He aha te Hydrocephalus? Tohutohu, Take, me te Maimoatanga

He aha te hydrocephalus?

Ko te hydrocephalus te āhuatanga e hanga ana te wai roro nui rawa atu ki roto i ngā ruma o te roro, e kiia nei ko ngā ventricles. Ko te tikanga, ka tiaki me te whakamarumaru i tō roro tēnei wai, engari ki te nui rawa te kohikohi, ka taea e te pehanga te pā ki te mahi o te roro.

Whakaarohia te wai roro hei kāpeti whakamarumaru e karapotia ana tō roro me tō tūpuna. Ka hangaia e tō tinana tēnei wai māori, wai mārō i ngā rā katoa. I raro i ngā āhuatanga noa, ka tangohia e tō roro tēnei wai i te tere ano i te hanga, ka pupuri i te toenga hauora.

Ki te pakaru tēnei toenga, ka nui haere ngā ventricles o te roro nā te wai nui rawa atu. Ka taea e tēnei nui te whakapēhanga ki ngā kiko roro e karapotia ana. Ka taea te whanake i tēnei āhuatanga i tetahi tau, mai i ngā pēpi kei roto tonu i te kopu tae atu ki ngā tāngata pakeke, ahakoa ka rerekē ngā take me ngā tohu i te nuinga o te wā kei te whakawhirinaki ki te wā e puta ai.

Ko te rongo pai, he āhuatanga taea te whakaora te hydrocephalus. Ma te tiaki hauora tika, ka ora te nuinga o te hunga e pangia ana e te hydrocephalus i ngā oranga tino whānuitia, mahi. Ka taea e te kitenga wawe me te maimoatanga te whakarereke nui ki ngā hua.

He aha ngā tohu o te hydrocephalus?

Ka rereke haere ngā tohu o te hydrocephalus i runga i tō tau i te wā e whanake ana te āhuatanga. I ngā pēpi, ka taea e koe te kite i ngā huringa e āta whakaarohia ana, engari kāore i te marama tonu hei āhuatanga kino.

Mō ngā pēpi me ngā tamariki, ko ngā tohu tino noa ko:

• Te upoko nui rawa atu, te tere o te tipu o te upoko
• Te pupuhi o te waahi ngawari kei runga o te upoko
• Te ruaki kahore he kirika
• Te moe nui, te riri
• Ngā kanohi e titiro ana i raro, te raruraru ki te neke ki runga
• Ngā āwangawanga i etahi wā
• Te kai kino, te raruraru ki te kai

Ka puta mai ēnei tohu nā te mea kahore ano kia hono ngā wheua o te anga o te pēpi, ā, ka taea te whakawhānui o te matenga i te whakarahi o te wai. Koinei tonu te huarahi tiaki a te tinana i te roro mai i te pehanga tika.

Ka rerekē ngā tohu o ngā tamariki pakeke me ngā pakeke, nā te mea ka kore e taea te whakawhānui o ō rātou anga. Ka kite pea koe:

• Ngā mamae o te mahunga e mau tonu ana, ā, ka kaha ake pea i te ata
• Te ruaki me te ruaki
• Ngā raruraru o te tirohanga, te tirohanga takirua rānei
• Ngā raruraru o te tū me te whakahaere
• Ngā raruraru o te mahara, te whakapohehe rānei
• Ngā huringa o te ahua, o te whāinga rānei
• Te raruraru ki te noho ara, ki te arotahi rānei
• Te ngaro o te mana o te pūkahukahu i ētahi wā

I ngā pakeke, ka taea te whakaaro he tohu no te koroheketanga noa, he atu āhuatanga rānei penei i te mate dementia ngā tohu o te hydrocephalus. Ko te toru o ngā tohu tino nui ko te raruraru o te hikoi, ngā raruraru o te mahara, me te kore mana o te mimi. Heoi, ehara i te katoa e pā ana ki ēnei tohu e toru, ā, ka uaua ai te whakatau.

Ka whanake etahi i te mea e kiia nei ko te hydrocephalus o te pehanga noa, kei reira ngā tohu e puta ana i te iti. Ka kite pea koe i ngā huringa iti i te hikoi, te whakaaro, te mana rānei o te pūkahukahu e whakaiti haere ana i te wa. E tika ana kia whakarongohia ēnei huringa, ahakoa iti rawa te ahua i te tīmatanga.

He aha ngā momo hydrocephalus?

He maha ngā momo hydrocephalus, he motuhake ōna āhuatanga me ngā tikanga whakaora. Ka āwhina te mōhiotanga ki ēnei momo ki te pai ake te whakaaro ki te mea pea kei te puta, me te aha e tatari ana.

