I ētahi wā ka tino pōuri koe, ka mataku, ka manukanuka, kāore e taea te whakahaere? Ka moe rānei koe i te pō, ka hurihuri haere tae noa ki te ata e whai ake nei? Tērā pea kua hoatu e tō tākuta he 'rongoā hei whakamarie i tō hinengaro'. Koinei te mea e kīia ana e tātou i roto i te rongoā he rongoā whakangāwari . Engari he mea tino nui kia mōhio koe ki ēnei rongoā. Nā te mea ki te kore e whakamahia tika, ka puta he raruraru nui. Nō reira, me kōrero tātou mō ngā mea katoa i roto i ngā kupu māmā i tēnei rā.
Hei whakarāpopototanga, he aha ēnei rongoā whakamoe?
He kupu ngāwari noa iho, he momo rongoā te rongoā whakamoe e whakaroa ana, e whakahaere ana rānei i te mahi a tō tātou pūnaha io matua , arā, tō tātou roro me te tuaiwi. He rite ki te whakaroa i tētahi motuka e tere haere ana.
He maha ngā momo rongoā nei. Ko ētahi he tino kaha, ko ētahi kāore i te tino kaha. Waihoki, he roa te pānga o ētahi rongoā, ko ētahi he poto noa te wā e mau ai. Ka hoatu e te tākuta tēnei rongoā ki a koe i muri i te tirotiro tika i tō āhua me te whakatau i te momo me te horopeta e tika ana mōu.
Whakaarohia te mea ka pā ki tō tinana ina tangohia e koe tēnei rongoā. Kia kite tātou he aha ngā pānga matua.
| Pānga | He whakamārama māmā |
|---|---|
| Te māhorahora o te ngākau | Ka memeha haere te āwangawanga me te manukanuka i roto i tō hinengaro, ā, ka tīmata koe ki te mārama ake. |
| Te whakaiti i te manukanuka | Kei te memeha haere te wehi me te manukanuka i roto i tōku ngākau. |
| Te hiamoe | Ka taea e koe te ngenge me te hiamoe. Koinei te tino take e hoatu ai ēnei ki te hunga e uaua ana ki te moe. |
| Te whakaiti i te mamae me te pā | Ka heke pea te kaha o ngā kare ā-roto, pērā i te mamae me te pā. |
| Te manawa me te pao o te ngakau | Tērā pea ka pōturi ake te tere o tō manawa me tō tere o te ngakau. |
| Ngaronga o te mahara | Kāore pea koe e mahara tika ki ngā mea i tupu i te wā e whai hua ana te rongoā. |
Ko te mea nui, he tūponotanga ka pāngia ēnei rongoā e te waranga , nō reira kaua rawa e whakamahia mēnā kāore he whakahaunga a te tākuta. Me whakamahi noa i runga i ngā tohutohu a te tākuta, me te roanga o te wā kua whakaritea.
He aha te tikanga o te kupu "whakamoemiti"?
Kua rongo pea koe i te whakamātautau i raro i te whakamoe. Ko te "whakamoe" he mahi hoatu i tētahi mea whakamoe kia marino, kia wātea, kia hiamoe rānei. I te nuinga o te wā ka mahia tēnei i mua i tētahi whakamātautau hauora (pēnei i te endoscopy) i tētahi pokanga iti rānei. Mā tēnei ka āwhina i te tūroro kia iti ake te manukanuka me te manukanuka, kia taea ai e rātou te mahi i te tikanga me te kore he mamae.
E toru ngā taumata o te whakamoe:
1. Whakamarie Iti: He whakamarie noa iho tēnei. Ka ara ake koe, ka taea e koe te whakautu i ngā pātai me te mahi i ngā mea e tonoa ana e te tākuta.
2. Whakamarie Āhua: Mā tēnei ka tino hiamoe koe. Tērā pea ka moe koe. Tērā pea ka mahara koe ki ētahi o ngā mea i tupu i taua wā, engari kāore pea koe e mahara.
3. Whakamoe hohonu: Mā tēnei koe e moe ai. Heoi, ehara i te ngaronga katoa o te māramatanga pērā i te rongoā whakamoe whānui. Kāore koe e mahara ki tetahi mea i tupu i tēnei wā.
Te rerekētanga i waenga i te whakamoe me te anesthesia
He rerekē te whakaaro o ētahi ki ngā mea e rua. Ko te tikanga o te whakamoe he whakaiti i tō mōhio me te whakamarie i a koe. Ko te tikanga o te whakamoe whānui he whakamāmā i a koe. He mea nui te whakamoe mō ngā pokanga nui (hei tauira, te pokanga ngākau). He rawaka te whakamoe mō ngā pokanga iti, ngā whakamātautau rānei.
He aha ngā āhuatanga e whakamahia ai ēnei rongoā whakangāwari?
