Zvirwere panguva yekuzvimba zvinogona kupararira kune vana vasina kuberekwa
Mufaro wehupenyu hutsva mukati mechizvaro chinokura anopa vana vanotarisira vana vemazuva ekuzvarwa kuti vadzivirire uye vagadzirire mwana wavo. Vakadzi vane pamuviri vanonzwa manzwiro kubva pakushamwaridzana kusvika paranoia pamusoro pehupenyu hwevana vavo. Mune zvimwe zviitiko, mahomoni ekuberekwa anogona kuva nemhosva yekufungidzika kwemashoko aya. Asi zvakakoshawo kuyeuka kuti kuzvitakura kunofambidzana nehutachiona hwemasimba ehutachiona hunogona kuwedzera hutachiwana hwezvirwere zvakasiyana-siyana zvinotapukira.
Izvi zvinogona kusanganisira zvimwe zvirwere zvinowanzoonekwa, se CMV, uye zvimwe zvirwere zviri mumashoko, saZika. CMV, kunyanya, inoshamisa zvikuru.
Ndezvipi zvirwere zvakanyanya-njodzi panguva yekuzvitakura?
Chirwere chinowedzera chinogona kufungidzirwa sechinhu chekunze icho muviri unogamuchira nekuderedza chitunha chayo kuchirwisa. Chirwere chemashuga chinogara chichigadzirisa, chinoziva zvinhu zvekunze uye zvinokurudzira zvirwere zvekuzvidzivirira. Kana chinhu ichocho chekune dzimwe nyika chiri fetus, chirongwa chekuzvidzivirira kwezvirwere zvemuviri, kana kuti "immunosuppression," chinodiwa pakuita pamuviri wakabudirira. Zvisinei, njodzi, asi, ndeyekuti kutora mafungiro ekudzivirira muviri kunobvisa zvose amai uye kukura mumucheche kunotapukira kune zvirwere zvakasiyana-siyana zvinotapukira uye zvinetso zvinowanzoitika mumwana ane utano. Ikoko kunogona kunge kunonoka pakuongorora humwe hutachiona munguva yepakutanga, sezvo kuchena kwakave kwakakwirira, vanaamai vane pamuviri vanofema nokukurumidza uye zvimwe kusuruvara uye kuneta kunogona kufungwa nekuda kwekuita pamuviri panzvimbo yehutachiona.
Ndeapi Ngozi dzeMucheche?
"Kutumira kwemashoko" izwi rinoreva kupararira kwezvirwere kubva kuna amai kusvika kumwana. Zvirwere izvi zvinogona kuitika apo fetus inenge ichiri mudumbu ("mu utero"), panguva yekubata uye kubereka, kana mushure mokuberekwa (sekunge panguva yekuyamwisa).
Zvirwere zvinotevera zvinogona kuparadzirwa kubva kuna amai kusvika kumwana:
Congenital infections (yakapfuura mu utero)
Chirwere chinokonzerwa nehutachiona hutachiona hunodarika muchengeti kuti utapukidze fetus. Zvirwere zvakawanda zvinotapukira zvinogona kukonzera zvirwere zvepabonde, zvinotungamirira kumatambudziko ekukura kwe fetus, kufanana ne microcephaly kana zvimwe zvinokonzera kukura kweuropi, kana kunyange rufu
- TORCH inotsanangurwa yezviverengeka zvezvinowanzobatana nehutano hwepabonde. Izvi ndezvi:
- T oxoplasmosis
- Zvimwe zvirwere (syphilis, hepatitis B, Coxsackie virus , Epstein-Barr virus, varicella-zoster virus (chicken pox), uye vanhu parvovirus )
- Rubella
- Cytomegalovirus (CMV)
- Herpes simplex virus
Munguva pfupi yapfuura takadzidzawo nezvemigumisiro Zika inogona kukonzera kana utachiona hunoitika panguva yekuzvitakura.
Perinatal zvirwere (munguva yebasa uye kutakura)
Perinatal zvirwere zvinotaura nezvehutachiona hunoitika apo mwana anofamba achipfuura nepamuviri ane chirwere. Zvirwere izvi zvinogona kusanganisira, asi hazvirevi kune zvirwere zvepabonde . Somuenzaniso, zvirwere zvinogonawo kuitika kuburikidza nekusvibiswa nehutachiwana panguva yekubereka.
