He aha te mate o Lyme? Ngā tohu, ngā take, me te rongoā

Ko te mate o Lyme tētahi mate huaketo ka taea e koe te whiwhi mai i ngā ngau o ngā nakahi kua pangia, ko te nuinga mai i ngā nakahi waewae pango (e kiia ana hoki ko ngā nakahi hāere). Ko te mate nakahi tino noa i te United States me ētahi wāhanga o Europi, engari mā te rongoā tika, ka ora te nuinga o te iwi katoa.

Ko te huaketo e pā ana ki te mate o Lyme ko te Borrelia burgdorferi, ā, kei roto i ētahi momo nakahi. Ka ngau tētahi nakahi kua pangia i a koe, ā, ka mau tonu mō te 36 ki te 48 haora, ka taea e ia te tuku i te huaketo ki roto i tō toto. Ko te rongo pai, ehara i te mea ko ngā ngau nakahi katoa ka arahi ki te mate o Lyme, ā, he tino whai hua te rongoā wawe.

He aha ngā tohu o te mate o Lyme?

Ka puta ngā tohu o te mate o Lyme i ngā wāhanga, ā, ko te hopu wawe i a rātou ka tino angitu te rongoā. Ka rerekē haere ngā tohu mai i te tangata ki te tangata, ka uaua pea te whakatau i etahi wā.

I te tīmatanga (3 ki te 30 rā i muri i te ngau nakahi), ka kite pea koe i ēnei tohu noa:

• He pupuhi whero porowhita e horapa ana e kiia nei ko te erythema migrans, ā, ka rite pea ki te kanohi puru.
• Te kirika me te wiri.
• Te mamae o te upoko.
• Te ngenge e tino taimaha ana.
• Te mamae o ngā uaua me ngā hononga.
• Ngā ngutu lymph pupuhi.

Ka puta te pupuhi tohu i te 70 ki te 80 ōrau o te hunga e pangia ana e te mate o Lyme. Ka tīmata hei wahi whero iti ka horapa i ngā rā, i ngā wiki rānei, ka tae pea ki te 12 inihi te whānuitanga. Ka maama pea te pokapū, ka hangaia taua ahua kanohi puru motuhake.

Ki te kore e rongoā te mate i te tīmatanga, ka taea te haere ki ngā tohu nui ake i muri i ngā wiki ki ngā marama. Ka pā ēnei tohu o muri mai ki tō pūnaha io, ngā ngākau, me ngā hononga:

• Ngā mamae o te upoko nui me te uaua o te kaki.
• Ngā pupuhi atu ki ētahi atu wāhanga o tō tinana.
• Te ngoikore o te mata (ngaro o te uaua i tetahi taha, i ngā taha rānei o tō mata).
• Te mate hononga me te mamae nui o te hononga me te pupuhi, ina koa i ō turi.
• Te pupuhi o te ngākau, te kore ranei o te ngākau.
• Te wiri, te poto ranei o te manawa.
• Te mamae o ngā io, te ngenge ranei, te kī ranei i ngā ringa, i ngā waewae rānei.
• Ngā raruraru ki te mahara me te arotahi.

Ka whanake etahi i te mea e kiia nei ko te mate Lyme roa, ko te mate Lyme muri i te rongoā ranei, kei reira tonu ngā tohu penei i te ngenge, te mamae, me te mamae o ngā hononga mō ngā marama i muri i te rongoā. Ka puta tenei i te 10 ki te 20 ōrau o te hunga kua pangia e te mate o Lyme.

He aha ngā take o te mate o Lyme?

Ko te mate o Lyme te take i te huaketo mai i te whānau Borrelia, ko te Borrelia burgdorferi te mea nui i Amerika Te Raki. Ka noho ēnei huaketo ki ētahi momo nakahi, ā, ka horapa te mate ina ngau tētahi nakahi kua pangia i a koe, ā, ka mau tonu mō te wā roa hei tuku i te huaketo.

Ko ngā kaimau matua ko ngā nakahi waewae pango, e kiia ana hoki ko ngā nakahi hāere. He iti rawa ēnei mea iti i ngā nakahi kuri noa. Ko te rahi o ngā nakahi pakeke he rite ki te purakau sesame, ko ngā tamariki (ngā nakahi taitamariki) he iti ki te purakau popa, ka uaua ki te kite.

