Malaise: Te tikanga, ngā take, me ngā tohu i whakamārama

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He aha tērā mea te Malaise?

I roto i ngā kupu ngāwari rawa atu, ko te malaise tētahi ngā o te mamae, te māuiui, te kore rānei o te pai. Ko tōna ingoa i ahu mai i tētahi kupu Wiwi tawhito e tikanga ana ko “mamae,” e tino hopu ana i tōna ahua kāore i te tino mārama.

He mea nui kia māramahia ko te malaise he tohu, ehara i te mate tonu. Whakaarohia hei rama whakatūpato mo to tinana. He tohu tērā kei te he tētahi mea, e akiaki ana i a koe kia tino titiro ki to hauora. He maha ngā tangata e kī ana i te ngā o te malaise pērā i:

• Te ngāhihi, te ngenge rānei
• Te ngā o te kore rangimārie, te mamae rānei puta noa i te tinana
• Te ngā o te “kaingia e te mate”
• Te kore kaha kāore e whakaungia e te okiokinga
• Te ngā kāore koe e rite ki a koe anō

Nō reira, he aha te malaise ki te kore noa iho te ngenge? Ahakoa he maha ngā wā e hono ana te malaise me te ngenge, kāore rāua i te tahi. Ko te ngenge tētahi ngā o te ngenge, te raru, te kore kaha rānei. Ko te malaise he whānui ake, he kaha ake te hapai. Ka taea e koe te ngenge kāore he malaise, engari he mea tino noa te wheako ngenge hei wāhanga o te ngā whānui o te malaise. Ko te rerekētanga tērā i waenganui i te “Kua ngenge ahau” me te “Kua mamae noa ahau ki ngā wāhi katoa.”

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Ngā Take Whānui o te Malaise

Ko tētahi o ngā mea tino uaua o te malaise ko te taea te tohu o tata ki ngā mate katoa, mai i ngā wheori ngāwari ki ngā mate roa rawa atu. Ko te māramatanga o ngā take o te malaise te kaupae tuatahi ki te kimi otinga. Kia wāwāhia e tātou ki ngā rōpū.

Ngā mate poto (Acute)

Ko tēnei pea te take tino noa o te puta ohorere o te malaise. A, ka pakanga to tinana ki tētahi manuhiri, ka tukuna e to punaha ārai mate ngā matū e huaina ko ngā cytokines. E āwhina ana ēnei matū ki te whakahaere i te pakanga, engari ka puta ano hoki te mumura me ngā tohu whānui e mamae ai koe, tae atu ki tērā ngā mamae whānui puna.

Ngā mate pōturi noa: * Influenza (te rewharewha) * COVID-19 * Te makariri noa * Bronchitis, pneumonia rānei * Infectious mononucleosis (“mono”) * Urinary tract infections (UTIs)

Mo te nuinga o ēnei, ko te malaise tētahi o ngā tohu tuatahi, ka puta i mua i ngā tohu mārama ake pērā i te mare, te mamae korokoro rānei.

Ngā mate roa (Chronic)

A, ka roa te malaise mo ngā wiki, ngā marama, te roa atu rānei, ka taea e ia te tohu he mate roa kei raro. Ka taea e tēnei ngā roa o te kore pai te kaha te pa ki to kounga o te ora. Ko te pātai o he aha te take o te ngoikoretanga whānui me te ngā kino i te wā roa, ka tohu ki tētahi o ēnei mate.

• Chronic Fatigue Syndrome (CFS/ME): He mate uaua tēnei e tino kaha te ngenge, kāore hoki e taea te whakamārama e tētahi mate hauora kei raro iho. Ko tētahi tohu matua o te CFS/ME ko te post-exertional malaise (PEM). Ehara tēnei i te mea ka ngenge noa i muri i te mahi; he mate kaha rawa atu ngā tohu ka puta 12 ki te 48 haora i muri mai i te iti o te mahi tinana, te mahi hinengaro rānei, ka taea e ia te roa mo ngā rangi, ngā wiki rānei puna. Ko te māramatanga o te post-exertional malaise te ki ki te māramatanga o te CFS/ME.
• Anemia: Te kore o ngā toto whero hauora hei kawe i te hāora tika ki ngā kiko o to tinana, ka puta te ngoikoretanga, te ngenge, me te malaise puna.
• Diabetes: Ko ngā taumata huka toto kāore e pai te whakahaere ka taea te waiho koe kia ngenge, kia kore hoki e pai.
• Mate ngā ngakau, whatukuhu, ate rānei: A, kāore ēnei okana nui e pai te mahi, ka puta te kohikohinga o ngā paitini me te wai, ka puta te ngā mamae whānui.
• Ngā mate ārai tinana: Ko ngā mate pērā i te rheumatoid arthritis, lupus, me te multiple sclerosis e uru ana te punaha ārai tinana ki te whakaeke i ngā kiko o te tinana ake, ka puta te mumura me te ngā mamae tonu.
• Fibromyalgia: Ko tētahi mate e tino mamae ana ngā kiko uaua puta noa, me te ngenge, te moe, te mahara, me te raru hinengaro.

