He aha te Mate Pukupuku Roro? Tohutohu, Take, me te Maimoatanga

Ka puta te mate pukupuku roro ina iti haere te rere o te toto ki tōu roro, ka pakaru te kiko o te roro i te wa roa. Ko te tuarua tenei momo mate pukupuku roro tino noa i muri i te mate Alzheimer, e pā ana ki te 10% o te hunga e pangia ana e te mate pukupuku roro.

Whakaarohia tō roro he māra e hiahia ana ki te rere tonu o te wai hei pupuri i te hauora. Ka aukatitia, ka pakaru rānei ngā oko toto, kāore ngā wāhanga o tō roro e whiwhi i te hāora me ngā matūkai e hiahiatia ana. Ka arahi tenei ki ngā raruraru ki te whakaaro, ki te mahara, ki ngā mahi o ia rā e kino haere ana i te wa roa.

He aha ngā tohu o te mate pukupuku roro?

Ka puta ngā tohu o te mate pukupuku roro i te wa poto i muri i te pōka, ka tīmata rānei te whanake haere i te wa e kotia haere ana te kino o ngā oko toto iti. Ko ngā tohu ka pā ki a koe e whakawhirinaki ana ki te wāhi o tō roro e pāngia ana e te iti o te rere o te toto.

Tā te tirohanga ki ngā tohu tino noa ka kitea e koe:

• Nga raruraru whakaaro me te whakaaro: Ka kite pea koe he uaua ake te whakarite i nga mahi, te whakatau i nga raruraru, te whakatau ranei i nga whakatau i whakaarohia he aunoa
• Nga raruraru mahara: Ahakoa ka puta nga raruraru mahara, he iti ake te kino i te timatanga i te mate Alzheimer
• Te pouri me te ngaro ara: Ka ngaro pea koe i nga waahi e mohiotia ana e koe, ka uaua ranei te whai i nga korerorero
• Te uaua ki te aro: Ka kaha ake te uaua ki te aro ki nga mahi, ki te pupuri ranei i te aro
• Te huringa o te hikoi: Ka whanake pea koe i te hikoi kore haumaru, ka taka poto ake nga kaupae, ka rite ranei ki te piri o ou waewae ki te papa
• Te huringa o te ngakau me te ahua: Ko te pouri, te manukanuka, te kaha ake ranei o te riri he tohu ngakau noa
• Nga raruraru korero me te reo: Ka uaua ake pea te rapu kupu tika, te matauranga ranei i etahi atu

Ko ētahi atu tāngata ka pāngia hoki e ngā tohu kaore i te tino noa, ā, ka āwangawanga rawa. I roto i ēnei, ko ngā huringa āhua ohorere, te raruraru ki te horomi, te raruraru rānei ki te whakahaere i te mahi pūngāwerewere. Ko te tauira o ngā tohu ka ahu mai i ngā ngaru, me ngā wā o te pumau e whai ake ana i ngā hekenga ohorere, inā koa i muri i ngā tāpātanga.

He aha ngā momo mate hinengaro toto?

Ehara te mate hinengaro toto i tetahi āhuatanga anake, engari he rōpū o ngā mate e hono ana. Ka whanake mai ia momo mai i ngā tauira rerekē o te pakaru o ngā oko toto i roto i tō roro.

Te mate hinengaro maha-infarct ka puta mai i ngā tāpātanga iti maha ka kore pea e kitea e koe i te wā e puta mai ana. Ka whakaraweketia e ēnei “tāpātanga wahangu” te kiko o te roro i te roa o te wā, ka ārahi ki te hekenga rite-ki-te-tapa i ngā kaha hinengaro.

Te mate hinengaro subcortical ka whanake mai ina pakaru ngā oko toto iti i roto i tō roro. Ko tēnei momo ka tino pā te tere o te whakaaro, ngā huringa āhua, me ngā raruraru o te hikoi i mua i te puta mai o ngā raruraru mahara.

Te mate hinengaro whakauru ka whakakotahi i te mate hinengaro toto me tetahi atu momo, ko te mate Alzheimer te tino noa. He tino noa tēnei whakakotahitanga, inā koa ki ngā tāngata neke atu i te 80 tau te pakeke.