Ka tohua ēnei rongoā whakangāwari e ngā tākuta mō ngā momo mate. Ko ngā mea tino noa ko:
- Ngā mate manukanuka
- Ngā mate pāwera
- Te kore moe
- Ngā mate hopuhopu, pērā i te mate haurangi
- Ngā mate hinengaro pēnei i te mate bipolar
- Te koretake o te manawa
- Hei whakamarie i te tūroro i mua i te pokanga me ngā whakamātautau hauora
He aha ngā momo matua o ngā rongoā whakamoe?
Ka taea te wehewehe i ēnei rongoā ki ētahi wāhanga. Me titiro tātou ki ngā momo matua.
| Kāwai rongoā | Whakaahuatanga me ngā tauira |
|---|---|
| Ngā Benzodiazepines | Koinei ngā momo rongoā whakangāwari e whakamahia whānuitia ana. Ko te nuinga o ēnei e whakamahia ana mō te manukanuka, te kore moe, me ngā mate hopuhopu. Hei tauira: Alprazolam (Xanax®), Diazepam (Valium®). |
| Ngā Barbiturates | Ahakoa i whānuitia te whakamahinga o ēnei i ngā wā o mua, kua iti ake te whakamahinga i ēnei rā nā ō rātou pānga taha me te mōrearea o te nui rawa o te rongoā. I tēnei wā, ko te nuinga o te whakamahinga mō te rongoā whakamoe me te mate haurangi nui. Hei tauira: Phenobarbital. |
| Ngā kaiwhakaora hinengaro | He rite tonu te mahi a ēnei ki ngā Benzodiazepine, engari he rerekē te hanganga. Ko te nuinga o ēnei e whakamahia ana hei rongoā i te kore moe. Hei tauira: Zolpidem (Ambien®), Eszopiclone (Lunesta®). |
| Ētahi atu rongoā whakangāwari (Ētahi atu) | Tērā atu anō ngā momo rongoā kāore i roto i ngā wāhanga o runga ake nei, engari he āhuatanga whakamoe. Ka whakamahia hoki ēnei hei rongoā mō te kore moe. |
He pēhea te mahi a tēnei rongoā i roto i te tinana?
He kōrero pūtaiao tēnei, engari māku e whakamārama ngāwari. Ka whakawhitiwhiti karere i waenga i ngā pūtau io i roto i tō tātou roro mā te whakamahi i ngā matū e kiia nei ko ngā neurotransmitters . I roto i ēnei , ko te GABA (Gamma-aminobutyric acid) he neurotransmitter e whakahaere ana i te mahi a te roro, e mahi ana pērā i te "pēhi".
Ko tā ngā rongoā whakangāwari he whakanui ake i te mahi a te GABA. Ina whakanuia te GABA, ka nui ake te whai huatanga o te mahi a te roro. Nō reira, ka marino, ka hiamoe hoki tātou.
Ngā mea hei kōrero ki tō tākuta i mua i te tīmatanga o tētahi rongoā pēnei
I mua i te hoatutanga o te rongoā whakamoe ki a koe e tō tākuta, me mōhio koe ki ētahi mea. He mea nui kia mārama koe ki ēnei mea, kia haumaru ai koe.
- Pātai atu mēnā he maimoatanga kē atu mō tō mate ina mutu te tango i tēnei rongoā.
- Kōrero mārama mō ngā painga me ngā mōrearea o te tango i tēnei rongoā.
- Kōrerotia ki tō tākuta ētahi atu mate kei a koe (hei tauira, ngā mate ate, ngā mate tākihi rānei).
- Mēnā he hītori o te waranga tarukino tō tētahi o tō whānau, kōrero mai.
- Kōrerotia ki tō tākuta ngā rongoā katoa e tangohia ana e koe i tēnei wā (ngā rongoā mō ētahi atu mate, ngā huaora, ngā rongoā tuku iho), nā te mea ka taea e ētahi rongoā te taunekeneke me tēnei rongoā whakamoe.
- Ki te whakamahi koe i te waipiro, kia mahara ki te whakahua i taua mea.
- Mena kei te hapu koe, e tumanako ana kia hapu, he whaea whāngai u rānei koe, me whakaatu e koe tēnā.
- Ki te whakamahi koe i ētahi atu rongoā, kia pono hoki mō tēnā.
Ngā pānga taha me ngā mōrearea nui o ngā rongoā whakamoe
Pērā i ngā rongoā katoa, he pānga taha tō tēnei, ā, ka pā mai he mōrearea nui mēnā ka whakamahia hē.
Ngā pānga taha mō te wā poto
Ka puta ēnei i te wā tuatahi o te whakamahinga o te rongoā, ā, ka ngaro pea i te wā e taunga haere ana te tinana ki te rongoā.
- Te hiamoe
- Pōuriuri
- He uaua ki te arotahi, he kore e taea te arotahi
- Te tirohanga pōuri
- Te roa o te urupare (te heke o ngā urupare)
- He iti ake te mamae
Ka tohutohu tō tākuta kia karohia ngā mahi e hiahia ana kia mataara, pērā i te taraiwa, te whakahaere mīhini rānei , nā te mea ka taea e tēnei rongoā te whakamoe me te whakaiti i te mataara. He mea tino nui kia whai i ēnei tohutohu.
