Kei te pāngia koe e te hiahia ohorere, te hiahia nui ki te mimi i ētahi wā? Kei te tere koe ki te wharepaku i ngā wā maha i te rā? Tērā pea kei te ara ake koe i waenganui pō, ka whakararuraru i tō moe. Ka taea e ēnei wheako te whakararuraru, ā, ka tino whakararuraru i tō oranga o ia rā. Kia mōhio koe he mate noa tēnei e pāngia ana e te tini o te tangata, he maha ngā wā i roto i te wā puku. I Nirogi Lanka , kei konei mātou ki te kōrero mō te Pūngāwerewere Kaha Rawa (OAB). Kāore koe e mamae - me te māramatanga tika me te tiaki hauora, ka taea te whakahaere i tēnei mate.
He aha te pūngāwerewere kaha rawa (OAB)?
Ki te kī ngāwari, ehara te pūkahukahu puku i te mate kotahi, engari he kohinga tohu. Ka puta he hiahia mimi pinepine, he hiahia ohorere me te kore e taea te whakahaere kia haere (Urinary Urgency), ā, i ētahi wā ka turuturu noa (Incontinence). Ko te ara ake i ngā wā maha i te pō ki te mimi (Nocturia) he tohu rongonui anō hoki mō tēnei mate.
Ko wai te mea tino pāngia?
Ahakoa ka pāngia te tangata e te pūkahukahu kaha rawa atu, ahakoa te pakeke, he nui ake te kitea i roto i te hunga neke atu i te 65 tau te pakeke . Mō ngā wāhine, ka tīmata pea te puta o ngā tohu i te 45 tau te pakeke. Whakaarohia kei te ngana koe ki te arotahi ki tētahi mahi nui, ki te haereere rānei, ā, ka whakararuraruhia tonutia koe e te hiahia nui ki te haere ki te wharepaku. Koinei te wero o ia rā e pā ana ki te tini.
He pēhea te auau o te pūngāwerewere kaha rawa?
He take hauora tino noa tēnei. I te Hononga o Amerika anake, tata ki te 33 miriona ngā pakeke e noho ana me te OAB. Tata ki te 30% o ngā tāne me te 40% o ngā wāhine e pāngia ana e tēnei mate. Nā te mea he maha ngā tāngata e whakama ana, e kore rānei e pai ki te kōrero mō tēnei mate, tera pea he nui ake ngā tatauranga tuturu i tā te pūrongo.
He aha te pānga o tēnei ki tō oranga?
Ka taea e ngā tohu o te pūkahukahu puku nui rawa te arahi ki te ahotea hinengaro nui, me te whakaiti i te kounga o tō oranga. Mā te manukanuka tonu mō te wāhi o te wharepaku tata, te wehi rānei ki te haere, ka pā kino ki tō oranga me tō harikoa whānui.
Ka memeha noa iho te pūkahukahu puku e kaha rawa ana?
Kāo, kāore te pūkahukahu puku e memeha noa iho . Ki te kore he maimoatanga, ka kino haere pea ngā tohu i roto i te wā. Hei tāpiri, ka ngoikore pea ngā uaua pūkahukahu e whakahaere ana i te puku, ā, ka angiangi pea ngā kiko o te papa hope. Mēnā kei te pāngia koe e ēnei tohu, ko te rapu tohutohu hauora te taahiraa pai ki te whakaora.
He aha ngā tohu o te pūkahukahu e kaha rawa ana te mahi?
E ai ki te kōrero, he rōpū tohumate te OAB. Ko ngā tohu matua ko:
- Te Whakahāwea Mimi: He hiahia ohorere, kāore e taea te whakahaere ki te mimi , ā, he iti noa te wā e tae atu ai koe ki te wharepaku.
- Te mimi pinepine : Me mimi pinepine atu i tō tikanga.
- Te hiahia kore e taea te pupuri: He hiahia ohorere, kāore e taea te whakahaere, ka puta he turuturu tūpono i mua i te taenga atu ki te wharepaku.
