Me ako tātou i ētahi atu kōrero mō te pararutiki.

Kua whakaaro kē koe me pēhea te āhua mēnā kāore e taea e koe te neke i te ringa, i te waewae rānei, mēnā rānei ka rongo koe kei te ngaromanga haere tetahi wāhanga o tō tinana? He wheako tino uaua ki te whakaaro, kāore? Koinei te āhua o te kore e taea te neke i ō tātou uaua i runga i te hiahia, koinei te mea e kiia nei e tātou ko te " Pararutiki " i roto i te pūtaiao hauora. Ka puta tēnei nā tetahi raruraru i roto i tō tātou pūnaha io. Nā te mea, ka tukuna e ngā io te tohu me neke ō tātou uaua. Nō reira, ina pararutiki koe, kāore e taea e koe te neke i ētahi wāhanga o tō tinana. Me kōrero tātou mō tēnei me ētahi atu taipitopito , āe?

He aha rawa te pararutiki?

Ki te kī ngāwari, ko te pararutiki te kore e taea te whakahaere i ngā uaua o tō tinana i runga i tō ake hiahia, arā, i runga i tō ake hiahia. Nā tō tātou pūnaha io tēnei i puta ai. Whakaarohia he taura e kawe ana i ngā karere mai i tō tātou roro ki ō tātou uaua. Mena he raruraru kei roto i tēnei taura, kāore te karere e tika te haere. Koinei te wā ka mutu te mahi a ngā uaua, arā, ko te pararutiki . Ka pā tēnei pararutiki ki tētahi wāhanga o te tinana. Waihoki, e rua ngā huarahi matua hei mahi i tēnei:

• Pararutiki wāhanga / Paresis: Koinei te wā ka taea e koe te whakahaere i ētahi uaua, engari he uaua ki te whakahaere i ētahi atu. Kāore i te pararutiki katoa, engari he ngoikore te āhua.
• Pararutiki katoa: I tēnei wā, kāore e taea e koe te whakahaere i ngā uaua o te rohe.

Waihoki, i runga i te wāhi i pakaru ai te pūnaha io, ka taea te wehewehe i te pararutiki kia rua ngā momo:

• 'Pararutiki ngoikore': I roto i tēnei, ka ngoikore rawa ō uaua, ka ngokingoki, pērā i te kakahu mate.
• Pararutiki spastic: Koinei te wā ka pakari haere ngā uaua, ka wiriwiri pinepine (spasticity). Hei whakamārama, ka whakawhāiti noa ngā uaua, ka wiriwiri i tā rātou e pai ai.

He pēhea te noa o te pararutiki ?

I mōhio koe i te Hononga o Amerika anake, tata ki te 5.4 miriona tāngata, tata ki te kotahi i roto i te rima tekau, e kīia ana he momo pararutiki? He rongo pai tēnei. Ko ētahi tāngata ka pāngia e tēnei pararutiki mō te wā poto , ā, i roto i te wā, ka ora haere, ka ora katoa rānei. Hei tauira, i roto i te āhuatanga e kiia nei ko te 'Bell's palsy', ka pararutiki ngā uaua o te mata mō te wā poto, engari he maha ngā wā ka ora anō. Ko te 'Palsy' he āhuatanga e puta ai te pararutiki me te wiri. Heoi, ko te ' Permanent Paralysis' te tikanga kāore e taea e koe te whakahaere anō i ō uaua. Arā, kāore e taea e koe te whakakore i te āhuatanga.

He aha ngā momo rerekē o te pararutiki?

Ka whakarōpūtia hoki tēnei e mātou i runga i te wāhi e pāngia ana e te pararutiki.

• Pararutiki ā-rohe:He iti noa te wāhi o te tinana e pāngia ana e tēnei. Ko te nuinga o te wā ka kitea tēnei mate i te mata, i ngā ringa, i ngā waewae, i ngā taura reo rānei.

• Pararutiki whānui: Ka pāngia te nuinga o te tinana e tēnei. Ka wehea anō tēnei i runga i te whānuitanga o te pānga:
• `Diplegia`: Koinei te wā e pararutiki ana te wāhanga kotahi o te tinana i ngā taha e rua. Hei tauira, ngā ringa e rua, ngā waewae e rua, ngā taha e rua rānei o te mata.
• `Hemiplegia`: Koinei te wā e pararutiki rawatia ana tetahi taha o te tinana. Arā, ko te ringa me te waewae i tetahi taha. Whakaarohia, me kī he `Stroke` tetahi, ā, he pararutiki tōna taha matau, koinā te āhua.
• `Monoplegia`: I tēnei, kotahi anake te ringa, kotahi rānei te waewae ka pararutiki.
• `Pararaiha`: Kei roto i tēnei ko te pararutiki o ngā waewae e rua. I ētahi wā ka pāngia hoki te puku o raro.
• Quadriplegia (Tetraplegia rānei): Kei roto i tēnei ko te ngaronga o ngā peka e whā, me te nuinga o te wā ko te tinana. Tērā pea ka ngaro katoa ngā nekehanga o te hunga whai quadriplegia mai i te kaki ki raro.

