He aha te Roro Kemu? Tohutohu, Take, me te Maimoatanga

He āhuatanga pono te roro kemu e pā ana ki tō whakaaro me tō mahara i te wā rānei i muri rānei i te maimoatanga mate pukupuku. Kāo reira i roto i tō upoko anake – he pānga e mohiotia ana e maha ngā turoro mate pukupuku e pā ana, ā, ehara i te mea ko koe anake te tangata e whakahaere ana i tēnei.

Ka taea e tēnei huringa hinengaro te whakaaro he raruraru ina ngāwari ngā mahi ngāwari. Ko te rongo pai, ko te mārama ki te mea kei te tupu ka taea te awhina i a koe ki te whakahaere pai ake me te mohio ki te wa hei rapu awhina.

He aha te roro kemu?

Ko te roro kemu te tohutohu ki ngā huringa hinengaro ka puta i te wā o te maimoatanga mate pukupuku. Ka pā te āheinga ki tō kaha ki te whakaaro mārama, ki te mahara i ngā mea, me te aro ki ngā mahi i ngāwari ai koe i mua.

Ka karanga hoki ngā tohunga hauora i te "ngā whakaiti hinengaro e pā ana ki te mate pukupuku" rānei "te kohu kemu". Ahakoa te nuinga o te whakapae ki te chemotherapy, ko ētahi atu maimoatanga mate pukupuku me te ahotea o te mate pukupuku ano ka taea te whakauru ki ēnei tohu.

Ka rereke ēnei huringa mai i te wareware ngāwari ki ngā raruraru nui ake ki te whakaaro. Ko te nuinga o te iwi ka kite i ētahi whakapainga i te wā, ahakoa ka rereke te wa mai i te tangata ki te tangata.

He aha ngā tohu o te roro kemu?

Ka rite ngā tohu o te roro kemu ki te mahi o tō hinengaro i roto i te kohu. Ka taea e koe te kite i ngā huringa i te āhua o tō whakaaro, o tō mahara, o tō aro ki ngā mahi o ia rā.

Ko ngā tohu noa ko:

• Te raruraru ki te mahara i ngā ingoa, ngā rā, i te wāhi i waiho ai ngā mea
• Te raruraru ki te aro ki ngā kōrero, ki ngā pukapuka, ki ngā whakaaturanga pouaka whakaata
• Te raruraru ki te kimi i ngā kupu tika i te kōrero
• Te whakaaro he iti ake te tere o te hinengaro i te noa
• Te raruraru ki te mahi maha, ki te whakawhiti i waenga i ngā mahi
• Te raruraru ki te ako i ngā mōhiohio hou, i ngā pūkenga
• Te ngāwari ki te wareware, ki te ngaro i tō whakaaro

Ko ngā tohu kaore e noa, engari he wā ka puta, ko te whakapohehe mō te wā, te wāhi rānei, te raruraru ki te pāhekoheko, ki te tatau rānei, me ngā raruraru ki ngā pūkenga tirohanga-wāhi penei i te pānui i ngā mahere. Ka taea e ēnei tohu te haere mai me te haere atu, ā, ka kitea pea i te wā e ngenge ana koe, e ahotea ana rānei.

He aha ngā take o te roro kemu?

Ka puta te roro kemu no te mea ka taea e ngā maimoatanga mate pukupuku te pā ki te huarahi e korerorero ai ō pūtau roro ki a rātou ano. Kāore i tino mārama te take pono, engari e whakapono ana ngā kairangahau he maha ngā take e mahi tahi ana hei hanga i ēnei huringa hinengaro.

Ka taea e ngā rongoā chemotherapy te whiti ki tō roro, ā, ka taea pea te whakarahi i ngā pūtau roro hauora. Kua hoahoahia ēnei rongoā hei whakangungu i ngā pūtau mate pukupuku e wehewehe ana, engari ka taea hoki te pā ki ētahi atu pūtau tere-tipu i roto i tō tinana, tae atu ki ētahi pūtau roro.

Ka taea hoki e ētahi atu maimoatanga mate pukupuku te whakauru. Ka taea e te rongoā radiation ki te ārā rānei ki te kokonga o te kaki te pā tika ki te kōpū roro. Ka taea e te rongoā hormone, te immunotherapy, me te pokanga ano te awe i te mahi hinengaro mā ngā tikanga rerekē.

