Kia ako tātou i ētahi atu kōrero mō te rewharewha (Rubeola)! He mea nui ēnei mea māu me tō whānau!

Kua kite koe i tētahi tamaiti nohinohi, i ētahi wā rānei he pakeke, he whero ngā ira puta noa i tōna tinana, ā, he kirika anō hoki? He rewharewha pea. Ehara tēnei i te kēmu, he mate kino pea mēnā kāore e tiakina tika. Me kōrero taipitopito tātou mō tēnei i tēnei rā.

He aha rawa te mate rewharewha (Rubeola)?

He kupu ngāwari noa iho, he mate huaketo tino hopuhopu te rewharewha. Nā te huaketo nō te whānau Morbillivirus i hua mai. Ka puta he ira puta noa i te tinana, me ngā tohu pēnei i te kirika me te mare. Engari ehara te rewharewha i te ira torutoru noa iho. Ka taea e ia te whakararu i a koe, ā, i ētahi wā ka arahi pea ki ngā mate kino pēnei i te encephalitis , ka morearea pea te ora, te niumōnia rānei. Ehara i te mea koinā anake, ka ngoikore hoki te pūnaha ārai mate o te rewharewha, ka ngawari ake ai koe ki te pāngia e ētahi atu mate. I mua, i mua i te wātea mai o te kano kano, miriona tāngata huri noa i te ao i mate i te rewharewha. Kei te kitea tonu i ētahi whenua. Kāore he maimoatanga motuhake, he rongoā rānei mōna.

Ko te rewharewha e kiia ana ko te rubeola, te rewharewha 10-rā, me te kirika whero. Engari ehara tēnei i te rewharewha Tiamana (Rubella), he mate motuhake.

Me pēhea te horapa o te rewharewha?

He mate tino hopuhopu te rewharewha e horapa ana i te hau . Ina manawa, ina maremare, ina tihe, ina kōrero rānei te tangata whai rewharewha, ka tukuna ngā matūriki huaketo ririki ki te hau. Ka taea e ēnei matūriki huaketo te noho ki te hau mō te rua hāora i muri i te wehenga atu o te tangata whai rewharewha i te rūma. Ka taea hoki e rātou te noho ki runga i ngā mata pēnei i ngā tēpu, ngā tūru, me ngā kakau tatau. Ki te pā koe ki aua mata, kātahi ka pā ki tō waha, i tō ihu, i ō kanohi rānei ki te ringa kotahi, ka taea e koe te pangia.

Anei ētahi o ngā huarahi matua e horapa ai te rewharewha:

• Te noho tahi me te tangata e pangia ana e te rewharewha. Ko te tikanga o tēnei ko te kōrero, te whakawhitiwhiti kai me te inu, te kihi, te rūrū ringa, me te awhi.
• Te pā atu ki tētahi mata, ki tētahi mea rānei kei reira te huaketo, kātahi ka pā atu ki tō waha, ihu, ki ō kanohi rānei ki taua ringa anō.
• Mena he mate rewharewha tō te whaea hāpu, ka taea e ia te tuku atu ki tana pēpi i te wā e hapū ana, e whānau ana, e whāngai u ana rānei. Ka kiia tēnei ko te tuku poutū.

Whakaarohia, mēnā ka tomo mai tētahi tangata whai mate rewharewha ki roto i tētahi rūma me te tekau tāngata kāore anō kia werohangahia mō te rewharewha, e ai ki ngā tākuta e iwa o aua tekau he nui te tūponotanga ka pāngia e te rewharewha. Koinei te āhua o te horapa! Ka taea e koe te pangia tētahi mai i ngā rā e whā i mua i te pānga o te ponana ki a koe tae noa ki ngā rā e whā i muri i te putanga mai o te ponana.

He aha ngā tohu o te rewharewha?

