Ka puta te tukunga wai reo roro (CSF) ina rere te wai mā, tiaki kei te taha o tō roro me tō tūpū tuaiwi i roto i te pakaru, i te rua rānei o te hipoki tiaki. Whakaarohia he pūngāwerewere wai iti te pakaru – ka tīmata te rere o te wai i roto i te taha.
Ahakoa ka rongo pea tenei āhuatanga he wehi, he maha ngā tukunga wai reo roro e ora ana i a rātou ano me te okioki tika me te tiaki. Ko te mea nui ko te mohiotanga wawe i ngā tohu, me te whiwhi i te awhina hauora tika ina hiahia koe.
He aha te CSF me te take i nui ai?
Ko te wai reo roro (CSF) he wai mā, karakara e mahi ana hei kāpeti mo tō roro me tō tūpū tuaiwi. Ka rere a tawhio noa i ēnei hanganga nui, ka tiaki i a rātou i ngā whara, ā, ka āwhina hoki i te tango i ngā hua paru i tō pūnaha io.
Ka hangaia e tō tinana te 500 milliliters o tēnei wai i ia rā, ka whakahou tonu i te tuku. Ina puta he tukunga, ka pakaru tēnei parepare tiaki, ka taea te arahi ki ngā tohu kore pai me ngā raruraru pea mēnā ka kore e tukatuka.
He aha ngā tohu o te tukunga wai reo roro?
Ko te tohu tino kitea o te tukunga wai reo roro he mamae matua o te upoko e kaha ake ana ina noho koe, ina tū rānei, ā, ka pai ake ina takoto koe. Ka puta tēnei nā te whakaiti i te pehanga wai kei te taha o tō roro.
Ko ēnei ngā tohu ka pā atu ki a koe, mā te tīmata i ngā mea tino noa:
- Ngā mamae upoko e kaha ake ana ina tū
- Te rere wai mā, karakara i tō ihu, i ō taringa rānei
- Te kī o te kaki me te mamae
- Te ruaki me te ruaki
- Te ngawari ki te mārama me te tangi
- Te wiri, te ngaro rānei o te taurite
- Te tangi i ō taringa (tinnitus)
- Ngā huringa i te rongonga
- Te reka o te rino i tō waha
Ka kite hoki ētahi i ngā tohu kaore i te noa penei i ngā huringa tirohanga, te uaua ki te aro, te ngawari rānei o ngā taringa. Ka taea e te rere mai i tō ihu te reka tote, ka taea te āwhina i te wehewehe i te rere ihu noa.
Ka taea e ēnei tohu te puta ohorere i muri i te whara, i te wa roa rānei me ngā tukunga whaiaro. Kia aro ki te ahua o tō tinana, ina koa te tauira o ō mamae upoko.
He aha ngā momo tukunga wai reo roro?
Ka taka ngā tukunga wai reo roro ki ētahi momo nui e rua i runga i te wahi e puta ai, me te take i puta ai. Ko te mārama ki te momo ka āwhina i ngā tākuta ki te whakatau i te huarahi maimoatanga pai mō tō āhuatanga motuhake.
Ka puta ngā tukunga wai reo roro o te tuaiwi ina rere te wai i te taha o tō tūpū tuaiwi. Ka mate pea ēnei i ngā mamae upoko tino, ā, ka puta pea i muri i ngā mahi hauora penei i ngā wero lumbar, i ngā epidurals rānei, ahakoa ka puta pea i a rātou ano.
Ka puta ngā tukunga wai reo roro o te anga ina rere te wai i te taha o tō roro, te nuinga i tō ihu, i ō taringa rānei. Ka puta pea ēnei i muri i te whara o te upoko, te pokanga rānei, i etahi wā rānei kaore he take mārama.
I roto i ēnei momo, ka taea te whara (i puta mai i te whara, i ngā mahi hauora rānei) te whaiaro rānei (e puta ana i a rātou ano). He iti ake te noa o ngā tukunga whaiaro, engari ka puta pea nā te nui o te pehanga i roto i tō anga, i ngā wahi ngoikore rānei o te hipoki tiaki.
He aha te take o te tukunga wai reo roro?
