Created at:1/16/2025
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He nui atu te ngau pōtae migraine i te ngau pōtae noa. He āhuatanga neurological tēnei e pā ana ki te mamae nui, e pupuhi ana, te nuinga o te wā kei te taha kotahi o tō upoko, me ētahi atu tohu penei i te ruaki me te ngawari ki te mārama.
E pā ana ngā migraine ki te 12% o te iwi o te ao, ā, ka pā kino ki tō oranga o ia rā. Ko te rongo pai, mā te mārama tika me te rongoā, ka taea e te nuinga o te iwi te whakahaere pai i ō rātou migraine me te whakaiti i te tūāitia me te kaha.
He mate neurological uaua te migraine, e pā ana ki ngā huringa i roto i te matū o te roro me te rere o te toto. Kāore i rite ki ngā ngau pōtae pūngao, ka hangaia e ngā migraine he tauira tohu motuhake ka roa mai i te 4 ki te 72 haora ki te kore e rongoā.
Ka tino mārō tō roro i te wā o te mate migraine. Ko tēnei mārō nui te take i kaha ake ai te mamae i ngā mahi noa penei i te hikina i runga i ngā kaupae, i te whakarongo rānei ki ngā oro o ia rā.
E whai ana ngā migraine i ngā wāhanga e taea te whakatau. Ka kite pea koe i ngā tohu whakatūpato i ngā haora, i ngā rā rānei i mua i te tīmatanga o te ngau pōtae, ka whai ake te whakaeke matua, katahi ka whakaorahia te wā e whakaongaonga ana koe, kāore rānei e mau tonu te ngenge.
E roa atu ana ngā tohu migraine i te mamae o te upoko, ā, ko te mohiotanga ki te whakaahua katoa ka āhei te awhina i a koe ki te tautuhi me te rongoā i ngā whakaeke kia nui ake te whai hua. E ahu whakamua ana ngā tohu i roto i ngā wāhanga rerekē, ā, ka kawea mai e ia wāhanga tana ake huinga o ngā wero.
Ko ngā tohu tino noa ka kitea e koe ko:
Ko ētahi atu tāngata ka wheako i te mea e kiia nei ko te "aura" i mua i te tīmatanga o tō rātou migraine. Ka uru pea tenei ki te kite i ngā rama whakamārama, ngā raina zigzag, ngā waahi matapo wā poto rānei i roto i tō tirohanga.
Ko ngā tohu kaore i te noa engari he nui tonu te hiranga ka uru pea ki te uaua ki te aro, ngā huringa ngākau, te ngoikore wā poto rānei i te taha kotahi o tō tinana. Ka awangawanga pea ēnei tohu, engari he wāhanga tēnā o te pānga o ngā migraines ki tō pūnaha io.
He maha ngā momo o ngā migraines, ā, ko te mōhio ki te momo kei a koe ka āwhina i te arahi i tō huarahi whakaora. Ko ngā kāwai e rua matua e whakaū ana kei te wheako koe i ngā tohu aura.
Ko te migraine kahore he aura te momo tino noa, e pā ana ki te 80% o ngā tāngata e pangia ana e ngā migraines. Ka wheako koe i ngā tohu migraine tuku iho penei i te mamae pupuhi, te whakapairuaki, me te pāngia ki te mārama, engari kahore he tohu whakatūpato tirohanga, rānei.
Ko te migraine me te aura e whakauru ana i aua tohu whakatūpato motuhake e puta ana i te 20 ki te 60 meneti i mua i te tīmatanga o tō mamae o te upoko. Ko te aura pea ka uru ki te kite i ngā rama whakamārama, te ngaro o te tirohanga wā poto, te wheako rānei i ngā pūāhua wiri i ō ringa, i tō mata rānei.
He maha ano ngā momo tino onge e tika ana te mōhio atu ki a rātou. Ko te migraine roa te tikanga he mate pūkau koe i te 15 rā, neke atu rānei, ia marama, ā, ko te 8 o aua rā, te iti rawa, he rā migraine. Ko te migraine hemiplegic e pā ana ki te ngoikore wā poto i tetahi taha o tō tinana, ā, e ātaahua ana, engari ka ora katoa te nuinga.
