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October 10, 2025
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Ko te kano ārai mate korokoro me te kano ārai mate tetanahi he werohanga whakamarumaru e āwhina ana i tō tinana ki te whawhai i ngā mate huakita e rua. Ko tēnei kano ārai mate whakakotahi e whakangungu ana i tō pūnaha ārai mate ki te mōhio me te pare atu i te mate korokoro (he mate korokoro me te manawa) me te tetanahi (he mate e pararutihia ai ngā uaua, e mōhiotia ana ko te "lockjaw"). Ko te whiwhi i tēnei kano ārai mate tētahi o ngā huarahi tino pono ki te tiaki i a koe me tō hapori mai i ēnei mate e mōrearea ana ki te ora.
Kei roto i te kano ārai mate korokoro me te kano ārai mate tetanahi ngā paitini kore mahi mai i ngā huakita e rua e pā ana ki ēnei mate. Ko ēnei paitini, e kīia ana ko te toxoids, kua rongoatia kia tangohia ō rātou pānga kino i te wā e pupuri ana i tō rātou kaha ki te whakahihiri i tō pūnaha ārai mate. I te wā e whiwhi ana koe i tēnei kano ārai mate, ka ako tō tinana ki te hanga paturopi ki ngā mate e rua me te kore e tūpono ki te tūmate.
Ka tae mai tēnei kano ārai mate i roto i ngā whakakotahitanga rerekē i runga i tō tau me ō hiahia. Ko ngā momo tino noa ko te Td (tetanahi-korokoro) mō ngā pakeke me ngā taiohi, me te DTaP (korokoro-tetanahi-pertussis) mō ngā tamariki nohinohi. Mā tō kaiwhakarato hauora e whakatau ko tēhea putanga te mea tika mōu i runga i tō tau, te hītori hauora, me te tūnga werohanga o nāianei.
E ārai ana tēnei kano ārai mate i ngā mate huakita e rua e mōrearea ana, e taea ai te pānga kino nui, te mate rānei. Ka hangaia e te mate korokoro tētahi paninga matotoru i roto i tō korokoro e taea ai te aukati i tō ara rererangi, i te wā e pā ana te tetanahi ki ngā uaua mamae e mate ai. Kua noho onge ngā mate e rua i ngā whenua e kaha ana ngā hōtaka werohanga, engari kei te puta tonu i ngā wāhi he iti ake te reiti werohanga.
Me hiahia pea koe i tēnei kano ārai mate hei wāhanga o āu werohanga tamariki, hei pūwhakawhāiti i ngā tau 10 katoa, i muri rānei i ētahi wharanga. E taunaki ana hoki ngā kaiwhakarato hauora mō ngā tāngata haereere o te ao e toro ana ki ngā wāhi e nui ake ana ēnei mate. Ka whiwhi pea ngā wahine hapū i tētahi putanga e tiaki ana i te mate pūkahukahu (whooping cough) hei āwhina i te tiaki i ā rātou pēpi hou.
E mahi ana tēnei kano ārai mate mā te ako i tō pūnaha ārai mate ki te mōhio me te whawhai i ngā paitini i hangaia e ngā huakita diphtheria me te tetanus. Ka whiwhi koe i te werohanga, ka āta rongo tō tinana i ngā paitini kore mahi hei rāwaho, ka hanga hoki i ngā paturopi hei whawhai i a rātou. E rua wiki pea te roa o tēnei tukanga ki te hanga i te whakamarumaru katoa.
E kiia ana he tino whai hua te kano ārai mate, e whakarato ana i te whakamarumaru kaha mō ngā tau maha. Heoi, ka heke haere tō ārai mate i te wā, koia te take e hiahia ana koe i ngā pūwhakawhāiti i ngā tau 10 katoa hei pupuri i te whakamarumaru. He kaha tēnei kano ārai mate ki te whakarato i te ārai mate pono, roa hoki, ina tukuna i runga i te hōtaka e taunakitia ana.
Ka tukuna tēnei kano ārai mate hei werohanga ki roto i tō uaua o te ringa o runga e tētahi tohunga hauora. Kāore koe e hiahia ki te tango me te kai, te wai rānei i te mea ka tukuna tika ki roto i tō kiko uaua. Ka mamae, ka ngawari rānei te wāhi werohanga mō te rā, e rua rānei i muri mai, he mea noa tēnei.