Ka taea te puta o ngā tukunga wai reo roro mō ngā take rerekē, mai i ngā mahi hauora tae atu ki ngā mahi o ia rā. Ko te nuinga, ka puta i muri i ngā mahi tuaiwi penei i ngā wero lumbar, ngā wero epidural rānei, te pokanga tuaiwi rānei.
Ko ēnei ngā take matua, i whakaritea mai i te tino noa ki te iti rawa:
- Ngā mahi hauora (rero lumbar, mate epidural, pokanga tuaiwi)
- Te whara o te upoko, o te tuaiwi rānei mai i ngā aituā, i ngā hinga rānei
- Te pokanga roro, ihu rānei o mua
- Te pehanga nui i roto i te anga (intracranial hypertension)
- Ngā hapa wheua i te whānau
- Te mare, te kaha rānei
- Ētahi mate hononga kiko
- Ngā mate pūngāwerewere e pā ana ki te anga, ki te tuaiwi rānei
I etahi wā, ka puta ngā tukunga wai reo roro kaore he whakaohooho mārama – ka kiia ēnei he tukunga whaiaro. He maha ake te noa i ngā wāhine me ngā tāngata taumaha, pea nā te nui o te pehanga i roto i te anga.
I ngā take onge, ka taea e ngā mahi penei i te kawe taumaha, te whakakori kaha rānei, te rere wāhine rānei te whakaohooho i te tukunga i te tangata he wāhi ngoikore kei roto i tōna hipoki tiaki.
Nōhea te kite i te taote mō te tukunga wai reo roro?
Me rapu awhina hauora wawe koe mēnā ka puta he mamae matua o te upoko e kaha ake ana ina tū koe, ka pai ake ina takoto koe. Ko tēnei tauira motuhake he tohu whakatūpato nui e kore e tika te whakakahore.
Waea atu ki tō taote inaianei mēnā ka kite koe i te wai mā, karakara e rere ana i tō ihu, i ō taringa rānei, ina koa mēnā he reka tote, he kino ake rānei ina pēhi koe ki mua. Ka taea e tēnei te tohu i te tukunga wai reo roro o te anga e hiahia ana ki te aromatawai wawe.
Rapua te tiaki ohorere mēnā ka pā atu ki a koe te mamae matua o te upoko me te kirika, te whakapohehe rānei, i ngā tohu mate rānei. Ka taea e ēnei tohu te tohu kua tomo ngā pūkohukohu i roto i te wahi tukunga, te hanga i te āhuatanga kino e kiia nei ko te meningitis.
Kaua e tatari mēnā kua mutu tētahi mahi tuaiwi ki a koe, ka puta te mamae upoko tino i roto i ngā rā, i ngā wiki rānei i muri mai. Ko te maimoatanga wawe te nuinga o te arahi ki ngā hua pai ake me te ora tere ake.
He aha ngā take morearea mō te tukunga wai reo roro?
He maha ngā mea ka taea te whakanui i ō tūmanako ki te whanake i te tukunga wai reo roro, ahakoa te whai i ngā take morearea kaore e tikanga ka pā atu ki a koe. Ko te mārama ki ēnei ka taea te āwhina i a koe ki te noho mataara ki ngā tohu pea.
Ko ēnei ngā mea ka taea te whakaputa i a koe ki te morearea teitei:
- Ngā mahi tuaiwi hou (rero lumbar, epidural, pokanga tuaiwi)
- Te whara o te upoko, o te tuaiwi rānei o mua
- Ko te wahine (mō ngā tukunga whaiaro)
- Te momona, te nui rānei o te taumaha
- Te pehanga toto teitei
- Te moe apnea
- Ngā mate hononga kiko penei i te mate Ehlers-Danlos
- Te pokanga ihu, roro rānei o mua
- Ngā āhuatanga mare roa
Ka taea hoki e te tau te whai wāhi – ko ngā tukunga tuaiwi whaiaro te nuinga o te noa i ngā tāngata kei waenga i te 30 me te 50 tau te pakeke. Ko te whai i ngā take morearea maha kaore e whakamana ka whanake koe i te tukunga, engari he mea tika te noho mataara ki ngā tohu.
