Kei te māuiui, kei te ngau rānei ō ringaringa me ō waewae? Me kōrero tātou mō tēnei! (Peripheral Neuropathy)

I ētahi wā, ina tū ake tātou i muri i te noho i te tūranga kotahi mō tētahi wā, ka rongohia te ngau o ō tātou ringa me ō tātou waewae, tika? Ka memeha haere i muri i tētahi wā. Engari he maha ngā wā ka rongo koe i te ngau o ō ringaringa me ō koutou waewae, i te mamae rānei pērā i te ngira, i ētahi wā he mura rānei? Tērā pea he mea nui atu tēnei i te ngau noa iho. I tēnei rā kei te kōrero tātou mō tētahi āhuatanga e kiia nei ko te 'Peripheral Neuropathy' e puta ai ēnei tohu. Ahakoa he ingoa whakamataku tēnei, ki te mōhio koe, ehara i te mea uaua te whakahaere i tēnei mea pērā i tō whakaaro.

He aha te tikanga o te Peripheral Neuropathy?

He ahua uaua tēnei ingoa, nō reira me mārama tātou ki tēnei. E rua ngā wāhanga matua o te pūnaha io o te tinana. Ko tētahi ko te Pūnaha Io Matua . Kei roto ko te roro me te taurakira (te io matua e rere ana i roto i te tuaiwi). He rite tēnei ki te 'Tari Matua' o te tinana.

Ko tētahi atu wāhanga ko te Pūnaha Io o te Taitapa . Kei roto i tēnei ko ngā io katoa e toro atu ana i te tari matua, arā, te roro me te taurakira, ā, e horapa ana puta noa i te tinana. He rite ki te pūnaha waea e toro atu ana i te tari matua ki te motu katoa. Ka kawe, ka tuku hoki ēnei io i ngā kare ā-roto me ngā karere ki ō tātou ringaringa, waewae, mata, me ngā matimati.

Nō reira, ko te Peripheral Neuropathy he āhuatanga, he pakaru rānei ki ngā io i waho o te 'tari matua', arā, ko ngā io o te pūnaha io o waho. Nā te mea he maha ngā take mō tēnei, ka rerekē rawa ngā tohu i ia tangata, i ia tangata.

Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei mate?

Ka pāngia te tangata e te Neuropathy Peripheral, ahakoa te pakeke, te ira tangata, te iwi rānei. Heoi, he nui ake te mōrearea o ētahi tāngata. Ina koa,

• Mō te hunga e pāngia ana e te mate huka mellitus .
• Ka piki ake te mōrearea o te whakawhanake i tēnei mate i te pakeketanga. E kiia ana kei waenganui i te 5% me te 7% o te hunga neke atu i te 45 tau te pakeke puta noa i te ao he momo neuropathy peripheral.
• Mō te hunga whai mate tuku iho.

Me pēhea te pakaru o ēnei io?

Hei mārama ki tēnei, me mōhio tātou ki te hanganga o ō tātou neuron. Whakaarohia he rite te neuron ki te waea hiko.

• Ākona: Koinei te wāhanga rite ki te waea parahi o te taura hiko. Koinei te wāhi e haere ai ngā karere.
• Pūkahu Myelin: Koinei te ārai kirihou e karapoti ana i te waea parahi. Ka āwhina i te tere o te haere o te karere, me te kore e turuturu, ā, ka tiaki i te axon.

E rua ngā huarahi matua e puta ai te Neuropathy Peripheral:

1. Te Mate Pūkahukahu Whakakorenga Myelin: He rite tēnei ki te kirihou ārai i runga i te waea hiko e rewa ana. Ka whakaroa tēnei i te tere o te haere o ngā karere, ā, ka raruraru ngā karere.

2. Te Hekenga o te Axonal: He rite tēnei ki te kino o te waea parahi tonu. Koinei te momo tino noa. Ko ngā io roa rawa atu o tō tātou tinana e rere ana mai i te taurakira ki ngā pito o ō tātou matimati. Nō reira, ina puta tēnei momo kino, ko ngā waewae me ngā waewae te tuatahi ka pāngia.

He aha ngā tohu o tēnei?

He maha ngā tohu. Kei te momo io kua pakaru. I ētahi wā ka pā ki te io kotahi anake, ka pā rānei ki ngā io maha i te wā kotahi. E toru ngā momo tohu matua.

He aha pea te take o tēnei?