Ka taea e te mate pukupuku ano te whakauru mā te tuku i ngā mea whakaū e pā ana ki te mahi roro. Ka taea e te whakautu mate o tō tinana ki te mate pukupuku te hanga i te whakaū e pā ana ki te huarahi e tukatuka ai tō roro i ngā mōhiohio.

Ko ētahi atu take ka taea te whakaiti i ngā tohu hinengaro ko te ngenge, te ahotea, te manukanuka, te pouri, me ngā raruraru moe. Ka taea hoki e ngā rongoā mō te ruaki, te mamae, i ētahi atu pānga te whakauru ki te kohu hinengaro.

Nōhea te haere ki te taote mō te roro kemu?

Me kōrero koe ki tō rōpū hauora mena kei te whakaiti ngā huringa hinengaro i tō oranga o ia rā, i te whakaeke nui rānei i a koe. Kaua e tatari ki te whakamōhio i ēnei āwangawanga – he wāhanga nui tēnei o tō tiaki mate pukupuku.

Whakapa atu ki tō taote tonu mena ka pāngia koe e te whakapohehe ohorere, nui, te ngaro o te mahara nui e pā ana ki tō ora, i te kore rānei e taea te mahi i ngā mahi o ia rā. Ka taea e ēnei te tohu i tētahi āhuatanga nui ake e hiahia ana ki te aro nui tonu.

He mea nui hoki te rapu awhina mena kei te kino haere ngā tohu hinengaro i te wā, i te whakapai ake rānei, i te pānga rānei ki tō kaha ki te mahi, ki te taraiwa haumaru, ki te pupuri rānei i ngā whanaungatanga. Ka taea e tō rōpū hauora te awhina i te whakatau mena he hiahia ki te aromatawai atu, ki te maimoatanga rānei.

He aha ngā take morearea mō te roro kemu?

He maha ngā take ka taea te whakapiki i tō tūponotanga ki te wheako i te roro kemu. Ka taea e te mārama ki ēnei take morearea te awhina i a koe me tō rōpū hauora ki te whakarite me te whakarite mō ngā huringa hinengaro pea.

Ko ngā take morearea e pā ana ki te maimoatanga ko:

• Ngā rongoā chemotherapy nui ake
• Ngā momo chemotherapy, ina koa ngā mea e ngāwari ana te whiti ki te roro
• Te rongoā radiation ki te roro, ki te ārā rānei
• Ngā maimoatanga whakakotahi e whakamahi ana i ngā rongoā maha
• Te roa o te maimoatanga

Ko ngā take whaiaro ka taea te whakapiki i te morearea ko te pakeke i te wā e whiwhi ana i te maimoatanga, te iti o te taumata mātauranga, me te wheako i ngā taumata teitei o te ahotea, o te manukanuka rānei. Ka taea pea te nui ake o te morearea o ngā wāhine i ngā tāne, ahakoa kāore i tino mārama ngā take.

Ka taea e ngā āhuatanga o mua penei i te pouri, ngā mate moe, i ētahi atu āhuatanga neurological te whakaiti i tō tūponotanga. Ka taea hoki e te hītori o ngā raruraru ako, i ngā raruraru aro rānei te whakapiki i tō morearea ki te wheako i ngā huringa hinengaro e kitea ana.

He aha ngā raruraru pea o te roro kemu?

Ahakoa te nuinga o te whakahaere i te roro kemu, ka taea pea te arahi ki ngā raruraru e pā ana ki tō kounga o te ora. Ka taea e te mārama ki ēnei take pea te awhina i a koe ki te rapu awhina tika ina hiahiatia.

Ka taea te mamae o te mahi me te mahi mātauranga, te arahi ki te raruraru ki te pupuri i te mahi, ki te whakaoti rānei i ngā whāinga mātauranga. Me whakaiti ētahi i ō rātou haora mahi, whakarerekē i ngā kawenga mahi, i te tango rānei i te haerenga roa i te wā o te maimoatanga me te ora.

