He wā nani a me ka manaʻolana ka hāpai ʻana i ke ola o kēlā me kēia makuahine, ʻeā? Pono ʻoe e kali me ka hanu ʻūlū no ka hānau ʻana mai o ke keiki liʻiliʻi i kēia ao me ke olakino. I loko o kēia manawa, pono mākou e mālama pono i ko mākou olakino ponoʻī a me ko kā mākou pēpē. I kekahi manawa, hiki i kekahi mau maʻi i loaʻa iā mākou ke hoʻopilikia i ka pēpē. I kēia lā, e kamaʻilio mākou e pili ana i kekahi mau maʻi like ʻole. Mai hopohopo, ʻo ka ʻike ʻana i kēia ke ala maikaʻi loa e pale aku ai iā ʻoe iho.
He aha ka TORCH Syndrome?
Ke lohe ʻoe i ka huaʻōlelo TORCH syndrome, manaʻo paha ʻoe he maʻi hoʻokahi ia. Akā, ʻaʻole ia he maʻi, akā he hōʻiliʻili o kekahi mau ʻano maʻi. ʻO kēia nā maʻi i hoʻokumu ʻia e nā germs liʻiliʻi e like me ka bacteria, nā virus a i ʻole nā parasites. Inā loaʻa kēia mau mea i ka makuahine i ka wā hāpai, hiki iā lākou ke hana i kekahi mau pilikia olakino no ke keiki i hānau ʻole ʻia a i ʻole ke pēpē hānau hou.
Hōʻike nā leka ma ka huaʻōlelo TORCH i kēia mau ʻano maʻi:
- T - Toxoplasmosis
- ʻO - Nā mea ʻē aʻe - Hoʻokomo pū kēia hui i nā mea e like me ka HIV, Syphilis, Varicella, a me ka maʻi ʻElima.
- R - Rubella a i ʻole ka maʻi ʻōpū Kelemania
- C - Cytomegalovirus (CMV)
- H - Herpes simplex
Pehea e laha ai kēia mau maʻi i nā pēpē?
Hiki i kēia mau germs TORCH ke hoʻopili iā ʻoe, kāu pēpē e ulu ana, a i ʻole kāu pēpē hānau hou.
Akā he mea nui e hoʻomanaʻo i kēia. ʻOiai nā loea lapaʻau e ʻōlelo nei ʻaʻole i nā manawa a pau e loaʻa ai i ka makuahine kahi maʻi, e hoʻoili ʻia ia i kāna pēpē. No laila, ʻaʻohe pono e hopohopo nui.
ʻEkolu mau ala nui e hiki ai i nā pēpē ke loaʻa i kēia mau maʻi:
1. Ma o ka placenta: Hiki i kekahi mau germs ke hele i kāu pēpē ma o ka placenta, ka mea e hāʻawi ana i ka meaʻai a me ka oxygen i kāu pēpē i loko o kou ʻōpū.
2. I ka wā hānau: I ka wā hānau, hiki i nā germs mai ke kahawai hānau ke komo i loko o ke kino o ka pēpē.
3. I ka wā e hānai waiū ai: He mea kākaʻikahi loa, hiki ke laha kekahi mau germs i ka pēpē ma o ka waiū umauma.
No ka mea, ʻaʻole i hoʻomohala piha ʻia ka ʻōnaehana pale o ka pēpē i loko o ka ʻōpū, ʻaʻole hiki iā ia ke kū i nā maʻi e like me ka pākeke. Inā loaʻa kahi maʻi, hiki iā ia ke hoʻopilikia i ka ulu ʻana o kekahi o nā ʻōpū o ka pēpē.
Nā ʻike kikoʻī e pili ana i nā ʻano maʻi TORCH
E nānā kākou i kēia mau ʻano maʻi ma ke kaʻawale.
T - Toxoplasmosis
He maʻi kēia i hoʻokumu ʻia e kahi parasite i kapa ʻia ʻo 'Toxoplasma gondii'. Komo ia i loko o ke kino ma o ka waha. Hiki ke laha ma o nā mea e like me ka ʻiʻo a me ka iʻa i moʻa ʻole ʻia, nā mea kanu lepo, a me ka wai haumia. ʻOi aku ka nui, hiki ke loaʻa kēia parasite i loko o nā ʻōpala pōpoki . No laila, pono ʻoe e makaʻala loa inā ʻoe e wehe i nā ʻōpala pōpoki i ka wā hāpai.
