He aha te mate pāngarau rheumatoid? Ngā tohu, ngā take, me te rongoā

Ko te mate pāngarau rheumatoid he āhuatanga whakakino whaiaro e whakaeke ana tō pūnaha mate ki ō hononga ake, ā, ka puta ai te mamae, te pupuhi, me te pakaru. Kāore i rite ki te mate hononga e pā ana ki te kakahu me te pakaru e pā ana ki ngā hononga takitahi, ko te mate pāngarau rheumatoid te tikanga ka pā ki ngā hononga rite i ngā taha e rua o tō tinana, ā, ka pā pea ki tō pūnaha katoa.

Ko te āhuatanga nei e pā ana ki te 1.3 miriona o ngā Amerikana, ā, ahakoa ka tino āwangawanga pea i te tīmatanga, ko te mōhiotanga ki te mea kei te puta i roto i tō tinana ka āhei te awhina i a koe ki te mahi tahi me tō rōpū hauora hei whakahaere pai i ngā tohu. Me ngā whiringa rongoā o nāianei, he tokomaha ngā tāngata e ora ana i te ora katoa, te ora mahi me te mate pāngarau rheumatoid.

He aha te mate pāngarau rheumatoid?

Ka puta te mate pāngarau rheumatoid ina pohehe tō pūnaha mate, ka tīmata te whakaeke i te papanga o ō hononga, e kiia nei ko te synovium. Whakaarohia te synovium hei taupoki tiaki e pupuri ana i ō hononga kia ngāwari te neke.

Ina whakaeke tō pūnaha mate i tēnei papanga, ka pupuhi, ka mātotoru. Ko te pupuhi nei ka tukuna ngā matū e whakangaro ana i te cartilage, te wheua, ngā uaua, me ngā hononga i te taha o ō hononga. I te roa o te wā, ka āhei te arahi ki te kōroke o te hononga me te ngaro o te mahi ki te kore e rongoā.

E kiia ana te āhuatanga he pūnaha, arā, ka pā pea ki ētahi atu wāhanga o tō tinana i tua atu i ō hononga. Ko tō ngākau, ngā pūkahukahu, ngā kanohi, me ngā oko toto ka uru pea i etahi wā, ahakoa ko ngā tohu hononga te nuinga o ngā mea e kitea ana.

He aha ngā tohu o te mate pāngarau rheumatoid?

Ko te tohu tino whakamārama o te mate pāngarau rheumatoid ko te mamae o te hononga me te pakaru e pā ana ki ngā hononga rite i ngā taha e rua o tō tinana. Ka kite pea koe i ō maihao, i ō ringa, i ō waewae e mamae ana i ngā taha maui me te matau.

Ko ēnei ngā tohu noa ka pā pea ki a koe:

• Te pakaru o te ata e roa atu ana i te 30 meneti
• Te mamae o te hononga me te ngawari, inā te nuinga i ngā ringa, ngā ringaringa, me ngā waewae
• Te pupuhi i te taha o ngā hononga e pā ana
• Te ngenge e tino kaha atu ana i te ngenge noa
• Te kirika iti
• Te ngaro o te hiahia kai
• Te ngoikore o ngā hononga e pā ana

Ko ngā tohu kaore i te noa engari he mea nui ka uru atu ki ngā kanohi me ngā waha maroke, te mamae o te uma, te ngenge me te wiri i ō ringa me ō waewae. Ka whānau hoki ētahi i ngā pūngāwerewere iti, kaha i raro i te kiri e kiia nei ko ngā nodules rheumatoid, te nuinga i te taha o ngā rekereke.

Ko ngā tohu te nuinga ka haere mai, ka haere i roto i te mea e kiia ana e ngā tākuta ko te "flares" me te "remissions." I te wā o te pupuhi, ka kaha ake ō tohu, i te wā o te whakahokinga mai ka puta mai te whakaora me te whakaiti i te pupuhi.

He aha ngā take o te mate pāngarau rheumatoid?

Kāore i tino mōhiotia te take tika o te mate pāngarau rheumatoid, engari e whakapono ana ngā kairangahau ka puta mai i te whakakotahitanga o te āheinga ira me ngā whakaohooho taiao. Kāore ō ira e whakamana ana ka whānau koe i te āhuatanga, engari ka āhei te whakapakari i a koe ki te whakautu ki ētahi whakaohooho.

