Kua pāngia tētahi o tō whānau e te mate haurangi kino pēnei? Me ako tātou mō ngā mate haurangi Tonic-Clonic (e mōhiotia ana ko Grand Mal)!

Kua kite koe i tētahi e oho ohorere ana, e ngaro ana te mārama? Tērā pea ka turuturu te wai. Ka mataku tātou katoa ina kite tātou i tētahi āhuatanga pēnei, tika? He maha ngā momo hopuhopu ka puta pēnei. I tēnei rā ka kōrero tātou mō te hopuhopu Tonic-Clonic (Grand Mal), he momo hopuhopu kino ake engari e mōhiotia whānuitia ana e te tini tāngata. Kia titiro tātou he aha tonu, he aha te take e puta ai, he aha ngā tohu, me te aha me mahi i roto i tēnei āhuatanga.

He aha te hopukanga tonic-clonic, te hopukanga grand mal rānei?

I te whakarapopototanga, ko te mate hopu tonic-clonic he mate hopu kino e tere ai te mahi a ngā uaua o ngā taha e rua o te tinana, e wiriwiri ana. Koinei te momo e whakaarohia ana e te nuinga o te tangata ina rongo rātou i te kupu "seizure" ā, he māmā noa te mōhio. I mua ko "Grand Mal." He kupu Wīwī tēnei e rite ana ki te "mate nui".

Ko te ingoa "Tonic-Clonic" e kī ana e rua ngā wāhanga matua o tēnei hopukanga.

1. Wāhanga Whakakaha: Koinei te wā ka kikī whakarere ngā uaua o te tinana katoa, inā koa ko ngā ringa me ngā waewae.

2. Wāhanga Clonic: Whai muri i tēnei ko te oho o te tinana, te wiri rānei.

He aha te rerekētanga o tēnei mate hopuhopu i ētahi atu momo mate hopuhopu me te mate haurangi?

He maha ngā momo mate hopuhopu. He rite ngā ingoa o ētahi, ā, ka pōhēhē pea. Me titiro tātou ki ngā rerekētanga matua:

• Ngā hopukanga atonic: E kiia ana hoki ko ngā "drop attacks," he whakawhāititanga uaua ohorere, kāore i te tūpato, ka hinga te tangata ki te whenua. Ka piki ake te tūponotanga o te whara i te hinganga.
• Ngā mate hopuhopu tōniki: He rite ēnei ki ngā mate hopuhopu tōniki-kloniki, engari kāore te wāhanga kloniki, te wiriwiri rānei, e puta. Tērā pea ka ngaro te māramatanga o te tangata, ka pakari, engari kāore he wiriwiri.
• Ngā mate hopu korokoro: He mate hopu korokoro tēnei ka puta mai, kāore he wāhanga tonic, ā, ka huri ohorere ki te wāhanga korokoro. Ko te tikanga o tēnei, kāore te tinana e mārō, engari ka tīmata te oho, ā, ka ngaro pea te māramatanga.
• Ngā mate urutā myoclonic: He oho ohorere tēnei o tētahi rōpū uaua. He rite ki te pāngia e te ru hiko. Ki te pā ki ngā waewae, ka hinga pea koe. (Engari anei tētahi mea iti: Ina oho ohorere tātou i ō tātou tinana i a tātou e moe ana, ka kiia he 'myoclonic jerk'. He mea noa, ehara i te mate urutā, i te mate haurangi rānei. )
• Mate haurangi: Ko te mate haurangi he mate roro e puta ai ngā mate haurangi maha, kāore i te mārama te take. Ka tātaritatia te mate haurangi e ngā tākuta mā te:I te nuinga o te wā ka mahia mēnā kua pāngia koe e ngā mate hopuhopu e rua, neke atu rānei, i roto i te wā neke atu i te 24 hāora, mēnā rānei kua pāngia koe e te mate hopuhopu kotahi, ā, he nui te tūponotanga ka pāngia anō koe i roto i ngā tau 10 e whai ake nei.

Ko wai te hunga e tino pāngia ana e tēnei mate? He pēhea te noa o tōna pānga?

Ka pāngia te tangata katoa e te mate haurangi, engari he nui ake te tūponotanga ka pāngia ētahi tāngata e te mate haurangi. Ko te nuinga o ngā mate haurangi ka pā ki ngā tamariki nohinohi me te hunga neke atu i te 65 tau te pakeke.

I te katoa, tata ki te 25% o te hunga e pāngia ana e te mate haurangi, he mate haurangi tōnik-klonik tā rātou. E ai ki ngā tatauranga i te Hononga o Amerika, tata ki te 11% o te hunga ka pāngia e te mate haurangi i roto i ō rātou oranga, ā, tata ki te 3% o rātou ka kitea he mate haurangi. Tata ki te 1% o ngā tūroro e haere mai ana ki ngā tari ohorere ko te hunga i haere mai nā te mate haurangi.

He pēhea te pānga o tēnei mate pāwera ki te tinana?

