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October 10, 2025
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ʻO ka rubella a me ka mumps virus vaccine live he hui pū ʻia e pale iā ʻoe mai nā maʻi viral koʻikoʻi ʻelua. Aia i loko o kēia lāʻau lapaʻau nā mana nāwaliwali (ola akā hoʻemi ʻia) o nā maʻi ʻelua e kōkua i kāu ʻōnaehana pale e aʻo e hakakā i kēia mau maʻi me ka ʻole e hana i ka maʻi maoli.
Hāʻawi ʻia kēia lāʻau lapaʻau ma ke ʻano he ʻāpana o ka MMR (measles, mumps, rubella) vaccine series, akā hiki ke lawelawe ʻia i ka wā e pono ai. ʻO ka hoʻomaopopo ʻana i ka hana ʻana o kēia lāʻau lapaʻau a me ka mea e manaʻo ai hiki ke kōkua iā ʻoe e hana i nā hoʻoholo i ka ʻike e pili ana i kou olakino a me ka pale ʻana o kou ʻohana.
ʻO kēia lāʻau lapaʻau he ola, nāwaliwali o ka rubella a me ka mumps viruses i hui pū ʻia i hoʻokahi pana. Ua hoʻololi ʻia nā maʻi i loko o nā laboratories i hiki iā lākou ke hoʻoulu i kāu ʻōnaehana pale me ka ʻole e hana i nā maʻi piha.
Ke loaʻa iā ʻoe kēia lāʻau lapaʻau, ʻike kou ʻōnaehana pale i kēia mau maʻi nāwaliwali e like me nā mea komo ʻē a hana i nā antibodies e hakakā iā lākou. Hoʻomaʻamaʻa kēia kaʻina i kou kino pehea e pane wikiwiki ai inā ʻoe e hōʻike ʻia i ka rubella maoli a i ʻole nā maʻi mumps i ka wā e hiki mai ana.
Ua manaʻo ʻia ka lāʻau lapaʻau he mea maikaʻi loa a hāʻawi i ka pale lōʻihi. ʻO ka hapa nui o ka poʻe e loaʻa ana i ka lāʻau lapaʻau piha e hoʻomohala i ka pale ola i nā maʻi ʻelua.
Pale kēia lāʻau lapaʻau i ka rubella (German measles) a me ka mumps, ʻelua mau maʻi viral maʻi e hiki ke hana i nā pilikia koʻikoʻi. Hoʻolaha maʻalahi nā maʻi ʻelua ma o nā kulu hanu ke ʻuʻu, hū, a kamaʻilio paha ka poʻe maʻi.
Hiki i ka rubella ke hana i ka ʻōpala māmā a me ke kuni i ka hapa nui o nā kānaka, akā he pilikia nui ia i nā wahine hāpai. Inā loaʻa i ka wahine hāpai ka rubella, ʻoiai i ka trimester mua, hiki iā ia ke hana i ka maʻi rubella congenital i loko o ka pēpē, e alakaʻi ana i nā kīnā hānau me nā pilikia o ka naʻau, ka lohe ʻole, a me nā lohi o ka ulu ʻana.
ʻO ka mumps ka mea maʻamau e hana i ka pehu ʻeha o nā ʻōpū salivary, ke kuni, a me ke poʻo. I kekahi mau hihia, hiki i ka mumps ke alakaʻi i nā pilikia koʻikoʻi e like me ka meningitis, encephalitis, a i ʻole ka lohe ʻole. I nā keiki kāne ʻōpio a me nā kāne makua, hiki i ka mumps ke hana i ka orchitis (pehu o nā testicles), kahi e pili ana i ka momona.
He mea nui ka lāʻau lapaʻau no nā wahine o ka makahiki hānau keiki, nā limahana mālama ola, a me nā mea hele honua i hiki ke hōʻike ʻia i kēia mau maʻi ma nā wahi i haʻahaʻa ai nā helu o ka lāʻau lapaʻau.
Hana kēia lāʻau lapaʻau ma ke aʻo ʻana i kāu ʻōnaehana pale e ʻike a hakakā i nā maʻi rubella a me mumps. Ua lawa ka ikaika o nā maʻi nāwaliwali i loko o ka lāʻau lapaʻau e hoʻoulu ai i ka pane ʻana o ka pale ʻana akā ua nāwaliwali loa e hana i nā maʻi maoli.
