He aha te Whakauru Epinephrine: Ngā Whakamahinga, te Inenga, Ngā Pānga Taha me Ētahi Atu

Ko te whakauru epinephrine he rongoā whakaora-ora ka hā mai koe ki roto i ō pūkahukahu i ngā tauhohenga mate pāwera nui, i ngā whakaeke huangō rānei. Ko tēnei rongoā tere te mahi ka whakatuwhera i ō ara rererangi, ā, ka āwhina i te huri i ngā tohumate mōrearea ka kore e tika te hā o tō tinana.

Whakaarohia te epinephrine hei homoni 'whakautu ohorere' tūturu o tō tinana, engari i roto i te āhua pūmau e mahi ana i roto i ngā meneti. I te wā e tū ana koe ki te raru hā, ka taea e tēnei rongoā te rerekētanga i waenga i te ora me te mate.

He aha te Whakauru Epinephrine?

Ko te whakauru epinephrine he rongoā bronchodilator ka hā mai koe ki roto i ō pūkahukahu mā te whakamahi i tētahi pūrere nebulizer, inhaler rānei. Ko te homoni kotahi e whakaputaina ana e tō tinana i ngā wā o te pūngao, engari i roto i te inenga kaha ake, pūmau.

E mahi ana tēnei rongoā mā te whai i te 'whawhai, rere rānei' o tō tinana. I te wā e hā mai ana koe, ka tere te haere o te epinephrine ki ngā uaua maeneene huri noa i ō ara rererangi, ā, ka kī atu ki a rātou kia whakangā, kia tuwhera. Ka whakaiti hoki i te pōhū i roto i ō ara hā, ā, ka āwhina i tō ngākau kia pūhi pai ake.

Kāore i rite ki ētahi atu rongoā hā, ka whakaarohia te epinephrine he rongoā kaha, tere te mahi. Ehara tēnei i te mea ka whakamahia e koe mō ngā raruraru hā o ia rā. Engari, ka rahuitia e ngā tākuta mō ngā tūāhuatanga nui, whakaora-ora i te wā e tino aukati ana ō ara rererangi.

He aha te Whakamahia ai te Whakauru Epinephrine?

E rongoā ana te whakauru epinephrine i ngā ohorere hā nui, ina koa ka whāiti, ka pōhū rānei ō ara rererangi. Ka whakamahia tuatahi mō ngā tauhohenga mate pāwera whakaora-ora e kīia ana ko te anaphylaxis me ngā whakaeke huangō nui kāore e whakautu ki ētahi atu rongoā.

I te wā o te anaphylaxis, ka nui rawa te urupare o tō pūnaha ārai mate ki tētahi mea pēnei i te kai, te rongoā, te ngau pepeke rānei. Ka pōturi te pupuhi o tō korokoro me ō rārangi hau i roto i ngā meneti, ka kore e taea te hā. Ka taea e te whakauru epinephrine te whakatika tere i tēnei pupuhi me te whakatuwhera anō i ō rārangi hā.

Mō ngā whakaeke nui o te huangō, ka āwhina tēnei rongoā i te wā e kore ai e mahi ō inhalers whakaora. I ētahi wā ka tino piri, ka mumura ō rārangi hau, ā, me kaha ake te mahi a te epinephrine kia hoki anō te hau.

Koinei ngā āhuatanga matua ka whakamahia e ngā tākuta te whakauru epinephrine, me te mōhio ka taea e ia āhuatanga te ahua nui:

• Te ohorere anaphylactic mai i ngā mate pāwera kai (nati, anga, hua)
• Ngā urupare mate pāwera rongoā nui
• Ngā urupare ngau pepeke e whakatuma ana i te ora
• Status asthmaticus (te whakaeke huangō roa kāore e urupare ana ki ētahi atu rongoā)
• Te bronchospasm nui i ngā tikanga rongoā
• Ngā whakaeke angioedema tuku iho e pā ana ki ngā rārangi hau

I ngā wā onge, ka whakamahia pea e ngā tākuta mō te raruraru manawa nui mai i ētahi atu take pēnei i te whakauru matū, i ētahi mate rānei. Ko te mea nui kei te tūpono tō hā, ā, e hiahia ana koe ki te wawaotanga kaha, tere.

Me pēhea te mahi a te Whakauru Epinephrine?

