He aha te Whakaohooho o te Uaua Vagus? Te Whāinga, te Hātepe me ngā Hua

Ko te whakaohooho o te uaua vagus (VNS) he rongoā rongoā e whakamahi ana i ngā ngaru hiko ngawari hei whakahohe i tō uaua vagus, he rite ki te huarahi whakawhitiwhiti kōrero matua o tō tinana i waenga i tō roro me ō rārangi. Whakaarohia he pēhi i te ngākau mō tō roro e āwhina ana ki te whakahaere i te wairua, ngā pākia, me ētahi atu mahi nui. Kua āwhina tēnei rongoā i ngā mano o te tangata ki te whakahaere i ngā āhuatanga pēnei i te mate roro me te pōuri i te wā i kore ai ētahi atu rongoā i pai.

He aha te whakaohooho o te uaua vagus?

Ko te whakaohooho o te uaua vagus he rongoā e tuku ana i ngā tohu hiko ngawari ki tō uaua vagus mā tētahi pūrere iti i whakauruhia i raro i tō kiri. Ko tō uaua vagus te uaua roa rawa atu i tō tinana, e rere ana mai i tō roro ki raro ki tō puku pēnei i te huarahi nui e kawe ana i ngā karere i waenga i tō roro me ngā rārangi nui.

Ka mahi te rongoā mā te tuku i ngā ngaru hiko i te wā katoa, i te whakahaerehia e āwhina ana ki te whakapūmau i te mahi roro kōaro. He ngawari noa ēnei ngaru i te mea kāore te nuinga o te tangata e rongo ana i a rātou i te wā e waia ana rātou ki te pūrere. Ka puta te whakaohooho i te wā katoa i te rā, te tikanga mō te 30 hēkona i ia meneti torutoru.

Kua whakaaetia te VNS e te FDA mai i te tau 1997 mō te rongoā i te mate roro, ā, mai i te tau 2005 mō te pōuri e kore e taea te rongoā. Nō nā tata nei, kei te tūhura ngā tākuta i ōna kaha mō ētahi atu āhuatanga pēnei i te āwangawanga, te mamae mau tonu, me ngā mate mumura.

He aha te take e mahia ana te whakaohooho o te uaua vagus?

Ka whakamahia te VNS i te tuatahi i te wā i kore ai ngā rongoā paerewa i whai hua mō ngā āhuatanga neurological, hinengaro rānei. Ka tūtohu pea tō tākuta i tēnei rongoā mēnā kua whakamātau koe i ngā rongoā maha kāore i angitu, mēnā rānei ka pā ki a koe ngā pānga taha nui mai i ētahi atu rongoā.

Ko te take tino nui mō te VNS ko te mate roro e kore e pai te urupare ki ngā rongoā anti-seizure. Tata ki te hautoru o te hunga e mate roro kei te haere tonu ngā haumanu ahakoa te whakamātau i ngā rongoā rerekē. Mō ēnei tāngata, ka taea e te VNS te whakaiti i te auau o te haumanu ki te 50% neke atu rānei i te nuinga o ngā wā.

Mō te pōuri, ka whakaarohia te VNS i te wā i whakamātau ai koe i ētahi rongoā anti-pōuri me te hinengaro-ā-rongoā me te kore e eke ki te murunga hara. Ko tēnei momo pōuri e kiia ana ko te pōuri e ātete ana ki te rongoā, ā, e pā ana ki te 30% o te hunga e mate ana i te mate pōuri nui.

Kei te rangahau hoki ngā kairangahau i te VNS mō ētahi atu āhuatanga tae atu ki te mamae mau tonu, te migraine, te mate a Alzheimer, me ngā mate autoimmune. Ahakoa kei te rangahaua tonu ēnei tono, e whakaatu ana ngā hua o mua i te oati mō te whānui i te whakamahi VNS a muri ake nei.

He aha te tikanga mō te whakaohooho i te io vagus?

