noa iho.

He aha te `(Orthostatic Tremor)`? Hei whakarāpopototanga...

He whakarāpopototanga noa iho, ko te Orthostatic Tremor he mate onge o te pūnaha io e meinga ai ngā uaua o ō waewae kia tere te kuiti (te wiri) ina tū koe. Ka taea e tēnei wiri te whakapohehe i a koe ina tū koe, te ngaro tō taurite, me te mea kei te tata koe ki te hinga. Engari he mea whakamiharo, ka iti haere, ka ngaro rānei tēnei wiri ina hikoi koe, ina noho, ina okioki rānei koe ki tētahi mea.

Ko tēnei mate te mea tino noa i roto i te hunga neke atu i te 60 tau te pakeke. Heoi, kua whakaatuhia e ngā rangahau ka pā ki te tangata mai i te 13 ki te 85 tau te pakeke. Whakaarohia, i kitea tuatahitia, i whakaahuatia hoki e ngā tākuta tēnei mate e kiia nei ko te "Orthostatic Tremor" i te tau 1984. Nō reira, he mate hou tēnei. Kei te ako tonu ngā tākuta i te maha o ngā mea mōna.

He aha ngā tohu o tēnei? Kei te pēhea ōu kare ā-roto?

Ko te tohu matua e pā ana ki te hunga e pāngia ana e te `(Orthostatic Tremor)` ko te kore pumau e pā ana ki a rātou ina tū. Arā, he kare e wiri ana te whenua, e kore rānei e taurite te tinana. Heoi, kāore rātou e rongo i tēnei mamae ina noho, ina hikoi rānei. Ki te noho ake rātou i te tūnga, ka tīmata te hikoi, ka okioki ki tētahi mea pērā i te pakitara, ka takoto rānei, ka tino heke te wiri, te kore pumau, ka ngaro katoa rānei.

Hei whakaiti i tēnei koretake, ka ngana pea koe ki te pupuri i ō waewae kia paku wehea, me te mea kei te pā ō matimati ki te whenua . Whakaarohia me te mea kei te tū koe i runga i te pahi, i te tereina rānei, e raru ana ki te pupuri i tō taurite.

I te nuinga o te wā, kāore pea koe e kite, e mōhio rānei kei te wiri tere ō waewae ina tū koe. Tērā pea ka rongo noa koe i te kore pumau, i te ngaro rānei o te taurite i kōrerotia e au. Heoi, ki te whakatakoto koe i ō ringa ki ō huha, ki ō papa rānei, tērā pea ka rongo koe i te tere o te whakawhāiti o ngā uaua, pērā i ngā ngaru . Kāore he mamae o tēnei wiri. Heoi, i roto i te wā, ka puta te mamae o ngā uaua o te waewae.

Ko ētahi tāngata e pāngia ana e te "Whiriwhiri Orthostatic Tuatahi" (ka kōrerohia tēnei i muri mai) ka pāngia pea e te wiri i roto i ō rātou ringa, i te tinana rānei, me ō rātou waewae anō hoki. Heoi, kāore pea rātou e pāngia e ētahi atu tohumate io.

Ka rerekē te kaha o te "Whiriwhiri Orthostatic" i ia tangata, i ia tangata. Tērā pea ka tīmata te wiri o ētahi tāngata ina tū ake rātou. Mō ētahi atu, ka tīmata pea te wiri i muri i ētahi meneti o te tū. Mō te tini o te tangata, ka piki haere te wiri i te roanga o te wā.

He aha i puta ai tēnei `(Orthostatic Tremor)`? He aha ngā take?

Ina hoki, kei te rangahau tonu ngā tākuta me ngā kairangahau i te "Orthostatic Tremor", nō reira kāore anō kia mōhiotia te tino take. E whakapono ana ētahi tohunga he momo wiri tēnei nō tētahi atu momo wiri e kiia nei ko te "Essential Tremor". E whakapono ana ētahi he rerekē rawa te "Orthostatic Tremor", he mate motuhake.

I te nuinga o te wā, ka puta noa mai tēnei āhuatanga, kāore he take motuhake. Heoi, he onge noa iho ngā pūrongo e pā ana ki tēnei āhuatanga i roto i ngā mema o te whānau. Hei tauira, i roto i ngā māhanga, ngā tuākana, ngā teina rānei, i te mātua me te tamaiti rānei. Nō reira, kei te tirotirohia e ngā kairangahau mēnā he pānga ō ngā āhuatanga ira, pērā i ngā whakarerekētanga ira.

