He aha te Mate Chagas? Ngā Tohutohu, Ngā Take, me te Whakaora

Ko te mate Chagas he mate parāoa tropike e puta mai ana i tetahi mea iti e kiia nei ko te Trypanosoma cruzi. Ko te āhuatanga nei e pā ana ki te mano tini o te iwi puta noa te ao, inā te nuinga i Amerika Latina, ahakoa kei te kitea haere hoki ki ētahi atu wāhi.

Āta waiho koutou e mau i tēnei mate mā te pā ki ngā pepeke kīhi, te triatomine rānei. Ko ēnei pepeke te nuinga e ngau ana i te iwi i te pō, i te kanohi te nuinga, ā, koia te take i huaina ai rātou.

Ko te mea pai, mā te tiaki hauora tika me te kite wawe, ka taea te whakahaere pai i te mate Chagas.

He aha ngā tohu o te mate Chagas?

Ka puta mai ngā tohu o te mate Chagas i ngā wāhanga e rua, ā, ko te kite wawe i ēnei ka tino whakarereke i ngā hua o tō whakaora. Ko te wāhanga tuatahi pea ka rite ki te mate huka ngawari, ā, ko te wāhanga o muri ka pā pea ki tō ngākau me tō pūnaha kai.

I te wā o te mate koi, i roto i ngā wiki tuatahi i muri i te mate, pea ka kitea ēnei tohu:

• Te kirika me te wiri e haere mai ana, e haere atu ana
• Ngā mamae o te tinana me te ngenge e rite ana ki te mate huka
• Te mamae o te upoko me te āhua o te kore pai
• Ngā whekau lymph pupuhi i tō kaki, i tō raro rānei
• Te whara kiri, te pupuhi rānei i te wahi i ngau ai (e kiia nei ko te chagoma)
• Te pupuhi i tetahi kanohi mena ka ngau tata ki te mata (e kiia nei ko te tohu a Romaña)
• Te nui haere o tō ate, o tō kōpū rānei

He tokomaha kaore e kite i ēnei tohu wawe, no te mea he ngawari te nuinga, ka ora ake ano. Ka uaua pea tenei ki te hopu i te mate i ona wā tuatahi.

Ka taea te whanake i te wāhanga roa i muri i ngā tau maha, i ngā tekau tau rānei, ā, koinei te wā ka puta mai pea ngā raruraru nui atu:

• Ngā raruraru o te ngākau, tae atu ki te koretake o te ngākau, te ngoikore rānei o te ngākau
• Ngā raruraru o te pūnaha kai, pēnei i te uaua ki te horomi, te pūngāwerewere nui rānei
• Te whākōkī o te kōpū kai, te rōpū rānei e pā ana ki te mahi noa
• Te mamae o te uma, te poto o te manawa rānei i ngā mahi o ia rā
• Te mutu o te ngākau i ngā take kino

He mea nui kia mōhio kei te tokomaha o te hunga e pangia ana e te mate Chagas roa e kore e whanake i ēnei raruraru kino. Ka taea pea e tō tinana te pupuri i te mate i raro i te mana mō tō oranga katoa.

He aha te take o te mate Chagas?

Ko te mate Chagas te take i te mate pūkohu e kiia nei ko te Trypanosoma cruzi e noho ana i roto i ngā whekau o ngā pepeke triatomine. Ka pangia ēnei pepeke ina kai i te toto o ngā kararehe pangia, o ngā tāngata rānei.

Ko te huarahi tino noa e pangia ai te tangata ko te pā atu ki ngā paru o te pepeke, ehara i te ngau anō. Ko te tikanga o te mahi: ka ngau te pepeke i a koe i a koe e moe ana, ka mutu ka paru tata ki te whara ngau. Ka mutu ka mirimiri koe i te ngau ngau, ka taea e koe te mirimiri whakamate i te paru kī kī ki te whara, ki ō kanohi, ki tō waha rānei.

