He aha te Splenectomy? Te Whāinga, te Hātepe me te Whakaora

Ko te splenectomy he tango pokanga i tō pūkahukahu, he okana kei tō puku mauī o runga e āwhina ana ki te whawhai i ngā mate me te tātari i tō toto. Ahakoa te ahua whakamataku o te ngaro o tō pūkahukahu, he maha ngā tāngata e ora ana i te oranga tonu, i te hauora hoki i muri i tēnei hātepe ina tika ana i te rongoā.

E mahi ana tō pūkahukahu hei tātari motuhake me te āwhina ārai mate, engari i ētahi wā me tango i te mea kua whara, kua mate rānei, i ētahi atu āhuatanga rongoā. Ko te rongo pai ko ētahi atu wāhanga o tō pūnaha ārai mate ka taea te whakahaere i te nuinga o āna mahi, ahakoa me whai koe i ētahi atu whakatūpato kia noho hauora.

He aha te splenectomy?

Ko te splenectomy he hātepe pokanga e tangohia katoatia ana e ngā tākuta tō pūkahukahu. Ko tō pūkahukahu he okana rite ki te ringa e noho ana i muri i ō rara i te taha mauī o tō tinana, i raro noa iho i tō uaua kōpū.

Ko te tikanga o tēnei okana he tātari i ngā pūtau toto whero tawhito mai i tō rerenga toto me te āwhina i tō pūnaha ārai mate ki te whawhai i ētahi momo huakita. Ina whara, mate, whānui rānei te pūkahukahu i tua atu i te mea haumaru, ka noho ko te tango te whiringa maimoatanga pai.

Ka taea te mahi pokanga mā te pokanga tuwhera tuku iho, mā ngā tikanga laparoscopic iti rānei. He pai te whakaora o te nuinga o ngā tāngata mai i tēnei hātepe, ahakoa me whai koe i ētahi atu mahi hei tiaki i a koe i ngā mate i muri mai.

He aha te take e mahia ai te splenectomy?

E tūtohu ana ngā tākuta i te splenectomy ina nui ake te kino o tō pūkahukahu ki tō hauora i te pai. Ko te tikanga ka pā tēnei ina tino whara, mate rānei te okana, ka tīmata rānei ki te whakangaro i ngā pūtau toto hauora.

Me titiro ki ngā take tino noa e hiahia ai koe ki tēnei pokanga, me te mōhio ka whakamātau tonu tō tākuta i ētahi atu maimoatanga i te tuatahi ina taea.

He whara whakatōpū: Ko te whara nui ki te puku mai i ngā aituā motokā, ngā whara hākinakina, ngā hinganga rānei ka pakaru tō rātou pūkahukahu, ka puta te toto i roto i te tinana e mōrearea ana te ora. Ki te nui rawa te kino e kore e taea te whakatika, ka whakaora tō ora te tango ohorere.

Ngā mate toto: Ko ngā āhuatanga pēnei i te idiopathic thrombocytopenic purpura (ITP) ka pā ki tō rātou pūkahukahu ki te whakangaro i ngā pereti toto hauora, ka puta he raruraru toto mōrearea. Ko te spherocytosis tuku iho ka pakaru tō rātou pūkahukahu i ngā pūtau toto whero i te tere rawa, ka puta te anemia nui.

Te pūkahukahu whānui (splenomegaly): Ki te nui rawa tō rātou pūkahukahu i ngā āhuatanga pēnei i te portal hypertension, i ētahi momo mate pukupuku rānei, ka pēhi pea ki ētahi atu okana, ka puta te mamae, ngā raruraru rānei.

Ngā pūkahukahu cysts, ngā puku rānei: Ko ngā cysts nui, ngā puku pai, ngā puku kino rānei i roto i te pūkahukahu ka hiahia pea ki te tango, ina koa kei te puta ngā tohu, kei te mōrearea rānei te mate pukupuku.

Ētahi momo mate pukupuku: Ko ngā mate pukupuku toto pēnei i te lymphoma, i te leukemia rānei, i ētahi wā ka hiahia ki te tango i te pūkahukahu hei wāhanga o te rongoā. Mā tēnei e āwhina ai ngā tākuta ki te whakatū i te mate pukupuku, ki te tango rānei i te puna o te hanga pūtau kōaro.

