Kei te ahua ngoikore tō tuaiwi? Me kōrero tātou mō te Transverse Myelitis (TM)!

Kua whakaarohia e koe tētahi āhuatanga ka ngaro whakarere tō mana whakahaere i ō waewae, ka ngoikore ētahi wāhanga o tō tinana, ka uaua rānei te whakahaere i tō mimi me tō tūtae? Ahakoa he āhua whakamataku ēnei, i ētahi wā ka puta ēnei tohu nā te mumura o tō tātou taurakira , arā, ngā muka io e rere ana i roto i te tuaiwi. Koinei te āhuatanga ka kōrerohia e tātou i tēnei rā, e kiia nei ko te Transverse Myelitis (TM) . He āhuatanga io tino onge tēnei.

He aha rawa te transverse myelitis (TM)?

Ki te whakarapopototanga, ko te transverse myelitis (TM) he mumura o tō taurakira , te muka io matua e rere ana i tō tuaiwi. Whakaarohia pēnei: ​​ka haria ngā karere mai i tō roro ki te toenga o tō tinana. He rite ki te taura waea.

Ka pāngia te hipoki tiaki e karapoti ana i ngā pūtau io i roto i te taura tuaiwi, e kiia nei ko te pūkahu myelin, e tēnei mumura. He rite ki te hipoki kirihou i runga i te taura kua pakaru. Ka ahatia? Kāore ngā karere mai i te roro e tae tika mai. Ka pāngia e tēnei ngā raruraru pēnei i te ngaronga o te rongo, te ngoikore, me te ngaronga o te mana whakahaere o te pūkahukahu.

Ka pā tēnei āhuatanga, e kiia nei ko te TM, ki te taurakira i ngā wāhi katoa o te tuaiwi. Ko te "Myelitis" e pā ana ki te mumura o te taurakira. Ko te "Transverse" e pā ana ki te tauira o ngā huringa o te kare ā-roto me te mahi. Ka rite ki te whitiki e herea ana ki te tinana, me ngā huringa kare ā-roto i raro i te whitiki.

I te nuinga o te wā, ka puta kotahi te mate TM, kātahi ka pai ake, ka noho tonu rānei.

Ko wai te hunga e tino pāngia ana e tēnei mate, te transverse myelitis (TM)?

Ina hoki, ka taea e tēnei mate e kiia nei ko te transverse myelitis (TM) te whanake i ngā tau katoa, i roto i te tangata. Heoi, ina tirohia ngā raraunga, ka kitea he paku ake te whanaketanga i roto i ngā taiohi i waenga i te 10 me te 19 tau te pakeke, me te hunga i waenga i te 30 me te 39 tau te pakeke. He mea whakamiharo, tata ki te 25% o te hunga e pāngia ana he tamariki. Heoi, ehara tēnei i te mate ira e tukuna iho ana i roto i ngā whakatipuranga. Nō reira, kāore he take e manukanuka ai kei pāngia hoki ētahi atu nā te mea kua pāngia tētahi o te whānau.

Nō reira, e hia te auau o tēnei āhuatanga?

He tino onge te mate myelitis whakawhiti (TM). Whakaarohia, ahakoa i roto i tētahi whenua pēnei i a Amerika, kotahi ki te waru noa iho ngā kēhi hou e pūrongohia ana mō ia miriona ia tau. Arā, tata ki te 1400 ngā kēhi hou ia tau. Nō reira, ehara i te mea e kitea pinepine ana i Sri Lanka.

He aha ngā tohu o te transverse myelitis (TM)?

Ka puta ohorere pea ngā tohu o te transverse myelitis (TM) i ētahi wā, i roto i ētahi haora, i ētahi rā rānei. Mō ētahi atu tāngata, ka āta whanake haere ēnei tohu i roto i te wā kotahi ki te whā wiki. Heoi, he mea nui kia mōhio koe ka tere te kino haere o ngā tohu o te TM.

Ko ngā tohumate ka puta i raro i te wāhi kua pakaru tō taurakira. Hei tauira, mēnā kei waenganui o tō tuara te pakaru, kei raro i ō ringaringa, ka pāngia ō waewae me tō pūkahukahu/puku. Kāore pea ō ringaringa e pāngia.

He maha ngā wā ka pāngia ngā taha e rua o te tinana e te TM. Heoi, i ētahi wā ka pāngia te taha kotahi anake. He nui ake te kitea o tēnei momo ngoikore o te taha kotahi i roto i te hunga whai mate pēnei i te Multiple Sclerosis (MS) .

