Ka pēhea te whanaketanga o tō mate? Kia kitea te tikanga o te 'prognosis' e ngā tākuta!

Ina kitea e koe kei te mate koe, kei te pāngia rānei tētahi e tata ana ki a koe, ko te pātai nui e whai ake nei ka puta ake ki tō hinengaro ko "He aha te mea ka tupu ināianei?" "Ka pai ake tēnei?" "Ka taea rānei e au te noho pērā i mua?" Koinei te wā e kōrero ai ngā tākuta mō te 'matapae'. Āe, kia kite tātou he aha tēnei, i roto i ngā kupu māmā noa iho.

He aha rawa te 'Prognosis'?

Ki te kī māmā noa, ko te 'matapae' he matapae a tō tākuta mō tō mate, arā, tō āhua, mā te whakamahi i ngā mōhiotanga me ngā wheako hauora. He rite ki te matapae huarere. Engari he uaua ake i tēnā, nā te mea he rerekē te tinana o te katoa me te āhua o tā rātou urupare ki te mate.

Whakaarohia, ka kī atu te tākuta kei a koe tētahi mate. He maha ngā pātai ka ara ake i roto i tō hinengaro, kāore?

• "Ka taea tēnei te rongoā?"
• "Ka taea e au te ora katoa?"
• "Ka memeha haere rānei ngā tohu o tēnei mate?"
• "Ka taea e au te noho ki te wāhi e taea ai e au te mahi ko au anake?"
• "He pai te hua o tēnei maimoatanga?"
• "Kia pēhea te roa o tōku ora?"

Mō ngā pātai pēnei, ka taea e te tākuta te kī atu ki a koe he aha te mea ka pā ki a koe, i runga i ngā wheako o ētahi atu. Koinei te 'matapae'. Ehara i te matapae tika 100%, engari ko te whakaaro pai rawa atu i runga i ngā mōhiohio e wātea ana i tēnei wā.

Nā, he aha te mea nui kia mōhio ki tēnei 'matapae'?

Mā te mōhio ki tēnei ka nui te kaha mōu me ō kaitiaki. Ka āwhina i a koe ki te whakatau i ngā whakatau me te whai whakaaro ki ō painga. Kāore e taea e tātou te aukati i a tātou anō kei pāngia e te mate, e te aituā rānei. Engari mā te mōhio ki te 'matapae' ka mārama tātou ki te whakatau i ngā mea kāore e taea e tātou te whakahaere.

Whakatauhia ngā maimoatanga

Mā te mōhio ki tō āhua o mua ka āwhina i a koe ki te whiriwhiri i te maimoatanga, ki te whakakore rānei. Ehara i te mea ngāwari ngā whakatau maimoatanga. Whakaarohia, tera pea ka hiahia tetahi ki te whai i tētahi maimoatanga he nui ngā pānga taha, mena ka taea e ia te whakaroa ake i tōna oranga. Engari tera pea ka whakakahore tetahi he rite tonu te mate ki taua maimoatanga. Tērā pea ka whakaaro rātou, "He pai ake te ora mō ētahi rā me te kore mamae, ahakoa he oranga harikoa."

Waihoki, ko ētahi ratonga tiaki e ahu mai ana i te matapae. Hei tauira, ki te mōhio koe ka kino haere pea ō tohu, tera pea ka kitea e koe ngā ratonga pēnei i te tiaki mamae, e āwhina ana ki te whakahaere i te mamae me te whakarato i te whakamarie hinengaro. I ētahi whenua, kei te wātea ngā ratonga pēnei i te tiaki hōhipera ki te hunga e tika ana kia ora mō te ono marama pea. I roto i ēnei āhuatanga, ka huaki te kuaha o te matapae ki ngā rauemi ka taea te āwhina i a koe ki te noho pai i te mutunga o tō oranga.

Me whakatau i ētahi atu whakatau i roto i te ao.

Mā te mārama ki tō matapae ka āwhina i a koe ki te whakamahere i tō rā. Ka āwhina i a koe ki te whakarite i ō pūtea me tō oranga wairua. Ka āwhina i a koe ki te whakaaro ko wai me kōrero koe ki a rātou, me ngā mea nui e hiahia ana koe ki te whakatutuki i te ao. Ka taea hoki e ia te whakaiti i te pēhanga ki te whakatau tere i ngā whakataunga nui o te ao, me te mōhio kei a koe te tūponotanga ki te ora katoa.

Me pēhea te whakatau a ngā tākuta i tēnei 'matapae'?

