He aha te kano ārai mate Varicella Virus Live? Ngā tohumate, ngā take, me te rongoā i te kāinga

Ko te kano ārai mate varicella virus live he werohanga e tiaki ana i a koe i te heihei, he mate tino hopuhopu e pā ana ki te huaketo varicella-zoster. Kei roto i tēnei kano ārai mate tētahi momo ngoikore o te huaketo e āwhina ana i tō pūnaha ārai mate ki te ako ki te whawhai i te mate tūturu me te kore e tūkinotia koe.

Ko te nuinga o te tangata ka whiwhi i tēnei kano ārai mate i te wā e tamariki ana, engari ka taea hoki e ngā pakeke kāore anō kia pā te heihei ki a rātou te whiwhi. Ka tukuna te kano ārai mate hei werohanga ki roto i tō uaua, ki raro rānei i tō kiri, i runga i tō tau me te tohutohu a tō tākuta.

He aha te kano ārai mate varicella virus live?

Ko te kano ārai mate varicella virus live he rongoā ārai e whakangungu ana i tō pūnaha ārai mate ki te mōhio me te whawhai i te huaketo heihei. He mea hanga mai i tētahi momo ora engari kua ngoikore o te huaketo varicella-zoster e kore e taea te pā te mate katoa ki ngā tāngata hauora.

I te tuatahi i whakaaetia tēnei kano ārai mate i te United States i te tau 1995, ā, kua tino whakahekehia ngā keehi heihei i te neke atu i te 90%. Ko te tikanga ka tukuna ki ngā tamariki i waenga i te 12 me te 15 marama te pakeke, me te tuarua o te horopeta i waenga i te 4 me te 6 tau te pakeke.

Ko ngā pakeke kāore anō kia pā te heihei, te kano ārai mate rānei, e hiahia ana kia rua ngā horopeta ka tukuna 4 ki te 8 wiki te wehenga. Ka whakarato te kano ārai mate i te whakamarumaru roa, ahakoa ka iti te heke o te ārai mate i te wā.

He aha te ahua o te whiwhi i te kano ārai mate varicella?

Ko te whiwhi i te kano ārai mate varicella he rite ki ētahi atu werohanga - he wero tere, he ngau rānei i te wā e uru ana te ngira. He torutoru noa ngā hēkona te werohanga, ā, ko te nuinga o te tangata e whakaahua ana he iti ake te mamae i tā rātou i whakaaro ai.

Ka mamae pea tō ringa i te wāhi werohanga mō te rā e rua rānei i muri mai. Ka kite ētahi tāngata i te whero ngawari, i te pūhi rānei i te wāhi i whiwhi ai rātou i te werohanga, he mea noa tēnei, ā, e whakaatu ana kei te whakautu tō pūnaha ārai mate.

He tokoiti no te tangata ka puta he paku pāwera e rite ana ki ētahi pōro heihei i roto i ngā wiki e whai ake nei i te werohanga. E pā ana tēnei ki te 1 i roto i te 25 tangata, ā, ko te tikanga kei te pai te mahi o te kano ārai mate.

He aha te take i hiahiatia ai te werohanga varicella?

I hangaia te kano ārai mate varicella nā te mea ka pā mai ngā raruraru nui i te pōro heihei, inā koa ki ētahi rōpū tangata. Ahakoa he tokomaha e whakaaro ana he mate tamariki noa te pōro heihei, ka puta pea ngā raruraru nui tae atu ki te pūkahukahu, te mumura o te roro, me ngā mate pāwera pūtaiao e mōrearea ana ki te ora.

I mua i te kano ārai mate, e pā ana te pōro heihei ki te tata katoa i te wā tamariki, e pā ana ki te 4 miriona ngā tūponotanga i ia tau i te United States. He mōrearea rawa te mate mō ngā pēpi hou, ngā wahine hapū, me ngā tāngata he ngoikore te pūnaha ārai mate.