I mua i tō tūtohinga, ka taea e koe te kai noa, kāore hoki koe e hiahia ki te karo i ētahi kai. Heoi, whakamōhio atu ki tō kaiwhakarato hauora mēnā kei te pōuri koe i te kirika, i te mate nui rānei, i te mea ka taunaki pea rātou i te whakawātea i te kano ārai mate kia pai ake koe. Ko ngā tohu makariri ngawari kāore i te aukati i a koe ki te werohia.
I muri i te whiwhinga i te kano kano, he mea awhina ki te neke marie i tō ringa puta noa i te rā hei whakaiti i te mamae. Ka taea e koe te whakamahi i te kakahu makariri, mākū ki te wāhi werohanga mēnā ka noho kore mārie. Ka taea e te nuinga o te tangata te hoki ki ā rātou mahi noa i muri tonu i te werohanga.
Ko te kano kano diphtheria me te tetanus ehara i te mea e tango tonu ana koe pēnei i te rongoā o ia rā. Engari, ka whiwhi koe i te mea hei raupapa werohanga i roto i te wā ki te hanga me te pupuri i tō ārai mate. Ko te raupapa tuatahi te tikanga e whai ana i ngā horopeta maha ka hoatu i ngā marama i muri mai, ka whai i ngā werohanga whakanui ia 10 tau puta noa i tō oranga.
Mō ngā pakeke kāore anō i werohia, kāore rānei i te mōhio ki tō rātou hītori werohanga, ko te raupapa tuatahi te tikanga e whai ana i ngā horopeta e toru ka horahia i roto i te 6 ki te 12 marama. Ka whiwhi ngā tamariki i ā rātou horopeta i runga i te hōtaka motuhake ka tīmata i te 2 marama te pakeke. Mā tō kaiwhakarato hauora e aroturuki i te wā e hiahia ana koe i tō werohanga whakanui e whai ake nei.
Ko tēnei huarahi mō te oranga katoa e whakarite ana i te pupuri i te whakamarumaru kaha ki ngā mate e rua. Ahakoa kua oti i a koe te raupapa tuatahi, ka hiahia koe i aua whakanui auau nā te mea ka heke noa tō ārai mate i roto i te wā. Ko te ngaro i ngā werohanga whakanui ka waiho koe kia whakaraerae ki te mate.
Ko te nuinga o te tangata e pā ana ki ngā pānga taha ngawari anake mai i te kano kano diphtheria me te tetanus, ā, he maha kāore he pānga taha. Ko te urupare noa ko te mamae, te whero, te pūhi rānei i te wāhi werohanga, e mau ana i te 1 ki te 2 rā. Ka pōuri hoki ētahi tangata, ka whanake rānei i te mamae mahunga ngawari mō te rā, e rua rānei.
Anei ngā pānga taha noa e pā ana ki a koe, ā, he mea nui kia mōhio ko ēnei ngā tohu e urupare ana tō pūnaha ārai mate ki te kano kano:
Ko te tikanga ka ngaro noa ēnei pānga i roto i ngā rā torutoru, ā, ka taea te whakahaere mā te rongoā mamae e hokona ana, me te okioki ki te hiahiatia.
Ahakoa he iti noa iho, ka pā pea ētahi tāngata i ngā pānga nui ake e uru tonu ana ki te awhe noa o ngā pānga o te kano kano:
Ko ēnei pānga, ahakoa he kore pai, he wā poto noa iho, ā, e tohu ana kei te hanga tō pūnaha ārai mate i te whakamarumaru ki ngā mate.
He onge ngā pānga kino, engari ka pā pea, ā, he mea nui kia mōhio koe ki a rātou kia taea ai e koe te rapu āwhina hauora ki te hiahiatia:
Mēnā ka pā koe i ētahi o ēnei tohu kino, whakapā atu ki tō kaiwhakarato hauora tonu, rapu rānei i te āwhina hauora ohorere.
Ahakoa he haumaru te kano ārai mate diphtheria me te tetanus mō te nuinga o te tāngata, me karo e ētahi tāngata, me whakaroa rānei te werohanga. Ki te pāngia koe e te pānga mate nui ki tētahi horopeta o tēnei kano ārai mate, ki ētahi o ōna whakauru rānei, kaua koe e whiwhi anō. Ka taea e tō kaiwhakarato hauora te āwhina i a koe ki te whakatau mēnā kei roto koe i tēnei rōpū.
Me tatari ngā tāngata e pāngia ana e te mate āhua nui, nui rānei kia ora rātou i mua i te werohanga. Kāore tēnei e uru ki ngā mate iti pērā i te makariri ngawari, engari ki te kirika koe, ki te kore rānei koe e pai, he pai ake te whakawhāiti i te kano ārai mate. Mā tēnei e āwhina kia tika te urupare o tō pūnaha ārai mate ki te kano ārai mate.