Ngā mate hinengaro

Ko te hononga i waenganui i te hinengaro me te tinana he kaha. Kāore ngā mate hinengaro e “kei roto katoa i to mahunga”; ka taea e ēnei te puta i ngā tohu tinana kaha.

• Te pouri: Ko te pouri tonu me te kore hiahia ko ngā tohu tino mōhio, engari ko ngā raru tinana kāore e whakamārama, pērā i te mamae o te tinana me te ngā tino kaha o te malaise, he tino noa hoki puna.
• Te manukanuka: Ko te noho i roto i tētahi ahua teitei tonu me te manukanuka ka ngenge te tinana, ka puta te ngenge, te uaua o te uaua, me te ngā tino mamae.

Ngā painga taha o te rongoā

I ētahi wā, ko te mea nā te rongoā kei roto i to kāpata rongoā. He maha ngā rongoā whakahaere me ngā rongoā kāore e whakahaere ka taea te whakaatu i te malaise, te ngenge rānei hei painga taha. Ko ngā tauira noa ko:

• Ētahi rongoā toto toto (pērā i te beta-blockers)
• Antihistamines
• Rongoā raru kōpōpū
• Ētahi rongoā hinengaro

A, ka tīmata to malaise i muri i to tīmatanga ki tētahi rongoā hou, he mea tika kia kōrero koe ki to taote.

Ngā mea ora

Kaua rawa e wareware i te kaha o to ahua o ia rā ki to oranga whānui. He maha ngā wā, ko ngā take o te malaise ka taea te whai i ngā mea ora e tika ana kia whakarereke.

• Moe kino: Ko te kore moe tonu he kaha te pa ki to punaha ārai mate, ki to hinengaro, me te taumata kaha.
• Nga hapa kai: Ko te kore o ngā matūkai nui, otirā te rino, te Huaora B12, te Huaora D rānei, ka puta te ngenge me te malaise puna.
• Te taumaha tonu: Ko te taumaha roa ka waiho to tinana i roto i te aronga “pakanga-rere”, ka ngenge to tinana ka waiho koe kia kore e pai tonu.
• Te kore mahi tinana: Ahakoa te ahua o te tahi, ko te noho noa ka taea te whakanui ake i ngā ngā o te ngenge me te malaise i te wā.

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Ngā Tohu Noa e Hono ana ki te Malaise

I te mea he tino kāore i te tino mārama te malaise, ka whakawhirinaki ngā taote ki ngā tohu atu e wheako ana koe ki te āwhina i te whāiti i te take. Ko te aroturuki i ngā tohu malaise e hono ana ka taea te whakarato i ngā tohu nui.

Anei ngā tohu noa e puta ana i te taha o taua ngā mamae whānui: * Ngenge, wairangi rānei: He ngā tino ngenge. * Mamae tinana: Te mamae uaua, te mamae hononga rānei kāore e whakamārama. * Te kirika, te makariri rānei: He tohu kei te pakanga to tinana ki tētahi mate. * Te mamae o te upoko: Mai i te mamae ngā noa ki te mamae kaha ake. * Te ngaro o te hiahia kai: Kāore e ngāhihi ana ki te kai, te ngāhihi rānei ki te whakaaro mo te kai. * Te whānauki, te mamae upoko rānei: Te ngāhihi kāore e kaha te tū. * Kohu roro: Te uaua ki te aro, te ngāhihi o te hinengaro, te wareware rānei.

A, kei te wheako koe i te malaise, tangohia he wā ki te tuhi i ngā tohu katoa e kite ana koe, ahakoa te ngāwari o te titiro. Ka tino whai hua tēnei mōhiohio ka kōrero koe ki tētahi kaiwhakarato hauora.

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Me Pēhea te Taote e Kimihia ai te Take o te Malaise

A, ka haere koe ki tētahi taote mo tētahi ngā roa o te malaise, ko tō rātou whāinga matua ko te takaro kaiwhakatere me te kimi i te take kei raro iho. I te mea he whānui ngā whai wāhitanga, ko te tukanga kimi te tikanga he tukanga tino pai.

Anei te mea e tatari ana koe:

1. Te Kōrero Hauora Kōrero me te Kōrero: Ko tēnei te kaupae tino nui. Ka pātai te taote he rārangi pātai kia whiwhi ai i tētahi pikitia katoa o to hauora. Kia rite ki te whakautu i ngā pātai pērā i:

   • A, ka tīmata te ngā o te malaise?
   • Kua pumau tonu, ka puta mai rānei, ka ngaro rānei?
   • He aha ētahi atu tohu malaise e wheako ana koe?
   • He aha te mea ka pai ake, ka kino ake rānei?
   • Kua whai mate hou koe, kua haere rānei, me ngā taumaha nui o te ora?
   • He aha ngā rongoā me ngā taapiri e tangohia ana e koe?