He momo onge ano e kiia nei ko te CADASIL (Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy), he kāinga, ā, ka tīmata te pānga ki ngā tāngata i roto i ō rātou tau 40, 50 rānei. Ko tēnei āhuatanga ira ka whakaraweke i te pakaru o ngā oko toto iti puta noa i te roro.

He aha te take o te mate hinengaro toto?

Ka whanake te mate hinengaro toto ina kore e whiwhi te roro i te rere toto tika na te pakaru, te aukati rānei o ngā oko toto. Ko tēnei rere iti ka whakakahore i ngā pūtau o te roro i te hāora me ngā kai e hiahiatia ana kia mahi tika.

He maha ngā āhuatanga taketake ka ārahi ki tēnei pakaru o ngā oko toto:

• Te pōkairangi: Ka taea e ngā pōkairangi nui me ngā pōkairangi iti maha te whakaraha i ngā kiko o te roro, ā, te whakaoho i ngā tohu o te mate ngakau.
• Te toto teitei: I te roanga o te wā, ka whakawaiwea te pehanga teitei, ā, ka whakaiti i ngā oko toto puta noa i tō roro.
• Te huka toto: Ka whakaraha teitei o te huka toto i ngā pakitara o ngā oko toto, ka whakaiti i to rātou kaha ki te tuku toto pai.
• Te kolesterol teitei: Ka hangaia ngā kohinga ngako ki roto i ngā ātiretā, ka ārai i te rere o te toto ki ngā kiko o te roro.
• Te mate ngakau: Ka taea e ngā āhuatanga penei i te atrial fibrillation te whakaoho i ngā toto toto e haere ana ki tō roro.
• Te atherosclerosis: Ko te whakapakeke me te whakaiti o ngā ātiretā puta noa i tō tinana ka pā ki te rere o te toto ki te roro.

Ko ētahi take onge e whakauru ana i ngā mate toto e āhei ake ai te toto, ngā āhuatanga mumura e pā ana ki ngā oko toto, me ētahi mate ira. Ka whai hua hoki ngā huringa e pā ana ki te pakeke o ngā oko toto ki te whakawehi i ngā kaumātua, ahakoa kahore he atu tūponotanga.

Ko te wāhi me te whānui o te whakaraha o ngā oko toto te whakatau i ngā tohu e puta ana me te tere o te ahu whakamua. Koia tēnei te take ka rereke te ahua o te mate ngakau toto mai i te tangata ki te tangata.

Nōhea te haere ki te taote mō te mate ngakau toto?

Me whakapiri atu koe ki tō taote ki te kite koe i ngā huringa mau tonu i te whakaaro, te mahara, te mahi o ia rā e awangawanga ana koe, te whānau rānei. He mea nui te aromatawai wawe, nā te mea ka taea te whakaora, te whakahoki rānei i ētahi tohu.

Rapua te tiaki hauora tere ki te pāngia koe e te pouri ohorere, te mamae o te upoko nui, te raruraru ki te kōrero, te ngoikore rānei i tetahi taha o tō tinana. Ka taea e ēnei te tohu o te pōkairangi, e hiahia ana ki te rongoā tere.

Whakatau rātapu he whakatau whakarite mena ka kite koe i ngā huringa tītino rite tonu ki te piki haere o te uaua ki te whakahaere i ngā putea, te ngaro i ngā wāhi e mohiotia ana, te raruraru ki te whai i ngā kōrero, te rerekētanga o te tuakiri e kore e rite ki te ahua. Ahakoa ngā huringa iti, e tika ana kia aro atu, ina koa ki te whai koe i ngā take morearea pēnei i te toto teitei, te huka rākau rānei.

Kaua e tatari kia kaha rawa ngā tohu i mua i te rapu awhina. Ka taea e te whakauru wawe te whakaiti i te ahu whakamua me te whakapai ake i te kounga o te ora mōu me ō whānau.

He aha ngā take morearea mō te mate ngakau whatu?

Mā te mārama ki ō take morearea, ka taea e koe te mahi i ngā mahi hei tiaki i te hauora o tō roro. He maha o ēnei take kei roto i tō mana whakahaere mā ngā whiringa oranga me te whakahaere hauora.

