Sɛ wunya rubella bere a wonyinsɛn a, dɛn na ɛba akokoaa no so? Momma yɛnhwɛ Congenital Rubella Syndrome ho asɛm!

Sɛ́ ɛna a ɔbɛyɛ ɛna no, ɛtɔ mmere bi a, sɛ atiridii kyere wo mpo a, ehu ka wo kakra na wo ho yeraw wo? Ɛyɛ ade a ɛyɛ daa yiye. Efisɛ wudwen wo ba a ɔsom bo a ɔwɔ wo yafunu mu no ho pii. Ɛno nti, ɛnnɛ yɛrebɛka sɛdeɛ ɛbɛtumi aka akokoaa a ɔwɔ awotwaa mu no sɛ ɛna no nya rubella wɔ nyinsɛn mu a. Eyi ne nea nnuruyɛfo frɛ no Congenital Rubella Syndrome (CRS) . Ɛwom sɛ edin no ware kakra de, nanso momma yɛnte ase kɛkɛ.

Dɛn ne Congenital Rubella Syndrome?

Sɛ yɛbɛka no tiawa a, congenital rubella syndrome (CRS) yɛ akwahosan ho haw ahorow a ɛba nkokoaa so bere a ɛna a onyinsɛn nya rubella (a wɔsan frɛ no German akisikuru) no. Asɛmfua "congenital" wɔ ha no kyerɛ "wɔ hɔ wɔ awo mu."

Sɛ rubella mmoawa no hyɛn akokoaa no nipadua mu a, ebetumi aka akokoaa no nkɔso wɔ akwan horow so. Saa nsunsuanso ahorow yi betumi de ɔhaw ahorow aba bere a wɔawo akokoaa no akyi mpo. Sɛ nhwɛso no, atiridiinini anaa komayare a wɔde awo obi. Sɛnea CRS mu yɛ den no betumi ayɛ soronko wɔ onipa biara ho. Mpɛn pii no, sɛ ɛna no nya rubella wɔ nyinsɛn no mfiase, titiriw ansa na adapɛn 13 adu a, tebea no mu yɛ den kɛse.

Saa tebea yi abu so dɛn?

Wɔ aman te sɛ Amerika mu no, nnipa a wonya rubella syndrome (CRS) a wɔde awo wɔn no sua koraa efisɛ wɔde rubella vaccine no di dwuma kɛse. Nanso, ɛyɛ asɛm a ɛhaw adwene sɛ, sɛ yɛhwɛ wiase nyinaa a , wɔbɔ CRS nsɛm bɛyɛ 100,000 ho amanneɛ afe biara. Wɔ yɛn man yi mu nso, wɔde rubella vaccine no ka ɔman no vaccination nhyehyɛe no ho, enti wɔadi tebea yi so. Nanso, nhumu ho hia yiye.

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi anya rubella a wɔde awo obi?

CRS tebea yi ho sɛnkyerɛnne ne sɛnea emu yɛ den no betumi ayɛ soronko kɛse wɔ onipa biara mu, sɛnea madi kan aka no. Dodow a ɛna bi nya rubella ntɛm wɔ nyinsɛn mu no, dodow no ara na ɛda adi sɛ akokoaa no benya yare no ho sɛnkyerɛnne a emu yɛ den. Ɛtɔ mmere bi a, sɛ CRS tebea no mu nyɛ den a, ebia sɛnkyerɛnne biara nni hɔ a ɛda adi pefee wɔ awo mu.

Eyinom ne nsɛnkyerɛnne a edi kan a wobetumi ahu bere a wɔawo akokoaa no akyi pɛɛ no ​​bi:

• Awo mu duru a ɛba fam.
• Ɛtɔ mmere bi a, wubetumi ahu nsensanee a ɛyɛ bruu-akuturuku kurukuruwa anaa akisikuru wɔ wo ba no honam ani. Nnipa binom frɛ eyi "blueberry muffin rash" efisɛ ɛte sɛ nsensanee a ɛwɔ blueberry muffin so.
• Nsonsonoe a ɛyɛ kɔkɔɔ, kɔkɔɔ, anaa bruu ne nsensanee a ɛwɔ honam ani (Purpura).
• Akokoaa ti sua sen sɛnea ɛte daa (Microcephaly).

