Ese umwana wawe ashobora kurwara sirupe? Reka twige ku ndwara ya sirupe ivukanwa

Niba uri umubyeyi utwite, ugomba kuba utekereza cyane ku buzima bwawe n'ubw'umwana wawe muri iyi minsi, sibyo? Hari igihe hari indwara tutazi, ariko zishobora kugira ingaruka ku mwana. Imwe muri izo ndwara ni 'Congenital Syphilis'. Ntugahangayike, reka tubiganireho birambuye. Niba ubizi, ushobora kwirinda ibibazo byinshi.

Silifu yavutse ari iki? Kuki ari mbi?

Muri make, syphilis ivukanwa ni indwara umubyeyi yanduza umwana we syphilis mu gihe cyo kuvuka. Niba ufite syphilis mu gihe cyo gutwita, iyi ndwara ishobora kwanduzwa umwana wawe. Ibi bishobora kubaho binyuze mu nyababyeyi mu gihe atwite cyangwa binyuze mu gisebe cya syphilis ku mubiri wa nyina igihe umwana avutse. syphilis ni indwara zandurira mu mibonano mpuzabitsina (STIs). Ariko ikintu cyiza ni uko ishobora kuvurwa na antibiyotike. Ushobora kubona ubu buvuzi nubwo waba utwite. Iyo uhawe ubwo buvuzi, ntuzakira gusa, ahubwo uzabasha no kurinda umwana uri mu nda yawe. Ariko, tekereza ko utwite, ufite syphilis, ariko utarahabwa ubuvuzi. Ubwo burwayi bushobora kwangiza umwana wawe cyane. Bushobora gutera inda, kubyara umwana wapfuye, cyangwa ndetse no gupfa umwana nyuma y'iminsi mike avutse. Nubwo umwana yarokoka, ashobora kugira ibibazo bitandukanye by'ubuzima.

Niba rero utwite kandi ukaba ufite amakenga make ko ushobora kuba ufite syphilis, jya kwa muganga ako kanya upimwe syphilis. Muri ubwo buryo, ushobora kumenya neza niba ufite iyo ndwara cyangwa utayifite. Iyo uyirwaye, ushobora guhita utangira kuyivura. Iyo uhawe ubuvuzi mu gihe cyo gutwita, cyane cyane mu gihembwe cya mbere cy'amezi atatu, syphilis ivuka ishobora kwirindwa cyane.

Ni ngombwa kandi kuganira n'abo mukorana imibonano mpuzabitsina kuri ibi no kubapimisha. Kuko bashobora kuba baranduye kandi bashobora gukenera kuvurwa. Niba batabonye ubuvuzi, ushobora kongera kwandura (hanyuma ugomba kongera gutangira kuvurwa). Mu by'ukuri, muri iyi minsi, indwara ya syphilis yaba ivuka n'iyavutse yiyongereye gato ku isi no mu gihugu cyacu. Ibi bivuze ko abantu benshi bashobora kutamenya ko bafite iyi ndwara. Kubwibyo, kuvuga ukuri bizagufasha cyane wowe n'inda yawe.

Ese hari ubwoko bw'ubudahangarwa bw'umubiri?

Yego, abaganga bashyira mu byiciro syphilis y’amavuko hakurikijwe igihe ibimenyetso bigaragara:

• Silifu ivuka hakiri kare: Ibimenyetso bigaragara mbere y'uko umwana agira imyaka 2 (ubusanzwe mu mezi atatu avutse).
• Silifu ivuka nyuma y'imyaka 2: Ibimenyetso bigaragara nyuma y'imyaka 2.

Ni ibihe bimenyetso by'iyi ndwara iterwa n'uko umuntu avukana?

Noneho reka turebe ibimenyetso bya buri bwoko bw'indwara.

Uburezi bw'abana bato (kuva ku ivuka kugeza ku myaka 2)

Muri iki gihe, umwana ashobora kugaragaza ibimenyetso nk'ibi:

• Ibitagenda neza mu magufwa: Urugero, indwara nka osteochondritis .
• Kwaguka k'umwijima.
• Kwaguka k'agasabo k'inkari .
• Jaundice : Guhinduka umuhondo w'amaso n'uruhu.
• Kugabanuka kw'uturemangingo dutukura tw'amaraso ( anemia ) na platelets (thrombocytopenia).
• Ibisebe byoroshye, bisa n'ibibyimba: Ibi byitwa `condyloma lata`.
• Gukura uruhu ku biganza cyangwa ku birenge.
• Uduheri tugaragara ku ijosi, ku maboko no ku munwa.
• Gusohoka kenshi mu mazuru (`syphilitic rhinitis` cyangwa "snuffles"): Ibi bikunze kubaho, akenshi bitangira mu cyumweru kimwe nyuma yo kuvuka. Uku kuva mu mazuru gushobora kuba kwera cyangwa amaraso.

