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October 10, 2025
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Umthamo wegciwane le-rubella kanye ne-mumps ngumgomo ohlanganisiwe okuvikela ezifweni ezimbili ezibucayi ezibangelwa amagciwane. Lo mgomo uqukethe izinguqulo ezibuthakathaka (eziphilayo kodwa ezincishisiwe) zamagciwane womabili asiza amasosha akho omzimba ukuthi afunde ukulwa nalezi zifo ngaphandle kokubangela ukugula kwangempela.
Lo mgomo ngokuvamile unikezwa njengengxenye yochungechunge lomgomo we-MMR (isicanucanu, i-mumps, i-rubella), nakuba unganikezwa ngokwehlukana uma kudingeka. Ukuqonda ukuthi lo mgomo usebenza kanjani nokuthi yini ongayilindela kungakusiza ukuthi wenze izinqumo ezinolwazi mayelana nempilo yakho nokuvikelwa komndeni wakho.
Lo mgomo uyinguqulo ephilayo, ebuthakathaka yamagciwane e-rubella kanye ne-mumps ehlanganiswe ngomjovo owodwa. Amagciwane ashintshwe emalabhorathri ukuze akwazi ukukhuthaza amasosha akho omzimba ngaphandle kokubangela izifo ezigcwele.
Uma uthola lo mgomo, amasosha akho omzimba aqaphela lawa magciwane abuthakathaka njengezitha zangaphandle futhi akhe amasosha okulwa nawo. Le nqubo ifundisa umzimba wakho ukuthi uphendule ngokushesha uma uke wavezwa kumagciwane e-rubella noma e-mumps esikhathini esizayo.
Umthamo uthathwa njengosebenza kahle kakhulu futhi unikeza ukuzivikela isikhathi eside. Abantu abaningi abathola uchungechunge lomgomo oluphelele bathuthukisa ukuvikeleka impilo yonke ezifweni zombili.
Lo mgomo uvimbela i-rubella (isicanucanu saseJalimane) kanye ne-mumps, izifo ezimbili ezithathelwana kalula ezibangelwa amagciwane ezingabangela izinkinga ezinkulu. Zombili lezi zifo zisakazeka kalula ngamaconsi okuphefumula lapho abantu abanegciwane bekhwehlela, bethimula, noma bekhuluma.
I-Rubella ingabangela ukuqubuka okulula nomkhuhlane kubantu abaningi, kodwa ibeka izingozi ezinkulu kwabesifazane abakhulelwe. Uma owesifazane okhulelwe ethola i-rubella, ikakhulukazi ngesikhathi sokukhulelwa kokuqala, kungabangela i-congenital rubella syndrome enganeni, okuholela ekukhubazekeni kokuzalwa okuhlanganisa izinkinga zenhliziyo, ukulahlekelwa ukuzwa, nokubambezeleka kokukhula.
I-Mumps ngokuvamile ibangela ukuvuvukala okubuhlungu kwamadlala omlomo, umkhuhlane, nekhanda. Kwezinye izimo, i-mumps ingaholela ezinkingeni ezingathi sína ezinjengokuqina kwengqondo, i-encephalitis, noma ukulahlekelwa ukuzwa. Emantombazaneni asemasha nakubantu besilisa abadala, i-mumps ingabangela i-orchitis (ukuqubuka kwama-testicles), okungavamile ukuthinta inzalo.
Umjovo ubaluleke kakhulu kwabesifazane abaneminyaka yokuzala, abasebenzi bezempilo, nabahambi bamazwe ngamazwe abangase bazithole bevezwe kulezi zifo ezindaweni lapho amazinga okugoma ephansi.
Lo mjovo usebenza ngokuqeqesha amasosha omzimba wakho ukuthi aqaphele futhi alwe namagciwane e-rubella ne-mumps. Amagciwane abuthakathaka emjovweni aqine ngokwanele ukuthi aqale impendulo yamasosha omzimba kodwa abuthakathaka kakhulu ukuthi abangele lezi zifo zangempela.
