He aha te Mate Ngā Ipuiti? Tohutohu, Take, me te Maimoatanga

Ka pā te mate ngā ipuiti ki ngā ipu toto iti kei roto i tō roro, ka uaua ai te tae atu o te hāora me ngā matūkai ki ngā kiko o te roro. Ka puta tēnei āhuatanga noa i te kino o ēnei ipu iti rānei, te whakaiti rānei i te whānui, ā, he maha ngā take e pā ana ki te pakeketanga me ētahi atu āhuatanga hauora.

Ka rongo pea koe i ngā kupu penei i te "mate pūtake ma","mate microvascular" – he maha ngā wā e tohu ana ki te āhuatanga kotahi. Ahakoa he āwangawanga te ahua, he tino noa te mate ngā ipuiti, ina koa i muri i te 60 tau, ā, he tokomaha ngā tāngata e ora ana i te ora tino whānuitia, ka whakahaere pai hoki.

He aha te Mate Ngā Ipuiti?

Ka puta te mate ngā ipuiti ina pakaru ngā ipu toto iti rawa kei roto i tō roro, kāore rānei e mahi pai penei i te mea me mahi. He iti rawa ēnei ipu, ka hiahia koe ki te microscope kia kite mārama ai, engari he nui rawa tō rātou mahi ki te pupuri i te hauora o tō roro.

Whakaarohia te whānuitanga o te toto o tō roro he rākau – ko ngā ipu nui ko te kōpū me ngā peka matua, ko ngā ipu iti ko ngā manga iti rawa e kawe ana i ngā matūkai ki ia rau. Ina uaua ēnei ipu iti, ka kore pea etahi wāhanga o ngā kiko o tō roro e whiwhi i te hāora me ngā matūkai e hiahia ana rātou kia mahi pai.

Ka puta te āhuatanga i ngā tirohanga roro hei ira iti, mārama e kiia nei ko te "white matter hyperintensities" rānei, ko te "leukoaraiosis". Ko ēnei ira te tohu o ngā wāhi kua pā te iti o te rere toto ki te roa.

He aha ngā Tohutohu o te Mate Ngā Ipuiti?

Ka tupu haere te mate ngā ipuiti, ā, he tokomaha ngā tāngata kaore e kite i ngā tohu i ngā wā tuatahi. Ina puta mai ngā tohu, ka ngāwari pea te whakaaro he pakeketanga noa, he ahotea rānei.

Ko ngā tohu tino noa ka kitea e koe:

• Uaua ki te whakaaro mārama, ki te arotahi rānei
• Pātai ki te mahara, ina koa ngā mahara hou
• Te ahua "mōkō" o te hinengaro, te ngāwari atu rānei i te noa
• Te uaua ki te kimi i ngā kupu tika ina korero
• Te uaua ki te whakarite, ki te whakarite mahi rānei
• Ngā huringa i te haere, i te toenga rānei
• Te piki o te tūponotanga o te hinga
• Ngā huringa o te ngākau, tae atu ki te pouri, ki te manukanuka rānei
• Te ngenge kaore e pai ake me te okioki

Ka kite pea etahi i ngā tohu tino kitea penei i te ngoikore iti i tetahi taha o te tinana, i ngā huringa iti rānei i te kōrero. Heoi, ka tupu haere ēnei tohu i roto i ngā marama, i ngā tau rānei, ehara i te tūpono penei i te pēhanga.

He mea nui kia mahara ko te whai i ētahi o ēnei tohu kaore e tohu tonu kei te mate ngā ipuiti koe. He maha ngā āhuatanga ka puta mai ngā raruraru rite, koia te take he mea nui te aromatawai hauora tika.

He aha ngā Take o te Mate Ngā Ipuiti?

Ka tupu te mate ngā ipuiti ina mātotoru, ina pakaru rānei ngā pakitara o ngā ipu toto iti o te roro i te roa. Ka tupu haere tēnei tukanga, ā, ka pā pea ki ngā take maha e mahi tahi ana.

