He aha te Mate Myasthenia Whānau? Tōna Tohutoro, Ngā Take, me te Rongoā

Ko te mate myasthenia whānau (CMS) tētahi mate tuku iho onge e pā ana ki te huarahi e hono ai ō uaua me ō pūnaha io. Whakaarohia he hononga kino i waenga i te wīra hiko o tō tinana me ō uaua – kāore ngā tohu e tae tika ana, ā, ka puta he ngoikore o ngā uaua e haere ana, e haere ana.

Kāore i rite ki ētahi atu mate uaua, kei te whānau te CMS mai i te wā whānau, ā, ka rere i roto i ngā whānau. Ahakoa ka rongo pea he nui te pānga i te tīmatanga, ka taea e te mārama ki tēnei mate te āwhina i a koe, i tō whānau rānei ki te whakahaere pai, ki te ora pai hoki.

He aha te Mate Myasthenia Whānau?

Ka puta te mate myasthenia whānau ina he raruraru kei te hononga uaua-io – te wāhi e hono ai ō pūnaha io ki ō uaua. Ka mahi tēnei hononga hei teihana tuku, e tukuna ana ngā karere matū mai i tō roro ki te kī atu ki ō uaua te wā e whakakotahi ai.

I roto i te CMS, ka whakakorekore ngā huringa tuku iho i tēnei pūnaha whakawhitiwhiti. Ka tukuna e tō roro te tohu, engari kāore e tae tika ana ki ō uaua, kāore rānei e ngoikore i te huarahi. Ka puta mai tēnei i ngā uaua e ngāwari ana te whakamamae, ā, ka ngoikore, ina koa ki te whakamahinga maha.

Ka rerekē te pānga o te mate ki te tangata. Ko ētahi ka pā te ngoikore iti e kore e pā ki te ora o ia rā, engari ko ētahi atu pea ka nui ake ngā wero. Ko te mea nui kia mahara ko te CMS ka taea te whakahaere me te tiaki tika me te rongoā.

He aha ngā Tohutoro o te Mate Myasthenia Whānau?

Ko te tohu nui o te CMS ko te ngoikore o ngā uaua e kino ake ana me te mahi, ā, ka pai ake me te okioki. Ka kite pea koe he ngāwari ngā mahi i te tīmatanga, engari ka kaha ake te uaua i a koe e mahi tonu ana.

Ko ngā tohutoro noa e kitea ana e te tini o te hunga e pangia ana e te CMS ko:

• Ngā kamo e taupoki ana (ptosis) ka kino ake pea i te rā
• Te tiro rua, te tiro māori rānei, ina koa ina ngenge
• Te uaua ki te horomi, ina koa ki ngā wai
• Ngā uaua kanohi ngoikore e arahina ana ki ngā āhuatanga kore whakaatu
• Te kōrero whakapohehe, te kōrero ihu rānei
• Te ngoikore o ngā ringa me ngā waewae e piki ake ana me te whakamahinga
• Te uaua ki te piki i ngā kaupae, ki te kawe rānei i ngā mea
• Ngā raruraru manawa, ina koa i te wā o te mahi tinana

I roto i ngā pēpi me ngā tamariki, ka kite pea koe i ngā tohu rerekē. Ka uaua pea ngā pēpi ki te kai, ka kitea he ngawari, he ngoikore rānei, kāore rānei e tae ki ngā tohu whanaketanga i mua i te wā e tika ana. Ka uaua pea ētahi tamariki ki te pupuri i ō rātou ūtū, ki te noho rānei kahore he tautoko.

Ko ngā tohutoro iti ake, engari he mea nui, ka uru atu ngā raruraru manawa nui e hiahia ana pea ki te tautoko hauora, ina koa i roto i ētahi momo CMS. Ka pāngia hoki ētahi tangata e ngā wāhanga ka kaha ake te ngoikore, e te mate, te ahotea rānei, ētahi rongoā.

He aha ngā Momo o te Mate Myasthenia Whānau?

Kāore te CMS he mate kotahi – he rōpū o ngā mate e hono ana e puta mai ana i ngā huringa tuku iho rerekē. Ka pā ia momo ki tētahi wāhanga rerekē o te hononga uaua-io, e arahina ana ki ngā tohutoro me ngā whakautu rongoā rerekē.