Ma hope o ka lāʻau lapaʻau, hana kāu ʻōnaehana pale i nā antibodies kikoʻī i nā maʻi ʻelua. Noho kēia mau antibodies i loko o kou kahe koko, mākaukau e hoʻopau koke i nā maʻi inā ʻoe e hālāwai me lākou ma ke ʻano maoli. Hoʻomohala pū kāu ʻōnaehana pale i nā cell hoʻomanaʻo e hoʻomanaʻo pehea e hana ai i kēia mau antibodies i nā makahiki ma hope.
Ua manaʻo ʻia he lāʻau lapaʻau ikaika ia e hāʻawi ana i ka pale ikaika a lōʻihi. Hoʻomohala ka hapa nui o nā kānaka i nā pae antibody pale i loko o 2-6 pule ma hope o ka lāʻau lapaʻau, a ʻo ka pale ʻana e mau ana no nā makahiki he nui a i ʻole ke ola.
Hāʻawi ʻia kēia lāʻau lapaʻau ma ke ʻano he injection i loko o ka ʻiʻo o kou lima luna (intramuscular route). E hāʻawi ke kauka lapaʻau i ka pana i loko o kahi hoʻonohonoho olakino e like me ke keʻena o ke kauka, ka hale lapaʻau, a i ʻole ka hale kūʻai lāʻau.
ʻAʻole pono ʻoe e hana i nā hoʻomākaukau kūikawā ma mua o ka loaʻa ʻana o kēia lāʻau lapaʻau. Hiki iā ʻoe ke ʻai maʻamau ma mua, a ʻaʻole pono nā meaʻai a i ʻole nā mea inu. Eia naʻe, e haʻi i kāu mea mālama ola inā ʻaʻole ʻoe maikaʻi, no ka mea, hiki iā lākou ke ʻōlelo e hoʻopaneʻe i ka lāʻau lapaʻau a hiki i kou ola ʻana mai kekahi maʻi.
He mau kekona wale nō ka hoʻokomo ʻana, akā hiki iā ʻoe ke ʻike i kekahi ʻeha ma kahi i hoʻokomo ʻia ma hope. E noi paha kāu mea mālama ola iā ʻoe e kali i 15-20 mau minuke ma hope o ka pana e nānā i nā hopena koke.
Inā loaʻa iā ʻoe kēia ma ke ʻano he ʻāpana o ka MMR vaccine series, pili nā alakaʻi like. Manaʻo kekahi poʻe he mea kōkua ke hoʻoneʻe mālie i ko lākou lima ma hope o ka hoʻokomo ʻana e hōʻemi i ka ʻoʻoleʻo.
Hāʻawi ʻia kēia lāʻau lapaʻau ma ke ʻano he hoʻokahi manawa a i ʻole ʻelua-dose series, ʻaʻole ma ke ʻano he lāʻau lapaʻau e hoʻomau nei. ʻO ka hapa nui o nā mākua i hōʻole ʻia a i ʻole nele i ka pale e pono ai i hoʻokahi dose, ʻoiai e pono paha kekahi poʻe i ʻelua doses i hoʻokaʻawale ʻia ma ka liʻiliʻi he 28 mau lā.
Na kāu mea mālama ola e hoʻoholo i ka papa manawa kūpono e pili ana i kou makahiki, ka mōʻaukala olakino, a me ke kūlana pale i kēia manawa. Hiki iā lākou ke nānā i kāu pae antibody ma o ka hoʻāʻo koko e ʻike inā loaʻa iā ʻoe ka pale mai ka lāʻau lapaʻau mua a i ʻole ka maʻi maoli.
Ke hoʻopau ʻoe i ka lāʻau lapaʻau i ʻōlelo ʻia, ʻaʻole pono ʻoe i nā doses hou. Ua manaʻo ʻia ka pale mai kēia lāʻau lapaʻau he lōʻihi, e hāʻawi pinepine ana i ka pale no nā makahiki he nui a i ʻole ke ola.
Eia naʻe, inā ʻoe e hoʻolālā nei e hele i waho a i ʻole e hana i ka mālama ola, hiki i kāu kauka ke ʻōlelo e nānā i kāu pae pale a loaʻa paha i kahi dose booster inā haʻahaʻa kāu pae antibody.
