Created at:1/13/2025
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Ka āwhina te whakahaere pūpū me te kōpū neurogenic i ngā tāngata kāore e taea e te pūnaha io te whakahaere tika i te mahi o te pūpū, o te kōpū rānei. Ki te pā te whara io ki ngā tohu i waenga i tō roro, i tō taurakira, me ēnei okana, ka hiahiatia he manaakitanga motuhake hei pupuri i tō hauora me te kounga o te oranga.
E pā ana tēnei āhuatanga ki miriona tāngata puta noa i te ao, i muri i ngā wharanga taurakira, te sclerosis maha, ētahi atu āhuatanga neurological rānei. Ko te rongo pai, ka taea e ngā rautaki whakahaere whai hua te āwhina i a koe ki te noho pai, me te māia.
Ka puta te pūpū me te kōpū neurogenic i te wā e raru ana te whara io i te whakawhitiwhiti kōrero noa i waenga i tō roro me tō pūpū, tō kōpū rānei. Ko te tikanga ka tukuna e tō pūnaha io ngā tohu tika hei whakahaere i te wā me te pēhea e putu ai ēnei okana.
Whakaarohia me he pakaru whakawhitiwhiti kōrero i roto i te pokapū whakahaere o tō tinana. Ki te whara ngā io e kawe ana i ngā karere i waenga i tō roro, i tō taurakira, me ēnei okana, ka ngaro pea te mana whakahaere i te mimi, i ngā nekehanga kōpū rānei.
Ka taea e tēnei āhuatanga te whanake ohorere i muri i te wharanga taurakira, i te haere rānei i te wā o ngā mate haere pērā i te sclerosis maha. He rerekē te kaha mai i te tangata ki te tangata, i runga i ngā io e pā ana, me te nui o te pānga.
He mea nui te whakahaere hei ārai i ngā raruraru hauora nui, me te pupuri i tō mana motuhake. Ki te kore he manaakitanga tika, ka taea e ēnei āhuatanga te arahi ki te whara o te tākihi, ngā mate, me ētahi atu raruraru e mōrearea ana ki te ora.
E arotahi ana tō rōpū hauora ki ētahi whāinga matua. Tuatahi, ka mahi rātou ki te ārai i te whara o te tākihi mā te whakarite kia putu katoa, kia auau hoki tō pūpū. Ka whakaiti tēnei i te tūponotanga o te hoki mai o te mimi ki ō tākihi.
Ko tā rātou whāinga anō ko te ārai i ngā mate, ka nui ake, ka kaha ake hoki ina noho roa te mimi, te tūtae rānei i tō tinana. Mā te whakahaere i te mahi whekau ka ārai i te pōro, ka puta he mamae nui, he ohorere rānei ki te rongoā.
I tua atu i ngā āwangawanga rongoā, mā te whakahaere pai ka tiaki i tō mana me ngā hononga pāpori. He maha ngā tāngata e māharahara ana mō ngā aitua, ngā haunga rānei, engari mā te manaaki tika ka iti ake ēnei āwangawanga.
Ko te whakahaere te tikanga e uru ana ki te huinga o ngā tikanga i hangaia mō ō hiahia me tō oranga. Ka mahi tō rōpū hauora ki a koe ki te kimi i te huarahi tino whai hua.
Mō te whakahaere i te pūpū, ka ako pea koe i te whakauru katita i ia wā, ka whakauru koe i tētahi ngongo angiangi hei whakaheke i te mimi i te maha o ngā wā i ia rā. Ko tēnei tikanga te nuinga e whakarato ana i te mana whakahaere me te whakaiti i te tūponotanga o te mate ina tika te mahi.
Ka whai hua ētahi tāngata mai i ngā katita noho tonu, e noho tonu ana i te wāhi. Ahakoa he watea, me āta aroturuki ēnei hei ārai i ngā raruraru. Ka tohutohu pea tō tākuta i ngā rongoā hei āwhina i ō uaua pūpū kia pai ake te mahi.
Ko te whakahaere i te whekau te nuinga e arotahi ana ki te whakatū i tētahi tikanga auau. Ka uru pea tēnei ki ngā wā wharepaku kua whakaritea, ngā whakarerekētanga kai, me ngā rongoā hei whakahaere i te rite me te wā o ngā nekehanga whekau.
