Ko te ngoikore o te hinengaro, inā koa ko te ngoikore o te hinengaro o ngā oko toto, he āwangawanga nui e pā ana ki te hunga whai take mōrearea ki ngā oko toto roro pērā i te toto toto tiketike, te mate huka, me te hyperlipidemia. Ka puta mai i roto i te whānuitanga o te hekenga o te hinengaro, mai i te ngoikore ngawari o te hinengaro ki te mate wareware, e pā ana ki ngā mate koko toto roro, tae atu ki ngā āhuatanga kitea pērā i te whiu me ngā āhuatanga ngawari pērā i ngā whara o te mea ma me te ischemia roro mau tonu. Hei whakahaere pai i tēnei mate, he mea nui te wawaotanga wawe me te maimoatanga.
Te Mārama ki te Waimarie Hinengaro o ngā Uaua
Ka taea te whakarōpū i te ngoikore o te hinengaro toto ki ngā momo matua e rua:
1. Kore-Dementia te ngoikore o te hinengaro o ngā uaua
Ko te tikanga, ka puta mai ngā tūroro me ngā āhuatanga mōrearea mō te mate roro, ā, he iti noa iho ngā ngoikoretanga hinengaro kāore e tutuki i ngā paearu mō te mate wareware. Ka puta ohorere, ka āta haere rānei te hekenga o te hinengaro, he maha ngā wā ka kitea he hekenga o te mahara, te whakaaro whānui, me te whakatau, me ngā huringa o te tuakiri. Heoi anō, ko ngā āheinga o ia rā ka noho tonu.
2. Te Mate wareware ā-uaua
Ko te nuinga o te wā ka puta i muri i te 60 tau te pakeke, ko tēnei momo mate wareware ka pā mai i mua i te hītori o te whiu, ā, ka tohuhia e te hekenga haere o te mahi hinengaro e tutuki ana i ngā paearu mate wareware. Tērā pea ka pāngia ngā tūroro e ngā ngoikoretanga nui i roto i ngā mahi whakahaere – tae atu ki te whakatakoto whāinga, te whakamahere, me te whakaoti rapanga – me te whakahekenga kitea o te mahara poto me ngā pūkenga rorohiko. Ko ngā tohu neurological e haere tahi ana ko te kore aro, te whakaiti i te whakawhitiwhiti kōrero, te manukanuka, me ngā raruraru wairua.
Ngā Huarahi Maimoatanga Whānui
Ka tino pai ake te matapae mō te ngoikore o te hinengaro o ngā oko toto mā te tautuhi wawe i te mate. Ko ngā rautaki maimoatanga e whai ake nei:
1. Te Maimoatanga Taketake
Ko te aro atu me te rongoā i ngā mate roro me ōna āhuatanga mōrearea te tūāpapa o te whakahaere i te ngoikore o te hinengaro o ngā oko toto. Kei roto i tēnei ko te rongoā ārai-platelet, ngā maimoatanga whakaheke-ngako, me te whakahaere i te toto toto tiketike me te mate huka.
2. Te Whakahaere i ngā Tohumate Hinengaro
Tērā pea ka whakapai ake ngā aukati cholinesterase, pērā i a Donepezil, me ngā kaiwhakahē NMDA receptor, pērā i a Memantine, i te mahi hinengaro i roto i ngā tūroro mate wareware vascular. Heoi, kāore anō kia mārama te whai huatanga o ēnei rongoā ki te ngoikore o te hinengaro vascular kāore i te mate wareware. Ko ētahi atu maimoatanga tāpiri ko te Huaora E, te Huaora C, ngā tangohanga Ginkgo biloba, te Piracetam, me te Nicergoline.
3. Te Maimoatanga mō ngā Tohu
Mō ngā tūroro e whakaatu ana i ngā tohu pouri, he pai pea ngā aukati tango serotonin whiriwhiri (SSRI). Tērā pea ka tohua ngā rongoā ārai hinengaro, pērā i te Olanzapine me te Risperidone, hei whakahaere poto i ngā moemoeā, ngā whakaaro pohehe, me ngā raruraru whanonga whakapeka.
Te Tūranga o te Whakaora Hāora Hyperbaric
Kei te piki haere te aro ki te Whakaora Hāora Hyperbaric (HBO) hei wawaotanga hou hei whakapai ake i te mahi roro o te hunga whai ngoikoretanga hinengaro.Ko ōna tikanga rongoā ko:
1. Te pikinga o ngā taumata hāora
Ka whakanuia e te HBO te nui o te hāora me te pēhanga wāhanga, ka whakapai ake i te tohanga hāora me te whakarei ake i te rere o te toto ki ngā kiko roro e pāngia ana, ā, ka whai hua pea ki te mahara me te āhua hinengaro.
2. Ngā Āhuatanga o ngā Pūtau Toto Whero kua Whakapaitia
Ka whakaitihia te hematocrit, ka whakanuia hoki te ngāwari o ngā pūtau toto whero, ā, ka whakaitihia te matotoru o te toto.
3. Te Whakaora i ngā Wāhi Ischemic
Ka whakatairanga a HBO i te whakaoranga o te penumbra ischemic,te whakatairanga i te whakaora me te whakahoutanga o te pūnaha io.
4. Te Whakaiti i te Whara o te Reperfusion
Mā te whakaiti i te ahotea waikura me te whakaiti i te hanga o ngā takawaenga mumura, ka āwhina te HBO ki te tiaki i ngā kiko io mai i te kino.
5. Te Whakapai Ake i te Pūnaha Hauora Neurovascular
HBOwhakapai ake i te hemodynamics roro, ka whakanui i te BDNF taketake, ā, ka whakarei ake i te mahi hinengaro.
6. Te Āheinga Pai Ake o te Arai Toto-Roro
Ka whakarei ake i te urunga o te arai toto-roro, ka whakanui ake i te whai huatanga o te rongoā me te tere mimiti.
Whakamutunga
He nui ngā wero o te ngoikore o te hinengaro i roto i ngā oko toto, engari mā te tātaritanga wawe me te wawaotanga ka hua ake he hua pai ake. He huarahi whai hua te Hyperbaric Oxygen Therapy hei whakapai ake i te mahi hinengaro me te tiaki i te roro mai i te hekenga atu.
Wā tuku: Hakihea-02-2024