ʻO - Nā Luna ʻē aʻe
Aia i loko o kēia māhele kekahi mau maʻi.
- HIV: He mea kākaʻikahi loa i nā keiki ke hoʻoili i ka maʻi HIV i ko lākou mau makuahine. Inā he maʻi HIV ka makuahine, hiki ke hoʻemi ʻia ka pilikia o ka hoʻoili ʻana i ka maʻi i ke keiki i lalo o 1% ma ka loaʻa ʻana o ka lāʻau kūpono (`Antiretroviral therapy - ART`).
- Syphilis: He maʻi laha kēia ma ke ʻano moekolohe. Inā ʻike ʻia i ka wā hāpai, hiki ke hāʻawi ʻia nā lāʻau antibiotic i ka makuahine a me ka pēpē e hōʻoia i ka hoʻōla piha ʻana.
- ʻO ka maʻi puʻupuʻu (Varicella): He maʻi kēia i hoʻokumu ʻia e ka maʻi varicella. ʻOiai ʻo ka hapa nui o ka poʻe e loaʻa ana i ka maʻi puʻupuʻu i ka wā ʻōpiopio a loaʻa ka palekana, he mea kakaikahi ka maʻi ʻana o ka pēpē i ka wā hāpai.
- ʻO ka maʻi ʻelima: He maʻi kēia i hoʻokumu ʻia e kahi maʻi i kapa ʻia ʻo 'Parvovirus B19.' ʻOiai ʻo ka hapa nui o nā pākeke he palekana i ia mea, he mea kakaikahi ka loaʻa ʻana o nā keiki i ka maʻi.
R - Rubella
Ua kapa ʻia hoʻi ʻo ia he measles Kelemania. Inā loaʻa ia i nā pule 12 mua o ka hāpai ʻana, hiki iā ia ke hana i nā pilikia koʻikoʻi no ka pēpē. Eia nō naʻe, mahalo i ka lāʻau pale MMR, ua kakaikahi loa kēia maʻi i kēia manawa ma Sri Lanka a me nā ʻāina ʻē aʻe he nui a puni ka honua.
C - Cytomegalovirus (CMV)
He maʻi maʻamau kēia i ka hui TORCH. Hoʻolaha ʻia ia ma o nā wai kino e like me ka lawai a me ka mimi. ʻOiai inā he mau keiki liʻiliʻi ʻē aʻe ma ka home, pono ʻoe e makaʻala loa i ka hoʻololi ʻana i kā lākou diapers a i ka hānai ʻana a me ka ʻauʻau ʻana iā lākou.
H - Herpes Simplex Virus (HSV)
He maʻi maʻamau kēia i laha ma ke ʻano moekolohe. ʻO ka HSV-1 ke kumu o nā pehu a puni ka waha, ʻoiai ʻo HSV-2 ke kumu o nā pehu a i ʻole nā ʻeha ma ka ʻāpana genital. ʻOiai inā he herpes ka makuahine hāpai, haʻahaʻa loa ka pilikia o ka hoʻoili ʻana i kāna pēpē. ʻOiai inā he herpes ka makuahine ma mua o ka hāpai ʻana, hele nā antibodies i loko o kona kino ma o ka placenta a hāʻawi i ka pale i ka pēpē.
Pehea e hana ʻia ai ka nānā ʻana no kēia mau maʻi?
E kuhikuhi aku kāu kauka iā ʻoe no nā hoʻokolohua e pono ai i ka wā hāpai. Aia kekahi o nā hoʻokolohua i hana pinepine ʻia ma ka papa ma lalo nei.
| ʻAno o ka maʻi | ʻO ka hoʻāʻo maʻamau |
|---|---|
| ʻO ka Toxoplasmosis | ʻOiai ʻaʻole hana pinepine ʻia no nā kānaka āpau, hana ʻia kahi hoʻāʻo koko (no nā antibodies IgG, IgM) inā he pilikia. |
| ʻO ka maʻi HIV a me ka syphilis | Hāʻawi ʻia kēlā me kēia makuahine i kahi hoʻāʻo koko no kēia i ka wā mua o ka hāpai ʻana. He hoʻāʻo koi ʻia kēia. |
| ʻO Rubella | Ma muli o ka pale ʻia o ka hapa nui o nā kānaka i ka lāʻau pale MMR, ʻaʻole hana pinepine ʻia ka hoʻāʻo ʻana, akā hiki ke hana ʻia kahi hoʻāʻo koko inā pono. |
| ʻO CMV a me ka herpes | Hana ʻia nā hoʻokolohua kūikawā (koko, mimi, hoʻāʻo lawai) inā he mau hōʻailona a inā kānalua paha ke kauka. |
Eia kekahi, inā makemake kāu kauka, hiki iā ia ke kuhikuhi iā ʻoe no nā hoʻokolohua ʻē aʻe, e like me nā hoʻokolohua PCR a me nā scan ultrasound.