Ko ngā take tino noa:

• Te toto teitei e kino ana i ngā pakitara o ngā ipu i te roa
• Te mate huka, e kino ana ki ngā ipu toto iti puta noa i te tinana
• Ngā tukanga pakeketanga noa e pā ana ki te hauora o ngā ipu toto
• Te kolesterol teitei e awhina ana i te kino o ngā ipu
• Te whakakā, e whakaiti ana i te hāora i roto i te toto, e kino ana ki ngā ipu
• Te mate ngakau e pā ana ki te rere toto whānui
• Te mate whatukuhu roa

Ko ngā take kaore e tino noa ko ētahi āhuatanga ira, ngā mate autoimmune, ngā mate mumura onge e whai ana ki ngā ipu toto iti. Ka puta pea te mate ngā ipuiti ki ētahi kaore he tohu morearea, ina koa ka pakeke haere.

Ko te mea nui kia mārama ko te mate ngā ipuiti te tikanga he hua o ngā tau o ngā huringa haere māori, ehara i te mea kotahi. Ko te tikanga hoki tenei ko te whakahaere i ngā take take ka taea te whakaheke, te aukati rānei i te kino atu.

Nōhea te Tiro ki te Tākura mō te Mate Ngā Ipuiti?

Me whakaaro koe ki te kōrero ki tō tākura ki te kite koe i ngā huringa mau tonu i tō whakaaro, i tō mahara, i tō mahi o ia rā rānei e awangawanga ana koe, e awangawanga ana rānei tō whānau.

Whakarite he whakatau i te wā e kitea ana e koe ngā raruraru tonu ki te mahara, ki te arotahi, ki te kimi kupu rānei e āwangawanga ana i tō mahi, i ō mahi o ia rā rānei. Ko ngā huringa i te haere, i te toenga, i te whakahaere rānei e piki ake ai tō tūponotanga hinga he mea nui hoki kia kōrero ki tō kaiwhakarato hauora.

Rapua te tiaki hauora kia tere ake ki te whai koe i te whakaaro pohehe, te ngoikore, ngā raruraru kōrero, te mamae o te mahunga rānei. Ahakoa he iti te noa o ēnei tohu ki te mate ngā ipuiti, ka tohu pea i ētahi atu āhuatanga kino penei i te pēhanga e hiahia ana ki te maimoatanga tere.

Kaua e whakaroa ki te whakaatu i ngā awangawanga mō ngā huringa o te ngākau, ina koa te pouri tonu, te manukanuka rānei, i te mea ka hono pea ki te mate ngā ipuiti, ā, ka taea te whakaora pai me te tiaki tika.

He aha ngā Tohutohu Morearea mō te Mate Ngā Ipuiti?

Ko te mārama ki ō tohutohu morearea ka taea te awhina i a koe ki te tango i ngā mahi hei tiaki i te hauora o tō roro. Ko ētahi take kaore e taea e koe te huri, ko ētahi atu kei roto i tō mana ki te whakahaere, ki te whakarereke rānei.

Ko ngā tohutohu morearea kaore e taea e koe te huri:

• Te pakeketanga – ka piki te morearea i muri i te 60
• Te hītori whānau o te pēhanga, o te mate dementia rānei
• Ko te tane (te piki iti o te morearea)
• Ētahi take ira
• Te hītori o mua o te pēhanga, o te mate ngakau rānei

Ko ngā tohutohu morearea ka taea e koe te whakauru:

• Te toto teitei – ko te tohutohu morearea tino nui e taea te whakarereke
• Te mate huka me te whakahaere huka toto
• Ngā taumata kolesterol teitei
• Te whakakā me te whakamahinga tapeka
• Te kore o te mahi tinana
• Te kai kino he nui ngā kai tukatuka me te tote
• Te inu waipiro nui
• Te momona
• Te mate moe apnea

Ko te rongo pai ko te whakahaere i ēnei tohutohu morearea e taea te whakarereke ka taea te whakaiti nui i ō tūponotanga ki te whanake i te mate ngā ipuiti, ki te whakaheke rānei i te tupu ki te whai koe.

