He aha te Pontine Stroke? Me kōrero taipitopito tātou mōna!

Kua rongo pea koe i te "whiu," he mate e pāngia ai te roro e te pararutiki, tika? E mōhio ana tātou katoa he mea tino kino tēnei. I tēnei rā ka kōrero tātou mō tētahi momo whiu e rite ana te mōrearea, engari kāore pea i te tino kōrerotia, me mōhio koe. Ko te ingoa o tēnei ko te Pontine Stroke . He mea tēnei e pā ana ki te roro. Kaua e manukanuka, ka kōrerohia e tātou tēnei i roto i tētahi huarahi māmā noa iho, i roto i tētahi huarahi e mārama ai koe.

He aha rawa te whiu Pontine?

Ki te kī māmā noa, ko te whiu Pontine he whakararuraru i te rere o te toto ki tētahi wāhanga tino nui o tō tātou roro e kiia nei ko ngā "Pons" . Whakaarohia, he uaua kei reira e kawe ana i te toto ki ngā wāhanga katoa o tō tātou tinana, ā, pērā anō hoki mō te roro. Nō reira, ki te aukatia tētahi uaua e kawe ana i te toto ki ngā pons, kāore ngā pūtau o reira e whiwhi i te hāora me ngā matūkai. Koinā te wā ka puta ai tēnei āhuatanga. He momo whiu ischemic tēnei, he whiu e aukatia ana tētahi uaua toto e tētahi mea pērā i te toto totoka. Ka taea e tēnei aukati te puta ohorere, ka taea rānei te whanake haere i roto i te wā.

Tērā pea kei te whakaaro koe he aha tēnei "Pons". Koinei te wāhanga nui rawa atu o tō tātou roro . He rite te roro ki te rūma whakahaere o tō tātou tinana. He mahi tino nui anō hoki tā ngā Pons. Ka āwhina ngā Pons ki te whakahaere i te manawa, te mahi uaua o te mata, te nekehanga o ngā kanohi, me te taurite.

He āhuatanga ohorere hauora e morearea ana te whiu Pontine, nō reira me tere te maimoatanga.

He ingoa anō tēnei, kua rongo pea koe i tēnei:

• Te whiu o te roro, te infarction rānei
• Te whiu Pons, te infarction rānei

He pēhea te noa o te whiu Pontine?

He mate tino noa te whiu, engari ki te whakaritea ki ētahi atu momo whiu, he iti ake te kitea o te whiu Pontine .

E 7% pea o ngā whiu ischemic katoa o te ao e pāngia ana e ngā whiu Pontine. Hei tauira, i te Hononga o Amerika anake, e 48,000 ngā tāngata e pāngia ana e tēnei mate i ia tau. Nō reira, he tau nui tēnā, tika?

He aha ngā tohu o te whiu Pontine?

Koinei te wāhanga nui. Tērā pea he rerekē ngā tohu o te whiu Pontine i ngā tohu kē atu o te whiu kua rongohia e tātou. Nō reira, he mea tika kia mōhio ki tēnei.

Tērā pea ka pā mai tētahi, ētahi rānei o ēnei tohu i te whiu Pontine:

• Te ngoikore o ngā uaua o te taha kotahi o te tinana (hemiparesis). Me te mea kei te ngoikore tetahi peka.
• Te ngoikore, te piko rānei o tētahi, o ngā taha e rua rānei o te mata (te pararutiki o ngā io kanohi). I ētahi wā ka tōia te waha ki tētahi taha.
• He kare ā-roto rerekē kei te taha kotahi o te mata. Tērā pea ka rite ki te ngoikore o te tinana, ki te hikoi haere rānei ngā pōpokorua.
• Ngā kare ā-roto rerekē i te taha kotahi o te tinana (te ngaronga o te kare ā-roto).
• Te uaua ki te kōrero, te whanoke (dysarthria). Te āhua nei ka rarau ngā kupu.
• Te uaua ki te horomi (dysphagia). Te uaua ki te horomi i te kai me te inu.
• Te uaua ki te manawa.
• Te ngaro o te taurite, te uaua ki te hikoi (ataxia). Me te mea nei he pōuri.
• Pōuriuri, te āhua hurihuri i a koe (vertigo).
• Te ngaronga o te rongo.
• Te tangi, te kata rānei kāore e taea te whakahaere (te pānga pseudobulbar). He tohu rerekē tēnei, arā, ka taea e koe te tangi me te kore e pouri, e kata rānei me te kore e harikoa.
• Te ngaronga o ngā waewae e whā (quadriplegia).
• Te ngaronga o te māramatanga.

