Me ako atu tātou mō te whara o te taurakira.

E mōhio ana tātou katoa ki te hiranga o te taurakira, tika? He rite ki te ara karere nui i roto i tō tātou tinana. Nā, he aha te mea ka puta mēnā he kino ki tēnei taurakira, arā, he `(Whara o te taurakira)`? He iti noa iho pea tēnei āhuatanga, he āhua ngāwari te whakahaere, he kino ake rānei, he roa ake pea te wā. Me kōrero tātou mō tēnei mea i tēnei rā.

He aha te āhua o te taurakira?

Ki te kī ngāwari, ko te paihere o ngā muka io e rere ana i roto i te taurakira e whakawhitiwhiti kōrero ana i waenga i tō tātou roro me ngā wāhanga katoa o tō tātou tinana . Koinei tētahi o ngā wāhanga matua e rua o tō tātou Pūnaha Io Matua (CNS). Ko tētahi ko te roro.

Whakaarohia tō tātou pūnaha io he pūnaha huarahi nui. He ara kei roto e kawe ana i ngā karere mai i te roro, me ngā ara anō hoki e kawe ana i ngā karere ki te roro. Ko te taurakira te huarahi matua. E hono ana ki ngā io tuaiwi. He rite ki ngā arawhata i runga i te huarahi me ngā arawhata i raro i te huarahi. Ka hono ēnei arawhata ki ngā io taha e rere ana puta noa i te tinana. He rite ngā tohu io ki ngā waka e haere ana i ēnei rori.

Inaianei, he rite te kino o te taurakira ki te huarahi tere e āraihia ana. Engari, he rite ki te huarahi tūturu e āraihia ana, kāore he ara huri. Kāore e taea e ngā karere e tika ana kia haere mā roto i ngā huarahi kua āraihia te tae ki tō rātou ūnga. Mena he kino te kino, ka taea te kati i te huarahi mō ake tonu atu. Koinā te wā ka puta ai ngā tohu kino pērā i te pararutiki.

Me pēhea te wehewehe i ēnei mate?

E wehea ana e ngā tohunga ngā whara o te taurakira kia rua ngā momo matua: i runga i te pānga o te whara ki te taurakira, me te wāhi i roto i te taurakira e puta ai te whara. Mēnā he whara taurakira (SCI), ka taea te whakararuraru i ngā tohu io i raro i te wāhi whara.

Mā te Tauwāhi:

Kua wehea te tuaiwi kia maha ngā wāhanga. Ka rerekē ngā pānga i runga i te wāhanga o te tuaiwi kua pakaru.

• Tuaiwi o te kaki: Kei roto i tō kaki tēnei, mai i te turanga o tō māhunga ki te taumata pakihiwi.
• Tuarā Uma: Ka toro atu tēnei mai i te tuara o runga ki raro noa iho i te rara.
• Tuarā Lumbar: Kei te tuara o raro tēnei. Tata ki te tihi o te papa, engari ka mutu te taurakira ki runga ake i tērā.
• Tuarā Sacral: Kei roto i tēnei wāhi ngā pakiaka io e rere ana mai i te papa ki te wheua hiku.

Mā te Kaha:

E rua ngā momo, i runga i te kaha o te kino:

• SCI Kāore i oti: He rite tēnei ki tētahi huarahi nui me ētahi ara anake kua kati. Kei te tuwhera ngā ara kē atu, e āhei ai ētahi mahi ki te haere tonu i raro i te wāhi i pakaru ai.
• Te Whakaoti i te SCI:I konei, kua āraia aua rori katoa. Kāore he karere e taea te puta. I te nuinga o te wā, ko te tikanga o tēnei ka ngaro katoa ngā āheinga i raro i te wāhi i pakaru ai, tae atu ki te pararutiki .

E 31 ngā wāhanga o tō tātou tuaiwi (e rite ana ēnei ki te 31 ngā takirua o `(Ngā Io Tuaiwi)`). Ka whakamahia e ngā tohunga he huinga reta me ngā tau hei tohu i ēnei. Ko te reta e pā ana ki te wāhanga o te tuaiwi, ā, ko te tau e pā ana ki te rōpū e pā ana. Hei tauira, ko C8 te tuawaru (me te iti rawa) o te rōpū `(Tuaiwi Cervical)`.