He maha ngā take ka āhei te whakauru ki te whānautanga o te mate pāngarau rheumatoid:

• Ngā take ira, inā ngā rerekētanga ira motuhake penei i te HLA-DR4
• Ngā mate ka whakaohooho pea i te whakautu whaiaro
• Ngā huringa homoni, inā te nuinga i ngā wāhine
• Te wāhine, e tino whakapiki ana i te tūponotanga
• Te ahotea, te pakaru rānei ki te tinana
• Ngā pokanoa taiao, ngā paru rānei

E toru te wā te tūponotanga o ngā wāhine ki te whānau i te mate pāngarau rheumatoid i ngā tāne, e whakaatu ana he mahi ngā homoni. Ko te āhuatanga te nuinga ka tīmata i waenga i ngā tau 30 me te 60, ahakoa ka tīmata i tetahi tau.

He mea nui kia mōhio kei te kore te mate pāngarau rheumatoid e pā atu, ā, kāore i puta mai i tetahi mea i he koe. Ko te mahi tahi i waenga i te ira me te taiao he mea uaua, ā, he tokomaha ngā tāngata e whai ana i ngā take tūponotanga kaore e whānau i te āhuatanga.

Nōhea te haere ki te taote mō te mate pāngarau rheumatoid?

Me haere koe ki te taote ki te pāngia koe e te mamae o te hononga, te pakaru, me te pupuhi e roa atu ana i ngā wiki torutoru, inā te nuinga ki te pā ana ki ngā hononga maha i te rite. Ko te whakamōhiotanga wawe me te rongoā ka tino whakapai ake i tō tirohanga roa.

Rapua te tiaki hauora i te wa poto ki te kite koe i te pakaru o te ata e roa atu ana i te 30 meneti, te mamae o te hononga e whakaroa ana i ngā mahi o ia rā, te ngenge rānei e kore e pai ake me te okioki. Ko ēnei tohu, inā te nuinga ki te pā ana ki ngā taha e rua o tō tinana i te rite, he mea tika kia arotakehia e te tohunga.

Kaua e tatari ki te pāngia koe e te mamae o te hononga nui, te tīmatanga ohorere o ngā tohu, ngā tohu rānei o te mate penei i te kirika me te whero i te taha o ngā hononga. Ko te rongoā wawe i roto i ngā marama tuatahi o te tīmatanga o te tohu ka āhei te awhina i te aukati i te pakaru o te hononga me te tiaki i te mahi.

He aha ngā take tūponotanga mō te mate pāngarau rheumatoid?

Ko te mōhiotanga ki ō take tūponotanga ka āhei te awhina i a koe ki te mohio wawe ki ngā tohu me te tango i ngā kaupae aukati i te wā e taea ai. Ko ētahi take tūponotanga kaore e taea e koe te whakarereke, ko ētahi atu ka taea e koe te whakauru mā ngā whiringa noho.

Ko ngā take tūponotanga kaore e taea te whakarereke e whakauru ana:

• Ko te wahine (e toru te wā te tūponotanga nui atu i ngā tane)
• Te tau, me te tīmatanga o te pito i waenga i ngā tau 30-60
• Te hītori whānau o te mate pāngarau rheumatoid, ngā āhuatanga whaiaro rānei
• Ngā tohu ira motuhake, inā ngā rerekētanga ira HLA
• Te iwi, me ngā reiti teitei i ētahi taupori

Ko ngā take tūponotanga ka taea te whakahaere e taea ana e koe te whakautu e whakauru ana:

• Te wāhine, e rua te whakapakari i tō tūponotanga me te whakaiti i ngā tohu
• Te momona, inā te nuinga i ngā wāhine
• Te whakaū ki ētahi pokanoa taiao
• Ngā mate, inā te mate niho
• Ngā taumata ahotea teitei i ngā wā roa

Ko te whai i ngā take tūponotanga kaore e tikanga ka whānau koe i te mate pāngarau rheumatoid. He tokomaha ngā tāngata e whai ana i ngā take tūponotanga maha kaore e whānau i te āhuatanga, ko ētahi atu e whai ana i ngā take tūponotanga iti ka whānau.

He aha ngā raruraru pea o te mate pāngarau rheumatoid?