Mō te huaketo kia pā atu i te nakahi ki a koe, me mau tonu te nakahi mō te 36 ki te 48 haora. Koia te take he mea nui te tirotiro i ngā nakahi i ia rā me te tango wawe atu hei aukati.

Ka riro i ngā nakahi te huaketo ina kai rātou i ngā kararehe kua pangia penei i ngā kiore, ngā hāere, i ētahi atu kararehe iti. Ka kawe rātou i te huaketo ka taea te tuku ki te tangata i te wā e kai atu ana rātou. He mea tika te kī ehara i ngā nakahi katoa e kawe ana i te huaketo, ā, ahakoa ka ngau koe e te nakahi kua pangia, ehara i te mea ka mate koe.

Nōhea koe me haere ki te taote mō te mate o Lyme?

Me whakapiri atu koe ki tō taote ki te whanake koe i ētahi tohu e pā ana pea ki te mate o Lyme, ina koa ki te kua noho koe i ngā wāhi e noho noa ana ngā nakahi. Ko te rongoā wawe te matua hei aukati i te mate ki te haere ki ngā wāhanga nui ake.

Tirohia tonu tō taote inaianei ka kite koe i te pupuhi whero e horapa ana, ahakoa kaore koe e mahara kua ngau koe e te nakahi. He tokomaha ngā tāngata e pangia ana e te mate o Lyme kaore i kite i te nakahi i ngau i a rātou, no te mea he iti rawa ngā nakahi.

Whakapiri atu hoki ki tō kaiwhakarongo hauora ki te whanake koe i ngā tohu rite ki te mate huaketo i te wā o te nakahi (te nuinga o te puna ki te ngahuru) ā, ka whakapau wā koe ki waho i ngā wāhi he tarutaru teitei, ngā rakau, ngā wāhi ngahere rānei. He mea nui tenei ina koa ki te noho koe, ki te toro rānei koe ki ngā wāhi e noho noa ana te mate o Lyme.

Kaua e tatari kia pai ake ngā tohu. Ko te wawe o te whakatau me te rongoā i te mate o Lyme, ko te pai o ō tūmanako mō te ora katoa kaore he raruraru roa.

He aha ngā take morearea mō te mate o Lyme?

Ka taea e te mārama ki ō take morearea te awhina i a koe ki te tango i ngā whakarite tika ina whakapau wā koe ki waho. Ko tō morearea e whakawhirinaki ana ki hea koe e noho ana me te nui o te wā e whakapau ana koe i ngā nohoanga nakahi.

He mea nui te wāhi whenua ki tō morearea. Ko te mate o Lyme te mea tino noa i:

• Te raki-mā-uru o te United States (mai i Maine ki Virginia)
• Ngā whenua o te raki-waenganui (Wisconsin me Minnesota)
• Te taha uru (Te Raki o California me Oregon)
• Ētahi wāhanga o Europi me Āhia

Ka pā hoki ō mahi me tō oranga ki tō taumata morearea:

• Te whakapau wā i ngā wāhi ngahere, ngā rakau, ngā tarutaru rānei.
• Te hikoi, te puni, te māra, te hopu rānei.
• Te whai kararehe e haere ana ki waho, ā, ka kawe mai pea ngā nakahi ki te kāinga.
• Te noho i ngā wāhi he nui ngā hāere.
• Te kore e whakamahi i ngā whakarite aukati nakahi ina kei waho.

He mea nui te wā o ō mahi waho. Ko ngā nakahi te mea tino mahi i ngā marama mahana, mai i Āperira tae noa ki Hepetema, me te mahi nui i te puna me te raumati. Ko ngā nakahi taitamariki (ngā tamariki) te mea tino mahi i te puna me te tīmatanga o te raumati, ā, he iti rawa ka ngaro.

Ka taea hoki te mea he take te tau, no te mea ko ngā tamariki me ngā kaumātua pea he nui ake te morearea, pea no te mea kaore pea e kite rātou i ngā nakahi iti, ka uaua pea te mahi ki ngā whakarite aukati nakahi.

He aha ngā raruraru pea o te mate o Lyme?

Ahakoa ka ora te nuinga o te iwi katoa mā te rongoā tika, ka taea e te mate o Lyme kore rongoā te arahi ki ngā raruraru nui e pā ana ki ngā wāhanga rerekē o tō tinana. Ko te mārama ki ēnei raruraru pea ka whakakīia te take he aha te kite wawe me te rongoā.