Ko te mate hopu he panoni, he hapa rānei i te huarahi e tukuna ai ngā tohu hiko e ō tātou pūtau roro, e kiia nei ko ngā neuron. I te wā e mate hopu ana, ka pupuhi tonu ēnei neuron, ā, ka horapa atu ki ētahi atu neuron.

He 'hopu whānui' te hopukanga tonic-clonic. Ko te tikanga ka pā ki ngā taha e rua o te roro. Ka ngaro te māramatanga, ka ngoikore ngā uaua puta noa i te tinana, me ngā nekehanga kāore e taea te whakahaere pērā i te oho me te wiri.

Te Tūnga o te Mate Huangi - He morearea tēnei!

He mea nui: Ki te roa atu i te rima meneti te roa o te hopunga o te tangata, ki te mutu rānei tētahi hopunga, ā, ka puta mai tētahi atu i mua tata tonu i te hokinga mai o te māramatanga, ka kiia tēnei he status epilepticus . He āhuatanga ohorere hauora tēnei e morearea ana ki te ora! Ka taea e ia te whakararu i te roro tuturu, tae atu ki te mate.

Tata ki te 98% o ngā mate hopuhopu ka mutu i roto i te iti iho i te rima meneti. Ka puta te status epilepticus mō tetahi take ka puta ai te mate hopuhopu.

Mena ka pāngia tetahi e te mate haurangi neke atu i te 5 meneti i a koe e noho ana i reira, ki te puta mai rānei tētahi atu i mua i te mutunga o te tuatahi, waea atu ki te 1990 (te ratonga waka tūroro ohorere o Sri Lanka) tonu atu, haria rānei ki te hōhipera tata. Mena ka roa ake te status epilepticus, ka uaua ake ki ngā tākuta te whakamutu, ā, he nui ake te tūponotanga ka pakaru te roro.

He aha ngā tohu o ngā hopukanga tonic-clonic?

Ina whakaaro te nuinga o te tangata ki ngā "ohorere," ka whakaaro rātou ki ngā hopukanga tonic-clonic. He ngawari noa iho ngā tohu, ā, he ngāwari ki te mōhio. E toru ngā wāhanga matua:

1. Wāhanga whakapakari tinana (tata ki te 10-30 hēkona):

• I tēnei āhuatanga, ka ngaro whakarere tō māramatanga.
• Ka piri ngā uaua o te tinana katoa, inā koa ngā ringa me ngā waewae. Tērā pea te āhua nei kua piko whakamuri te tinana, ā, kei te pūwero te puku.
• I te whakakukū o ngā uaua manawa, ka puta te hau i roto i ngā pukahukahu, ka puta he tangi whiowhio.
• Ki te hinga koe i tēnei wā, ki te kōkō rānei koe i ō niho, ki te ngau rānei i tō arero , tera pea ka whara koe.

2. Wāhanga Clonic (30-60 hēkona, i ētahi wā ka roa ake):

• Koinei te wā ka tīmata te wiri me te wiri o te tinana katoa (ngā haruru).
• Ka taea hoki e koe te tuwha i te hūpē mai i tō waha.
• Ka memeha haere ngā haruru, ā, ka mutu haere.
• Kia tae ki te mutunga o tēnei wāhanga, ka tukuna pea te mimi me te paru, arā, ka taea e ēnei te piri ki ngā kākahu.

3. Te wā whakaora i muri i te hopukanga (tata ki te 30 meneti):

• Ka hoki mārire te mārama o te nuinga o te tangata i muri i te mutunga o te hopukanga.
• Engari, tera pea ka pōhēhē koe, ka pāngia koe e te mamae o te upoko, ka pāngia rānei koe e te mamae o te tinana . He mea noa ēnei.
• I ētahi wā tino kino, inā koa mēnā ka puta he āhuatanga pēnei i te 'Status epilepticus', ka roa pea te wā ka hoki mai te māramatanga.

He aha ngā hopukanga arotahi me te aura?

He maha ngā tāngata ka pāngia e te kare ā-roto, arā, he āwangawanga, i mua i te tīmatanga o te mate hopu. Ka kiia tēnei he 'prodrome'. I ētahi wā ka haere tahi tēnei āwangawanga me te 'aura'. Ko te aura te kare ā-roto e pāngia ana ētahi wāhanga o te roro ina tīmata te mate hopu.

Kāore he aura o ngā mate urutā whānui, pērā i ngā mate urutā tonic-clonic. Heoi, ko ngā mate urutā arotahi – arā, ko ngā mate urutā e pā ana ki tētahi taha o te roro anake – ka horapa pea ki te roro katoa, ā, ka huri hei mate urutā tonic-clonic. Ko te aura i mua i te mate urutā arotahi he tohu whakatūpato kei te haere mai he mate urutā tonic-clonic.

