He aha te Lymphoma B-pūtau Kiri? Tohutohu, Take, me te Maimoatanga

Ko te lymphoma B-pūtau kiri tētahi momo mate pukupuku e puta mai ana i te tipu koretake o ngā pūtau B (he momo pūtau toto ma) i roto i tō kiri. Kāore i rite ki ētahi atu lymphoma e tīmata ana i ngā kōpū lymph, ka tīmata tēnei mate pukupuku tika i roto i te kiko kiri anō.

Ko tēnei āhuatanga e tohu ana mo te 20-25% o ngā lymphoma kiri katoa, ā, he iti ake te noho o te mea i te hoa T-pūtau. Ko te rongo pai ko te nuinga o ngā momo e tipu haere ana, ā, ka whakautu pai ki te maimoatanga ina mau wawe. Ko te mārama ki te mea kei te whakahaere koe ka taea te awhina i a koe kia okioki ake mō te whakahaere i tēnei āhuatanga me tō rōpū hauora.

He aha te lymphoma B-pūtau kiri?

Ka puta te lymphoma B-pūtau kiri ina riro ngā lymphocytes-B (ngā pūtau whawhai mate) hei pūtau mate pukupuku, ā, ka kohikohi ki roto i ngā paparanga o tō kiri. Ka hanga ēnei pūtau koretake i ngā mate e puta mai ana hei pupū, pupū rānei, pūtea rānei i runga i te mata o tō kiri.

Ko o pūtau B te tikanga hei tiaki i a koe i ngā mate mā te whakaputa i ngā antibodies. Ina riro hei pūtau mate pukupuku, ka ngaro tēnei mahi tiaki, ā, ka nui haere te maha i roto i te kiko kiri. Ka hanga tēnei i ngā tohu e kitea ana e koe i runga i tō tinana.

Ko te āhuatanga te tikanga kei te noho tonu ki te kiri mō ngā wā roa. Ka taea e te nuinga o te iwi te noho oranga noa, mahi kaha me te maimoatanga tika me te tirotiro mai i tō rōpū hauora.

He aha ngā momo lymphoma B-pūtau kiri?

E toru ngā momo nui o te lymphoma B-pūtau kiri, he rerekē ngā āhuatanga me ngā tauira tipu. Ko te mārama ki tō momo motuhake ka āwhina i tō tākuta ki te whiriwhiri i te huarahi maimoatanga tino whai hua.

Ko te lymphoma rohe taha kiri matua te momo tino noa me te ngawari. Ko te tikanga ka puta mai hei pupū iti, whero-parauri, pūtea rānei, i runga i ō ringa, waewae, rānei i tō puku. Ko tēnei momo e tipu haere ana, ā, ka iti te horapa atu i te kiri.

Ko te lymphoma pokapū follicle kiri matua te tikanga ka puta mai hei ngā nodules nui ake, ina koa i runga i tō ulu, kaki, rānei i tō tua. Ko ēnei mate te tikanga he ahua māeneene, ā, ka whero-parauri rānei, whero iti rānei. I rite ki te lymphoma rohe taha, ka noho tonu ki te kiri.

Ko te lymphoma B-pūtau nui whānuitia kiri matua, momo waewae te momo tino kaha. Ahakoa tōna ingoa, ka taea te puta i ngā wāhi katoa o tō tinana, ahakoa ko te tikanga ka pā ki ngā waewae raro i ngā tāngata pakeke. Ko tēnei momo e hiahia ana ki te maimoatanga nui ake nā te tere o te tipu.

He aha ngā tohu o te lymphoma B-pūtau kiri?

Ko ngā tohu o te lymphoma B-pūtau kiri e puta mai ana hei ngā huringa i tō kiri e mau tonu ana i te wā. Ko ēnei tohu te tikanga ka puta haere, koia te take i whakaaro he iti ake te kino o ngā āhuatanga kiri ētahi i te tīmatanga.

