Created at:1/13/2025
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ʻO ka rubella virus vaccine live he pana pale e pale aku iā ʻoe mai ka rubella, i ʻike ʻia hoʻi ʻo German measles. Aia i loko o kēia lāʻau lapaʻau kahi ʻano nāwaliwali o ka rubella virus e kōkua i kāu ʻōnaehana pale e aʻo e hakakā i ka maʻi maoli me ka hana ʻole iā ʻoe i maʻi.
Loaʻa ka hapa nui o nā kānaka i kēia lāʻau lapaʻau ma ke ʻano he ʻāpana o ka pana MMR, e pale ana i ka maʻi measles, mumps, a me rubella i ka manawa hoʻokahi. Hāʻawi ʻia ka lāʻau lapaʻau ma ke ʻano he injection ma lalo o kou ʻili, maʻamau i kou lima luna.
ʻO ka rubella virus vaccine live he ʻano nāwaliwali o ka rubella virus e hoʻoulu ai i kāu ʻōnaehana pale e hana i ka pale ʻana i ka maʻi. E noʻonoʻo e like me ka hāʻawi ʻana i kou kino i kahi pōʻai hoʻomaʻamaʻa e kūʻē i ka rubella i ʻike pono ai pehea e pale ai iā ia iho inā ʻike ʻia i ka maʻi maoli ma hope.
Hana ʻia kēia lāʻau lapaʻau mai kahi ʻano ola akā nāwaliwali loa o ka rubella virus. ʻO ke kaʻina hana nāwaliwali e hōʻoiaʻiʻo ʻaʻole hiki i ka maʻi ke hoʻoulu i ka maʻi maoli i nā kānaka olakino, akā ua ikaika nō naʻe e hoʻoulu i kāu ʻōnaehana pale e kūkulu i ka pale mau.
Hele mai ka lāʻau lapaʻau i ke ʻano pauka e hui pū ʻia me ka wai sterile ma mua pono o ka injection. Ke mākaukau, pono e hoʻohana ʻia i loko o ʻewalu hola e mālama i kona pono.
ʻO ke kumu nui o kēia lāʻau lapaʻau e pale aku i ka maʻi rubella i nā keiki a me nā mākua. Me he mea lā he maʻi maʻi kamaliʻi maʻalahi ka Rubella, akā hiki ke hoʻoulu i nā pilikia koʻikoʻi, ʻoi aku hoʻi no nā wahine hāpai a me kā lākou pēpē i hānau ʻole ʻia.
He mea nui ka lāʻau lapaʻau no nā wahine o ka makahiki hānau keiki. Inā loaʻa i ka wahine hāpai ka rubella, ʻoi aku hoʻi i nā mahina ʻekolu mua o ka hāpai ʻana, hiki iā ia ke hoʻoulu i nā kīnā hānau koʻikoʻi i ka pēpē, me nā pilikia o ka naʻau, ka lohe ʻana, nā kīnā o ka maka, a me nā kīnā noʻonoʻo.
Pono pinepine nā limahana mālama ola, nā kumu, a me nā poʻe e hele ana i nā ʻāina ʻē i kēia lāʻau lapaʻau e pale iā lākou iho a me nā poʻe nāwaliwali a lākou e lawelawe nei. Kōkua pū ka lāʻau lapaʻau i ka hana ʻana i ka pale ʻana o ke kaiāulu, e pale ana i nā poʻe ʻaʻole hiki ke hoʻopaʻa ʻia ma muli o nā maʻi olakino.
Hana kēia lāʻau lapaʻau ma ka hoʻolauna ʻana i kahi ʻano nāwaliwali o ka maʻi rubella i kāu ʻōnaehana pale. Hoʻomaopopo kou kino i kēia maʻi nāwaliwali he mea hoʻoweliweli a hana i nā antibodies e hakakā iā ia, ʻoiai ua nāwaliwali loa ka maʻi e hana ai i ka maʻi.
Ke hana kāu ʻōnaehana pale i kēia mau antibodies, hoʻomanaʻo ia pehea e hana ai iā lākou me ka wikiwiki inā ʻoe e hōʻike ʻia i ka maʻi rubella maoli. ʻO kēia pale hoʻomanaʻo e mau ana no nā makahiki he nui, pinepine no ke ola.
Manaʻo ʻia ka lāʻau lapaʻau he mea maikaʻi loa, me ka 95% o nā kānaka e hoʻomohala ana i ka pale ʻana ma hope o hoʻokahi wale nō mahele. Hana kēia i mea pale ikaika a hilinaʻi ʻia i ka maʻi rubella.
Hāʻawi ʻia ka lāʻau lapaʻau rubella ma ke ʻano he injection hoʻokahi ma lalo o ka ʻili, maʻamau i kou lima luna. E hoʻomaʻemaʻe kahi mea mālama ola i kahi injection a hāʻawi iā ʻoe i ka pana, e lawe ana i kekahi mau kekona.