Ka puta te hydrocephalus whakawhitiwhiti ina taea te rere noa o te wai roro i waenga i ngā whekau o te roro, engari kaore e tangohia tika ki te toto. Ka tupu pea tenei momo i muri i ngā mate, te toto i roto i te roro, te whara o te matenga rānei e pā ana ki ngā wāhi tango.

Ko te hydrocephalus kore-whakawhānui e puta ana ina aukati te rere o te wai roro i waenganui i ngā whekau. Ka taea e ngā mate pukupuku, ngā whewhe, te koretake o te whanaketanga te hangai i ēnei aukatinga. Ko te momo nei te nuinga o te wā e hiahia ana ki te tātaritanga pokanga hei tango atu i te aukatinga, hei whakarereke rānei.

Ko te hydrocephalus whānau e puta ana i te wā whānau, ā, ko te tikanga he hua nā ngā raruraru whanaketanga i te wā hapu. Ka whānau mai ētahi pēpi me ngā hapa o te roro e pā ana ki te mimiti o te wai, ā, ko ētahi atu ka whānau mai me te mate nei nā te mate, te toto rānei i mua i te whānau.

Ko te hydrocephalus whiwhi e whānau ana i muri i te whānau nā te whara, te mate, ētahi atu āhuatanga hauora rānei. Ka taea e te whara o te matenga, ngā mate pukupuku o te roro, ngā mate pērā i te meningitis, te toto rānei i roto i te roro te ārai ki tēnei. Ka taea te puta i tetahi tau, ā, ko te nuinga o te wā ka puta tere.

Ko te hydrocephalus pēhanga noa he momo motuhake e pā ana ki ngā kaumātua. Ahakoa tōna ingoa, ko te pēhanga i roto i te roro te nuinga o te wā e teitei ana, engari ka puāwai haere ngā tohu. He uaua tēnei momo ki te whakamātautau, nā te mea ka rite ngā tohu ki ētahi atu āhuatanga e pā ana ki te pakeke.

He aha ngā take o te hydrocephalus?

Ka whānau te hydrocephalus ina pakaru te rere o te wai roro. Ka whakaputa tō roro i te kotahi pīni o tēnei wai tiaki i ia rā, ā, me tango anō ki roto i tō toto i taua tere.

He maha ngā take ka whakaroa i tēnei taurite. Ko ngā aukatinga tētahi o ngā take tino noa, inā koa ki ngā tamariki me ngā tāne taitamariki.

Ko ngā aukatinga tinana e taea te ārai i te hydrocephalus ko:

• Ngā mate pukupuku o te roro e pēhi ana ki ngā ara mimiti
• Ngā whewhe, ētahi atu tipu rānei i roto i te roro
• Ngā toto kōtiti mai i ngā whara o te matenga, te pokanga rānei
• Te kiri pūngāwerewere mai i ngā mate, ngā pokanga rānei o mua
• Ngā hapa whānau e pā ana ki te hanganga o te roro

Ka taea hoki e ngā mate te arahi ki te hydrocephalus mā te whakaoho i te mumura me te toka. Ka taea e te meningitis, te encephalitis, me ētahi atu mate o te roro te whakangaro i ngā wāhi e tangohia ai te wai o te roro. Ahakoa ka maarama te mate, ka mau tonu te toka ka mau tonu ki te whakaeke i ngā raruraru o te whakaheke.

Ko te toto i roto i te roro, ahakoa mai i te whara, te pēhanga, te rerekētanga ranei o ngā oko toto, ka taea te whakaroa i te hurihuri o te wai. Ka taea e te toto me ōna hua whakakore te aukati i ngā wāhi tango, te hanga ranei i ngā aukati i ngā ara whakaheke.

I etahi wā, ka puta mai te hydrocephalus kahore he take e kitea ana, inā te nuinga ki ngā tāngata pakeke me te hydrocephalus o te pehanga noa. E whakapono ana ngā kairangahau ko ngā huringa e pā ana ki te tau i roto i te kiko o te roro me ngā oko toto pea he wāhi, engari kāhore i tino mōhiotia ngā tikanga.

Ka taea e ngā take ira te whakauru ki ētahi take, inā te nuinga o ngā mea kei te whānau. Ko ētahi ahuatanga ira e pā ana ki te whanaketanga o te roro ka taea te whakapiki ake i te tūponotanga o te hydrocephalus. Heoi, kāhore te nuinga o ngā take i tuku tika mai i ngā mātua.

Nōhea te toro atu ki te taote mō te hydrocephalus?

