He aha te Nephropathy Mate Huka? Tohutohu, Take, me te Maimoatanga

Ko te nephropathy mate huka tetahi kino o te whatukuhu e puta mai ana i te pānga o te mate huka ki ngā uaua toto iti i roto i ō whatukuhu i te roa o te wā. Whakaarohia ō whatukuhu hei kaitātari whakahirahira e horoi ana i ngā paru i tō toto – ki te pakaru te mate huka i ēnei kaitātari, kāore e taea e rātou te mahi tika.

Ka tupu haere tenei āhuatanga, kāore hoki e kitea ngā tohu mārama i ngā wā tīmatanga. Koia te take i nui ai ngā tirotiro auau ki te whai koe i te mate huka. Ko te rongo pai, mā te tiaki tika me te whakahaere i te huka toto, ka taea e koe te whakaheke i te kino o te whatukuhu, ā, ahakoa te aukati i te kino ake.

He aha te nephropathy mate huka?

Ka puta te nephropathy mate huka ina pakaru ngā taumata huka toto teitei i ngā waahanga tātari ataahua i roto i ō whatukuhu e kiia nei ko ngā nephrons. Ka mahi ēnei hanganga iti penei i ngā kaitātari kōpi, ka pupuri i ngā mea pai i roto i tō toto, ka tango i ngā paru.

Ki te pā te mate huka ki ēnei kaitātari, ka rewa, ka iti ake te mahi. Ka timata ngā pūmua e noho ana i roto i tō toto ki te rere ki roto i tō mimi, ka tīmata ngā paru e tika ana kia tangohia ki te hanga i roto i tō toto. Ko te tikanga ka roa ngā tau e whānau ai tenei tukanga, koia te take i kiia ai he raruraru 'ngāwari'.

Tata ki te 1 o te 3 o te hunga e whai ana i te mate huka ka whānau tetahi taumata o te kino o te whatukuhu i roto i tō rātou oranga. Heoi, ehara i te mea ka haere tonu te mate whatukuhu mate huka ki te korenga o te whatukuhu – ina koa mā te kite wawe me te whakahaere tika.

He aha ngā tohu o te nephropathy mate huka?

Ko te nephropathy mate huka wawe kaore e tino puta ngā tohu, koia te take i nui ai te whakamātautau auau. Ki te puta ngā tohu, ka whakaatu pinei kua tupu te kino o te whatukuhu.

Ko ēnei ngā tohu ka kitea e koe i te haere tonu o te āhuatanga:

• Pūngāwerewere i ō waewae, turi, ringa, rānei kanohi (ina koa i te taha o ngā kanohi)
• Mimi pupū rānei pupū na te rerenga o te pūmua
• Te mimi pinepine, ina koa i te pō
• Te ngenge me te ngoikore e kore e pai ake mā te okioki
• Te ruaki me te ruaki
• Te ngaro o te hiahia kai
• Te poto o te manawa
• Te toto teitei e uaua ana ki te whakahaere
• Te reka o te rino i roto i tō waha
• Te kiri ngau

Ka taea e ēnei tohu te taurite ki ētahi atu āhuatanga, no reira he mea nui kia kaua e whakaaro he hono ki ō whatukuhu. Ka taea e tō kaiwhakarato hauora te āwhina ki te whakatau i te take o ō tohu me te hanga i te mahere maimoatanga tika mōu.

He aha ngā momo nephropathy mate huka?

Ka wehewehea e ngā kaiwhakarato hauora te nephropathy mate huka ki te rima o ngā wāhanga i runga i te pai o te tātari a ō whatukuhu i ngā paru i tō toto. Ko te ine tenei e kiia nei ko te reiti tātari glomerular whakataurite (eGFR).

Ko te Wāhanga 1 te tohu o te mahi whatukuhu noa rānei teitei me tetahi kino o te whatukuhu kei reira. Ko tō eGFR 90 neke atu rānei, engari ka whakaatu ngā whakamātautau i te pūmua i roto i tō mimi, i ētahi atu tohu rānei o te kino o te whatukuhu. Kāore pea koe e kite i ngā tohu i tēnei wāhanga.

Ko te Wāhanga 2 te tohu o te heke iti o te mahi whatukuhu me te kino o te whatukuhu. Kei waenganui i te 60-89 tō eGFR, ā, pea ka noho tonu koe i te noa. Koinei te wā ka taea e te whakauru wawe te whakarereke nui.

