Me ako tātou mō te Mate Pukupuku Wallenberg, e puta mai ana ina heke te rere o te toto ki te roro.

Kua rongo koe i tētahi āhuatanga e kiia nei ko te Wallenberg Syndrome? Tērā pea he ingoa hou ki a koe. Engari he āhuatanga io tēnei ka puta mai i te wā e aukatia ana te rere o te toto ki te roro, inā koa he whiu, he toto totoka rānei, ka whakaiti i te rere o te toto ki te take roro . Whakaarohia, me pēhea mēnā ka uaua te horomi, ka pōuri, ka tīmata rānei ō kanohi ki te neke tere? Koinei ngā tohu ka kitea e koe i tēnei take.

Nā, he aha te mate pukupuku o Wallenberg?

Ki te kī māmā noa, ko te Wallenberg Syndrome he mate e puta ana ina pakaru te rere o te toto ki tētahi wāhanga motuhake o te take roro, arā, te taha taha o te medulla oblongata . Ka puta pea tēnei i te aukati i roto i te oko toto e kawe ana i te toto ki te roro e kiia nei ko te posterior inferior cerebellar artery (PICA). I ​​ētahi wā ka kiia pea e tō tākuta ko te lateral medullary syndrome, ko te posterior inferior cerebellar artery syndrome rānei, nā te mea ko aua wāhi te kino.

Kia puta mai tēnei āhuatanga, ka puta pea ngā tohu pēnei i te uaua ki te horomi, te reo pāorooro, te tihe pinepine, te ngaro o te reka, te tere o te nekehanga o ngā kanohi (nystagmus), te tirohanga rua, te ngaro o te taurite, te whanoke me te hurihuri (vertigo), me te mamae, te ngoikore rānei. Whakaarohia te uaua o te hikoi mena he rite tonu te ahua o ngā mea katoa i kite koe, ā, kāore e taea e koe te pupuri i tō taurite tika.

Ko te mea nui ko te tautuhi i te pūtake o tēnei mate, me te rongoā i te wā e taea ai . Mā tēnei ka taea e koe te whakatutuki i ngā hua pai rawa atu, me te whakaiti i te tūponotanga o ngā raruraru.

He pēhea te noa o tēnei āhuatanga?

Ina hoki, ko te mate pukupuku o Wallenberg te mate e kitea ana i muri i te whiu, e puta mai ana i te korenga o te rere o te toto ki te tuara o te roro. I kitea i roto i tētahi rangahau neke atu i te 60,000 ngā kēhi hou e pūrongohia ana i ia tau i te Hononga o Amerika anake. Ko te tikanga o tēnei ehara tēnei i te mate onge.

He aha ngā tohu o te mate pukupuku o Wallenberg?

Kua kōrerohia tēnei e tātou i mua, engari ki te tirohia anōtia, ka rerekē pea ēnei tohu i waenga i te tangata me te tangata, i runga i te wāhi o te roro kua pakaru.

• Te uaua ki te horomi: Kāore pea e taea e koe te horomi ahakoa he iti noa te kai, te wai rānei. I ētahi wā, ka uru pea te kai e kainga ana e koe ki roto i tō puku.
• Te pāorooro o te reo: Ka rerekē te reo ina kōrero ana, ka pāorooro.
• Te mimi pinepine: Tērā pea ka pāngia koe e te mimi pinepine, ā, kāore e taea te whakamutu.
• Te ngaronga o te reka: Kua ngaro te reka o te kai.
• Ngā nekehanga kanohi tere, koretake (nystagmus):Ka tīmata te neke tere o ōku kanohi ki mua, ki muri, ki runga, ki raro, me te mea nei kāore he mana whakahaere.
• Te kitenga takirua: Te kitenga i ngā mea e rua i te wā kotahi.
• Ngā raruraru ki te taurite me te taunga: He uaua ki te pupuri i te taurite i te wā e hikoi ana, te kore e taea te taunga tika i ngā waewae.
• Pōuriuri me te pororaru: Te āhua nei kei te hurihuri tō mahunga, me ngā mea hoki e karapoti ana i a koe.
• Mamae, ngoikore rānei: Tērā pea ka pāngia koe e te mamae, te ngoikore rānei, te ngaro rānei o te kare ā-roto i te wera, i te makariri rānei, inā koa i te taha kotahi o tō mata, engari he noa te taha kē.

