He aha ngā kōhatu i roto i te kōpū? Ngā tohu, ngā take, me te rongoā

Ko ngā kōhatu i roto i te kōpū he iti, he pūngoi pakari e hanga ana i roto i tō kōpū, he kōpū iti kei raro i tō ate. Whakaarohia he pōkēre kore e hiahiatia e taea te whanake ina kore te rite o ngā mea kei roto i tō waikura.

Ka pupuri tō kōpū i te waikura, he wai tākai e āwhina ana ki te wawahi i ngā ngako mai i ō kai. Ki te nui rawa te kolesterol, tetahi atu ranei o ngā mea kei roto i tēnei waikura, ka taea te whakakino, ka hanga ai ngā kōhatu mai i ngā pūngoi iti ki ngā kōhatu nui rawa atu.

Ahakoa he tokomaha ngā tangata kei a rātou ngā kōhatu i roto i te kōpū, kāore rātou e mōhio, ka taea e ētahi wā te tuku i te mamae nui ina ārai ana i te rere o te waikura.

He aha ngā tohu o ngā kōhatu i roto i te kōpū?

Ko te nuinga o ngā tāngata kei a rātou ngā kōhatu i roto i te kōpū kāore e kite i ngā tohu, e kiia ana e ngā tākuta he 'kōhatu i roto i te kōpū ngāwari'. Ka taea e koe te pupuri i a rātou mo ngā tau maha kāore he raruraru, ā, ka kitea ngāwari i ngā whakamātautau hauora noa.

Heoi, ina puta mai ngā tohu o ngā kōhatu i roto i te kōpū, ka tupu te mate pēnei i te 'whakaeke kōpū' rānei 'biliary colic'. Ko ēnei ngā mea ka kitea e koe i ēnei wā:

• Te mamae ohorere, nui i te taha matau o runga o tō kopu e roa ana mai i ngā meneti ki ngā haora.
• Te mamae e horapa ana ki tō tua, ki tō pakihiwi matau, ki waenganui rānei i ō pakihiwi.
• Te ruaki me te ruaki, ina koa i muri i te kai i ngā kai ngako.
• Te pupū me te ahua kī.
• Te koretake o te kai, te ngakau rānei e kore e whakautu ki ngā rongoā noa.

Ka puta te mamae i muri i te kai i te kai nui, te kai ngako rānei, no te mea ka whakaitihia tō kōpū ki te tuku waikura mō te tākai. Ki te ārai te kōhatu i tēnei mahi, ka taea te mamae nui, ka puta mai rānei i ngā ngaru.

I ētahi wā, ka taea e koe te kite i te kōwhai o tō kiri me ō kanohi (jaundice), te mimi pouri, te kakau parauri rānei. Ka whakaatu ēnei tohu kei te ārai pea te kōhatu i tō ngongo waikura, e hiahia ana ki te tiaki hauora tonu.

He aha ngā momo kōhatu kōpū?

E rua ngā momo kōhatu kōpū matua, he rerekē ngā tukanga o te hanganga i roto i tō kōpū. Mā te mōhiotanga ki ēnei momo ka āwhina te whakamārama i te take o te whanaketanga me te āhua o te pānga ki a koe.

Ko ngā kōhatu kolesterol te momo tino noa, e 80% pea o ngā kōhatu kōpū katoa i ngā whenua o te Hauauru. Ka hanga ēnei kōhatu kōwhai ina nui rawa te kolesterol i roto i tō wai kōpū, kaore e taea e ngā tote wai kōpū te wetewete tika. Ka rereke te rahi, mai i te iti rawa ki te nui rawa, ka kapi pea te kōpū kōpū katoa.

He iti ake te noa o ngā kōhatu pigment engari ka tino pēhea. Ka hanga ēnei kōhatu parauri pouri, te pango rānei ina nui rawa te bilirubin i roto i tō wai kōpū, he paru mai i ngā pū toto whero kua pakaru. He nui ake te tūponotanga o te whakaohooho i ngā raruraru, ā, he maha ngā whakaaturanga ki ētahi āhuatanga hauora.

Ka whānau etahi i ngā kōhatu whakakotahi e whai kolesterol me ngā waahanga pigment. He iti rawa, ka taea e koe te whai kōhatu pāhare pāporo, kōhatu pāhare phosphate rānei, ahakoa he iti rawa ēnei.

He aha te take o ngā kōhatu kōpū?

