He aha te mate pukupuku roro tamariki? Tōna tohu, take, me te rongoā

Ko te mate pukupuku roro tamariki he tipu koretake o ngā pūtau e whānau ana i te roro o te tamaiti, i ngā kiko hoki e karapoti ana i te roro. Ka taea e ēnei mate pukupuku te pai (kāore i te mate pukupuku) te kino rānei (mate pukupuku), ā, koinei te mate pukupuku ngākawe tino noa i ngā tamariki.

Ahakoa ka rongo te tangata i te kupu ‘mate pukupuku roro’, he mea nui kia mōhio kei te taea te whakaora i te nuinga o ngā mate pukupuku roro o ngā tamariki. Kua tino whakapai ake ngā whakahaere hauora i ngā hua mō ngā tamariki e pangia ana e ēnei āhuatanga. Ko te mōhiotanga ki te mea kei te whakahaere koe ka āhei te awhina i a koe kia rite ake, kia whakapono hoki i a koe e haere ana i tēnei haerenga.

He aha ngā tohu o te mate pukupuku roro tamariki?

Ka tupu haeretia ana ngā tohu o te mate pukupuku roro i ngā tamariki, ā, ka ngāwari te whakaaro he take noa iho mō ngā tamariki i te tīmatanga. Ko ngā tohu e whakawhirinaki ana ki te wāhi o te mate pukupuku, me te nui o tōna tipu.

Ko ngā tohu o te tīmatanga e hono ana ki te pēhanga nui i roto i te anga roro. Ka kite pea koe kei te pangia tō tamaiti e ngā mamae o te upoko e mau tonu ana, he rerekē ngā mamae o te upoko noa. Ko ēnei mamae o te upoko ka kaha ake i te ata, kāore rānei e moe ai tō tamaiti.

Ko ēnei ngā tohu tino noa hei titiro atu:

• Te ruaki maha, ina koa i te ata, kāore rānei i te ngākau kino i mua
• Ngā huringa i te tirohanga, pēnei i te tirohanga rua, te tirohanga māreikura, te ngaro rānei o te tirohanga taha
• Ngā raruraru i te taurite, te uaua ki te hikoi, te hinga maha rānei
• Te moe nui, te huringa nui rānei o ngā taumata kaha
• Ngā huringa o te hinengaro, te huringa rānei o te whāinga e kore e rite ki te ahua
• Te uaua ki te kōrero, te mārama rānei ki ngā kupu
• Ngā hopu, ina koa ki te kore rawa kua whiwhi tō tamaiti i mua
• Ngā raruraru ki te whakahaere, ki ngā pūkenga motuka pai rānei

I ngā pēpi me ngā tamariki, ka rerekē te ahua o ngā tohu. Ka kite pea koe i te tere o te tipu o te rahi o te upoko, te pupū o ngā wahi ngawari o te upoko, te ngākau pouri rānei e kore e kitea he take mārama.

Ka pā pea etahi tamariki ki ngā raruraru ako, ngā raruraru mahara, te raruraru ki te aro i te kura. Ka ngāwari pea ēnei huringa hinengaro i te tīmatanga, engari ka kitea ake pea i te wa.

He aha ngā momo mate pūngao roro o ngā tamariki?

Ka wehewehea ngā mate pūngao roro o ngā tamariki ki ētahi momo, e whakaū ana i te wāhi i whānau ai rātou me te momo pūtau kei roto i a rātou. Ko te mārama ki te momo ka āwhina i ngā tākuta ki te whakarite i te huarahi whakaora tino pai.

Ko ngā momo tino noa ko te medulloepithelioma, e whānau ana i te cerebellum, ā, ka pā ki te taurite me te hononga. Ko ngā gliomas brainstem e tipu ana i te brainstem, e whakahaere ana i ngā mahi nui penei i te manawa me te tere o te ngakau.

