Whakaarohia he hoa tōu, he mema whānau pea. He nui rawa tana inu waipiro. Engari i ēnei rā kua wareware ia ki ngā mea. Kāore ia e mahara ki tāna i kōrero ai i te ata ina rongo ia i te ahiahi. Te āhua nei kua hē tōna taurite ina hikoi ia, e nekeneke haere ana i tētahi taha ki tētahi taha. I ētahi wā ka whakaaro koe mēnā kei te mōhio ia. Kua kite koe i tētahi o ēnei tohu? Ehara tēnei i te mea ngāwari, he tohu pea nō tētahi mate kino e pā ana ki tō tātou roro. I tēnei rā kei te kōrero tātou mō tētahi o aua mate , ko te Wernicke-Korsakoff Syndrome .
He aha te mate Wernicke-Korsakoff?
He huinga tēnei o ngā mate e rua, ahakoa kotahi te ingoa e karangatia ana. E kite ana ngā tākuta i tēnei hei take e rua o te mate kotahi.
1. Wernicke Encephalopathy: Koinei te tīmatanga wawe, ohorere hoki o te mate. Me tere te maimoatanga.
2. Te Mate Korsakoff: Koinei te wāhanga tuarua o te ngaronga mahara e puta ana i te whanaketanga haere o te mate.
Ko te take matua o tēnei āhuatanga, kāore e ranea te huaora B1 i roto i tō tātou tinana, arā, te thiamine . Whakaarohia he rite tō tātou roro ki te miihini o te motuka. Me whai pūngao tēnei miihini hei mahi. Ka hangaia tēnei pūngao e te roro mai i te huka e kainga ana e tātou. Engari, hei huri i te huka hei pūngao, he mea nui te momo wahie e kiia nei ko te huaora B1. Ina kore te huaora B1 i roto i te tinana, kāore e taea e te roro me te pūnaha io te whakaputa i te pūngao e hiahiatia ana e rātou. Kātahi ka tino ngoikore te mahi a te roro.
He aha ngā tohu o tēnei mate?
He rerekē paku ngā tohu o ngā mate e rua. Me wehewehe kia mārama ai.
| Te wāhanga o te mate | Ngā Tohu Noa |
|---|---|
| Wāhanga tōmua: Wernicke Encephalopathy - te tīmatanga ohorere o ngā tohu | |
| Taurite me te nekehanga | Te wiri o ngā waewae, te nekeneke haere i te taha ki te taha i te wā e hikoi ana, te haere pōturi me ngā takahanga poto, whānui. I ētahi wā, me āwhina pea koe e tetahi kia tū ake ai. |
| Pōhēhētanga | Te pōhēhē, te titiro kau ki ngā mea e tū ana i te taha, me te puhoi ki te whakautu i ngā pātai. |
| Ngā raruraru kanohi | Te tirohanga takirua, te kamo e takoto kau ana, me ngā nekehanga kanohi kāore e taea te whakahaere. |
| Ngā tohu o te ngakau me ngā oko toto | Te hiamoe pinepine, te whanoke, te tere ake o te manawa o te tangata i tō te tangata noa, te toto toto iti i te wā e tū ana, me te ngoikore. |
| Ā muri ake nei: Te Mate Korsakoff - Ngā tohu e pā ana ki te mahara | |
| Ngaronga o te mahara | Koinei te tohu matua. Kua tata ngaro katoa te maharatanga poto. Tērā pea kāore koe e mahara ko wai tāu i kōrero ki a ia, he aha rānei tāu i kōrero ai i ētahi meneti kua pahure. Kāore e taea e koe te ako i ngā mea hou, te hanga maharatanga hou rānei. |
| Te Whakakotahitanga | Hei whakakī i ngā āputa o ō rātou mahara, ka tito kōrero rātou i roto i ō rātou hinengaro, me te kore e mōhio. Ehara tēnei i te teka, he huarahi tēnei hei whakakī i aua āputa ki ō rātou ake roro. |
| Ētahi atu āhuatanga | Te ngaronga o ētahi o ō maharatanga tawhito, te kitenga, te rongo rānei i ngā mea ehara i te mea tūturu (ngā moemoeā), me te kore e taea te mārama tika ki ngā kupu. |
Ko te mea nui rawa atu, ko WernickeKi te kore e rongoatia wawe te wāhanga tōmua o te encephalopathy , ka taea e ia te whanake hei Korsakoff syndrome, he mate ngaro mahara e uaua ana ki te rongoa.
He aha ngā take o tēnei mate? Ko wai te hunga tino mōrearea?
E ai ki tā tātou i kōrero ai i mua ake nei, ko te take matua ko te korenga o te huaora B1. Ko te take nui e whai wāhi ana ki tēnei korenga ko te nui rawa o te inu waipiro mō te wā roa .
Ka puta te korenga o te huaora B1 i te waipiro i ēnei ara e whai ake nei:
- Ka kino te waipiro i te arai o te puku me ngā whekau, ka whakaiti i te kaha o te tinana ki te mimiti i te huaora B1 mai i te kai.