Ko te mohio ki te wā hei rapu i te tiaki hauora mō te hydrocephalus pea ka ora ai te ora, inā te nuinga mai i te mea ka taea te whanake haere māmā te tohu, te pohehe ranei mō ētahi atu āhuatanga. Whakawhirinaki ki ō hiahia mena kāhore he mea e tika ana.

Mō ngā pēpi me ngā tamariki, whakapiri atu ki tō tākuta tamariki tonu mena ka kite koe i te tipu tere o te ūtū, te pupuhi o te wahi ngawari, te ruaki tonu rānei kahore he kirika. Ka taea e ēnei tohu te tohu i te pēhanga nui i roto i te roro e hiahia ana ki te aromatawai tere.

Karangahia ngā ratonga āwhina mena ka pā te mate ki tō tamaiti, ka moe nui, ka uaua ki te oho, ka whakaatu ranei i ngā tohu o te pouri nui. I tua atu, mena ka titiro tonu ngā kanohi o tō pēpi ki raro, kāhore rānei e taea te neke ki runga, ka taea tenei te tohu i te pēhanga nui e wehi ana.

Me pēhi atu ngā tāngata pakeke ki te tiaki hauora tere mō ngā mamae o te mahunga nui e kino haere ana i te wā, inā koa kei te haere tahi rātou me te ruaki, te ruaki, te rerekētanga rānei o te tirohanga. Ko ngā mamae o te mahunga e kino ake ana i te ata, e whakaoho rānei i a koe i te moe, e tika ana kia aro nui atu.

Kaua e tatari ki te pāngia koe e ngā huringa ohorere o te taurite, te whakahaere, te mahi hinengaro rānei. Ka taea e ēnei tohu te tohu i te pēhanga e piki haere ana i te tere e hiahia ana ki te rongoā wawe. Ko te ngaro o te mohio, te pouri nui, te uaua rānei ki te noho ara, he āhuatanga ohorere.

Mō ngā kaumātua, ko ngā huringa whakarite i te hikoi, te mahara, te mana whakahaere ranei o te putea, ka rite pea ki te koroheketanga noa, engari ka taea te tohu i te hydrocephalus o te pehanga noa. Ki te pā ana ēnei huringa ki tō oranga o ia rā, ki te ahu whakamua rānei, kōrero atu ki tō tākuta.

Ahakoa ngā tohu iti, e tika ana kia aro nui ki te mau tonu, ki te kino ake rānei. Ka taea e tō kaiwhakarato hauora te mahi whakamātautau hei whakatau mena ka hono atu ō tohu ki te hydrocephalus, ki tētahi atu āhuatanga rongoā rānei.

He aha ngā take morearea mō te hydrocephalus?

Ko te mārama ki ngā take morearea mō te hydrocephalus ka āhei te āwhina i a koe ki te noho mataara ki ngā tohu whakatūpato pea, ahakoa te whai take morearea, ehara i te tikanga ka whanake koe i te āhuatanga. He tokomaha ngā tāngata he take morearea kei a rātou, kāore rawa e pāngia e te hydrocephalus.

He tino mahi te tau i roto i tō pūkete morearea. Ko ngā pēpi me ngā kaumātua he nui ake te morearea, ahakoa mō ngā take rerekē.

Ko ngā take e whakapiki ake ana i te morearea i ngā pēpi me ngā tamariki:

• Te whānau wawe, inā koa i mua i te 34 wiki
• Te taumaha iti o te whānau
• Ngā hapa whānau e pā ana ki te roro, ki te tuaiwi o te tuara rānei
• Ngā mate i te wā hapu, pēnei i te toxoplasmosis, te rubella rānei
• Te hītori whānau o te hydrocephalus, o ngā āhuatanga hono atu rānei
• Te mahi uaua, te raruraru rānei o te whānau

Nō te mea ngāwari te toto o ngā pēpi kōhurutanga ki te toto, ā, kei te whāiti tonu te whanaketanga o o rātou roro, he tino nui te tūponotanga o te mate mō rātou. Ka nui haere te tūponotanga, ka wātea haere te whānautanga.

Ko ētahi o ngā take tūponotanga e pā ana ki te tangata i ngā tau katoa ko:

• Te whara o te upoko i ngā aituā, i ngā whakataetae hākinakina rānei
• Ngā mate pukupuku o te roro, o te tuaiwi o te tuara rānei
• Ngā mate o te pūnaha io māngai
• Te pokanga o te roro i mua
• Te pēhanga toto, te toto rere rānei ki te roro
• Ngā āhuatanga ira tuku iho

Nui atu te tūponotanga o ngā pakeke neke atu i te 60 tau ki te hydrocephalus pēhanga noa, ahakoa kāohore e tino mōhiotia e ngā kairangahau te take. E whakaaro ana etahi rangahau ko ngā huringa o te kiko o te roro me te hauora o ngā oko toto e puta mai ana i te koroheketanga pea te take o tēnei tūponotanga nui ake.