Ko ēnei ngā kāwai matua o ngā mate pūngao roro o ngā tamariki:

• Astrocytomas - Ka tipu ēnei i ngā pūtau roro whakairoa, ā, ka rereke mai i te tere o te tipu ki te kaha
• Medulloepitheliomas - Ko te mate pūngao roro kino tino noa i ngā tamariki, e kitea ana i te cerebellum
• Ependymomas - Ka whānau ēnei i ngā pūtau e taupoki ana i ngā wāhi kapi wai o te roro
• Brainstem gliomas - Ngā mate pūngao e tipu ana i te brainstem, e pā ana ki ngā mahi tinana nui
• Craniopharyngiomas - Ngā mate pūngao pai e tipu ana i te taha o te pūngao pituitary
• Germ cell tumors - Ngā mate pūngao onge e puta ana i te pokapū o te roro

Ka whakaarohia etahi mate pūngao he iti te taumata, arā, ka tipu haere pea, ā, ka iti te horapa. Ko ngā mate pūngao teitei te taumata ka tere ake te tipu, ā, ka hiahia ki te whakaora kaha ake. Ka whakamārama te rōpū hauora mōu te momo kei tō tamaiti me te tikanga mō tō rātou āhuatanga motuhake.

He aha te take o te mate pūngao roro o ngā tamariki?

Ko te take tino tika o te nuinga o ngā mate pūngao roro o ngā tamariki e kore ano kia mohiotia, ā, he mea whakatairanga tenei mō ngā mātua e rapu ana i ngā whakautu. Kāore i rite ki te maha o ngā mate pūngao o ngā pakeke, ko ngā mate pūngao roro o ngā tamariki e kore e hono atu ki ngā take oranga, ki ngā āhuatanga taiao rānei.

Ko te nuinga o ngā mate pūngao roro o ngā tamariki pēnei i te whanaketanga na runga i ngā huringa ira tōtika e puta ana i te tipu me te wehewehe o ngā pūtau. Kāore ēnei huringa i tukuna mai i ngā mātua – ka puta noa iho i te wā o te whanaketanga pūtau noa.

He iti te pēne o ngā mate pūngao roro o ngā tamariki e hono ana ki ngā āhuatanga ira kua oti te whakawhiwhi. Kei roto i ēnei ko te neurofibromatosis, te mate Li-Fraumeni, me te mate tuberous sclerosis. Ki te pēnei te āhuatanga o tō tamaiti, ka kōrero tō tākuta mō te aro turuki me ngā rautaki aukati.

Ka taea e te whakamahinga o mua o te radiation ki te ulu, pēnei i te maimoatanga mō tētahi atu mate pūngao, te whakapiki ake i te tūponotanga o te mate pūngao roro. Heoi, koinei te take mō te torutoru noa iho o ngā take katoa. Ko te nuinga o ngā tamariki e whanake ana i te mate pūngao roro kāore he take morearea e mohiotia ana.

He mea nui kia mārama kē kua kore he mea i mahi koe, i kore rānei i mahi, i puta ai te mate pūngao roro o tō tamaiti. Ko te nuinga o ngā mātua ka whakahe ki a rātou anō, engari ko ngā mate pūngao roro o ngā tamariki e whanake ana na runga i ngā take kei tua atu o te mana o te tangata.

Nōhea te haere ki te tākuta mō te mate pūngao roro o ngā tamariki?

Me whakapiri atu koe ki te tākuta o tō tamaiti ki te kite koe i ngā tohu mau tonu e awangawanga ana koe, ā, ina koa ki te kino haere ana i te wā.

Whakaritea he whakatau ki te pāngia tō tamaiti e ngā mamae ulu e haere tonu ana, he rerekē i ētahi atu i pāngia ai rātou i mua. Aro atu ki ngā mamae ulu e whakaoho ana i a rātou i te moe, i te kino ake rānei i te ata.

Rapua te awhina hauora i te wa poto ki te kite koe i:

• Te ruaki ngātahi kahore atu ngā tohu o te mate
• Ngā huringa o te tirohanga, te raru rānei ki te kite rua
• Ngā huringa ohorere o te taurite, o te whakahaere rānei
• Ngā huringa nui o te ahua, o te whāinga rānei
• Te tīmatanga hou o ngā hopu
• Te moe nui, te whakapohehe rānei

Mō ngā pēpi, whakapiri atu ki tō tākuta tamariki mena ka kite koe i te tipu tere o te upoko, ngā wahi ngawari e pupū ana, te tangi tonu rānei e rerekē ana i te ngangau noa.