Koinei ngā take nui i hiahiatia ai te werohanga:

• Ka pā mai ngā tohumate e kore e pai ana i te pōro heihei, e kore ai ngā tamariki e haere ki te kura, ā, e kore ai ngā mātua e mahi
• Tata ki te 1 i roto i te 1,000 tamariki e pangia ana e te pōro heihei ka puta ngā raruraru nui
• Ko ngā pakeke e pangia ana e te pōro heihei ka tūpono ki te pūkahukahu me ētahi atu raruraru nui
• Ka taea e ngā wahine hapū e pangia ana e te pōro heihei te tuku i te mate ki ā rātou pēpi kāore anō i whānau
• Ka taea e ngā tāngata he ngoikore te pūnaha ārai mate te whakawhanake i ngā mate e mōrearea ana ki te ora

Ka ārai te kano ārai mate i ēnei raruraru mā te hanga i te ārai mate i mua i te pānga ki te huaketo mohoao. He nui ake te haumaru i te pangia e te mate tūturu.

He aha ngā āhuatanga e ārai ana te kano ārai mate varicella?

Ko te kano ārai mate varicella te mea nui e ārai ana i te pōro heihei, engari ka whakaiti hoki i tō tūponotanga ki te whakawhanake i te shingles i muri mai i te ora. Ka puta te shingles i te wā e hoki mai ana te huaketo pōro heihei, e noho ana i roto i ō pūtau io i muri i te pangia, i ngā tau i muri mai.

Ko te werohanga hei utu mo te whai heihei maori te ahua nei ka whakaiti i ō tūponotanga ki te whakawhanake i te shingles. Ko te take he iti ake te tūponotanga o te huaketo werohanga ki te whakatu i tētahi mate moe kaha i roto i ō uaua.

Ka ārai hoki te werohanga i ētahi raruraru nui ka puta mai i te heihei maori:

• Ngā mate kiri huakita ka puta ki te kiko, ki te paitini toto rānei
• Pneumonia, e pā ana ki te 1 i roto i te 400 ngā pakeke hauora e whai heihei maori ana
• Te mumura o te roro (encephalitis), ahakoa he mea onge tēnei
• Ngā raruraru toto i te iti o te tatau platelet
• Ngā mate kino i roto i ngā tāngata he ngoikore te pūnaha ārai mate

Mō ngā wahine hapū, ka ārai te werohanga i te congenital varicella syndrome, he āhuatanga ka puta ai ngā hē whānau mēnā ka puta te heihei maori i te wā e hapū ana.

Ka taea e ngā pānga taha o te werohanga te ngaro noa?

Āe, ko te nuinga o ngā pānga taha mai i te werohanga varicella he ngawari, ka ngaro noa iho i roto i ētahi rā. Ko te pūnaha ārai mate o tō tinana e pā ana ki ēnei urupare i te wā e ako ana ki te mohio ki te huaketo werohanga.

Ko ngā pānga taha tino noa ko te mamae, te whero, te pūhi rānei i te wāhi werohanga. Ko ēnei tohumate ka tīmata i roto i ngā hāora o te werohanga, ka ngaro i roto i te 2 ki te 3 rā kāore he rongoā.

Ka whakawhanake ētahi tāngata i te kirika ngawari, i ētahi wāhi rite ki te heihei maori i roto i te 2 ki te 3 wiki i muri i te werohanga. Ko tēnei urupare kua roa he tohu pai tēnā e hanga ana tō pūnaha ārai mate i te whakamarumaru, ā, ko ēnei tohumate ka ngaro i roto i te wiki.

He tino onge ngā pānga taha kino, ka puta i roto i te iti iho i te 1 i roto i te 1 miriona horopeta. Mēnā ka pā ki a koe ngā urupare pāwera nui, te kirika nui, ngā tohumate rānei kāore i te noa, whakapā atu ki tō kaiwhakarato hauora tonu.

Me pēhea te rongoā i ngā pānga taha o te werohanga i te kāinga?

Ka taea e koe te whakahaere i te nuinga o nga paanga taha o te kano kano varicella i te kainga ma te whakamahi i nga tikanga whakamarie ngawari. Ko enei huarahi ngawari ka awhina i to tinana ki te whakaora i te wa e mau tonu ana nga painga tiaki o te kano kano.

Mo te mamae i te waahi werohanga, whakamahia he kakahu makariri, makuku ki te waahi mo te 10 ki te 15 meneti i nga wa maha i te ra. Kaua e mirimiri, e mirimiri ranei i te waahi werohanga, na te mea ka nui ake te riri.