Kāore ngā tohumate o te rewharewha e puta katoa i te wā kotahi. Ka puta mārire. Tērā pea ka kite koe i ēnei i te tīmatanga:

• Kei te pāngia ahau e te kirika nui .
• E puta mai ana te maremare auau.
• Ka whero ngā kanohi, ka puta rānei ngā roimata i ngā kanohi (ngā kanohi whero, toto rānei).
• Ihu pupuhi.
• E tino ngenge ana ahau.
• Tērā pea ka puta mai ngā ira whero iti me te pokapū mā (e kiia nei ko ngā ira a Koplik) i roto i te waha me ngā paparinga. I roto i ngā rā e rua, e toru rānei ka puta mai ēnei ira, ā, ka memeha haere i te tīmatanga o te puta mai o ētahi atu ira i te tinana.
• Kātahi ka tīmata te puta o te ponana puta noa i te tinana .
• Tērā pea ka pāngia ētahi tāngata e ngā tohumate nakunaku pērā i te mamae o te puku, te korere, me te ruaki.
• Mamae ana tōku korokoro.
• Tērā pea ka pā mai ngā mamae tinana me ngā mamae upoko.

Tuatahi, ka puta ngā tohu pēnei i te kirika, te mare, te ihu pupuhi, me ngā kanohi whero. I muri i ngā rā e rua, e toru rānei ka puta ake ngā mea e kiia nei ko ngā "ira a Koplik" i roto i te waha. Ka tīmata te puta o ngā ira i te tinana i muri mai, tata ki te toru, ki te rima rā i muri i te tīmatanga o ngā tohu tuatahi. Ina puta mai ngā ira, ka hoki anō te kirika.

He aha te āhua o ngā ira rewharewha?

Ko ngā ira rewharewha ka tīmata i te mata. Ka puta mai he ira papatahi. Ki te mea he kiri mārama tōu, ka whero te āhua. Ki te mea he kiri pouri tōu, tera pea he papura, he pouri ake rānei i te kiri e karapoti ana. I ētahi wā ka uaua ki te kite mārama.

Kātahi ka horapa ēnei ira ki te kaki, ki te uma, ki te tuara, ki ngā ringa, ki ngā waewae, me ngā kapu o ngā waewae. I a rātou e horapa ana, ka honoa pea ētahi ira, ka nui haere. I ētahi wāhi, ka ara ake pea pērā i ngā puku, ā, i ētahi wāhi, ka papatahi pea. Heoi, kāore ēnei ira e mākūkū .

Ko wai te hunga tino mōrearea ki te pangia e te mate rewharewha?

He nui ake te tūponotanga o ētahi tāngata ki te pāngia e ngā raruraru kino mai i te rewharewha. Ko ētahi o ēnei ko:

• Ngā tāngata neke atu i te 20 tau te pakeke me ngā tamariki kei raro iho i te 5 tau te pakeke.
• Ngā whaea hapū.
• Ko te hunga ngoikore te pūnaha ārai mate he "mate pāwera". Ko te tikanga ko te hunga e tango ana i ngā rongoā mō ngā mate pēnei i te mate pukupuku, kua pangia e te HIV, kua iti ake rānei te kaha ki te ātete i te mate mō ētahi atu take.

He aha ngā raruraru morearea ka puta mai i te rewharewha?

Ahakoa he iti noa iho ētahi raruraru o te rewharewha, ko ētahi he kino, ā, ka mōrearea hoki ki te ora. Tirohia ēnei:

• Ngā mate taringa.
• Te matewai nā te mate korere nui.
• Te mate pūkahukahu.
• Te mate pūkahukahu.
• Pēnia : Koinei te tino take o te mate o ngā tamariki nohinohi i te rewharewha.
• Te ngaronga o te tirohanga (te matapo).
• Te pupuhi, te mumura rānei o te roro (encephalitis) . Ka taea e tēnei te whakararu i te roro tuturu, ā, i ētahi wā ka mate pea.
• He mate onge engari he mate whakamate te subacute sclerosing panencephalitis (SSPE) o te pūnaha io. Ka pā pea i ngā tau maha i muri i te rewharewha.
• Ko te mate pukupuku tinana whakauru rewharewha (MIBE) he mumura roro. Ka pā mai pea tēnei i ngā rā, i ngā tau rānei i muri i te rewharewha. Ko te hunga he ngoikore ō rātou pūnaha ārai mate ka tino mōrearea.
• I te mutunga, ka taea hoki te mate.

Ko te mea nui, ki te pāngia koe e te rewharewha i te wā e hapu ana, tera pea ka whānau wawe mai tō pēpi, ka iti rānei tōna taumaha i te whānautanga .