Ko ngā take morearea tino nui ko:

• Te Tau: Ka rua te morearea ia 5 tau i muri i te 65 tau, ahakoa ka pā ki ngā tāngata kōriki.
• Te pōkaikaha o mua, te iti rānei o te pōkaikaha: Ko te pōkaikaha kotahi ka nui ake te morearea o te whanake i te mate ngakau.
• Te toto teitei: Ko te take morearea tino nui e taea te whakarereke mō te mate ngakau whatu.
• Te huka rākau: Ko te momo 1 me te momo 2 o te huka rākau ka nui ake te morearea, ina koa ki te kore e whakahaeretia pai.
• Te mate ngakau: Ngā āhuatanga pēnei i te mate o te uaua aorota, te ngoikore o te ngakau, me te ngākau kore.
• Te kolesterol teitei: Ko ngā taumata teitei ka āwhina ki te pakaru o ngā oko toto i te wa roa.
• Te whakakī: Ko te whakamahinga taakaha ka tere ake te pakaru o ngā oko toto me te nui ake o te morearea o te pōkaikaha.
• Te hītori whānau: Ko te whai whānau e mate ana i te mate ngakau, te pōkaikaha rānei, ka nui ake pea tō morearea.

Ko ētahi atu take tūponotanga kaore i te tino kitea engari he mea nui, ko te apnea moe, e whakaiti ana i te hāora ki tō roro i te wā e moe ana, me ētahi āhuatanga autoimmune e pā ana ki te mumura o ngā oko toto. He nui ake te maha o te mate dementia ngā oko toto i roto i ngā Māori me ngā Pākehā, no te mea he nui ake te mate huka me te toto teitei i roto i ēnei hapori.

Ko te mea pai, he maha o ēnei take tūponotanga ka taea te whakahaere mā te rongoā, ngā huringa oranga, me te tirotiro tonu me tō rōpū hauora.

He aha ngā raruraru pea o te mate dementia ngā oko toto?

He āhuatanga whakaheke haere te mate dementia ngā oko toto, ko te tikanga ka puta haere mai ngā raruraru i te wā e haere ana te mate. Ko te mōhiotanga ki ēnei wero pea ka āwhina i a koe me tō whānau ki te whakarite me te whakatakoto mahere mō te heke mai.

Ko ngā raruraru noa e puta mai ana i te wā e haere ana:

• Te piki o te tūponotanga o te hinga: Ko ngā raruraru toenga me te whakapohehe ka nui ake te tūponotanga o te hinga, ka āhei pea te arahi ki te whati
• Te uaua ki te horomi: Ka āhei tenei ki te ngākau, te kore kai, te mate pneumonia horomia rānei
• Te kore mana whakahaere: Ka nui ake te kore mana whakahaere o te pūkahukahu, o te puku rānei i te wā e haere ana te āhuatanga
• Te haereere me te ngaro: Ka āhei te whakapohehe ki te whakaputa i ngā āwangawanga hāumaru i te wā e haere ana ki waho anake
• Te pouri me te manukanuka: He noa ēnei āhuatanga hauora hinengaro, ā, ka kaha ake te whakaiti i te kounga o te ora
• Ngā raruraru moe: Ka pā ngā huringa i ngā tauira moe ki te oranga o te manawanui me te kaiāwhina
• Ngā raruraru whakahaere rongoā: Ka nui haere te wareware i ngā rāpoi, te tango rānei i ngā rahinga he

Ko ngā raruraru kaore i te tino kitea engari he kino, ko ngā huringa whānau nui, te ngaro katoa o te kaha ki te korero, me te nui ake o te mate ki ngā mate. Ka puta pea ngā mate manawa ki ētahi, ahakoa he iti rawa.

Ka taea te whakahaere, te whakaroa rānei i te nuinga o ēnei raruraru mā te tiaki tika, te aro turuki hauora ā-rōpū, me ngā whakarerekētanga taiao hei pupuri i te ora me te motuhake kia roa rawa atu.

Me pēhea te aukati i te mate ngakau toto?

Ahakoa kaore e taea te aukati i ngā take katoa o te mate ngakau toto, ka taea e koe te whakaiti nui i tō tūponotanga mā te tiaki i ō oko toto me te hauora o te roro. Ko ngā rautaki anō e aukati ana i te mate ngakau me te pēhanga toto e āwhina ana hoki ki te tiaki i te mate ngakau toto.