Whakaarohia, i te wāhanga tino kino o te TM, e 50% o ngā tūroro ka ngaro katoa te nekehanga o ngā waewae e rua. I waenga i te 80% me te 94% ka pāngia e te ngoikore, e ngā kare ā-roto rerekē rānei pērā i te ngira me te mimi. Waihoki, tata ki te katoa ka pāngia e te mamae mimi.

Mō ētahi tāngata, ka iti haere, ka ngaro rawa rānei ēnei tohu mā te rongoā, engari mō ētahi atu, ka puta pea ngā raruraru tuturu.

He maha ngā rōpū tohu matua ka kitea i roto i te TM:

• Ngā kare ā-roto rerekē
• Mamae
• Ngā raruraru o te puku me te mimi
• Ngā raruraru uaua me te nekehanga
• Ngā raruraru mahi ā-ira tangata
• Ētahi atu tohu

Ngā kare ā-roto rerekē

I runga i te wāhi i pakaru ai tō taurakira nā te TM, ka pāngia pea koe e ngā kare ā-roto rerekē (e mōhiotia ana ko te "Paresthesia" i roto i ngā kupu hauora) i ētahi wāhanga o tō tinana, pēnei i:

• te ngoikore
• Te āhua e hiahia ana ki te wero (Te wero)
• Te tahunga
• Te tairongo nui ki te pā, ki te pāmahana rānei
• He iti ake te kare o te wera/mātao

Mamae

Ka pā te mamae ki ētahi wāhanga o te tinana i te TM. Ka taea e tēnei mamae te koi , te puhoi rānei . I ētahi wā ka horapa te mamae ki raro i ngā ringa me/ngā waewae rānei, ka rite rānei ki te mea kei te puta mai i te uma me te puku.

Ngā tohu o te tūtae me te mimi

Ka taea e te TM te whakararu i te mimi me te puku pēnei i:

• Te kōroke
• Kāore e whakawātea katoatia te pūkahukahu i te wā e mimi ana (`(Te pupuri mimi)`)
• Ngā raruraru whakahaere mimi, hei tauira, te mimi pinepine (`(Urge incontinence)`)
• Te kore e taea te whakahaere i te mimi (`(Urinary incontinence)`)

Ngā raruraru uaua me te nekehanga

Tērā pea ka ngoikore ngā waewae o te hunga whai TM, ā, ka tere te horapa. Mena kua pāngia te taurakira e te mumura , ka pā anō hoki ki ngā ringa.

Ka taea e koe te kite i ngā tohu penei:

• Te ngaronga o te taurite i roto i te tinana
• Te uaua ki te hikoi (te tūtuki, te tōia o ngā waewae)
• Ngā mamae o te uaua
• Te ngaronga wāhanga o te mahi a te uaua, i ētahi wā ka arahi atu ki te pararutiki .

Ngā raruraru mahi ā-ira tangata

Tērā pea ka uaua ki te hunga whai TM te whakatutuki i te orgasm. Hei tāpiri, ka pāngia pea ngā tāne e te ngoikore o te ure.

Ētahi atu tohu

Hei tāpiritanga, ka puta pea ngā tohu e whai ake nei i te TM:

• Hiahia kai
• Mamae upoko (headache)
• Kirika
• Ngā uauatanga manawa

He aha te take o te transverse myelitis (TM)?

Ko te tikanga whānui, ko te mumura o te taurakira te tino take o te transverse myelitis (TM).

Whakaarohia, ina uru mai tetahi mea kino ki roto i ō tātou tinana, pērā i ngā huaketo, ngā huakita, ngā matū paitini, ina whara rānei tātou, ka whakahohehia tō tātou pūnaha ārai mate.

Ka tukuna e te pūnaha ārai mate ngā pūtau mumura me ētahi atu matū (cytokines) e whakaoho ana i ētahi atu pūtau mumura. Ko ēnei pūtau te mea e whakaoho ana i te urupare mumura e āwhina ana ki te whawhai i ngā mea pēnei i te huakita me te tīmata ki te whakaora i ngā patunga. Ahakoa he mea nui tēnei urupare mumura, i ētahi wā ka taea e tō tātou pūnaha ārai mate te whakaeke i ngā kiko hauora mō te kore take. Kāore rānei, ka kaha rawa te urupare ki taua matū tauhou, ā, ka kino ngā kiko o te tinana.