Ka whānau ngā kōhatu kōpū ina pakaru te taurite o ngā mea i roto i tō wai kōpū. Ka taea te tupu o tēnei kore taurite mō te maha o ngā take e hono ana, ā, he maha ngā take e mahi tahi ana.

Ko te take tino noa ko te nui rawa o te kolesterol i roto i tō wai kōpū. Ina nui ake te kolesterol e hanga ana tō ate i te mea ka taea e tō wai kōpū te wetewete, ka taea e te nui te whakapakari, ka hanga haere ai ngā kōhatu. Ka roa pea ngā marama, ngā tau rānei te whanaketanga o tēnei tukanga.

Ko ēnei ngā take matua e āhei ana te arahi ki te hanganga kōhatu kōpū:

• Te kore e ringihia katoa, te kore ranei e maha te ringihanga o tō mokopuna, ā, ka kaha ake te whakakōkō o te wai kōpū.
• Te ngaro tere o te taumaha, te kai kore roa rānei, e whakarereke ana i te tukatuka o te kōleseterōre o tō tinana.
• Ētahi rongoā, ina koa ngā rongoā e wātea ana i te estrogeni, i ngā rongoā whakaheke kōleseterōre rānei.
• Ngā take ira e pā ana ki te tukatuka o te kōleseterōre me te wai kōpū e tō tinana.
• Ngā āhuatanga hauora penei i te mate huka, te mate ate, te mate toto rānei e whakapiki ake ana i ngā taumata bilirubin.

He wāhi anō tō kai, ahakoa he iti ake te kitea i te whakaaro o te tini. Ahakoa te kore kai ngako e tino whakaeke i ngā kōhatu kōpū, he kai nui te warowai whakamahia, he iti te muka ka āhei te whakauru ki te hanganga o rātou i te wā.

I roto i ngā take onge, ka taea te hanganga o ngā kōhatu kōpū na te mate i roto i ngā ngongo wai kōpū, ētahi mate whatumanawa e pā ana ki te pakaru o ngā pūtau toto whero, te pānga rānei o te kai whakaora katoa (kai IV) e whakamahia ana i ngā hōhipera.

Nōhea koe me haere ki te taote mō ngā kōhatu kōpū?

Me rapu koe i te tiaki hauora mena ka pāngia koe e ngā tohu e taea ai te tohu i ngā kōhatu kōpū, ina koa ki te kaha te mamae, ki te roa rānei. Kaua e ngana ki te 'whakakaha' mena kei te mamae nui tō puku.

Whakaritea he whakatau me tō taote mena ka kite koe i ngā wāhanga e puta mai ana o te mamae o te puku o runga, ina koa i muri i te kai kai ngako. Ahakoa ka haere mai te mamae, ka haere atu rānei, he mea tika kia kōrero ki te kaiwhakarato hauora hei whakatau i te take me te aukati i ngā raruraru pea.

Rapua te tiaki mate tere mena ka pāngia koe e tetahi o ēnei tohu whakatūpato:

• Te mamae o te puku kaha e kore e pai ake me te okioki, te rongoā mamae rānei o te toa.
• Te kōwhai o tō kiri, o ngā ma o ō kanohi rānei (jaundice).
• Te kirika nui me ngā wiri, e taea ai te tohu i te mate.
• Te ruaki tonu e ārai ana i a koe ki te pupuri i ngā wai.
• Ngā paru parauri, te mimi pouri rānei.

Ko ēnei tohu pea ka tohu i ngā raruraru kino penei i te aukati o te ngongo kawa, te mate o te putea kawa, te mumura rānei e hiahia ana ki te rongoā hauora tere.

He aha ngā take morearea mō ngā kōhatu kawa?

He maha ngā take ka taea te whakapiki ake i tō tūponotanga ki te whanake i ngā kōhatu kawa, ahakoa ehara i te whakamana ka whanake koe i a rātou. Ka taea e te mārama ki ēnei take te āwhina i a koe ki te whakatau whakamārama mō tō hauora.

Ko ētahi o ngā take morearea kaore e taea e koe te whakarereke ko tō tau, ko tō ira tangata, me ngā ira. E rua te tūponotanga o ngā wāhine ki te whanake i ngā kōhatu kawa atu i ngā tāne, inā koa i roto i ō rātou tau whānau na te pānga o te estrogen ki te whakahaere cholesterol. Ka piki ake hoki tō morearea me te pakeke, inā koa i muri i te 40.

