He aha te iti o te tatau pūtau toto mā? Ngā tohumate, ngā take, me te rongoā i te kāinga

Ko te iti o te tatau pūtau toto mā, e mōhiotia ana ko te leukopenia, te tikanga he iti iho ngā pūtau whawhai i te mate i tō tinana i te tikanga. Whakaarohia ngā pūtau toto mā hei rōpū haumaru o tō tinana - ka heke ō rātou tau ki raro i te 4,000 pūtau mō ia microlita o te toto, ka iti ake te whai hua o tō pūnaha ārai mate ki te tiaki i a koe i ngā huakita me ngā mate.

E pā ana tēnei āhuatanga ki te miriona tāngata puta noa i te ao, ā, ka rere kē mai i ngā take ngawari ki ngā take nui ake. Ahakoa te ahua whakamataku, he maha ngā tāngata e iti ana te tatau pūtau toto mā e ora ana i te oranga hauora me te aroturuki tika me te manaaki mai i tā rātou rōpū hauora.

He aha te iti o te tatau pūtau toto mā?

Ka puta te iti o te tatau pūtau toto mā ka iti iho i te 4,000 ngā pūtau toto mā mō ia microlita o tō toto. Ko ō pūtau toto mā he pūtau ārai mate motuhake e haere ana i tō rerenga toto, ngā kiko, me ngā okana e rapu ana i ngā huakita kino, ngā huaketo, me ētahi atu kaiwhaiwhai.

He maha ngā momo pūtau toto mā, he rōlē motuhake ō ia momo ki te pupuri i tō hauora. Ka whawhai ngā neutrophils i ngā mate huakita, ka whakahaere ngā lymphocytes i ngā huaketo me te whakatikatika i ngā urupare ārai mate, ā, ka horoi ngā monocytes i ngā pūtau kua pakaru me ngā otaota. Ka heke rawa tētahi o ēnei momo pūtau, ka raru te kaha o tō tinana ki te whawhai i ngā mate.

Ko te kupu rongoā

Inā puta ngā tohu, he mea e pā ana ki te piki ake o te tūponotanga ki ngā mate. Ka kite pea koe i te hopu i te makariri, te rewharewha, ētahi atu mate rānei i te nuinga atu i ō whānau me ō hoa. Ka roa pea ēnei mate, ka nui ake rānei te kaha i mua.

Ka kite ētahi tāngata e ngenge ana rātou i te nuinga atu, ina koa kei te kaha tō rātou tinana ki te whawhai i ngā mate me te iti o ngā pūtau ārai mate e wātea ana. Ka pā pea ki a koe ngā patito i te waha, ngā mate kiri, ngā kirika auau rānei i te mea e uaua ana tō tinana ki te pupuri i ōna arai noa.

He aha ngā take o te iti o te tatau pūtau toto mā?

Ka puta te iti o te tatau pūtau toto mā mō ētahi take, mai i ngā āhuatanga rangitahi ki ngā take hōhonu ake. Mā te māramatanga ki ēnei take ka āwhina koe me tō tākuta ki te tautuhi i te huarahi pai mō tō āhuatanga motuhake.

Ko ngā take noa ko ngā rongoā e pēhi ana i te mahi ārai mate, ngā mate ārai-a-tinana e whakaeke ana tō tinana i ōna ake pūtau, me ngā mate e kaha ana, e whara ana rānei i tō wheua roro. Koinei ngā kāwai matua o ngā take:

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1. Ngā rongoā: Ko ngā rongoā rongoā mate pukupuku, ētahi paturopi, ngā rongoā aukati i te hopu, me ngā rongoā aukati i te pūnaha ārai mate ka whakaiti i te hanga pūtau toto mā mō te wā poto
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2. Ngā āhuatanga ārai mate: Ko te rūmātiki, te lūpū, me ētahi atu āhuatanga e whakaeke hē ana tō pūnaha ārai mate i ngā pūtau hauora
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3. Ngā mate: Ko ngā mate huakita kino, ngā mate huaketo pēnei i te HIV, te pūkahukahu rānei, me ngā mate pirinoa ka pā ki te hāora wheua
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4. Mate pukupuku: Ko te leukemia, te lymphoma, me ngā mate pukupuku e horapa ana ki te hāora wheua ka raru i te hanga pūtau toto noa
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5. Ngā raruraru hāora wheua: Ko te anemia aplastic, te mate myelodysplastic, me ētahi atu āhuatanga e pā ana ki te wāhi e hangaia ai ngā pūtau toto
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6. Ngā ngoikoretanga kai: Ko ngā ngoikoretanga nui o te huaora B12, te folate, te parahi rānei ka pā ki te hanga pūtau toto mā
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I ētahi wā kāore te take e mōhiotia, e kīia ana e ngā tākuta ko te