Ka taea e te aura te whai i ngā āhuatanga e whai ake nei:

• Ngā tohu pānga: Ki te pāngia ngā wāhanga o te roro e whakahaere ana i ō pānga, ka pāngia pea koe e ngā kare ā-roto teka e kitea ana, e rangona ana rānei e koe. Hei tauira, ka kite pea koe i ngā rama tae, ka kite i ngā mea e neke ana, ka rongo i ngā oro, ka pāngia e ngā reka me ngā kakara rerekē, ka rongo rānei i tētahi mea e neke ana i tō kiri.
• Ngā Huringa o ngā Kare ā-roto: Tērā pea ka pāngia ētahi e ngā kare ā-roto kino pērā i te wehi me te manukanuka. Ko ētahi atu ka pāngia e ngā kare ā-roto pai pērā i te harikoa me te harikoa. Ko ētahi ka pāngia e ngā kare ā-roto pērā i te 'déjá vu' (he kare ā-roto e mōhio ana ki tētahi wheako hou) me te 'jamais vu' (he kare ā-roto e mōhio ana ki tētahi wheako hou).
• Ngā tohu ā-tinana: Ka pā pea ēnei ki ngā mea e whakahaerea aunoatia ana e tō tātou tinana. Hei tauira, te werawera, te nui o te huware, te kiri mā, te kiri whero rānei, me te pupuhi o te puku.

He aha ngā take o ngā hopukanga tonic-clonic?

He maha ngā take mō tēnei mate hopuhopu. Me titiro tātou ki ngā mea matua:

• Ngā ngoikore o ngā oko toto o te roro ('Aneurysms').
• Ngā koretake o te manawa o te ngakau ('Arrhythmias'), inā koa ka ngoikore te rere o te toto ki te roro.
• Ngā pukupuku roro (matepukupuku me ngā pukupuku kore-matepukupuku).
• Te korenga o te hāora ki te roro ('Cerebral hypoxia').
• Ngā whara i puta mai i te whiunga kaha ki te upoko (te whatiwhatinga o te roro me te whara o te roro).
• Ngā mate e ngoikore haere ai te roro, hei tauira, te mate a Alzheimer, te mate wareware frontotemporal.
• Ngā raau taero me te waipiro (ehara i te mea ko ngā rongoā anake, ko ngā raau taero whakangahau, tae atu ki te kawheine i roto i te kawhe).
• Ngā āhuatanga ka puta i muri i te whakamutu i ngā raau taero, i te waipiro rānei.
• Te eclampsia (he mate e pāngia ai ngā wahine hāpu e te toto toto tiketike).
• Ngā taurite kore o ngā tote tinana (ina koa te iti o te konutai - 'hyponatremia', te iti o te konupūmā, te konupora).
• Te kirika, inā koa te kirika nui (he tuhinga motuhake tā mātou mō ngā mate hopuhopu i roto i ngā tamariki).
• Ngā hihi mārama kanapa, e pīataata ana (e kitea ana i roto i te pouaka whakaata, i ngā kiriata, i ngā kēmu ataata).
• Ngā mate ira whānau ('Ngā mate ira').
• Ngā huringa homoni (hei tauira, te mate haurangi catamenial, he āhuatanga e nui ake ai ngā haurangi o ētahi wāhine i te wā o te paheketanga).
• Ngā mate urutā (ina koa ko te mate pukupuku roro, te mate kiriuhi rānei; ka puta pea ēnei i ngā huaketo, i ngā huakita, i ngā pirinoa, i ngā harore rānei).
• Ngā mate autoimmune i puta mai i ngā mate o te pūnaha ārai mate.
• Te kore moe me ētahi atu raruraru moe.
• Ngā raruraru pākia o te pūnaha io (ina koa ko te huka toto tiketike - 'hyperglycemia' te huka toto iti rānei - 'hypoglycemia').
• Ngā raruraru hauora hinengaro (e kiia ana ēnei ko ngā 'ohorere hinengaro', hei tauira, ko te 'mate huringa').
• Ngā raruraru ki te hanganga o te roro (ina koa nā ngā raruraru e puta ana i te wā e whanake ana te roro i roto i te kōpū).
• Sepsis (he āhuatanga morearea ki te ora e horapa ai te mate puta noa i te tinana, ā, ka nui rawa te tauhohenga a te pūnaha ārai mate).
• Ngā whiu, ngā whakaekenga ischemic poto rānei (TIA).
• Ngā paitini (hei tauira, te paitini waro hauhā, te paitini konganuku taumaha).

Ngā hopukanga i whakaohokia, me ngā hopukanga kāore i whakaohokia

Ina tātaritangahia he mate hopuhopu e ngā tākuta, ka tirohia hoki e rātou mēnā he "whakaohooho" he "kore rānei".

• Ngā mate hopuhopu: Ka puta ēnei hei tohu mō tētahi atu mate hauora, hei urupare rānei ki tētahi āhuatanga motuhake (hei tauira, te kirika nui, te huka toto iti, te whakamutu i ngā rongoā, ngā raau taero, te waipiro rānei).
• Ngā mate hopuhopu kāore i puta: Ko ēnei mate hopuhopu kāore e puta hei tohu mō tētahi mate poto, mō tētahi āhuatanga motuhake rānei. Ko ngā mate hopuhopu ka puta i muri i ngā rā e whitu, pērā i muri i te whara o te upoko, i te whiu rānei, ka taka hoki ki tēnei wāhanga.

