Kua rongo pea koe i te pikinga ake o ngā mate rewharewha i ēnei rā. Kua kite pea koe i roto i ngā nūpepa, i ngā purongo rānei. Engari kāore he take e mataku tonu ai. Ki te mōhio koe ki ēnei kōrero, ka taea e koe te tiaki i a koe anō, i tō whānau, inā koa i āu tamariki mai i tēnei mate. Me kōrero taipitopito tātou mō tēnei, he tino māmā noa iho, pērā i te kōrero ki tētahi hoa.
He aha te rewharewha?
He whakarāpopototanga noa iho, he mate hopuhopu te rewharewha, e horapa ngāwari ana mai i te tangata ki te tangata . Ina puta, ka puta he ponana i runga i te kiri puta noa i te tinana, me ngā tohu pēnei i te kirika, te ihu pupuhi, me te mare. Hei whakamārama, nā te huaketo i puta. Nō reira, i te mea he huaketo, kāore he rongoā motuhake, arā, he 'rongoa'. Pērā i ētahi atu mate huaketo, ka puta te rewharewha, ā, i roto i te wā, me ora ake. Ko te pūnaha ārai mate i roto i tō tātou tinana e whawhai ana ki tēnei huaketo, e whakaora ana i a tātou.
He aha te take e tino noa ai te mate rewharewha i ēnei rā?
Ina hoki, i roto i ngā whenua maha o te ao, tae atu ki tō tātou ake Sri Lanka, kua tino whakahaeretia tēnei mate nā te pai o te ārai mate ki te rewharewha. Ko te tikanga he tokomaha ngā tāngata kua werohia, nō reira he iti ake te tūponotanga o te mate. Heoi, i ētahi wā, inā koa i ngā wāhi kāore i werohia tika ngā tāngata, i roto rānei i ngā rōpū kāore anō kia werohia, ka kitea pea tēnei mate e horapa ana i ia wā, i ia wā. Koia te mea nui kia tūpato tonu tātou ki tēnei. Kaua tātou e mataku, engari kia tūpato.
He aha ngā tohu o te rewharewha?
Ko ngā tohu tuatahi o te rewharewha he maremare, he ihu pupuhi, he kirika nui, me ngā kanohi whero . Tērā pea ka whero ngā kanohi, me te mea nō te tangi, ā, he uaua pea te kite i te māramatanga. He rite ēnei tohu ki ērā o te makariri noa, nō reira he uaua pea te kite i te rewharewha i te tīmatanga.
Me ako anō hoki tātou mō ngā ira a Koplik.
Hei tāpiritanga, ka puta pea i ētahi wā he iti, he whero ngā ira i roto i ngā tamariki, he kikorangi-mā te pokapū e kiia nei ko ngā 'ira a Koplik' i roto i te waha, i roto hoki i ngā paparinga. He rite ēnei ki ngā pata tote. Ka puta ēnei ira i te rā, i ngā rā e rua rānei i mua i te tīmatanga o te ponana. Heoi, kāore e pāngia te katoa e ēnei ira, ā, he uaua ki ētahi tāngata te kite. Tērā pea ka whakapae te tākuta he rewharewha ina kite rātou i ēnei ira.
Me pēhea te putanga mai o te rewena?
Tata ki te 3-5 ngā rā i muri i te tīmatanga o ngā tohu tuatahi, ka puta he ponana whero ki te parauri. I ētahi wā ka haere tahi tēnei ponana me te kirika nui tae atu ki te 40 nekehanga Celsius (104°F) . Tērā pea ka tino kore whakamarie te tamaiti, ka mamae hoki te tinana i tēnei wā.
Ko te tikanga ka tīmata tēnei ponana i te rae hei ira whero papatahi. Tērā pea he uaua ake te kite mārama i ēnei ira i roto i ngā tamariki he kiri mangu.Engari ki te āta tirohia, ka taea e koe te kite. Kātahi ka horapa tēnei ponana puta noa i te mata, ka tīmata i muri i ngā taringa, ka heke ki te kaki, ki te tinana, ki te uma, ki te puku, kātahi ki ngā ringa, ki ngā waewae, ā, i te mutunga ki ngā kapu o ngā waewae. Ko te roa o tēnei ponana he 5-6 rā pea. Ka tino mākūkū ētahi tamariki ina puta mai tēnei ponana. I ētahi wā, i te memeha haere o te ponana, ka tihore pea te kiri.
