Created at:1/16/2025
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Ko te parekura roro tētahi rōpū o ngā āhuatanga e pā ana ki te nekehanga o tō tinana me te pupuri i tō tu. Ka puta mai i te kore o ngā wāhanga o te roro e whakahaere ana i te nekehanga me te whakahaere i te whanaketanga tika, i te pakaru rānei i mua, i te wā, i muri tata mai rānei i te whānautanga.
He rerekē te pānga o tēnei āhuatanga ki te tangata katoa. Ahakoa pea he iti ngā raruraru o ētahi ki te whakahaere, ka hiahia pea ētahi atu ki te tautoko atu ki ngā mahi o ia rā. Ko te mea nui kia mōhio ko te parekura roro e kore e kino ake i te wā, ā, mā te tiaki me te tautoko tika, ka taea e te hunga he parekura roro te noho ora, ora whai kiko.
He āhuatanga pumau te parekura roro e pā ana ki te nekehanga, te uaua o te uaua, me te tu. Ko te kupu "roro" e tohu ana ki te roro, ā, ko te "parekura" e tohu ana ki te ngoikore, ki te raruraru rānei ki te nekehanga.
Whakaarohia tō roro hei pokapū whakahaere mō ō nekehanga katoa. Ki te pāngia etahi wāhi o tenei pokapū whakahaere, ka taea e ia te whakarereke i te mahi tahi o ngā uaua. Ka pā pea tenei ki te hikoi, ki te kōrero, ki te kai, ki te whakamahi rānei i ō ringa, kei te wāhi o te roro e pā ana.
Ka whanake te āhuatanga i te timatanga o te ora, i mua i te 2 tau te pakeke. Ahakoa he āhuatanga ora tonu, kāore e tupu ake, kāore rānei e kino ake i te wā e pakeke ana koe. He tokomaha ngā tāngata he parekura roro e ora ana i te ora motuhake, hua, mā te tautoko me te maimoatanga tika.
Ka wehewehea e ngā tākua ngā momo parekura roro ki ngā momo rerekē i runga i te āhua o te pānga ki te nekehanga me ngā wāhanga o te tinana e pā ana. Ko te mārama ki ēnei momo ka āwhina i te hanga i te mahere maimoatanga pai mō ia tangata.
Ko ngā momo matua ko te parekura roro spastic, e pā ana ki ngā uaua pakari, uaua. Koinei te momo tino noa, e pā ana ki te 75% o te hunga he āhuatanga. Ka kite pea koe i ngā nekehanga wiri, i te uaua rānei ki te whakamahi i ētahi uaua.
Ko te parekura roro dyskinetic e pā ana ki te whakahaere uaua, e puta ai ngā nekehanga kore mana e taea te ngawari me te wiri, te tere rānei me te wiri. He maha ngā tāngata he momo nei e uaua ana ki te pupuri i ngā tu pumau, ina koa i te noho, i te tū rānei.
Ko te parekura roro ataxic e pā ana ki te toenga me te whakahaere. Ka kitea pea te hikoi e kore e pumau, ā, ka uaua pea ngā nekehanga tika penei i te tuhituhi, i te pihi rānei i ngā kakahu. He iti ake te noa o tēnei momo i ētahi atu.
Ka whakakotahi te parekura roro whakakotahi i ngā āhuatanga mai i ngā momo rerekē. He tokomaha ngā tāngata he momo nei, kei te pai ngā tohu ki tētahi kātene anake.
He rerekē ngā tohu o te parekura roro mai i te tangata ki te tangata, engari ko te nuinga e pā ana ki ngā huringa i te nekehanga, i te tu, i te whakahaere rānei. Ka kitea pea ēnei tohu i ngā tau tuatahi o te ora i te wā e tae ana ngā tamariki ki ngā tohu whanaketanga.