Ko te nuinga o ngā tākuta e whakatakoto ana i ā rātou 'matapae' (he maha ngā 'matapae') i runga i ngā rangahau hauora me ō rātou ake wheako. Tērā pea ka tirohia e tō tākuta ngā tatauranga hauora. Ka akohia e ngā kairangahau ngā wheako o ngā rōpū nui o te tangata, ka rapu i ngā tauira o te mate. He mea whai hua te mōhio ki ngā mea i pā ki te nuinga o te hunga whai mate motuhake i mua, hei matapae i ngā mea ka pā ki tētahi tangata motuhake.

Mā te whakakotahi i te āhua haumanu o te tangata, me ngā raraunga mai i ētahi atu me te āhua, ka taea e ngā tākuta te waihanga i tētahi 'matapae' e hāngai ana ki ia tangata.

Anei ētahi tatauranga ka whakaarohia pea e tō tākuta:

• Ngā reiti oranga: E hia ngā tāngata kua tohua he mate pukupuku kei te ora tonu i muri i tētahi wā. Hei tauira, ka tirohia e ngā kairangahau mate pukupuku te hia ngā tāngata kua tohua he mate pukupuku kei te ora tonu i muri i ngā tau e rima.
• Ngā reiti uauatanga: Ka ine tēnei i te maha o ngā tāngata e pāngia ana e ngā raruraru hauora tāpiri, i te wā e pāngia ana e te mate, i muri rānei i tētahi maimoatanga. Ka taea e ēnei mea te whakarerekē i tō matapae.
• Ngā reiti angitu o te maimoatanga: Ka ine tēnei i te pai o te āwhina a te maimoatanga ki te whakatutuki i tētahi putanga motuhake mō tētahi mate (hei tauira, te whakaora i te mate, te whakaiti i te horapa o te mate, te whakaiti i ngā tohu).
• Ngā auau hokinga mai: E pā ana tēnei ki te tūponotanga ka hoki mai anō tētahi mate, tētahi tohu rānei i muri i tōna ngaronga atu. He maha ngā wā ka pā tēnei ki te tūponotanga ka hoki mai anō tētahi mate pukupuku i muri i tētahi wā 'whakamarie' (te korenga o ngā tohu, ngā āhuatanga rānei o te mate pukupuku).

He aha ngā āhuatanga matapae?

Ka tirohia hoki e ngā tākuta ngā āhuatanga motuhake ka pā ki te kaha o te mate. Ko ētahi o ēnei he mea motuhake ki te mate pukupuku, engari he maha e kitea ana i roto i ngā āhuatanga maha atu.

• Momo mate: Ka pā te momo mate ki te matapae. Hei tauira, ka pā te momo mate pukupuku (arā, te wāhi i tīmata ai i roto i te tinana) ki tō tirohanga ā muri ake nei.
• Te whānuitanga o te mate: He mea nui te whakaaro ki te whānuitanga o te horapa o te mate ina tautuhia he mate. Hei tauira, i roto i ētahi mate pukupuku, ko te wāhanga o te mate pukupuku (arā, te whānuitanga o tōna horapa) he mea nui hei whakatau i te āhua o te mate pukupuku.
• Ngā āhuatanga koiora me ngā āhuatanga ira o te mate: ngā whakarerekētanga ira i roto i te pūtau matepukupukuMā te momo me te āhua rerekē o ngā pūtau ka taea te whakaatu i te "kaha" o te mate pukupuku (arā, te horapa pea).
• Tō hauora whānui: Mēnā he nui ngā mate hauora (‘comorbidities’) kei a koe, ka kino ake pea te āhua o te oranga.
• Ahakoa he maimoatanga whai hua, kāore rānei: Mā te urunga atu ki ngā maimoatanga whai hua ka pai ake te 'matapae'.
• Te āhua o tō urupare ki te maimoatanga: I te nuinga o te wā, ki te pai ake koe i muri i te maimoatanga, he pai te putanga o te mate.
• Tō taumata mahi: Mā te nui o tō kaha puta noa i te rā, me te āheinga ki te mahi i ngā mahi o ia rā pēnei i te haere ki tō wāhi mahi me te whakakakahu, ka taea te whakaatu i ngā tohu mō tō āhua ā muri ake nei.
• Ngā āhuatanga taupori: I ētahi wā, ka honoa pea ngā mea pēnei i te tau, te ira tangata, te iwi, me te iwi taketake ki te whanaketanga o te mate.

Ka rerekē ngā āhuatanga tino nui ki tō matapae i runga i tō āhua. Ka taea e koe te pātai ki tō tākuta he aha ngā āhuatanga e whakaarohia ana e ia i te wā e whakatau ana i tō matapae.

