Overview
Ko te whakamātautau Wada, e mōhiotia ana ko te tikanga amobarbital intracarotid (IAP), he taputapu tātaritanga motuhake e whakamahia ana hei aromatawai i te mahi a te roro, inā koa te reo me te mahara. Ko te nuinga o te wā ka whakamahia i mua i te pokanga roro hei rongoā i te mate haurangi, i ētahi atu mate pūnaha io rānei. Ka āwhina tēnei whakamātautau ki te tautuhi ko tēhea taha o te roro e kaha ana ki te reo, ā, ka aromatawai i te mahi mahara, kia mau tonu ai ngā wāhi nui i te wā o te pokanga.
He aha te whakamātautau Wada?
Mā te whakamātautau Wada ka whakamoea tetahi taha o te roro i ia wā mā te whakamahi i te barbiturate, ko te amobarbital te tikanga. Mā tēnei ka taea e ngā tākuta te tirotiro i te mahi a te taha kē. Mā te mahi i ngā mahi i te wā o tēnei whakakorenga wā poto, ka taea e ngā tākuta te whakatau i ngā mahi a ia taha i roto i te tukatuka reo me te mahara.
Te Hiranga o te Whakamātautau Wada
He mea nui te whakamātautau Wada mō ngā tūroro e pokangahia ana te roro, inā koa mō te mate haurangi, nā te mea:
- Ka whakatau i te taha matua o te reo.
- Ka arotake i ngā āheinga mahara o ia tuakoi roro.
- Ka whakaiti i te mōrearea o ngā ngoikoretanga hinengaro i muri i te pokanga mā te ārahi i te whakamahere pokanga.
Ngā Whakamahinga o te Whakamātautau Wada
Ko te whakamahinga matua o tēnei whakamātautau he:
- Te tautuhi i te taha tuakoi reo matua i roto i ngā tūroro e pangia ana e te mate haurangi.
- Te aromatawai i te mahi mahara hei whakaiti i ngā ngoikoretanga i muri i te pokanga.
- Te aromatawai i ngā kaitono mō ngā pokanga roro, pērā i te tango i te uaua o te roro i te wā poto.
- Te rangahau i te whakawhiti taha o ngā mahi roro i ngā take ahurei.
Whakaritenga mo te Whakamatau
He mea nui te whakarite mō te angitu o te whakamātautau Wada:
- Kōrerohia tō hītori hauora me ō rongoā ki tō tākuta.
- Me nohopuku pea koe mō ētahi haora i mua i te tikanga.
- Whakamōhio atu ki tō kaiwhakarato hauora mō ngā mate pāwera katoa, inā koa ki ngā rongoā whakamoe.
- Whakaritea tētahi hei hoa mōu, i te mea ka hiamoe pea koe i muri i te whakamātautau.
Te Tukanga Whakamātautau
Ko te whakamātautau Wada e whai ake nei:
- Whakaurunga Catheter: Ka whakaurua he catheter mā roto i tētahi uaua i roto i te hope, i te ringa rānei, ka arahina ki te uaua carotid e tuku toto ana ki tētahi taha o te roro.
- Werohanga Whakamamae: Ka werohia he horopeta iti o te amobarbital hei whakakore i te mahi a te taha kotahi o te roro mō tētahi wā.
- Whakamatau Mahi: Ahakoa kāore tetahi o ngā taha o te roro e mahi ana, ka mahi te tūroro i ngā mahi pēnei i te kōrero, te maumahara ki ngā mea, te mōhio rānei ki ngā kupu.
- Whakahokia anō mō te Ao Tūroa kē atu: Ka tāruatia te tukanga mā te tuakoi ke hei whakatairite i ngā mahi.
Ko te roanga o te whakamātautau katoa e tata ana ki te 1-2 hāora, tae atu ki te wā whakarite me te wā whakaora.
Nga Whakaaturanga Putea me te Kore
Ngā Hua Noa: Te tautuhi mārama i te tuakoi matua mō ngā āheinga reo me te mahara mahi.
Ngā Hua Rerekē: Tērā pea ka whakarerekē ngā mahere pokanga i ngā tohu o te nekehanga taha rerekē o te reo, te ngoikore nui rānei o te mahara.
