Kei te pāngia koe e te whanoke tonu? Me kōrero tātou mō te PPPD (Persistent Postural-Perceptual Dizziness)!

Ka pōuri koe i ētahi wā, kāore he take, ka ngaro tō taurite i a koe e tū ana, e noho ana rānei, ā, ka rite koe ki te mea kei te mānu koe i runga i te poti? He tino uaua ki te noho me tēnei pōuri mō ngā rā maha, kāore? Tērā pea ka tino pouri koe, ka mataku hoki mō tēnei. I tēnei rā ka kōrero tātou mō tēnei momo pōuri mō te wā roa, arā, e toru marama te roa, neke atu rānei. Ka tapaina tēnei e ngā tākuta ko te PPPD (Persistent Postural-Perceptual Dizziness) . Ahakoa he roa te ingoa, kia māmā noa iho.

He aha te PPPD (Te Matapōkere Tūroa-Tirohanga Mau tonu)? He māmā noa iho...

Ka taea e tātou te mārama ki te tikanga o te PPPD mai i ngā kupu tonu.

• Pūmau: Ko te tikanga he pumau, he roa te wā . E toru marama pea te roa o tēnei whanoke e pāngia ana koe, i te nuinga o ngā rā.
• Tūnga: E pā ana tēnei ki te tūnga o te tinana . Ka kino ake tēnei whanoke ina tū koe, ina noho, ina tū tika rānei.
• Tirohanga: E pā ana tēnei ki tā tātou tirohanga, arā, te āhua o tā tātou tirohanga ki ngā mea . Ka rite koe ki te mea kei waho i te taurite koe, kei waho rānei i tō taiao. Ka rite ki te mea kei te rūrū te whenua, kei te rūrū rānei koe.
• Pōuriuri: He pōuriuri tēnei. Engari ehara i te mea he "Pouriuri" kei reira ngā mea e hurihuri ana i a koe. I roto i te PPPD, e ahua ana kei te rurerure koe, kei runga poti koe, kei te kore e pumau .

He māmā noa iho, he momo whanoke te PPPD e tīmata ana i muri i tētahi huihuinga, ka roa te wā, ka piki haere ina tū, ā, ka kore taurite koe, tō taiao rānei, me te mea kei te rūrū koe.

He pūnaha matatini tō ō tātou tinana e whakahaere ana i tō tātou taurite. Kei roto ko ō tātou kanohi, ko ngā uaua, ko te pūnaha vestibular i roto i tō tātou taringa o roto, me te roro . Ka mahi tahi ēnei mea katoa, ka mahi tahi hei rōpū, kia kore ai tātou e hinga. Ka puta noa mai tēnei, me te kore e mōhiotia e tātou.

Engari i roto i te tangata whai PPPD, ka pakaru, ka kore rānei e rite te whakawhitiwhiti kōrero i waenga i ngā wāhanga o tēnei pūnaha. Arā, he raruraru kei te huarahi e haere ai ngā tohu mai i ngā kanohi, te tinana, me te taringa o roto ki te roro, ā, ka hono tahi. Ko te mea nui, kāore he mate, he kino rānei ki ngā wāhanga takitahi o tēnei pūnaha (pērā i ngā kanohi, ngā taringa, me te roro) . Engari kāore i te "hono tahi" ngātahi. Koia te take ka pōrearea koe, ka pōuri hoki.

He pēhea te noa o tēnei āhuatanga PPPD?

Ko te PPPD pea te mate tino noa e mōhiotia ana i nāianei hei take o te whanoke roa. Heoi, he mate hou tēnei.Nō te tau 2017 anake i huihui ai ngā tohunga hauora ki te tautuhi i ngā paearu mō tēnei mate. Nō reira, he nui tonu ngā rangahau e haere tonu ana, ā, he nui ngā mea hei ako. I ngā wā o mua, kāore pea i taea te tautuhi tika i te hunga whai i ēnei tohu.

He aha ngā tohu o te PPPD?

Ko te tangata whai PPPD ka pōuri i te nuinga o te wā . Ko te tikanga, ka pōuri pea rātou neke atu i te whitu ngā rā o te wiki. I ētahi wā ka roa pea tēnei pōuri mō ngā hāora, ā, ka kino haere i te roanga o te rā . Ka taea rānei te haere mai, te haere atu me te kore he tauira.