Ngemva kokugonywa, amasosha omzimba wakho akhiqiza ama-antibody aqondene namagciwane womabili. Lawa ma-antibody ahlala egazini lakho, elungele ukungathathi hlangothi ngokushesha amagciwane uma uwahlangabezana ngokwemvelo. Amasosha omzimba wakho futhi athuthukisa amaseli enkumbulo akhumbulayo ukuthi angawenza kanjani la ma-antibody ngisho nangemva kweminyaka.
Lokhu kuthathwa njengomjovo oqinile ngokulinganisela onikeza ukuzivikela okuqinile, okuhlala isikhathi eside. Abantu abaningi bathuthukisa amazinga e-antibody okuvikela phakathi kwamasonto angu-2-6 ngemva kokugonywa, futhi ukuzivikela ngokuvamile kuhlala amashumi eminyaka noma impilo yonke.
Lo mjovo unikezwa njengomjovo emsipheni wengalo yakho engenhla (indlela ye-intramuscular). Umhlinzeki wezempilo uzolawula umjovo endaweni yezokwelapha efana nehhovisi likadokotela, umtholampilo, noma ekhemisi.
Akudingeki ukuthi uthathe noma yimaphi amalungiselelo akhethekile ngaphambi kokuthola lo mithi wokugoma. Ungadla ngokujwayelekile ngaphambi kwalokho, futhi akukho ukudla noma iziphuzo ezithile ezidingekayo. Kodwa-ke, yazisa umhlinzeki wakho wezempilo uma uzizwa ungazizwa kahle, njengoba bengase bakuncome ukuthi ukuhlehlise ukugonywa kuze kube yilapho usululame kunoma yisiphi isifo.
Ukujova ngokwako kuthatha imizuzwana embalwa nje, yize ungase uzwe ubuhlungu endaweni yokujova ngemva kwalokho. Umhlinzeki wakho wezempilo cishe uzokucela ukuthi ulinde imizuzu engu-15-20 ngemva kokujova ukuze uqaphele noma yiziphi izimpendulo ezisheshayo.
Uma ukuthola lokhu njengengxenye yochungechunge lomuthi wokugoma i-MMR, imihlahlandlela efanayo iyasebenza. Abanye abantu bakuthola kusiza ukuhambisa ingalo yabo kancane ngemva kokujova ukuze kunciphise ukuqina.
Lo mithi wokugoma uvame ukunikezwa njengochungechunge lwesilinganiso esisodwa noma ezimbili, hhayi njengokwelashwa okuqhubekayo. Abantu abadala abaningi abangazange bagonywe noma abangenakuzivikela badinga umthamo owodwa, kuyilapho abanye abantu bangase badinge imithamo emibili ehlukaniswe okungenani izinsuku ezingama-28.
Umhlinzeki wakho wezempilo uzonquma uhlelo olufanele olusekelwe eminyakeni yakho, umlando wezokwelapha, kanye nesimo sakho samanje sokuzivikela. Bangase bahlole amazinga akho ama-antibody ngomsebenzi wegazi ukuze babone ukuthi usuvele unokuzivikela emithini yokugoma yangaphambilini noma ekuthelelekeni kwemvelo.
Uma usuqede uchungechunge lomuthi wokugoma olunconyiwe, ngokuvamile ngeke udinge imithamo eyengeziwe. Ukuzivikela kulomuthi wokugoma kuthathwa njengokuhlala isikhathi eside, ngokuvamile kunikeza ukuvikelwa amashumi eminyaka noma impilo.
Kodwa-ke, uma uhlela ukuya phesheya noma ukusebenza kwezempilo, udokotela wakho angase ancome ukuhlola amazinga akho okuzivikela futhi mhlawumbe uthole umthamo wokukhuthaza uma amazinga akho ama-antibody ephansi.
Abantu abaningi baba nemiphumela emincane noma ababi nayo nhlobo ngemva kokuthola lo mithi wokugoma. Ukusabela komzimba wakho emithini yokugoma kungabangela ezinye izimpawu zesikhashana njengoba wakha ukuvikeleka.