Kāohore e tino tikanga ko te nui o ngā take tūponotanga ka whakanui ake i tō tūponotanga. Heoi, ko te tikanga kia mōhio ake koe ki ngā tohu pea, kia mau tonu hoki te whakawhitiwhiti kōrero ki tō kaiwhakarato hauora mō ngā huringa āhuatanga.

He aha ngā raruraru pea o te hydrocephalus?

Ahakoa ka taea te whakaora i te hydrocephalus, ko te mārama ki ngā raruraru pea ka āwhina i a koe ki te mohio he aha te take nui o te whakaora wawe. Ka taea te aukati, te whakaiti rānei i te nuinga o ngā raruraru mā te tiaki hauora tika.

Ko te āwangawanga tino nui ko te pēhanga nui ake ki te kiko o te roro. Ka taea e te wai o te roro te whakakī i ngā hanganga ngawari o te roro, ā, ka whakaroa i te mahi noa.

Ka taea e te hydrocephalus kore whakaora te arahi ki ētahi atu raruraru nui:

• Te kino o te roro mō ake tonu atu i te pēhanga roa
• Ngā whakaroa whanaketanga i ngā tamariki
• Ngā raruraru tirohanga, te matapo rānei
• Ngā āwangawanga ka uaua pea te whakahaere
• Te ngoikore hinengaro, te ngaro mahara rānei
• Ngā ngoikore tinana e pā ana ki te nekehanga, ki te whakahaere rānei
• I ngā take kino, te coma, te mate rānei

Ko ngā tamariki e kore nei e whakaorahia te hydrocephalus ka pāngia pea e ngā raruraru ako, te whakaroa o te whanaketanga reo, te raruraru rānei ki ngā pūkenga motuka. Ka taea e te rongoā wawe te aukati i te maha o ēnei take whanaketanga kia kaua e mau tonu.

Ahakoa te rongoā, ka pāngia pea etahi tangata e ngā wero haere tonu. Ko ngā pūnaha shunt, e whakamahia nuitia ana hei whakaora i te hydrocephalus, ka raru pea te mahi, ka pangia rānei e te mate. Ko ēnei raruraru ka tino puta mai ngā tohu e whakamārama ana kia rapu atu koe i te tiaki hauora.

Ko ngā raruraru onge engari nui mai i ngā pūnaha shunt ko:

• Ngā mate shunt e hiahia ana ki te rongoā antibiotic
• Ngā aukati e puta mai ai ngā tohu
• Te mimiti nui e arahi ana ki ngā mamae o te upoko ina tu
• Te whakahekenga mīhini e hiahia ana ki te pokanga whakatikatika

Ko te rongo pai ko te nuinga o te hunga e whakaorahia ana te hydrocephalus ka karo katoa i ngā raruraru nui. Ko te tiaki whai muri tonu te awhina i te hopu i ngā raruraru pea i te wa wawe, ina ngāwari tonu te whakaoti.

Ka whakaako to rōpū hauora ki a koe i ngā tohu whakatūpato hei titiro atu.

Me pēhea te aukati i te hydrocephalus?

Ahakoa kaore e taea e koe te aukati i ngā take katoa o te hydrocephalus, ina koa ētahi e puta mai ana i ngā take ira ranei i ngā hapa whānau, ka taea e koe te tango i ngā mahi hei whakaiti i ētahi take morearea. Ko ngā rautaki aukati e arotahi ana ki te tiaki i te hauora o te roro me te aukati i ngā āhuatanga ka arahi pea ki te hydrocephalus.

I te wa hapu, ka taea e te maha o ngā mahi te tiaki i te hauora o te roro o tō pēpi e whanau mai ana. Ko te whiwhi i te tiaki wahapu tika ka taea ai e tō tākuta te tirotiro mo ngā raruraru pea me te whakaoti wawe.

Ko ngā mahi aukati i te wa hapu ko:

• Te noho tonu ki ngā inopu, ina koa te rubella
• Te karo i te waipiro, te kai paipa, me ngā raau taero kore ture
• Te tango i ngā huaora wahapu me te waikawa folic
• Te whakaora wawe i ngā mate
• Te whakahaere i ngā āhuatanga roa penei i te mate huka
• Te whai i ngā aratohu haumaru kai hei aukati i ngā mate

He mea nui te aukati i ngā whara o te upoko mō te hunga o ngā tau katoa. He maha ngā take o te hydrocephalus i whiwhitia e puta mai ana i ngā whara o te roro i ngā pakū i āhei te aukati me ngā tikanga haumaru tika.

