Mena kei te mate tetahi, ā, kei te hōhipera ia me te iti o te wai me te tote o te tinana, ka hoatu e ngā tākuta he tote tote ki a ia hei whakakapi i te ngoikore. He mea noa tēnā. Engari i mōhio koe i ētahi wā, ki te piki tere, ohorere hoki te iti o te konutai o te tinana, ka taea te kino i te roro? Koinei te mea e kiia nei e tātou he mate onge engari he kino e kiia nei ko te Central Pontine Myelinolysis. Ahakoa he ahua uaua te ingoa, me kōrero noa iho.
Know your body mass index (BMI) and weight classification
He kīanga māmā noa iho, he aha te momo āhuatanga o tēnei?
He mate tēnei e pā ana ki te pūnaha io. Ka haere ngā tohu hiko e hiahiatia ana e te tinana mā roto i ngā pūtau io (ngā neuron) i roto i tō tātou roro. He hipoki tiaki kei te taha o ēnei pūtau io. Ka kiia e mātou ko te pūkahu myelin . He rite ki te pūkahu kirihou e karapoti ana i te waea hiko . Mā tēnei pūkahu myelin ka taea e ngā tohu hiko te haere tere me te kore he arai.
Ka puta te Central Pontine Myelinolysis (CPM) ina pakaru ngā pūkahu myelin i tētahi wāhi motuhake o te roro, arā, ko ngā pons . Ka pā pea tēnei kino ki te mahi a ngā wāhanga rerekē o te tinana.
I ētahi wā, i roto i te 10% pea o ngā take, ka pā tēnei kino ki ngā pons anake, engari ki ētahi atu wāhanga o te roro. Nō reira, e mōhiotia whānuitia ana tēnei āhuatanga e tētahi atu ingoa whānui. Ko te Osmotic Demyelination Syndrome (ODS) tēnā.
Ehara tēnei āhuatanga i te mea noa, engari kua kitea ko te 2.5% o ngā tūroro e whakaurua ana ki ngā wāhanga tiaki nui (ICU) kei te mōrearea ki te whakawhanake i te ODS.
He aha te take o tēnei āhuatanga?
Ko te take matua mō tēnei, ina tino iti te taumata konutai o te tinana (arā, ko te tote kei roto i te tote e kainga ana e tātou), ka piki ohorere, ka tere tonu hoki . Ka tino piki ake tēnei mōrearea ina neke atu i te rua ngā rā e iti ana te taumata konutai o te tinana, ā, kei te tukuna he maimoatanga.
Ko te mea nui, ehara tēnei i te mea e kainga ana, e inuhia ana rānei e tātou. He mea tēnei ka tupu pea i roto i te hōhipera, ina tukuna te konutai mā roto i te uaua , arā, mā te tote, hei maimoatanga hauora.
Whakaarohia pēnei. He maha ngā rā e ruaki ana te tangata, e pāngia ana rānei e te mate korere. Kātahi ka ngaro te wai anake, tae atu ki ngā tote pērā i te konutai i roto i tōna tinana. Ina tae mai rātou ki te hōhipera, he tino iti te taumata o te konutai. Ināianei kei te hoatu e ngā tākuta he tote ki a rātou hei ngana ki te whakahoki i te taumata o te konutai ki te noho noa. Heoi, ki te kore rātou e mōhio ki ngā āhuatanga mōrearea kē atu o te tūroro, tera pea ka taea e rātou te whakanui ake i te taumata o te konutai kia tere ake.
Ina tupu tēnā, ka turuturu ohorere te wai i roto i ngā pūtau roro i waho o ngā pūtau. Ka mimiti ngā pūtau pērā i te karepe maroke. Nā tēnei huringa ohorere ka pakaru ngā pūkahu myelin i kōrerotia e tātou.
Ko wai kei te mōrearea nui ake?
Ehara i te mea ka pāngia te katoa e tēnei mate ina tere rawa te pikinga o ō rātou taumata konutai , engari he nui ake te mōrearea o ētahi tāngata.
| Rōpū mōrearea | Whakaahuatanga |
|---|---|
| Ngā tāngata e whakamahi ana i te waipiro | He mea noa te kore kai me te kore taurite o te tote i roto i te hunga e inu waipiro ana mō te wā roa. |
| Ngā tūroro whakawhitinga ate | He tino teitei tēnei mōrearea mō te hunga kua oti te pokanga whakawhitinga ate. |
| Hyperemesis i te wā e hapu ana | Ka taea e te Hyperemesis Gravidarum, he āhua o te ruaki tonu i te wā e hapū ana, te whakaheke nui i ngā taumata tote o te tinana. |
| Ngā mate roa | Mā tētahi atu āhuatanga hauora roa e ngoikore ai te tinana, e hua ai rānei te kore kai pai ka nui ake te mōrearea. |
He aha ngā tohu o tēnei mate?