Anei nga huarahi haumaru hei whakamama i nga paanga taha noa:

• Tangohia te acetaminophen, te ibuprofen ranei mo te mamae, te kirika ranei, me te whai i nga tohutohu o te kete
• Whakamahia he kōpeke makariri ki te waahi werohanga hei whakaiti i te pupuhi
• Mau kakahu whanui kia kore ai e riri te waahi werohanga
• Kia noho wai ma te inu nui i te wai
• Kia nui ake te okiokinga hei awhina i to punaha mate ki te whakautu ki te kano kano

Mena ka puta he pupuhi ngawari, kaua e rakuraku i nga waahi ka waiho kia ma, kia maroke. Ko te tikanga ka ngaro noa te pupuhi, karekau he maimoatanga motuhake.

Kaua e whakamahia te wera ki te waahi werohanga, kaua hoki e tango i te aspirin, ina koa ki nga tamariki, na te mea ka nui ake te tupono o nga raruraru.

He aha te maimoatanga rongoa mo nga tauhohenga kano kano varicella?

Ko te maimoatanga rongoa mo nga tauhohenga kano kano varicella kei runga i te momo me te kaha o nga tohu e pa ana ki a koe. Ko te nuinga o nga tauhohenga he ngawari, karekau he wawaotanga rongoa i tua atu i te tiaki i te kainga.

Mena ka puta he kirika ngawari i runga ake i te 102°F (39°C) ka nui ake ranei te whero me te pupuhi o te waahi werohanga, ka tohutohu pea to taakuta i nga rongoa mamae kaha ake, i nga rongoa anti-inflammatory ranei. Ka hiahia ano ratou ki te whakakore i nga mate huakita tuarua.

Mo nga keehi onge o nga tauhohenga mate pāwera nui, ko te maimoatanga rongoa ko:

• Te weronga epinephrine hei whakatika i ngā tauhohenga pāwera e mōrearea ana ki te ora
• Ngā antihistamines hei whakaiti i te mōmona me te pūhihi
• Ngā corticosteroids hei whakaiti i te mumura
• Ngā wai i roto i te uaua me te aroturuki i te hōhipera
• Te tautoko manawa mēnā ka pūhihi ngā ara rererangi

Ko ngā tāngata he pūnaha ārai mate kua pakaru, ka puta te whānuitanga o te pūhihi i muri i te werohanga, me hiahia pea rongoā antiviral pērā i te acyclovir. Ka āwhina tēnei rongoā ki te ārai i te huaketo werohanga mai i te pā mai i te mate nui ake.

Ka waihanga tō tākuta hauora i tētahi mahere rongoā i runga i ō tohu motuhake me te hītori hauora. Ka pūrongo hoki rātou i ngā tauhohenga nui ki ngā pūnaha aroturuki haumaru werohanga.

Āhea au e kite ai i te tākuta i muri i te werohanga varicella?

Me whakapā atu koe ki tō tākuta hauora mēnā ka pā mai ngā tohu e nui ake ana i te mea e tūmanakohia ana, e roa rānei i ngā rā torutoru. Ahakoa he onge ngā tauhohenga nui, he mea nui kia rapu āwhina hauora mēnā e tika ana.

Waea atu ki tō tākuta i te wā tonu mēnā ka puta ngā tohu o te tauhohenga pāwera nui i roto i ngā hāora i muri i te werohanga. Kei roto i tēnei ko te uaua ki te manawa, te pūhihi o tō mata, o tō korokoro rānei, te whānuitanga o te pūhihi, te ngoikore rānei.

Ko ēnei ētahi atu āhuatanga e hiahia ana ki te arotake hauora:

• Te kirika nui ake i te 102°F (39°C) kāore e aro ki ngā whakaiti kirika
• Te wāhi werohanga ka nui ake te whero, te mahana, ka puta rānei te pūhi
• Te whānuitanga o te pūhihi me te nui atu i te 50 ngā kōpū, ina koa ki ngā tāngata he ngoikore te pūnaha ārai mate
• Te mamae nui o te upoko, te kaki mārō, te rangirua rānei
• Te ruaki tonu, ngā tohu rānei o te whakawātea wai
• Ētahi tohu e māharahara ana koe, e ahua rerekē ana rānei

Mēnā kei te hapū koe, ā, i whiwhi ohorere koe i te werohanga, whakapā atu ki tō tākuta whānau i te wā tonu. Ahakoa kāore te werohanga i te tūtohutia i te wā hapū, e whakaatu ana ngā rangahau he iti rawa te mōrearea ki te pēpi.