Koinei te mea ka tupu i roto i te TM. Ka pakaru te pukupuku myelin e karapoti ana i ngā pūtau io i roto i te taurakira i te mumura.

He maha ngā take pea o te mumura e arahi ana ki te TM. Ka taea te wehewehe i ēnei take ki ētahi wāhanga matua:

• Ngā take kāore i te mōhiotia te tino take (`(Idiopathic)`)
• Te mumura i puta mai i te mate urutā
• Ngā mate pūnaha ārai mate e pā ana ki te tinana katoa (`(Ngā mate pūnaha ārai mate mumura)`)
• Ngā mate o te pūnaha io matua (`(Ngā mate o te pūnaha io matua)`)

Te myelitis whakawhiti idiopathic

Ko te ``(Idiopathic) TM`` ko te wā kāore e kitea he tino take. Ko te nuinga o ngā tūroro TM kei roto i tēnei kāwai. E whakaaro ana ngā kaipūtaiao ka puta tēnei nā te mea ka tauhohe tō tātou ake pūnaha ārai mate ki te taurakira, ka puta te mumura me te kino o ngā kiko. Engari kāore anō kia mōhiotia te tino take, te pūtake rānei.

Ngā mate urutā ka pā mai te myelitis whakawhiti

He maha ngā mate kitakita, huaketo, pirinoa, me te harore ka taea te whakaputa i te TM. Ko ētahi o ēnei:

• Ngā huaketo entero (He huaketo tino noa ēnei, engari he maha ngā wā ka puta he mate ngawari)
• 'Huaketo o te Naera o te Hauāuru'
• Ngā huaketo herpes, hei tauira, te herpes taihemahema
• `HIV`
• Varicella-zoster (te huaketo e hua ai te rewharewha me te herpes zoster)
• `Huaketo mate pukupuku pūtau-T tangata momo 1 (HTLV-1)`
• 'Huaketo Zika'
• Neuroborreliosis (mate Lyme)
• `Te mate Syphilis`
• 'Te mate kohi'
• Ngā mate kiri kitakita
• 'Te niumōnia kitakita mycoplasma'

He maha ngā wā, he uaua ki ngā tākuta te kī tika mēnā ko te mate huaketo tonu te take o te TM, nā te urupare rānei a te pūnaha ārai mate ki tētahi mate.

Ngā mate pūnaha ārai mate e pā ana ki te tinana katoa, e pā ana ki te myelitis whakawhiti

Ko ētahi o ngā mate pūnaha ārai mate e pā ana ki te TM ko:

• 'Te mate pūkahukahu ankylosing'
• 'Te mate ārai-phospholipid'
• Te mate a Behçet
• 'Te mate hononga honohono whakauru'
• 'Te mate rumatiki'
• Te mate pāwera
• `Scleroderma`
• Te mate a Sjogren
• `Systemic lupus erythematosus (SLE)`

Ngā mate o te pūnaha io matua ka taea te whakaputa i te myelitis whakawhiti

Ko ngā mate pūnaha ārai mate o te pūnaha io matua ka taea te whakaputa i te TM:

• `Te mate maha-sclerosis (MS)`
• Te mate o te neuromyelitis optica spectrum disorder (NMOSD) - E kiia ana hoki tēnei ko te mate a Devic .
• Ngā mate pāwera o te paturopi myelin oligodendrocyte glycoprotein (MOGAD)
• 'Te mate pukupuku horapa nui'

Mō ētahi tāngata, ko te myelitis whakawhiti te tohu tuatahi o tētahi mate pūnaha ārai mate o te pūnaha io matua, pērā i te sclerosis maha (MS) me te mate neuromyelitis optica spectrum disorder (NMOSD) rānei.

Ko te myelitis "wāhanga", e pā ana ki te taha kotahi o te tinana, he mea noa i roto i te MS.

Ki te pāngia te tangata whai NMOSD e te myelitis, he nui ake te tūponotanga ka "katoa", arā, ka pāngia e te pararutiki kino me te ngoikore o ngā taha e rua o te tinana. Ka nui ake te kino o te myelitis i roto i te hunga whai NMOSD, ā, he iti ake te tūponotanga ka ora i tērā i roto i te hunga whai MS.

Ka taea e ngā kano kano te whakaputa i te transverse myelitis (TM)?