- Pōturi: Te ara ake i te iti rawa kia rua ngā wā i te pō ki te mimi .
Mena kei a koe tētahi, ētahi rānei o ēnei tohu, he mea nui kia kōrero koe ki tētahi tākuta. Ehara i te mea ko koe anake kei roto i tēnei wheako.
He aha ngā tino take o te puku mimi e kaha rawa ana te mahi?
Ko te take matua e hono ana ki te uaua detrusor i roto i te pakitara o te pūkahukahu. Ko ētahi o ngā take pea ko:
- Te whara o te puku: Ka taea e te haputanga me te whānautanga te whakararu me te ngoikore i ngā uaua o te papa pelvic, e tautoko ana i ō whekau o raro o te puku. Mēnā ka ngoikore ēnei uaua, ka neke pea te pūkahukahu mai i tōna tūranga tika.
- Te kino o ngā io: I ētahi wā, ka tukuna e te tinana ngā tohu hē i waenga i te roro me te pūkahukahu. Ka puta pea te kino o ngā io nā ngā pokanga hope, tuarā rānei, ngā kōpae hernia,te rongoā irahiko , te mate a Parkinson , te sclerosis maha, te whiu rānei.
- Ngā Rongoā, te Waipiro, me te Kawheine: Ka taea e ētahi matū te whakararuraru i ngā tohu a ngā io, ka hua ake te kī nui o te tōngāmimi. Ko ngā rongoā diuretic ( Diuretics ) me te kawheine ka whakanui ake i te whakaputanga mimi, ka puta ai te turuturu.
- Ngā Mate Pukupuku: Ka taea e ngā Mate Pukupuku o te Ara Mimi ( UTI ) te whakapataritari i ngā io o te pūkahukahu, ka puta ai te pupuhi koretake.
- Taumaha nui: Ko te taumaha nui ka nui ake te pēhanga ki te pūkahukahu, ka taea ai te kore e taea te mimi.
- Te korenga o te Ūrogen i muri i te paheketanga: Ka taea e ngā huringa homoni te arahi i te hiahia nui. He tino whai hua te rongoā Ūrogen ā-rohe (tara anake) i ēnei wā.
Me pēhea te tautuhi i te pūkahukahu kaha rawa?
Ka arotakehia e tō tākuta tō hītori hauora, ā, ka tirotirohia hoki ō rohe hope me tō rohe pūkahukahu. Tērā pea ka pātaihia e rātou ētahi pātai pēnei i:
- He aha ngā tohu motuhake e pāngia ana e koe?
- Kia pēhea te roa o te pā mai o ēnei tohu ki a koe?
- He hītori tō tētahi o tō whānau mō tēnei mate?
- He aha ngā rongoā ka taea te hoko kore-tohutohu, ngā rongoā kua tohua rānei e koe kei te tangohia e koe i tēnei wā?
- He aha ngā momo wai ka inumia e koe i ia rā?
- He aha ngā wā o te rā ka inu koe i ētahi wai?
- He aha āu tikanga kai noa?
Tērā pea ka tukuna koe e tō tākuta ki tētahi Urologist , he tohunga ki te hauora o te ara mimi.
He aha ngā whakamātautau tātaritanga e whakamahia ana?
Hei whakaū i te mate o te pūkahukahu nui rawa, ka tūtohu pea tō tākuta i ngā whakamātautau e whai ake nei:
- Tātaritanga Mimi: Ka tirohia e tēnei whakamātautau te ihirangi o tō mimi (tōna āhua, te hanganga matū, me ngā kitenga moroiti). Ka tirohia e mātou mēnā he toto whero, he toto mā, he huakita rānei. Ko te kitea o ēnei tohu he tohu pea kei te mate pea te pūtake o ō tohu OAB.
- Whakamātautau Urodynamic: Ka inehia e ēnei whakamātautau te nui o te mimi e toe ana i roto i tō pūkahukahu i muri i tō mimi, te nui o tō mimi, te tere o tō mimi, me te pēhanga i roto i tō pūkahukahu i a ia e whakakī ana.