Ka mahi te whakauru epinephrine mā te here ki ngā kaiwhiwhi motuhake i ō pūkahukahu me ō rārangi hau e kiia nei ko ngā kaiwhiwhi alpha me beta. I te wā e piri ana ki ēnei kaiwhiwhi, ka tukuna e ia ngā tohu kaha e whakatika ana i ngā huringa mōrearea e pā ana i te wā o te urupare mate pāwera nui, te whakaeke huangō rānei.

Tuatahi, ka whakangāwari i ngā uaua piri e takai ana i ō rārangi hau, ka tuku kia whānui ake kia rere ai te hau. Whakaarohia me te wewete i te whitiki kua tino piri rawa ki tō uma.

Tuarua, ka whakaiti te epinephrine i te pupuhi me te mumura i roto i ō ara manawa. I te wā o ngā tauhohenga pānga, ka taea e ēnei kiko te pupuhi nui, engari ka āwhina te epinephrine ki te whakaheke i a rātou ki te rahi noa.

Ka whakakaha hoki te rongoā i te mahi papu o tō ngākau me te whakanui i tō pēhanga toto, he mea e heke ana i te wā o ngā tauhohenga pānga nui. Mā tēnei ka mōhio ka tae te toto whai hāora ki ngā wāhi katoa o tō tinana, tae atu ki tō roro.

Nā te mea kei te hā koe i te rongoā ki roto i ō pūkahukahu, ka tere ake te mahi o te hā epinephrine i ngā rongoā e horomia ana e koe. Ka tīmata pea koe ki te rongo i te whakawātea i roto i te 1-3 meneti, me ngā pānga nui ka puta i te 5-10 meneti i muri i te hā.

Me pēhea taku tango i te hā epinephrine?

Ko te hā epinephrine te tikanga ka hoatu mā te mīhini nebulizer i ngā wāhi rongoā ohorere, ahakoa ka tae mai ētahi whakatakotoranga i roto i ngā inhalers pēhi. Kei te whakawhirinaki te tikanga tika ki te hua motuhake me tō āhuatanga rongoā.

Mēnā kei te whakamahi koe i te nebulizer, ka hā koe i te rongoā mā te waha waha, te kanohi kanohi rānei mō te 10-15 meneti. Ka huri te mīhini i te rongoā wai ki te kohu pai ka taea e koe te hā hōhonu ki roto i ō pūkahukahu. Whakamātau ki te hā mā te pōturi me te hōhonu kia nui ai te rongoā ki ō ara rererangi.

Mō ngā putanga inhaler, me whakatika e koe te pēhi i te pūrere me te tango i te hā hōhonu, kātahi ka pupuri i tērā hā mō te 10 hēkona i mua i te whakaputa. Mā tēnei ka whai wā te rongoā ki te noho ki ō ara rererangi, kaua ki te peke noa i tō waha.

I te wā o te ohorere manawa, ka whakahaere ngā tāngata rongoā i te whakahaere mōu. Ka aroturuki rātou i tō urupare me te whakatika i te horopeta mēnā e tika ana. Mēnā kei te mōhio koe me te kaha ki te mahi tahi, ka ārahi rātou i a koe mā te tikanga hā.

Kaua e kai, e inu ranei i tetahi mea i mua tonu i te wa, i te wa ranei o te rongoa, na te mea ka raru pea te ngongo tika. Whakaarohia kia noho marino tonu me te whai i nga tohutohu a te roopu hauora.

Kia Pehea Te Roa E Tango Ai Ahau i te Ngongo Epinephrine?

Ka whakamahia te ngongo epinephrine mo te wa poto, mo te wa poto i te wa o nga ohorere manawa, ehara i te rongoa mo te wa roa. Ko te nuinga o nga tangata ka whiwhi kotahi, e rua ranei i te wa o te wahanga koi, me nga paanga e mau ana mo te 1-4 haora.

I roto i nga waahi hōhipera, ka taea e nga taakuta te whakahoki ano i te horopeta ia 15-20 meneti mena karekau to manawa e pai ana. Heoi, ka ata tirotirohia e ratou to reiti ngakau me te toto toto, na te mea ka nui te taumahatanga o nga horopeta ki to punaha cardiovascular.

Ko te whainga kia whakapumau i to manawa mo te wa roa kia whai hua ai etahi atu rongoa, kia marie ranei te tauhohenga mate pāwera. Kia pai ai to manawa, ka huri nga taakuta ki etahi atu rongoa he haumaru ake mo te whakamahi mo te wa roa.