Kia mahara he maha o ēnei tohu ka taea te whai take atu, kaore rawa e kino. Heoi, he pai tonu te arotake i ngā tohu e awangawanga ana i mua atu i muri mai. Ko te kite wawe te nuinga o te arahi ki ngā hua pai ake o te maimoatanga.

He aha ngā take morearea mō te mate pūngao roro o ngā tamariki?

Kāore i rite ki te maha o ngā mate pukupuku o te pakeke, kāore ngā mate pūngao roro o ngā tamariki i te maha o ngā take morearea e taea te tautuhi. Ko te nuinga o ngā tamariki e whānau ana i ēnei mate pūngao kahore he take morearea e mohiotia ana.

He mahi te tau, me ētahi momo e tino noa ana i ngā tau motuhake. Ka taea te puta mai ngā mate pūngao roro i tetahi tau i roto i te tamarikitanga, engari ko ētahi momo ka tino noa ake i ngā tamariki iti ake i te mea ka puta ake i ngā taiohi.

Ko ngā take morearea matua ko:

• Ngā mate pūngao whatukuhu kua oti te whakawhiwhi penei i te neurofibromatosis, te Li-Fraumeni syndrome rānei
• Te maimoatanga radiation o mua ki te upoko, ki te roro rānei
• Te whai pūnaha ārai mate kua pakaru
• Te hītori whānau o ētahi āhuatanga pūngao

Ka taea e te ira tangata te awe i te morearea iti. Ko ētahi momo mate pūngao roro ka tino noa ake i ngā tama, ko ētahi atu ka puta ake i ngā kōhine. Heoi, ko ēnei rerekētanga he iti noa iho.

He mea nui kia mōhio kei te whai take morearea kahore e tikanga ka whānau tō tamaiti i te mate pūngao roro. Ko te nuinga o ngā tamariki e whai take morearea ana kahore rawa e whānau i ngā mate pūngao, i te mea ko te nuinga o ngā tamariki e whānau ana i ngā mate pūngao kahore he take morearea e taea te tautuhi.

He aha ngā raruraru pea o te mate pūngao roro o ngā tamariki?

Ka puta mai ngā raruraru mai i ngā mate pūngāwerewere o te roro o ngā tamariki mai i te mate pūngāwerewere anō, tōna wāhi, te rongoā rānei i whakamahia hei whakatika i te mate. Mā te mōhio ki ngā raruraru pea ka taea te āwhina i ngā whānau kia whakaritea, kia mahi tahi hoki rātou me tō rātou rōpū hauora hei whakaiti i ngā tūponotanga.

Ko te roro te kaiwhakahaere o ngā mahi nui maha, na reira ka pā ngā mate pūngāwerewere ki ngā kaha rerekē i runga i tō rātou wāhi. Ka pā pea ki ētahi tamariki ngā raruraru o te nekehanga, ka pā ki tō rātou kaha ki te neke, ki te whakahaere pai rānei i ngā nekehanga.

Ko ētahi o ngā raruraru noa e puta mai ana:

• Ngā huringa hinengaro, tae atu ki ngā raruraru mō te mahara, te aro, te ako rānei
• Ngā raruraru o te nekehanga e pā ana ki te nekehanga, te toenga, te whakahaere rānei
• Ngā raruraru kōrero me te reo
• Ngā huringa o te tirohanga, o te rongohongo rānei
• Ngā koretake o te homoni mēnā ka pā te mate pūngāwerewere ki te pūngāwerewere pituitary
• Ngā āwangawanga e kore pea e mutu ahakoa kua oti te rongoā
• Hydrocephalus (te kohikohi wai i roto i te roro)

Ko ngā raruraru e pā ana ki te rongoā ka uru atu ki te ngenge, te ngaro o te makawe mai i te radiation, me ngā pānga roa pea ki te tipu me te whanaketanga. Ka pā pea ki ētahi tamariki ngā huringa i tō rātou kaha ki te ako i ngā mōhiohio hou, ki te tukatuka tere rānei i mua.