Ko ngā rautaki aukati tino whai hua e aro ana ki te whakahaere i ngā take tūponotanga o te ngakau:

• Whakahaerehia te pehanga toto: Pupurihia i raro i te 140/90 mmHg, ki raro atu rānei ki te tūtohu atu tō tākuta
• Whakahaerehia te mate huka: Pupurihia te mana whakahaere o te huka toto pai mā te kai, te whakakori tinana, me te rongoā kia rite
• Whakamutu i te wāhi: Ko te mutu i tetahi tau kē e whakaiti ana i tō tūponotanga ka whakapai ake i te hauora o ngā oko toto
• Whakakori tinana ā-rōpū: Whakatauritea kia 150 meneti te whakahaere ā-rōpū i ia wiki hei whakapai ake i te rere toto
• Kai kai hauora ngakau: Aro ki ngā hua, ngā huawhenua, ngā witi katoa, ā, whakaitihia ngā ngako makariri
• Pupurihia te cholesterol hauora: Mahi tahi me tō tākuta ki te whakatutuki i ngā taumata whāinga mā te kai me te rongoā mēnā e hiahiatia ana
• Whakaitihia te waipiro: Ka taea te tiaki i te inu iti, engari ka whakapiki ake te inu nui i te tūponotanga o te pēhanga toto

Ka taea hoki te awhina i te whakawhanake i te roro mā te whakaohooho hinengaro mā te pānui, ngā keemu whakararuraru, ngā mahi pāpori, me te ako i ngā pūkenga hou. E kī ana etahi rangahau ko te noho hono pāpori me te whakaora wawe i te pouri ka tuku pea i te tiaki atu.

Ka taea e ngā tirotiro hauora ā-rōpū te kimi wawe me te whakaora i ngā take tūponotanga i mua i te whakaeke i te kino o te roro. Heoi ano te aukati i te whakaora i muri i te puta mai o ngā tohu.

Me pēhea te whakatau i te mate ngakau toto?

Ko te whakatau i te mate ngakau toto e hiahia ana ki te aromatawai whānui, na te mea kaore he whakamātautau kotahi e taea te whakatau i te āhuatanga. Me whakakore i to tākuta ētahi take o ngā raruraru hinengaro, me rapu hoki i ngā tohu o te pakaru o ngā oko toto i roto i tō roro.

Ko te tukanga whakatau i te nuinga o te wā ka tīmata me te hītori hauora taipitopito me te whakamātautau tinana. Ka ui tō tākuta ki ō tohu, i te wā i tīmata ai, me pēhea te whakawhānui, me tetahi hītori whānau o te mate ngakau roro, te pēhanga roro.

He maha ngā whakamātautau hei whakau i te whakatau:

• Whakamātautau hinengaro: Ko ngā whakamātautau whaimana e aromatawai ana i te mahara, te whakaaro, te reo, me ngā kaha whakatau raruraru
• Whakaahua roro: Ka taea e ngā tirohanga CT, MRI te whakaatu i ngā tohu o ngā pēhanga, te pakaru o ngā oko toto, te ngaro o te kiko roro
• Whakamātautau toto: Ka whakakorehia ēnei i ētahi atu āhuatanga penei i te kore o ngā huaora, ngā raruraru tairoirī, te mate huaketo
• Whakamātautau neurological: Ka whakamātautau i ngā mahi whakaata, te hononga, te kaha, me te āhua hei aromatawai i te mahi o te roro

Ka taea hoki e tō tākuta te tono i ngā whakamātautau motuhake penei i te ultrasound carotid hei tirotiro i ngā uaua kua ārai, te echocardiogram hei aromatawai i te mahi o te ngakau. I etahi wā, ka whakaratohia e te whakamātautau neuropsychological te aromatawai taipitopito o ngā kaha hinengaro motuhake.

Ka mārama ake te whakatau ina puta mai ngā tohu hinengaro me ngā tohu o te pēhanga roro, te mate o ngā oko toto nui. I etahi wā ka whanake te whakatau i te wā e tirotiro ana tō tākuta i te whakawhānui o ngā tohu me te whakautu ki te rongoā.

He aha te rongoā mō te mate ngakau toto?

Ko te rongoā mō te mate ngakau toto e aro ana ki te whakaheke i te whanake, te whakahaere i ngā tohu, me te whakapai ake i te kounga o te ora. Ahakoa kaore he rongoā, he maha ngā huarahi hei awhina i a koe ki te pupuri i te mahi me te motuhake mō te wā roa.

