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October 10, 2025
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Ko te kano ārai mate rubella me mumps virus live he kano ārai mate whakakotahi e tiaki ana i a koe mai i ngā mate viral e rua e tino kino ana. Kei roto i tēnei kano ārai mate ngā putanga ngoikore (ora engari kua whakaiti) o ngā huaketo e rua e āwhina ana i tō pūnaha ārai mate ki te ako ki te whawhai i ēnei mate me te kore e pā mai te mate tonu.
Ko tēnei kano ārai mate te tikanga ka hoatu hei wāhanga o te raupapa kano ārai mate MMR (measles, mumps, rubella), ahakoa ka taea te whakahaere motuhake ina hiahiatia. Ko te māramatanga ki te mahi o tēnei kano ārai mate me te aha e tūmanakohia ana ka āwhina i a koe ki te whakatau i ngā whakatau mō tō hauora me te tiaki o tō whānau.
Ko tēnei kano ārai mate he putanga ora, ngoikore o ngā huaketo rubella me mumps i whakakotahihia ki roto i te werohanga kotahi. Kua whakarerekētia ngā huaketo i roto i ngā taiwhanga kia taea ai e rātou te whakahihiri i tō pūnaha ārai mate me te kore e pā mai ngā mate katoa.
Inā whiwhi koe i tēnei kano ārai mate, ka mōhio tō pūnaha ārai mate ki ēnei huaketo ngoikore hei rāwaho, ā, ka hanga i ngā paturopi hei whawhai i a rātou. Ko tēnei tukanga e ako ana i tō tinana me pēhea te whakautu tere ki te pā mai koe ki ngā huaketo rubella, mumps rānei i te wā e haere ake nei.
E kiia ana he tino whai hua te kano ārai mate, ā, e whakarato ana i te ārai mate mō te wā roa. Ko te nuinga o te hunga e whiwhi ana i te raupapa kano ārai mate katoa ka whakawhanake i te tiaki mō te ora katoa mai i ngā mate e rua.
Ko tēnei kano ārai mate e ārai ana i te rubella (German measles) me te mumps, e rua ngā mate viral e tino pāhorahia ana ka pā mai ngā raruraru nui. Ka horapa noa ngā mate e rua mā ngā matūriki manawa ina maremare, tihe, kōrero rānei te hunga kua pangia.
Ka taea e te rubella te whakaputa i te pupuhi ngawari me te kirika i te nuinga o nga tangata, engari he nui nga raruraru ki nga wahine hapu. Mena ka pangia e te wahine hapu te rubella, ina koa i te wa tuatahi, ka puta pea te mate rubella congenital i roto i te pepi, ka arahi ki nga hapa whanau tae atu ki nga raruraru o te ngakau, te ngaro o te rongo, me nga whakaroa whanaketanga.
Ko te mumps te tikanga ka puta te pupuhi mamae o nga repe huware, te kirika, me te mahunga. I etahi wa, ka arahi te mumps ki nga raruraru nui ake penei i te meningitis, encephalitis, te ngaro ranei o te rongo. I roto i nga tama taiohi me nga tane pakeke, ka taea e te mumps te puta i te orchitis (te pupuhi o nga whekau), he uaua te pa ki te whanautanga.
He mea nui te kano kano mo nga wahine o te tau whanau, nga kaimahi hauora, me nga kaihaereere o te ao ka pa atu ki enei mate i nga waahi he iti ake te reeti kano kano.
Ka mahi tenei kano kano ma te whakangungu i to punaha aukati ki te mohio me te whawhai i nga huaketo rubella me te mumps. Ko nga huaketo ngoikore i roto i te kano kano he kaha ki te whakaoho i te urupare aukati engari he ngoikore rawa ki te puta i nga mate tuturu.
I muri i te kano kano, ka whakaputa to punaha aukati i nga paturopi motuhake ki nga huaketo e rua. Ka noho tonu enei paturopi i roto i to toto, kua rite ki te whakakore wawe i nga huaketo mena ka tutaki koe ki a raatau. Ka whakawhanake ano to punaha aukati i nga pūtau mahara e mahara ana ki te hanga i enei paturopi ahakoa i muri i nga tau.
E kiia ana he kano kano kaha ngawari tenei e whakarato ana i te aukati kaha, roa. Ko te nuinga o nga tangata ka whakawhanake i nga taumata paturopi whakamarumaru i roto i nga wiki 2-6 i muri i te kano kano, a ko te aukati te tikanga ka roa mo nga tekau tau, mo te wa katoa ranei.
