He aha te Levonorgestrel me te Ethinyl Estradiol: Ngā Whakamahinga, te Inenga, ngā Pānga taha, me ētahi atu mea

Ko te Levonorgestrel me te ethinyl estradiol he rongoā whakakotahi hei aukati i te hapū, e rua ngā momo homoni kei roto. E whakakotahi ana tēnei rongoā i te progestin waihanga (levonorgestrel) me te estrogen waihanga (ethinyl estradiol) kia aukati pai ai te hapū. Ka mōhiotia pea tēnei whakakotahitanga e ngā ingoa waitohu pēnei i te Seasonique, Aviane, rānei Alesse, ā, koinei tētahi o ngā momo rongoā aukati i te hapū e tino tohua ana puta noa i te ao.

He aha te Levonorgestrel me te Ethinyl Estradiol?

Ko tēnei rongoā he rongoā waha whakakotahi e whakamahi ana i ngā homoni waihanga e rua hei aukati i te hapū. Ko te Levonorgestrel he putanga waihanga o te progesterone, ā, ko te ethinyl estradiol he momo waihanga o te estrogen. Ka mahi tahi ēnei homoni, pēnei i te tīma, ki te aukati i tō tinana mai i te tuku hua manu me te uaua ake mō te pūtau ira tāne kia tae atu ki ngā hua manu ka tukuna.

Ka tae mai te rongoā i roto i te ahua pire, ā, ka tangohia ia rā i te wā kotahi i ia rā. Ko te nuinga o ngā hanganga kei roto i te 21 pire homoni kaha e whai ana i te 7 pire kore kaha, ahakoa e whakarato ana ētahi putanga hou i ngā homoni kaha mō ngā wā roa ake. Ka waihangahia tēnei he huringa marama e rite ana ki tō tauira paheketanga tūturu i te wā e whakarato ana i te aukati i te hapū pono.

He aha te Levonorgestrel me te Ethinyl Estradiol e whakamahia ana?

Ko te whakamahinga tuatahi o tēnei whakakotahitanga ko te aukati i te hapū i roto i ngā wāhine e kaha ana te mahi tāngata. Neke atu i te 99% te whai hua ina tangohia tika ana, e waiho ana ko tētahi o ngā momo aukati i te hapū e taea ana te huri, e tino pono ana. He maha ngā wāhine e whiriwhiri ana i tēnei tikanga nā te mea he watea, he taea te huri, ā, kāore e hiahiatia he mahi i mua tonu i te mahi tāngata.

I tua atu i te aukati i te hapūtanga, ka tohutohu pea tō tākuta i tēnei rongoā hei āwhina i te whakahaere i ētahi raruraru paheketanga. Ka taea e ia te whakarite i ngā wā kore rite, te whakaiti i te nui o te toto paheketanga, me te whakaiti i te mamae o te kōpū. E kitea ana e ētahi wahine he pai hoki mō te whakahaere i ngā tohumate o te mate i mua i te paheketanga (PMS) rānei, te mate dysphoric i mua i te paheketanga (PMDD).

I tua atu, ka taea e tēnei huinga te āwhina i te hakihaki hormonal i ētahi wahine. Ka taea e te wāhanga estrogen te whakaiti i te hanga o te androgens (hormone tāne) e whai wāhi ana ki te pakarutanga hakihaki. Heoi, ka roa pea te marama ka kitea tēnei painga, ā, kāore e kite katoa i te whakapai ake i ō rātou kiri.

Me pēhea te mahi a Levonorgestrel me Ethinyl Estradiol?

E mahi ana tēnei rongoā mā ngā tikanga matua e toru hei aukati i te hapūtanga. Tuatahi, ka aukati i ō ovaries ki te tuku hua i ia marama, ko te tikanga kāore he hua e wātea ana mō te parāoa kia whakatō. Koinei te huarahi tuatahi e aukati ana te pire i te hapūtanga, ā, he tino whai hua ina tangohia te rongoā i te wā tonu.

Tuarua, ka whakapakeke ngā homoni i te hūpē o te kōpū, ka piri hoki. Ka hangaia tēnei he arai e uaua ai te kauhoe o te parāoa mā tō kōpū, ka tae ki ō ngā ngongo fallopian. Whakaarohia me te huri i te rite o te ara mai i te wai ki te honi - ka neke haere ngā mea katoa i te pōturi me te uaua ake.