Ngā tātaitai matapae

Ka whakamahia e ētahi tākuta ngā "tātaitai" motuhake hei āwhina i te whakatau i te matapae o te tangata. Tuatahi, ka whakauruhia e rātou ngā āhuatanga "matapae" (hei tauira, te tau, ngā āhuatanga hauora, te taumata mahi) ki roto i te tātaitai. Kātahi, ka whakamahia e te tātaitai he tātai e tatau ana i ngā mōhiohio "matapae", pērā i te roanga o te oranga. Ahakoa kāore ēnei i te 100% tika, ka taea e rātou te hoatu he whakaaro whānui mō te matapae o te tangata.

He aha ngā kōrero a ngā tākuta mō te 'matapae'?

I ētahi wā ka whakaahuahia e ngā tākuta te 'matapae' i tētahi taumata:

• Tino pai (Pai rawa atu)
• Pai
• Tika
• rawakore

Ko te tikanga o te "matapae matapae" kāore anō kia rawaka ngā mōhiohio hei whakatau i te putanga ā-muri.

Ina rongo koe mō te 'matapae' i tēnei ara, ka taea e koe te tīmata ki te kōrero mō ngā taipitopito. Hei tauira, ina rongo koe he "kino" te 'matapae', ka āwhina i a koe ki te whakarite hinengaro ki te kōrero mō ngā whakataunga uaua me mahi e koe.

Heoi, kāore he huarahi kotahi e tohaina ai e ngā tākuta ngā mōhiohio mō te 'matapae'. Hei tauira, ka kōrero pea tō tākuta mō tō 'matapae' penei:

• Hei whānuitanga: Hei tauira, ka whakaarohia pea e te tākuta e whakamārama ana i te roa o tō oranga ngā tatauranga oranga me ō āhuatanga 'matapae'. I runga i ēnei mōhiohio, ka kī pea ia e toru ki te rima tau te roa o tō oranga.
• Te āhuatanga pai rawa atu me te āhuatanga kino rawa atu:Ko ētahi tāngata e pai ana kia rite ō rātou hinengaro mō ngā mea pai me ngā mea kino. Hei tauira, ko te āhua pai rawa atu ko te ora mō te ono marama i muri i te maimoatanga me te kore he pānga taha. Ko te āhua kino rawa atu ko te whakapoto i tō oranga e ngā raruraru o te maimoatanga.
• Hei putanga tino tūpono: Tērā pea ka whakamāramahia e tō tākuta te putanga tino tūpono. Hei tauira, ko te putanga tino tūpono ko te whai muri i te maimoatanga, e toru marama pea koe hei oranga me ētahi pānga taha ka taea te whakahaere mā te rongoā.

Ko te mea nui rawa atu: Kia maumahara ahakoa te aha e kīia ana e tō tākuta, kāore he tangata e taea te matapae i tō heke mai. Waihoki, ka taea e tō tākuta te whakarerekē i te 'matapae' ina puta mai he mōhiohio hou, pērā i te āhua o tō urupare ki te maimoatanga. Ko te 'matapae' he mea ka taea te whakarerekē i ngā wā katoa.

He tino tika te 'matapae'?

Ae, i te nuinga o te wā. He maha ngā tākuta he mōhiotanga pono hei matapae i ngā āhuatanga o tō mate ā muri ake nei. Kua whakaatuhia e ngā rangahau ko te 'matapae' tino tika e whakawhirinaki ana ki te huinga o ngā raraunga e rua (hei tauira, ngā tātaitai 'matapae') me te whakatau hauora a tō tākuta. Mō te tika, e whakaatu ana ētahi rangahau:

• He māmā ake te matapae tika i te tirohanga mō te wā poto i te tirohanga mō te wā roa.
• Ko ngā taputapu 'matapae' e titiro ana ki ngā mea pēnei i tō taumata mahi, tera pea ka tika ake i ngā taputapu e titiro ana ki ngā mea pēnei i tō tau, i tō ira tangata rānei.

Engari, i tua atu i te pātai mēnā he tika, me pātai anō hoki mēnā he whai hua ēnei mōhiohio. Hei tauira, ka tūtohu pea tō tākuta i tētahi maimoatanga hei whakaroa i tō oranga mō ētahi marama. Engari mēnā he nui te mōrearea o ngā raruraru i roto i taua maimoatanga, ā, ko tāu whāinga matua he noho i ō rā e toe ana me te kore he raruraru, kāore taua mōhiohio i te tino whai hua. Tērā pea ka kī te tākuta kāore e taea te whakaora i tō mate pukupuku. Engari mēnā ko tāu e aro nui ana ko te roa o tō oranga hei tae atu ki te whakawhiwhinga tohu o tāu tamaiti, kāore taua mōhiohio i te tino whai hua.

Ki te pono, kāore pea e taea e tō tākuta te whakautu i ō pātai katoa. Engari, ki te nui ake tōna mōhio ki ō āwangawanga me ngā mea nui ki a koe, ka māmā ake tana whakamārama i ngā mea.