2. Tētahi Whakamātau Tinana Whakatika: Ka tirohia e te taote ngā tohu ora (toto toto, ngākau, pāmahana), ka whakarongo ki to ngākau me ngā mōrere, ka tirotiro i ngā kōpuku rūnanga pakapaka, ka whakahaere i ētahi atu whakamātau tinana ki te rapu tohu o te mate.

3. Ngā whakamātau Kimihanga (Mehemea E Tika Ana): I runga i ngā tohu me ngā hua o te whakamātau tinana, ka taea e te taote te tono whakamātau kia nui ake ai ngā mōhiohio. Ko ngā whakamātau noa ko:

   • Ngā whakamātau toto: Ko tētahi tatauranga toto katoa (CBC) ka taea te tirotiro i ngā tohu o te mate, te anemia rānei. Ko ētahi atu whakamātau ka taea te tirotiro i te huka toto, te mahi whatukuhu me te ate, ngā taumata thyroid, me te rapu tohu o te mumura.
   • Ngā whakamātau mimi: Ka taea te āwhina ki te kite i te mate UTI, te raru whatukuhu rānei.
   • Ngā whakaahua Whakaahua: I ētahi wā, ka taea e te X-ray, te CT scan, te ultrasound rānei te tirotiro i ngā okana motuhake.

Ko te mea nui kia mahara ko te rongoā kei te aro ki te mate kei raro iho, ehara ki te malaise tonu. A, ka kitea, ka whakahaerea te take matua, ka pai ake te ngā o te malaise.

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A, Ka Tika Kia Kite i te Taote?

He uaua ki te mōhio ahea te ngā whānui o te kore pai e tika ai te whakaaro ngaio. Nō reira, a, ka tika kia kite i te taote mo te ngenge me te malaise?

He pai te whakaaro ki te whakarite whakawhitinga me to taote kaiwhakarato hauora mehemea:

• Ko to ngā o te malaise ka roa mo neke atu i te kotahi wiki kāore he take mārama (pērā i te makariri).
• Ko ngā tohu e raruraru ana i to kaha ki te mahi i ngā mahi o ia rā pērā i te mahi, te kura, te tiaki tangata rānei.
• He mate roa to koe, a ko to malaise e tohu ana i tētahi huringa nui i roto i o tohu.

Ko te whakautu ki te pātai o a, ka tika kia kite i te taote mo te ngenge me te malaise e pā ana hoki ki te tautuhi i ngā tohu whakatūpato.

Rapua te tiaki hauora tonu mehemea ko to malaise kei roto ngā tohu tino kaha e whai ake nei:

• Te mamae o te uma, te pēhanga rānei
• Te manawa poto, te uaua rānei ki te manawa
• Te paremo, te ngaro rānei o te mahara
• Te raruraru, te whakama rānei
• Te mamae tino nui o te upoko
• Te kaki pakeke
• Ngā raru kōpōpū

Ko ēnei ka taea te tohu o tētahi ohorere e mate ai koe, pērā i te mate ngā ngā ngā ngā ngā ngā ngā ngā, te whiu rānei, te meningitis rānei puna. Kaua e tatari—karanga tonu ki ngā ratonga ohorere.

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Whakamutunga: Whakarongo ki te Tohu a Tou Tinana

Ko taua ngā tino mamae kāore i te tino mārama, kāore i te he noa iho; he tohu nui tēnei mai i to tinana. He karere tēnei kei te hiahia tētahi mea ki to aro, ahakoa ko te timatanga o tētahi rewharewha ngāwari, he tohu o te taumaha roa, he tohu rānei o tētahi mate hauora uaua ake.

Ahakoa he maha ngā wā ka puta mai i ngā mate ngāwari e pai ana i a ia ano, he mea nui kia kaua e wareware i te malaise roa, kaha rānei. Ko te titiro ki to tinana, te aroturuki i o tohu, me te mōhio ahea te tono āwhina he kaha rawa ngā taputapu ki te tiaki i to hauora.

A, kei te ngā koe, kāore e taea e koe te whakakore, kaua e whakaroa ki te kōrero ki tētahi kaiwhakarato hauora. Ka taea e rātou te āwhina i a koe ki te whakamaori i te karere a to tinana, ki te whakarato i tētahi whakamāramatanga tika, me te whakahoki koe ki te ara ki te ngā pai anō. Ko te whiwhi mārama ka taea te whakarato ehara i te mahere rongoā anake, engari ko te rangimārie hinengaro nui hoki.