Mienzaniso yehutachiwana hwepininatal ndeyokuti:
- CMV
- Gonorrhea
- Chlamydia
- Herpes simplex virus
- Human Papilloma Virus (genital warts)
- Boka B Streptococci (GBS)
- uye munguva ichangopfuura, Chikungunya
Kune dzimwe zvirwere pamwe chete.
Panogona kuva nezvimwe zvatinodzidza nezvazvo. Zvisinei, nekubatsirwa kwevashandi vehutano, kutapurirwa kwezvirwere izvi kunogona kunyanya kudziviswa (kana ngozi dzinoderedzwa). Mune zvimwe zviitiko izvi zvinogona kureva kurapwa; mune dzimwe nguva zvinogona kureva kuchinja kuti mwana wacho anopiwa sei. Zvakakosha kutaura nachiremba kana mumwe mudzidzisi wehutano pamusoro pezviratidzo zvinoshungurudza kana kuzivikanwa kwezvirwere.
Postnatal infections (mushure mokuberekwa)
Zvirwere zvinopararira kubva kuna amai kusvika kumucheche mushure mokuberekwa dzinozivikanwa se "hutachiona hwepashure." Izvi zvinogona kupararira panguva yekuyamwisa kuburikidza nehutachiona hunopararira hunowanikwa mumabere yeamai.
Mimwe mienzaniso yepachirwere chekuberekwa ndeiyi:
- CMV
- HIV
- Boka B Strep (GBS)
Pamatachiona maviri ekuberekwa uye mushure mekuberekwa, pane ngozi yokuti zvirwere zvingave zvakare kusagadzirwa nemishonga. Mune zvimwe zvirongwa, izvi zvingave nokuti zvirwere zvakagadziriswa mushure mekutaurirana nezvivako zvehutano, asi kwete nguva dzose sezvo pane zvimwe zvikonzero zvakawanda zvekusagadzikana kwezvinodhaka.
Ndeapi Miedzo Iripo?
Kubva pane zvakaitika mune zvehutano zvehutano, zvinokonzera njodzi, uye kutarisana nezvimwe zvirwere zvinotapukira, pamwe chete nemigumisiro inobva kune ultrasound uye kushanyira vana vasati vasvika, chiremba wenyu achaona kana kana musingadi kupinda muchikoro chekuongorora zvimwe zvepabonde zvirwere. Kunyange zvazvo zvirwere zvakasiyana-siyana zvekuongororwa zvinowanika kune hutachiona hwehutachiona, vazhinji vanogadzirisa chirwere vanoedza kuongorora varwere vavo zvichienderana nekuongorora kwavo, kwete kuburikidza nekuongorora nguva dzose.
Munguva ye ultrasound, nyanzvi yakanaka ichakwanisa kuona kusakanganisika kungave kuri kuratidza kubatwa kwepabonde. Anotarisa kusakanganiswa mukubudirira, zvakadai sehukuru hwomwana, hukuru hwemusoro, uyewo kukanganisa kana kuderera kwemoyo, zvikamu, mapapu, kana mimba.
Mushure mokuberekwa, mwana achangoberekwa anonzi ane chirwere chekuberekwa achaongororwa nekuongororwa kwekukura kwake mumuviri uye kuburikidza nokuongororwa kwemairasi ezviropa zvemuviri wehutachiona hweprotein, ma-antibodies, maplatelet, uye masero eropa. Kana zvibvumirano zvikaonekwa, mwana achangoberekwa angangodaro akaongororwa kuvepo kwehutachiona husina kupindirana.
Kana iwe uri nepamuviri uye uine hanya nehutano hwepabonde, bvunza mubatsiri wako wehutano nezvekuda kana uchida kuongororwa zvirwere.
> Sources:
> Ford-Jones, EL naRyan, G. Zvinokonzerwa neHotus of Infernal Infections in Pregnancy. Zvirwere Zvinotapukira, Edition 2. Cohen J naPowderly WG, vaparidzi. Elsevier Limited. 2004.
> Mamwe CA, Playfair JH, Roitt, IM, Wakelin D, Williams R, naAnderson RM. Zvirwere zvepabonde uye zvePininatal. Medical Microbiology. Mosby-Year Book Europe Limited. 1993. pp. 26.1-26.8.