Me pēhea te tautuhi a ngā tākuta i te mate rewharewha?

Tērā pea ka whakapae te tākuta kei te pāngia koe e te rewharewha i runga i tō hītori hauora, tō whakamātautau tinana, me te āhua o te ponana. Heoi, ka taea hoki e rātou te whakahaere i ngā whakamātautau pēnei hei whakaū:

• Ngā whakamātautau toto .
• Te whakamātautau i ngā tauira wai i tangohia mai i tō ihu, i tō korokoro rānei (ngā hūpē mai i tō ihu, i tō korokoro rānei).
• Ngā whakamātautau mimi .

He rongoā anō kei te wātea mō te rewharewha?

Engari, kāore anō kia kitea he rongoā, he maimoatanga motuhake rānei hei whakaora katoa i te rewharewha.

Engari ki te mea kei te hōhipera koe, ka hoatu pea e tō tākuta te huaora A ki a koe hei whakaiti i te tūponotanga o ngā raruraru nui. Heoi, kaua e tangohia e koe te huaora A i a koe anō me te kore he tirotiro a te tākuta. Mēnā ka nui rawa te huaora A ka pā mai he mate kino e kiia nei ko te paitini huaora A, ka kino pea ō whekau o roto. Kāore te huaora A e whakaora i te rewharewha, e ārai rānei i te whanaketanga.

Kia pēhea te roa o te mate rewharewha?

Ki te kore he raruraru kē atu, ko te roanga o te rewharewha he 10 ki te 14 ngā rā.

Āhea koe me toro atu ki te tākuta?

Kia mahara ki te kōrero ki te tākuta i roto i ēnei āhuatanga:

• Mena he pātai āu mō te kano kano.
• Ki te whakaaro koe kua pāngia koe e te mate rewharewha (tērā pea ka taea e tō tākuta te hoatu i te maimoatanga immunoglobulin (antibody) ki a koe hei whakaiti i tō tupono ki te pangia e te mate).
• Ki te hiahia koe ki te tirotiro i ō taumata paturopi mō te rewharewha (ngā 'titers' o te paturopi) kia kite ai mēnā he ārai mate tōu ki te rewharewha.

Me haere koe ki te rūma whawhati tata mēnā kei a koe ētahi o ēnei tohu:

• Mena he uaua ki te manawa.
• Mena he mamae tō uma.
• Mena he tairongo rawa ō kanohi ki te mārama (Aro ki te mārama).
• Ki te mea kei te mārō tō kaki.
• Mena he mamae nui tō upoko.
• Mena he rangirua.
• Mena kei te ruaki nui koe, kei te pāngia rānei koe e te mate korere.

Ka aha mēnā ka pāngia koe e te mate rewharewha?

Ka tino pāngia koe e te rewharewha. E ai ki te whakatau tata ki te rua o roto i te rima o ngā tāngata e pāngia ana e te rewharewha me kawe ki te hōhipera .

Ahakoa kua ora koe, tera pea ka nui ake te tūponotanga ka pāngia koe e ētahi atu mate. Nā te mea ka taea e te rewharewha te whakangaro i ngā pūtau i roto i tō pūnaha ārai mate e maumahara ana ki tō ārai mate ki ngā mate o mua. Ka kiia tēnei ko te 'immune amnesia' .

Waihoki, ka puta pea ngā raruraru morearea ki te ora i ngā marama, i ngā tau rānei i muri i te rewharewha, ina koa mēnā he ngoikore tō pūnaha ārai mate.

Me noho tawhiti atu ahau i ētahi atu mēnā kei te pāngia ahau e te rewharewha?

Āe, tino tika. Me noho tawhiti atu koe i ētahi atu tāngata mō te iti rawa i ngā rā e whā i muri i tō pangia e te rewharewha me te putanga mai o te ponana. Me mau koe i te kopare N95. Me mau hoki ngā tākuta, ngā nēhi, me ētahi atu tāngata e rongoā ana i a koe i te kopare N95. Pātai atu ki tō tākuta āhea koe e taea ai te haere ki te mahi, ki te kura rānei, ā, āhea hoki koe e taea ai te whakawhanaunga ki ētahi atu.