Ko ētahi āhuatanga ira tino onge e pā ana ki te kiko hononga ka taea te whakapakari i te hipoki tiaki kei te taha o tō roro me tō tūpū tuaiwi, te whakanui i te morearea tukunga i te ora katoa.
He aha ngā raruraru pea o te tukunga wai reo roro?
Ahakoa he maha ngā tukunga wai reo roro e ora ana i a rātou ano, ka taea e ngā tukunga kore e tukatuka te arahi ki ngā raruraru kino. Ko te morearea tino awangawanga ko te mate, nā te mea ka hanga e te tukunga he huarahi mō ngā pūkohukohu ki te tae atu ki tō roro, ki tō tūpū tuaiwi rānei.
Ko ēnei ngā raruraru pea, i whakarārangihia mai i te tino noa ki te iti rawa:
- Meningitis (te mate o te hipoki roro me te tuaiwi)
- Ngā mamae upoko roa, ngoikore
- Te heke o te roro (nā te ngaro o te wai kāpeti)
- Ngā raruraru rongonga, te ngaro rānei
- Ngā hopu (onge)
- Subdural hematoma (ko te kohikohi toto kei te taha o te roro)
- Ngā uaua mohio mai i te iti o te pehanga roa
Ko te rongo pai ko te nuinga o ngā raruraru ka taea te aukati me te tiaki hauora tika. Ko te tautuhi wawe me te maimoatanga tika ka whakaiti nui i te morearea o ēnei hua kino.
Ko te meningitis te raruraru pea tino kino, engari he iti te noa ina whakahaeretia tika ngā tukunga. Koia te take i nui ai te rapu awhina hauora mēnā ka whakaaro koe he tukunga wai reo roro.
Me pēhea te aukati i te tukunga wai reo roro?
He maha ngā tukunga wai reo roro e puta ana nā ngā mahi hauora, nā ngā aituā rānei kaore e taea te aukati katoa, engari he taahiraa ka taea e koe te tango hei whakaiti i tō morearea. Ko te whai i ngā tohutohu a tō taote kia tika i mua, i muri rānei i ngā mahi tuaiwi he mea nui.
Mō ngā tukunga whaiaro, ko te pupuri i te taumaha hauora ka taea te āwhina i te whakaiti i te pehanga i roto i tō anga. Ko te whakahaere i ngā āhuatanga penei i te pehanga toto teitei me te moe apnea ka taea te whakaiti i tō morearea.
Mēnā he mate hononga kiko koe, mahi tata atu ki tō rōpū hauora ki te tirotiro i ngā tohu wawe o ngā tukunga. Ko te karo i ngā mahi e whakanui nui ana i te pehanga i roto i tō upoko me tō tuaiwi, penei i te kawe taumaha ina kore koe i te whakangungua mōna, ka taea te tiaki.
I muri i te whara o te upoko, o te tuaiwi rānei, kia aro ki ngā tohu e whanake ana, me te rapu awhina hauora mēnā ka kite koe i ngā tohu whakatūpato i kōrerohia e mātou i mua.
Me pēhea te tautuhi i te tukunga wai reo roro?
Ko te tautuhi i te tukunga wai reo roro ka tīmata ki tō taote e whakarongo ana ki ō tohu, ina koa te tauira o ō mamae upoko. Ko te mamae upoko tino e pai ake ana ina takoto he tohu nui te nuinga o te wā.
Ka mahi pea tō taote i te tirotiro tinana, ka whakamātau pea i tetahi wai rere mai i tō ihu, i ō taringa rānei. Ka taea e te whakamātautau ngāwari te tirotiro mēnā kei roto i te wai he pūmua e kiia nei ko te beta-2 transferrin, e kitea ana i roto i te wai reo roro anake.
Ka āwhina ngā whakamātautau whakaahua ki te kimi i te puna tika o te tukunga. Ka uru pea ēnei ki ngā tātaritanga CT, ngā tātaritanga MRI rānei, i ngā ako motuhake e kiia nei ko ngā myelograms CT, i ngā myelograms MR rānei, kei hea te tae whakaatu e werohia ana hei whakaatu i te wahi tukunga.
I etahi wā ka tūtohu pea tō taote i te mahi e kiia nei ko te wero lumbar hei ine i te pehanga o tō wai reo roro. Ka taea e tēnei te āwhina i te whakau i te tautuhi, me te arahi i ngā whakatau maimoatanga.
