Bɛlɛ na tɛm we rili fayn ɛn we gɛt op na ɔl mama in layf, nɔto so? Yu go mɔs de wet wit bated briz fɔ mek di smɔl wan kam na dis wɔl wɛlbɔdi. Insay dis tɛm, wi nid fɔ kia gud gud wan fɔ wi yon wɛlbɔdi ɛn bak fɔ wi pikin in wɛlbɔdi. Sɔmtɛm, sɔm infekshɔn wae wi kin gɛt kin afɛkt di pikin bak. Tide, wi go tɔk bɔt sɔm kayn infɛkshɔn dɛn ya. Nɔ wɔri, fɔ no bɔt dis na di bɛst we fɔ protɛkt yusɛf.
Wetin na TORCH Syndrome?
We yu yɛri di wɔd TORCH syndrome, yu go tink se na wan sik nɔmɔ. Bɔt fɔ tru, i nɔto sik, bɔt na kɔlekɛshɔn fɔ sɔm kayn infɛkshɔn. Dis na infεkshכn dεm we sכm sכm jεm dεm lεk baktri, vayrus כ parasayt dεm kin kכz. If di mama gɛt dɛn tin ya we i gɛt bɛlɛ, dɛn kin mek sɔm wɛlbɔdi prɔblɛm dɛn to di pikin we nɔ gɛt bɛlɛ ɔ di pikin we dɛn jɔs bɔn.
Di lɛta dɛn we de na di wɔd TORCH de sho dɛn kayn infɛkshɔn ya:
- T - Toksoplasmosis we de mek pɔsin gɛt sik
- O - Ɔda ejen dɛm - Dis grup gɛt tin dɛm lɛk HIV, Sifilis, Varicella, ɛn Fayv sik.
- R - Rubella ɔ Jaman mizɛl
- C - Saytomɛgalovayrɔs (CMV) .
- H - Ɛpis simpul
Aw dɛn infɛkshɔn ya kin pas to bebi dɛn?
Dɛn TORCH jem ya kin ambɔg yu, yu pikin we de divɛlɔp, ɔ yu pikin we dɛn jɔs bɔn.
Bɔt i impɔtant fɔ mɛmba dis. Ivin di wan dɛn we sabi bɔt mɛrɛsin se nɔto ɛvri tɛm we mama gɛt di sik, i go pas to in pikin. So nid nɔ de fɔ wɔri we yu nɔ nid.
Tri men we dεm de we pikin dεn kin gεt dεn infεkshכn ya:
1. Tru di plasεnta: sכm jεm dεm kin pas to yu pikin tru di plasεnta we de gi yu pikin in bεlε it εn כksijεn.
2. We dεn de bכn pikin: We dεn de bכn pikin, di jεm dεm we de kכmכt na di bכn kanal kin go insay di pikin in bכdi.
3. We yu de gi pikin in mama in bɛlɛ: Na smɔl tɛm nɔmɔ, sɔm jem dɛn kin pas to di pikin tru in mama in milk.
Bikɔs di pikin in imyun sistɛm nɔ kin rili divɛlɔp na di bɛlɛ, i nɔ kin ebul fɔ bia wit sik lɛk big pɔsin. If infεkshכn apin, i kin afekt di divεlכpmεnt fכ sכm pan di pikin in כgan dεm.
Ditiɛl bɔt di kayn TORCH infɛkshɔn dɛn
Naw lɛ wi luk pan ɛni wan pan dɛn kayn infɛkshɔn ya sɛpret wan.
T - Toksoplasmosis we de mek pɔsin gɛt sik
dis na infεkshכn we wan parasayt we dεn kכl `Toxoplasma gondii` de kכz. I kin go insay di bɔdi tru di mɔt. I kin pas tru tin dɛn lɛk mit ɛn fish we nɔ kuk fayn, dɔti vɛjitebul, ɛn wata we nɔ klin. Na mɔtalman kin si dis parasayt na pusi in fes . So, yu nid fɔ tek tɛm bad bad wan if yu pul di pusi in fes we yu gɛt bɛlɛ.
