Pono anei kāu pēpē e makaʻala e pili ana i kēia mau maʻi TORCH? E kamaʻilio kākou!

Inā he makuahine hānau ʻoe a i ʻole e manaʻo ana i kahi lālā hou e hui pū me kou ʻohana, pono ʻoe e noʻonoʻo nui e pili ana i ke olakino o kāu keiki liʻiliʻi i loko o ka ʻōpū, ʻeā? I kekahi manawa, me ka ʻike ʻole ʻia e mākou, hiki i kekahi mau maʻi ke hoʻopilikia i kā mākou mau pēpē. ʻO ia kekahi o nā ʻano maʻi a mākou e kamaʻilio ai i kēia lā.

He aha nā maʻi TORCH?

I ka ʻōlelo maʻalahi, ʻo nā maʻi TORCH he hui o nā maʻi lele e hiki ke hoʻopilikia i ka ʻōpū a i ʻole ka pēpē hānau hou. Inā loaʻa iā ʻoe kahi maʻi TORCH, hiki ke hoʻoili ʻia i kāu pēpē i ka wā hāpai, i ka wā hānau, a ma hope paha o ka hānau ʻana.

E hoʻomanaʻo, ʻaʻole like ka palekana o nā pēpē hānau hou i nā maʻi e like me nā pākeke. No laila, hiki i kēia mau maʻi TORCH ke hoʻoulu i nā pilikia i ka wā hāpai a pale i nā ʻōpū o ka pēpē mai ka ulu pono ʻana. ʻO ka nui o ka hopena o ka pēpē e pili ana i ke ʻano o ka maʻi a me ke kahua o ka ulu ʻana o ka pēpē i ka wā i loaʻa ai ka maʻi. ʻO ka maʻamau, ʻoi aku ka ʻino o nā maʻi ʻē aʻe i nā wā mua o ka hāpai ʻana. No laila, he mea nui loa ka ʻimi ʻana i ke kōkua lapaʻau i ka wā hikiwawe.

He aha ka manaʻo o TORCH? He aha nā maʻi i loko?

He huaʻōlelo pōkole ʻo TORCH. Pili ia i kēia hui o nā maʻi. E nānā kākou i ke ʻano o lākou:

• T - ʻO ia hoʻi ʻo Toxoplasmosis .
• ʻO - ʻO kēia ke kū nei no nā maʻi ʻē aʻe . ʻO ia hoʻi nā maʻi e like me ka HIV, Syphilis, Parvovirus B19, i ʻike ʻia hoʻi ʻo ka maʻi ʻelima, Varicella (Chickenpox), a me ka maʻi Zika.
• R - ʻO Rubella kēlā. Kāhea ʻia hoʻi ʻo German measles.
• C - ʻO Cytomegalovirus (CMV) kēia.
• H - ʻO ka hope loa, ʻo ka Herpes Simplex Virus (HSV) .

Ua maopopo iā ʻoe i kēia manawa nā maʻi i hōʻike ʻia e nā leka ma ka huaʻōlelo TORCH?

Pehea e loaʻa ai i kahi keiki ka maʻi TORCH?

Hiki i nā pēpē ke loaʻa i kēia mau maʻi ma nā ʻano ʻekolu:

1. Ma o ka Placenta: Hele kekahi mau maʻi mai kou koko a i ke koko o kāu pēpē ma o ka placenta. Hana ʻia kēia i ka wā hāpai. ʻO ka placenta kahi e loaʻa ai i ka pēpē ka oxygen, nā meaʻai, a me ke koko.

2. I ka wā hānau: I ka wā hānau maʻamau, ʻo ia hoʻi, ma o ka vagina, hiki ke laha kekahi mau maʻi TORCH i ka pēpē.

3. Ma hope o ka hānau ʻana: Inā ʻoe e hānai waiū ana i kāu pēpē, hiki ke hoʻoili ʻia kekahi mau maʻi i kāu pēpē ma o ka waiū umauma.

Pehea ka maʻamau o nā maʻi TORCH? Hiki iā lākou ke hoʻoulu i ka hāʻule ʻana o ka naʻau?