Mō ngā pānga taha pērā i te mamae ngawari, te kirika iti rānei, ka taea e koe te whakahaere i tēnei i te kāinga, ā, kāore koe e hiahia ki te āwhina hauora tonu.

He aha ngā āhuatanga tūpono mō ngā pānga o te kano ārai mate varicella?

Ko ētahi āhuatanga ka piki ake te tūponotanga ki te pānga o te kano ārai mate varicella, ahakoa he tino onge ngā pānga nui ahakoa ngā āhuatanga tūpono. Mā te māramatanga ki ēnei āhuatanga ka āwhina i a koe me tō tākuta ki te whakatau i ngā whakatau mō te kano ārai mate.

Ko ngā tāngata he ngoikore te pūnaha ārai mate te mea nui rawa atu te tūpono ki ngā pānga o te kano ārai mate. Kei roto i tēnei ko ngā tāngata e whiwhi ana i te rongoā matū, e tango ana i ngā rongoā whakaiti i te pūnaha ārai mate, e noho ana rānei me ngā āhuatanga pērā i te HIV, te ngoikore ārai mate tōpū rānei.

Ka pā hoki te tau ki ngā pānga o te kano ārai mate, ahakoa i ngā huarahi rerekē:

• Ka nui ake te mamae i te wāhi werohanga o ngā taiohi me ngā pakeke i ngā tamariki nohinohi
• Ka nui ake te tūpono o ngā pakeke ki te kirika i muri i te kano ārai mate
• Ka kaha ake pea te urupare ārai mate o ngā tāngata neke atu i te 50 tau
• Ko ngā tamariki kei raro i te 12 marama te pakeke he pūnaha ārai mate kāore i te pūmau, kāore pea e urupare pai

Ko ngā urupare pānga ki ngā wāhanga o te kano ārai mate i mua, ina koa ko te gelatin, te paturopi neomycin rānei, ka piki ake te tūpono ki ngā urupare nui. Kāore ngā tāngata he pānga ki te hua manu e tūpono ana ki te piki ake o te tūpono mai i te mea kāore tēnei kano ārai mate i whakatipuhia i roto i ngā hua manu.

He aukati te hapū mō te kano ārai mate nā te tūponotanga ariā ki te pēpi e whanake ana. Ka taea e ngā wāhine e whāngai ana i te ū te whiwhi i te kano ārai mate me te kore e piki ake te tūpono ki ngā pānga.

He aha ngā raruraru ka puta mai i te kano ārai mate varicella?

He tino onge ngā raruraru mai i te kano ārai mate varicella, ka puta i roto i te iti iho i te 1 i roto i te 1 miriona horopeta i whakahaerehia. Ki te puta mai ngā raruraru, he iti ake te kino i ērā e pā ana ki te mate heihei tūturu.

Ko te raruraru tino nui pea he tauhohenga mate pāwera nui e kiia nei ko te anaphylaxis, ka mōrearea te ora ki te kore e rongoatia tonutia. Ko te tikanga ka puta tēnei tauhohenga i roto i ngā meneti i muri i te werohanga, ā, he iti iho i te 1 i roto i te 1 miriona tāngata e pā ana.

Ko ētahi atu raruraru onge ko:

• Te horapa whānui o te momo werohanga varicella i roto i ngā tāngata e tino ngoikore ana te pūnaha ārai mate
• Te pūkahukahu, ahakoa he tino onge tēnei, ā, he iti ake te kino i te pūkahukahu heihei mō te momo mohoao
• Te tuku o te huaketo werohanga ki ngā tāngata e tino whakaraerae ana, i pūrongotia i roto i te iti iho i te 10 ngā keehi puta noa i te ao
• Ngā pōrearea kirika i roto i ngā tamariki e kaha ana ki te pā mai o te kirika
• Te hekenga rangitahi o te tatau o te pūtau toto, e arahi ana ki te ngāwari o te pāmu

He mea nui kia mōhio ko ēnei raruraru he iti ake te noa me te kino i ērā e pā ana ki te heihei tūturu. Ka ārai te werohanga i ngā mano o ngā raruraru nui ka puta mai i ngā mate heihei mohoao.

