Te Mate Hauā o te Rākau Wāhanga? - Me kōrero māmā noa iho tēnei!

He rerekē te āhua o tō wairua i ētahi wā? Whakaarohia, he āhua mōhio te wāhi kei reira koe, engari he wāhi hou. Kei te ahua rānei kei te ara ake tetahi mea i roto i tō puku, kei te mataku, kei te manukanuka rānei koe? Tērā pea ka ngaro tō māramatanga, ā, ka pāngia koe e ēnei āhuatanga. Mena kua pā ēnei āhuatanga ki a koe, ki tētahi rānei e mōhio ana koe, he mea nui kia mōhio koe ki te āhua e kōrerohia ana e tātou i tēnei rā e kiia nei ko te 'Temporal Lobe Epilepsy'.

He aha te mate haurangi o te pito o te roro?

Ki te whakarapopoto, he momo mate haurangi te Mate Hauā o te Rohe Wāhanga. I tēnei wā, ka tīmata te hopu i tētahi wāhanga o tō roro e kiia nei ko te roro wāhanga o te rohe. Ko te hopu he āhuatanga rerekē o te mahi hiko i roto i te roro. Whakaarohia he rite ki te ara iahiko poto i roto i te ara iahiko hiko.

E rua ngā 'pūpū roro' kei ia taha o ō tātou roro, mai i mua o ō tātou taringa ki muri. Ko tēnei 'pūpū roro' te mea e āwhina ana i a tātou ki te mārama ki te ao e karapoti nei i a tātou. Koinei:

• Puritia ngā maharatanga.
• Te mōhio ki ngā oro
• Mō ngā mea e pā ana ki te tirohanga
• Kia mārama ki te reo me te kōrero

Haunga tēnei, ko ētahi o ngā mea e mahia ana e tātou i roto i te kore mōhio, pērā i te hiakai, te matewai, ngā mea e mahia ana e tātou ina mataku ohorere tātou (te urupare whawhai, te oma rānei), ō tātou kare ā-roto, me ngā hiahia moepuku, ka whakahaerehia hoki e tēnei 'pūnaha manawa'.

Ko te mate haurangi o te pito o te roro te momo mate haurangi tino noa, e tīmata ana i tētahi wāhi motuhake o te roro. Ko te tohu matua ko ngā haurangi. Ka taea e te tākuta te āwhina i a koe ki te whakahaere i tēnei mate.

He aha te rerekētanga i waenga i te mate haurangi o te taha maui me te taha matau o te taha maui?

He maha ngā mea e whakahaeretia ana e ngā roro maui me ngā roro matau o tō roro, tae atu ki te mahara, te whakarongo, te tirohanga, me te kōrero. Heoi, ka pāngia pea ēnei mahi i runga i te taha ka tīmata te hopu.

Mō te tini o te tangata, inā koa he ringa matau koe, ko te pito maui o te roro temporal te mea matua. Ko te hunga e pangia ana e te mate haurangi o te roro temporal temporal te tangata, ka raru pea rātou ki te whakaingoa i ngā taonga, ki te kimi i ngā kupu tika, ā, ka rerekē hoki ō rātou wairua i roto i te wā.

Ko te hunga e pangia ana e te mate haurangi o te pito matau o te roro he iti ake te huringa o te mahara mō te wā roa. Heoi anō, tera pea ka uaua ki a rātou te maumahara ki ngā kōrero kore-waha, inā koa ngā whakaahua, me ngā huringa o te wairua.

He momo mate haurangi kei te taha o te roro?

Āe, e rua ngā momo matua o te 'haurangi o te roro o te wā':

1. Te Mate Hauā o te Lobe Temporal Medial (MTLE):Ko te tikanga o te "Mesial" ko te waenganui. I tēnei wā, ka tīmata te hopu i roto, i te taha rānei o tētahi wāhanga o te roro e kiia nei ko te hippocampus. Koinei te wāhanga o te roro e kiia nei ko te hippocampus kei waenganui o ō lobes temporal e rua. Koinei te momo TLE tino noa. Ko te hippocampus te wāhanga o te roro e tino pā ana ki ō tātou mahara.

