He aha te Sarcoidosis? Ngā Tohutohu, Ngā Take, me te Maimoatanga

Ko te sarcoidosis he mate mumura e pā ana ki te hanganga o ngā rōpū iti o ngā pūtau ārai mate e kiia nei ko ngā granulomas i roto i ngā tūmomo whekau puta noa i tō tinana. Ka whānau ēnei rōpū iti o ngā pūtau ina nui rawa te mahi a tō pūnaha ārai mate ki tetahi mea e whakaarohia ana e ia he ke, ahakoa kāore ngā tākuta i tino mōhio he aha te take o tēnei whakautu.

Ahakoa ka pā te sarcoidosis ki te tata ki tetahi whekau, ko ngā whekau e tino pā ana ko ō manawa, ngā pūtau lymph, te kiri, me ngā kanohi. He rerekē te āhua o te mate i te tangata ki te tangata – ka kite etahi i ngā tohu ngāwari e ora ana i a rātou anō, ka kite ētahi i ngā raruraru roa ake e hiahia ana ki te maimoatanga haere tonu.

He aha ngā tohu o te sarcoidosis?

Ko ngā tohu o te sarcoidosis e whakawhirinaki ana ki tehea ngā whekau e pā ana, me te nui o te mumura kei roto i tō tinana. Ka kite tuatahi te nuinga o te iwi i ngā tohu whānui penei i te ngenge, te kirika, te ngaro o te taumaha i mua i te puta mai o ngā tohu motuhake ake.

Na te mea ko ō manawa te nuinga o ngā whekau e pā ana, ka kite pea koe i ngā tohu manawa tuatahi. Ko ēnei ngā mea ka kite pea koe i te whānautanga o te mate:

• Te mare mare maroke e kore e ngaro
• Te poto o te manawa, ina koa i te wā e mahi tinana ana
• Te mamae o te uma, te pēhanga rānei
• Te ngenge e tino kaha ake ana i te ngenge noa
• Te kirika me te wera i te pō
• Te ngaro o te taumaha kaore he take
• Ngā pūtau lymph pupū, ina koa i tō kaki me ō ringa

Ina pā te sarcoidosis ki tō kiri, ka whānau pea ngā pupū, ngā wahi whero rānei, i te nuinga i ō huha, ō waewae, tō mata rānei. Ka kite etahi i ngā huringa i roto i ō rātou tirohanga mena ka pā te mate ki ō rātou kanohi, tae atu ki te ngaro o te tirohanga, te mamae o te kanohi, te nui ake rānei o te mārama.

I roto i ngā take onge, ka pā pea te sarcoidosis ki tō ngakau, pūnaha io, ate, whatukuhu rānei. Ka pā pea te ngakau ki te koretake o te ngakau, te mamae o te uma rānei, ka arahi pea te pānga o te pūnaha io ki ngā mamae o te mahunga, ngā hopu, te ngoikore rānei i ngā wāhanga o tō tinana. He iti te noho o ēnei whakaaturanga, engari e hiahia ana ki te tiaki hauora tonu ina puta mai.

He aha ngā take o te sarcoidosis?

Ko te take pono o te sarcoidosis tonu tetahi o ngā mīharo o te rongoā, engari e whakapono ana ngā kairangahau kua whānau mai i te whakakotahitanga o te whakawhānautanga ira me ngā whakaohooho taiao. Ka haere tonu te mahi a tō pūnaha ārai mate, ka hanga i te mumura kei hea e kore ai.

E whakaaro ana ngā kārehu kei ētahi tangata ngā ira e tino pā ana ki te whānautanga o te sarcoidosis. Ina tūtaki tetahi tangata kei a ia tēnei hanganga ira ki ngā whakaohooho taiao motuhake, ka whakautu pea tōna pūnaha ārai mate mā te hanganga i ngā granulomas puta noa i tōna tinana.

Ko ngā whakaohooho taiao pea e rapu ana ngā kairangahau ko:

• Ngā mate mai i ngā huaketo, ngā huakore, ngā harore rānei
• Te whakaū ki te puehu, ngā matū, ētahi atu pūhui hau rānei
• Ētahi rongoā, werohanga rānei
• Te ahotea, ētahi atu wero pūnaha ārai mate rānei

Ko te mea e tino uaua ai te sarcoidosis ko te mea pea ka pā te whakaohooho kotahi ki tetahi tangata, engari ehara ki tetahi atu, ahakoa i roto i te whānau kotahi. Ka whakaatu mai tēnei he maha ngā take e hiahia ana kia rite kia whānau te mate.