Ko te migraine wahangu, e kiia ana hoki ko te migraine acephalgic, ka homai ki a koe ngā tohu migraine katoa ke atu i te mamae o te pūkau. Ka pā pea ki a koe te aura, te ruaki, me te ngawari ki te mārama, engari kāo te mamae o tō upoko.
Ko te take pono o te migraine e pā ana ki ngā huringa uaua i roto i te matū me te mahi hiko o tō roro. E whakapono ana ngā kairangi he timata mai i te mahi roro rerekee e pā ana ki ngā tohu io, ngā matū, me ngā oko toto i roto i tō roro.
He nui te wāhi o tō ira i roto i tō tūponotanga ki te migraine. Ki te mea he migraine tētahi o ō mātua, he 40% te tūponotanga o te whanake i a rātou hoki. Ki te mea kei ngā mātua e rua ngā migraine, ka piki taua tūponotanga ki te 75%.
He maha ngā take ka taea te whakaoho i tetahi wāhanga migraine ki ngā tāngata kua whakaritea ki a rātou:
Ko ngā take taiao pērā i ngā huringa i te teitei, ngā pāmahana tino nui, te rāpoi whakamarama rānei, ka taea hoki te whakaoho i ngā migraines i roto i ngā tangata ngawari. Ko te mea nui, ehara ngā mea whakaoho i te take o ngā migraines mō te katoa, engari mō ngā tāngata kua hono atu o rātou roro ki te whakautu i tēnei ara.
Ko ētahi atu mea whakaoho ka iti ake te tūponotanga, tae atu ki te kaha o te mahi tinana, ētahi kai whakakapi māori, te āhua o te rangi rānei. Ka kite etahi tangata e whai ana o rātou migraines i ngā tauira e taea te whakataurite ki o rātou huringa marama, te mahi, te whakarereketanga o te wā rānei.
Me titiro koe ki te kaiwhakarato hauora mēnā kei te whakaroa ngā mamae o tō upoko i ō mahi o ia rā, te whakamahi rānei i ngā rongoā mamae kore-tūtohu neke atu i te rua i te wiki. Ka taea e te maimoatanga wawe te aukati i ngā migraines kei te noho auau ake, kei te kaha ake rānei.
Rapua te tiaki hauora tonu mēnā ka pāngia koe e te mamae o te upoko ohorere, kaha, he rerekē i tō tauira noa. He mea nui tēnei, ina koa mēnā e haere tahi ana me te kirika, te kaki pakari, te whakapohehe, te huringa o te tirohanga, te ngoikore rānei i tetahi taha o tō tinana.
Ko ētahi atu tohu whakatūpato e hiahia ana ki te aromatawai hauora tere, ko ngā mamae o te upoko e kino ake ana i ngā rā, wiki rānei, ngā mamae o te upoko e tīmata ana i muri i te 50 tau, ngā mamae o te upoko i muri i te whara o te upoko. Ki te pāngia koe e te mea e rite ana ki te “mamae o te upoko tino kino rawa atu o tō oranga,” kaua e tatari kia whiwhi awhina.
Ka nui te hiranga o te tiaki hauora noa ina puta mai ō migraines neke atu i te whā i te marama, e roa atu rānei i te 12 haora. Ka taea e tō taakuta te awhina i te whakatau mēnā he pai te maimoatanga aukati, me te whakakore i ētahi atu āhuatanga kei raro.
Ko te mārama ki ō take morearea ka taea te awhina i a koe ki te whakahaere pai ake i tō āhuatanga, me te mahi tahi me tō kaiwhakarato hauora ki te whakawhanake i te mahere maimoatanga whai hua. Ko ētahi take morearea ka taea e koe te whakahaere, ko ētahi atu he wāhanga noa iho o tō hanganga tinana.
Ko ngā take tino nui e pā ana ki te mate ko:
Ka taea hoki e ētahi āhuatanga hauora te whakapiki i tō tūponotanga ki te migraine. Kei roto i ēnei ko te mate huka, te mate ngākau, te mate puku irritable, me ētahi āhuatanga o te ngakau. Ki te whai koe i tētahi o ēnei āhuatanga, he mea tika te kōrero ki tō tākuta mō te aukati i te migraine.
