Kei a koe, kei tētahi atu rānei e mōhio ana koe, tētahi mate e kiia nei ko te mate haurangi, he uaua ki te whakahaere ahakoa te rongoā? I ētahi wā ka uaua ki ngā tākuta te tautuhi i te wāhi kei roto i te roro e tīmata ai te hopuhopu. Koinei te wā ka kōrerohia ai tētahi whakamātautau uaua engari he tino nui hei āwhina. Ko te ingoa ko te SEEG. Kaua e manukanuka, tera pea he roa te ingoa. Kia māmā noa iho.
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He aha te tikanga noa o te SEEG?
Ki te kī māmā noa, he whakamātautau pokanga te Stereoelectroencephalography (SEEG) e kuhu hohonu ana ki roto i tō roro, ka whakamahi i ngā tapahi ririki hei tohu i te tīmatanga o ngā hopukanga haurangi uaua rawa.
Kua rongo pea koe i tētahi whakamātautau EEG. Ko te tikanga he whakanoho i ngā irahiko iti ki runga i te pane, arā, ki te angaanga, hei ine i te ngohe hiko o te roro. Engari i roto i te SEEG, ka whakauruhia e ngā taote pokanga roro ēnei irahiko ehara i te mea ki te mata o te roro, engari ki ngā wāhi hohonu, kanorau hoki o te roro. Mā tēnei ka taea te tiki mōhiohio mai i ngā wāhi hohonu rawa atu, kāore e taea te hopu e tētahi EEG noa.
I muri i te whakaurunga o ngā irahiko, ka puritia koe ki tētahi wāhanga motuhake o te hōhipera mō ētahi rā. I tēnei wā, ka aroturukihia e te tīma hauora te mahi a tō roro i a koe e pāngia ana e te mate haurangi.
Ko te whāinga matua o tēnei whakamātautau he whakatau mēnā ka taea te tango pokanga i ngā pūtau roro e hua ai te mate pāwera, ā, mēnā ka taea, me pēhea te tango atu.
I roto i ēhea ngā āhuatanga ka mahia te whakamātautau SEEG?
Ka whakamahia e ngā tākuta te whakamātautau SEEG mō ētahi āhuatanga motuhake anake.
- Mate haurangi ātete-rongoa: Kāore e taea e ētahi tāngata te whakahaere i ō rātou mate haurangi ahakoa kua whakamahia e rātou ētahi momo rongoā e rua, e toru rānei. Ka kiia tēnei he mate haurangi ātete-rongoa. Mō ngā tamariki neke atu i te 2 tau te pakeke me ngā pakeke e pāngia ana e tēnei mate, he mea tino nui te SEEG hei whakatau mēnā ka taea te pokanga.
- Mahere roro: Whakaarohia kei te ahu mai te hopukanga i tētahi wāhanga nui o te roro e whakahaere ana i te kōrero, te nekehanga, te kare ā-roto rānei. Ki te mea ka pokanga koe, me tūpato koe kei kino aua wāhanga nui. Mā te whakamahi i ngā irahiko SEEG, ka taea e koe te mahere i ēnei wāhi nui i mua tonu i te pokanga.
- Arataki i ētahi atu maimoatanga: I ētahi wā ka whakamahia hoki te whakamātautau SEEG hei wāhanga o te maimoatanga. Hei tauira:
- Te whakapūngao wera auau irirangi: Ka whakamahia e tēnei ngā ngaru irirangi me te wera hei whakangaro i ngā pūtau roro e puta ai te mate haurangi. Ka taea te mahi i tēnei maimoatanga mā te whakamahi i ngā irahiko SEEG.
- Te Whakamahana (LITT):He tikanga hei whakakore i ngā wāhanga o te roro e puta ai ngā haurangi mā te whakamahi i te pūngao wera taiaho.
- Whakaohooho roro urupare: I roto i tēnei, ka whakauruhia he taputapu ki roto i te roro e tuku ana i tētahi whakaoho hiko iti ki te wāhi ka tīmata te hopukanga, kātahi ka mutu. Ka āwhina a SEEG ki te kimi i te wāhi tika o te taputapu.
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Check Availability →Ko wai e tika ana mō tēnei whakamātautau?
Ehara te whakamātautau SEEG i te mea mā te katoa. Ka whai whakaaro tō tākuta ki ētahi āhuatanga i mua i te tūtohutanga.
Whakaarohia kei te tīmata tō mate haurangi i tētahi wāhi motuhake o tō roro ((focal epilepsy)). Ahakoa he matawai MRI, kāore taua wāhi e kitea māramatia. Koinei te wā e tino whai hua ai te SEEG.