Ka mālama ʻana a me ka pale ʻana i nā pilikia
ʻO ka nūhou maikaʻi, aia nā lāʻau lapaʻau no ka nui o kēia mau maʻi. Aia ka lāʻau lapaʻau i ke ʻano o ka maʻi, kona koʻikoʻi, a me ke kahua o ka hāpai ʻana āu e noho nei. Hiki i kāu kauka ke kuhikuhi i nā antibiotics, antivirals, a i ʻole antiparasitics.
ʻO ka mea nui loa, ʻo ia ka pale ʻana . E like me ka ʻōlelo a nā loea, "ʻo ka lāʻau lapaʻau maikaʻi loa, ʻo ia ka pale ʻana." ʻO ka lāʻau pale, ka hoʻomaʻemaʻe, a me nā nānā prenatal i ka manawa kūpono nā mea kaua maikaʻi loa a mākou e loaʻa ai e pale aku i kā mākou mau keiki mai kēia mau maʻi.
Hiki i kekahi mau maʻi ke hoʻoulu i nā pilikia i ke keiki. Eia kekahi laʻana:
- Hiki i ka syphilis i mālama ʻole ʻia ke hoʻopilikia i ka ulu ʻana o ke keiki, ka ʻike, a me ka lohe.
- Hiki iā Rubella ke hoʻoulu i nā maʻi puʻuwai a me nā pilikia o ka lolo.
- Hiki i ka maʻi CMV ke hoʻopilikia i ka lohe o kekahi mau keiki.
Akā, mai hopohopo. ʻAʻole pinepine kēia mau mea e hana ʻia. Ma ka hahai ʻana i nā ʻōlelo aʻoaʻo lapaʻau kūpono a me ka loaʻa ʻana o nā nānā maʻamau, hiki ke pale ʻia ka hapa nui o kēia mau pilikia.
He aha kāu e hana ai?
- E ʻai wale i ka meaʻai i moʻa maikaʻi ʻia: E pale i ka ʻai ʻana i ka ʻiʻo maka, ka iʻa, a me nā hua maka.
- E mālama i ka maʻemaʻe: E holoi pono i nā mea kanu a me nā huaʻai ma mua o ka hoʻohana ʻana. E holoi pono i kou mau lima me ke kopa ma hope o ka hoʻopā ʻana i nā holoholona a i ʻole ka lepo.
- E hoʻomaʻamaʻa i ka moekolohe palekana: E pale i ka moekolohe pale ʻole. He mea nui loa ka hoʻohana ʻana i ka condom.
- E kiʻi i ka lāʻau pale: Ma mua o ka hāpai ʻana, e kamaʻilio me kāu kauka e pili ana inā ua loaʻa iā ʻoe kekahi mau lāʻau pale e pono ai, e like me ka MMR.
- E ʻimi i ke kōkua lapaʻau: Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē (e like me ke kuni, nā pehu ʻili), e ʻike koke i kāu kauka .
Leka Lawe-Home
- ʻO TORCH kahi hui o nā maʻi e hiki ke hoʻoili ʻia mai ka makuahine a i ke keiki i ka wā hāpai.
- ʻO ka pale ʻana i kēia mau maʻi ka lāʻau lapaʻau maikaʻi loa. He mea nui loa ka loaʻa ʻana o ka lāʻau pale a me ka hoʻomaʻamaʻa ʻana i ka hoʻomaʻemaʻe maikaʻi (ʻoi aku ka holoi ʻana i nā lima ma hope o ka lawelawe ʻana i nā holoholona a me ka ʻiʻo maka a me ka iʻa).
- Inā loaʻa iā ʻoe kekahi mau hōʻailona a i ʻole manaʻo ʻoe ua loaʻa iā ʻoe kahi maʻi, e kamaʻilio koke me kāu kauka .
- ʻOiai he nui nā makuahine e loaʻa ana i nā maʻi, nui ka manawa kūpono ʻaʻole lākou e hoʻoili iā lākou i kā lākou pēpē. No laila, mai hopohopo me ka pono ʻole a e hahai i nā ʻōlelo aʻoaʻo lapaʻau kūpono.
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