He aha ngā tohu o te pararutiki?

Ki te pāngia koe e te pararutiki, ko te mea nui ko te kore e taea te neke i te wāhanga o tō tinana e pāngia ana, tetahi wāhanga, te katoa rānei. I ētahi wā, i runga i te wāhi o te whara, ka ngaro pea ōu rongo i taua wāhi . Ka whānau mai ētahi tāngata me te pararutiki, hei tauira, me ngā mate pēnei i te pararutiki roro. Ka taea e ngā whiu me ngā whara o te taurakira te whakararu ohorere i te pararutiki . Ka taea hoki e ētahi mate te whakararu haere i te pararutiki . I roto i ēnei āhuatanga, ka pāngia pea koe e ngā tohu pēnei i:

• Ka āta heke haere te kare ā-roto me te mana whakahaere o ngā uaua.
• Ngā mamae o te uaua.
• Te wiri, te māuiui rānei o ngā peka.

He aha ngā pūtake o te pararutiki?

E ai ki tā tātou i kōrero ai i mua, ka puta te pararutiki nā te raruraru o tō tātou pūnaha io. He rite tō tātou pūnaha io ki te pokapū karere o tō tātou tinana. Ka haria e ia ngā tohu mai i te roro puta noa i te tinana, ā, ka tohutohu atu ki a ia me aha. Nō reira, ki te pakaru tetahi mea i roto i tēnei pūnaha io, kāore aua karere e tae tika ki ngā uaua. I te nuinga o te wā, he whara whara , he mate hauora rānei e kino ai ngā uaua me ngā io. Ko te whiu me ngā whara o te taurakira ngā tino take e rua o te pararutiki. Tērā atu anō ngā take, tae atu ki:

• Kei te whānau mai ētahi āhuatanga, hei tauira, ko te 'Spina bifida'.
• Ngā mate pūnaha ārai mateKo ngā mate pūnaha ārai mate he mate e mahi ana tō tātou ake pūnaha ārai mate ki tō tātou ake tinana. Hei tauira: Multiple sclerosis (MS) me te Guillain-Barré syndrome.
• Ngā whara o te roro, pērā i te whara roro me te pararutiki roro.
• Ngā mate pūnaha io , hei tauira, te Amyotrophic lateral sclerosis (ALS).

He aha ngā raruraru pea ka pā mai i te pararutiki?

Ka pā te pararutiki ki ō tātou uaua manawa me te tere o te manawa. Ka pā hoki ki ētahi atu pūnaha tinana i te wāhi e pāngia ana. I runga i te momo pararutiki, tera pea ka tūpono koe ki:

• Te uaua ki te manawa, te mare me te niumōnia .
• Ngā toto totoka me te totohu o te uaua hōhonu ( DVT ).
• Te uaua ki te kōrero, te horomi rānei ( Dyphagia ).
• Te pouri me te manukanuka .
• Te ngoikore o te ure me ētahi atu raruraru moepuku i roto i ngā tāne.
• Te toto toto tiketike (Autonomic dysreflexia) te toto toto iti rānei (Orthostatic hypotension) me te mate manawa.
• Te kore e taea te pupuri i te mimi me te kore e taea te whakahaere i te puku.
• Ngā whara pēhanga / ngā mariao moenga me te paihana toto (Sepsis).

He mea nui: Ehara i te katoa ka pāngia e ēnei raruraru, engari he mea nui kia mōhio koe ki ēnei raruraru kia tere ai tō rapu tohutohu hauora.

Me pēhea te mohio ki te pararutiki?