ʻO nā maʻi TORCH ke kumu o 2% a me 3% o nā ʻano maʻi hānau (nā kūlana i loaʻa i ka wā hānau).

ʻAe, ʻo ke kaumaha, hiki i nā maʻi TORCH ke hoʻoulu i ka hānau mua ʻana, ka palena o ka ulu ʻana o loko o ka ʻōpū, a i ʻole ka hāʻule ʻana o ka naʻau.I kekahi manawa, ʻoiai ma hope o 20 mau pule, hiki i ka pēpē ke make (hānau make). No laila he mea nui loa ka makaʻala i kēia.

He aha nā hōʻailona o ka maʻi TORCH?

ʻOiai ke ʻokoʻa o nā hōʻailona kikoʻī ma muli o ke ʻano o ka maʻi, he nui nā ʻano maʻamau o nā maʻi TORCH:

• Kuni, palaualelo, makemake ʻole ka pēpē e inu i ka waiū.
• ʻŌpū ʻino .
• Kaumaha hānau haʻahaʻa.
• Ka hemahema o ka lohe.
• He ʻauwai i loko o ka puʻuwai i pani pono ʻole ʻia (Patent Ductus Arteriosus - PDA) .
• Nā kiko ʻulaʻula liʻiliʻi a ʻeleʻele paha ma ka ʻili (i kapa ʻia hoʻi he purpura ).
• Nā kiko polū/poni i kapa ʻia ʻo "blueberry rash".
• ʻO ka pehu ʻana o ke akepaʻa a me ka spleen (Hepatosplenomegaly) .
• Nā maʻi cataract .
• ʻOi aku ka liʻiliʻi o ke poʻo ma mua o ka maʻamau (Microcephaly) .

Ma hope o 2 mau makahiki, hiki ke ʻike ʻia nā hōʻailona aʻe:

• Ka nalowale ʻana o ka ʻike.
• Ka nalowale o ka lohe.
• Loaʻa nā maʻi ʻōʻili, e like me ka epilepsy.
• Nā pilikia aʻo.

He aha ke kumu o nā maʻi TORCH?

ʻOkoʻa ke ʻano o ka ulu ʻana o ka maʻi TORCH ma muli o ka maʻi. E nānā kākou pehea.

ʻO ka Toxoplasmosis

He maʻi kēia i hoʻokumu ʻia e kahi parasite. Hiki ke loaʻa iā ia mai ka ʻai ʻana i ka ʻiʻo i moʻa ʻole ʻia a i ʻole mai ka ʻike ʻana i nā ʻōpala pōpoki. Inā he pōpoki kāu ma ka home, pono ʻoe e makaʻala i ka wehe ʻana i kona ʻōpala. Inā hāpai ʻoe, ʻoi aku ka maikaʻi o ka hāʻawi ʻana i kēia hana i kekahi.

Nā maʻi ʻē aʻe

ʻO kekahi hui o nā maʻi e hoʻomaka me ka leka "O" ma TORCH:

• HIV: He maʻi kēia i laha ma o ka moekolohe a i ʻole ma o ka launa pū ʻana me ke koko i loaʻa i ka maʻi HIV (no ka laʻana, ka kaʻana like ʻana i nā nila). Hiki ke hoʻoili pinepine ʻia i ka pēpē i nā mahina ʻekolu hope o ka hāpai ʻana, i ka wā hānau, a ma hope paha o ka hānau ʻana inā ʻaʻole lawe pono ka makuahine i kāna lāʻau lapaʻau.
• Syphilis: He maʻi kēia i laha ma ke ʻano moekolohe i hoʻokumu ʻia e ka bacteria. Hoʻolaha ʻia ma o ka pili pololei ʻana me nā ʻeha syphilis (i ka wā o ka moekolohe). I kēia mau lā, ua piʻi ka nui o nā keiki i hānau ʻia me ka syphilis. Loaʻa lākou i ka maʻi ma o ka hānau keiki ʻana.
• ʻO ka maʻi ʻelima: He maʻi ʻoluʻolu kēia i hoʻokumu ʻia e ka parvovirus B19 . Hoʻolaha ʻia ia ma o nā kulu o ka lawai a me ka mucus i ka wā e ʻū ai a kihe paha ka mea maʻi.
• ʻO ka maʻi puʻupuʻu (Varicella): He maʻi lele loa kēia i hoʻokumu ʻia e ka Varicella-Zoster Virus (VZV) . ʻO ka maʻamau, loaʻa ka maʻi puʻupuʻu i hoʻokahi manawa i ke ola (ʻo ka manawa maʻamau i ka wā kamaliʻi) a i ʻole ma hope o ka loaʻa ʻana o ka lāʻau pale maʻi puʻupuʻu, loaʻa ka palekana no ke ola holoʻokoʻa.
• ʻO ka maʻi Zika:He maʻi kēia i hoʻolaha ʻia e kahi makika i loaʻa i ka maʻi. Loaʻa ia ma nā wahi i loaʻa pinepine ai kēia maʻi. Hiki nō hoʻi ke hoʻolaha ʻia ma o ka moekolohe me kahi kanaka i loaʻa i ka maʻi.