- Ultrasound: He whakamātautau whakaahua kore mamae, kore whakaekenga tēnei e āhei ai tō tākuta ki te tirotiro taipitopito i tō pūkahukahu.
- Tomography Rorohiko (matawai CT): He tikanga whakaahua kore mamae, kāore e whakaekea, ka whakaratohia e tēnei matawai ngā whakaahua 3D o tō pūkahukahu hei āwhina i tō tākuta ki te tirotiro i ngā raruraru.
- Cystoscopy: I tēnei tikanga, ka whakamahia e tō tākuta tētahi taputapu motuhake (he cystoscope) hei tirotiro i roto i tō pūkahukahu mā roto i te urethra. I te nuinga o te wā, ka pania he kirimi whakangote ki te wāhi, kia kore ai koe e mamae. I ētahi wā tino onge, ka whakamahia pea te rongoā whakamoe whānui hei whakarite kia noho humarie koe, kia tūpato hoki i te wā e tirotirohia ana.
Me pēhea te whakahaere i te pūngāwerewere nui rawa?
He maha ngā huarahi hei rongoā i tēnei mate, mai i ngā whakarerekētanga o te momo noho me te rongoā ki te rongoā neuromodulation.
He aha ngā huringa āhua noho ka taea e koe te mahi?
Ka taea e koe te whakahaere i te tōngāmimi pukumahi rawa mā te whakatinana i ētahi huringa ngāwari o te āhua noho.
Te pupuri i tētahi Rātaka Pūngāwerewere
Tērā pea ka tono tō tākuta kia pupuri koe i tētahi "rātaka mō te pūkahukahu" mō ētahi rā. Mā te aroturuki i tāu mahi i mua i te wā o te turuturu ka āwhina i tō tākuta ki te tautuhi i ngā mea e pā ana ki tō OAB. I roto i tō rātaka, me tuhi e koe:
- Ngā mea e inuhia ana e koe.
- Te nui o ngā wai e pau ana.
- Ngā mea e kainga ana e koe.
- Te auau o tō mimi.
- Āhea, me te nui o te mimi i turuturu mai.
- Te auau o te hiahia ohorere ki te mimi.
- I te wā kāore i taea e koe te tae ki te wharepaku i te wā tika.
- Ahakoa i puta mai ngā turuturu nā ngā mea i puta ai te turuturu pērā i te maremare, te tihe, te kata rānei.
Te Aroturuki i tō Kai
He mea āwhina te whakamutu, te whakawhāiti rānei i ngā kai me ngā inu ka kino ake ai ngā tohu o te pūkahukahu. Hei tauira:
- Tī
- Kawhe
- Waipiro
- Ngā inu ngohengohe kawheine
- Ko ētahi hua me ngā wai hua
- Tiakarete
- Ngā tōmato me ngā hua e hangai ana ki te tōmato
- Ngā kai me ngā inu werawera, waikawa rānei
- Ngā kai kei roto ngā mea reka horihori (hei tauira, ngā inu waikore, ētahi kapia ngaungau)
Te Whakahaere i te Mate Korepa
Ka taea e te kōroke te pēhi i te pūkahukahu, ka pā ki tana mahi. Mā te pupuri i ngā tikanga hauora o te puku ka āwhina i te whakaiti i te kōroke me ngā tohumate pūkahukahu. Ka āwhina ēnei mahi:
- Whakanuia te kai muka. Tāpirihia ngā pīni, te rimurapa, te ōti, ngā witi katoa, te taro witi katoa, me ngā hua hou me ngā huawhenua ki roto i tō kai.
- Inuhia kia rua ki te whā karāhe wai anō puta noa i te rā.
- Whakakorikori tinana i ia wā, i ia wā.
Te Whakahaere Taumaha
Ka taea e te taumaha nui te whakararu i tō pūkahukahu, he mea e whai wāhi nui ana ki ngā raruraru whakahaere pūkahukahu. Mā te pupuri i te taumaha hauora ka āwhina i te whakaiti i tēnei pehanga ki tō pūkahukahu.