Ko te tikanga VNS e hāngai ana ki te whakauru i tētahi pūrere iti tata ki te rahi o te karaka i raro i te kiri i tō wāhi o runga o te uma. Ko tēnei pokanga waho e pā ana ki te 1-2 haora, ā, ka mahia i raro i te rongoā whānui e tētahi neurosurgeon, e tētahi taote pokanga rānei kua whakangungua motuhake.

I te wā o te tikanga, ka hanga e tō taote pokanga tētahi tapahi iti i tō kaki ki te kimi i te io vagus. Ka takai e rātou tētahi waea angiangi me ngā hikooro huri noa i te io, ka keri i tēnei waea i raro i tō kiri ki te hono atu ki te pūhana i tō uma. Ka katia ngā tapahi ki ngā tuitui e rewa ana.

Anei te mea e pā ana i te wā o te pokanga:

1. Ka whiwhi koe i te rongoā whānui kia tino pai ai koe
2. Ka hanga e te taote pokanga tētahi tapahi 2-3 inihi i tō kaki me tētahi iti ake i tō uma
3. Ka tautuhia te io vagus, ā, ka takai te hikooro ki a ia
4. Ka keria te waea i raro i tō kiri ki te hono atu ki te pūhana
5. Ka whakamātauhia te pūrere kia tika ai te mahi
6. Ka katia ngā tapahi, ā, ka haria koe ki te whakaora

Ka hoki te nuinga o te tangata ki te kāinga i te rā kotahi, i muri rānei i te pō kotahi. Ko te pūrere nei ka whakahohehia i te 2-4 wiki i muri i te pokanga kia pai ai te whakaora.

Me pēhea te whakarite mō tō tukanga whakaoho io o te uaua vagus?

Ko te whakarite mō te pokanga VNS e whai ana i ētahi mahi hei whakarite i tō haumaru me te putanga pai rawa atu. Ka ārahi tō rōpū hauora i a koe i ia wāhanga whakarite, ā, ka whakautu i ngā pātai katoa kei a koe.

I mua i te pokanga, me whakamutu koe i te tango i ētahi rongoā ka piki ake te tūponotanga o te toto. Ka hoatu e tō tākuta he rārangi motuhake, engari ko ngā rongoā noa hei karo ko te aspirin, te ibuprofen, me ngā mea whakaheke toto. Kaua e whakamutu i ngā rongoā me te kore e kōrero tuatahi ki tō rōpū hauora.

Anei ngā mahi whakarite matua me whai koe:

• Whakaoti i ngā whakamātautau toto i mua i te pokanga, me te EKG, te hihi X rānei o te uma
• Kaua e kai, e inu rānei i tētahi mea i muri i te pō waenga i mua i tō pokanga
• Whakaritea tētahi tangata hei taraiwa i a koe ki te kāinga i muri i te tukanga
• Mau i ngā kākahu hāneanea, whānui e pātene ana i mua
• Tangohia ngā whakapaipai katoa, te peita whao, me te whakapaipai i mua i te taenga mai
• Kawea mai he rārangi o ō rongoā o nāianei me ngā inenga

Ka kōrero anō tō tākuta pokanga i ngā tūponotanga me ngā painga ki a koe, ā, ka whiwhi i tō whakaae mātauranga. He wā pai tēnei ki te pātai i ngā pātai whakamutunga mō te tukanga, te tukanga whakaora rānei.

Me pēhea te pānui i ō hua whakaoho io o te uaua vagus?

Ka inea rerekē ngā hua VNS i ngā whakamātautau hauora noa, nā te mea e mahi ana tēnei maimoatanga i te wā roa. Ka aroturuki tō tākuta i tō ahunga whakamua mā te whakamahi i ngā rārangi o te hopu, ngā aromatawai ngākau, me ngā pātai mō te kounga o te ora, kaua ki ngā uara taiwhanga.

Mō te mate roro, ko te angitu te tikanga he 50% neke atu rānei te whakahekenga o te auau o te hopu i te roro i te wā i mua i te rongoā. Heoi, ahakoa he iti ake te whakahekenga ka whai tikanga mena ka pai ake tō oranga o ia rā. Ko ētahi tāngata ka pā ki ngā hopu i te roro poto ake, iti ake te kaha ahakoa kāore te auau e huri nui.