He aha ngā take morearea mō te sarcoidosis?

He maha ngā take ka piki ake tō tūmanako ki te whānautanga o te sarcoidosis, ahakoa te mea kei a koe ēnei take morearea, ehara tena i te tikanga ka whiwhi koe i te mate. Ka taea e te mārama ki ēnei take te awhina i a koe me tō tākuta ki te tūpato ki ngā tohu wawe.

Ko te tau me te momo tāngata he wāhanga nui ki te morearea o te sarcoidosis. Ko te nuinga o te mate e whānau ana i ngā tāngata kei waenga i te 20 me te 50 tau te pakeke, me ngā wā piki e rua – tētahi i ngā tekau tau rua tekau ki ngā tekau tau toru tekau, tētahi atu i ngā tekau tau rima tekau.

Ko tō momo iwi e pā ana hoki ki tō morearea. Ko ngā tāngata Pango Amerika te tino pānga ki te whānautanga o te sarcoidosis i ētahi atu rōpū, a ka kite rātou i ngā āhua tino kino o te mate. Ko ngā tāngata o te iwi Scandinavian, Tiamana, Airilenda rānei e whakaatu ana i ngā reiti teitei o te sarcoidosis.

He mea nui te hītori whānau. Mena kei a koe tētahi mātua, teina, tamaiti rānei e pangia ana e te sarcoidosis, ka piki ake tō morearea. Ka whakaatu mai tēnei whakakotahitanga whānau he wāhanga nui ngā take ira i te hunga e whānau ana i te mate.

Ko te ira tangata e pā ana ki tō morearea me te āhua pea o te pānga o te mate ki a koe. Ko ngā wāhine te tino pānga ki te whānautanga o te sarcoidosis i ngā tāne, a ka kite pea rātou i ngā āhua rerekē o te pānga o ngā whekau.

Nōhea te haere ki te tākuta mō te sarcoidosis?

Me whakapiri atu koe ki tō tākuta mena ka kite koe i ngā tohu manawa roa, ina koa he mare mare maroke e roa atu ana i ngā wiki torutoru, te poto rānei o te manawa e kino haere ana. E tika ana kia whakarongohia ēnei tohu wawe ahakoa he ngāwari te āhua.

Rapua te tiaki hauora tere mena ka whānau he whakakotahitanga o ngā tohu penei i te ngenge kaore he take, te kirika, te ngaro o te taumaha, ngā pūtau lymph pupū rānei. Ahakoa ka taea e ēnei tohu te tohu i ngā momo āhuatanga rerekē, e tika ana kia arotakehia kia kitea te take.

Ko ētahi āhuatanga e hiahia ana ki te tiaki hauora tonu. Whakapiri atu ki ngā ratonga āwhina tere, haere rānei ki te ruma āwhina tere mena ka kite koe i te poto o te manawa, te mamae o te uma e rite ana ki te pēhanga, te kōwhiringa, te koretake o te ngakau, ngā hopu, ngā huringa tirohanga ohorere rānei.

Ahakoa he ngāwari te āhua o ō tohu, he mea tika te kōrero ki tō kaiwhakarato hauora. Ka taea e te taumata whakamātautau me te aroturuki te āwhina i te aukati i ngā raruraru, me te whakarite kia whiwhi koe i te maimoatanga tika mena e hiahiatia ana.

He aha ngā raruraru pea o te sarcoidosis?

Ahakoa ka kite te nuinga o te iwi e pangia ana e te sarcoidosis i ngā tohu ngāwari e pai ake ana i te wā, ka whānau etahi i ngā raruraru e hiahia ana ki te whakahaere hauora haere tonu. Ka taea e te mārama ki ēnei wāhi te āwhina i a koe ki te mahi tahi me tō rōpū hauora ki te aroturuki pai i tō āhua.

Ko ngā raruraru manawa te nuinga o ngā hua kino o te sarcoidosis. Ka taea e te mumura te hanga i te toka i roto i te kiko o ō manawa, he āhua e kiia nei ko te fibrosis manawa. Ka taea e tēnei toka te whakaiti tonu i te mahi o ō manawa, ka uaua ake te manawa i te wā.

