He rongoā hou mō ngā mate hopuhopu? Me ako tātou mō te Whakaohooho Hinengaro Urupare (RNS)

Kei a koe, kei tētahi atu rānei e mōhio ana koe, he mate haurangi e uaua ana ki te whakahaere ahakoa te tango rongoā? E mōhio ana tātou ki te uaua o te noho tahi me ēnei āhuatanga i ētahi wā. Engari nā te whanaketanga o te pūtaiao hauora, kua puta mai ngā maimoatanga hou mō tēnei. I tēnei rā, ka kōrero tātou mō tētahi tikanga maimoatanga hou, angitu hoki. Ko te ingoa o tēnei ko te Responsive Neurostimulation, ko te RNS rānei.

He aha te RNS?

Whakaarohia he kaitiaki iti, he tino atamai kei roto i tō roro. Ina tata te pā mai o te mate hopuhopu, arā, ina tīmata he mahi hiko rerekē i roto i te roro, ka mōhiotia e tēnei kaitiaki, ā, ka tukuna tonutia he tohu hiko iti hei aukati i taua mahi rerekē. Koinei te mahi a tēnei taputapu e kiia nei ko te RNS.

He kupu ngāwari noa iho, he taputapu iti te RNS e whakatōkia ana ki roto i tō tinana mā te pokanga. Ka aroturuki tonu i ngā mahi hiko i roto i tō roro kei reira ngā mate hopuhopu. Ina kitea he mahi hiko rerekē, ka tere te urupare, ka tukuna he raupapa o ngā pāorooro hiko iti ki taua wāhi. I roto i te wā, ka whakaitihia e tēnei pūngao hiko te kaha o tō roro ki te whakaputa mate hopuhopu.

Kia tāutahia te taputapu, ka taea e tō tākuta te whakarerekē i ōna tautuhinga kia rite ki ō hiahia. Ka taea hoki te tango mā te pokanga mēnā e tika ana.

Mā wai tēnei maimoatanga RNS e tika?

Kāore tēnei tikanga maimoatanga e pai mō te katoa. I te nuinga o te wā, ka tūtohu te tākuta i muri i te whai whakaaro ki ētahi āhuatanga.

• Ngā mate hopuhopu kāore e taea te whakahaere mā te rongoā: Mena he uaua ki a koe te whakahaere i ō mate hopuhopu ahakoa kei te whakamahi tika koe i ngā rongoā ārai-hopu.
• Ngā Hoputanga Arotahi: Mena ka tīmata ō hoputanga i tētahi wāhi motuhake o te roro.
• Mena kāore e tika ana ētahi atu pokanga: Mena he mōrearea kei roto i te mahi i ētahi atu pokanga, mena rānei kua rahua tētahi pokanga o mua.
• Mō te hunga neke atu i te 18 tau te pakeke: Kua whakaaetia tēnei maimoatanga mō te hunga neke atu i te 18 tau te pakeke.

Me pēhea te whakarite i mua i te pokanga?

I te mea he pokanga roro tēnei, ka mahia e tō tākuta he maha ngā whakamātautau i mua i te pokanga. Ko te whāinga matua kia kitea te wāhi tika o tō roro e tīmata ai ngā haurangi.Nā te mea koinei te wāhi e tika ana kia whakatakotoria ai ngā hiko i kōrerotia e tātou.

Hei mahi i tēnei, me mahi e koe ētahi whakamātautau takitahi.

• Aroturuki Ataata-EEG
• Matawai MRI
• He matawai PET
• Te tātaritanga ā-matepuku (MEG)
• Ictal SPECT
• Whakamātautau neuropsychiatric
• Te aroturuki i te EEG ā-roto o te angaanga (aromatawai SEEG, aromatawai subdural rānei)

Haunga ēnei whakamātautau, ka pātai atu anō tō tākuta mō tō hītori hauora, ō mate pāwera, me ngā rongoā katoa e tangohia ana e koe. Nō reira, kia mauria mai ēnei taipitopito katoa ina toro atu koe ki tō tākuta.

He aha ngā mea ka tupu i te rā o te pokanga?

I te rā o te pokanga, ka whakamoea katoatia tō tinana. Nō reira , kāore koe e mamae. Ka moe koe.