Ko ēnei ngā tohu nekehanga me te tu ka kitea pea e koe:
I tua atu i te nekehanga, ka taea e te parekura roro te pā ki ētahi atu wāhanga o te whanaketanga. He maha ngā tāngata e pā ana ki ngā raruraru ki te kōrero, ki te horomi, ki te kite rānei, ā, ko ētahi atu pea he rerekētanga ako, he mau rānei.
He mea nui kia mahara ko te whai parekura roro kāore i te tikanga ko te whai mate hinengaro. He maha ngā tāngata he āhuatanga nei he pūkenga mohio noa, he pai hoki i ngā mahi ako, toi, i ētahi atu wāhanga hoki o te hiahia.
Ka whanake te parekura roro ina pakaru te roro e whanake ana, kāore rānei e hanga tika. Ka puta pea tenei i mua i te whānautanga, engari ka puta pea i te wā e whānau ana, i te timatanga rānei o te tamaiti.
Ko ngā take tino noa ka puta i te wā hapu, tae atu ki ngā mate i roto i te whaea, ngā raruraru ki te rere o te toto ki te roro o te pēpi, i ngā take ira rānei e pā ana ki te whanaketanga o te roro. I etahi wa ka whanake noa te roro i te huarahi rerekē kaore he take e taea te tautuhi.
Ko ngā take e pā ana ki te whānautanga ka uru atu ngā raruraru i te wā e whānau ana, penei i te kore o te pēpi e whiwhi hau, te whānautanga wawe, te iti rawa rānei o te taumaha o te whānautanga. Heoi, he mea nui kia mōhio ko te nuinga o ngā whānautanga e pai ana, ā, he iti te noa o te parekura roro.
I muri i te whānautanga, ko ngā take pea ko ngā mate kino penei i te meningitis, ngā whara o te ulu, i ngā raruraru rānei e kore ai e whiwhi hau te roro. He iti ake te noa o ēnei take i muri i te whānautanga i ētahi atu i mua, i te wā rānei o te whānautanga.
Mō te maha o ngā whānau, kāore e taea e ngā tākua te tautuhi tika i te take o te parekura roro o tā rātou tamaiti. Ka uaua pea tēnei kore mōhio, engari he mea nui kia mōhio ko te nuinga kāore he mea i mahi tetahi, kāore rānei i taea te aukati.
Ka taea e ētahi take te whakapiki ake i te tūponotanga o te whanaketanga o te parekura roro, ahakoa te whai i ēnei take morearea kāore i te tikanga ka puta rawa te āhuatanga. Ko te mārama ki ēnei ka taea te awhina i ngā kaiwhakarato hauora ki te tirotiro i ngā haputanga me ngā pēpi hou.
Ko ngā take morearea e pā ana ki te haputanga ko ngā whānautanga maha penei i ngā māhoe, i ngā torutoru rānei, ngā mate i te wā hapu, me ngā āhuatanga hauora i roto i te whaea penei i ngā raruraru thyroid, i ngā mau rānei. Ka taea hoki e ngā haputanga tino wawe, tino wā roa te whakapiki ake i te morearea.
Ko ngā take e pā ana ki te whānautanga ko te whānautanga wawe, ina koa i mua i te 32 wiki, te iti rawa o te taumaha o te whānautanga, te pāngia rānei e ngā raruraru i te wā e whānau ana. Ka nui ake pea te morearea o ngā pēpi e hiahia ana ki te tiaki nui i muri i te whānautanga.
Ko ngā take morearea iti ake ko ngā rerekētanga toto i waenga i te whaea me te pēpi, te whakamahinga ki ētahi pokanoa, i ngā āhuatanga ira rānei e pā ana ki te whanaketanga o te roro. Heoi, ko te nuinga o ngā pēpi he take morearea nei e whanake ana i te āhua noa.
Ka tino uaua pea te whai take morearea, engari kia mahara kua pai ake ngā hua mō ngā pēpi, ahakoa ngā pēpi i whānau mai me ngā raruraru, mā ngā whakapainga i roto i te tiaki hauora.
