Ko te encephalopathy traumatic mate pūngao (CTE) he mate roro pea i puta mai i ngā whara o te mahunga maha. Ka pā te mate nei ki te mate o ngā pūtau io i roto i te roro, e mohiotia ana ko te whakaheke. Ka kino haere te CTE i te wā. Ko te huarahi anake hei whakatau i te CTE ko te whakamātautau i muri i te matenga i te wā e whakamātautauhia ana te roro.
He mate onge te CTE, kāotia tonu te mārama ki a ia. Kāore te CTE e rite ki te whara kotahi o te mahunga. E pā ana ki ngā whara o te mahunga maha, e puta ana i ngā hākinakina hono, i te pakanga hōia rānei. Kua honoa te whanaketanga o te CTE ki te mate pānga tuarua, i te wā ka puta mai he whara tuarua o te mahunga i mua i te mutu o ngā tohu o te whara o te mahunga o mua.
Kei te ngana tonu ngā tohunga ki te whakamārama me pēhea te pā o ngā whara o te mahunga maha me ētahi atu take ki ngā huringa o te roro e puta ai te CTE. Kei te titiro ngā kairangahau ki te maha o ngā whara o te mahunga i pā ki tetahi tangata me te kino o ngā whara pea ka pā ki te tūpono o te CTE.
Kua kitea te CTE i roto i ngā roro o te hunga i takaro pīwhikete U.S. me ētahi atu hākinakina hono, tae atu ki te pōro. Pea ka puta hoki i ngā mema o te ope taua i pā ki ngā pakarutanga o te pū. E whakaarohia ana ko ngā tohu o te CTE ko te raruraru ki te whakaaro me ngā kare-a-roto, ngā raruraru tinana, me ētahi atu whāinga. E whakaarohia ana ka puta ēnei i muri i ngā tau maha ki ngā tekau tau i muri i te whara o te mahunga.
Kāore e taea te whakatau i te CTE i te wā ora, ā, ko ngā tāngata anake e pā ana ki ngā tūponotanga nui. Kei te whakawhanake ngā kairangahau i ngā tohu tohu mo te CTE, engari kāore ano kia whakamanahia. I te wā e puta mai ana ngā tohu e hono ana ki te CTE, pea ka whakatau ngā kaiwhakarato hauora i te mate pūngao traumatic.
Kāore ano ngā tohunga e mōhio ki te maha o te CTE i roto i te taupori, engari e whakaarohia ana he onge. Kāore hoki rātou e tino mōhio ki ngā take. Kāore he rongoā mō te CTE.
Kāore he tohu motuhake kua honotia mārama ki te CTE. Ka taea e ētahi o ngā tohu pea te puta i roto i te maha atu o ngā āhuatanga. I roto i te hunga i whakaukia he CTE i te whakamātautau, ko ngā tohu kua whakauruhia ko ngā huringa hinengaro, whāinga, ngā āhuatanga, me ngā huringa motuka. Te raruraru ki te whakaaro. Te ngaro o te mahara. Ngā raruraru ki te whakatakoto mahere, te whakarite me te mahi i ngā mahi. Te whāinga ngāwari. Te tukino. Te pouri, te kore whakaaro. Te kore pumau o ngā kare-a-roto. Te whakamahi kino i ngā matū. Ngā whakaaro, ngā mahi whakamomori. Ngā raruraru ki te hikoi me te taurite. Te mate Parkinson, e puea ai te wiri, te neke haere, me te raruraru ki te kōrero. Te mate neuron motuka, e whakangaro ai i ngā pūtau e whakahaere ana i te hikoi, te kōrero, te horomi me te manawa. Kāore ngā tohu CTE e whanake tika i muri i te whara o te upoko. E whakapono ana ngā tohunga ka whanake ratou i roto i ngā tau, i ngā tekau tau rānei i muri i te whara upoko maha. E whakapono ana hoki ngā tohunga ka puta ngā tohu CTE i roto i ngā ahua e rua. I te timatanga o te ora i waenga i ngā tekau tau e rua tekau mā iwa me ngā tekau tau e toru tekau, ko te ahua tuatahi o te CTE pea ka pā te hauora hinengaro me ngā take whāinga. Ko ngā tohu o tēnei ahua ko te pouri, te