Ka taea hoki te pānga o tō ngakau, ahakoa he iti te noho o tēnei. Ina pā te sarcoidosis ki tō ngakau, ka taea e ia te whakaeke i te koretake o te ngakau, te kore o te ngakau, te mate ngakau ohorere rānei i roto i ngā take kino. Koia te take e tino whakarongo ana ngā tākuta ki ngā tohu e pā ana ki te ngakau i ngā tāngata e pangia ana e te sarcoidosis.

Ka taea e ngā raruraru kanohi te whakawehi i tō tirohanga mena kaore i te maimoatia. Ka taea e te mumura te pānga ki ngā wāhanga rerekē o tō kanohi, ka arahi pea ki te glaucoma, ngā cataracts, te matapo rānei i roto i ngā take kino. Ka tino nui ngā tirotiro kanohi mena kei a koe te sarcoidosis.

Ko te pānga o te pūnaha io, ahakoa he onge, ka taea te whakaeke i ngā raruraru nui tae atu ki ngā hopu, te mumura o te roro, te kino rānei o te io taha. Ka taea hoki te whānautanga o ngā raruraru whatukuhu, ka arahi pea ki ngā kohatu whatukuhu, i roto i ngā take kino, te kore o te whatukuhu rānei.

Ko te rongo pai ko te mea, mā te aroturuki me te maimoatanga tika, ka taea te aukati, te whakahaere rānei i te nuinga o ēnei raruraru. Ka āwhina te tiaki aroturuki haere tonu ki te hopu i ngā raruraru i te wawe ina tino taea te maimoatanga.

Me pēhea te whakamātautau i te sarcoidosis?

Ka uaua pea te whakamātautau i te sarcoidosis na te mea ka rite tonu ngā tohu ki ētahi atu āhuatanga, kāore hoki he whakamātautau kotahi e tino whakau ana i te taumata whakamātautau. Ka whakamahi tō tākuta i te whakakotahitanga o ngā whakamātautau me ngā arotake kia whakakotahi te pikitia katoa.

Ka tīmata tō tākuta me te hītori hauora me te arotake tinana. Ka ui rātou ki ō tohu, te hītori whānau, me ētahi atu whakaū taiao pea. I te wā o te arotake tinana, ka whakarongo rātou ki ō manawa, ka tirotiro i ngā pūtau lymph pupū, ka tirotiro i tō kiri me ō kanohi.

He wāhanga nui ngā whakamātautau whakaahua ki te taumata whakamātautau. Ko te X-ray uma te nuinga o te whakamātautau whakaahua tuatahi e mahia ana, na te mea ka taea e ia te whakaatu i ngā pūtau lymph nui, ngā huringa manawa rānei e rite ana ki te sarcoidosis. Ka whakarato te CT scan o tō uma i ngā whakaahua taipitopito ake, ka taea te kite i ngā huringa kaore pea e puta i runga i te X-ray noa.

Ka āwhina ngā whakamātautau toto ki te tautoko i te taumata whakamātautau, ki te whakakore rānei i ētahi atu āhuatanga. Ka tirotiro pea tō tākuta i ngā taumata teitei o ētahi enzymes, te konupū rānei, ka taea te teitei ake i ngā tāngata e pangia ana e te sarcoidosis. Ka whakahaere rātou i ngā whakamātautau ki te whakakore i ētahi atu mate ka taea te whakaeke i ngā tohu rite.

I etahi wā, ka hiahia pea tō tākuta ki te tiki i te tauira kiko mā te biopsy kia whakau i te taumata whakamātautau. Ka uru pea tenei ki te tango i te tauira iti mai i tō kiri, ngā pūtau lymph, ō manawa rānei. Ka taea e te biopsy te whakaatu i ngā granulomas āhuatanga e whakatau ana i te sarcoidosis.

Ko ētahi atu whakamātautau pea ko ngā whakamātautau mahi manawa ki te aromatawai i te pai o te mahi a ō manawa, he electrocardiogram mena ka whakapaehia te pānga o te ngakau, tetahi tirotiro kanohi rānei ki te tirotiro i te mumura.

He aha te maimoatanga mō te sarcoidosis?