He aha te maimoatanga mō te tukunga wai reo roro?
Ko te maimoatanga mō ngā tukunga wai reo roro e whakawhirinaki ana ki te wahi, te rahi, me te take o tō tukunga. He maha ngā tukunga iti, ina koa ngā mea mai i ngā mahi tuaiwi, e ora ana i a rātou ano me te maimoatanga māori me te wā.
Ko te maimoatanga māori te nuinga o te tīmata me te takoto moe, te noho pai te wai, me te karo i ngā mahi e whakanui ana i te pehanga i roto i tō upoko me tō tuaiwi. Ka tūtohu pea tō taote ki te takoto mo etahi rā hei tuku i te tukunga ki te hiri i a ia ano.
Mēnā kaore te maimoatanga māori e mahi, ka tūtohu pea tō taote i te mahi whakapiri toto. Ka uru tenei ki te wero i te iti o tō toto ake i te taha o te wahi tukunga, kei hea ka hangaia he hiri taiao hei mutu i te rere o te wai.
Mō ngā tukunga roa, nui rānei, ka hiahiatia pea te whakatikatika pokanga. Ka uru pea tenei ki te whakapiri i te rua me ngā whakapiri kiko, i ngā piri motuhake rānei hei hiri i te tuwhera. Ko te huarahi motuhake e whakawhirinaki ana ki te wahi e noho ana tō tukunga.
Ka whai hua ētahi i ngā rongoā e whakaiti ana i te hanga wai reo roro mo te wa poto, te tuku i te tukunga atu ki te ora i a ia ano.
Me pēhea te whakahaere i te tukunga wai reo roro i te kāinga?
Ko te tiaki kāinga e aro ana ki te hanga i ngā āhuatanga pai mō tō tukunga ki te ora, me te whakahaere i ō tohu kia ora. Ko te takoto moe te nuinga o te maimoatanga tuatahi nui, ina koa te takoto papatahi rawa.
Kia pai te wai mā te inu i te nui o ngā wai, ina koa te wai me ngā inu me ngā electrolytes. Ka āwhina tenei i tō tinana ki te pupuri i te hanga wai reo roro tika i te wa e ora ana te tukunga.
Karohia ngā mahi e whakanui ana i te pehanga i roto i tō upoko me tō tuaiwi, penei i te kawe taumaha, te kaha, te mare kaha rānei, te pēhi ki raro. Ā, me karo hoki ngā mahi ngāwari penei i te pupuhi i tō ihu.
Whakahaerehia ō mamae upoko me ngā rongoā kore-whakahaunga e taunakitia ana e tō taote. I etahi wā ka hoatu e te caffeine te whakaora atu mō ngā mamae upoko e hono ana ki ngā tukunga wai reo roro.
Kia mau ki ō tohu, kia tuhi i ngā huringa, i ngā whakapainga rānei. Ka nui te uara o tēnei mōhiohio mō tō rōpū hauora i te tirotiro i tō ahunga whakamua.
Me pēhea te whakarite mō tō hui taote?
I mua i tō hui, tuhia ō tohu katoa, tae atu ki te wā i tīmata ai rātou, me te mea e pai ake ai rātou, e kino ake rānei. Kia aro nui ki te tauira o ō mamae upoko me tetahi wai rere kua kite koe.
Hangaia he rārangi o ngā mahi hauora hou, ina koa ngā mahi tuaiwi penei i ngā wero lumbar, i ngā epidurals rānei. Tāpirihia ngā rā me ngā ingoa o ngā wāhi i mahia ai ēnei.
Kawe mai he rārangi katoa o ō rongoā, tae atu ki ngā rongoā kore-whakahaunga me ngā taapiri. Kia tuhi hoki i ngā whara, i ngā whara hou rānei ki tō upoko, ki tō tuaiwi rānei, ahakoa i te iti rawa i taua wā.
Tuhia ngā pātai e hiahia ana koe ki te ui ki tō taote, penei i ngā whakamātautau pea e hiahiatia ana, ngā whiringa maimoatanga pea e wātea ana, me te roa o te ora te nuinga o te wā.