ʻO ka hapa nui o nā kānaka e ʻike i nā hopena ʻaoʻao maʻalahi a i ʻole ʻaʻole loa nā hopena ʻaoʻao ma hope o ka loaʻa ʻana o kēia lāʻau lapaʻau. Hiki i ka pane ʻana o kou kino i ka lāʻau lapaʻau ke hana i kekahi mau hōʻailona manawa pōkole i ka wā e kūkulu ai i ka pale.
Eia nā hopena ʻaoʻao maʻamau e hiki iā ʻoe ke ʻike i nā lā ma hope o ka hoʻopaʻa ʻana:
Hoʻoponopono maʻamau kēia mau hopena ʻaoʻao maʻamau iā lākou iho i loko o kekahi mau lā a hōʻike i ka pane kūpono o kāu ʻōnaehana pale i ka lāʻau lapaʻau.
ʻO nā hopena ʻaoʻao liʻiliʻi akā ʻoi aku ka ʻike e hiki ke komo i ka pehu manawa pōkole o nā lymph nodes, ʻoi aku hoʻi ma ka ʻāʻī, a me nā hōʻailona e like me ke anu. Hiki i kekahi poʻe ke ʻike i ka ʻeha a i ʻole ke kani ʻana i ko lākou mau lima a i ʻole nā wāwae.
ʻO nā hopena ʻaoʻao kakaʻikahi akā koʻikoʻi he mea maʻamau loa akā hiki ke komo i nā hopena maʻi maʻi koʻikoʻi, ka ʻeha hui lōʻihi e mau ana i nā pule a i ʻole nā mahina, a me ka helu platelet haʻahaʻa manawa pōkole. Hiki ke hana ʻia nā hopu febrile i nā keiki ʻōpio ma muli o ke kuni, akā he pōkole kēia mau mea a ʻaʻole e hōʻeha mau.
ʻO nā pilikia kakaʻikahi loa e komo pū ana me ka nalowale ʻana o ka lohe, ka mumū o ka lolo, a i ʻole nā pilikia o ke aʻalolo. Hana ʻia kēia mau hopena koʻikoʻi ma lalo o hoʻokahi i loko o hoʻokahi miliona mau lāʻau a ʻoi aku ka liʻiliʻi ma mua o nā pilikia mai nā maʻi maoli.
Pono kekahi poʻe e pale i kēia lāʻau lapaʻau ma muli o nā pilikia palekana a i ʻole ka emi ʻana o ka pono. E nānā kāu mea mālama ola i kāu mōʻaukala olakino e hoʻoholo ai inā kūpono ka lāʻau lapaʻau iā ʻoe.
ʻAʻole pono ʻoe e loaʻa i kēia lāʻau lapaʻau inā he maʻi koʻikoʻi kou me ke kuni, no ka mea, pono ka ʻōnaehana pale o kou kino e kālele ana i ka hakakā ʻana i kou maʻi i kēia manawa. Pono nō hoʻi ka poʻe me nā ʻōnaehana pale i nāwaliwali loa, e like me ka poʻe e loaʻa ana i ka chemotherapy a i ʻole nā steroids kiʻekiʻe, e pale aku i nā lāʻau lapaʻau ola.
ʻAʻole pono nā wāhine hāpai e loaʻa i kēia lāʻau lapaʻau no ka mea, aia nā maʻi ola e hiki ke hōʻino i ka pēpē e ulu ana. Inā ʻoe e hoʻolālā ana e hāpai, pono ʻoe e loaʻa i ka lāʻau lapaʻau ma ka liʻiliʻi hoʻokahi mahina ma mua o ka hāpai ʻana.
Pono ka poʻe me kekahi mau maʻi olakino i ka noʻonoʻo kūikawā ma mua o ka lāʻau lapaʻau:
Inā loaʻa iā ʻoe ka HIV a i ʻole nā maʻi ʻōnaehana pale ʻē aʻe, e loiloi kāu kauka inā palekana ka lāʻau lapaʻau ma muli o kou kūlana kikoʻī a me ke kūlana olakino o kēia manawa.
Loaʻa pinepine kēia lāʻau lapaʻau ma ke ʻano he ʻāpana o ka MMR II vaccine, i hana ʻia e Merck. Aia i loko o ka MMR II vaccine nā mea measles, mumps, a me rubella i hui pū ʻia i hoʻokahi injection.