He mate hopuhopu te mate tonic-clonic?

Kāo, ehara ngā haurangi tonic-clonic i te mea hopuhopu.Heoi anō, ko ētahi mea, pērā i ngā mate e hua ai ngā mate hopuhopu, ka taea te horapa (ahakoa ehara i te mea ko ngā mate katoa ka hua ai ngā mate hopuhopu). Waihoki, ko ētahi āhuatanga e hua ai ngā mate hopuhopu he mea tuku iho (ka taea te tuku mai i ngā mātua ki ngā tamariki).

Me pēhea te tautuhi i te hopukanga tonic-clonic?

Ka taea e tō tākuta, he tohunga roro te nuinga, te tautuhi i te mate hopuhopu tonic-clonic i runga i ngā tohu. Nā te mea ka ngaro tō mārama i a koe e hopuhopu ana, tera pea ka maumahara noa koe ki ngā mea i pā ki a koe i mua atu, i muri mai hoki i te hopuhopu. I roto i tēnei āhuatanga, ka pātai pea te tākuta ki tētahi i tō taha kia whakamārama i te mea i tupu.

Ki te kite koe i tētahi e pāngia ana e te mate haurangi, ina koa mēnā he pakari, he wiriwiri, he wiriwiri rānei, ka pātai atu pea te tākuta ki a koe kia whakaahuahia ngā tohu. He tino āwhina te kōrero atu ki a rātou i tāu e kite ana hei whakatau i te take.

He aha ngā momo whakamātautau e mahia ana?

He maha ngā whakamātautau hei whakatau mēnā kei a koe ngā hopukanga tonic-clonic. Ko ngā whakamātautau e tino kitea ana ko:

• Electroencephalogram (EEG): Mā tēnei ka ine i te ngohe hiko o te roro.
• Ngā whakamātautau toto: Ka rapua e ēnei ngā mea pēnei i ngā mate pākia o te pūnaha io, ngā kore taurite o ngā matū o te toto, ngā raruraru o te pūnaha ārai mate, me ngā paitini.
• Matawai tomografi rorohiko (CT scan): Ka tango whakaahua whakawhiti-wāhanga o te roro.
• Whakaahua aukume (MRI): Ka tangohia hoki e tēnei he whakaahua taipitopito o te roro.
• Te pokanga tuaiwi (te weronga o te hope): Hei tirotiro mō ngā mate pēnei i te mate pukupuku i roto i te roro me te taurakira.

I te wā e tātaritanga ana i te mate haurangi, ka ngana ngā tākuta ki te kimi i tētahi wāhi motuhake i roto i te roro (he 'wāhi arotahi') ka tīmata ai ngā haurangi. Mēnā ka kitea e rātou tēnei wāhi, ka nui te pānga ki te huarahi e mahia ai te maimoatanga.

Ka taea e ngā mate hopuhopu tonic-clonic te ngaro o te māramatanga, te kōpiri o te kauae, me te tūponotanga o te whara i te ru, i te pā rānei ki ngā mea. Mena kei te whakapae ngā tākuta he whara, he raruraru rānei kei te pā mai i te mate hopuhopu, ka tono pea rātou i ētahi atu whakamātautau hei tāpiri atu ki ngā mea kua whakarārangihia i runga ake nei. Ka taea e tō tākuta te kī atu ki a koe ko ēhea ngā whakamātautau e tika ana mō tō āhua me te take e mahia ai aua whakamātautau.

Me pēhea te rongoā i ngā mate hopuhopu tonic-clonic? Ka taea te whakaora i tēnei?

Ko ngā mate hopuhopu tōnik-klonik ka mutu noa iho. Nō reira, kāore he rongoā tika mō te mate hopuhopu i a ia e puta ana. Heoi, he rerekē mēnā he mate hopuhopu tōu (he mate hopuhopu e neke atu i te 5 meneti te roa, ā, ka whai mai tētahi atu i mua i te mutunga o te mate o mua).

Ko te maimoatanga mō ngā mate hopuhopu ka whakawhirinaki ki te take i puta ai i te tuatahi. Mena he 'mate hopuhopu' tōu, me mutu ngā mate hopuhopu ina rongoatia, ina ora rānei te mate taketake i puta ai. Mena kāore e taea te whakaora i te take taketake, ka ngana ngā tākuta ki te whakaiti i te auau me te kaha o ngā mate hopuhopu.

Ko te tikanga, kāore ngā tākuta e tūtohu kia rongoātia te mate hopuhopu tuatahi kāore i puta he take, nā te mea kāore he huarahi e tino mōhio ai mēnā ka puta anō he mate hopuhopu, ā, ki te pērā, kāore he take o te rongoā.