Eyinom yɛ sɛnkyerɛnne afoforo a ebetumi ada adi wɔ akokoaa no awo akyi bere tiaa bi:

• Aniwa a ɛyɛ mmerɛw a wonya fi awo mu ne aniwa mu nhyɛso a ɛkɔ soro (Glaucoma).
• Komayare a Wɔde Awo Wɔn. Eyinom ahorow ahorow wɔ hɔ. Sɛ nhwɛso no, ntokuru a ɛda koma no adan ntam (Ventricular Septal Defects, Atrial Septal Defects), ɔhaw ahorow a ɛwɔ mogya ntini a ɛwɔ koma no mu (Patent Ductus Arteriosus, Peripheral Pulmonary Artery Stenosis) ne nea ɛkeka ho Nnuruyɛfo bɛkyerɛkyerɛ eyinom mu akyerɛ wo kɔ akyiri.
• Nkɔso a Ɛkyɛ: Eyi kyerɛ sɛ akokoaa no ka akyi wɔ ɔwea, ɔtra ase, nantew, na ɔkasa mu, sɛnea ɛfata ne mfe.
• Mmɛn anaa akyi berɛmo a ɛyɛ kɛse (Hepatosplenomegaly).
• Aso a ɛyɛ mmerɛw. Ɛtɔ mmere bi a, eyi betumi akɔ so akodu asotifo koraa.
• Hemolytic anemia fi mogya mu nkwammoaa kɔkɔɔ a ɛpaapae.
• Adwene mu Mmofra a Wɔadi M dɛm.
• Ahurututu mu yare.
• Amemene no ne meninges a ɛyɛ hyew (Meningoencephalitis).
• Pigmentary Retinopathy a Ɛyɛ Fɛ a Ɛyɛ Fɛ.
• Nnompe mu nyarewa.
• Ntini a ɛma mogya tu a ahonhon.

Nea ɛho hia: Nkokoaa a wɔwo wɔn a wɔwɔ Congenital Rubella Syndrome (CRS) no wɔ asiane kɛse mu sɛ wobenya asikreyare a egyina insulin so ne thyroid yare akyiri yi.

Dɛn nti na ɛte saa?

Ade titiriw a ɛde congenital rubella syndrome (CRS) ba ne sɛ wunya rubella bere a woanyinsɛn no. Afei rubella mmoawa no fi ɛna no mu fa awotwaa no mu na ɛka akokoaa a ɔwɔ awotwaa no mu no. Saa mmoawa yi betumi asɛe akokoaa no nkwammoaa na aka akwaa ahorow a ɛwɔ akokoaa no mu no nkɔso. Eyi nti na akwahosan ho haw ahorow bi wɔ hɔ a ɛba bere a wɔawo no no.

Susuw sɛnea asiane yi te ho hwɛ:

• Sɛ ɛna no nya rubella wɔ nyinsɛn no adapɛn 12 a edi kan no mu a , CRS betumi aka mmofra a wɔawo wɔn foforo bɛyɛ 85% .
• Sɛ nya bi wɔ nyinsɛn no adapɛn 13 kosi 16 ntam a , ebetumi aka mmofra a wɔawo wɔn foforo no mu bɛyɛ 50% .
• Sɛ nya bi wɔ ɔsram abiɛsa a ɛto so abien no fã a ɛto so abien mu a , ebetumi aka mmofra a wɔawo wɔn foforo bɛyɛ 25% .

Rubella yɛ yareɛ a mmoawa bi a wɔfrɛ no `(RuV)` na ɛde ba. Nsɛnkyerɛnne titiriw ne akisikuru kɔkɔɔ a ɛyɛ yaw a ɛtaa fi ase wɔ anim na ɛtrɛw kɔ nipadua no nyinaa mu. Mprempren eyi ntaa mma aman pii mu esiane nnuru a wɔde bɔ nkurɔfo ho ban nti. Nanso, rubella da so ara wɔ wiase mmeae bi.

So nkokoaa a wɔwɔ CRS betumi atrɛw yare no mu?

Yiw, ɛno ho hia. Nnuruyɛfo bu akokoaa a ɔwɔ awo mu rubella syndrome sɛ anyɛ yiye koraa no, obi betumi anya ɔyare no afe biako. Nanso, sɛ akokoaa no adi asram 3 na rubella nhwehwɛmu abien, a ɛda ɔsram biako ntam no san ba `negative` (a ɛkyerɛ sɛ mmoawa no nni hɔ), ɛnde ɔnyɛ ɔyare mmoawa bio. Enti, ɛsɛ sɛ wɔhwɛ yiye titiriw na wɔabɔ afoforo ho ban wɔ saa bere no mu.