Ahakoa ko te mate pāngarau rheumatoid te nuinga e pā ana ki ō hononga, ka pā pea ki ētahi atu wāhanga o tō tinana. Ko te mōhiotanga ki ngā raruraru pea ka āhei te awhina i a koe ki te mahi tahi me tō rōpū hauora hei tirotiro me te aukati i a rātou.

Ko ngā raruraru e pā ana ki te hononga ka whānau pea i te roa o te wā:

• Te kōroke o te hononga me te ngaro o te mahi
• Te ngaro o te wheua i te taha o ngā hononga e pā ana
• Te pakaru o te uaua mai i te pupuhi roa
• Te mate huinga carpal mai i te pupuhi o te ringa
• Te kore tūturu o te tuawhenua o te kaki i ngā take kino

Ko ngā raruraru pūnaha ka pā pea ki ētahi atu whekau:

• Te mate ngākau me te whakapiki i te tūponotanga o te ngakau
• Te pupuhi o te pūkahukahu, te toka rānei
• Te maroke o te kanohi me te pupuhi
• Te whakapiki i te tūponotanga o te mate na te rongoā
• Te mate iwi mai i te pupuhi roa
• Te mate toto me te ngenge

Ko ngā raruraru kaore i te noa engari he kino e whakauru ana ki te pupuhi o te oko toto, te pehi o te io, me ngā raruraru whatukuhu. Heoi, me ngā rongoā hou me te tirotiro auau, ka taea te aukati, te whakahaere rānei i te nuinga o ēnei raruraru.

Ko te rongo pai ko te rongoā wawe, kaha te whakaiti i te tūponotanga o ngā raruraru. Ka tirotiro tonu tō rōpū hauora i a koe hei hopu i ngā take i te wa wawe me te whakarereke i te rongoā kia rite ki te hiahia.

Me pēhea te whakamōhio i te mate pāngarau rheumatoid?

Ko te whakamōhiotanga i te mate pāngarau rheumatoid e whakauru ana ki te whakakotahitanga o ō tohu, te tirotiro tinana, ngā whakamātau toto, me ngā rangahau whakaahua. Kāore he whakamātau kotahi e tino whakamōhio ana i te āhuatanga, na reira ka whakakotahi tō taote i ngā tohu maha.

Ka tīmata tō taote mā te uiui mō ō tohu, te hītori whānau, me te āhua o te āhuatanga ki ō mahi o ia rā. Ka tirotirohia e rātou ō hononga mō te pupuhi, te mahana, te ngawari, me te whānuitanga o te nekehanga, me te arotahi motuhake ki te uru atu i te rite.

Ko ngā whakamātau toto ka tono pea tō taote e whakauru ana:

• Te take rheumatoid (RF) - pai i te 70% o ngā tāngata e whai ana i te RA
• Ngā antibodies anti-CCP - tino motuhake mō te mate pāngarau rheumatoid
• ESR me CRP - ngā tohu o te pupuhi i roto i tō tinana
• Te tatau toto katoa hei tirotiro mō te mate toto

Ko ngā rangahau whakaahua ka āhei te whakaatu i te pakaru o te hononga me te pupuhi. Ka taea e ngā X-rays te whakaatu i ngā huringa wheua, ahakoa kaore pea ngā mate wawe e puta i runga i ngā X-rays. Ka taea e te Ultrasound me te MRI te kite i te pupuhi me ngā huringa hononga wawe ka ngaro pea i ngā X-rays.

Ka taea hoki e tō taote te whakamātau i te wai hononga ki te nui te pupuhi. Ka āhei tēnei te whakakore i ētahi atu āhuatanga penei i te gout, te mate rānei e rite ana ki ngā tohu o te mate pāngarau rheumatoid.

He aha te rongoā mō te mate pāngarau rheumatoid?

Ko te rongoā mō te mate pāngarau rheumatoid e aro ana ki te whakahaere i te pupuhi, te whakaora i ngā tohu, me te aukati i te pakaru o te hononga. Ko te whāinga ko te whakatutuki i te whakahokinga mai, te iti rānei o te mahi mate kia taea ai e koe te pupuri i tō kounga o te ora.