Haunga ngā ngau pepeke, he maha atu ngā huarahi ka taea e koe te hopu i te mate Chagas:

• Te kai kai kī kī i ngā paru pepeke kī kī
• Te whiwhi i te toto i te kai hoatu kī kī
• Te whiwhi i te nekehanga o ngā kōpū mai i te tangata kī kī
• Te tuku i te mate i te whaea ki te pēpi i te wā hapu, i te wā whānau rānei
• Te whai i ngā aituā taiwhanga i te wā e whakahaere ana i ngā rauemi kī kī

Ko ngā pepeke triatomine e horapa ana i te mate Chagas e pai ana ki te huna i roto i ngā wahi pakaru me ngā wahi o ngā whare hanga kino, ina koa ētahi he tuanui tarutaru, he pakitara paru rānei. He tino mahi rātou i te pō, ā, ka kukumetia ki te pāhare pākaha me te wera mai i ngā tāngata e moe ana.

Nōhea te haere ki te taote mō te mate Chagas?

Mēnā kua noho koe i tetahi wāhi e rongonui ana te mate Chagas, ā, ka kite koe i ētahi tohu e awangawanga ana, me kimi te tiaki hauora. Ka taea e te whakamātautau me te maimoatanga wawe te aukati i te mate ki te haere tonu ki tōna wāhanga mate pūmau nui ake.

Whakapa atu ki tō kaiwhakarato hauora inaianei mehemea ka pāngia koe e:

• Te kirika roa me te mamae o te tinana i muri i te haere ki Amerika Latina
• Te pupuhi rerekē o tō kanohi, ina koa ki te taha kotahi anake
• Te whara o te kiri e kore e ora tika i te waahi i kīia he ngau pepeke
• Ngā whekau lymph pupuhi me ngā tohu rite ki te mate huka

Mō te wāhanga mate pūmau, kimihia te tiaki hauora tonu mehemea ka whanake koe:

• Te mamae o te uma, te rereketanga ranei o te ngakau
• Te uaua nui ki te horomi kai, wai ranei
• Te mamae o te kopu roa me te ruaki nui
• Te poto o te manawa, te ngaro ranei o te ngakau

Ahakoa kaore koe e pangia e ētahi tohu, engari e mōhio ana koe kua pāngia koe e ngā pepeke triatomine, he mea tika te kōrero ki tō tākuta mō te whakamātautau. He tokomaha ngā tāngata e pangia ana e te mate Chagas, kāore i te mohio kua pangia rātou tae noa ki muri mai.

He aha ngā take morearea mō te mate Chagas?

Ka taea e te mārama ki ō take morearea te āwhina i a koe ki te tango i ngā whakaritenga tika me te mohio ki te wā hei kimi whakamātautau. Ko tō morearea e whakawhirinaki ana ki hea koe e noho ana, e haereere ana, me ō āhuatanga noho.

Ko ngā take whenua te mea nui rawa atu i tō taumata morearea:

• Te noho, te haere ranei ki ngā wāhi tahataha o Amerika Latina
• Te whakapau i te wā i Mexico, Amerika Waenganui, Amerika ki te Tonga ranei
• Te noho i ngā wāhi e mohiotia ana te taupori pepeke triatomine
• Te noho i te tonga o Amerika, kei reira ētahi pepeke pangia

Ka taea hoki e ō āhuatanga noho me ō mahi te whakapiki ake i tō morearea whakaū:

• Te moe i roto i ngā whare paru, oneone, rānei i hangaia ki te raupo
• Te noho i ngā whare he pakarutanga kei o rātou pakitara, rānei i o rātou tuanui
• Te puni, te moe rānei i waho i ngā wāhi e horapa ana te mate
• Te mahi i te mahi ahuwhenua, te ngahere rānei i ngā rohe e pā ana

Ka taea hoki e ētahi āhuatanga hauora te whakapiki ake i tō tūponotanga:

• Te whiwhi i ngā whakawhānuitanga toto i ngā whenua he iti ake te kaha o te whakamātautau
• Te whai i ngā raruraru pūnaha ārai mate e whakapakari ake ai tō tūponotanga ki te mate
• Te hapu me te mate Chagas, ka pā pea ki tō pēpi

Kia mahara ko te whai i ngā take tūponotanga kāhore e tikanga ka whiwhi koe i te mate Chagas. Ko ēnei take anake te āwhina i a koe me tō kaiwhakarato hauora ki te whakatau mena he tika te whakamātautau.