Te Whakamutu i te Whakamahi Tupeka
Ka taea e ngā hikareti me ētahi atu hua tupeka te whakararuraru i ngā uaua o te pūkahukahu. Hei tāpiri, ko te maremare mau tonu e pā ana ki te momi hikareti ka whai wāhi atu ki te turuturu o te mimi.
Te Whakangungu Anō i te Pūngāwerewere
Ina pāngia koe e te OAB, tera pea ka whakahāngaihia tō tinana ki te urupare ki ngā uaua o tō pūkahukahu i te huarahi koretake. Mā te whakangungu anō i ēnei uaua ka āwhina i a koe ki te whakahoki mai i te mana whakahaere pai ake ki tō pūkahukahu.
Mā te whakangungu anō i te pūkahukahu, ka taea e koe te ako ki te:
- He pai ake te manawanui ki ngā hiahia nui ki te mimi.
- Whakaroahia ō haerenga ki te wharepaku.
- Mimi i runga i te wā kua whakaritea, kaua e tauhohe ki ngā hiahia katoa.
Me pēhea te whakangungu anō i tētahi pūngāwerewere e kaha rawa ana te mahi?
Mā te whai i ēnei mahi ka āwhina i a koe ki te whakangungu anō i tō pūkahukahu puku tere rawa:
- Tīmata ki tō wā mimi o nāianei. Koinei te wā i waenga i ō haerenga ki te wharepaku. Hei tauira, ki te mea ka mimi koe i ia hāora, koinā te wā tūāpapa mōu. Tuhia tika tēnei ki roto i tō pukapuka mimi.
- Kia mōhio koe ki tō taumata, ngana ki te pupuri i tō mimi mō ētahi atu meneti i muri i te hiahia ki te haere. I roto i te wā, āta whakanuia te roa i waenga i ō haerenga ki te wharepaku.
- Ki te pā mai he hiahia ohorere ki a koe i waenganui i ēnei wā, me manawa mārire, me manawa hōhonu. Whakaarohia kei roto koe i tētahi wāhi marino, rangimārie, whakamahia rānei ētahi atu tikanga whakangā hei tatari kia memeha te hiahia. Me haere ki te wharepaku ina mutu te hiahia.
- I te tīmatanga, me whakawātea tō pūkahukahu i ia wā, i ia pō. Kaua e tatari kia tae ki te wā whakamutunga. Hei tauira, tīmata mā te whakawātea i ia rua hāora. Ki te maroke tonu koe, āta whakanuia te wā. Ki te pā mai he turuturu (mākū), whakapotoa te wā. Ki te mea he maha ngā wā ka whakawātea koe i ia hāora, ngana ki te whakaroa ki te kotahi hāora me te tekau mā rima meneti.
- Kia angitu tō whakahaere i tō kaupapa hou me te kore he raruraru mō te wiki kotahi, ngana ki te whakanui ake i te wā mahi mā te 15 meneti anō. Me haere tonu tēnei tukanga kia kitea rā anō e koe he kaupapa mahi e pai ana ki a koe. Kia rua ki te whā hāora te wā mahi.
- Ngāna kia piri tonu ki tāu kaupapa mahi i ngā wā katoa e taea ana.
Me pēhea te whakahaere i te hiahia nui i te wā e whakangungu ana i te pūkahukahu
Ko te whakahaere i ngā hiahia ohorere te taahiraa tino nui i roto i te whakangungu anō. Ka taea e ēnei tikanga te āwhina:
- Kati tāu mahi, tū mārire. Ki te taea, noho. Noho mārire tonu, mā te noho kore e nekeneke ka āwhina i te pehi i te hiahia.
- Me mahi ētahi whakakorikori tere, kaha hoki o ngā uaua o te papa pelvic (e mōhiotia ana ko ngā mahi Kegel ). Kaua e tino whakangāwari i ngā uaua i te wā e tere ana te pā o te uaua.
- Whakangāwaritia te toenga o tō tinana. Mānu hōhonu hei āwhina i te whakamama i te ahotea.