ʻO Rubella (ka maʻi ʻūlū Kelemania)

ʻAʻole nui ka maʻi i kēia manawa no ka mea ua nui ka poʻe i hoʻopili ʻia i ka rubella. Eia nō naʻe, inā ʻaʻole ʻoe i loaʻa i ka lāʻau pale MMR (measles, mumps, a me rubella) i kou wā kamaliʻi a ke hoʻolālā nei e loaʻa kahi pēpē i ka wā e hiki mai ana, e kamaʻilio me kāu kauka e pili ana i ka loaʻa ʻana.

ʻO ka maʻi Cytomegalovirus (CMV)

He ʻano maʻi herpes ʻo CMV. Hoʻolaha ʻia ia ma o ka lawai a me nā wai kino ʻē aʻe. He nui nā pākeke i loaʻa i ka CMV akā ʻaʻole lākou i ʻike no ka mea ke kaua nei kā lākou ʻōnaehana pale. Eia nō naʻe, ʻaʻole lawa ka palekana o nā pēpē i hānau ʻole ʻia a me nā pēpē hānau hou e hakakā ai iā CMV. Inā loaʻa iā ʻoe ka CMV, noho ia i loko o kou kino no ke ola, akā mālama kāu ʻōnaehana pale iā ia ma lalo o ka mana.

ʻO ka maʻi Herpes Simplex (HSV)

He maʻi hoʻi ka Herpes i laha koke i ke moekolohe. ʻElua ʻano o ka HSV: HSV-1 (i loko o ka waha a me nā ʻōpū) a me HSV-2 (ʻo ka hapa nui ma nā ʻōpū). Hoʻolaha pinepine ʻia ma o ka launa pū ʻana me kahi kanaka i loaʻa i ka maʻi a i ʻole ma o ka launa pololei ʻana. ʻO ke ala maʻamau e loaʻa ai i kahi pēpē hānau hou ka HSV i ka wā hānau ʻana. No laila, inā loaʻa iā ʻoe ka HSV, he mea nui loa ia e haʻi i kāu kauka i ka wā hāpai.

He laha anei nā maʻi TORCH?

ʻAe, he maʻalahi ka laha ʻana o nā maʻi TORCH.

Pehea e ʻike ʻia ai nā maʻi TORCH i ka wā hāpai?

Hoʻomaopopo ʻia nā maʻi TORCH ma o nā hoʻāʻo koko, nā hoʻāʻo PCR (Polymerase Chain Reaction) , a me nā moʻomeheu viral. ʻO ka moʻomeheu viral kahi hoʻāʻo e lawe i kahi hāpana o ka wai, nā ʻāpana, a i ʻole nā ​​​​ʻiʻo mai kou kino a hoʻāʻo iā ia no ke alo o ka mea maʻi. Hiki ke hana pinepine ʻia kēia ma o ka lawai, ka kahe ʻana o ka ihu, ke koko, ka mimi, ka wai amniotic, a i ʻole ka wai mai nā ʻeha ʻili a i ʻole nā ​​​​ʻeha. Nānā kahi hoʻāʻo PCR i nā mea genetic o kahi virus i loko o kahi hāpana wai.