Ko ngā take kāore i te kitea i te nuinga o te wā ko ngā pūkahukahu abscesses kāore e aro ki ngā paturopi, ētahi āhuatanga autoimmune, ngā raruraru rānei mai i ētahi atu tikanga rongoā.

He aha te tikanga mō te splenectomy?

Ka taea te mahi i te tikanga splenectomy mā te whakamahi i ngā huarahi e rua, ā, ka whiriwhiria e tō tākuta te tikanga pai rawa atu i runga i tō āhuatanga motuhake. He haumaru, he whai hua ngā tikanga e rua ina mahia e ngā tākuta mōhio.

Ko te tikanga, ka roa tō pokanga i te 1-3 haora, i runga i te uaua o tō keehi, me te huarahi pokanga e whakamahia ana e tō tākuta.

Te tango i te repe o te puku mā te laparoscopy: E whakamahi ana tēnei huarahi iti nei i ētahi tapahi iti (tata ki te hawhe inihi te rahi) ki tō puku. Ka whakauru tō tākuta i tētahi kāmera iti me ētahi taputapu motuhake mā ēnei wāhi iti hei tango i tō repe o te puku.

Ko te tikanga laparoscopy te tikanga he iti ake te mamae, he iti ake ngā kōpiko, me te tere ake o te whakaora. Ka taea e te nuinga o te tāngata te hoki ki te kāinga i roto i te 1-2 rā, ka hoki ki ngā mahi noa i mua i te pokanga tuwhera.

Te tango i te repe o te puku tuwhera: E hiahia ana tēnei huarahi tuku iho i tētahi tapahi nui ake ki tō puku mauī o runga. Ka whakatuwherahia e tō tākuta te wāhi o te puku kia uru tika atu, kia tango i tō repe o te puku.

Me whai pokanga tuwhera ki te mea he nui rawa tō repe o te puku, ki te mea he kiko kōpiko tōna i ngā pokanga o mua, i ngā wā ohorere rānei. He roa ake te whakaora, me te noho i te hōhipera mō te 3-5 rā.

I te wā o tētahi o ngā tikanga e rua, ka āta momotu e tō tākuta tō repe o te puku i ngā oko toto me ngā okana e tata ana i mua i te tango katoa. Ka tirohia anō e rātou mō ētahi repe o te puku āpiti (ētahi wāhanga iti o te kiko repe o te puku) e hiahia ana kia tangohia.

Me pēhea te whakarite mō tō tango i te repe o te puku?

Ko te whakarite mō te tango i te repe o te puku e whai ana i ētahi mahi nui hei whakarite i te putanga pai rawa atu, me te whakaiti i tō tūponotanga ki ngā raruraru. Ka ārahi tō rōpū hauora i a koe mā ia mahi whakarite.

Ko te whakarite tino nui e whai ana i te tiaki i a koe i ngā mate, nā te mea ka āwhina tō repe o te puku ki te whawhai i ētahi huakita.

Mahere kano ārai mate: Me whai kano ārai mate motuhake koe i te iti rawa 2-3 wiki i mua i te pokanga, ki te taea. Kei roto i ēnei ko ngā kano ārai mate pneumococcal, meningococcal, me Haemophilus influenzae momo b hei tiaki i ngā huakita e whawhai ana tō repe o te puku.

Te arotake hauora: Ka mahia e tō tākuta ngā whakamātautau toto, ngā rangahau whakaahua, me tētahi whakamātautau tinana katoa. Ka arotake hoki rātou i ō rongoā katoa, ā, ka whakatika, ka whakamutu rānei i ētahi i mua i te pokanga.

Ngā tohutohu i mua i te pokanga: Me whakamutu te kai me te inu mō te 8-12 hāora i mua i te pokanga. Ka hoatu e tō rōpū hauora te wā tika ki a koe i runga i te hōtaka pokanga.

Te whakahaere rongoā: Kōrero atu ki tō tākuta mō ngā rongoā katoa, ngā tāpiringa, me ngā rongoā otaota e tango ana koe. Ko ētahi rongoā whakaheke toto, ētahi atu rongoā rānei, tērā pea ka mutu i ngā rā maha i mua i te pokanga.

Te whakamahere mō te whakaora: Whakaritea tētahi tangata hei taraiwa i a koe ki te kāinga, hei āwhina i a koe mō ngā rā tuatahi i muri i te pokanga. Ka hiahia koe ki te āwhina i ngā mahi o ia rā i a koe e ora ana.