Ka taea te whanake i ngā wero whanaungatanga ina kaore ngā whānau me ngā hoa e mārama ana ki ngā huringa hinengaro kei te pāngia koe. Ka taea e ngā raruraru kōrero me ngā raruraru mahara te whakarahi i ngā whanaungatanga whaiaro me ngā hononga pāpori.

Ka puta pea ngā āwangawanga haumaru, ina koa ki te taraiwa, ki te whakahaere i ngā rongoā, ki te whakahaere rānei i ngā take putea. Me whai awhina atu ētahi ki ēnei mahi i te wā o te maimoatanga me ngā wā ora.

Ko ngā raruraru kare-a-roto ka taea te whakauru i te riri, te manukanuka, me te pouri e pā ana ki ngā huringa hinengaro. Ka taea e te ahotea o te kore e pai te whakaaro te hanga i te huringa kei reira te manukanuka e whakaiti ake ai te aro.

I roto i ngā take onge, ka taea te mau tonu o te whakaiti hinengaro nui, te hiahia rānei ki te tautoko tonu me ngā rautaki whakarereke. Heoi, ko te nuinga o te iwi ka kite i te whakapainga i te wā me te whakahaere tika me te tautoko.

Me pēhea te whakatau i te roro kemu?

Ka tīmata te whakatau i te roro kemu mā te kōrero ki tō rōpū hauora mō ngā huringa hinengaro kei te pāngia koe. Kāore he whakamātautau kotahi mō te roro kemu, no reira ka whakawhirinaki tō taote ki tō whakaahuatanga o ngā tohu me ō rātou pānga ki tō oranga o ia rā.

Ka ui pea tō taote i ngā pātai taipitopito mō te wā i tīmata ai ngā tohu, te āhua o te huringa i te wā, me ngā mahi e tino pāngia ana. Ka hiahia rātou ki te mohio mō tō hītori maimoatanga mate pukupuku me ētahi atu rongoā kei te tango koe.

Ka tūtohutia pea te whakamātautau neuropsychological hei ine i ngā āhuatanga rerekē o te whakaaro, o te mahara, me te aro. Ka whakarite ēnei whakamātautau i tō mahi ki te mea e tumanakohia ana mō te tangata o tō tau me tō taumata mātauranga.

Ka hiahia hoki tō rōpū hauora ki te whakakore i ētahi atu āhuatanga ka taea te whakauru i ngā tohu rite. Ka taea e ngā whakamātautau toto te tirotiro i te mate toto iti, ngā raruraru thyroid, i ngā ngoikoretanga huaora ka taea te pā ki te mahi hinengaro.

I etahi wa ka whakaritea ngā rangahau whakaahua roro penei i ngā tātaritanga MRI, ina koa ki te nui, ki te rerekē rānei ngā tohu. Ka taea e ēnei whakamātautau te awhina i te kimi i ētahi atu huringa hanganga i roto i te roro, i te whakakore rānei i ētahi atu āhuatanga neurological.

He aha te maimoatanga mō te roro kemu?

Ko te maimoatanga mō te roro kemu te aro ki te whakahaere i ngā tohu me te awhina i a koe ki te whakarereke ki ngā huringa hinengaro. Ahakoa kāore he rongoā, he maha ngā huarahi ka taea te awhina i te whakapai ake i tō whakaaro me tō mahara i te wā.

Ko te rongoā whakaora hinengaro te mahi tahi me ngā tohunga e whakaako ana i a koe i ngā rautaki hei mahi i ngā raruraru mahara me te whakaaro. Ka taea e ēnei te whakamahi i ngā karere, te hanga i ngā rārangi, te wehewehe i ngā mahi ki ngā waahanga iti ake, me te hanga i ngā mahi auau.

Ka taea e ētahi rongoā te awhina i ngā tohu motuhake. I etahi wā ka whakaritea ngā rongoā whakaohooho penei i ngā mea e whakamahia ana mō te ADHD, ahakoa ka rereke ō rātou hua mai i te tangata ki te tangata. Ka taea e ngā rongoā antidepressants te awhina mena kei te whakauru te pouri ki ngā tohu hinengaro.

Kua whakaatuhia te whakapakari tinana i te whakapai ake i te mahi hinengaro i muri i te maimoatanga mate pukupuku. Ka taea e te mahi aerobic auau te awhina i te whakapai ake i te rere o te toto ki te roro, ā, ka tautoko pea i te tipu o ngā pūtau roro hou.