Ko tō mahere rongoā ka whakauru pea ki ngā rongoā hei pūtake o te rongoā:

• Ngā rongoā antirheumatic whakarerekē-mate (DMARDs) penei i te methotrexate hei whakaiti i te whānautanga o te mate
• Ngā rongoā Biologic e whakapae ana ki ngā wāhanga motuhake o te pūnaha mate
• Ngā rongoā anti-pupuhi mō te whakaora i ngā tohu
• Ngā corticosteroids mō te whakahaere pupuhi poto i ngā wā pupuhi

Ko ngā rongoā kore-rongoā he mahi tautoko nui i roto i tō tiaki. Ko te rongoā tinana e āhei te awhina i te pupuri i te nekehanga o te hononga me te kaha o te uaua. Ko te rongoā mahi e whakaako ana i a koe ki te tiaki i ō hononga i ngā mahi o ia rā, ā, ka tūtohu pea i ngā taputapu awhina.

Ko te whakakori auau, inā ngā mahi iti-pānga penei i te kauhoe, te hikoi rānei, e āhei te awhina i te pupuri i te mahi o te hononga me te hauora katoa. Ko te rongoā wera me te makariri ka āhei te whakarato i te whakaora tohu i ngā wā pupuhi.

I ngā take kino i te nui te pakaru o ngā hononga, ka whakaaro pea ki ngā whiringa pokanga penei i te whakakapi hononga. Heoi, me te rongoā hauora wawe me te whai hua, he tokomaha ngā tāngata kaore e hiahia ki te pokanga.

Me pēhea te tiaki i a koe i te kāinga i te wā o te mate pāngarau rheumatoid?

Ko te whakahaere i te mate pāngarau rheumatoid i te kāinga e whakauru ana ki te whakataurite i te mahi me te okioki me te whakarereke i te noho e tautoko ana i tō hauora katoa. Ko ngā huringa iti, pumau ka taea te whakarereke nui i tō āhua i ia rā.

I ngā wā pupuhi, ko te rongoā wera ngawari penei i ngā kaukau mahana, ngā taupoki wera rānei ka āhei te awhina i te whakaora i te pakaru me te mamae. Ko te rongoā makariri me ngā putea hukapapa ka āhei te whakaiti i te pupuhi i te wā o te pupuhi nui. Whakarongo ki tō tinana me te whakamahi i te mea e tino pai ana.

Pupurihia he kaupapa whakakori auau e whakauru ana ki te whakatete ngawari, ngā whakakori whānuitanga-nekehanga, me ngā mahi aerobic iti-pānga. Ko te kauhoe he mea tino pai na te mea e tautoko ana te wai i ō hononga i te wā e whakarato ana i te ātete mō te whakapakari.

Arotakehia he kai anti-pupuhi e whai hua ana i ngā waikawa momona omega-3, ngā hua, ngā huawhenua, me ngā witi katoa. Ka kite ētahi i ngā kai e whakaohooho ana i ngā pupuhi, na reira ko te pupuri i te rārangi kai ka āhei te awhina i te kite i ngā whakaohooho whaiaro.

Tīakina ō hononga mā te whakamahi i ngā hononga nui ake, kaha ake i te wā e taea ai. Hei tauira, kawehia ngā putea me ō ringa i mua atu i te pupuri ki ō maihao. Whakaarohia ngā taputapu mahi me ngā awhina e whakaiti ana i te ahotea ki ngā hononga iti.

Tūpatohia te moe me te whakahaere ahotea, na te mea ka taea e ngā mea e rua te pānga nui ki ngā taumata pupuhi. Whakatauhia te 7-9 haora o te moe kounga me te tirotiro i ngā tikanga whakaiti ahotea penei i te whakaaroaro, te manawa hohonu, te yoga ngawari rānei.

Me pēhea te whakarite mō tō hui taote?

Ko te whakarite mō tō hui e āhei te awhina i a koe ki te whakamahi pai i tō wā me tō kaiwhakarato hauora me te whakarite kia kaua e warewarehia ngā korero nui. Ko te whakarite pai ka āhei te arahi ki te whakawhitiwhiti pai ake me ngā whakatau rongoā whai hua ake.

Pupurihia he rārangi tohu mō ngā wiki torutoru i mua i tō hui, me te tuhi i ngā hononga e mamae ana, te wā e kino rawa ana ngā tohu, te mea e āhei te awhina, te whakaiti rānei i a rātou, me te āhua o te pānga ki ō mahi o ia rā. Whakauruhia ngā korero mō te roa o te pakaru o te ata me ngā āhua ngenge.