He aha ngā Hua Ka Taea o te Mate Ngā Ipuiti?

Ahakoa ka tupu haere te mate ngā ipuiti i te nuinga o ngā tāngata, ka taea te arahi ki ngā hua kino atu i te roa ki te kore e whakahaere. Ko te mārama ki ēnei tūponotanga ka taea te awhina i a koe ki te noho whakaoho ki te whai i tō mahere maimoatanga.

Ko ngā hua tino noa:

• Te mate dementia vascular – te hekenga haere o ngā kaha whakaaro
• Te piki o te tūponotanga o te pēhanga, ina koa ngā pēhanga iti
• Te kino ake o ngā raruraru ki te haere me te toenga
• Te piki o te tūponotanga o te hinga me ngā whara
• Te pouri me te manukanuka
• Te uaua ki te whakahaere i ngā mahi o ia rā motuhake

I roto i ngā take kino atu, ka puta pea etahi i te mea e kiia ana e ngā tākuta ko te "vascular Parkinsonism", ka taea te arahi ki ngā raruraru nekehanga rite ki te mate Parkinson. Ka kite pea etahi i te hekenga whakaaro nui ake e pā ana ki tō rātou kaha ki te mahi, ki te whakahaere rānei i ō rātou take.

Heoi, he mea nui kia mahara kaore he tokomaha o ngā tāngata e whai ana i te mate ngā ipuiti e whanake ana i ngā hua kino, ina koa ka whiwhi rātou i te maimoatanga tika, ka whakahaere pai hoki i ō rātou tohutohu morearea. Ko te kite wawe me te tiaki hauora pai ka taea te whakarereke nui i ngā hua.

Me pēhea te Awaroa i te Mate Ngā Ipuiti?

Ko te huarahi pai ki te āwaroa i te mate ngā ipuiti ko te aro ki te pupuri i te hauora o ō ipu toto puta noa i tō oranga. Ko te nuinga o ngā rautaki ano e tiaki ana i tō ngakau e tiaki ana hoki i ngā ipu iti kei roto i tō roro.

Ko ngā rautaki āwaroa matua:

• Te whakahaere i te toto – kia iti iho i te 130/80 mmHg
• Te whakahaere i te mate huka me te kai tika, te whakakori tinana, me te rongoā
• Te pupuri i ngā taumata kolesterol hauora
• Te whakakori tinana tūturu – ā, ko te haere 30 meneti i te nuinga o ngā rā e awhina ana
• Te kai i te kai hauora roro he nui ngā hua, ngā huawhenua, me ngā witi katoa
• Te kore whakakā, te mutu rānei ki te whakakā koe i tēnei wā
• Te whakaiti i te waipiro ki ngā rahinga noa
• Te pupuri i te taumaha hauora
• Te whiwhi moe tika me te whakaora i te mate moe apnea ki te mea kei reira

Ko te whakaoho hinengaro mā te pānui, ngā mīharo, ngā mahi pāpori, me te ako i ngā pukenga hou ka awhina pea ki te pupuri i te hauora o te roro. Ko ngā tirotiro hauora tūturu ka taea ai e tō tākura te aroturuki me te maimoatanga i ngā tohutohu morearea i mua i te kino o ngā ipu.

Ahakoa kaore e taea e koe te āwaroa i ngā take katoa o te mate ngā ipuiti, ina koa ngā mea e pā ana ki te pakeketanga, ko ēnei mahi noho ka taea te whakaiti nui i tō morearea me te whakaheke i te tupu ki te whanake te āhuatanga.

