Kua rongo koe i tētahi mate e pā ana ki ngā wāhanga mā o tō roro (White Matter Disease)? Me kōrero tāua!

Kei te ahua kino haere tō mahara i a koe e pakeke haere ana? Kei te ahua ngoikore rānei tō taurite i a koe e hikoi ana, e mahi ana rānei i ētahi mea? He mea noa pea ēnei e puta mai ana i te pakeketanga. Heoi, i ētahi wā, tera pea he take kei muri i ēnei tohu me tino tupato koe. Āe, i tēnei rā ka kōrero tātou mō tētahi āhuatanga e pā ana ki te mea mā o tō tātou roro.

He aha tēnei mate e pā ana ki ngā wāhanga mā o te roro (White Matter Disease)?

He kupu whānui tēnei mō ngā kino me ngā panonitanga ki te mea mā i roto i tō tātou roro. Whakaarohia tēnei mea mā hei whatunga "huarahi" e hono ana i ngā wāhanga rerekē o tō tātou roro tetahi ki tetahi, tae atu ki te roro me te taurakira. Ka tīmata ngā raruraru ina pakaru ēnei "huarahi".

Ka kiia tēnei āhuatanga i ētahi wā ko te mate oko toto iti o te roro , ko te mate moroiti rānei. Ka puta pea i te koroheketanga me ngā panonitanga o ngā oko toto i roto i te mea ma o te roro. Ka taea te ngawari, te taurite, te kino rānei .

Ina pakaru tō mea ma, ka huri hei whara mea ma . Ka kitea pea ēnei e ngā tākuta he ira kanapa i runga i te matawai whakaahua aukume (MRI) o te roro. I ētahi wā, kāore pea ēnei whara e puta he tohu nui, ā, he "mea noa" te puta o ētahi o aua tohu i a tātou e pakeke haere ana. Heoi, ka taea e ētahi whara te kino i ngā "huarahi" nui o te roro, ka puta he raruraru ki te mahara, te taurite, me te hikoi .

Ko te tikanga, ko te hunga he nui ake ngā whara o te mea ma (arā, he nui ake te mate o te mea ma) ka nui ake ngā tohu .

He hononga kaha tēnei mate o te mea ma ki ngā āhuatanga mōrearea o te mate ngakau me te pūnaha toto . E whakapono ana ngā kairangahau he tohu koiora tēnei e tohu ana i te mōrearea o te whiu, te mate wareware, me te hauātanga puta noa i te oranga.

He aha rawa tēnei mea mā?

He whatunga nui o ngā muka io (axons) te mea mā i roto i tō tātou roro. Koinei te wāhi e whakawhitiwhiti kōrero ai, e whakawhitiwhiti kōrero ai hoki i waenga i ngā wāhanga rerekē o te roro. Ka kiia ko te "mea mā" nā te mea kei roto i ēnei muka io he hipoki tiaki e kiia nei ko te myelin . Nā taua myelin ka whiwhi tēnei kiko i tōna tae mā.

He mea hina kei te mata me ngā wāhanga hohonu o tō roro. Ka whiwhi ia i tōna tae hina mai i ngā tinana pūtau o ngā pūtau io (ngā neuron).

Kia ora ai tō tātou kiko mā, me pai te rere o te toto me ngā matūkai .

Pērā i te tarutaru o tā tātou māra e hiahia ana ki te wai, ki te hihi o te rā, me te rake kia ātaahua tonu ai, ka taea te pakaru o te mea ma i roto i te roro mēnā kāore i te pai te rere o te toto me te kai.

Ka taea e te whakahekenga o te rere o te toto (e mōhiotia ana i roto i te rongoā ko te ischemia ) me te whakahekenga o ngā matūkai te kino i ēnei muka io. Ka pupuhi, ka whati, ka mate rawa rānei.

Ko wai te hunga e tino pāngia ana e tēnei mate kiri mā?

Ahakoa ka taea te whakawhanake i roto i te tangata katoa, ko te mea tino noa ko te hunga neke atu i te 60 tau te pakeke me te hunga he mate ngakau .

Hei tauira, ko te hunga e pāngia ana e ngā mate pēnei i te migraines , tera pea ka kitea he whara o te mea ma i runga i te matawai MRI o te roro. Heoi, i te pakeketanga me te pikinga ake o ngā āhuatanga mōrearea kore e taea te whakahaere mō te mate ngakau, tera pea ka piki ake te maha o ēnei whara.

Tērā pea ka nui ake te tūponotanga o ētahi tāngata ki te pāngia e tēnei mate nā runga i ngā āhuatanga mōrearea ira .

He pēhea te noa o tēnei āhuatanga?

