He aha te mate pukupuku tūturu? Ūngā, Take, me te Maimoatanga

Ka puta te mate pukupuku tūturu ina tipu haere ngā pūtau i roto i te tūturu, ka hanga ai ngā mate pukupuku. Ko te tūturu ko ngā inihi whakamutunga e 6 o tō whekau nui, e hono ana i tō kōroke ki tō tara.

Ka timata ngāwari tēnei momo mate pukupuku hei tipu iti e kiia nei he polyps i runga i te pakitara o te tūturu. Ahakoa tokomaha ngā polyps e noho kore morearea ana, ka taea e ētahi te huri haere ki te mate pukupuku i roto i ngā tau maha. Ko te rongo pai, he tino taea te whakaora i te mate pukupuku tūturu ina kitea wawe, ā, ka ora tonu te nuinga o te iwi i muri i te maimoatanga.

He aha ngā tohu o te mate pukupuku tūturu?

Ka kore pea e puta he tohu e kitea ana i te mate pukupuku tūturu i te tīmatanga, koia te take i tino nui ai te tirotiro whānui. Ki te puta mai ngā tohu, ka tipu haere ngāwari, ā, ka taea te whakaaro he āhuatanga noa ētahi wā.

Ko ēnei ngā tohu ka pā atu ki a koe, ā, kia mahara kei te tikanga kē koe he mate pukupuku koe:

• Ngā huringa i ngā tikanga o te whekau e roa atu ana i ngā rā torutoru, pēnei i te ruaki roa, te kōpū kōpū rānei
• Te toto i roto i tō whakaheke, ka puta pea he whero mārama, he pouri, he tarry rānei
• Te toto tūturu e wehe ana i ngā nekehanga o te whekau
• Te mamae roa, te hau, te mamae rānei i roto i tō kopu
• Te āhua o te kore e whakapau katoa tō whekau i muri i te nekehanga
• Te ngaro o te taumaha kaore i te ngana ki te ngaro taumaha
• Te ngenge, te ngoikore rānei kaore e pai ake me te okioki
• Ngā whakaheke angiangi atu i te noa

Ka pā atu ētahi tohu iti ki ētahi atu tāngata, pēnei i te mamae o te upoko, ina koa i ngā nekehanga o te whekau, te āhua rānei o te hiahia tonu ki te whakaheke, ahakoa kua kore te tūturu.

Mēnā ka kite koe i ētahi o ēnei huringa e roa atu ana i te rua wiki, he mea tika kia kōrero koe ki tō tākuta. He maha o ēnei tohu ka puta mai i ngā āhuatanga kaore i tino kino, engari mā te tirotiro i a rātou ka whai rangimarie koe, ā, ka whakaritea te rongoā wawe ki te hiahiatia.

He aha ngā take o te mate pukupuku tūturu?

Ka puta te mate pukupuku tūturu ina whanakehia e ngā pūtau noa i roto i te tūturu ngā huringa ira e āhei ai te tipu haere kore e taea te whakahaere. Ahakoa kāore e tino mōhiotia e tātou te take o tēnei i ētahi tāngata, kāore hoki i ētahi atu, kua kitea e ngā kairangahau etahi take ka taea te whakapiki ake i tō tūponotanga.

Ko te whanaketanga te nuinga o te whai i tēnei tauira: ka whiwhi ngā pūtau tūturu hauora i te kino ki ō rātou DNA i te wā, ka puta mai i ngā puna maha penei i te koroheketanga, ngā āhuatanga noho, me ngā huringa ira kua oti te whakawhiwhi. Ka nui haere te kino, ka tīmata ngā pūtau ki te tipu me te wehewehe kore noa iho, ka puta mai ai ngā mate pukupuku.

Ko te nuinga o ngā keehi ka puta mai i te whakakotahitanga o ngā take, kāore i te kotahi noa te take. He tino nui te pakeke, no te mea ko te 90% o ngā keehi ka puta i ngā tāngata neke atu i te 50 tau. He mea nui hoki tō hītori whānau, ina koa ki te mea he whānau tata kua pangia e te mate pukupuku colorectal, tetahi ranei o ngā āhuatanga ira.

Ka taea hoki e ngā take taiao me ngā āhuatanga noho te whakauru ki te kino o te DNA i roto i ngā pūtau tūturu. Kei roto i ēnei ngā mea penei i te kai, ngā taumata mahi tinana, te whakakī, me te inu waipiro, ka tūhura atu mātou ki te wāhanga take tūponotanga.