• Ngā mate ārai-aunoa: Ko ngā āhuatanga pērā i te systemic lupus erythematosus, te rheumatoid arthritis, me te Sjögren's syndrome ka taea e tō pūnaha ārai mate te whakaeke i ō pūtau toto mā.
• Ngā mate pāwera toto: Ka taea e te leukemia, te lymphoma, me te multiple myeloma te whakakī i ngā pūtau toto mā hauora, te whakararu rānei i te hanga o aua pūtau.
• Ngā mate o te hāora wheua: Ko te aplastic anemia, te myelofibrosis, me ngā myelodysplastic syndromes e pā ana ki te kaha o te hāora wheua ki te whakaputa pūtau toto.
• Ngā mate tōmuri: Ka taea e te HIV, te tuberculosis, me ētahi atu mate tōmuri te pēhi i te mahi ārai mate.
• Te mate ate: Ka taea e ngā raruraru ate nui te pā ki te hanga me te oranga o ngā pūtau toto.
• Hypersplenism: Ka taea e te pūkahukahu kaha rawa te whakangaro i te nui rawa o ngā pūtau toto mā.

I te nuinga o te wā, ko te iti o te tatau pūtau toto mā ka tohu pea i ngā āhuatanga ira onge pērā i te severe congenital neutropenia, te cyclic neutropenia rānei. Ko ēnei āhuatanga ka puta i te tamarikitanga, ka puta he tauira o te iti o te tatau pūtau toto mā.

Ka taea e te Iti o te Tatau Pūtau Toto Mā te Ngaro Anake?

Āe, ka taea e te iti o te tatau pūtau toto mā te whakatika anake i ētahi wā, ina koa ka pā mai i ngā mea rangitahi pērā i ngā rongoā, ngā mate koi, te pēhanga rānei. Heoi, kei runga katoa tēnei i te mea e pā ana ki ō tatau iti i te tuatahi.

Mēnā e pā ana tō iti o te tatau pūtau toto mā ki te rongoā, ka hoki anō ō taumata ki te tikanga i te wā e mutu ana te tango i te rongoā raruraru, e whakaoti ana rānei i tō akoranga maimoatanga. Hei tauira, ko ngā tāngata e whiwhi ana i te chemotherapy ka kite i te whakaora o ō rātou tatau pūtau toto mā i waenga i ngā huringa maimoatanga.

Ka taea e ngā mate urutā koi te pēhi i te hanga o ngā pūtau toto mā, engari ka hoki anō ō tatauranga i te wā e ora ana tō tinana. Waihoki, ka taea e te taumahatanga tinana, aronganui rānei te pā ki te mahi ārai mate, ā, ka hoki ngā taumata ki te noho noa i te wā e ngaro ana te taumahatanga.

Heoi anō, ki te mea nā tētahi āhuatanga kei raro iho, pēnei i te mate ārai-a-tinana, te raruraru rānei o te hāora wheua, i puta ai tō tatauranga pūtau toto mā iti, e kore e pai ake me te kore he rongoā tika. E hiahia ana ēnei āhuatanga ki te whakahaere tonu hei āwhina i te whakahoki mai me te pupuri i te mahi ārai mate hauora.

Me pēhea te rongoā i te tatauranga pūtau toto mā iti i te kāinga?

Ahakoa e kore e taea e koe te whakanui tika i tō tatauranga pūtau toto mā i te kāinga, ka taea e koe te whai i ngā mahi nui hei tautoko i tō pūnaha ārai mate me te whakaiti i tō tūponotanga ki ngā mate urutā. Ko ēnei mahi e pai ana i te taha o te mahere rongoā a tō tākuta, ehara i te whakakapinga mō te manaaki hauora.