I muri i te wahanga ohorere, e kore koe e haere tonu ki te tango i te ngongo epinephrine i te kainga. Engari, ka mahi tahi to taakuta me koe ki te aukati i nga wahanga a meake nei ma te whakahaere mate pāwera, te whakahaere pai ake i te huango, etahi atu rautaki aukati ranei.

Ka whiwhi etahi tangata i nga tohutohu mo nga kaitahuri-aunoa epinephrine ohorere hei pupuri i te kainga, engari he rereke enei i te ahua o te ngongo, ka whakamahia mo nga ahuatanga rereke.

He aha nga paanga taha o te ngongo epinephrine?

Ka taea e te ngongo epinephrine te maha o nga paanga taha na te mea ka pa ki to tinana katoa, ehara i o ngutu anake. Ko te nuinga o nga paanga taha he wa poto, ka ngaro i te wa e pau ana te rongoa, engari ka raru pea i te wa e pa ana koe ki te ohorere manawa.

Ko ngā pānga taha e mōhiotia ana e pā ana ki tō pūnaha cardiovascular. Ka piki pea te tere o tō ngākau, ā, ka pōturi pea tō ngākau, ka tere rānei. Ka piki pea tō toto, ā, ka puta he ānini, he pēhanga rānei i tō upoko.

He maha ngā tāngata e pōhēhē ana, e māharahara ana, e wiri ana rānei i muri i te whiwhinga o te epinephrine inhalation. Ka pēnei tēnei nā te mea ka whakahohe te rongoā i te pūnaha whakautu o tō tinana ki te pēhanga. Ka wiri pea koe, ka noho pōuri, me te mea kua nui rawa te kawhe i inu koe.

Anei ngā pānga taha ka pā ki a koe, ā, kia mahara he mea noa te pōhēhē i te mea kua pā tō tinana:

• Te tere, te ngākau rānei e kore e rite
• Te pikinga o te toto
• Te wiri, te rūrū rānei o ngā ringa
• Te pōhēhē, te māharahara rānei
• Ānini
• Te whanoke, te māmā rānei o te upoko
• Te whakapairuaki, te ruaki rānei
• Te werawera
• Te kiri mā
• Te uaua ki te moe ki te hoatu i muri i te rā

Ko ngā pānga taha nui engari he iti noa iho ko te mamae o te uma, te ānini nui, te huringa kino rānei i te manawataki o te ngākau. I ngā wā onge, ka pā pea ngā tohumate pēnei i te whiu, i te whakaeke ngākau rānei, ina koa ki te whai mate ngākau koe.

I ngā wā onge rawa, ka pā pea ki ētahi tāngata ngā urupare whakahē i te wā e kino haere ana tō rātou manawa, kaua e pai ake. He nui ake te tūponotanga ki te whai mate ngākau koe, ki te tango rongoā rānei e pā ana ki te epinephrine.

Ko te nuinga o ngā pānga taha he mea whakahaere, he mea tūpono i te mea he rongoā whakaora-ora tēnei. Ka mātakitaki tata tō rōpū hauora i a koe, ā, ka taea e rātou te whakarato i te manaaki tautoko hei āwhina i a koe kia pai ake i te wā e ngaro ana ngā pānga.

Ko wai e kore e tango i te Epinephrine Inhalation?

He tokoiti noa nga tangata e tika ana kia karo i te whakauru epinephrine i roto i nga ohorere manawa e whakatuma ana i te ora, na te mea he nui ake nga painga i nga tupono. Heoi, ko etahi ahuatanga hauora e hiahia ana kia nui ake te tupato me te aroturuki i te wa e rongoa ana.

Ko nga tangata e mate ana i te ngakau nui, ina koa ko te hunga e mate ana i nga uaua o te ngakau, nga manawataki ngakau kore, i nga whakaeke ngakau tata nei, ka nui ake nga tupono mai i nga paanga o te epinephrine ki te punaha cardiovascular. Ka taea e te rongoa te whakanui ake i te tere o te ngakau me te toto toto, ka raru pea nga raruraru ngakau.

Mena he hyperthyroidism koe (te taikaro nui), ka taea e te epinephrine te kino ake i o tohu me te whakaoho i te raru thyroid. Ko te whakakotahitanga o te taikaro kua nui rawa atu me nga paanga whakaihiihi o te epinephrine ka kino.