Ko ēnei ngā tohu tino noa e kitea ana e koe:

• Ngā pupū, pupū rānei e kore e mamae, e pakari ana te pā
• Ngā pūtea whero-parauri, parauri kikorangi rānei e kore e ngaro
• Ngā nodules ka māeneene rānei, he iti te tauira rānei
• Ngā mate kiri e tipu haere ana i ngā wiki, marama rānei
• Ngā wāhi ka ngau noa i ētahi wā, engari te tikanga kaore e mamae
• Ngā mate ka tae mai i te torutoru millimita ki te maha henimita
• Ngā mate maha e puta mai ana i ngā rōpū, rānei i te horapa puta noa i tō tinana

He iti te noho, ka pāngia koe e ngā tohu e tohu ana kua pā te lymphoma ki ētahi atu wāhi o tō tinana. Ko ēnei āhuatanga onge e whai ake nei: te ngaro taimaha koretake, te ngenge tonu, te wera i te pō, ngā kōpū lymph pupū tata ki ngā wāhi kiri e pā ana.

Ko te nuinga o te iwi e pangia ana e te lymphoma B-pūtau kiri e pai ana te noho, ā, kaore e pāngia e ngā tohu pūnaha e hono ana ki ētahi atu momo lymphoma. Ko ngā huringa kiri te tikanga ko te tohu matua, ko te tohu anake rānei o te āhuatanga.

He aha ngā take o te lymphoma B-pūtau kiri?

Kāore i tino mārama te take tika o te lymphoma B-pūtau kiri, engari e whakapono ana ngā kairangahau ka puta mai ina puta mai ngā huringa ira i roto i ō pūtau B. Ka whakaatu ēnei mutations i te tipu me te wehewehe koretake o ngā pūtau, kāore i te whai i tō rātou huringa oranga noa.

He maha ngā take ka āwhina ki ēnei huringa pūtau, ahakoa te noho o ngā take morearea kaore e tikanga ka puta tēnei āhuatanga. Ko ēnei ngā mea kua kitea e te rangahau:

• Te mumura kiri roa mai i ngā āhuatanga penei i te eczema, te psoriasis rānei
• Te whakamahinga radiation o mua ki ngā wāhi kiri e pā ana
• Ētahi mate huaketo, ina koa ko te Borrelia burgdorferi (mate Lyme)
• Te mate huaketo Hepatitis C i ētahi wā
• Te ngoikore pūnaha ārai mai i ngā rongoā, ngā āhuatanga hauora rānei
• Te āhuatanga ira, ahakoa he iti te noho o te hītori whānau
• Ngā poizon taiao, ngā matū rānei, ahakoa he iti te mōhiotanga

I ngā wā onge, ka taea e te whakaohooho antigen roa mai i ngā mate, ngā rauemi ke rānei te whakaohooho i te whanaketanga lymphoma. Ka puta tēnei āhuatanga ki ētahi i muri i te whakamahinga o ētahi taputapu hauora, ngā whara roa rānei e kore e ora tika.

He mea nui kia mārama kē kaore tēnei hei āhuatanga mate, ā, kaore e taea e koe te tuku ki ētahi atu mā te hononga. Ko te nuinga o ngā take he āhuatanga noa atu i te mea ka taea e koe te aukati.

He aha ngā take morearea mō te lymphoma B-pūtau kiri?

Ahakoa te taea e te tangata te whanake i te lymphoma B-pūtau kiri, he maha ngā take ka piki ake tō tūponotanga ki te whanake i tēnei āhuatanga. Ko te mārama ki ēnei take morearea ka taea te āwhina i a koe ki te pupuri i te mataara ki ngā huringa, ahakoa ko te nuinga o te iwi e whai take morearea ana kaore e whanake i te lymphoma.

Ko ngā take morearea tino nui e whai ake nei:

• Te pakeke neke atu i te 50, me te nuinga o ngā take e puta ana i ngā tāngata kei te 60-70
• Te kiri mā e whakaatuhia ana ki te radiation UV nui i te wā
• Te hītori o ētahi atu āhuatanga autoimmune penei i te mate rheumatoid
• Te maimoatanga o mua me ngā rongoā immunosuppressive
• Ngā āhuatanga kiri roa e puta mai ana te mumura tonu
• Te noho i ngā wāhi e noho noa ana te mate Lyme
• Te whakamahinga radiation therapy mō ētahi atu mate pukupuku

Ko ētahi take morearea onge e whai ake nei: te noho o te mate Sjögren, te hītori o te whakawhiti whekau, ngā mate pūnaha ārai ira motuhake rānei. Heoi, he iti ake te noho o ēnei hononga i ngā take i whakarārangihia i runga.