- Kia arotahi katoa ki te pehi i te hiahia ki te mimi.
- Taria kia memeha haere te ngaru o te hiahia nui.
- Hīkoi ki te wharepaku i te tere noa. Kaua e tere. Me mahi tonu i ngā whakangote tere o te papa pelvic i a koe e hīkoi ana.
He mea nui te manawanui. E ono ki te waru wiki te roa o te whakangungu anō i te pūkahukahu kia kitea ai ngā hua. Mena he pātai āu, he kore rānei koe e makona ki tō ahunga whakamua, whakapā atu ki tō tākuta. Tērā pea ka tohua e rātou he rongoā hei whakamahi tahi me tō kaupapa whakangungu anō hei āwhina i a koe ki te whakatutuki i ngā putanga pai rawa atu i Nirogi Lanka.
He āwhina te whakaohooho io i te pūkahukahu e kaha rawa ana te mahi?
Ae, ka taea e te whakaohooho io te whakapai ake i ngā tohumate o te OAB. Ko ō io te kawenga mō te tuku tohu ki tō roro kua kī tō pūkahukahu. Mā te whakarerekē i ēnei tohu io, ka taea e mātou te āwhina i a koe ki te whakapai ake i te whakahaere o tō pūkahukahu.
He huarahi maimoatanga ka taea te whakakore i te whakaohooho io. Ko te tikanga ka tūtohu ngā tākuta i tēnei huarahi mēnā kāore i puta ngā hua e hiahiatia ana mai i ētahi atu maimoatanga tiaki.
He maha ngā momo whakaora whakaoho io, tae atu ki:
Te Whakaoho i te Io Tapu
Ko te whakaohooho i te io sacral ko te whakamahi i ngā hikohiko hei whakaoho i ngā io e whakahaere ana i tō pūkahukahu.
Ka whakatōkia e tō tākuta tētahi taputapu iti, e mōhiotia ana ko te neurostimulator, ki raro i te kiri o tō papa o runga. Ka tukuna e tēnei taputapu ngā tohu hiko ngawari mā roto i tētahi waea e tata ana ki tō io sacral (kei roto i tō tuara o raro). Mā ēnei tohu ka āwhina koe ki te whakahoki mai i te mana whakahaere ki tō pūkahukahu.
Ka taea e te whakaohooho i te io sacral te whakaiti i te auau o tō haerenga ki te wharepaku me ngā wā o te turuturu mimi tūpono. He tino angitu te nuinga o te wā, ā, nā te mea he tikanga ā-waho tēnei, ka taea e koe te hoki ki te kāinga i muri tata mai i te maimoatanga.
Te Whakaoho i te Io Tibial Percutaneous
Ko tēnei tikanga he tuku i ngā tohu iti o ngā io ki tētahi peka io e tata ana ki tō pona waewae. Ka āwhina tēnei ki te whakaoho i ngā io e whai wāhi ana ki te whakahaere i te pūkahukahu.
He tikanga anō hoki te whakaohooho i te io tibial percutaneous i waho o te hōhipera. Tekau mā rua ngā wā maimoatanga ia wiki mō te nuinga o ngā tūroro, ā, i muri mai ka whai ake ko ngā wā tiaki ā-wā.
Ngā Werohanga Paitini Botulinum
He momo paitini botulinum rongonui te Botox® . Mā te whakamahi i tētahi cystoscope, ka werohia tika te Botox e tō tākuta ki roto i te pakitara o tō pūkahukahu.
He tino whai hua tēnei maimoatanga, ahakoa mō ngā tūroro kāore i pai te urupare ki ētahi atu maimoatanga. Tērā pea ka pāngia ētahi tāngata e te pupuri mimi mō te wā poto (he uaua ki te mimi) whai muri i te werohanga Botox.
Ka memeha haere ngā pānga o ngā werohanga Botox i roto i te wā. Me whakahou te nuinga o te tangata i ngā werohanga i ia ono marama pea.
He aha ngā rongoā e whakamahia ana mō te pūkahukahu nui rawa?