Ko ēnei ngā take morearea matua mō te whanaketanga o te kōhatu kawa:

• Ko te wahine, inā koa i te wā hapu, i te wā rānei e inu ana i te rongoā whakakapi homoni
• Te hītori whānau o ngā kōhatu kawa, e tohu ana i te tūponotanga ira
• Te momona, inā koa te kawe i te taumaha nui i te taha o tō puku
• Te ngaro o te taumaha tere mai i te kai kai rāpoi, i te pokanga rānei o te pūtau
• Te mate huka me te ātete insulin
• Ngā iwi whenua motuhake, tae atu ki te iwi Māori me te iwi Hispanic

He wāhi anō te mahi a ngā take oranga. He oranga noho noho, he kai nui i ngā warowai whakamahia me te iti o te muka, me te nohopuku roa ka taea te whakauru katoa. Ko ētahi rongoā, tae atu ki ngā pire whakahaere whānau me ngā rongoā whakaiti cholesterol, ka taea hoki te whakapiki ake i tō morearea.

Ko ngā take morearea onge ake ko ētahi āhuatanga hauora penei i te mate a Crohn, te cirrhosis, i ngā mate toto rānei e pā ana ki te piki o te pakaru o ngā pūtau toto whero. Ko te hunga kua whiwhi pokanga gastric bypass, i te hunga rānei e whiwhi ana i te kai whakauru intravena roa ka nui ake te morearea.

He aha ngā raruraru pea o ngā kōhatu kawa?

Ahakoa tokomaha ngā tāngata e whai kōhatu huangō e kore e wheako i ngā raruraru, ka taea te puta mai ngā raruraru ina aukatitia te rere o te wai huangō e ngā kōhatu, kāore rānei e pā te mumura. Ahakoa ehara enei raruraru i te mea noa, ka taea te kino, ā, me whai rongoā hauora wawe.

Ko te raruraru tino noa ko te cholecystitis koi, arā, te mumura o te pakitara o te putea huangō. Ka puta mai tēnei ina aukatitia te putanga o tō putea huangō e te kōhatu, ka puta ai te wai huangō ki muri, ā, ka pupū, ka mumura te putea huangō.

Ko ēnei ngā raruraru matua ka taea te whanake:

• Te mate o te putea huangō (cholangitis), ka taea te pā te kirika, te wiri, me te mamae nui
• Te aukatinga o te ngongo wai huangō (choledocholithiasis), ka ārai ai ki te jaundice me ngā raruraru ate pea
• Te pancreatitis, ki te aukatitia te ngongo pancreatic e te kōhatu i te wā e hono atu ana ki te ngongo wai huangō
• Te pakaru o te putea huangō i ngā take nui o te mumura kore i te rongoā
• Te gallstone ileus, i te wā e aukatitia ana ō whekau e te kōhatu nui

Me whai rongoā hauora tonu ēnei raruraru, ā, he maha ngā rongoā āwangawanga. Ko te rongo pai, mā te tiaki hauora tika, ka taea te whakaora i te nuinga o ngā raruraru me te kore e pā kino mo te roa.

I etahi wā tino onge, ka piki pea te tūponotanga o te mate pukupuku o te putea huangō i te mumura roa o te putea huangō, ahakoa he tino onge tēnei. Ko ngā tāngata e whai mate nei e kiia nei ko te putea huangō pōreka, i te wā e pakaru ai te pakitara o te putea huangō, ka nui ake te tūponotanga o te mate pukupuku.

Me pēhea te aukati i ngā kōhatu huangō?

Ahakoa kaore e taea te aukati i ngā kōhatu huangō katoa, ina koa ngā mea e pā ana ki ngā ira tuku iho, kāore rānei i te ira tangata, ka taea e koe te mahi kia iti te tūponotanga. Ko te matua ko te pupuri i te oranga hauora e tautoko ana i te hanganga tika o te wai huangō me te mahi o te putea huangō.

Ko te pupuri i te taumaha hauora tētahi o ngā mahi whakamātautau nui rawa atu. Heoi, kia kaua e ngāwari te ngaro o te taumaha mā ngā kai kai tere, nā te mea ka piki ake pea te tūponotanga o ngā kōhatu kōpū. Whakaarohia te ngaro o te taumaha i te āhua atawhai, e mau tonu ana, 1-2 pauna ia wiki mena ka hiahia koe ki te ngaro i te taumaha.