He tino onge te kitenga o te tangata kua pāngia e te mate myelitis whakawhiti i roto i ngā rā e rua ki te toru marama i muri i te whiwhinga o te kano kano. Kāore anō kia tino mārama ngā kaipūtaiao he aha tēnei e puta ai, engari ko tētahi ariā ko te pūnaha ārai mate o ētahi tāngata ka whakaohokia e te kano kano ka tīmata he tukanga ārai mate. Engari anei tētahi kōrero nui: Kua whakaatuhia he haumaru ngā kano kano i roto i ngā rangahau whānui. Tērā pea he tūponotanga noa iho tēnei hononga ki te TM, he raruraru tino onge rānei.

Me pēhea te tātaritanga o te transverse myelitis (TM)?

Mena kei a koe ngā tohu o te transverse myelitis (TM), ka arotakehia e tō tākuta tō hītori hauora, ā, ka whakahaerehia he whakamātautau tinana.

Mena kei te whakaatu mai ēnei whakamātautau i tētahi raruraru ki te taurakira, ka tonoa ētahi atu whakamātautau. He aha ai?

• Kia tino mohio kei pāngia te taurakira e tētahi atu mea i tua atu i te mumura, hei tauira , he pukupuku tuaiwi , he kōpae hernia , he pēhanga rānei i puta mai i te whewhe .
• Whakaūtia he mumura rerekē kei roto i te taurakira.
• Ki te taea, kimihia te take o tēnei mumura rerekē.

Ka whakatau ngā tākuta kei te kitea te TM ina kua kitea ngā tohu o te tuaiwi mō ngā rā maha, ā, kāore e kitea he take kē atu mō te raruraru o te tuaiwi i roto i te matawai MRI (Magnetic Resonance Imaging) me tētahi atu whakamātautau rānei.

He aha ngā whakamātautau e mahia ana hei tautuhi i te myelitis whakawhiti?

Ka taea e tō tākuta te tono i ēnei whakamātautau hei tātaritanga i te TMJ me tōna take:

• Matawai MRI (Atahanga Āhua-Mate) o te tuaiwi katoa: He whakamātautau kore mamae te MRI. Ka whakamahia he aukume nui, he ngaru reo irirangi, me te rorohiko hei hanga pikitia mārama o ngā whekau me ngā hanganga i roto i te tinana. Me rua pea ngā matawai MRI o tō tuaiwi - tētahi me te matū motuhake e kiia nei ko te gadolinium contrast, tētahi kāore. Mā tēnei ka āwhina i tō tākuta ki te wehewehe i waenga i ngā whara pēhi me ngā whara kore-pēhi.
• Matawai MRI o te roro: Ka tono pea tō tākuta i tētahi matawai MRI o tō roro (me te kore rānei he karāhe gadolinium) hei rapu i ngā whara i roto i tō roro. Ka taea e te MRI o te roro te hoatu tohu mō ētahi atu take matua, inā koa ko te sclerosis maha (MS) .
• Te pokanga o te lumbar (e mōhiotia ana ko te spinal tap): I tēnei tikanga, ka werohia e te tākuta he ngira ki roto i tō tuara o raro, ka tangohia he tauira o te wai cerebrospinal (CSF) . Ko te CSF te wai mārama e karapoti ana i tō roro me tō taurakira. Kātahi ka whakamatautauria te tauira CSF i roto i te taiwhanga hei tirotiro mēnā he nui rawa ngā toto toto mā, he nui ake te taupū IgG, he roopu IgG oligoclonal rānei i roto i te CSF. Ka kitea whānuitia ēnei tohu mumura i roto i te TM.
• Ngā whakamātautau toto: Tērā pea ka tonoa e te tākuta ētahi whakamātautau toto hei tirotiro i ngā mate me ngā take e pā ana ki te pūnaha ārai mate e hua ai te TM.

I runga anō i te pūtake pea o te TM, ka taea pea te whakahaere i ētahi atu whakamātautau. Mēnā kāore e kitea he pūtake motuhake i roto i ēnei whakamātautau, e kiia ana he idiopathic transverse myelitis tōu.

Ka rongoatia te myelitis whakawhiti (TM) eKei te pēhea koe ?

He maha ngā whāinga matua mō te rongoā i te transverse myelitis (TM):

• Ki te taea, rongoāhia te pūtake o te TM (hei tauira, he mate pāwera).
• Te whakaiti i te mumura i roto i tō taurakira.
• Whakamamae, whakaiti rānei i ngā tohu pēnei i te mamae.
• Te whakahaere i ngā raruraru mō te wā roa.