Ko te Wāhanga 3 te whakaatu i te heke o te mahi whatukuhu. Kei waenganui i te 30-59 tō eGFR, ā, pea ka tīmata koe ki te kite i ētahi tohu penei i te ngenge, i te pūngāwerewere rānei. Ka wehewehea atu tēnei wāhanga ki te 3a (45-59) me te 3b (30-44).

Ko te Wāhanga 4 te tohu o te heke nui o te mahi whatukuhu me te eGFR kei waenganui i te 15-29. Ka kitea ake ngā tohu, ā, me tīmata koe ki te whakarite mō ngā whiringa maimoatanga whakakapi whatukuhu.

Ko te Wāhanga 5 te korenga o te whatukuhu, kei raro i te 15 tō eGFR. I tēnei wā, me te dialysis rānei te whakawhiti whatukuhu koe hei ora.

He aha ngā take o te nephropathy mate huka?

Ko ngā taumata huka toto teitei i te roa o te wā te take matua o te nephropathy mate huka. Ki te noho teitei ngā taumata huka, ka pakaru ngā uaua toto iti puta noa i tō tinana, tae atu ki ngā mea i roto i ō whatukuhu.

He maha ngā take e mahi tahi ana ki te whakaeke i tēnei kino o te whatukuhu:

• Ngā taumata huka toto teitei roa e nui atu ana i tō whāinga
• Te toto teitei e whakapēhi atu ana i ngā uaua toto whatukuhu
• Te mumura i whakaohotia e te mate huka e pā ana ki te kiko whatukuhu
• Ngā huringa i ngā āhuatanga rere toto i roto i ngā whatukuhu
• Ngā take ira e whakapakari ana i ētahi i te kino o te whatukuhu
• Te roa o te mate huka – ka nui ake te morearea i te roa o te wā
• Ngā taumata cholesterol kino e awhina ana i te kino o te uaua toto
• Te whakakī, e whakaiti ana i te rere toto ki ngā whatukuhu

Ko te tikanga ka tīmata te tukanga me ngā huringa iti i te pūnaha tātari o te whatukuhu. I roto i ngā marama me ngā tau, ka kohia ēnei huringa iti ki te kino nui. Koia te take i nui ai te pupuri i te mana whakahaere huka toto pai mai i te tīmatanga o tō whakatau mate huka mō te tiaki i ō whatukuhu.

Nōhea te haere ki te taote mō te nephropathy mate huka?

Me haere koe ki tō taote mō te whakamātautau mahi whatukuhu auau ki te whai koe i te mate huka, ahakoa kei te pai tonu koe. Ko te kite wawe te matua ki te aukati, ki te whakaheke rānei i te kino o te whatukuhu.

Whakahaere he whakatau i te wa tonu ki te kite koe i tetahi pūngāwerewere i ō waewae, turi, kanohi rānei e kore e haere. Ko te pūngāwerewere tonu te tohu pinei kāore ō whatukuhu e tango tika ana i te wai nui.

Whakapa atu ki tō kaiwhakarato hauora ki te kite koe i te mimi pupū rānei pupū, ina koa ki te mau tonu mō ngā rā maha. Ka taea tenei te tohu kei te rere te pūmua i tō toto ki tō mimi.

Kaua e tatari kia whiwhi awhina ki te pāngia koe e te poto o te manawa, te mamae o te uma, te ruaki nui rānei. Ka taea e ēnei tohu te tohu kua heke nui te mahi whatukuhu, ā, me te tiaki hauora tonu.

Ki te uaua koe ki te whakahaere i tō toto teitei ahakoa te tango rongoā, ka taea tenei te tohu i te kino o te mahi whatukuhu. Pea me whakarereke e tō taote tō mahere maimoatanga, i te rangahau atu rānei.

He aha ngā take morearea mō te nephropathy mate huka?

Ko te mārama ki ō take morearea ka taea e koe te mahi hei tiaki i ō whatukuhu. Ko ētahi take ka taea e koe te whakahaere, ko ētahi atu he wāhanga o tō hanganga ira.