He aha ngā raruraru pea o te mate Chagas?

Ahakoa he tokomaha ngā tāngata e mate ana i te mate Chagas e ora ana i ngā oranga noa, hauora, kāhore he raruraru, he mea nui kia mārama ki te aha ka puta mai mehemea ka haere tonu te mate. E 20-30% pea o ngā tāngata e mate ana i te mate Chagas roa ka whanake i ngā raruraru nui i muri i ngā tau, i ngā tekau tau rānei i muri i to rātou mate tuatahi.

Ko ngā raruraru e pā ana ki te ngakau te nuinga me te tino kino:

• Te ngakau nui (cardiomyopathy) kāhore e pupuhi toto pai
• Ngā āwangawanga ngakau ka mate pea
• Te korenga o te ngakau e pā ana ki te poto o te manawa me te ngenge
• Ngā toto toto ka arahi ki te pēhanga roro, te embolism pūkahukahu rānei
• Te mate ngakau tūturu i ngā keehi kino

Ka taea e ngā raruraru pūnaha kai te pā kino ki tō kounga ora:

• Te whākōkī nui (megaesophagus) e whakapakeke ai te horomi
• Te kōkī nui (megacolon) e pā ana ki te pūngao kino
• Te kore kai mai i te uaua ki te kai me te whakahaere kai
• Te piki ake o te tūponotanga o te mate pukupuku whākōkī, kōkī rānei i ngā keehi onge

Ko ngā raruraru kaore e tino kitea ka uru ki:

• Ngā raruraru o te pūnaha io e pā ana ki te nekehanga, ki te whakaaro rānei
• Te mumura o te kanohi, te rerekētanga o te tirohanga rānei
• Ngā whara o te kiri, te mumura roa rānei

Ko te rongo pai, ka puea haeretia ēnei raruraru i roto i ngā tau maha, ā, ka taea te awhina i te tirotiro hauora ā-wā kia kite wawe i ngā raruraru. Mā te tiaki hauora tika, ka taea te whakahaere pai i ngā raruraru maha.

Me pēhea te aukati i te mate Chagas?

Ko te aukati i te mate Chagas e āta whai ana ki te karo i te hononga ki ngā pepeke triatomine kua pangia, me ō rātou paru kua whakapokea. Ko te rongo pai, ka taea e ngā whakarite ngāwari te whakaiti nui i tō tūponotanga ki te mate.

Ki te haere koe ki ngā wāhi e nohotia ana e te mate Chagas, ki te noho rānei koe i reira, ka tiaki ēnei kaupae i a koe:

• Moe i roto i ngā whare i hanga pai, he pakitara, he tuanui ā-kaha
• Whakamahia ngā whatu moe kua tukatukahia ki te pūhui pepeke ina moe
• Whakamahia te rongoa pepeke ki te kiri e kitea ana i mua i te moe
• Hirihia ngā wahi pakaru me ngā āra i roto i ngā pakitara, ngā tuanui, me ngā matapihi
• Tangohia ngā puranga rākau, ngā kohatu, ngā paru rānei i te taha o tō kāinga
• Whakamahia ngā mata i runga i ngā matapihi me ngā tatau hei pupuri i ngā pepeke

He rite te hiranga o ngā mahi haumaru kai ki te aukati i te mate:

• Kaua e kai i te kai mata, te kai kore-kuku rānei i ngā wāhi e pangia ana
• Tīpakohia ngā kai kua tunua pai mai i ngā wāhi rongonui
• Inumia te wai i roto i ngā pounamu, te wai kua tukatuka tika rānei
• Horohorohia ngā hua me ngā huawhenua i mua i te kai

Ki te nui ake tō tūponotanga na te mea he take hauora, ko ētahi atu whakarite kei roto:

• Te whakarite kia tirotirohia pai ngā hua toto i mua i te tukunga toto
• Te kōrero ki tō tākuta mō te whakamātautau Chagas ki te hapu koe
• Te whakamātautau ki te whakaaro koe ki te hoatu toto, ki te hoatu whatumanawa rānei

Kia mahara he ngāwari ake te aukati i te rongoā, na reira, ko te tango i ēnei whakarite ngāwari ka whakaora i a koe i ngā raruraru hauora pea i muri mai.

