Kei te wareware haere tō māmā, tō pāpā, tō kuia, tō whaea kēkē rānei i te kāinga i ngā mea? Kua wareware ohorere koe i tētahi mea i kōrerotia e koe? Tērā pea he uaua ki a koe te maumahara ki ngā kaupapa o nā tata nei? Tērā pea kei te whakaaro koe mēnā he wāhanga noa tēnei o te koroheketanga, he mate rānei e tika ana kia wehi tātou. Nō reira, i tēnei rā, me kōrero tātou mō te mate a Alzheimer, he ngaronga mahara haere tonu e āwangawanga ana te tini o te tangata.
Me pēhea taku mōhio mēnā kei a au te mate a Alzheimer?
Mena kei te whakapae koe kei te pāngia koe, tetahi rānei o tō whānau e ngā tohu o te mate a Alzheimer, ko te mea pai ko te toro atu ki te tākuta i te wā e taea ai. Nā te mea ehara i te mea ko te mate a Alzheimer anake ngā tohu pēnei i te ngaronga o te mahara. Ka puta pea ēnei tohu nā te maha atu o ngā mate hauora me ngā take.
Whakaarohia ēnei take e pāngia ai koe e ngā raruraru mahara:
- Ngā mate urutā o te tinana: Ko ētahi mate kitakita, mate huaketo rānei, inā koa ko ngā mate mimi, ka pā he raruraru hinengaro me ngā raruraru mahara ki ngā kaumātua.
- Ngā pānga taha o ngā rongoā: Ina whakamahia ētahi rongoā kore hototahi i te wā kotahi, ka taea e ēnei te tauhohe tetahi ki tetahi, ka puta ai ēnei tohumate.
- Ngā whiu iti: Ka pāngia hoki te mahara e ngā aukati i roto i ngā oko toto tino iti e tuku toto ana ki te roro.
- Pouri: Ka ngoikore te aro me te mahara o te tangata i te pouri.
- Te iti o te huka toto: Ki te heke ohorere te taumata o te huka toto i roto i te hunga mate huka me ētahi atu, ka raru pea te mahara me te pōhēhē mō te wā poto.
- Ngā raruraru o te tairoi: Ka pāngia te mahi a te tinana me te mahara e ngā panonitanga o ngā taumata homoni tairoi.
- Ētahi atu mate io pērā i te pukupuku roro, te mate a Parkinson rānei .
Nō reira, kaua e wehi ki te kī, "He mate a Alzheimer tōku" ina kite koe kei te ngoikore tō mahara. Ko te mea nui ko te toro atu ki te tākuta i te tuatahi, kia kitea ai te tino take.
Ka tirohia tuatahitia e te tākuta tō hauora tinana. Kātahi ka pātai atu rātou ki a koe i ētahi pātai hei tirotiro i tō hauora hinengaro, tae atu ki tō mahara, tō kōrero, ō pūkenga whakaoti rapanga, ō pūkenga whakaaro, me tō wairua. Ka pātai atu hoki rātou ki tō whānau mō ngā huringa katoa o tō whanonga.
He aha ngā whakamātautau e mahia ana hei whakaū tika i te mate?
I muri i ngā whakamātautau o ia rā, ka whakahau ngā tākuta i ngā matawai roro hei whakaū mēnā ko te mate a Alzheimer te mate, mēnā rānei he take kē atu ēnei tohu.
| Ingoa o te whakamātautau | Hei whakarāpopototanga... |
|---|---|
| Matawai MRI (Whakaahua Āhua Aukume) | He rite tēnei ki te tango pikitia teitei o te roro. Ka whakamahia he aukume kaha me ngā ngaru reo irirangi hei kite mārama i te hanganga o te roro. Ka āwhina tēnei ki te whakatau mēnā he mea kē atu te take o ō tohu, pērā i te pukupuku roro, i te whiu rānei. |
| Matawai PET (Positron Emission Tomography) | He matawai motuhake tēnei. Ka taea e tēnei matawai te kite tika i te aroaro o ngā papa, he pūmua kino e kiia nei ko te beta-amyloid, e kohia ana i roto i ngā roro o ngā tūroro Alzheimer. Heoi, he whakamātautau utu nui tēnei. |
| Ngā Whakamātautau Toto | Nā te whanaketanga o te hangarau, kua puta ake ngā whakamātautau toto hou. Ka taea e ēnei te tirotiro i ngā taumata o ētahi pūmua (hei tauira, te beta-amyloid, APOE) i roto i te toto, ā, ka taea hoki te whakaatu i te tūponotanga o te whakawhanaketanga o aua putunga kino i roto i te roro. |
He aha ngā maimoatanga mō te mate a Alzheimer?
