Whakaarohia he mema o te whānau, he hoa, he mate haurangi rānei tōu ake, kua roa rānei koe e pāngia ana e te pouri nui. Ahakoa te nui o ngā rongoā e tangohia ana e koe, me te maha o ngā maimoatanga e whakamātauria ana e koe, te āhua nei kāore e taea e koe te whakahaere i te āhua. Kua whakamātauhia e ngā tākuta ngā mea katoa e taea ana e rātou. I roto i tēnei āhuatanga, tera pea ka rongo koe mō tētahi maimoatanga rerekē, matatau ake. Koinei te mea e kiia nei e mātou ko te VNS, ko te Vagus Nerve Stimulation rānei.
He aha te whakaohooho o te io vagus (VNS)?
He māmā noa iho, he maimoatanga tēnei e whakarerekē ana i te mahi a ngā io. He rite tonu ki tētahi taputapu whakatere i roto i te ngākau. Koia te take e kiia ai e ētahi ko te "kaitahuri i te roro".
Ko tēnei maimoatanga he pokanga ki te whakato i tētahi taputapu iti ki raro i te kiri o tō uma o runga. He waea tino angiangi kei roto i tēnei taputapu e piri ana ki tētahi io motuhake e kiia nei ko te io vagus i roto i tō kaki. Kātahi ka tukuna e te taputapu he pāoro hiko tino ngawari i ngā wā auau. Ka haere ēnei tohu i te taha o te io vagus ki te take roro. Mai i reira, ka tohatohahia ēnei tohu ki ngā wāhanga rerekē o te roro, ā, ka tīmata ki te whakarerekē i te mahi a ngā pūtau roro.
I te nuinga o te wā, ka whakaarohia e te tākuta te rongoā VNS ina kore e angitu ngā maimoatanga katoa. I tēnei wā, kua whakaaetia puta noa i te ao mō tētahi hunga iti e pāngia ana e te mate haurangi ātete ki te rongoā me te pouri ātete ki te rongoā. Kua whakaaetia hoki hei āwhina i te whakaora i ētahi tūroro kua pāngia e te whiu tata nei.
Kei hea te Nerve Vagus? He aha tāna mahi?
Tekau mā rua ngā takirua matua o ngā io e kawe ana i ngā tohu hiko mai i tō tātou roro ki ngā wāhanga rerekē o te tinana. Ka karangatia ēnei ko ngā io angaanga. Ko te io vagus te tekau (X) o ēnei io. Koinei te io angaanga roa rawa atu i roto i tō tātou tinana.
E rua ā tātou io vagus, kotahi kei ia taha o te tinana. Ka tīmata ngā mea e rua i te take roro. Kātahi ka rere mā te kaki, ki roto i te uma, ā, ki roto i te puku. He māmā noa iho, ko te io vagus he wāhanga o tētahi ara iahiko nui e hono ana i ngā whekau o roto i te kaki, te ngākau, ngā pukahukahu, me te puku ki te roro.
He aha ngā āhuatanga e whakamahia ai te rongoā VNS?
Kua whakaaetia e ngā tari nui, pērā i te U.S. Food and Drug Administration (FDA), te rongoā VNS mō ngā mate e toru. Me titiro tātou ki ēnei mōhiohio i roto i tētahi ripanga.
| Āhuatanga hauora | Me pēhea te whakamahi, ā, ko wai te tangata e tika ana mōna |
|---|---|
| Mate haurangi | Hei rongoā tāpiri mō ngā tamariki neke atu i te 4 tau te pakeke me ngā pakeke he mate haurangi e tīmata ana i tētahi wāhanga o te roro, ā, kāore e taea te whakahaere e te rongoā. |
| Te pouri | Ko ngā pakeke neke atu i te 18 tau te pakeke e pāngia ana e te pouri nui mō te wā roa, e te pouri hoki, kāore anō kia whai hua ki te 4, neke atu rānei, ngā rongoā ārai pouri rerekē. |
| Te Whakaora i te Whiu | Hei āwhina tāpiri i ngā mahi whakaora mō ngā tūroro he ngoikore te mahi a te ringa me te pūkahukahu i muri i te whiu ischemic i hua mai i te aukati i te uaua toto. |
He pēhea te mahi a tēnei taputapu VNS?