He mea nui hoki te whakahaere i ngā take e whakauru ana. Ko te whakahaere i ngā raruraru moe, te whakahaere i te ahotea me te manukanuka, me te whakarite i te kai tika ka taea te awhina i te whakapai ake i te mahi hinengaro. He mea nui te whakahaere mamae, no te mea ka taea e te mamae roa te whakaiti i ngā raruraru aro.

Ka taea e te mahi whakaora mahi te awhina i a koe ki te whanake i ngā rautaki mahi mō te whakahaere i ngā mahi o ia rā. Ka taea pea te awhina o te rongoā kōrero mena kei te raruraru koe ki te kimi kupu, ki te whai rānei i ngā kōrero.

Me pēhea te whakahaere i te roro kemu i te kāinga?

Ko te whakahaere i te roro kemu i te kāinga ko te hanga i ngā taiao tautoko me te whanake i ngā tikanga awhina. Ka taea e ngā huringa iti i tō mahi auau te whakarerekē nui ki te āhua o tō mahi.

Ka taea e ngā rautaki whakarite te awhina i te utu mō ngā raruraru mahara. Whakamahia ngā karere, ngā taupānga waea atamai, i ngā rārangi tuhituhi hei pupuri i ngā huihuinga me ngā mahi. Pupurihia ngā taonga nui penei i ngā ki me te waea i te wāhi kotahi i ia rā.

Hangaia he mahi auau o ia rā e whakaiti ana i te hiahia ki te mahara ki ngā mahi maha. Ka taea e te wehewehe i ngā mahi nui ki ngā waahanga iti ake, ngāwari ake te whakaoti.

Whakaitihia ngā mea whakaware ina hiahia koe ki te aro. Whakawetohia te haruru papamuri, katihia ngā ripa tirotiro koretake, me te aro ki tētahi mahi i te wā kotahi. Kōwhiria ō wā tino mataara o te rā mō ngā mahi nui.

Noho mahi hinengaro me ngā mahi e pai ana koe, penei i te pānui, ngā mīharo, i te ako i ngā pūkenga hou. Heoi, kaua e pēhi i a koe – he mea nui ake te whakaohooho hinengaro ngawari i ngā wero whakahawea.

Whiwhi moe tika me te whakahaere i te ahotea mā ngā tikanga whakahaere, te whakapakari ngawari, i te whakaaroaro. Ka taea e te moe kino me te ahotea teitei te whakaiti i ngā tohu hinengaro.

Me pēhea te whakarite mō tō huihuinga taote?

Ka taea e te whakarite mō tō huihuinga te awhina i a koe ki te whakamahi pai i tō wā me tō kaiwhakarato hauora. Ka awhina te whai i ngā mōhiohio motuhake ki tō taote ki te mārama pai ake ki tō wheako ki te roro kemu.

Pupurihia he tātai tohu mō te wiki kotahi, rua rānei i mua i tō huihuinga. Tātaihia te wā e puta ai ngā raruraru hinengaro, te mahi ana koe, me te kaha o te āhua. Whakauruhia ngā mōhiohio mō te moe, ngā taumata ahotea, me ētahi atu take pea e tika ana.

Tuhia ngā tauira motuhake o te āhua e pā ana te roro kemu ki tō oranga o ia rā. I te wā e kī ana koe "kei te wareware ahau", whakamārama "i wareware ahau ki te kēmu whutupōro a taku tamahine rua i tēnei wiki" rānei "kāore au e taea te mahara i te ingoa o taku hoa mahi i te huihuinga."

Mau mai he rārangi katoa o ngā rongoā, ngā taapiri, me ngā rongoā-kore-whakahaunga kei te tango koe. Ka taea e ētahi rongoā te whakauru ki ngā raruraru hinengaro, ā, ka hiahia pea tō taote ki te arotake i a rātou.

Whakaarohia te kawe mai i tētahi hoa whakawhirinaki, i tētahi mema whānau rānei ka taea te awhina i a koe ki te mahara ki te kōrero me te ui i ngā pātai ka wareware pea koe. Ka taea hoki e rātou te hoatu i ō rātou tirohanga ki ngā huringa kua kitea e rātou.