Me pēhea te whakamātautau i te mate Chagas?

Ko te whakatau i te mate Chagas e hiahia ana ki ngā whakamātautau toto motuhake e rapu ana i te parāoaite, i te whakautu ranei o tō tinana ki a ia. Ka tohua e tō tākua te whakamātautau tika i runga i te roa o te wā pea i pangia ai koe, me ō tohu.

I te wā o te kaupapa koi (ngā wiki tuatahi), ka taea e ngā tākua te kimi i te parāoaite pono i roto i tō toto mā te whakamahi i ēnei tikanga:

• Te tirotiro tūturu microcopic o ngā tauira toto hou
• Ngā paru toto mātotoru me ngā paru toto angiangi i whakairohia ka tirotirohia i raro i te microscope
• Ngā tikanga tāpiri toto e ngāwari ai te kite i ngā parāoaite
• Ngā whakamātautau PCR (polymerase chain reaction) e kite ana i te DNA parāoaite

Mō te whakatau i te kaupapa roa (ngā marama ki ngā tau i muri mai), ka rapu tō tākua i ngā antibodies i hangaia e tō pūnaha mate i te parāoaite:

• Ngā whakamātautau ELISA (enzyme-linked immunosorbent assay)
• Ngā whakamātautau immunofluorescence kore-tuku
• Ngā whakamātautau Western blot mō te whakau
• Ngā whakamātautau taumata tere mō ngā hua tere

Ko te tikanga e hiahia ana tō tākua ki ētahi whakamātautau antibody pai e rua hei whakau i te mate Chagas roa. Ko tēnei tirotiro rua e āwhina ana i te whakarite i te tika me te aukati i ngā whakatau he.

Pea e hiahiatia ana ētahi atu whakamātautau hei tirotiro i ngā raruraru:

• Electrocardiogram (ECG) hei tirotiro i tō tere ngākau
• X-ray uma hei titiro ki te rāhi me te āhua o tō ngākau
• Echocardiogram hei kite i te pai o te pupuhi o tō ngākau
• Whakamātautau horomia barium hei tirotiro i te mahi o tō esophagus
• Colonoscopy ki te whai koe i ngā tohu kai kino

Pea ka roa te tukanga whakamātautau, engari he mea nui te whiwhi i te whakatau tika hei whiwhi i te rongoā tika me te aroturuki i ngā raruraru pea.

He aha te rongoā mō te mate Chagas?

Ko te rongoā mō te mate Chagas e whakawhirinaki ana ki te wā kei roto koe, me tō hauora whānui. Ko te wawe o te whiwhi i te rongoā, ko te pai o ō tūmanako ki te whakakore i te mate katoa i roto i tō tinana.

Mō te mate Chagas koi, te mate hou rānei, ka whakamahi ngā tākuta i ngā rongoā antiparasitic motuhake:

• Benznidazole, e inu ana i te waha mō ngā rā 60
• Nifurtimox, tētahi atu rongoā waha e inu ana mō ngā rā 60-90
• Te tirotiro tata i te wā e rongoā ana mō ngā pānga kino pea
• Ngā whakamātau toto auau hei tirotiro i te whakahaere o te rongoā

Ka pai rawa te mahi o ēnei rongoā ina tīmata wawe, ā, ka taea te whakaora i te mate i roto i te 95% o ngā keehi koi. Ko ngā pānga kino pea ko te ruaki, te mamae o te mahunga, te wiri, te pupuhi rānei o te kiri, engari ka tirotiro tata atu tō tākuta ki a koe.