Heoi, ki te pāngia koe e te mate haurangi e tīmata ana i ngā wāhi maha o te roro i te wā kotahi ("(mate haurangi whānui)"), kāore koe e tika mō tēnei whakamātautau.
| Ngā āhuatanga pea mō te whakamātautau SEEG | |
|---|---|
| Tūnga | Whakaahuatanga |
| Mena he kaitono koe mō te pokanga mate haurangi | Ki te whakaaro koe ka taea e te pokanga te whakaora i te mate, me whai whakamātautau pea tēnei i mua i tōna tīmatanga. |
| He mate pāwera kāore e taea te whakahaere e te rongoā | Mena kāore e taea te whakahaere i te pākia ahakoa te whakamātau i ngā rongoā e rua, neke atu rānei. |
| Ki te kore e mārama mai i ētahi atu whakamātautau | Ina kore e taea e ngā whakamātautau pēnei i te MRI me te EEG te whakaatu mārama i te tīmatanga o te mate. |
He aha ngā rerekētanga matua i waenga i te EEG me te SEEG?
Ahakoa e ine ana ēnei whakamātautau e rua i te ngohe hiko o te roro, he nui ngā rerekētanga. I te nuinga o te wā, ka mahi tuatahi te tākuta i tētahi EEG. Mēnā kāore i te rawaka ngā mōhiohio i riro mai i tēnā, ka haere tonu rātou ki tētahi whakamātautau wāhanga tuarua, pērā i te SEEG.
Ko ngā huringa matua ko:
- Te wāhi e whakatakotoria ai ngā irahiko: I roto i te EEG, ka whakatakotoria ngā irahiko ki runga i te mata o te kiri, i runga ake i te angaanga. I roto i te SEEG, ka whakaurua ngā irahiko ki roto i te roro.
- Ngā mōhiotanga i whiwhi: Ka whakaratohia e te EEG ngā mōhiotanga mō ngā mahi o te mata o te roro anake. Ka taea e te SEEG te tiki mōhiotanga i ngā hohonutanga rerekē i ngā taha e rua o te roro. Mā tēnei ka taea e tātou te tohu i te wāhi tika o te hopuhopu.
I kitea i roto i tētahi rangahau he iti ake te wā i noho ai te hunga i pokangahia mō te mate haurangi i muri i te matawai SEEG i roto i te rūma pokanga i ērā i whai i ētahi atu tikanga (pērā i te whakatuwheratanga o te angaanga me te whakatakoto i ngā hikohiko ki te mata o te roro). He iti ake hoki te wā i noho ai rātou i roto i te hōhipera, ā, he iti ake hoki te rongoā mamae i whakamahia.
He aha ngā mea hei tumanakohia i mua i te SEEG?
I te mea he whakamātautau tēnei e pā ana ki te pokanga, he maha ngā whakamātautau ka mahia i mua i te wā hei tirotiro i tō hauora.
- Ngā whakamātautau toto
- He whakamātautau EKG (Electrocardiogram) e tirotiro ana i te manawa o te ngakau
- Ngā whakamātautau whakaahua pēnei i te CT scans (computer tomography scans) me te MRI scans (magnetic resonance imaging)
Ko tētahi o ngā mataku o te tini tāngata, inā koa ngā mātua, ina mahi pēnei i tā rātou tamaiti, ko te pātai , "Ka tapahia katoatia e rātou ō rātou makawe?" Tērā pea ka pātaihia mēnā me mutu te tango i te rongoā e tangohia ana e rātou mō te hauora mō tētahi wā.
Kia mahara ki te kōrero i ō āwangawanga, i ō mataku rānei ki tō tīma hauora i mua i tō pokanga. Ka whakapau kaha rātou kia kore ai koe e ahotea, kia marino hoki.
Me pēhea te mahi i te pokanga SEEG?
E whā ki te ono hāora te roa o te pokanga SEEG. I te rā o te pokanga, ka hoatu e te tohunga whakamoe he rongoā ki a koe. Ka moe katoa koe i te roanga o te pokanga. Nō reira , kāore koe e rongo i te mamae.
I muri i tō moe, ka whai te tīma pokanga i ēnei mahi:
1. Tuatahi, ka tāpirihia he anga motuhake ("(anga stereotactic)) ki tō mahunga hei pupuri i tō mahunga ki te wāhi kotahi.
2. Muri iho, ka pokaia kia 10 ki te 20 ngā kōhao iti rawa, tata ki te whānui o te aho pākete, ki roto i te angaanga. Kāore ēnei e tino puta ai te toto.
