He aha te Myoclonus? Ngā Tōmhanga, Ngā Take, me te Maimoatanga

Ko te myoclonus he wiri pēpē, poto o te uaua e puta mai ana kaore koe e manaaki. Whakaarohia he wiri uaua tere e pā ana ki tetahi wāhanga o tō tinana, mai i te hikaka ngāwari ki ngā wiri mārama ake i ō ringa, i ō waewae rānei.

He maha atu ngā nekehanga uaua nei i to whakaaro pea. Ko te nuinga o te iwi ka wheako i ngā momo ngāwari penei i te hikaka, i te wiri ohorere ka kitea e koe ina moe. Ahakoa he koretake tetahi atu momo, ka tohu pea ētahi atu i tētahi āhuatanga kei raro e hiahia ana ki te aro.

He aha ngā tōmhanga o te myoclonus?

Ko te tōmhanga matua ko ngā whakawhitinga uaua ohorere, tere kaore e taea e koe te manaaki. Ka puta pea ēnei wiri kotahi, kia maha rānei, ā, kaore pea e kitea, kia tino nui rānei.

Ko ēnei ngā mea ka pāngia e koe ki ngā momo myoclonus rerekē:

• Ngā wiri uaua poto, rite ki te hōhā e iti iho i te rua tekau mā whā o te hēkona
• Ngā wiri kotahi, ngā rōpū nekehanga rānei e puta tahi ana
• Ngā nekehanga e pā ana ki tētahi uaua anake, ki ngā wāhi maha rānei
• Ngā wiri e puta ana i te okiokinga, i te whakaohooho rānei e te nekehanga, te tangi, te mārama rānei
• Ngā tauira rereke, rānei o ngā whakawhitinga uaua
• Ngā nekehanga ka aukati pea i ngā mahi o ia rā penei i te tuhituhi, te hikoi rānei

Ka rereke te kaha mai i te tangata ki te tangata. Kaore pea e kitea e ētahi te wiri ngāwari, engari ka kitea e ētahi atu ko ngā nekehanga kaha ake ka pā ki to rātou kaha ki te mahi i ngā mahi o ia rā.

He aha ngā momo myoclonus?

Ka whakarōpū ngā tākuta i te myoclonus i ngā huarahi maha hei whakamaarama pai ake me te whakaora. Ko te huarahi pai ki te whakaaro ki a ia ko te take i puta ai, me te pehea te pānga ki tō oranga o ia rā.

E ai ki te take kei raro, e toru ngā kāwai matua:

• Myoclonus tūturu - Ngā wiri noa penei i te hikaka, i ngā tīmatanga moe e puta ana ki ngā tāngata hauora
• Myoclonus matua - Ngā wiri kaore i whakamāramahia kaore hoki he raruraru neurological atu
• Myoclonus tuarua - Ngā wiri e puta mai ana i tētahi atu āhuatanga hauora, rānei rongoā

Ka titiro hoki ngā tākuta ki te wahi i puta mai ai ngā wiri i roto i tō pūnaha io. Ka āwhina tēnei ki a rātou ki te whiriwhiri i te huarahi whakaora tika mō tō āhuatanga motuhake.

He aha ngā take o te myoclonus?

Ka puta te myoclonus ina he whakaroa poto i te whakawhitiwhiti noa i waenganui i tō roro me ō uaua. Ka puta pea tēnei i te āhua noa, ā, ka puta pea i tētahi atu āhuatanga kei raro.

Ko ēnei ngā take noa:

• Ngā mahi tinana noa penei i te hikaka, ngā wiri moe, i ngā wiri uaua mai i te whakakori tinana
• Ngā rongoā, ina koa ētahi rongoā pouri, rānei anti-seizure
• Ngā taumata iti o te hau i roto i te toto
• Ngā raruraru whatukuhu, ate rānei e pā ana ki te kemika o te tinana
• Ngā mate e pā ana ki te roro, ki te pūnaha io rānei
• Ngā whara o te upoko, i te roro rānei

He iti ake te noa, engari he nui ake te kino o ngā take ka uru mai ngā āhuatanga neurological penei i te mate manawa, te mate maha, te mate Parkinson rānei. Ka puta pea ngā mate ira tino onge i te myoclonus, ina koa ka tīmata ngā tōmhanga i te tamarikitanga.