Kua kore ngā rangahau wā-roa e neke atu i te 25 tau i te tautuhi i ngā raruraru hauora mau tonu i puta mai i te werohanga varicella. He nui ake ngā painga o te werohanga i ngā tūponotanga iti mō te tata katoa.

He pai, he kino rānei te werohanga varicella mō te hauora o te pūnaha ārai mate?

He pai rawa te werohanga varicella mō te hauora o tō pūnaha ārai mate nā te mea e whakarato ana i te whakamarumaru ki te heihei me te kore ngā tūponotanga o te mate tūturu. Ka whakangungu i tō pūnaha ārai mate ki te mōhio me te whawhai i te huaketo varicella-zoster i runga i te whai hua me te haumaru.

Ko te werohanga ka whakakaha i tō pūnaha ārai mate mā te ako i te pūnaha ki te whakaputa i ngā paturopi me te whakahohe i ngā pūtau ārai mate e pā ana ki te huaketo heihei. Ko te tikanga ka mau tēnei whakamarumaru mō ngā tekau tau, ahakoa ka hiahia ētahi tāngata ki ngā werohanga whakanui i muri mai i te oranga.

E tautoko ana te werohanga i te hauora o te pūnaha ārai mate i roto i ētahi huarahi nui:

• E ārai ana i te pēhanga o te pūnaha ārai mate i puta mai i te whawhai ki te mate heihei tūturu
• E whakaiti ana i te tūponotanga o ngā mate pāpāho huakita tuarua ka taea te whakangaro i ngā parenga ārai mate
• Te ahua nei ka whakaiti i te tūponotanga o te whakawhanake i te kirikā i muri mai i te oranga
• E tiaki ana i ngā mema o te hapori e whakaraerae ana mā te ārai mate kahui
• E ārai ana i ngā raruraru o te pūnaha ārai mate pēnei i te pūkahukahu nui, te mumura roro rānei

E mōhio ana ētahi tāngata e ārai ana i te mate heihei tūturu ka ngoikore pea te ārai mate, engari e whakaatu ana te rangahau kāore tēnei i te tika. E whakarato ana te kano ārai mate i te whakamarumaru kaha, roa hoki, kāore he mōrearea o te mate tūturu.

Mō ngā tāngata he pūnaha ārai mate hauora, ko te kano ārai mate varicella tētahi o ngā huarahi haumaru me te whai hua ki te ārai i tētahi mate nui pea.

He aha ngā tauhohenga kano ārai mate varicella ka pohehehia?

I ētahi wā ka pohehehia ngā tauhohenga kano ārai mate varicella ki ētahi atu āhuatanga, ina koa ka puta ngā tohumate i ngā rā, i ngā wiki rānei i muri i te werohanga. Mā te māramatanga ki ēnei rite ka āwhina i a koe me tō kaiwhakarato hauora ki te whakatau tika.

Ko te pūhihi ngawari i ētahi wā ka puta i muri i te werohanga te nuinga o te wā ka pohehehia ki te mate heihei tūturu. Heoi, ko ngā pūhihi e pā ana ki te kano ārai mate te tikanga he iti ake ngā kōpū, ka puta i muri mai, ā, he iti ake te mōmona i te mate heihei mohoao.

Anei ngā āhuatanga noa e rite ana ki ngā tauhohenga kano ārai mate:

• Ngā mate kiri huakita, e pā ana ki te whero me te pūhihi i te wāhi werohanga
• Ngā tauhohenga pānga ki ētahi atu mea, ina koa ka puta te pūhihi
• Ngā mate huaketo e pā ana ki te kirika me te kore mārie whānui
• Te mate ringa, waewae, me te waha, e pā ana hoki ki te pūhihi kōpū
• Ngā ngau ngārara, te mumura kiri rānei e pā ana ki ngā tauhohenga ā-rohe
• Ētahi atu tauhohenga kano ārai mate mēnā he maha ngā kano ārai mate i tukuna i te wā kotahi

Ko te wā o ngā tohumate te āwhina i te wehe i ngā tauhohenga ā-werohanga mai i ētahi atu āhuatanga. Ko ngā pūkohu e pā ana ki te werohanga te tikanga ka puta mai i te 1 ki te 3 wiki i muri i te werohanga, engari ko ngā mate pāwera i te nuinga o te wā ka puta mai i roto i ngā rā.