Ka taea e ngā tākuta te whakatau mēnā kei te mōrearea koe ki te pāngia anō e te mate haurangi mā te tirotiro i tō hītori hauora, i tō EEG, i tō matawai CT, i tō matawai MRI rānei.

He aha ngā momo rongoā, ngā maimoatanga rānei e whakamahia ana?

Pērā i ngā momo mate haurangi katoa, he maha ngā maimoatanga mō ngā mate haurangi tonic-clonic i puta mai i te mate haurangi. Ka taea e ētahi tāngata te whakahaere i ō rātou mate haurangi mā te rongoā kotahi anake. Ko ētahi atu pea me whakamahi i te huinga o ngā rongoā me ētahi atu maimoatanga.

Ko ētahi o ngā maimoatanga mō ngā hopukanga tonic-clonic i puta mai i te mate haurangi ko:

• Ngā Rongoā: Tērā ētahi rongoā IV ka taea te hoatu hei whakamutu i ngā mate hopuhopu; heoi, ko te tikanga ka hoatu noa ēnei i roto i ngā take o te status epilepticus. Tērā anō hoki ētahi pire ka tangohia i ia rā hei ārai i ngā mate hopuhopu, hei whakaiti rānei i tōna auau. Koinei ngā rongoā tuatahi ka hoatu mō ngā mate hopuhopu i puta mai i te mate haurangi.
• Pokanga mate haurangi: Ki te kore e whai hua te rongoā, i ētahi wā ka taea te mahi pokanga hei whakamutu i ngā mate haurangi mā te tango i te wāhanga o te roro (te pūwāhi arotahi) e tīmata ai ngā mate haurangi, mā te wehe rānei i ētahi atu wāhanga o te roro. Ki te haere tonu ngā mate haurangi ahakoa te tango i ngā momo rongoā ārai-ohorere e rua i ngā horopeta kua tohua, ka tūtohu pea ngā tākuta i te pokanga mate haurangi.
• Ngā Huringa Kai: Ka taea e ngā kai iti-warowaihā, kore-warowaihā rānei ('kai ketogenic') te aukati i ngā mate hopuhopu, te whakaiti rānei i te auau o ngā mate hopuhopu. Ahakoa he uaua te whai i ēnei kai, he āwhina pea ēnei mō te hunga kāore anō kia aro ki te rongoā, mō te hunga rānei e pāngia ana e ngā pānga kino o te rongoā. He kōwhiringa anō hoki ēnei mō te hunga kāore e hiahia ki te pokanga.
• Te whakaohooho roro: Ko te whakauru i tētahi taputapu iti ki roto i te roro, ka tukuna he iahiko hiko ki te roro. Ka whakararuraru tēnei iahiko i te mahi hiko o te mate hopuhopu, ā, ka ngana ki te whakamutu. E rua ngā tikanga i tēnei wā, ko te whakaohooho roro hōhonu me te whakaohooho roro arotau.
• Te whakaohooho i te io vagal: Ko te io vagal te tekau o ngā uaua angaanga, e hono tika ana ki te roro. Mā te whakaohooho hiko o te taha maui o tēnei io ka taea te whakaiti i te auau o ngā hopukanga.

He pānga taha, he raruraru rānei kei te rongoā?

Ko ngā pānga taha me ngā raruraru o ēnei maimoatanga e whakawhirinaki ana ki te maimoatanga, tō hītori hauora me ō āhuatanga, me te momo mate haurangi kei a koe. Ka taea e tō tākuta te kōrero atu ki a koe mō tēnei. Ka taea hoki e ia te kōrero atu ki a koe he aha ngā mea hei tūpato me pēhea te whakaiti i ō rātou pānga.

Me pēhea taku tiaki i ahau anō me te whakahaere i aku tohumate?

Kaua rawa e rongoā i te mate hopuhopu i a koe anō, me te whakaaro he mate hopuhopu noa iho. He maha ngā wā ka taea e ngā mate hopuhopu te tohu i tētahi mate kino e pā ana ki te roro. Nā te mea ka ngaro te māramatanga o ngā mate hopuhopu tonic-clonic, kāore pea koe e mōhio ki ngā mea i tupu i te wā o te mate hopuhopu.

Mena ka pāngia koe, tetahi atu rānei e tō whanaunga e te mate haurangi mō te wā tuatahi, he mea tino nui kia kite koe i tētahi tākuta. Ka taea e tētahi tākuta whai tohu te tirotiro i ngā tohu o te mate haurangi me ngā take pea.

A, mehemea ka pāngia tetahi e te mate haurangi i ahau e noho ana i reira?