Ka tukuna tenei kano kano hei werohanga ki roto i te uaua o to ringa o runga (ara intramuscular). Ka whakahaerehia e te kaiwhakarato hauora te werohanga i roto i te waahi rongoa penei i te tari taote, te whare haumanu, te whare rongoa ranei.
Kāore koe e hiahia ki te whakarite i ētahi whakaritenga motuhake i mua i te whiwhinga i tēnei kano ārai mate. Ka taea e koe te kai noa i mua, ā, kāore he kai, inu rānei e hiahiatia ana. Heoi, whakamōhio atu ki tō kaiwhakarato hauora mēnā kei te pōuri koe, ā, ka tūtohu pea rātou kia whakawhāitihia te kano ārai mate kia ora ra anō koe i ngā mate katoa.
He torutoru noa ngā hēkona te werohanga, ahakoa ka pā pea te mamae ki te wāhi werohanga i muri mai. Ka tono pea tō kaiwhakarato hauora kia tatari koe mō te 15-20 meneti i muri i te werohanga kia mātakitaki mō ngā tauhohenga tonu.
Mēnā kei te whiwhi koe i tēnei hei wāhanga o te raupapa kano ārai mate MMR, ka pā ngā aratohu rite. E kitea ana e ētahi tāngata he āwhina ki te neke marie i tō rātou ringa i muri i te werohanga hei whakaiti i te mārō.
Ko te tikanga ka hoatu tēnei kano ārai mate hei raupapa kotahi, e rua rānei ngā horopeta, kāore i te rongoā tonu. Ko te nuinga o ngā pakeke kāore anō kia werohia, kāore rānei he ārai mate e hiahia ana ki te horopeta kotahi, i te mea ka hiahia pea ētahi tāngata ki ngā horopeta e rua, me te wātea i te 28 rā neke atu.
Ka whakatau tō kaiwhakarato hauora i te hōtaka tika i runga i tō tau, tō hītori hauora, me tō tūnga ārai mate o nāianei. Ka taea e rātou te tirotiro i ō taumata paturopi mā te whakamātautau toto kia kite mēnā kei a koe kē te ārai mate mai i te werohanga o mua, i te mate tūturu rānei.
Inā oti i a koe te raupapa kano ārai mate e tūtohutia ana, kāore koe e hiahia ana ki ngā horopeta atu. E whakaarohia ana he roa te ārai mate mai i tēnei kano ārai mate, e whakarato ana i te whakamarumaru mō ngā tekau tau, mō te ora rānei.
Heoi, mēnā kei te whakamahere koe ki te haere ki tāwāhi, ki te mahi rānei i te hauora, ka tūtohu pea tō tākuta kia tirohia ō taumata ārai mate, ā, ka whiwhi pea i te horopeta whakanui mēnā he iti ō taumata paturopi.
He maha ngā tāngata e pā ana ki ngā pānga taha ngawari, kāore rānei he pānga taha i muri i te whiwhinga i tēnei kano ārai mate. Ko te urupare ā-tinana o tō tinana ki te kano ārai mate ka pā mai ētahi tohumate rangitahi i te wā e hanga ana i te whakamarumaru.
Koinei ngā pānga taha e mōhiotia ana ka pā ki a koe i ngā rā i muri i te werohanga:
Ko ēnei pānga taha noa ka ngaro noa iho i roto i ngā rā torutoru, ā, e tohu ana kei te urupare tika tō pūnaha ārai mate ki te kano ārai mate.
Ko ngā pānga taha kāore i te mōhiotia engari he nui ake te kitea ko te pūhi rangitahi o ngā pona rākau, ina koa ki te wāhi kaki, me ngā tohumate rite ki te makariri. Ka pā pea ki ētahi tāngata te ngaro o te mānawa, te ngāwari rānei i ō rātou ringa, waewae rānei.
Ko ngā pānga taha onge engari he nui te kino he tino onge, engari ka uru pea ko ngā urupare pānga nui, te mamae tahi roa e mau ana i ngā wiki, i ngā marama rānei, me te iti o te tatauranga pereti rangitahi. Ka puta pea ngā hopukanga kirika i ngā tamariki nohinohi nā te kirika, engari he poto noa iho ēnei, ā, kāore e pā ana ki te kino e mau tonu ana.
Ko ngā raruraru tino onge ko te ngaro o te rongo rangitahi, te mumura o te roro, ngā raruraru rānei o te io. Ko ēnei urupare nui ka puta i roto i te iti iho i te kotahi i roto i te miriona horopeta, ā, he iti ake te mōhiotia i ngā raruraru mai i ngā mate tūturu.
Me karo ētahi tāngata i tēnei kano ārai mate nā te āwangawanga haumaru, te iti rānei o te whai huatanga. Mā tō kaiwhakarato hauora e arotake tō hītori hauora hei whakatau mēnā he tika te kano ārai mate mōu.