Me pēhea te horapa o te rewharewha?
He tino hopuhopu te rewharewha. Koia te take he tino morearea. Ka horapa mā te hongi i ngā pata ririki ('pata') mai i te tangata whai rewharewha ina maremare, ina tihe rānei , mā te pā atu rānei ki ngā mata kua poke i aua pata, kātahi ka pā ki tōna ihu, waha, kanohi rānei. Whakaarohia, ina tihe te tangata whai rewharewha, ka puta aua pata ririki kei roto te huaketo ki te hau. Ki te hongi tetahi i taua hau i te taha, he tino teitei te tūponotanga ka pāngia ia e te mate.
Ka taea e te tangata whai rewharewha te hora i te mate ki ētahi atu mai i ngā rā e 5 i mua i te putanga mai o te ponana, tae atu ki ngā rā e 4 i muri i te putanga mai o te ponana. Ko te tikanga o tēnei ka taea te hora i te mate ahakoa i mua i te putanga mai o te ponana . Koinei te mea tino morearea, nā te mea ka taea e koe te hora i te mate ki ētahi atu me te kore e mōhio kei a koe.
Me pēhea taku tiaki i taku tamaiti mai i te rewharewha?
Koinei te pātai tino nui. Ka taea e koe te tiaki i tāu tamaiti mai i te rewharewha mā te whiwhi i te kano ārai mate rewharewha-momo-rupera, te kano ārai mate MMR rānei, i te wā tika. Koinei te parenga pai rawa atu, me te mea nui rawa atu e wātea ana. He tino haumaru, he tino whai hua hoki tēnei kano ārai mate.
Ka tiakina te nuinga o ngā tamariki mai i te rewharewha e te kano ārai mate MMR. I ētahi whenua, ka tukuna tahitia te kano ārai mate MMRV me te kano ārai mate rewharewha (`Varicella`). I tō tātou whenua, ko te kano ārai mate MMR te mea e whakamahia whānuitia ana. E rua ngā horopeta o tēnei kano ārai mate:
- Ka hoatu te horopeta tuatahi ki te tamaiti i waenga i te 12-15 marama te pakeke (i ētahi wā motuhake, hei tauira, mēnā kei te haereere te tamaiti ki tāwāhi, ka taea te hoatu i mua atu, arā, mai i te 6 marama te pakeke. Me kōrero koe ki tō tākuta mō tēnei).
- Ka hoatu te horopeta tuarua i waenga i te 4-6 tau te pakeke, i mua i te tīmatanga o te kura.
Ka whanake te nuinga o te tangata i te ārai mate pai ki te rewharewha i muri i te horopeta tuatahi o te kano kano. Ko te tikanga o tēnei kua neke atu i te 90% te parenga. Ka piki ake tēnei parenga ki te 97% i muri i te horopeta tuarua. Ko te tikanga he roa tonu tēnei ārai mate mō te wā katoa . Ko te tikanga he tino iti te tūponotanga ka pāngia anō koe e te rewharewha.
A, mehemea kāore taku tamaiti i werohia, kāore rānei e taea te werohia?
Mena kāore anō kia werohia tō tamaiti mō te rewharewha mō tētahi take, kāore anō kia roa rawa . Ahakoa kua hipa ake tō tamaiti i te tau e taunakitia ana, ka taea e koe te whiwhi i te werohanga i ngā wā katoa. Pātai atu ki tō tākuta whānau, ki te tari hauora ā-rohe rānei mō tēnei mea.
Heoi, ki te kore e taea te werohanga i tāu tamaiti nā tētahi āhuatanga hauora motuhake (hei tauira, te mate pukupuku kino, he mate e ngoikore ai te pūnaha ārai mate), ki te ngoikore rawa rānei te pūnaha ārai mate o te tamaiti, ko te huarahi pai hei ārai i te rewharewha ko:
- Horoia ō ringaringa kia tino pai ki te hopi me te wai i ngā wā katoa. Me horoi ō ringaringa mō te 20 hēkona pea.
- Me noho tawhiti rawa atu i te hunga e pāngia ana e te rewharewha.