Ko ēnei ngā rautaki e tautokona ana e ngā mātauranga e āhei ana te āwhina i te aukati i ngā kōhatu kōpū:

• Kai kai noa kia mau tonu te whakaheke i tō kōpū kōpū
• Whakauruhia ngā ngako hauora pēnei i te hinu oriwa, ngā nati, me ngā ika ki tō kai
• Tīpakohia ngā witi katoa i runga i ngā kāreti whakamaoritia
• Noho mahi tinana tonu me te whakakori tinana
• Pupuri i te nui o te muka mā ngā hua, ngā huawhenua, me ngā witi katoa

E whakaatu ana etahi rangahau ko te inu kōpi noa me te kai nati i ia rā pea he tiaki, ahakoa he nui ake te rangahau e hiahiatia ana kia whakau i ēnei painga.

Mena kei te nui tō tūponotanga nā ngā take pēnei i te hītori whānau, te āhuatanga hauora rānei, kōrerohia ngā rautaki aukati ki tō kaiwhakarato hauora. Ka taea pea e rātou te tūtohutia ngā whakarerekētanga kai motuhake, te tirotiro tata rānei.

Pehea te whakamātautau i ngā kōhatu kōpū?

Ko te whakamātautau i ngā kōhatu kōpū ka tīmata mā tō tākuta e whakarongo ana ki ō tohu me te mahi i te whakamātautau tinana. Ka ui rātou mō ō tauira mamae, te wā e puta ai ngā tohu, me ētahi take e pai ake ai, e kino ake rānei.

Ko te whakamātautau tino noa me te whai hua mō ngā kōhatu kōpū ko te ultrasound o te kopu. Ko tēnei mahi kaore e mamae e whakamahi ana i ngā ngaru oro hei hanga i ngā whakaahua o tō kōpū kōpū, ā, ka taea te kite i ngā kōhatu iti rawa atu i te torutoru millimita. Ko te hangarau ano tēnei e whakamahia ana hei titiro i ngā pepeha i te wā hapu.

Ka taea pea e tō tākuta te tono i ēnei whakamātautau atu:

• Ngā whakamātau toto hei tirotiro i ngā tohu o te mate pāwera, te mumura, te aukati rānei o te ngongo kawa
• Te tātaritanga CT mō te tirohanga taipitopito ake, inā hoki ki te whakapaehia ngā raruraru
• Te tātaritanga HIDA, e aroturuki ana i te rere o te kawa me te mahi o te pūngāwerewere
• Te cholangiopancreatography whakaatūhanga pūkaha (MRCP) hei whakamātau i ngā ngongo kawa
• Ngā mahi whakamātau endoskopic mēnā ka whakapaehia ngā kōhatu i roto i ngā ngongo kawa

I etahi wā ka kitea ngā kōhatu pūngāwerewere i te wā o ngā whakamātau mō ētahi atu āhuatanga. Ki te kore koe e whai tohu, ka tūtohutia pea e tō tākuta te aroturuki i te wā o te rongoā.

Ko te tukanga whakamātau he ngāwari tonu, ā, ka whiwhi te nuinga o te iwi i ngā whakautu mārama i te tere.

Ka whakamārama tō rōpū hauora i ia whakamātau me te tikanga o ngā hua mō tō āhuatanga motuhake.

He aha te rongoā mō ngā kōhatu pūngāwerewere?

Ko te rongoā mō ngā kōhatu pūngāwerewere e whakahaeretia ana e te mea kei te pāngia rātou e ngā tohu. Ki te whai koe i ngā kōhatu pūngāwerewere ngāwari kaore e whakararuraru i a koe, ka tūtohutia pea e tō tākuta te whakaaro "tatari me te kite" me te aroturuki auau.

Mō ngā kōhatu pūngāwerewere tohu, ko te tango pokanga o te pūngāwerewere (cholecystectomy) te rongoā tino whai hua me te tino tūtohutia. Ka rongo pea tenei he awangawanga, engari ka taea e tō tinana te mahi tino pai kaore he pūngāwerewere.

