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October 10, 2025
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ʻO ka measles virus vaccine live he pana pale e kōkua ana i kāu ʻōnaehana pale e hakakā i ka maʻi measles. Aia i loko o kēia lāʻau lapaʻau kahi mana nāwaliwali o ka maʻi measles ʻaʻole hiki ke hoʻoulu i ka maʻi maoli akā e aʻo ana i kou kino pehea e ʻike ai a pale aku iā ia. ʻO ka loaʻa ʻana o ka lāʻau lapaʻau kekahi o nā ala maikaʻi loa e pale aku ai iā ʻoe iho a me kou kaiāulu mai kēia maʻi maʻi maʻi e hiki ke alakaʻi i nā pilikia koʻikoʻi.
ʻO ka measles virus vaccine live he immunization i loaʻa kahi ʻano nāwaliwali (attenuated) o ka maʻi measles. Ola kēia maʻi nāwaliwali akā ua hoʻololi ʻia i loko o nā laboratories no laila ʻaʻole hiki ke hoʻoulu i ka maʻi measles i nā kānaka olakino. Ke loaʻa iā ʻoe kēia lāʻau lapaʻau, aʻo kou ʻōnaehana pale e ʻike i ka maʻi measles a hana i nā antibodies e hakakā iā ia.
Hāʻawi pinepine ʻia kēia lāʻau lapaʻau ma ke ʻano he ʻāpana o nā lāʻau lapaʻau hui e like me MMR (measles, mumps, rubella) a i ʻole MMRV (measles, mumps, rubella, varicella). Hāʻawi ka lāʻau lapaʻau ola i ka pale lōʻihi, pinepine no ke ola, ʻo ia ke kumu i makemake ʻia ai ma mua o nā lāʻau lapaʻau hana ʻole no ka hapa nui o nā kānaka.
ʻO ke kumu nui o kēia lāʻau lapaʻau e pale i ka measles, kahi maʻi viral maʻi e hiki ke hoʻoulu i nā pilikia olakino koʻikoʻi. Hoʻolaha ʻia ka measles ma o nā kulu hanu ke ʻuʻu a hū paha ke kanaka i loaʻa i ka maʻi, a he maʻi maʻi loa ia e loaʻa ai i ka 9 mai ka 10 mau kānaka i hoʻopaʻa ʻole ʻia i ka maʻi.
Hāʻawi mau ʻia ka lāʻau lapaʻau i nā keiki ma ke ʻano he ʻāpana o kā lākou papa hana immunization maʻamau, e hoʻomaka ana ma 12-15 mau mahina o ka makahiki. Pono paha nā mākua i hoʻopaʻa ʻole ʻia a i ʻole ʻaʻohe hōʻike o ka pale ʻana i kēia lāʻau lapaʻau, ʻoiai inā e hele ana lākou i ka honua a i ʻole e hana ana i nā wahi mālama ola.
Ma waho aʻe o ka pale ʻana i kēlā me kēia kanaka, kōkua ka hoʻopaʻa ʻana i ka lāʻau lapaʻau i ka hana ʻana i ka pale o ke kaiāulu (herd immunity). Mālama kēia i ka poʻe i hiki ʻole ke hoʻopaʻa ʻia i ka lāʻau lapaʻau ma muli o nā maʻi olakino, e like me ka poʻe me nā ʻōnaehana pale i nāwaliwali a i ʻole nā maʻi maʻi.
Hana kēia lāʻau lapaʻau ma ke aʻo ʻana i kou ʻōnaehana pale e ʻike a hakakā i ka maʻi measles me ka ʻole o ka maʻi maoli. Ke komo ka maʻi i nāwaliwali i kou kino, mālama kou ʻōnaehana pale iā ia me he mea hoʻoweliweli maoli a hana i nā antibodies i hoʻolālā ʻia e kūʻē i ka measles.
Manaʻo ʻia ka lāʻau lapaʻau he ikaika maʻalahi i ka pane ʻana o ka pale. Hoʻomohala kou kino i nā cell hoʻomanaʻo e hoʻomanaʻo pehea e hakakā ai i ka measles no nā makahiki e hiki mai ana. Inā ʻoe e hōʻike ʻia i ka maʻi measles maoli ma hope, ʻike koke kēia mau cell hoʻomanaʻo iā ia a hana i nā antibodies e pale ai i ka maʻi.