Whakaritea he rārangi katoa o ngā rongoā, ngā taapiri, me ngā rongoā-i-te-kāinga katoa e tangohia ana e koe, tae atu ki ngā horopeta. Kawehia ngā hua whakamātau tata nei, ngā rangahau whakaahua, ngā rēkōti rānei mai i ētahi atu kaiwhakarato hauora e uru ana ki tō tiaki.

Tuhia ō pātai i mua kia kaua e wareware i te wā o te hui. Whakaarohia te uiui mō ngā whiringa rongoā, te wa e tumanakohia ana mō te whakapai ake, ngā whakarerekētanga noho, me ngā tohu e tika ana kia karanga atu koe.

Kawehia he hoa whakawhirinaki, he mema whānau rānei ki te taea, inā te nuinga ki ngā hui nui. Ka āhei te awhina i a koe ki te mahara ki ngā korero i kōrerotia me te whakarato i te tautoko ngākau i ngā kōrero pea ka tino āwangawanga mō tō whakamōhiotanga me tō rongoā.

Ka taea te aukati i te mate pāngarau rheumatoid?

Ahakoa kaore e taea e koe te aukati katoa i te mate pāngarau rheumatoid, inā te nuinga ki te whai koe i ngā take tūponotanga ira, ka taea e koe te tango i ngā kaupae hei whakaiti i tō tūponotanga me te whakaroa pea i tō tīmatanga. Arotakehia ngā take tūponotanga kei roto i tō mana.

Ko te kaupae aukati tino nui ko te karo i te wāhine, te mutu rānei i te wāhine. Kāore anake te wāhine e whakapiki ana i tō tūponotanga ki te whānau i te mate pāngarau rheumatoid, engari ka whakaiti ake i te āhuatanga me te uaua ki te rongoā ki te whānau.

Ko te pupuri i te taumaha hauora e whakaiti ana i te ahotea ki ō hononga me te whakaiti pea i te pupuhi puta noa i tō tinana. Ko te whakakori auau me te kai rite e tautoko ana i te hauora o te pūnaha mate katoa me te āhei te awhina i te aukati i ngā āhuatanga whaiaro.

He mea nui te tiaki niho pai na te mea kua honoa te mate niho ki te whakapiki i te tūponotanga o te mate pāngarau rheumatoid. Horohoro me te miro auau, me te kite i tō tākuta niho mō ngā horoi auau me ngā tirotiro.

Ko te whakahaere i te ahotea mā ngā tikanga whakautu hauora, te moe tika, me te tautoko hapori ka āhei te awhina i te pupuri i te toenga o te pūnaha mate. Ahakoa ko te ahotea anake kaore e whānau i te mate pāngarau rheumatoid, ka taea e te ahotea roa te whakauru ki te pupuhi me te whakaohooho pea i te āhuatanga i ngā tāngata e pā ana.

He aha te mea nui mō te mate pāngarau rheumatoid?

Ko te mate pāngarau rheumatoid he āhuatanga ka taea te whakahaere ina whakamōhiotia wawe me te rongoā tika. Ahakoa he āhuatanga whaiaro roa e hiahia ana ki te arotake tonu, he tokomaha ngā tāngata e whai ana i te mate pāngarau rheumatoid e ora ana i te ora katoa, te ora mahi me te tiaki hauora tika me te whakahaere whaiaro.

Ko te mea tino nui kia mahara ko te rongoā wawe e whakarereke nui ana i tō tirohanga roa. Ki te pāngia koe e te mamae o te hononga, te pakaru, me te pupuhi, inā te nuinga e pā ana ki ngā taha e rua o tō tinana, kaua e whakaroa ki te rapu whakamōhiotanga hauora.

Ko ngā whiringa rongoā o nāianei he mea whai hua atu i mua, me ngā rongoā maha ka āhei te whakaiti, te mutu rānei i te whānautanga o te mate. I te whakakotahitanga me ngā whakarerekētanga noho, te rongoā tinana, me ngā tikanga tiaki whaiaro, ka taea e koe te pupuri i tō kounga o te ora me te haere tonu ki te mahi i ngā mahi e pai ana koe.

