Ne vidada si ava zu viwòe nènye la, ɖewohĩ àbu viwò si le dɔ me ƒe dedienɔnɔ ŋu geɖe. Le nyateƒe me la, nu aɖewo siwo nèdo goe le fufɔɣi ate ŋu agblẽ nu le viwòa ŋu. Egbea míele nu ƒom tso nu mawo tɔgbe ŋu, siwo le atikewɔwɔ ŋuti dzɔdzɔmeŋutinunya me míeyɔna be ‘teratogens’.
Nukae nye teratogen sia?
Kpuie ko la, teratogens nye nusiwo ne woɖu wo alo wodo go wo le fufɔɣi la, ate ŋu ahe dɔléle siwo wodzina vɛ na wò fugboe alo fugboe si le tsitsim. Esiawo ate ŋu anye atikewo, atikewo , dɔlékui aɖewo, kple aɖinuwo . Teratogens ate ŋu ana fuɖeɖe , vidzidzi kaba, alo vi kuku gɔ̃ hã ƒe afɔkua nadzi ɖe edzi .
Aleke wowɔna nyaa afɔku si le teratogen ŋu?
Fifia, alesi gbegbe afɔku le teratogen zazã me nɔ te ɖe nu geɖe dzi:
- Atike, atike, alo aɖi ka ƒomevie wònye mehiã o. Menye nusianue kpɔa ŋusẽ ɖe ame dzi ɖekae o.
- Ɣeyiɣi didi kae nènɔ eŋu? Ðe wònye ɣeyiɣi kpui aɖe, ŋkekewo, ɣletiwoa?
- Agbɔsɔsɔme (agbɔsɔsɔme alo agbɔsɔsɔme) si woatsɔ awɔ dɔe. Agbɔsɔsɔ sue aɖe loo alo agbɔsɔsɔ gã aɖee?
- Ƒe si fufɔfɔ xɔ nye kwasiɖa agbɔsɔsɔme si vidzĩa nɔ vidzidɔ me esime wodoe ɖe go. Esia le alea elabena ɣeyiɣi aɖewo li siwo me vidzĩa ƒe ŋutinu vovovoawo tsina.
- Domenyinu ate ŋu ana vidzĩ ƒe afɔkua nadzi ɖe edzi. Ɣeaɖewoɣi la, domenyiŋusẽfianu ƒe ŋusẽkpɔɖeamedzi ate ŋu anɔ anyi.
Eyata anyo wu be nànɔ adzɔge tso teratogens ƒomevi siawo gbɔ le fufɔɣi katã alesi nàte ŋui. Gake wo zazã le vidzĩ ƒe tsitsi ƒe ɣeyiɣi aɖewo me ate ŋu agblẽ nu le ame ŋu vevietɔ .
Aleke gbegbee vidzidzi ƒe gbɔdzɔgbɔdzɔ siwo teratogens hena vɛ bɔe?
Numekukuwo ɖee fia be vidzidzi ƒe gbɔdzɔgbɔdzɔwo ƒe 4% va ɖo 5% tsoa teratogens zazã gbɔ. Eye wokpɔe hã be teratogen siawo zazã kpɔa ŋusẽ ɖe ɖevia ƒe susu kple ŋutilã ƒe tsitsi dzi . Eyata, esia menye nusi woabu nu tsɛe o, alo?
Nukawoe nye teratogens ƒe kpɔɖeŋuwo?
Teratogens nye nusiwo ate ŋu agblẽ nu le vidzĩ ŋu le fufɔɣi. Numekukuwo ɖee fia be woate ŋu ahe vidzidzi ƒe gbɔdzɔgbɔdzɔ vɛ, ana fuɖeɖe, vi kuku, alo fufɔfɔ ƒe kuxi bubuwo nadzi ɖe edzi . Na míalé ŋku ɖe eƒe kpɔɖeŋu vevi aɖewo ŋu.
Aha, sigaret, kple modzakaɖetikewo
Esiawoe nye teratogen ƒomevi siwo ame akpa gãtɔ nya nyuie.
- Ahanono: Ahanono gblẽa nu le vidzĩa ƒe lãmekawo ƒe dɔwɔwɔ ŋu . Ahanono le fufɔɣi nana nɔnɔme aɖe si woyɔna be Fetal Alcohol Syndrome ƒe afɔkua dzina ɖe edzi. Esia ate ŋu ana vidzĩa ƒe mo ƒe dzedzeme si mebɔ o, ta kple ahɔhɔ̃ nanɔ sue, eye ŋutilã kple agbenɔnɔ me kuxi bubuwo hã nanɔ eŋu.
Aha agbɔsɔsɔme aɖeke meli si woate ŋu abu be ele dedie le fufɔɣi o.
