He aha te Meningitis? Tohutohu, Take, me te Maimoatanga

He aha te meningitis?

Ko te meningitis te mumura o ngā kiri tiaki e karapoti ana i tō roro me tō tuaihohe. Ko ēnei paparanga angiangi, e kiia ana ko te meninges, he rite ki te kākahu whakamarie e karapoti ana i ōu okana tino nui.

Ka pupū ēnei kiri nā te mate pukupuku, nā ētahi atu take rānei, ka taea e rātou te pēhi ki tō roro me tō tuaihohe. Ko tēnei pēhanga te take o ngā tohu kino e hono ana ki te meningitis, ā, me whakawātea tonu te rongoā.

Ka taea te whanake o te āhuatanga i te wa poto, i te wa roa rānei, kei te whakawhirinaki ki te take. Ahakoa ka rongo pea te kupu “meningitis” he wehi, ko te mārama ki te aha ia, me te mohiotanga ki ngā tohu, ka āhei te awhina i a koe ki te tiki i te tiaki tika i te tere.

He aha ngā tohu o te meningitis?

Ka tīmata ngā tohu o te meningitis i te wa poto, ā, ka rite pea ki te mate huka nui i te tīmatanga. Ka whanake ngā tohu tino nui i te piki haere o te mumura e karapoti ana i tō roro me tō tuaihohe.

Ko ngā tohu tino noa ka pā atu ki a koe ko ēnei:

• Upoko mamae nui e rerekē ana i ō upoko mamae noa
• Mahana nui e puta mai ana i te tere
• Te kaki mārō e mamae ana te neke o tō upoko
• Te ngawari ki ngā mārama mārama
• Te ruaki me te ruaki
• Te whakapohehe, te uaua rānei ki te aro
• Te moe, te uaua rānei ki te noho ara

Ka whanake etahi tangata i te pupuhi motuhake kaore e ngaro ina pehia e koe he karaihe ki runga. Ka puta mai tēnei pupuhi hei pōka, pōka pouri rānei, ā, ka taea te horapa tere puta noa i tō tinana.

I etahi wā, ka pā pea koe ki ngā hopu, ki ngā raruraru whakarongo rānei, ki te uaua ki te kōrero. Ka whakaatu ēnei tohu kei te pā te mate ki ngā mahi roro hohonu ake, ā, me whakawātea te maimoatanga.

Ka whakaatu pea ngā pepe me ngā tamariki iti i ētahi tohu rerekē, tae atu ki te riri, te kai kino, te pūngāwerewere pupū kei runga i o ratou upoko, te moe rānei. He uaua pea te kite i ēnei tohu, engari he rite tonu te kino.

He aha ngā momo meningitis?

Kei te maha ngā momo meningitis, he rerekē ngā take me te taumata o te tere o ia momo. Ko te mārama ki ēnei rerekētanga ka āhei te awhina i a koe ki te mohio ki te aha e tatari ana.

Ko te meningitis pākaha te momo tino kino, ā, me whakawātea tonu te maimoatanga. Ko ngā huaketo noa e puta ai tēnei momo ko te Streptococcus pneumoniae, te Neisseria meningitidis, me te Haemophilus influenzae. Ka taea e tēnei momo te mate i roto i ngā haora.

Ko te meningitis huaketo te mea noa, ā, he iti ake te kino i te meningitis pākaha. Ka taea e ngā huaketo penei i te enteroviruses, te herpes simplex, me te mate huka te whakaoho i tēnei momo. Ka ora te nuinga o te iwi katoa me te tiaki tautoko.

He onge te meningitis harore, ā, ko te nuinga o te pānga ki ngā tangata he ngoikore o ratou pūnaha ārai mate. Ka whanake haere i roto i ngā wiki, ā, me te maimoatanga harore motuhake.

Ka taea te puta mai o te meningitis kore-mate nā ētahi rongoā, nā ngā mate pukupuku rānei, nā ngā āhuatanga autoimmune rānei. Kāore tēnei momo e horapa atu i te tangata ki te tangata, ā, ka pai ake te ora ina maimoatia te take.

He aha ngā take o te meningitis?

Ka whanake te meningitis ina tae ngā mate pukupuku, ngā mea whakaoho rānei ki ngā kiri tiaki e karapoti ana i tō roro me tō tuaihohe. Ka taea e ēnei kaiwhakauru te tae atu mā ngā huarahi rerekē i roto i tō tinana.