Wobɛyɛ dɛn ahu CRS tebea yi?

Akwan pii wɔ hɔ a wɔfa so hu congenital rubella syndrome:

• Nyinsɛn mu nhwehwɛmu: Wɔ aman pii mu no, ɛyɛ adeyɛ a wɔtaa yɛ sɛ wɔbɛhwehwɛ rubella ne nyarewa afoforo pii mu wɔ nyinsɛn mfiase. Sɛ wunya rubella ho sɛnkyerɛnne bere a wonyinsɛn a, wo duruyɛfo bɛhyɛ sɛ wɔnyɛ nhwehwɛmu mfa nkyerɛ sɛ woahu. Afei wɔbɛkyerɛkyerɛ asiane a ɛwɔ hɔ sɛ wo ba no benya CRS mu akyerɛ wo.
• Awotwaa mu yare a wohu bere a wonyinsɛn: Sɛ wunya rubella bere a wonyinsɛn a, ebia wo duruyɛfo bɛkamfo nhwehwɛmu titiriw bi akyerɛ sɛ ebia mmoawa no atrɛw akɔ wo ba no mu anaa. Sɛ nhwɛso no, amniocentesis, chorionic villus a wɔfa, ne awotwaa mu mogya a wɔfa. Eyinom yɛ nhwehwɛmu a emu yɛ den kɛse, na sɛ ɛho hia nkutoo a wo duruyɛfo bɛyɛ.
• Awo akyi a wohu: Sɛ wɔwo akokoaa no wie a , wobetumi ayɛ mogya mu nhwehwɛmu (ELISA nhwehwɛmu) de ahwɛ sɛ ebia nipadua mu nkwammoaa a ɛko tia rubella mmoawa no wɔ akokoaa no mogya mu anaa. Wobetumi nso asɔ nsu a wɔde yɛ nsu, nnompe, anaa hwene mu aduru ahwɛ sɛ ebia akokoaa no wɔ rubella mmoawa no anaa. Oduruyɛfo no betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu ahorow yi sɛ wonim sɛ ɛna no nyaa rubella bere a na ɔyem, anaasɛ sɛ akokoaa no reda CRS ho sɛnkyerɛnne adi a.

Sɛ wohu sɛ wo ba no anya rubella a, nnuruyɛfo kuw no bɛkamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu foforo pii mfa nhwɛ akokoaa no akwahosan nyinaa na wɔahu akwahosan ho haw afoforo a ebia CRS de aba.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Nea ɛyɛ awerɛhow no, wonni aduru anaa ayaresa biara a wɔde sa congenital rubella syndrome (CRS). Afei nso, nea efi mu ba no bi te sɛ aso a ɛyɛ mmerɛw ne adwene mu dɛmdi no yɛ nea ɛtra hɔ daa, a ɛkyerɛ sɛ ɛtra hɔ nkwa nna nyinaa. Nanso, wobetumi adi sɛnkyerɛnne ahorow bi te sɛ mogya a ɛtɔ kɔ mogya mu ne ahurututu mu yare a ɛwɔ ntam no ho dwuma anaasɛ wɔasa. Wobetumi de oprehyɛn nso asa komayare ahorow bi.

Wo ba no aduruyɛ kuw no bɛyɛ ayaresa nhyehyɛe pɔtee bi a egyina wo ba no yare no ho sɛnkyerɛnne ne n’ahiade so. Ebia eyi bɛhwehwɛ sɛ nnuruyɛfo atitiriw pii boa wɔn.

Sɛ me ba no wɔ CRS a, dɛn na ɛsɛ sɛ mehwɛ kwan?

Congenital rubella syndrome nka akokoaa biara wɔ ɔkwan koro so, na sɛnea emu yɛ den no betumi ayɛ soronko. Ɛbɛgye sɔhwɛ ne nhwehwɛmu ahodoɔ pii na ama woate sɛdeɛ CRS aka wo ba no ase yie. Ebetumi ayɛ adeyɛ a egye bere pii. Nanso ɛnyɛ wo nkutoo na wowɔ saa akwantu yi mu. Wo ba no aduruyɛ kuw no bɛka wo ho wɔ anammɔn biara a wobɛtu mu, akyerɛkyerɛ nea CRS yɛ ne sɛnea ɛbɛka wo ba no daakye ne w’abusua mu.