Ki te pāngia tetahi e te mate haurangi i a koe e noho ana i reira, me whai i ētahi mahi āwhina tuatahi māu. Anei ētahi mea hei mahi, me ētahi mea kāore e tika ana kia mahia:

Ngā mea hei mahi (Me mahi):

• Tirohia mēnā ka taea e ia te manawa. Wetekina te kākahu i tōna kaki.
• Tangohia ngā mea morearea e karapoti ana i a ia. Tangohia ngā mea pakaru, ngā mea rānei ka taka ki runga i a ia. Mena he mōhiti āna, tangohia marietia, ka waiho ki tahaki.
• Tahurihia ia ki tōna taha (tūranga whakaora). Mā tēnei tūnga ka māmā ake te manawa, ā, ka ārai i te huware, i te ruaki rānei kei uru ki te ara manawa .
• Ngāna kia tuhia te roanga o te wā e pāngia ana e te mate hopuhopu. He mea nui rawa atu ēnei mōhiohio ki te tākuta. Ka taea hoki e ia te āwhina ki te whakatau mēnā e hiahiatia ana he āwhina hauora ohorere.
• Me noho ki te taha o te tangata i muri i te mutunga o te mate haurangi, ā, kia hoki mai anō tōna māramatanga. Tērā pea ka pōhēhē, ka mataku hoki te tangata kua pāngia e te mate haurangi ina hoki mai anō tōna māramatanga. Whakamarietia, whakatenatenahia hoki ia.
• Kia hoki mai tōna māramatanga, tirohia mēnā kei te pai ia. Tirohia mēnā he whara kei a ia i te haurangi, ā, mēnā me āwhina ia e te rata. Mēnā kua pā tōna mahunga, mēnā rānei kei te whakaaro koe he whara tōna kaki, tōna tuara rānei, ko te mea tino haumaru ko te rapu āwhina hauora. Kātahi ka taea e tātou te tirotiro mēnā he whara kino kāore e kitea.
• Mena kei a koe te status epilepticus, waea atu ki te āwhina. Mena ka roa ake te hopunga i te rima meneti, ka puta mai rānei tētahi atu i mua i te mutunga o te tuatahi, waea atu ki te 1990 (te ratonga waka tūroro ohorere o Sri Lanka). He mea morearea tēnei ki te ora!

Ngā mea kāore e tika ana kia mahia:

• Kaua e ngana ki te pupuri i a ia ki raro, kaua hoki e tuku i a ia kia neke. Tērā pea ka whara koe, te tangata rānei.
• Kaua e whakauru i tetahi mea ki roto i tō waha. He maha ngā kōrero pakiwaitara mō ngā mate hopuhopu. Ko tētahi ko te whakauru i tētahi mea pēnei i te pūnu, i te whitiki rānei ki roto i tō waha kia kore ai koe e ngau i tō arero. Kaua rawa e pena.Ehara i te mea pai te tuku i tetahi mea ki te waha o te tangata e pāngia ana e te mate haurangi. Tērā pea ka whara koe i a koe anō, i te tangata rānei.
• Kaua e manukanuka. Kia marino. Ki te mea kei te manukanuka te hunga e karapoti ana i a koe, ngana ki te whakamarie i a rātou.

Kia pēhea te roa ka pai ake ai taku āhua i muri i te maimoatanga?

Ko te roa o te whakaoranga ka whakawhirinaki ki te maimoatanga i tukuna me te take o te haurangi. Ka taea e tō tākuta te kōrero atu ki a koe mō tēnei, te roa o te wā, me te wā ka pai ake ai tō wairua.

Me pēhea te whakaiti i te mōrearea o tēnei? Ka taea te ārai i ngā mate hopuhopu?

I te mea ka pāngia te tangata e te mate haurangi i raro i ngā āhuatanga tika, kāore e taea te ārai katoa i ngā mate haurangi. Heoi, he nui ake te tūponotanga o ētahi tāngata ki te pāngia e te mate haurangi. Nō reira, he mea ka taea e koe te mahi hei whakaiti i tō tūponotanga.

Ko ngā mea pai rawa atu ka taea e koe te mahi hei whakaiti i tō tupono ki te whakawhanake i te mate hopuhopu ko:

• Kai i tētahi kai taurite, me te pupuri i te taumaha hauora. Ka āwhina tēnei ki te ārai i ngā mate o te pūnaha tohanga toto (hei tauira, te whiu) me ngā kore taurite o ngā electrolyte.
• Kaua e warewarehia ngā mate pāwera. Mā te rongoā i ngā mate pāwera ka whakaiti i te tūponotanga o ngā mate hopuhopu, ahakoa i puta mai i te mate pāwera, i te kirika nui rānei e pā ana ki taua mate.
• Mauria ngā taputapu haumaru. Ka āwhina ngā potae me ngā whitiki nohoanga ki te ārai i ngā mate haurangi e puta mai ana i ngā whara o te mahunga.
• Kaua e whakamahi kino i te waipiro, i ngā rongoā, i ngā tarukino rānei. Mā te whakamahi, te whakamutu rānei i ēnei ka pā mai ngā mate haurangi. Mena kei te waranga koe ki te waipiro, ki ngā tarukino rānei, ka taea e tō tākuta whānau te āwhina i a koe ki te kimi i ngā wāhi me ngā ratonga motuhake hei āwhina i a koe ki te whakakore i aua mea.
• Whakahaerehia ō āhuatanga hauora. Ka puta ngā mate haurangi i ngā mate mau tonu, i ētahi atu āhuatanga rānei e pā ana ki ngā mate haurangi. Hei tauira, ki te mea he mate huka tōu (mate huka momo 1, mate huka momo 2 rānei), whakahaerehia ō taumata huka toto.
• Āraia ngā mea ka whakaoho i te mate haurangi. Ko te hunga kua pāngia e te mate haurangi i mua nā ngā mea pēnei i te mārama kanapa, me karo i aua mea i ngā wā katoa e taea ana.