Nazi izimpawu ezivamile ongase uzithole ezinsukwini ngemva kokugonywa:
Le miphumela evamile ivame ukuzixazulula yona ngaphakathi kwezinsuku ezimbalwa futhi ikhombisa ukuthi amasosha akho omzimba asabela ngendlela efanele emithini yokugoma.
Imiphumela engavamile kodwa ebonakalayo ingabandakanya ukuvuvukala kwesikhashana kwama-lymph nodes, ikakhulukazi endaweni yentamo, nezimpawu ezilula ezinjengomkhuhlane. Abanye abantu bangase babe nokuba ndikindiki kwesikhashana noma ukuluma ezandleni noma ezinyaweni zabo.
Imiphumela engavamile kodwa ebucayi ayivamile kakhulu kodwa ingabandakanya ukusabela okukhulu komzimba, ukuqaqamba kwamalunga okuhlala amasonto noma izinyanga, kanye nokwehla kwesikhashana kwamaplatelet. Ukuquleka okubangelwa umkhuhlane kungenzeka ezinganeni ezincane ngenxa yomkhuhlane, kodwa lokhu kuvamile ukuba kufushane futhi akubangeli monakalo ohlala njalo.
Izinkinga ezingavamile kakhulu zihlanganisa ukulahlekelwa ukuzwa kwesikhashana, ukuvuvukala kobuchopho, noma izinkinga zemizwa. Lezi zindlela ezibucayi zenzeka ngaphansi kweyodwa kwizigidi eziyodwa zomthamo futhi azivamile kakhulu kunezinkinga ezivela ezifweni zangempela.
Abantu abathile kufanele bagweme lo mithi wokugoma ngenxa yokukhathazeka ngokuphepha noma ukusebenza kahle okuncishisiwe. Umhlinzeki wakho wezempilo uzobuyekeza umlando wakho wezokwelapha ukuze anqume ukuthi umuthi wokugoma ukulungele yini.
Akufanele ukuthi uthole lo mgomo uma unegciwane elibucayi elinomkhuhlane, njengoba amasosha akho omzimba kudingeka agxile ekulweni nesifo sakho samanje. Abantu abanezinhlelo zokuzivikela ezibuthakathaka kakhulu, njengalabo abathola i-chemotherapy noma ama-steroid amaningi, kufanele futhi bagweme imigomo ephilayo.
Abesifazane abakhulelwe akufanele bathole lo mgomo ngoba uqukethe amagciwane aphilayo angalimaza ingane esakhula. Uma uhlela ukukhulelwa, kufanele uthole umgomo okungenani inyanga eyodwa ngaphambi kokukhulelwa.
Abantu abanezimo ezithile zezokwelapha badinga ukucatshangelwa okukhethekile ngaphambi kokugonywa:
Uma une-HIV noma ezinye izifo zesistimu yokuzivikela, udokotela wakho uzohlola ukuthi umgomo uphephile yini ngokuya ngesimo sakho esithile kanye nesimo sempilo yakho samanje.
Lo mgomo uvame kakhulu ukutholakala njengengxenye yomgomo we-MMR II, okhiqizwa yi-Merck. Umgomo we-MMR II uqukethe izithako ze-measles, mumps, kanye ne-rubella ezihlanganiswe emutheni owodwa.
Kwezinye izimo, abahlinzeki bezempilo bangasebenzisa eminye imigomo ehlanganisiwe ehlanganisa i-rubella kanye ne-mumps, njenge-MMRV (ebuye ihlanganise umgomo we-varicella/chickenpox). Kodwa-ke, umgomo we-rubella kanye ne-mumps ongawodwa ngaphandle kwe-measles awuvamile ukusetshenziswa emkhubeni ojwayelekile.
Umhlinzeki wakho wezempilo uzoqoka ukuthi yimuphi umkhiqizo womgomo othile ofaneleka kakhulu esimweni sakho ngokuya ngeminyaka yakho, umlando wezokwelapha, kanye nesimo sakho samanje sokuzivikela.