Ka taea te whakahaere, te whakapai rānei i ngā raruraru maha mā ngā rongoā tautoko pēnei i te rongoā tinana, te rongoā mahi, te rongoā kōrero rānei. Ka tirotirohia e tō rōpū hauora ngā raruraru ka hoatu ngā whakauru tika hei āwhina i tō tamaiti kia mau tonu te kounga ora pai rawa atu.

Me pēhea te aukati i te mate pūngāwerewere o te roro o ngā tamariki?

Āe, kāore he huarahi e mohiotia ana hei aukati i te nuinga o ngā mate pūngāwerewere o te roro o ngā tamariki. I te mea ko te nuinga o rātou ka puta mai i ngā huringa ira tōtika ka puta mai nā te āhua noa, kāore ngā rautaki aukati e mahi ana mō ētahi atu mate e whai hua ana i konei.

Ko te kore o ngā whiringa ārai ka taea te whakaaro he kore mana mō ngā mātua, engari he mea nui kia aro ki ngā mea ka taea e koe te whakahaere. Ko te pupuri i te hauora whānui o tō tamaiti mā te kai pai, te whakakori tinana auau, me te moe pai e tautoko ana i te kaha o tō rātou tinana ki te whakahaere i ngā wero e puta mai ana.

Mō ngā tamariki e mohiotia ana he mate pūngao e piki ai te tūponotanga o te mate pūngao roro, ko te tirotiro me te whakamātautau auau ka āhei te kite wawe i ngā mate pūngao i te wā e tino taea ai te whakaora. Ka tūtohu tō tākuta i te kaupapa matawai e tika ana ki tō tamaiti.

He mea whakaaro nui te karo i te whakamahinga o te radiation e kore e tika, ahakoa ko ngā rōrahi radiation mai i ngā whakaahua hauora noa penei i ngā CT scan he iti rawa te nuinga, ā, ko ngā painga te nuinga e nui atu ana i ngā tūponotanga ina tika te rongoā.

Me pēhea te whakamātautau i te mate pūngao roro tamariki?

Ko te whakamātautau i te mate pūngao roro tamariki te nuinga ka tīmata mā te tango i te hītori hauora taipitopito o tō tamaiti e tō tākuta, me te mahi i te whakamātautau tinana tino pai. Ka ui rātou ki ngā tohu, i te wā i tīmata ai, me te āhua o te huringa i te wā.

Ko te whakamātautau neurological e tirotiro ana i ngā reflexes o tō tamaiti, te kaha o te uaua, te hononga, me te mahi hinengaro. Ka āhei tenei ki ngā tākuta te mōhio ki ngā wāhanga o te roro pea ka pā, ā, ka arataki i ngā whakatau whakamātautau atu.

Ka whakarato ngā whakamātautau whakaahua i ngā pikitia taipitopito o te roro o tō tamaiti. Ko te MRI (magnetic resonance imaging) te nuinga ko te whakamātautau tuatahi me te tino nui, nā te mea ka whakaatu mārama ai i ngā kiko ngawari penei i te roro. Ka taea e tēnei karapa te whakaatu i te wāhi o te mate pūngao, te rāhi, me te hononga ki ngā hanganga roro e karapotia ana.

Ko ētahi atu whakamātautau pea ka uru mai he CT scan, e tango ana i ngā whakaahua X-ray mai i ngā kōrero rerekē hei hanga i ngā pikitia tapawhā o te roro. I etahi wā ka tono ngā tākuta i ngā karapa MRI motuhake me te tae whakapae hei whiwhi i ngā pikitia tino mārama o te mate pūngao.