ʻAʻole pono ʻoe e hana i kekahi mea kūikawā ma mua o ka loaʻa ʻana o ka lāʻau lapaʻau. Hiki iā ʻoe ke ʻai maʻamau a ʻaʻole pono e lawe me ka meaʻai a i ʻole ka wai no ka mea he injection. Eia naʻe, e haʻi i kāu mea mālama ola e pili ana i nā lāʻau lapaʻau āu e lawe nei a i ʻole nā maʻi i loaʻa iā ʻoe.
Ma hope o ka loaʻa ʻana o ka lāʻau lapaʻau, hiki iā ʻoe ke hoʻomau i kāu mau hana maʻamau. Loaʻa i kekahi poʻe ka ʻeha māmā ma kahi injection, he mea maʻamau loa ia a maʻamau e hoʻoponopono i loko o hoʻokahi a ʻelua paha lā.
Hāʻawi ʻia ka lāʻau lapaʻau rubella ma ke ʻano he hoʻokahi manawa a i ʻole ʻelua pūʻulu, ʻaʻole ma ke ʻano he lāʻau lapaʻau e hoʻomau nei. Loaʻa i ka hapa nui o nā kānaka ʻelua mahele o ka lāʻau lapaʻau MMR, me ka mahele mua i hāʻawi ʻia ma kahi o 12 a 15 mau mahina o ka makahiki a me ka mahele ʻelua ma waena o 4 a 6 mau makahiki o ka makahiki.
Pono nā mākua i hōʻole ʻole ʻia a i ʻole ʻaʻole maopopo e pili ana i kā lākou mōʻaukala lāʻau lapaʻau i hoʻokahi wale nō mahele. Eia naʻe, pono paha nā wahine e hoʻolālā ana e hāpai i ʻelua mahele i hāʻawi ʻia ma ka liʻiliʻi he 28 mau lā kaʻawale inā ʻaʻohe hōʻike o ka pale ʻana.
He lōʻihi ka pale ʻana mai ka lāʻau lapaʻau, e hāʻawi pinepine ana i ka pale ʻana no ke ola. ʻAʻole pono ʻoe i nā pana booster maʻamau e like me kāu e hana ai me kekahi mau lāʻau lapaʻau ʻē aʻe.
ʻO ka hapa nui o nā kānaka e ʻike wale i nā hopena ʻaoʻao maʻalahi mai ka lāʻau lapaʻau rubella, a ʻaʻohe hopena ʻaoʻao o nā kānaka he nui. He manawa pōkole nā hopena maʻamau a hōʻike i ka pane ʻana o kāu ʻōnaehana pale i ka lāʻau lapaʻau.
Eia nā hopena ʻaoʻao e ʻike ai ʻoe, e hoʻomaka ana me nā mea maʻamau:
Hoʻoponopono maʻamau kēia mau hopena ʻaoʻao maʻamau iā lākou iho i loko o kekahi mau lā a ʻaʻole pono i ka lāʻau lapaʻau.
He kakaikahi nā hopena ʻaoʻao koʻikoʻi akā hiki ke hana. Aia kēia mau hopena maʻamau ʻole:
Inā loaʻa iā ʻoe kekahi mau hōʻailona koʻikoʻi a i ʻole nā hopena e hopohopo ai iā ʻoe, e kelepona koke i kāu mea mālama ola. Hiki iā lākou ke kōkua i ka hoʻoholo inā pili kāu mau hōʻailona i ka lāʻau lapaʻau a hāʻawi i ka mālama kūpono.
ʻOiai palekana ka lāʻau lapaʻau rubella no ka hapa nui o nā kānaka, ʻaʻole pono kekahi poʻe e loaʻa iā ia ma muli o nā hopohopo palekana. E nānā kāu mea mālama ola i kāu mōʻaukala olakino e hoʻoholo ai inā kūpono ka lāʻau lapaʻau iā ʻoe.
ʻO nā kānaka e pono e pale i kēia lāʻau lapaʻau:
Pono kekahi poʻe e hoʻopaneʻe i ka loaʻa ʻana o ka lāʻau lapaʻau a hiki i ka hoʻomaikaʻi ʻana o kekahi mau kūlana:
Inā ʻaʻole ʻoe maopopo inā pono ʻoe e loaʻa i ka lāʻau lapaʻau, e kūkākūkā i kāu kūlana kikoʻī me kāu mea mālama ola. Hiki iā lākou ke kōkua i ka loiloi ʻana i nā pōmaikaʻi a me nā pilikia e pili ana i kāu mau kūlana olakino.