Ko ēnei ngā kōwhiringa rongoā matua ka kōrero pea tō tākuta:

• Te cholecystectomy laparoscopic, he pokanga iti te whakamahi i ngā wahi iti
• Te cholecystectomy tuwhera mō ngā take uaua ake, te whai rānei i ngā raruraru
• Ngā rongoā hei whakakore i ngā kōhatu cholesterol, ahakoa ka mahi tenei i te ngāwari, ka hoki mai ngā kōhatu
• Te rongoā ngaru whakangāhuri extracorporeal hei wawahi i ngā kōhatu, kaore i te whakamahia i enei rā
• Ngā mahi whakamātau endoskopic hei tango i ngā kōhatu i ngā ngongo kawa

Ma te pokanga laparoscopic, ka mahia ngā taonga iti e te kamera iti me ngā taputapu motuhake. Ko te nuinga o te iwi ka hoki ki te kāinga i taua rā rānei, i muri i te moe i te po, ka hoki ki ngā mahi noa i roto i te wiki, rua rānei.

I etahi wā, ki te kore e taea te pokanga nā ētahi atu āhuatanga hauora, ka taea e tō tākuta te tūtohutia te whakahaere hauora me te whakahaere mamae me ngā whakarerekētanga kai, ahakoa kāo reira e whakaora i te raruraru.

Me pēhea te whakahaere i ngā kōhatu kōpū i te kāinga?

Ahakoa kaore e taea te whakaora i ngā kōhatu kōpū mā te whakaora kāinga, ka taea e koe te mahi i ētahi mahi hei whakahaere i ngā tohu me te whakaiti i te tūponotanga o ngā wāhanga mamae. Ko ēnei rautaki ka pai te mahi me te tiaki hauora ngaio, ehara i te whakakapi mōna.

I ngā wāhanga mamae nui, ko te whakamahana i tō puku o runga ka homai pea etahi whakaora. Ka taea e te kākahu mahana, te papa whakamahana rānei te awhina i te whakahaere i ngā uaua me te whakaora i te kore ngāwari, ahakoa kia tupato kei tahuna tō kiri.

Ko ēnei ngā rautaki whakahaere kāinga whai hua:

• Kaua e kai i ngā kai momona, ngawari, kāore rānei i te kohua e taea te whakaoho i ngā whakawhitinga o te kōpū.
• Kai iti ake, maha atu ngā kai i te wāhi nui.
• Kia makona te inu wai i te rā katoa.
• Whakaarohia ngā kai whakaora mamae kore-whakahaunga penei i te acetaminophen mō te kore ngāwari.
• Whakamahia ngā tikanga whakaiti ahotea, i te mea ka kaha ake te ahotea i ngā tohu o te pūnaha kai.

Ka kite etahi i te wā e whakaoho tonu ana etahi kai i ō rātou tohu. Ko te pupuri i te rārangi kai ka āwhina i a koe ki te tāutu me te karo i ō whakaoho whaiaro.

Kia mahara ko te mamae nui, te kirika, te jaundice rānei e hiahia ana ki te tiaki hauora tonu, ā, kaua e whakahaerehia i te kāinga. Ka taea e ēnei tohu te tohu i ngā raruraru nui e hiahia ana ki te whakaora ngaio.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite mo tō whakatau wā e āhei ai te whiwhi i te hua nui rawa atu i tō haerenga, ā, kia whai katoa ai tō tākuta i ngā mōhiohio e hiahiatia ana hei āwhina i a koe. Tīmatahia mā te tuhituhi i ō tohu, tae atu ki te wā e puta mai ai rātou me te aha e āhei ana te whakaoho i a rātou.

Kia mau ki te puka tohu mō ētahi rā i mua i tō whakatau wā, ki te taea. Tuhituhia te mea i kai koe, te wā i tīmata ai te mamae, te roa o tōna roanga, me te kaha o tōna mamae i te pāmahana 1 ki te 10. He tino nui tēnei mōhiohio mō te whakatau.

Kawe mai ēnei mea nui ki tō whakatau wā:

• He rārangi kākāriki o ngā rongoā, ngā taapiri, me ngā huaora katoa e inu ana koe
• Tō puka tohu me ngā rā, ngā wā, me ngā whakaahuatanga mamae
• Te hītori hauora whānau, inā koa e pā ana ki ngā raruraru o te kōpūpakupaku, te ate rānei
• Ngā kāri inihua me ētahi atu pepa tohutoro e hiahiatia ana
• He rārangi o ngā pātai e hiahia ana koe ki te ui ki tō tākuta

Whakamahia ngā pātai motuhake e pā ana ki tō āhuatanga, ngā whiringa maimoatanga, me te aha e tatari ana. Kaua e whakaroa ki te ui ki tetahi mea kaore koe e mōhio, tae atu ki ngā tūponotanga me ngā painga o ngā maimoatanga rerekē.