- Sigaret: Sigaretnono ate ŋu ana fugboea naxe mɔ ɖe tsitsi nu, vidzidzi ƒe kpekpeme naɖiɖi, eye wòaɖe fu. Sigaretnono gblẽa nu le vidzĩa ƒe lãkusi kple ahɔhɔ̃ si sea nu gɔme hã ŋu.
- Atike vɔ̃ɖiwo: Atikewo abe cocaine, methamphetamines, heroin, kple marijuana ene siwo wozãna le fufɔɣi ate ŋu ana vidzidzi ƒe kpekpeme naɖiɖi, dzidɔ, kple nɔnɔme si woyɔna be Neonatal Abstinence Syndrome. Atikewo zazã ƒe asiɖeɖe le eŋu nye vevesese si dona tso eme ne wodzi vidzĩ. Azɔ hã, aŋe siwo wozãna ɖekae ate ŋu ahe dɔlékuiwo vɛ.
Atikewo
Wobua atike aɖewo siwo womeƒlena le atikedzraƒe o kple esiwo woŋlɔ na amewo be wonye teratogens. Eyata ele vevie be nàgblɔ atike siwo katã zãm nèle la na wò ɖɔkta. Ne èle atike alo kpeɖeŋutɔ siwo womeƒlena le atikedzraƒe o ƒlem la, xlẽ nusi woŋlɔ ɖe edzi nyuie. Ne ètsi dzi ɖe atike aɖe ƒe dedienɔnɔ ŋu la, ƒo nu kple wò ɖɔkta enumake. Anyo wu be nàdzudzɔ ezazã vaseɖe esime nàxɔ eƒe aɖaŋuɖoɖo.
Atike siwo ate ŋu anye teratogenic ƒe kpɔɖeŋu aɖewoe nye:
- Atike siwo tsia asrãdɔ nu (AEDs) .
- Dɔlékuiwutikewo
- Anticoagulants (ʋumenugbagbeviɣitikewo) .
- Atike siwo wozãna tsɔ tsia ʋumenugbagbeviɣidɔ nu
- Vitamin A (si bɔ ɖe ŋutigbalẽtike aɖewo me) .
- Lãmetsiŋusẽtikewo
Bu eŋu kpɔ, asrãdɔ le ŋuwò, eye nèno atike abe `(Phenytoin)` ene ɖe eta. Ate ŋu agblẽ nu le vidzĩa ŋu, gake atike ma ate ŋu anɔ vevie na wò agbe. Le ɣeyiɣi siawo tɔgbe me la, ɖɔktawo daa atike la nono ƒe viɖe kple kuxiwo kpɔna eye wowɔa nyametsotso siwo me afɔku boo aɖeke manɔ o le fufɔɣi.
Aleke woda atikewo ƒe dedienɔnɔ ɖe hatsotsowo me le fufɔɣi?
United States ƒe Nuɖuɖu Kple Atike Ŋuti Dɔwɔƒe (FDA) to ɖoɖo aɖe vɛ be woatsɔ ade atikewo ƒe afɔkuwo me le fufɔɣi. Ha atɔ̃e nɔ esi: A, B, C, D, kple X.
Le ƒe 2015 me la, woto ɖoɖo yeye aɖe si woyɔna be Fufɔfɔ Kple No Nana ƒe Dzesidede Se (PLLR) vɛ. Esia ɖe ŋɔŋlɔdzesiwo ƒe hatsotso siwo nɔ anyi va yi ɖa. PLLR ɖoɖoa naa nyatakaka siwo ɖɔktawo hiã be woawɔ nyametsotsowo ne wole vidada funɔwo alo vidada siwo le no nam wo viwo dam. Ebua nu bubu geɖewo ŋu eye wòtsɔa nyatakakaawo ɖoa nɔnɔme nyuitɔ me na ɖɔktawo.
Nu nyuitɔ si nàwɔe nye be nàna wò dɔnɔdzikpɔla do ŋgɔ na vidzidzi natso nya me le atike aɖe ƒe dedienɔnɔ ŋu le woƒe nunya nu.
Dɔlékuiwo kple dɔlékuiwo
Dɔlékuiwo, dɔlékuiwo, dɔlékuiwo, kple dɔlékuiwo ƒe dɔléle bubuwo ate ŋu anye afɔku gã aɖe na funɔ kple via si le dɔme. Kpukpui `(TORCH)` kpena ɖe ame ŋu be woade dɔlékui siawo dometɔ aɖewo hatsotsowo me:
- T – `(Toxoplasmosis)` (dɔlékui si kaka to avu ƒe aɖuɖɔ me) .