Tuatoru, ka huri te rongoā i te ara o tō kōpū (endometrium) kia kore e pai mō te hua i whakatō. E kiia ana tēnei he tikanga tārua, nā te mea ko te whāinga tuatahi ko te aukati i te ovulation me te whakawhānau i te tuatahi.

E kiia ana tēnei huinga he aukati hormonal kaha-waenga. He kaha ki te whai hua nui engari e whakamahi ana i ngā taumata homoni e pai ana te nuinga o ngā wahine. Ko ngā inenga motuhake he mea taurite kia whai hua nui i te wā e whakaiti ana i ngā pānga taha.

Me pēhea taku tango i te Levonorgestrel me te Ethinyl Estradiol?

Me tango e koe tēnei rongoā i te wā kotahi i ia rā kia mau tonu ai ngā taumata homoni i tō tinana. Ko te nuinga o te tangata e kite ana he māmā ake te tango i tā rātou pire i te wā o te ata, i mua tonu rānei i te moe. Ko te whakatakoto i tētahi whakaoho i ia rā i runga i tō waea ka āwhina i a koe ki te mahara, ina koa i te wā e tīmata ana koe.

Ka taea e koe te tango i tēnei rongoā me te kore kai rānei, ahakoa ko te tango me te kai ka āwhina i te whakaiti i te whakapairuaki ki te pā tēnei pānga taha ki a koe. Ki te mea he puku tō puku, ngana ki te tango i tō pire me tētahi paramanawa māmā, he kai rānei. Ko te inu i te karaihe wai katoa me tō pire ka āwhina hoki i te urunga me te whakaiti i ngā riri puku.

Ko te nuinga o ngā pākete pire kei roto 28 pire - 21 pire kaha kei roto ngā homoni me te 7 pire whakamahara kore kaha. Ka tango koe i tētahi pire kaha i ia rā mō te 21 rā, kātahi ka tango i ngā pire kore kaha mō te 7 rā, i te wā e pā ana tō wā. He rerekē ngā hōtaka o ētahi hanganga, pēnei i te 24 pire kaha me te 4 pire kore kaha, nā reira me whai tonu i ngā tohutohu motuhake mō tō waitohu.

Ki te mea e tīmata ana koe i tēnei rongoā mō te wā tuatahi, ka tohutohu pea tō tākuta kia tīmata i te rā tuatahi o tō wā, i te Rātapu tuatahi rānei i muri i te tīmatanga o tō wā. Mā tēnei e āwhina kia mōhio kei te parea koe i te hapū tonu. Ki te tīmata koe i ētahi atu wā, me whakamahi pea koe i te whakamarumaru pēnei i te kāreti mō ngā rā tuatahi e whitu.

Kia Pēhea te Roa e Tango Ana ahau i te Levonorgestrel me te Ethinyl Estradiol?

Ka taea e koe te tango i tēnei rongoā mō te wā e hiahia ana koe ki te whakamarumaru, ā, kāore he take hauora e kore ai e haumaru. He maha ngā wāhine e tango ana i ngā pire whakahaere whānau mō ngā tau, tae noa ki ngā tekau tau, kāore he raruraru. Kāore i rite ki ētahi rongoā, kāore he take ki te tango i ngā wā okioki mai i te whakamarumaru homoni ki te pai ana tēnei ki a koe.

Ka hiahia tō tākuta ki te kite i a koe i ngā wā katoa – ā, i te nuinga o te wā, ia 6 ki te 12 marama – ki te aroturuki i tō hauora me te whakarite kia tika tonu te rongoā mōu. I ēnei haerenga, ka tirohia e rātou tō toto, ka kōrero mō ngā pānga taha e pā ana ki a koe, me te arotake i tō hauora whānui. Mā tēnei aroturuki tonu e āwhina kia noho haumaru me te whai hua te rongoā mō tō āhuatanga takitahi.

Mēnā kei te whakamahere koe kia hapū, ka taea e koe te whakamutu i te tango i ngā pire i ngā wā katoa. Ko te tikanga ka hoki mai tō hua ki te noa i roto i ngā marama torutoru i muri i te whakamutu, ahakoa ka puta te hua o ētahi wahine i te wā e rua wiki i muri i tā rātou pire whakamutunga. Kāore he tohu e pā ana ki te tango i ngā pire whakawhānau mō ngā wā roa e pā ana ki tō hua i te wā roa.