He uaua ake te rongoā mō te mate Chagas roa, ā, he rerekē ngā tikanga:

• Ka tūtohu pea tonu ngā rongoā antiparasitic, inā koa mō ngā tāngata kōuri
• Ngā rongoā ngākau hei whakahaere i ngā āwangawanga koretake, te ngoikore rānei o te ngākau
• Ngā rongoā nakunaku mō ngā raruraru horomi, te pōruraru rānei o te kōpū
• Pea ka hiahiatia te pokanga mō ngā raruraru kino o te ngākau, te nakunaku rānei

Mō ngā keehi roa, ka whakarite tō tākuta i ngā painga me ngā tūponotanga o te rongoā e whakaū ana i tō tau, tō hauora, me te tūponotanga o te whanake i ngā raruraru. Kaore pea etahi i te hiahia ki te rongoā antiparasitic, engari ka whai hua i te whakahaere i ō rātou tohu.

He mea nui te tiaki whai muri auau ahakoa te rongoā e whiwhi ana koe. Ka tirotiro tō rōpū hauora i te mahi o tō ngākau, ka tirotiro i ngā pānga kino o te rongoā, ā, ka whakarite i tō mahere tiaki kia rite ki te hiahia.

Me pēhea te whakahaere i te mate Chagas i te kāinga?

Ko te whakahaere i te mate Chagas i te kāinga ko te whai i tō mahere rongoā mā te atawhai, me te mahi i ngā whiringa oranga e tautoko ana i tō hauora whānui. Ka taea e ō tikanga o ia rā te whakarereke i tō āhua me te pai o te mahi a tō rongoā.

Mēnā kei te inu koe i ngā rongoā antiparasitic, ka āwhina ēnei kaupae i a koe ki te angitu:

• Tangohia ō rongoā kia rite ki te whakahau, ahakoa ka pai ake tō tūāpapa
• Whakaritea ngā whakamaumahara o ia rā kia kore ai e ngaro ngā horoinga
• Kai i ngā kai iti, maha, hei whakaiti i te ruaki mai i ngā rongoā
• Kia makuku tonu mā te inu wai maha i te rā katoa
• Whakamōhio wawe ki tō tākuta tetahi pānga taha e awangawanga ana

Ka tino nui ngā whiringa noho ora hauora ngākau mena he mate Chagas roa tōu:

• Whai i te kai tōtika iti te tote, nui te hua me ngā huawhenua
• Whakakori tinana auau i roto i ngā rohe e tūtohu ana tō tākuta
• Kaua e whakakī, ā, whakaitihia te inu waipiro
• Whakahaerehia te ahotea mā ngā tikanga whakamahinga rongo rānei
• Whiwhi moe tika hei āwhina i tō tinana kia ora ai, kia ora ai

Mō ngā tohu o te pūnaha kai, ka taea e ēnei huarahi te whakaora:

• Kai iti ake, maha atu ngā kai hei āwhina i te ngākau
• Tīpakohia ngā kai ngawari, ngāwari ki te horomia mena he raruraru ngā kōpū
• Kia makuku tonu, ā, whakauruhia te muka ki tō kai mō te kōpū kōpū
• Noho tika mo te iti rawa i te haora kotahi i muri i te kai

Kia mahara ko te whakahaere whare ka pai ake te mahi ina whakakotahitia ki te tiaki hauora auau. Pupuritia ō hui whakarite katoa, ā, kaua e whakaroa ki te whakapiri atu ki tō kaiwhakarato hauora mō ngā pātai, ngā awangawanga rānei.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite mō tō hui tākuta ka āwhina i a koe ki te whiwhi i te hua nui rawa atu i tō haerenga, ā, kia whakarite ai tō kaiwhakarato hauora i ngā mōhiohio katoa e hiahiatia ana hei tiaki pai i a koe. Ko te whakarite pai ka ārahi ki te whakawhitiwhiti korero pai ake me ngā mahere maimoatanga pai ake.