- O – Dɔlékui bubuwo – le kpɔɖeŋu me, Ƒuƒoƒo B Streptococcus, Listeria, Candida kple gbɔdɔdɔ ƒe dɔlékuiwo (STIs).
- R – `(Rubella)` (Rubella) ƒe amegã.
- C – `(Lumenugbagbeviwo ƒe dɔlékui – CMV)` (Lumenugbagbeviwo ƒe dɔlékui) .
- H – `(Herpes Simplex Dɔlékui)` (Herpes Simplex Dɔlékui)
- Tsɔ kpe ɖe esia ŋu la, dɔlélewo abe `(Syphilis)` hã ateŋu age ɖe hatsotso sia me.
Dɔlékui kple dɔlékui bubu siwo ate ŋu ahe kuxiwo vɛ le fufɔɣi alo kuxiwo na vidzĩa dometɔ aɖewoe nye:
- Koklozi kple shingles
- Aklãdɔléle B, Aklãdɔléle C kple dɔlékuiwo ƒe aklãdɔléle bubuwo
- HIV `(HIV)`
- Dɔléle atɔ̃lia
Aɖi siwo le nutoa me, atikewo, alo ŋutilãmenu bubuwo
Atike kple aɖi aɖewo ate ŋu ahe vidzidzi ƒe gbɔdzɔgbɔdzɔ vɛ. Vidzidzi ƒe gbɔdzɔgbɔdzɔ siawo ate ŋu anye akɔta ƒe ʋuʋu, aɖu ƒe gbagbã, alo lãmekawo ƒe dɔwɔwɔ ƒe kuxiwo. Aɖi alo atike siawo ƒe kpɔɖeŋu aɖewoe nye:
- Kekeli (e.g., tso X-ray me) alo atikewo zazã
- Tsi dzodzoewo, sauna, alo dzoxɔxɔtsoƒe bubu siwo nana wò ŋutilã ƒe dzoxɔxɔ dzina ɖe edzi
- Mercury (si wokpɔna le tɔmelã ƒomevi aɖewo me) .
- Lead (woate ŋu akpɔe le amadede kple pɔmpiwo me le aƒe xoxowo me) .
- Atike siwo me aɖi le alo ga kpekpewo le dɔwɔƒewo alo dɔwɔƒewo
Atikewɔwɔ me nɔnɔme siwo nɔa anyi didi
Dɔléle sesẽ aɖewo siwo le ŋuwò hã ate ŋu ana viwòa ƒe vidzidzi ƒe nuwɔametɔnyenye ƒe afɔkua nadzi ɖe edzi. Kpɔɖeŋu aɖewoe nye suklidɔ, lãkusidɔ, kple dɔléle siwo dɔlélenutsiŋutete ŋutɔ wɔna abe lupus alo ƒunukpeƒetetedɔ ene. Zi geɖe la, afɔku si dzina ɖe edzi be woaxɔ teratogens la tsoa atike siwo wozãna tsɔ daa dɔléle siawo gbɔ, alo tso atikewɔwɔ me nɔnɔme siwo dzi womeɖu nyuie o gbɔ.
Ele vevie be nàƒo nu tso dɔléle ɖesiaɖe si nɔ ŋuwò do ŋgɔ kple atike siwo nènona na wo ŋu na wò ɖɔkta. Ðewohĩ ahiã hã be nàtrɔ alesi nèkpɔa wò dɔléle siwo nɔa anyi didi gbɔe le fufɔɣi.
Ɣekaɣie teratogens zazã le fufɔɣi vɔ̃ɖi wu?
Teratogens zazã gblẽa nu le ame ŋu ɣesiaɣi le fufɔɣi. Gake afɔkua lolo vie le fufɔfɔ ƒe kwasiɖa enyi gbãtɔwo me. Esia le alea elabena vidzĩa ƒe ŋutinuwo kple dɔwɔɖoɖo geɖe le tsitsim le ɣeyiɣi sia me, si wɔe be vidzĩa sea veve ɖe teratogens ƒe nugbegblẽwo nu. Numekukuwo ɖee fia be teratogens ate ŋu akpɔ ŋusẽ ɖe vidzĩa dzi le fufɔfɔ megbe kwasiɖa eve, ne tsinyenye na azi.
Le kpɔɖeŋu me, ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie (NTD) dzɔna do ŋgɔ na fufɔfɔ ƒe kwasiɖa atɔ̃. Ahɔhɔ̃mekawoe nye afisi ahɔhɔ̃ kple aklã ƒe ka dzɔna le. NTD-wo dzɔna ne ahɔhɔ̃mekawo metu nyuie o. Esia ate ŋu ahe vidzidzi ƒe gbɔdzɔgbɔdzɔ vovovowo vɛ.