Hoʻomohala ka hapa nui o nā kānaka i ka pale i loko o 2-3 mau pule ma hope o ka hoʻopaʻa ʻana i ka lāʻau lapaʻau. He lōʻihi ka pale ʻana, me nā haʻawina e hōʻike ana e pale ʻia ka hapa nui o nā kānaka no nā makahiki he nui ma hope o ka loaʻa ʻana o ʻelua mau lāʻau lapaʻau.
Hāʻawi ʻia ka lāʻau lapaʻau o ka measles virus live ma ke ʻano he injection ma lalo o ka ʻili (subcutaneous), maʻamau i kou lima luna. E hāʻawi mau kahi mea mālama ola i kēia lāʻau lapaʻau i kahi hoʻonohonoho lapaʻau. ʻAʻole pono ʻoe e hana i nā hoʻomākaukau kūikawā ma mua o ka loaʻa ʻana o ka lāʻau lapaʻau, a hiki iā ʻoe ke ʻai maʻamau ma mua.
Hele mai ka lāʻau lapaʻau ma ke ʻano he pauka e pono e hui pū ʻia me kahi wai kūikawā (diluent) ma mua pono o ka injection. E mālama kāu mea mālama ola i kēia hoʻomākaukau. He mau kekona wale nō ka injection ponoʻī, akā e ʻike paha ʻoe i kahi ʻū a i ʻole ke kuʻi ʻana ma ke kahua injection.
ʻAʻole pono ʻoe e pale i ka meaʻai a i ʻole ka inu ma mua a ma hope paha o ka lāʻau lapaʻau. Eia naʻe, maikaʻi ke noho hydrated a ʻai i ka meaʻai māmā ma mua inā maʻa ʻoe i ka manaʻo nāwaliwali i ka wā o nā kaʻina hana lapaʻau.
Hāʻawi ʻia ka measles virus vaccine live ma ke ʻano he ʻelua-dose series ma mua o ka lāʻau lapaʻau e hoʻomau nei. No nā keiki, hāʻawi ʻia ka dose mua ma waena o 12-15 mahina o ka makahiki, a ʻo ka lua o ka dose ma waena o 4-6 mau makahiki. Hāʻawi kēia papa manawa ʻelua-dose i ka pale maikaʻi loa i ka measles.
ʻO nā mākua e pono ai ka lāʻau lapaʻau e loaʻa pinepine i ʻelua doses i hāʻawi ʻia ma ka liʻiliʻi he 28 mau lā. Ke pau ʻoe i ka series i ʻōlelo ʻia, ʻaʻole pono ʻoe i nā doses hou ke ʻole ʻoe i kahi kūlana pilikia kiʻekiʻe a i ʻole e ʻōlelo kāu kauka iā ia ma muli o kāu mau kūlana.
He lōʻihi ka pale ʻana mai ka lāʻau lapaʻau, e hāʻawi pinepine ana i ka pale ʻana no nā makahiki he nui. Pono paha kekahi poʻe i kahi dose booster inā e hele ana lākou i nā wahi me nā maʻi measles a i ʻole inā hōʻike nā hoʻokolohua koko ua emi ko lākou pale ʻana i ka manawa.
ʻO ka hapa nui o nā kānaka e ʻike wale i nā hopena ʻaoʻao maʻalahi mai ka measles virus vaccine live, inā he mea. ʻO kēia mau hopena he hōʻailona maoli ia e pane ana kāu ʻōnaehana pale i ka lāʻau lapaʻau a ke kūkulu nei i ka pale ʻana i ka measles.
E hele kākou i nā hopena ʻaoʻao maʻamau āu e ʻike ai, me ka noʻonoʻo ʻana he kakaikahi nā hopena koʻikoʻi:
Hoʻoponopono maʻamau kēia mau hopena ʻaoʻao maʻamau iā lākou iho i loko o kekahi mau lā a ʻaʻole pono i ka lāʻau lapaʻau ma waho o ka hoʻomaha a me nā ana hōʻoluʻolu.
Aia kekahi mau hopena ʻaoʻao liʻiliʻi akā ʻoi aku ka ʻike e hana ʻia i kahi pākēneka liʻiliʻi o nā kānaka. ʻOiai e like paha kēia mau mea e pili ana, he maʻalahi a he manawa pōkole lākou:
Hōʻike pinepine ʻia kēia mau hopena ma waena o 6-14 mau lā ma hope o ka lāʻau lapaʻau a hoʻoponopono me ka ʻole o ka mālama ʻana, akā hiki ke lōʻihi a hiki i hoʻokahi pule.
