Kua whakaaro koe mō tēnei mea tiaki whakamiharo i roto i tōu mahunga? Ae, kei te kōrero ahau mō tō angaanga. Ehara i te mea he wheua noa iho, he nui atu āna mahi i tērā. Me kōrero ngāwari, me te atawhai hoki tātou mō tēnei i tēnei rā?
He aha te scabies? He māmā noa iho...
Ki te kī ngāwari, ko tō angaanga te hipoki wheua i runga i tō angaanga e karapoti ana, e tiaki ana i tō roro . He rite ki te potae. Ehara i te mea koinā anake, engari kei reira anō hoki ētahi o ō whekau matua o te tinana, pērā i ō kanohi, taringa, ihu, me te arero. Ka karangahia hoki te angaanga e ngā tākuta ko te "angaanga".
Whakaarohia, i te whānautanga mai o tātou, kāore anō kia tino hangaia tō tātou angaanga. Tērā pea kua kite koe i ētahi wāhi o taua angaanga, inā koa i te tihi o te māhunga o ngā pēpi iti, e kiia nei ko ngā "fontanelles". He ngawari, he ngāwari hoki ēnei. Mā ēnei "fontanelles" ka taea e te roro me te angaanga o te pēpi te tipu me te whanake.
Waihoki, kei roto i te angaanga ētahi wāhi e hono ai ngā wheua tetahi ki tetahi. Pērā i ngā tuitui o te kākahu. Ka kiia ēnei he "tuitui." Ka taea e ēnei hononga "tuitui" te huri puta noa i ō tātou oranga, ko ētahi o ēnei e hono tahi ana i a tātou e tamariki ana, ko ētahi ia kāore e hono tae noa ki te 60 tau te pakeke.
Nā, he aha te mea ka pā ki te tumuaki?
E rua ngā mahi matua a tō tumuaki.
1. Te Tiaki: Koinei te mea tino nui. Ko tō roro, me ō whekau tino tairongo pērā i ō kanohi me ō taringa, ka tiakina mai i ngā tūponotanga o waho e tēnei hipoki wheua. He rite ki tētahi taonga utu nui e whakatakotoria ana ki roto i tētahi pouaka.
2. Āhua me te Hanganga: Mā tō angaanga ka āhua motuhake tō mata me tō upoko . Waihoki, e piri ana ngā uaua o tō mata ki ngā wheua o tō angaanga. Nō reira, ko tō angaanga tētahi mea nui e whakatau ana i tō āhua.
He aha ngā wāhanga o te angaanga?
Kei roto i tō kaki tō angaanga, e piri ana ki te tihi o tō tuaiwi. Ahakoa he rite ki te wheua kotahi, e rua ngā wāhanga matua o te angaanga.
- Ko te wāhanga e hipoki ana i te roro ('neurocranium' 'calvarium' rānei): Koinei te hipoki tiaki e karapoti ana i tō roro.
- Angaanga kanohi (`viscerocranium`): Ka tautoko, ka pupuri hoki tēnei wāhanga i ngā wāhanga rerekē o tō kanohi, pērā i tō ihu me tō kauae.
Nā, kia kōrerohia ēnei wāhanga e rua me ētahi atu taipitopito.
Me pēhea te hanganga o te wāhanga e hipoki ana i te roro ('neurocranium')?
Kei roto i tēnei wāhanga te wāhanga e kiia nei ko te "calvarium". Ko ngā wheua o roto ko:
- Ko te wheua o mua: He wheua kotahi tēnei, kāore i whati. Mā tēnei e hoatu te āhua ki tō rae.
- Iwi sphenoid: He wheua kotahi tēnei. Kei raro iho, kei mua hoki i tō roro, engari kei muri i ngā wheua o tō mata. Koinei anō hoki te tuara o tō kamo o raro.
- Ko te wheua ethmoid: He wheua kotahi anō hoki tēnei. Kei te taha raro o mua o te roro, e whakakī ana i te āputa āhua ngākau i roto i te wheua sphenoid.
- Ngā wheua tinana: E rua ēnei, kei ia taha o te pane. He kōhao iti kei ia wheua e puta ai te awa taringa mā roto i te angaanga.