Mēnā kei te pokanga ohorere koe i te trauma, tērā pea ka poto, ka peke rānei ētahi o ēnei mahi whakarite, engari ka whakanui tonu tō rōpū hauora i tō haumaru.

Me pēhea te pānui i ō hua splenectomy?

I muri i te splenectomy, kāore koe e whai

Ngā huringa i roto i te tatau toto: He mea noa te pikinga o te tatau pūtau toto mā i muri i te tango i te pūkahukahu, i ētahi wā ka noho tiketike tonu. Ka piki pea te tatau pereti toto, ā, ka aroturukihia e tō tākuta hei ārai i ngā raruraru o te pūwhā.

Te aroturuki i te mate: I te mea i āwhina tō pūkahukahu ki te whawhai i ngā mate, ka mātakitaki tata tō rōpū hauora i ngā tohu o te mate. Ka ako koe ki te mōhio ki ngā tohu e hiahia ana kia āwhina tonu koe i te hauora.

Te aroturuki wā roa: Me whai koe i ngā arotake auau hei aroturuki i tō hauora whānui me te whakarite kia pai te utu o ō ōhanga mō te kore o tō pūkahukahu.

Ka tirotiro hoki tō tākuta i ō wāhi tapahi i ngā haerenga whai muri kia mōhio ai kei te ora tika ana rātou me te kore tohu o te mate, ētahi atu raruraru rānei.

Me pēhea te whakahaere i te oranga i muri i te tango i te pūkahukahu?

Ko te noho me te kore pūkahukahu e hiahia ana ētahi whakarerekētanga, engari ka urutau pai te nuinga o te tangata, me te pupuri i te kounga pai o te oranga. Ko te kī ko te māramatanga ki te ārai i a koe i ngā mate i te wā e noho kaha ana, e hauora ana.

Ka urutau tō pūnaha ārai mate i te wā, me te whai i tō ate me ō pona rākau i te nuinga o ngā mahi a tō pūkahukahu, ahakoa me noho tūpato tonu koe mō ētahi mate.

Te ārai i te mate: Tangohia ngā paturopi ārai kua whakaritea katoa i te ara i tohutohutia. E hiahia ana ētahi tāngata i ngā paturopi ia rā mō te oranga, i te wā e hiahia ana ētahi i a rātou i te wā e mate ana, i mua rānei i ngā mahi niho.

Te hōtaka kano ārai mate: Kia hou tonu ki ngā kano ārai mate rewharewha ā-tau me ētahi atu kano ārai mate e taunakitia ana. Ka tūtohu pea tō tākuta i ētahi atu kano ārai mate, i ngā whakakaha rānei i te whakataurite ki ngā tāngata he pūkahukahu.

Te mōhio ki ngā tohu whakatūpato: Ako ki te tautuhi i ngā tohu wawe o te mate nui, tae atu ki te kirika, te wiri, te tino ngenge, ngā tohu rānei pērā i te rewharewha e puta wawe ana. E hiahia ana ēnei kia āwhina tonu koe i te hauora.

Ngā whakatūpato haerenga: I te haerenga, ina koa ki ngā wāhi e nui ake ana te tūponotanga o te mate, kōrerohia ngā whakatūpato atu anō ki tō tākuta. Akene pea ka hiahia koe ki ngā kano ārai mate atu anō, ki ngā rongoā ārai mate rānei.

Te tohu whakatūpato hauora: Mauhia he poroporo whakatūpato hauora, he kāri rānei e tohu ana i te tangohia o tō rātou pūkahukahu. Mā tēnei e āwhina ai ngā tāngata whakautu ohorere ki te whakarato i te manaakitanga tika mēnā ka tūpono koe ki te mate.

Ko te nuinga o ngā tāngata ka hoki ki ā rātou mahi noa i roto i te 4-6 wiki i muri i te pokanga, ahakoa me karo koe i te hiki taumaha me ngā hākinakina whakapā i te wā o te whakaora tuatahi.

He aha ngā āhuatanga tūpono mō ngā raruraru o te tangohanga pūkahukahu?

Ahakoa te nuinga he haumaru te tangohanga pūkahukahu, ka taea e ētahi āhuatanga te whakanui i tō tūponotanga ki ngā raruraru i te wā o te pokanga, i muri rānei. Mā te māramatanga ki ēnei āhuatanga tūpono e āwhina ai tō rōpū hauora ki te whakamahere i te huarahi haumaru mō tō āhuatanga motuhake.