Ko te tiaki i tō upoko e whakauru ana ki:

• Te kakahu i ngā pūkahu i te wā e hikareti ana, e wira ana, e takaro ana rānei i ngā hākinakina whakapā
• Te whakamahi i ngā whitiki nohoanga me ngā nohoanga motuka tika
• Te whakatū tika i ngā kāinga mā te tango i ngā tūponotanga hinga
• Te tupato huri noa i te wai hei aukati i ngā aituā pēnei i te ngaro
• Te whai i ngā tikanga haumaru o te wāhi mahi

Ka taea te aukati i ētahi take o te hydrocephalus mā te rongoā tere o ngā mate. Ki te whānau koe i ngā tohu o te meningitis, encephalitis, me era atu mate o te roro, ko te rapu i te tiaki hauora tonu ka taea te aukati i ngā raruraru ka āhei te arahi ki te hydrocephalus.

Mō te hunga he mate hauora kei a rātou e whakapiki ana i te tūponotanga, ka taea te āwhina i te whakahaere pai me te whakahaere pai o te mate ki te aukati i te whanaketanga o te hydrocephalus. Kei roto i ēnei te whakahaere i ngā āhuatanga pēnei i ngā pūngāwerewere roro, me ngā raru o ngā oko toto.

Me pēhea te whakamātautau i te hydrocephalus?

Ko te whakamātautau i te hydrocephalus e whakauru ana i te whakamātautau tinana, te hītori hauora, me ngā whakamātautau whakaahua. Ka hiahia tō tākuta ki te mōhio ki ō tohu me te rapu i ngā tohu o te pēhanga nui i roto i tō roro.

Ko te tukanga whakamātautau e tīmata ana i te hītori hauora me te whakamātautau tinana. Ka ui tō tākuta mō ngā tohu, i te wā i tīmata ai rātou, me te āhua o te whakawhānuitanga. Mō ngā tamariki, ka taea e ngā tūtohu tipu e whakaatu ana i te whānuitanga o te upoko te whakarato i ngā tohu whai hua.

I te wā o te whakamātautau tinana, ka tirotirohia e tō tākuta ngā tohu pēnei i te pupuhi o ngā fontanelles i ngā pēpi, ngā raruraru tirohanga, ngā raruraru toenga, me ngā huringa mātauranga. Ka taea hoki e rātou te whakamātautau i ō reflexes me te tirotiro i ō kanohi mō ngā tohu o te pēhanga nui o te roro.

Ko ngā whakamātautau whakaahua e whakarato ana i te whakamātautau tino tika o te hydrocephalus. Ko ēnei whakamātautau e hanga ana i ngā whakaahua taipitopito o tō roro e whakaatu ana i ngā ventricles nui me te awhina i te tautuhi i ngā take pea.

Ko ētahi o ngā whakamātautau whakaahua noa e whakamahia ana ko:

• Ngā tātaritanga CT e whakaatu tere ana i te hanganga o te roro me te rahi o ngā ventricle
• Ngā tātaritanga MRI e whakarato ana i ngā whakaahua taipitopito o te kiko o te roro
• Te ultrasound mō ngā pēpi e tuwhera tonu ana ō rātou fontanelles
• Ngā raupapa MRI motuhake hei ako i te rere o te wai

I etahi wā, ka āwhina ētahi atu whakamātautau ki te whakatau i te huarahi rongoā pai. Ka taea e te lumbar puncture (spinal tap) te ine i te pehanga o te wai cerebrospinal me te tirotiro i ngā mate pukupuku, i ētahi atu rerekētanga rānei. He whai hua tēnei whakamātautau mō te whakatau i te hydrocephalus o te pehanga noa i roto i ngā tāngata pakeke.

Mō ētahi tāngata, ka mahi pea ngā tākua ki te whakamātautau whakaheke wā poto. Kei roto i tēnei te tango i ngā rahinga iti o te wai cerebrospinal hei tirotiro mena ka pai ake ngā tohu. Ki te pai ake tō āhua i muri i te tango wai, ka whakaatu mai ko te rongoā whakaheke tumau pea ka āwhina.

Ka hiahia pea hoki tō rōpū hauora ki te aroturuki i te tere o te whakaputa wai cerebrospinal e tō roro, i te pai o te whakauru rānei. Ka āwhina ēnei whakamātautau motuhake ki te arahi i ngā whakatau rongoā me te kīhai i te pai o ngā rongoā rerekē mōu.

He aha te rongoā mō te hydrocephalus?