Me whakamutu, me huri rānei ētahi wahine i ngā rongoā nā te pānga taha, te huringa rānei i tō rātou tūnga hauora. Ko ngā āhuatanga pēnei i te toto tiketike, ētahi momo ō ngā mamae o te upoko, ngā mate rānei e pā ana ki te pūhi toto, ka hiahia koe ki te whakamutu i tēnei rongoā. Mā tō tākuta koe e āwhina ki te huri ki ētahi atu tikanga whakawhānau mēnā e tika ana.

He aha ngā Pānga Taha o te Levonorgestrel me te Ethinyl Estradiol?

He pai te whakawhiti o te nuinga o ngā wahine i tēnei rongoā, engari pērā i ngā rongoā katoa, ka taea e ia te pānga taha. Ko te rongo pai ko te nuinga o ngā pānga taha he ngawari, ā, ka pai ake i muri i te urutau o tō tinana ki ngā homoni, i te nuinga o te wā i roto i ngā marama tuatahi e toru o te whakamahi.

Ko ngā pānga taha noa e pā ana ki te nuinga o ngā wahine ko te whakapairuaki, te ngawari o te u, me ngā mamae o te upoko. Ko te tikanga he ngawari ēnei tohu, ā, ka heke i te wā e waia ana tō tinana ki ngā homoni. Ka kite pea koe i ētahi toto, i te toto rānei i waenga i ngā wā, ina koa i ngā marama tuatahi e whakamahi ana koe.

Anei ngā pānga taha e pūrongotia ana i te nuinga o te wā e tika ana kia mōhio koe:

• Te whakapairuaki me te pōpōtanga puku ngawari
• Te ngawari o te u, te pūhi rānei
• Te mamae o te upoko, ngā huringa ngawari rānei o te ngākau
• Te toto kore taurite, te turuturu rānei i waenga i ngā wā
• Ngā huringa taumaha (te tikanga 1-5 pauna)
• Te whakaheke i te hiahia moepuku i ētahi wāhine
• Ngā huringa kiri, tae atu ki te whakapai ake, te kino rānei o te hakihaki

Ko ēnei pānga taha noa, kāore i te mōrearea, ā, he maha ngā wā ka ngaro noa iho. Heoi, ki te mau tonu, ki te pōraru rānei, kōrero ki tō tākuta mō ngā otinga ka taea, mō ngā rongoā kē rānei.

He onge ngā pānga taha nui ake, engari me āta rongoā tonu. Kei roto i ēnei ko te mamae nui o te upoko, he rerekē i ō mamae upoko noa, te mamae o te uma, te poto o te manawa, te mamae nui rānei o te waewae. Ka tohu pea ēnei tohu i ngā toto toto, he raruraru onge engari he nui.

Ko ngā tohu e hiahia ana kia āta rongoā tonu ko te mamae nui o te upoko ohorere, ngā huringa tirohanga, te mamae o te uma, te uaua ki te manawa, te mamae nui rānei o te puku. Hei tāpiri, ki te pā mai ngā tohu o te pōuri e tino kaha ana, ngā whakaaro rānei mō te whara i a koe anō, whakapā atu ki tō kaiwhakarato hauora, ki ngā ratonga ohorere rānei tonu.

Ko wai kāore e tika kia tango Levonorgestrel me Ethinyl Estradiol?

Kāore tēnei rongoā i te haumaru mō te katoa, ā, nā ētahi āhuatanga hauora ka kore e pai ki te whakamahi i ngā pire whakawhānau whakakotahi. Ka āta arotake tō tākuta i tō hītori hauora i mua i te whakarite i tēnei rongoā kia mōhio ai he haumaru mōu.

Kāore ngā wāhine he hītori o te toto toto, te whiu, te whakaeke ngākau rānei e tika kia tango i tēnei rongoā. Ka taea e te wāhanga estrogen te whakanui i te tūponotanga o te toto toto, ina koa ki ngā wāhine kua whai take tūpono kē. Kei roto i tēnei ko ngā āhuatanga pēnei i te thrombosis uaua hōhonu, te pulmonary embolism, ngā raruraru toto tuku iho rānei.

