He patunga anō hoki ō waewae kāore e ora? Me ako tātou mō tēnei 'Water Ulcer'!

Kua kite koe i ētahi wā ka puta he patunga ki ō waewae, inā koa ki te rohe o te hope, ki te pona rānei, ā, ka roa te wā e ora ai? Tērā pea kua pāngia koe e tēnei. Ehara ēnei i te patunga noa. Ka karangatia ēnei e mātou ko ngā 'Water Ulcers', ko te tikanga i te reo Sinhala ko 'ngā mate pukupuku uaua '. He māmā noa iho, ko ēnei he patunga e puta ana i te kiri nā te ngoikore o te rere o te toto i roto i tō tātou tinana. Me kōrero tātou mō tēnei i tēnei rā, nā te mea he mea tēnei ka pā ki te tini o te tangata.

He aha ngā mate pukupuku toto?

He māmā noa iho, ko ngā mate pukupuku uaua he patunga e puta ana i runga i tō tātou kiri. Engari ehara ēnei i te patunga noa. Nā ngā raruraru o te rere o te toto i roto i tō tātou tinana, arā, te pūnaha tohanga toto. I te nuinga o te wā, ka kitea ēnei patunga i runga i ō tātou peka, inā koa ko ngā waewae me ngā waewae o raro. Engari ka taea hoki te puta i ētahi atu wāhi. Ka roa te wā e ora ai ēnei patunga, ā, i ētahi wā ka hiahiatia he maimoatanga motuhake pēnei i te pokanga.

E rua ngā take matua e puta ai ēnei mate pukupuku uaua.

1. Ko tētahi ko te ngoikore o te rere o te toto i roto i ō tātou uaua . Ko ngā uaua te wāhi e whiwhi ai te tinana i ngā matūkai me te hāora e hiahiatia ana e ia. Nō reira, ina he raruraru ki ēnei, ka puta he patunga.

2. Ko tētahi atu take ko te ngoikore o te rere o te toto i roto i ō tātou uaua . Mā roto i ngā uaua ka haria te toto, me ngā hua para o te tinana, ki te ngākau. Mēnā he raruraru ki ēnei, ka puta ngā whara.

Ko ngā mea tino kitea ko ngā patunga e puta ana i roto i ngā uaua, e kiia ana hoki e tātou ko ngā mate pukupuku uaua .

He pēhea te noa o ēnei whara?

Ina hoki, he nui ake te kitea o ēnei mate pukupuku uaua i tō whakaaro, inā koa ka pakeke haere koe. I te toharite, tata ki te 1% o ngā pakeke ka pāngia e tēnei mate. I roto i te hunga neke atu i te 65 tau te pakeke, ka taea e tēnei ōrau te noho i waenga i te 3% me te 5%. Nō reira, ehara tēnei i te mea hei mea māmā noa iho.

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He aha te pānga o ēnei mate pukupuku uaua ki ō tātou tinana?

Ka pā kino pea ēnei whara ki tō oranga. Whakaarohia...

• Te pikinga ake o te mōrearea o ngā mate: He rite tō tātou kiri ki te whakangungu rakau e tiaki ana i a tātou mai i ngā iroriki. Nō reira, he pakaru tēnei patunga i roto i taua whakangungu rakau, e āhei ai ngā iroriki ki te uru ngāwari ki te tinana.
• Sepsis: Ki te kore e rongoatia tika te mate, ka horapa puta noa i te tinana, ka arahi ki tētahi mate tino morearea e kiia nei ko te sepsis . Koinei te wā ka nui rawa te urupare a tō tātou pūnaha ārai mate ki tētahi mate nui, ka tīmata te kino i ngā wāhanga rerekē o te tinana.
• Te mate pūkahukahu: Nā te mate pāwera, nā te kore rānei o te toto e rere ki te patunga, ka tīmata te mate o ngā pūtau e karapoti ana i te patunga. Ka arahi pea tēnei ki tētahi āhuatanga e kiia nei ko te mate pūkahukahu . Ki te kore e rongoatia, ka horapa, ā, ka mate pea.
• Te mamae me te uaua ki te hikoi:Ka tino mamae ēnei mate pukupuku uaua. I runga i te wāhi o te mate pukupuku, kāore pea koe e kaha ki te mahi, ki te moe, ki te mahi rānei i ngā mahi o ia rā. Nā te mea ka pai ake te rere o te toto i te mea he mamae te mate pukupuku, ka kino haere pea.