Kāore koe e tika kia whiwhi i tēnei kano ārai mate mēnā he mate nui tōu me te kirika, nā te mea me arotahi tō pūnaha ārai mate ki te whawhai i tō mate o nāianei. Ko ngā tāngata he pūnaha ārai mate ngoikore rawa, pēnei i te hunga e whiwhi ana i te rongoā matū, i ngā steroid nui rānei, me karo hoki i ngā kano ārai mate ora.
Kāore ngā wahine hapū e tika kia whiwhi i tēnei kano ārai mate nā te mea kei roto ngā huaketo ora ka taea te whara i te pēpi e whanake ana. Mēnā kei te whakamahere koe kia hapū, me whiwhi koe i te kano ārai mate i te iti rawa kotahi marama i mua i te hapūtanga.
Me whai whakaaro motuhake ngā tāngata e whai ana i ētahi āhuatanga hauora i mua i te kano ārai mate:
Mēnā he HIV tōu, ētahi atu raruraru pūnaha ārai mate rānei, ka arotake tō tākuta mēnā he haumaru te kano ārai mate i runga i tō āhuatanga motuhake me te tūnga hauora o nāianei.
Ko te nuinga o te wā e wātea ana tēnei kano ārai mate hei wāhanga o te kano ārai mate MMR II, he mea hanga e Merck. Kei roto i te kano ārai mate MMR II ngā wāhanga measles, mumps, me rubella i honoa ki roto i te werohanga kotahi.
I ētahi wā, ka whakamahi ngā kaiwhakarato hauora i ētahi atu kano ārai mate whakakotahi e whakauru ana i te rubella me te mumps, pēnei i te MMRV (e whakauru ana hoki i te kano ārai mate varicella/chickenpox). Heoi, ko te kano ārai mate rubella me te mumps anake, kāore he measles, he iti noa te whakamahi i roto i te mahi auau.
Ka whakatau tō kaiwhakarato hauora ko tēhea hua kano ārai mate motuhake te mea e tika ana mō tō āhuatanga i runga i tō tau, tō hītori hauora, me tō tūnga ārai mate o nāianei.
Ko te kano ārai MMR (mō te mōkitokito, mō te mōmiti, mō te rūpīra) te kano ārai e tino whakamahia ana, ā, koinei te tūtohutanga paerewa mō te nuinga o te tangata. E whakarato ana tēnei kano ārai e toru-i-kotahi i te ārai kotahi mō te mōmiti me te rūpīra, me te ārai hoki i te mōkitokito.
Mō te hunga kua whai ārai kē ki te mōkitokito, ka whakahere te kano ārai rūpīra me te mōmiti i te ārai whāinga me te kore e hiahia ki te whakapā atu ki te wāhanga mōkitokito. Heoi, he pai ake te nuinga o ngā kaiwhakarato hauora ki te kano ārai MMR nā te mea he riri nui tonu te mōkitokito ki te hauora o te ao.
E wātea ana ngā kano ārai takitahi mō te rūpīra anake, mō te mōmiti anake rānei, engari he uaua te whakamahi i roto i ngā mahi o ia rā. Ka whakaarohia pea ēnei i roto i ngā āhuatanga tino motuhake i te wā e whai pānga ana te tangata ki tētahi wāhanga o te kano ārai whakakotahi.
Kāore he kano ārai kē atu e whakarato ana i te ārai ōrite ki ēnei mate huaketo. Ko te ārai tūturu mai i te whai i ngā mate e whakarato ana i te ārai, engari ko ngā tūponotanga o ngā raruraru mai i ngā mate tūturu e nui atu ana i ngā tūponotanga iti o te kano ārai.
Ko te kano ārai MMR te nuinga e whakaarohia ana he pai ake i te kano ārai rūpīra me te mōmiti mō te nuinga o te tangata. I te mea e ārai ana te kano ārai MMR i ngā mate e toru, kaua i te rua, e whakarato ana i te ārai whānui ake me te tau kotahi o ngā werohanga.
E whakamahi ana ngā kano ārai e rua i ngā momo huaketo rūpīra me te mōmiti kotahi, nō reira he ōrite te ārai ki ēnei mate e rua. Ko te rerekētanga nui ko te ārai hoki a MMR i te mōkitokito, e noho tonu ana he riri nui ki te hauora o te ao.
Ka pai ake pea te kano ārai rūpīra me te mōmiti i roto i ngā āhuatanga onge i te wā e whai pānga ana te tangata ki te wāhanga mōkitokito, kua whai ārai rānei ki te mōkitokito. Heoi, he mea noa ēnei āhuatanga i roto i ngā mahi o ia rā.