He nui te piki o te mōrearea e pā ana ki tēnei rongoā ki te kai paipa, otirā mō ngā wāhine neke atu i te 35 tau. Ki te kai paipa koe, ā, neke atu i te 35 tau tō pakeke, tērā pea ka tūtohu tō tākuta i tētahi momo aukati hapū kē. Ko te whakakotahitanga o te kai paipa, te pakeke, me te estrogen ka nui rawa te mōrearea mō ngā raruraru ngākau.

He maha atu anō ngā āhuatanga e kore ai e tika tēnei rongoā, ā, me mōhio tō tākuta ki ēnei i mua i te whakahau:

• Te mate pukupuku ū, tētahi atu momo mate pukupuku rānei e aro ana ki te homoni, i tētahi wā rānei
• Te mate ate, ngā puku ate rānei
• Te toto i te tara kāore i te whakamāramahia
• Te pēhanga toto tiketike rawa
• Te mate huka me ngā raruraru i ngā oko toto
• Ngā mamae mahunga migraine me te aura
• Te hapū, te whakaaro rānei kei te hapū

Ki te whai koe i tētahi o ēnei āhuatanga, kaua e māharahara - he maha atu anō ngā kōwhiringa aukati hapū e whai hua ana. Ka taea e tō tākuta te āwhina i a koe ki te kimi i tētahi tikanga e haumaru ana, e whai hua ana hoki mō tō āhuatanga motuhake.

Ngā Ingoa Waitohu o Levonorgestrel me Ethinyl Estradiol

E wātea ana tēnei whakakotahitanga homoni i raro i ngā ingoa waitohu rerekē, he rerekē te horopeta homoni, te hōtaka pire rānei. Ko ētahi o ngā waitohu tino noa ko Seasonique, Aviane, Alesse, me Nordette. Tērā pea ka mau hoki i tō whare rongoā ngā putanga generic, e mau ana i ngā whakauru kaha kotahi engari he iti ake te utu.

He rerekē pea ngā whakauru kore kaha, ngā tae pire rānei o ngā waitohu rerekē, engari he rite tonu te mahi. Ko ētahi waitohu i hangaia mō ngā huringa roa, ko te tikanga he iti ake ngā wā e paheke ana koe i te tau, i te mea e whai ana ētahi i te huringa 28-rā tuku iho. Mā tō tākuta e whiriwhiri te waitohu me te hanganga e pai ana mō ō hiahia me ō hiahia.

Ki te huri te whare rongoā i a koe ki tētahi momo rongoā kē, ki tētahi momo rongoā rānei, kaua e māharahara - he mea noa tēnei, ā, he haumaru. Heoi anō, ki te kite koe i ētahi huringa i roto i ngā pānga taha, i te whai huatanga rānei i muri i te huringa momo rongoā, whakamōhio atu ki tō tākuta. I ētahi wā ka pā te rerekētanga iti o ngā kai kore whai hua ki te āhua o te urupare a te tangata ki te rongoā.

Ngā Kōwhiringa kē mō te Levonorgestrel me te Ethinyl Estradiol

Ki te kore tēnei rongoā e pai ana mōu, he maha atu ngā kōwhiringa aukati hapū e wātea ana. Ka pai pea ngā pire progestin-anake (mini-pills) mēnā kāore e taea e koe te tango estrogen nā te raruraru hauora. Ko ēnei pire he progestin waihanga anake, ā, he haumaru mō ngā wāhine e kai paipa ana, e whai ana rānei i ētahi āhuatanga hauora.

Ko ngā aukati hapū e roa ana te mahi, e taea ana te huri pēnei i ngā IUD, i ngā whakato rānei, e whai ana i te whakamarumaru pai me te kore e hiahia pire ia rā. Ka tuku ngā IUD hormonal i te iti o te progestin ki tō kōpū, i te wā e whakarato ana ngā IUD parahi i te aukati hapū kore hormone mō te 10 tau. Ka haere te whakato aukati hapū ki tō ringa, ā, ka whakarato i te whakamarumaru mō ngā tau e toru.

Ko ngā tikanga arai pēnei i ngā kāpene, i ngā diaphragm, i ngā potae cervical rānei e whakarato ana i ngā kōwhiringa kore hormone me te painga atu o te whakamarumaru STI. Ko ngā aukati hapū werohia pēnei i te Depo-Provera e whakarato ana i te toru marama o te whakamarumaru me ia werohanga, ahakoa he rerekē pea ngā pānga taha i ngā pire.