I te nuinga o ngā wā, ina koa ki te myoclonus matua, kaore e taea e ngā tākuta te kimi i tētahi take motuhake. Kāore tēnei e tikanga kei te he tetahi mea nui - i etahi wā, ko tō pūnaha io anake te ahua o tenei.

Nōhea te haere ki te tākuta mō te myoclonus?

Me whakapiri atu koe ki tō tākuta ki te aukati ngā wiri uaua i ō mahi o ia rā, ki te kite rānei koe i ētahi atu tōmhanga āwangawanga. Ahakoa he noa ngā hikaka, ngā wiri moe rānei, ko te myoclonus e mau tonu ana, e kino haere ana rānei e tika ana kia whakarongohia e te hauora.

Rapua te tiaki hauora ki te wheako koe i:

• Ngā wiri e whakapakeke ana ki te kai, ki te tuhituhi, ki te mahi rānei i ngā mahi o ia rā
• Te tīmatanga ohorere o ngā wiri uaua maha
• Ngā wiri e haere tahi ana me te whakawareware, ngā raruraru mahara, i ngā huringa tūāhuatanga rānei
• Te uaua ki te hikoi, ki te pupuri rānei i te taurite me ngā wiri uaua
• Ngā manawa, te ngaro rānei o te mohio
• Ngā wiri uaua e āhua kino haere ana i te wā

Kaua e tatari ki te whanake i te myoclonus i muri i te tīmatanga o te rongoā hou, i te whai rānei i te mate. Ka taea e te aromatawai wawe te awhina i te kimi i ngā take e taea te whakaora, me te aukati i ngā raruraru.

He aha ngā take morearea mō te myoclonus?

He maha ngā take ka piki ake tō tūponotanga ki te whanake i te myoclonus. He mea nui te tau, i te mea ka noa ake etahi momo i te pakeke, engari ka tīmata pea ētahi atu i te tamarikitanga, i te taitamarikitanga rānei.

Ko ēnei ngā take morearea matua:

• Te hītori whānau o te myoclonus, i ngā āhuatanga neurological e pā ana rānei
• Te tango i ētahi rongoā penei i ngā rongoā pouri, i ngā rongoā anti-seizure rānei
• Te whai i ngā āhuatanga e pā ana ki te mahi o te roro penei i te mate whatukuhu, i ngā raruraru ate rānei
• Te hītori o te whara o te roro, o te pēhanga toto rānei, i ngā mate e pā ana ki te pūnaha io rānei
• Te whakaū ki ngā poizon, i ētahi kemika rānei
• Te whai i ētahi atu āhuatanga neurological penei i te mate manawa, te mate Parkinson rānei

He mea nui te mahara karekau te whai i ngā take morearea e tikanga ana ka whanake koe i te myoclonus. Ko te nuinga o te iwi e whai ana i ēnei take kaore e wheako i ngā wiri uaua e raruraru ana.

He aha ngā raruraru pea o te myoclonus?

Ko te nuinga o ngā momo myoclonus kaore e arahi ki ngā raruraru nui, ina koa ka whakahaeretia tika. Heoi, ka pā pea ngā wiri nui, mau tonu rānei ki tō kounga ora me tō mahi o ia rā.

Ko ēnei ngā raruraru pea:

• Te uaua ki ngā mahi motuka pai penei i te tuhituhi, te kai, te pihi rānei i ngā kakahu
• Ngā raruraru ki te hikoi, ki te pupuri rānei i te taurite
• Te whakaroa moe ki te puta maha ngā wiri i te pō
• Te whakama pāpori, te manukanuka rānei mō ngā wiri uaua i te tūmatanui
• Te piki ake o te tūponotanga o te hinga ki te pā ngā wiri ki ō waewae, ki tō taurite rānei
• Ngā raruraru kōrero ki te pā ngā wiri ki ngā uaua e uru ana ki te kōrero

He onge, ka arahi pea te myoclonus tino nui ki ngā whara mai i ngā whakawhitinga uaua ohorere, kaha. Ko te rongo pai ko te whakaora tika, ka taea e te nuinga o te iwi te whakahaere i ō rātou tōmhanga, me te pupuri i te kounga ora pai.

Me pēhea te whakatau i te myoclonus?