He aha ngā take tūponotanga mō te mate pukupuku tūturu?

Mā te mārama ki ō take tūponotanga ka taea e koe te whakatau whakamārama mō te whakamātautau me ngā whiringa noho. Ko ētahi take kaore e taea e koe te whakarereke, ko ētahi atu kei roto i tō mana ki te whakarereke.

Ko ēnei ngā take ka taea te whakapiki ake i tō tūponotanga, mā te tīmata ki ngā mea nui rawa:

• Taumaha neke atu i te 50 tau, me te tupono e piki haere ana i te pakeke ake
• Hītori whaiaro o te mate pukupuku colorectal, te momo polyp ranei
• Hītori whānau o te mate pukupuku colorectal, ina koa i roto i ngā mātua, i ngā teina rānei
• Ngā mate pūngao whatukuhu penei i te mate pūngao Lynch, te familial adenomatous polyposis rānei
• Ngā mate pūngao o te kopu penei i te mate Crohn, te mate ulcerative colitis rānei
• Kai nui te mīti whero me ngā mīti kua tukatuka
• Kai iti te muka, he iti ngā hua me ngā huawhenua
• Te noho noho, he iti te mahi tinana
• Te kai hikareti
• Te inu waipiro nui i ngā tau maha
• Te momona, ina koa te taumaha nui i te taha waenganui
• Te mate huka momo 2

Ko ētahi atu take morearea e kore e tino kitea ko te whiwhi i te rongoā radiation ki te kopu, ki te riu rānei mō ētahi atu mate pukupuku, me ētahi mahi whakahiato matū. E whakaatu ana ētahi rangahau he nui ake pea te morearea o te hunga e mahi ana i ngā mahi po i ngā tau maha, ahakoa kei te rapu tonu tēnei hononga.

Ki te whai koe i tetahi morearea, ehara tena i te tikanga ka puta he mate pukupuku tūturu. He tokomaha ngā tangata e whai ana i ngā take morearea, kāore e whiwhi i te mate, ā, ko ētahi atu kāore he take morearea e mohiotia ana e whiwhi ana. Ko te mea nui ko te mōhio ki tō ake tūāhua morearea kia taea ai e koe te mahi tahi me tō tākuta mō ngā rautaki whakamātautau me te aukati e tika ana.

Nōhea te haere ki te tākuta mō ngā tohu o te mate pukupuku tūturu?

Me whakapiri atu koe ki tō tākuta ki te pāngia koe e ētahi huringa pumau i ō tikanga wheako, i te kite rānei i te toto i roto i ō kakau. Ahakoa he maha ngā take ngāwari o ēnei tohu, he pai tonu te arotake wawe.

Rapua te awhina hauora i roto i ngā rā torutoru mena kei a koe te toto tūturu, ina koa ki te haere tahi me ētahi atu tohu penei i te mamae o te kopu, i ngā huringa rānei i te āhua o te kakau. Ānō hoki ngā iti o te toto kāore e tika kia warewarehia, i te mea ka taea e te mate pukupuku tūturu i te tīmatanga te whakaoho i te iti o te toto he ngāwari ki te whakakore.

Whakakāohia he whakatau i te wa poto mena kei te wheako koe i te mamae o te kopu e kore e mutu, te ngaro o te taumaha kaore i te marama, te ngenge ranei e kore e pai ake ahakoa te okioki. Ko ēnei tohu e tika ana kia arotaketia ahakoa he ngawari te ahua, i te mea ka pai ake te hua o te rongoā i te wa e kitea wawe ai.

Mena kei runga ake i te 45 ō tau, kāore rānei he tohu, engari kei a koe ngā take morearea pēnei i te hītori whānau, kōrerohia ngā kōwhiringa whakamātautau me tō tākuta. Ka taea e te whakamātautau auau te hopu i ngā raruraru i mua i te puta mai o ngā tohu e kitea ana, ina tino whai hua te rongoā.

He aha ngā raruraru pea o te mate pukupuku tūturu?

Ka taea e te mate pukupuku tūturu te arahi ki ētahi atu raruraru, mai i te mate pukupuku anō, ā, i ētahi wā mai i te rongoā. Ko te mārama ki ēnei wāhi pea ka āwhina i a koe ki te mohio ki te mea me titiro atu, me te wā hoki hei rapu atu i te tiaki hauora.