Tuatahi, he mea nui kia mōhiotia kāore he rongoā mō te mate a Alzheimer. Heoi, ehara i te mea kāore he hua o te maimoatanga. He maha ngā rongoā me ngā maimoatanga whai hua e wātea ana i ēnei rā hei āwhina i te whakaroa i te whanaketanga o te mate, te whakahaere i ngā tohu, me te whakapai ake i te kounga o te oranga o te tūroro.
Kei te ripanga i raro nei ētahi o ngā momo rongoā matua e whakamahia ana:
| Kāwai/ingoa rongoā | Te mahi me te whakamahinga |
|---|---|
| Lecanemab, Donanemab | He rongoā hou ēnei mō ngā paturopi monoclonal. Ka aro atu ki ngā pūmua beta-amyloid e whakatakotoria tika ana ki roto i te roro. He pai rawa atu ēnei mō te hunga kei ngā wāhanga tōmua o te mate. Ka pā mai pea ngā pānga taha pēnei i te pupuhi o te roro, te toto iti rānei. |
| Donepezil, Rivastigmine, Galantamine | Ka whakanui ake ēnei rongoā i ngā taumata o te matū e kiia nei ko te acetylcholine, e āwhina ana i ngā pūtau io i roto i te roro ki te whakawhitiwhiti kōrero. Ka āwhina rātou ki te whakahaere i te tere o te kino haere o ngā tohu i ngā wāhanga tōmua me waenganui o te mate. |
| Memantine | Ka whakaputahia e ngā pūtau roro kua pakaru i te mate a Alzheimer te nui rawa o te matū e kiia nei ko te glutamate. Ka mahi tēnei rongoā mā te aukati i te kino i puta mai i te nui rawa o te glutamate ki ngā pūtau io. Ka āwhina tēnei ki te whakahaere i te tere haere o ngā tohu i ngā wāhanga waenga ki te kino o te mate . |
| Memantine-Donepezil (whakakotahitanga) | He huinga tēnei o ngā rongoā e rua kua whakahuatia i runga ake nei. E whakamahia ana mō te mate Alzheimer's āhua-waenga ki te kino . |
Ngā maimoatanga e whakahaere ana i ētahi atu tohu e haere tahi ana me te mate
Ehara i te mea ko te ngaronga o te mahara anake te mate a Alzheimer. I a ia e haere tonu ana te mate, ka taea hoki e ia te whakarerekē i ngā whanonga me ngā hinengaro. Ka tohua e ngā tākuta ngā momo rongoā hei āwhina i te whakahaere i ēnei tohu.
- Te whakapae, te pōhēhē, me te whanonga pukuriri: Tērā pea ka pāngia ētahi tūroro e te paranoia me te moemoeā. Ka whakamahia ngā rongoā ārai hinengaro pēnei i te haloperidol me te risperidone hei whakahaere i ēnei tohu.
- Te pouri me te manukanuka:He mea noa te pouri me te mate. Ka whakamahia ngā rongoā pēnei i te Fluoxetine me te Sertraline hei rongoā.
- Te kore moe: He raruraru noa anō hoki te kore e taea te moe i te pō. Mō tēnei, ka tohua e te tākuta he pire moe e tika ana.
- Te Ohorere me te Pōrearea: Ka hoatu ki ngā tūroro e pōrearea tonu ana, e pōrearea ana hoki, ngā rongoā ārai-manukanuka pērā i a Lorazepam.
He mea tino nui: Kaua rawa e whakamahia tetahi o ngā rongoā kua whakahuatia i konei me te kore he tohutohu me te tirotiro a te tākuta. He mea nui kia tangohia ēnei rongoā katoa i te horopeta tika me te wā tika. Ki te whakamahia hē, ka pā mai he pānga kino.
Karere Tangohia ki te Kāinga
- Mena kei te pāngia koe, tō whanaunga rānei, e ngā tohu o te ngaronga o te mahara, kaua e whakakorea he wāhanga noa iho tēnei o te koroheketanga. Me toro atu ki te tākuta mō ētahi tohutohu.
- Ko ngā tohumate e rite ana ki te mate a Alzheimer ka puta mai i ētahi atu mate ka taea te rongoā, nō reira he mea nui kia tika te tautuhi i te mate.
- Ahakoa kāore e taea te whakaora katoa i te mate a Alzheimer, he maha ngā maimoatanga whai hua e wātea ana i ēnei rā hei whakahaere i te haere whakamua o te mate, hei whakaiti i ngā tohu, hei whakangāwari ake hoki i te oranga.
- Kaua e tīmata, kaua e whakarerekē i te horopeta, kaua hoki e mutu te tango i tētahi rongoā me te kore kōrero ki te tākuta. Kia tino tupato ki ngā rongoā mō ngā tohumate hinengaro.
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