Ka tīmata ngā mate pākaha i ētahi atu wāhi o tō tinana, katahi ka haere mā tō toto ki tō roro. I etahi wā ka tomo tika ngā huaketo mā te whati o te anga, te mate taringa rānei, te mate sinuses rānei e horapa ana ki roto.

Ka taea e ngā mate huaketo te whakaoho i te meningitis hei āhuatanga o ngā mate noa. Ka haere pea ngā huaketo e whakaoho ana i te mate huka, te mate huka rānei, ki tō pūnaha io matua, ā, ka puta he mumura i reira.

I etahi wā, ka taea e ngā pūtau harore e manawahia ana e koe i te taiao te whakaoho i te meningitis, ina koa ki te ngoikore tō pūnaha ārai mate. Ka puta pea tenei ki ngā harore kei roto i te oneone, i ngā paru manu rānei.

Ko ngā take kore-mate ko ētahi rongoā e whakaoho ana i te whakautu mumura, ngā pūtau mate pukupuku e horapa ana ki te meninges, ngā āhuatanga autoimmune rānei e whakaeke ana tō tinana ki ōna ake kiko.

Nōhea te haere ki te taote mō te meningitis?

Me rapu koe i te tiaki mate tere ina whanake koe i ngā tohu e taea ai te tohu i te meningitis. Ka taea te tere o te whanake o tēnei āhuatanga, ina koa ko te meningitis pākaha, no reira he mea nui te mahi tere.

Waea atu ki te 111, ki te rūma mate tere rānei i te wa tonu ki te pā atu koe ki te upoko mamae nui me te kirika me te kaki mārō. Ko ēnei tohu toru ngā tohu whakatūpato ka hiahia ki te aromatawai hauora tere.

Kaua e tatari ki te kite koe i te pupuhi kaore e ngaro ina pehia ki te karaihe, ina koa ki te puta mai me ētahi atu tohu. Ka taea e tēnei momo pupuhi te tohu i te mate pākaha e hiahia ana ki te maimoatanga tere.

Rapua te tiaki tere ki te whakaatu koe, ki tetahi atu rānei i ngā tohu o te whakapohehe, te moe nui rawa rānei, te uaua rānei ki te noho ara. Ka whakaatu ēnei tohu kei te pā te roro, ā, me whakawātea te tiaki hauora.

Mō ngā pepe me ngā tamariki iti, whakapiri atu ki tō tākuta tamariki i te wa tonu ki te whanake ratou i te riri, te kai kino, te kirika, tetahi rerekētanga rānei i o ratou pūngāwerewere. Ka taea e ngā tamariki te mate kino i te tere me te meningitis.

He aha ngā take morearea mō te meningitis?

Ka taea e ētahi take te whakapiki i ō tūmanako ki te whanake i te meningitis, ahakoa he mea nui te mohio ka taea e te tangata katoa te whiwhi i tēnei āhuatanga. Ko te mārama ki ēnei take morearea ka āhei te awhina i a koe ki te tango i ngā whakarite tika.

He mea nui te tau ki tō taumata morearea. Kei te nui ake te morearea o ngā pepe kei raro i te 2 tau te pakeke, nā te mea kei te whanake tonu o ratou pūnaha ārai mate. Kei te nui ake te morearea o ngā taitamariki me ngā tāne taitamariki, ina koa i ngā wāhi hono tata penei i ngā whare noho.

Ka pā tō noho ki tō whakaū ki ngā mate pukupuku e whakaoho ana i te meningitis:

• Te noho tata penei i ngā whare noho kura rānei, i ngā whare hoia rānei
• Te haere ki ngā pokapū tiaki tamariki, ki ngā kura rānei i ngā wā mate
• Te haere ki ngā wāhi kei te noa ake etahi momo meningitis
• Te mahi i ngā taiwhanga me ngā huaketo e whakaoho ana i te meningitis

Ka whakapiki ake te ngoikore o tō pūnaha ārai mate i tō ngoikore. Kei roto i ēnei te HIV/AIDS, te mate huka, te mate whatukuhu, te tango rānei i ngā rongoā e whakangāwari ana i tō pūnaha ārai mate.