I mua i tō hui, kohikohia ngā mōhiohio nui mō tō hītori hauora:

• Tuhia ngā tohu katoa e pā ana ki a koe, tae atu ki te wā i tīmata ai rātou me te kaha o rātou.
• Whakarārangihia tetahi hītori haere ki Amerika Latina, ki ētahi atu wāhi rānei kei reira te mate Chagas.
• Tātaihia tetahi whakaū pea ki ngā pepeke toimaine, ki te kai poke rānei.
• Kawe mai ngā rēkōta o ētahi whakawhānui toto, whakawhānui tūpuna rānei i mua.
• Tuhituhia te hītori whānau o te mate ngākau, o ētahi atu āhuatanga tika rānei.

Whakahaeretia ō rongoā me ō korero hauora o nāianei:

• Hangaia tētahi rārangi katoa o ngā rongoā, ngā taapiri, me ngā hua wītamini katoa e inu ana koe.
• Kawe mai ngā hua whakamātautau o mua, ina koa ngā whakamātautau toto, ngā ako ngākau rānei.
• Tātaihia tetahi mate pāwera, tetahi āhuatanga rānei kua pā ki a koe ki ngā rongoā.
• Tuhia ngā pātai e hiahia ana koe ki te ui ki tō tākua.

Whakamahia ngā pātai motuhake mō tō āhuatanga me tō rongoā:

• Kei tehea wāhanga o te mate Chagas ahau?
• He aha ngā kōwhiringa rongoā mōku me ō rātou pānga taha pea?
• E hia te wā ka hiahia ahau ki ngā whakaritenga whai muri me ngā whakamātautau?
• He aha ngā tohu e whakaohooho ai ahau ki te karanga atu ki a koe tonu?
• He aha ngā mahi, ngā kai rānei e tika ana kia karohia e au?
• Ka taea e au te tuku i tēnei mate ki ngā mema whānau?

Whakaarohia te kawe mai i tētahi hoa whakawhirinaki, mema whānau rānei ki tō whakaritenga. Ka taea e rātou te āwhina ia koe ki te mahara ki ngā korero nui, me te whakarato i te tautoko hinengaro i te wā e āhei ana kia rite ki tētahi kōrero nui.

He aha te mea nui mō te mate Chagas?

He āhuatanga whakahaere te mate Chagas ina kitea wawe ka tukuna tika. Ahakoa ka āhei te ahua wehi ki te ako mō ngā raruraru pea, kia mahara ko te nuinga o te iwi he mate Chagas kei a rātou e ora ana i te ora katoa, hauora, kaore rawa e whanake i ngā raruraru nui.

Ko te mea nui rawa atu hei mārama ko te kite wawe te mea nui rawa atu e pā ana ki tō hua. Ki te whakaaro koe kua pā pea koe ki te mate Chagas, kaua e tatari kia puta mai ngā tohu i mua i te rapu tohutohu hauora. Ka taea e ngā whakamātautau toto ngāwari te whakatau mena kua pangia koe, ā, he tino whai hua te rongoā wawe.

Mō te hunga kua tohua kua pangia e te mate Chagas, ko te noho hono atu ki tō rōpū hauora me te whai i tō mahere rongoā te huarahi pai rawa atu hei ārai i ngā raruraru. Ma te aro turuki tonu ka taea e tō tākuta te hopu i ngā huringa i te wa wawe ka whakarite i tō tiaki kia rite.

Ko te ārai tonu te tiaki pai rawa atu ki a koe ki te kore koe i pangia. Ka taea e ngā whakarite ngāwari penei i te whakamahinga o te rongoa pepeke, te moe i roto i ngā whare i hanga pai, me te tupato ki te ora kai te whakaiti nui i tō tūponotanga i ngā wāhi e noho ngāwari ana te mate.

Kia mahara kei te whakatau koe i te mate Chagas, kāore rānei e whakaiti i tō kaha ki te ora i te oranga whai kiko. Ma te tiaki hauora tika, te whakahaere oranga, me te whai tonu, ka taea e koe te whakahaere i tō hauora me te aro ki ngā mea nui rawa atu ki a koe.