manukanuka, te whāinga ngāwari me te tukino. Ko te ahua tuarua o te CTE e whakaarohia ana kia puta ai ngā tohu i muri mai o te ora, tata ki te tau 60. Ko ēnei tohu ko ngā raruraru mahara me te whakaaro e pēnei ana ki te haere tonu ki te mate dementia. Ko te rārangi katoa o ngā tohu hei titiro atu mō te hunga he CTE i te whakamātautau kāore ano kia mohiotia. He iti nei te mōhio ki te huarahi e haere ai te CTE. E whakaarohia ana te CTE kia whanake i roto i ngā tau maha i muri i ngā whara roro maha ka ngoikore pea, ka nui rānei. Tirohia tō kaiwhakarato hauora i ēnei āhuatanga: Ngā whakaaro whakamomori. Ka whakaatu te rangahau kei te piki pea te tūponotanga o te whakamomori mō te hunga he CTE. Ki te whai koe i ngā whakaaro ki te whara i a koe, waea atu ki te 911, ki tō nama urupare rohe rānei. Ki te kore rānei, whakapiri atu ki tētahi raina waea whakamomori. I te U.S., waea atu, karere atu rānei ki te 988 hei whakatū i te 988 Suicide & Crisis Lifeline, ki te whakamahi rānei i te Lifeline Chat. Te whara o te upoko. Tirohia tō kaiwhakarato hauora ki te whai koe i te whara o te upoko, ahakoa kaore koe i hiahia ki te tiaki āwangawanga. Ki te whiwhi tō tamaiti i te whara o te upoko e awangawanga ana koe, waea atu ki tō kaiwhakarato hauora mō tō tamaiti tonu. I runga i ngā tohu, pea ka tūtohutia e tō kaiwhakarato, e tō kaiwhakarato mō tō tamaiti rānei te rapu i te tiaki hauora tonu. Ngā raruraru mahara. Tirohia tō kaiwhakarato hauora ki te whai koe i ngā awangawanga mō tō mahara. Tirohia hoki tō kaiwhakarato ki te wheako koe i ētahi atu raruraru whakaaro, whāinga rānei. Ngā huringa tūāhua, ngā āhuatanga. Tirohia tō kaiwhakarato hauora ki te wheako koe i te pouri, te manukanuka, te tukino, te whāinga ngāwari rānei.
E whakaponohia ana te whanaketanga o te CTE i roto i nga tau maha i muri i nga whara o te roro maha, he ngawari pea, he kino ranei. Tirohia tō kaiwhakarato hauora i enei ahuatanga: Whakaaro whakamomori. Ka whakaatu te rangahau kei te nui ake te tūponotanga o te hunga e pangia ana e te CTE ki te whakamomori. Ki te whai koe i ngā whakaaro kia whakamomori koe, waea atu ki te 911, ki tō nama uruparea rohe rānei. Ki te kore rānei, whakapiri atu ki tētahi raina waea whakamomori. I te U.S., waea atu, karere atu rānei ki te 988 hei whakapā atu ki te 988 Suicide & Crisis Lifeline, ki te whakamahi rānei i te Lifeline Chat. Whara o te mahunga. Tirohia tō kaiwhakarato hauora ki te whai koe i te whara o te mahunga, ahakoa kaore koe i hiahia ki te tiaki mate tere. Ki te whai tou tamaiti i te whara o te mahunga e awangawanga ana koe, waea atu ki te kaiwhakarato hauora o tō tamaiti inaianei. I runga i ngā tohu, ka taea e tō kaiwhakarato, e te kaiwhakarato o tō tamaiti rānei, te tūtohutanga kia rapu i te tiaki hauora tere. Nga raruraru mahara. Tirohia tō kaiwhakarato hauora ki te whai koe i ngā awangawanga mō tō mahara. Tirohia hoki tō kaiwhakarato ki te wheako koe i ētahi atu raruraru whakaaro, ā, whāinga rānei. Ngā huringa o te ahua, o te ngākau rānei. Tirohia tō kaiwhakarato hauora ki te wheako koe i te pouri, te manukanuka, te tukino, te whāinga ngāwari rānei.
Ka puta te raru o te rōpū i te wā e whiua ai te upoko, te wiriwaha rānei o te upoko, ā, ka neke te roro i roto i te anga wheua pakari.
