He aha te Mate a Meniere? Ngā Tōmhanga, Ngā Take, me te Rongoā

Ko te mate a Meniere he mate rongoa roa o te taringa o roto e pā ana ki ngā wāhanga o te moepuku, te ngaro o te rongohanga, te ringaringa o te taringa, me te kī o te taringa. Ka pā tēnei āhuatanga ki tō tūpato me tō rongohanga, nā te mea ka whakakore i te rite o te wai i roto i tō taringa o roto, ka hangaia ai ngā tohumānga ka kitea he nui te pānga, engari ka taea te whakahaere me te tiaki tika.

Ahakoa ka pā nui te mate a Meniere ki tō oranga o ia rā, ko te mōhiotanga ki te aha e puta ana i roto i tō tinana, me te mohiotanga ki ō kōwhiringa rongoā, ka āhei ai koe ki te whakahoki i te mana. Kāo koe anake i tēnei haerenga, ā, ka taea e ngā rautaki whakahaere pai te whakaiti i te auau me te kaha o ō tohumānga.

He aha te Mate a Meniere?

Ka puta te mate a Meniere ina nui rawa te wai e hanga ana i roto i te labyrinth o tō taringa o roto, ko te wāhanga e kawea ana te rongohanga me te tūpato. Ko tēnei hanga wai, e kiia nei ko te hydrops endolymphatic, ka whakakore i ngā tohu noa e tukuna ana e tō taringa o roto ki tō roro.

Ko te tikanga ka pā tēnei āhuatanga ki tētahi taringa i te tīmatanga, ahakoa ka taea te whakauru i ngā taringa e rua i te 15-20% o ngā take. Kei roto i tō taringa o roto ngā ruma iti e kīia ana ki te wai e āhei ai koe ki te pupuri i te tūpato me te tukatuka i ngā ngaru oro.

Ina kore te rite o tēnei pūnaha wai, ka hangaia ai ngā tohumānga tōtika e whakamārama ana i te mate a Meniere. Ko te nuinga o te wā ka whanake haere te āhuatanga, me ngā tohumānga e kitea ana te nui ake i te wā.

He aha ngā Tohumānga o te Mate a Meniere?

Ka puta mai te mate a Meniere me ngā tohumānga matua e whā e puta tahi ana i ngā mea e kiia ana e ngā tākuta he 'whakaeke' rānei he wāhanga. Ka wehi ēnei tohumānga ina puta tuatahi, engari ko te mohiotanga ki a rātou ka āhei ai koe ki te mōhio ki te aha e puta ana.

Ko ngā tohumānga matua ko:

• Ngā whāiwhiwhi: Te āhua o te hurihuri kaha e taea ana te roa mai i te 20 meneti ki ngā haora maha, e ahu mai ana te ruaki me te ruaki
• Te ngaro o te rongohere: Te ngaro o te rongohere e rereke ana e taea ana te mau tonu i te wā, e pā ana ki ngā wā iti teitei
• Te ringaringa: Ngā oro o te ringa, te ngunguru, te ngāorooro rānei i roto i tō taringa e rereke ana te kaha
• Te kī o te taringa: Te āhua o te pehanga, te kī rānei i roto i te taringa e pā ana, rite tonu ki te wai i rōpūhia i roto

I te wā o te whakaeke, ka pā pea koe ki te werawera, te tere o te ngakau, me te manukanuka. Ka puta ēnei tohu tāpiri nā te whakautu o tō tinana ki te mārō o te māuiui me te ruaki.

I waenganui i ngā wāhanga, ka tino pēnei pea koe, ka kite rānei koe i ngā huringa rongohere iti me te ringaringa i etahi wā. Ko te āhua kore whakaaro o ēnei whakaeke tētahi o ngā āhuatanga wero rawa o te noho tahi me te mate a Meniere.

He aha ngā momo o te mate a Meniere?

Ka whakarōpū ngā tākuta i te mate a Meniere ki ngā momo rerekē e whakaū ana i ngā tohu e tino kitea ana. Ko te mārama ki tō momo motuhake ka āwhina i ngā whakatau ārai me ngā rautaki whakahaere tohu.