Kātahi, i roto i te rūma pokanga, ka whai te taote pokanga i ēnei mahi:

1. Te tango huruhuru: Ka tangohia he huruhuru iti i te wāhi i pokangahia ai. Kaua e manukanuka, ka tupu anō ngā huruhuru i muri i te pokanga.

2. Te whakatuwhera i te angaanga: Ka tapahia te kiri, ā, ka hangaia he kōhao iti rawa (craniectomy) ki roto i te angaanga.

3. Te whakaurunga o ngā irahiko: Ka whakauruhia ngā irahiko angiangi, he rite ki te waea, ki te wāhanga o te roro e puta ai te hopukanga. Ka ine ēnei i te mahi hiko o te roro, ā, ka tukuna he whakaohooho.

4e. Te whakatakotoranga o te taputapu: Ka whakanohoia te taputapu RNS (he taputapu iti rite ki te rorohiko) ki roto i te angaanga, i runga ake i te roro.

5. Te tirotiro me te kati: Ka tirohia te taputapu kia tino tika ai te mahi, kātahi ka tuia te tapahi kia kati.

E rua ki te whā hāora te roa o tēnei pokanga.

He aha ngā mea ka tupu i muri i te pokanga?

I muri i te pokanga, me noho koe ki te hōhipera mō ngā rā e rua, e toru rānei. I tēnei wā, ka tīmata te mahi a te taputapu, engari ka "whakarongo" noa ki ngā mahi a te roro. Arā, ko te kohikohi raraunga.

Ka tīmata te whakaoho hiko i muri i ngā wiki e rua ki te whā, i muri i te tino ora o te patunga. Mō tēnā, me toro atu anō koe ki te tākuta. Ko te wā tēnā ka "whakakā" ia i te taputapu ka tīmata ai te maimoatanga whakaoho.

Tīmata i te taumata tino iti, kātahi ka whakarerekē haere i ngā tautuhinga kia kitea rā anō e koe te taumata e pai ana ki a koe.

Te aroturuki raraunga mai i te kāinga

Ka whiwhi koe i tētahi taputapu iti rite ki te rorohiko me tētahi tokotoko (he taputapu) e piri ana ki a ia hei whakamahi i te kāinga. Ina whakatakotoria e koe te tokotoko ki tōu mahunga, ka tangohia ngā raraunga katoa mai i te taputapu ki te rorohiko. Kātahi ka tukuna ngā raraunga mā te Ipurangi ki tētahi paetukutuku haumaru. Ka taea e tō tākuta te tirotiro i aua raraunga me te ako i ngā mea maha mō tō āhua, pērā i te auau o ō mate haurangi me te wā o te rā e tino puta ai. Mā te whakamahi i ēnei mōhiohio, ka taea pea e ia te whakarerekē i te horopeta o tō rongoā.

Āhea te waea atu ki te tākuta

I muri i te pokanga, ki te mamae nui koe, ki te toto, ki te pupuhi rānei i te wāhi i tapahia ai, me whakamōhio tonu atu ki tō tākuta.

I muri i te tahuritanga o te taputapu me te tīmata i te whakaohooho, ki te pāngia koe e tētahi mamae, pērā i te whanoke, te panoni o te tirohanga, te ngoikore rānei, me kōrero ki tō tākuta. Kaua e manukanuka, nā te mea ka taea te whakarite i te taumata whakaohooho o tēnei taputapu, ka taea e tō tākuta te whakarite ki te taumata e pai ana ki a koe.

Me ako anō hoki tātou mō te wā whakaora me te pākahiko.

Ahakoa e waru wiki pea te roa o te ora katoa, ka taea e koe te tīmata anō i ō mahi o ia rā (pēnei i te haere ki te mahi, ki te kura rānei) i roto i ngā wiki e rua ki te whā. Heoi, kaua e mahi i tētahi mahi uaua me te kore kōrero ki tō tākuta.

E 8-10 tau te roa o te whakamahinga o te pākahiko o tēnei taputapu. Mēnā me whakakapi te pākahiko, kāore e hiahiatia kia whakakapia te taputapu katoa. Kāore e hiahiatia he pokanga nui pērā i te pokanga o mua. He māmā ake, ā, ka taea e koe te whakakapi i te pākahiko mā te pokanga iti noa iho.