Me pēhea te Whakatau i te Mate Ngā Ipuiti?

Ko te whakatau i te mate ngā ipuiti te tikanga ko te whakaahua roro, ko te nuinga he tātaritanga MRI, ka taea te whakaatu i ngā huringa tohu i ngā kiko o te roro. Ka titiro tō tākura ki ngā ira iti, mārama kei runga i te tātaritanga e tohu ana i ngā wāhi kua pakaru ngā ipu iti.

Ko te tukanga whakatau te tikanga ka tīmata mā tō tākura e uiui ki ō tohu me tō hītori hauora. Ka hiahia rātou ki te mohio ki ngā raruraru ki te mahara, ki te whakaaro, ki te haere, ki ngā huringa ngākau rānei kua kitea e koe.

Ko ngā whakamātautau noa:

• Tātaritanga MRI roro – ko te whakamātautau tino nui mō te kite i ngā huringa iti o ngā ipu
• Te whakamātautau mohio ki te aromatawai i ngā pūkenga mahara me te whakaaro
• Ngā whakamātautau toto ki te tirotiro i te mate huka, te kolesterol, me ētahi atu āhuatanga
• Te aroturuki i te toto teitei
• Ngā whakamātautau ngakau penei i te EKG ki te whakapaehia ngā raruraru ngakau

I etahi wā ka tūtohu pea tō tākura i te whakamātautau neuropsychological, e whakauru ana i te aromatawai taipitopito ake o ngā kaha whakaaro rerekē. Ka taea te awhina i te whakatau i te nui o te pānga o te mate ngā ipuiti ki tō mahi o ia rā.

Ko te tukanga whakatau te whāinga ki te whakakore i ētahi atu āhuatanga ka puta mai ngā tohu rite, me te kimi i ngā take take e taea te whakaora e awhina ana i te kino o ngā ipu.

He aha te Maimoatanga mō te Mate Ngā Ipuiti?

Ko te maimoatanga mō te mate ngā ipuiti ko te aro ki te whakahaere i ngā āhuatanga take e awhina ana i te kino o ngā ipu toto, me te āwaroa i te tupu atu. Ahakoa kaore e taea e tātou te whakahoki i te kino o mua, ka taea e tātou te whakaheke, te mutu rānei i te whara atu o ngā ipu.

Ko ngā huarahi maimoatanga matua:

• Ngā rongoā toto teitei hei pupuri i te pehanga i raro i te 130/80 mmHg
• Ngā rongoā mate huka hei pupuri i te whakahaere pai o te huka toto
• Ngā rongoā whakaheke kolesterol penei i ngā statins
• Ngā kai whakaheke toto ki te tika hei whakaiti i te morearea o te pēhanga
• Ngā rongoā mō ngā huringa ngākau, te pouri rānei ki te hiahiatia

Ka tūtohu pea tō tākura i ngā rongoā motuhake mō ngā tohu whakaaro i etahi wā. Heoi, ko ngā maimoatanga tino nui ko ngā mea e whakautu ana ki ngā take take o te kino o ngā ipu.

Ko ngā maimoatanga kore-rongoā he mea nui ano, ā, e whakauru ana i te whakakori tinana tūturu, ngā huringa kai, ngā kaupapa mutu whakakā, me te rongoā whakaora whakaaro. Ka whai hua etahi i te rongoā tinana hei awhina i ngā raruraru toenga me te haere.

Ko ngā mahere maimoatanga he tino motuhake i runga i ō tohu motuhake, i tō hauora whānui, me ētahi atu āhuatanga hauora. Ko te whai i te whai wāhi tūturu ki tō rōpū tiaki hauora e awhina ana i te whakarite kei te mahi pai ngā maimoatanga.

Me pēhea te Tango i te Maimoatanga Kāinga i te Wā o te Mate Ngā Ipuiti?