Ko te rongoā mō te hydrocephalus e arotahi ana ki te whakaiti i te kohinga o te wai cerebrospinal me te whakaora i te pehanga ki tō roro. Ko te huarahi motuhake e whakawhirinaki ana ki te take o tō āhuatanga, tō tau, me tō hauora whānui.

Ko te nuinga o te wā, he mea tika te rongoā pokanga, na te mea kaore te hydrocephalus e ora ake ana i a ia ano. Ko te rongo pai ko ngā whiringa pokanga he tino whai hua, ā, kua āwhina i te tini o te iwi ki te ora i ngā oranga noa, hauora.

Ko te rongoā tino noa ko te whakanoho i te pūnaha shunt. He pūtu iti, ngawari tēnei e whakaheke ana i te wai cerebrospinal nui atu i tō roro ki tētahi atu wāhanga o tō tinana ka taea te whakauru mai i te āhua.

Ko ngā pūnaha shunt e whakauru ana ki te nuinga o te wā:

• He kaitiro tūroro i whakanohoia ki ngā wāhi kīwai wai o te roro
• He witi e whakahaere ana i te tere o te whakaheke me te aukati i te hoki mai
• He kaitiro whakaheke e kawe ana i te wai ki te kopu, ngā ngākau, te manawa rānei

Ko te nuinga o ngā kaitoro e whakaheke ana ki te kopu, kei reira te wai ka tangohia e tō tinana. Ko tēnei tukanga, e kiia nei ko te kaitoro ventriculoperitoneal, he pai rawa te raru o te angitu, ā, ka taea e te nuinga o te iwi te hoki ki ngā mahi noa.

Ko tētahi atu whiringa pokanga ko te endoscopic third ventriculostomy (ETV). Ka hangaia e tēnei tukanga he tuwhera iti ki te roro e taea ai te rere o te wai cerebrospinal i ngā ārai i te āhua noa. Ko te ETV te mahi pai rawa atu mō ētahi momo hydrocephalus, ā, ka taea te whakakore i te hiahia mō te kaitoro pumau.

I etahi wā ka whakakotahi ngā tākuta i te ETV me te choroid plexus cauterization, ina koa ki ngā tamariki. Ka whakaitihia e tēnei tukanga te nui o te wai cerebrospinal e whakaputahia ana e tō roro, ka ngāwari ake te whakaheke i te āhua noa ki te pupuri.

Mō te hydrocephalus i puta mai i ngā mate pukupuku, i ētahi atu tipu rānei, ko te whakaora i te take take ka taea te whakatau i te kohinga wai. Ko te tango i te mate pukupuku e ārai ana i te whakaheke ka taea i etahi wā te whakakore i te hiahia mō te whakanoho kaitoro pumau.

Ko te ora mai i te pokanga hydrocephalus te nuinga o te wā he ngāwari. Ko te nuinga o te iwi ka kite i te whakapai ake o ō rātou tohu i roto i ngā rā ki ngā wiki i muri i te maimoatanga. Ka homai e tō rōpū pokanga ngā tohutohu motuhake mō ngā ārai mahi me te tiaki whai muri.

Me pēhea te whakahaere i te hydrocephalus i te kāinga?

Ko te noho tahi me te hydrocephalus he whai whakaaro tonu me te tiaki whaiaro, engari ko te nuinga o te iwi e whakaora ana i te hydrocephalus e ora ana i ngā oranga noa. Ko te whakahaere kāinga e arotahi ana ki te mohio wawe ki ngā raruraru pea me te pupuri i tō hauora whānui.

Ko te ako ki te mohio ki ngā tohu o te mahi he o te kaitoro he mea nui mena kei a koe he pūnaha kaitoro. Ahakoa he onge ngā raruraru kaitoro, ko te mohio ki te mea hei titiro atu ka awhina i te whakarite kia tere te tiki awhina mena ka hiahiatia.

Ko ngā tohu pea e whakaatu ana i ngā raruraru o te tūhono ko:

• Te hokinga mai o ngā tohu hydrocephalus taketake
• Ngā mamae o te upoko e kino ake ana i te wā e takoto ana
• Te ruaki, te ruaki ranei
• Ngā huringa o te tirohanga, te tirohanga rua ranei
• Te riri, te huringa o te hinengaro ranei
• Te kirika, ā, pea he tohu tēnei o te mate
• Te whero, te pupū ranei i te taha o te tūhono

Whakapa atu ki tō tākuta wawe atu mēnā ka kite koe i tētahi o ēnei tohu. Ko te whakaora tere i ngā raruraru o te tūhono te nuinga o te wā ka ārai i ngā raruraru nui, ā, ka pai ake tou āhua i te tere.