E rua ngā wāhanga o te SCI. Ko te tuatahi ko te whara tuatahi . Heoi, i roto i ētahi haora, i ētahi rā rānei, ka puta he whara tuarua . Ka pupuhi pea te taurakira, ka nui ake te kino.

He pēhea te auau o ngā whara o te taurakira?

Ina hoki, ehara i te mea tino noa ngā whara o te taurakira. I waenga i te 250,000 me te 500,000 ngā whara pēnei e pūrongohia ana puta noa i te ao i ia tau.

I te Hononga o Amerika, e tata ana ki te 18,000 ngā kēhi hou o te SCI whara i ia tau. Tata ki te 78% o ēnei tūroro SCI hou he tāne. Ko te tau toharite i te wā i whara ai he tata ki te 43 tau.

He aha ngā tohu o tēnei? (Ngā tohu)

Ko ngā tohu o te whara o te taurakira (SCI) e whakawhirinaki ana ki ngā tohu io e pakaru ana. E toru ngā momo tohu matua ka pāngia: te pānga o te pūoro, te nekehanga, me te pūnaha aunoa.

Ngā Tohu Pārongo:

Ko ngā tohu pūoro ngā mea e kawe ana i ngā kōrero ki tō tātou roro. Ka kōrerotia e rātou ki te roro te ao e karapoti nei i a tātou me ngā mea e pā ana ki tō tātou tinana.

Ko te nuinga o ngā tohu pā te tukatuka a tō tātou taurakira. Hei tauira, ko ngā mea pēnei i te pāmahana, te pēhanga, te wiri, me te kakano o te mata. Mā tēnei anō hoki e whakahaere tō tātou tūnga tinana (proprioception). Whakaarohia, kei roto koe i tētahi rūma pōuri rawa, ā, ka whakatata atu tō ringa ki tō mata, engari ka taea e koe te aukati i tō ringa i mua i te pā ki tō mata. Koinei te proprioception.

Ngā tauira o ngā tohu pāngarau:

• Mamae
• te ngoikore
• Te ngau o te ringa, te mākūkū rānei (Paresthesia)

Ngā Tohu o te Motuka:

Ko ngā tohu nekeneke ko ērā e haere ana i tō tātou roro ki ō tātou uaua. Ka whakamahia e tō tātou roro ēnei tohu hei neke i ngā wāhanga o tō tātou tinana.

Ko ngā tohu o te motuka ko:

• Ngoikore - te ngaronga o te kaha
• Pararutiki - te kore e taea te whakahaere i ngā uaua
• Ngā mamae uaua kāore i te whakahaeretia (Spasticity)

Ngā Tohumate Aunoa:

Ko ngā tohu ā-tinana ko ērā e whakahaere ana i ngā tukanga tinana e puta aunoa ana, me te kore e whakaarohia e tātou. He rite te kupu "autonomic" ki te kupu "automatic," arā, ko ngā mea e puta aunoa ana.

Ko ngā tohu o te mate pūnaha ārai mate ko:

• Ngā huringa o te tere o te ngakau, inā koaTe puhoi o te manawa (Bradycardia)
• Ngā huringa o te toto toto, inā koa te toto toto iti (hypotension)
• ngā huringa o te pāmahana tinana, inā koa te hypothermia
• Te kore e taea te whakahaere i te mimi, te tūtae rānei (`Urinary Incontinence`, `Fuecal Incontinence` rānei)
• Te ngoikore o te ure

He aha ngā pūtake o ngā whara o te taurakira?

He maha ngā take pea o ngā whara o te taurakira. Anei ētahi o ngā mea matua:

• Ngā Tukinga Waka: Koinei te tino take, e 37% neke atu rānei o ngā take SCI.
• Ngā hinganga: Tata ki te 31% o ngā SCI ka puta mai i ngā hinganga.
• Ngā Whara e pā ana ki te Tūkino: Ngā whara i puta mai i ngā taonga pēnei i ngā matā, i ngā patu koi rānei pēnei i ngā maripi. Tata ki te 15% o ngā take SCI ka taka ki tēnei wāhanga.
• Ngā Whara e pā ana ki ngā Hākinakina: E 8% pea o ngā whara o te SCI e pā ana ki ēnei. Ko te ruku te momo whara tuaiwi e pā ana ki ngā hākinakina e tino kitea ana.