Ko ngā tohu e pā ana ki ngā kanohi me te tirohanga ka uru atu pea ki:

• Te tirohanga takirua, inā koa ina titiro ki te taha (nā te pararutiki o te io tuaono).
• Ngā nekehanga kanohi tere, kore e taea te whakahaere (nystagmus).
• Te kore e taea te neke i ngā kanohi e rua i te huarahi kotahi i te wā kotahi (conjugate gaze palsy).
• Ngā raruraru kimokimo.

Ki te pāngia koe, tētahi rānei e tata ana ki a koe, me rapu tonu koe i te awhina hauora i runga i te wā tonu, nā te mea he mate morearea te Pontine Stroke, ā, ka taea e ia te whakararu i a koe anō.

He momo whiu Pontine kei reira?

Ae, he maha ngā momo o te Pontine Stroke, i runga i te wāhi e rere ai te toto ki ngā wāhanga rerekē o ngā pons. Tērā pea ka rerekē ngā tohu i runga i ia momo, engari he maha ngā tohu he mea noa. Ka tapaina e ngā tākuta i runga i te wāhi e rere ai ngā pons.

Hei tauira:

• Te whiu waenga o te pontine: Ka puta tēnei ina mutu te rere o te toto i waenganui o ngā pons. Ko ngā tohu ko te ngoikore i te taha kotahi o te tinana, te ngoikore o ngā uaua o te kanohi, me te kore e taea te neke i ngā kanohi mai i tetahi taha ki tetahi taha (pararutiki titiro whakapae).
• Te whiu pontine taha: Ka pā tēnei ki te taha kotahi o ngā pons. Ko ngā tohu ka uru atu ki te ngoikore o te taha kē o te tinana (ngaronga o te taha taha) me te ngaronga o te taurite (ataxia). Ka pā ki te taha kotahi, ki te taha rua rānei.
• Te whiu i te pito o muri o te pons: Ka pā tēnei ki te tuara o ngā pons. Ko te pararutiki o ngā io kanohi, te ngaronga o te rongo, me te pororaru ngā tohu noa.

He aha te take o te whiu Pontine?

E ai ki tā mātou i kōrero ai i mua ake nei, ka puta tēnei ina aukatia te rere o te toto ki ngā pons. E rua ngā take matua mō tēnei aukatinga:

1. Mate toto iti: Mena he toto toto tiketike, he mate huka rānei tōu mō te wā roa, ka pakaru pea ngā oko toto iti i roto i ngā pons. I roto i te wā, ka herea te rere o te toto, ā, i te mutunga ka āraia rawatia te uaua, ka puta he whiu. Koinei te tino take.

2. Te atherosclerosis o ngā uaua nui: Ko te Atherosclerosis te kohikohinga āta o ngā putunga ngako (pēka) i roto i ngā uaua toto, ka whakapakeke. Ina kohikohia tēnei momo pēka i roto i ngā uaua nui e kawe ana i te toto ki te roro (hei tauira, te uaua vertebral , te uaua basilar ), ka taea e ia te aukati i te rere o te toto ki ngā uaua iti i roto i ngā pons.

He aha ngā āhuatanga mōrearea mō te whiu Pontine?

Ko ngā take mōrearea matua mō te whiu Pontine he rite tonu ki ērā mō ētahi atu whiu ischemic. Ko te toto toto tiketike me te mate huka . Ka taea e ēnei āhuatanga e rua te kino i ō uaua toto, tae atu ki ngā uaua toto i roto i ngā pons.

Ko ētahi atu āhuatanga mōrearea ko:

• Te momi hikareti.
• Te nui o te cholesterol i roto i te toto.
• He hītori o mua mō te mate ngakau ischemic ( he mate ngakau i puta mai i te aukati i ngā uaua o te ngākau).
• Ngā āhua toto totoka nui.
• Te mate pāwera o te toto (vasculitis).

Mena kei a koe tētahi o ēnei āhuatanga mōrearea, he mea tino nui kia kite koe i tō tākuta i ia wā, kia mōhio ai koe kei te tika te haere o te mahere maimoatanga kua hoatu ki a koe.

Me pēhea te tautuhi i te whiu Pontine?

Mena kei a koe ngā tohu o te whiu, me haere wawe koe ki te rūma whawhati tata (ETU) . I reira, ka whakahaerehia e te tākuta ētahi whakamātautau hei tautuhi i te whiu Pontine me te tirotiro i tō hauora. Kei roto i ēnei ko:

• Te tirotiro i tō toto toto me te tere o te manawa .
• Te tirotiro i tō manawa (te tukanga manawa) .
• Te whakamātautau tinana me te hītori hauora .
• He whakamātautau io. Mā tēnei ka taea te tautuhi i ngā tohu āhuatanga o te whiu me te whakatau tata ko tēhea wāhanga o te roro kua pāngia.
• Ngā whakamātautau whakaahua roro.Hei tauira, he matawai CT me/ranei he matawai MRI . Ka taea e ēnei whakamātautau te whakaū mēnā kei roto i ngā pons te whiu.