He maha ngā take o te Peripheral Neuropathy. I ētahi wā, kāore e kitea he take. Ka kiia tēnei ko te 'Idiopathic Neuropathy'. Ko ngā take tino noa ko:

• Mate Huka (Mati Huka Momo 2): Ko te tino take o te neuropathy peripheral i Sri Lanka me te ao katoa ko te mate huka kāore i te whakahaeretia. Ka pakaru ngā io ngawari i roto i ngā taumata huka toto tiketike mō te wā roa.
• Te korenga o ngā huaora: Ka taea e te korenga o ētahi huaora, inā koa ko ngā huaora B12, B1, B6, B9 (waikawa folic), me te huaora E, te kino ki ngā io. He kino anō hoki te kai nui o te huaora B6 ki ngā io.
• Te inu nui i te waipiro: Ka kino tika ngā io ki te inu nui i te waipiro mō te wā roa.
• Ngā mate urutā: Ka taea e ētahi huaketo (hei tauira, te HIV, te herpes zoster) me ngā mate kitakita te kino i ngā io.
• Ngā Mate Pūnaha Ārai Mate: I roto i ngā mate pēnei i te Guillain-Barré syndrome, te lupus, me te rheumatoid arthritis, ka whakaekea e te pūnaha ārai mate o tō tātou tinana ngā io.
• Ngā rongoā me ngā paitini: Ko ētahi rongoā chemotherapy mō te mate pukupuku, ko ētahi paturopi, me te pānga ki ngā paitini pērā i ngā matū ahuwhenua me ngā konganuku taumaha (mata, mercury).
• Whara: Te whara tika ki te io i puta mai i tētahi aituā, i tētahi pokanga rānei.
• Ngā Āhuatanga Ira: Ngā mate tuku iho pērā i te mate Charcot-Marie-Tooth.
• Ētahi atu āhuatanga hauora: mate tākihi, mate ate, mate pukupuku (te pēhi a te puku i te io), me ngā raruraru o ngā uaua toto.

Me pēhea e kitea ai tēnei e koe, e Tākuta?

Ina kite koe i tētahi tākuta, ka pātai tuatahi ia i ngā pātai maha mō ō tohumate, tō hītori hauora, me te mea kua pāngia tētahi o tō whānau e ngā mate rite. Kātahi ka tirotirohia e ia tō tinana, ka whakamātau i tō mahi io (ngā kare ā-roto, te kaha o te uaua, ngā uruparenga).

Hei tāpiri, ka taea te whakamahi i ēnei whakamātautau hei tautuhi i te take:

• Ngā whakamātautau toto: Hei kite i ngā āhuatanga pēnei i te mate huka, te korenga o ngā huaora, te mahi a ngā whatukuhu, me ngā raruraru o te pūnaha ārai mate.
• Te Rangahau Arataki Io (NCS) me te Electromyogram (EMG): Ka ine ēnei i te tere o te haere o ngā karere i roto i ngā io me te ngohe hiko o ngā uaua. He mea tino nui tēnei hei whakatau mēnā he pakaru io, me tōna wāhi hoki.
• Kohikohi io: I ētahi wā, ka tangohia he wahi kiri iti me tetahi wahi kiko io, ka tirotirohia i raro i te karu hiko.
• He matawai MRI.

He aha ngā maimoatanga mō tēnei?

Ko te maimoatanga e whakawhirinaki ana ki te pūtake o tō neuropathy peripheral.

1. Te rongoā i te pūtake o te mate:

• Mena he mate huka koe: Ko te mea nui ko te whakahaere pai i ō taumata huka toto.
• Mena nā te korenga o ngā huaora: Hoatu ngā huaora e tika ana.
• Mena he mate pūnaha ārai mate te take: Hoatu he rongoā kua whakaritea.
• Mena nā te rongoā: Mā tō tākuta e whakatau mēnā ka huri, ka whakamutu rānei i te rongoā, mēnā ka taea.

2. Te whakahaere i ngā tohumate:

• Ngā rongoā mamae: Kāore e taea te whakaora i te mamae io e ngā rongoā mamae noa. He rongoā motuhake anō hoki mōna. Ko ētahi rongoā e whakamahia ana mō te mate haurangi me te pouri ka taea te hoatu i roto i ngā horopeta iti hei whakahaere i te mamae io ki te whānuitanga nui.
• Hinu Hinu me ngā Pāti: He maha ngā kirimi me ngā pāti ka taea te pani ki te wāhi e mamae ana.
• Whakaora Tinana: Ka āwhina ngā mahi whakakori tinana me ētahi atu maimoatanga ki te whakapakari i ngā uaua, te whakapai ake i te taurite, me te whakaiti i te mamae.
• Ngā hu me ngā taputapu motuhake: Ka tūtohu pea tō tākuta i ngā hu motuhake hei āwhina i te ārai i ngā whara mō te hunga he ngoikore te kare ā-roto o ō rātou waewae. Ko te hunga he uaua ki te hikoi me whakamahi pea i tētahi taputapu pēnei i te tokotoko.

Āhea tātou me rapu tohutohu hauora tonu? (Āhea tātou me haere ki te ETU)

Ahakoa kāore te neuropathy peripheral e tino mōrearea tonu ki te ora, ko ētahi tohu he tohu pea nō tētahi mate kino. Mena kei a koe, kei tētahi rānei e mōhio ana koe, ēnei tohu e whai ake nei, haere tonu ki te tari ohorere o te hōhipera tata (ETU) .