He mea tino nui: Kaua e warewarehia ēnei whara nā te mea he iti noa iho. He mea tino nui kia rapu tohutohu hauora tonu.

He aha ngā tohu?

Ko ngā tohu o te mate pukupuku uaua e whakawhirinaki ana ki te take, ā, i ētahi wā he maha ngā take i te wā kotahi.

Ngā Tohu o ngā Mate Pukupuku Uaua / Mate Pukupuku Tūmau

Ka puta pinepine ēnei tohu i mua i te whanaketanga o ngā mate pukupuku uaua:

• Kei te whero haere te kikokiko o ngā waewae, kei te pupuhi hoki.
• Ka mātotoru te kiri, ka whakapakeke, ka huri hei tae pouri (he whero, he papura, he parauri rānei te nuinga).
• Tērā pea ka pāngia te wāhi e pāngia ana e te mākūkū me te kati (e kiia ana tēnei ko te 'stasis dermatitis' ).
• Ko ngā uaua varicose he tohu noa o te whanaketanga o ngā raruraru uaua.

Ko ngā mate pukupuku stasis te tikanga he āhuatanga e whai ake nei:

• He maha ngā wā ka puta ngā whara huri noa i te pona waewae.
• Kāore i te hohonu ngā patunga, ā, tera pea ka kapi katoa i te kiri whero ki te kōwhai.
• He āhua koretake te āhua o ngā whara, he koretake ngā taha.
• Tērā pea ka kanapa te kiri huri noa i te patunga, ā, ka āhua totoro pea.
• Tērā pea ka mahana ake taua rohe i ērā atu wāhi.
• He mamae ngā mate pukupuku, ā, ka puta mai he wai, pērā i te toto, i te wai rānei. Mēnā ka pangia, tera pea ka puta he haunga kino, ka puta hoki he pūkahukahu.

Ngā Tohu o ngā Mate Pukupuku Arteri

Ka puta pea ēnei tohu i mua i te whanaketanga o ngā mate pukupuku uaua:

• Ka pīataata, ka maroke te kiri huri noa i te patunga. Tērā pea ka piri, ka pakarukaru hoki te āhua.
• Ka ngaro te huruhuru i te ringa/waewae e pāngia ana, i te taha rānei o te patunga nā te ngoikore o te rere o te toto.
• Ka taea te whakawhāiti i te rere o te toto ina takoto koe, ina hiki rānei i ō waewae. Ka taea e tēnei te whakamā, te mātao hoki i ō waewae. Ka mamae pea ō waewae ina hiki koe i ō waewae, ina takoto rānei. (Ka taea te whakamama i tēnei mamae mā te tuku i ō waewae kia iri. Ka whero pea ō waewae ina hoki te rere o te toto ki te āhua noa.)

Ko ngā mate pukupuku uaua he tohu e whai ake nei:

• Ka tīmata te puta o ngā mate pukupuku i ngā wāhanga o te tinana e tawhiti rawa atu ana i te ngākau, inā koa i ngā māikuku me waenganui i ngā māikuku.
• He pōuri te tae o ngā whara (ina koa he whero, he kōwhai, he hina, he mangu).
• He hōhonu ngā patunga, i ētahi wā ka kitea ngā uaua me ngā uaua.
• Te āhua nei kua panaia ki waho ngā taha huri noa i te patunga.
• Kāore pea ngā patunga e toto, ā, kāore pea he mamae.

Ko wai te mea tino pāngia e tēnei āhuatanga?

He nui ake te kitea o ngā mate pukupuku uaua i roto i te hunga kaumātua, i te hunga rānei he raruraru hauora, inā koa ko te hunga he raruraru ngākau me te rere toto. Ko ngā āhuatanga e pā ana ki tēnei ko:

• Mate Huka (Diabetes Mellitus)
• Momonatanga
• Ngā Mate o te Uaua Peripheral - arā, te Mate o te Uaua Peripheral (PAD) te Mate rānei o te Uaua Peripheral (PVD)
• Mate ngākau
• Te toto toto tiketike (hypertension)
• Te momi hikareti me te whakamahi i ngā hua tupeka

Ahakoa te kore o te mate, ka puta pea ngā mate pukupuku uaua mēnā ka aukatia te rere o te toto mō ētahi atu take. Hei tauira:

• Ngā whara: Ka taea e ngā whatiwhatinga, ngā weranga, me ngā whara uaua te kino i ngā oko toto tata, ā, ka raru hoki te rere o te toto.
• Te tū roa: Ko te hunga e tū roa ana me te kore e neke (pērā i ngā kaiutuutu, ngā kaimahi tunu taro, ngā kaimahi hōtēra) ka pāngia e te toto i roto i ngā uaua o ō rātou waewae. Ina kore e mahi tika ngā takirere o ngā uaua, kāore e rere tika te toto ki te ngākau. Ka nui rawa te pēhanga o ngā uaua, ā, ka nui haere, ka puta ko ngā 'Varicose Veins'. Ka turuturu te wai mai i ngā uaua ki roto i ngā kiko e karapoti ana, ka pupuhi. Ka puta ko ngā ira parauri i runga i ngā waewae i roto i tēnei wai, me te toto me ngā pūmua, inā koa kei roto i te rohe o te hope. Ka mākūkū tēnei, ā, ka maroke, ka pakaru te kiri. Ka taea e ngā huakita te tomo ki roto i ēnei pakaru, ka puta he mate kiri e kiia nei ko te 'Cellulitis' , he patunga rānei e pā ana ki ngā uaua.
• Hītori whānau: Mena kua pāngia tētahi o tō whānau e ēnei momo whara, tera pea ka tūpono koe ki te pāngia anō hoki e ēnei.

He aha i puta ai ēnei momo whara? He aha ngā take?

Ko ngā mate pukupuku uaua ka taea te whakarōpū i runga i ngā take matua. Heoi, he maha ngā take o te mate pukupuku kotahi. Ko tētahi tauira pai o tēnei ko te whanaketanga o ngā mate pukupuku uaua nā te mate huka.

• Ngā Mate Pukupuku Tūmau: Ka puta mai ēnei i ngā raruraru o ngā uaua. Ko te nuinga o ngā mate puku uaua ka taka ki tēnei wāhanga. Ka nui ake te kitea i roto i ngā waewae me ngā waewae i a koe e pakeke haere ana. Ka puta tēnei ina kore e mahi tika ngā takirere o ngā uaua o ngā waewae. Ko te tikanga o tēnei, kāore e taea te aukati i te rere o te toto e tika ana kia piki ki te ngākau i raro i te kaha o te kaha. Nō reira, ka nui ake te toto ka kohia ki roto i ngā waewae me ngā waewae, ka nui ake te pēhanga ki runga i ngā uaua toto. Ka taea e tēnei pēhanga te meinga kia turuturu te wai o ngā uaua, kia pakū rānei. I roto i te wā, ka arahi pea tēnei ki ngā mate puku.
• Ngā Mate Pukupuku Arteri: Ka kiia hoki ēnei ko ngā 'Mate Pukupuku Ischemic' . Ka puta mai i te korenga o te rere o te toto ki te wāhi e pāngia ana. Ka kiia tēnei ko te 'Ischemia'.E kiia ana hoki. Nā te korenga o te rere o te toto, ka tīmata te mate haere o te wāhanga tinana e pāngia ana (he maha ngā wā he ringa, he waewae rānei).

Me pēhea te mōhio ki tēnei? Me pēhea te tātaritanga a ngā tākuta?

Ka taea e te tākuta te tere kite i te mate pukupuku uaua mā te tirotiro. Ka tirohia tata e ia te patunga, ka pā atu pea ki te rohe e karapoti ana, me te tirotiro mēnā he tohu motuhake.

Heoi anō, me kimi anō hoki e te tākuta te take o te whara. Mā ngā mōhiohio i whiwhihia i te wā e tirotirohia ana te whara ka āwhina anō hoki i tēnei. Heoi anō, ka tonoa ētahi whakamātautau kia mārama ai te tino take. Nā te mea he maha ngā take e pā ana ki ngā whara uaua, ā, ka hono pea ēnei take tetahi ki tetahi.

He aha ngā whakamātautau e mahia ana?

Ka taea e tō tākuta, e tō tohunga rānei te whakahaere i ēnei whakamātautau:

• Te ine i te toto toto: Ka ine te tākuta i te toto toto i roto i tō ringa. Ka ine anō hoki ia i te toto toto i roto i ō waewae kia kite ai mēnā he rerekētanga i waenga i ngā mea e rua. Ko te ingoa o tēnei whakamātautau ko te whakamātautau Ankle-Brachial Index (ABI) .
• Te whakarongo ki tō ngākau me te tirotiro i tō pā o te manawa: Mā te whakarongo ki tō ngākau me te manawa, ka taea e tō tākuta te rapu i ngā tohu o te mate ngākau kei raro e whai wāhi ana ki ngā whara uaua. Ka taea hoki e rātou te rongo i ngā pā o te manawa (ngā pā o te manawa) i ō waewae me ō waewae o raro. Ko te kaha o ēnei pā o te manawa — mēnā kāore he pā o te manawa — ka āwhina i tō tākuta ki te whakatau i tētahi mate tino tika.
• Whakamātautau toto: Ka āwhina ngā whakamātautau toto i tō tākuta ki te tautuhi mate me te whakatau me pēhea te rongoā i tō whara. Ko tētahi whakamātautau motuhake ko te whakamātautau hemoglobin A1C . Ka āwhina tēnei ki te whakatau mēnā he mate huka tōu, ā, mēnā he mate huka, he aha te kaha o tōna mate.
• Whakaahua: Ka tono pea tō tākuta i ngā whakamātautau whakaahua hei tirotiro i te whara, tae atu ki te rere o te toto e karapoti ana i a ia. Ka tono pea hoki rātou i ngā whakamātautau whakaahua o ngā uaua me ngā uaua nui i ētahi atu wāhi o te tinana, nā te mea ka taea hoki e ēnei te whakaatu i ngā raruraru e pā ana ki te whara o te uaua. Kei roto pea i ēnei whakamātautau ko ngā hihi-X, ngā MRI, ngā karapa CT , me ngā ultrasound .

Ka taea te whakaora i ēnei patunga? He aha ngā maimoatanga?

I te nuinga o te wā, ka taea te whakaora i te mate pukupuku uaua. Heoi, ko te tūponotanga o te whakaora o te patunga e whakawhirinaki ana ki tōna kaha. Nō reira, he mea tino nui te rongoā tere i ngā mate pukupuku uaua kia pai ai te putanga.

He mea nui anō hoki kia arohia te raruraru matua i puta ai te whara. Ka rongoatia e tō tākuta te whara, ā, ka tūtohu i ngā maimoatanga mō ngā raruraru hauora matua kei a koe. Ko ētahi o āna taunakitanga ko te hanga i ngā huringa ki tō momo noho. Ka taea e ēnei huringa te āwhina i te whakaiti i tō tupono ki te pāngia e tētahi atu whara, me te whakapai ake i te kounga o tō oranga whānui.

Ngā tikanga maimoatanga

He rerekē ngā maimoatanga e whakamahia ana i runga i te kaha o ngā mate pukupuku uaua me te take i puta ai.

Ngā rongoā

• Ngā rongoā paturopi: Ka taea e ēnei te rongoā i ngā mate pukupuku, ā, i ētahi wā (pērā i muri i te pokanga), ka hoatu hoki hei ārai i te mate pukupuku.
• Ngā hinu kiri me ngā hinu whakamāori: Ka āwhina ēnei ki te tango i ngā kiko mate, pangia rānei, ka whakapai ake i te rere o te toto ki te wāhi e pāngia ana, ka ārai i te mate, ā, ka āwhina i te tere o te ora o te patunga.
• Ngā rongoā hei rongoā i te raruraru matua: Ko ngā mahi pēnei i te whakahaere i tō toto toto me te cholesterol, te whakamutu i te kai paipa, me te whakahaere i ō taumata huka toto ka āwhina i te whakaora i ngā patunga.
• Ngā rongoā whakamamae mamae, ngā rongoā whakangāwari rānei: Ka mamae pea ngā mate pukupuku uaua me ētahi o ā rātou maimoatanga. He mea noa te whakamahi i ngā rongoā whakamamae mamae, i ngā rongoā whakangāwari rānei i te wā e rongoatia ana.

Ngā takai me ngā takai

He mea noa te whakamahi i ngā takai me ngā momo taonga ka taea te mau hei rongoā i ngā mate pukupuku uaua. Me whakamahi noa i ēnei i runga i ngā tohutohu a tō tākuta. Ki te whakamahia hē, ka kino haere te mate pukupuku uaua, kaua e pai ake.