Ko ngā momo tino noa ko te CMS e puta mai ana i ngā huringa i roto i ngā ira penei i te CHAT, COLQ, DOK7, me te RAPSN. Ka rerekē te pānga o ia mea ki te hononga io-uaua. Hei tauira, ko te CMS e pā ana ki te DOK7 ka tino pā te ngoikore ki ngā uaua kei te taha o ō huha me ō pokohiwi, ā, ko te CMS e pā ana ki te COLQ pea ka tino kaha ngā tohutoro.

Ka taea e ētahi momo onge ake te whakaputa i ngā raruraru atu. Ko te CMS e pā ana ki te PREPL pea ka uru atu ngā raruraru ako me te ngoikore o ngā uaua, ā, ko te CMS e pā ana ki te GMPPB ka taea pea te pā ki ētahi atu pūnaha o te tinana i tua atu i ngā uaua.

Ka taea e tō tākuta te whakatau i te momo kei a koe mā te whakamātautau ira. Ka āwhina tēnei mōhio ki te arahi i ngā whakatau rongoā, i te mea ka rerekē te whakautu o ngā momo rerekē ki ngā rongoā rerekē.

He aha ngā Take o te Mate Myasthenia Whānau?

Ko te CMS e puta mai ana i ngā huringa (mutations) i roto i ngā ira e whakahaere ana i te mahi o ō hononga uaua-io. Ka tuku iho ēnei huringa ira, arā, ka tukuna mai i ngā mātua ki ngā tamariki i roto i ngā whānau.

Ko te nuinga o ngā take e whai ana i te mea e kiia ana e ngā tākuta he tauira "autosomal recessive". Ko te tikanga tenei me whiwhi koe i te ira i hurihia mai i ngā mātua e rua kia puta ai te CMS. Ki te whiwhi koe i te ira i hurihia mai i tētahi mātua anake, kāore pea koe e whai tohutoro, engari ka taea e koe te tuku i te ira ki ō tamariki.

Ko ngā ira e pā ana ka hanga i ngā pūmua e tino nui ana mō te whakawhitiwhiti io-uaua. Ina kore e mahi tika ēnei pūmua na te huringa ira, ka whakakorekore ngā tohu matū i waenga i ngā io me ngā uaua. Ka arahina tēnei ki te ngoikore o ngā uaua me te ngenge.

I roto i ngā take onge, ka taea e te CMS te puta mai i ngā huringa ira hou kāore i tuku iho mai i ngā mātua. Ka kiia ēnei he "de novo" mutations, ā, ka puta mai i te wā whanaketanga.

Nōhea te Tiro ki te Tākuta mō te Mate Myasthenia Whānau?

Me rapu awhina hauora koe ki te pāngia koe, ki tō tamaiti rānei e te ngoikore o ngā uaua e kino ake ana me te mahi, ā, ka pai ake me te okioki. Ko tēnei tauira o te ngenge he tohu whakatūpato nui e kore e tika te whakakahore.

Whakatau rātou ki tō tākuta ki te kite koe i ngā kamo e taupoki ana, te tiro rua, te uaua ki te horomi, te kōrero whakapohehe rānei e haere ana, e haere ana. Ko ēnei tohutoro e pā ana ki te mata me te korokoro he tohu wawe noa iho o te CMS.

Rapua te tiaki hauora tere ki te pāngia koe e ngā raruraru manawa, ngā raruraru horomi nui, te ngoikore o ngā uaua kaha ake rānei. Ka taea e ēnei te tohu o te mate myasthenic, e hiahia ana ki te rongoā tere.

Mō ngā pēpi me ngā tamariki, whakapiri atu ki tō tākuta pēpi ki te kite koe i ngā raruraru kai, te whanaketanga motuka whakaroa, te ngoikore rānei o tō tamaiti. Ka taea e te whakatau wātea me te rongoā te whakarereke nui ki te whakahaere i te mate.

He aha ngā Take Pānga mō te Mate Myasthenia Whānau?

Ko te take pānga matua mō te CMS ko te whai i ngā mātua e mau ana i ngā huringa ira e hono ana ki te mate. I te mea ko te nuinga o ngā momo e tuku iho ana i te tauira autosomal recessive, me mau ngā mātua e rua ki te kawe i te CMS ki te tamaiti.

He mea nui te hītori whānau ki te aromatawai i te pānga. Ki te whai koe i te teina, i te whānau tata atu rānei e whai CMS ana, pea ka nui ake tō pānga. Engari, he maha ngā whānau kāore he hītori o te mate, na te mea kāore ngā kaimau e whakaatu i ngā tohutoro.