Ko ngā raruraru e tino puta mai ana e hono ana ki te wāhi me te rahi o te mate pukupuku:

• Te aukatinga o te whekau, kei reira te mate pukupuku e aukati ana i te nekehanga o te paru
• Te toto nui ka taea te arahi ki te ngoikore o te toto me te ngoikore
• Te pakaru o te pakitara tūturu, ka taea te arahi ki te mate kino
• Te horapa ki ngā whekau tata pēnei i te pūkahukahu, te prostate, te whekau whakauru rānei
• Te horapa ki ngā whekau tawhiti, ko te ate me ngā pūkahukahu te tino noa

Ka taea hoki e te mate pukupuku tūturu whānui te arahi ki ngā raruraru e pā ana ki tōna horapa puta noa i te tinana. Ka uru pea ēnei ki ngā raruraru ate mena ka horapa te mate pukupuku ki reira, ngā raruraru manawa mena ka tae ki ngā pūkahukahu, te mamae iwi rānei mena ka pā ki te anga wheua. Ka taea e ētahi te whanake i ngā toto kōtiti nā te pānga o te mate pukupuku ki ngā pūnaha toto kōtiti.

Ko ngā raruraru e pā ana ki te rongoā ka uru atu ki ngā morearea pokanga pēnei i te mate, te toto rānei, ngā pānga o te chemotherapy pēnei i te ruaki, te neuropathy rānei, me ngā pānga o te rongoā radiation pēnei i te mamae o te kiri, te huringa o te whekau rānei. Heoi, ka mahi ngātahi tō rōpū hauora ki a koe hei ārai me te whakahaere i ēnei take.

Ko te rongo pai ko te nuinga o ngā raruraru ka taea te aukati, te whakahaere pai rānei mā te tiaki hauora tika. Ka whakaitihia te tūponotanga o te whanaketanga o ngā raruraru nui mā te kimi wawe me te whakaora.

Me pēhea te whakamātautau i te mate pukupuku tūturu?

Ko te whakamātautau i te mate pukupuku tūturu e whakauru ana i ngā mahi maha, te tīmatanga ki te kōrero mō ō tohu me tō hītori hauora. Ka hiahia tō tākuta ki te mohio ki ō tohu motuhake, tō hītori whānau, me ētahi tūponotanga pea kei a koe.

Ko te whakamātautau tinana e whakauru ana i te whakamātautau tūturu matihiko, kei reira te tākuta e whakauru māori ai i te matihiko kī te tūturu ki te kite i ngā pūngāwerewere rerekē, i ngā wāhi rānei e manukanuka ana. Ahakoa pea kaore e pai te ahua, he poto te wā, ā, he korero nui e homai ana mō te wahi raro o tō tūturu.

Mēnā ko ngā kitenga tuatahi e kī ana kia nui ake te rangahau, ka tūtohu pea tō tākuta i ētahi atu whakamātautau:

• Colonoscopy, e tuku ana i te tirohanga tika o te kōroa katoa me te tūturu
• Sigmoidoscopy ngawari, e arotahi ana ki te wahi raro o te kōroa me te tūturu
• CT scan o te kopu me te upoko ki te tirotiro i te hora o te mate pukupuku
• MRI o te upoko mō ngā whakaahua taipitopito o te wāhi tūturu
• Ngā whakamātautau toto tae atu ki ngā taumata CEA (carcinoembryonic antigen)
• Biopsy ki te whakau i te whakamātautau me te whakatau i te momo mate pukupuku

Mēnā ka whakau te mate pukupuku, ko ētahi atu whakamātautau whakatau wāhi pea ka whakauru i ngā PET scan, ngā X-ray uma, i ngā raupapa MRI motuhake ki te whakatau tika i te tawhiti o te hora o te mate pukupuku. He mea nui tēnei mō te whakarite i te huarahi whakaora tino pai.

Ko te tukanga whakamātautau katoa e torutoru wiki pea te roa. Ahakoa pea ka manukanuka koe i te tatari mō ngā hua, kia mahara ko te whakamātautau tino pai e whakarite ana ka whiwhi koe i te whakamātautau tika me te mahere whakaora tika.

He aha te rongoā mō te mate pukupuku tūturu?

Ko te rongoā mo te mate pukupuku tūturu e whakahaeretia ana e ngā take maha, tae atu ki te wahanga o te mate pukupuku, te wāhi, me tō hauora whānui. Ko te whāinga tonu ko te tango i te mate pukupuku katoa, me te tiaki i te mahi noa o te tinana.