Mena kua pā mai tētahi, neke atu rānei, ngā mate hopuhopu tonic-clonic ki ahau, he aha ngā mea ka tumanakohia e au?

Tata ki te haurua o te hunga kua pāngia e te mate hopuhopu kāore i puta he mate ka pāngia anō e tētahi. Tata ki te 75% o te hunga kua pāngia e te mate hopuhopu tuarua ka pāngia anō e te mate. Koia te take ka tātaritatia ai e ngā tākuta te mate hopuhopu tuarua kāore i puta he mate haurangi, ā, ka tīmata te rongoā mōna.

Mō te hunga e tīmata ana ki te rongoā, me whakamātau pea i ētahi rongoā, i tētahi huinga rongoā rānei, kaua i te kotahi anake. Ahakoa kāore te rongoā e āwhina, tera atu ētahi atu maimoatanga hei āwhina i te whakaiti i te auau o ngā haurangi me tōna kaha.

Kia pēhea te roa o tēnei āhuatanga?

Ko te mutu, te kore rānei o ngā mate hopuhopu i puta ai, e whakawhirinaki ana ki te taea te rongoā i te mate, i te raruraru rānei i puta ai. Mō te nuinga o te tangata, ina ngaro te raruraru, e kore ngā mate hopuhopu e puta anō, ki te kore e hoki mai anō.

He mate mō te wā roa te mate haurangi nā te mea kāore e taea te whakaora. Heoi, i ētahi wā, ka taea te rongoā i te pūtake o ngā mate hopuhopu. Ina oti tēnā, ā, ka taea e koe te noho kore mate hopuhopu, ka kiia tō mate "kei te whakahekenga".

He aha te tirohanga mō ngā hopukanga tonic-clonic?

Mō ngā mate hopuhopu tonic-clonic i whakaohokia, ko te āhua o te mate ka whakawhirinaki ki te mate taketake. Mena ka taea te rongoā i te mate, ā, ka whiwhi wawe koe i te maimoatanga, he pai te āhua o te mate. Ka taea e tō tākuta te kī atu ki a koe he aha te āhua o te mate me te aha ka taea e koe te mahi.

Ahakoa ka taea te rongoā i ētahi wā ngā mate hopuhopu e puta mai ana i ngā mate hauora tuturu, kino rānei (hei tauira, te mate pukupuku, te pakaru o te roro tuturu), he kino te āhua o te mate nā te take matua. He kino ake anō hoki te āhua o ngā mate hopuhopu i puta mai i ngā mate ira me ngā mate whānau.

Ko te tirohanga mō ngā mate hopuhopu kāore i puta he pānga, ka whakawhirinaki ki ētahi āhuatanga, tae atu ki te āhua o te mate, te kaha o ngā mate hopuhopu, te auau o te puta mai, me te whai huatanga o te maimoatanga.

Te mate ohorere i roto i te mate haurangi (SUDEP)

He mate onge te SUDEP ka pā ki te tangata e pangia ana e te mate haurangi, engari he iti ake te tūponotanga ka pā mai ina rongoatia. Kotahi i roto i te 150 tāngata e pangia ana e te mate haurangi kāore i rongoatia ka tūpono ki te pāngia e te SUDEP, ki te whakaritea ki te kotahi i roto i te 1,000 tāngata e pangia ana e te mate haurangi kua rongoatia.

Kāore anō kia tino mōhiotia e ngā tohunga te take e puta ai te SUDEP. Ko te whakamārama pai rawa atu i tēnei wā ko te mea i puta mai i ngā raruraru o te ngākau, o te manawa rānei, ka puta tahi me ngā mate hopuhopu.

Me pēhea taku tiaki i ahau anō?

Mena kua pāngia koe e te mate hopuhopu tonic-clonic i mua, he mea pai kia mōhio koe ki te aha me mahi mēnā ka pāngia anō koe e tētahi atu mate hopuhopu. Mena ka pāngia anō koe e te mate hopuhopu, mēnā rānei he mate hauora tōu ka puta ai ngā mate hopuhopu, me toro atu ki tō tākuta i te wā e taea ai.