- Ka whakaitihia hoki e te waipiro te kaha o te ate ki te penapena i te huaora B1.
- He tokomaha te hunga e waranga ana ki te waipiro kāore e kai i te kai taurite, koia te take kāore e ranea ai te huaora B1 e whiwhi ana rātou.
Haunga te waipiro , ka puta pea tēnei āhuatanga nā ētahi atu take.
- Te kore kai pai rawa atu.
- Ētahi āhuatanga hauora. Hei tauira, te mate pukupuku, te AIDS, ngā mate kino rānei e pā ana ki te tinana katoa.
- Ngā mate kai pērā i te anorexia.
- Te mate whatukuhu kino (tērā pea ka ngaro ngā huaora i ēnei tūroro nā te mea kei te tangohia e rātou te dialysis).
- Te rongoā chemotherapy mō te mate pukupuku.
- Te ruaki roa.
- Pokanga whakaiti taumaha (pokanga taha puku).
Ko wai te mea nui ake te mōrearea?
- He paku noa ake te kitea i roto i ngā tāne i ngā wāhine.
- Ko te nuinga o te wā ka pā ki te hunga i waenga i te 45-65 tau te pakeke.
- He nui ake te mōrearea i waenga i te hunga kāinga kore, te hunga kaumātua e noho mokemoke ana, me te hunga he nui te mate hinengaro, nā te mea he nui ake te tūponotanga o ēnei rōpū ki te whakamahi waipiro, ki te kore kai pai rānei.
Me pēhea te kitenga a te tākuta i tēnei?
Ko te tikanga ka tātaritatia tēnei mate e tō tākuta i runga i ō tohumate, tō hītori hauora (ina koa ko te inu waipiro), me te whakamātautau tinana. Ka whakahaerehia hoki e rātou he whakamātautau hei whakakore i ētahi atu mate ka puta ai ngā tohumate rite (pēnei i te pukupuku roro, i te whiu rānei).
Anei ētahi whakamātautau ka taea e koe:
- Ngā whakamātautau toto: Tirohia te taumata o te thiamine i roto i te toto me te mahi a te ate me ngā whatukuhu.
- Ngā matawai roro (matawai whakaahua): Kia tino mohio kāore he raruraru kē atu.
- Whakamātautau kanohi: Tirohia ngā nekehanga o ngā kanohi.
- He tirotiro hauora hinengaro: Whakamātauria te mahara me te kaha ki te whakaaro.
- Ngā whakamātautau pūnaha io: Tirohia te taurite me te tauira haere.
Me pēhea te rongoā?
Ko te taahiraa tuatahi, ko te taahiraa tino nui hoki mō te rongoā i tēnei mate, ko te whakahoki mai i te huaora B1 ki te tinana . Ka mahia tēnei i roto i te hōhipera, mā te hoatu i ngā horopeta nui o te huaora B1 mā te uaua (IV) i roto i te uaua i te ringa, hei wai tote. Tērā pea ka roa pea tēnei mō ētahi marama.
Ā muri iho i tēnā, ko te mea nui ko te whakamutu rawa i te inu waipiro. Ki te inu anō koe i te waipiro, tera pea ka hoki mai ō tohu. He mea nui anō hoki kia kai i tētahi kai taurite, kai totika.
Mena he uaua ki a koe te hikoi, me rapu awhina pea koe i te whakaora tinana hei whakaora i tō nekehanga.
He aha ngā uauatanga me te kaha ki te whakaora i tēnei?
He mea tēnei me mōhio tātou katoa. Kia tae ki te wāhanga tuarua o te mate Korsakoff, kāore e taea te whakakore i te ngaronga o te mahara. I ngā wā tino kino, ka pā he kino tuturu ki te roro, ā, ka roa te uaua ki te mahara me te hikoi.
Engari he rongo pai tēnei. Ko te tere o tō tīmatanga maimoatanga te mea e whakawhirinaki ana ki tō tūponotanga ki te ora. Ki te tīmata wawe koe i te maimoatanga i te putanga mai o ngā tohu, ka taea e koe te ora katoa. Engari ka roa pea te wā tae atu ki te tau. Ko te pōhēhē te tohu whakamutunga ka ea.
Karere Tangohia ki te Kāinga
- He mate roro kino te Wernicke-Korsakoff Syndrome e hua mai ana i te korenga o te huaora B1 (thiamine). Ko te tino take ko te nui rawa o te inu waipiro.
- Ko te pōhēhē hinengaro, te uaua ki te hikoi, ngā raruraru kanohi, me te ngaronga nui o te mahara, koia ngā tohu matua.
- Mena kei te whakaatu koe, tetahi atu rānei e mōhio ana koe, inā koa he tangata e whakamahi ana i te waipiro, i ēnei tohu, me toro atu ki te tākuta tonu tonu.
- Kei roto i te maimoatanga te tango i ngā horopeta nui o te huaora B1 me te whakamutu katoa i te inu waipiro .
- Ka taea te ora mēnā ka tīmata wawe te maimoatanga, engari mēnā ka whakaroa, ka pāngia pea te roro e te kino tuturu.
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