I kēia manawa, e kūkākūkā kākou i nā hopena ʻaoʻao kakaʻikahi akā koʻikoʻi e koi ana i ka lāʻau lapaʻau koke. ʻOiai e hana pinepine ʻia kēia mau mea, he mea nui e ʻike i ka mea e nānā ai:
Hana pinepine ʻia kēia mau hopena koʻikoʻi i loko o nā minuke a i ʻole nā hola o ka lāʻau lapaʻau, ʻo ia ke kumu e noi pinepine ai nā mea mālama ola iā ʻoe e kali i 15-20 mau minuke ma hope o kāu pana ma mua o ka haʻalele ʻana i ka hale lapaʻau.
ʻOiai palekana ka lāʻau lapaʻau measles virus live no ka hapa nui o nā kānaka, aia kekahi poʻe pono ʻole e loaʻa iā ia ma muli o ka piʻi ʻana o ka pilikia o nā pilikia. E nānā kāu mea mālama ola i kāu mōʻaukala olakino e hoʻoholo ai inā kūpono ka lāʻau lapaʻau iā ʻoe.
Eia nā pūʻulu nui o nā kānaka e pono e pale i kēia lāʻau lapaʻau, no ka mea, hiki ke hoʻopilikia ʻia ko lākou palekana:
Kōkua kēia mau kapu i ka hōʻoia ʻana e hana pono ka lāʻau lapaʻau a ʻaʻole e hōʻeha i nā kānaka nāwaliwali.
Aia kekahi poʻe e pono e hoʻohana i ka akahele hou aʻe a i ʻole e pono paha i ka noʻonoʻo kūikawā ma mua o ka loaʻa ʻana o ka lāʻau lapaʻau:
Inā ʻoe e hāʻule i kekahi o kēia mau ʻāpana, e loiloi kāu kauka i nā pilikia a me nā pōmaikaʻi e hoʻoholo ai i ka hana maikaʻi loa no kāu kūlana.
Loaʻa ka lāʻau lapaʻau measles virus live ma lalo o nā inoa inoa like ʻole, ʻoiai ua hāʻawi pinepine ʻia ma ke ʻano he ʻāpana o nā lāʻau lapaʻau hui pū. ʻO nā inoa inoa i hoʻohana nui ʻia e pili ana iā M-M-R II (aia nā measles, mumps, a me rubella) a me ProQuad (aia nā measles, mumps, rubella, a me varicella).
I kekahi mau hihia, hiki iā ʻoe ke loaʻa i kahi lāʻau lapaʻau measles standalone, ʻoiai ʻaʻole maʻamau kēia i ka hana maʻamau. E koho kāu mea mālama ola i ka formulation kūpono loa e pili ana i kou makahiki, ke olakino, a me nā lāʻau lapaʻau āu e pono ai.
A pau nā ʻano o ka lāʻau lapaʻau measles i ʻae ʻia e ka FDA i ka maʻi measles nāwaliwali like a hāʻawi i ka pale like. ʻO ke koho ʻana i ka brand e hilinaʻi pinepine ʻia i ka mea i loaʻa ma kāu wahi mālama ola a inā pono ʻoe i ka pale ʻana i nā maʻi ʻē aʻe i ka manawa like.
I kēia manawa, ʻaʻohe koho ʻē aʻe kūpono i ka lāʻau lapaʻau measles virus live no ka pale ʻana i ka measles. Ua hoʻohana ʻia nā lāʻau lapaʻau measles inactivated (killed) i nā makahiki 1960 akā ua hōʻike ʻia he liʻiliʻi ka hopena a i kekahi manawa ua hana i nā hopena koʻikoʻi ke hōʻike ʻia nā kānaka i hoʻopaʻa ʻia i ka maʻi measles hihiu.
ʻO ka lāʻau lapaʻau attenuated live ka mea maʻamau no ka mea hāʻawi ia i ka palekana ikaika a lōʻihi. No ka poʻe i hiki ʻole ke loaʻa i ka lāʻau lapaʻau live ma muli o nā contraindications lapaʻau, ʻo ka koho nui ʻo ka immune globulin, e hāʻawi ana i ka palekana passive manawa akā pono e hāʻawi ʻia i loko o 6 mau lā o ka hōʻike ʻana e pono ai.