Ko tō hauora whānui, tō tau, me te take i tangohia ai tō pūkahukahu, he mea nui katoa ki te whakatau i tō taumata tūpono.

Ngā āhuatanga e pā ana ki te tau: Ko ngā tamariki tino pōtiki me ngā pakeke ake pea ka nui ake ngā tūponotanga. Ko ngā tamariki kei raro i te 5 tau he iti ake te whakawhanaketanga o ngā pūnaha ārai mate, ā, ko ngā pakeke ake pea he ētahi atu āhuatanga hauora e uaua ai te whakaora.

Ngā āhuatanga hauora e takoto ana: Ko ngā āhuatanga pēnei i te mate huka, te mate ngākau, te pūnaha ārai mate rānei e tōtō ana, ka taea te whakanui i ngā tūponotanga pokanga me te whakaroa i te whakaora. Ko ngā mate toto i arahi ki tō tangohanga pūkahukahu pea ka pā ki te whakaora.

Te pokanga ohorere: I te wā e hiahiatia ana te tangohanga pūkahukahu i te ohorere nā te wharanga, ka nui ake ngā tūponotanga i te pokanga i whakamaherehia. Kāore ngā āhuatanga ohorere e tuku wā mō te whakarite pai.

Te rahi me te āhua o te pūkahukahu: Ko ngā pūkahukahu tino nui, tino mate rānei, ka uaua ake te pokanga, ka whakanui i ngā tūponotanga raruraru. Ko te kiko kiko nui mai i ngā pokanga o mua ka tāpiri hoki i te uaua.

Te huarahi pokanga: Ahakoa he haumaru te pokanga laparoscopic me te pokanga tuwhera, ko te pokanga tuwhera te nuinga ka nui ake te tupono o te mate, te whakaheke toto, me te roa ake o te wa whakaora.

Ka kōrero tō tākuta pokanga i ō āhuatanga tūpono me te āhua e whakamahere ana rātou ki te whakaiti i ngā raruraru ka puta i runga i tō āhuatanga takitahi.

He aha ngā raruraru ka puta i te tangohanga o te kiko roro?

Pērā i ngā pokanga katoa, he tūpono kei te tangohanga o te kiko roro, ahakoa he iti noa iho ngā raruraru nui ka mahia e ngā tākuta pokanga whai wheako. Mā te māramatanga ki ngā raruraru ka puta ka āwhina i a koe ki te whakatau whakatau mōhio me te mōhio wawe ki ngā raruraru.

Ka ora te nuinga o te tangata i te tangohanga o te kiko roro me te kore he raruraru nui, engari mā te mōhio ki ngā mea hei mātakitaki ka whakarite kia whiwhi koe i te rongoā wawe mēnā ka puta he take.

Ngā raruraru pokanga tonu: Ka puta te whakaheke toto, te mate i ngā wāhi tapahi, me ngā urupare ki te rongoā whakamoe i ngā pokanga katoa. Ka mātakitaki tata tō rōpū hauora i ēnei take i te wā e noho ana koe i te hōhipera.

Te wharanga o te okana: I ngā wā onge, ka wharanga te pokanga i ngā okana tata pērā i te puku, te koroni, te puku. Ka nui ake tēnei i te wā e tino nui ana te kiko roro, i te wā rānei e nui ana te kiko kiko.

Te hanganga o te toto toto: Ka piki ake pea tō tūpono ki te whakawhanake i ngā toto toto i ō waewae, i ō pūkahukahu rānei i muri i te pokanga, ina koa he iti noa iho tō nekehanga i te wā e ora ana koe.

Te mate i muri i te tangohanga o te kiko roro (OPSI): Ka puta tēnei raruraru onge engari nui i ngā marama, i ngā tau rānei i muri i te pokanga. Ka taea e ētahi huakita te pā i ngā mate nui, e tere ana te haere, e hiahia ana ki te rongoā tonu.

Ngā āhuatanga koretake o te tatau toto: Ka whakawhanake ētahi tāngata i ngā tatau platelet tiketike tonu i muri i te tangohanga o te kiko roro, ka piki ake pea ngā tūpono o te kōpuku. Ka pā ētahi atu i ngā huringa i ngā tatau pūtau toto mā.

Ngā tūponotanga o te mate i te wā roa: Ki te kore tō pūwero, ka nui ake te tūponotanga ki ngā mate mai i ngā huakita pēnei i te pneumococcus me te meningococcus puta noa i tō oranga.