Mō te mate pukupuku tūturu o te tīmatanga, ka āhei pea te pokanga anake hei rongoā. Ka taea pea te tango i ngā pūngāwerewere iti kaore i horapa ki te pakitara o te tūturu mā ngā tikanga iti-whakawhāiti e tiaki ana i te tūturu me te mahi noa o te kopu.

Ko ngā take whānui ake ka hiahia pea ki te whakamahinga o te huinga:

• Te rongoā i mua i te pokanga (te chemotherapy me te radiation i mua i te pokanga) hei whakaiti i te pūngāwerewere
• Te tango pokanga i te pūngāwerewere me ngā kiko o te taha
• Te chemotherapy i muri i te pokanga hei whakangaro i ngā pūtau mate pukupuku e toe ana
• Ngā rongoā ā-whāinga mō ngā rerekētanga ira tōtika
• Te immunotherapy mō ētahi momo mate pukupuku tūturu

Ko ngā whiringa pokanga mai i te tango wāhi mō ngā mate pukupuku tino tīmatanga ki ngā tikanga whānui ake penei i te whakakorenga o mua o raro, te whakakorenga o te kopu-perineal mō ngā pūngāwerewere nui ake. Ka kōrero tō taote pokanga ki a koe mō te huarahi pai mō tō āhuatanga motuhake, tae atu ki te hiahiatia pea he kolotomi wā poto, he roa rānei.

Ka whakamahia te rongoā radiation i roto i te rongoā mate pukupuku tūturu, i mua i te pokanga hei whakaiti i ngā pūngāwerewere, i muri rānei i te pokanga hei whakaiti i te tūponotanga o te hokinga mai. He tino tika ake ngā tikanga radiation hou i te wā o mua, ka whakaitihia ngā pānga taha me te pupuri tonu i te whai hua.

Ka mahi tahi tō rōpū rongoā ki a koe hei hanga i te mahere whaiaro e taurite ana i te whakaora i te mate pukupuku me ngā whakaaro mo te kounga o te ora. He tokomaha ngā tāngata e mate pukupuku tūturu ana e ora tonu ana i te oranga noa, mahi tonu i muri i te rongoā.

Me pēhea te whakahaere i ngā tohu i te kāinga i te wā e rongoātia ana te mate pukupuku tūturu?

Ko te whakahaere i ngā tohu me ngā pānga kino kei te kāinga he wāhanga nui tēnei i roto i tō wheako whakaora whānui. Ko te mahi tata atu ki tō rōpū hauora i a koe e tiaki ana i a koe ano kei te kāinga ka āhei te awhina i a koe kia pai ake te noho humarie, ā, kia mau tonu tō kaha i te wā o te whakaora.

Mō ngā tohu o te pūnaha kai, ko te kai i ngā kai iti ake, maha atu, te nuinga o te wā ka āwhina i te whakaiti i te ruaki, ā, ka ngāwari ake te tango o ngā matūkai e tō tinana. Aro atu ki ngā kai ngawari, ngāwari te tākai ina kore koe e pai te pēnā, ā, kia mau te wai mā te inu wai, mā te inu rānei i ngā wai māori i te rā katoa.

Ko ētahi nei ngā rautaki mahi e whai hua ana te tokomaha:

• Tūhonohia tētahi pukapuka tohu hei aroturuki i ngā mea e whai hua ana, me ngā mea kaore.
• Whakamahia he kaukau noho mō te whakamarie ki te pēhea he mamae tō tūāhu.
• Whakamahia ngā whakawai pai, kore kakara ki te kiri e pā ana ki te rongoā.
• Okioki ina hiahia koe, engari ngana ki te noho mahi tonu.
• Whakamahia ngā tikanga whakahaumaru penei i te manawa hohonu, te whakaaroaro rānei.
• Pātai atu ki te whānau me ngā hoa mō te āwhina ki ngā mahi o ia rā ina hiahiatia.

He mea noa te ngenge i te wā o te whakaora, na whakarongo ki tō tinana, ā, okioki ina hiahiatia. Ko te whakakori māori penei i ngā hikoi poto ka āhei te whakapakari i ō taumata kaha, ā, ka pai ake tō ngākau, engari tirohia tonu tō tākuta i mua i te tīmatanga o tētahi kaupapa whakakori.

Kaua e whakaroa ki te whakapiri atu ki tō rōpū hauora ki te kaha ake ngā tohu, ki te whānau rānei ngā āwangawanga hou. Ka taea e rātou te tuku i ētahi atu rautaki, te whakarerekē rānei i tō mahere whakaora kia pai ake ai tō noho humarie.