Ko ngā raruraru hononga kei roto i ngā pānga roa. Ki te kore rongoā, ka whanake pea koe i te mate hononga roa, ina koa i ō turi. Ka taea e tenei te arahi ki te mamae tonu, te pupuhi, me te uaua e pā ana ki ō mahi o ia rā.

Ka tino nui ngā raruraru neurological, ā, ka uru pea:

• Te meningitis (te pupuhi o ngā kiri e karapotia ana tō roro me tō tuaiwi).
• Te mate o Bell (te ngoikore o te mata mo te wā poto).
• Te ngenge ranei, te ngoikore ranei o ō ringa, o ō waewae rānei.
• Te ngoikore o te nekehanga uaua.
• Ngā raruraru mahara me te uaua ki te arotahi.

Ko ngā raruraru ngākau, ahakoa he iti ake te noa, ka mate pea. Ka taea e te mate o Lyme te arahi ki ngā pupuhi o te ngākau, te pupuhi o te ngākau, i ētahi wā, te aukati katoa o te ngākau kei reira ngaro ngā tohu hiko i roto i tō ngākau.

Ka whanake etahi i te mea e kiia nei ko te mate Lyme roa, ko te mate Lyme muri i te rongoā ranei. Ko tenei āhuatanga he tohu tonu penei i te ngenge nui, te mamae o ngā uaua me ngā hononga, me ngā raruraru hinengaro e taea te roa mō ngā marama, ngā tau rānei i muri i te rongoā.

Ka taea hoki te puta ngā raruraru kanohi i ētahi wā, tae atu ki te pupuhi o te kanohi e pā ana ki tō tirohanga. I tua atu, ka wheako etahi i ngā raruraru kiri roa, te pupuhi ranei o te ate hei raruraru o te mate o Lyme kore rongoā.

Me pēhea te aukati i te mate o Lyme?

Ko te huarahi pai ki te aukati i te mate o Lyme ko te karo i ngā ngau nakahi, ina koa i ngā wāhi e noho noa ana ngā nakahi kua pangia. Mā ngā whakarite tika, ka taea e koe te whakaiti nui i tō morearea i te wā e pai ana koe ki ngā mahi waho.

Ina haere ana koe ki te whenua nakahi, kakahu tika hei hanga i ngā arai:

• Kakahu i ngā tarau roa me ngā koti ringa roa.
• Whakauruhia ō tarau ki roto i ō oko.
• Kōwhiri kakahu tae mā, kia taea ai e koe te kite i ngā nakahi.
• Kakahu i ngā hu roa, kaua hoki ngā tapatapa.

Whakamahia ngā whakakore pepeke kua whakaaetia e te EPA kei roto te DEET, te picaridin, te permethrin rānei. Tukuhia te whakakore ki te kiri me ngā kakahu e kitea ana kia rite ki ngā tohutohu tohu. Ka taea hoki e koe te whakaora i ō kakahu ki te permethrin, ki te hoko rānei i ngā kakahu kua whakaorahia.

Haere ki te pokapū o ngā ara ina hikoi ana koe, ā, karohia te haere i ngā tarutaru teitei, ngā rakau, ngā wāhi ngahere rānei ki te taea.

I muri i te whakapau wā ki waho, tirohia ngā nakahi ki a koe, ki ō tamariki, ki ō kararehe rānei. Tātai atu ki ngā wāhi ngaro penei i tō pane, i muri i ō taringa, i raro i ō ringa, i te taha o tō hope, i waenganui i ō waewae rānei. Horahora i roto i ngā haora e rua o te haere mai ki roto ki te horoi i ngā nakahi kaore i mau.

Ki te kite koe i te nakahi e mau ana ki tō kiri, tangohia wawe atu mā ngā toka iti. Kia mau ki te nakahi i te taha tata ki tō kiri, ā, huki tika ake mā te pehanga pumau. Horohoro te wāhi mā te wai horoi, te wai rānei me te hopi.

Me pēhea te whakatau i te mate o Lyme?