Ko ngā take oranga e piki ai tō tūponotanga ko te whakamahinga tūāpapa o te caffeine, ngā tauira kai koretake, te whakaū rānei ki ngā whakaohooho taiao penei i ngā kakara kaha, te rama rānei e wiri ana. Ko te rongo pai ko te nuinga o ēnei take ka taea te whakarereke me te huarahi tika.
Ahakoa ka mutu te nuinga o ngā migraines kahore he pānga roa, he maha ngā raruraru ka puta, ina koa ki te kore e whakahaere tika ngā migraines. Ka taea e te mārama ki ēnei wāhi te whakaohooho i a koe ki te rapu i te rongo tika me te whai i ngā rautaki aukati.
Ko ngā raruraru tino noa ka tūtaki koe ko:
Ko ngā raruraru kino, engari onge, ka uru atu te infarction migrainous, i te wā e puta mai ai te migraine i tetahi kaupapa rite ki te pēhanga. He tino onge tenei, ā, ko te nuinga o te wā ka puta noa i roto i te hunga e pangia ana e te migraine me te aura kei a rātou ētahi atu tūmomo morearea.
Ko te aura mau tonu kahore he infarction tētahi atu āhuatanga onge e roa atu ana ngā tohu aura i te wiki kahore he tohu o te pakaru o te roro. Ahakoa he awangawanga, ko te tikanga kaore tenei āhuatanga e puta mai he raruraru pumau.
E kore e whakaitihia te pānga o te ngakau me te whānau o ngā migraine maha. He tokomaha te iwi e whakaiti ana i te kounga o te ora, ngā rā mahi, ngā rā kura, me te ahotea ki ngā whānau. Heoi, mā te rongoā tika, ka taea te aukati, te whakaiti rānei i ēnei raruraru.
Ko te aukati te tikanga tino whai hua ki te whakahaere i ngā migraine, ā, he maha ngā rautaki ka taea e koe te whakamahi hei whakaiti i te auau me te kaha o ō wāhanga. Ko te matua ko te kimi i te huinga tika o ngā huarahi e mahi ana mō ō pūāhua motuhake me tō oranga.
Ko ngā whakarerekētanga o te oranga te turanga o te aukati migraine. Ko te pupuri i ngā kaupapa moe noa, te kai kai rite i ngā wā rite, me te pupuri i te wai pai ka taea te whakaiti i tō auau migraine.
Ko ngā tikanga whakahaere ahotea ka tino whai hua. Ko te whakakori noa, te whakaaroaro, ngā mahi manawa hohonu, te yoga rānei ka āwhina i te whakahaere i te whakautu ahotea o tō tinana me te whakaiti i ngā pūāhua migraine.
Ko te pupuri i te rangitaki mate pūtorino ka āhei te awhina i te kimi i ō pūāhua motuhake. Aroturukihia ō mamae o te upoko me ngā take penei i te moe, ngā kai, ngā taumata ahotea, te rangi, me te huringa marama. I te roanga o te wā, ka puta mai ngā tauira e āhei ana te arahi i ō ngā mahi aukati.
Mō ētahi tāngata, pea ka hiahiatia ngā rongoā aukati. Ka taea e tō tākuta te tūtohutia ngā rongoā o ia rā ki te maha ō mamae pūtorino, ki te tino kino rānei, ki te kore rānei e taea te mahi.
Ka taea hoki e ngā huarahi kai te awhina. Ka whai hua ētahi tāngata i te karo i ngā kai pūāhua e mohiotia ana, ā, ka whai angitu ētahi atu ki ngā tauira kai motuhake penei i te whakaiti i ngā kai mumura, i te pupuri rānei i ngā taumata huka toto pumau.
Ko te whakataurite i ngā mate pūtorino e hangai ana ki ō tohu me tō hītori hauora, kahore hoki he whakamātautau motuhake e taea te whakataurite tino i te āhuatanga. Ka aro tonu tō kaiwhakarato hauora ki te mārama ki tō tauira mamae o te upoko me te whakakore i ētahi atu take pea.
Ka ui tō tākuta i ngā pātai taipitopito mō ō mamae o te upoko, tae atu ki te wā i tīmata ai, te auau o te puta mai, te āhua o te ahua, me te aha e pai ake ai, e kino ake rānei. Kia rite ki te whakaahua i ō tohu i roto i ngā kōrero taipitopito, tae atu ki ētahi tohu whakatūpato, ki ētahi atu tohu rānei.