Pea ka nui ake ngā rōpū tangata i ngā reiti o ngā momo CMS motuhake na te pānga o te ira, engari i te katoa, ka taea e te mate te pā ki te tangata o tetahi momo iwi. Ka taea e te whanaungatanga (te marena i waenga i ngā whānau) te whakapiki i te pānga o ngā mate autosomal recessive penei i te CMS.

Kāore i rite ki te myasthenia gravis i whiwhi, kāore te pānga o te CMS e pā ana ki te tau, te ira tangata, ngā mate, ētahi atu āhuatanga hauora rānei. Kei te whānau ngā huringa ira mai i te wā e whakaarohia ana, ahakoa kaore pea ngā tohutoro e puta mai kia tae ra ano ki muri i te ora i ētahi wā.

He aha ngā Raruraru Pea o te Mate Myasthenia Whānau?

Ahakoa he maha ngā tangata e whai CMS ana e ora ana i te ora noa, ka taea e te mate te arahi ki ngā raruraru e hiahia ana ki te tirotiro me te whakahaere. Ka āwhina te mārama ki ēnei wāhi ki te whakarite, ki te rapu awhina hoki ina hiahiatia.

Ko ngā raruraru manawa kei roto i ngā āhuatanga tino nui. Ka taea e ētahi tangata te whanake i te ngoikore o ngā uaua manawa e uaua ai te manawa tika, ina koa i te wā o te mate, te ahotea rānei. Ka taea pea tēnei te hiahia ki te tautoko manawa, ki te hauora rānei.

Ka taea e ngā raruraru horomi te arahi ki ngā raruraru kai, ki te mate huhu rānei ki te tomo wātea te kai, ngā wai rānei ki ngā ngāwari. Ka taea e te mahi tahi me te kaiwhakaako kōrero me te kaiwhakaako kai te whakaiti i ēnei pānga.

Ka taea pea te whanake i ngā raruraru nekehanga i te wā, ina koa ki te hunga e whai CMS ana. Ka uru pea tēnei ki te uaua ki te haere i ngā tawhiti roa, ki te piki i ngā kaupae, ki te mahi rānei i ngā mahi e hiahia ana ki te whakamahinga uaua roa.

Ko te mate myasthenic he raruraru onge, engari he tino nui, ka kaha te ngoikore o ngā uaua. Ka taea e tēnei te pā ki ngā uaua manawa me te horomi, ā, e hiahia ana ki te tiaki hauora tere. Ko ngā mea whakaohooho pea ko ngā mate, ētahi rongoā, te ahotea nui rānei.

Kāore e tika te whakakahore i ngā pānga pāpori me ngā hinengaro. Ko te ora me te mate roa ka taea pea te arahi ki ngā ngākau wehe, ki te pouri rānei, e whakaputa ana i te tautoko hinengaro me te tohutohu hei wāhanga nui o te tiaki whānui.

Me pēhea te ārai i te Mate Myasthenia Whānau?

I te mea he mate ira te CMS, kāore e taea te ārai i te tikanga noa. Engari, ka taea e te tohutohu ira te āwhina i ngā whānau ki te mārama ki ō rātou pānga, ki te mahi rānei i ngā whakatau whakamārama mō te whakatōpūtanga whānau.

Ki te whai koe i te hītori whānau o te CMS, ki te mohiotia rānei koe he kaimau, ka taea e te tohutohu ira te tuku i ngā mōhio nui mō te āhei o te tuku i te mate ki ō tamariki. Kāore tēnei tukanga e whai whakaheke – he mea noa te tuku i ngā korero ki a koe kia taea ai e koe te mahi i ngā whakatau pai mō tō whānau.

Ka taea e te whakamātautau ira i mua i te haputanga te whakatau i ngā kaimau i mua i te haputanga. Ka whiriwhiri ētahi tokorua i te whakawhānui in vitro me te whakamātautau ira o ngā pēpi kia whakaitihia te pānga o te whai i te tamaiti e whai CMS ana, ahakoa he whakatau whaiaro tēnei e rerekē ana i ia whānau.

I te wā haputanga, ka taea pea e te whakamātautau ira te whakatau i te CMS i roto i te pēpi e whanake ana. Ahakoa kāore tēnei e ārai i te mate, ka taea e ngā whānau te whakarite, ā, ka whakarite kia wātea te tiaki hauora motuhake mai i te wā whānau.