2. Te Mate Hauā o te Lobe Temporal Neocortical, Lateral Temporal Lobe rānei: I tēnei, ka tīmata ngā mate haurangi i te wāhanga o waho o tō lobe temporal.

He aha ngā tohu o tēnei mate?

Ko ngā tohu o te mate haurangi o te pito o te roro ko te kare ā-roto rerekē e puta ana i mua i te hopukanga, e kiia nei ko te aura hopukanga, me te hopukanga tonu.

Ngā mea ka pā ki a koe i te wā e pāngia ana koe e te aura epileptic:

• `Déjà vu`: Koinei te kare ā-roto e puta mai ana ina haere koe ki tētahi wāhi kāore anō kia tae atu koe, pērā i te "Kua tae ahau ki konei i mua." He maharatanga rānei e rite ana ki tētahi mea i tupu i mua kei te tupu anō.
• `Jamais vu`: Ko te ritenga kē tēnei o te `déjà vu`. Koinei te wā ka puta he āhua rerekē, he āhua tauhou ki tētahi mea kua mōhiotia e koe (hei tauira, he rūma i roto i tō whare).
• He kare ā-roto ohorere o te wehi, te manukanuka, te manukanuka rānei; te riri, te pōuri, te harikoa rānei.
• He kare ā-roto hurihuri rerekē me te mea kei te piki ake te puku i roto (he rite tonu ki te kare ā-roto e pā ana ki a koe ina kei runga koe i tētahi waka rerehua).
• Te pikinga ake o te aro o ngā māngai (pērā i te rongo, te kite, te hongi, te whakamātau, te pā atu rānei ki ngā mea, he kaha ake i te tikanga).

Kāore te katoa e pāngia e tēnei 'aura'. Ko te 'aura' he 'hopu aro-arotahi'. Ko te tikanga, ina puta ēnei tohu, kei te mōhio koe, kei te mōhio hoki ki te mea e tupu ana. Ka roa pea tēnei mai i ētahi hēkona ki te rua meneti pea.

Ko ētahi atu tohu ka kitea i te wā e pāngia ana e te mate:

I muri i te aura, ka puta pea ngā tohu e whai ake nei:

• Te ngaronga o te māramatanga.
• He titiro kau, kāhore he kare ā-roto i te mata.
• Te whakanui ake i ngā āputa o ngā kanohi.
• Te whakahokinga o te mea kotahi, kāore he tikanga (ngā mahi aunoa). Hei tauira, te whakaari kei te tango ake koe i tētahi mea ki ō ringaringa, te kimo o ō kanohi, te kōpeke o ō ngutu, te whakaari kei te ngaungau i tētahi mea, te horomi.
• Pōhēhētanga.
• Ko te kore e taea te kōrero, te mārama rānei ki te mea e kōrerotia ana mō te wā poto (aphasia).
• He pakari te tinana, he wiriwiri hoki.

He aha te take o te mate haurangi o te pito o te roro?

Ko te take matua mō tēnei, kāore ngā pūtau io, ngā neuron rānei, i roto i tō roro e kōrero tika ana. Ko ngā neuron ngā mea e tuku tohu hiko ana ki ngā wāhanga rerekē o te roro. Ina pāngia koe e te mate haurangi, ka tukuna e ēnei neuron he maha rawa ngā tohu me te kore e taea te whakahaere.

Anei ētahi o ngā tino take o te mate haurangi o te pito o te roro:

• Te sclerosis hippocampal: Koinei te kino me te ngaronga o ngā neuron me ngā pūtau glial i roto i te hippocampus.
• Te dysplasia cortical focal: He rōpū rerekē o ngā neurons i roto i te roro.
• Ngā pukupuku roro.
• Te whara roro whara (TBI).
• Ngā mate urutā: Hei tauira, ko te whēwhe roro, te meningitis, me te encephalitis.
• Ngā mate e pā ana ki ngā uaua toto: Hei tauira, te 'whiu', ngā 'arteriovenous malformations (AVMs)'.
• Ngā momo ira.
• Ngā take kāore i te mōhiotia.