Mēnā kāore koe i te mōhio mēnā e pā ana ō tohumate ki te werohanga, ki tētahi atu āhuatanga rānei, kaua e whakaroa ki te whakapā atu ki tō kaiwhakarato hauora. Ka taea e rātou te tirotiro i a koe me te whakatau i te take tino tūpono o ō tohumate.

Ngā pātai e pātai pinepine ana mō te werohanga varicella

Ka taea e au te tiki heihei mai i te werohanga varicella?

Kāore e taea e koe te tiki heihei mai i te werohanga varicella i te tikanga tuku iho. Kei roto i te werohanga tētahi momo ngoikore o te huaketo e kore e taea te whakaputa i te mate katoa i roto i ngā tāngata hauora. Heoi, tata ki te 1 i roto i te 25 tāngata ka puta he pūkohu ngawari me ētahi wāhi e rite ana ki te heihei ngawari rawa.

He nui ake te ngawari o tēnei pūkohu e pā ana ki te werohanga i te heihei tūturu, he iti ake ngā wāhi, he iti ake te mānukanuka, me te kore kirika. E whakaatu ana kei te tika te urupare o tō pūnaha ārai mate ki te werohanga me te hanga i te whakamarumaru.

Kia pehea te roa o te whakamarumaru mai i te werohanga varicella?

Ko te whakamarumaru mai i te werohanga varicella te ahua nei ka roa mō ngā tau maha, ā, pea mō ngā tekau tau. Ko ngā rangahau e whai ana i ngā tāngata kua werohia mō te neke atu i te 20 tau e whakaatu ana ko te nuinga o ngā tāngata e pupuri ana i ngā taumata paturopi whakamarumaru puta noa i tēnei wā.

Ka pātai pea ētahi tāngata i te hekenga o te ārai mate i te wā, koinei te take i tūtohu ai te hōtaka e rua ngā horopeta. E whakarato ana te horopeta tuarua i tētahi whakanui e whakanui ana i te whakamarumaru wā-roa me te whakaiti i te tūponotanga iti o ngā mate pakaru.

Ka taea e ngā wāhine hapū te noho tata ki ngā tāngata i whiwhi i te werohanga varicella?

Āe, ka taea e ngā wāhine hapū te noho haumaru ki ngā tāngata i whiwhi i te werohanga varicella. He tino onge te tuku o te huaketo werohanga ki ētahi atu, me te iti iho i te 10 ngā keehi i pūrongotia puta noa i te ao mai i te whakaurunga o te werohanga.

Ka taea anake te tuku i te huaketo kano kano mena ka puta he pūwhero ki te tangata kua werohia, ahakoa he iti noa te tūponotanga. E whakarato ana te kano kano i te whakamarumaru nui ki te hapori e whai hua ana ki nga wahine hapū mā te whakaiti i to ratou pānga ki te heihei mohoao.

Me whiwhi te kano varicella e ngā pakeke i whai heihei i te tamarikitanga?

Kāore e hiahiatia e ngā pakeke i whai heihei i te tamarikitanga te kano varicella nā te mea kua whai ārai tūturu kē rātou. Heoi, ki te kore koe e mōhio ana i whai heihei koe, ka taea e tō tākuta te whakamātau i tō toto ki te tirotiro mō ngā paturopi.

Tata ki te 85% o ngā pakeke kāore e mahara ana i whai heihei i te mea he tohu tonu tō rātou mate i te wā e whakamātauria ana. Ki te whakaatu ngā whakamātau toto kāore koe i te ārai, e tūtohutia ana te werohanga, ina koa kei te tūpono koe ki ngā raruraru.

Ka taea te hoatu te kano varicella me ētahi atu kano kano?

Āe, ka taea te hoatu te kano varicella i te wā kotahi me ētahi atu kano kano, tae atu ki te kano MMR. Ki te hoatu ngā kano kano maha i te wā kotahi, ka whakahaerehia i ngā wāhi rerekē o te tinana hei whakaiti i ngā tauhohenga ā-rohe.

Kāore te whiwhi kano kano i te wā kotahi e whakanui i te tūponotanga o ngā pānga taha nui, ā, e āwhina ana kia noho whakahōu tonu koe ki ngā werohanga katoa e tūtohutia ana. Māu e whakatau e tō kaiwhakarato hauora te hōtaka werohanga pai rawa atu i runga i tō tau me tō āhua hauora.