Me kōrero koe ki tō tākua tamariki ki te kite koe i ngā whakaroa i te whanaketanga o tō tamaiti, i ngā āhua kore noa rānei i ō rātou nekehanga. Ka taea e te tautuhi wawe me te whakauru te whakarereke nui i ngā hua.
Whakapa atu ki tō tākua ki te kore e tae tō tamaiti ki ngā tohu noa penei i te noho i te 9 marama, te hikoi i te 18 marama rānei, ki te ngaro rānei i ngā pūkenga i whai rātou i mua. Ko ētahi atu tohu āwangawanga ko te uaua o te uaua, te ngoikore rānei o te uaua, te uaua rānei ki te kai.
Whakaarohia ō whakaaro hei mātua. Ki te rerekē te āhua o te whanaketanga o tō tamaiti, he tika tonu te kōrero i ō awangawanga ki tō kaiwhakarato hauora. Ka taea e rātou te awhina i te whakatau mena he hiahia ki te aromatawai atu.
Mō ngā tamariki kua tohua he parekura roro, he mea nui ngā whai wā tonu. Whakapa atu ki tō rōpū hauora ki te kite koe i ngā tohu hou, ngā huringa i ngā tohu o mua, i ngā awangawanga rānei mō te mamae, te kore ngāwari rānei.
Ahakoa ko te parekura roro e pā ana ki te nekehanga, ka taea e ia te arahi ki ētahi atu wero hauora. Ko te mārama ki ēnei wāhi ka āwhina i ngā whānau ki te whakarite me te rapu i te tiaki tika ina hiahiatia.
Ko ngā raruraru noa ka puta pea ko:
Ka pā pea ētahi ki ngā raruraru kite, whakarongo, kōrero rānei, i ngā rerekētanga ako rānei. Heoi, kāore ēnei raruraru e pā ki te katoa he parekura roro, ā, ka taea te whakahaere pai i te nuinga mā te tiaki tika.
Ka āwhina ngā whai wā hauora tonu ki te hopu me te whakahaere i ngā raruraru i te timatanga. Ka taea e tō rōpū hauora te mahi tahi me koe ki te aukati i ngā raruraru ina taea, me te whakahaere wawe ina puta.
Ko te tohu i te parekura roro e whakauru ana i te tirotiro ata i te whanaketanga o tō tamaiti me ngā āhua nekehanga i te wā. Kāore he whakamātautau kotahi e taea te tohu i te āhuatanga, no reira ka whakamahi ngā tākua i ngā huarahi maha ki te tae ki te whakatau.
Ka tīmata tō tākua tamariki mā te aroturuki i ngā tohu whanaketanga o tō tamaiti me te mahi i ngā whakamātautau tinana. Ka tirotirohia e rātou te nekehanga o tō tamaiti, te uaua o te uaua, ngā whakautu, me te whakahaere i ngā tirotiro noa.
Ki te puta mai ngā awangawanga, ka tono pea tō tākua koe ki ngā tohunga penei i ngā neurologists tamariki, i ngā pediatricians whanaketanga rānei. He whakangungu motuhake ēnei tohunga i ngā āhuatanga o te roro me te pūnaha io i ngā tamariki.
Ko ētahi atu whakamātautau pea ko te whakaahua roro penei i ngā tātaritanga MRI ki te titiro ki te hanganga o te roro, i ētahi atu aromatawai rānei ki te aromatawai i te kite, te whakarongo, te kōrero, me te whanaketanga mohio. Ka āwhina ēnei ki te hanga i te whakaahua tino tika o ngā hiahia o tō tamaiti.
Ka roa te tukanga tohu, ā, he mea noa te awangawanga i tēnei wā. Kia mahara ko te whiwhi i te tohu mārama ko te kaupapa tuatahi ki te whiwhi i te tautoko me ngā ratonga tika mō tō tamaiti.
Ko te maimoatanga mō te parekura roro e aro ana ki te awhina i ia tangata ki te tae ki tō rātou kaha nui me te ora motuhake. He tino whai take te whakawhānga, kei runga i te momo me te kaha o ngā tohu.
