He pūtea mana taurite

He hōtaka rangahau a Manawataki Fatu Fatu ki te whakatutuki i te manaakitanga cardiovascular mo te akomanga mana taurite e arotahi ana ki te whakawhanake ake te taima me te tomonga matatika ki tētahi taumata e tuawhiti ake ai te manaakitanga hauora manawa mo ngai Māori me ngā iwi o Te Moana-Nui-Ā-Kiwa.

E whakapono ana mātou ki ngā pāinga atu o te manaakitanga hauora manawa, ngā wawata me ngā putanga mo ngai Māori me ngā iwi o Te Moana-Nui-Ā-Kiwa ina ko rātou kē ngā whakaurunga ki te kaupapa whakaahua. Ka whakamanuhiritia i ēnei wānanga puta noa i Aotearoa, ā, ka whai atu ko te hui ā-ipurangi. Āpiti atu ki te whanaketanga o te mahere mana taurite mo ngai Māori me ngā iwi o Te Moana-Nui-Ā-Kiwa ki te hauora manawa, he putanga nui mo ēnei wānanga ki te whakatū i tētahi hononga toitū i waenga i ngā Māori me ngā iwi o Te Moana-Nui-Ā-Kiwa, o rātou hāpori me ō rātou kaiwhakarato, ki te toha i te kaupapa mo ngā putanga pai ake mo te manaakitanga hauora manawa.

Kawea atu ngā tāngata ki ngā pokapū Cardiac Arrest kia whanake ake te ora. Heoi, ki te puta atu ēnei tāngata i tō rātou rohe, ka whakaweawetia i te ahurea, psychosocial, me ngā tikanga o aua tāngata. Ka whakahaerehia ngā wānanga e toru me ngā uiui takitahi e rima me ngā tūroro, whānau hoki o te OCHA (rua tekau ki te rua tekau mā rima tāngata), ki te whakatōmene i ngā whakaaro o ngā rangatōpū-ā-hohipera, haere ake ki ngā pokapū mātanga. Ko ngā whakaurunga tāngata e nohia nei ki ngā rohenga taiwhenua o Aotearoa me te korenga o tētahi pokapū Cardiac Arrest, rātou mā kua pāngia kinotia e te OHCA E hāngai ana tēnei rangahau ki te kaupapa here o te anamata me ngā panonitanga whakangungu e komokomo ai ngā hiahia me ngā whakaaro o ērā tāngata kua pāngia ki ngā panonitanga ki te whakatuarā i te mana taurite i roto i ngā wheakotanga me ngā putanga mo ngai Māori, i muri iho i te OHCA.

Kua waihangatia tētahi pūnaha non-invasive imaging ka mēhuatia tika i te nekehanga kiri kakī kua whakararu nei e ngā pēhanga panapana toto ki ngā iaia matua, e whakarawea ana ngā kōrero e hāngai ana ki te āheinga manawa. I tēnei wā, ka whakamātauria, ka whakamana hoki i te pūnaha ki tētahi takiwā tākuta ki te hohipera o Tāmaki-makaurau, ā, ko ngā otinga, he kupu taurangi. Heoi, ko ngā tūroro ika tauhou, he tāne te nuinga, engari ko ngā tāne Pākehā.

E minaka ana ki te tāpiri atu he wāhine kimi kaimahi, he Māori, he tūroro no ngā iwi o Te Moana-Nui-Ā-Kiwa ki te whakaatu atu i ngā pūnaha e whakarawea ki te katoa o Aotearoa, mākūare o te tuakiritanga ā-ia, ngā mātāwaka, me te tae o te kiri. 

Ko te whakamahinga o te pūnaha o te hohipera o Tāmaki kua tīpakohia he aukatinga nuka. He whanaketanga kia tangara, me te pukapuka tono o ngā mātāpono whakaahua mā te kekeritanga hāpori e ngai Māori me ngā iwi o Te Moana-Nui-Ā-Kiwa, ki te whakawhanake ake i te nuka me ngā tikanga. He pūnaha whakapakari kua whakarawea kia matatika te kōrero novel diagnostic me te tūwhera i ngā āhuatanga kaupapa akoranga mo ngā hāpori. 

Ko te ngako o ngā putanga, kia whanake ake i te hauora manawa i waenga i a ngai Māori. Ka whakatū he hononga, ka karioi te whai tikanga i waenga i te rūnanga Papatipu o Ngāi Tahu, Ngā Mātāwaka Māori me Te Whare Wānanga Manawa o Ōtautahi, he mea whakapae kia tutuki ai. Ka hui tahi mātou ki ngā kaumātua me ā rātou whānau ki te whakapae te ara pai ake ki te whakahaere i ngā akomanga ki te marae mo te rangahau biomedical i roto i te akoranga whakaahua.

Ko te whāinga tūturu ko te aro atu ki ngā kaumātua, rātou kāore anō kia whiwhi i te manawa reka e whakarangatira ai te rangahau mate cardiovascular; heoi, i muri iho i ngā wānanga tahi me ngā hāpori, e popore ana ki te whakawhānui i ngā akoranga, tae ana ki ngā whānau me ngā mema o te hāpori Māori. Ko te akoranga nei, te tūāpapa mo tētahi pokapū matarau, hei akomanga o Aotearoa whānui kia waihangatia te mana tika, he contributor ki te mate manawa, ā, ko ngā taumata o ngā biomarkers e whaitake ana ki ngā Māori.