Ko ngā momo matua ko:

• Te Meniere Cochlear: E pā ana ki te rongohere, me te ringaringa me te ngaro o te rongohere ko ngā tohu nui
• Te Meniere Vestibular: E pā ana ki ngā raruraru toenga me ngā whāiwhiwhi, me ngā tohu rongohere e iti ake te kino
• Te Meniere Classic: Kei roto ngā tohu matua e whā i te taurite

Ka pā pea etahi tangata ki te mea e kiia nei ko te "mate a Meniere koretake," kei reira ngā tohu kaore e rite ki ēnei kāwai. Ka ngaro pea tō rongohere kahore he whāiwhiwhi, ka whāiwhiwhi rānei kahore he huringa rongohere nui.

Ka rereke pea tō tauira tohu i te wā. Ko te mea e tīmata ana hei raruraru rongohere pea ka whānau mai ngā raruraru toenga, ka huri rānei.

He aha ngā take o te mate a Meniere?

Kāoho tonu te take tino pono o te mate a Meniere, engari e whakapono ana ngā kairangahau nō te raru o te rere o te wai i roto i tō taringa o roto. He maha ngā take pea e mahi tahi ana hei hanga i ngā āhuatanga e ārahi ana ki tēnei mate.

Kua kitea etahi take āwhina pea:

• Te tūāhua ira: Ka piki ake tō tūponotanga mai i te hītori whānau, ā, e whakaatu ana tēnei he wāhi ngā take whakaioranga.
• Ngā āhuatanga whakakino-a-tinana: Āta waiho pea tō pūnaha mate-kore e whakaeke i ngā kiko o tō taringa o roto.
• Ngā mate huaketo: Ka pōhē pea ngā hanganga o te taringa o roto i ngā mate huaketo o mua.
• Ngā rerekētanga hanganga: Ngā rerekētanga hanganga i ngā ara rere wai o te taringa.
• Te whara o te matenga: Ka raru pea te mahi noa o te taringa i ngā whara o te matenga o mua.
• Ngā mate pāwera: Ka āwhina pea ngā āhuatanga pāwera nui ki te hanga o te wai.

Ka taea hoki e ngā kaiwhakaoho taiao te whakaiti i ngā tohu i te wā kua pāngia koe e te mate. Ko te ahotea, etahi kai, ngā huringa o te rangi, me ngā rerekētanga o te homoni te nuinga o ngā wā i mua i ngā whakaeke i te tini o te iwi.

Ko te take kei raro nei te āhei o tō taringa o roto ki te whakahaere tika i ngā taumata wai. Ki te kore tenei pūnaha e mahi, ka hanga te pehanga ka raru te whakarongo me te tūpato noa.

Nōhea te haere ki te taote mō te mate a Meniere?

Me haere koe ki te taote mēnā ka pāngia koe e ngā whakaeke o te mārō, inā koa ka whakakotahitia ki ngā huringa whakarongo, ki te kīkī rānei o te taringa. Ka āwhina te whakamātautau me te maimoatanga wawe ki te aukati i te whanake me te whakapai ake i tō kounga ora.

Rapua te tiaki hauora tonu mēnā kei a koe:

• Te mārō nui kaore e pai ake i muri i ngā haora torutoru.
• Te ngaro o te whakarongo katoa, ohorere i tetahi taringa.
• Te mārō me te kirika, te mamae o te mahunga nui, te tohu neurological rānei.
• Ngā hinga, ngā whara rānei e pā ana ki ngā raruraru tūpato.

Whakatau rāhui he whakatau whakarite mena ka kite koe i te ngaro o te rongohanga i te iti, te ringaringa tonu, te pupuhi o te upoko iti ranei. Ahakoa ngā tohu iti rawa, e tika ana kia arohia ina pā ki ō mahi o ia rā.

Kaua e tatari kia kaha rawa ngā tohu i mua i te rapu awhina. Ko te whakauru wawe te nuinga o te wā ka ārahi ki ngā hua pai ake, ā, ka taea te aukati i ētahi raruraru mai i te whanake.

He aha ngā take morearea mō te mate a Meniere?

He maha ngā take ka taea te whakapiki ake i tō tūponotanga ki te whanake i te mate a Meniere, ahakoa te whai i ngā take morearea kāo te whakamana ka whanake koe i te āhuatanga. Ko te mārama ki ēnei take ka āwhina i a koe ki te mohio ki tō taumata morearea whaiaro.