Ko te whakahaere i te mate ngā ipuiti i te kāinga e whakauru ana i ngā tikanga o ia rā e tautoko ana i te hauora o ō ipu toto me te mahi o te roro whānui. Ka mahi ēnei rautaki me tō maimoatanga hauora hei awhina i a koe ki te pai ake te ahua me te mahi.

Ko ngā rautaki whakahaere o ia rā:

• Te tango i ngā rongoā kia rite ki te whakahau, ahakoa kei te pai koe
• Te aroturuki i te toto teitei i te kāinga ki te tūtohuhia
• Te whai i te kai hauora ngakau he iti te tote me te ngako makariri
• Te noho mahi tinana me ngā mahi e pai ana koe
• Te pupuri i tō hinengaro mahi me te pānui, ngā mīharo, ngā whakaongaonga rānei
• Te whiwhi i te 7-8 haora moe kounga i ia pō
• Te whakahaere i te ahotea mā ngā tikanga whakamahinga, te tohutohu rānei
• Te noho hono pāpori ki te whānau me ngā hoa

Ko ngā whakaaro haumaru i te kāinga ka whakauru pea i te tango i ngā morearea hinga, te whakapai ake i te mārama, me te whakarite i ngā rongoā i roto i te kaiwhakarite papa rongoā. Ka kite etahi he awhina te whakamahi i ngā awhina mahara penei i ngā karere, ngā rārangi, ngā whakamahara waea atamai rānei.

Pupuri i ngā huringa i ō tohu, ā, whakamōhio atu ki tō kaiwhakarato hauora. Ko te whakakori tinana tūturu, ā, ko ngā mahi ngāwari penei i te haere, te kauhoe rānei, ka taea te whakapai ake nui i te mahi tinana me te whakaaro.

Me pēhea te Whakarite mō tō Whakatau Tākura?

Ko te whakarite mō tō whakatau e awhina ana i te whakarite ka whiwhi koe i te nuinga o tō wā me tō kaiwhakarato hauora. Kawe mai he rārangi o ō rongoā katoa o nāianei, tae atu ki ngā rongoā-ā-te-kāinga me ngā taapiri.

I mua i tō haerenga, tuhia:

• Ngā tohu motuhake kua kitea e koe me te wā i tīmata ai
• Me pēhea te pānga o ngā tohu ki ō mahi o ia rā
• Ngā pātai mō tō āhuatanga, tō maimoatanga rānei
• Ngā pānga taha mai i ngā rongoā
• Ngā pānui toto teitei ki te aroturuki koe i te kāinga
• Ngā huringa i te ngākau, te moe, te taumata kaha rānei

Whakaarohia te kawe mai i te mema whānau, i te hoa rānei ka taea te awhina i te mahara ki ngā korero i kōrerotia i te whakatau. Ka taea pea e rātou te hoatu i ngā tirohanga whai hua mō ngā huringa kua kitea e rātou i tō whakaaro, i tō whāinga rānei.

Kaua e whakaroa ki te tono whakamārama ki te kore koe e mārama ki tetahi mea. Tonohia ngā korero tuhituhi mō tō āhuatanga, tō mahere maimoatanga rānei ki te awhina.

He aha te Tākutake Matua mō te Mate Ngā Ipuiti?

Ko te mate ngā ipuiti he āhuatanga noa e pā ana ki ngā ipu toto iti kei roto i tō roro, ka tupu haere pea hei wāhanga o te pakeketanga, i ngā āhuatanga penei i te toto teitei me te mate huka rānei. Ahakoa ka taea te arahi ki ngā tohu penei i ngā raruraru mahara, te uaua ki te arotahi, me ngā raruraru haere, he tokomaha ngā tāngata e whakahaere pai ana me te tiaki hauora tika.

Ko te mea tino nui kia mahara ko te kite wawe me te whakahaere pai o ngā tohutohu morearea ka taea te whakaheke nui i te tupu o te mate ngā ipuiti. Ko te whakahaere i te toto teitei, te whakahaere i te mate huka, te noho mahi tinana, me te whai i tō mahere maimoatanga ko ō taputapu tino kaha.

