Whakaarohia tō māmā, tō pāpā, tō hoa rānei kua pakeke ake i te kāinga e pātai ohorere ana ki a koe, "He aha te rā o tēnei rā?", "Kei hea tātou?". I muri i tō whakautu, ka pātai anō rātou i aua pātai i muri i ētahi meneti. Engari ko te mea whakamiharo, e mōhio pai ana rātou ki a koe me te katoa o te whare. Kāore ianei tetahi e mataku ina kite i tētahi mea pēnei? Ka whakaaro rātou, "Aue, he mate roro tēnei? He whiu?" Kaua e manukanuka. I tēnei rā kei te kōrero tātou mō tētahi āhuatanga tino motuhake kāore i te mōhiotia e te tini o te tangata, engari he rite tonu ngā tohu.
He aha te Amnesia Ao Poto (TGA)?
Ki te whakarapopototanga, ko te Transient Global Amnesia (TGA) he āhua e ngaro ohorere ai te mahara, he wā poto noa iho. Ko te tikanga o te kupu "transient" i konei he "wā poto noa iho". Ko te tikanga, ehara i te mea pumau. Ka tīmata ohorere tēnei ngaronga mahara, ā, ka ea i roto i ētahi haora.
Ina puta tēnei āhuatanga TGA, e rua ngā mea matua ka puta:
1. Te kore e taea te hanga maharatanga hou: I roto i te rongoā, ka kiia tēnei ko te "Anterograde Amnesia." Ko te tikanga kāore ia e mahara ki ngā kaupapa me ngā kōrero i puta i tēnei wā. Koia te take e pātai tonu ai ia i ngā pātai ōrite.
2. Te wareware i ngā kaupapa o nā tata nei: Ka kiia tēnei ko te "Retrograde Amnesia." Arā, ka ngaro te mahara ki ngā kaupapa i puta i ētahi haora, i te rā, i ngā rā e rua rānei i mua i te kaupapa.
Engari ko te mea nui i konei, kia kaua te tangata whai mate nei e wareware ko wai rātou, ko wai ō rātou whānau me ō rātou hoa. Waihoki, ka taea e rātou te mahi i ngā mahi o ia rā, hei tauira, te taraiwa waka, tae atu ki ngā mahi uaua pēnei i te māra. Kāore e rerekē te āhua o ā rātou kōrero me ā rātou whanonga pāpori. Engari ka pāngia rātou e te pōhēhē nui mō te wāhi kei reira rātou, te wā, me te rā.
Ahakoa te neke atu i te 50 tau o te rangahau mō te TGA, kāore anō kia taea e ngā tākuta te tino mōhio he aha tēnei e puta ai, he aha rānei te take.
He aha ngā tohu o te TGA?
He mea tino nui kia tino mōhiotia tēnei āhuatanga. Ahakoa he rite ēnei tohu ki ērā o tētahi mate kino ake, he āhuatanga motuhake anō tō te TGA. Me wehewehe kia mārama ai.
| He aha ngā mea ka tupu i roto i te TGA? | Ngā mea kāore e tupu ana i TGA |
|---|---|
| Ko te tohu matua ko te kore ohorere e taea te hanga maharatanga hou . | Kāore he ngaronga o te māramatanga. Kei te pai te māramatanga o te tūroro. |
| E whakaatu ana i te rangirua me te kore mōhio ki tō rātou wāhi me te wā. | Kāore te āheinga ki te kōrero, arā, te reo, i ngaro. Kāore ngā kupu e pōhēhētia. |
| Te pātai i ngā pātai ōrite (hei tauira, "Kei hea tātou?", "Nā te aha ahau i tae mai ai ki konei?") anō me anō. | Kāore he tohumate io pērā i te ngaronga o te māramatanga, te ngoikore rānei i tetahi taha o te tinana. |
| Te wareware i ngā mea o mua tata nei (ngā kaupapa o ētahi haora, o ngā rā rānei kua pahure). | Kāore tēnei āhuatanga e puta i te nuinga o te wā ina ara ake koe i te ata. Ka puta i muri mai i te awatea. |
Haunga ēnei tohu matua, ka pāngia pea ētahi tāngata e ngā tohu pēnei i:
- Ānini
- Whakapairuaki me te ruaki
- Pōuriuri
- Te manukanuka me te kore okiokinga
Ko te mea nui, ko te ngaronga o ēnei tohu i roto i te 1-10 hāora (tata ki te 6 hāora). He onge noa iho, ka roa pea ki te 24 hāora. Mena kei te piki haere te ngaronga o te mahara, kei te roa rānei i te rā kotahi, ehara pea i te TGA, engari he mate kē atu.