Me pēhea te aukati i te mate pukupuku tūāhu?

Ahakoa kaore e taea te aukati i ngā take katoa o te mate pukupuku tūāhu, ka taea e koe te whakaiti nui i tō tūponotanga mā ngā whiringa oranga, me te tirotiro auau. Ko te rautaki aukati tino whai hua ko te whakakotahitanga o te noho hauora me te tirotiro hauora tika e tūturu ana ki tō tau me ngā take tūponotanga.

Ko te tirotiro auau te taputapu kaha rawa mō te whakamātau. Ka taea e te colonoscopy te kimi me te tango i ngā polyps i mua i te mate pukupuku, ā, ka aukati i te mate mai i te whanake. Ko te nuinga o te iwi me tīmata te tirotiro i te tau 45, i mua atu rānei mēnā kei a rātou ngā take morearea.

Ko ngā huringa oranga e āhei ana te whakaiti i tō morearea ko:

• Te kai i te kai e whai hua ana i ngā hua, ngā huawhenua, me ngā witi katoa
• Te whakaiti i te mīti whero me te karo i ngā mīti tukatuka
• Te pupuri i te taumaha hauora mā te kai tōtika me te whakakori tinana auau
• Te whakakori tinana auau, me te whāinga kia 150 meneti te whakahaere ngāwari i ia wiki
• Te karo katoa i ngā hua taakaha
• Te whakaiti i te inu waipiro ki te kore atu i tetahi inu ia rā mō ngā wāhine, rua mō ngā tāne
• Te whakahaere pai i te mate huka mēnā kei a koe

E whakaatu ana etahi rangahau kei ētahi tāpiringa penei i te kārati me te hua D pea he pānga tiaki, engari he pai ke te whiwhi i ēnei matūkai mai i ngā puna kai ina taea. Kōrero atu ki tō tākua i mua i te tīmatanga o ētahi tāpiringa.

Mēnā kei a koe te mate pūkahukahu mumura, mahi tata atu ki tō gastroenterologist kia whakahaere pai ai tō āhuatanga. Ka taea e te IBD pai te whakaiti i tō morearea mate pukupuku ki te whakataurite ki te mate kaore i te pai te whakahaere.

Me pēhea te whakarite mō tō hui ki te taakuta?

Ko te whakarite mō tō hui ka āhei te whakarite kia whiwhi koe i te hua rawa atu i tō wā ki te taakuta, ā, ka whakautuhia ngā āwangawanga katoa. Ko te tango i etahi meneti hei whakarite i ō whakaaro i mua ka taea te whakaputa hua me te iti ake te ahotea o te haerenga.

Tuhia katoa ō tohu, tae atu ki te wā i tīmata ai, te auau o te puta, me te aha e pai ake ai, e kino ake rānei. Kia tino mōhio ki ngā huringa i ō tikanga whekau, te toto e kitea ana e koe, me te pēhea te pānga o ō tohu ki tō oranga o ia rā.

Kawe mai ngā korero nui ki a koe:

• Rārangi o ngā rongoā, ngā taapiri, me ngā hua wītamini katoa e inu ana koe
• Hītori whānau o te mate pukupuku,inā te mate pukupuku rōreka
• Tō hītori hauora whaiaro, tae atu ki ētahi polypi o mua, ki ētahi rātou rānei o te pūkahukahu
• Kāri inihua me te whakamārama
• Tetahi hoa whakawhirinaki, te whānau rānei hei tautoko mena ka hiahiatia

Whakamahia ngā pātai hei ui ki tō tākua, pēnei i ngā whakamātautau pea e hiahiatia ana e koe, ko te aha pea te tikanga o ngā hua, me ngā whiringa maimoatanga kei te wātea. Kaua e manukanuka ki te maha rawa o ngā pātai – e hiahia ana tō tākua ki te āwhina i a koe ki te mārama ki tō āhuatanga katoa.

Mena kei te manukanuka koe mō te whakaritenga, he mea noa tērā. Whakaarohia te kawe mai i te pukapuka hei tuhituhi i ngā mōhiohio nui, i te mea ka uaua pea te maumahara ki ngā mea katoa i kōrerohia ina kei te manukanuka koe.

He aha te mea nui mō te mate pukupuku rōreka?