Ka whakauru te whakamātautau tinana ki te tirotiro i tō pehanga toto, te tirotiro i tō matenga me tō kaki, me te mahi i te aromatawai neurology whanui. Ka āhei tenei te whakarite kahore he tohu o ētahi atu āhuatanga pea e pā ana ki ō mamae o te upoko.
I te nuinga o te wā, kaore e hiahiatia ngā whakamātautau atu ki te rite tonu ō tohu ki te tauira mate pūtorino. Heoi, ka taea e tō tākuta te tono i ngā rangahau whakaahua penei i te CT scan, i te MRI rānei ki te nui te rerekētanga o ō mamae o te upoko, ki te whai rānei i ētahi āhuatanga e awangawanga ana.
Ka tūtohutia pea ngā whakamātau toto hei tirotiro i ngā āhuatanga kei raro i te mata e āhei ana te whakauru ki ō mate pōtae, pēnei i ngā mate thyroid, i ngā korenga huaora rānei. Ka āwhina ēnei whakamātau ki te hanga i te whakaahua tino tika o tō hauora.
Ko te tikanga o te rongoā migraine ko te whakamahi i ngā huarahi e rua: te mutu i tetahi wāhanga i te wā e tīmata ana (te rongoā pakari) me te aukati i ngā wāhanga kei te heke mai (te rongoā aukati). Ko te huarahi pai mōu e whakawhirinaki ana ki te auau o ō mate pōtae me te kaha o rātou.
Mō te rongoā pakari, ko te whāinga ko te mutu i te migraine kia tere rawa i te wā e tīmata ana. Ka āhei te whai hua ngā rongoā kore-whakahaunga pēnei i te ibuprofen, te naproxen, te acetaminophen rānei, ki te tangohia i te tīmatanga o te wāhanga.
Ko ngā rongoā whakahaunga e kiia nei ko ngā triptans i hanga motuhake mō ngā mate pōtae, ā, ka mahi mā te whai i ngā huringa pūnao motuhake e puta ana i te wā o te wāhanga. Ko ēnei rongoā te tino whai hua ina tangohia i te tohu tuatahi o te migraine.
Ko ngā rongoā pakari hou ake ko ngā rongoā e kiia nei ko ngā kaitautoko pūāhua CGRP, ā, ka tino āwhina pea mō te hunga kaore e taea te tango i ngā triptans, kāore rānei e whakautu pai ki a rātou.
Ka nui te hiranga o te rongoā aukati ki te maha ō mate pōtae, ki te kore rānei e ranea ngā rongoā pakari. Ko ngā rongoā o ia rā pea ko ngā rongoā toto-pēhanga, ngā rongoā pouri, ngā rongoā hopu-mate, ngā kaihoroi CGRP hou rānei i hanga motuhake mō te aukati migraine.
Ka āhei te whai hua tino ngā rongoā kore-whakaora. Pea ko ēnei ko te whakaora whanonga mā te hinengaro, te biofeedback, te acupuncture, ngā taputapu whakaohooho iwi rānei. He tokomaha te iwi e kite ana i te whakakotahitanga o ēnei huarahi me te rongoā e homai ana ki a rātou ngā hua pai rawa atu.
Mō te hunga he mate pōtae roa, ka taea e ngā werohinga botulinum toxin i ia toru marama te whakaiti i te auau o te mate pōtae. Ko tēnei rongoā i whakaaetia motuhake mō te migraine roa, ā, ka tino whai hua pea mō ngā kaitono tika.
Ina puta mai te mate pūkau, ka taea e te rautaki rongoā kāinga pai te whakarereke nui ki te tere o tō ora me te kaha o ō tohu. Ko te matua ko te mahi tere me te hanga i te taiao e tautoko ana i te tukanga whakaora o tō tinana.
Tīmatahia mā te tango i ō rongoā i te wa tonu e kite ai koe i ngā tohu o te mate pūkau. Ko te tere o te rongoā, ko te nui ake te whai hua o ō rongoā. Kaua e tatari kia kite mena ka ngaro te mamae o te upoko anake.
Hangaia he taiao whakaora mā te kimi i te ruma mā, pouri ka taea te okioki. Ahakoa ngā iti o te mārama, te tangi rānei ka kaha ake te mamae o te mate pūkau, na, whakaarohia te whakamahi i ngā kāpeti pouri, te peke kanohi, te whakakāpeka ranei mena e hiahiatia ana.