Kia mahara ko te whakahaere i te mate pāngarau rheumatoid he mahi rōpū e whakauru ana i a koe, tō rheumatologist, me ētahi atu kaiwhakarato hauora. Kia whai wāhi tonu koe ki tō tiaki, whakawhitiwhiti whakatūwhera mō ō tohu me ō awangawanga, ā, kaua e whakaroa ki te uiui mō tō mahere rongoā.

Ngā Pātai Ano e Uiuitia Ana Mō Te Mate Pāngarau Rheumatoid

U1: He rite te mate pāngarau rheumatoid ki te mate hononga noa?

Kāo, he tino rerekē te mate pāngarau rheumatoid i te mate osteoarthritis, koia te momo mate hononga tino noa. Ko te mate osteoarthritis te take i te kakahu me te pakaru o ngā hononga i te roa o te wā, ko te mate pāngarau rheumatoid he āhuatanga whaiaro e whakaeke ana tō pūnaha mate ki ō hononga. Ko te mate pāngarau rheumatoid te tikanga ka pā ki ngā hononga rite i ngā taha e rua o tō tinana, ā, ka puta ai ngā tohu pūnaha penei i te ngenge me te kirika, i te wā e pā ana te mate osteoarthritis ki ngā hononga takitahi, ā, kāore e puta ngā tohu katoa o te tinana.

U2: Ka tino whakangōngō pea ahau ki te whai ahau i te mate pāngarau rheumatoid?

Kāore pea. Ahakoa ka taea e te mate pāngarau rheumatoid te puta i te pakaru o te hononga me te whakangōngō ki te kore e rongoā, ko te whakamōhiotanga wawe me ngā rongoā hou kua tino whakapai ake i ngā hua. He tokomaha ngā tāngata e whai ana i te mate pāngarau rheumatoid e haere tonu ana ki te mahi, te whakakori, me te noho motuhake. Ko te mea nui ko te tīmatanga o te rongoā wawe me te mahi tata me tō rōpū hauora hei whakahaere i te pupuhi me te aukati i te pakaru o te hononga.

U3: Ka pā pea te hapu ki ngā tohu o te mate pāngarau rheumatoid?

Ae, ko te hapu te nuinga ka puta mai te whakapai ake mo te wā poto i ngā tohu o te mate pāngarau rheumatoid mō ngā wāhine maha, pea na ngā huringa homoni e whakaiti ana i te pūnaha mate. Heoi, ko ngā tohu te nuinga ka hoki mai i roto i ngā marama torutoru i muri i te whānautanga. He mea nui kia mahi tahi me tō rheumatologist me tō kaiwhakarato hapu hei whakahaere i tō āhuatanga i te wā o te hapu, na te mea me whakarereke, mutu rānei ētahi rongoā.

U4: He kai pea me karo ahau me te mate pāngarau rheumatoid?

Ahakoa kāore he "kai mate pāngarau rheumatoid" motuhake, ka kite ētahi i ngā kai e whakaohooho ana i ō tohu. Ko ngā whakaohooho noa e whakauru ana ki ngā kai tukatuka e nui ana te huka me ngā ngako trans, te nui o te mīti whero, me ētahi wā ngā huawhenua nightshade penei i ngā tamata me ngā pepa. Heoi, ko ngā whakaohooho kai he tino rerekē i waenga i ngā tāngata. Arotakehia he kai anti-pupuhi e whai hua ana i ngā waikawa momona omega-3, ngā hua, ngā huawhenua, me ngā witi katoa, me te whakaaro ki te pupuri i te rārangi kai hei kite i ō whakaohooho whaiaro.

U5: E hia te roa o te mahi a ngā rongoā mate pāngarau rheumatoid?

Ko te wa e rerekē ana i runga i te rongoā. Ko ngā rongoā anti-pupuhi me ngā corticosteroids ka taea te whakarato i te whakaora i roto i ngā haora ki ngā rā. Ko ngā rongoā whakarerekē-mate penei i te methotrexate te tikanga ka roa te 6-12 wiki hei whakaatu i te whakapai ake nui, i te wā ka mahi pea ngā rongoā biologic i roto i ngā wiki 2-6. Ka tirotiro tō taote i tō whakautu me te whakarereke pea i ngā rongoā ki te kore e kite koe i te whakapai ake i roto i te wa e tumanakohia ana. He mea nui te manawanui, na te mea ko te kimi i te whakakotahitanga rongoā tika ka roa te wā.