Ko te whakatau i te myoclonus ka tīmata mai i tō tākuta e titiro ana ki ō tōmhanga, me te ako ana i tō hītori hauora. Ka hiahia rātou ki te mārama ki te wā i tīmata ai ngā wiri, he aha ngā mea e whakaohooho ana i a rātou, me te pehea te pānga ki tō oranga o ia rā.

Ka mahi pea tō tākuta i te whakamātautau tinana me te neurological. Ka whakamātau rātou i ō mahi whakaata, i tō whakahaere, i tō kaha uaua hoki hei whiwhi i te whakaahua tino tika o te mahi a tō pūnaha io.

E ai ki ō tōmhanga, ka uru pea ngā whakamātautau atu ki:

• Ngā whakamātautau toto hei tirotiro i ngā mate, i te mahi whatukuhu, i ngā taumata rongoā rānei
• Electroencephalogram (EEG) hei ine i te mahi ngākau o te roro
• Electromyography (EMG) hei tuhi i te mahi uaua i ngā wā wiri
• Ngā tātaritanga MRI, CT rānei hei titiro ki te hanganga o te roro
• Te whakamātautau ira ki te whakaarohia he āhuatanga whakatūturu

Ka āwhina te tukanga whakatau ki tō tākuta ki te whakatau he koretake tō myoclonus, he pānga rānei ki tētahi atu āhuatanga kei raro e hiahia ana ki te whakaora. Ka ārahi tēnei mōhio ki te huarahi pai mō te whakahaere i ō tōmhanga.

He aha te maimoatanga mō te myoclonus?

Ko te maimoatanga mō te myoclonus e whakawhirinaki ana ki te take i puta ai, me te nui o te pānga ki tō oranga o ia rā. Ki te whakahaeretia e tētahi atu āhuatanga kei raro, ka āwhina pea te whakaora i taua āhuatanga ki te whakaiti i ngā wiri uaua.

Ki te puta te myoclonus mai i ngā rongoā, ka taea pea e tō tākuta te whakarereke i ngā rongoā, te whakawhiti rānei ki ētahi atu. Mō ētahi atu take, ka aro te maimoatanga ki te whakaiti i te auau me te kaha o ngā wiri.

Ko ēnei ngā kōwhiringa maimoatanga noa:

• Ngā rongoā anti-seizure penei i te valproic acid, i te levetiracetam rānei
• Ngā rongoā whakangāwari penei i te clonazepam hei whakangāwari i ngā io e nui rawa ana
• Ngā whakaurunga botulinum toxin mō ngā wiri uaua rohe
• Te whakaohooho roro hohonu mō ngā take nui kaore e whakautu ki te rongoā
• Te rongoā tinana hei whakapai ake i te whakahaere, me te whakaiti i te tūponotanga hinga
• Te rongoā mahi hei awhina i ngā mahi o ia rā

Ka mahi tahi tō tākuta me koe ki te kimi i te whakakotahitanga tika o ngā maimoatanga. Ka roa pea te wā ki te kimi i te mea pai mō tō āhuatanga motuhake, no reira he mea nui te manawanui i te tukanga maimoatanga.

Me pēhea te whakahaere i te myoclonus i te kāinga?

Ahakoa he mea nui te maimoatanga hauora mō te myoclonus nui, he maha ngā mahi ka taea e koe i te kāinga hei awhina i te whakahaere i ngā tōmhanga, me te whakapai ake i tō kounga ora.

Ko ēnei ngā huarahi noho e āwhina pea:

• Te whiwhi moe tika, i te mea ka kaha ake ngā wiri uaua i te ngenge
• Te whakaiti i te ahotea mā ngā tikanga whakangāwari, i te whakaaroaro rānei
• Te whakaiti i te caffeine me te waipiro, ka whakaohooho pea i ngā wiri i ētahi tāngata
• Te noho makuku, me te pupuri i te kai pai
• Te hanga i te taiao haumaru mā te tango i ngā tūponotanga tūtaki
• Te whakamahi i ngā taputapu whakarite mō te kai, te tuhituhi rānei ki te pā ngā wiri ki ēnei mahi

Pupurihia he tātai tōmhanga hei aroturuki i te wā e puta ai ngā wiri, me ngā mea ka whakaohooho pea i a rātou. Ka nui pea tēnei mōhio mō tō rōpū hauora ki te whakarereke i tō mahere maimoatanga.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite mō tō hui ka āwhina i te whakarite kia whiwhi koe i te painga nui mai i tō haerenga. Ka hiahia tō tākuta ki ngā mōhiohio taipitopito mō ō tōmhanga hei mahi i te whakatau me te mahere maimoatanga tika.