Kāore koe i te kaha kore ki tēnei āhuatanga. He tokomaha ngā tāngata e whai ana i te mate ngā ipuiti e ora tonu ana i te ora whai hua, motuhake mā te mahi tata ki tō rātou rōpū tiaki hauora me te mahi i ngā whiringa noho hauora roro.

Ngā Pātai Nui e Ui ana mō te Mate Ngā Ipuiti

U1. Ka taea te arahi i te mate ngā ipuiti ki te mate dementia?

Ka taea e te mate ngā ipuiti te awhina i te mate dementia vascular i te roa, engari kaore tēnei e puta ki te katoa e whai ana i te āhuatanga. Me te maimoatanga tika me te whakahaere noho, he tokomaha ngā tāngata e pupuri ana i te mahi whakaaro pai mō ngā tau. Ko te whakauru wawe me te whakahaere i ngā tohutohu morearea penei i te toto teitei e whakaiti nui ana i te morearea o te whanake i te mate dementia.

U2. He rite te mate ngā ipuiti ki te pēhanga?

He rerekē te mate ngā ipuiti i te pēhanga noa, ahakoa ka taea te piki ake i te morearea o te pēhanga. Ahakoa ka puta ngā pēhanga i te tūpono ina aukatihia te ipu toto nui, ka tupu haere te mate ngā ipuiti i roto i ngā tau. Heoi, ka taea e ngā tāngata e whai ana i te mate ngā ipuiti te whai i ngā pēhanga iti "ngāwari" e iti ana ngā tohu tūpono, engari e awhina ana ki ngā huringa roro whānui.

U3. Me mutu taku taraiwa ki te whai ahau i te mate ngā ipuiti?

He tokomaha ngā tāngata e whai ana i te mate ngā ipuiti e haere tonu ana te taraiwa haumaru mō ngā tau. Ko te whakatau kei runga i ō tohu motuhake me te āhua o te pānga ki tō wā whakautu, tō tirohanga, me tō whakaaro. Ka taea e tō tākura te awhina i te aromatawai i tō haumaru taraiwa, ā, ka tūtohu pea i ngā aromatawai tūturu. Ka whai hua etahi i ngā akoranga taraiwa whakamahinga, i te whakaiti rānei i te taraiwa ki ngā huarahi e mohiotia ana i te awatea.

U4. Ka taea te awhina i te whakakori tinana ki te mate ngā ipuiti?

Ae, ko te whakakori tinana tūturu tetahi o ngā maimoatanga tino whai hua mō te mate ngā ipuiti. Ko te mahi tinana e whakapai ake ana i te rere toto ki te roro, e awhina ana ki te whakahaere i te toto teitei me te mate huka, ā, ka awhina pea ki te whakatipu i ngā ipu toto iti hou. Ā, ko ngā mahi ngāwari penei i te haere 30 meneti i ia rā ka taea te whakarereke nui i ō tohu me te hauora o te roro whānui.

U5. Kia tere te tupu o te mate ngā ipuiti?

Ko te mate ngā ipuiti te tikanga ka tupu haere te tino ngāwari i roto i ngā tau maha, ā, he rerekē te tere i waenga i ngā tāngata. Kaore he tokomaha o ngā tāngata e whakaatu ana i te iti o te tupu mō ngā tekau tau, ko ētahi atu ka kite pea i ngā huringa atu i roto i ngā tau maha. Ko te whakahaere pai o ngā tohutohu morearea penei i te toto teitei me te mate huka ka taea te whakaheke nui i te tupu. Ko te aroturuki tūturu me tō kaiwhakarato hauora e awhina ana ki te aroturuki i ngā huringa me te whakarite i te maimoatanga kia rite ki te hiahia.