Whakaritea he rārangi o ngā pātai mō ngā kōwhiringa maimoatanga, ngā rautaki whakahaere, me te mea e tumanakohia ana i mua. Kaua e whakaroa ki te ui mō ngā rauemi mō te whakaora hinengaro, i ngā rōpū tautoko rānei i tō rohe.

He aha te mea nui mō te roro kemu?

He pānga pono me te noa o te maimoatanga mate pukupuku te roro kemu e pā ana ki te whakaaro, ki te mahara, ki te aro. Kāore koe e whakaaroaro i ēnei huringa, ā, ehara i te tohu o te ngoikore, o te kore rānei e taea e koe.

Ahakoa ka taea e te roro kemu te whakahawea me te wero, ko te nuinga o te iwi ka kite i te whakapainga i te wā. Ko te nuinga o ngā huringa hinengaro he wā poto, ahakoa ka rereke te wa mō te ora mai i te tangata ki te tangata.

He rautaki me ngā maimoatanga whai hua kei reira hei awhina i te whakahaere i ngā tohu me te whakapai ake i tō kounga o te ora. Ko te mahi tahi me tō rōpū hauora, te whakamahi i ngā rautaki whakahaere mahi, me te manawanui ki a koe he mea nui ki te whakahaere i tēnei āhuatanga angitu.

Ngā pātai e ui pinepinetia ana mō te roro kemu

E pehea te roa o te roro kemu?

Ka rereke te roa o te roro kemu mai i te tangata ki te tangata. Ko te nuinga o te iwi ka kite i te whakapainga i roto i ngā marama torutoru ki te tau kotahi i muri i te mutunga o te maimoatanga, ā, ko ētahi atu ka pāngia pea ngā tohu mō ngā tau maha. Ka taea pea te mau tonu o ētahi huringa hinengaro, engari ko te nuinga o te iwi ka whanake i ngā rautaki whakahaere pai i te wā.

Ka taea te aukati i te roro kemu?

I tēnei wā, kāore he huarahi e whakamāramahia ana ki te aukati katoa i te roro kemu. Heoi, ko te pupuri i te hauora pai katoa mā te whakapakari auau, te moe tika, te whakahaere ahotea, me te kai tika ka awhina pea ki te whakaiti i tō morearea, i te kaha rānei o ngā tohu. E kī ana ētahi rangahau ko te whakangungu hinengaro i mua i te maimoatanga ka awhina pea, engari he nui ake ngā rangahau e hiahiatia ana.

Kei te pā te roro kemu ki te katoa e whiwhi ana i te chemotherapy?

Kāore te katoa e whiwhi ana i te chemotherapy e wheako ana i te roro kemu, ā, ka rereke ngā tohu mai i te ngawari rawa ki te kitea ake. E kī ana ngā rangahau ko te 20% ki te 75% o te iwi e whiwhi ana i te chemotherapy e wheako ana i ētahi huringa hinengaro, kei te rereke te momo maimoatanga me ngā take takitahi.

He rite te roro kemu ki te mate dementia?

Kāo, he rerekē te roro kemu i te mate dementia. Ahakoa ka taea e ngā āhuatanga e rua te pā ki te mahara me te whakaaro, ko te roro kemu e pā ana ki te maimoatanga mate pukupuku, ā, ko te nuinga ka pai ake i te wā. He āhuatanga whakahaere tonu te mate dementia e kino haere ana. Mena kei te awangawanga koe mō ngā tohu hinengaro mau tonu, i te kino haere rānei, kōrero atu ki tō kaiwhakarato hauora.

Ka taea e ētahi atu maimoatanga mate pukupuku i tua atu i te chemotherapy te whakauru i ngā raruraru hinengaro?

Ae, ka taea e ētahi atu maimoatanga mate pukupuku te whakauru ki ngā huringa hinengaro. Ko te rongoā radiation, ina koa ki te ārā, te rongoā hormone, te immunotherapy, me te ahotea o te whakatau mate pukupuku me te maimoatanga ka taea te pā ki te whakaaro me te mahara. Koinei te take i pai ai te nuinga o ngā kaiwhakarato hauora i te kupu "ngā whakaiti hinengaro e pā ana ki te mate pukupuku" i te "roro kemu" anake.