Anei ētahi āhuatanga motuhake me kōrero e koe te kano ārai mate ki tō kaiwhakarato hauora:
Ka whakatau tō kaiwhakarato hauora i ngā painga me ngā tūponotanga i runga i tō āhuatanga takitahi, ā, ka tūtohu pea i ngā whakarerekētanga ki te hōtaka werohanga paerewa.
Kei te wātea te kano ārai mate diphtheria me te tetanus i raro i ētahi ingoa waitohu, i runga i te huinga motuhake me te kaihanga. Ko ngā ingoa waitohu noa ko Tenivac me Td Generic mō te huinga tetanus-diphtheria pakeke. Mō ngā tamariki, kei te wātea ngā kano ārai mate DTaP hei Daptacel me Infanrix.
Ka whiriwhiria e tō tākuta te waitohu e tika ana i runga i tō tau, ngā hiahia hauora, me ngā mea e wātea ana. E tutuki ana ngā waitohu katoa i whakaaetia i ngā paerewa haumaru me te whai hua, nō reira he iti ake te hiranga o te waitohu motuhake i te whiwhi kano ārai mate i runga i te hōtaka e tūtohutia ana. Ka whakaurua e tō rēhita kano ārai mate te waitohu motuhake i whiwhi koe mō te wā anamata.
He maha ngā huinga kano ārai mate e wātea ana e whakauru ana i te whakamarumaru kōroke me te tetanus me ētahi atu kano ārai mate. Ko te kano ārai mate DTaP te kōwhiringa kē e tino mōhiotia ana, e tāpiri ana i te whakamarumaru ki te pertussis (maremare), ā, e hoatu ana ki ngā tamariki. Mō ngā pakeke, ka whakarato te Tdap i te whakamarumaru mō ngā mate e toru, ā, e tūtohutia ana mō ētahi wāhanga.
Ki te kore e taea e koe te whiwhi i te kano ārai mate whakakotahi i runga i ngā mate pāwera, ētahi atu take hauora rānei, ka tūtohu pea tō tākuta kia whiwhi koe i ngā kano ārai mate motuhake mō ia mate. Heoi, he iti ake tēnei, ā, me whai hōtaka kano ārai mate uaua ake. Ko ngā kano ārai mate whakakotahi te mea e pai ana i te nuinga o te wā nā te mea e whakarato ana i te whakamarumaru whānui me te iti ake o ngā werohanga.
Ka whiwhi pea ētahi tāngata i ngā huinga kano ārai mate rerekē i runga i ā rātou mahere haere, ngā tūponotanga hauora motuhake rānei. Ka āwhina tō tākuta ki te whakatau i te kōwhiringa pai mō ō āhuatanga takitahi, me te whakaaro ki ngā mea pēnei i tō tau, te hītori hauora, me te tūponotanga ki te pā ki ēnei mate.
Ko te kano ārai mate kōroke me te tetanus whakakotahi te mea e pai ana i te nuinga o te wā i ngā kano ārai mate takitahi mō ētahi take whai hua. Ko te whiwhi i ngā kano ārai mate e rua i roto i te werohanga kotahi ko te tikanga he iti ake ngā haerenga tākuta, he iti ake te raruraru, me te pai ake o te whai i te hōtaka kano ārai mate. Kua whakamātauhia te kano ārai mate whakakotahi, ā, kua whakamatauria he rite tonu te whai hua ki te whiwhi i ngā kano ārai mate motuhake.
Mai i te tirohanga hauora tūmatanui, ka āwhina ngā kano ārai mate whakakotahi kia nui ake ngā tāngata e whiwhi ana i te whakamarumaru katoa ki ngā mate e rua. Ki te whakakotahi ngā kano ārai mate, he iti ake te tūponotanga ki te ngaro i ngā horopeta, ki te noho rānei ki muri i te hōtaka e taunakitia ana. Kua tino angitu tēnei huarahi ki te whakaiti i te auau o te mate korokoro me te tētēkura puta noa i te ao.
Heoi anō, he mea tika pea ngā kano ārai mate takitahi i ngā wā onge ka pā te pānga ki tētahi wāhanga engari kāore ki tētahi atu. Ka taea e tō kaiwhakarato hauora te āwhina ki te whakatau mēnā he pai ake te kano ārai mate whakakotahi, ngā kano ārai mate rānei motuhake mō tō āhuatanga motuhake.