Me pēhea te whakaora i ngā tohu o te mate pāwera i te kāinga?

Ki te pāngia koe, tāu tamaiti rānei e te rewharewha, pātai atu ki tō tākuta mō ngā huarahi haumaru hei whakahaere i ō tohumate i te kāinga. Tērā pea ka tūtohu ia i ētahi mea pēnei i:

• Tangohia he acetaminophen (pērā i te paracetamol) me ngā rongoā anti-inflammatory kore-steroidal (NSAID) (pērā i te ibuprofen) hei rongoā mō ngā mamae tinana me te kirika.
• Okioki pai.
• Inumia he nui ngā wai pērā i te wai me te wai hua.
• Horoia tō korokoro ki te wai tote hei whakamarie i tō korokoro.

Me pēhea e taea ai e koe te tiaki i a koe mai i te rewharewha?

Ko te huarahi pai rawa atu, me te huarahi tino whai hua hoki hei tiaki i a koe mai i te rewharewha ko te whiwhi i te kano ārai mate rewharewha . Kia tino tiakina koe, me whiwhi koe i ngā horopeta e rua o tētahi o ēnei momo kano ārai mate e rua:

• Te kano ārai mate mō te rewharewha, te mumps, me te rubella (kano ārai mate MMR).
• Ko te kano ārai mate mō te rewharewha, te mumps, te rubella, me te rewharewha (kano ārai mate MMRV).

He tokomaha te hunga e whiwhi ana i te kano ārai mate MMR, MMRV rānei i a rātou e tamariki ana. Engari ka taea hoki e koe te whiwhi i te kano ārai mate ina pakeke koe.

Ka taea e koe te pāngia e te rewharewha ahakoa kua whiwhi koe i te kano ārai mate?

Mena kua tika te whiwhinga o ngā horopeta e rua o te kano ārai mate, he iti rawa te tūponotanga ka pāngia koe e te rewharewha . Engari ki te kotahi noa te horopeta i whiwhi koe, he iti ake te tūponotanga ka āraihia te mate.

I ngā wā o mua, tae noa ki ētahi whenua whakawhanake, he mate noa te rewharewha mō ngā tamariki. Nā ngā kaupapa hauora tūmatanui, kua tino whakakorea te mate i aua whenua (arā, kāore e horapa ana). Heoi, kei te mau tonu ngā kēhi, ā, kei te mate te tangata i te rewharewha. Ki te mutu te whiwhi i te kano ārai mate rewharewha, ka tere tonu te horapa o te mate puta noa i te ao. Ki te whakaaro koe kua pāngia koe e te mate rewharewha, me toro atu ki te tākuta tonu. Ka taea e ia te kōrero ki a koe me pēhea te whakahaere i ō tohu me te aha ka taea e koe te mahi hei whakaiti i tō tupono ki te mate kino, mēnā he mate.

He aha te mea tino nui e hiahia ana tātou ki te kawe ki te kāinga mai i tēnei pūrākau?

Ehara te rewharewha i te mate hei takaro noa iho, e hoa mā. He mate huaketo tino hopuhopu tēnei, ā, ka pā mai he raruraru nui. He waimarie, kei reira tētahi kano ārai mate tino whai hua (te 'kano ārai mate MMR', te 'kano ārai mate MMRV' rānei) hei ārai i tēnei mate. Mena kāore anō kia whiwhi koe, āu tamariki rānei i tēnei kano ārai mate, me rapu tohutohu hauora, ā, me whiwhi koe.

Mena kei a koe ngā tohu o te rewharewha, kua pā atu rānei koe ki tētahi tangata e pangia ana e te rewharewha, me toro atu ki te tākuta tonu . Mā te maimoatanga tere me te tohutohu tika, ka taea e koe me te hunga e karapoti ana i a koe te tiaki i a koe anō me ētahi atu i tēnei mate. Kia maumahara, ko te hauora te taonga nui rawa atu!

` Rewharewha, Rubeola, Ngā Tohu o te Rewharewha, Te Tukunga o te Rewharewha, Te Werohanga Rewharewha, Te Werohanga MMR, Ngā Tamariki