Ko te kore e tango i ngā inenga e tūtohutia ana ka whakapiki nui ake i tō morearea. Ka tiaki ngā inenga i te maha o ngā huaketo me ngā huaketo e whakaoho ana i te meningitis.

Ka taea e ngā whara upoko hou, ngā mate taringa rānei, ngā mate sinuses rānei te hanga i ngā huarahi mō ngā mate pukupuku ki tō roro. Ko te tango atu o tō whekau ka whakapiki ake i te morearea, nā te mea ko tēnei okana te awhina i te whawhai ki ētahi mate pākaha.

He aha ngā āhuatanga pea o te meningitis?

Ahakoa ka ora te nuinga o te iwi katoa i te meningitis, ka pā pea etahi ki ngā pānga roa, ina koa ki te whakaroa te maimoatanga. Ko te mārama ki ēnei wāhi pea ka āhei te whakanui i te hiranga o te tiaki hauora tere.

Ko ngā āhuatanga tino noa e pā ana ki tō pūnaha io, ā, ka uru atu ki:

• Te ngaro o te rongohongo, ka taea te wāhanga, te katoa rānei
• Nga raruraru mahara, te uaua rānei ki te aro
• Nga hopu ka haere tonu i muri i te ora
• Nga raruraru taurite me te whakahaere
• Nga rerekētanga tirohanga, te matapo rānei
• Nga uaua kōrero

Ka whanake etahi tangata i ngā uaua ako, i ngā huringa whānau rānei, ina koa ngā tamariki i whiwhi i te meningitis i te tamarikitanga. Kāore pea ēnei pānga e kitea kia tae ra ano ki ngā marama, ki ngā tau rānei i muri mai.

I ngā take kino, ka taea e te meningitis te whakaoho i te kino o te roro, te pōka toto rānei, te pupū rānei e pā ana ki te mahi o te roro. Ka taea hoki e te mate te horapa ki ētahi atu wāhi o tō tinana.

Ko ngā āhuatanga onge engari he kino ko te kore o te whatukuhu, te pōuri rānei, ngā raruraru toto rānei. Ka puta pea ēnei ki te meningitis pākaha e tere ana te whanake.

Ko te rongo pai ko te maimoatanga tere ka whakaiti nui i te morearea o ngā āhuatanga. Ka ora te nuinga o te iwi e whiwhi ana i te tiaki tika i te tīmatanga o to ratou mate kaore he pānga roa.

Me pēhea te aukati i te meningitis?

Ka taea e koe te tango i ētahi kaupae whai hua hei tiaki i a koe me tō whānau i te meningitis. Ko te inenga tō tiaki kaha ki ngā momo tino noa me ngā momo kino o tēnei āhuatanga.

Ko te whiwhi i ngā inenga e tūtohutia ana te kaupapa aukati tino nui. Ka tiaki ēnei inenga i ngā huaketo me ngā huaketo e whakaoho ana i te nuinga o ngā keehi o te meningitis.

Ko ngā inenga matua ko ēnei:

• Inenga meningococcal mō ngā taitamariki me ngā ākonga kura
• Inenga pneumococcal mō ngā tamariki iti me ngā tāne pakeke
• Inenga Haemophilus influenzae momo b (Hib) mō ngā pēpi
• Inenga MMR e tiaki ana i te mate meningitis mumps

Ka taea e ngā mahi hauora pai te whakaiti i tō whakaū ki ngā mate pukupuku e whakaoho ana i te meningitis. Horoihia ō ringa i te maha, ina koa i mua i te kai me muri i te whakamahinga o te wharepaku, te noho rānei i ngā wāhi tūmatanui.

Kaua e whakamahi tahi i ngā taonga whaiaro penei i ngā karaihe inu, ngā taputapu kai, te kirikiri ngutu rānei, ngā pūru rānei. Ka taea e ēnei taonga te whakawhiti i te wāhine me ngā mate pukupuku kei roto i te tangata ki te tangata.

Noho hauora ma te moe nui, te kai kai kai hauora, me te whakakori tinana i te maha. Ka āhei te pūnaha ārai mate kaha ki te awhina i tō tinana ki te whawhai i ngā mate i mua i te taea e ratou te whakaoho i ngā raruraru kino.

Ki te haere koe ki ngā wāhi kei te noa ake te meningitis, kōrero atu ki tō taote mō ngā inenga atu, ngā whakarite rānei ka hiahia pea koe.