He mate tino noa te mate o te mea mā, e pāngia ana e te neke atu i te haurua o te hunga neke atu i te 60 tau te pakeke.

He aha ngā tohu o tēnei mate kiri mā?

Anei ētahi tohu ka puta pea i roto i tēnei āhuatanga:

• Ngā raruraru mahara .
• Te hikoi puhoi .
• Ngā raruraru taurite me ngā hinganga pinepine .
• He uaua ki te mahi i ngā mea e rua, neke atu rānei i te wā kotahi , hei tauira, te hikoi me te kōrero.
• Ngā huringa kare ā-roto , ngā āhuatanga pēnei i te pouri .
• Te uaua ki te whakahaere i te mimi (te kore e taea te pupuri i te mimi) .

He nui ake te kitea o ēnei tohu i roto i te hunga he nui ake te kino o te mate.

Engari kia maumahara, he maha o ēnei tohu ka puta mai i ngā huringa noa e puta mai ana i te koroheketanga, i ētahi atu āhuatanga hauora rānei pērā i te mate rumatiki, te neuropathy e pā ana ki te mate huka, te mate wareware a Alzheimer, te kore moe rānei . Heoi, ki te puta mai ēnei tohu, ā, ka tere te kino haere, he mea hei āwangawanga.

I ētahi wā, ka kitea noatia te mate kiri mā i te wā o te MRI o te roro mō tētahi atu take. Tērā pea ka pāngia ētahi tāngata e tēnei mate engari kāore he tohu (kāore he tohu). He pai ake te kōrero ki tō tākuta kia mōhio ai mēnā nā te mate kiri mā ō tohu, nā tētahi atu take rānei.

He aha te take o tēnei mate kiri mā?

Kei te rangahau tonu ngā kairangahau i te mate me ōna pūtake. I tēnei wā, e whakapono ana rātou ko te hekenga roa o te rere o te toto ki ngā muka io i roto i te mea mā te kiri te take.Nā te mea kua pakaru ēnei muka.

I a tātou e pakeke haere ana, ka pakari haere, ka iti ake te ngāwari o ō tātou uaua toto . Ka taea e tēnei te whakaiti i te rere o te toto ki ngā io o te roro, ā, ka kino hoki te mea mā.

Tērā pea ka puta mai i tētahi āhuatanga e kiia nei ko te atherosclerosis . Koinei te wā e hangai ai te paraka ki roto i ō tātou uaua i roto i te wā, ka matotoru, ka whakapakeke hoki ngā pakitara o te uaua. Ka pā tēnei ki tētahi uaua o te tinana, tae atu ki ngā uaua o te roro.

Mā te whai i ngā āhuatanga mōrearea mō te ngākau me te ngākau, pērā i te toto toto tiketike, te huka toto tiketike nā te mate huka, te cholesterol tiketike i roto i ngā kai, me te momi hikareti , ka piki ake te maha o ngā whara o te mea ma i roto i tō roro.

Ētahi atu take o ngā whara o te mea mā

Ko tētahi tukanga e puta ai he huringa ki te hanganga matū o ngā muka io kua kapi i te myelin, he kino, he iti rānei te rere o te toto (ischemia), ka puta hei whara o te mea ma i runga i te matawai MRI.

Ahakoa he kohinga whara o te mea ma te uaua i puta mai i ngā raruraru toto, ka taea hoki e koe te whakawhanake i ngā whara iti o te mea ma mo ētahi atu take. Hei tauira, ka kitea ēnei whara i roto i ngā mate mumura demyelinating pēnei i te multiple sclerosis (MS) me ngā āhuatanga ira pēnei i te leukodystrophy .

Ka taea e ngā tākuta pēnei i ngā tākuta roro me ngā tākuta hihi-ira te wehewehe i waenga i te mate kiri mā me ētahi atu take o ngā whara i runga i tō rātou wāhi i roto i te roro i runga i te matawai MRI. I ētahi wā ka hiahiatia he whakamātautau tāpiri hei whakatau i te tino take o ngā whara kiri mā e kitea ana i runga i te matawai MRI.

Me pēhea te tautuhi i tēnei mate o te mea mā?

Ko te huarahi matua ki te tautuhi i tēnei mate ko te matawai i te whakaahua aukume (MRI) o te roro . He whakamātautau kore mamae te matawai MRI e whakaputa ana i ngā pikitia tino mārama o ngā wāhanga rerekē o te tinana. Ka whakamahia e te mīhini MRI he aukume nui, ngā ngaru reo irirangi, me te rorohiko hei whakaputa i ēnei pikitia taipitopito, me te kore e whakamahi i tetahi irahiko (kāore he hihi-X).