He momo `(Orthostatic Tremor)`?

Ae, e rua ngā momo matua o te `(Orthostatic Tremor)` e wehewehea ana e ngā tākuta:

1. Te Wiri Orthostatic Tuatahi: Ka kiia hoki tēnei he idiopathic. Ko te tikanga kāore i te mōhiotia te tino take. Kāore te hunga whai wiri orthostatic tuatahi e pāngia e ngā tohu o tētahi atu mate pūnaha io.

2. Te wiri o te waewae tuarua: Nā tētahi atu āhuatanga hauora tēnei i hua mai. Kua whakaatuhia e ngā rangahau ka taea te wiri o te waewae tuarua te hua mai i ngā āhuatanga hauora maha. Ko ētahi o ēnei āhuatanga ko:

• Te mate a Graves (he mate o te repe tairoiti)
• Te whara o te upoko
• 'Te Multiple Sclerosis (MS)' (he mate e pā ana ki te pūnaha io)
• 'Parkinsonism' (he āhuatanga e puta ai ngā tohu rite ki te mate a Parkinson)
• Te Mate Waewae Restless (he āhuatanga e puta ai te kore okiokinga o ngā waewae)
• Te kino ki ētahi wāhanga o te roro (hei tauira, ngā whara o te roro Pontine me te roro waenga)
• Ngā whara o te taurakira
• 'Te mate o te tangata pakari'
• Te korenga o te huaora B12

Ko te mea nui ko te rapu tohutohu hauora mēnā kei a koe ēnei tohu. Kaua e tātaritanga i a koe anō.

Me pēhea te tautuhi tika i tēnei mate? (Tautuhinga)

Hei tātaritanga i te wiri orthostatic, ka pātai tuatahi tō tākuta ki a koe mō ō tohu me tō hītori hauora. Kātahi ka whakahaerehia he whakamātautau tinana me te whakamātautau io hei aromatawai i te āhua me te wā e puta ai te wiri.

I ētahi pokapū motuhake, ka whakaūtia te tātaritanga `(Orthostatic Tremor)` mā te `Surface EMG (Electromyography)`Ka mahia he whakamātautau e kiia nei ko te 'electromyography uaua'. Heoi, i ētahi wā ka taea e ngā tohunga mate nekehanga (Ngā Tohunga Mate Nekehanga) te tautuhi i tēnei i runga i ngā tohu haumanu. Ka aromatawaihia e te whakamātautau 'EMG' te hauora me te mahi a ō uaua angaanga me ngā io e whakahaere ana i a rātou. Ina koa, ko te whakauru i ngā 'pūoko' iti ki te kiri o tō waewae me te ine i te ngohe hiko o ō uaua.

Tērā pea ka tūtohu tō tākuta i ētahi atu whakamātautau – pērā i ngā whakamātautau toto me ngā whakamātautau whakaahua (hei tauira, te matawai MRI) – hei whakakore i ētahi atu āhuatanga e hua ai tō wiri.

Engari, nā te mea he tino onge te Orthostatic Tremor, ka hē te tātaritanga a ngā tākuta i ētahi wā hei mate kē. Ina koa, ka pohehetia ki te Functional Tremor (e kiia ana ko te Psychogenic Tremor), he mate nekehanga ka puta mai i ngā mea pēnei i te ahotea. Nō reira, he uaua pea te kimi tātaritanga tika.

He aha ngā maimoatanga? Ka taea te whakaora?

Kāore he rongoā mō te wiri o te waewae. Heoi anō, kei reira ētahi rongoā hei āwhina i te whakahaere i ō tohumate, arā, te whakaiti i te wiri me te kore pumau.