Ko ngā take morearea ka taea e koe te whakahaere:

• Te whakahaere huka toto kino i te roa o te wā
• Te toto teitei e kore e pai te whakahaere
• Te whakakī, e kino ana i ngā uaua toto
• Ngā taumata cholesterol teitei
• Te momona, ina koa i te hope
• Te kore o te mahi tinana auau
• Te kai tote nui i roto i tō kai
• Te kai pūmua nui

Ko ngā take morearea kaore e taea e koe te whakarereke:

• Te hītori whānau o te mate whatukuhu, mate huka rānei
• Ētahi iwi (African American, Hispanic, Native American, Asian)
• Te whai mate huka neke atu i te 10 tau
• Ko te tane (te morearea iti ake)
• Te tau – ka nui ake te morearea i te pakeke

Ahakoa he maha ngā take morearea, ehara i te mea he mea tika te whānautanga o te nephropathy mate huka. Ko te aro ki ngā take ka taea e koe te whakahaere he whakarereke nui ki te tiaki i tō hauora whatukuhu.

He aha ngā raruraru pea o te nephropathy mate huka?

Ka taea e te nephropathy mate huka te arahi ki ngā raruraru nui e pā ana ki tō hauora whānui me te kounga o te ora. Ko te mārama ki ēnei ka āwhina i a koe ki te mohio he aha te take i nui ai te maimoatanga wawe me te aukati.

Ko ngā raruraru tino noa:

• Te mate whatukuhu roa e kino haere ana i te roa o te wā
• Te korenga o te whatukuhu e hiahia ana ki te dialysis, ki te whakawhiti whatukuhu rānei
• Te mate ngakau me te pēhanga na te pakaru o ngā uaua toto
• Te toto teitei nui e uaua ana ki te whakahaere
• Te mate wheua mai i ngā koretake o te kohuke
• Te anemia mai i te heke o te whakaputa pūtau whero
• Te pupuri wai e puta ai te pūngāwerewere kino
• Ngā koretake o te electrolyte e pā ana ki te rere o te ngakau

Ko ngā raruraru iti ake engari he kino:

• Te acidosis metabolic nui kei reira te kawa rawa o tō toto
• Hyperkalemia (ngā taumata pōtāhium teitei)
• Te poino uremic e pā ana ki te mahi roro
• Te nui ake o te morearea o ngā mate
• Ngā raru moe e pā ana ki te mahi whatukuhu

Ko te rongo pai, ko te whakahaere pai o te mate huka me te tirotiro auau ka taea te aukati, te whakaheke rānei i te nuinga o ēnei raruraru. Ko te mahi tata atu ki tō rōpū hauora te tino whai waahi ki te pupuri i te mahi whatukuhu pai mō ngā tau maha.

Me pēhea te aukati i te nephropathy mate huka?

He mea tino taea te aukati, ā, ka tīmata mā te whakahaere pai o te mate huka. Ko te tīmatanga wawe o te tiaki i ō whatukuhu, ko te pai ake o ō whai waahi ki te karo i te kino nui.

Pupuri i ō taumata huka toto kia tata ki te noa. Ko tō whāinga A1C me noho i raro i te 7%, ahakoa pea ka whakarite tō taote i ngā whāinga rerekē i runga i tō āhuatanga motuhake. Ko te whakahaere huka toto mau tonu te taputapu kaha mō te tiaki whatukuhu.

Whakahaere i tō toto teitei. Whakataurite ki raro i te 130/80 mmHg, i tetahi whāinga rānei e tūtohutia ana e tō taote. Ka tere ake te kino o te whatukuhu te toto teitei, no reira he mea nui tenei penei i te whakahaere huka toto.

Tangohia ngā aukati ACE, ngā rongoā ARB rānei ki te tūtohu tō taote. Ka tiaki ēnei rongoā i ō whatukuhu ahakoa kei te noa tō toto teitei. Ka āwhina rātou ki te whakaiti i te rerenga pūmua me te whakaheke i te haere tonu o te kino o te whatukuhu.

Pupuri i te taumaha hauora mā te kai rite me te mahi tinana auau. Ahakoa te ngaro iti o te taumaha ka taea te whakapai ake i tō whakahaere huka toto me te whakaiti i te whakapēhi ki ō whatukuhu.

Kaua e whakakī, me te whakaiti i te inu waipiro. Ka kino te whakakī i ngā uaua toto puta noa i tō tinana, tae atu ki ngā mea i roto i ō whatukuhu. Ki te whakakī koe i tēnei wā, ko te mutu tetahi o ngā mea pai ka taea e koe mō tō hauora whatukuhu.