Ko te rautaki rongoā matua ko te aukati i te pakaru atu o ngā oko toto:

• Rongoā toto: Ngā aukati ACE, ngā diuretic, me ētahi atu rongoā hei pupuri i ngā taumata toto hauora
• Ngā kaiwhakarawarawa toto: Ka āhei pea te aspirin, me ētahi atu anticoagulant, ki te ārai i ngā pōka i muri mai, ki te tika mōu
• Ngā rongoā whakaheke kolesterol: Ka āwhina ngā statin ki te tiaki i ngā oko toto kei te kino atu
• Whakahaere mate huka: Insulin, me ētahi atu rongoā hei pupuri i ngā taumata huka toto pumau

Mō ngā tohu hinengaro, ka taea pea e tō tākua te tāpāi i ngā kaiwhakarawarawa cholinesterase pēnei i te donepezil, rivastigmine, galantamine rānei. Ahakoa i hangaia enei rongoā mō te mate Alzheimer i te tīmatanga, ka taea pea e rātou te whakawhiwhi i ngā painga iti mō ētahi atu tangata e pangia ana e te mate hinengaro toto.

Ko te whakahaere i te pouri, te manukanuka, me ngā tohu whāinga, ka hiahia pea ki ētahi atu rongoā, ki te tohutohu rānei. Ko ngā raruraru moe, te ngangau, te mōhiohio rānei, ka hiahia pea ki ngā maimoatanga motuhake hei whakapai ake i te wātea me te ora.

Ko ngā huarahi kore-rongoā e whakauru ana i te mahi whakaora mahi hei pupuri i ngā pūkenga ora o ia rā, te mahi whakaora tinana hei tiaki i te nekehanga me te whakaiti i te tūpono o te hinga, me te mahi whakaora kōrero ki te uaua te whakawhitiwhiti kōrero. Ko te whakakori auau, te whakauru hapori, me te pupuri i ngā mahi o ia rā e tautoko ana i te oranga pai katoa.

Me pēhea te whakahaere i te mate hinengaro toto i te kāinga?

Ko te hanga i te taiao kāinga tautoko ka taea te whakapai ake i te ora o ia rā mō te tangata e pangia ana e te mate hinengaro toto. Ko ngā huringa iti te nuinga o te wā ka puta he rerekētanga nui ki te pupuri i te motuhake me te whakaiti i te pouri.

Aro atu ki te ora me te ngāwari i roto i tō wāhi noho. Tangohia ngā tūponotanga hinga pēnei i ngā papanga ngawari, kia pai te mārama i roto i tō kāinga, me te tāuta i ngā pou pupuri i roto i ngā ruma kaukau. Pupurihia ngā mea nui i ngā wāhi pumau, me te tohu i ngā kōpaki, i ngā pouaka rānei, ki te whai hua.

Whakahōngia ngā mahi o ia rā e mau ana, hei whakarite i te āhua me te whakaiti i te whakawareware. Whakamātauria te whakarite i ngā mahi wero i ngā wā e mārama ana te whakaaro, i te nuinga o te wā i te tīmatanga o te rā. Wewetehia ngā mahi uaua ki ngā mahi iti, ngā mahi e taea te whakahaere.

Ka taea e ngā rautaki kōrero te āwhina i te pupuri i ngā hononga ki te whānau me ngā hoa:

• Kōrerohia mā te ngawari me te mārama, mā te whakamahi i ngā rerenga kupu ngāwari
• Hoatu kotahi te tohutohu i te wā kotahi, ā, tukua he wā hei whakautu
• Whakamahia ngā tohu whakairoiro, ngā tohu rānei me ngā kupu e kōrerotia ana
• Noho marino me te manawanui, ahakoa ka hiahiatia te whakawhānui
• Aro atu ki ngā kare-a-roto me ngā ngākau, kaua ki ngā kōrero pono ina ngaro te mahara

Whakatenatenahia te whakauru tonu ki ngā mahi whakangahau, ahakoa ka hiahiatia te whakarerekē. Ka taea e te waiata, te toi, te mahi māra, ngā whakaongaonga rānei ētahi atu mahi te hoatu i te harikoa me te whakaohooho hinengaro. Ko te whakakori tinana tūturu, ahakoa te hikoi ngawari, ka āwhina i te pupuri i te hauora tinana, ā, ka pēnei pea te whakaiti i te heke o te hinengaro.