Ngā mōrearea nui mō te wā roa
Ka pā mai pea ngā raruraru nui ki tēnei rongoā mēnā ka roa te whakamahinga, inā koa mēnā ka whakamahia hē.
1. Te Pūmanawa Whakawaranga: Koinei te mōrearea nui rawa atu. Mā te whakamarie me te harikoa e tukuna ana e ēnei rongoā ka taea e ētahi tāngata te whakawaranga ki a rātou. I muri i tētahi wā, ka memeha haere te whakamarie i pā ki a rātou i te horopeta o mua. Kātahi ka tīmata rātou ki te whakanui ake i te horopeta. Koinei te tīmatanga o te whakawaranga.
- Te Whakawhirinakitanga Hinengaro: Te whakaaro "Kāore e taea e au te ora me te kore tēnei rongoā."
- Te Whakawhirinakitanga Tinana: Ka taunga tō tinana ki te tarukino, ā, ka pāngia e ngā tohumate tinana maha (ngā tohumate tango) ina mutu te whakamahi i te tarukino.
2. Te nui rawa o te horomanga me te paitini: Ka taea te whakararu i te ora mēnā ka nui rawa te horomanga i te rongoā i te mea i tūtohutia e tō tākuta. He tino teitei te mōrearea o te nui rawa o te horomanga mēnā ka tangohia tēnei rongoā me te waipiro, me ētahi atu rongoā whakamamae mamae (Opioids).
| Ngā tohu whakatūpato o te nui rawa o te horopeta | |
|---|---|
| Ka taka ki te moe hohonu, he uaua ki te whakaara ake | Te whakapōturi o te kōrero, te whanoke |
| Te uaua ki te hikoi, te ngaronga o te mana whakahaere tinana (Ataxia) | Te pouri o te manawa |
| Koma (kore mārama) | |
Ki te whakaatu tetahi i ēnei tohu, he āhuatanga ohorere tēnei. Waea atu ki te Ratonga Āwhina Hauora 1990 tonu atu, haria rānei ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera tata. Ki te kore e rongoatia wawetia, ka mate pea.
3. Ngā tohu o te whakamutu: Ki te mutu ohorere te tango a te tangata waranga i te tarukino, ka kino te urupare a te tinana ki taua mea. Ka taea hoki e tēnei te whakararu i te ora.
- Te manukanuka nui, te koretake o te manawa
- Ngā wiri
- Te wehi o te moe, ngā moemoeā kino
- Te kirika nui
- Ka tere ake te tere o te manawa me te manawa.
- Ngā mate hopuhopu
Nā reira , kaua rawa e mutu te tango i tēnei rongoā me te kore he tohutohu a tō tākuta. Ki te mutu, me mahi i raro i te tirotiro a tō tākuta, me te whakaiti haere i te horopeta.
Āhea koe e hiahia ana ki te kite anō i te tākuta?
He mea nui kia kōrero koe ki tō tākuta mēnā ka pāngia koe e tētahi o ngā āhuatanga e whai ake nei i a koe e tango ana i tēnei rongoā.
- Ki te kore ō tohu e pai ake ahakoa te tango rongoā.
- Mena ka uaua te mahi i ngā mahi o ia rā nā ngā pānga taha.
- Ki te mea kei te tīmata koe te whakamahi i tēnei rongoā (hei tauira, ki te mea kei te "kāore e taea e koe te ora me te kore").
- Ki te mea kei te whakaaro koe me mutu te tango i tēnei rongoā ināianei tonu (kaua e mutu tonu, kōrero ki tō tākuta, ā, whakatau mai).
Karere Tangohia ki te Kāinga
- He tino kaha ngā rongoā whakangāwari. Me whakamahi anake i runga i te taunakitanga a te tākuta.
- Kaua rawa e nui ake, e iti iho rānei te rongoā i te mea kua tohua e te tākuta. Tangohia i te wā me te huarahi kua tohua.
- Kaua e hoatu te rongoā i hoatu ki a koe ki tētahi atu. He tino morearea, ā, ka taea e ia te whakararu i te ora o taua tangata.
- Kōrero pono atu ki tō tākuta mō ō āhuatanga hauora katoa, ngā rongoā kē atu e tangohia ana e koe, me te mea kei te whakamahi koe i ngā matū pēnei i te waipiro.
- Ki te whakaaro koe kei te waranga koe ki tēnei rongoā, kaua e whakama. Kōrero tonu atu ki tō tākuta, ka tono āwhina.
- Kaua e mutu ohorere te tango rongoā me te kore e pātai ki tō tākuta.
- Ki te kitea ngā tohu o te nui rawa o te horomanga, me kawe tonu te tūroro ki te Wāhanga Maimoatanga Ohotata (ETU) .
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