Kia mahara ko te noho o tetahi take morearea, maha rānei kaore e tikanga ka whanake koe i te lymphoma B-pūtau kiri. Ko te nuinga o te iwi e whai maha ngā take morearea ana e noho hauora tonu ana, ā, ko ētahi atu ka whanake i te āhuatanga kaore he take morearea e kitea ana.

Nōhea te haere ki te tākuta mō te lymphoma B-pūtau kiri?

Me whakapiri atu koe ki tō kaiwhakarato hauora mena ka kite koe i ngā huringa kiri mau tonu e kore e pai ake, e tipu tonu ana rānei i ngā wiki maha. Ko te aromatawai wawe ka ārahi ki ngā hua pai ake me te rangimarie o te ngākau.

Whakatau rānei he hui mena ka pāngia koe e:

• Ngā pupū hou, pupū rānei e pakari ana, e kore e ngaro
• Ngā pūtea kiri e huri ana te tae, te rahi, te tauira rānei i te wā
• Ngā mate maha e puta mai ana i ngā wāhi rerekē o tō tinana
• Te tipu kiri e toto ana ngāwari, e kore rānei e ora
• Te ngau koretake, te mamae rānei i ngā wāhi kiri motuhake
• Ngā huringa tere i ngā tohu kiri, ngā tohu kiri rānei

Rapua te tiaki hauora tonu mena ka whanake koe i ngā tohu e tohu ana kua horapa te lymphoma atu i tō kiri. Ko ēnei tohu onge, engari he kino, e whai ake nei: te wera koretake, te ngaro taimaha nui, te ngenge nui, ngā kōpū lymph nui, ngawari rānei.

Kaua e manukanuka ki te 'whakaware' i tō tākuta me ngā āhuatanga kiri. Ka pai ake ngā kaiwhakarato hauora ki te aromatawai i tetahi mea ngawari i te ngaro i te taumata mate pukupuku wawe. Ko tō rangimarie o te ngākau me tō hauora te utu mō te haerenga.

He aha ngā raruraru pea o te lymphoma B-pūtau kiri?

Ko te nuinga o te iwi e pangia ana e te lymphoma B-pūtau kiri e pā ana te āhuatanga ngawari me ngā raruraru iti ina whiwhi i te maimoatanga tika. Heoi, ko te mārama ki ngā raruraru pea ka taea te āwhina i a koe ki te mohio ki ngā tohu whakatūpato wawe.

Ko ngā raruraru tino noa e whai ake nei:

• Ngā mate kiri rohe mena ka pakaru, ka riri rānei ngā mate
• Ngā āhuatanga ataahua ina puta mai ngā mate i ngā wāhi e kitea ana
• Te pānga hinengaro mai i ngā huringa i te ahua
• Te hokinga mai o ngā mate i muri i te maimoatanga tuatahi
• Te whanaketanga o ngā mate hou i ngā wāhi kiri rerekē
• Te tohu mai i ngā tukanga maimoatanga

Ka taea te puta mai ngā raruraru nui ake, engari he onge, ina koa me te momo waewae kaha. Ko ēnei e whai ake nei: te horapa ki ngā kōpū lymph, te whakauru o ngā whekau o roto, te huri ki te momo lymphoma kaha ake rānei.

Ka taea e ētahi te whanake i ngā mate pukupuku kiri tuarua nā te maimoatanga penei i te radiation therapy, ahakoa he iti te morearea.

Ko ngā hui whai muri tonu e āwhina ana i tō rōpū hauora ki te tirotiro i ngā huringa, ki te whakaoti i ngā raruraru wawe hoki mena ka puta mai.

Me pēhea te whakatau i te lymphoma B-pūtau kiri?

Ko te whakatau i te lymphoma B-pūtau kiri e hiahia ana ki ngā mahi maha hei whakarite i te tika me te whakatau i tō momo motuhake. Ka tīmata tō tākuta me te tirotiro tika me te hītori hauora i mua i te haere ki ngā whakamātautau motuhake ake.

Ko te tukanga whakatau te tikanga e whai ana i te biopsy kiri, kei hea ka tangohia e tō tākuta he tauira iti o te kiko e pā ana mō te tātaritanga taiwhanga. Ko tēnei tukanga te tikanga ka mahia i roto i te tari me te whakamahinga o te anesthesia rohe, ā, he iti te mamae.