Kaua e wareware ki te tautoko i te kaiwhakahaere. He uaua te tiaki i tetahi e pangia ana e te mate wareware, na, rapuhia te awhina mai i te whānau, ngā hoa, ngā rōpū tautoko, ngā ratonga ngaio rānei ina hiahiatia.

Me pēhea te whakarite mō tō hui ki te taakuta?

Ko te whakarite pai mō tō hui ka āwhina i te whakarite kia whiwhi koe i te whakatau tino tika me ngā mōhiohio whai hua. Kawea mai tētahi mema o te whānau whakawhirinaki rānei, tētahi hoa rānei e taea te hoatu i ngā tirohanga atu me te āwhina i te mahara ki ngā kōrero nui.

I mua i tō haerenga, tuhituhia ngā tohu katoa o nāianei me te wā i kite tuatahi ai koe i a rātou. Tāpirihia ngā tauira motuhake o te āhua o te uaua o ngā mahi o ia rā, pēnei i te raruraru ki te whakahaere i ngā putea, te ngaro i te wā e taraiwa ana, te wareware rānei i ngā ingoa e mohiotia ana.

Kohikohia ngā mōhiohio nui hei whakawhiti atu ki tō taakuta:

• Rārangi kākāo o ngā rongoā kei te whakamahia nei, tae atu ki ngā rāpoi me ngā taapiri
• Hītori hauora, ina koa ngā mate pūtake, ngā raruraru ngākau, te mate huka, te toto teitei rānei
• Hītori whānau o te mate ngakau, te pūtake, te āhuatanga neurological rānei
• Ngā huringa hou o te ngākau, te whāinga, te āhua rānei
• Ngā hinga, ngā aituā, ngā āwangawanga haumaru rānei kua puta

Whakamahia ngā pātai e pā ana ki te whakatau, ngā whiringa maimoatanga, te whāinga e tumanakohia ana, me ngā rauemi kei te wātea. Pātaihia ngā whakaaro haumaru, te kaha ki te taraiwa, me te wā hei whakarite mō ngā hiahia tiaki o muri mai.

Maua he pukapuka hei tuhituhi i ngā mōhiohio nui i te wā o te haerenga. Ka taea e ngā whakaritenga hauora te whakaongaonga, ā, ko te whai i ngā tuhinga ka āwhina i a koe ki te maumahara ki ngā kōrero matua i muri mai. Kaua e whakaroa ki te tono ki tō tākuta kia whakahokia mai, kia mārama rānei tetahi mea kaore koe i te mōhio.

He aha te mea nui e pā ana ki te mate ngakau toto?

He āhuatanga nui engari e taea te whakahaere te mate ngakau toto e puta mai ana i te iti o te rere o te toto e pakaru ana i tō roro i te wā roa. Ahakoa he āhuatanga e ahu whakamua ana, ā, kāore i te taea te whakaora i tēnei wā, ka taea e te whakatau whakamutunga me te maimoatanga te whakaiti i tōna ahu whakamua me te awhina i te pupuri i te kounga o te ora.

Ko te mea nui rawa atu hei mahara ko te maha o ngā take morearea e taea te whakahaere. Ko te whakahaere i te toto teitei, te mate huka, te cholesterol, me ētahi atu āhuatanga o te ngākau e whakaiti nui ana i tō morearea ki te whanake i te mate ngakau toto, ki te pānga atu rānei.

Mēnā kei te noho koe me te mate ngakau toto, aro atu ki te mea ka taea e koe te whakahaere i tēnei rā. Tangohia ngā rongoā penei i te whakahau, noho mahi tinana me te whānau, pupuri i te haumaru i te kāinga, me te mahi tata atu ki tō rōpū hauora. Ko ngā whiringa iti o ia rā ka tāpiri ki ngā rerekētanga nui ki tō oranga pai mo te wā roa.

Kia mahara, ehara te mate ngakau toto i te mea e whakatau ana i a koe, kaore hoki e whakakore i te tupono o ngā wheako whai kiko, me ngā wheako harikoa. Mā te tautoko tika, he tokomaha tonu ngā tāngata e kimi tonu ana i te kaupapa me te hononga ahakoa te whakaheke o te mate. Kāo ia koe anake i tēnei haerenga, kei te wātea te awhina.