Tērā pea ka tonoa e tō tākuta ētahi atu whakamātautau hei tirotiro i ētahi atu āhuatanga o tō hauora, pērā i ngā whakamātautau toto me te EKG (ECG) .

Me pēhea te rongoā i te whiu Pontine?

Ko te whāinga matua o te maimoatanga mō te whiu Pontine he whakahoki i te rere o te toto ki ngā pons. Nā te mea mā te whakahoki wawe i te rere o te toto ka ārai i te kino tuturu, ka whakaiti rānei i te kaha o te whiu. Anō, ki te pāngia koe e ngā tohu o te whiu, he mea nui kia tere te haere ki te hōhipera kia taea ai e koe te whiwhi maimoatanga tere.

Hei whakaora i te rere o te toto, ka hoatuhia he momo rongoā e kiia nei ko te thrombolytics . Ka mahi ēnei mā te whakarewa i te toto totoka. Waihoki, ki te mea he aukati kei roto i te uaua nui, ka taea te mahi pokanga e kiia nei ko te mechanical thrombectomy hei tango i te toto totoka.

Ko ētahi atu whāinga o te maimoatanga ko:

• Te ārai i ngā raruraru. Ka whakamahia e tō rōpū hauora ētahi atu maimoatanga hei ārai, hei rongoā rānei i ngā raruraru maha.
• Te whakaora hei rongoā i ngā pānga taha, i ngā raruraru rānei o te pūnaha io.
• Te whakamahi i ngā rautaki hei ārai i tētahi atu whiu , pērā i ngā rongoā, ngā whakarerekētanga kai, me te whakanui ake i te korikori tinana.

Te Whakaora i te Whiu o Pontine

He wāhanga nui o te whakaoranga te whakaora mō te tini o te hunga kua pāngia e te whiu. I runga i ō tohumate, he maha ngā āhua o tēnei:

• Whakaora kōrero: Mā tēnei ka āwhina i a koe ki te whakahoki mai i tō pūkenga reo me te kōrero, me te whakahaere i ngā uaua e āwhina ana i a koe ki te manawa, ki te kai, ki te inu, me te horomi.
• Whakaora tinana: Ka taea e tēnei te āwhina i a koe ki te whakapai ake, ki te whakahoki mai rānei i te whakamahinga o ō ringaringa me ō waewae. Ka taea hoki e ia te āwhina i ngā āhuatanga pēnei i ngā raruraru taurite me te ngoikore o te uaua.
• Whakaora mahi: Ka whakangungu anō tēnei i tō roro kia āwhina i a koe ki te mahi i ngā mahi o ia rā, pērā i te kai me ngā taputapu me te whakakakahu.
• Te whakaako anō i ngā kare ā-roto: Ka āwhina tēnei ki te whakangungu anō, ki te whakaoho rānei i ō kare ā-roto. Hei tauira, ka whakangungua koe ki te mōhio ki ngā momo pā, wiri, pēhanga, me te pāmahana rerekē.
• Te rongoā hinengaro:He mea āwhina tēnei mēnā he raruraru mahara tōu. Ka āwhina anō hoki mēnā he uaua ki a koe te aro ki ngā mahi i taea e koe te mahi i mua.

He aha te āhua o te oranga mō te hunga kua pāngia e te whiu Pontine?

Ko te tirohanga mō te whakaoranga mō te tangata kua pāngia e te whiu Pontine e whakawhirinaki ana ki ētahi āhuatanga, tae atu ki:

• Ko tēhea wāhanga o ngā pons i pāngia e te whiu?
• Te kaha o te whiu.
• Te tere o te whiwhinga o te maimoatanga.
• Tō hauora whānui me tō tau.

Hei tauira, ko ngā whiu e pā ana ki te taha kotahi anake o ngā pons (unilateral) he pai ake ngā hua whakaora i ngā whiu e pā ana ki ngā taha e rua (bilateral) me ērā e pā ana ki te tuara o ngā pons (caudal).

Mā tō rōpū hauora koe e whakamārama ki te āhua o te whakaoranga i muri i te whiu Pontine. Rapua he āwhina mai i ō hoa, ka pātai atu ki a rātou mō ngā pātai, ngā āwangawanga rānei kei a koe.

He aha ngā pānga roa o te whiu Pontine?

Ka taea e te whiu Pontine te whakararu i ētahi raruraru roa, pumau rānei. Nā te mea ko te take roro, kei roto ko ngā pons, he hanganga roro nui e maha ana mahi nui. Ko tō tupono ki te pāngia e ngā raruraru ka whakawhirinaki ki ngā āhuatanga maha, tae atu ki te momo me te kaha o te whiu Pontine.