Ka taea e ō whiringa o ia rā te whai pānga nui ki te pai o tō tinana ki te whakahaere me te iti o ngā pūtau ārai mate. Aronga ki te waihanga i tētahi taiao e tautoko ana i tō hauora me te whakaiti i te pānga ki ngā huakita kino.

Anei ngā mahi whaihua ka taea e koe i te kāinga:

• Whakamahia te akuaku pai: Horoi ō ringa ki te hopi me te wai i ngā wā katoa, inā koa i mua i te kai me muri i te whakamahi i te wharepaku
• Kai i ngā kai whai hua: Whakauruhia te nui o ngā hua, huawhenua, pūmua hiroki, me ngā karepe katoa hei hoatu ki tō tinana ngā tūāpapa e hiahiatia ana
• Kia nui te moe: Whāia kia 7-9 hāora te moe pai i ia pō hei āwhina i tō tinana ki te whakatika me te whakahou
• Kia wai: Inumia te wai nui hei āwhina i tō tinana kia pai te mahi
• Aukati i ngā mano i te mea ka taea: Whakawhāitihia te pānga ki ngā rōpū nui o te tangata, inā koa i te wā o te makariri me te rewharewha
• Tunua ngā kai kia tino pai: Me mōhio kua tunua tika te mīti, ngā hua manu, me ngā kai o te moana hei karo i ngā mate i te kai
• Whakahaere i te ahotea: Whakamahia ngā tikanga whakangāwari pēnei i te manawa hōhonu, te whakaaroaro, te whakakori tinana ngawari rānei

Mā ēnei mahi tautoko e āwhina i a koe kia noho hauora i te wā e mahi ana tō rōpū hauora ki te whakatika i te take o te iti o te pūtau toto mā. Kia mahara, he tāpiringa ēnei mahi, engari kāore e whakakapi i te rongoā hauora ngaio.

He aha te Rongoā Hauora mō te Iti o te Pūtau Toto Mā?

Ko te rongoā hauora mō te iti o te pūtau toto mā e arotahi ana ki te whakatika i te take me te tiaki i a koe i ngā mate i te wā e ora ana tō pūnaha ārai mate. Ka waihanga tō tākuta i tētahi mahere rongoā whaiaro i runga i te take o te iti o ō pūtau me te kaha o te mate.

Ko te mahi tuatahi ko te tautuhi me te rongoā i te take. Mēnā nā ngā rongoā te take, ka whakatika pea tō tākuta i ngā inenga, ka huri ki ētahi atu rongoā, ka mutu rānei ētahi rongoā mō tētahi wā. Mō ngā āhuatanga ārai-aunoa, he mea tūturu pea ngā rongoā ārai-ārai, engari ka āwhina pea rātou mā te aukati i tō pūnaha ārai mate mai i te whakaeke i a ia anō.

Ngā rongoā motuhake ka tūtohu pea tō tākuta ko:

1. Ngā rongoā tupu: Ko ngā rongoā pēnei i te filgrastim (Neupogen) me te pegfilgrastim (Neulasta) ka whakahihiri i tō wheua wheua kia nui ake ngā pūtau toto mā.
2. Ngā paturopi: Ka tohua pea ngā paturopi ārai ki te tūpono koe ki te mate pāwera huakita.
3. Te rongoā immunoglobulin: Ka taea e te immunoglobulin ā-waha (IVIG) te tautoko ā-waiata.
4. Ngā corticosteroids: Ka āwhina ēnei rongoā i ngā take ā-tinana o te iti o te pūtau toto mā.
5. Whakawhiti wheua wheua: I ngā take nui e pā ana ki te korenga o te wheua wheua, ka hiahiatia pea he whakawhiti.

Ka aroturukihia hoki e tō tākuta ō tatauranga toto i ngā wā katoa hei whai i tō urupare ki te rongoā me te whakatika i tō mahere tiaki i te mea e tika ana. Mā tēnei aroturuki tonu e āwhina kia mōhio kei te pai te mahi o tō rongoā me te haumaru.

Āhea ahau e kite ai i te tākuta mō te iti o te pūtau toto mā?