Ētahi atu take noa me ngā āhuatanga whai wāhi:

• Ngā āhuatanga e pakarukaru ai ngā wheua, hei tauira, te Osteopenia me te Osteoporosis.
• Ngā pukupuku tuaiwi, tae atu ki te mate pukupuku (`(Ngā Pukupuku Tuaiwi)`).
• He pūkahukahu, he poka rānei kei roto i te taurakira kua whakakiia ki te wai (`(Syringomyelia)`).
• Ngā mate urutā e pā ana ki te tuaiwi, ngā mate urutā rānei e pupuhi ai, e pēhi ai hoki i ngā kiko e karapoti ana i te tuaiwi.
• Te hekenga o te rere o te toto ki te taurakira (`(Ischemia)`).
• Ngā hapa whānau, hei tauira `(Myelomeningocele)` `(Spina Bifida)` rānei.
• Ngā mate pāwera o te pūnaha ārai mate, hei tauira, te `(Guillain-Barré Syndrome)`, te `(Multiple Sclerosis)`, te `(Neuromyelitis Optica)` rānei.
• Ngā āhuatanga ira, hei tauira `(Hereditary Spastic Paraplegia)`.
• Te ru hiko (mēnā ka pā te iahiko ki te taurakira, ki te taha rānei o te taurakira).

He aha ngā raruraru ka puta mai i ēnei mate?

Ka taea e te SCI te whakararu i ngā raruraru kino, ā, i ētahi wā ka pumau. Ko te mea tino kitea ko te ngaronga katoa, te ngaronga wāhanga rānei o te mahi a te tinana i raro i te whara. Ka taea e tēnei te arahi ki ētahi momo pararutiki:

• Tetraplegia (e kiia ana ko te Quadriplegia i ētahi wā): He āhuatanga tēnei e pararutiki ai te tinana mai i te kaki ki raro. Ka puta tēnei ina pakaru te tuaiwi o te kaki. Ka rerekē pea ngā raruraru i runga i te wāhi i puta ai te pakaru.
• Parapara: Koinei te wā e pararutiki ana te wāhanga o raro o te tinana. Ka puta tēnei ina pakaru te uma, te hope, te sacral rānei o te tuaiwi. Anō, ka rerekē ngā raruraru i runga i te wāhi e puta ai te kino, engari i te nuinga o te wā ka pā ki ngā mahi a te tinana mai i te uma ki raro.

Ētahi atu raruraru pea:

• Te kore whakapūmau o te nekehanga ā-ringa (mēnā ka puta he kino i te T6, i runga ake rānei, arā, te io tuaono o te uma).
• Te Ru Tuaiwi (Neurogenic).
• Mamae Neuropathic.
• Pūngāwerewere (`(Pūngāwerewere)`).
• Ngā Mate Pukupuku o te Ara Mimi (`(Ngā Mate Pukupuku o te Ara Mimi)`).
• Ngā toto totoka i roto i ngā waewae me ngā pukahukahu.
• Ngā mate pēhanga (`(Ngā Mate Pēhanga)`).
• Sepsis (paitini toto).
• Te mate (ina koa mēnā kua pakaru te taha whakarunga o te tuaiwi).

Ko tō tākuta te tangata pai rawa atu hei kōrero atu ki a koe mō ngā raruraru ka pā mai ki a koe. Māna anō hoki e whakamārama ki a koe me pēhea te kite me te aro atu ki aua raruraru.

Me pēhea te tautuhi tika i te whara o te taurakira? (Tautuhinga)

He maha ngā tikanga e whakamahia ana e te tākuta hei tātaritanga i tētahi mate tuaiwi:

• Whakamātautau Tinana: Ka mahi te tākuta i tēnei hei rapu tohu, hei taunakitanga rānei mō te whānuitanga o te kino.
• Whakamātautau Io: Ka mahia tēnei hei tirotiro i ngā mahi motuhake o tō pūnaha io. Kei roto i tēnei ko te tirotiro i tō kaha ki te neke i ō ringaringa me ō waewae, te whakamātautau i tō kaha, me te tirotiro i ō kare ā-roto me ō urupare.
• Ngā Matawai Whakaahua: Hei tauira, ko ngā matawai rorohiko (CT) me ngā matawai whakaahua aukume (MRI). He tere ngā matawai CT, ā, ka taea e rātou te whakaatu ki tō tākuta i ngā pakaru wheua, i ngā raruraru rānei. Ka roa ake te wā e whakamahia ana ngā matawai MRI engari ka puta he whakaahua tino taipitopito o ngā mea pēnei i te wheua, ngā kiko ngohengohe, me ngā io.
• Ngā Whakamātautau Tātaritanga: Hei tauira, ko te Electromyography (EMG) me ngā Whakamātautau Arataki Io. Ka ine ēnei i ngā tohu hiko e tukuna ana ki ngā uaua. Ka āwhina tēnei ki te tautuhi i ngā wāhi kua pakaru ngā tohu nā te kino o ngā io, o te taurakira rānei.