Me pēhea te whakatau i te meningitis?

Ko te whakatau i te meningitis he hiahia ki ngā whakamātautau hauora maha, nā te mea ka taea e ngā tohu te rite ki ētahi atu āhuatanga kino. Ka mahi tere tō taote ki te whakatau mēnā kei a koe te meningitis, me te momo pea.

Ko te tukanga whakatau ka tīmata me te tirotiro tinana ka tirotirohia e tō taote te kaki mārō, ngā pupuhi kiri, me ngā tohu o te mamae o te roro. Ka ui atu hoki ratou ki ō tohu me ō mate hou.

Ko te whakakī lumbar, e kiia ana ko te taputapu tuaihohe, te whakamātautau tino nui mō te whakatau i te meningitis. I roto i tēnei tukanga, ka whakauru tō taote he ngira angiangi ki tō tua iti ki te kohikohi i te tauira iti o te wai tuaihohe.

Ka tirotirohia tēnei tauira wai tuaihohe i roto i te taiwhanga ki te rapu i ngā tohu o te mate. Ka taea e te taiwhanga te tautuhi i ngā huaketo, ngā huaketo rānei, ngā take mumura rānei, ā, ka tautuhi i ngā maimoatanga ka pai ake te mahi.

Ka āhei ngā whakamātautau toto te tautoko i te whakatau mā te tirotiro i ngā tohu o te mate puta noa i tō tinana. Ka taea hoki e ēnei whakamātautau te tautuhi i ngā mate pukupuku e whakaoho ana i tō mate.

I etahi wā, ka tono pea tō taote i te CT scan, i te MRI rānei o tō upoko ki te whakakore i ētahi atu take o ō tohu penei i ngā mate pukupuku roro, te toto rānei. Ka taea hoki e ēnei whakamātautau whakaahua te whakaatu mēnā kei te pupū tō roro.

He aha te maimoatanga mō te meningitis?

Ko te maimoatanga mō te meningitis kei te whakawhirinaki ki te take o te mumura, engari he mea nui tonu te tere. Ka tīmata pea tō rōpū hauora i te maimoatanga i mua i te wā e wātea ana ngā hua whakamātautau katoa hei aukati i ngā āhuatanga.

Ko te meningitis pākaha he hiahia ki te maimoatanga tere me ngā rongoā pākaha e hoatu ana mā te IV. Ka tohua e tō taote ngā rongoā motuhake i runga i ngā huaketo e tino whakaoho ana i tō mate, katahi ka whakarereke i te maimoatanga ina wātea ngā hua taiwhanga.

Ka whiwhi hoki koe i ngā corticosteroids hei whakaiti i te pupū o te roro me te mumura. Ka āhei ēnei rongoā te aukati i ētahi o ngā āhuatanga ka puta mai me te meningitis pākaha, ina koa ko te ngaro o te rongohongo.

Ko te nuinga o te meningitis huaketo kāore e hiahia ki ngā rongoā huaketo motuhake, nā te mea ka taea e tō pūnaha ārai mate te whawhai i te mate. Ko te maimoatanga kei te aro ki te whakahaere i ō tohu me te pupuri i a koe i te wā e ora ana koe.

He mea nui te tiaki tautoko mō ngā momo meningitis katoa, ā, kei roto:

• Ngā wai IV hei aukati i te ngauwai
• Rongoā mamae mō ngā upoko mamae
• Rongoā whakaiti kirika
• Rongoā anti-nausea
• Te tautoko hauota mēnā e hiahiatia ana

Ko te meningitis harore he hiahia ki te maimoatanga roa me ngā rongoā antifungal. Ko te nuinga o te haere tonu o tēnei maimoatanga mō ngā wiki, mō ngā marama rānei, kei te whakawhirinaki ki tō whakautu me te momo harore e pā ana.

Ko te nuinga o te iwi me te meningitis pākaha, te huaketo rānei e noho ana i te whare hauora mō ngā rā maha hei aroturuki i to ratou ora me te matawai mō ngā āhuatanga. Ka aroturuki tata atu tō rōpū hauora i ō tohu, ā, ka whakarereke i te maimoatanga kia rite ki te hiahia.

Me pēhea te tiaki i a koe i te kāinga i te wā ora?