Ko etahi rongoa ka taea te taunekeneke me te whakauru epinephrine. Kei roto i enei ko etahi antidepressants, rongoa toto toto, me etahi atu rongoa e pa ana ki to ngakau, ki nga oko toto ranei.

Anei nga ahuatanga e hiahia ana kia whakaarohia, ahakoa ka ata whakatau nga taakuta i nga tupono ki te whakatuma tonu ki to oranga:

• Te mate uaua o te ngakau nui, te whakaeke ngakau tata ranei
• Te toto toto tiketike kaore i te whakahaerehia
• Nga manawataki ngakau kore (arrhythmias)
• Hyperthyroidism, te tupuhi thyroid ranei
• Te mate huka nui me nga raruraru
• Glaucoma (te pikinga o te pehanga kanohi)
• Te whakanui i te repe taiaki i nga tane
• Te haputanga (e hiahia ana kia ata tātari i nga painga me nga tupono)

I roto i nga ahuatanga onge, ko nga tangata e mate ana i te pheochromocytoma (he puku e whakaputa ana i te epinephrine) ka pa mai pea nga tauhohenga kino ki te epinephrine taapiri. Ko te hunga e mate ana i etahi ahuatanga ira e pa ana ki te whakawhiti rongoa ka kore e pai te urupare.

Ahakoa kei te raru koe i enei ahuatanga, ka whakamahi tonu nga tākuta i te whakauru epinephrine mena kei te tata tonu to oranga ki te morearea. Ka āta tirotirohia koe, ā, ka whai rongoā anō rātou mēnā ka puta he raruraru.

Ngā Ingoa Waitohu o te Whakauru Epinephrine

Kei te wātea te whakauru epinephrine i raro i ētahi ingoa waitohu, ahakoa he rerekē ngā hua motuhake i te whenua me te taiao hauora. I roto i te United States, ka kitea e koe te nuinga o te wā hei otinga epinephrine whānui mō te nebulization i roto i ngā hōhipera.

I mua, he rongonui te Primatene Mist hei whakauru epinephrine i runga i te kaute, engari i hangaia anō, ā, he iti noa te whakamahi i tēnei wā mō ngā ohorere nui. Ko te nuinga o te whakauru epinephrine ohorere i tēnei rā ka puta me ngā otinga nebulizer hōhipera.

E whakamahi ana ētahi whare i te epinephrine racemic, he hanganga rerekē tēnei, e whakamahia ana mō te croup i ngā tamariki. Ko te ingoa waitohu mō tēnei ko Vaponefrin, Micronefrin rānei.

Kei roto i ngā auto-injectors pēnei i te EpiPen, Auvi-Q, me Adrenaclick te epinephrine, engari mō te werohanga ēnei, kaua mō te whakauru. I hangaia ēnei mō te whakahaere whaiaro i ngā ohorere i mua i te tae atu ki te manaaki hauora.

Ka whiriwhiria e tō rōpū hauora te hanganga e tika ana i runga i tō āhuatanga motuhake me te mea e wātea ana i roto i tō rātou whare. Kei roto i ngā momo katoa te whakauru kaha kotahi, ā, ka mahi rite tonu ki te whakatuwhera i ō ara rererangi.

Ngā Kōwhiringa Whakauru Epinephrine

Ahakoa ko te whakauru epinephrine te paerewa koura mō ngā ohorere manawa nui, ka whakamahia pea ētahi rongoā kē i runga i tō āhuatanga motuhake. Heoi, kāore tētahi e kiia ana he whakakapinga ōrite mō te anaphylaxis tūturu, te mate huangō rānei e pā ana ki te oranga.

Mō ngā whakaeke huangō nui, ka whakamahi pea ngā tākuta i te albuterol (salbutamol) horopeta nui, ētahi atu rānei beta-agonist bronchodilators i te tuatahi. Ka mahi ēnei rite tonu ki te epinephrine engari he iti ake ngā pānga ki tō ngākau me te pēhanga toto.

Ko te ipratropium bromide tētahi atu rongoā whānui e mahi rerekē ana i te epinephrine. He maha ngā wā ka whakakotahitia me te albuterol mō ngā whakaeke huangō kino. He tino whai hua tēnei whakakotahitanga, i te wā e iti ana ngā pānga taha o te ngākau.