Nga Tikanga e Whakaawe ana i nga Hua Whakamatau
He maha ngā āhuatanga ka pā ki te tika o te whakamātautau Wada, tae atu ki:
- Ngā whara o mua o te roro, ngā hapa rānei o te roro.
- Ngā rongoā e pā ana ki te mahi a te roro.
- Te manukanuka, te kore rānei e mahi tahi i te wā o te whakamātautau.
- Te rerekētanga o te hanganga toto.
Te Whakahaere i ngā Kitenga mai i te Whakamātautau Wada
Ngā Kitenga Noa: Whakamarietia, ā, tukua kia tika te whakamahere pokanga.
Ngā Kitenga Rerekē: Ārahi i ngā taote pokanga ki te whakarerekē i tā rātou tikanga, me te whakarite kia tiakina ngā wāhi nui o te roro kia mau tonu ai ngā pūkenga hinengaro me ngā pūkenga mahi.
Ngā Painga o te Whakamātautau Wada
- Ka whakarei ake i te haumaru me te whai huatanga o ngā pokanga roro.
- Ka whakaiti i te tūponotanga o te ngoikore o te reo me te mahara i muri i te pokanga.
- Ka whakarato i ngā māramatanga taipitopito mō te whakawhiti i ngā mahi a te roro.
Ngā Pātai Auau mō te Whakamātautau Wada
He aha te hiranga o te whakamātautau Wada?
Ka āwhina i te tautuhi i te taha matua o te reo, ā, ka aromatawai i te mahi mahara hei ārahi i ngā wawaotanga pokanga haumaru.
He mamae te whakamātautau Wada?
He iti noa te whakaekenga o te whakamātautau, ā, ko te nuinga o te wā ka herea te mamae ki te wāhi i whakaurua ai te katitere.
He aha ngā āhuatanga e hiahiatia ana te whakamātautau Wada?
E whakamahia ana mō te whakamahere i te pokanga mate haurangi, engari ka taea hoki te mahi mō ētahi atu āhuatanga e hiahia ana kia tika te mahere roro.
Kia pehea te roa o te whakaora?
Ka ora ake te nuinga o ngā tūroro i ngā pānga o te rongoā whakamoe i roto i ētahi haora, engari he mea tika kia okioki mō te toenga o te rā.
He tūponotanga kei te taha o te whakamātautau Wada?
He iti noa ngā mōrearea engari ka uru pea te toto, te mate pāwera, te ngoikore rangitahi rānei o te taha tuakoi i werohia.
Ka taea e ngā tamariki te whakamātautau Wada?
Ae, engari he iti ake te mahi i roto i ngā tamariki, ā, me whai whakaaro anō pea ki te whakamoe me te mahi tahi.
He aha te rerekētanga o te whakamātautau Wada i ētahi atu tikanga mahere roro?
He rerekē ki ngā whakamātautau whakaahua pēnei i te fMRI, ka taea e te whakamātautau Wada te aromatawai tika i ngā mahi a ngā tuakoi roro mā te whakakorenga rangitahi.
Ka aha mena ka kitea nga hua rereke?
Mā ngā kitenga rerekē ka āwhina ngā tākuta ki te whakarerekē i ngā rautaki pokanga hei tiaki i ngā mahi hinengaro nui.
He aha ngā huarahi kē atu e wātea ana hei whakakapi i te whakamātautau Wada?
Tērā pea ka whakamahia ngā tikanga pēnei i te MRI mahi (fMRI) me te magnetoencephalography (MEG) i ētahi wā engari kāore i te rite ki ngā māramatanga mahi tika e whakaratohia ana e te whakamātautau Wada.
Kei raro i te inihua te whakamātautau Wada?
He rerekē te kapinga; he mea tika kia whakapā atu koe ki tō kaiwhakarato i mua.
Opaniraa
He tikanga tātaritanga tino whai hua te whakamātautau Wada mō te aromatawai i te mahi a te roro, inā koa te reo me te mahara, i mua i ngā pokanga io. Ko tōna kaha ki te whakarato mahere mahi tika ka āwhina i te whakaiti i ngā mōrearea me te arotau i ngā putanga pokanga. Mō ngā tūroro e pāngia ana e te pokanga roro, ka tukuna e te whakamātautau Wada ngā māramatanga nui e whakarite ana i te haumaru me te kounga o te oranga i muri i te pokanga.
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