Ka āwhina te whakahihiri matihiko, ngā rānei rānei ki te whakaoho i ngā nekehanga whekau ina kore e pai te mahi o ngā urupare tūturu. Ka whai hua hoki ētahi tāngata mai i ngā pūnaha whakamakuku e horoi marie ana i te whekau i runga i te wā.
Ko te whakarite e uru ana ki te ako i ngā pūkenga hou me te whakarereke i te oranga e tautoko ana i tō tikanga whakahaere. Ka whakarato tō rōpū hauora i te whakangungu whānui me te tautoko tonu puta noa i tēnei tukanga.
Me ako koe i ngā tikanga whakauru katita mēnā ka noho tēnei hei wāhanga o tō mahi. Mā te whakangungu ka tere ake, ka pai ake hoki tēnei mahi i te roanga o te wā. Mā tō nēhi koe e ako i te akuaku ringa tika me te tikanga horoi.
Whakakiia ngā taonga e tika ana pēnei i ngā katita, karapu, me ngā mea horoi. He maha ngā mahere inihua e hipoki ana i ēnei mea, ā, ka taea e tō rōpū manaaki te āwhina i a koe ki te mārama ki ō kōwhiringa hipoki.
Whakaarohia te whakarereke i te wharepaku kia uru atu ai, kia noho tūmataiti ai. Ko ngā pae hopu, ngā nohoanga wharepaku whakatikahia, me te rama tika ka māmā ake, ka haumaru ake te whakahaere.
Whakaritea i te hinengaro me te aronganui mō tēnei wā whakarereke. He mea noa te pōuri i te tīmatanga, engari ka pai te urutau o te nuinga o te tangata i te wā me te tautoko mai i tō rōpū hauora.
Ka inea te angitu i roto i te whakahaere e ētahi tohu matua ka aroturukihia e tō rōpū hauora i ia wā. Ka āwhina ēnei ki te whakarite kia tū tonu tō hauora, ā, ka pai ake tō kounga o te oranga.
E whakaatu ana ngā whakamātautau mahi tākihi mēnā ka ārai tō whakahaere i te kino ki ēnei okana nui. Ka tirohia e tō tākuta ngā whakamātautau toto, i ētahi wā ngā rangahau whakaahua hei aroturuki i te hauora tākihi i te roanga o te wā.
E tohu ana ngā reiti mate i te pai o tō mahi i te ārai i ngā mate ara mimi me ētahi atu raruraru. Ko ngā mate auau pea e tohu ana me whakarereke tō huarahi whakahaere.
He mea nui hoki tō whakamarie whaiaro me ō taumata māia. Ko te whakahaere whai hua me whakaiti i ngā aitua, me tuku koe ki te whai wāhi ki ngā mahi e pai ana ki a koe, me te āwhina i a koe kia noho haumaru ake i ngā wāhi pāpori.
Ka āwhina ngā whakaritenga whai-ake i ia wā ki te aroturuki i tō ahunga whakamua me te whakarereke i ngā mea e tika ana. Ka whakarerekē tō rōpū hauora i tō mahere i te mea e tika ana i runga i ēnei aromatawai haere tonu.
Ko te arotau ko te whakatikatika i ō whiringa i roto i te rā me te oranga kia tutuki ai ngā hua pai rawa atu. He iti noa ngā whakatikatika ka whai pānga nui ki tō whakamarie i ia rā, me te hauora i te wā roa.
Kia mau ki tētahi hōtaka rite tonu mō te tiaki i te pūpū me te whekau. Ka pai tō tinana ki ngā hōtaka e mōhiotia ana, ā, ka āwhina tēnei ki te whakaiti i ngā aitua, me te whakapai ake i te mahi whānui.
Kia nui te wai inu ahakoa ngā āwangawanga mō ngā aitua. Ko te inu wai tika ka āwhina ki te ārai i ngā mate, me te pupuri i tō pūnaha kia pai te mahi. Mahi tahi me tō kaiwhakarite kai ki te kimi i te taurite tika.