Ka inea te whakapai ake i te pōuri mā te whakamahi i ngā tauine whakatau paerewa e aromatawai ana i te wairua, te taumata pūngao, ngā tauira moe, me te mahi whānui. Ka whakamahi pea tō tākuta i ngā taputapu pēnei i te Hamilton Depression Rating Scale, te Beck Depression Inventory rānei hei aroturuki i ngā huringa i te roanga o te wā.

He mea nui kia mōhio ko ngā painga o te VNS ka pūremu haere, he maha ngā wā ka roa te 12-24 marama kia eke ki te whai hua katoa. Ko tēnei whakapai haere he tikanga ka hiahia koe ki ngā whakaritenga whai-a-muri i te wā tonu hei aroturuki i tō ahunga whakamua me te whakatika i ngā tautuhinga pūrere i te mea e tika ana.

Me pēhea te whakanui i ngā hua o tō whakaohooho io io?

Ko te whakanui i ngā hua VNS ko te mahi tahi me tō rōpū hauora ki te whakatika i ngā tautuhinga pūrere me te pupuri i ngā tikanga oranga hauora. Ka taea te whakatika i te pūrere mā te kore e pokanoa mā te whakamahi i te tokotoko hōtaka i ngā haerenga tari.

Ka piki haere tō tākuta i te kaha whakaohooho i roto i ngā marama maha kia kitea ngā tautuhinga tino whai hua mō tō āhuatanga. Ko tēnei tukanga e kiia ana ko te titration, ā, ka āwhina i te whakaiti i ngā pānga taha i te wā e whakanui ana i ngā painga. Ko te nuinga o ngā tāngata e hiahia ana ki te 3-6 ngā wā hōtaka i te tau tuatahi.

I tua atu i ngā whakatikatika pūrere, ka taea e ētahi āhuatanga oranga te whakanui i te whai hua o te VNS:

• Kia mau ki ngā hōtaka moe rite tonu, me te whai kia 7-9 haora i te pō
• Haere tonu ki te tango i ngā rongoā kua whakaritea e te tākuta
• Whakamahia ngā tikanga whakahaere i te pēhanga pēnei i te whakaaroaro, te manawa hōhonu rānei
• Whakakorikori tinana i ngā wā katoa i roto i ō kaha tinana
• Kaua e inu waipiro, e whakamahi rānei i ngā rongoā whakangahau ka raru i te rongoā
• Puritia ngā rārangi tohu taipitopito hei āwhina i tō tākuta ki te aroturuki i te ahunga whakamua

Kia mahara ko te VNS te tikanga e whakamahia ana i te taha o ētahi atu rongoā, ehara i te whakakapinga. Ka tohutohu pea tō tākuta ki te haere tonu ki te tango rongoā, ki te haere rānei ki te rongoā, ki ētahi atu wawaotanga hei whakanui i tō whakapainga whānui.

He aha ngā tautuhinga pai rawa atu mō te whakaohooho i te io vagus?

He tino takitahi ngā tautuhinga VNS pai rawa atu nā te mea he rerekē te urupare o te pūnaha io o ia tangata ki te whakaohooho. Ka mahi tahi tō tākuta me koe ki te kimi i te huinga pai rawa atu o te kaha whakaohooho, te auau, me te wā hei whakarato i te painga nui me te iti o ngā pānga taha.

Ko ngā tautuhinga tīmatanga noa ko te whakaohooho iti te kaha e tukuna ana mō te 30 hēkona ia 5 meneti. I roto i ngā marama maha, ka piki haere pea tō tākuta i te kaha me te whakatika i te wā i runga i tō urupare me ngā pānga taha ka pā ki a koe.