Ko te rongo pai ko te nuinga o ngā raruraru ka taea te ārai, te rongoa rānei i te wā e mōhio wawe ana, koinei te take he mea nui te whai i ngā tohutohu a tō tākuta i muri i te pokanga.

Āhea au e kite ai i te tākuta i muri i te tangohanga o te pūwero?

Ko te mōhio ki te wā ki te rapu āwhina hauora i muri i te tangohanga o te pūwero ka taea te whakaora i te ora, nā te mea he nui ake te tūponotanga o te hunga kāore he pūwero ki ētahi momo mate. Ka ako tō rōpū hauora ki a koe ki te mōhio ki ngā tohu whakatūpato e hiahia ana kia atawhai tonu.

Ahakoa ko te nuinga o ngā tohu i muri i te pokanga he wāhanga noa o te whakaora, ko ētahi tohu e tohu ana i ngā raruraru nui e hiahia ana kia rongoatia wawe.

Ngā tohu ohorere e hiahia ana kia atawhai tonu: Te kirika i runga ake i te 101°F (38.3°C), te wiri nui, te tere o te ngākau, te uaua ki te manawa, te tino kore pai rānei i te wā tere. Ka tohu pea ēnei i te mate nui.

Ngā raruraru i te wāhi tapahi: Ko te whero haere, te mahana, te pūhi, te pū rānei i te taha o ō tapahi pokanga e tohu ana i te mate. Ko ngā tapahi e tuwhera ana, e nui ana te toto e hiahia ana hoki kia atawhai hauora.

Ngā āwangawanga o te puku: Ko te mamae nui, te kino haere rānei o te puku, te whakapairuaki me te ruaki tonu, te kore rānei e kai, e inu noa rānei ka tohu pea i ngā raruraru.

Ngā tohu o ngā toto toto: Te pūhi o te waewae, te mamae, te mahana rānei, ina koa ki te haere tahi me te poto o te manawa, te mamae rānei o te uma, ka tohu pea i ngā toto toto mōrearea.

Te rere toto rerekē: Ko te ngāwari o te pānga, te ihu toto, te toto rānei o ngā kapia ka tohu pea i ngā raruraru o te tatau toto e hiahia ana kia arotakehia.

Ngā tohu o te mate: Ahakoa ngā tohu iti o te makariri, te rewharewha rānei e tika ana kia atawhai hauora, nā te mea ka tere te haere o ngā mate ki te kore he pūwero.

Kaua e whakaroa ki te whakapā atu ki tō tākuta mō ngā pātai, āwangawanga rānei. He pai ake tonu te kōrero ki tō rōpū hauora i te tatari, ā, ka tūpono ka pā ki ngā raruraru nui.

Ngā pātai e pātai pinepine ana mō te tangohanga o te kiko kōpū

Q.1 He pai te tangohanga o te kiko kōpū mō ngā mate toto?

Āe, he tino whai hua te tangohanga o te kiko kōpū mō ētahi mate toto, ina koa ka whakangaro tō kiko kōpū i ngā pūtau toto hauora i te tere ake i te hanga o tō tinana. Ko ngā āhuatanga pēnei i te idiopathic thrombocytopenic purpura (ITP) me te hereditary spherocytosis ka pai ake i muri i te tangohanga o te kiko kōpū.

Mō te ITP, ka piki ake te tatau o te platelets, ā, ka whakaiti i ngā tūponotanga toto i roto i te 70-80% o ngā tūroro. I roto i te hereditary spherocytosis, ko te tangohanga o te kiko kōpū ka aukati i te whakangaro o ngā pūtau toto whero hē, e whakaora ana i te anemia.

Heoi, ka whakamātau ngā tākuta i ētahi atu rongoā i te tuatahi, nā te mea ko te noho me te kore kiko kōpū e hiahia ana ki ngā whakatūpato mō te ora katoa ki ngā mate. Kei runga i te kaha o ō tohumate me te pai o tō urupare ki ētahi atu rongoā te whakatau.

Q.2 Ka pūhi te tangohanga o te kiko kōpū i te taumaha?

Kāore te tangohanga o te kiko kōpū i te pūhi tika i te taumaha, engari ka pā ki ētahi tāngata ngā huringa taumaha i te wā o te whakaora mō ngā take rerekē. Kāore te pokanga e pā ki tō pākia, ki ngā taumata homoni rānei e whakahaere ana i te taumaha.