Ko ētahi atu whakamātautau e āwhina ana ki te whakaoti i te whakaahua:

• Te whakamātautau immunohistochemistry hei tautuhi i ngā tohu pūtau motuhake
• Te cytometry rere hei tātaritanga i ngā āhuatanga pūtau
• Te whakamātautau ira ira molecular hei kite i ngā huringa chromosomal
• Ngā tātaritanga CT, PET rānei hei tirotiro i te horapa atu i te kiri
• Ngā whakamātautau toto hei aromatawai i te hauora whānui me te mahi pūnaha ārai
• Te biopsy wheua wheua i ētahi wā hei whakakahore i te whakauru pūnaha

Ka taea hoki e tō rōpū hauora te mahi i ngā rangahau whakatūnga hei whakatau i te nui o te mate. Ka āwhina tēnei mōhiohio ki a rātou ki te tūtohutia te mahere maimoatanga tino tika mō tō āhuatanga motuhake.

Ko te tukanga whakatau katoa te tikanga ka roa te torutoru wiki mai i te biopsy tuatahi ki ngā hua whakamutunga. I tēnei wā, ngana ki te pupuri i te manawanui me te pupuri i te hononga whakatuwhera me tō rōpū hauora mō ngā awangawanga, ngā pātai rānei.

He aha te maimoatanga mō te lymphoma B-pūtau kiri?

Ko te maimoatanga mō te lymphoma B-pūtau kiri e whakawhirinaki ana ki tō momo motuhake, te nui o te mate, me tō hauora whānui. Ko te rongo pai ko te maha o ngā whiringa maimoatanga e wātea ana, ā, ko te nuinga o te iwi e whakautu pai ana ki te rongoā.

Mō te mate rohe, ka tūtohu pea tō tākuta:

• Te radiation therapy hei whakawhāiti i ngā mate motuhake
• Te tātaritanga pokanga mō ngā mate iti, motuhake
• Ngā rongoā topical penei i ngā corticosteroids, ngā kiri kiri rongoā rānei
• Ngā whakauru intralesional o ngā steroids, ngā rongoā rongoā rānei
• Te maimoatanga photodynamic mā te whakamahi i ngā rongoā whakaohooho-marama
• Te cryotherapy (te huka) mō ngā mate iti

Mō te mate whānui ake, te mate kaha rānei, ka hiahiatia pea ngā maimoatanga pūnaha. Ka taea e ēnei te whai i te chemotherapy waha, intravenous rānei, ngā rongoā whakawhāiti-whakawhāiti, ngā rongoā immunotherapy rānei e āwhina ana i tō pūnaha ārai ki te whawhai i te mate pukupuku.

I ngā wā onge ka horapa te lymphoma atu i te kiri, ka tūtohu pea tō oncologist i ngā tikanga chemotherapy whakakotahi i rite ki ngā mea e whakamahia ana mō ētahi atu momo lymphoma. Heoi, he onge tēnei ahuatanga me te lymphoma B-pūtau kiri.

Ko te nuinga o te iwi e kite ana he pai ake te mahi o te whakakotahitanga o ngā maimoatanga. Ka mahi tahi tō rōpū hauora me koe ki te whakawhanake i te mahere whaiaro e whakarite ana i te whai hua me ngā whakaaro kounga ora.

Me pēhea te whakahaere i te lymphoma B-pūtau kiri i te kāinga?

Ko te tiaki i a koe i te kāinga he wāhanga nui ki te whakahaere i te lymphoma B-pūtau kiri me tō maimoatanga hauora. Ka taea e ngā mahi o ia rā ngāwari te āwhina i a koe kia pai ake te noho, ā, ka taea te whakapai ake i ō hua maimoatanga.

Arotake ki te tiaki kiri ngawari mā te whakamahi i ngā hopi ngawari, ngā mea whakakakahu kakara kore rānei. Kaua e horoi, ka riri rānei i ngā wāhi e pā ana, ā, tiaki i tō kiri i te whakamahinga o te rā nui me ngā kakahu me te sunscreen.

Tautoko i tō hauora whānui me ēnei huarahi:

• Kai kai rite e whai hua ana i ngā hua, ngā huawhenua, ngā pūmua ngawari rānei
• Noho makuku mā te inu wai maha i te rā
• Whiwhi moe tika hei tautoko i tō pūnaha ārai
• Whakahaere mahi tinana i roto i tō taumata ngāwari
• Whakahaere te ahotea mā ngā tikanga whakangāwari
• Kaua e kai hikareti, ā, whakaitihia te inu waipiro
• Tangohia ngā rongoā i tohua tika i te ara i tohua

Tirohia tō kiri i ia wā mō ngā huringa i ngā mate e noho ana, ngā tipu hou rānei. Pupuri i te rārangi ngāwari, tango whakaahua rānei hei whai i ngā huringa i waenga i ngā hui hauora. Ka taea te whai hua tēnei mōhiohio mō tō rōpū hauora.