Whakaarohia ngā whakarerekētanga kai e tautoko ana i te rite o te whekau. Ko ngā kai e nui ana te muka ka āwhina, engari me whakatikatika pea te kai i te iti haere kia kore ai e raru, e hau rānei.
Whakakorikori tinana i roto i ō kaha ki te tautoko i te hauora whānui, me te whakapai ake i ētahi āhuatanga o te mahi pūpū me te whekau. Ka taea e te mahi tinana te whakanui i te rere o te toto me te oranga whānui.
He maha ngā āhuatanga ka whakanui i tō tūponotanga ki te whakawhanake i ngā raruraru, engari mā te māramatanga ki ēnei ka āwhina koe ki te whai i ngā mahi ārai. Ka āwhina tō rōpū hauora ki a koe ki te tautuhi me te whakahaere i ō āhuatanga tūpono motuhake.
Ko ngā āhuatanga e whai ake nei ka arahi i te nuinga o te wā ki ngā take pūpū me te whekau neurogenic:
Ko ētahi āhuatanga tūpono e pā ana ki tō hōtaka whakahaere ake. Ko te whakamahi i te kātere i te kore rite, te akuaku kino, te iti rānei o te wai inu ka whakanui i ngā tūponotanga o ngā raruraru. Heoi, mā te whakangungu tika me te tautoko ka whakaiti i ēnei āwangawanga.
Ki te kore e tika te whakahaere, ka taea e te pūpū neurogenic te arahi ki ngā raruraru hauora nui e pā ana ki ō tāu whatukuhu, pūpū, me te oranga whānui. Mā te māramatanga ki ēnei tūponotanga ka whakahihiri koe ki te tiaki tonu.
Ko te kino o te whatukuhu te tūponotanga tino nui i te wā roa. Ki te hoki tonu te mimi, ka taea e ia te pā ki te kiko whatukuhu, ka mutu ka kore e pai te whatukuhu. Ka pōturi te whanaketanga o tēnei, ā, kāore pea he tohu kia tae rā anō te kino ki te wāhi nui.
Ka puta mai ngā mate urutā i te ara mimi i te wā e kore ai te mimi e putu katoa i tō pūpū. Ka taea e ēnei mate urutā te horapa ki ō whatukuhu, tae noa ki tō toto, e hanga ana i ngā tūāhuatanga e mōrearea ana ki te ora.
Ka hanga pea ngā kōhatu pūpū i te wā e noho roa ana te mimi i tō pūpū. Ka taea e ēnei te pā ki te mamae, te toto, me ngā aukati e hiahia ana kia tangohia mā te pokanga.
Ngā raruraru onge engari nui ko te autonomic dysreflexia i roto i ngā tāngata whai whara nui ki te taurakira. Ka pā tēnei āhuatanga ki te pikinga o te pēhanga toto e mōrearea ana, e hiahia ana kia aro mai te rongoā tonu.
Ka taea e te whakahaere kōpū kāore i te tika te arahi ki ngā raruraru e kore e pai, e mōrearea ana pea. Ka nui te pānga o ēnei take ki tō hauora me te kounga o te ora ki te kore e whakatikahia tika.
Ka puta mai te pāpāpā nui me te impaction fecal i te wā e kore ai ngā nekehanga kōpū e puta i te wā tika. Ka pā tēnei ki te mamae nui, te whakapairuaki, ā, me hiahia pea te wawaotanga rongoā kia whakatikahia marie.
Ka puta mai ngā raruraru e whai ake nei i te whakahaere kōpū kāore i te tika:
Ko ēnei raruraru e whakaatu ana i te hiranga o te whakatū me te pupuri i tētahi mahinga whakahaere whekau whai hua. Ko te nuinga ka taea te ārai mā te manaaki tika me te aroturuki rongoā auau.
He mea nui te aroturuki rongoā auau mō te ārai i ngā raruraru me te whakapai ake i tō mahinga whakahaere. Me aroturuki tō rōpū hauora i tō ahunga whakamua me te whakatika i ngā mea e tika ana.