He rerekē te maimoatanga mō te sarcoidosis e whakawhirinaki ana ki tehea ngā whekau e pā ana, te kino o ō tohu, me te ahunga whakamua o te mate. Ko te nuinga o te iwi e pangia ana e te sarcoidosis ngāwari kaore e hiahia ki te maimoatanga tonu, na te mea ka pai ake te mate i etahi wā i a ia anō.

Ka tūtohu pea tō tākuta i te huarahi "matakitaki me te tatari" mena he ngāwari ō tohu, kāore hoki e tino pānga ki tō oranga o ia rā. Ka taea e te aroturuki haere tonu tō rōpū hauora te aroturuki mena kei te pumau te mate, kei te pai ake rānei, kei te kino haere rānei i te wā.

Ina hiahiatia te maimoatanga, ko ngā corticosteroids penei i te prednisone te nuinga o te maimoatanga tuatahi. Ka taea e ēnei rongoā anti-mumura kaha te whakaiti i ngā granulomas me te whakahaere i ngā tohu. Ka tīmata pea tō tākuta me te nui ake o te horo, ka whakaiti haere i te wā i roto i ngā marama maha.

Mena kaore ngā corticosteroids e whai hua, ka whakaeke rānei i ngā pānga kino, ka tūtohu pea tō tākuta i ētahi atu rongoā immunosuppressive. Kei roto i ēnei te methotrexate, azathioprine, ngā rongoā hou rānei penei i te infliximab. He rerekē te mahi o ia o ēnei ki te whakahoro i tō pūnaha ārai mate nui rawa.

Mō te pānga o te whekau motuhake, ka hiahiatia pea ngā maimoatanga e whai take ana. Ka taea e ngā matū kanohi e whakauru ana i ngā corticosteroids te maimoatanga i te mumura o te kanohi, ka hiahia pea te pānga o te ngakau nui ki ngā rongoā ngakau motuhake, ngā taputapu rānei penei i ngā pacemakers i roto i ngā take onge.

Ka whakawhirinaki tō mahere maimoatanga ki tō āhuatanga motuhake. Ka taea e ngā hui aroturuki haere tonu tō tākuta te whakarite i ngā rongoā, te aroturuki i ngā pānga kino, me te whakarite kei te whai hua tonu tō maimoatanga i te wā.

Me pēhea te whakahaere i te sarcoidosis i te kāinga?

Ko te whakahaere i te sarcoidosis i te kāinga e uru ana ki te mahi nui ki tō hauora i te wā e mahi tata ana koe me tō rōpū hauora. Ka taea e ngā whiringa iti o ia rā te pānga nui ki te āhua o tō ngakau me te pai o te mahi a tō maimoatanga.

Ko te tango i ō rongoā tika pera me te whakahaua he mea nui mō te whakahaere pai i te sarcoidosis. Mena kei runga koe i ngā corticosteroids, kaua e mutu te tango i a rātou ohorere, na te mea ka taea e tēnei te whakaeke i ngā tohu tango kino. Whakaritea he pūnaha hei awhina i a koe ki te mahara ki ō rongoā, ahakoa he kaiwhakahaere rongoā, ngā whakamaharatanga waea atamai rānei.

Ka taea e te noho mahi tinana i roto i ō rohe te āwhina i te pupuri i te mahi o ō manawa me te hauora whānui. Tīmata me ngā mahi ngāwari penei i te hikoi, te kauhoe rānei, ka piki haere te taumata mahi i te wā e manawanui ana. Whakarongo ki tō tinana, okioki hoki ina hiahia koe.

Ka tino nui te tiaki i ō manawa. Kaua e whakaū ki te puehu, ngā matū, ētahi atu mea whakaū manawa rānei ina taea. Mena me noho koe i te taha o ēnei mea, kakahuria ngā taputapu tiaki tika. Whakaarohia te whakamahi i ngā kaiwhakakore hau i tō kāinga hei whakaiti i ngā pūhui hau.

Ko te whakahaere i te ngenge he wāhanga nui o te noho tahi me te sarcoidosis. Whakatauria koe i te rā katoa, whakaritea ō mahi tino nui, kaua hoki e whakaroa te tono awhina ina hiahia koe. Ka taea e te moe kounga, te whakahaere ahotea, te whakakori ngāwari te āwhina i te whawhai ki te ngenge.

Ka taea e te aroturuki haere tonu i te kāinga te āwhina i a koe ki te aroturuki i tō āhua. Pupurihia he rangitaki tohu e tuhi ana i ngā huringa i tō manawa, ngā taumata kaha, ētahi atu tohu rānei. Ka taea te whai hua o tēnei mōhiohio i ngā wā o ō haerenga ki te tākuta.