Ko te pono, kāore anō kia tino mārama ngā kaipūtaiao ki te mahi a tēnei taputapu VNS, engari he whakaaro pai ā rātou.
- Te whakahaere i te mate haurangi: Ina puta he mate haurangi, ka pakaru te mahi hiko o te roro. E whakaponohia ana ka whakanui ake te whakaohooho VNS i te rere o te toto ki ngā wāhanga nui o te roro, ka whakarerekē i tēnei tauira hiko kua pakaru, ka whakanui ake hoki i ngā taumata o ngā neurotransmitters "norepinephrine" me te "serotonin" i roto i te roro, e āwhina ana ki te whakahaere i te mate haurangi.
- Mō te whakahaere i te pouri: E whakaarohia ana ka whakaitihia e te VNS ngā tohu o te pouri mā te whakarerekē i ngā taumata o ētahi neurotransmitters e whakahaere ana i ō tātou kare ā-roto.
- Mō te whakaora i te whiu: Ka whakaoho tēnei whakaoho i te cortex motor, te wāhanga o te roro e whakahaere ana i te nekehanga o ō tātou ringa me ō tātou ringaringa. Mā tēnei ka māmā ake te ako anō a te roro i aua nekehanga i te wā o ngā mahi whakaora.
He aha te āhua o te whakamahi i te taputapu VNS i tō tinana?
I te nuinga o te wā, kāore koe e kite kua kā tēnei taputapu. Heoi, tera pea ētahi tāngata e rongo i tētahi rerekētanga iti ina kā ana te whakaohooho.
- He ahua mākūkū i roto i te korokoro, i te kaki rānei
- He paku pāorooro o te reo
- He maremare tino ngawari
Ahakoa ka pēnei tō āhua, ka taunga koe ki tēnei āhuatanga i te roanga o te wā. Engari ki te whakararuraru tēnei whakaohooho i a koe, kōrero tonu atu ki tō tākuta. Ka taea e ia te whakarerekē i ngā tautuhinga o te taputapu me te whakaiti i te nui o te whakaohooho.
Ko wai kāore e tika kia whiwhi maimoatanga VNS?
Kāore pea te rongoā VNS e pai mō te hunga whai mate hauora. Mena kei a koe tētahi o ngā mate e whai ake nei, kāore pea koe e pai mō te VNS.
- Mena kei te hapu koe.
- Mena kei a koe ngā raruraru manawa pēnei i te mate huango, te mate moe pōrearea rānei .
- Mena he mate puku puku hohe tōu (mate puku peptic) .
- Mena kei a koe te mate huka e whakawhirinaki ana ki te insulin .
- Mena kotahi anake tōu io vagus (ka whānau mai ētahi tāngata me tēnei io).
- Mena kei a koe tētahi āhuatanga e kiia nei ko te dysautonomias, he mahi rerekē tēnei o te pūnaha io motuhake.
- Mena kei te whiwhi kē koe i ētahi atu maimoatanga whakaohooho roro .
- Mena he rerekētanga tō te manawataki o te ngakau (ngā arrhythmias o te ngakau) me ētahi atu mate ngakau rānei. Mena he hītori tōu o ngā mate hinengaro pēnei i te schizophrenia , te mate schizoaffective rānei.
- Mena kua tangohia tetahi wāhanga o tō io vagus maui i tētahi pokanga o mua.
He aha ngā mea ka tū i mua atu, ā, i te wā o te pokanga VNS?
Ehara tēnei i te pokanga nui, whakamataku hoki. E tata ana ki te haora me te hawhe te roa.
Te whakarite mō te pokanga
I mua i te pokanga, ka whakahaerehia e tō tākuta he whakamātautau tinana katoa. Tērā pea ka whakahaerehia e ia ētahi whakamātautau toto hei whakarite kāore he raruraru hauora kē atu ka whakararuraru i te pokanga.
Te āhua o te mahi pokanga
I te rā o tō pokanga, ka hoatu he rongoā paturopi ki a koe hei whakaiti i te tūponotanga o te mate. Kātahi ka hoatu he rongoā whakamoe ki a koe. Tērā pea ka whakangā noa koe i te kaki me te uma e mahia ai te pokanga, ka hoatu rānei he rongoā whakamoe whānui ki a koe, kātahi ka meinga kia moe.