Ko te rongoā tuatahi e tohua ana ko te `Clonazepam` (he rongoā nō te akomanga `(Benzodiazepine)`). Heoi, kāore tēnei rongoā e mahi mō te katoa. Nō reira, kei reira ētahi atu rongoā rerekē:

• `Kapapentin`
• `Pīrimona`
• `Propranolol`
• `Pregabalin`
• `Phenobarbital`

Ko ngā maimoatanga hei āwhina i ētahi atu momo wiri ka āwhina pea i ngā tohu o te "Writeru Orthostatic". Heoi, kei roto tonu i te wāhanga rangahau tēnei. Ko ētahi o ēnei maimoatanga ko:

• Te Whakaoho Roro Hōhonu (DBS)
• Te Whakaoho i te Taura Tuaiwi

Nā te mea kei te rangahau tonu ngā kairangahau i te Orthostatic Tremor, tera pea ka āhei koe ki te whai wāhi atu ki tētahi whakamātautau haumanu. Pātai atu ki tō tākuta mēnā he kōwhiringa tēnei māu.

Kei te pēhea koe e noho ai i roto i tēnei āhuatanga? He aha tāu e tumanako ai?

He raruraru te wiri o te tinana ina tū ana, engari ka pā ki te kounga o tō oranga. Hei tauira, ka tīmata pea koe ki te karo i ngā āhuatanga e tika ana kia tū koe, pērā i te kaukau, te tatari i te rārangi, te mahi i ngā mahi o te whare, te tunu kai rānei. He tino hoha tēnei.

Heoi anō, mā te hanga i ētahi huringa ki tō mahinga o ia rā ka māmā ake te noho me tēnei mate.Hei tauira, te whakamahi i te nohoanga kaukau i roto i te wharepaku, te whakamahi rānei i te tūru wīra ina tatari koe i te rārangi. Ka taea e te kaiwhakaora mahi te āwhina i a koe ki te kimi huarahi hei mahi i ngā mahi o ia rā me te ngāwari ake.

Nā te mea he tino onge tēnei āhuatanga, he uaua pea ki ētahi atu te mārama ki tēnei `(Orthostatic Tremor)`, me te mea hoki ki ngā tākuta te tātaritanga tika. Nō reira, he mea tino nui kia whiwhi tautoko mai i ō whanaunga. Mena kei te pāngia koe e ngā raruraru hauora hinengaro pēnei i te `(Orthostatic Tremor)`, `(Anxiety)`, mēnā rānei kei te whakaaro koe kei te wehea koe i te hapori, kaua e mangere ki te toro atu ki tētahi kaitohutohu hauora hinengaro pēnei i te `(Psychologist)`. Mā tēnā ka nui te whakamarie i a koe.

He ara hei ārai i tēnei?

Engari, nā te mea kāore i te mōhiotia te tino pūtake o te wiri Orthostatic, kāore he mea ka taea e koe te mahi hei ārai.

Kia uaua rawa te wā, kātahi anō ka mōhio tātou ki te hiranga o te tū pakari me te kore e mamae. Nā te mea he mate onge te wiri o te waewae, he roa pea te haerenga ki te kimi i te tautuhi tika. Me kōrero pea koe mōu ake, me rapu kōrero anō hoki. Heoi anō, he pai te whakapau kaha ki te tiki i te tautuhi tika. Kia mahara, mā ētahi rongoā me ngā āwhina nekeneke ka māmā ake te noho me te wiri o te waewae.

Hei whakamutunga, ngā mea hei maumahara

Āe, ko tāku tumanako kua mōhio koe inaianei mō te "Orthostatic Tremor" i kōrerohia e tātou.

He āhua uaua, he onge hoki tēnei mate, engari mā te māramatanga tika me te tautoko tika, ka taea te whakatau pai.

Ko ētahi mea hei maumahara māu:

• Ki te wiriwiri ō waewae, ki te ngaro rānei tō taurite i a koe e tū ana, kaua e warewaretia. Tirohia he tākuta.
• Ko te tākuta anake ka taea te kī tino mēnā he "Orthostatic Tremor" ngawari tēnei.
• Ka taea e te maimoatanga te whakahaere i ngā tohumate.
• Kāore koe i te mokemoke. Rapua he āwhina mai i te whānau, i ngā hoa, ā, ki te tika, i ngā tohunga hauora hinengaro.

Mena he pātai anō āu mō tēnei, kaua e mangere ki te kōrero ki tō tākuta. Māna e whakamārama pai ake tēnei ki a koe.

Te wiri o te waewae , te wiri o te waewae, te uaua ki te tū, te ngaro o te taurite, ngā mate pūnaha io, ngā mate nekehanga