I te wā e rongoatia ana te TM, ka whakaratohia he maimoatanga wā poto mō te mumura me tōna pūtake, me te whakahaere wā roa mō ngā raruraru ka puta mai i te TM.

Te maimoatanga poto mō te myelitis whakawhiti

Ko te rongoā tuatahi mō te myelitis whakawhiti ko te werohanga glucocorticoids ā-uaua (IV) . Mēnā kei te whakapae tō tākuta kei a koe te TM, ka tīmata wawe tonu rātou i te werohanga glucocorticoids ā-uaua (IV).

Ko ngā glucocorticoids he momo homoni steroid nō roto i tētahi akomanga rongoā e kiia nei ko ngā corticosteroids . He rongoā kaha ēnei e whawhai ana ki te mumura me te mahi tahi me tō pūnaha ārai mate. I roto i te myelitis whakawhiti, ka āwhina ngā glucocorticoids ki te whakaiti i te mumura i roto i te taurakira. Me tango pea e koe ēnei rongoā mō ngā rā e toru ki te rima, neke atu rānei.

Ko ētahi atu maimoatanga mō te TM ko:

• Whakaora whakawhiti toto (Plasmapheresis): He tikanga tēnei e "horoi" ana i ō toto. I roto i tēnei maimoatanga, ka tangohia e tō tākuta te wāhanga wai o tō toto (toto) ka whakakapia ki te toto mai i tētahi tangata hauora, ki tētahi whakakapinga toto rānei. Ka tangohia e tēnei ngā paturopi me ētahi atu pūmua e whakaarohia ana koia te take o te tauhohenga mumura. Tērā pea ka āwhina tēnei maimoatanga i te hunga whai TM e pāngia ana e te mate demyelinating pūnaha io matua kāore i aro ki te maimoatanga glucocorticoid.
• Te Pūnaha Ārai Mate Intravenous (IVIG): He maimoatanga tēnei i hangaia mai i ngā paturopi. Ka tukuna mā roto i tētahi uaua. Ka taea e tēnei maimoatanga te here ki ngā paturopi e whakaarohia ana ka puta te TM, ā, ka whakaiti i te urupare mumura i roto i te taurakira.
• Ngā rongoā ārai mate: Mō ngā tūroro TM kāore i pai te urupare ki ngā glucocorticoids, te plasma exchange, te IVIG rānei, ka whakamahia e ngā tākuta ngā rongoā pēnei i te rituximab me te cyclophosphamide . He āhuatanga ārai mate ēnei rongoā.
• Ngā rongoā hei whakahaere i ētahi atu tohumate: Tērā pea ka tohua e tō tākuta ētahi atu rongoā hei whakahaere i ngā tohumate pēnei i te mamae, te mamae o te uaua, te raruraru mimi, te pouri rānei.

Te whakahaere roa mō te myelitis whakawhiti

I muri i te whiwhinga o te maimoatanga mō tētahi wā whakapeka o te transverse myelitis (TM), me whiwhi koe i te tiaki whakaora hei whakapai ake i ō pūkenga mahi me te ārai i ngā raruraru tuarua ka puta mai i te TM.

Ahakoa kāore e taea e te whakaora te whakakore i ngā kino tinana i puta mai i te TM, ka taea e ia te āwhina i te hunga e pāngia ana e te pararutiki kino kia noho motuhake me te ora i te kounga pai o te oranga.

Ko te whakahaere roa mō te myelitis whakawhiti ka uru pea ki:

• Te whakahaere i te mahi mimi: He maha ngā wā ka pāngia te hunga whai TM e ngā raruraru mimi. Ko ngā otinga ko te mimi i te wā tika, ngā rongoā, ngā katitere ure, te whakaurunga katitere ma , me ngā kākahu o roto kua whakakīia.
• Te whakahaere i te mahi a te puku: He raruraru noa te mate kōroke mō te hunga whai TM. Ka taea te whakahaere mā te whakamahi i ngā kai motuhake, te whakamahi rautaki i ngā mea whakangawari tūtae me te muka kai, me te whakaoho i te rectum.
• Te rongoā mō te ngoikore o te moe tāne: Ko ngā rongoā mō te ngoikore o te ure e tino tohua ana ko te sildenafil (`sildenafil` - Viagra®) , vardenafil (`vardenafil` - Levitra®) , me te tadalafil (`tadalafil` - Cialis®) . Ahakoa he iti ake te whai huatanga o ēnei rongoā ki ngā wāhine, kua whakaaturia hoki ka whakapai ake i te mahi moe tāne.
• Te ārai i ngā pakaru kiri me ngā whara pēhanga (ngā mate moenga): Mena kei raro tō kiri i te pēhanga mō te wā roa, ka pakaru pea. Hei ārai i tēnei, me whakarerekē tō tūnga i te iti rawa i ia 15 meneti. Ka taea hoki e ngā tūru wīra me ngā tikanga whakatītaha hiko, whakatītaha rānei i te wāhi ka taea te whakarerekē i te tohatoha o tō taumaha. He maha ngā momo urunga tūru wīra ka taea te whakaiti i te pēhanga e puta ana i a koe e noho ana.
• Te whakahaere i te uaua pōturi: Mā ngā mahi totoro me te whakamahi i ngā whitiki me ngā whitiki whakapiri ka āwhina i te whakahaere, i te ārai rānei i te uaua pōturi. Tērā pea ka āwhina anō hoki ngā mahi whakapakari tinana me ngā rongoā whakangāwari uaua.
• Te whakahaere nekehanga: Ka taea e ngā kaiwhakaora tinana te whakarato i ngā mahi whakakori tinana hei whakapai ake i te nekehanga. Ka taea e ngā āwhina nekehanga pēnei i te tokotoko, te hikoi, te tokotoko toko, me ngā tūru wīra te āwhina i a koe kia tū motuhake.
• Te whakahaere i ngā mahi o ia rā: Ka tino uaua ki te hunga whai TM te mahi i ngā mahi o ia rā pēnei i te whakakakahu, te kaukau, te horoi i a rātou anō, me te kai. Mā te kōrero ki ngā taputapu urutau me ngā kaiwhakaora mahi ka āwhina i te kimi huarahi hei whakahaere i ēnei mahi kia māmā ake, kia whai hua ake hoki.
• Te Whakahaere Mamae: He mea noa te pāngia e te mamae i muri i te TMJ. Ka taea te rongoā i te mamae uaua ki ngā rongoā anti-inflammatory kore-steroidal (NSAID) pērā i te acetaminophen (Tylenol®) , te naproxen (Naprosyn®, Alleve®, Motrin® rānei) , te rongoā wera me te makariri rānei. He uaua ake te rongoā i te mamae io. Tērā pea ka āwhina ētahi rongoā antidepressants, anticonvulsants rānei.
• Te whakahaere hauora hinengaro: He mea noa te pouri i waenga i te hunga whai TM. Mena kei a koe ngā tohu o te pouri, o ētahi atu āhuatanga hauora hinengaro rānei, he mea nui kia kite i tētahi kaiwhakaora hinengaro, i tētahi tohunga hinengaro rānei. Ka taea hoki e te rongoā te āwhina ki te rongoā i te pouri.

Ka taea te rongoā i te myelitis whakawhiti?

Ae, ka taea te rongoā i te transverse myelitis (TM). Heoi, he rerekē te tukanga whakaora i ia tangata, i ia tangata.

Tērā pea ka ora katoa te mate pukupuku, ka ora hapa rānei, ka ora kore rānei. I te nuinga o te wā ka tīmata te ora i roto i te kotahi ki te toru marama i muri i te maimoatanga tuatahi. Ka ora te nuinga o te tangata i te mate pukupuku i roto i ngā marama e toru. Mō ētahi, ka roa pea ngā marama, ngā tau rānei hei whakaora.

Ka ora ake ētahi tāngata i te mate rumatiki me te iti, te kore rānei o ngā raruraru mō te wā roa, ko ētahi ia ka ora ake me te hauātanga āhua-iti, āhua-kino rānei.

Ko te hunga e iti ake ana te tūponotanga ki te ora ko:

• Te hunga e tere ana te puta o ngā tohu.
• Te hunga kāore anō kia pai ake ō rātou tohumate i roto i ngā marama tuatahi e toru ki te ono o te maimoatanga me te whakaoranga.

He aha te āhua o te mate myelitis whakawhiti (TM)?