Abana bagera kuri 6 kuri 10 bavutse bafite syphilis bavukanye bazarwara neurosyphilis, ikagira ingaruka ku mikorere y'ubwonko . Ibi bishobora kuba birimo:

• Amaraso atembera nabi mu bwonko ( stroke ).
• Ibitagenda neza mu maso: Urugero, indwara ya kataract cyangwa kubyimba kw'imbere mu jisho (chorioretinitis).
• Indwara nk'ibimenyetso by'igicuri (Indwara zo mu mutwe).

Hari abana batagaragaza ibimenyetso ubwo bavukaga. Ariko ibimenyetso bishobora kugaragara nyuma y'iminsi mike, ibyumweru, cyangwa amezi make. Ariko niba ibizamini byerekanye ko hari ibyago byo kwandura, abaganga bazahita batangira kuvura uwo mwana.

Indwara y'impinja igeze mu zabukuru (nyuma y'imyaka 2)

Muri iki gihe, ushobora kubona ibimenyetso nk'ibi:

• Utumenyero duto mu mikurire y'amagufwa.
• Ibitagenda neza mu maso: Urugero, kubyimba kw'ijisho ry'umuyoboro w'amaso.
• Kubura amatwi.
• Ibitagenda neza mu menyo: Guca amenyo cyangwa icyuho kiri hagati y'amenyo (`amenyo ya Hutchinson`).

Ushobora kuba ushobora kubona bimwe muri ibi bimenyetso ubwawe, ariko ibyinshi muri byo bigomba kwemezwa na muganga.

Kuki iyi kamere ivuka?

Impamvu nyamukuru itera syphilis kuvukana ni uko umubyeyi arwaye syphilis.Ijambo "congenital" risobanura "kuvukana" iyi ndwara. Abana bavukana iyi ndwara. Ariko rimwe na rimwe, iyi ndwara ishobora kwica umwana mbere yuko umwana avuka ari muzima. Bagiteri zihariye zitera sife (ubwoko bwa Treponema pallidum) zinjira mu mwana zinyuze mu nyababyeyi. Bagiteri zijya mu maraso y'umwana, aho zishobora gukwirakwira mu mubiri wose, zikangiza amagufwa n'ingingo z'ingenzi. Bamwe mu bana bashobora kandi kwandura iyi ndwara, nubwo ari gake cyane, iyo bahuye n'ibisebe bya sife ya nyina igihe bavuka. Ariko, si abana bose bavutse ku babyeyi barwaye sife bazavukana sife. Ingaruka ziterwa n'igihe umubyeyi yanduriye. Ingaruka ziterwa n'indwara nshya ziri hejuru cyane ku bana batwite cyangwa mu gihe cyo gutwita kuruta ku ndwara zandujwe mu gihe kirenga umwaka mbere yo gutwita.

Ni ibihe bintu bishobora gutera iyi ndwara?

Kimwe mu bintu bikomeye bishobora gutera indwara ya syphilis yo mu gihe utwite ni ukutabona ubuvuzi bukwiye mbere yo kubyara. Ibi bivuze kutajya kwa muganga mu gihe utwite, cyangwa gutinda cyane. Niba utabonye ibi bipimo, ushobora kutamenya ko ufite syphilis. Iyo itavuwe, ishobora gutera syphilis yo mu gihe uvukana n'izindi ngorane zijyanye nayo (harimo no gukuramo inda).

Ni ingenzi cyane gutangira kubonana na muganga no kujya kwa muganga mu gihembwe cya mbere cy'uburumbuke. Muri ayo mavuriro niho muganga wawe ashobora kumenya ibibazo by'ubuzima bishobora kugira ingaruka ku gutwita kwawe hakiri kare.

Hari izindi mpamvu nyinshi zongera ibyago byo kurwara sirupe mu gihe cyo gutwita (bityo sirupe ivukana):

• Kugira abafatanyabikorwa benshi mu mibonano mpuzabitsina.
• Gukoresha ibiyobyabwenge mu mibonano mpuzabitsina (nta muganga waguze).
• Imibonano mpuzabitsina kugira ngo ubone amafaranga cyangwa serivisi (imibonano mpuzabitsina y'ubucuruzi).