Ko wai te mea tino tūpono ka pāngia e tēnei mate?
He tino onge te mate TGA. Heoi, he mea tino noa i waenga i te hunga i waenga i te 50 me te 80 tau te pakeke. 75% o ngā tūroro kei roto i tēnei rōpū tau. He tino onge te pāngia o te tangata kei raro iho i te 40 tau te pakeke e te TGA.
Hei tāpiri, kua kitea e ētahi rangahau he nui ake te tūponotanga o te hunga whai mate hauora e whai ake nei ki te whakawhanake i te TGA:
- Mate ngakau
- Migraine
- Te pikinga o ngā taumata cholesterol toto (Hyperlipidemia)
He aha ngā take o te TGA? He aha ngā mea e whakaoho ana?
E ai ki te kōrero i mua ake nei, kāore anō kia mōhiotia te tino take o tēnei, engari e whakapono ana ngā tākuta nā tētahi raruraru rangitahi i roto i te hippocampus, he wāhanga matua o tō tātou roro e pā ana ki te mahara me te ako.
E rua ngā whakaaro matua:
1. Te whakahekenga rangitahi o te rere o te toto ki te roro (Ischemia): He rite ki te aukati i tētahi oko toto mō tētahi wā.
2. He tukanga rite ki te hopukanga i roto i te roro: He rite ki te pupuhi iti, engari kāore he tohu o waho e kitea ana.
Kua kitea anō hoki ka puta te TGA i muri i ētahi huihuinga. Ka kiia ēnei he 'Triggers'.
- Te whai wāhi ki te whakakorikori tinana kaha, ki te mahi uaua rānei.
- Te ahotea nui, te ohorere kare ā-roto rānei (hei tauira, te rongonga i ngā rongo kino)
- Te pāngia ohorere e te wai tino makariri, tino wera rānei (hei tauira, te kaukau matao)
- Mamae nui.
- Te moe tāne.
- Te mahi i te mahi a Valsalva: He rite tēnei ki te pupuri i tō manawa me te kōmiomio kaha.
Ka taea hoki e ngā raau taero te whakaputa i te TGA?
Āe. Ka taea hoki e ētahi rongoā te whakararu i tēnei momo ngaronga mahara mō te wā poto.
- Te inu nui rawa o te waipiro.
- Te nui rawa o te tango i ētahi pire moe (Barbiturates).
- Te whakamahinga o ētahi rongoā.
- Te tango i ngā horopeta iti o ētahi rongoā mō te manukanuka (Benzodiazepines).
Ki te whakaatu koe, tetahi rānei e tata ana ki a koe i ngā tohu o te ngaronga mahara ohorere, haere tonu ki te Tari Ohotata (ETU) o te hōhipera. Hei whakatau wawe mēnā he TGA tēnei, he mate kino rānei, he mate morearea rānei.
He rite tonu te TGA me te whiu?
He whakaaro hē tēnei, he wehi hoki. Ehara te TGA i te whiu, i te whiu iti rānei (TIA). Ka pōhēhē pea ngā tohu o ngā mea e rua nā te mea ka puta ohorere mai. Heoi, he mārama ngā rerekētanga i waenganui i ngā mea e rua.