Whiwhi i ngā tirotiro auau e whai ana i ngā whakamātautau mahi whatukuhu. Ko te kite wawe te āwhina ki te maimoatanga tere ka taea te whakaheke, te mutu rānei i te haere tonu o te kino o te whatukuhu.

Me pēhea te whakatau i te nephropathy mate huka?

Ko te whakatau i te nephropathy mate huka e whai ana i ngā whakamātautau ngāwari ka taea e tō taote te mahi i ngā tirotiro auau. He mea nui te kite wawe, no reira ko ēnei whakamātautau te tikanga ka oti i te kotahi tau neke atu rānei ki te whai koe i te mate huka.

Ko te whakamātautau tuatahi he tātaritanga mimi hei tirotiro i te pūmua (albumin). Ko te iti o te pūmua i roto i tō mimi pea te tohu wawe o te kino o te whatukuhu. Pea ka whakamahi tō taote i te whakamātautau mimi, i te tono atu rānei ki a koe kia kohia te mimi i roto i ngā haora 24.

Ka ine ngā whakamātautau toto i tō mahi whatukuhu mā te tirotiro i ngā taumata creatinine me te tatau i tō reiti tātari glomerular whakataurite (eGFR). Ka korero ēnei tau ki tō taote te pai o te tātari a ō whatukuhu i ngā paru i tō toto.

Ka tirotirohia hoki e tō taote tō toto teitei, i te mea ka haere tahi te toto teitei me ngā raruraru whatukuhu. Pea ka tūtohu rātou i te tirotiro toto teitei ki te whare hei whiwhi i te whakaahua katoa.

Pea ka whai atu ngā whakamātautau ki te tirotiro i ō taumata cholesterol, hemoglobin A1C, me te toenga electrolyte. I etahi wa pea ka tono tō taote i ngā rangahau whakaahua penei i te ultrasound hei titiro ki te hanganga o tō whatukuhu.

I ngā take onge, pea ka hiahiatia he biopsy whatukuhu ki te whakaaro tō taote i ētahi atu take o te mate whatukuhu i tua atu i te mate huka. E whai ana tenei ki te tango i tetahi tauira iti o te kiko whatukuhu hei tirotiro i raro i te microscope.

He aha te maimoatanga mō te nephropathy mate huka?

Ko te maimoatanga mō te nephropathy mate huka e aro ana ki te whakaheke i te haere tonu o te kino o te whatukuhu me te whakahaere i ngā raruraru. Ko te tīmatanga wawe o te maimoatanga, ko te pai ake o te hua.

Ko te whakahaere huka toto tonu te turanga o te maimoatanga. Ka mahi tahi tō taote ki a koe hei whakatutuki i ngā taumata huka toto whāinga mā te whakarereke rongoā, te whakarereke kai, me ngā whakarereketanga noho.

He mea nui te whakahaere toto teitei. Ko ngā aukati ACE, ngā rongoā ARB rānei te whiringa tuatahi na te mea ka homai e rātou te tiaki whatukuhu atu i te whakaheke i te toto teitei. Pea ka tūtohu tō taote i ngā rongoā toto teitei atu ki te hiahiatia.

Ka taea e ngā whakarereketanga kai te pānga nui ki tō hauora whatukuhu. Pea me whakaiti e koe te kai pūmua, te whakaiti i te tote, me te whakahaere i te pōtāhium me te phosphorus. Ka taea e te kaiwhakaako kai te āwhina ki te hanga i te mahere kai e mahi ana mō tō āhuatanga.

Ka nui ake te auau o te tirotiro i te heke o te mahi whatukuhu. Ka whai tata atu tō taote i ō uara taiwhanga me te whakarereke i ngā maimoatanga i te hiahiatia.

Mō ngā wāhanga matatau, ka tīmata wawe te whakarite mō te maimoatanga whakakapi whatukuhu. Pea ka whai ana i te kōrero mō ngā whiringa dialysis, i te aromatawai whakawhiti whatukuhu rānei. Ka āwhina tō rōpū hauora ki a koe ki te mārama ki ēnei whiringa me te whakatau whakamārama.

Ko te whakahaere i ētahi atu āhuatanga hauora penei i te anemia, te mate wheua, me ngā raruraru ngakau ka nui ake te mea nui i te heke o te mahi whatukuhu.

Me pēhea te tango i te maimoatanga whare i te wā o te nephropathy mate huka?