Ko te tikanga ka tīmata ngā tohu i roto i ngā rā e rua, e toru rānei i muri i te whakatikatika i ngā taumata konutai o te tinana. Tērā ētahi tohu ka puta wawe mai, me ētahi tohu ka puta i muri i ngā wiki.
| Ngā tohu CPM | |
|---|---|
| Ngā tohu tōmua (i roto i ngā rā 2-3) | |
| |
| Ngā tohu ka puta ake i muri mai (i muri i ētahi wiki, i ētahi marama rānei) | |
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Kaua e wehi. Ahakoa i whakaarohia i te tuatahi he teitei te reiti mate, i whakatauhia tēnā mā te tātaritanga tūpāpaku. E ai ki ngā raraunga hou, 94% o te hunga e pāngia ana e te mate ka ora . Waihoki, i waenga i te 25% me te 40% o rātou ka ora katoa . Heoi, i waenga i te 25% me te 30% ka waiho pea me ētahi hauātanga tuturu.
Me pēhea te kitenga a ngā tākuta i tēnei?
Ko te huarahi pai ki te tautuhi i tēnei mate ko te whakamahi i te matawai MRI (Magnetic Resonance Imaging) . Ka tirohia e tō tākuta ngā whakaahua MRI o tō roro, ka tirohia mēnā he huringa motuhake e tohu ana i te kino o ngā pūkahu myelin.
I ētahi wā, kāore tēnei kino e kitea tonutia i te MRI, nō reira ka tono pea tō tākuta kia mahia anō he MRI i roto i te wiki, e rua rānei.
Ka rite te CPM ki ētahi atu mate i runga i ngā whakaahua MRI. Nō reira, ka tino tupato ngā tākuta kei pohehe tēnei mate ki ēnei mate e whai ake nei.
- Te Mate Pukupuku Maha
- Te mumura o te roro (te mate pūnaha ārai mate, te mate pukupuku rānei)
- Te vasculitis o te pūnaha io matua
- Ētahi momo mate pukupuku
Ki te kore e taea e te MRI anake te whakaatu mārama i te kino, ka whakahaerehia e te tākuta he whakamātautau neurological hohonu ake. Tērā pea kei roto i tēnei ko ngā whakamātautau e ine ana i ngā tohu hiko i roto i te roro, pērā i te EEG (electroencephalography).
Me pēhea te rongoā? Ko te ārai te mea pai rawa atu!
Ko te tikanga, ko te maimoatanga matua mō te Central Pontine Myelinolysis ko te aukati i te puta mai o te mate .
He mea tino nui kia mōhio tō tīma hauora mō ngā āhuatanga mōrearea kei a koe (hei tauira, mēnā kei te inu waipiro koe, mēnā he mate hauora anō ōu) kia taea ai e rātou te whakapiki i ō taumata konutai me te haumaru, me te āta haere.
Ki te pāngia koe e tēnei mate, ka whakawhirinaki te maimoatanga ki ngā tohu e pā ana ki a koe. I roto i te nuinga o ngā wā, ka hiahiatia he marama o te whakaora tinana me ētahi atu maimoatanga whakaora.
Mena ka puta he tohu rite ki te mate a Parkinson, pērā i te wiri, ka tohua pea e tō tākuta he rongoā dopaminergic .
I a koe e noho ana i te hōhipera, he mea nui anō hoki te ārai i ngā raruraru tuarua o te maimoatanga. Ka aroturuki tonu te tīma hauora i ngā mea pēnei i:
- Te whakawhirinaki ki te mīhini manawa
- Ngā mate urutā mimi
- Pūkahukahu
- Te toto totoka i roto i te uaua (Te toto totoka o te uaua hohonu)
- Te ngoikore o te uaua
Kei te haere tonu ngā whakamātautau haumanu mō tēnei mate, ā, ka tūtohu pea tō tākuta i tētahi.
Karere Tangohia ki te Kāinga
- Ko te Central Pontine Myelinolysis (CPM) he mate kino e puta mai ana i te pakaru o ngā pukupuku myelin i roto i te roro nā te pikinga ohorere me te tere o te iti o te konutai (tote) i roto i te tinana.
- Ko te rongoā pai rawa atu mō tēnei ko te ārai . I mua i te whiwhinga i tētahi rongoā, kōrerotia tō hītori hauora katoa ki tō tākuta, inā koa mō te whakamahinga waipiro, mō ētahi atu mate rānei.
- Ki te puta tēnei āhuatanga, he nui te tūponotanga ka ora, engari ka roa pea te wā e ora katoa ai, tae atu ki te whakaora tinana.
- Ki te pāngia koe, tētahi atu rānei e mōhiotia ana e koe, e te tangata rānei, e ēnei tohu, inā koa i muri i te whai i te rongoā whakakapinga konutai i te hōhipera, me whakamōhio tonu atu ki te tākuta.
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