| Āhuatanga | Te Mate wareware ā-ao rangitahi (TGA) | Whiu / Whiu-iti |
|---|---|---|
| Āhuatanga matua | He ngaronga mahara ohorere noa iho . | He ngoikore tetahi taha o te tinana, he piko te mata, he koretake te kōrero. |
| Ngā ngoikore o te tinana | Kāore he ngaronga o te māramatanga, kāore hoki he ngoikore. | Ka pā te ngoikore, te ngenge rānei o te mata, te ringa, te waewae rānei. |
| Ngā raruraru tirohanga | Kāore i te nuinga o te wā. | Te pōuri ohorere, te ngaro rānei o te tirohanga i tētahi, i ngā kanohi e rua rānei. |
| Ānini | Tērā pea ka puta, engari he ngawari. | He mamae upoko tino kino e puta mai ana, kāore he take. |
Mēnā ka pāngia koe e te whiu, he mea nui ia hēkona. Nō reira, ki te pāngia koe e ngā tohu o te whiu, he mea nui kia haere tonu koe ki te hōhipera kia whiwhi maimoatanga.
Me pēhea te tātaritanga tika a te tākuta i te TGA?
Kāore he whakamātautau motuhake mō te TGA. Ka whakakorea e te tākuta ngā āhuatanga kino katoa ka puta ai ngā tohu rite. Ka kiia tēnei he "diagnosis of exclusion".
Hei mahi i tēnei, ka mahia e tō tākuta ēnei e whai ake nei:
- Te whakahaere i tētahi whakamātautau tinana whānui me te whakamātautau pūnaha io.
- He matawai roro (CT, MRI rānei) hei whakakore i tētahi āhuatanga pēnei i te whiu, te pukupuku, te toto rānei.
- Ngā whakamātautau toto (He whakamātautau whānui mō te pākia o te tinana) (hei tirotiro i ngā mea pēnei i te tote me te huka o te tinana).
- He whakamātautau tarukino (tirotiro paitini).
Kia oti rā anō i ēnei whakamātautau katoa te whakaū kāore he raruraru kē atu, kātahi ka whakatau te tākuta ko te TGA tēnei.
He aha ngā maimoatanga mō te TGA?
Ko te rongo pai rawa atu, kāore e hiahiatia he maimoatanga mō te TGA. Ka memeha katoa te mate i roto i ngā haora 24. Ka hoki anō tō mahara ki te āhua noa.
Ko te tikanga, ka tūtohu ngā tākuta kia noho ki te hōhipera i tēnei wā o te ngaronga mahara kia kite ai mēnā ka puta mai ētahi atu tohu, kia kore ai hoki he mate hauora kei raro.
He pānga roa kei te TGA?
Kāore te TGA e puta he raruraru mō te wā roa. Ka ora katoa ngā tūroro. Heoi, kāore rātou e mahara ki tetahi mea i tupu i te wā o te wā TGA. Te āhua nei ka memeha haere aua haora torutoru i roto i ō rātou oranga. Heoi, ka hoki mai ētahi atu maharatanga mai i mua i te huihuinga i roto i ngā haora 24.
He tino onge hoki te hokinga mai o te TGA. Neke atu i te 10% o te hunga e pāngia ana e te TGA ka pāngia anō i roto i ō rātou oranga.
Waihoki, kāore te TGA e whakararu i te mahara mō te wā roa, pērā i te mate wareware . He mate rangitahi te TGA ka puta mai, ka ngaro ohorere. He mate te mate wareware e kino haere ana te mahara i roto i te wā.
Karere Tangohia ki te Kāinga
- Ko te Transient Global Amnesia (TGA) he āhuatanga kore-whakamataku e puta ai te ngaronga mahara ohorere, engari ka memeha noa iho i roto i ngā haora 24.
- Ehara tēnei i te whiu, i te mate wareware rānei. Kāore te TGA e whakararu i ētahi atu ngoikoretanga tinana (pērā i te ngaronga o ngā waewae, te koretake rānei o te kōrero).
- Kāore i te mōhiotia te tino take o tēnei, ā, kāore he maimoatanga e hiahiatia ana.
- Ki te puta whakarere mai ngā tohu o te ngaronga o te mahara i roto i tō whanaunga, kaua e mataku, engari me kawe tonu atu ki te Tari Ohotata (ETU) o te hōhipera kia mōhio ai kāore he mate kino kē atu, pērā i te whiu.
- E kore te tangata e pāngia ana e te TGA e wareware ko wai ia, ko wai rānei tōna whānau. Nō reira, ngana kia marino rātou.
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