Whakaritea he ātawhai rongoā tonu mēnā ka puta ngā tohu o te mate, pērā i te kirika, te wiri, te mimi pōkaikaha, te haunga kino rānei. Ka tere te piki o ngā mate i roto i te ara mimi, ā, ka tūpono he kino ki ngā tāngata whai pūpū neurogenic.
Whakapā atu ki tō tākuta mēnā ka pātai koe i ngā huringa ohorere i roto i ō tauira noa, pērā i te kore e taea te whakauru katita, te mamae nui o te puku, te toto rānei i roto i tō mimi, i tō tūtae rānei. Ko ēnei huringa pea e tohu ana i ngā raruraru e hiahia ana ki te rongoā tere.
Rapua te ātawhai ohorere mō ngā tohu o te dysreflexia autonomic, tae atu ki te mamae nui o te upoko, ngā huringa tere o te pēhanga toto, te nui o te werawera rānei. E hiahia ana tēnei āhuatanga ki te wawaotanga rongoā tonu.
Kaua e ruarua ki te toro atu mēnā kei te raru koe i ngā āhuatanga aronganui o te whakahaere. He maha ngā tāngata e kite ana he āwhina te tohutohu i a rātou e urutau ana ki ēnei huringa i roto i ō rātou oranga.
Āe, he tino whai hua ngā rautaki whakahaere mō ngā tāngata whai wharanga o te taurakira ina whakamahia tika ana. E whakawhirinaki ana te huarahi ki tō taumata wharanga me te oti, engari ka whakatutuki te nuinga o ngā tāngata i ngā hua pai mā te manaaki tika.
Ko ngā wharanga taurakira oti te nuinga e hiahia ana ki te whakahaere kaha ake, he maha ngā wā e whakauru ana i te whakauru katita auau me ngā hōtaka whekau hanganga. Ko ngā wharanga kāore i oti pea e whakaae ana ki tētahi mana whakahaere tūao, e hiahia ana ki ngā huarahi whakarerekē.
Kāore i ngā wā katoa. Ko ētahi tāngata e pūpū neurogenic ana ka taea te whakahaere mā te wa-whakawātea, rongoā, ētahi atu tikanga rānei. Mā tō rōpū hauora e whakatau te huarahi pai rawa atu i runga i tō āhuatanga motuhake me ngā whakamātautau mahi pūpū.
He maha ngā wā ka pai ake te whakauru katita i te wā e kore e taea te whakawātea i te wā, nā te mea ka pai ake te whakahaere i te mate i te katita noho tonu. Heoi, kei runga i ō āhuatanga me ō kaha te tikanga tika.
Ahakoa ka whakaiti te whakahaere pai i ngā aitua, kāore e taea te ārai katoa i ngā wā katoa. Heoi, ka whanake te nuinga o te tāngata i ngā tikanga pono e whakaiti ana i ngā nekehanga kōpū e kore e tūmanakohia, me te tuku i a rātou ki te whai wāhi katoa ki ngā mahi o ia rā.
Ko te mea nui ko te kimi i te huinga tika o te wā, te kai, ngā rongoā, me ngā tikanga e mahi ana mō tō tinana me tō oranga. Ka roa te wā me te manawanui i tēnei tukanga, engari ka tutuki te nuinga o te tāngata i te whakahaere pai.
I te tīmatanga, ka hiahia pea koe ki ngā tūpono auau ki te whakatū i tō tikanga me te aroturuki i tō ahunga whakamua. Kia tū tika, ka tūpono te nuinga o te tāngata ki ā rātou tohunga ia 3-6 marama mō te aroturuki i te tikanga me ngā whakatikatika e hiahiatia ana.
Me aroturuki hoki tō tākuta tiaki tuatahi i tō mahi tākihi me te hauora whānui i ngā wā katoa. Ka whai hua ētahi tāngata mai i ngā whakamātautau motuhake ā-tau kia mōhio ai kei te pai tonu tā rātou whakahaere.
He pūtea te hunga e ora ana i te wāhanga, ina koa i te tau tuatahi i muri i te wharanga. Ka aroturukihia e tō rōpū hauora tō haere, ā, ka whakatikatikaina tō mahere whakahaere i te wā e puta ana ngā whakapainga.