Me pēhea te Whakatau i te Mate Myasthenia Whānau?

Ko te whakatau i te CMS e hiahia ana ki te whakakotahitanga o te aromatawai hauora, te whakamātautau motuhake, me te tātaritanga ira. Ka tīmata tō tākuta mā te tirotiro tika i ō tohutoro me tō hītori whānau ki te rapu i ngā tauira o te ngoikore o ngā uaua.

Ko te tukanga whakatau e tīmata ana i ngā whakamātautau toto ki te whakakore i ētahi atu mate penei i te myasthenia gravis, ka rite pea te ahua, engari he take rerekē. Ka tirotiro pea tō tākuta i ngā antibodies motuhake kei roto i te myasthenia gravis, engari kāore i roto i te CMS.

Ka āwhina te Electromyography (EMG) me ngā rangahau arahi io ki te aromatawai i te pai o te whakawhitiwhiti a ō io me ō uaua. Ko ēnei whakamātautau e whakamahi ana i ngā whakaohooho hiko iti, ā, ka taea te whakaatu i ngā tauira e kitea ana i roto i te CMS. Ahakoa he iti te āwangawanga, he tino pai te manawanui.

Ka hoatu e te whakamātautau ira te whakatau whakamutunga mā te whakatau i ngā huringa ira motuhake e puta mai ana i tō CMS. Ko tēnei whakamātautau e whakamahi ana i te tauira toto ngāwari, ā, ka roa pea ngā wiki kia oti. Ka āwhina ngā hua ki te whakatau i te momo CMS kei a koe, ki te arahi rānei i ngā whakatau rongoā.

I ētahi wā, pea ka hiahiatia ngā whakamātautau atu penei i te biopsy uaua, te mahi toto motuhake rānei. Ka whakamārama tō tākuta i ngā whakamātautau e hiahiatia ana mō tō āhuatanga motuhake, me te aha e tumanakohia ana i ia tukanga.

He aha te Rongoā mō te Mate Myasthenia Whānau?

Ko te rongoā mō te CMS he tino whaiaro e hāngai ana ki tō momo ira motuhake me ō tohutoro. Ko te rongo pai ko te maha o te hunga e whakautu pai ana ki te rongoā, ā, ka kitea he pai ake te kaha o ō rātou uaua me te mahi o ia rā.

Ko ngā rongoā te pūtake o te rongoā CMS. Ko ngā kaiwhakahaere cholinesterase penei i te pyridostigmine te rongoā tuatahi. Ka āwhina ēnei rongoā ki te whakapai ake i te whakawhitiwhiti i waenga i ngā io me ngā uaua mā te whakapiki ake i te āhei o ngā karere matū kei te hononga uaua-io.

Ko ētahi momo CMS e whakautu pai ana ki ētahi atu rongoā. Hei tauira, ko te hunga e whai CMS e pā ana ki te DOK7 ana ka tino pai ake te painga mai i te salbutamol (albuterol), he rongoā e whakamahia ana mō te mate huhu. Ko te 3,4-diaminopyridine tētahi atu kōwhiringa ka taea te āwhina ki te whakakaha i ngā tohu io ki ngā uaua.

He mea nui te mahi whakapakari tinana ki te pupuri i te kaha me te ngawari o ngā uaua. Ka hoahoa tō kaiwhakaako i ngā mahi e mahi ana i roto i ō whakawhitinga, ā, e āwhina ana i a koe ki te pupuri i te mahi pai rawa atu. Ko te mea nui ko te kimi i te taurite tika i waenga i te mahi me te okioki.

Ka taea e te mahi whakahaere te āwhina i a koe ki te whakarite i ngā mahi o ia rā, ki te tūtohutia rānei ngā taputapu awhina ina hiahiatia. Ka uru pea tēnei ki ngā taputapu hei āwhina i te kai, te kakahu, ngā taputapu nekehanga rānei hei tiaki i te kaha mō ngā mahi e tino nui ana ki a koe.

Mō ngā raruraru manawa, pea ka hiahiatia te rongoā manawa me ētahi wā ngā taputapu tautoko manawa. Ka taea e te rongoā kōrero te āwhina i te horomi me ngā wero whakawhitiwhiti, e whakarite ana ka taea e koe te kai haumaru me te whakaatu mārama.

Me pēhea te tango i te rongoā kāinga i te wā o te Mate Myasthenia Whānau?