Ko te whakahaere whare he mahi nui ki te whakaheke i te haere tonu o te nephropathy mate huka. Ka taea e ō whiringa o ia rā te pānga nui ki te pai o te mahi a ō whatukuhu i te roa o te wā.

Tirohia ō taumata huka toto penei i te tūtohu a tō rōpū hauora. Pupuri i te rārangi o ō pānui me te tuhi i ngā tauira, i ngā āwangawanga rānei. Ko te tirotiro mau tonu te āwhina i a koe me tō taote ki te whakatau i ngā whakatau maimoatanga whakamārama.

Tangohia ngā rongoā katoa penei i te tūtohu, ahakoa kei te pai koe. Whakaritea he kaiwhakahaere pereti, whakamahia rānei ngā whakamaharatanga waea atamai hei āwhina i a koe ki te noho i runga i te huarahi. Kaua rawa e ngaro ngā horoinga o te toto teitei, mate huka rānei.

Whai i tō mahere kai tūtohu. Pea ka tikanga tenei te ine i ngā wāhanga, te pānui i ngā tohu kai, me te whakarite i ngā kai atu i te whare. Ka taea e ngā huringa iti i ō tikanga kai te pānga nui ki tō hauora whatukuhu.

Noho makuku, kaua rawa e nui rawa. Inu wai i te rā katoa, engari whai i ngā tūtohu a tō taote mō te inu wai ki te whai koe i te mate whatukuhu matatau.

Mahi tinana auau i roto i ō kaha. Ahakoa ngā mahi ngāwari penei i te hikoi ka taea te whakapai ake i te whakahaere huka toto me te hauora whānui. Tirohia ki tō taote mō te taumata mahi e tika ana mōu.

Whai i tō taumaha o ia rā me te ripoata i ngā hua ohorere ki tō kaiwhakarato hauora. Ko te nui o te taumaha pea te tohu o te pupuri wai, ka taea te tohu i te kino o te mahi whatukuhu.

Me pēhea te whakarite mō tō whakatau taote?

Ko te whakarite mō tō whakatau te āwhina i te whakarite ka whiwhi koe i te uara nui mai i tō wā me tō kaiwhakarato hauora. Ko te whakarite pai te āwhina ki te whakawhitiwhiti pai me te tiaki whaiaro ake.

Kawe mai i ō rongoā katoa o nāianei, tae atu ki ngā rongoā-ā-whare me ngā taapiri. Hanga he rārangi, kawe mai rānei i ngā ipu pono kia taea ai e tō taote te arotake i ngā mea katoa e tangohia ana e koe mō ngā taunekeneke pea, i ngā pānga whatukuhu rānei.

Pupuri i tetahi rēkōta o ō pānui huka toto, ngā ine toto teitei, me ngā taumaha o ia rā mō te kotahi wiki i mua i tō whakatau. Ka āwhina ēnei korero i tō taote ki te aromatawai te pai o tō mahere maimoatanga o nāianei.

Tuhia ētahi tohu kua pāngia koe, ahakoa he iti. Whakauruhia te tīmatanga, te auau o te puta, me te mea e pai ake ana, e kino ake ana rānei.

Whakaritea he rārangi o ngā pūrongo mō tō hauora whatukuhu, ngā whiringa maimoatanga, i ngā whakarereketanga noho rānei. Kaua e manukanuka ki te maha o ngā pūrongo – e hiahia ana tō taote ki te āwhina i a koe ki te mārama ki tō āhuatanga.

Kawe mai he mema whānau, hoa rānei ki te hiahia koe ki te tautoko, ki te āwhina rānei ki te mahara ki ngā korero nui. Ka taea te āwhina i tetahi ki a koe, ina koa i te kōrero mō ngā whakatau maimoatanga uaua.

Arotakehia tō uara inihua me te kawe mai i ngā kāri, i ngā tuhinga rānei e hiahiatia ana. Ko te mārama ki tō uara te āwhina ki te karo i ngā miharo ki ngā utu whakamātautau, maimoatanga rānei.

He aha te tango matua mō te nephropathy mate huka?

Ko te mea nui rawa hei mahara mō te nephropathy mate huka ko te mea nui te aukati me te whakahaere mā te tiaki tika. Ko te kite wawe me te whakahaere mau tonu ka taea te āwhina i a koe ki te pupuri i te mahi whatukuhu pai mō ngā tau maha.