Vidzidzi ƒe gbɔdzɔgbɔdzɔ kawoe teratogens hena vɛ?
Wonya be teratogens hea vidzidzi ƒe gbɔdzɔgbɔdzɔ geɖe vɛ. Wo dometɔ aɖewo siwo bɔ wue nye:
- Kuxi siwo le ahɔhɔ̃ alo aklã ŋu, le kpɔɖeŋu me, ahɔhɔ̃a ƒe anyimanɔmanɔ ƒe akpa aɖe alo keŋkeŋ (anencephaly) .
- Ŋutilã alo wɔwɔme ƒe gbɔdzɔgbɔdzɔ, e.g., ƒu suewo alo ŋutilã ƒe akpa siwo bu
- Nuyi kple aɖu si me mã
- Susu ƒe dɔmawɔmawɔ nyuie alo lãmekawo ƒe dɔwɔwɔ ƒe kuxiwo (susu ƒe dɔmawɔmawɔ nyuie) .
- Dzitodzito me nyawo alo dzidɔ
Aleke woawɔ aƒo asa na teratogens le fufɔɣi?
Mɔ nyuitɔ si dzi nàto aƒo asa na teratogens enye be nàwɔ ɖoɖo do ŋgɔ, ne anya wɔ. Ne èle ɖoɖo wɔm ɖe fufɔfɔ ŋu la, àte ŋu akpɔ nɔnɔme siwo nɔa anyi didi gbɔ eye nàwɔ tɔtrɔwo le agbenɔnɔ me, abe atamanono dzudzɔ ene.
Gake menye ɣesiaɣie esia ate ŋu adzɔ o. Ne ènya fɔ fu ko la, nu geɖe li nàte ŋu awɔ atsɔ aɖe afɔku si le teratogens zazã me dzi akpɔtɔ:
- Ðo dze kple wò ɖɔkta tso atike ɖesiaɖe si nàno ŋu.
- Ƒo asa na atamanono, ahatsunono, kple modzakaɖetikewo kura.
- Mègano nunyiametike aɖeke, atike siwo womeƒlena le atikedzraƒe o, alo atike siwo woŋlɔ na wò ne mèbia wò ɖɔkta o.
- Ƒo asa na avuwo ƒe gbeɖuɖɔɖakawo ŋu kɔklɔ.
- Ƒo asa na tsi dzodzoewo, sauna, kple nusianu si ana wò ŋutilã ƒe dzoxɔxɔ nadzi ɖe edzi.
- Ƒo asa na tɔmelã siwo me mercury sɔ gbɔ ɖo, abe tuna kple swordfish ene, ɖuɖu.
- Ðo dze kple wò dɔdzikpɔla alo amewo ƒe dɔwɔƒe tso atike siwo gblẽa nu le ame ŋu le wò dɔwɔƒe ŋu.
Ele vevie be nàʋu wò dzi me ahaɖi anukware na wò vidzidziŋutinunyala le fufɔɣi. Esia lɔ nyateƒea gbɔgblɔ tso aha sesẽ alo atike vɔ̃ɖi zazã ɖesiaɖe si le fu ɖem na ŋu ɖe eme. Wole afima be yewoakpe ɖe ŋuwò nàfɔ fu si le dedie eye wòle lãmesẽ me. Mègavɔ̃ be yeabia yeƒe ɖɔkta hafi ano atike alo kpeɖeŋutɔ aɖeke o. Anyo wu be nàɖɔ ŋu ɖo geɖe wu le fufɔɣi.
Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui
Viwò si le dɔ me takpɔkpɔ tso teratogens me le fufɔɣi ate ŋu akpe ɖe ŋuwò nàxe mɔ ɖe vidzidzi ƒe gbɔdzɔgbɔdzɔwo nu. Afɔɖeɖe gbãtɔe nye be nànya be nu gblẽnu aɖewo ate ŋu ato viwò si le dɔme me eye woakpɔ ŋusẽ gbegblẽ ɖe eƒe tsitsi dzi. Ƒo asa na teratogens ate ŋu akpe ɖe viwòa ŋu wòafɔ fu le lãmesẽ me eye wòana viwòa nadze agbe gɔme nyuie.
Ðo dze kple wò ɖɔkta gaglãa tso atike siwo nènona, wò ahanono, kple nɔnɔme siwo le wò dɔwɔƒe alo afisi nèle ŋu. Ate ŋu aɖo wò biabia siwo ku ɖe nusiwo ate ŋu ahe vidzidzi ƒe nuwɔametɔnyenye vɛ kple alesi nàkpɔ ɖokuiwò kple viwòa tae ŋu la ŋu.











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