Ko te whanoke i puta mai i te PPPD ka rite ki te mea kei te whiua he poti e ngā ngaru, kei te rūrū rānei koe, kei te pōturi, me te mea kāore e taea e koe te pupuri i ō waewae ki te whenua . Ahakoa ka puta tēnei mō te kore take, ka kaha ake pea i ētahi wā. Hei tauira:

• Ina tū koe, ina noho tika koe, ina huri whakarere rānei koe i tō tūranga (hei tauira, ina ara ake koe i te moenga).
• Ina hikoi koe, ina eke rānei i roto i tētahi waka (motuka, pahi, tereina) .
• Ina kite koe i te tini o ngā mea i te wā kotahi , whakaarohia te titiro ki ngā whata o ngā kai i roto i te hūpermakete, te panuku rānei i ngā pāpāho pāpori i runga i tō waea. Ka taea e tēnei momo whakaohooho tirohanga te whakanui ake i te whanoke.

Haunga ēnei tohu matua, ka haere tahi pea ētahi atu tohu me te PPPD:

• Kohu roro: Ko te tikanga he uaua ki te whakaaro mārama me te arotahi.
• Te ngaronga o te mahara mō te wā poto: Te wareware wawe i ngā mea iti.
• Te uaua ki te arotahi: He uaua ki te arotahi ki tētahi mea, ki te mahi tonu rānei i tētahi mahi.

Ka taea e te PPPD te mea ka wehea koe i tō tinana, i tō taiao, me ētahi atu tāngata, me te mea kei roto koe i te moemoeā . Tērā pea ka karohia e koe ngā mahi pāpori me ngā mahi o ia rā i te wehi kei kino haere tō whanoke. Ka pā nui tēnei ki te kounga o tō oranga.

He aha ngā take o te PPPD?

Ko te tikanga ka tīmata te PPPD i muri i tētahi "whakaoho" e pā ana ki tō taurite . Ko te tikanga tēnei kua pāngia pea koe e te whanoke i mua, pērā i te whara o te upoko, ā, ka haere tonu pea te PPPD ahakoa kua ora.

Anei ētahi o ngā mea ka pā mai ai te PPPD:

• Te pōuri ohorere, te whanoke nui (Te pororaru nui).
• Ko te Benign Paroxysmal Positional Vertigo (BPPV) he āhuatanga e puta ai te whanoke ina nekehia tō mahunga.
• Ngā whara o te upoko (hei tauira, te whara o te upoko).
• Ngā mate taringa o roto pērā i te mate a Ménière.
• Te whakaekenga mataku.
• He mate 'Whā' (pararutiki).
• Ko te 'migraine vestibular' he whanoke e puta tahi ana me te migraine.
• Ko te neuritis vestibular he mumura o te io o te taringa o roto.

Ko te mea e tupu ana i roto i te PPPD, ahakoa kua pahemo te whanoke, te mate rānei i te tīmatanga, ka maumahara tonu tō roro ki te wheako "ngaronga o te taurite" . Me te kore e mōhio, ka tīmata koe ki te tino mōhio ki ngā mea e pā ana ki tō taurite, pērā i te tūnga o tō tinana me te taiao. Ka taea hoki e tēnei tino mōhio te mea kia manukanuka tonu koe.

Whakaarohia kua paheke koe, ā, kua hinga ki te rori. Whai muri i tēnā, ka tino tupato koe i ia wā e hikoi ana koe i taua rori, me te titiro ki raro, me te whakaaro ki ia hikoinga, tika? Waihoki, i roto i te PPPD, ka tīmata tō roro ki te whakaaro nui rawa mō te taurite, ā, kia mataara.

Engari he āwhina, ka kore e taea e tō roro te tukatuka tika i ngā mōhiohio pūoro mai i ō kanohi, uaua, me te taringa o roto, ka noho pumau ai koe. E ai ki ngā tohunga, he nui rawa te whakawhirinaki o tō roro ki ngā pūoro e tino pā ana ki a koe (hei tauira, ngā mea e kitea ana e koe, te āhua o tō pupuri i tō tinana), ā, ka iti te whakamahinga o ngā pūoro e iti ana ki a koe (hei tauira, ngā mōhiohio mō ngā nekehanga ngawari mai i tō taringa o roto). Ko taua taupatupatu te take o ō tohu.

He tino whakararuraru tēnei, nā te mea, pērā i te noho taurite e puta noa mai ana ki te tangata kāore he PPPD, ka puta noa mai hoki tēnei mate pāwera ki te tangata whai PPPD.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i te PPPD?

Kua whakaatuhia e ētahi rangahau e whā ngā wā ka nui ake te tūponotanga o ngā wāhine ki te pāngia e te PPPD i ngā tāne . Waihoki, ko te hunga kua pāngia e tētahi mate o mua e pā ana ki te taurite (he mate vestibular) he mate hauora hinengaro rānei pērā i te manukanuka, te pouri rānei, ka nui ake te tūponotanga ka pāngia e te PPPD i muri i te pāngia e tētahi o ngā kaupapa whakaoho kua whakahuatia ake nei.