E rua ngā tapahi iti rawa ka mahia e te taote pokanga: tētahi ki te taha maui o te kaki (kia tae atu ki te io vagus) me tētahi ki te taha maui o runga o te uma.
1. Ka whakaurua he waea angiangi me ngā irahiko mā roto i tētahi tapahi i te kaki, ā, ka takai marietia ki te io vagus.
2. Kātahi ka kawea te waea ki raro i te kiri ki te wāhi i tapahia ai te uma.
3. Mai i te motu i te uma, he nui ake i te moni rima rūpī,Ka whakauruhia he whakaohooho rite ki te pākahiko (he kaihanga pātere) ka whakatakotoria ki tētahi wāhi iti i hangaia ki runga ake i te uaua o te uma.
4. Hei whakamutunga, ka honoa te waea mai i te kaki ki tēnei whakaohooho.
Kia honoa ngā mea katoa, ka whakamātauhia te taputapu e te taote pokanga. Whakatakotoria ki te tautuhinga tino iti, ka whakahaerea mō te 30-90 hēkona kia kite ai mēnā kei te pai te mahi a te whakaohooho. Ki te pai ngā mea katoa, ka katihia ngā tapahi, ā, ka whakatakotoria he tuitui.
He aha ngā mea ka tupu i muri i te pokanga?
Te whakahaere me te whakatikatika i te taputapu
Me toro atu anō koe ki tō tākuta i muri i ngā wiki e 2-4 i muri i te pokanga. Ko te wā tēnā ka whakahohe tika ai te taputapu. Ka whakamahia e te tākuta he rorohiko me tētahi taputapu motuhake (he tokotoko hōtaka) hei whakarite i ngā tautuhinga mō tō āhua. (Hei tauira, kia pēhea te roa o te wā e kā ana, kia pēhea te roa o te wā e whakaweto ana, kia pēhea te kaha o te whakaohooho, me ētahi atu).
Kāore e taea e koe te whakarerekē i ēnei tautuhinga, engari ka hoatu he aukume ki a koe ka taea e koe te pupuri i roto i tō ringa .
- Mō te tangata e pāngia ana e te mate haurangi: Ina tata te puta o te mate haurangi, ka taea te pania tēnei aukume ki runga i te taputapu i runga i te uma. Mā tēnei ka nui ake te whakaohooho, ā, ka mutu pea te mate haurangi, ka whakaiti rānei i tōna kaha.
- Mō te tangata e pāngia ana e te whakaora i te whiu: Ina pania e koe tēnei aukume i mua i te tīmatanga o te korikori tinana, ka whakahohehia te whakaohooho mō te 30 meneti.
- Whakamutua te taputapu mō tētahi wā poto: Ki te pupuri koe i te aukume ki runga i te taputapu, ka mutu te whakaohooho. Ina tangohia e koe te aukume, ka tīmata anō tana mahi e ai ki te hōtaka a te tākuta.
Te roa o te pākahiko
E ono tau te roa o te pākahiko o te taputapu (ko ētahi ka roa mai i te kotahi tau ki te 15 tau). Ina pau te pākahiko, me whakakapi katoa te whakaohooho. Me mahi anō hoki he pokanga iti mā te tapahi iti i te uma.
He mea tino nui: Mena he taputapu VNS tāu, me kōrero koe ki tō tākuta i mua i te whakahaere i tētahi matawai, pērā i te MRI, nā te mea ka taea e te papa aukume kaha o te mīhini MRI te kino i te taputapu VNS.
He aha ngā mōrearea me ngā pānga taha o te maimoatanga VNS?