Nīnau kekahi poʻe e pili ana i ka palekana maoli mai ka loaʻa ʻana o ka measles, e hāʻawi ana i ka pale ola. Eia naʻe, lawe ka maʻi measles maoli i nā pilikia nui o nā pilikia koʻikoʻi, me ka pneumonia, ka mumū o ka lolo, a me ka make, e hana ana i ka lāʻau lapaʻau i ke koho palekana.
ʻOiai ʻo ka palekana maoli mai ka loaʻa ʻana o ka measles e hāʻawi i ka pale ola, ʻoi aku ka palekana o ka lāʻau lapaʻau measles virus live ma mua o ka loaʻa ʻana o ka maʻi maoli. Lawe ka maʻi measles maoli i nā pilikia koʻikoʻi ʻaʻole i loaʻa i ka lāʻau lapaʻau.
Hiki i ka measles ke hana i nā pilikia koʻikoʻi me ka pneumonia, ka pehu ʻana o ka lolo, a me ka make. Ma kahi o 1 i loko o 4 mau kānaka i loaʻa i ka measles e hoʻokomo ʻia i ka haukapila, a e make ana 1-2 mai 1,000 mai ia mea. Ma ka ʻaoʻao ʻē aʻe, hana ka lāʻau lapaʻau i nā pilikia koʻikoʻi ma lalo o 1 i loko o hoʻokahi miliona mau lāʻau.
He ikaika loa ka pale ʻana i hana ʻia e ka lāʻau lapaʻau a he lōʻihi hoʻi, me nā haʻawina e hōʻike ana i ka pale ʻana no nā makahiki he nui. ʻOiai paha e pono ana kekahi poʻe i ka lāʻau hoʻoikaika ma hope o ke ola, maikaʻi loa ka pale ʻana a hele mai me ka ʻole o nā pilikia e pili ana i ka maʻi maoli.
Mai ka manaʻo o ke olakino lehulehu, ʻoi aku ka maikaʻi o ka hoʻopaʻa ʻana i ka lāʻau lapaʻau ma mua o ka hilinaʻi ʻana i ka pale maoli no ka mea e pale ai i ka maʻi mai ka laha ʻana i loko o ke kaiāulu a pale i nā kānaka nāwaliwali ʻaʻole hiki ke hoʻopaʻa ʻia.
ʻAe, palekana ka measles virus vaccine live no ka poʻe me ka maʻi diabetes. ʻAʻole e pale ka loaʻa ʻana o ka maʻi diabetes iā ʻoe mai ka loaʻa ʻana o kēia lāʻau lapaʻau, a ʻo ka ʻoiaʻiʻo, ʻoi aku ka pilikia o ka poʻe me ka maʻi diabetes i nā pilikia mai ka measles, no laila he mea nui ka hoʻopaʻa ʻana.
Eia naʻe, inā ʻaʻole i mālama pono ʻia kāu maʻi diabetes a i ʻole inā loaʻa iā ʻoe nā pilikia e pili ana i kāu ʻōnaehana pale, makemake paha kāu kauka e hoʻomaikaʻi i kāu mālama ʻana i ka maʻi diabetes ma mua o ka hoʻopaʻa ʻana. Pono ka poʻe me ka maʻi diabetes e kūkākūkā i kā lākou kūlana kikoʻī me kā lākou mea mālama ola e hōʻoia i ka manawa maikaʻi loa no ka hoʻopaʻa ʻana.
ʻAʻole hiki ke loaʻa i ka nui o ka measles virus vaccine live no ka mea ua hāʻawi ʻia ma ke ʻano he injection hoʻokahi e kekahi mea mālama ola. Eia naʻe, inā hopohopo ʻoe ua loaʻa iā ʻoe kahi mahele keu a i ʻole inā he huikau e pili ana i kāu mōʻaukala hoʻopaʻa ʻana, e hoʻokaʻaʻike koke aku i kāu mea mālama ola.
ʻO ka loaʻa ʻana o kahi mahele keu o ka lāʻau lapaʻau ʻaʻole ia e hōʻeha nui, akā hiki ke hoʻonui i ka hiki ke loaʻa nā hopena ʻaoʻao e like me ke kuni, ka ʻōpala, a i ʻole ka ʻeha ma kahi o ka injection. Hiki i kāu kauka ke loiloi i kou kūlana a nānā iā ʻoe no nā hopena ʻaoʻao i hoʻonui ʻia.