I kekahi mau hihia, hiki i nā mea mālama ola ke hoʻohana i nā lāʻau lapaʻau hui ʻē aʻe e pili ana i ka rubella a me ka mumps, e like me MMRV (e pili pū ana i ka varicella/chickenpox vaccine). Eia naʻe, ʻaʻole hoʻohana pinepine ʻia ka lāʻau lapaʻau rubella a me mumps kū hoʻokahi me ka measles i ka hana maʻamau.
E hoʻoholo kāu mea mālama ola i ka huahana lāʻau lapaʻau kūpono loa no kou kūlana ma muli o kou makahiki, ka mōʻaukala olakino, a me ke kūlana pale i kēia manawa.
ʻO ka lāʻau lapaʻau MMR (pīkī, mumps, rubella) ka mea maʻamau a he mea maʻamau ia no ka hapa nui o nā kānaka. Hāʻawi kēia lāʻau lapaʻau ʻekolu-i-hoʻokahi i ka pale like ʻana i ka mumps a me ka rubella me ka pale ʻana i ka pīkī.
No nā kānaka i loaʻa mua ka pale ʻana i ka pīkī, hāʻawi ka lāʻau lapaʻau hui rubella a me mumps i ka pale i manaʻo ʻia me ka ʻole o ka hōʻike pono ʻole ʻana i ka mea pīkī. Eia naʻe, makemake ka hapa nui o nā mea mālama ola i ka lāʻau lapaʻau MMR no ka mea he mea hoʻoweliweli nui ka pīkī i ke olakino honua.
Loaʻa nā lāʻau lapaʻau pākahi no ka rubella wale nō a i ʻole mumps wale nō akā ʻaʻole hoʻohana pinepine ʻia i ka hana maʻamau. Hiki ke noʻonoʻo ʻia kēia mau mea i nā kūlana kikoʻī loa kahi i loaʻa ai i kekahi kanaka nā hōʻailona i kekahi mea o ka lāʻau lapaʻau hui.
ʻAʻohe mea ʻē aʻe i ka lāʻau lapaʻau e hāʻawi ana i ka pale like ʻana i kēia mau maʻi viral. Hāʻawi ka pale kūlohe mai ka loaʻa ʻana o nā maʻi i ka pale, akā ʻoi aku ka nui o nā pilikia o nā pilikia mai nā maʻi maoli ma mua o nā pilikia liʻiliʻi o ka lāʻau lapaʻau.
Manaʻo ʻia ka lāʻau lapaʻau MMR he ʻoi aku ka maikaʻi ma mua o ka lāʻau lapaʻau hui rubella a me mumps no ka hapa nui o nā kānaka. No ka mea, pale ka lāʻau lapaʻau MMR i ʻekolu maʻi ma kahi o ʻelua, hāʻawi ia i ka pale ākea me ka helu like o nā injections.
Hoʻohana nā lāʻau lapaʻau ʻelua i nā ʻano maʻi rubella a me mumps like, no laila ua like ka pale ʻana i kēia mau maʻi ʻelua. ʻO ka ʻokoʻa nui ʻo ka pale pū ʻana o ka MMR i ka pīkī, he mea hoʻoweliweli nui i ke olakino honua.
Hiki ke makemake ʻia ka lāʻau lapaʻau rubella a me mumps i nā kūlana kakaʻikahi kahi i loaʻa ai i kekahi kanaka kahi hōʻailona i ka mea pīkī a i ʻole i loaʻa mua ka pale i ka pīkī. Eia naʻe, ʻaʻole maʻamau kēia mau hiʻohiʻona i ka hana maʻamau.
Ua like nā ʻano palekana a me nā ʻano hopena ʻaoʻao o nā lāʻau lapaʻau ʻelua. Pono e hana ʻia ka hoʻoholo ma waena o lākou ma ke kūkākūkā ʻana me kāu mea mālama ola kino ma muli o kāu mōʻaukala olakino pilikino a me nā mea pilikia.
Pono ka poʻe me nā maʻi autoimmune i ka loiloi pilikino ma mua o ka loaʻa ʻana o kēia lāʻau lapaʻau ola. Hiki i ka poʻe me nā maʻi autoimmune maʻalahi ʻaʻole e lawe i nā lāʻau immunosuppressive ke loaʻa pinepine i ka lāʻau lapaʻau.