Ko te rongoā tinana te turanga o te maimoatanga mō te nuinga o te iwi. Ka mahi ngā kaiwhakaora ki te whakapakari i ngā uaua, ki te whakapai ake i te toenga, ki te ako rānei i ngā huarahi hou ki te nekehanga. Ka uru pea tenei ki ngā whakakori tinana, ngā whakatete, me te whakamahi i ngā taputapu nekehanga penei i ngā kaihaere, i ngā wīra rānei.
Ka āwhina te rongoā mahi ki ngā pūkenga ora o ia rā penei i te kakahu, te kai, te whakamahi rānei i ngā taputapu, i te hangarau rānei. Ka taea e te rongoā kōrero te whakahaere i ngā raruraru kōrero me ngā raruraru kai ina pāngia te horomi.
Ka taea e ngā rongoā te whakahaere i ngā tohu motuhake. Ka uru pea ēnei ki ngā kaiwhakahaere uaua ki te whakaiti i te uaua, ngā rongoā mau mena he hiahia, i ngā wero botulinum toxin rānei ki te whakamahi i ngā uaua kaha i ngā wāhi motuhake.
Ka whai hua ētahi ki ngā whakawhānga pokanga. Ka uru pea ēnei ki ngā pokanga orthopedic ki te whakapai ake i te tuunga o te wheua me te hononga, i ngā tukanga neurosurgical rānei ki te whakaiti i te uaua uaua. Ko te pokanga te tikanga e whakaarohia ana ina kore ngā maimoatanga atu i whakarato i te whakapainga nui.
He mea nui te hangarau awhina mō te tokomaha. Ka tae atu tenei ki ngā taputapu ngāwari penei i ngā taputapu motuhake ki ngā taputapu kōrero uaua, ki ngā taputapu nekehanga rānei. Ko te whāinga tonu ko te whakapiki ake i te motuhake me te whakauru ki ngā mahi o ia rā.
Ko te whakahaere kāinga o te parekura roro e whakauru ana i te hanga i te taiao tautoko me te pupuri i ngā mahi pumau e whakapiki ana i te whanaketanga me te oranga pai o tō tamaiti. Ka taea e tō whakawhānga o ia rā te pānga nui ki ō rātou whakapainga me te kounga o te ora.
Ko te pumau ki ngā whakakori rongoā i te kāinga ka whakakaha i ngā mea i akohia i ngā hui rongoā. Ka whakaakohia e ō kaiwhakaora ngā whakakori me ngā mahi motuhake ka taea te whakauru ki ngā mahi o ia rā, ka meinga ai te āhua noa atu i te āhua rongoā.
Ko te hanga i te taiao kāinga e taea te uru atu ka āwhina i te whakapiki ake i te motuhake. Ka āhei pea tenei te whakarereke i te teitei o ngā taonga, te tāpiri i ngā pou hopu, te whakarite rānei i ngā taonga i roto i te rohe e taea te tae atu. Ka taea e ngā whakarereketanga iti te whakarereke nui ki te mahi o ia rā.
He mea nui te kai, ina koa ki te uaua te horomi. Mahi tahi me tō rōpū hauora ki te whakarite i te kai tika me te kai haumaru. Ka hiahia pea ētahi tamariki ki ngā āhua kai whakarereke, ki te tuunga motuhake rānei i te wā kai.
Ka tautoko ngā mahi moe noa i te hauora me te whanaketanga katoa. Ki te puta mai ngā raruraru moe, kōrerohia ngā rautaki me tō rōpū hauora. Ka āwhina te moe pai ki ngā mea katoa mai i te ngākau ki te kaha ako.
Kaua e wareware ki te tautoko hinengaro mō te whānau katoa. Ko te hono atu ki ētahi atu whānau, te uru atu ki ngā rōpū tautoko, te mahi rānei me ngā kaitohutohu ka taea te whakarato i ngā rauemi me ngā rautaki whakahaere.