- Ngā wheua parietal: He takirua ēnei. He hononga e kiia nei ko te hononga sagittal. Ka hangaia e ēnei wheua te tihi, te waenganui, me te tuara o runga o tō angaanga.
- Wheua pito o te angaanga: He wheua kotahi tēnei, kāore i whati. Kei te pito raro o tō angaanga.
Me pēhea te hanganga o te angaanga kanohi (`viscerocranium`)?
Kei mua o tō angaanga te angaanga kanohi. He paihere wheua tōna. Mā tēnei kohinga wheua e tautoko tō mata, e hoatu he āhua ki a ia. Kia kite tātou he aha rātou?
- Ngā wheua ihu: Koinei te piriti o tō ihu. Kei runga ake i a rātou tetahi i tetahi, me te kauae o runga me te taha o mua o te wheua ethmoid.
- Wheua ruaki: He rite tēnei wheua ki te papa o te kōhao ihu i muri i tō ihu.
- Ngā wheua waimata: Koinei te wāhanga o raro, o waenganui o te taha o roto o te poka o tō kanohi.
- Ngā wheua palatine: He wahi iti ēnei kei raro i te poka o tō kanohi.
- Ngā wheua zygomatic: Ko ēnei wheua te taha o waho, o raro o ō wheua paparinga.
- Ko te upoko o runga: He wheua kotahi tēnei. Ka hangaia te waenganui o ō paparinga e rua. Ka hangaia hoki te waenganui, te raro, te mua o ō kamo. Ka hangaia hoki tō kauae o runga. Kei runga ake i te taha mua o te wheua ethmoid.
- Kauae: He wheua kotahi anō hoki tēnei. Ka hanga i tō kauae o raro. Koinei anake te wheua nekeneke i roto i te angaanga.
Whakaarohia, ka huihui mai ēnei wheua katoa hei hanga i tō tātou mahunga me tō tātou mata. He mea hanga whakamiharo tēnei, ehara i te mea?
He aha ngā āhuatanga me ngā mate e pāngia ana e te tumuaki?
Engari, ka pāngia hoki tō tātou tumuaki e ngā mate me ngā āhuatanga rerekē. He maha o ēnei he āhuatanga whānau mai , arā, kei te whānau mai anō. Anei ētahi tauira:
- Anencephaly (ngaro wāhanga, ngaro katoa rānei o te roro)
- `(Te mate Apert)`
- `(Te mate kāmura)`
- `(Te mate pukupuku kiriupoko)`
- `(Craniosynostosis)` (Te katinga wawe o ngā tuitui o te angaanga)
- `(Te mate Crouzon)`
- Encephalocele (he wāhanga o te roro e puta mai ana i te angaanga)
- `(Te mate Goldenhar)`
- `(Hemifacial microsmia)`
- Te iti o te upoko (microcephaly)
- Micrognathia (kauae iti o raro)
- `(Te mate Pfeiffer)`
- `(Prognathism)` (Te pupūtanga o te kauae)
- `(Scaphocephaly)`
Haunga ēnei āhuatanga whānau, ka taea hoki e ngā whara me ngā āhuatanga hauora e pā ana ki te tumuaki te puta i ngā wā katoa o te ao. Hei tauira:
- Ngā mate o te hononga Temporomandibular (ngā mate TMJ)
- Ngā pukupuku me ngā matepukupuku i roto i te kauae (ko ētahi he matepukupuku kauae pea)
- Ngā whara niho, pērā i te kauae whati, te kauae whati rānei
- Ngā whati o te angaanga me/ranei ngā whara roro e pā ana ki te roro me ngā whara roro (TBI)
He aha ngā tohu noa o ngā mate kiri tumuaki?
Ka rerekē rawa atu ēnei tohu. I roto i ngā āhuatanga whānau mai, he maha ngā huringa o te āhua me/ranei te tipu o te tumuaki , ka puta ai he āhua motuhake ki te mata, ki te upoko rānei.