Ka taea e ngā matawai MRI o te roro te āwhina i ngā tākuta ki te kite i te nui o te kino ki te mea ma o tō roro, me te tautuhi i te mate o te mea ma.

Ka puta ngā panonitanga o te mea mā hei whara i runga i te MRI. Ka taea te tapa i ēnei panonitanga o te mea mā i roto i ngā momo huarahi i runga i te pūrongo MRI:

• Ngā mate, ngā whara rānei o te mea ma o te roro, o raro rānei i te tinana.
• Te mate moroiti-uaua.
• Ngā huringa kore-motuhake o te mea ma.
• Ngā whara (ngā whara) o te T2.

I ētahi wā, ka kite pea tō tākuta i ngā tohu o te mate kiri mā i runga i ngā hua o te matawai MRI i mahia e koe mō tētahi atu mate. I ētahi wā anō, ka tono pea tō tākuta i tētahi MRI mēnā kāore e kitea e rātou tētahi atu take mārama mō ō tohu, pērā i ngā raruraru ki te taurite me te mahara.

Ahakoa kei reira ētahi atu whakamātautau whakaahua, pērā i ngā matawai CT (Computed Tomography scans) , ko te whakaahua aukume (MRI) te mea tino pai rawa atu mō te tautuhi i te mate o te mea ma.

I te wā e tātaritatia ana tēnei mate, ka whakahaerehia pea e tō tākuta he whakamātautau io hei aromatawai i ō tohumate.

Nā te mea e hono ana te mate kiri mā ki ngā āhuatanga mōrearea o te mate ngakau, ka tono pea tō tākuta i ngā whakamātautau toto pēnei hei aromatawai i tō mōrearea:

• He papatohu whānui mō ngā mahi pākia o te tinana .
• Paewhiri lipid (tirohia ngā taumata cholesterol).
• Whakamātautau hemoglobin glycosylated (HbA1c) (tirohia te tūnga mate huka).

Me pēhea te rongoā i tēnei mate kiri mā?

I te rongoā i tēnei mate, ko te arotahi matua a ngā tākuta ko te whakahaere i ngā tohu me te whakahaere i ngā tūponotanga e pā ana ki te mate ngakau.

Mā te rongoā i ngā raruraru hauora pēnei i te toto toto tiketike, te mate huka, te cholesterol tiketike, me te whakamutu i te kai paipa, ka āwhina i te ārai i ngā whara o te mea ma .

Ahakoa kāore he maimoatanga hei whakatika i te mea ma kua pakaru kē, ko te hunga he nui ake ngā raruraru hauora kāore i te whakahaeretia, he nui ake te kino me te hauātanga o te mea ma.

Te maimoatanga mō ngā tohu o te mea mā

• Te whakaora tinana : Ka taea e tēnei te āwhina i ngā raruraru taurite me te hikoi i puta mai i te mate kiri mā. Kei roto hoki i tēnei ko te ako me te maimoatanga hei ārai i ngā hinganga.
• Te tohutohu hinengaro me te maimoatanga hinengaro : Mō ngā raruraru hauora hinengaro pēnei i te pouri, ka taea te whakahaere i ngā tohu mā te kōrero ki tētahi tohunga hinengaro , ā, ki te tika, mā te whiwhi rongoā ārai pouri mai i tētahi tohunga hinengaro .
• Te kore e taea te pupuri i te mimi : He maha ngā maimoatanga mō tēnei, tae atu ki ngā rongoā, ngā huringa āhua noho, me ētahi tikanga hauora.

Te whakahaere i ngā āhuatanga mōrearea o te mate manawa

Mā te whakahaere i ngā āhuatanga mōrearea e pā ana ki te mate ngakau ka āwhina i te whakahaere i te haere whakamua o te mate kiri mā, me te ārai i ngā mate ngakau morearea pērā i te whiu.

Ko ngā maimoatanga e āwhina ana ki te whakahaere i ngā āhuatanga mōrearea o te mate ngakau me te pūnaha toto ko:

• Ngā rongoā me ngā huringa momo noho hei pupuri i te toto toto hauora.
• Te whakahaere i te mate huka (mēnā he mate huka tōu).
• Te whakahaere i ngā taumata cholesterol mā te rongoā me ngā huringa āhua noho .
• Te whakakorikori tinana i ngā wā katoa .
• Āta karohia te momi hikareti .
• Te karo i te whakamahi waipiro .
• Ngā rongoā ārai-pereti (he rōpū rongoā ēnei hei ārai i te piri o ngā pūtau toto me te hanga i ngā toto totoka).
• Ngā Statin (ahakoa he noa ō taumata cholesterol, ka taea e ēnei te āwhina ki te whakaiti i te mumura i roto i ngā oko toto).

He aha te momo tākuta e rongoā ana i tēnei mate kiri mā?