Ko te pupuri i te hauora whānui pai te tautoko i tō whakaora me tō oranga pai mo te wā roa. Kei roto i ēnei te kai i ngā kai kai hauora, te noho mahi tinana i whakaaetia e tō tākuta, me te moe pai.

Ko ngā ārai whakahaere i te nuinga o te wā he iti i muri i tō whakaorangotanga i te pokanga. Ka taea e te nuinga o te iwi te hoki ki te mahi, ki te kura, me ngā mahi whakangahau. Heoi, ko ngā hākinakina whakapā pea ka hiahia ki ngā whakarite motuhake hei tiaki i tō pūnaha tūhono.

Ko te haereere te nuinga o te wā he haumaru me te tūhono, ahakoa me mau koe i ngā korero hauora mō tō āhuatanga. Kāo e pā te tirotiro haumaru o te taunga rererangi ki tō tūhono, engari ko te mau i ngā tuhinga ka āwhina mēnā ka puta mai ngā pātai.

He mea nui ngā whakaritenga whai muri i te wā mo te tirotiro i tō āhuatanga me te mahi o te tūhono. Ko ēnei haerenga te nuinga o te wā kei roto ngā whakamātautau whakaahua hei tirotiro mena kei te mahi pai tō tūhono, ā, kei te tika te rahi o ō whekau.

Me pēhea te whakarite mō tō whakatau ki te tākuta?

Ko te whakarite mō tō haerenga ki te tākuta mō te hydrocephalus te āwhina i te whakarite kia whiwhi koe i te hua nui rawa atu i tō whakatau, ā, ka whakarato ki tō rōpū hauora ngā korero e hiahia ana rātou ki te āwhina pai i a koe.

I mua i tō whakatau, tuhituhi i ō tohu katoa, tae atu ki te wā i tīmata ai rātou me te āhua o te huringa i te wā. Kia tino mōhio ki ngā mea kua kite koe, ahakoa he iti ngā kōrero.

Ko ngā korero nui hei mauria ko:

• Rārangi kākāriki o ngā rongoā me ngā taapiri e inuhia ana e koe inaianei
• Ngā rēkōti hauora o mua,inā koa ngā rangahau whakaahua o te roro
• Hītori hauora whānau,inā koa ngā āhuatanga neurological
• Ngā kōrero inihua me ngā pepa tohutoro mena e hiahiatia ana
• Rārangi o ngā pātai e hiahia ana koe ki te ui

Whakaarohia te kawe mai i te mema whānau, i te hoa rānei ki tō whakatau. Ka taea e rātou te āwhina i a koe ki te mahara ki ngā kōrero i kōrerotia, ā, ki te whakarato tautoko i te wā pea ka pēhia.

Whakaritea ngā pātai i mua kia kaua e wareware ki ngā āwangawanga nui i te wā o tō haerenga. Whakaarohia te ui mō ngā whiringa maimoatanga, ngā mea e tumanakohia ana i te wā whakaora, ngā ārai mahi, me te tirohanga roa.

Ngā pātai whai hua pea:

• He aha te momo hydrocephalus kei ahau?
• He aha te take o taku āhuatanga?
• He aha ngā whiringa maimoatanga mōku?
• He aha ngā tūponotanga me ngā painga o ia maimoatanga?
• Me pēhea te pānga o te maimoatanga ki tōku oranga o ia rā?
• He aha ngā tohu me titiro atu ahau?
• E hia te wā ka hiahia ahau ki ngā whakatau whai muri?

Kaua e whakaroa ki te tono mārama mena kaore koe e mōhio ki tetahi mea. He uaua pea ngā kōrero hauora, ā, e hiahia ana tō tākuta kia tino mōhio koe ki tō āhuatanga me tō mahere maimoatanga.

He aha te mea nui e tangohia ana e pā ana ki te hydrocephalus?

He āhuatanga nui engari he tino āta whakaora te hydrocephalus e pā ana ki te iwi o ngā tau katoa. Ko te mea nui rawa atu hei mahara ko te tautuhi wawe me te maimoatanga tika ka taea te aukati i ngā raruraru, ā, ka taea e te nuinga o te iwi te noho oranga noa, ora.

Kua hurihia e ngā maimoatanga pokanga hou,inā koa ngā pūnaha shunt, te tirohanga mō te iwi e pangia ana e te hydrocephalus. He tokomaha ngā tangata e pangia ana e te hydrocephalus i whakaorahia e haere tonu ana ki te whakatutuki i ō rātou whāinga mātauranga, mahi, me ngā whāinga whaiaro, kaore he whakawhitinga nui.