Ka puta pea ēnei tohu i ngā āhuatanga kāore i whānau mai, arā, he āhuatanga ka puta i muri mai:
- Ngā mamae o te upoko , inā koa ko ngā migraines
- He tangi "pāwhiri" mai i te kauae, i te kauae rānei, he mamae
- Ngā tohu e pā ana ki te roro , pērā i te pōhēhē, te koma rānei
- Ngā marō, inā koa ko ērā he tauira motuhake, pērā i te "kanohi raccoon" (he tohu matua tēnei mō te whati o te angaanga)
He aha ngā whakamātautau noa e mahia ana hei tirotiro i te tumuaki?
He maha ngā whakamātautau whakaahua tātaritanga e whakamahia ana hei tātaritanga i ngā mate o te tumuaki. Ko ētahi o ēnei:
- Ngā hihi-X, tae atu ki ngā hihi-X niho
- Ngā matawai CT
- Ngā whakamātautau MRI `(MRI)`
Mena kei te whakapaehia he mate ira, ka tūtohu ngā tākuta kia whakamātauria he whakamātautau ira. Mā tēnei ka kitea ngā hapa ira katoa. Ka āwhina tēnei ki te kimi i te tautuhi tika.
Tērā pea ka mahia ētahi atu whakamātautau i runga i ō tohu, tō hītori hauora, me ētahi atu āhuatanga. Ko tō tākuta te tangata pai rawa atu hei kī atu ki a koe ko ēhea ngā whakamātautau e tika ana māu, me te take hoki e mahia ai aua whakamātautau.
He aha ngā maimoatanga mō ngā mate kiri tumuaki?
Ko te maimoatanga mō ngā mate kiri tumuaki e whakawhirinaki ana ki te āhua o tō mate. Tērā pea ka whai pānga anō tō hauora, tō hītori whaiaro, me te taiao. He pai ake te pātai ki tō tākuta mō ngā kōwhiringa maimoatanga e wātea ana mō tō mate.
He aha taku e taea ai hei tiaki i tōku tumuaki?
Ko te huarahi pai hei tiaki i tō tumuaki ko te tiaki i a ia mai i te whara. Mā ēnei mea ka āwhina:
- Me mau tonu te whitiki nohoanga ina eke waka. Koinei te huarahi pai hei ārai i ngā whara o te mahunga i roto i ngā aituā motuka.
- Mauria he potae me ētahi atu taputapu haumaru.He mea nui ēnei mō ngā mahi pēnei i te eke pahikara me te eke roera. He mea whakahau hoki ēnei mō ētahi mahi.
- Me whiwhi tiaki niho auau. Mā te toro atu ki te taote niho auau ka āwhina i te kite i ngā raruraru niho, kauae rānei i mua i te kino rawa atu (nā te mea e hono tika ana ō niho ki tō angaanga).
- Kaua e warewarehia ngā tohumate e mau tonu ana. Mena kei a koe ngā tohumate e mau tonu ana e pā ana ki tō tumuaki, ki ō kanohi, ki tō ihu, ki tō waha, ki ō taringa rānei, kaua e warewarehia. Ko ētahi tohumate e mau tonu ana he tohu pea nō tētahi raruraru kei raro i te maru ka horapa ki te tumuaki me te roro.
Ka wareware tātou ki ō tātou angaanga, kāore? Engari ko tēnei hanganga uaua, wheua te mea e tiaki ana i tō roro (me koe, me ngā mea katoa e mahia ana e koe). Ko te tikanga ko te tiaki i tō angaanga tētahi o ngā huarahi tino nui hei tiaki i ngā mea katoa o roto.
Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)
Ehara tō angaanga i te mea he paihere wheua e karapoti ana i tō mahunga. Ka tiaki i tō roro, ka hanga i tō mata, ā, ka tautoko i ō whekau rongo. He mea whakamiharo te whanaketanga mai i te pēpitanga.
Nō reira, tiakina tō tumuaki. Whai i ngā tikanga haumaru, karohia ngā aituā. Haere ki te tākuta niho i ia wā. Nā te mea, mā te āta tupato me te tūpato, ka taea e koe te tiaki i tō tumuaki me ngā mea tino nui o roto. Kei te mārama koe? Nō reira, ki te mea kei a koe tonu ngā pātai mō tō tumuaki, kaua e wehi ki te kōrero ki te tākuta.
` Angaanga, angaanga, upoko, roro, wheua, angaanga, wheua kanohi
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