He aha ngā maimoatanga mō tēnei? (Maimoatanga)

He rerekē rawa ngā maimoatanga mō te `(SCI)`. Ko te mea tuatahi hei whakaaroaro ko te mea i puta mai i tētahi aituā, kāore rānei. Mena he ruarua kei te puta mai te `(SCI)` i tētahi aituā, he āhuatanga ohorere hauora tonu. Ko ētahi atu take o te `(SCI)` he āhuatanga ohorere hauora anō hoki. Ko ēnei āhuatanga ohorere ko:

• Ngā mate urutā: Ka tere te mate o ēnei mēnā kāore e rongoatia.
• Te hekenga o te rere o te toto (`Ischemia`): He mea nui, he mea nui hoki te whakaora i te rere o te toto.
• Ngā Āhuatanga Ārai Mate: Ina puta ohorere mai, pērā i te Guillain-Barré Syndrome, ka puta pea ngā raruraru nui me te kore e tere te rongoā.

Te rongoā i te whara o te taurakira i puta mai i tētahi aituā:

Kia tūpato tonu, kia kaha hoki ki te ārai i ngā whara kino atu ki te taurakira, ki ētahi atu whara rānei. Kaua ngā tāngata kāore i whakangungua, kāore hoki i te tohunga ki te neke, ki te neke rānei i tētahi tangata he "SCI" ​​pea tōna. Ko te mea anake e kore e taea ko te wā e tata ana te mate, te whara kino rānei mēnā kāore te tangata i whara i tangohia (hei tauira, i roto i tētahi aituā motuka me te ahi).

Ko te SCI i puta mai i tētahi aituā ka arotakehia tuatahitia e ngā kaimahi hauora ohorere. Ko tā rātou whāinga he aukati i te nekehanga o te tuaiwi me te whakawhāiti, te ārai rānei i ngā kino atu ki te tuaiwi (me te rongoā anō hoki i ētahi atu āhuatanga ohorere).

I roto i te hōhipera, ko te SCI i puta mai i tētahi aituā ka rongoatia i roto i te Wāhanga Tiaki Kaha (ICU) nā te mea he tino kino ēnei whara. I te wā e rongoatia ana he SCI, ka rongoatia tika te whara. He maha ngā huarahi hei āwhina:

• Pokanga: Ko te whāinga matua o te pokanga he whakaiti i te pēhanga ki runga i te tuaiwi. Ka taea hoki e ia te whakatika i ngā kino i puta mai i ngā whara huri noa i meinga ai te tuaiwi kia pēhia.
• Ngā rongoā: Ka whakaitihia e ngā rongoā pēnei i te steroids te pupuhi me te mumura huri noa i te tuaiwi.
• Te kukume: Mā tēnei ka noho tonu koe i te wāhi kotahi, ka whakaiti i te nekehanga huri noa i te (SCI).
• Ngā Wīra, Ngā Whīra, Ngā Ārai: He rite ki te Traction, ka āwhina ēnei ki te whakau i te rohe huri noa i te SCI. Heoi, he rerekē ki te Traction, ka taea e koe te mau i a koe e neke haere ana.

Ngā maimoatanga e ahu mai ana i te rangahau:

He maha anō hoki ngā maimoatanga whakamātautau e tirotirohia ana e ngā kairangahau. Ko ētahi o ēnei ko:

• Te Hauāwai i Whakaputaina: Mā te whakaheke i te pāmahana o tō tinana ka āwhina i te whakaiti i te kino o ngā kiko ki te taurakira me te whakaiti i te pupuhi me te mumura. Ahakoa kāore anō kia whakamahia whānuitia, kei te piki haere te whakamahinga.
• Ngā Maimoatanga Tiaki-Rau: Ko ēnei ngā rongoā, ngā maimoatanga rānei hei whakawhāiti, hei ārai rānei i ngā kino atu i muri i te kino tuatahi.
• Ngā Maimoatanga Whakaora-Neuro: He rongoā ēnei, he maimoatanga rānei e āwhina ana ki te whakaora me te whakatika i te taurakira kua pakaru, i te kiko io rānei.