Ko te whakahaere i te CMS i te kāinga e whakauru ana i te whanaketanga o ngā rautaki e āwhina ana i a koe ki te tiaki i te kaha i te wā e pupuri ana i te ora noa. Ko te mea nui ko te ako ki te mahi tahi me ngā rā o tō tinana, kāore i te whawhai ki a rātou.

Ka taea e te whakarite i ngā mahi i te rā te āwhina ki te ārai i te ngenge nui. Whakaritea ngā mahi uaua mō ngā wā e tino kaha ana koe, i te tīmatanga o te rā mō te tini o te iwi. Wetewetehia ngā mahi nui ki ngā wāhanga iti, ngāwari ki te whakahaere me ngā okioki i waenga.

Tangohia ō rongoā kia rite ki te whakahau, ki ngā wā tuturu hoki. Pupurihia he tātai tohutoro ki te aroturuki i tō whakautu ki ngā rongoā me ngā mahi rerekē. Ka āwhina tēnei mōhio ki tō rōpū hauora ki te whakarite i tō mahere rongoā.

Hangaia tētahi taiao e tautoko ana i ō hiahia. Ka uru pea tēnei ki te tāuta i ngā pou hopu i roto i ngā ruma kaukau, te whakamahi i ngā taputapu whakarite mō te kai, te whakarite rānei i ngā mea e whakamahia pinepine ana i roto i te rohe ngāwari ki te whakaiti i te whakapau kaha.

Noho hono atu ki tō rōpū hauora, ā, kaua e whakaroa ki te whakapiri atu ki te huri ngā tohutoro. Ko te whai i te mahere mahi mārama mō te whakahaere i ngā wāhanga tohutoro, te mohio rānei ki te wā e rapu ai i te tiaki mate tere, ka whakawhiwhia te rangimarie o te ngākau mōu me tō whānau.

Pupurihia ngā hononga pāpori me ngā mahi e kawe mai ana i te harikoa. Ahakoa pea ka hiahia koe ki te whakarerekē i te huarahi e whakauru ana koe ki ētahi mahi, ko te noho hono atu ki ngā hoa, ki te whānau, ki ngā whakaongaonga ka tino āwhina ki tō oranga whānui.

Me pēhea te Whakarite mō tō Whakatau Tākuta?

Ko te whakarite pai mō tō whakatau e āwhina ana ki te whakarite ka whiwhi koe i te nuinga o tō wā me tō kaiwhakarato hauora. Tīmata mā te pupuri i te tātai tohutoro taipitopito mō te iti rawa i te wiki i mua i tō haerenga, e tuhi ana i te wā e pai ake ana, e kino ake ana rānei ngā tohutoro, me te aha pea e whakaohooho ana i ngā huringa.

Kawe mai he rārangi katoa o ngā rongoā, ngā taapiri, me ngā hua hua e inu ana koe, tae atu ki ngā horo me te wā. Whakaritea hoki he hītori hauora whānau, ina koa te tuhi i ngā whānau e whai ngoikore uaua ana, ngā āhuatanga neuromuscular, ngā tohutoro rite rānei.

Tuhia ō pātai i mua kia kaua e wareware i ngā āwangawanga nui i te wā o te whakatau. Whakaarohia te kawe mai i tētahi hoa whakawhirinaki, i tētahi mema whānau rānei ka taea te āwhina ki te mahara ki ngā mōhio e kōrerotia ana i te wā o te haerenga.

Kohikohia ngā rekoata hauora o mua, ngā hua whakamātautau, ngā ripoata rānei mai i ētahi atu kaiwhakarato hauora. Ki te kite koe i ngā tohunga i mua, ko te whai i aua rekoata ka taea te ārai i ngā whakamātautau rua, ka hoatu hoki ngā mōhio nui.

Kia rite ki te whakaatu i ō tohutoro i roto i ngā kōrero taipitopito, tae atu ki te wā i tīmata ai rātou, te aha e pai ake ana, e kino ake ana rānei, me te pehea te pānga ki ō mahi o ia rā. He maha atu ngā tauira motuhake i ngā kōrero whānui mō te ngenge, te ngenge rānei.

He aha te mea nui mō te Mate Myasthenia Whānau?

Ko te mea nui rawa atu ki te mārama mō te CMS ko te mea ahakoa he mate ora tonu, he tino taea te whakahaere me te rongoā tika me te tautoko. He maha ngā tangata e whai CMS ana e ora ana i te ora whānui, mahi me te tiaki hauora tika me ngā whakaritenga ora.