Me kite koe i te tākuta i te wā tonu ki te kite koe i ngā tohu o te mate pāwera auau, ki te rongoā rānei koe mō te iti o te pūtau toto mā, ka puta ngā tohu hou. Mā te aro ki te rongoā wawe e ārai ai ngā take iti kia kore e hōhonu.

Whakapā atu ki tō kaiwhakarato hauora i te wā tonu ki te puta te kirika, ina koa kei runga ake i te 100.4°F (38°C). Ki te iti te pūtau toto mā, ka tere te hōhonu o ngā mate pāwera iti, nō reira he tohu te kirika kei te whawhai tō tinana i tētahi mea kāore e taea e ia anake.

Ko ētahi atu tohu whakatūpato e hiahia ana kia aro mai i te rongoā tonu ko:

• Ngā mate tūtakitahi: Te maha ake o te tūmate i te tikanga, ngā mate rānei kāore e aro ki ngā rongoā tikanga
• Te ngenge rerekē: Te tino ngenge me te kore take mārama
• Ngā patito waha e mau tonu ana: Ngā patito kāore e ora, e hoki mai tonu ana rānei
• Ngā mate kiri: Ngā tapahi, ngā patunga rānei e mate ana i te ngāwari, e ora pōturi ana rānei
• Te pōkaikaha: Te uaua ki te hā, ina koa i te wā e iti ana te mahi
• Te pāpā rerekē: Te pāpā ngāwari, te toto rānei e nui ana te ahua

Mēnā kei te whiwhi rongoā kē koe mō te iti o te pūtau toto mā, kia mau tonu ngā whakaritenga whai-muri ki tō tākuta. Mā ēnei haerenga e āwhina kia mōhio kei te whai hua tō rongoā, ā, ka taea te kite wawe i ngā raruraru.

He aha ngā āhuatanga tūpono mō te whakawhanake i te iti o te pūtau toto mā?

He maha ngā āhuatanga ka whakanui i tō tūponotanga ki te whakawhanake i te iti o te pūtau toto mā, ahakoa te whai āhuatanga tūpono kāore e taurangi ka whakawhanake koe i tēnei āhuatanga. Mā te māramatanga ki ēnei āhuatanga e āwhina i a koe me tō tākuta ki te aroturuki i tō hauora i te whai hua.

He wāhi tō te pakeke, i te mea he nui ake te tūpono o ngā pakeke ki ngā āhuatanga ka pā ki te iti o te pūtau toto mā. Heoi anō, ka pā ngā āhuatanga ira me ngā rongoā mate pukupuku ki ngā tāngata o ngā tau katoa.

Ngā āhuatanga tūpono matua ko:

1. Te rongoā mate pukupuku: Ko te rongoā matū me te rongoā iraruke te nuinga e heke ai te maha o ngā pūtau toto mā i te wā poto
2. Ngā āhuatanga ā-tinana: Ko te whai i ngā āhuatanga pēnei i te lupus, te rūmātiki, te sclerosis maha rānei ka piki ake tō tūponotanga
3. Ngā rongoā motuhake: Ko te whakamahi i ngā rongoā whakaiti i te pūnaha ārai mate mō te wā roa, ētahi paturopi, me ngā rongoā anti-seizure
4. Ngā āhuatanga ira: Te hītori o te whānau mō ngā mate toto, ngā raruraru rānei o te pūnaha ārai mate
5. Ngā mate tūturu: Ko ngā āhuatanga pēnei i te HIV, te hepatitis, te tuberculosis rānei ka pēhi i te mahi ārai mate
6. Te kore kai nui: Te kore o ngā matūkai nui e hiahiatia ana mō te hanga pūtau toto
7. Ngā raruraru o te wheua: Te hītori whaiaro, te hītori rānei o te whānau mō ngā āhuatanga e pā ana ki te hanga pūtau toto

He nui ake hoki te tūponotanga o ētahi iwi ki ngā āhuatanga motuhake ka heke ai te maha o ngā pūtau toto mā. Hei tauira, ko ngā tāngata nō te Mediterranean, te Middle Eastern, te uri rānei o Awherika, ka kaha ake pea ki ētahi momo ira e pā ana ki te maha o ngā pūtau toto mā.