Whakamahia te rongoā pāmahana ki tō upoko me tō kaki. Ka kite etahi i te whakaora me te kāpeka makariri ki o rātou rae, ki muri o te kaki rānei, engari ko ētahi e pai ana ki te wera. Whakamātautau kia kite he aha te mea pai mōu.
Kia makona te wai mā te inu i ngā iti o te wai i ia wā, ahakoa kei te ngau koe. Ka kaha ake te mamae o te mate pūkau te ngau, engari ko te inu nui rawa i te wa kotahi ka pā te ruaki.
Whakamātautauhia ngā tikanga whakahaere ngāwari penei i te manawa hohonu, te whakahaere uaua, te ngākau nui rānei. Ka taea e ēnei te whakaiti i te ahotea, ā, ka āwhina pea i tō tinana kia tere ake te ora mai i te mate pūkau.
Mena he nui te ngau, whakamātautauhia te inu ti inihi, te ngau rānei i ngā keke inihi. Ko ngā kai iti, ngāwari penei i ngā kai reka ka āwhina pea ki te whakarite i tō puku mena ka taea e koe te kai.
Ko te whakarite pai mō tō haerenga ki te taote ka āwhina i te whakarite kia whiwhi koe i te tautuhi tika me te mahere rongoā whai hua. Ka taea e tō whakarite te whakarereke i waenga i te hui awhina me tetahi e waiho ana i a koe me ngā pātai atu i ngā whakautu.
Tīmata te pupuri i te rārangi taipitopito o ngā mamae o te upoko, kia rua wiki i mua atu i tō whakatau. Tuhia te wā e puta mai ai ō mamae o te upoko, te roa o te noho, te āhua o te mamae, me ngā mea ka puta pea e kitea ana e koe. Whakauruhia ngā mōhiohio mō tō moe, ngā taumata o te ahotea, me te huringa o te marama mena e tika ana.
Hangaia he rārangi o ngā rongoā katoa e inuhia ana e koe inaianei, tae atu ki ngā rongoā kore-whakahaunga, ngā taapiri, me ngā rongoā tipu. Whakauruhia te maha o ngā wā e inu ai koe i ngā kaiwhakaora mamae, nā te mea he mea nui tēnei mōhiohio mō tō tākuta kia mōhio.
Tuhia te hītori whānau o ngā mamae o te upoko, o ngā migraines rānei. Ka taea e tēnei mōhiohio ira te tino awhina i te whakatau i tō āhuatanga me te kīanga he aha ngā maimoatanga ka pai rawa atu mōu.
Whakamahia he rārangi o ngā pātai hei ui ki tō tākuta. Ka hiahia pea koe ki te mōhio mō ngā whiringa maimoatanga, ngā huringa oranga ka taea te awhina, te wā rānei e rapu ai koe i te tiaki mate tere mō ō mamae o te upoko.
Kawea mai tētahi hoa whakawhirinaki, tētahi mema whānau rānei ki te taea. Ka taea e rātou te awhina i a koe ki te mahara ki ngā mōhiohio nui i kōrerohia i te whakatau, me te whakarato i ngā mōhiohio atu mō te āhua o te pānga o ō mamae o te upoko ki tō oranga o ia rā.
Whakaarohia te tuhi i te āhua o te pānga o ō mamae o te upoko ki tō mahi, ki ō whanaungatanga, me ō mahi o ia rā. Ka awhina tēnei mōhiohio i tō tākuta ki te mārama ki te whānui o te āhua o te pānga o ngā migraines ki tō oranga, ā, ka taea te whakatau i ngā whakatau maimoatanga.
He āhuatanga neurology pono, ka taea te whakaora, ngā migraines e pā ana ki te miriona o te tangata puta noa i te ao. Ki te pāngia koe e ngā mamae o te upoko nui e āwangawanga ana i tō oranga o ia rā, kāo koe anake, ā, kei te wātea te awhina whai hua.
Ko te mea nui rawa atu hei mārama ko ngā migraines he tino takitahi. Ko te mea e whakaohooho ana i ō migraines, te āhua o te mamae, me ngā maimoatanga e pai ana mōu ka rerekē rawa atu i te wheako o tētahi atu.