Te rongoā i ngā mate e puta mai ana i ngā take kāore i te mōrearea:

Ka rerekē rawa ngā maimoatanga mō te whara tuaiwi kāore i te tūpono (SCI). Ka whakawhirinaki nui ēnei ki te take, engari ka taea hoki e ētahi atu āhuatanga te whai wāhi. Ko tō tākuta te tangata pai hei kōrero atu mō ngā maimoatanga e tika ana māu, me te kōrero atu anō hoki ki a koe mō aua maimoatanga.

Te manaaki me te tautoko mō te wā roa:

Tērā pea ka hiahiatia he tiaki tāpiri mō ngā wiki, mō ngā marama rānei i muri i te whara mō te tangata whai "(SCI)". Tērā pea ka mau tonu ētahi momo tiaki mō ngā tau, tae atu ki te oranga katoa. Ko ētahi tauira:

• Whakaora Tinana, Whakaora Mahi rānei: Ka taea e ēnei momo whakaora te āwhina i a koe ki te whakapakari i te kaha, te whakahaere i ngā pānga o tō whara, me te ako ki te urutau ki aua whara.
• Whakaora Kōrero: Tērā pea ka whai hua te whakaora kōrero ki te hunga e whara ana te taurakira o runga. Ka āwhina i te horomitanga me te whakawhitiwhiti kōrero.
• Hauora Hinengaro: Ko te whara roro whara (SCI) he whara hinengaro e kore e pā ki ngā pānga tinana anake. Ka taea e te huihuinga tonu te waiho hei take o te mamae hinengaro. Hei tāpiri, ko te hunga whai SCI ka pāngia e te mate ahotea muri-whara (PTSD) ka nui ake rānei te mōrearea ki te whakamomori.
• Te Manaaki me te Tautoko i roto i te Kāinga: Ko te hunga he nui ake te kino o te SCI, inā koa ko te hunga he whara te taurakira o runga, me tiaki me te tautoko i te kāinga. Ka taea te whakarato i tēnei momo tiaki e ngā momo ratonga hauora kāinga.

Ka taea te ārai i ngā whara o te taurakira? (Ārai)

He mea tūpono noa iho te `(SCI)`, kāore i te tūmanakohia. Heoi anō, kei reira ētahi mea ka taea e koe te mahi hei whakaiti i taua mōrearea. Ko ēnei:

• Me whakamahi tonu i ngā taputapu haumaru me ngā here e taunakitia ana (hei tauira, ngā whitiki nohoanga, ngā potae i te wā e eke ana i roto i ngā waka).
• Kia āta taraiwa, kia haumaru hoki.
• Āraihia te hinganga i ngā wā katoa e taea ana (hei tauira, whakakorea ngā mata pahekeheke i ngā tatau, kia tūpato i te wā e mahi ana i ngā teitei).
• Kia tino tupato i ngā wā katoa ina mahi tahi ana koe me ngā pū.
• Kaua rawa e peke, e ruku rānei ki te wai i ngā wāhi kāore e kitea ai te raro.
• Āta karohia te whakamahi hē i ngā rongoā kua tohua, ngā raau taero, me te waipiro.

He aha ngā mea ka taea e au te tumanako mēnā he whara tōku taurakira?

Ko tāu e tumanako ai ka whakawhirinaki ki te kaha o tō whara, te wāhi i puta ai te whara, te maimoatanga i whiwhi ai koe, me te maha atu o ngā mea. Ko tō tākuta te tangata pai rawa atu hei kōrero atu ki a koe mō ngā mea ka taea e koe te tumanako. Ka taea e ia te whakarato i ngā mōhiohio e hāngai ana ki tō āhuatanga me ngā āhuatanga motuhake.

Kia pēhea te roa o ēnei tohu?

Ki te whiwhi koe i te maimoatanga wawe hei whakawhāiti i te kino, ka whakawhāitihia ngā pānga o te SCI, ā, he nui ake te tūponotanga ki te ora. Heoi, kāore tō taurakira e hanga hou pērā i ngā io i ētahi atu wāhanga o tō tinana. Koia te take he maha ngā wā ka pumau tonu te SCI - engari kāore i te wā katoa. Ko tō tākuta te puna mōhiohio pai rawa atu mō te roa o te mau o ō tohu.

