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:
- Ka whiwhi koe i te rongoā whānui kia tino pai ai koe
- Ka hanga e te taote pokanga tētahi tapahi 2-3 inihi i tō kaki me tētahi iti ake i tō uma
- Ka tautuhia te io vagus, ā, ka takai te hikooro ki a ia
- Ka keria te waea i raro i tō kiri ki te hono atu ki te pūhana
- Ka whakamātauhia te pūrere kia tika ai te mahi
- 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:
- \n
- Hītori o te pokanga kaki, te rānei rānei ki te wāhi kaki \n
- Ngā mate toto, te whakamahi rānei i ngā rongoā whakaheke toto \n
- Te mate pūkahukahu nui, ngā raruraru rānei o te manawa \n
- Ngā mate kaha ki hea i te tinana \n
- Ngā hē o te manawa nui \n
- Ngā tauhohenga pānga ki te rongoā rānei, ngā rauemi pokanga rānei \n
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.