E mālama i nā moʻolelo maikaʻi o kāu mau lāʻau lapaʻau e pale aku i ka huikau i ka wā e hiki mai ana, a e hōʻike mau i nā mea mālama ola e pili ana i kāu mōʻaukala lāʻau lapaʻau piha ma mua o ka loaʻa ʻana o nā pana.
Inā hala ʻoe a i ʻole kāu keiki i kahi mahele i hoʻonohonoho ʻia o ka measles virus vaccine live, mai hopohopo – hiki nō iā ʻoe ke kiʻi i ka lāʻau lapaʻau a loaʻa ka pale piha. E kelepona i kāu mea mālama ola e hoʻonohonoho hou i ka mahele i hala i ka wā hiki.
No ka moʻohelu ʻelua-mahele, ʻaʻole pono ʻoe e hoʻomaka hou inā e hala ʻoe i ka mahele ʻelua. E kiʻi wale i ka mahele ʻelua ke kūpono, inā he 28 mau lā ma hope o ka mahele mua. ʻAʻohe palena manawa kiʻekiʻe ma waena o nā mahele, no laila, inā ua hala nā mahina a i ʻole nā makahiki, hiki nō iā ʻoe ke hoʻopau i ka moʻohelu.
Inā ʻaʻole ʻoe maopopo e pili ana i kāu mōʻaukala lāʻau lapaʻau, hiki i nā hoʻokolohua koko ke nānā i ka pale ʻana i ka measles. Inā ʻaʻole ʻoe i pale ʻia, hiki iā ʻoe ke loaʻa ka lāʻau lapaʻau me ka nānā ʻole i kou makahiki a i ʻole ka nui o ka manawa i hala mai nā mahele mua.
Hāʻawi ʻia ka measles virus vaccine live ma ke ʻano he moʻohelu ʻelua-mahele i ka wā kamaliʻi, a ʻaʻole pono ka hapa nui o nā kānaka i nā mahele hou aʻe i ko lākou ola. Ke hoʻopau ʻoe i ka moʻohelu i ʻōlelo ʻia, loaʻa iā ʻoe ka pale ola mau mai ka measles.
Eia naʻe, pono paha kekahi poʻe mākua i nā mahele hou aʻe inā aia lākou i nā kūlana pilikia kiʻekiʻe, e like me ka hele ʻana i nā wahi me nā maʻi measles a i ʻole ka hana ʻana i nā wahi mālama ola. Hiki i kāu kauka ke ʻōlelo aku i kahi mea hoʻoikaika inā hōʻike nā hoʻokolohua koko ua emi ka pale ʻana i ka manawa.
ʻAʻole like me nā lāʻau lapaʻau āu e lawe mau ai, hāʻawi ka measles vaccine i ka pale lōʻihi ʻaʻole e koi i nā mahele e hoʻomau nei no ka hapa nui o nā kānaka. Hiki i kāu mea mālama ola ke kōkua i ka hoʻoholo inā pono ʻoe i nā mahele hou aʻe e pili ana i kāu mau kūlana pilikino a me nā mea pilikia.
ʻAʻole, ʻaʻole pono ʻoe e loaʻa i ka lāʻau lapaʻau maʻi lepera ola i ka wā e hāpai ana no ka mea aia i loko o ia mea he maʻi ola e hiki ke pilikia i ka pēpē e ulu ana. Inā hāpai ʻoe a ʻaʻole i pale ʻia i ka maʻi lepera, pono ʻoe e kali a ma hope o ka hānau ʻana e loaʻa ai ka lāʻau lapaʻau.
Eia naʻe, inā ʻoe e hoʻolālā ana e hāpai a ʻaʻole i pale ʻia i ka maʻi lepera, he mea nui e loaʻa ka lāʻau lapaʻau ma ka liʻiliʻi hoʻokahi mahina ma mua o ka hoʻāʻo ʻana e hāpai. Hāʻawi kēia manawa i kou kino e hoʻomohala i ka pale ʻana i ka maʻi a e hōʻoia ana ua pau loa ka lāʻau lapaʻau mai kou ʻōnaehana ma mua o ka hāpai ʻana.
Inā ʻoe e hānai ana i ka waiū, hiki iā ʻoe ke loaʻa palekana i ka lāʻau lapaʻau maʻi lepera. ʻAʻole e hōʻino ka lāʻau lapaʻau i kāu pēpē ma o ka waiū umauma, a e hāʻawi maoli nō ia i kekahi pale passive i kāu pēpē ma o nā antibodies i loko o kāu waiū umauma.
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