Ko te ora mai i te meningitis he hiahia ki te wā, ā, me manawanui koe ki tō tinana i te wā e ora ana. Ko te nuinga o tō ora ka puta i te kāinga i muri i tō maimoatanga whare hauora tuatahi.

He mea tino nui te okioki i te wā ora. Kua pā te ahotea nui ki tō roro me tō tinana, no reira whakaritea kia moe atu i te noa, ā, kaua e mahi uaua mō ngā wiki maha.

Noho pai te wai mā te inu wai maha puta noa i te rā. Ka taea e te ngauwai te whakaiti i ngā upoko mamae me te whakaroa i tō tukanga ora.

Tangohia ō rongoā kia rite ki te tohu, ahakoa ka tīmata te pai ake o tō ngākau. Ki te whakamahi koe i ngā rongoā, mutu te akoranga katoa hei whakamārama i te mate kua oti te whakakore.

Whakahaerehia ngā tohu e toe ana me ngā huarahi ngawari:

• Whakamahia ngā rongoā mamae-kore-kore mō ngā upoko mamae kia rite ki te tohu a tō taote
• Okioki i roto i te ruma pouri, mārama ki te kei te ngawari tonu koe ki te mārama me te tangi
• Kai iti, maha ngā kai mēnā ka mau tonu te ruaki
• Whakapiki haere i tō taumata mahi i te wā e kaha ake ana koe

Matawaihia ngā tohu whakatūpato e taea ai te tohu i ngā āhuatanga, te hiahia rānei mō te tiaki hauora atu. Whakapiri atu ki tō taote mēnā ka whanake koe i ngā tohu hou, ngā upoko mamae kino ake rānei, ngā tohu mate rānei.

Kia mahara ka taea te ora mō ngā wiki, mō ngā marama rānei, ā, ka pā pea etahi tangata ki te ngenge, ki ngā raruraru aro rānei, ki ngā upoko mamae iti mō te wā roa. He mea noa tēnei, engari pupuri i tō rōpū hauora kia mohio ki tō ahuatanga.

Me pēhea te whakarite mō tō hui taote?

Ki te whakaaro koe he meningitis, kaua e tatari mō te hui whakarite. Ko tēnei āhuatanga he hiahia ki te tiaki mate tere, no reira haere tika ki te rūma mate tere, ki te waea atu rānei ki te 111.

Heoi, ki te whai koe i muri i te maimoatanga, te manukanuka rānei mō te whakaū pea, ko te whakarite mō tō hui ka āhei te awhina i a koe ki te whiwhi i te tino pai mai i tō haerenga.

Tuhia ō tohu katoa, tae atu ki te wā i tīmata ai rātou me te āhua o te huringa. Kei roto ngā kōrero mō ngā tauira kirika, te nui o te upoko mamae, me tetahi pupuhi kua kitea e koe.

Kawe mai he rārangi o ngā rongoā katoa e tangohia ana e koe i te wā nei, tae atu ki ngā rongoā-kore-kore me ngā taapiri. Tonohia hoki ngā mate hou, ngā whara rānei, te haere rānei.

Whakaritea ēnei kōrero nui hei whakawhiti:

• Te hononga hou ki te tangata i whiwhi i te meningitis
• Tō hītori inenga, ina koa ngā inenga meningitis
• Tetahi whara upoko hou, ngā mate rānei
• Nga huringa i tō mahi hinengaro, tō mahara rānei
• Nga pātai mō tō wa ora

Whakaarohia te kawe mai i te mema whānau, i te hoa rānei hei awhina i a koe ki te mahara i ngā kōrero me te ui i ngā pātai. Ka taea e te meningitis te pā ki tō aro, ka uaua ake te tukatuka i ngā kōrero hauora.

Kaua e whakaroa ki te ui mō tetahi mea kaore koe e mārama. E hiahia ana tō rōpū hauora kia whai koe i ngā kōrero katoa e hiahia ana koe mō te ora haumaru.

He aha te tango matua mō te meningitis?

Ko te meningitis he āhuatanga kino engari ka taea te maimoatanga e hiahia ana ki te tiaki hauora tere. Ko te kī ki te hua pai ko te mohiotanga ki ngā tohu i te tīmatanga me te whiwhi i te tiaki hauora tere.