O - Ɔda Ejen dɛn
Dis kategori inklud sɔm infɛkshɔn dɛm.
- HIV: I nɔ kin izi fɔ mek pikin dɛn pas HIV to dɛn mama. If di mama gɛt HIV, di risk fɔ pas di sik to di pikin kin ridyus to less dan 1% bay we i gɛt di rayt tritmɛnt (`Antiretroviral therapy - ART`).
- Sifilis: Dis na sik we pɔsin kin gɛt we i du mami ɛn dadi biznɛs. If dɛn no se i gɛt bɛlɛ, dɛn kin gi di mama ɛn di pikin antibayɔtik fɔ mek shɔ se i wɛl ful wan.
- Chickenpox (Varicella): Dis na sik we di vayrɔs vayrɔs kin kam wit. Bikɔs bɔku pipul dɛn kin gɛt chikinpoks we dɛn yɔŋ ɛn dɛn kin gɛt di sik we dɛn kɔl immunity, i nɔ kin izi fɔ mek di pikin gɛt di sik we i gɛt bɛlɛ.
- Fayv sik: Dis na sik we wan vayrɔs we dɛn kɔl `Parvovirus B19.` kin kam wit bikɔs bɔku big pipul dɛn nɔ kin gɛt am, i nɔ kin izi fɔ mek pikin dɛn gɛt di sik.
R - Rubɛla we de na di wɔl
Dɛn kin kɔl am bak Jamani mizɛl. If i apin insay di fɔs 12 wiks we di pikin gɛt bɛlɛ, i kin mek di pikin gɛt siriɔs prɔblɛm. Bɔt bikɔs ɔf di MMR vaysin, dis sik nɔ bɔku naw na Sri Lanka ɛn bɔku ɔda kɔntri dɛn ɔlsay na di wɔl.
C - Saytomɛgalovayrɔs (CMV) .
Dis na kɔmɔn infɛkshɔn na di TORCH grup. I kin pas tru wata we de na di bɔdi lɛk saliva ɛn urine. Ɛspɛshali if ɔda smɔl pikin dɛn de na os, yu nid fɔ tek tɛm bad bad wan we yu de chenj dɛn dayapɛt ɛn we yu de gi dɛn tin fɔ it ɛn was dɛn.
H - Hɛpis Simpleks Vayrɔs (HSV) .
Dis na sik bak we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs. HSV-1 de mek blista bכku bכku wan arawnd di mכt, we HSV-2 de mek blista כ sos na di jεnital εria. Ivin if mama we gɛt bɛlɛ gɛt hεpi, di risk fɔ pas am to in pikin kin rili smɔl. εspεshali if di mama bin gεt hεpi bifo i bεlε, di antibodi dεm we de na in bכdi de pas tru di plasεnta εn de protεkt di pikin.
Aw dɛn kin du skrinin fɔ dɛn infɛkshɔn ya?
Yu dɔktɔ go rifer yu fɔ di tɛst dɛn we yu nid we yu gɛt bɛlɛ. Sɔm pan di tɛst dɛn we dɛn kin du bɔku tɛm, de na di tebul we de dɔŋ ya.
| Tayp fɔ infɛkshɔn | Di tɛst we dɛn kin du ɔltɛm |
|---|---|
| Toksoplasmosis we de mek pɔsin gɛt sik | Pan ɔl we dɛn nɔ kin du am fɔ ɔlman, dɛn kin du blɔd tɛst (fɔ IgG, IgM antibodies) if risk de. |
| HIV ɛn sifilis | Dɛn kin gi ɔl mama blɔd tɛst fɔ dis ali we i gɛt bɛlɛ. Dis na tɛst we dɛn fɔ du. |
| Rubɛla we de na di wɔl | Bikɔs bɔku pipul dɛn nɔ gɛt di MMR vaysin, dɛn nɔ kin du tɛst, bɔt dɛn kin du blɔd tɛst if nid de. |
| CMV ɛn hεpi | Dɛn kin du spɛshal tɛst (blɔd, urine, saliva tɛst) nɔmɔ if sɔm sayn dɛn de ɔ if di dɔktɔ gɛt dawt. |
Apat frɔm dat, if yu dɔktɔ want, i kin rifer yu fɔ ɔda tɛst dɛn, lɛk PCR tɛst ɛn ɔltra saund skan.