3. Mā roto i aua kōhao iti, ka whakaurua ngā hikohiko kirihou ngāwari e honoa ana ki ngā waea angiangi ki roto i te roro.
4. Ka whakanohoia tika ēnei irahiko ki ngā wāhi o te roro e whakapaetia ana kei te tīmata te hopukanga, e ai ki ngā matawai o mua.
5. Hei whakamutunga, ka tangohia te anga o te pane, ā, ka herea kia mau te pane.
6. Kātahi ka haria koe ki te rūma whakaora, ā, ka mahia he matawai CT me te hihi-X hei tirotiro kei te wāhi tika ngā irahiko.
He aha ngā mea ka tupu i muri i te SEEG?
I muri i te pokanga, ka whakawhitia koe ki te Wāhanga Aroturuki Mate Huaketo. I reira, ka aroturukihia koe e te rōpū tohunga 24/7. Ka honoa ngā hikohiko i runga i tō mahunga ki ngā mīhini e hopu ana i ngā mahi a tō roro. Ina pāngia koe e te mate haurangi, ka taea e te rorohiko te whakaatu ki a koe te wāhi e tīmata ai i roto i tō roro me te horapa, mā te whakamahi i ngā whakaahua 3D.
Me noho pea koe ki te hōhipera mō ētahi rā, tae atu ki te wiki, e rua rānei, i runga i te auau o tō pāngia e te mate.
I te mutunga o te wā whakamātautau, ka tangohia ngā hiko i tō mahunga. Kaua e manukanuka, ehara tēnei i te mahi nui. He mahi māmā noa iho tēnei e whakangoioi ana i aua wāhi, ā, e 10-15 meneti te roa.
He aha ngā tūponotanga kei roto i te whakamātautau SEEG?
E kiia ana ko te SEEG he tikanga tino haumaru, engari, pērā i ngā pokanga roro katoa, he iti noa iho ngā mōrearea.
- Te toto i roto i te roro (te toto i roto i te angaanga)
- Mate pāwera
- Whiu
Engari kia maumahara, he tino onge ēnei āhuatanga. Ka whakapau kaha te tīma hauora ki te whakaiti i ēnei mōrearea.
Kia pēhea te roa o te wā e ora ai?
I te nuinga o te wā ka hoki anō koe ki te āhua noa i roto i te rā kotahi, e rua rānei (24-48 hāora). Heoi, kōrero ki tō tīma hauora mō te wā ka taea e koe te hoki anō ki ō mahi o ia rā.
He aha tāu e tumanako ai mai i ngā hua o te whakamātautau SEEG?
I ngā wā maha, ka taea e te whakamātautau SEEG te tautuhi angitu i te pūtake o te mate hopuhopu. Kātahi ka āta tirotirohia e ngā tākuta ngā raraunga i tuhia mai i te mahi a tō roro, ā, ka whakatau mēnā kei te tika koe mō te pokanga, mō tētahi atu maimoatanga rānei.
Hei rongoā i te mate haurangi, e whā ki te waru wiki te roa o te pokanga i muri i te whakamātautau SEEG, kia whai wā ai koe ki te ora tika.
Tērā pea ka whiwhi koe i ngā hua whakamātautau tuatahi i mua i tō wehenga atu i te hōhipera. Mā tēnei ka whai wā koe me tō whānau ki te matapaki i ēnei hua me te tīma hauora, me te whakatau i mua i te whakataunga i tētahi mahere maimoatanga whakamutunga.
He tino uaua te noho me te mate haurangi e kore e taea te aukati mā te rongoā. Engari mā ngā tikanga whakamātautau hou pēnei i te SEEG, ka taea inaianei te tautuhi i te tino take o te mate haurangi me te tīmata i te maimoatanga tika. Ka taea e ēnei maimoatanga te āwhina i a koe ki te whakaiti i ō mate haurangi me te noho i te oranga noa.
Karere Tangohia ki te Kāinga
- He whakamātautau motuhake te SEEG mō ngā hopukanga haurangi (ngā mate haurangi) e uaua ana ki te whakahaere mā te rongoā.
- Ko te mahi i konei he whakauru i ngā irahiko ki roto i te roro mā roto i ngā kōhao iti, kātahi ka kimi i te wāhi tika e tīmata ai te taunga.
- I runga i ngā hua o tēnei whakamātautau, ka whakatau ngā tākuta mēnā he tika te pokanga, he maimoatanga rānei māu.
- Ahakoa he tikanga tino haumaru tēnei i te nuinga o te wā, pērā i ngā pokanga katoa, he iti noa iho ngā mōrearea.
- Me kōrero noa ki tō tākuta mō ngā pātai, ngā āwangawanga rānei kei a koe.
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