Ko wai te mea tino mōrearea ki tēnei mate?

Ka taea e tēnei mate, e kiia nei ko te `TLE`, te whakawhanake i ngā tau katoa. Heoi anō, tera pea ka nui ake tō mōrearea mēnā:

• Mena kua pāngia koe e te mate kirika i a koe e tamariki ana.
• He mate hopuhopu neke atu i te rima meneti te roa, he maha rānei ngā mate hopuhopu kāore anō kia hoki mai te māramatanga (status epilepticus) karapīpiti.
• Mena he mate whānau tōu, he āhuatanga rānei pērā i te pukupuku roro.
• Mena kua pāngia koe e te whara nui o te upoko (TBI) i te wā e tamariki ana koe, e te mate roro rānei.
• Mena he mate haurangi temporal lobe (hītori whānau) tō tetahi o te whānau.

Tata ki te rua hautoru o te hunga whai mate `TLE` kua pāngia e te mate kirika i te tamarikitanga. He maha o ēnei he uaua (arā, he roa te wā e mau ai). Engari, kia maumahara, ehara i te katoa kua pāngia e te mate kirika ka pāngia e te `TLE`. He tino onge.

He aha ngā raruraru pea o te mate haurangi o te pito o te wāhanga o te roro?

Ki te TLE, kei te tūpono koe ki te hekenga o te hinengaro-pūnaha e kore e taea te hoki whakamuri. Ko te tikanga tēnei ka uaua pea koe ki te ako i ngā mea hou, ki te maumahara ki ngā mea, ki te whakatau kaupapa, me te arotahi.

Ka nui ake te maha o ngā wā ka pāngia koe e ngā mate haurangi, ā, ka roa ake hoki tō pāngia e ēnei mate, ka nui ake tō tūponotanga ki:

• Te pouri
• Manukanuka
• Ngaronga o te mahara
• Te Matenga Ohorere Kāore i te Whakamāramahia i te Mate Hauā (SUDEP)

Nō reira, he mea tino nui kia kite i te tākuta me te whiwhi i te maimoatanga tika mō te `TLE`. Mā tēnei ka āwhina i te ārai i ngā raruraru pēnei.

Me pēhea te tautuhi a ngā tākuta i tēnei mate?

Ka tātaritatia e te tākuta te mate haurangi o te pito o te roro mā te pātai mō ō tohu, te ako me pēhea te tīmatanga o te hopuhopu, te whakahaere i tētahi whakamātautau io, me te whakahaere i ngā whakamātautau e tika ana. Ka pātai atu hoki te tākuta ki a koe mō ngā mea i tupu i mua atu, i muri mai hoki i te hopuhopu. Ka arotakehia anō hoki e ia tō hītori hauora.

Kāore pea koe e mahara ki ngā mea i tupu i te wā o te mate hopuhopu. Mena koinā, he mea pai kia kawea mai tētahi i a koe i te wā i puta ai te mate hopuhopu ki te tākuta. Kātahi ka taea e rātou te kōrero ki te tākuta i tā rātou i kite ai.

Mā ngā whakamātautau ka taea e tō tākuta te kite i ngā mea e tupu ana i roto i tō roro. Tērā pea ka mahia ēnei whakamātautau:

• Matawai MRI (Imahanga Āhua Aukume): Tangohia he pikitia mārama o te roro.
• Whakamātautau `EEG (Electroencephalogram)` te `video-EEG` rānei: Tirohia te mahi hiko o te roro.
• Whakamātautau matawai `SPECT (Tomography Rorohiko Tukunga Whakaahua Kotahi)`.
• Matawai `PET (Positron Emission Tomography)`.
• Whakamātautau 'MEG (Magnetoencephalography)'.
• Whakamātautau hinengaro-io: Tirohia te āhua o ngā mea pēnei i te mahara me te aro.