I a koe e whakangungu ana i te pūkahukahu, ka tohua pea e tō tākuta he rongoā hei āwhina i te whakahoki mai i te mahi pūkahukahu noa. Ko ngā rongoā e tohua ana mō te pūkahukahu kaha rawa (OAB) ko:
Ngā Rongoā Anticholinergic
Ka āwhina ngā rongoā anticholinergic ki te whakahaere i ngā uaua o te pūkahukahu. Tērā pea ka tohua e tō tākuta ngā rongoā pēnei i:
- Oxybutynin (hei tauira, Ditropan®)
- Oxybutynin gel (hei tauira, Gelnique®)
- Tolterodine (hei tauira, Detrol®)
- Solifenacin (hei tauira, VESIcare®)
- Fesoterodine (hei tauira, Toviaz®)
- Darifenacin (hei tauira, Enablex®)
- Trospium (hei tauira, Sanctura XR®)
Rongoā Beta-3 Adrenergic
Mā ngā rongoā Beta-3 adrenergic ka āwhina i te whakangāwari i te uaua detrusor o tō pūkahukahu, kia nui ake ai te mimi e puritia ana. Ko ngā rongoā noa ko:
- Mirabegron (hei tauira, Myrbetriq®)
- Vibegron (hei tauira, Gemtesa®)
Kia pēhea te roa ka pai ake ai taku āhua i muri i te maimoatanga?
Tērā pea ka tīmata koe ki te kite i ngā hua mai i ngā mahi whakakori tinana o te papa hope me ngā huringa āhua noho i roto i te ono ki te waru wiki .
He maha ngā rongoā ka tīmata ki te whakangāwari i ngā uaua o te tōngāmimi i roto i ētahi haora; heoi, tera pea ka roa ki te kotahi marama ka tino whai hua.
Ko te tikanga ka tīmata te whai hua o ngā maimoatanga Botox i roto i te kotahi ki te rua wiki.
He tokomaha te hunga ka tīmata ki te kite i te whakapainga i muri i ngā wāhanga e ono o te rongoā whakaohooho io, ahakoa e 12 pea ngā wāhanga ka kitea ai ngā hua katoa.
Me pēhea te whakaiti i te mōrearea o te pūkahukahu puku e kaha rawa ana te mahi?
Ka taea e ētahi whakarerekētanga o te momo noho te āwhina i te whakaiti i te tūponotanga o te whakawhanake i te OAB, te āwhina rānei ki te whakahaere i ngā tohu, tae atu ki:
- Te pupuri i te taumaha tinana hauora.
- Te whakawhāiti i te kawheine me te waipiro.
- Inumia he wai e tika ana i ia rā. Mā te nui rawa o te inu ka kino ake ngā tohu, engari mā te kore e nui te inu ka whakapūmau te mimi, ka whakapataritari hoki i te arai o te tōngāmimi, ka nui ake te hiahia.
- Te whakakorikori tinana i ia wā, i ia wā.
- Te mahi Kegels me ētahi atu mahi whakakori tinana o te papa pelvic.
- Te whakahaere i ngā āhuatanga matua ka puta ai te OAB, pērā i te Mate huka Mellitus, i ngā mate mimi rānei (UTI).
A, mehemea he nui rawa te mahi a taku pūkahukahu?
Ka pāngia pea te hunga e noho tahi ana me te OAB e te mamae nui o te ngākau. He uaua te whakahaere i te mate, ā, kāore pea ngā tohu e ngaro katoa. Heoi, he maha ngā tāngata e makona ana ki ā rātou mahere maimoatanga, ā, ka kite rātou i te whakapainga nui o te kounga o ō rātou oranga.
Me pēhea taku tiaki i ahau anō?
Mena kāore ngā maimoatanga e whai hua tonu ana, i a koe rānei e tatari ana kia whai hua, mā te whakamahi i ngā hua ārai mimi pēnei i ngā papa whakakorekore, i ngā nāpi pakeke rānei, ka taea e koe te whakahaere i tō hauora me te pupuri i te kounga o tō oranga.