Me pēhea taku kōrero ki taku tākuta mō te 'matapae'?

Ina whiwhi koe i tētahi tātaritanga mate, tērā pea ka tino ngoikore koe. Tērā pea te āhua nei kei te tākuta ngā mōhiotanga katoa me te mana katoa. Engari kia mahara, ina tae ki te 'matapae', kei a koe anō te mana. Ko te mea pono, ko ngā mōhiotanga tino nui – te mea nui ki a koe – kei a koe.

Ina kōrero koe mō te matapae me tō tākuta, ka taea e koe te mahi i ēnei e whai ake nei:

• Kōrerotia ki a ia tō tino āwangawanga:Tērā pea ka roa te wā e mōhio ai koe he aha te mea nui ki a koe e pā ana ki tō matapae. Mō ētahi, tera pea ko te roa ake o te ora. Mō ētahi atu, tera pea ko te haere tonu i ā rātou mahi o ia rā me te kore he huringa. Mō ētahi atu, tera pea ko te noho me te kore mamae, me ētahi atu tohumate rānei. Kia kitea rā anō tō āwangawanga matua, kōrerotia ki tō tākuta.
• Kōrerotia ki a ia te nui o tō kaha ki te whakarongo: Kāore pea koe i te wāhi pai o tō hinengaro ki te mōhio ki ngā āhuatanga katoa o tētahi 'matapae' kino. Kōrerotia ki tō tākuta ō kare ā-roto. Ki te hiahia koe ki te kōrero whānui mō te putanga, me kī atu. Ki te hiahia koe ki te pātai mō ngā taipitopito (ahakoa he uaua), kaua e wehi ki te kī atu.
• Kōrerotia ki a ia te huarahi e pai ai koe ki te tiki kōrero: Ko ētahi e hiahia ana ki te mōhio ki ngā āhuatanga pai me ngā āhuatanga kino rawa atu. Ko ētahi e hiahia ana ko ngā mea ka tupu pea. Ko ētahi e pai ana ki te mōhio ki ngā tatauranga hauora e whakamahia ana e ngā tākuta hei whakatau i tā rātou 'matapae'. Ko ētahi e mataku ana ki aua raraunga. Pātai atu mō tāu e hiahia ana, mō tāu e taea ai te whakahaere.
• Ki te kore koe e mārama ki tētahi mea, me kī atu: I ētahi wā ka wareware ngā tākuta kāore te katoa e mārama ki ngā mea pēnei i ngā awhe me ngā ōrau. Kāore he he o te tono ki tō tākuta kia ata whakamārama i ngā mea kāore koe e mārama.

He aha te rerekētanga i waenga i te 'Prognosis' me te 'Diagnosis'?

Ko te 'tātaritanga' te mate hauora ka kitea e te tākuta kei a koe i muri i te whakahaere i ngā whakamātautau. Ko te 'matapae' te hua e tumanakohia ana mō tō 'tātaritanga'. Ka tirohia e te 'matapae' ngā mea pēnei i te mea ka ora pea koe, me te āhua pea o tō mate. Whakaarohia te 'tātaritanga' (d) hei (d)kitenga - he kitenga, me te 'matapae' (p) hei (p)matapae - he matapae mō ngā mea ka tupu pea.

He rite tonu te 'matapae' me te reiti oranga?

Ehara i te mea kotahi te 'matapae' me ngā reiti oranga, engari he hononga. He maha ngā wā ka tirohia e ngā tākuta ngā reiti oranga hei whakatau i tētahi wāhanga motuhake o te 'matapae': te roa pea o te oranga o te tangata. Ko ngā reiti oranga tētahi o ngā mōhiohio tino nui e whakamahia ana e ngā tākuta hei whakatau i te 'matapae' o te tangata.

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

He tokomaha o tātou e whiwhi ana i tētahi tātaritanga hou e hiahia ana ki te mōhio he aha te mea ka tupu i muri mai. Engari, kāore ngā tatauranga hauora i te pai ki te matapae i te heke mai. Heoi, ko te mōhio ki tō matapae te mea pai e whai ake nei. Mā tō matapae ka nui ake tō whakapono ki ō whiringa maimoatanga me ngā whakatau mō te āhua o tō whakapaunga i tō wā.

Kaua e wehi ki te pātai ki tō tākuta mō tō 'matapae'. Kāore he he o te tono whakamārama. He mea pai hoki kia arotahi te kōrero ki ngā pātai e tino nui ana ki a koe e pā ana ki tō hauora ā muri ake nei. Kia maumahara, he mana te mātauranga!

` Te matapae, te tautuhi mate, ngā tumanakohanga whakaora, ngā tohutohu hauora, ngā whakatau maimoatanga, ngā whakatau oranga, ngā mōhiohio hauora