Whakaarohia, kāore koe e rongo i tetahi mea i te taha matau o tō mata, engari he mea noa te taha maui. Koinei ngā tohu e kitea ana e koe i tēnei take.

Ka piki haere pea ēnei tohu i roto i ētahi haora, i ngā rā rānei.

He aha te take o tēnei?

Ko te tino take he whiu i te kakau roro . Tērā pea:

• Nā te pakaru o te taha o te medulla oblongata i roto i te take o tō tātou roro.
• Nā te aukati i te rere o te toto i roto i te uaua cerebellar o muri o raro (PICA), e kawe ana i te toto ki te cerebellum, ki te uaua vertebral rānei i roto i te kakau roro.

Koinei ngā take matua. Heoi anō, tera pea ētahi atu take onge:

• Te tapahi i te uaua tuarā: He haehae tēnei i te pakitara o te uaua nui e kawe ana i te toto ki te roro.
• Ngā ngoikoretanga o te uaua toto: He uaua ake tēnei. He whakarāpopototanga noa iho, he hononga rerekē o ngā uaua toto (ngā uaua toto me ngā uaua toto) i roto i te roro.
• Whara upoko : He whara kino ki te upoko.
• Te mate maha-sclerosis: Ko tētahi atu mate tēnei e pā ana ki te pūnaha io.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i tēnei?

He nui ake te tūponotanga ka pāngia ētahi tāngata e te mate Wallenberg. Me titiro tātou ko wai rātou:

• Ngā tāngata e momi hikareti ana, e whakamahi ana rānei i ngā hua tupeka.
• Ngā tāngata he toto toto tiketike (hypertension).
• Ngā tāngata e pāngia ana e te mate huka.

Haunga ēnei, ka tūpono pea te hunga whai mate hononga. Hei tauira:

• Te mate Marfan
• Te mate Ehlers-Danlos
• Te dysplasia uaua-pūtau

He āhua onge ēnei āhuatanga.

He aha ngā raruraru ka pā mai i tēnei?

Ka taea e te mate e kiia nei ko te Wallenberg Syndrome te whakaputa i ētahi huringa tuturu i muri i te whiu. Ko ētahi o ēnei:

• Te uaua ki te hikoi: Kāore pea koe e kaha ki te hikoi tika, ā, me whakamahi pea koe i tētahi taputapu āwhina hikoi.
• Mamae mau tonu: Me noho pea koe me te mamae tonu.
• Mate haurangi: Ko te tikanga he rite ki te mate haurangi.
• Ngā uauatanga ako: Ka uaua pea te ako me te maumahara ki ngā mea hou.

Me pēhea koe e mōhio ai ki tēnei?

Ka tātaritatia tēnei mate e te tākuta mā te whakamātautau tinana, te whakamātautau io, me ētahi atu whakamātautau motuhake .

Ka tirohia tuatahitia e te tākuta mēnā ka pāngia te taha kotahi o tō tinana e ō tohumate. Hei tauira, ki te kore e taea e koe te reka i te taha matau o tō arero, tera pea ka whakaaro te tākuta kua pakaru te taha maui o tō roro. Nā te mea he rite te mahi a tō tātou roro ki te whakaata. Ko te taha matau o te roro te kaiwhakahaere o te taha maui o te tinana, ā, ko te taha maui te kaiwhakahaere o te taha matau o te tinana. Kei te mārama koe?

Hei whakaū i te mate, ka whakahaerehia pea e te tākuta ngā whakamātautau pēnei i:

• Matawai MRI (Atahanga Āhua-Mate): Ka taea e tēnei te tango whakaahua taipitopito o te roro.
• Angiogram: Ka tirohia e tēnei whakamātautau te āhua o ngā uaua toto.