Kaua e whakaroa ki te whakapiri atu ki tō rōpū hauora mena ka kite koe i ngā huringa e awangawanga ana koe, ngā pātai rānei mō tō tiaki. Kei reira rātou hei tautoko i a koe i roto i tō haerenga maimoatanga.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite mō tō hui ka taea te āwhina i a koe ki te whakamahi pai i tō wā me tō kaiwhakarato hauora, ā, kia whakarite kē koe e whiwhi i ngā mōhiohio katoa e hiahia ana koe. Ko te whakarite iti ka taea te whakaiti i te awangawanga, ā, ka whakapai ake i te kounga o tō tiaki hauora.

I mua i tō haerenga, tuhia ō pātai me ō awangawanga kia kaua e wareware i te wā o te hui. Whakauruhia ngā pātai mō tō whakatau, ngā whiringa maimoatanga, ngā pānga taha, me te mea e tatari ana koe ki te haere whakamua.

Kohikohihia ngā mōhiohio nui hei kawea atu me koe:

• Rārangi o ngā rongoā, ngā taapiri, ngā hua whakaora katoa e tangohia ana e koe
• Ngā whakaahua o ngā huringa kiri mena kaore ngā mate e kitea ngāwari
• Te tuhi o te wā i kite tuatahi ai koe i ngā tohu me te āhua o te huringa
• Mōhiohio mō ngā maimoatanga o mua kua whakamātauhia e koe
• Ngā kāri inihua me te tohu ingoa
• Mōhiohio hononga mō ētahi atu kaiwhakarato hauora
• He hoa whakawhirinaki, mema whānau rānei mō te tautoko mena e hiahiatia ana

Whakaarohia te pupuri i te raarangi tohu i waenga i ngā hui, te tuhi i ngā huringa i tō kiri, ngā taumata kaha, te oranga whānui rānei. Ka āwhina tēnei mōhiohio i tō tākuta ki te whai i tō ahunga whakamua, ki te whakarite maimoatanga hoki i te mea e hiahiatia ana.

Kaua e wehi ki te tono mō te whakamārama mena kaore koe e mārama ki tetahi mea. E hiahia ana tō rōpū hauora kia mohio koe, kia okioki hoki ki tō mahere tiaki.

Ka taea te aukati i te lymphoma B-pūtau kiri?

I tēnei wā, kāore he huarahi kua whakamāramahia ki te aukati i te lymphoma B-pūtau kiri nā te kore o te mārama ki ngā take tika. Heoi, ka taea e koe te tango i ngā mahi hei tautoko i tō hauora whānui, ā, ka taea te whakaiti i ētahi take morearea.

Ko te tiaki i tō kiri i te radiation UV nui ka taea te āwhina ki te whakaiti i tō morearea. Koinei te whakamahinga o ngā kakahu tiaki, te whakamahinga o te sunscreen whānui-spectrum, te karo i te whakamahinga o te rā roa i ngā wā nui hoki.

Ko ngā mahi hauora whānui e taea te whai hua e whai ake nei:

• Te pupuri i te pūnaha ārai hauora mā te kai pai
• Te whakahaere i ngā āhuatanga kiri roa me te tiaki hauora tika
• Te karo i te whakamahinga koretake o te radiation, ngā matū poizon rānei
• Te maimoatanga wawe i ngā mate, ina koa ngā mate e kawehia ana e ngā nakahi
• Te whai i ngā huringa kiri mau tonu
• Te whakahaere i ngā āhuatanga autoimmune me te tirotiro hauora tika

Mena kei te noho koe i tetahi wāhi e noho noa ana te mate Lyme, tangohia ngā whakaritenga ki ngā ngau nakahi mā te whakamahi i te repellent pepeke me te tirotiro i ngā nakahi i muri i ngā mahi i waho.