Ko ētahi o ngā raruraru ko:

• Te pakaru o te roro tuturu.
• Tērā pea me whāngai mā te ngongo nā te uauatanga o te kai.
• Te ngaronga o te mana whakahaere mimi (te kore e taea te pupuri i te mimi), me te hiahia kia whakamahia he catheter mimi.
• Te ngoikore o ngā uaua mō te wā roa, ka hinga pinepine.
• Te pouri i muri i te whiu.
• Ngā raruraru mai i te takoto roa i runga i te moenga, hei tauira, ngā mate moenga me te thrombosis uaua hōhonu (DVT).
• Te hauātanga mō te wā roa.
• Te mate maukati. I roto i tēnei, kāore e taea e koe te whakahaere i tētahi atu mea i roto i tō tinana engari ko te nekehanga o ngā kanohi, engari kei te mōhio koe.
• Ko te niumōnia manawa, inā koa i roto i te hunga he pseudobulbar palsy , he locked-in syndrome rānei, ka puta mai i te kai, i te inu rānei e uru ana ki te ara manawa.
• Te mate.

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

Mena kua pāngia koe (tētahi atu rānei e tō whanaunga) e te whiu Pontine, he mea pai pea te pātai atu ki tō tākuta i ēnei pātai:

• He aha te momo whiu Pontine i pā mai ki ahau?
• He aha ngā mahi o te roro me te tinana i pāngia e te whiu?
• Ka pēhea te āhua o taku whakaoranga? He aha ngā mahi tiaki e whai ake nei?
• He aha ngā momo tikanga whakaora e hiahiatia ana e au?
• He aha ngā mea ka taea e au te mahi i roto i ngā marama torutoru e whai ake nei?
• He aha taku e tumanako ai i roto i te tau?
• He aha ngā pūkenga e hiahiatia ana e mātou ko aku whanaunga hei tiaki i ahau?
• He aha ngā ratonga me ngā rauemi e wātea ana hei āwhina i ahau me ōku whanaunga?
• He aha ngā āhuatanga mōrearea mōku kia pāngia anō ahau e te whiu?

Me pēhea te ārai i te whiu Pontine?

Kāore e taea te ārai i ngā wā katoa i te whiu Pontine. Heoi, ka taea e koe te mahi tahi me tō tākuta ki te whakahaere i ō tūponotanga mōrearea whiu. Ko ngā rautaki whakahaere pea ko:

• Whakahaerehia tō toto toto, kia 140/90 mmHg, kia iti iho rānei. Tērā pea ka tūtohu tō tākuta i tētahi rongoā, i ētahi atu whakarerekētanga rānei ki te mahi me te kai.
• Te rongoā i te cholesterol tiketike (dyslipidemia), hei tauira, te whakanui ake i te korikori tinana, ngā whakarerekētanga kai, me/ngā rongoā statin rānei.
• Whakahaerehia te mate huka, me te whai kia noho te A1C ki te 7%, ki raro iho rānei.
• Te whakamutu i te kai paipa, ka taea te āwhina mā te kōrerorero me te rongoā whakakapinga nikotīni (NRT) .
• Te whakarerekē i tāu mahere kai, hei tauira, te whai i te kai DASH , te kai Mediterranean rānei.
• Me whakakorikori tinana koe i ia rā, mō te 40 meneti pea te iti rawa, e toru ki te whā rā i te wiki.
• Te pupuri, te whakatutuki rānei i te taumaha hauora.
• Mena kei te pāngia koe e te atrial fibrillation (Afib) (he pākia o te ngakau kāore i te tika), me tango e koe ngā rongoā whakangawari toto (anticoagulants) pērā i te aspirin , te warfarin rānei.

Hei whakamutunga, he karere hei kawe ki te kāinga:

Ka taea e te whiu Pontine te huri i tō oranga i roto i te wā poto. Nō reira, he mea nui kia mōhio koe ki ōna tohu, ā, me haere wawe ki te hōhipera mēnā ka pāngia koe, tētahi atu rānei e mōhio ana koe. He tino uaua te oranga i muri i te whiu, ā, ka taea te huri i ngā huarahi e kore e taea e koe te whakaaro. Kaua e wareware ki te rapu tautoko mai i tō rōpū hauora me ō whanaunga i a koe e whakaora ana. Kia mahara, mā te mahi wawe me te maimoatanga tika ka nui te rerekētanga.

`Te whiu Pontine, te whiu roro, ngā tohu whiu, te maimoatanga whiu, pons, te take roro, ngā mate pūnaha io, te tiaki ohorere