Mēnā e whakaatu ana te whakaahua i te pūngāwerewere o te roro, ka hiahiatia pea te tātaritanga kia mohiotia te momo. I roto i tēnei tukanga, ka tangohia he tauira iti o te kiko pūngāwerewere ka tirohia i raro i te microscope. I etahi wā, ka taea te mahi i te tātaritanga i te wā anō e mahihia ana te pokanga hei tango i te pūngāwerewere.

Ka tūtohu pea te whākōkī lumbar (whākōkī tuaiwi) hei tirotiro mena kua horapa nga pūtau pūngāwerewere ki te wai o te tuaiwi. Ka uru atu tenei ki te whakauru i te ngira angiangi ki te tua o raro hei kohikohi i te iti o te wai o te roro hei whakamātautau.

He aha te rongoā mō te pūngāwerewere o te roro tamariki?

Ko te rongoā mō ngā pūngāwerewere o te roro tamariki e whakahaeretia ana e ngā take maha, tae atu ki te momo pūngāwerewere, te wāhi, te rāhi, me te tau me te hauora whānui o tō tamaiti. Ko te whāinga tonu ko te whakarato i te rongoā tino whai hua me te whakaiti i ngā pānga taha roa.

Ko te pokanga te waahanga rongoā tuatahi i te nuinga o te wā, ki te taea. Ka ngana te taote neuro ki te tango i te nui o te pūngāwerewere i te huarahi haumaru e taea ai, me te tiaki i te mahi noa o te roro. I etahi wā, kaore e taea te tango katoa na te wāhi o te pūngāwerewere e tata ana ki ngā wāhi nui o te roro.

Ko ngā kōwhiringa rongoā e whakauruhia ana:

• Pokanga hei tango i te katoa, i tetahi wāhanga rānei o te pūngāwerewere
• Rongoā radiation mā te whakamahi i ngā aho kaha ki te whakangaro i ngā pūtau mate pukupuku
• Rongoā Chemotherapy me ngā rongoā e whai ana i ngā pūtau mate pukupuku
• Rongoā āta whai i ngā rongoā i hangaia mō ngā momo pūngāwerewere motuhake
• Immunotherapy hei āwhina i te pūnaha matekōkiri ki te whawhai ki te pūngāwerewere
• Ngā whakamātautau hauora e whakarato ana i te uru atu ki ngā rongoā hou

He tokomaha ngā tamariki e whiwhi ana i te rongoā whakakotahi, pēnei i te pokanga i muri i te chemotherapy, i te radiation rānei. Ka hanga te rōpū rongoā i tētahi mahere whaiaro e whakahaeretia ana e te āhuatanga motuhake o tō tamaiti.

Ko te rongoā e whakaratohia ana e te rōpū onkologi tamariki, kei roto i te hunga tohunga i te mate pukupuku tamariki, te pokanga roro, te onkologi radiation, me te tiaki tautoko. Ka whakarite tenei huarahi rōpū kia whiwhi to tamaiti i te tiaki whānui, i te tiaki honohono puta noa i te haerenga whakaora.

Me pēhea te whakarato i te tiaki kāinga i te wā e whakaorahia ana te mate pukupuku roro o te tamaiti?

Ko te tiaki i te tamaiti he mate pukupuku roro kei te kāinga, kei roto i te whakahaere i ngā pānga o te rongoā, te pupuri i te kai, me te whakarato i te tautoko hinengaro. Ka hoatu e tō rōpū hauora ngā tohutohu motuhake, engari ka taea e ētahi kaupapa whānui te aratohu i tō huarahi.

Ka waiho te whakahaere i ngā tohu me ngā pānga hei kaupapa o ia rā. Kia mau ki ngā tohu o tō tamaiti, ngā rongoā, me ētahi huringa ka kite koe. Ka āwhina tēnei mōhiohio i te rōpū hauora ki te whakarite i te rongoā kia rite ki te hiahia.

Ka uaua pea te kai ina kore e pai te ahua o tō tamaiti. Tuku kai iti, maha, ā, arotahi ki ngā kai e taea e rātou te whakamanawanui. Kia mau ki te hono atu ki te kaiwhakaako kai tamariki e taea te whakaaro i ngā rautaki mō te pupuri i te kai tika i te wā e whakaorahia ana.