Kia mahara ko ngā rautaki aukati kaore i te whakamanahia ki te aukati i te āhuatanga, engari e tautoko ana i tō hauora whānui me tō oranga pai. Arotake ki te mea ka taea e koe te whakahaere i te pupuri i te mataara ki ngā huringa i roto i tō tinana.

He aha te mea nui mō te lymphoma B-pūtau kiri?

Ko te lymphoma B-pūtau kiri he momo mate pukupuku kiri e taea te whakahaere, e tipu haere ana te tikanga, ā, ka whakautu pai ki te maimoatanga. Ahakoa te whiwhi i tēnei whakatau ka taea te awangawanga, ko te nuinga o te iwi e whai āhuatanga ana e noho tonu ana te ora, te mahi kaha me te tiaki hauora tika.

Ko te mea nui rawa atu ka taea e koe te mahi tata me tō rōpū hauora, me te haere ki ngā hui whai muri katoa. Ko te kite wawe me te tirotiro tonu e ārahi ana ki ngā hua pai ake, ā, e āwhina ana ki te aukati i ngā raruraru.

Kia mahara ko tēnei āhuatanga e pā ana ki te tangata katoa, ā, kaore pea tō wheako e rite ki te mea e pānui ana koe i runga i te ipurangi, e rongo rānei mai i ētahi atu. Arotake ki ngā mōhiohio hauora pono mai i ō kaiwhakarato hauora me ngā puna hauora rongonui.

Noho pai, ā, whai wāhi ki tō tiaki i te pupuri i ngā mahi me ngā hononga e kawe mai ana i te koa ki a koe. Me te maimoatanga tika me te tiaki whaiaro, ka taea e koe te whakahaere i tēnei āhuatanga pai i te pupuri tonu i te ora e hiahia ana koe.

Ngā pātai e ui pinepinetia ana mō te lymphoma B-pūtau kiri

He taea te whakaora i te lymphoma B-pūtau kiri?

Ka taea te whakahaere, te whakakahore rānei i ngā take maha o te lymphoma B-pūtau kiri, ina koa ina mau wawe. Ko ngā momo e tipu haere ana te tikanga e whakautu pai ana ki te maimoatanga, ā, ko ētahi e whiwhi ana i te whakaora roa. Heoi, ka taea te hokinga mai o te āhuatanga i ētahi wā, koia te take he mea nui te tirotiro tonu.

E hohoro ana te horapa o te lymphoma B-pūtau kiri?

Ko te nuinga o ngā momo lymphoma B-pūtau kiri e tipu haere ana i ngā marama, ngā tau rānei, kāore i ngā wiki. Ko ngā momo rohe taha me te pokapū follicle te tikanga e noho tonu ana ki te kiri mō ngā wā roa. Ko te momo waewae ka taea te kaha ake, engari te tikanga e haere tonu ana te hohoro atu i te maha o ētahi atu mate pukupuku.

Ka hiahia au ki te chemotherapy mō te lymphoma B-pūtau kiri?

Ko te nuinga o te iwi e pangia ana e te lymphoma B-pūtau kiri kaore e hiahia ki te chemotherapy noa. Ko te maimoatanga te tikanga e whai ana i ngā rongoā rohe penei i te radiation, te pokanga, ngā rongoā topical rānei. Ko te chemotherapy pūnaha te tikanga e waiho ana mō te mate whānui ake, ngā momo kaha rānei e kore e whakautu ki ngā maimoatanga rohe.

Ka taea te hokinga mai o te lymphoma B-pūtau kiri i muri i te maimoatanga?

Ae, ka taea te hokinga mai o te lymphoma B-pūtau kiri i muri i te maimoatanga, koia te take he mea nui ngā hui whai muri tonu. Ko te hokinga mai kaore e tikanga kua kore te maimoatanga tuatahi i mahi - he āhuatanga tēnei o tēnei momo lymphoma. Mena ka hokinga mai, ka whakautu pai ki te maimoatanga atu.

E hira te maha o ngā hui whai muri ka hiahiatia e au?

Ko te auau o te whai muri e whakawhirinaki ana ki tō āhuatanga motuhake, engari ko te nuinga o te iwi e kite ana i tō rātou tākuta i ia 3-6 marama i te tīmatanga, ka iti ake te auau i te wā e haere ana. Ka tirotirohia e tō rōpū hauora tō kiri, ka tirotiro hoki i ngā mate hou, ka tirotiro i tō hauora whānui. He mea nui ēnei hui hei hopu i ngā huringa wawe.