Āe, e whakaarohia ana he haumaru te kano ārai mate tētēkura-korokoro i te wā e hapū ana, ā, ko te putanga Tdap (e whakauru ana i te maremare) e tino taunakitia ana i te wā o ia hapūtanga. Ko te werohanga i te wā e hapū ana, te tikanga i waenga i te 27-36 wiki, ka āwhina ki te whakamarumaru i a koe me tō pēpi. Ka uru ngā paturopi e whakawhanake ana koe mā te pūwhaka, ka whakarato i te whakamarumaru ki tō pēpi i ngā marama tuatahi o tōna oranga.
Me whiwhi ngā wāhine hapū i te kano ārai mate Tdap i te wā o ia hapūtanga, ahakoa kua werohia rātou i mua. Mā tēnei wā ka mōhio ai te whakawhiti paturopi ki te pēpi, ka whakarato i te whakamarumaru kaha i te wā o te pēpi e whakaraerae ana. Ka kōrero tō kaiwhakarato hauora i te wā pai mō tō āhuatanga motuhake.
Mēnā ka whiwhi koe i tētahi horopeta anō o te kano ārai mate korokoro me te tētēkura, kaua e māharahara - kāore tēnei e whara nui. Kāore ngā horopeta anō e whakarato i te whakamarumaru anō, engari kāore pea e pā atu i ngā pānga taha atu i tōna wheako. Ko te hua tino noa he paku ake te mamae, te pūhi rānei i te wāhi werohanga.
Whakapā atu ki tō kaiwhakarato hauora kia whakamōhio atu ki a rātou mō te horopeta atu anō kia taea ai e rātou te whakahou i ō rātou rekoata kano ārai mate. Mā rātou koe e āwhina ki te whakatau i te wā e hiahia ana koe ki tō pūhi whakakaha i whakaritea. Puritia ngā tuhinga mō ō kano ārai mate katoa hei ārai i tēnei āhuatanga ā muri ake nei, ina koa ki te kite koe i ngā kaiwhakarato hauora rerekē.
Mēnā ka ngaro i a koe tētahi horopeta i whakaritea o te kano ārai mate korokoro me te tētano, whakapā atu ki tō kaiwhakarato hauora i te wā e taea ai ki te whakarite anō. Kāore koe e hiahia ki te tīmata anō i te raupapa katoa - ka taea e koe te haere tonu mai i te wā i mutu ai koe. Ka taea te ngāwari te wā i waenga i ngā horopeta, ā, he whai hua tonu te horopeta kua roa.
Mō ngā pūhi whakakaha, mēnā kua roa koe (nui atu i te 10 tau mai i tō horopeta whakamutunga), me whiwhi koe i te kano ārai mate i te wā e wātea ana. Kāore he wā roa rawa i waenga i ngā horopeta, nō reira ahakoa kua roa rawa koe, kotahi te pūhi whakakaha ka whakahoki mai i tō whakamarumaru. Ka taea e tō kaiwhakarato hauora te āwhina i a koe ki te hoki ki te ara tika me te hōtaka e taunakitia ana.
Me haere tonu koe ki te whiwhi i ngā pūhi whakakaha korokoro me te tētano puta noa i tō oranga katoa, nā te mea kāore he tau ka taea e koe te mutu haumaru. E rua ngā mate e noho mōrearea ana mō ngā tāngata o ngā tau katoa, ā, ka heke noa tō ārai mate i te wā kaore he pūhi whakakaha. E noho haumaru ana, e whai hua ana te kano ārai mate ahakoa mō ngā tāngata kaumātua.
Ko te taunakitanga paerewa ko te whiwhi i tētahi pūhi whakakaha ia 10 tau mō te oranga. Ko ētahi kaiwhakarato hauora ka tūtohu kia haere tonu ngā pūhi whakakaha ahakoa mō ngā tāngata he iti te oranga, nā te mea ka tino kaha ngā mate i roto i ngā pakeke. Mā tō kaiwhakarato hauora koe e āwhina ki te whakatau i ngā whakatau mō te kano ārai mate i runga i tō hauora whānui me ō āhuatanga oranga.
Mena he mate koe e pa ana ki to punaha aukati, e tango rongoa ana ranei e pehi ana i te aukati, korerohia te wa me te momo kano kano ki to kaiwhakarato hauora. Tera pea ka hiahia koe ki nga whakaaro motuhake, engari ko te kano kano ka taunakitia tonu na te mea he nui ake nga painga i nga tupono. Ka mahi tahi to kaiwhakarato hauora me koe ki te whakatau i te huarahi haumaru mo to ahuatanga motuhake.
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