• Te takai: Mā te hipoki i te patunga ki te takai tiaki ka āwhina i te ārai i te mate. Tērā pea kei roto i ētahi takai he rongoā, ka āwhina i te tere o te ora o te patunga.
• Kākahu pēhi: Kei roto i ēnei ko ngā tōkena, ngā tōkena, me ētahi atu mea. Ka pēhia te waewae katoa, hei āwhina i te whakaiti, i te aukati rānei i te pupuhi. He mea whakamahi noa ēnei mō ngā mate pukupuku uaua. Ka āwhina i te ārai i te toto kei pupū ake i roto i ngā waewae me ngā waewae.
• Ngā hū motuhake, ngā tōkena, ngā taputapu orthotic rānei: He maha ngā mate pukupuku uaua, inā koa ngā mate pukupuku mate huka, ka puta mai i te waku me te pēhanga noa. I te nuinga o te wā, ina pāngia koe e te mamae, ka whakarerekē koe i tō huarahi hikoi ka whakaiti i te kino ki te wāhi e pāngia ana. Heoi, ehara i te mea pēnei mō ngā mate pukupuku mate huka. He maha ngā wā ka puta mai i te ngaronga katoa, i te ngaronga wāhanga rānei o te kare o ngā waewae.

Ngā tikanga matatau

Ka taea te whakamahi i ēnei maimoatanga matatau mō ngā patunga nunui, mō ngā patunga uaua rānei e roa ana te wā e ora ai.

• Te Whakaora i ngā Toto: Ka taea e ngā aukati i roto i ngā toto nui te whakaputa i ngā mate pukupuku uaua. Ko ngā maimoatanga whakaora toto e ngana ana ki te tango i ēnei aukati, te whakaora i ngā mate pukupuku o mua, me te aukati i te puta mai o ngā mate pukupuku hou.
• Pokanga: Ka taea te mahi pokanga mō ngā patunga kua pangia, kua nui, ā, he uaua ki te whakaora. Ka taea e te taote pokanga te mahi pokanga hei tango i ngā kiko mate, kua pangia rānei mai i te patunga hohonu ( 'Debridement' ), kia māmā ake ai te whakaora o te patunga. Kei roto pea i tēnei ko:Tērā pea ka whakamahia ngā hononga kiri me ētahi atu tikanga whakatika. (Heoi, i roto i ngā take o te gangrene tino kino, te kino rānei o ngā uaua, i ētahi wā me tapahi tetahi wāhanga o te waewae, o te waewae rānei. Ka mahia tēnei hei whakaora i ngā oranga me te ārai i ngā raruraru kino atu. Engari, e 30 ngā wā ka nui ake te tūponotanga o te hunga mate huka ki te whakawhanake i te gangrene i roto i ō rātou waewae i te taupori whānui.)
• Te hikoi kua whakaritea: Mā te whakakori tinana, inā koa ka mahia me te tohutohu a te taote, ka pai ake te rere o te toto me te aukati i te hanganga o ngā mate puku hou.
• Whakaora hāora hyperbaric: Ko te taumata hāora noa e karapoti nei i a tātou he 21%. I roto i te 'Whakaora hāora hyperbaric', ka whakanohoia koe ki roto i tētahi rūma he 100% te kukū hāora me te pēhanga hau teitei ake. I raro i ēnei āhuatanga, ka tere ake te ora o ngā patunga, inā koa ngā patunga uaua.
• Te tango i ngā kiri kua mate, kua pangia hoki i roto, i te taha hoki o te patunga hōhonu, ka whakaroa pea i te whakaora, ā, ka puta he raruraru kino pērā i te gangrene. Ko te tango i ngā kiri kua mate, kua pangia rānei, ka waiho ko te kiko hauora anake.

Me pēhea te whakahaere i ngā tohu me te whakaiti i te mōrearea?

Mena kei te tūpono koe ki te pāngia e te mate puku uaua, tera ētahi mea ka taea e koe te mahi hei tiaki i tō hauora me te ārai i te whanaketanga o te mate puku. He mea nui rawa tēnei mena he mate huka tōu, he mate rānei e whakaiti ana i te kare o ō waewae.

• Tirohia koe: Tirohia ō waewae i ia rā. Kia tino aro ki waenganui i ngā mātao, ki te taha o ngā pona, me te kapu o ngā waewae.
• Tiakina ō waewae: Tiakina ō waewae mai i ngā whara mā te mau i ngā hu me ngā tōkena e tika ana te tau.
• Tiakina ō waewae: Ki te mea he mate huka tōu, me toro atu koe ki tētahi tākuta waewae i ia wā, i ia wā, kia tirohia ō waewae mō ngā tohu o te mate pukupuku. Māna koe e tohutohu ki te huarahi pai hei tiaki i ō waewae.
• Te whakahaere i ngā āhuatanga hauora taketake: Mā te tiaki i ngā mea pēnei i tō toto totoka, te cholesterol, te taumata huka toto, me te taumaha ka āwhina i te ārai i ngā whara.