Umjovo we-MMR (isifo somkhuhlane, amagundane, i-rubella) ungenye indlela ejwayelekile futhi empeleni isincomo esijwayelekile kubantu abaningi. Lo mjovo onezinto ezintathu ngakunye unikeza ukuvikeleka okufanayo kumagundane ne-rubella ngenkathi futhi uvikela esifweni somkhuhlane.
Kubantu asebenomzimba oqine esifweni somkhuhlane, umjovo ohlanganisa i-rubella namagundane unikeza ukuvikeleka okuqondiwe ngaphandle kokuchayeka okungadingekile engxenyeni yesifo somkhuhlane. Kodwa-ke, ochwepheshe bezempilo abaningi bakhetha umjovo we-MMR ngoba isifo somkhuhlane sisalokhu siyingozi enkulu yezempilo emhlabeni.
Imijovo yomuntu ngamunye ye-rubella yodwa noma amagundane wodwa iyatholakala kodwa ayivamile ukusetshenziswa emsebenzini ojwayelekile. Lokhu kungase kucatshangelwe ezimweni ezithile lapho othile enezinto ezingavumelani nengxenye eyodwa yomjovo ohlanganisiwe.
Azikho ezinye izindlela ezingezona umjovo ezinikeza ukuvikeleka okulinganayo ngalokhu okuthelelanayo. Ukuzivikela kwemvelo ekubeni nalezi zifo kunikeza ukuvikeleka, kodwa izingozi zezinkinga ezivela ezifweni zangempela zidlula kakhulu izingozi ezincane zokugonywa.
Umjovo we-MMR ngokuvamile ubhekwa njengongcono kunomjovo ohlanganisa i-rubella namagundane kubantu abaningi. Njengoba umjovo we-MMR uvikela ezifweni ezintathu esikhundleni sezimbili, unikeza ukuvikeleka okubanzi ngenani elifanayo lemijovo.
Yomibili imijovo isebenzisa izinhlobo ezifanayo zegciwane le-rubella namagundane, ngakho ukuvikeleka kulezi zifo ezimbili kufana. Umehluko omkhulu ukuthi i-MMR futhi ivikela esifweni somkhuhlane, esisalokhu siyingozi enkulu yezempilo emhlabeni.
Umjovo we-rubella namagundane kungenzeka ukuthi ukhethwe ezimweni ezingavamile lapho othile enento engavumelani nengxenye yesifo somkhuhlane noma esenomzimba oqine esifweni somkhuhlane. Kodwa-ke, lezi zimo azivamile emsebenzini ojwayelekile.
Zombili lezi zigoma zinezimo zokuphepha ezifanayo kanye namaphethini emiphumela emibi. Isinqumo phakathi kwazo kufanele senziwe ngokubonisana nomhlinzeki wakho wezempilo ngokusekelwe emlandweni wakho wezokwelapha kanye nezici eziyingozi.
Abantu abanezifo zokuzivikela emzimbeni badinga ukuhlolwa komuntu ngamunye ngaphambi kokuthola lo mgomo ophilayo. Labo abanezimo zokuzivikela emzimbeni ezingathí sina ezingathathi imithi ecindezela amasosha omzimba bangavame ukuthola umgomo ngokuphepha.
Kodwa-ke, uma uthatha imithi ecindezela amasosha akho omzimba, njenge-methotrexate, i-biologics, noma ama-steroid amaningi, umgomo kungenzeka ungabi ngowokuphepha noma usebenze kahle. I-rheumatologist yakho noma uchwepheshe kufanele abambisane nomhlinzeki wakho wokunakekelwa okuyisisekelo ukuze banqume isikhathi esingcono kakhulu nokuphepha kokugoma.
Kwezinye izimo, udokotela wakho angase ancome ukuyeka okwesikhashana imithi ethile ngaphambi kokugoma, kodwa lesi sinqumo sidinga ukucatshangelwa ngokucophelela komsebenzi wakho wokuzivikela emzimbeni kanye nohlelo lwemithi.