Tērā pea he pānga anō tō āhua . Kua whakaatuhia e ngā rangahau he nui ake te kitea o te PPPD i roto i te hunga whakama, arā, he hunga whakama ake .

Me pēhea te tautuhi i te PPPD?

He uaua pea te tātaritanga i te PPPD i ētahi wā nā te mea kāore he mate i roto i ngā wāhanga takitahi o tō pūnaha taurite. Nō reira, ko ngā whakamātautau taurite o ia rā, pērā i ngā whakamātautau vestibular, ka hoki mai pea ki te āhua noa .

Nō reira, ka tātaritatia koe e tō tākuta ki te PPPD i runga i ngā paearu e rima e pā ana ki ō tohu . Ka tātaritatia koe ki te PPPD mēnā ka tutuki i a koe ēnei paearu:

1. Kua pōuri koe, kua kore rānei e tūpato i te nuinga o ngā rā mō te toru marama pea (kāore he kare e huri ana).

2. Tērā pea ka piki ake ngā tohu ahakoa kāore he take, engari ka kino ake te whanoke ina tū, ina hikoi, ina titiro rānei ki ngā mea maha .

3. Tīmata te hurihuri.Kua pāngia koe e tētahi āhuatanga whakaohooho (he āhuatanga rangitahi, he mate roa rānei).

4. Kua pā kino ō tohu ki tō oranga o ia rā me te kounga o te oranga .

5. Me whakarite koe kāore ō tohumate i puta mai i tētahi atu mate hauora (me whai whakamātautau pea koe hei whakakore i ētahi atu mate).

He aha ngā maimoatanga mō te PPPD?

Kāore he rongoā mō te PPPD i tēnei wā. Heoi, he maha ngā maimoatanga hei āwhina i a koe ki te whakahaere i tō whanoke. Tērā pea ka tūtohu tō tākuta i tētahi, i ētahi rānei o ēnei.

Ko ngā tikanga maimoatanga matua ko:

• Te Whakaora i ngā Tūmomo Pūnaha Urutā (VRT): He maimoatanga tinana motuhake tēnei. Ka āwhina i a koe ki te mārama ki te āhua o te aro nui o tō tinana (te aro nui) e puta ai tō whanoke. Kia mārama koe ki te mea e tupu ana, ka taea e koe te ako i ngā rautaki hei whakahaere i ō tohu. Kei roto ko te mahi i ngā mahi taurite motuhake.
• Whakaora kōrero: He tino āwhina ngā maimoatanga pēnei i te Whakaora Whanoke Hinengaro (CBT) ki te whakahaere i te manukanuka ka taea te whakanui ake i ngā tohu PPPD. Ka taea hoki e ia te āwhina i a koe ki te whakawhanake i ngā rautaki hei whakapakari ake i te pāpori me te maia anō mēnā kua wehe koe i te pāpori nā tō pōuri.
• Ngā Rongoā: Tērā pea ka tohua e tō tākuta he momo rongoā e kiia nei ko ngā SSRI (Selective Serotonin Reuptake Inhibitors) , ki te kore e mahi, ko ngā SNRI (Serotonin-Norepinephrine Reuptake Inhibitors) rānei. He rongoā ēnei kua tohua mō te pouri me te manukanuka. Ahakoa kei te haere tonu ngā rangahau mō te āhua o te mahi a ēnei mō te PPPD, e whakaarohia ana ka āwhina i te whakaiti i te manukanuka me te aro nui ki te PPPD.

He aha te momo tākuta e rongoā ana i te PPPD?

Mena kei a koe ngā tohu o te PPPD, tirohia tō tākuta whānau (PCP) i te tuatahi. Ka taea e ia te tuku i a koe ki tētahi tohunga mēnā e tika ana. Ko ngā tohunga e tātaritanga ana, e rongoā ana hoki i te PPPD ko:

• Ngā Tohunga Rongoā Rongoā (ENT)
• Ngā Tākuta taringa - Ngā tākuta ENT e tohunga ana ki ngā mate taringa o roto
• Ngā tohunga roro
• Ngā Tākuta Hinengaro, Ngā Tākuta Hinengaro rānei
• Ngā kaiwhakaora tinana vestibular

Ka taea te rongoā katoa i te PPPD?

Kāore te PPPD e memeha rawatia , ā, tera pea ka roa te wā e kitea ai te maimoatanga tika hei whakahaere i tō pōuriuri.