He aha ngā maimoatanga mō te mate haurangi o te pito o te wā?

Ka taea te whakamahi i ēnei hei rongoā mō te mate haurangi o te pito o te roro:

• Ngā rongoā ārai-hōhā.
• Te pokanga mate haurangi.
• Te whakaohooho roro.

Hei tāpiritanga, ka tūtohu pea tō tākuta kia huri koe i te kai, pērā i te kai ketogenic. He kai nui te ngako, iti te warowaihā tēnei.

Ngā rongoā mō te mate haurangi o te pito o te wā

He maha ngā rongoā e wātea ana hei rongoā i ngā mate hopuhopu o te roro. Ko ētahi tauira ko:

• `Brivaracetam`
• `Cenobamate`
• `Carbamazepine`
• `Kapapentin`
• `Lamotrigine`
• `Lacosamide`
• `Levetiracetam`
• `Oxcarbazepine`
• `Pregabalin`
• `Rufinamide`
• Topiramate
• `Valproate`
• `Zonisamide`

Ka whakamātau tō tākuta i tētahi, i ētahi rānei rongoā, i roto i ngā horopeta rerekē, kia kitea ai te mea e tino pai ana mōu.

He mea nui: Ka pā kino pea ētahi rongoā mō te mate haurangi ki te pēpi i te wā e hapu ana. Nō reira, me kōrero ki tō tākuta mēnā kei te hapu koe, kei te whakaaro rānei koe kia hapu.

Pokanga mō te mate haurangi o te pito o te tinana

Mena kāore e taea te whakahaere i ngā mate haurangi mā te rongoā, mēnā rānei i puta mai ēnei tohu i tētahi mea pēnei i te pukupuku roro, ka whakaarohia pea e te tākuta te pokanga.

Ko te tango i tētahi wāhanga o te lobe temporal te pokanga tino noa. Heoi, nā te mea he maha ngā mahi nui e whakahaerehia ana e te lobe temporal, ka āta whakamaheretia e te taote pokanga te pokanga kia iti ake te pānga ki te mahi a te roro.

E rua ngā tikanga iti ake te whakaekenga ko te pokanga irahiko stereotactic me te ablation laser . Ka whakamahia e ēnei tikanga ngā hihi laser, te irahiko rānei hei whakangaro i ngā pūtau io, i te kiko rānei i roto i te lobe temporal te tīmatanga o ngā hopukanga.

Te whakaohooho io mō te mate haurangi o te pito o te tinana

Mena kāore e whai hua te rongoā, kāore rānei e haumaru te pokanga, me whakaaro pea koe ki ngā taputapu whakaohooho roro. Ko te tikanga o tēnei ko te tuku i ngā hiko ki tō roro tuarā mā roto i tētahi taputapu kua whakatōkia ki roto i tō tinana. Ka taea e tēnei maimoatanga te whakaiti haere i te maha o ngā mate hopuhopu i roto i te wā. Ko ngā momo taputapu matua e whakamahia ana mō te TLE ko:

• `Whakaohooho io vagus (VNS)`
• `Whakaohooho roro urupare (RNS)`
• `Whakaohooho hohonu i te roro (DBS)`

He aha te momo tumanako ka taea e koe i a koe e noho ana i roto i tēnei āhuatanga?

Ko te āhua o tō āhuatanga ka whakawhirinaki ki ngā mea penei:

• E hia ngā wā ka pāngia koe e ngā mate hopuhopu?
• Kia pēhea te roa o tō pāngia e tēnei āhuatanga?
• Tō hauora whānui.
• Mena kua tīmata ngā raruraru kore e taea te whakakore.

He maha ngā tāngata ka taea te whakahaere pai i ō rātou mate haurangi mā te rongoā. Ko ētahi e kī ana kua ngaro katoa ō rātou mate haurangi i muri i te pokanga. Heoi, he rerekē rawa tēnei i ia tangata, i ia tangata. Ka taea e tō tākuta te hoatu he whakamārama tika ake mō tō āhuatanga.