Whakaarohia te kawe mai i tētahi hoa whakawhirinaki, whānau rānei hei āwhina i a koe ki te maumahara ki ngā mōhiohio nui me te whakarato tautoko. Ka āhei hoki rātou te āwhina i a koe ki te whakaaro ki ngā pātai ka wareware pea koe ki te ui.

He aha te mea nui e tangohia ana e pā ana ki ngā kōhatu kōpūpakupaku?

He tino noa ngā kōhatu kōpūpakupaku, e pā ana ki te miriona o te iwi, a he tokomaha kaore rawa e wheako i tetahi tohu. Ki te whai koe i ngā tohu, kei reira ngā maimoatanga whai hua e āhei ana te whakarato i te whakaora katoa me te aukati i ngā raruraru.

Ko te mea nui rawa atu hei mahara ko ngā tohu kōhatu kōpūpakupaku e kore e tika kia whakakahoretia, inā koa he nui, he tukurua rānei. Ahakoa ngā kōhatu kōpūpaku anō kaore i te kino, ko ngā raruraru ka puta mai e hiahia ana ki te tiaki hauora tere.

Ko te rongoā hou, hei tauira te tango i te putea kōkō i te ara laparoscopic, he haumaru, he tino whai hua. Ko te nuinga o te hunga kua tangohia to rātou putea kōkō ka ora tonu i ngā oranga noa, kāhore he ārai kai, kāhore hoki he raruraru tonu.

Ki te pā ana koe ki ngā tohu e pā ana pea ki ngā kōhatu kōkō, kaua e whakaroa ki te kōrero ki tō kaiwhakarato hauora. Ka taea e te whakamātautau wawe me te rongoā tika te aukati i ngā raruraru, ā, ka hoki mai koe ki te pai.

Pātai nā te iwi e ui pinepine ana mō ngā kōhatu kōkō

Ka taea te ora noa me te kore putea kōkō?

Ae, ka taea e koe te ora i te oranga noa me te kore tō putea kōkō. Ka mau tonu te ate ki te whakaputa i te wai kōkō, ka rere tika ki roto i tō whekau iti, kaua ki te pupuri. Ko te nuinga o te iwi kāhore he ārai kai roa, kāhore hoki he raruraru ngā huakita i muri i te tango i te putea kōkō.

Me mahi rongoā tonu ngā kōhatu kōkō?

Kāo, ka tūtohutia te rongoā mō ngā kōhatu kōkō e pā ana ki ngā tohu, ki ngā raruraru rānei. He tokomaha te hunga he kōhatu kōkō ngāwari kāhore rawa e pā ki ngā raruraru, kāhore hoki e hiahiatia te rongoā. Ka tūtohu noa tō tākuta i te rongoā mena kei te pā ngā kōhatu kōkō ki te mamae, ki ngā mate, ki ētahi atu raruraru rānei.

Ka taea te whakakore i ngā kōhatu kōkō mā te kai anake?

Aroha mai, kāore e taea te whakakore i ngā kōhatu kōkō kei te noho mā te huri i te kai anake. Ahakoa ka taea e ētahi rongoā te whakakore i ngā kōhatu kōlesterōra iti, he tukanga puhoi tēnei, ā, ka hoki mai ngā kōhatu. Heoi, ka taea e te kai hauora te āwhina i te aukati i te hanganga o ngā kōhatu hou, ā, ka whakaiti pea i te auau o ngā tohu.

E hia te roa o te ora mai i te rongoā putea kōkō?

Ko te ora mai i te rongoā putea kōkō laparoscopic he tere tonu. Ko te nuinga o te iwi ka hoki ki ngā mahi o ia rā i roto i te wiki, ka taea te whakahoki i te whakakori tinana me te kawe i ngā mea taimaha i muri i te 2-3 wiki. Ko te rongoā tuwhera e hiahia ana ki te wa ora roa atu o te 4-6 wiki, engari he iti rawa te whakamahinga o tēnei huarahi.

He tohu whakatūpato kei te kino haere ngā kōhatu kōkō?

Ae, rapu kia tere te awhina hauora mena ka kite koe i te mamae o te kopu nui e kore e pai ake, te kōwhai o tō kiri, o ō kanohi rānei, te kirika nui me te wiri, te ruaki tonu rānei. E taea ana e ēnei tohu te tohu i ngā raruraru nui penei i te aukati o te ngongo kawa, te mate rānei o te putea kawa e hiahia ana ki te rongoā ā-tere.