He mea nui rawa ō whiringa o ia rā. Ko te pupuri i tō huka toto me tō toto teitei, te tango rongoā tūtohu, me te whai i te kai pai mō te whatukuhu ka taea te whakaheke nui, te mutu rānei i te haere tonu o te kino o te whatukuhu.

Kaua e tukua te wehi kia kaha rawa – aro ki te mea ka taea e koe te whakahaere. Ko ngā tirotiro auau, te whakawhitiwhiti tika me tō rōpū hauora, me te whakaute ki tō mahere maimoatanga te tino whai waahi ki te tiaki i ō whatukuhu.

Mahara kaore te whai nephropathy mate huka e tikanga ana kua whakaritea koe mō te dialysis, te korenga whatukuhu rānei. He maha ngā tangata e whai ana i te mate whatukuhu wāhi wawe e ora ana i ngā oranga katoa, kaha, ka whakahaere pai ana i tō rātou āhuatanga.

Noho whakaaro pai me te whai wāhi ki tō tiaki. Ka haere tonu te whakapai ake o ngā maimoatanga hauora, ā, ko tō whai wāhi kaha ki te whakahaere i tō hauora te whakarereke nui i ō hua roa.

Ngā pūrongo e ui pinepinetia ana mō te nephropathy mate huka

Ka taea te whakahoki mai te nephropathy mate huka?

Ahakoa kaore e taea te whakahoki katoa te nephropathy mate huka, ka taea te whakapai ake i te kino o te whatukuhu wāhi wawe i etahi wā mā te whakahaere pai o te huka toto me te toto teitei. Ko te matua ko te hopu wawe me te tango i ngā mahi kaha hei tiaki i tō mahi whatukuhu e toe ana. Ahakoa i ngā wāhanga o muri, ka taea e te maimoatanga tika te whakaheke nui i te haere tonu me te āwhina i a koe ki te pupuri i te kounga o te ora.

E hia te roa o te wā e pā ana te mate huka ki te kino o te whatukuhu?

Ko te tikanga ka whānau te nephropathy mate huka i roto i ngā tau 10-20 o te whai mate huka, ahakoa ka rerekē nui tenei i waenganui i ngā tangata. Ka taea e ētahi te whakaatu i ngā tohu wawe i roto i ngā tau 5, ka pupuri ētahi atu i te mahi whatukuhu noa mō ngā tekau tau. Ko ō ira, te whakahaere huka toto, te whakahaere toto teitei, me ētahi atu āhuatanga hauora katoa e pā ana ki tēnei raupapa wā.

He aha ngā kai me karo e au me te nephropathy mate huka?

Ko te tikanga me whakaiti e koe ngā kai e nui ana te tote, te pōtāhium, me te phosphorus i te heke o te mahi whatukuhu. E whai ana tenei ki ngā kai tukatuka, ngā hupa kānana, ngā mīti deli, ngā nati, ngā hua waiū, me ngā wai pouri. Heoi, ka rerekē ngā herenga kai i runga i tō wāhanga mahi whatukuhu, no reira mahi tahi me te kaiwhakaako kai hei hanga i te mahere kai whaiaro e tutuki ana i ō hiahia motuhake.

He mamae te nephropathy mate huka?

Ko te nephropathy mate huka anō kāore e tino puta te mamae. Kāore te nuinga o te iwi e pāngia e te kore pai o te noho kia heke nui te mahi whatukuhu. Heoi, ka taea e ngā raruraru penei i te pūngāwerewere nui, ngā raruraru ngakau, te hiahia rānei ki te dialysis te puta i te kore pai o te noho. Ki te pāngia koe e te mamae me te mate whatukuhu, he mea nui te kōrero ki tō taote hei whakatau i te take.

E hia te auau me tirotirohia aku whatukuhu ki te whai au i te mate huka?

Me whai koe i ngā whakamātautau mahi whatukuhu i te kotahi tau neke atu rānei ki te whai koe i te mate huka me te mahi whatukuhu noa. Ki te whai koe i tetahi kino o te whatukuhu, pea ka hiahia tō taote ki te tirotiro i tō mahi whatukuhu i ngā marama 3-6 hei tirotiro i te haere tonu. Pea ka hiahia ngā tangata e whai ana i te mate whatukuhu matatau ki te whakamātautau i ia marama, i te maha atu rānei hei whakarereke i ngā maimoatanga tika.