I ētahi wā, ka mahia he whakamātautau toto, he electrocardiogram rānei (ECG) hei tirotiro i te manawataki o te ngakau hei whakakore i ētahi atu mate e rite ana ngā tohu.

Me pēhea te rongoā?

I te rongoā i te mate Wallenberg, ko te arotahi tuatahi ko te tango i te aukati i roto i te rere o te toto ki te take roro. Mena he whiu te take, ka tere pea te hoatu e tō tākuta ki a koe tētahi, neke atu rānei o ēnei maimoatanga:

• Kaiwhakaoho plasminogen kiko (tPA): He rongoā ā-uaua (IV) tēnei e hoatu ana hei whakarewa i ngā toto totoka.
• Rongoā ārai toto, rongoā whakangawari toto rānei: Ārai i te hanganga o ngā totoka anō.
• Thrombectomy: I ētahi wā ka whakauruhia he catheter hei tango i te toto totoka.

I muri i te rongoā i te aukati, ka tīmata koe ki te whakahaere i ngā tohu me ngā raruraru . Tērā pea kei roto i tēnei ko ngā mea pēnei i:

• Te whakaurunga me te whakamahinga o te ngongo whāngai: He mea tika tēnei mēnā he uaua ki te horomi.
• Te mau i ngā karaihe motuhake (prisms) mō ngā raruraru tirohanga.
• Whakaora kōrero: Mō ngā uauatanga o te kōrero me te horomi.
• Whakaora tinana: Whakahou i te nekehanga me te taurite o te tinana.
• Whakaora mahi: Te whakangungu ki te mahi i ngā mahi o ia rā me te kore e mahi takitahi.

He aha ngā momo rongoā e hoatu ana mō tēnei?

Mena kei te pāngia koe e te mamae mau tonu me te mate pukupuku o Wallenberg, ka tohua pea e tō tākuta he rongoā e kiia nei ko te gabapentin . Ahakoa he rongoā tēnei mō te mate haurangi, ka taea hoki e ia te āwhina i te mamae io.

Mena kei te tango kē koe i ētahi atu rongoā, i ētahi atu tāpiringa rānei, he mea nui kia kōrero koe ki tō tākuta i mua i te tīmatanga o tētahi rongoā hou. Ka taea e ia te tohutohu i a koe mō ngā pānga taha ka pā mai i aua rongoā.

He rongoā tino pai mō tēnei?

Engari, kāore anō kia kitea he rongoā mō te mate pukupuku o Wallenberg i tēnei wā. Heoi, ki te kite koe i ngā tohu tuatahi o te whiu, ā, ka tīmata wawe te maimoatanga , ka taea e koe te whakaiti i te tūponotanga o ngā raruraru. Mā te maimoatanga, ka taea e koe te whakahaere i ō tohumate me te ngana ki te whakahoki i tō oranga ki te āhua noa.

Kei te pēhea te tirohanga? (Tirohanga)

Ka taea e tō tākuta te hoatu ki a koe ngā kōrero tino tika mō tēnei, nā te mea he rerekē tēnei i ia tangata, i ia tangata. He maha ngā āhuatanga e whakawhirinaki ana ki tēnei, pērā i te wāhi o te take roro i pakaru me te kaha o te pakaru.

Tērā pea ka heke iho ngā tohu i roto i ētahi wiki, i ētahi marama rānei, ā, ka tīmata te ahua o te mate pērā i mua i te whiu. Heoi anō, ka taea hoki e te whiu te whakararu i te oranga o ia rā, me ngā huringa io hoki. Kaua e manukanuka, kei reira ngā maimoatanga hei āwhina i a koe ki te aro atu ki ēnei āhuatanga i muri i te whiu, me te urutau ki tētahi momo oranga hou.

Ka taea te ārai i te mate pukupuku o Wallenberg?

Ahakoa e kore e taea te ārai katoa i ngā āhuatanga katoa, ka taea e koe te whakaiti i tō mōrearea mā te mahi i ēnei mea:

• Ki te kai hikareti koe, kati, kaua rānei e whakamahi i ngā hua tupeka.
• Te whakahaere pai i ētahi atu mate hauora (hei tauira, te toto toto tiketike, te mate huka).
• Te kai i tētahi kai taurite me te whai wāhi ki te korikori tinana i ia wā .