Ko te mea nui rawa atu hei mahara mō te mate pukupuku rōreka ko te kite wawe e whakaora ana i ngā ora. Ina kitea wawe, he tino maimoatanga te mate pukupuku rōreka, me te maha o te iwi e ora tonu ana, e ora hauora ana i muri i te maimoatanga.

Kaua e whakakahore i ngā huringa mau tonu i ō tikanga pūkahukahu, i ētahi atu tohu rānei e awangawanga ana. Ahakoa he take ngāwari te nuinga o ēnei tohu, ko te aromatawai wawe i a rātou ka whakarite mena kei te mate pukupuku, ka taea te maimoatanga i te wa e tino whai hua ana te maimoatanga.

Ko te tirotiro auau tō parekura pai rawa atu ki te mate pukupuku rōreka. Mena kei te 45 tau koe, neke atu rānei, ki te whai koe i ngā take morearea pēnei i te hītori whānau, korero ki tō tākua mō ngā whiringa tirotiro. Ka taea e te tirotiro te aukati i te mate pukupuku mā te kimi me te tango i ngā polypi i mua i te mate i mua i te riri.

Kia mahara kei te tikanga o te whai i ngā take morearea kaore koe e whanake i te mate pukupuku rōreka, a he maha ngā āhuatanga o tō morearea kei roto i tō mana mā ngā whiringa noho ora hauora. Aro atu ki te mea ka taea e koe te whakahaere i a koe e pupuri ana i ngā tirotiro e taunakitia ana.

Ngā pātai e ui pinepinetia ana mō te mate pukupuku rōreka

He rite te mate pukupuku tūturu ki te mate pukupuku rōpū?

He hononga tata te mate pukupuku tūturu me te mate pukupuku rōpū, engari ehara i te mea kotahi. He momo mate pukupuku rōpū e rua, engari ko te mate pukupuku tūturu te tupu i roto i ngā inihi whakamutunga e 6 o te pūkahukahu nui. Ahakoa he maha ngā rite i roto i ngā take me ngā take morearea, he maha ngā huarahi rongoā rerekē e hiahiatia ana mō te mate pukupuku tūturu nā tōna wāhi tata ki te tara me te riu.

E hohoro ana te hora o te mate pukupuku tūturu?

Ko te mate pukupuku tūturu te tipu haere mā te maha o ngā tau, te tīmatanga hei ngā polyps iti e huri haere ana ki te mate pukupuku. Heoi, ka rereke te tere o te tipu i waenga i ngā tangata me ngā momo mate pukupuku. Ka taea e ētahi momo kaha te horapa atu, koia te take i nui ai te aromatawai tere o ngā tohu me te tirotiro auau.

Ka taea e ngā tāngata taitamariki te whiwhi mate pukupuku tūturu?

Ahakoa he tino noa te mate pukupuku tūturu ki ngā tāngata neke atu i te 50, ka taea te puta ki ngā tāngata pakeke. Kua piki haere ngā take i roto i ngā tāngata i raro i te 50 i ngā tau tata nei, ahakoa kāo te whakamārama tino. Ki te mea he taitamariki koe me ngā tohu e awangawanga ana, kaua e whakaaro he tino taitamariki koe mō te mate pukupuku - kōrerohia ō tohu ki tō tākuta.

He aha te reiti ora mō te mate pukupuku tūturu?

Ko ngā reiti ora mō te mate pukupuku tūturu e whakawhirinaki ana ki te wā e kitea ai. I te wā e mau ana i te tīmatanga, ā, kei te tūturu tonu, ko te reiti ora 5-tau neke atu i te 90%. Ahakoa kua horapa te mate pukupuku ki ngā pūtake lymph tata, he maha tonu ngā tāngata e whai hua pai ana me te rongoā tika. Ko tō whakautu takitahi e whakawhirinaki ana ki ngā mea maha ka taea e tō tākuta te kōrero ki a koe.

Me whakamahi au i te putea kolotomi ki te pāngia au e te mate pukupuku tūturu?

Ehara i te mea ko te katoa o te hunga e pangia ana e te mate pukupuku tūturu e hiahia ana ki te whakawhānuitanga kopū roa. He tokomaha ka taea te pokanga hei tiaki i te mahi noa o te kopū. I etahi wā, he mea tika te whakawhānuitanga kopū wā poto hei tuku i te ora i muri i te pokanga, engari ka taea pea te huri i muri mai. Ka korerorero tō tākuta pokanga mō te hiahiatanga o te whakawhānuitanga kopū i runga i te wāhi motuhake o tō mate pukupuku me te mahere maimoatanga.