He rerekē te tirohanga/matapae mō te hunga whai mate myelitis whakawhiti:

• Tata ki te 33% o te tangata ka ora ake me te iti, te kore rānei o ngā raruraru mō te wā roa.
• Tata ki te 33% o te hunga ka ora ake me ngā hauātanga taurite, pērā i ngā raruraru puku me te uaua ki te hikoi.
• Tata ki te 33% o te tangata ka ora ake me ngā hauātanga tuturu, pērā i te pararutiki.

Kotahi noa te wā ka pāngia te nuinga o te tangata e te mate myelitis whakawhiti. Heoi, ko ētahi tāngata he mate kei raro i a rātou, pērā i te sclerosis maha (MS), ka taea te hoki mai anō (`(recur)`). Mena kei a koe te TM e pā ana ki te taha kotahi o tō tinana, tera pea ka nui ake te tūponotanga ka pāngia koe e te MS ā muri ake nei.

Me pēhea taku tiaki i ahau anō, i tētahi atu rānei e pāngia ana e te mate pūkahukahu whakawhiti (transverse myelitis/TM)?

Mena he mate myelitis whakawhiti tōu, he mea nui kia whakarite kei te whiwhi koe i te tiaki hauora tika hei ārai, hei rongoā rānei i ngā raruraru TM, pērā i ngā raruraru whekau me te pūkahukahu me te pakari o te uaua.Tērā pea ka hiahia koe ki te whakaaro ki te whakauru atu ki tētahi rōpū tautoko hei tūtaki ki ētahi atu e pā ana ki ō wheako. Waihoki, ki te mea kei te pouri koe, kei te manukanuka rānei nā te TM, he mea nui kia rapu āwhina koe i tētahi kaiwhakaora hinengaro, i tētahi tohunga hinengaro rānei.

Mena kei te tiaki koe i tētahi e pangia ana e te TM, he mea nui kia tautoko koe i a rātou kia whiwhi i te tiaki hauora pai rawa atu, i ngā taputapu nekenekehanga, me ngā maimoatanga hei āwhina i a rātou kia tū motuhake ake.

He uaua pea māu me tō whānau te urutau ki ngā pānga hinengaro me te tinana o te TM. I ngā wāhanga tōmua o te whakaoranga, he mea nui kia whakaakona tō whānau me te whakawhanake i tētahi mahere hei whakatau i ngā wero ki te tū motuhake.

Āhea ahau me toro atu ki te tākuta mō te transverse myelitis (TM)?

Ki te pāngia koe e ngā tohu o te myelitis whakawhiti, pērā i te ngoikore ohorere me te mamae nui o te uaua me te mamae, haere ki te hōhipera tata tonu .

Mena kua tāpaetia koe kei te mate koe i te TM, me hui tonu koe me tō tīma hauora kia whiwhi maimoatanga ai, kia aroturukitia ai hoki ngā raruraru ka pā mai.

He uaua te mārama ki te mate o tō hoa aroha, o tō whanaunga rānei, mō te mate myelitis whakawhiti (TM). Engari mā tō rōpū hauora koe e whakarato he mahere maimoatanga me te whakaora pakari e hāngai ana ki ō tohumate, ki tō whanaunga rānei. He mea nui kia whiwhi koe i te aroha me te tautoko e hiahiatia ana e koe puta noa i tō haerenga whakaora, me te noho mataara ki ngā tohumate hou ka puta ake.

Ngā mea tino nui hei maumahara (Karere hei kawe ki te kāinga)

Āe, kua mārama ake tō whakaaro mō te tikanga o te transverse myelitis (TM). Kia maumahara, ahakoa he mate onge, he mea nui kia rapu tohutohu hauora tonu mēnā ka pāngia koe e ngā tohu.

Ko te mea nui, ki te pāngia koe e te ngoikore ohorere, te ngoikore o te tinana, te raru rānei o te whakahaere mimi, kaua e warewaretia. Tirohia te tākuta tonu.

He maha ngā take o te TM, ā, i ētahi wā kāore e kitea he take. Heoi, mā te maimoatanga tika me te whakaora, ka taea e te nuinga o te tangata te whakatutuki i tētahi taumata o te whakaoranga. Ka ora katoa ētahi tāngata.

I te wā e noho ana koe me tēnei āhua, he mea nui kia kaha tonu tō hinengaro, kia tautokona hoki koe e tō whānau me ō tākuta. Nō reira, kaua e wehi ki te kōrero ki tō tākuta mō ō āwangawanga katoa.

` Mielitis whakawhiti, TM, taurakira, neuropathy, mumura, myelin, tohu, maimoatanga