Me pēhea te aukati i te sarcoidosis?

I tēnei wā, kāore he huarahi e mohiotia ana ki te aukati i te sarcoidosis na te mea kāore ngā tākuta i tino mōhio he aha te take o te whānautanga o te mate. Heoi, ka taea e koe te tango i ngā kaupae hei whakaiti pea i tō morearea o ngā pupuhi, te tiaki rānei i tō hauora whānui.

Ko te karo i ngā mea whakaū manawa e mohiotia ana ka āwhina pea ki te whakaiti i tō morearea o ngā raruraru manawa. Kei roto i ēnei te noho atu i te puehu, ngā matū, ētahi atu pūhui hau rānei ina taea. Mena ko tō mahi te whakaū ki ēnei mea, ka tino nui ake te whakamahi i ngā taputapu tiaki tika.

Ko te pupuri i te oranga hauora e tautoko ana i te kaha o tō pūnaha ārai mate ki te mahi tika. Kei roto i ēnei te kai i te kai tōtika e whai hua ana i ngā hua me ngā huawhenua, te whakakori haere tonu e tika ana mō tō taumata hauora, te whakahaere rānei i te ahotea mā ngā tikanga whakahoro, ngā mahi rānei e pai ana koe.

Mena kei a koe te hītori whānau o te sarcoidosis, ko te noho tūpato ki ngā tohu wawe ka āwhina i te whakarite i te taumata whakamātautau me te maimoatanga mena ka whānau te mate. Ka taea e ngā tirotiro haere tonu me tō kaiwhakarato hauora te kite wawe me te whakauru.

Ahakoa kaore e taea e koe te aukati i te sarcoidosis anō, ka taea e ēnei tikanga hauora te āwhina i a koe ki te pupuri i te kounga o te oranga pai rawa atu, te whakaiti rānei pea i te kino o ngā tohu mena ka puta te mate.

Me pēhea te whakarite mō tō hui ki te tākuta?

Ko te whakarite mō tō hui ki te tākuta ka taea te āwhina i te whakarite kia whiwhi koe i te hua pai rawa atu i tō haerenga, me te whakarato i tō rōpū hauora i ngā mōhiohio e hiahia ana rātou ki te āwhina pai i a koe. He roa te haere o te whakarite iti ki te whakapai ake i tō hui.

Tīmata mā te tuhi i ō tohu katoa, tae atu ki te wā i tīmata ai rātou, te āhua o te huringa i te wā, me te aha e pai ake ai rātou, te kino rānei. Kia tino mōhio ki te wā – hei tauira, "Kua mare mare maroke ahau mō ēnei wiki ono e kino ake ana i te ata" he mea whai hua atu i te "He mare ahau."

Kohikohia he rārangi katoa o ngā rongoā katoa e tangohia ana e koe, tae atu ki ngā rongoā rongoā, ngā rongoā ka hokona i te toa rongoā, ngā huaora, ngā tāpiri rānei. Tikina ngā pounamu pono mena ka taea, tuhia rānei ngā ingoa me ngā horo tika. Ka āwhina tēnei i tō tākuta ki te karo i ngā mahi rongoā kino pea.

Kohikohia tō hītori hauora, tae atu ki ētahi atu hua whakamātautau, ngā ako whakaahua, ngā ripoata rānei mai i ētahi atu tākuta. Mena kua tohutohuhia koe e tētahi atu tākuta, kia mōhio kei te wātea ēnei rēkōta ki tō tākuta hou.

Whakaritea he rārangi o ngā pūrongo e hiahia ana koe ki te ui. Ko ngā pūrongo noa pea ko te ui mō tō whakatau, ngā whiringa maimoatanga, ngā pānga kino pea, ngā herenga mahi, me te wā e hiahia ana koe ki te rapu i te tiaki āwhina tere.

Whakaarohia te kawea mai i tētahi hoa whakawhirinaki, mema whānau rānei ki tō hui. Ka taea e rātou te āwhina i a koe ki te mahara ki ngā mōhiohio nui, me te whakarato i te tautoko ngākau i te wā pea he hui ahotea.

He aha te mea nui mō te sarcoidosis?