Mō ngā pānga pāwera, ka whakamahia pea te epinephrine i roto i te uaua, i te uaua rānei hei utu mō te momo whakauru. Ka tukuna tēnei rongoā puta noa i tō tinana katoa, he nui ake te whai hua mō ngā pānga pūnaha kino.

Koinei ngā momo rongoā kē e whakaarohia ana e ngā tākuta, ahakoa he painga me ngā here motuhake ō ia:

• Te nui o te albuterol (salbutamol) nebulization
• Ipratropium bromide me te whakakotahitanga albuterol
• Epinephrine injectable (i roto i te uaua, i roto rānei i te uaua)
• Ngā corticosteroids i roto i te uaua mō te mumura
• Magnesium sulfate mō te huangō kino
• Aminophylline, theophylline rānei (ka whakamahia i ngā wā onge)
• Heliox (te ranunga helium-oxygen) mō te ara rererangi o runga e aukati ana

I ētahi wā, ka whakamahi ngā tākuta i ngā rongoā maha i te wā kotahi, i te raupapa rānei. Hei tauira, ka hoatu pea e rātou te epinephrine injectable i te tuatahi, ka whai mai i ngā rongoā whakauru me ngā steroid.

Ka whakawhirinaki te whiriwhiri ki te aha te take o tō raru manawa, te kino o tēnei, me tō hītori hauora takitahi. Ka whiriwhiri tō rōpū hauora i te huarahi haumaru me te whai hua mō tō āhuatanga motuhake.

He Pai Ake Te Whakauru Epinephrine i Te Albuterol?

He rerekē ngā kaupapa o te whakauru epinephrine me te albuterol, ā, kāore e taea te whakataurite tika i te nuinga o ngā āhuatanga. Ka rahuitia te epinephrine mō ngā ohorere e pā ana ki te ora, i te wā e whakamahia ana te albuterol mō te whakahaere huangō i ia rā, me ngā raru manawa ngawari.

Mō ngā tauhohenga mate pāwera nui (anaphylaxis), he tino pai ake te epinephrine nā te mea e aro ana ki ngā pūnaha tinana maha i te wā kotahi. Kāore i te whakatuwhera noa i ngā ara rererangi engari e tautoko ana i te pēhanga toto me te mahi o te ngākau, i te wā e pā ana te albuterol ki ngā pūkahukahu.

I ngā whakaeke huangō nui, ka whakawhirinaki te whiriwhiri ki te nui o te kino o te āhuatanga. Ko te tikanga ka whakamātauhia te albuterol i te tuatahi nā te mea he haumaru ake, he iti ake ngā pānga taha. Ki te kore te albuterol e mahi tika ana, ka piki ake pea ngā tākuta ki te epinephrine.

Ka tere ake te mahi a te Epinephrine, ā, he kaha ake i te albuterol, engari ka nui ake hoki ngā pānga taha. Ka nui ake pea te tere o te ngākau, te āwangawanga, me te wiri ki te epinephrine ki te whakataurite ki te albuterol.

Mō te whakahaere huangō i ia rā, he pai ake te albuterol. He haumaru ake mō te whakamahi i ia rā, ā, e whakarato ana i te āwhina whai hua mō te nuinga o ngā tohumate huangō me te kore o te taumahatanga ngākau o te epinephrine.

Ko te whakatau i waenga i ēnei rongoā ka whakawhirinaki ki te āhua o te raru manawa e whakatuma ana i te ora. Ka whiriwhiria e tō rōpū hauora te rongoā e whakarato ana i te taurite tika o te whai huatanga me te haumaru mō tō āhuatanga motuhake.

Ngā Pātai Auau mō te Whakauru Epinephrine

He Haumaru te Whakauru Epinephrine mō te Mate Ngākau?

Me tūpato anō te whakauru epinephrine ki te whai mate ngākau koe, engari ka taea tonu te whakamahi i te wā e tūpono ana tō ora ki te mōrearea. Ka whakanui te rongoā i te tere o te ngākau me te pēhanga toto, ka taea te taumaha i te pūnaha ngākau kua ngoikore.

Ka mātakitaki ngā tākuta i tō manawataki ngākau me te pēhanga toto i te wā o te rongoā. Ka whakamahi pea rātou i ngā horopeta iti ake, ka whai rongoā ngākau anō hei whakahaere i ngā raruraru ka puta.