Kia mahara ka tīmata ngā tohu meningitis i te rite ki te mate huka, engari ka tere te kino ake. Ko te whakakotahitanga o te upoko mamae nui, te kirika, me te kaki mārō me tūpono tonu te haere tere ki te rūma mate tere.

Ko te aukati mā te inenga tō tiaki pai ki ngā momo tino kino o te meningitis. Kia mohio koe me tō whānau kei te hou ngā inenga e tūtohutia ana.

Me te whakatau tere me te maimoatanga tika, ka ora te nuinga o te iwi katoa i te meningitis. Ahakoa ka puta mai ngā āhuatanga, ka taea te whakahaere pai i te maha me te tiaki hauora tika me te whakaora.

Whakaarohia ō whakaaro mēnā he kino te mea. Kāore te meningitis he āhuatanga hei tatari me te kite. Ki te whakaaro koe, rapua te aromatawai hauora tere.

Ngā pātai e ui pinepinetia ana mō te meningitis

P1: He mate horahora te meningitis?

Ka taea e ētahi momo meningitis te horapa atu i te tangata ki te tangata, engari kāore ngā momo katoa e horahora. Ka taea e te meningitis pākaha me te huaketo te whakawhiti i ngā matū manawa ina kōhutia, ina ngunguru rānei te tangata, te hono tata rānei penei i te kihi. Heoi, kāore te meningitis harore me te meningitis kore-mate e horapa atu i te tangata ki te tangata. Ahakoa ngā momo e horahora ana, ko te hono noa penei i te noho i roto i te ruma kotahi kāore e nui te whakawhiti i te mate.

P2: E hia te roa o te ora mai i te meningitis?

Ka rerekē te wā ora i runga i te momo meningitis me te tere o te tīmatanga o te maimoatanga. Ko te meningitis huaketo ka mutu i roto i ngā rā 7-10, ahakoa ka ngenge pea koe mō ngā wiki maha. Ko te ora mai i te meningitis pākaha ka roa pea i te 2-4 wiki, engari ka hiahia etahi tangata ki ngā marama hei whakahoki katoa i to ratou kaha. Ka pā pea etahi tangata ki ngā pānga e toe ana penei i te ngenge, i ngā raruraru aro rānei e taea te roa mō ngā marama. Ka aroturuki tō taote i tō ahuatanga, ā, ka āhei te awhina i a koe ki te mārama ki te aha e tatari ana mō tō āhuatanga motuhake.

P3: Ka taea e koe te whiwhi meningitis neke atu i te kotahi wā?

Ae, he taea te whiwhi meningitis neke atu i te kotahi wā, ahakoa he onge. Ko te whiwhi i tetahi momo meningitis kāore e tiaki i a koe i te mate ki tetahi huaketo rerekē, ki te huaketo rānei e whakaoho ana i te meningitis. Kei te nui ake te morearea o ētahi tangata me ētahi āhuatanga pūnaha ārai mate ki ngā mate hou. Koinei tetahi take e noho tonu ana te hiranga o te noho hou me ngā inenga ahakoa i muri i te ora mai i te meningitis.

P4: Kei te maha ngā pānga roa o te meningitis?

Ka ora te nuinga o te iwi katoa i te meningitis kaore he pānga roa, ina koa ki te tīmata te maimoatanga i te tīmatanga. Heoi, ka pā pea etahi tangata ki ngā āhuatanga roa penei i te ngaro o te rongohongo, ngā raruraru mahara, te uaua ki te aro, ngā uaua ako rānei. Kei te nui ake te morearea o ngā āhuatanga me te meningitis pākaha me te whakaroa o te maimoatanga. Ka āhei te awhina o te tiaki whai muri i te tautuhi me te whakahaere i ngā pānga e toe ana e whanake ana.

P5: Me aha ahau mēnā kua whakaū koe ki te tangata he meningitis?

Whakapiri atu ki tō kaiwhakarato hauora i te wa tonu mēnā kua hono tata koe ki te tangata kua whakatauhia he meningitis pākaha. I runga i te momo huaketo me tō taumata whakaū, ka tono pea tō taote i ngā rongoā aukati. Ko ngā hononga tata ko ngā mema whānau, ngā hoa noho rānei, tetahi tangata rānei i whakamahi tahi i ngā taputapu kai, i te hono tata rānei. Ka whakapiri mai pea tō tari hauora rohe ki a koe mēnā kei te tirotiro ratou i te mate.