Mena ka whakatauhia e tō tākuta he mate haurangi tōu, he maha ngā mea ka taea e koe te mahi hei āwhina i te whakahaere i te mate:

• Tangohia tō rongoā kia rite ki te whakahaunga. He mea nui kia haere tonu te tango i tō rongoā, ahakoa kua pai ake tō āhua. Me mutu noa te tango i tō rongoā i muri i te kōrero ki tō tākuta, me te mea anō hoki ka whakahaua koe e ia.
• Kōrero ki tō tākuta mō ō kōwhiringa. Ki te hiahia koe ki te whakaiti i tō rongoā, ki te huri rānei ki tētahi atu rongoā, kōrero ki tō tākuta. Ka taea e ia te ārahi i a koe ki te mahi haumaru i tēnei me ngā kōwhiringa e wātea ana.
• Tirohia te tākuta kia rite ki te wā i whakaritea.He mea tino nui ēnei wā whakarite hei whakahaere i tō āhua, hei aroturuki, hei tirotiro hoki mēnā kei te tika te mahi a ō rongoā me ō maimoatanga.
• Kaua e warewarehia ngā tohu. Mā te mōhio wawe me te maimoatanga ka nui te pānga ki te maimoatanga o ngā mate haurangi me te mate haurangi.

Āhea ahau me haere ki te rūma whawhati tata?

Ki te pā mai tētahi āhuatanga e ngaro ai tō māramatanga, ā, kāore koe i te mōhio he aha, me haere koe ki te rūma whawhati tata. He maha ngā tāngata e karapoti ana i a rātou i te wā e pāngia ana rātou e te mate hopuhopu tuatahi, engari kāore te katoa e pērā. Ki te noho mokemoke koe, ā, e whakaaro ana koe kei te pāngia koe e te mate hopuhopu tuatahi, me toro atu koe ki te tākuta tonu.

Mena ka mōhio te tangata e pāngia ana e te mate haurangi he mate haurangi tōna, kāore e hiahiatia te waea atu ki te waka tūroro. Heoi, mena kua whara te tangata i te mate haurangi, me aro atu pea ia ki te hauora.

Āhea ahau me tono āwhina?

Ki te pāngia tetahi e te mate haurangi i a koe e noho ana, kia maumahara ki ēnei mea:

• Mena koinei tana mate hopuhopu tuatahi, rapua he awhina. Me tirotirohia e te taote te hunga kua pāngia e te mate hopuhopu tuatahi, ahakoa e whakapaetia ana, e whakamanahia ana rānei. He maha ngā wā he tohu ngā mate hopuhopu o tētahi raruraru hauora nui.
• Mena kei a koe te status epilepticus, rapua he awhina. Mena ka roa ake te hopu i te mate i te rima meneti, ka puta mai rānei tētahi atu i mua i te mutunga o te tuatahi, waea atu ki te 1990 (te ratonga waka tūroro ohorere o Sri Lanka). He mea morearea tēnei ki te ora! Mena kāore koe e hoki mai te mārama, kāore rānei koe e aro tika mō te neke atu i te 10-15 meneti i muri i te mutunga o te hopu, me rapu awhina ohorere koe. He tohu pea tēnei kei te haere tonu te hopu i roto i te roro, ahakoa kāore pea koe e nekeneke ana.

Mena he mate haurangi tōku, he haumaru te hapu i a au e tango ana i te rongoā?

He maha ngā wā ka whānau tamariki ngā wāhine e pāngia ana e te mate haurangi. Heoi, he maha ngā rongoā e whakamahia ana hei rongoā i te mate haurangi kāore i te haumaru ki te tango i te wā e hapu ana, nā te mea ka taea e rātou te whakararu i te whanaketanga o te pēpi i roto i te kōpū.

Waimarie, kei reira ētahi atu rongoā ka taea te whakamahi mō te wā poto i te wā e hapu ana, i tētahi wā rānei i roto i taua wā. Ko tō tākuta te tangata pai hei kōrero atu mō tēnei. Ka taea e ia te tuku tohutohu tika atu ki a koe, te tuku atu rānei i a koe ki tētahi tohunga.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

Ko ngā mate hopuhopu tōniki-klonik he momo mate hopuhopu e ngāwari ana te kite, ā, he maha ngā wā ka whakamataku. He mea noa te mataku ina kite koe i a rātou, ina pāngia rānei koe. Heoi, i te nuinga o te wā, ka mutu i roto i ētahi meneti. Ahakoa he maha ngā take ka puta, ka ngaro noa atu ēnei mate hopuhopu, inā koa ka rongoatia te mate pūtake. Ina puta ēnei mate hopuhopu me te mate haurangi, he maha ngā huarahi hei rongoā i a rātou. Mēnā he maimoatanga whai hua, ka taea e te tini o te hunga whai mate hopuhopu – tae atu ki te hunga whai mate haurangi – te noho harikoa, angitu, me te whai hua.

Nō reira, ki te mea kei a koe, kei tētahi rānei e mōhio ana koe he raruraru pēnei, kaua e wehi ki te rapu tohutohu hauora. Mā te maimoatanga tere ka taea te huri i ngā mea maha hei pai ake.

` Ngā hopukanga tonic-clonic, ngā hopukanga grand mal, te mate haurangi, ngā tohu hopukanga, te āwhina tuatahi mō ngā hopukanga, te status epilepticus, ngā pūtake o ngā hopukanga