- Te pupuri i te taiao o te tamaiti kia ma.
A, mehemea ka pāngia te tamaiti kāore anō kia werohangahia e te mate rewharewha e te mate urutā?
He mea tēnei e tika ana kia arohia. Hei tauira, ki te whakaaro koe kua pāngia tō tamaiti e te mate rewharewha (kāore anō kia werohangahia), whakamōhio atu ki tō tākuta tonu . He mea nui kia tere te mahi, kaua e mataku.
Mō te hunga kua pāngia e te rewharewha, ā, he nui te mōrearea (ina koa ko ngā tamariki kāore anō kia werohia, ngā wāhine hapu, me te hunga he ngoikore te pūnaha ārai mate), ka taea e ngā tākuta te hoatu ki a rātou he werohanga o ngā paturopi rewharewha, e mōhiotia ana ko te immune globulin . He rite tēnei ki te hoatu ki a rātou he werohanga o ngā hōia kua rite ki te whawhai ki te mate. He tino whai hua mēnā ka hoatu i roto i ngā rā e 6 o te pānga. Ka taea e ēnei paturopi te aukati i te whanaketanga katoa o te rewharewha, ka taea rānei e rātou te whakaiti i ngā tohu me te aukati i te kino haere o te mate.
Waihoki, ki te whiwhi te tangata kāore anō kia werohangahia mō te rewharewha i te horopeta o te werohanga MMR i roto i ngā rā e 3 (72 hāora) o te pānga ki te tūroro, tera pea ka āwhina i te ārai i te mate, i te whakaiti rānei i te kaha o te mate. Me kōrero anō hoki tēnei ki tō tākuta, ā, me whakatau.
Kei hea ahau e whiwhi ai i te kano ārai mate MMR mō taku tamaiti?
Ka taea e koe te tiki i te kano ārai mate MMR mō tāu tamaiti mai i te tari o tō kaiwhakarato tiaki tuatahi , ngā wāhi werohanga i roto i ngā hōhipera kāwanatanga, me ngā wāhi werohanga tamariki e whakahaerehia ana e te nuinga o ngā tari Āpiha Hauora ā-rohe (MOH) . He kano ārai mate kore utu tēnei e tukuna ana e te kāwanatanga.
Me aha ahau mēnā he tohumate o te rewharewha kei taku tamaiti?
Mena kei te pāngia tō tamaiti e te kirika, te maremare, me te whēwhe e whakapaetia ana e koe he rewharewha, ko te mea tuatahi me mahi e koe ko te waea atu ki te tākuta, te haere rānei ki te hōhipera tata tonu atu . E ai ki te kōrero i mua ake nei, ahakoa kāore he rongoā motuhake mō te rewharewha, ka taea e tō tākuta te whakatau tika i te mate, te tuku i ngā tohutohu e tika ana, me te tirotiro mō ngā raruraru.
Ngā maimoatanga ka taea e koe te mahi i te kāinga
Haunga ngā tohutohu a te tākuta, ka taea e koe te whakaora i tō tamaiti mā te mahi i ēnei mea i te kāinga:
- Hoatu he nui ngā wai hei inu mā tāu tamaiti. He pai ngā mea pēnei i te wai, te hupa, te parāoa, te hupa, me te wai hua. He mea tino nui tēnei hei ārai i te matewai.
- Kia nui te okiokinga o tāu tamaiti. Kia matara atu ia i ngā mahi taumaha pēnei i te oma me te pekepeke, ā, kia pai tana moe me tana okiokinga.
- Mena kei te raru tō tamaiti i te kirika, ka taea e koe te hoatu he rongoā whakaiti kirika, pērā i te acetaminophen a ngā tamariki, te ibuprofen rānei, i te nui i tohua e tō tākuta. Heoi, kia tino whai i ngā tohutohu kei runga i te kete rongoā mō te nui tika me te auau o te hoatutanga.
He mea tino nui: Kaua rawa e hoatu te aspirin ki tētahi tamaiti, ki tētahi taiohi rānei e pāngia ana e te mate huaketo (pērā i te makariri, te rewharewha rānei). Ka taea e tēnei te whakaputa i te mate Reye, he mate tino kino, he mate morearea e kino ai te roro me te ate. Nō reira, kia tino tupato ki tēnei.