Pērā i ngā maimoatanga hauora katoa, ka pā mai ētahi mōrearea me ngā pānga taha o te VNS. Ko te nuinga o ēnei kāore i te tino kino, ā, ka memeha haere i roto i te wā.
| Momo mōrearea/pānga taha | Whakaahuatanga |
|---|---|
| Ngā pānga taha noa | |
| Huringa reo | Te pāorooro, te panoni rānei o te reo |
| Korokoro mamae | Maremare, korokoro mamae, reo pāorooro rānei |
| Ngā uauatanga manawa | Te uaua ki te manawa (Dyspnea) |
| Ētahi atu | Te uaua ki te horomi (Dysphagia), te ānini |
| Ngā Pānga Taha Nui engari Onge | |
| Te pakaru o te io | Te pararutiki o te taura reo, te ngoikore o ngā uaua o te pito o raro o te mata |
| Ngā mate urutā | Mate urutā pokanga |
| Ngā raruraru mīhini | Te whati o te waea, te hapa rānei o te taputapu |
Kia pēhea te roa e ora ai? He aha ngā hua?
Ka taea e koe te hoki anō ki ngā mahi o ia rā e rua (48 hāora) i muri i te pokanga. Ka taea te rewa o ngā tuitui, nō reira kāore he take e tapahia ai.
Engari ka roa pea te wā e kitea ai ngā hua. Tērā pea ka roa te tau, neke atu rānei , ka mōhiotia ai te nui o ngā painga ka riro i a koe mai i te VNS.
- Mate haurangi:Kāore te VNS e whakaora katoa i te mate haurangi. Kāore e mutu katoa ngā mate haurangi. Me haere tonu koe ki te tango i ō rongoā mate haurangi. Ko te whāinga o te VNS he whakaiti i te auau, te kaha, me te roa o ngā mate haurangi. I roto i tētahi rangahau, tata ki te 43% o ngā tūroro i pāngia e te whakahekenga 50%, neke atu rānei, o te auau o ngā mate haurangi i roto i ngā tau e toru.
- Te pouri: Kei te rangahauhia tonutia te whai huatanga o te VNS mō te pouri. Nō reira, ka whakaarohia anake i muri i te korenga o ngā rongoā me te hinengaro whakaora. I roto i ētahi rangahau, 20%-30% noa iho o ngā tūroro i kite i te whakapainga nui.
- Te whakaora i te whiu: I roto i tētahi rangahau, i tino pai ake ngā nekehanga o ngā ringa me ngā ringaringa o ngā tūroro i whakakorikori tinana me te whakaohooho VNS i ērā i whakakorikori tinana kāore he VNS.
Kia pēhea te wā me toro atu ahau ki te tākuta?
Mena kei a koe tētahi o ngā tohu e whai ake nei, waea atu ki tō tākuta tonu atu.
- Ngā tohu o te mate urutā:
- Mena he whero te tapahi, he pupuhi, he mamae rānei ina pā atu.
- Mena he haunga kino te motu, he wai rānei e maringi ana i te mea he pūhā.
- Mena kei te pāngia koe e te kirika, e te makariri rānei.
- Ētahi atu tohu kino:
- Ki te mea ka pā tonu te reo.
- Mena he mamae te whakaohooho, ka uaua ai te manawa, te horomi rānei.
- Ki te mea kei te tino hiamoe koe.
- Mena te āhua nei kāore te pūrere e mahi tika ana, he tohu rānei kei te iti te pākahiko.
- Mena ka kino haere tō mate (haurangi, pouri).
Karere Tangohia ki te Kāinga
- He tikanga maimoatanga matatau te VNS e whakamahia ana mō te whakaora i te mate haurangi, te pouri, me te whiu kāore e taea te whakahaere e ētahi atu maimoatanga.
- He rite te mahi a tēnei ki te "whakaoho i te roro", engari kāore e tino rongoatia te mate. Ko te whāinga he whakahaere i ngā tohu.
- Me whakauru he taputapu ki roto i te tinana mā te pokanga iti.
- Tērā pea ka puta ngā pānga taha, pērā i te reo pārū, engari ka taea te whakahaere i te nuinga o aua pānga.
- Mena kua whakauruhia he taputapu VNS ki roto i a koe, he mea nui kia whakamōhio koe i ō tākuta katoa i mua i te whakahaere i ngā whakamātautau hauora, i ngā maimoatanga rānei (ina koa ko ngā matawai MRI).
- Ko te tohunga anake ka taea te whakatau mēnā he tika tēnei maimoatanga māu, nō reira kōrero ki tō tākuta mō ētahi atu kōrero.
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