Pātai nā te iwi e ui pinepine ana mō te mate ngakau toto

U1: E hohoro ana te whakaheke o te mate ngakau toto?

He rerekē te tere o te whakaheke o te mate ngakau toto i waenga i ngā tāngata, ā, he maha ngā wā e puta mai ana i te āhua rite ki te tīkanga, kāore i te heke tonu. Ka mau tonu ētahi tāngata mō ngā marama, ngā tau rānei, engari ka pāngia ētahi atu e ngā huringa tere ake, ina koa i muri i ngā pōka.

Ko te whakaheke i runga i ngā take penei i te nui o te pakaru o ngā oko toto, te pai o te whakahaere i ngā āhuatanga o raro, te hauora whānui, me te urunga ki te rongoā. Ka taea te whakaheke i te tere o te whakaheke mā te whakahaere pai i te toto toto, te mate huka, me ētahi atu tūponotanga.

U2: Ka taea te whakahoki mai te mate ngakau toto?

Kāore e taea te whakahoki katoa mai te mate ngakau toto, engari ka taea te whakapai ake i ētahi tohu mā te rongoā tika. Ko te whakahaere i te toto toto, te whakahaere i te mate huka, me te aukati i ngā pōka atu ka taea te aukati, te whakaheke rānei i te whakaheke i ngā take maha.

Ka kite ētahi i ngā whakapaitanga iti i te whakaaro me te mahi o ia rā ina whakahaeretia pai ngā āhuatanga o raro. Ko te whakauru wawe te wā pai rawa atu hei tiaki i ngā kaha hinengaro me te pupuri i te motuhake mō te roa.

U3: He mate pūtaiao te mate ngakau toto?

Ko te nuinga o ngā take o te mate ngakau toto kāore i whakawhiwhia tika, engari ka taea e te whānau te whakapiki ake i tō tūponotanga. Mēnā he whānau kei a rātou ngā pōka, ngā mate ngakau, te mate huka, te toto toto teitei rānei, ka nui ake pea tō tūponotanga ki te whanake i ēnei āhuatanga.

Ko ngā momo ira tino onge penei i te CADASIL ka whakawhiwhia, engari ko ēnei te iti rawa o ngā take. Aro atu ki te whakahaere i ngā tūponotanga e taea te whakahaere, kaua ki te manukanuka ki te hītori whānau kāore e taea te huri.

P4: He aha te rerekētanga i waenga i te mate ngakau totohu me te mate Alzheimer?

Ko te mate ngakau totohu e puta mai ana i te iti o te rere o te toto ki te roro, i te mea ko te mate Alzheimer e pā ana ki te hanga o te pūmua e whakangaro ana i ngā pūtau o te roro. Ko te mate ngakau totohu te nuinga o te wā e pā ana ki te whakaaro me te whakaaro i mua i te mahara, i te mea ko te mate Alzheimer te tikanga e pā ana ki ngā raruraru mahara i te tuatahi.

Ka puta mai pea ngā tohu o te mate ngakau totohu i te wa poto i muri i te pōkaikaha, ka rereke rānei i ngā taahiraa, i te mea ko te mate Alzheimer te nuinga o te wā e whakaatu ana i te heke haere tōtika, tōtika. He tokomaha ngā tāngata kei a rātou ngā āhuatanga e rua ngātahi, e kiia nei ko te mate ngakau whakauru.

P5: E hira te roa e ora ai tetahi me te mate ngakau totohu?

He rerekē te roa o te oranga me te mate ngakau totohu, e whakawhirinaki ana ki te tau o te whakatau, te hauora whānui, te kaha o ngā tohu, me te pai o te whakahaere i ngā āhuatanga e pūmau ana. He maha ngā tau e ora ai ētahi me te kounga pai o te ora, i te mea ka poto pea te ora o ētahi atu.

Ko ngā take e pā ana ki te roa o te ora ko te hauora whānui o te tangata, te whakautu ki te maimoatanga, te tautoko hapori, me te aukati i ngā raruraru penei i ngā hinga, i ngā mate. Āta whakaaro ki te ora pai i tēnei rā, kaua ki te whakatau i te wā kei mua.