Ko ngā rautaki tiaki kāinga matua kei roto i:

• Te whai i ngā kaupapa rongoā kia rite ki te whakahau
• Te tirotiro mo ngā tohu o te mate pukupuku penei i te kirika, te ngenge ranei
• Te whakarite i te okioki me te moe pai
• Te pupuri i te mahi tinana ngawari kia rite ki te whakamanawanui
• Te whakarato i te tautoko hinengaro me te noho mārama ina taea
• Te pupuri i ngā rekoata taipitopito o ngā tohu me ngā pānga

Kaua e whakaroa ki te whakapiri atu ki tō rōpū hauora me ngā pātai, me ngā awangawanga rānei. Kei reira rātou ki te tautoko i a koe, ā, ka pai ake te whakarongo mai ki a koe mō ngā awangawanga iti i te tatari kia nui haere ngā raruraru.

Whakaarohia te hono atu ki ētahi whānau kua wheako ki ngā mate pukupuku roro o ngā tamariki. Ka taea e ngā rōpū tautoko, ahakoa i te tangata, i te ipurangi rānei, te whakarato i ngā tohutohu mahi me te tautoko hinengaro mai i te hunga e tino mōhio ana ki te mea e haere nei koe.

Me pēhea te whakarite i tō whakatau ki te taakuta?

Ko te whakarite i ngā whakatau hauora ka āwhina i a koe ki te whakamahi pai i tō wā ki te taakuta, ā, ka whakarite hoki kei ngaro ngā mōhiohio nui. Maua mai tētahi rārangi o ngā tohu katoa a tō tamaiti, tae atu ki te wā i tīmata ai rātou me te āhua o te huringa.

Tuhia iho ō pūtaiao i mua, nā te mea he ngāwari te wareware i ngā mea nui ina pouri koe, kāore rānei e tino mōhio. Kaua e manukanuka ki te maha o ngā pūtaiao – e tatari ana tō rōpū hauora, ā, e mihi ana ki a rātou.

Maua mai tētahi rārangi katoa o ngā rongoā e inu ana tō tamaiti, tae atu ki ngā rongoā kore-whakahaunga me ngā taapiri. Maua mai hoki ngā rēkōti hauora o mua, ngā hua whakaahua, kāore rānei ngā ripoata whakamātautau mai i ētahi atu taakuta.

Whakaarohia te kawe mai i tētahi hoa whakawhirinaki, kāore rānei whānau ki ngā whakatau. Ka taea e rātou te āwhina i a koe ki te maumahara i ngā mōhiohio i kōrerotia, ā, ka whakawhiwhia hoki te tautoko ngākau. He maha ngā whānau e kite ana i te whai hua o te tangata hei tuhi i ngā kōrero nui.

Whakaritea tō tamaiti i te tauira e tika ana mō tōna tau ki te haerenga. Whakamāramahia ki ngā kupu ngāwari te mea ka puta, me te take i nui ai te haerenga. Maua mai ngā taonga whakamāhaunga pēnei i te taonga tino pai, kāore rānei te pukapuka hei āwhina i a rātou ki te ahua haumaru.

He aha te mea nui mō te mate pūngao roro o ngā tamariki?

Ko te mea nui rawa atu hei mahara ko ngā mate pūngao roro o ngā tamariki, ahakoa he kino, he maha ngā wā ka taea te whakaora me ngā whakahaere hauora o nāianei. He maha ngā tamariki e ora tonu ana i ngā oranga tino pai, hauora i muri i te whakaora.

Ko te mohiotanga wawe o ngā tohu me te tiaki hauora tere ka taea te whakarereke nui i ngā hua. Whakawhirinaki ki ō tūmanako hei mātua, ā, kaua e whakaroa ki te rapu whakamātautau hauora mō ngā tohu roa, kāore rānei e awangawanga.