I ngā ohorere manawa pono, ko te tūponotanga o te kore rongoā i te nuinga o te wā ka nui ake i ngā tūponotanga o te ngākau. Ka whakatau tō rōpū hauora i tēnei whakatau i runga i te kaha o tō raruraru manawa ki te āhua o tō mate ngākau.

Me Pēhea Taku Mahi Mēnā Ka Whakamahia E Au Te Nui Rawa O Te Whakauru Epinephrine?

Mēnā ka whiwhi ohorere koe i te nui rawa o te whakauru epinephrine, rapua tonu te āwhina hauora ahakoa e pai ana koe i te tīmatanga. Ko ngā tohu o te nui rawa o te rongoā ka uru mai te tere o te ngākau, te mamae o te uma, te mamae nui o te upoko, te huringa toto kino rānei.

Ka taea e ngā tākuta te whakarato i te manaaki tautoko hei āwhina i te whakahaere i ngā pānga o te nui rawa o te rongoā. Ka hoatu pea e rātou ngā rongoā hei whakaiti i tō tere ngākau, hei whakaiti rānei i te pēhanga toto mēnā e tika ana.

Kaua e ngana ki te rongoā i te nui rawa o te rongoā epinephrine i te kāinga. Ko ngā pānga ki tō pūnaha cardiovascular ka kore e taea te matapae, ā, ka tūpono he kino me te kore e tika te aroturuki hauora.

Me Pēhea Taku Mahi Mēnā Ka Ngaro E Au Tētahi Inenga O Te Whakauru Epinephrine?

Kāore i te nuinga o te wā ka tohua te whakauru epinephrine hei rongoā kua whakaritea e whakamahia ana e koe i ngā wā katoa, nō reira kāore i te whai pānga te ngaro i tētahi inenga. Ka whakamahia anake i ngā ohorere manawa koi i te wā e hiahiatia ana.

Mēnā kei roto koe i tētahi āhuatanga e hiahia ana koe ki te whakauru epinephrine mō te ohorere manawa, kaua e whakaroa ki te rapu āwhina hauora. E tatau ana ia meneti i te wā e tino raru ana ō ara rererangi.

Mō ngā tāngata e tino mate pāwera ana, ko te mau i tētahi auto-injector epinephrine (pēnei i te EpiPen) he mea nui ake i te māharahara mō ngā inenga kua whakaritea. Kua hangaia ēnei pūrere mō te whakahaere whaiaro i ngā ohorere.

Āhea Ka Taea E Au Te Kati Te Whakamahi I Te Whakauru Epinephrine?

Ka mutu pea te whakamahi i te whakauru epinephrine i te wā e whakatauhia ana tō ohorere manawa, ā, e pūmau ana koe. Ka whakamahia anake tēnei rongoā mō te rongoā koi, wā-poto i ngā āhuatanga e mōrearea ana te ora.

Ka whakatau tō tākuta i te wā e tika ana te whakamutu i runga i tō tūnga manawa, ngā taumata hāora, me tō āhua whānui. Ko te tikanga ka whakawhiti rātou i a koe ki ētahi atu rongoā he haumaru ake mō te whakamahi wā-roa.

Kaua rawa e whakamutu i te whakauru epinephrine i a koe anō i te wā o te ohorere manawa. Tukua tō rōpū hauora ki te whakatau i tēnei whakatau i runga i tō whakapai haumanu me ngā paearu haumaru.

Ka taea e au te whakamahi i te whakauru Epinephrine i te wā e hapū ana?

Ka taea te whakamahi i te whakauru epinephrine i te wā e hapū ana i te wā e tū ana ki ngā ohorere manawa e mōrearea ana te ora, engari me tino whakaaro ki ngā tūponotanga me ngā painga. Ka taea e te rongoā te whakawhiti i te pūmua me te pā ki te tere o te ngākau o tō pēpi me te rere o te toto.

I te wā o ngā tauhohenga mate pāwera nui, i ngā whakaeke huango rānei, he nui ake te tūponotanga o te kore o te hāora ki a koe me tō pēpi i te rongoā tonu. Ka āta whakatau tō rōpū hauora i ēnei āhuatanga.

Mēnā kei te hapū koe, ā, he mate pāwera nui tō, he huango rānei, kōrerohia ngā mahere mahi ohorere ki tō tākuta i mua. Ka taea e rātou te āwhina i a koe ki te mārama ki ngā huarahi haumaru rawa atu mō te whakahaere i ngā ohorere manawa i te wā e hapū ana.