Ko tēnei mate te Critical congenital heart disease (CCHD) he mea toimaha o te tūāwhirotanga o te congenital heart disease ka takina atu ki te mate i te korenga o te wānanga. Ko ngā momo (CCHD) kua whakaritehia me ngā tūwheratanga ki te tīma e tika ana; ko ērā atu momo, he pīroiroi kē ngā maimoatanga me ngā putanga pāhekeheke. Ko te oranga o ngā kōhungahunga, he mea pīroiroi  o te (CCHD) kua rerekē ki ngā mātāwaka, me ētahi atu Māori, me kōhungahunga o ngā iwi o Te Moana-Nui-Ā-Kiwa e whakataumaha ana i te materoto, rānei i te mate kōhungahunga. Kua kite nei i ngā rangahau, ko tēnei putanga ehara ēnei momo mate i te matenga toimaha ki ēnei pēpi. Ka whakarawea tēnei whakatakanga i tētahi whakaahua aroā o ngā āhuatanga toitū hei kōparetia ngā putanga o ngā pēpi Māori me ngā pēpi o ngā iwi o Te Moana-Nui-Ā-Kiwa, ā, me pēhea hoki ēnei putanga e rerekē ki ēra o ngā putanga mo ngā pēpi Pākehā me ēra atu o ngā mātāwaka. Ko te whāinga nui, kia pūtohe ai ngā āhuatanga toitū o te pūnaha e utua ngā putanga whakatoihara, tae rā ānō ki ngā pūnaha kaikiri, me ngā aukatinga.

Osita Isichei - He ākonga rata, Te Whare Wānanga o Tāmaki-makaurau

“E whakawhetai ana mo te karahipi i whakawhiwhia nā Pūtahi Manawa ki ngā āheinga ki te akoranga ake e hāngai ana ki te mate manawa, tāpiri atu ki ngā akomanga rata. Mā tēnei tauira mahi, e ngākaunui ana ahau ki ngā kikino o te manawa congenital, me ngā putanga aukati kua pāngia ki te Māori me ngā iwi o Te Moana-Nui-Ā-Kiwa. Ko tāku e tumanako ai, kia tākoha atu ētahi mahi kua mahi kē mo te mate cardiovascular kua rangahauhia e Pūtahi Manawa, he mea whakarerekē ki te oranga tonutanga o ngā uri o Aotearoa.

Ko te whāinga o tēnei whakatakanga, ki te whakaranea i te kimi kaimahi me ngā whakaurunga Māori ki ro te akomanga kia kite atu mēna he mea hou ngā computerized tomography (CT) scanners e whakarawea ana mēna he mea anō, he haumaru, he kaupapa kore whakaekenga ki te tere kapo i te whakaahua o ngā uaua manawa. Ināianei, ko te nuinga o ngā tūroro kua haere ki te hohipera me te pōhēhē he tukinga manawa te take o te haere, ka noho tonu ki te hohipera tae noa ki te whakamātautau ka kūtorotia he ipuipu me te waitae, kua kōkuhu ki ngā uaua manawa hei whakatutukinga. Ka waihangatia te whakatakanga nei i tētahi rīpene me ngā kiripuaki e rua ka kōrerohia ki Te Reo Māori, ka haere ngātahi me ngā waitohu o Te Ao Māori, kia Māori ai te whakawhāiti mai o ngai Māori ki roto i ēnei akomanga me te whakatuarā i te haumarutanga ahurea o tēnei akomanga. He mea whakaarotau te kimi kaimahi Māori mo tēnei akomanga, kia whaikupu mo te whakarawe i ngā ratonga hauora, me pēhea hoki mātou whakatūturu ai te mana taurite hauora o nāianei, me te anamata o te manaakitanga manawa.

“E hīkaka ana mātou kua whai wāhi atu ki Pūtahi Manawa CoRE. Ko ngā pūtea moni kua whakawhiwhia ki tēnei whakatakanga, ka āhei mātou te oke mo te mana taurite hei whakaataatanga Māori o roto i te whakatakanga whānui mā te auahatanga; te whakangungu i ngā kaimahi, the recruitment design tools, me te whakawhāiti mai i ngā kairangahau nēhi Māori me ko rātou kua whai wāhi atu ki te kimi kaimahi mo tēnei momo akomanga”.

Ka haupū moni tēnei whakawhiwhinga ki te whakauru i te whā rau o ngā wāhine ki roto i te akomanga FAIR-ACS (Females in Aotearoa with Ischemic heaRt disease and Acute Coronary Syndromes). He āheinga ki te whakawā i ngā rerekētanga o te ai i ngā putanga i muri iho o te tukinga manawa me te whakaranea i te mana o ngā whakamahukitanga me te āheinga kia whakatewhatewhatia ngā āhuatanga e hāngai pū ana ki te wahine o te mate coronary me te prognosis. Ko te whāinga o tēnei aronga ki te wahine, he mea rongoā mo te kore whakaahuhanga o te wahine e tōmua ana ki te akomanga rangahau, huatakitia atu ki ngā whanaketanga mana taurite me ngā pukapuka tono o ngā rongoā i te whakatau wawe, i te mana whakahaere, me te rongoā o te mate manawa ki Aotearoa.

“I whakawhiwhia tā mātou tīma i te pūtea moni, mana taurite a Pūtahi Manawa, tāpiri atu ki te pūtea moni na te Auckland Medical Research Foundation. Ka whakamana tēnei rangapū i te maha o ngā pūtea moni ki te whakahaere i ngā akomanga tākuta, kia whai atu ngā putanga whakawhanake mo ngā wāhine e wheako ana i tā rātou tukinga manawa tuatahi. Hīkaka katoa mātou kua tuku pūtea ki te whakaarotau i ngā wāhine ki te rangahau mate manawa.