He tino take pea te whara upoko maha mō te CTE. Ko ngā kaitākaro whutupōro o Amerika, ngā kaitākaro hākinakina hauā, me ngā mema o te hōia e mahi ana i ngā wāhi pakanga, ko rātou te nuinga o ngā tātai CTE. Heoi, ko ētahi atu hākinakina me ētahi atu take pērā i te tukino tinana ka āhei hoki te arahi ki ngā whara upoko maha.
Ka taea e te whara upoko te puta mai he raru o te rōpū, ā, ka pāngia pea e te mamae o te upoko, ngā raruraru ki te mahara me ētahi atu tohu. Kāore te katoa o te hunga e pā ana ki ngā raru o te rōpū maha, tae atu ki ngā kaitākaro me ngā mema o te hōia, ka whanake i te CTE. Kua whakaatu etahi rangahau kaore he pikinga o te CTE i roto i te hunga i pā ki ngā whara upoko maha.
I roto i ngā roro he CTE, kua kitea e ngā kairangahau he kohinga o te pūmua e kiia nei ko te tau i te taha o ngā oko toto. He rerekē te kohinga tau i roto i te CTE i te kohinga tau e kitea ana i te mate Alzheimer me ētahi atu momo mate ngakau. E whakaarohia ana e te CTE te whakangaro i ngā wāhi o te roro, e mohiotia ana ko te ngoikore. Ka puta mai tenei nā te whara ki ngā pūtau io e kawe ana i ngā whakaohooho hiko ka pā te whakawhitiwhiti korero i waenga i ngā pūtau.
He mea tika pea ka whakaatu ngā tāngata he CTE i ngā tohu o tētahi atu mate neurodegenerative, tae atu ki te mate Alzheimer, te mate amyotrophic lateral sclerosis (ALS), te mate Parkinson, te mate rongoā frontotemporal lobar rānei, e mohiotia ana hoki ko te mate ngakau frontotemporal.
Ko te whakamahinga anō ki te whara o te roro i te mate pukupuku e whakaarohia ana ka piki ake te tūponotanga o te CTE. Kei te ako tonu ngā tohunga mō ngā take tūponotanga.
Kaore he uauatanga
Kāore he rongoā mō te CTE. Engari ka taea te aukati i te CTE nā te hono atu ki ngā ngoikoretanga o te rōpū. He nui ake te tūponotanga o te hunga kua whiwhi i tetahi ngoikoretanga ki te whiwhi i tetahi atu whara o te matenga. Ko te tūtohutanga o nāianei hei aukati i te CTE ko te whakaiti i ngā whara o te roro ngoikore, me te aukati i ngā whara atu i muri i te ngoikoretanga.
Kaore he huarahi i teie nei hei whakatau i te CTE i te wa e ora ana. Engari kua whakawhanakehia e nga tohunga nga tohu hauora mo te mate o te encephalopathy traumatic (TES). Ko te TES he mate hauora e hono ana ki te CTE. Ka whakapaehia te CTE ki nga tangata kei te nui te morearea na te whara o te upoko maha i nga tau i roto i nga whakataetae hakinakina, i nga wheako hoia ranei. Ko te taatai e hiahiatia ana ko te taunakitanga o te pirau o te whatu o te roro me nga kohinga o te tau me etahi atu pūmua i roto i te roro. Ka taea noa tenei te kite i muri i te matenga i te wa o te whakamatautau. Kei te ngana etahi kairangahau ki te rapu i te whakamatautau mo te CTE ka taea te whakamahi i te wa e ora ana nga tangata. Kei te haere tonu etahi atu ki te ako i nga roro o nga tangata kua mate ka pea i te CTE, penei i nga kaitakaro whutupaoro o te U.S. Ko te tumanako kia whakamahia nga whakamatautau neuropsychological, te whakaahua roro penei i nga MRI motuhake, me etahi atu tohu tohu hei whakatau i te CTE. Te tiaki i te Mayo Clinic Ka taea e ta tatou ropu manaaki o nga tohunga o te Mayo Clinic te awhina ia koe ki o raruraru hauora e pa ana ki te encephalopathy traumatic roa. Tīmata konei Ētahi atu mōhiohio Te tiaki encephalopathy traumatic roa i te Mayo Clinic EEG (electroencephalogram) MRI Tātaritanga positron emission tomography SPECT scan Whakaatu atu ētahi atu mōhiohio e pā ana