Eia naʻe, inā ʻoe e lawe ana i nā lāʻau lapaʻau e kāohi ana i kāu ʻōnaehana pale, e like me ka methotrexate, biologics, a i ʻole nā steroids kiʻekiʻe, ʻaʻole palekana a maikaʻi paha ka lāʻau lapaʻau. Pono kāu rheumatologist a i ʻole loea e hoʻopili me kāu mea mālama mua e hoʻoholo i ka manawa maikaʻi loa a me ka palekana o ka lāʻau lapaʻau.
I kekahi mau hihia, hiki i kāu kauka ke ʻōlelo aku e hoʻōki i kekahi mau lāʻau lapaʻau ma mua o ka lāʻau lapaʻau, akā pono kēia hoʻoholo i ka noʻonoʻo pono ʻana i kāu hana maʻi autoimmune a me ka hoʻoponopono lāʻau.
ʻAʻole hiki ke
Inā ua hala ʻoe i kahi maʻi i hoʻonohonoho ʻia o kēia lāʻau lapaʻau, e hoʻokaʻaʻike i kāu mea mālama ola e hoʻonohonoho hou i ka wā hiki. ʻAʻole pono e hoʻomaka hou i ka moʻo lāʻau lapaʻau - hiki iā ʻoe ke loaʻa wale ka maʻi i hala i ka wā kūpono.
No ka poʻe e pono ai i ʻelua maʻi, pono e hāʻawi ʻia ka maʻi lua ma kahi o 28 mau lā ma hope o ka maʻi mua. Inā ʻoi aku ka manawa ma waena o nā maʻi, maikaʻi loa ia a ʻaʻole e hōʻemi i ka pono o ka lāʻau lapaʻau.
Mai hopohopo inā ua hala ka manawa nui mai kāu manawa i hala. E pono nō ka lāʻau lapaʻau, a hiki i kāu mea mālama ola ke kōkua iā ʻoe e hoʻi i ke ala me ka papa hana i ʻōlelo ʻia.
ʻAʻole kēia lāʻau lapaʻau he lapaʻau e hoʻomau nei āu e hooki a hoʻomaka. Ke hoʻopau ʻoe i ka moʻo lāʻau lapaʻau i ʻōlelo ʻia (ʻo ka maʻamau hoʻokahi a ʻelua paha maʻi), loaʻa iā ʻoe ka pale ola a ʻaʻole pono ʻoe i nā maʻi hou.
Hiki i kāu mea mālama ola ke ʻōlelo aku e nānā i kāu pae pale ma o nā hoʻokolohua koko inā aia ʻoe i ka pilikia nui o ka hōʻike ʻana a i ʻole inā ua hala nā makahiki he nui mai ka lāʻau lapaʻau. Ma muli o kēia mau hopena, hiki iā lākou ke ʻōlelo i kahi maʻi hoʻoikaika.
ʻO kekahi mau kūlana, e like me ka huakaʻi honua i nā wahi me nā maʻi kiʻekiʻe a i ʻole ka hana ʻana i nā wahi mālama ola, hiki ke koi i kāu kauka e ʻōlelo e nānā i kou kūlana pale a loaʻa paha nā maʻi hou.
ʻAe, hiki iā ʻoe ke loaʻa nā lāʻau lapaʻau ʻē aʻe i ka manawa like me kēia lāʻau lapaʻau, akā pono e hāʻawi ʻia lākou ma nā wahi injection like ʻole. ʻO ka hapa nui o nā lāʻau lapaʻau maʻamau, me nā pana flu, nā lāʻau lapaʻau COVID-19, a me nā mea hoʻoikaika tetanus, hiki ke lawelawe palekana i ka wā o ka kipa like.
Eia naʻe, aia kekahi mau koi e pili ana i ka mamao no nā lāʻau lapaʻau ola ʻē aʻe. Inā pono ʻoe i kekahi lāʻau lapaʻau ola ʻē aʻe (e like me ka varicella a i ʻole ke kuni melemele), pono e hāʻawi ʻia i ka lā hoʻokahi a i ʻole e hoʻokaʻawale ʻia ma kahi o 28 mau lā.
E nānā kāu mea mālama ola i nā lāʻau lapaʻau a pau āu e pono ai a e hana i kahi papa manawa kūpono e hoʻonui ai i kou palekana a e hōʻoia i ka palekana. E noʻonoʻo pū lākou i nā kūlana olakino a i ʻole nā lāʻau lapaʻau e pili ana i ka manawa o ka lāʻau lapaʻau.
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