He aha ngā raruraru ka puta mai i te iti o te maha o ngā pūtau toto mā?

Ko te raruraru nui o te iti o te maha o ngā pūtau toto mā ko te pikinga o te tūponotanga o ngā mate kino, ka tūpono pea ka mate ki te kore e rongoatia wawe. Ko te kore o te kaha o tō tinana ki te whawhai i ngā huakita, ko te tikanga ka taea e ngā huakita noa, ngā huaketo rānei te pā mai i te mate kino.

Ka tere te haere o ngā mate i roto i ngā tāngata he iti te maha o ngā pūtau toto mā, ā, kāore pea e whakaatu i ngā tohu whakatūpato. Kāore pea koe e whanake i ngā tohu noa pēnei i te hanga pū, i te mumura nui rānei, e uaua ai te mōhio ki te wā e tūpono ana koe ki te mate.

Ngā raruraru ka puta:

• Ngā mate huakita nui: Te pūkahukahu, ngā mate i roto i te toto, ngā pūkohu rānei ka horapa puta noa i tō tinana
• Ngā mate whai wāhi: Ngā mate e pā ana ki ngā iroriki kāore i te pōrohe ki ngā tāngata hauora
• Te roa o te whakaora i ngā patunga: Ka roa pea te whakaora o ngā tapahi, ngā karawarawa, ngā wāhi pokanga rānei, ā, he nui ake te tūpono ki te mate
• Ngā mate e hoki mai ana: Ko ngā mate kotahi tonu e hoki mai ana, e roa rānei atu i te tikanga
• Sepsis: He urupare ki te mate e mōrearea ana ki te ora, ka pā ki te korenga o te okana

I ngā wā onge, ka taea e te iti rawa o te tatau pūtau toto mā te arahi ki ngā raruraru pēnei i te neutropenic enterocolitis, he mumura mōrearea o te whekau, ngā mate harore rānei e pā ana ki ngā okana maha.

Heoi, mā te aroturuki tika me te manaaki ārai, ka taea e te nuinga o te tāngata e iti ana te tatau pūtau toto te karo i ngā raruraru nui. Ka mahi tō rōpū hauora ki a koe ki te whakaiti i ēnei tūponotanga i te wā e whakatika ana i te take o raro.

He aha te mea ka pohehehia ai te iti o te tatau pūtau toto?

Ka pohehehia te iti o te tatau pūtau toto mō ētahi atu āhuatanga i ētahi wā, nā te mea ka tūtaki ana ōna tohu ki ngā take hauora noa. Ko te ngenge me ngā mate auau e pā ana ki te iti o te tatau pūtau toto ka rite pea ki te pēhanga, te kai kino, te "koroheketanga" rānei.

He maha ngā tāngata e kī ana i ō rātou tohu ki ngā āhuatanga o ia rā pēnei i te nui o te mahi, te kore e nui te moe, ngā huringa ā-tau rānei. He tino mārama tēnei, nā te mea he iti noa iho ngā tohu tuatahi, ā, he rite ki ngā mea katoa e pā ana ki a tātou i ngā wā pukumahi, pēhanga rānei.

Ngā āhuatanga ka pohehehia ki te iti o te tatau pūtau toto ko:

• Te mate ngenge mau tonu: He rite ngā āhuatanga o te ngenge me te iti o te kaha
• Te pōuri: Ka taea e te ngenge, te iti o te kaha, me te iti o te ngākau hihiri te tūtaki
• Ngā mate pāwera o te wā: Ko ngā tohumate manawa e hoki mai ana ka rite ki te makariri auau
• Te mate e pā ana ki te ahotea: Ngā tohumate tinana mai i te ahotea aronganui, hinengaro rānei
• Te kai rawakore: Te ngenge me te ngawari ki te mate mai i te kai kore e tika ana
• Ngā raruraru moe: Te ngenge me te iti o te mahi ārai mate mai i te kounga moe rawakore

Ko te rerekētanga nui ko te iti o te tatauranga pūtau toto mā e pā ana ki ngā huringa ine i roto i tō toto e puta ana i ngā whakamātautau taiwhanga. Ki te rongo koe i te ngenge tonu me ngā mate auau, ka taea e te whakamātautau toto noa te āwhina i te wehe i waenga i te iti o te tatauranga pūtau toto mā me ētahi atu āhuatanga he rite ngā tohumate.