Kāore he rongoā mō te CTE. He mate pūnao te mate o te roro, ā, ko te tikanga ka kaha tonu te kino haere i te wā. Me nui ake te rangahau i ngā rongoā, engari ko te whakawhānga o nāianei ko te aukati i te whara o te matenga. He mea nui hoki te noho mohio ki te huarahi ki te kimi me te whakahaere i te whara o te roro. Tono kia whakaritea he whakatau
Kaore he uara (NaN)
Ka tīmata pea koe mā te tūtaki atu ki tō kaiwhakarato rongoā matua. Ka āhei pea tō kaiwhakarato te tuku atu i a koe ki tētahi neurologist, psychiatrist, neuropsychologist, rānei ki ētahi atu tohunga mō te aromatawai atu. Nō te mea ka poto pea ngā whakatau, ā, he maha ngā mea hei kōrero, whakamaheretia ō mua i tō whakatau. Ngā mea ka taea e koe Kia mōhio ki ngā ārai i mua i te whakatau. I te wā e whakarite ana koe i te whakatau, kia tino ui atu mēnā he mea kei te hiahia koe ki te mahi i mua. Ui atu mēnā kei te hiahia koe ki te nohopuku mō ngā whakamātautau toto. Tuhia ngā tohu katoa, tae atu ki ētahi pea e kore e rite ki te take i whakarite ai koe i te whakatau. Ka hiahia pea tō kaiwhakarato hauora ki te mohio ki ngā kōrero mō tō māharahara mō tō mahi hinengaro. Whakamātauria te maumahara ki te wā i tīmata ai koe ki te whakaaro pea he he tetahi mea. Ki te whakaaro koe kei te kino haere ō tohu, kia rite ki te whakamārama i te take. Kia rite ki te kōrero i ngā tauira motuhake. Tuhia ngā korero whaiaro matua, tae atu ki ngā raruraru nui, ki ngā huringa ora hou rānei. Hangaia tētahi rārangi o ngā rongoā, ngā hua whakaora rānei, ngā taapiri rānei e inu ana koe. Hangaia tētahi rārangi o ō āhuatanga hauora ke. Tāpirihia ngā āhuatanga kei te whakaorahia koe inaianei, pēnei i te mate huka, te mate ngākau rānei. Ā, whakarārangihia ngā āhuatanga kua pā ki a koe i mua, pēnei i ngā pōka. Kawea mai tētahi mema o te whānau, hoa rānei, kaiwhakahaere rānei, ki te taea. I etahi wā ka uaua pea te maumahara ki ngā korero katoa i hoatu i te wā o te whakatau. Ka taea pea e tētahi e haere mai ana me koe te maumahara ki tetahi mea i ngaro, i wareware rānei koe. Ko te whakamahere i tētahi rārangi o ngā pūrongo ka āhei te awhina i te whakamahi pai i tō wā me te kaiwhakarato hauora. Whakarārangihia ō pūrongo mai i te mea nui rawa ki te mea iti rawa. Ko ētahi pūrongo taketake hei ui ki te taote: He aha te take pea o ō tohu? He aha ētahi atu take pea mō ō tohu? He aha ngā momo whakamātautau e hiahiatia ana? He āhua poto noa rānei, he roa tonu rānei tō āhuatanga? Me pēhea te haere pea i te wā? He aha te huarahi mahi pai rawa atu? He aha ngā huarahi ke ki te huarahi matua kei te whakaarohia? He take hauora ke atu kei ahau. Me pēhea te whakahaere tahi? He whakamātautau hauora o ngā maimoatanga whakamātautau kei te hiahia ahau ki te whakaaro? He ārai? Ki te whakaritea te rongoā, he whakauru pea ki ētahi atu rongoā kei te inu ahau? He pukapuka, he rauemi tā i taea e au te kawe atu ki te kāinga? He aha ngā paetukutuku e tūtohutia ana e koe? Kei te hiahia ahau ki te kite i tētahi tohunga? Me aha te utu, ā, ka hipoki rānei taku iniua? Ka hiahia pea koe ki te karanga atu ki tō kaiwhakarato iniua mō ētahi o ēnei whakautu. Ki te kua pāuhia koe, ko ētahi pūrongo taketake hei ui ki tō taote: He aha te tūponotanga o ngā pūwhiu a muri ake nei? A hea ka ora ai te hoki ki ngā hākinakina whakataetae? A hea ka ora ai te whakahoki i te whakakori kaha? He ora te hoki ki te kura, ki te mahi rānei? He ora te taraiwa i te waka, te whakahaere rānei i ngā taputapu mana? Kaua e whakaroa ki te ui i ngā pūrongo i te wā o tō whakatau i tetahi wā kaore koe i te mārama ki tetahi mea. Ngā mea hei tatari mai i tō taote Ka ui pea tō kaiwhakarato hauora ki a koe i ngā pūrongo maha. Ngā pūrongo e pā ana ki ngā tohu: He aha ngā tohu kei te pā atu ki a koe? He raruraru pea me te whakamahinga kupu, te mahara, te aro, te tuakiri, ngā aronga rānei? Nō hea i tīmata ai ngā tohu? Kei te kino haere tonu ngā tohu, kei te pai ake, kei te kino ake rānei i etahi wā? Kia pehea te kino o ngā tohu? Kua mutu te mahi i ētahi mahi, pēnei i te whakahaere i ngā putea, te hokohoko rānei, nā te raruraru ki te whakaaroaro? He aha, mēnā he mea, te āhei te whakapai ake, te whakaiti rānei i ngā tohu? Kua kite koe i ētahi huringa i te āhua o tō whakautu ki ngā tāngata, ki ngā kaupapa rānei? He nui ake te kaha i te mea noa, he iti iho rānei, he rite tonu rānei? Kua kite koe i te wiri, te raruraru rānei ki te hikoi? Ngā pūrongo e pā ana ki te hītori hauora: Kua whakamātautauhia ō taringa me tō tirohanga i te wā tata nei? He hītori whānau o te mate dementia, o ētahi atu mate neurological pēnei i te mate Alzheimer, te mate ALS, te mate Parkinson rānei? He aha ngā rongoā kei te inu koe? Kei te inu koe i ngā hua whakaora, ngā taapiri rānei? Kei te inu koe i te waipiro? Kia pehea te nui? He aha ētahi atu āhuatanga hauora kei te whakaorahia koe? Ki te kua pāuhia koe, ka ui pea tō taote ki ngā pūrongo e pā ana ki ngā kaupapa e pā ana ki te whara: Kua wharahia ō upoko i mua? Kei te takaro koe i ngā hākinakina hono? Me pēhea koe i whiwhi ai i tēnei whara? He aha ngā tohu i pā atu ki a koe i muri tonu i te whara? Kei te mahara koe ki te mea i puta i mua, i muri rānei i te whara? Kua ngaro tō mohio i muri i te whara? Kua pāuhia koe? Ngā pūrongo e pā ana ki ngā tohu tinana: Kua pā atu ki a koe te ruaki, te ruaki rānei mai i te whara? Kei te pā atu ki a koe ngā mamae o te upoko? I tehea wā i muri i te whara i tīmata ai ngā mamae o te upoko? Kua kite koe i tetahi raruraru me te whakahaere tinana mai i te whara? Kua kite koe i tetahi ngawari, i ngā raruraru rānei me tō tirohanga me tō rongohongo? Kua kite koe i ngā huringa i tō hongi, i tō reka rānei? Me pēhea tō hiahia? Kua ngenge, kua ngāwari te ngenge rānei koe mai i te whara? Kei te raruraru koe ki te moe, ki te ara rānei i te moe? He wiri, he vertigo rānei kei a koe? Ngā pūrongo e pā ana ki ngā tohu hinengaro, ngā tohu ā-wairua rānei: Kua pā atu ki a koe ngā raruraru me te mahara, te arotahi rānei mai i te whara? Kua pā atu ki a koe ngā huringa ā-wairua, tae atu ki te riri, te manukanuka, te pouri rānei? Kua whakaaro koe ki te whara i a koe, ki ētahi atu rānei? Kua kite koe, kua kōrero rānei ētahi atu kua huri tō tuakiri? He aha ētahi atu tohu kei te manukanuka koe? Na te kaimahi o te Kura Mayo
Whakakape: He tūāpapa pārongo hauora a Ākuhata ā, ehara ōna whakautu i te tohutohu rongoā. Me kōrero tonu ki tētahi rata whai raihana e pātata ana ki a koe i mua i tētahi whakarerekētanga.
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