He aha te tirohanga mō tēnei āhuatanga?

He maha ngā wā kāore i te tino mārama te tirohanga mō te hunga whai SCI, i runga i te taumata me te whānuitanga o te kino, engari kua nui ngā whanaketanga i roto i te tiaki i te hunga whai SCI. Ko ngā take e kore ai e tino mārama te tirohanga ko:

• Te tūponotanga o ngā raruraru: He nui te tūponotanga o te tangata whai whara tuaiwi (SCI) ki te pāngia e ngā raruraru e pā ana ki tōna whara. Kei roto i ēnei ko te niumōnia, ngā mate mimi, te mate koretake, ngā toto totoka, ngā raruraru kiri pēnei i te mate pēhanga, me te maha atu.
• Ngā pānga ki te hauora hinengaro: Ehara i te mea ko te hauora tinana anake te pānga o te SCI. He pānga nui anō hoki ki te hauora hinengaro. Ka piki ake te mōrearea o te whakawhanake i ngā āhuatanga pēnei i te pouri. Ka piki ake hoki te mōrearea o te whakamomori.
• Utu: He maha ngā tāngata whai SCI e hiahia ana ki te tiaki mō te wā roa, ki te whakamahi rānei i ngā taputapu āwhina. He utu nui ēnei. Waihoki, he uaua, he roa rānei te wā e rapu ai i ngā rauemi hei āwhina i a koe.

Āhea koe me toro atu ki te tākuta? Āhea te wā e hiahiatia ai te maimoatanga ohorere?

I ngā wā katoa e whakaaro ana koe kua pāngia koe e te whara o te taurakira (SCI) nā te aituā, me rapu tonu koe i te awhina hauora. Mā te whakaroa i te maimoatanga ka pā kino ki te putanga o tō whara me te maimoatanga. Waihoki, ki te whakapae koe he mate mau tonu tōu e puta ai te whara o te taurakira, me toro atu koe ki te tākuta i te wā e taea ai.

Mena he SCI tōu, ka tūtohu tō tākuta kia toro atu koe ki te tākuta i muri i tō maimoatanga tuatahi. Me toro atu koe ki tō tākuta e ai ki te taunakitanga.

He maha ngā raruraru o te SCI e hiahia ana kia rongoatia wawetia. Ka rerekē ngā raruraru ka puta i runga i te kaha o tō whara, te wāhi i whara ai, me ētahi atu āhuatanga. Nō reira, ko tō tākuta te puna mōhiohio pai rawa atu mō ngā tohumate, ngā raruraru rānei e pā ana ki a koe e hiahia ana kia rongoatia wawetia.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Mena kei a koe, kei tētahi rānei o tō whānau te mate SCI, tera pea he maha ngā pātai e hiahia ana koe ki te pātai ki tō tākuta. Anei ētahi tauira:

• Kei hea te kino?
• Kia pēhea te kino o te kino?
• He aha ngā pūkenga ka pāngia e tēnei kino?
• Ka pumau tonu rānei te kino?
• He maimoatanga kei reira hei whakatika i te kino, hei ārai rānei i tōna kino haere?
• He aha ngā āhuatanga kino ka pā mai?
• He aha ngā tohu me tirotiro e au e hiahia ana kia tirohia e te taote?
• He aha te momo tiaki me ngā ratonga e hiahiatia ana?
• He whakahaere, he rōpū rānei kei tōku rohe hei āwhina?

Ngā mea tino nui hei maumahara mai i ngā mea kua kōrerotia e tātou (Karere hei tango ki te kāinga)

Ko ngā whara o te taurakira (SCI) ētahi o ngā āhuatanga tino kino, tino mōrearea hoki ki te ora o te tangata. He maha ngā wā ka rerekē te ora o ōna pānga.

Heoi, nā te whanaketanga o te pūtaiao hauora me te rangahau tonu, kei te tumanakohia he maimoatanga whai hua ake mō ēnei whara. Ko te tikanga o tēnei, he tokomaha ngā tāngata kua pāngia e ēnei whara ka taea te urutau ki ngā pānga o te whara me te whakahaere i aua whara kia ora ai i te oranga noa. Kaua e mutu. He mea nui kia rapu tohutohu hauora me te tautoko tika.

` Whara o te Tuaiwi, SCI, Tuaiwi, Pūnaha Io, Pararutiki, Mamae Tuara