I mua i tō hui, kohikohia ngā mōhiohio mō:

• Te wā i tīmata ai ō wiri uaua, me te pehea te huringa i te wā
• He aha ngā mea e whakaohooho ana i ngā wiri, i te whaka kino rānei i a rātou
• Ngā rongoā me ngā taapiri katoa e tangohia ana e koe inaianei
• Tō hītori whānau o ngā āhuatanga neurological
• Te pehea te pānga o ngā wiri ki ō mahi o ia rā, ki tō kounga ora rānei
• Ētahi atu tōmhanga kua kitea e koe

Whakaarohia te kawea mai i tētahi mema whānau, i tētahi hoa rānei kua kite i ō tōmhanga. I etahi wa ka kite ētahi i ngā mea ka ngaro pea koe, ka taea hoki e rātou te tuku i ngā mōhiohio nui ki tō rōpū hauora.

He aha te mea nui mō te myoclonus?

Ko te myoclonus e rere ana mai i ngā wiri uaua tino noa e wheakohia ana e te katoa ki ngā nekehanga nui ake e hiahia ana ki te tiaki hauora. Ko te mea nui ko te mārama ki te wā e aukati ana ēnei wiri i tō oranga, i te tohu rānei i tētahi atu āhuatanga kei raro.

Ka taea e te nuinga o te iwi e whai ana i te myoclonus te kimi i ngā huarahi whai hua ki te whakahaere i ō rātou tōmhanga me te tiaki hauora tika. Ahakoa he āhuatanga mau tonu ētahi momo e hiahia ana ki te whakahaere tonu, he maha ngā take e taea te whakaora, te hoki rānei.

Kia mahara karekau koe e noho kotahi ana i te whakahaere i te myoclonus. Ka taea e tō rōpū hauora te awhina ia koe ki te mārama ki tō āhuatanga motuhake, me te whakawhanake i te mahere maimoatanga e mahi ana mō tō noho me ō hiahia.

Ngā pātai e ui pinepinetia ana mō te myoclonus

He kino te myoclonus?

Ko te nuinga o ngā momo myoclonus kaore i te kino, ina koa ngā momo noa penei i te hikaka, i ngā wiri moe rānei. Heoi, ka taea pea e te myoclonus nui te arahi ki te hinga, ki ngā whara rānei, no reira he mea nui te mahi tahi me tō tākuta hei whakahaere i ngā tōmhanga nui kia ora.

Ka ngaro noa iho rānei te myoclonus?

Ka taea e ētahi momo myoclonus, ina koa ngā mea e puta mai ana i ngā rongoā, i ngā āhuatanga tūturu rānei, te mutu ina whakahaerea te take kei raro. Ka mau tonu pea te myoclonus matua, engari ka noho pea hei whakahaere me te maimoatanga.

Ka whaka kino rānei te ahotea i te myoclonus?

Ae, ka taea pea e te ahotea me te manukanuka te whaka kino i ngā tōmhanga myoclonus. Ka kitea e te tini o te iwi te piki ake o ō rātou wiri uaua i ngā wā ahotea. Ko te whakahaere i te ahotea mā ngā tikanga whakangāwari, te moe tika, me ngā huringa noho ka taea te awhina i te whakaiti i ngā tōmhanga.

Ka taea e ngā tamariki te whai myoclonus?

Ka taea e ngā tamariki te whanake i te myoclonus, ahakoa he maha ake ētahi momo i ngā rōpū tau motuhake. He noa te myoclonus moe pai ki ngā pepe, engari ka tohu pea ētahi atu momo i ngā āhuatanga e hiahia ana ki te aromatawai hauora. Kōrero atu ki tō tākuta tamariki ki te manukanuka koe mō ngā wiri uaua i tō tamaiti.

Me tango tonu rānei au i te rongoā?

E whakawhirinaki ana tēnei ki te take i puta ai tō myoclonus. Ko ētahi tāngata e hiahia ana ki te whakahaere rongoā roa, engari ko ētahi atu pea e hiahia ana ki te maimoatanga tūturu anake. Ka mahi tahi tō tākuta me koe ki te kimi i te maimoatanga pai rawa e pupuri ana i tō kounga ora.