He rite tonu ngā āhuatanga haumaru me ngā tauira pānga taha o ngā kano kano e rua. Ko te whakatau i waenga i a rāua me mahi i runga i te kōrero tahi me tō tākuta, i runga i ō hītori hauora me ō āhuatanga tūpono.
Me arotake takitahi te hunga e pāngia ana e ngā mate ārai-a-tinana i mua i te whiwhinga i tēnei kano kano ora. Ko te hunga e pāngia ana e ngā āhuatanga ārai-a-tinana ngawari, kāore hoki e tango rongoā whakaiti i te ārai-a-tinana, ka taea te whiwhi i te kano kano.
Heoi anō, ki te tango koe i ngā rongoā e whakaiti ana i tō pūnaha ārai-a-tinana, pērā i te methotrexate, biologics, rānei i ngā steroid nui, tē pea ka haumaru, ka whai hua rānei te kano kano. Me mahi tahi tō tākuta rheumatologist, tō tohunga rānei me tō tākuta tuatahi ki te whakatau i te wā pai me te haumaru o te kano kano.
I ētahi wā, ka tohutohu tō tākuta kia whakamutua ētahi rongoā mō te wā poto i mua i te kano kano, engari me tino whakaaro tēnei whakatau ki te kaha o tō mate ārai-a-tinana me te mahere rongoā.
E kore e taea te
Mēnā ka ngaro koe i tētahi horopeta kua whakaritea o tēnei kano ārai mate, whakapā atu ki tō kaiwhakarato hauora ki te whakarite anō i te wā e taea ai. Kāore he take ki te tīmata anō i te raupapa kano ārai mate - ka taea e koe te whiwhi i te horopeta i ngaro i te wā e pai ana.
Mō te hunga e hiahia ana ki ngā horopeta e rua, me hoatu te horopeta tuarua i te iti rawa 28 rā i muri i te horopeta tuatahi. Mēnā ka roa ake te wā i waenga i ngā horopeta, he pai tonu tērā, ā, kāore e whakaiti i te whai huatanga o te kano ārai mate.
Kaua e māharahara mēnā kua roa te wā mai i tō pōhiri i ngaro. Ka whai hua tonu te kano ārai mate, ā, ka taea e tō kaiwhakarato hauora te āwhina i a koe ki te hoki ki te ara tika me te hōtaka e taunakitia ana.
Kāore tēnei kano ārai mate i te rongoā haere tonu e whakamutua ana e koe, e tīmata ana. Kia oti i a koe te raupapa kano ārai mate e taunakitia ana (te tikanga kotahi, e rua rānei ngā horopeta), te nuinga ka whai whakamarumaru mō te ora katoa, ā, kāore e hiahia ana ki ngā horopeta atu.
Ka tūtohu pea tō kaiwhakarato hauora ki te tirotiro i ō taumata ārai mate mā ngā whakamātautau toto mēnā kei te tūpono koe ki te pā, mēnā kua maha ngā tau kua pahure mai i te kano ārai mate. I runga i ēnei hua, ka tūtohu pea rātou i tētahi horopeta whakanui.
Ko ētahi āhuatanga, pēnei i te haerenga ki tāwāhi ki ngā wāhi he nui te reiti o te mate, te mahi rānei i ngā wāhi hauora, ka akiaki pea tō tākuta ki te tūtohu kia tirohia tō tūnga ārai mate me te whiwhi pea i ngā horopeta atu.
Āe, te nuinga ka taea e koe te whiwhi i ētahi atu kano ārai mate i te wā kotahi me tēnei kano ārai mate, engari me hoatu ki ngā wāhi werohanga rerekē. Ko te nuinga o ngā kano ārai mate i te wā katoa, tae atu ki ngā werohanga rewharewha, ngā kano ārai mate COVID-19, me ngā whakanui tetanus, ka taea te whakahaere marie i te wā kotahi.
Heoi anō, he ētahi whakaritenga wātea mō ētahi atu kano ārai mate ora. Ki te hiahia koe i tētahi atu kano ārai mate ora (pēnei i te varicella, te kirika kōwhai rānei), me hoatu i te rā kotahi, me te wātea rānei i te 28 rā neke atu.
Ka arotake tō tākuta i ngā kano ārai mate katoa e hiahiatia ana e koe, ka waihanga i tētahi hōtaka tika hei whakanui i tō whakamarumaru, me te whakarite i te haumaru. Ka whakaarohia hoki e rātou ētahi āhuatanga hauora motuhake, rongoā rānei, e pā ana ki te wā o te kano ārai mate.
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