Ina haere koe ki te tākuta, ka tirotirohia koe e ia, ka pātai atu mō ngā aituā kua pā ki a koe. Mena he pōturi tō pararutiki, ka pātai atu ia kia pēhea te roa o tō pāngia e tēnei raruraru. Mō ētahi atu mōhiohio, ka tonoa pea e tō tākuta tētahi, ētahi rānei o ngā whakamātautau e whai ake nei:

• Ngā whakamātautau hihi-X: Hei tirotiro mēnā kua whati ngā wheua, kua kino hoki ngā io.
• Ngā whakamātautau whakaahua: Ka taea te mahi i te matawai CT, i te MRI rānei hei rapu i ngā tohu o te whiu, te kino o te roro, te kino rānei o te taurakira. Ka taea e te matawai whakaahua tinana katoa te tirotiro i ngā wheua, ngā uaua me ngā kiko.
• Myelogram: Ka tirohia tēnei mō ngā kino o te taurakira me ngā io.
• Electromyogram (EMG): Mā tēnei ka whakamātautau i te ngohe hiko o ngā io me ngā uaua.
• ``Pānga tuaiwi (Pānga lumbar)``:Ko te tikanga tēnei ko te tango i te wai o te tuaiwi me te tirotiro mō ngā mate pāwera, ngā mate mumura, me ngā mate pēnei i te sclerosis maha (MS).

Ka taea te ora ake i te pararutiki?

Ina hoki, kāore he rongoā mō te pararutiki tuturu i tēnei wā. Heoi, ko ngā āhuatanga pararutiki rangitahi pēnei i te pararutiki a Bell ka memeha haere i roto i te wā, me te kore he maimoatanga. I ētahi wā, ka kitea ētahi whakapainga, inā koa i roto i te tau tuatahi.

Me pēhea te whakahaere, te rongoā rānei i te pararutiki?

Ko te maimoatanga mō te pararutiki he tikanga kei roto ko te whakaora tinana, te whakaora mahi, me te whakaora kōrero. Kei roto i ēnei ratonga whakaora ko te āwhina i te tangata ki te urutau ki tō rātou pararutiki, te whakarato i ngā mahi whakakori tinana, me te whakarato i ngā taputapu urutau me ngā taputapu āwhina hei āwhina i a rātou ki te mahi i ngā mahi o ia rā. Ka taea e ēnei te āwhina i te hunga pararutiki kia noho motuhake me te whai kounga oranga pai ake. Ko ētahi atu maimoatanga e whakawhirinaki ana ki te take o te pararutiki me tōna pānga ki a koe. Ka tūtohu pea tō tākuta i ēnei e whai ake nei me te whakaora:

• 'Ngā taputapu urutau': Ngā taputapu hei āwhina i te tangata ki te kai takitahi me te taraiwa waka.
• Ngā taputapu āwhina: Ngā tūru wīra, ngā kuta, ngā tokotoko me ngā tokotoko.
• Ngā taputapu orthotic/prosthetic: Hei tauira, ngā whītiki waewae.
• Hangarau reo-whakahohe: Whakamahia ngā rorohiko, ngā pūnaha rama, me ngā waea.
• Te rongoā mō ngā raruraru o te pararutiki, hei tauira, te koretake o te mimi me ngā raruraru mimi.

Me pēhea te ārai i te pararutiki?

Ko ngā whara o te taurakira te tino take o te pararutiki. Nō reira, anei ētahi mahi ka taea e koe te mahi hei whakaiti i tō tupono ki te whara o te taurakira:

• Me mau tonu he whitiki nohoanga ina eke waka. Me whakarite kei te whakamahi tika ngā tamariki i te nohoanga waka, i te nohoanga tautoko rānei.
• Tirohia te hohonutanga o te wai i mua i te peke ki roto i te wai.
• Kaua e taraiwa i raro i te mana o te waipiro, o ngā raau taero rānei, ā, kaua hoki e haere tahi me te tangata kei raro i te mana o te waipiro.
• Whai i ngā mahi ārai haumaru i te wā e takaro ana i ngā hākinakina, e whai wāhi atu ana rānei ki ētahi atu mahi. Hei tauira, mauria he potae i te wā e takaro ana i ngā hākinakina, e eke pahikara ana rānei. Me āwhina koe e tētahi i a koe e mahi ana i ngā mahi pēnei i te whakapakari tinana, ā, whakamahia he whāriki whakamarie i ngā wā e tika ana.
• Kaua rawa e nekehia tētahi e whakaaro ana koe he whara tōna upoko , tōna kaki, tōna tuara rānei. Waea atu tonu ki te 1990 (mēnā kei Sri Lanka) ki te ratonga whawhati tata rānei e tika ana.

He aha te āhua o te mate mō te hunga e pāngia ana e te pararutiki?