Ka whakarereke nui te whakatau wātea me te rongoā i ngā hua. Ki te whakaaro koe, ki tō whānau rānei pea he CMS, ko te rapu i te aromatawai hauora i mua atu i te muri ka taea te ārai i ngā raruraru me te whakapai ake i te kounga o te ora.

Kia mahara ka rerekē te pānga o te CMS ki te tangata katoa. Pea ka rerekē tō wheako ki te mate i te tangata ke, ahakoa he momo ira kotahi kei a kōrua. Ko te mahi tata atu ki tō rōpū hauora ki te whanaketanga i te mahere rongoā whaiaro he mea nui.

Ko te tautoko mai i te whānau, i ngā hoa, i ngā kaiwhakarato hauora he mea nui ki te whakahaere i te CMS. Kaua e whakaroa ki te tono awhina ina hiahia koe, ā, whakaarohia te hono atu ki ngā rōpū tautoko, ki ngā whakahaere rānei e motuhake ana ki ngā āhuatanga neuromuscular.

Ngā Pātai Nui e Pā ana ki te Mate Myasthenia Whānau

He rite te mate myasthenia whānau ki te myasthenia gravis?

Kāo, ahakoa ko ngā mate e rua e puta mai ana ngā tohutoro ngoikore uaua rite, he take rerekē kei a rāua. Ko te CMS e puta mai ana i ngā huringa ira kei te whānau mai i te wā whānau, ā, ko te myasthenia gravis he mate autoimmune e tino puta mai ana i muri i te ora. Kāore te CMS e whakauru i te pūnaha ārai e whakaeke ana i te tinana, ā, e hiahia ana ki ngā rongoā rerekē i te myasthenia gravis.

Ka taea e te hunga e whai CMS ana te whānau haumaru?

Ae, he maha ngā tangata e whai CMS ana ka taea te whānau haumaru, ahakoa pea ka hiahia te haputanga ki te tirotiro atu me te whakahaere mahi tahi. Ko te ngoikore o ngā uaua e hono ana ki te CMS ka taea pea te pā ki te manawa me ētahi atu mahi i te wā haputanga, no reira he mea nui te mahi tahi me ngā tohunga e whai wheako ana i ngā haputanga nui. Ka taea e te tohutohu ira te āwhina i a koe ki te mārama ki ngā pānga o te tuku i te CMS ki ō tamariki.

Ka kino ake pea te CMS i te wā?

Ka rerekē te pikinga o te CMS e hāngai ana ki te momo ira motuhake me ngā take takitahi. Ko ētahi tangata e noho pumau ana mō ngā tau me te rongoā tika, ā, ko ētahi atu pea ka kitea ngā huringa iti. Kāore te tini o ngā momo CMS e kino nui ake i te wā, ina koa me te whakahaere hauora tika. Ko te whai i te whai wātea ki tō rōpū hauora e āwhina ana ki te tirotiro i ngā huringa, ki te whakarite rānei i te rongoā kia rite ki te hiahia.

Ka taea e te whakapakari tinana te āwhina, te kino rānei i te tangata e whai CMS ana?

Ka taea e te whakapakari tinana ngawari, e whakaritea tika ana te āwhina i te hunga e whai CMS ana, e āwhina ana ki te pupuri i te kaha o ngā uaua me te oranga whānui. Engari, ka taea e te whakapau kaha nui te whakaiti i ngā tohutoro, no reira he mea nui te kimi i te taurite tika. Ko te mahi tahi me te kaiwhakaako whakapakari tinana e mārama ana ki ngā āhuatanga neuromuscular e āwhina ana ki te whakarite kei te whakapakari tinana koe i te haumaru me te whai hua. Whakarongo ki tō tinana, ā, okioki ina hiahiatia.

He rongoā kei reira e tika ana kia karohia e te hunga e whai CMS ana?

Ae, ka taea e ētahi rongoā te whakaiti i ngā tohutoro CMS, ā, me karo noa. Ka uru atu ēnei ki ētahi rongoā mate huhu (penei i te aminoglycosides), ētahi anesthetics, ētahi rongoā ngakau, me ngā kaiwhakamamae uaua. Whakamōhiotia ngā kaiwhakarato hauora mō tō whakatau CMS i mua i te tīmatanga o ētahi atu rongoā, ā, kawe mai he kāri whakatūpato hauora e whakarārangi ana i ngā rongoā hei karo i te wā o ngā āhuatanga.