Ko ngā take morearea noa e whai ake nei:

• Tau: Ko te nuinga o te wā ka whanake i waenganui i ngā tau 40-60, ahakoa ka puta i tetahi tau
• Ira tangata: He iti te tūponotanga o ngā wāhine ki te whanake i te āhuatanga atu i ngā tāne
• Hītori whānau: Ko te whai whānau me te mate a Meniere ka whakapiki ake i tō morearea
• Ngā āhuatanga autoimmune: Ko ngā āhuatanga pēnei i te mate rewiti rheumatoid, te lupus rānei ka taea te whakapiki ake i te ngoikore
• Ngā migraines: Ko ngā tāngata he migraines kei a rātou ngā reiti teitei o te mate a Meniere
• Ngā whara o te upoko: Ko te trauma o mua ki te rohe o te upoko, te taringa rānei

Ko ngā take morearea iti ake e whai ake nei: etahi rongoā, te mate pukupuku, me ngā mate pāwera nui. Ko ētahi tāngata ka whanake i ngā tohu i muri i ngā mate huaketo e pā ana ki te taringa o roto.

Ko te whai i ngā take morearea maha kāo te tikanga ka whanake koe i te mate a Meniere. He tokomaha ngā tāngata he maha ngā take morearea kāore rawa e wheako i ngā tohu, ā, ko ētahi atu kāore he take morearea marama ka whanake i te āhuatanga.

He aha ngā raruraru pea o te mate a Meniere?

Ahakoa ehara te mate a Meniere i te mate mate, ka taea e ia te arahi ki ngā raruraru e pā ana ki tō oranga o ia rā me tō ora. Mā te mōhio ki ēnei raruraru pea ka āwhina koe ki te tango i ngā mahi whakataurite me te rapu i te rongoā tika.

Ko ngā raruraru tino noa e whai ake nei:

• Te ngaro o te rongohere mō ake tonu atu: Te kino o te rongohere e hē ana, e kore e taea te whakahoki mai e kino ake ana i te wā.
• Te hinga me ngā whara: Ka taea e ngā whakaeke ohorere o te vertigo te whakaeke i ngā hinga kino.
• Te pouri o te ngākau: Te manukanuka, te pouri, me te motu hapori nā ngā tohu kaore e taea te whakatau.
• Ngā whakaeke hinga: Te ngaro ohorere o te toenga kaore he whakatūpato, e arahi ana ki te hinga.
• Te ngaro o te rongohere mahi: Te uaua ki te mārama ki te kōrero ahakoa kei te ora tonu te rongohere.

Ko ngā raruraru onge engari nui ka uru atu te ngaro katoa o te rongohere i te taringa e pā ana, me ngā raruraru toenga nui e mau tonu ana ahakoa i waenga i ngā whakaeke. Ka whanake etahi i te tinnitus tonu e pā ana ki te kounga o to ratau oranga.

Ko te āhua kaore e taea te whakatau i ngā whakaeke ka ārahi pinepine ki ngā whakawhitinga noho. Ka karo pea koe i te taraiwa, te mahi i runga i ngā teitei, te whakauru rānei ki ngā mahi ka taea te kino o te wiri ohorere.

Me pēhea te ārai i te mate a Meniere?

Kaore e taea e koe te ārai katoa i te mate a Meniere, nā te mea kaore ano kia mohiotia tōna take, engari ka taea e koe te tango i ngā mahi hei whakaiti i tō tūponotanga ki te whanake i ngā tohu, ki te whakaiti rānei i tōna kino. Arotake ki te pupuri i te hauora o te taringa katoa me te whakahaere i ngā mea whakaohooho e mohiotia ana.

Ko ngā rautaki whakataurite e whai ake nei:

• Whakahaere i ngā taumata o te ahotea: Whakamahia ngā tikanga whakahāwea, te whakakori tinana auau, me te moe pai
• Whakaiti i te kai konutai: Whakaitihia te kai tote hei āwhina i te aukatinga o te pupū wai
• Kia makona te wai: Inu wai maha i te rā katoa
• Kaua e inu kōhi me te waipiro nui: Ka pā ngā mea nei ki te mahi o te taringa o roto
• Tīakina tō rongohanga: Whakamahia te tiaki taringa i ngā taiao haruru
• Whakahaere i ngā mate pāwera: Kia mau tonu ngā mate pāwera i raro i te mana whakahaere me te rongoā tika

Mēnā kua pangia koe e te mate Meniere, ka taea e ēnei tikanga anō te āwhina i te aukatinga i ngā whakaeke me te whakaiti i tōna kaha. Ko te kimi i ō pūāhua whaiaro mā te puka rongoā tohu ka tino whai hua.