Mena kua pāngia koe e te mate puku uaua, mā tō tākuta koe e ārahi ki te tiaki i a ia. He maha ngā wā ka tohutohu ia i a koe mō ēnei e whai ake nei:

• Kia ma te patunga: Whakamahia he takai ka whakawhitia kia rite ki ngā tohutohu a te tākuta.
• Okioki kia rite ki te tohutohu: Mena he mate puku uaua tōu, ka kī atu tō tākuta kia teitei ake ō waewae hei ārai i te pupuhi.
• Inumia tika ō rongoā: Inumia ō rongoā, inā koa ngā rongoā paturopi, te toto toto tiketike, te mate huka, me ngā rongoā cholesterol tiketike, i te wā tika.

He aha ngā mea ka taea e koe te tumanako i a koe e noho tahi ana me tēnei whara?

Mena he mate puku uaua tōu, kua pāngia rānei koe e tētahi i mua, he nui ake te tūponotanga ka pāngia koe e tētahi atu. Ko te tiaki i tō hauora te huarahi pai ki te whakaroa i te whanaketanga o tētahi mate puku hou. Ki te whakahaere koe i tō hauora, he nui ake te tūponotanga ka roa ake tō oranga whānui, ā, he iti ake hoki ngā raruraru hauora.

I tētahi atu taha, ki te kore koe e tiaki i tō hauora, ka nui ake te tūponotanga ka kino haere te mate pukupuku uaua – me tō hauora whānui. I ngā wā tino kino, ki te kore koe e aro ki te mate pukupuku me tō hauora, ka arahi pea ki te tapahi i te waewae, tae atu ki te mate.

Āhea koe me toro atu ki te tākuta?

Tirohia tō tākuta whānau i te iti rawa kotahi i te tau mō tētahi tirotiro tinana katoa. He mea nui tēnei hei tautuhi i ngā raruraru hauora, tae atu ki ngā mea ka arahi ki ngā whara o ngā uaua, ahakoa kāore e whakaatu i ngā tohu.

Me kōrero hoki ki tō tākuta mēnā kei a koe tētahi o ēnei e whai ake nei:

• Mena he roa ake te ora o te patunga i tō waewae, i tō waewae rānei i te wā e whakaarohia ana.
• Mena kei a koe ngā tohu e tohu ana he raruraru tō te rere o te toto i roto i ō waewae (ina koa ko te pupuhi, te mamae, te rerekē te tae, te mamae rānei ka rerekē i runga i te āhua o tō pupuri i tō waewae).
• Ki te mamae ō waewae, ka pai ake tēnā mā te okioki.

Āhea koe me haere ki te Rūma Ohotata?

Mena he patunga uaua tōu, ā, ka pangia, ā, ka puta ēnei tohu ki a koe, me haere koe ki te rūma whawhati tata:

• Mena ka huri te kiri huri noa i te wāhi kua pāngia ki te parauri pouri, ki te mangu rānei, inā koa ki ngā maihao.
• Mena kei te pāngia koe e te kirika, e te makariri rānei, ā, kei te wiriwiri koe.
• Mena he haunga kino e puta mai ana i te patunga uaua.
• Mena he nui ake te wai, te toto rānei e turuturu ana i te patunga uaua i te tikanga, ina koa mena he kapua, he kōwhai rānei te wai e puta mai ana.
• Mena kei te pupuhi te patunga me te rohe huri noa, kei te whero, ā, kei te mahana ina pā atu.

Hei whakarāpopototanga, he karere hei kawe ki te kāinga:

Ko ngā mate pukupuku toto he tohu noa iho o tētahi mate hauora mau tonu. Ahakoa he kino ēnei mate, ka taea te whakahaere, ā, ka taea e koe te pārekareka ki tō oranga. Kaua e mataku, kaua hoki e mataku.

Ka taea e tō tākuta te ārahi i a koe, te whakarato i ngā rauemi e tika ana, me te whakarato i ētahi atu tautoko. Mā ēnei katoa koe e āwhina ki te ārai i ngā mate pūmau kei whakararuraru i tō oranga, kia ora ai hoki i te oranga e hiahiatia ana e koe. He mea nui kia rapu tohutohu hauora i te wā wawe. Tiakina ō waewae, tiakina tō hauora.

Ngā patunga uaua, ngā raruraru tohanga toto, ngā patunga waewae, ngā patunga uaua, ngā patunga uaua, ngā patunga mate huka, ngā patunga kāore e ora