ʻO ka lāʻau lapaʻau rubella ka mea i loaʻa pinepine ʻia ma ke ʻano he ʻāpana o nā lāʻau lapaʻau hui pū ʻia ma mua o ka pana kū hoʻokahi. ʻO ka brand i hoʻohana nui ʻia ʻo ka lāʻau lapaʻau MMR, e pale ana i ka maʻi measles, mumps, a me rubella.
ʻO nā inoa brand maʻamau e komo pū ana me M-M-R II, i hana ʻia e Merck. Aia kekahi MMRV (ProQuad), e komo pū ana i ka pale ʻana i ka varicella (chickenpox) ma waho aʻe o ka measles, mumps, a me rubella.
I kekahi mau ʻāina, hiki iā ʻoe ke loaʻa ka lāʻau lapaʻau rubella i loaʻa ma ke ʻano he pana kū hoʻokahi a i ʻole i nā hui like ʻole. E ʻōlelo aku kāu mea mālama ola i ka lāʻau lapaʻau kūpono loa e pili ana i kou makahiki, ke olakino, a me ka mōʻaukala o ka lāʻau lapaʻau.
ʻAʻohe mea ʻē aʻe i ka lāʻau lapaʻau rubella i ka wā e pale ai i ka maʻi rubella. ʻO ka lāʻau lapaʻau wale nō ke ala hilinaʻi e pale aku iā ʻoe iho mai kēia maʻi.
Eia naʻe, loaʻa iā ʻoe nā koho e pili ana i ke ʻano o ka lāʻau lapaʻau e loaʻa ai. Hiki iā ʻoe ke kiʻi i ka lāʻau lapaʻau rubella ma ke ʻano he ʻāpana o ka pana MMR, ʻo ia ka koho maʻamau, a i ʻole ma ke ʻano he ʻāpana o ka lāʻau lapaʻau MMRV inā pono ʻoe i ka pale chickenpox.
Hiki i kekahi poʻe i hiki ʻole ke loaʻa i nā lāʻau lapaʻau ola ma muli o nā pilikia o ka ʻōnaehana immune ke loaʻa i ka immune globulin ma hope o ka ʻike ʻana i ka rubella, akā hāʻawi kēia i ka pale manawa wale nō a ʻaʻole ia he pani no ka lāʻau lapaʻau.
Hāʻawi ka lāʻau lapaʻau rubella i ka palekana a me ka hilinaʻi ʻoi aku ka maikaʻi ma mua o ka loaʻa ʻana o ka maʻi maoli. ʻOiai ke hana nei ka maʻi maoli i ka immunity, ʻoi aku ka nui o nā pilikia o ka loaʻa ʻana o ka rubella ma mua o nā pōmaikaʻi.
Hiki i ka maʻi rubella maoli ke hana i nā pilikia koʻikoʻi, me ka mumū o ka lolo, nā pilikia o ke kahe ʻana, a me nā kīnā hānau koʻikoʻi inā loaʻa i ka wā hāpai. ʻO ka lāʻau lapaʻau, ma kekahi ʻaoʻao, hāʻawi i ka pae like o ka pale me ka ʻole o kēia mau pilikia.
Hāʻawi pū ka lāʻau lapaʻau i ka pale ʻana i ka maʻi i hiki ke wānana ʻia. ʻOiai ka hapa nui o nā kānaka i loaʻa i ka rubella maoli e hoʻomohala i ka pale ʻana i ka maʻi i ke ola a pau, ʻaʻole paha kekahi e hoʻomohala i ka pale kūpono a i ʻole e nalowale ka pale ʻana i ka maʻi i ka manawa. Hāʻawi ka lāʻau lapaʻau i ka pale mau a lōʻihi e hiki ke hōʻoia ʻia ma o nā hoʻokolohua koko.
ʻAe, palekana ka lāʻau rubella no ka poʻe me ka maʻi diabetes. ʻAʻole he contraindication ka maʻi diabetes i ka loaʻa ʻana o ka lāʻau lapaʻau, a ua ʻōlelo ʻia ka lāʻau lapaʻau no ka mea he kiʻekiʻe paha ka poʻe me ka maʻi diabetes i ka pilikia o nā pilikia mai nā maʻi e pale ʻia e ka lāʻau lapaʻau.
Eia naʻe, inā ʻaʻole i mālama pono ʻia kāu maʻi diabetes a i ʻole he mau pilikia diabetic kāu e pili ana i kāu ʻōnaehana pale, e kūkākūkā i ka manawa o ka lāʻau lapaʻau me kāu mea mālama ola. Hiki iā lākou ke ʻōlelo e hoʻomaikaʻi i kāu kaohi ʻana i ke kō koko ma mua o ka lāʻau lapaʻau a i ʻole e nānā pono iā ʻoe ma hope.