Kei roto i te hōtaka e hiahiatia ana ētahi tawhā matua ka whakatikahia e tō tākuta:

• Te whakaputa i te ia (e inea ana i roto i ngā milliamps) - ka whakatau i te kaha whakaohooho
• Te whānui o te ngaru (e inea ana i roto i ngā microseconds) - ka pā ki te roa o ia ngaru
• Te auau (e inea ana i roto i te Hz) - ka whakahaere i te maha o ngā ngaru i ia hēkona
• Te wā i runga - te roa o te whakaohooho i ia huringa
• Te wā i waho - te wā okioki i waenga i ngā huringa whakaohooho

Ko te kimi i ō tautuhinga pai rawa atu he tukanga haere haere e hiahia ana i te manawanui me te kōrero tata ki tō rōpū hauora. Ko te nuinga o te tangata ka whakatutuki i ā rātou hua pai rawa atu i muri i te 6-12 marama o ngā whakatikatika tupato.

He aha ngā āhuatanga tūpono mō ngā raruraru o te whakaohooho io io?

E mōhiotia ana he haumaru te VNS, engari pērā i ngā mahi pokanga katoa, he tūponotanga ētahi e rerekē ana i runga i tō hauora whānui me te hītori rongoā. Mā te māramatanga ki ēnei āhuatanga tūpono ka āwhina i a koe ki te whakatau i tētahi whakatau mō te rongoā.

Ngā āhuatanga tūpono pokanga ko ngā āhuatanga e pā ana ki te whakaora, e whakanui ana rānei i te tūponotanga o te toto. Ko ngā tāngata e mate huka ana, e mate ngākau ana, e ngoikore ana rānei te pūnaha ārai mate ka nui ake te tūponotanga o te mate, te kore rānei e pai te whakaora i te patunga. Kāore i te tika te pakeke, engari ka puhoi pea te whakaora.

Koinei ngā āhuatanga tūpono nui ka piki ake ai te tūponotanga o ngā raruraru:

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• Hītori o te pokanga kaki, te rānei rānei ki te wāhi kaki
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• Ngā mate toto, te whakamahi rānei i ngā rongoā whakaheke toto
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• Te mate pūkahukahu nui, ngā raruraru rānei o te manawa
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• Ngā mate kaha ki hea i te tinana
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• Ngā hē o te manawa nui
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• Ngā tauhohenga pānga ki te rongoā rānei, ngā rauemi pokanga rānei
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Ka āta arotake tō tākuta pokanga i ēnei āhuatanga i te wā o tō aromatawai i mua i te pokanga. He maha ngā āhuatanga tūpono ka taea te whakahaere mā te whakarite tika me te aroturuki, nō reira kāore i te whakakore i a koe i te rongoā VNS.

He pai ake te whakaohooho io io nui, iti rānei?

Ko te taumata

Kāore i te pai ake te taumata whakaihiihi teitei ake, nā te mea ka nui ake pea ngā pānga taha me te kore e whai hua anō. Ko te whāinga he kimi i tō wāhi reka rongoā – te horopeta whai hua iti rawa e whai ana i te whakamaoritanga tohu.

Ko ētahi tāngata e hiahia ana ki ngā tautuhinga teitei ake kia tutuki ai ngā hua pai, i te wā e pai ana ētahi atu ki ngā taumata iti ake. Ka aroturukihia e tō tākuta tō ahunga whakamua, ā, ka whakatika i ngā tautuhinga i runga i tō tauira urupare takitahi me ngā pānga taha ka pā ki a koe.

He aha ngā raruraru ka puta mai i te whakaihiihi o te io vagus?

He onge noa ngā raruraru VNS, ā, he maha ngā wā ka taea te whakahaere, engari he mea nui kia mōhio koe ki ngā mea ka puta mai kia taea ai e koe te whakatau rongoā mā te mōhio. Ko te nuinga o ngā raruraru he ngawari, ā, ka ngaro noa iho, mā te whakatikatika noa rānei i ngā tautuhinga pūrere.

Ko ngā pānga taha tino noa e pā ana ki te whakaihiihi anō, ā, ka pai ake i te wā e urutau ana tō tinana ki te rongoā. Kei roto i ēnei ko ngā huringa reo rangitahi, te mamae korokoro, te maremare rānei i ngā huringa whakaihiihi. Tata ki te 1-2% o ngā tāngata e pā ana ki ēnei pānga i te wā roa.