He aha ngā wā pai rawa atu hei toro atu ki te tākuta?

Mena kua pāngia koe e te mate haurangi, ki te whakaaro rānei koe kua pāngia koe e te mate haurangi, me toro atu koe ki te tākuta.

Mena kua kitea kētia koe he mate haurangi o te pito o te roro, waea atu ki tō tākuta tonu mēnā ka pāngia koe e tētahi o ēnei e whai ake nei:

• Mena ka roa ake tō hopukanga i te rima meneti.
• Mena ka puta mai anō he mate hopu i muri tonu i te mutunga o te mate hopu tuatahi.
• Mena ka piki ake te auau me te kaha o ngā hopukanga.
• Mena ka puta he tohu hou, he pānga taha rānei o ngā rongoā.
• Mena kua puhoi ake te whakaoranga i muri i te mate hopuhopu i te tikanga, ki te kore rānei e tino ora.

Ngā pātai nui hei pātai atu ki tō tākuta

Mena kei a koe te 'TLE', he mea pai kia pātai atu koe ki tō tākuta i ēnei pātai:

• He aha te momo maimoatanga e taunaki ana koe māku?
• He pānga taha kei te rongoā?
• He haumaru tēnei rongoā ārai-hōhā mēnā kei te tumanako ahau ki te whānau?
• Ka taea e au te mahi pokanga mō te mate haurangi?

Kāore pea koe e mōhio ki te hiranga o ō roro temporal kia mutu rā anō te mahi tika. Ka pāngia pea te mahi a te mate haurangi roro temporal (TLE) i roto i te wā. Heoi, ka taea e te tākuta te āwhina i a koe ki te whakahaere i ngā mate hopuhopu TLE me te ārai i ngā raruraru.

He motuhake te maimoatanga mō te TLE ki a koe. Me whakamātau pea koe i ngā rongoā rerekē me ngā horopeta rerekē kia kitea rā anō e koe te mea e pai ana mōu. I ētahi wā, kāore e mahi ngā rongoā, ā, ko te pokanga pea te kōwhiringa pai rawa atu.

He uaua te whakahaere i te oranga me te mate haurangi. Heoi, ka taea e koe te tiki āwhina atu i ngā rōpū tautoko, mā te kōrero rānei ki tētahi tohunga hauora hinengaro . Ka noho tahi tō rōpū hauora me koe ki te whakautu i ō pātai katoa i a koe e haere ana.

Karere Whakamutunga mō te Tango ki te Kāinga

E hoa, ehara te mate haurangi o te pito o te roro i te mea hei wehi, engari ehara hoki i te mea hei wareware.

Kia maumahara, ka taea e koe te ora angitu me tēnei mate. Ko te mea nui ko te whai i ngā tohutohu a tō tākuta me te whiwhi i te maimoatanga tika.

• Mena kei a koe, kei tētahi atu rānei e mōhio ana koe, ēnei tohu, me toro atu ki te tākuta tonu.
• Tangohia te rongoā kua tohua kia rite ki te wā kua tohua, kia tika hoki. Kaua e mutu te tango i te rongoā me te kore e kōrero ki tō tākuta.
• Ki te kī mai tō tākuta kia hurihia tō momo noho (hei tauira, he kai ketogenic), ngana ki te whai i aua mea.
• Kia kaha te hinengaro. Ki te tika, rapua he tohutohu. Kāore koe i te mokemoke.
• He mea pai kia mōhio tō whānau me ō hoa ki tēnei āhuatanga. Kia taea ai e rātou te āwhina i a koe.

Ko te tumanako ka whai hua ēnei mōhiohio ki a koe. Kia ora tonu!

` Mate Pāwera o te Rōpū Wāhanga, Mate Pāwera, Hōhā, Mate Roro, Mate Pūnaha Io, Mate Pāwera o te Rōpū Wāhanga, Hōhā