Āhea koe me toro atu ki te tākuta?

Ki te pāngia koe, tētahi rānei o tō whānau e ngā tohu o te whiu, waea atu ki te 911 tonu, haere rānei ki te wāhanga ohorere o te hōhipera tata.

Ko ngā tohu o te whiu ka uru atu ki:

• Te uaua ki te kōrero, ki te horomi rānei.
• Ngā raruraru ki te taurite me te taunga.
• Ngā panonitanga o ngā kare ā-roto, pērā i te ngoikore me te māuiui i tetahi taha o te tinana.
• Te pōuri me te whanoke.
• Ngā panonitanga o te tirohanga.

Ki te kite koe i tētahi tohu pēnei , mā te tere o te mahi, me te kore e moumou taima, ka ora ai koe.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Ka taea e koe te pātai atu ki tō tākuta i ēnei pātai kia pai ake ai tō māramatanga ki tēnei mate:

• He aha ahau i pāngia ai e te mate pukupuku o Wallenberg?
• He aha te momo maimoatanga e taunaki ana koe?
• Ka taea e ngā maimoatanga te whakaputa pānga taha?
• Ka pā mai rānei ngā raruraru mō te wā roa?
• He aha taku matapae?

He rerekē te pānga o te mate Wallenberg ki te katoa, nā te mea kāore e taea te matapae i te kino i puta mai i te whiu. He wheako whakamataku rawa atu tēnei māu me tō whānau. Ahakoa ka memeha haere ētahi tohu i roto i ētahi marama, i ētahi wā ka puta he raruraru. Ka pā pea ēnei ki ō kare ā-roto me tō whakahaere i ō mahi o ia rā.

Ko te mea nui ko te waea atu ki ngā ratonga whawhati tata ina kite koe i ngā tohu o te whiu. Mā tēnei, ka taea e tō tākuta te tautuhi wawe i te mate o Wallenberg Syndrome me tōna pūtake, ā, ka tīmata te maimoatanga hei ārai i ngā kino atu.

Mena he pātai, he āwangawanga rānei āu mō tō āhua, ko tō tākuta anake ka taea te hoatu ki a koe ngā mōhiohio tino tika me ngā mōhiohio hou. Ka taea e ia te āwhina i a koe ki te whakahaere i ō tohumate.

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

Āe, mai i ngā mea kua kōrerotia e tātou, koinei ngā mea matua hei maumahara māu:

• He mate kino te mate pukupuku o te roro (Wallenberg Syndrome) e hua mai ana i te hekenga o te rere o te toto ki te kakau roro (he maha ngā wā nā te whiu).
• Ko ētahi o ngā tohu ko te uaua ki te horomi, te whanoke, te nekehanga kanohi koretake, te hurihanga o te reo, me te ngoikore i tetahi taha o te tinana .
• Mena ka pāngia koe e ngā tohu o te whiu (he uaua ki te kōrero, he ngaro te māramatanga i tetahi taha o te tinana, he whanoke ohorere) , he mea nui kia rapua tonutia koe ki te hōhipera.
• Mā te maimoatanga wawe ka whakaiti i ngā raruraru, ā, ka taea hoki te whakaora i tētahi taumata . Ahakoa kāore he rongoā katoa, kei reira ngā maimoatanga me ngā tikanga whakaora hei whakapai ake i te kounga o te oranga.
• Ka taea te whakaiti i te mōrearea o tēnei mate mā te karo i te momi hikareti, te whakahaere i te toto toto tiketike, me te mate huka .

Ko tāku tumanako ka whai hua ēnei kōrero ki a koe. Kia ora tonu!

` Te mate a Wallenberg, whiu, take roro, whanoke, uaua ki te horomi, mate pūnaha io, tuhinga hauora Sinhala, whiu, whiu take roro, mate a Wallenberg