Heoi, ko te rongo pai, he tokomaha ngā tāngata whai PPPD ka taea te whakahaere angitu i te mate mā te rongoā me te rongoā.Kei te rangahau tonu ngā tohunga me pēhea te āwhina a ngā maimoatanga takitahi me ngā huinga maimoatanga i te hunga whai PPPD.

Me pēhea taku tiaki i ahau anō hei tangata whai PPPD?

Mena kei a koe te PPPD, ko te tikanga o te tiaki i a koe anō ko te manawanui ki a koe anō i a koe e rapu ana i ngā maimoatanga hei āwhina i a koe . Nā te mea he mea hou tēnei mate, kei te tīmatanga tonu ngā rangahau mō ngā maimoatanga tino whai hua. Me whakamātau pea koe i ngā maimoatanga me ngā rongoā rerekē i mua i te kitenga i te mea e pai ana mōu.

Kia atawhai hoki ki a koe anō i a koe e ako ana ki te noho me tēnei mate. He tokomaha te hunga whai PPPD e kī ana he uaua ki te whakamārama i tā rātou e pā ana ki ētahi atu. Ko ētahi pea ka kī pēnei i te, "Kāore rātou e mārama," "Kei roto katoa i tōu mahunga."

Engari ehara i te mea koinā te āhua. He āhuatanga tūturu te PPPD e whakararuraru ana i tō wairua pumau i roto i tō tinana. He āhuatanga ka uaua ki a koe te whakahaere. Engari kei reira ngā tākuta e rite ana ki te āwhina i a koe.

Ka taea e koe te taraiwa mēnā kei a koe te PPPD?

Pātai atu ki tō tākuta mēnā he haumaru te taraiwa mēnā he PPPD tōu. Ka pāngia ētahi tāngata e tēnei mate e te whanoke nui i a rātou e taraiwa ana. Tērā pea ka rite ki te mea ka taka te motuka. Mā te ngaro o te taurite ka uaua te taraiwa haumaru. Ka taea e ētahi tāngata te taraiwa, engari me ngā tere kei runga ake i te tere kua whakaritea.

Kei te kaha o tō pōuriuri te āhua o tō āhua, me te kitea rānei e koe he rongoā e whai hua ana hei whakahaere i taua pōuriuri. Kaua rawa e tūpono noa.

He manukanuka noa iho rānei te PPPD?

He rerekē ngā āhuatanga e rua o te PPPD me te manukanuka. Heoi, ki te mea kua pāngia koe e te mate manukanuka, ā, ka pāngia koe e tētahi āhuatanga whakaohooho, tera pea ka nui ake tō tūponotanga ki te whakawhanake i te PPPD. Waihoki, ko te noho me te PPPD me te kore maimoatanga ka taea te hanga i tētahi porowhita urupare kino ka kino ake te manukanuka.

Koia te take he wāhanga tonu ngā maimoatanga manukanuka (hei tauira, CBT, rongoā) o te mahere maimoatanga PPPD.

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

Ina kite koe i tō tākuta, ka taea e koe te pātai i ēnei pātai:

• He aha te tino take o taku PPPD?
• He aha ngā mea hei whakaoho i te whanoke me karohia e au kia kore ai e kino haere te whanoke?
• He aha ētahi mea kāore e haumaru māku ki te mahi me taku tātaritanga (hei tauira, te taraiwa, te mahi i ngā teitei)?
• He aha ngā maimoatanga e taunaki ana koe māku?
• Mā ngā paearu hea tātou e mōhio ai kei te angitu te maimoatanga?
• He pānga taha kei roto i ēnei maimoatanga?

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

Ki te pōuri tonu koe, kāore he take e kitea ana, me toro atu ki te tākuta tonu.Tērā pea ka roa te wā e mōhio ai mēnā ko te PPPD te pūtake o ō raruraru taurite. Engari ki te tere koe ki te rapu āwhina, ka tere ake te kitea e koe he mahere maimoatanga hei āwhina i a koe kia hoki ki te huarahi tika .

Ka noho te PPPD hei mate mō te wā roa, engari kāore e hiahiatia kia whakawhāiti i tō kounga o te oranga. Mā te tohutohu hauora me te maimoatanga tika, ka taea e koe te ako ki te whakahaere i tēnei mate me te noho ora pai. Kāore koe i te mokemoke, ā, kei reira ngā tākuta me ngā kaiwhakaora hinengaro hei āwhina i a koe i tēnei haerenga.

` PPPD, Pōuriuri, Taurite, Pūnaha Vestibular, Manukanuka, Maimoatanga, Vertigo