Ko ngā tirotiro hauora auau ka taea te kite wawe i ngā raruraru taringa i mua i te whanake ki te mate Meniere. Whakamōhio wawe ki tō kaiwhakarato hauora mō ētahi tohu taringa mau tonu.

Pehea te Whakataurite i te Mate Meniere?

Ko te whakataurite i te mate Meniere e hiahia ana ki te aromatawai tika o ō tohu me tō hītori hauora, i te mea kāore he whakamātautau kotahi e tino tika ana. Me whakakore e tō tākuta ētahi atu āhuatanga ka puta mai ngā tohu rite.

Ko te tukanga whakataurite ka whakauruhia:

• Hītori tohu taipitopito: Kōrero mō ō whakaeke, tae atu ki te auau, te roa, me ngā pūāhua
• Tirotiro tinana: Tirotiro katoa o te taringa, te ihu, me te korokoro
• Ngā whakamātautau rongohanga: Audiometry hei aromatawai i ngā tauira ngaro rongohanga
• Ngā whakamātautau toenga: Aromatawai i te mahi o tō pūnaha vestibular
• Tātaritanga MRI: Whakaahua hei whakakore i ngā mate pukupuku, i ētahi atu raru hanganga rānei
• Ngā whakamātautau toto: Hei whakakore i ngā take autoimmune, i ngā take mate pukupuku rānei

Ka tono pea tō tākuta kia pupuri koe i te rangitaki tohu hei aroturuki i ngā tauira o ō whakaeke. Ka āwhina tēnei mōhiohio ki te whakamārama i te mate o Meniere mai i ētahi atu āhuatanga penei i ngā migraines vestibular, i ngā neuromas acoustic rānei.

Ko te tautuhi i te nuinga o te wā e mahia ana i runga i te whakataurite ki ngā paerewa motuhake: ngā whakaeke vertigo e puta ana, e 20 meneti ki te 12 haora te roa, te ngaro o te rongohanga i tuhia, te tinnitus, te kirika o te taringa rānei, me te whakakore i ētahi atu take.

He aha te Maimoatanga mō te Mate o Meniere?

Ko te maimoatanga mō te mate o Meniere e aro ana ki te aukati i ngā whakaeke, ki te whakahaere i ngā tohu i ngā wāhanga, me te tiaki i tō mahi whakarongo me tō toenga. Ka whakaritea tō mahere maimoatanga ki ō tohu motuhake me tōnā kaha.

Ko ētahi o ngā kōwhiringa maimoatanga tuatahi ko:

• Ngā huringa kai: Kai iti te tote hei whakaiti i te pupuri wai
• Rongoā: Nga rongoa diuretic hei whakaiti i te kohinga wai, nga rongoa anti-mate i te wa o nga whakaeke
• Betahistine: Rongoā pea ka whakaiti i te auau me te kaha o te whakaeke
• Whakaora vestibular: Nga mahi whakakori hei whakapai ake i te toenga me te whakaiti i te mauiui
• Whakahaere ahotea: Nga tikanga hei whakaiti i nga take o te kare-a-roto

Mō ngā take kino kaore e whakautu ki te maimoatanga māori, ko ētahi atu kōwhiringa kaha ake ko:

• Nga weronga steroid: Ko nga corticosteroids i weronga tika ki roto i te taringa waenganui
• Nga weronga Gentamicin: He rongoa mate huaketo e whakaiti ana i te mahi o te taringa o roto hei aukati i te vertigo
• Maimoatanga pāwhiri pehanga: Pūrere e tono ana i nga pāwhiri pehanga ki te taringa
• Taha: Nga tukanga hei whakaiti i te pehanga, hei tango ranei i nga kiko e pa ana

Ko te whāinga ko te kimi i te maimoatanga iti rawa te mahi kino e whakahaere pai ana i ō tohu. Ko te nuinga o te iwi e whakautu pai ana ki ngā mahi māori, ā, ko te taotaha e waiho ana mō ngā take kino, ngā take whakahaunga.

Me pēhea te whakahaere i te rongoā kāinga i te wā o te mate Meniere?