Hiki ke ʻike ʻia kekahi mau maʻi hānau ʻia, nā pilikia ulu ʻana, a me nā pilikia me ka ulu ʻana o nā ʻōpū nui ma mua o ka hānau ʻana o ke pēpē ma o nā scan ultrasound i hana ʻia i ka wā hāpai.

Pehea e hōʻike ai i ka maʻi TORCH i nā keiki hou?

Ke ʻike ʻia ʻoe me ka maʻi TORCH, e hana nā kauka i nā hana e nānā inā loaʻa pū kekahi i kāu pēpē. ʻAʻole i hoʻoili ʻia nā maʻi TORCH āpau i kāu pēpē i ka wā hāpai. Eia kekahi, ʻoiai he maʻi kou, ʻaʻole ia he manaʻo e loaʻa i kāu pēpē.

Penei ke ʻano o ka ʻike ʻana o nā kauka i nā maʻi TORCH i nā pēpē hānau hou:

• I ka wā o ka hoʻokolokolo kino e hana ʻia ma hope o ka hānau ʻana o ke pēpē.
• Ua ʻike ʻia nā hōʻailona o ke pēpē.
• ʻO Ultrasounds a i ʻole nā ​​​​scan ʻē aʻe i hana ʻia i ka wā hāpai.

Hoʻohana ʻia nā hoʻokolohua like i hoʻohana ʻia no nā pākeke e ʻike i nā maʻi TORCH i nā pēpē hānau hou. Hiki ke lawe ʻia kahi hāpana koko liʻiliʻi mai ke kuʻekuʻe wāwae a manamana lima paha o kāu pēpē, a i ʻole kahi hāpana wai, e nānā i nā maʻi viral.

Hiki i nā hoʻokolohua ʻē aʻe, e like me ka CT scan a i ʻole MRI, ke kōkua i ka ʻike ʻana i nā pilikia a i ʻole nā ​​​​hopena ʻaoʻao o nā maʻi TORCH.

He aha nā lāʻau lapaʻau no ka maʻi TORCH?

ʻO ka mālama ʻana no nā maʻi TORCH e pili ana i ke ʻano o ka maʻi, ka wā i loaʻa ai ka maʻi, a me ke koʻikoʻi o nā hōʻailona. Hiki i kēia ke komo pū me nā antibiotics, antiparasitics, a i ʻole nā ​​​​lāʻau antiviral . Hoʻokumu ʻia kekahi mau maʻi TORCH e nā virus, a ʻaʻohe lāʻau lapaʻau ʻē aʻe ma mua o ka hoʻomaha a me ka noho wai.

Inā ua ʻike ʻia ʻoe me ka maʻi TORCH, e nānā kāu kauka i kou hāpai ʻana a kūkākūkā me nā loea lapaʻau makuahine-keiki. Ma muli o ke koʻikoʻi o ke kūlana, pono paha i kāu pēpē ke kōkua koke ʻia e ke kauka a i ʻole ka mālama ʻana ma kahi Neonatal Intensive Care Unit (NICU) ma hope o ka hānau ʻana.

Inā loaʻa iā ʻoe kekahi o nā maʻi TORCH i ka wā hāpai a ke hānai waiū nei ʻoe a i ʻole e hoʻolālā ana e hānai waiū, e kamaʻilio me kāu kauka e pili ana i ia mea.

Pehea e pale ai iā ʻoe iho mai nā maʻi TORCH i ka wā hāpai?