Mēnā ka whakawhiwhia te tiaki hauora tika, ngā whakarerekētanga oranga, me te huarahi rongoā tika, ka taea e te nuinga o te hunga e pangia ana e ngā mate pūkau te whakaiti nui i te auau me te kaha o aua mate. Ko te matua ko te mahi tahi me tō kaiwhakarato hauora hei whakawhanake i te mahere whakahaere whaiaro.
Kaua e mamae puku, kaua hoki e ngana ki te whakakake. He mate hauora pono ngā mate pūkau, ā, e tika ana kia whakawhiwhia te rongoā tika. Me ngā mātauranga me ngā whiringa rongoā o ēnei rā, he take tino pai hei whakapono atu ki te whakahaere pai i ō mate pūkau.
Kāo, kāore ngā mate pūkau noa e whakaeke i te roro mō ake tonu atu. Ahakoa ko ngā mate pūkau kei roto ngā huringa i te mahi o te roro me te rere o te toto, he tūāwhiorangi āu huringa, ā, ka taea te whakahoki. Kua whakaatuhia e te rangahau kāore he nui ake te tūponotanga o te heke o te mātauranga, te mate roro rānei mō te hunga e pangia ana e ngā mate pūkau.
Heoi, he āhuatanga onge rawa te mea e kiia nei ko te migrainous infarction, kei reira te wāhanga mate pūkau e rite ana ki te pēhanga toto, engari he tino onge tēnei, ā, ko te nuinga o te wā ka puta noa i te hunga he take morearea motuhake.
Ae, he kaha te whakapapa o ngā mate pūkau. Ki te mea he mate pūkau tētahi mātua, he 40% te tūponotanga o tā rātou tamaiti ki te whanake. Ki te mea he mate pūkau ngā mātua e rua, ka piki te tūponotanga ki te 75%.
Heoi, kāore te whai i te tūponotanga whakapapa e whakamana ana ka whanake koe i ngā mate pūkau. He wāhi nui hoki ngā take taiao me ngā whiringa oranga ki te whanake rānei ngā mate pūkau, me te kaha o aua mate.
Ae, ka taea e ngā tamariki te whiwhi mate pūkau, ahakoa ka rerekē pea ō rātou tohu mai i ngā mate pūkau o te pakeke. Ko te nuinga o ngā mate pūkau a ngā tamariki he poto ake te roa, ā, ka pā pea ki ngā taha e rua o te ūtū, kāore ki tētahi taha.
Ka raru pea ngā tamariki ki ētahi atu tohu o te puku, pēnei i te ruaki me te ruaki, ā, kāore pea e taea e rātou te whakaatu mārama i ō rātou tohu, pēnei i ngā pakeke. Ki te whakaaro koe kei te mate kōpū-roro tō tamaiti, he mea nui kia ui atu ki te tākuta tamariki, ki te neurologist rānei mō ngā tamariki.
Ka taea e te whakakori tinana noa te āwhina i te aukati i ngā mate kōpū-roro mā te whakaiti i te ahotea, te whakapai ake i te moe, me te tuku i ngā matū whakaora mamae tūturu ki roto i tō roro. Heoi, me karo koe i te whakakori kaha i te wā e pā ana te mate kōpū-roro, i te mea ka kaha ake te mamae.
Tīmatahia ki ngā mahi ngāwari pēnei i te hikoi, te yoga rānei, ka piki haere te kaha kia rite ki te kaha. Ka kite etahi tangata ko te whakakori kaha ka taea te whakaoho i ngā mate kōpū-roro, na reira he mea nui kia kitea te toenga tika mō tō tinana.
Ae, he mea whakaatu pai te huringa o te rangi hei whakaoho i te mate kōpū-roro mō te tini o te iwi. Ko ngā huringa o te pehanga o te hau, te makuku, me te pāmahana ka taea katoa te whakaoho i ngā mate kōpū-roro i roto i ngā tangata tairongo.
Ahakoa kaore e taea e koe te whakahaere i te rangi, ka taea e koe te whakarite mo ngā whakaoho e pā ana ki te rangi mā te tirotiro i ngā whakakite rangi, te noho pai te wai i te wā o ngā huringa o te rangi, me te whai i ō rongoā mate kōpū-roro i te wā o ngā wā o te rangi morearea.