Tritmɛnt ɛn prɛvɛnshɔn fɔ kɔmplikeshɔn dɛn
Di gud nyus na dat, tritmɛnt de fɔ bɔku pan dɛn sik ya. Di tritmɛnt dipen pan di kayn infekshɔn, aw i siriɔs, ɛn us stej yu gɛt bɛlɛ.Yu dɔktɔ kin gi yu antibayɔtik, antivayral, ɔ antiparasitic.
Di tin we impɔtant pas ɔl na fɔ mek dɛn nɔ gɛt di sik . As masta sabi pipul dɛn se, "di bɛst mɛrɛsin na fɔ mek dɛn nɔ gɛt am." Vaksin, klin, ɛn chɛk-ap bifo dɛn bɔn pikin dɛn di rayt tɛm na di bɛst wɛpɔn we wi gɛt fɔ protɛkt wi pikin dɛn frɔm dɛn sik ya.
Sɔm infɛkshɔn kin mek di pikin gɛt prɔblɛm. Fɔ ɛgzampul:
- Sifilis we dɛn nɔ trit kin afɛkt di we aw pikin de gro, aw i de si, ɛn aw i de yɛri.
- Rubɛla kin mek yu gɛt at sik ɛn yu bren prɔblɛm.
- CMV infεkshכn kin mek sɔm pikin dεm nɔ de yɛri fayn.
Bɔt nɔ wɔri. Dɛn tin ya nɔ kin apin so ɔltɛm. If yu fala di rayt advays we dɔktɔ gi yu ɛn de chɛk yu ɔltɛm, yu go ebul fɔ avɔyd bɔku pan dɛn bad tin ya.
Wetin yu fɔ du?
- Na it nɔmɔ it we yu kuk fayn: Nɔ it raw mit, fish, ɛn raw eg.
- Tek kia fɔ klin: Was vɛjitebul ɛn frut dɛn fayn fayn wan bifo yu yuz dɛn. Was yu an fayn fayn wan wit sop afta yu dɔn tɔch animal ɔ dɔti.
- Praktis sef sɛks: Nɔ du mami ɛn dadi biznɛs we yu nɔ protɛkt. Yuz kɔndɔm rili impɔtant.
- Gɛt di vaysin: Bifo yu gɛt bɛlɛ, tɔk to yu dɔktɔ bɔt if yu dɔn gɛt ɛni vaysin we yu nid, lɛk di MMR.
- Go to dɔktɔ: If yu gɛt ɛnitin we nɔ kɔmɔn (e.g. fiva, skin blista), go to yu dɔktɔ wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- TORCH na wan grup we infεkshכn kin pas frכm mama to pikin we uman bεlε.
- Fɔ mek dɛn nɔ gɛt dɛn sik ya na di bɛst tritmɛnt. Fɔ gɛt di vaysin ɛn fɔ praktis gud hajɛns (especially fɔ was yu an afta yu dɔn ol animal ɛn raw mit ɛn fish) rili impɔtant.
- If yu gɛt ɛni sayn ɔ yu tink se yu dɔn gɛt infekshɔn, tɔk to yu dɔktɔ wantɛm wantɛm.
- Pan ɔl we bɔku mama dɛn kin gɛt di sik, chans de fɔ mek dɛn nɔ pas am to dɛn pikin. So, nɔ panik we yu nɔ nid ɛn fala di rayt advays we di dɔktɔ gi yu.
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