Ko te whakarite mō ngā hui hauora ka āwhina i a koe ki te whakamahi pai i tō wā me ngā kaiwhakarato hauora, me te whakarite kia whakautuhia ngā awangawanga nui. Ka ārahi te whakarite pai ki ngā kōrero hua ake me te tiaki pai ake.
Pupurihia tētahi puka tohu, tētahi pukapuka rānei e tuhi ana i ngā huringa i te nekehanga, i ngā awangawanga hou, i ngā whakapainga rānei kua kitea e koe. Whakauruhia ngā tauira motuhake me ngā rā ina taea. Ka āwhina ēnei korero i ngā tākua ki te mārama ki ngā āhua me ngā huringa i te wā.
Whakaritea tētahi rārangi o ngā rongoā o nāianei, ngā rongoā, me ētahi taputapu awhina e whakamahia ana. Whakauruhia ngā horoinga me te pai o te mahi o ngā maimoatanga. Tātaihia hoki ngā pānga taha, ngā awangawanga rānei.
Tuhia ō pātai i mua. He ngāwari te wareware i ngā awangawanga nui i ngā hui, no reira ko te whai rārangi tuhi ka whakarite kia kaua e ngaro tetahi mea. Whakaritea ō pātai tino nui mena he poto te wā.
Kawe mai ngā rēkōta hauora e tika ana, ina koa ki te kite i tētahi kaiwhakarato hou, tohunga rānei. Ka uru pea ēnei ki ngā ripoata rongoā, ngā hua whakamātautau, i ngā tuhinga rānei mai i ētahi atu kaiwhakarato hauora.
Whakaarohia te kawe mai i tētahi tangata tautoko mena he awhina. Ka taea e rātou te awhina i te mahara ki ngā korero i kōrerotia i te hui, me te whakarato i te tautoko hinengaro i ngā kōrero pea ka tino pēhia.
Ahakoa kāore e taea te aukati i te parekura roro i ngā wā katoa, ka taea e ētahi kaupae i te wā hapu me te timatanga o te tamarikitanga te whakaiti i te morearea o te whara roro ka ārahi pea ki te āhuatanga. Ko te aukati e aro ana ki te pupuri i te hauora katoa me te karo i ngā take morearea e mohiotia ana ina taea.
I te wā hapu, he mea nui te tiaki wahapu noa. Ka uru atu ēnei ki te tango i ngā huaora wahapu, te whakahaere i ngā āhuatanga hauora roa, te karo i te waipiro me ngā rongoā, me te tiaki i ngā mate mā te horoi tika me ngā inopere e tūtohutia ana.
Ko te aukati i te whānautanga wawe ina taea te whakaiti i te morearea, ahakoa i etahi wā he hiahia te whānautanga wawe mō ngā take hauora. Ko te whai i ngā tūtohu a tō kaiwhakarato hauora mō te mahi, te kai, me te whakahaere i ngā raruraru haputanga ka āwhina i te tautoko i te whanaketanga hauora o te pēpi.
I muri i te whānautanga, he mea nui te tiaki i ngā pēpi mai i ngā whara me ngā mate. Ka uru atu ēnei ki te whakamahi i ngā nohoanga waka tika, te whakamarumaru i ngā kāinga ki te aukati i ngā hinga, me te rapu i te tiaki hauora wawe mō ngā mate kino, i ngā kirika nui rānei.
He mea nui kia mōhio ko te maha o ngā take o te parekura roro e puta ana ahakoa te tiaki pai, kāore hoki e taea te aukati. Ki te whanake tō tamaiti i te parekura roro, kāore i te mea i puta mai i a koe, kāore rānei i taea te aukati i te nuinga o ngā take.
He āhuatanga ora tonu te parekura roro e pā ana ki te nekehanga me te tu, engari kāore e hiahiatia kia whakamārama i te kaha o te tangata mō te ora whai kiko. Mā te tautoko tika, te rongoā, me te tiaki hauora, ka taea e te hunga he parekura roro te whakatutuki i ō rātou whāinga me te whakauru katoa ki ō rātou hapori.