Ngā Pātai Auau mō te Iti o te Tatauranga Pūtau Toto Mā

Ka taea e te ahotea te whakaputa i te iti o te tatauranga pūtau toto mā?

Āe, ka taea e te ahotea nui, mau tonu rānei te whakaheke i tō tatauranga pūtau toto mā. Ki te kaha te ahotea, ka whakaputa tō tinana i ngā homoni ahotea pēnei i te cortisol ka taea te aukati i te mahi ārai mate. Heoi, ko te ahotea anake e kore e puta i te iti rawa o ngā tatauranga e hiahia ana ki te rongoā.

Ko te rongo pai ko te heke o te tatauranga pūtau toto mā e pā ana ki te ahotea he wā poto noa iho, ka pai ake ka heke te taumata ahotea. Ko te whakahaere i te ahotea mā ngā tikanga whakangā, te whakakori tinana, me te moe tika ka āwhina i te whakaora o tō pūnaha ārai mate.

He tōtika tonu te iti o te tatauranga pūtau toto mā?

Kāore i te tika. I ētahi wā ka kitea te iti o te tatauranga pūtau toto mā i roto i ngā tāngata hauora, ā, kāore pea e hiahia ki te rongoā. Heoi, ko ngā tatauranga tino iti, ko ngā tatauranga rānei e haere tonu ana te heke, e hiahia ana ki te aro mai i te tākuta hei ārai i ngā raruraru.

Ka whai whakaaro tō tākuta ki tō hauora whānui, ngā tohu, me te nui o te hekenga i te whakatau mēnā e tika ana te rongoā. He maha ngā tāngata e iti ana te hekenga o te tatauranga pūtau toto mā e ora ana i te ora noa, hauora hoki me te aroturuki auau.

Ka taea e te kai te awhina i te whakanui i te tatauranga pūtau toto mā?

Ahakoa e kore e taea e te kai anake te rongoā i te iti o te tatauranga pūtau toto mā, ko te kai i ngā kai whai kiko ka tautoko i tō pūnaha ārai mate me te hauora whānui. He mea nui ngā kai whai huaora B12, folate, me te zinc mō te hanga pūtau toto.

Whakauruhia te nui o ngā kākāriki rau, ngā pūmua hiroki, ngā hua citrus, me ngā kākano katoa ki tō kai. Heoi, ki te tino iti te tatauranga pūtau toto mā, ka hiahia koe ki te rongoā hauora me te kai pai hei whakatika i te take o raro.

Kia pēhea te auau o taku tirotiro i te tatauranga pūtau toto mā?

E whakawhirinaki ana te auau ki tō āhuatanga motuhake me te aha e pā ana ki ō tatauranga iti. Ki te whiwhi koe i te rongoā e pā ana ki ngā pūtau toto mā, pēnei i te chemotherapy, tērā pea ka hiahia koe ki te aroturuki i ia wiki, i te auau ake rānei.

Mō ngā āhuatanga pūmau, tērā pea ka tūtohu tō tākuta kia tirohia ō tatauranga i ia marama. Ki te kotahi noa te hua iti i te kore tohu, tērā pea ka nui te tirotiro anō i roto i ngā wiki torutoru hei whakarite kia hoki ngā taumata ki te noa.

Ka taea te ārai i te iti o te tatauranga pūtau toto mā?

E whakawhirinaki ana te ārai ki te take o raro. E kore e taea e koe te ārai i ngā āhuatanga ira, i ngā mate ārai-aunoa rānei, engari ka taea e koe te whakaiti i tō tūponotanga ki ngā mate ka pēhi i te hanga pūtau toto mā mā te whai i te akuaku pai me te noho whakahōu ki ngā kano ārai mate.

Ki te tango koe i ngā rongoā ka taea te whakaheke i te tatauranga pūtau toto mā, mahi tahi me tō tākuta ki te aroturuki i ō taumata me te whakatika i te rongoā i te mea e tika ana. Ko te pupuri i te oranga hauora me te kai pai, te moe tika, me te whakahaere i te ahotea ka tautoko hoki i te mahi ārai mate whānui.