I runga i ō tohu me tō āhua, ka taea e koe te toro atu ki tētahi, ki ētahi rānei o ēnei tākuta hei rongoā i ngā tohu o te mate kiri mā, hei aroturuki hoki i tōna whanaketanga:

• Tohunga roro
• Tō tākuta whānau (kaiwhakarato ratonga tuatahi)
• Kaiwhakaora tinana
• Kaiwhakaora mahi
• Tākuta tinana
• Tākuta ngakau
• Tohunga Uro
• Tākuta Hinengaro me/ranei Tākuta Hinengaro

Ka taea te ārai i tēnei mate kiri mā?

E whakaatu ana ngā rangahau he nui ake te mōrearea o te hunga he take mōrearea ki te mate manawa, ki te pāngia hoki e te mate o te mea ma.

Ko ngā āhuatanga mōrearea mō te mate ngakau ko:

• Te toto toto tiketike (hypertension)
• Te cholesterol teitei (Hyperlipidemia, Dyslipidemia)
• Te momi hikareti
• Te mate huka kāore i te pai te whakahaere

He mea ka taea e koe te mahi hei whakahaere i te haere whakamua o tēnei mate. Kua whakaatuhia e ngā rangahau mā te whakahaere i ēnei āhuatanga mōrearea, pērā i te tango rongoā, te whakarerekē i te āhua noho, me/te whakamutu rānei i te kai paipa, ka āwhina i te aukati i te hanganga o ngā whara hou o te mea ma.

He aha te matapae mō te mate kiri mā?

He whānuitia ngā āhuatanga o te mate kiri mā, mai i te ngawari ki te kino i runga i te MRI. Ko ngā tohu e pā ana ki tēnei mate ka rerekē mai i te kore ki te kino. Nō reira, he rerekē te tirohanga mō te mate kiri mā i ia tangata, i ia tangata.

Mena kua tāpaetia koe kei te mate koe i te mea mā, he mea pai kia kōrero koe ki tō tākuta roro mō ngā mea ka taea e koe te tumanako.

Āhea koe me toro atu ki te tākuta mō te mate o te mea mā?

Mena kua tāpaetia koe kei te mate kiri mā, he mea nui kia toro atu koe ki tō tākuta tiaki tuatahi i ia wā, i ia wā, kia matapakihia ai te whakahaere i ō āhuatanga mōrearea. I runga anō i te āhua me te kaha o tō mate kiri mā, me ō tohumate, me toro atu pea koe ki ētahi atu tohunga.

Mena he mate kiri mā tōu, he mea nui kia aro nui koe ki tō hauora ngākau me te ngākau. Hei tauira, mā te tango rongoā hei whakahaere i tō cholesterol me te toto toto tiketike, me te whakarerekē i te āhua noho, ka āwhina i te ārai i ngā whara kiri mā hou, me te whakaiti i tō tūponotanga ki te whiu me te mate wareware. Mena he pātai āu mō tēnei āhuatanga, mō ngā āhuatanga tūpono rānei mō te mate ngākau me te ngākau, pātai atu ki tō tākuta. Kei konei rātou hei āwhina.

Karere Tangohia ki te Kāinga

Āe, kia tirohia ētahi mea ngāwari hei maumahara mō te Mate Matū Ma i kōrerohia e tātou:

• He kino tēnei ki te mea ma o te roro , he rite ki te kino ki ngā "rori" e kawe ana i ngā mōhiotanga i roto i te roro.
• He maha ngā wā e hono ana ki te koroheketanga me ngā āhuatanga mōrearea o te mate ngakau (te toto toto tiketike, te mate huka, te cholesterol, te kai hikareti).
• Ko ētahi o ngā tohu ko te ngaronga o te mahara, te uaua ki te hikoi, me te ngaronga o te taurite .
• Ka kitea te mate mā te matawai MRI .
• Ahakoa kāore e taea te whakakore katoa i ngā kino kua pā mai, ka taea te whakahaere i te āhua mā te whakahaere i ngā āhuatanga mōrearea me te rongoā i ngā tohumate .
• He mea tino nui te tiaki i te hauora o te ngākau hei ārai i te whanaketanga atu o tēnei mate.

Mena kei a koe ētahi o ēnei tohu, ki te hiahia rānei koe ki te mōhio atu mō tēnei, me rapu tohutohu hauora . Kaua e mataku, ko te mea nui ko te mōhio ki ngā mōhiotanga tika me te mahi i ngā mahi e tika ana.

` Te mate o te mea mā, ngā mate roro, te mate o te mea mā, te ngoikore o te mahara, te ngaronga o te taurite, te koroheketanga, te mōrearea o te mate ngakau, te MRI