Ka uaua pea te whakatau i te mate o Lyme, no te mea ka rite ngā tohu ki ētahi atu āhuatanga, ā, ehara i te mea ka puta tonu te huaketo i ngā whakamātautau noa. Ka whakamahi tonu tō taote i te whakakotahitanga o ō tohu, hītori hauora, me ngā whakamātautau taiwhanga hei whakatau.

Ka tīmata tō taote mā te uiui mō ō tohu me te mea kua mahara koe kua ngau koe e te nakahi, kua whakapau wā rānei koe i ngā wāhi e noho noa ana ngā nakahi. Ka mahi hoki rātou i te tirotiro tinana, ina koa te titiro ki te pupuhi tohu, ki ngā tohu o te pupuhi hononga rānei.

Ki te whai koe i te pupuhi kanohi puru motuhake me ētahi atu tohu wawe, ka taea e tō taote te whakatau i te mate o Lyme i runga i ēnei tohu hauora anake, ina koa ki te kua noho koe i te wāhi e noho noa ana te mate o Lyme.

Mō te whakamātautau taiwhanga, ka tono pea tō taote i ngā whakamātautau toto hei titiro ki ngā antibodies e hanga ana tō pūnaha mate i te whakautu ki te huaketo Lyme. Heoi, ehara i te mea e whakawhirinaki ana ēnei whakamātautau i ngā wā tīmatanga o te mate, no te mea ka roa te wā mō tō tinana ki te whakaputa i ngā taumata antibodies e kitea ana.

E rua ngā momo whakamātautau toto e whakamahia ana:

• Te whakamātautau ELISA (enzyme-linked immunosorbent assay) hei tirotiro tuatahi.
• Te whakamātautau Western blot hei whakau i ngā hua ELISA pai, kore ranei.

I ētahi wā, ina koa ki te puta ngā tohu neurological, ka tono pea tō taote i ngā whakamātautau atu penei i te lumbar puncture (spinal tap) hei tirotiro i te huaketo, i ngā antibodies rānei i roto i tō wai tuaiwi.

He mea nui te mōhio ka taea te puta ngā pai teka me ngā teka teka ki te whakamātautau mate o Lyme, koia te take e whakaaro ana tō taote ki ō tohu me ō take morearea me ngā hua whakamātautau ina whakatau.

He aha te rongoā mō te mate o Lyme?

Ko te rongo pai, ka tino pai te whakautu o te mate o Lyme ki te rongoā antibiotic, ina koa ina hopukina wawe. Ka ora te nuinga o te iwi katoa mā te rongoā antibiotic tika.

Mō te mate o Lyme o te tīmatanga, ka tohu pea tō taote i ngā antibiotics waha. Ko ngā antibiotics tino whakamahia ko:

• Doxycycline (te mea tino pai mō ngā pakeke me ngā tamariki neke atu i te 8)
• Amoxicillin (ka whakamahia mo ngā wāhine hapu me ngā tamariki iti)
• Cefuroxime (he whiringa atu)

Ko te rongoā e roa ana i te 14 ki te 21 rā, ahakoa ka taea e tō taote te whakarereke i te roa i runga i tō āhuatanga motuhake. He mea nui te tango i te katoa o ngā antibiotics ahakoa ka tīmata koe ki te pai ake i mua i te mutunga.

Ki te whai koe i te mate o Lyme o muri mai e pā ana ki tō pūnaha io, ki tō ngākau rānei, ka hiahia pea koe ki ngā antibiotics intravenous (IV). Ka hoatu ēnei i te hōhipera, i te pokapū whakawhānui manuhiri rānei mō te 14 ki te 28 rā.

Mō te mate hononga Lyme, ka whakamātauhia ngā antibiotics waha i te tīmatanga, engari ka hiahia pea etahi ki te rongoā IV ki te kore e tangohia te mate i ngā hononga katoa.

Ka tīmata te nuinga o te iwi ki te pai ake i roto i ngā rā, i ngā wiki rānei i muri i te tīmatanga o te rongoā. Heoi, ka roa pea ngā marama ki te mutu katoa ngā tohu penei i te ngenge me te mamae o ngā hononga, ahakoa te rongoā angitu.

Ki te whanake koe i te mate Lyme muri i te rongoā, ka arotahi tō taote ki te whakahaere i ō tohu i te wā e ora tonu ana tō tinana. Ka uru pea tenei ki te whakahaere mamae, te rongoā tinana, ngā rongoā rānei mō ngā tohu motuhake e wheako ana koe.