So metumi asiw CRS tebea yi ano?

Aane! Eyi ne ade a ɛho hia sen biara. Congenital Rubella Syndrome (CRS) yɛ tebea a wobetumi asiw ano kɛse!

Ɔkwan pa a wobɛfa so ayɛ eyi ne sɛ wobɛbɔ wo ho ban afi rubella mmoawa no ho ansa na woanyinsɛn. Ɛno kyerɛ sɛ wobenya rubella vaccine no.

Wɔ Sri Lanka no, yɛma mmofra MMR vaccine a ɛbɔ wɔn ho ban fi akisikuru, akisikuru ne rubella ho. Wɔtaa de dodow a edi kan no ma bere a wɔadi asram 9-12 ne nea ɛto so abien no bere a wɔadi mfe 3 (saa mmere yi betumi ayɛ soronko kakra a egyina ɔman no mu nnuru a wɔde bɔ nkurɔfo ho ban nhyehyɛe so, enti hwehwɛ wo mpɔtam hɔ akwahosan sohwɛfo nkyɛn).

Sɛ woannya vaccine no bere a woyɛ abofra, anaasɛ wunnye nni wɔ ho a, ɛho hia sɛ wo ne wo duruyɛfo kasa fa sɛnea wubenya no mprempren ho. Sɛ wonya vaccine no sɛ ɔpanyin a, kae sɛ wobɛkwati sɛ wubenyinsɛn nnafua 28 (bɛyɛ ɔsram biako) bere a woanya vaccine no akyi. Eyi yɛ afotu a ɛho hia paa.

Mɛyɛ dɛn ahwɛ me ba a ɔwɔ CRS no?

Ɛdenam akwahosan ho haw ahorow a wo ba no wɔ wɔ CRS ho so no, ebia obehia ayaresa ne ayaresa a ɛkɔ so bere a ɔrenyin no. Ɛho hia sɛ wobɛkamfo wo ba no na woahwɛ ahu sɛ obenya ayaresa ne mmoa a eye sen biara a ohia. Eyi bɛboa wo ba no ma watra ase yiye.

Congenital rubella syndrome yɛ tebea a ebetumi anya akokoaa akwahosan so nkɛntɛnso kɛse. Nanso asɛmpa no ne sɛ wobetumi de rubella vaccine (MMR vaccine) asiw ano kɛse. Bere biara a ɛbɛyɛ yiye no, kɔ wo duruyɛfo nkyɛn ansa na woanyinsɛn na ama woahwɛ ahu sɛ wɔabɔ wo ho ban afi rubella ne nyarewa afoforo a wɔde yare mmoawa ba ho. Ɛyɛ mmoa kɛse ma wo ne wo ba no.

Nneɛma a ɛho hia sen biara a ɛsɛ sɛ wode sie w’adwenem (Take-Home Message) .

Nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ wokae fi nea yɛaka ho asɛm no mu:

• Congenital rubella syndrome (CRS) yɛ tebea a emu yɛ den a ebetumi aba akokoaa mu sɛ ɛna a onyinsɛn nya rubella a.
• Eyi betumi ama akokoaa no anya akwahosan ho haw ahorow (aniwa, aso, koma, amemene) fi n’awo mu.
• Ade a ɛho hia ne sɛ wobetumi de MMR vaccine no asiw eyi ano kɛse.
• Sɛ worehwɛ akokoaa kwan a, bisa wo duruyɛfo sɛ wɔabɔ wo ho ban afi rubella ho ansa na woanyinsɛn . Sɛ ɛho hia a, nya vaccination.
• Sɛ wonya MMR vaccine no a, kwati sɛ anyɛ yiye koraa no wubenyinsɛn ɔsram biako.
• Sɛ woanyinsɛn dedaw na wususuw sɛ wowɔ rubella a, hwehwɛ aduruyɛfo afotu ntɛm ara.

Yɛwɔ anidaso sɛ saa nsɛm yi so bɛba wo mfaso. Abusua a ɛwɔ apɔwmuden ne anigye a ɛsen biara!

` Awosu mu Rubella Syndrome, CRS, Rubella, German Akisikuru, Nyinsɛn, Rubella vaccine, MMR vaccine, Mmofra akwahosan, Awo mu nyarewa