Ko te whakahaere i te mate Meniere i te kāinga e pā ana ki te aukati i ngā whakaeke me te whakahaere i ngā tohu ina puta. Mā te whakamahere pai mō te whakahaere i te kāinga ka taea te whakapai ake i tō kounga ora me te whakaiti i te pānga o ngā tūāhutanga.

I te wā o te whakaeke, whakamātauria ēnei rautaki tere:

• Rapua he wāhi haumaru, māhorahora: Takoto ki roto i te ruma pouri, māhorahora, ā, kaua e neke i tō ūtū
• Aro ki tetahi tūāhuinga pumau: Tirohia tetahi mea pumau hei āwhina i te whakaiti i ngā āhuatanga wiri
• Kia makona te wai: Whakainumia wai haere māmā hei aukati i te ngaungaue mai i te ruaki
• Whakamahia ngā rongoā kua tohua: Tangohia ngā rongoā anti-mate puku, anti-whiriwhiri rānei kia rite ki ngā tohutohu
• Whakamahia te kāpeka makariri: Whakanohoia he kākahu makariri ki runga i tō rae, i tō kaki rānei

Mō te whakahaere o ia rā i waenganui i ngā whakaeke:

• Whai i te kai iti te tote: Whakataurite ki te 2,000mg te tote i ia rā
• Whakaritea te wā moe: Whiwhi 7-8 haora moe kounga i ia pō
• Whakamahia te whakaiti i te ahotea: Whakamahia te whakaaroaro, te yoga, te whakangungu manawa hohonu rānei
• Kia kaha te tinana: Ka whakapai ake te whakangungu tinana i te toenga whānui me te whakaiti i te ahotea
• Whakamāmā te caffeine me te waipiro: Ka taea e ēnei te whakaoho i ngā tohu i ētahi tangata

Tūhonohia he tātai tohu hei tautuhi i ō pūrongo me ō tauira whaiaro. Ka āwhina ēnei mōhiohio i a koe ki te karo i ngā āhuatanga ka taea te whakaoho i ngā whakaeke, ā, ka āwhina hoki i tō tākuta ki te whakarite i tō mahere rongoā.

Me pēhea te whakarite mō tō hui ki te tākuta?

Ko te whakarite pai mō tō hui ki te tākuta e whakarite ana ka whiwhi koe i te tautuhi tika me te mahere rongoā whai hua. Ko te whakarite pai ka āwhina i tō tākuta ki te mārama ki tō āhuatanga me te whakatau whakamārama mō tō tiaki.

I mua i tō whakatau, kohikohia ēnei mōhiohio nui:

• Ngā kōrero mō ngā tohu: Tuhia te wā i tīmata ai ngā tohu, te roa o te wā e mau ana, me tōna kaha
• Ngā tauira whakaohooho: Tākina he aha te mea e puta mai ana i ō wāhanga
• Hītori hauora: Rārangihia ngā raruraru taringa o mua, ngā whara o te upoko, me ngā āhuatanga e pā ana
• Ngā rongoā o nāianei: Kei roto i ēnei ngā rongoā tākuto, ngā taapiri, me ngā rongoā kore-tākuto
• Hītori whānau: Tākina tetahi whānau e pangia ana e ngā raruraru taringa, te mate Meniere rānei

Whakamahia ngā pātai motuhake hei ui ki tō tākuta:

• He aha ngā whakamātautau hei whakau i taku whakatau?
• He aha ngā whiringa maimoatanga kei te wātea mō ōku tohu motuhake?
• Me pēhea e taea ai e au te aukati i ngā whakaeke o muri?
• He aha ngā mahi me whakakahore e au mō ngā take āwhina?
• Nōhea au e rapu i te tiaki hauora āwhina?

Whakaarohia te kawe mai i tētahi hoa whakawhirinaki, mema whānau rānei hei āwhina i a koe ki te mahara ki ngā mōhiohio nui me te whakarato tautoko ngākau. Ka taea hoki e rātou te āwhina i a koe ki te hoki whare mā te haumaru ki te pāngia koe e ngā tohu i te wā o te haerenga.

He aha te mea nui mō te mate Meniere?

He āhuatanga whakahaere te mate Meniere, ehara i te mea me whakahaere tō oranga. Ahakoa ko te āhua kore-whakataurite o ngā tohu ka rongohia he nui rawa, ka taea e ngā maimoatanga whai hua me ngā whakarerekētanga noho te whakaiti i te auau me te kaha o ngā whakaeke.