Ka āwhina ēnei tohutohu ki te whakapai ake i te whakamarie me te maia i te wā e whakamahi ana i ngā hua mō te kore e taea te pupuri i te pēpi:
- Whakarerekētia ngā hua i ngā wā katoa. Mā te whakawhiti i ngā papa pēpi, i ngā nāpi rānei i muri tonu i te turuturu ka āwhina i te whakaiti i te haunga.
- Pania he hinu ārai, he hinu kiri rānei. Mā te whakamahi i tētahi rongoā tiaki kiri i mua i te whakakakahu i ngā hua mō te kore mimi ka ārai i te mumura o te kiri e puta mai ana i te pā pinepine ki te mimi.
- Kia pai ngā kākahu. Nā te mea he matotoru ngā taputapu ārai mate pēpi, mā te mau i ngā kākahu whakamarie, ngāwari hoki ka āwhina i te huna i aua mea, ka whakamama hoki i tō manukanuka kei kitea e ētahi atu.
- Kia mau i ngā kākahu pouri. He tino pai ngā tae pouri hei huna i te turuturu pea.
Āhea ahau me toro atu ki te tākuta?
Me toro atu koe ki te tākuta mēnā ka pāngia koe e ētahi tohu o te pūkahukahu kaha rawa.
Ka taea e te OAB e pā ana ki te koroheketanga te whanake haere. Heoi, ki te puta ohorere mai ō tohu, ā, ka haere tahi me te turuturu nui, he tohu pea tēnei nō tētahi atu mate, pērā i te mate pāwera, i te raruraru pūnaha io rānei. He pai ake kia tirohia wawetia ēnei tohu e te tākuta.
He aha ngā pātai me pātai atu e au ki taku tākuta?
- Me pēhea koe i whakatau ai he nui rawa te kaha o taku pūkahukahu?
- He aha te tino take o taku OAB?
- E hia ngā wā o te mimi i te rā he mea noa?
- Kia hia te nui o te wai me inu e au i ia rā?
- He aha ngā momo wai hei whakarite māku?
- He aha ngā wai me karo e au?
- He aha ngā kai me kai e au?
- He aha ngā kai me karo e au?
- He aha ngā maimoatanga e taunaki ana koe?
- He pānga taha anō kei te pā mai i ngā maimoatanga kua tūtohutia?
- He aha ngā rongoā e taunaki ana koe?
- He pānga taha kei te pā mai i ngā rongoā kua tohua?
- He aha atu anō ngā huringa āhua noho me whai e au?
- He rōpū tautoko tā koutou e taunaki ana mō te hunga he nui rawa te mahi a te pūkahukahu?
Ngā Whakaaro Whakamutunga (Karere hei Tango ki te Kāinga)
He mate te Pūngāwerewere Kaha Rawa (OAB) e pāngia ana e te tini, engari he maha ngā wā kāore e pai ki te kōrero. Ka pā nui tēnei mate ki tō oranga o ia rā, ki tō hua, tae atu ki tō oranga ngākau. Heoi, kia mōhio koe kāore koe e hiahia ki te mamae puku.
Ko te taahiraa tino nui ko tēnei: ki te pāngia koe e ēnei tohu, kaua e whakama, kaua hoki e wehi ki te kōrero ki tētahi tohunga hauora. Mā te rapu tohutohu a ngā tohunga i Nirogi Lanka, ka taea e mātou te tātari tika i te pūtake me te whakawhanake i tētahi mahere maimoatanga whaiaro e hāngai ana ki ō hiahia. Ahakoa mā te whakarerekētanga o te momo noho, te whakangungu mimi, te rongoā, te whakaora whakaoho io rānei, ka taea te whakahaere i tēnei mate.
Kia maumahara, ahakoa kei te whakahaere koe i tēnei mate, kei reira tonu ngā huarahi whai hua hei whakapai ake i tō kounga o te oranga. Mā te mōhiotanga tika me te tautoko hauora ngaio, ka taea e koe te wikitoria i tēnei wero me te whakahoki mai i tō whakapono ki a koe anō!