Pātai noa e ui ana mō te mate Chagas

Ka taea te whakaora katoa i te mate Chagas?

Ae, ka taea te whakaora i te mate Chagas, ina koa ka kitea me te rongoā wawe. I te wa ohorere, ka taea e ngā rongoā antiparasitic penei i te benznidazole, i te nifurtimox rānei te whakakore i te mate i te 95% o ngā keehi. Ahakoa i ngā keehi roa, ka taea e te rongoā te aukati i te mate kei te haere tonu, ā, ka taea te whakaiti i te nui o te mate i roto i tō tinana.

Ko te matua ko te kitea me te tīmata i te rongoā i te wa e taea ai. Ahakoa he uaua ake te whakaora katoa i ngā keehi roa, ka taea tonu e te rongoā te whakawhiwhi i ngā painga nui mā te ārai i ngā raruraru me te whakapai ake i tō kounga ora.

He mate pāhoko te mate Chagas i waenga i ngā tāngata?

E kore te mate Chagas e horapa mā te whakapiri noa, pēnei i te kōhutia, te tīhana, te pā atu rānei. Kāo e taea te hopu i te mate mā te pēhi ringa, te awhi, te whakawhāiti kai rānei ki te tangata kua pangia.

Heoi, ka taea te tuku i te mate mā te tukunga toto, te whakawhiti whekau, me te whakawhiti mai i te whaea ki te pēpi i te wā hapu, i te wā whānau rānei. Koia tēnei i tirotirohia tika ai ngā tuku toto me ngā whekau, ā, me whakamātau ngā wāhine hapu kei ngā wāhi morearea.

E hā te roa ka taea te pangia e te mate Chagas, kaua e mōhiotia?

He tokomaha ngā tāngata ka pangia e te mate Chagas mō ngā tekau tau, kaua e mōhiotia. Ko ngā tohu o te wāhanga koi ka ngāwari noa, ā, ka rite pea ki te mate huka, ki te mate rewharewha rānei, na reira ka ngāwari te tirohanga, te wareware rānei.

Ka taea te noho pūmau te wāhanga roa mō ngā tau 10-30 i mua i te whanake o ngā raruraru. Kāore etahi tāngata e whanake i ngā tohu, engari ko ētahi atu pea kāore e kite i ngā raruraru kia tae ra ano ki te huringa o te auau o te ngākau, ki ngā raruraru o te pūnaha kai rānei i muri mai o te ora.

E pā ana te mate Chagas ki te hapu?

Ka taea te tuku i te mate Chagas mai i te whaea ki te pēpi i te wā hapu, engari ka puta tēnei i te 1-5% anake o ngā hapu. Ko te nuinga o ngā pēpi i whānau mai ki ngā whaea kua pangia e te mate Chagas he hauora, kāore hoki i pangia.

Mēnā kei a koe te mate Chagas, ā, kei te hapu koe, kei te whakaaro rānei ki te hapu, ka tirotiro pono koe e tō tākuta, ka whakamātau hoki i tō pēpi i muri i te whānau. Ko te kite wawe me te whakaora i ngā pēpi kua pangia he tino whai hua.

Ka taea te tuku toto mēnā kei a koe te mate Chagas?

Kāore e taea e ngā tāngata kua pangia e te mate Chagas te tuku toto, whekau, pūtau rānei, nā te mea ka taea te tuku i te mate mā ēnei tuku. Ka tirotiro ngā pēke toto me ngā pokapū whakawhiti whekau mō te mate Chagas hei aukati i te tuku.

Mēnā kua ora koe, ā, kua whakaū te taakuta kua mawhiti te mate, āe pea ka taea e koe te hoatu i te wā kei te heke mai. Heoi, me whakamātauhia tēnei whakatau e ngā tohunga hauora, ā, kei runga i ngā take maha, tae atu ki tō hītori maimoatanga me ngā hua whakamātautau.