Ka pūhi ētahi tāngata i te taumaha mō te wā poto i te wā o te whakaora nā te iti o te mahi i te wā e ora ana. Ka ngaro pea ētahi atu i te taumaha i te tuatahi nā te iti o te hiahia, i ngā huringa kai rānei i muri i te pokanga.

Mēnā ka kite koe i ngā huringa taumaha nui i muri i te tangohanga o te kiko kōpū, kōrerohia tēnei ki tō tākuta. Ka taea e rātou te āwhina ki te whakatau mēnā e pā ana ki tō whakaora, rongoā, ētahi atu āhuatanga rānei e hiahia ana kia aro.

Q.3 Ka taea e koe te noho i te ora noa i muri i te tangohanga o te kiko kōpū?

Āe, he maha ngā tāngata e noho ana i te oranga noa, i te oranga hihiri i muri i te tangohanga o te repe, ahakoa me whai koe i ngā tūpato anō mō ngā mate. He maha ngā tāngata e hoki ana ki te mahi, e whakakori tinana ana i ngā wā katoa, e haere ana, me te whai wāhi atu ki ngā mahi katoa e mahia ana e rātou.

Ko te rerekētanga nui ko te hiahia kia kaha ake te tūpato ki te ārai me te mōhio ki ngā mate. Ko te tikanga tēnei kia noho whakahōunga tonu ki ngā kano ārai mate, te tango i ngā paturopi ārai mate i te wā e tūtohutia ana, me te rapu i te manaakitanga hauora i te wā tonu mō ngā tohu o te mate.

Ka taea e ngā tākaro te hoki ki te hākinakina, ahakoa ka tūtohu pea tō tākuta kia karo i ngā hākinakina whakapā e whara ai te puku. E kitea ana e te nuinga o ngā tāngata ka noho ēnei tūpato hei mea māori, ā, kāore e pā nui ki te kounga o te oranga.

Q.4 Kia pēhea te roa o te whakaora i muri i te tangohanga o te repe?

He rerekē te wā whakaora i runga i te mea i whai koe i te pokanga laparoscopic, i te pokanga tuwhera rānei, engari ka pai ake te nuinga o ngā tāngata i roto i te 2-4 wiki. Ko te pokanga laparoscopic te tikanga ka tere ake te whakaora, me te maha o ngā tāngata e hoki ana ki ngā mahi māmā i roto i te wiki.

Ko te tikanga ka noho koe i te hōhipera 1-5 rā i muri i te pokanga, i runga i tō āhuatanga. E pā ana ki te 6-8 wiki te whakaora katoa o ngā kiko o roto, i tēnei wā me karo koe i te hiki taumaha me ngā mahi kaha.

Ka taea e te nuinga o ngā tāngata te hoki ki te mahi i roto i te 1-3 wiki mēnā he mahi tēpu ā rātou, ahakoa ko te hunga e mahi ana i ngā mahi kaha tinana ka hiahia pea 4-6 wiki. Ka hoatu e tō tākuta pokanga he wā tika ki a koe i runga i tō ahunga whakamua whakaora me te momo mahi.

Q.5 He aha ngā kano ārai mate e hiahia ana au i muri i te tangohanga o te repe?

I muri i te tangohanga o te repe, ka hiahia koe ki ētahi kano ārai mate motuhake hei ārai i ngā huakita e āwhina ana tō repe ki te whawhai. He mea nui ēnei kano ārai mate mō te ārai i ngā mate nui puta noa i tō oranga.

Me whai koe i ngā kano ārai mate pneumococcal (PCV13 me PPSV23), ngā kano ārai mate meningococcal (e hipoki ana i ngā rōpū A, C, W, Y, me B), me te kano ārai mate Haemophilus influenzae momo b. Me whai hoki koe i ngā kano ārai mate rewharewha ā-tau mō te oranga.

He mea nui te wā - ko te mea pai, me whiwhi koe i ēnei kano ārai mate i te iti rawa 2-3 wiki i mua i te pokanga ina taea. Mēnā i pokanga ohorere koe, ka whiwhi koe i a rātou i mua i te wehenga atu i te hōhipera, i muri tata rānei i te tukunga. Ka whakarato tō tākuta i tētahi hōtaka kano ārai mate e tika ana mō ō hiahia.