Whakaarohia te kawe mai i te mema whānau, i te hoa rānei hei āwhina i a koe ki te mahara ki ngā mōhiohio i kōrerohia i te hui, ina koa mēnā kei te pā atu ki a koe ngā mamae upoko nui, i ngā tohu mohio rānei.
He aha te mea nui mō te tukunga wai reo roro?
Ko ngā tukunga wai reo roro he āhuatanga e taea te tukatuka e ora ana te nuinga me te tiaki hauora tika me te wā. Ko te mea nui ko te mohiotanga i ngā tohu motuhake, ina koa te mamae upoko e pai ake ana ina takoto.
Ko te tautuhi wawe me te maimoatanga tika ka aukati i te nuinga o ngā rarurangi kino, ka arahi ki ngā hua pai ake. Ka ora te nuinga o ngā tāngata katoa, ahakoa ka hiahia pea ētahi ki ngā maimoatanga kaha ake penei i ngā whakapiri toto, i te pokanga rānei.
Kaua e whakaroa ki te rapu awhina hauora mēnā ka whakaaro koe he tukunga wai reo roro, ina koa i muri i ngā mahi tuaiwi, i te kite rānei i te wai mā e rere ana i tō ihu, i ō taringa rānei. Ka taea e tō rōpū hauora te arahi i a koe i roto i te tukanga tautuhi me te maimoatanga.
Kia mahara ahakoa ka awangawanga ngā tukunga wai reo roro, ka hoki te nuinga o ngā tāngata e whiwhi ana i te tiaki tika ki ō rātou mahi noa kaore he raruraru roa.
Ngā pātai e ui pinepinetia ana mō te tukunga wai reo roro
P1: E hia te roa o te ora mō te tukunga wai reo roro?
Ko te nuinga o ngā tukunga wai reo roro iti e ora ana i roto i ngā rā torutoru ki ngā wiki e rua me te maimoatanga māori penei i te takoto moe me te wai. Ko ngā tukunga nui ake, i ngā mea e hiahia ana ki ngā mahi penei i ngā whakapiri toto pea ka roa ngā wiki maha ki te ora katoa. Ka tirotirohia e tō taote tō ahunga whakamua, ka whakarite i te maimoatanga kia rite ki te hiahia.
P2: Ka taea e au te whakakori me te tukunga wai reo roro?
Me karo koe i te whakakori me te mahi tinana kia ora rawa tō tukunga. Ko ngā mahi e whakanui ana i te pehanga i roto i tō upoko me tō tuaiwi ka taea te whaka kino i te tukunga, te whakaroa rānei i te ora. Kia whakamāramahia koe e tō taote, ka taea e koe te hoki haere ki ngā mahi noa, mā te tīmata ki ngā nekehanga ngawari.
P3: He mate kino te tukunga wai reo roro?
Ahakoa ko ngā tukunga wai reo roro anō he iti te mate kino, ka taea te arahi ki ngā raruraru kino penei i te meningitis mēnā kaore i te tukatuka. Koia te take i nui ai te awhina hauora wawe. Me te maimoatanga tika, ka ora te nuinga o ngā tāngata katoa kaore he raruraru roa.
P4: Me pēhea te kī mēnā he wai mai i tō ihu te CSF, te rere noa rānei?
Ko te CSF te nuinga o te wā he mā, he karakara, he reka tote. Ka mate pea ina pēhi koe ki mua, ina kaha rānei. Ko te rere ihu noa te nuinga o te wā he mātotoru, ka tae pea ki te tae. Mēnā kaore koe i te tino mohio, kohikohia etahi o te wai ki roto i te ipu mā, ka kawea atu ki tō taote hei whakamātautau.
P5: Ka hiahia au ki te pokanga mō te tukunga wai reo roro?
Ko te nuinga o ngā tukunga wai reo roro e ora ana me te maimoatanga māori penei i te takoto moe me te wai. Ko te pokanga te nuinga o te wā e waiho ana mō ngā tukunga kaore e whakautu ki ngā maimoatanga iti ake, nui rawa rānei. Ka whakamātau tō taote i te huarahi pai e mahi ana i te tuatahi, penei i te mahi whakapiri toto, i mua i te whakaaro ki te pokanga.