Ko te sarcoidosis he āhuatanga mumura uaua e pā ana ki ngā tāngata rerekē, engari mā te tiaki hauora tika me te whakahaere whaiaro, ka taea e te nuinga o te iwi te pupuri i te kounga o te oranga pai. Ahakoa ka āhua nui te mate i te tīmatanga, ko te mārama he mea taea te whakahaere e āwhina ana ki te whakaiti i te manukanuka, me te manaaki i a koe ki te mahi nui ki tō tiaki.

Ko te mea tino nui hei mahara ko te rerekē nui o te sarcoidosis i te tangata ki te tangata. Ka kite etahi i ngā tohu ngāwari e ora ana i a rātou anō, ka hiahia ētahi ki te maimoatanga haere tonu. Ko tō wheako ki te sarcoidosis ka motuhake ki a koe, me whakaatu tō mahere maimoatanga i ō hiahia me ō āhuatanga motuhake.

Ko te mahi tata me tō rōpū hauora, te noho mōhio ki tō āhua, te pupuri rānei i ngā tikanga oranga hauora e āwhina ana ki ngā hua pai ake. Ka taea e te aroturuki haere tonu te kite wawe i ngā huringa, a ka taea e ngā maimoatanga hou te whakahaere pai i ngā tohu me te aukati i ngā raruraru i te nuinga o ngā take.

Mahara kaore te sarcoidosis e whakatau i a koe, te whakaiti rānei i te mea ka taea e koe te whakatutuki. Ko te nuinga o te iwi e pangia ana e tēnei mate e ora ana i ngā oranga katoa, e mahi ana i te wā e whakahaere pai ana i ō rātou tohu. Noho hono atu ki ō kaiwhakarato hauora, whai i tō mahere maimoatanga, kaua hoki e whakaroa te tono tautoko ina hiahia koe.

Ngā pūrongo e ui pinepinetia ana mō te sarcoidosis

P1: He mate pānga te sarcoidosis?

Kāo, ehara te sarcoidosis i te mate pānga. Kaore e taea e koe te hopu mai i tētahi atu, te hora rānei ki ētahi atu mā te hononga noa, te tuwha kai, te noho tata rānei. Ko te sarcoidosis he āhuatanga ārai mate i te wā e hanga ana tō pūnaha ārai mate i te mumura i roto i tō tinana.

P2: Ka ngaro noa iho te sarcoidosis?

Ka kite te nuinga o te iwi e pangia ana e te sarcoidosis i te pai ake o ō rātou tohu, te ngaro rānei katoa i te wā kaore he maimoatanga. Ko te 60-70% o te iwi e pangia ana e te sarcoidosis manawa e kite ana i te whakaora ohorere i roto i ngā tau e rua ki te rima. Heoi, ka whānau etahi i te sarcoidosis roa e hiahia ana ki te whakahaere haere tonu.

P3: Ka taea e au te ora i te oranga noa me te sarcoidosis?

Ko te nuinga o te iwi e pangia ana e te sarcoidosis ka taea te ora i ngā oranga katoa, mahi nui me ngā whakaritenga oranga tika. Ahakoa ka hiahia pea koe ki te mahi i ētahi whakaritenga ki tō mahi, ki te tango rongoā rānei, ka haere tonu te nuinga o te iwi ki te mahi, te whakakori, te koa ki ō rātou mahi noa me te whakahaere tika.

P4: E pā ana te sarcoidosis ki te roa o te ora?

Mō te nuinga o te iwi e pangia ana e te sarcoidosis, ko te roa o te ora he noa. Ko te nuinga o te iwi e pangia ana e tēnei mate e ora ana i ngā roa ora. Heoi, ko ngā raruraru kino e pā ana ki te ngakau, ngā manawa, te pūnaha io rānei ka taea te kino ake, koia te take e nui ai te aroturuki hauora haere tonu.

P5: Ka taea e te hapu te pānga ki te sarcoidosis?

He maha ngā wāhine e pangia ana e te sarcoidosis e whai hapu angitu ana, ahakoa ka hiahia pea te mate ki te aroturuki tata ake i te wā hapu. Ka kite etahi wāhine i te pai ake o ō rātou tohu i te wā hapu, ka kite ētahi i ngā pupuhi. He mea nui te mahi tata me tō taote whakahapu me tō tohunga sarcoidosis ki te whakahaere i tō tiaki haumaru.