He wero te ako ki te noho me te pararutiki. Ka taea e ia te whakarerekē i tō oranga, i ngā mea e mahia ana e koe, tae atu ki te huarahi e whakaaro ai koe ki a koe anō. Ka taea e ēnei huringa te arahi ki ngā raruraru hauora hinengaro me te pouri. Nō reira, kōrero ki tō tākuta mō te tiki tautoko, ā-tinana me ā-hinengaro. I roto i te wā me te whakaoranga, he maha ngā tāngata e pāngia ana e te pararutiki ka urutau ki tō rātou āhua. He maha ngā tāngata e noho motuhake ana, e ora ana me tō rātou pararutiki. Ko te hunga e pāngia ana e te quadriplegia (te ngaronga o ngā waewae e whā) e hiahia ana ki te āwhina mai i ētahi atu puta noa i ō rātou oranga, engari ka taea tonu e rātou te pupuri i ō rātou hinengaro kia ora tonu.

He mea tino nui te pupuri i tētahi momo noho hauora hei whakaiti i te tūponotanga o ngā raruraru mai i te whiu. Ko te tikanga, me whiriwhiri koe i ngā mahi whakakori tinana e tika ana mō ō pūkenga, me te pupuri hoki i tētahi tikanga whakakori tinana.

Āhea ahau me toro atu ki te tākuta?

Mena kei a koe ngā tohu o te whiu, ki te whakaaro rānei koe kua whara te upoko , te kaki, te tuara rānei o tētahi, me waea atu koe ki te 1990 tonu. Me rapu tohutohu hauora tonu hoki i ngā āhuatanga e whai ake nei:

• Te uaua ki te manawa, te horomi, te kōrero rānei.
• He rite ki te ngoikore o ngā peka me ngā waewae, ki tētahi mea rānei.
• Te ngoikore o te uaua (tērā pea ka mau tonu, ka haere mai, ka ngaro atu rānei).
• Kāore e taea te neke i ō uaua i te wā ohorere.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Ka taea e koe te pātai atu ki tō tākuta i ēnei pātai:

• He wā poto noa iho tēnei pararutiki, he wā tuturu rānei?
• Ka taea anō e au te nekeneke haere? Mēnā koinā, kia pēhea te roa?
• He aha te maimoatanga pai rawa atu mōku?
• He aha te momo taputapu nekenekehanga, taputapu āwhina rānei hei āwhina i ahau?
• Me āwangawanga rānei ahau mō ngā tohu o ngā raruraru?

He āhuatanga whakarerekē te pararutiki. Ahakoa te pararutiki wā poto, ka pāngia pea tō kaha ki te mahi i ngā mea e arohaina ana e koe. Mēnā ka puta ohorere te pararutiki, he uaua pea te urutau ki ngā huringa nui o te noho. Ka taea e tō tākuta te ārahi i a koe i roto i ngā ratonga whakaora me te hauora hinengaro e wātea ana ki a koe. He maha ngā tāngata e pāngia ana e te pararutiki e ora ana i ngā oranga hohe me ngā taputapu āwhina me te tautoko a te hunga e arohaina ana. Nō reira, he mea nui kia kaha tonu.

Ngā mea tino nui hei maumahara (Karere hei kawe ki te kāinga)

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

• Ko te pararutiki te kore e taea te whakahaere i ngā uaua. Nā te raruraru o te pūnaha io tēnei.
• Ka taea tēnei te noho hapa, te noho katoa rānei, ā, ka taea hoki te noho rangitahi, te noho pumau rānei.
• Ko te whiu me te whara o te taurakira ngā tino take, engari ka pāngia hoki e ētahi atu mate me ngā whara.
• He maha ngā whakamātautau hei tautuhi i te pararutiki, ā, ko te tākuta te kaiwhakatau ko tēhea te mea.
• Ahakoa kāore he rongoā tuturu mō te pararutiki tuturu, ka taea e ngā ratonga whakaora pērā i te whakaora tinana me te whakaora mahi te whakapai ake i te kounga o te oranga.
• Ko te huarahi pai hei ārai i te pararutiki ko te karo i ngā aituā , inā koa ko ngā mea e kino ai te taurakira.
• Ahakoa he wero te noho me te pararutiki, mā te tautoko me te maimoatanga tika, ka taea e te tini o te tangata te noho ora kaha.
• Ki te kite koe i ngā tohu o te pararutiki, rapua tonutia he awhina hauora. He nui te rerekētanga mā te maimoatanga tere.

Nō reira, ko tāku tumanako he whai hua ēnei mōhiohio ki a koe. Mena he pātai āu, he pātai rānei a tētahi e mōhio ana koe mō tēnei mate, ko te mea pai ko te kōrero ki te tākuta. Kaua e manukanuka, he tokomaha ngā tāngata ka taea te āwhina!