Ahakoa pea ka kitea te whakamātautau hei mea nui i te tīmatanga, kia mahara ko te hydrocephalus he āhuatanga pai te mōhiotanga mōna, me ngā rongoā whai hua kua whakatūria. He wheako whānui tō tō rōpū hauora i te āwhina i te iwi e pangia ana e te hydrocephalus, ā, kei te wātea ngā rauemi tautoko hei āwhina i a koe ki te haere i tēnei haerenga.

Ko te matua mō te whakahaere angitu ko te noho mārama ki tō āhuatanga, te pupuri i te tiaki whaiaro tūturu, me te mōhio ki te wā hei rapu i te tiaki hauora. Mā te rongoā tika me te tirotiro, kaore te hydrocephalus e whakatau, e whakakore rānei i tō oranga.

Tō atu ki te tukanga rongoā, ā, kaua e whakaroa ki te uiui pātai, ki te rapu tautoko rānei ina hiahia koe. He tokomaha ngā tāngata e pangia ana e te hydrocephalus e kitea ana te hono atu ki ētahi atu he wheako rite te whai hua mō ngā tohutohu mahi me te tautoko hinengaro.

Pātai e ui pinepinetia ana mō te hydrocephalus

Ka taea te whakaora katoa te hydrocephalus?

Ahakoa kaore e taea te “whakaora” te hydrocephalus i te tikanga noa, ka taea te whakahaere pai ki te rongoā tika. Ka whakahaeretia te āhuatanga e ngā pūnaha shunt me ētahi atu rongoā pokanga, kia ora ai te nuinga o te iwi i ngā oranga noa. Ko te hiahia whanui mō te hanga wai e noho tonu ana, koia te take e nui ai te tirotiro haere tonu, engari ka taea te whakakore, te whakaiti rānei i ngā tohu mā te tiaki tika.

Me pehea ngā pokanga maha mō te hydrocephalus?

Ko te nuinga o te iwi kotahi te pokanga anake e hiahia ana ki te whakaora i to rātou hydrocephalus. Heoi, i etahi wā pea ka hiahiatia te whakatikatika, te whakakapi rānei i ngā pūnaha shunt i te wa roa, ina koa ki ngā tamariki kei te tipu tonu. E 50% te tata o ngā shunt i whakanohoia ki ngā tamariki ka hiahia ki te whakatikatika i roto i ngā tau e rua, engari he maha te roa atu. Ko ngā shunt pakeke te nuinga o te roa o te ora. Ka tirotiro tonu tō tākuta i te mahi a tō shunt hei hopu i ngā raruraru i te tīmatanga.

Ka taea e te hunga e pangia ana e te hydrocephalus te whānau tamariki?

Ae, he tokomaha ngā tāngata e pangia ana e te hydrocephalus e taea te whānau tamariki me te ora. Kāore te hapu e tino whakaiti i te hydrocephalus, ā, ko te nuinga o ngā wāhine e whakamahia ana te shunt e whānau ana ngā pepeha me te whānau māori. Heoi, me kōrero koe ki tō neurologist me tō obstetrician mō te whakamahere whānau kia whakarite ai te tirotiro tika i te wa o te hapu. Pea e pā ana ki ō tamariki ētahi momo hydrocephalus ira, na reira pea he whai hua te tohutohu ira.

He momo ngoikore hinengaro rānei te hydrocephalus?

Kāore te hydrocephalus i te mea he ngoikore hinengaro, ahakoa ka taea e te hydrocephalus kore i te rongoā te arahi ki ngā raruraru hinengaro. I te wā i kitea ai, ā, i te wā i rongoā ai i te wā, ko te nuinga o ngā tāngata e pangia ana e te hydrocephalus he hinengaro noa. Pea etahi e pā ana ki ngā rerekētanga ako, kāore rānei e hiahia ana ki te tautoko atu i te kura, engari he tokomaha e haere ana ki ngā mahi angitu me te mātauranga teitei. Ko te matua ko te whiwhi i te rongoā tika i mua i te puta mai o te kino nui o te roro.

Ka taea te takaro hākinakina me te shunt?

Ko te nuinga o ngā tāngata e whakamahia ana ngā shunt ka taea te whakauru ki ngā hākinakina me ngā mahi tinana me te ora. Ko te kauhoe, te oma, te pīpopō, me te maha atu o ngā hākinakina e tino pai ana. Pea e hiahia ana ngā hākinakina hono penei i te whutupōro, kāore rānei i te hākinakina hoki ki ngā whakaritenga motuhake, kāore rānei i ngā taputapu tiaki kia kore ai e pakaru te shunt i ngā āhuatanga. Ka taea e tō taakuta te whakarato i ngā tohutohu motuhake e pā ana ki tō momo shunt me tō wāhi, tō tau, me ngā mahi e hiahia ana koe ki te whai.