Ka taea e tō tākuta te āwhina i a koe ki te whakatau i ngā painga me ngā ngoikoretanga o ia kōwhiringa i runga i tō oranga, i tō hītori hauora, me ō hiahia whaiaro. Kia mahara ko te tikanga aukati hapū pai rawa atu ko te mea ka whakamahi koe i te rite tonu, i te tika hoki.

He Pai Anei te Levonorgestrel me te Ethinyl Estradiol i Ētahi Atu Pire Aukati Hapū?

Kāore pea tēnei huinga i te pai ake, i te kino ake rānei i ētahi atu pire whakawhānau - he kōwhiringa noa i waenga i te maha o ngā kōwhiringa whai hua. He rite tonu te mahi a ngā pire whakawhānau huinga katoa, ā, he rite tonu te reiti whai hua ina whakamahia tika ana. Ko te pire pai mōu e whakawhirinaki ana ki te āhua o te urupare a tō tinana ki ngā huinga homoni me ngā inenga rerekē.

He pai ake te mahi a ētahi wahine ki ngā inenga estrogen teitei ake, iti iho rānei, i te wā e hiahia ana ētahi atu ki ngā momo progestin rerekē. Ka whakamātau pea tō tākuta i ngā huinga rerekē kia kitea te mea e pai ana mōu. He mea noa tēnei tukanga ki te kimi i te mea e tika ana, ā, e whakaatu ana kei te whakarite tō kaiwhakarato hauora i tō manaakitanga.

Ki te whakataurite ki ngā pire progestin-anake, ko ngā pire huinga pēnei i tēnei te tikanga ka whakarato i ngā wā o te marama e mōhiotia ana, me te pai ake o te whakahaere i te huringa. Heoi anō, he haumaru ake ngā pire progestin-anake mō ngā wahine e whai ana i ētahi āhuatanga hauora. Ko te kōwhiringa i waenga i ēnei kōwhiringa e whakawhirinaki ana ki tō kōtaha hauora me ō hiahia.

Ngā Pātai Auau mō Levonorgestrel me Ethinyl Estradiol

He haumaru a Levonorgestrel me Ethinyl Estradiol mō ngā wahine e mate huka ana?

Ka taea e ngā wahine e mate huka ana te whakamahi i tēnei rongoā i te nuinga o te wā, engari me āta aroturuki e tō kaiwhakarato hauora. Ka pā iti pea ngā homoni ki ngā taumata huka toto, nō reira ka hiahia tō tākuta ki te tirotiro i tō whakahaere i te mate huka i te wā e tīmata ana koe i te rongoā. Ki te whai koe i te mate huka me ngā raruraru e pā ana ki ō uaua toto, ō kanohi, ō tākihi, ō io rānei, kāore pea tēnei rongoā e tūtohutia.

Ka whakaaro tō tākuta ki te pai o te whakahaere i tō mate huka, te roa o tō whai i te mate huka, me te whai rānei koe i ētahi raruraru. He maha ngā wahine e mate huka ana i te pai te whakahaere i te mate huka e whakamahi ana i ngā pire whakawhānau huinga kāore he raruraru. Heoi anō, ka hiahia koe ki ngā whakaritenga whai-ake i ngā wā katoa kia mōhio ai kei te pūmau tonu tō huka toto.

Me aha au ki te whakamahi au i te nui rawa o Levonorgestrel me Ethinyl Estradiol?

Mēnā ka inu koe i te rongoā nui atu i te kotahi i te rā, kaua e mataku - kāore tēnei e mōrearea ana. Ka pāngia pea koe e te whakapairuaki, te ruaki, te toto e kore e tūmanakohia, engari he ngawari noa iho ēnei tohumate, ā, he wā poto noa iho. Tangohia tō rongoā e whai ake nei i te wā tika, ā, haere tonu ki tō hōtaka noa.

Mēnā kua inu koe i ētahi rongoā anō, ā, kei te tino pōuri koe, whakapā atu ki tō kaiwhakarato hauora, ki te pokapū whakahaere paitini rānei mō te tohutohu. Ka taea e rātou te tohutohu i a koe mō te aha e tūmanakohia ana, me te hiahia rānei koe ki te āwhina hauora. I te nuinga o ngā wā, ko te inu i ētahi rongoā anō, kāore e whara nui, engari he pai ake te tiki tohutohu ngaio.