Kua tino pai ake te whakaora mō ngā mate pūngao roro o ngā tamariki i ngā tekau tau kua pahure. Kua piki ake ngā reiti ora, ā, kua tino pai ake ngā taakuta ki te whakaiti i ngā pānga taha roa i te wā e pupuri ana i te whai hua o te whakaora.

Kia mahara kei te wehe koe i tēnei haerenga. Kei te tautoko te rōpū hauora, whānau, hoa, me ngā whakahaere tautoko kia āwhina i a koe ki te hikoi i tēnei wā wero. Aro atu ki te tango i ngā mea kotahi te rā, ā, kia whakanuia ngā wikitoria iti i te huarahi.

Pātai maha e ui ana mō te mate pūngāwerewere o te roro o ngā tamariki

He mate pūngāwerewere katoa ngā mate pūngāwerewere o te roro o ngā tamariki?

Kāo, ehara ngā mate pūngāwerewere o te roro o ngā tamariki katoa i te mate pūngāwerewere. He maha ngā mate pūngāwerewere o te roro o ngā tamariki he pai, ā, ko te tikanga, kāore e horapa ki ētahi atu wāhanga o te tinana. Heoi, ahakoa ngā mate pūngāwerewere pai, ka taea e rātou te whakaputa i ngā raruraru nui mena ka pēhi ki ngā hanganga nui o te roro. Ko te wāhi me te rāhi o te mate pūngāwerewere te mea nui ake i te mea he mate pūngāwerewere ranei kāo.

E hia te roa o te maimoatanga?

He rereke te roa o te maimoatanga kia rite ki te momo mate pūngāwerewere me te mahere maimoatanga. Ka mutu te maimoatanga o ētahi tamariki i roto i ngā marama torutoru, ā, ko ētahi atu pea ka hiahia ki te rongoā mō te tau kotahi neke atu rānei. Ka hoatu e tō rōpū hauora tētahi whakatau pai ake e whakaū ana ki te whakatau ā-mate me te kaupapa maimoatanga mō tō tamaiti. Kia mahara, ehara te maimoatanga roa i te tohu kino.

Ka taea e taku tamaiti te hoki ki ngā mahi noa i muri i te maimoatanga?

He maha ngā tamariki ka hoki ki te kura me ngā mahi noa i muri i te maimoatanga o te mate pūngāwerewere o te roro, ahakoa he rereke te wa. He maha ngā tamariki ka hiahia ki ētahi atu ratonga tautoko penei i te whakaora tinana, te whakaora mahi, te whakarite mātauranga rānei. Ka mahi tahi tō rōpū hauora ki a koe ki te hanga i tētahi mahere mō te hoki haere ki ngā mahi noa i te wā e ora ana tō tamaiti.

E hia te maha o ngā tirotiro a muri mai ka hiahiatia e taku tamaiti?

Ko te tiaki whai muri e whakauru ana ki te tirotiro hauora me te tātaritanga whakaahua kia aroturukihia ai tetahi tohu o te hokinga mai o te mate pukupuku. I te tīmatanga, ka taea pea te haere ki te taote i ia marama torutoru, katahi ka horapa haere ki ia tau i te roanga o te wā. He mea nui te whai muri mo te wā roa, na te mea ka kore pea e puta mai etahi pānga o te rongoā kia tae ra ano ki nga tau i muri mai, ā, ko te kite wawe i nga raruraru ka taea te whakauru wawe.

Me kōrero atu rānei ahau ki ngā kaiako o taku tamaiti mō te whakatau?

Ae, he mea whai hua te kōrero atu ki ngā kaiako o tō tamaiti me ngā kaimahi kura mō te whakatau. Ka taea e rātou te whakarato i te tautoko me ngā whakaritenga e tika ana. He maha ngā kura kei a rātou ngā kaupapa i hangaia motuhake hei āwhina i ngā tamariki e pangia ana e ngā āhuatanga hauora kia angitu i roto i te ako. Ka taea e tō rōpū hauora te whakarato i ngā tuhinga mō ētahi whakaritenga mātauranga, me ngā ratonga e hiahiatia ana.