Anei ngā raruraru ka puta mai i te wā e puta mai ana:

Ngā raruraru noa (e pā ana ki te 10% o ngā tāngata) kei roto:

• Te reo pāpaku, huringa rānei i te wā whakaihiihi
• Te mamae korokoro, te raru rānei
• Te maremare, te whakawātea korokoro rānei
• Te mamae kaki, te mārō rānei
• Te mamae o te upoko
• Te uaua ki te horo i te wā whakaihiihi

Ngā raruraru kāore i te noa engari he nui ake te kino (e pā ana ki te 1-5% o ngā tāngata) kei roto:

• Te mate i te wāhi pokanga
• Te kore mahi o te pūrere e hiahia ana ki te whakakapi
• Te whati, te neke rānei o te waea mata
• Ngā huringa reo tonu
• Te uaua ki te manawa i te wā whakaihiihi
• Te ngoikore o te kanohi, te tō rānei

Ngā raruraru onge engari he nui te kino (e pā ana ki te iti iho i te 1% o ngā tāngata) kei roto:

• Te pararutanga pūmau o te taura reo
• Ngā raruraru manawa nui
• Ngā huringa o te manawataki o te ngākau
• Ngā tauhohenga mate pāwera nui
• Te pakaru o te io i tua atu i te io vagus

Ko te nuinga o ngā raruraru ka taea te whakahaere mā te whakatika i ngā tautuhinga o te pūrere, te tango rongoā, i ētahi wā onge, te tango i te pūrere. Ka aroturukihia koe e tō rōpū hauora, ā, ka whakatika wawe i ngā take katoa.

Āhea au e kite ai i te tākuta mō ngā āwangawanga whakaoho io vagus?

Me whakapā atu koe ki tō tākuta tonu mēnā ka pā ki a koe ētahi huringa nui, ohorere rānei i muri i te whakaurunga VNS. Ahakoa he ngawari, he mea tūmanako te nuinga o ngā pānga taha, me whai wāhi tonu ētahi tohumate ki te tiaki hauora kia noho haumaru ai koe.

Ko ngā tūāhuatanga ohorere e hiahia ana ki te tiaki hauora tonu ko te uaua ki te manawa, te mamae o te uma, ngā tohu o te mate pēnei i te kirika me te rerenga mai i te patunga, ngā huringa ohorere rānei i tō reo kāore e pai ake ana ka mutu te whakaoho.

Whakapā atu ki tō tākuta tonu mēnā ka pā ki a koe:

• Te uaua ki te manawa, te poto rānei o te manawa, ina koa i te wā o te whakaoho
• Te mamae o te uma, te manawataki rerekē rānei
• Ngā tohu o te mate tae atu ki te kirika, te whero, te mahana, te rerenga mai rānei i ngā wāhi pokanga
• Te mamae nui, ohorere rānei o te kaki, te mārō rānei
• Te uaua tonu ki te horo
• Ngā pākia hou, e kino haere ana rānei, e rerekē ana i tō tauira noa

Me whakarite hoki e koe ngā pōhiri whai-a-roto mēnā ka kite koe i ngā huringa haere i ō tohumate, i ngā pānga taha rānei. Ko ngā āwangawanga kāore i te tino nui e tika ana kia toro atu ki te tākuta ko ngā huringa reo tonu, te piki haere o te mamae korokoro, ngā pātai rānei mō te mahi o te pūrere.

Kia mahara kei reira tō rōpū hauora hei tautoko i a koe i tō haerenga VNS. Kaua e whakaroa ki te whakapā atu mō ngā pātai, āwangawanga rānei, ahakoa he iti noa iho. Ko te kōrero wawe ka ārai i ngā take iti kia kaua e nui ake.

Ngā pātai auau mō te whakaihiihi o te io vagus

Q1: He pai te whakaihiihi io vagus mō te āwangawanga?