- Kia pōuri te rūma, nā te mea ka pāngia ō kanohi e te mārama (photophobia).
- Ka taea e koe te hoatu i te iti o te honi (mō ngā tamariki neke atu i te kotahi tau te pakeke) hei rongoā mō te mare.
Kia tūpato hoki ki ēnei mea.
Mena kei te kino haere te āhua o tāu tamaiti (hei tauira, he uaua ki te manawa, he mamae o te uma, he hiamoe nui, he haurangi, he kirika nui rānei), me kōrero tonu atu ki tō tākuta . Ka pā mai pea ētahi atu raruraru i te rewharewha. Hei tauira:
- Ngā mate taringa
- Te maremare (he maremare e auau ana me te mea he kurī nā te pupuhi o ngā ara manawa)
- Korere
- Pneumonia (mate pūkahukahu)
- Te mate pukupuku roro (te pupuhi o te roro, he tino morearea tēnei)
I te wā o te rewharewha, kaua e tukuna tāu tamaiti ki te kura, ki te whare tiaki tamariki, ki ngā akomanga, ki ētahi atu mahi tūmatanui, mahi rōpū rānei. Puritia tāu tamaiti ki te kāinga mō te iti rawa i te 4 ngā rā i muri i te putanga mai o te ponana. Mā tēnei ka āwhina i te ārai i te horapa o te mate ki ētahi atu, inā koa ko te hunga kāore anō kia werohangahia.
Me pēhea taku mōhio mēnā kei te pā mai te mate rewharewha i tōku rohe?
I Sri Lanka, ko te Manatū Hauora (`Manatū Hauora`) me ngā tari o te Manatū Hauora ā-rohe e whakamōhio ana i te marea mō ēnei pakarutanga. Ka taea e koe te tirotiro i ā rātou paetukutuku mana, whārangi Pukamata, panui pāpāho rānei. Ka taea hoki e koe te pātai ki tō kaiwhakawhanau ā-rohe, ki tō tākuta rānei mō tēnei. Ka taea e koe te rapu mōhiohio mō ngā pakarutanga o te ao me ngā whenua takitahi mai i ngā paetukutuku o te Whakahaere Hauora o te Ao (`WHO`) me, i te US, te CDC (`Centers for Disease Control and Prevention`).
Hei whakamutunga, ko te mea tino nui
Nō reira, ahakoa he mate hopuhopu te rewharewha, ka pā mai pea ngā raruraru i ētahi wā, ko te mea nui ko te kaua e manukanuka kore noa mōna, kia mōhio, kia mahi tika hoki.
- Ko te kano ārai mate MMR te parenga pai rawa atu mō te rewharewha. Kaua rawa e wareware ki te hoatu i te kano ārai mate ki tāu tamaiti i te wā tika. Koinei te parenga nui rawa atu ka taea e koe te hoatu ki tāu tamaiti.
- Ki te pāngia koe e ngā tohu o te rewharewha (kirika, mare, ihu pupuhi, kanohi whero, ponana), rapua tonutia he tohutohu hauora. Kaua e rongoā i a koe anō.
- Ki te pāngia tāu tamaiti e te rewharewha, whai i ngā tohutohu a tō tākuta. Kia nui te okiokinga, hoatu he wai, ā, me noho ki te kāinga hei ārai i te horapa o te mate ki ētahi atu .
- Kaua rawa e whakamahia te āpipirini mō te kirika huaketo, inā koa mō ngā tamariki. He mea tino nui tēnei.
- Mā te whai i ngā tikanga akuaku māmā pēnei i te horoi i ō ringaringa i ngā wā katoa ka āwhina i te ārai i ngā mate maha.
Ki te maumahara koe ki ēnei mea, ka taea e koe te tiaki i a koe anō me tō whānau i tēnei mate, ā, ka noho ora tonu koe. Mēnā he pātai āu, he hiahia rānei ki ētahi atu kōrero, kaua e mangere ki te pātai ki tō tākuta whānau, ki tō kaimahi hauora whānau rānei. Mā rātou koe e āwhina.
` Rewharewha, kano ārai mate MMR, ngā tohumate rewharewha, hauora o ngā tamariki, ngā mate hopuhopu, kano ārai mate, ngā ira Koplik, te ārai mate











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