Me pēhea te whakahaere i ngā tohu i te kāinga i te wā e rongoā ana?

Ahakoa ka mahi ngā antibiotics ki te tango i te mate, he maha ngā mea ka taea e koe te mahi i te kāinga hei awhina i te whakahaere i ō tohu me te tautoko i tō ora. Ka taea e ēnei whakaritenga tiaki kāinga te whakamarie atu i a koe i te wā e ora ana tō tinana.

He mea tino nui te okioki i te wā e ora ana koe. Kei te mahi kaha tō tinana ki te whawhai i te mate, na kaua e pēhi i a koe ki te pupuri i tō taumata mahi noa. Whiwhi i te moe nui me te tango okioki ina hiahia koe.

Mō te mamae me te kirika, ka taea e ngā rongoā kore-tohu te awhina:

• Acetaminophen (Tylenol) mō te kirika me ngā mamae whānui.
• Ibuprofen (Advil, Motrin) mō te mumura me te mamae hononga.
• Whai i ngā tohutohu i roto i te kete, ā, kaua e nui atu i ngā rāpoi e tūtohutia ana.

Kia pai te inu wai, ina koa ki te whai koe i te kirika. Ka awhina te inu wai pai i tō tinana ki te mahi pai i te wā e whawhai ana ki te mate.

Ka taea e te nekehanga ngawari te awhina i te uaua o ngā hononga, engari karohia te whakakori kaha kia pai ake koe. Ka pai pea te whakatete ngawari, te hikoi ngawari rānei, engari whakarongo ki tō tinana me te okioki ina hiahiatia.

Tukuhia ngā kāpeka mahana ki ngā hononga, ki ngā uaua rānei e mamae ana mō te 15-20 meneti i te wā. Ka taea e te wera te whakaiti i te uaua me te hoatu whakamarie.

Kai kai kai hauora hei tautoko i tō pūnaha mate. Arotake ki ngā hua, ngā huawhenua, ngā pūmua ngawari, me ngā witi katoa. Ki te kore koe e hiahia nui ki te kai, whakamātau i ngā kai iti ake, maha atu.

Tātaihia ō tohu me te āhua o tō whakautu ki te rongoā. Ka whai hua ēnei korero ina whai koe i tō taote.

Me pēhea te whakarite mō tō hui taote?

Ko te whakarite pai mō tō toro ki te taote ka taea te awhina i te whakarite kia whiwhi koe i te whakatau tika me te rongoā tika. Ko te whakapau wā ki te whakarite i ō whakaaro me ngā korero i mua ka tino hua te hui.

Tuhia ō tohu katoa, tae atu ki te wā i tīmata ai rātou me te āhua o te huringa i te wā. Kia tino mōhio ki ngā kōrero penei i te rahi me te ahua o ngā pupuhi, te kaha o tō ngenge, te wāhi rānei o te mamae hononga.

Whakaarohia ō mahi hou me tō hītori haere, ina koa i te marama kua pahure. Tātaihia tetahi wā i whakapau wā koe ki waho i ngā wāhi he tarutaru teitei, ngā ngahere, ngā rakau rānei. Ahakoa kaore koe e mahara kua ngau koe e te nakahi, he mea nui ēnei korero.

Kawe mai tētahi rārangi o ngā rongoā me ngā taapiri katoa e tangohia ana e koe, tae atu ki ngā rāpoi. Korerohia hoki ngā mate pāwera kei a koe, ina koa ki ngā antibiotics.

Ki te taea, tangohia ngā whakaahua marama o ngā pupuhi i mua i tō hui. Ka taea te huri, te ngaro rānei i ngā pupuhi, ā, ka taea e ngā whakaahua te awhina i tō taote ki te kite i te ahua o te pupuhi i tōna tino nui.

Whakaritea ngā pātai e hiahia ana koe ki te ui ki tō taote:

• He aha ngā whakamātautau e hiahia ana ahau, he aha ngā mea e pā ana ki a rātou?
• E hia te roa o te rongoā?
• He aha ngā pānga taha me titiro atu ahau?
• Nōhea ahau me tīmata ki te pai ake?
• He aha ngā mahi me karo ahau i te wā e rongoā ana?
• Nōhea ahau me whai atu ki a koe?