E whakaatu ana te VNS i te oati mō te rongoā i te āwangawanga, ahakoa kāore anō kia whakaaetia e te FDA mō ngā mate āwangawanga. He maha ngā tāngata e rongoā ana i te pōuri e kore e rongoā ana, e whiwhi ana i te VNS, e kī ana hoki i te pai ake o ā rātou tohumate āwangawanga, he mea tika tēnei nā te mea he tūranga nui te io vagus ki te whakahaere i te urupare o tō tinana ki te taumahatanga.

Kei te ako tonu ngā whakamātau haumanu i te VNS mō ngā momo āhuatanga āwangawanga tae atu ki te mate āwangawanga whānui me te mate tūpono i muri i te wharanga. E whakaatu ana ngā hua tuatahi ka āwhina pea te rongoā ki te whakaiti i ngā tohumate āwangawanga mā te whakatairanga i te pai ake o te kōrero i waenga i tō roro me ngā pūnaha whakangā o tō tinana.

Q2: Ka pūhihi te whakaihiihi io vagus?

Ko te tikanga kāore te VNS e pūhihi nui, ā, ka pōturi te taumaha o ētahi tāngata. Ka āwhina te io vagus ki te whakahaere i te keri me te hiahia, nō reira ka pā pea te whakaihiihi i ēnei mahi i tētahi ara, i tētahi atu rānei, i runga i tō urupare takitahi.

Mēnā ka kite koe i ngā huringa taumaha i muri i te whakaurunga o te VNS, he nui ake te hononga ki te pai ake o tō āhuatanga i raro iho i te whakaihiihi anō. Hei tauira, ko ngā tāngata e pai ake ana te pōuri, ka nui ake te hiahia me te kaha, ka pūhihi pea i te taumaha i a rātou e ora ana.

Q3: Ka taea e au te MRI me te whakaihiihi io vagus?

Āe, ka taea e koe te MRI me te pūrere VNS, engari e tika ana ngā whakatūpato motuhake. Me whakaweto tō VNS i mua i te MRI, ā, ka taea te whakaweto anō i muri mai. E whakawhirinaki ana ngā whakaritenga haumaru MRI motuhake ki tō tauira pūrere me te wā i whakauruhia ai.

Me whakamōhio tonu ki tō tūtohu MRI me te kaiwhakaahua irarangi mō tō pūrere VNS i mua i tētahi karapa. Ka mahi tahi rātou me tō tohunga roro ki te whakarite kia tika te whakahaere i te pūrere me te mahi haumaru i te MRI.

Q4: Kia pehea te roa o te pākahiko whakaohooho io io?

Ko te tikanga ka 5-10 tau te roa o ngā pākahiko pūrere VNS, i runga i ō tautuhinga whakaohooho me te auau o te whakamahi i ngā āhuatanga atu pērā i te aukume. Ko ngā taumata whakaohooho teitei ake me te whakamahi pinepine ka tere ake te pau o te pākahiko.

Ka iti te pākahiko, ka hiahia koe ki tētahi tikanga waho-pāpā i te hōhipera hei whakakapi i te pūihi whakaputa. He tere ake tēnei pokanga i te whakaurunga tuatahi nā te mea kāore i te nuinga o te wā e tika ana kia whakakapia te waea arahi, me momotu noa, ka hono anō ki te pūrere hou.

Q5: Ka taea e te whakaohooho io io te āwhina i te mamae mau tonu?

Kei te rangahaua te VNS mō ngā momo āhuatanga mamae mau tonu, me ngā hua pai i te wā tuatahi. E pā ana te io io ki te āhua o te mamae me te mumura, nō reira ka āwhina pea te whakaohooho ki te whakaiti i te kaha o te mamae me te urupare mumura o te tinana.

Ko te rangahau o nāianei e arotahi ana ki ngā āhuatanga pērā i te fibromyalgia, te rūmātiki, me ngā mamae mahunga mau tonu. Ahakoa kāore anō kia whakaaetia ēnei tono e te FDA, e kī ana ētahi tāngata i te pai ake o te mamae hei painga tuarua i te wā e whiwhi ana i te VNS mō ngā āhuatanga kua whakaaetia pērā i te mate roro, te pōuri rānei.