Ko te mea nui rawa kia mahara ko te whakatau whakamutunga me te maimoatanga e ārahi ana ki ngā hua pai ake. Ko te mahi tata atu ki tō rōpū hauora me te mau tonu ki tō mahere maimoatanga e homai ana i a koe te tupono pai rawa atu ki te pupuri i tō kounga ora.

He tokomaha ngā tāngata e pangia ana e te mate Meniere e ora tonu ana i ngā oranga tino whānuitia, ma te ako ki te whakahaere pai i ō rātou tohu. Mā te tiaki tika, ka nui ake ngā whakaeke e pā ana ki te nuinga o te iwi, ā, ka taea e ētahi te kite i ngā tohu katoa e ngaro ana.

Kaua e tuku i te wehi ki ngā whakaeke o muri mai kia ārai i a koe ki te rapu awhina, ki te whakauru rānei ki ngā mahi e pai ana koe. Mā te tautoko me te tikanga rongoā tika, ka taea e koe te whakahoki mai i te mana me te whakawhirinaki ki te whakahaere i tēnei mate.

Pātai Nui e Pānuitia Ana Mō te Mate o Meniere

Ka taea te whakaora katoa te mate o Meniere?

I tēnei wā, kāore he rongoā mō te mate o Meniere, engari ka taea te whakahaere pai te āhuatanga me te rongoā tika. He tokomaha ngā tāngata e kite ana i te whakapainga nui o ō rātou tohu me ngā rongoā, ngā huringa kai, me ngā whakarerekētanga oranga. I ētahi wā, ka ngaro pea ngā tohu katoa i te roanga o te wā, ahakoa kāore i whakamanahia tēnei mō te katoa.

Ka ngaro rānei taku rongohongo mō te mutunga o te wā ki te mate o Meniere?

Ka taea te ngaro o te rongohongo mai i te mate o Meniere, engari kāore i te tūturu te haere tonu ki te kore rongo i te katoa. He rerekē te nui o te ngaro o te rongohongo i waenga i ngā tāngata. Ka taea e te rongoā wawe me te whakahaere tika te āwhina i te whakaheke i te haere tonu o te ngaro o te rongohongo, ā, he tokomaha ngā tāngata e pupuri ana i te rongohongo mahi mō ngā tau, ahakoa ngā tekau tau i muri i te whakatau.

He haumaru te taraiwa me te mate o Meniere?

Ko te haumaru o te taraiwa e whakawhirinaki ana ki te auau me te whai kiko o ō tohu. Ki te pāngia koe e ngā whakaeke ohorere o te vertigo kaore he whakatūpato, pea kāore te taraiwa e haumaru. Heoi, he tokomaha ngā tāngata e whakahaere pai ana i te mate o Meniere e haere tonu ana ki te taraiwa haumaru. Taria kōrua kōrero ki tō tākuta kia taea ai te whakatau he aha te mea e tika ana mō tō take me ngā ture taraiwa o te rohe.

Ka taea te whakaohooho i ngā whakaeke o te mate o Meniere e te ahotea?

Ae, he whakaohooho rongonui te ahotea mō ngā whakaeke o te mate o Meniere ki te tini o te iwi. Ahakoa kāore te ahotea e pā te take o te āhuatanga, ka taea e ia te whakaiti i ngā tohu me te whakapiki i te auau o ngā wāhanga. Ko te ako i ngā tikanga whakahaere ahotea whai hua, pēnei i te whakaaroaro, te whakakori auau, me te moe pai, ka taea te awhina i te whakaiti i te tūponotanga o ngā whakaeke e whakaohoohotia ana e te ahotea.

Ka pā te mate Meniere ki ngā taringa e rua katoa i te mutunga?

Ka pā te mate Meniere ki ngā taringa e rua katoa i te 15-20% o ngā keehi, engari ko te nuinga o te iwi ka wheako noa i ngā tohu i tetahi taringa i o rātou oranga katoa. Ki te pā ki ngā taringa e rua, kaore i te tino puta i te wā kotahi. Ko te taringa tuarua ka tino puta mai ngā tohu i muri i ngā marama, i ngā tau rānei i muri i te taringa tuatahi, ā, ka rerekē pea te kaha o ngā tohu i waenganui i ngā taringa e rua.