Me pēhea ahau ki te kore e inu i te rongoā Levonorgestrel me Ethinyl Estradiol?

Mēnā ka ngaro i a koe tētahi rongoā kaha, tangohia i te wā ka mahara koe, ahakoa te tikanga o te inu i ngā rongoā e rua i te rā kotahi. Me noho whai hua tonu tō whakamarumaru aukati hapū, ā, kāore koe e hiahia ki te whakamarumaru tāpui. Haere tonu ki te inu i ō rongoā e toe ana i te wā tika.

Mēnā ka ngaro i a koe e rua, neke atu rānei ngā rongoā kaha, tangohia te rongoā i ngaro i te wā tata nei i te wā ka mahara koe, ka maka atu i ērā atu rongoā i ngaro. Whakamahia te whakamarumaru tāpui pērā i te kāreti mō ngā rā e whitu e whai ake nei. Mēnā i ngaro i a koe ngā rongoā i te wiki tuatahi o tō pākete, ā, i whai pānga kore koe, whakaarohia te whakamarumaru ohorere.

Ko te ngaro i ngā rongoā i te wiki tuatoru o tō pākete e hiahia ana kia aro nui. Me peke koe i ngā rongoā kore kaha, ka tīmata i tētahi pākete hou i muri tonu i te whakaoti i ngā rongoā kaha mai i tō pākete o nāianei. Mā tēnei e ārai ai te wā kore homoni kia kore e roa rawa, ā, kia kore e whakararu i tō whakamarumaru.

Āhea ahau e mutu ai te inu i te Levonorgestrel me Ethinyl Estradiol?

Ka taea e koe te whakamutu i te tango i tenei rongoa i nga wa katoa, engari he pai ake te whakaoti i to kete o naianei kia kore ai e puta te toto kore. Mena kei te whakamutu koe na te mea e hiahia ana koe ki te hapu, ka taea e koe te ngana ki te hapu tonu i muri i te whakamutu. Ko te tikanga ka hoki mai to hua i roto i etahi marama, ahakoa ka puta te ovulation o etahi wahine i roto i nga wiki.

Mena kei te whakamutu koe na te mea he paanga taha, korero ki to taakuta i te tuatahi mo etahi atu whiringa. Ka kii pea ratou ki te whakamatau i tetahi momo rereke, ki te huri ranei ki tetahi tikanga aukati hapu rereke. Kaua e mutu ohorere me te kore he mahere aukati hapu ke atu mena kei te hiahia koe ki te karo i te haputanga.

Ka mutu ana koe te tango i nga pire, ka pa ki a koe etahi huringa rangitahi i te wa e whakatika ana to tinana ki ona huringa homoni maori. Kei roto i enei ko nga wa rereke mo etahi marama, nga huringa o te ahua, me nga huringa kiri. He mea noa enei whakatikatika, a, ko te tikanga ka whakatau i a raatau ano.

Ka taea e au te tango Levonorgestrel me Ethinyl Estradiol i te wa e whangai ana ahau i te u?

Ko tenei rongoa kaore i te taunakitia mo nga whaea e whangai ana i te u, ina koa i nga marama e ono tuatahi i muri i te whanautanga. Ka taea e te waahanga estrogen te whakaiti i te hanga miraka, a ka uru pea ki roto i te miraka u i roto i nga rahinga iti. Ko te nuinga o nga taakuta e kii ana kia tatari kia pai te whangai i te u i mua i te whakaaro ki nga pire whakahaere whanau.

Mena kei te whangai koe i te u me te hiahia aukati, ko nga pire progestin-anake (mini-pire) te tikanga he pai ake te whiriwhiri. Kaore enei e pa ki te hanga miraka, a ka kiia he haumaru i te wa e whangai ana i te u. Ko etahi atu whiringa ko nga IUD, nga whakato, me nga tikanga arai kaore e pokanoa ki te whangai i te u.

Ka rite ana koe ki te whakamutu, ki te whakaiti ranei i te whangai i te u, ka taea e koe te korero ki te huri ki nga pire whakakotahi me to taakuta. Ma ratou koe e awhina ki te whiriwhiri i te wa me te tikanga pai mo to ahuatanga takitahi.