Mai poina e haʻi i kāu kauka e pili ana i kou mōʻaukala olakino, me nā lāʻau pale i loaʻa iā ʻoe i kou wā kamaliʻi. Eia kekahi mau mea ʻē aʻe hiki iā ʻoe ke hana e pale aku iā ʻoe iho mai nā maʻi TORCH:

• E hōʻemi i ka launa pū ʻana me ka poʻe maʻi.
• E holoi mau i kou mau lima me ka maikaʻi.
• E pale i ka ʻai ʻana a me ka inu ʻana mai ke kīʻaha a i ʻole ka pā hoʻokahi me nā poʻe ʻē aʻe.
• Mai hele i nā wahi o ka honua kahi i loaʻa pinepine ai kekahi mau maʻi lele.
• E kuke maikaʻi i ka ʻiʻo, ka iʻa, a me nā hua manu.
• I ka wā hāpai , e hāʻawi i ka hana o ka wehe ʻana i nā ʻōpala pōpoki i kekahi kanaka ʻē aʻe.
• E hoʻohana i nā condom i ka wā e moe ai.
• E hoʻāʻo ʻia no nā maʻi i laha ma ke moekolohe (STI) ma mua o ka hāpai ʻana.
• E lawe i nā lāʻau antiviral e like me ka mea i kauoha ʻia e kāu kauka.

He aha nā hopena lōʻihi o nā maʻi TORCH?

Hiki i nā pēpē i hānau ʻia me nā maʻi TORCH ke loaʻa nā hopena ʻaoʻao lōʻihi. Eia nō naʻe, ʻo ka wikiwiki o ka mālama ʻia ʻana o kahi pēpē no nā maʻi TORCH, ʻoi aku ka maikaʻi o ka hopena. ʻO kekahi o nā pilikia lōʻihi:

• Nā pilikia aʻo.
• Nā pilikia ʻike a lohe paha.
• Nā lohi o ka hoʻomohala ʻana.

Hiki ke mālama ʻia nā maʻi TORCH he nui me ka lāʻau lapaʻau. He mea nui e kamaʻilio me kāu kauka inā loaʻa iā ʻoe kekahi mau hōʻailona i ka wā hāpai. ʻO ka ʻike ʻana a me ka mālama ʻana i nā maʻi i ka wā hikiwawe e hāʻawi iā ʻoe a me kāu pēpē i ka hopena maikaʻi loa.

Āhea ʻoe e ʻike ai i ke kauka?

Inā hāpai ʻoe a manaʻo ʻoe he maʻi TORCH paha kāu, e ʻike koke i kāu kauka. ʻOiai ke ʻokoʻa nei nā hōʻailona ma muli o ka maʻi, e makaʻala i kēia mau mea:

• Kuni.
• Nā ʻeha kino i wehewehe ʻole ʻia a i ʻole nā ​​​​​​ʻeha ʻili.
• Nā ʻōpuʻu lymph pehu i loko o ka puʻu a i ʻole ka ʻāpana groin.
• ʻeha ka ʻāʻī.
• ʻEha kino, ʻeha ʻiʻo.
• Nā mea e like me nā pehu ma ka waha a i ʻole a puni nā ʻōpū.

ʻO ka mea hope loa, ʻo ka mea nui loa

ʻO nā maʻi TORCH he hui o nā maʻi lele e hiki ke hoʻopilikia i ka ʻōpū a i ʻole ke keiki hānau hou. Hiki ke hoʻoili ʻia i ka pēpē i ka wā hāpai, i ka wā hānau, a i ʻole ma hope koke iho o ka hānau ʻana ma o ka waiū umauma. ʻO ke ala maikaʻi loa e pale aku ai i nā maʻi TORCH, ʻo ia ka hoʻomaʻemaʻe maikaʻi i ka wā hāpai a hoʻohana i nā condom i ka wā moe.

ʻOiai ʻaʻole maʻamau loa nā maʻi TORCH, hiki iā lākou ke loaʻa nā hopena koʻikoʻi no ka mea ʻaʻohe ikaika o ka ʻōnaehana pale o nā pēpē. E hōʻoia e haʻi i kāu kauka e pili ana i kāu mōʻaukala olakino a me ka lāʻau pale, a me nā lāʻau lapaʻau āu i loaʻa ai no nā maʻi i laha ma ke ʻano moekolohe. E kamaʻilio me kāu kauka e pili ana i nā hopohopo āu e loaʻa ai. I ka hapa nui o nā hihia, hoʻōla piha nā pēpē me nā maʻi TORCH. No laila, mai hopohopo, akā e makaʻala.

Hāpai keiki , Nā maʻi, Ola kino o nā pēpē, TORCH, Rubella, Cytomegalovirus, Herpes