Whakaarohia te kawe mai i te mema whānau, i te hoa rānei hei awhina i a koe ki te mahara ki ngā korero nui, ina koa ki te wheako koe i ngā raruraru mahara, ki te tino ngoikore rānei.

He aha te mea nui mō te mate o Lyme?

Ko te mate o Lyme tētahi mate huaketo e taea te rongoā e tino pai ana te whakautu ki ngā antibiotics ina hopukina wawe. Ahakoa ka ātaahua, ko te nuinga o te hunga e whiwhi ana i te rongoā wawe ka ora katoa kaore he raruraru roa.

Ko te mea nui rawa ki te mahara ko te aukati me te kite wawe ko ō parekura pai. Mā te tango i ngā whakarite ngāwari ina whakapau wā koe ki waho me te tirotiro i ngā nakahi, ka taea e koe te whakaiti nui i tō morearea ki te whiwhi i te mate o Lyme.

Ki te whanake koe i ngā tohu e pā ana pea ki te mate o Lyme, kaua e whakaroa ki te whakapiri atu ki tō kaiwhakarongo hauora. He tino whai hua te rongoā wawe, ā, ka taea te aukati i te mate ki te haere ki ngā wāhanga nui ake.

Kia mahara kaore te whai i te mate o Lyme i te wā kotahi e kore ai koe e mate ano, na kia mau tonu ki te mahi i ngā whakarite aukati nakahi ahakoa kua ora koe. Mā te matauranga me ngā whakarite tika, ka taea e koe te whakapau tonu i ngā mahi waho i te wā e tiaki ana koe i a koe i ngā mate e kawehia ana e ngā nakahi.

Ngā pātai e ui pinepinetia ana mō te mate o Lyme

Ka taea te whiwhi mate o Lyme i ngā kararehe?

Kaore e taea te whiwhi mate o Lyme tika mai i ō kararehe, engari ka taea e ngā kararehe te kawe mai i ngā nakahi kua pangia ki tō kāinga. Ki te whakapau wā ō kuri, ō ngeru rānei ki waho, tirohia rātou mō ngā nakahi me te whakamahi i ngā hua aukati nakahi e tūtohu ana tō tākuta kararehe. Tangohia ngā nakahi katoa e kitea ana kia tere ai te aukati i te ngau i ngā mema whānau.

E hia te roa o te mau o te nakahi hei tuku i te mate o Lyme?

Ko te tikanga me mau tonu te nakahi kua pangia mō te 36 ki te 48 haora hei tuku i te huaketo mate o Lyme. Koia te take he tino whai hua ngā tirotiro nakahi i ia rā me te tango wawe atu hei aukati i te mate. Ki te kite koe me te tango i te nakahi i roto i ngā haora 24, he iti rawa tō morearea ki te whiwhi mate o Lyme, ahakoa kua pangia te nakahi.

He mate pāngia te mate o Lyme i waenga i ngā tāngata?

Kāo, ehara te mate o Lyme i te mate pāngia i waenga i ngā tāngata. Kaore e taea te hopu mai i tetahi kua pangia e te mate o Lyme mā te hononga noa, te tohatoha kai, te hononga tata penei i te kihi, te awhi rānei. Ko te huarahi anake ki te whiwhi mate o Lyme ko te ngau o te nakahi kua pangia.

Ka taea te whakaora katoa te mate o Lyme?

Ae, ka taea te whakaora katoa te mate o Lyme mā te rongoā antibiotic tika, ina koa ina rongoā wawe. Ka ora te nuinga o te iwi katoa kaore he pānga roa. Ahakoa ko te hunga e pangia ana e te mate o Lyme o muri mai ka tino pai te whakautu ki te rongoā, ahakoa ka roa pea te ora, ā, ka wheako pea etahi i ngā tohu roa mō ngā marama.

Me pēhea te mahi ki te kite koe i te nakahi kei runga i tō tinana?

Tangohia wawe atu te nakahi mā ngā toka iti. Kia mau ki te taha tata ki tō kiri, ā, huki tika ake mā te pehanga pumau. Kaua e huri, kaua hoki e wiri te nakahi. Horohoro te wāhi ngau mā te wai horoi, te wai rānei me te hopi. Tiaki te nakahi i roto i te ipu kua katia ki te taea, ā, whakapiri atu ki tō taote ki te whanake koe i ētahi tohu i ngā wiki e whai ake nei.