ʻAʻole hiki ke loaʻa ka nui o ka lāʻau rubella no ka mea ua ana mua ʻia kēlā me kēia mahele a hāʻawi ʻia ma ke ʻano he injection hoʻokahi. Eia naʻe, inā loaʻa iā ʻoe kahi mahele keu, mai hopohopo.
ʻAʻole e hōʻeha nui ka loaʻa ʻana o kahi mahele hou, akā e ʻike paha ʻoe i nā hopena ʻaoʻao i ʻoi aku ka maopopo e like me ka ʻeha ma kahi o ka injection a i ʻole ke kuni māmā. E hoʻokaʻaʻike i kāu mea mālama ola e hōʻike i ka mahele keu a nānā iā ʻoe iho no nā hōʻailona maʻamau.
E mālama i kahi moʻolelo o nā mahele a pau āu e loaʻa ai e pale aku i ka huikau i ka wā e hiki mai ana. Hiki i kāu mea mālama ola ke kōkua iā ʻoe e hoʻoholo inā pono ʻoe i nā mahele hou e pili ana i kāu mōʻaukala lāʻau lapaʻau.
Inā ʻoe e hala i ka lā i hoʻonohonoho ʻia o ka lāʻau lapaʻau rubella, e kelepona i kāu mea mālama ola e hoʻonohonoho hou i ka hiki wawe. ʻAʻole pono e hoʻomaka hou i ka moʻo o ka lāʻau lapaʻau - hiki iā ʻoe ke hoʻomau ma kahi āu i haʻalele ai.
No nā keiki e hahai ana i ka papa hana lāʻau lapaʻau maʻamau, pono e hāʻawi ʻia ka lāʻau i hala i ka manawa kūpono e hiki mai ana. ʻAʻole pono e hoʻolōʻihi ʻia ka manawa ma waena o nā lāʻau inā he lohi.
Hiki i nā mākua i hala i kahi lāʻau ke loaʻa iā ia i kēlā me kēia manawa. Inā ʻoe e hoʻolālā ana e hele a i ʻole he mau mea pilikia ʻē aʻe no ka hōʻike ʻana i ka rubella, e hāʻawi mua i ka loaʻa ʻana o ka lāʻau i hala ma mua o kāu huakaʻi a i ʻole ka hōʻike ʻana.
Ke pau kāu moʻo o ka lāʻau lapaʻau rubella, hiki iā ʻoe ke manaʻoʻiʻo ua pale ʻia ʻoe mai ka rubella no ke ola. ʻO ka hapa nui o nā kānaka i loaʻa nā lāʻau i ʻōlelo ʻia e hoʻomohala i ka pale lōʻihi ʻaʻole pono i nā pana booster.
Eia naʻe, inā he wahine ʻoe i ka makahiki hānau keiki, hiki i kāu mea mālama ola ke ʻōlelo aku e nānā i kou pale rubella ma o ka hoʻāʻo koko ma mua o kou hāpai ʻana. E hōʻoia kēia iā ʻoe i ka pale kūpono i ka wā hāpai i ka wā e pilikia ai ka rubella.
Hiki i nā limahana mālama ola a me nā kānaka i nā hana pilikia kiʻekiʻe ke nānā i ko lākou pale i kēlā me kēia manawa ma ke ʻano he koi olakino hana, akā ʻoi aku kēia e pili ana i ka palapala ma mua o ka pono maoli no nā lāʻau lapaʻau hou.
ʻAe, hiki iā ʻoe ke loaʻa palekana i ka lāʻau lapaʻau rubella i ka wā e hānai ana i ka waiū. ʻAʻole hoʻoili ʻia ka maʻi maʻi vaccine ma o ka waiū umauma, no laila ʻaʻohe pilikia i kāu pēpē e hānai ana.
ʻO ka ʻoiaʻiʻo, inā loaʻa iā ʻoe ka lāʻau lapaʻau i ka wā e hānai ana i ka waiū, hiki iā ʻoe ke hāʻawi i kekahi mau antibodies pale i kāu pēpē ma o kāu waiū umauma, e hāʻawi ana iā lākou i ka pale manawa a hiki i ka wā e lawa ai lākou e loaʻa ai kā lākou mau lāʻau lapaʻau ponoʻī.
He nui nā mea mālama ola e ʻōlelo nei i nā wāhine i nele i ka pale ʻana i ka rubella e loaʻa ka lāʻau lapaʻau i ka haukapila ma hope koke o ka hānau ʻana, ma mua o ko lākou hoʻi ʻana i ka home. Hōʻoia kēia manawa i ka pale ʻana no nā hāpai e hiki mai ana me ka hoʻohana ʻana i ka manawa postpartum i ka wā e palekana a maʻalahi ai ka lāʻau lapaʻau.