He motuhake ia tangata he parekura roro, he kaha ake, he wero, he wāhi pea. Ka whakarereke te whakauru wawe me te tautoko pumau i ngā hua, engari kāore i te wā roa rawa te tīmata i ngā maimoatanga whai hua, i ngā whakawhānga hou rānei.
Ko te mea nui ko te aro ki ngā kaha, kāore ki ngā whakatau, te whakanui i te whakapainga ahakoa te tere, me te pupuri i te tumanako mō te tipu me te whanaketanga tonu. He maha ngā tāngata he parekura roro e pai ana i ngā mahi ako, mahi, hākinakina, toi, me ngā wāhanga katoa o te ora.
Kia mahara kāore koe i te kotahi i tēnei haerenga. Ka taea e ngā rōpū hauora, ngā kaiwhakaora, ngā rōpū tautoko, me ngā hapori o ngā whānau e pā ana ki te parekura roro te whakarato i te aratohu, i ngā rauemi, me te whakatenatena i te huarahi.
He maha ngā tamariki he parekura roro e ako ana ki te hikoi, ahakoa ka rerekē te wā me te tikanga. Ko ētahi e hikoi ana motuhake, ko ētahi e whakamahi ana i ngā taputapu awhina penei i ngā kaihaere, i ngā tokotu rānei, ā, ko ētahi e whakamahi ana i ngā wīra mō te nekehanga. Ka taea e te rongoā tinana me ētahi atu whakauru te awhina i te whakapiki ake i te kaha nekehanga o tō tamaiti. Ko te mea nui ko te kimi i te huarahi haumaru me te tino pai mō tō tamaiti ki te haere me te whakauru ki ngā mahi e pai ana rātou.
Ko te parekura roro e pā ana ki te nekehanga me te tu, kāore ki te mohio. Ahakoa pea he mate hinengaro ētahi tāngata he parekura roro, he maha he kaha mohio noa, he nui ake rānei. Ka uaua pea ngā raruraru kōrero ki te aromatawai tika i te mohio, engari kāore tēnei i te tikanga kāore te kaha mohio kei reira. Me aromatawai motuhake ia tangata, ā, kaua e hanga whakaaro mō te kaha mohio i runga i ngā tohu tinana anake.
Kāore te parekura roro e kino ake no te mea i puta mai i te whara roro i puta i te timatanga o te whanaketanga, kāore hoki e tupu. Heoi, ka taea te whakarereke i ngā pānga ki te tinana i te wā. Hei tauira, ka taea te whakapiki ake i te uaua o te uaua, ka taea te whanake i ngā raruraru hononga mai i ngā kore toenga uaua roa. Ka taea e te tiaki hauora me te rongoā tonu te awhina i te whakahaere i ēnei pānga tuarua me te pupuri i te mahi i te ora katoa.
Ko te nuinga o te hunga he parekura roro he roa o te ora noa, tata noa rānei, ina koa ngā hunga he momo ngawari o te āhuatanga. Ka taea te pānga o te roa o te ora e te kaha o ngā tohu me ngā raruraru e hono ana, engari mā te tiaki hauora pai, he tokomaha ngā tāngata he parekura roro e ora ana i te pakeketanga me te pakeke. Ko te tiaki hauora tonu, te kai tika, me te noho mahi katoa e āwhina ana ki ngā hua pai ake mo te roa.
Ko te parekura roro pono e whanake ana anake mai i ngā whara roro e puta ana i mua, i te wā, i muri tata mai rānei i te whānautanga. Kāore e taea e ngā pakeke te whanake i te parekura roro mai i ngā whara hou, i ngā mate rānei. Heoi, ka taea e ngā pakeke te whanake i ngā āhuatanga e puta ai ngā tohu rite, penei i te pēhanga toto, te whara roro kino, i ētahi atu āhuatanga neurological rānei. Ki te whanake tetahi pakeke i ngā raruraru nekehanga, he mea nui te haere ki te kaiwhakarato hauora mō te aromatawai me te tohu tika.