Akunakwenzeka “ukusebenzisa okuningi kakhulu” kwalo mgomo ngoba unikezwa ochwepheshe bezempilo ezindaweni ezilawulwayo. Umthamo ngamunye uqukethe inani elinqunywe ngaphambilini lomgomo elingenakuguqulwa.
Uma ngengozi uthola umthamo owengeziwe womgomo (isibonelo, uma ukhohlwa ukuthi usuvele ugonyiwe), lokhu ngokuvamile akulimazi. Amasosha akho omzimba azokwazi ukuchayeka okwengeziwe kumagciwane abuthakathaka, okungase kuqinise ngempela ukuzivikela kwakho emzimbeni.
Xhumana nomhlinzeki wakho wezempilo uma unezinkinga mayelana nokuthola imithamo ephindwe kabili. Bangakwazi ukubuyekeza amarekhodi akho okugoma futhi banikeze isiqondiso sokuthi ngabe kukhona yini ukuqapha okwengeziwe okudingekayo.
Uma uphuthelwa umthamo ohleliwe walo mgomo, xhumana nomhlinzeki wakho wezempilo ukuze uhlele kabusha ngokushesha okukhulu. Akunasidingo sokuqala kabusha uchungechunge lomgomo - ungamukela nje umthamo ophuthelwe uma kulula.
Kubantu abadinga imithamo emibili, umthamo wesibili kufanele unikezwe okungenani ezinsukwini ezingama-28 ngemuva komthamo wokuqala. Uma isikhathi esiningi sidlula phakathi kwemithamo, kulungile ngokuphelele futhi akunciphisi ukusebenza komgomo.
Ungakhathazeki uma isikhathi esiningi sidlule kusukela ekuhlanganyeleni kwakho okuphuthelwe. Umgomo uzosebenza, futhi umhlinzeki wakho wezempilo angakusiza ukuthi ubuyele emgqeni ohleliwe.
Lo mgomo akuyona ukwelashwa okuqhubekayo okuyekayo futhi okuqalayo. Uma usuqede uchungechunge lomgomo olunconyiwe (ngokuvamile umthamo owodwa noma emibili), ngokuvamile unokuvikeleka kwempilo yonke futhi awudingi imithamo eyengeziwe.
Umhlinzeki wakho wezempilo angase ancome ukuhlola amazinga akho okuzivikela emzimbeni ngokusebenzisa izivivinyo zegazi uma usengozini enkulu yokuchayeka noma uma sekudlule iminyaka eminingi kusukela ekugonyweni. Ngokusekelwe kulezi ziphumo, bangase baphakamise umthamo wokukhuthaza.
Izimo ezithile, njengokuhamba phesheya kwezilwandle ezindaweni ezinamazinga aphezulu ezifo noma ukusebenza ezindaweni zokunakekelwa kwezempilo, kungase kuphoqe udokotela wakho ukuthi ancome ukuhlola isimo sakho sokuzivikela emzimbeni futhi mhlawumbe uthole imithamo eyengeziwe.
Yebo, ngokuvamile ungaqhubeka uthole eminye imigomo ngesikhathi esifanayo nalo mgomo, kodwa kufanele inikezwe ezindaweni ezihlukene zokujova. Imigomo eminingi ejwayelekile, okuhlanganisa imijovo yomkhuhlane, imigomo ye-COVID-19, kanye nezithuthukisi ze-tetanus, ingaphathwa ngokuphepha ngesikhathi esifanayo.
Noma kunjalo, kukhona izidingo zokuhlukanisa ezinye imigomo ephilayo. Uma udinga omunye umgomo ophilayo (njenge-varicella noma umkhuhlane ophuzi), kufanele unikezwe ngosuku olufanayo noma uhlukaniswe okungenani izinsuku ezingama-28.
Umhlinzeki wakho wezempilo uzobukeza yonke imigomo oyidingayo futhi enze isimiso esifanele esikhulisa ukuvikeleka kwakho ngenkathi kuqinisekiswa ukuphepha. Bazophinda bacabangele noma yiziphi izimo ezithile zezokwelapha noma imithi engase ithinte isikhathi somgomo.
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