Ni izihe ngorane ziterwa n'iyi ndwara?

Silifi yo mu nda ishobora gutera ingorane mu gihe cyo gutwita nka:

• Gukuramo inda.
• Kubyara umwana utarigeze avuka.
• Kubyara ufite ibiro bike.
• Gupfa kw'imbwa.
• Umwana apfa nyuma y'iminsi mike avutse.

Iyo bitavuwe, abana bavukanye syphilis bavukanye bashobora kugira ibimenyetso bikomeye cyangwa bagapfa.

Ni gute wamenya ubudahangarwa bw'umubiri?

Abaganga bapima iyi ndwara muri ubu buryo:

• Mu gupima syphilis mu gihe utwite: Ibipimo by'amaraso bishobora kugaragaza niba ufite ubwandu bwa syphilis. Hashingiwe kuri ibi bisubizo, abaganga bagena ibyago byo kurwara syphilis mu nda.
• Ultrasound yo mu mwana uri mu nda:Hari igihe abaganga bashobora kubona ibimenyetso bya syphilis yo mu nda (nk'umwijima mwinshi n'amazi menshi) kuri ultrasound. Ariko, syphilis yo mu nda ntihora igaragara kuri ultrasound. Hari abana bavukana iyi ndwara nubwo baba bafite ibisubizo bisanzwe bya ultrasound.
• Isuzuma ry’umubiri ry’umwana ukiri muto n’ibindi bizamini: Abaganga bazasuzuma bitonze abana bavutse bakekwaho kuba bafite syphilis bavukanye kandi barebe ibimenyetso. Bashobora gukora ikizamini kimwe cyangwa byinshi, nko gupima amaraso, gupfundika mu ruhu, na X-rays. Urugero, X-rays zishobora kubona ibibazo by’amagufwa bikunze kugaragara ku bana bavutse bafite syphilis.

Hari abana bavuka ari bazima, ariko nyuma bakagaragaza ibimenyetso bya syphilis yavutse. Ibi byitwa syphilis yavutse nyuma y’igihe gito. Ku bana bafite imyaka 2 cyangwa irenga, abaganga bakora isuzuma ryuzuye ry’umubiri kugira ngo barebe ibimenyetso bya syphilis yavutse.

Ni ubuhe buryo bwo kuvura syphilis ivukanwa?

Abaganga bakoresha umuti wa penisiline mu kuvura syphilis y’ivuka. Bakoresha bumwe muri ubu buryo cyangwa byombi:

• Kukuvura utwite: Ibi bikubiyemo kuguha inshinge imwe cyangwa nyinshi za penisiline.
• Kuvura umwana nyuma yo kuvuka: Muri ibi, umwana ahabwa penisiline haba mu mitsi cyangwa nk'urushinge.

Ubwoko nyabwo bw'ubuvuzi butangwa buterwa n'ibi bintu:

• Ni ryari wamenye bwa mbere ko urwaye sirupe?
• Niba ubuvuzi bwaratangiye mu gihe cyo gutwita, kandi niba ari byo, ryari.
• Ibyago byo kurwara syphilis mu gihe cyo kuvuka.
• Ibimenyetso umwana agaragaza nyuma yo kuvuka.

Ni byiza gutangira kuvurwa mu gihe utwite, nibura iminsi 30 mbere y'uko umwana wawe avuka. Ibi bizafasha gukuraho ubwandu bwawe no gufasha umwana wawe kwandura. Ariko, nubwo umubyeyi yavurwa vuba, bamwe mu bana bashobora kuvukana syphilis yavutse. Abaganga bazasuzuma ibyago byo kurwara syphilis mu gihe cyo kuvuka kandi bagateganya uburyo bwo kuvura. Ibi byago biterwa n'ibintu byinshi, harimo niba waravuwe n'ibisubizo by'ibizamini bimwe na bimwe by'amaraso. Niba waravuwe syphilis mbere yo gutwita kandi igakira burundu, umwana wawe nta mahirwe menshi yo kurwara syphilis. Kenshi na kenshi, umwana wawe ntazakenera kuvurwa. Niba ufite syphilis mu gihe utwite, abaganga bazasuzuma neza ibyago by'umwana wawe. Bazareba amateka y'ubuvuzi bwawe kandi bamenye ibyago byo kurwara syphilis yavutse. Abana bari mu kaga gakomeye bazakenera kuguma mu bitaro no guhabwa penicilline. Niba waravuwe mu ntangiriro z'inda yawe, umwana wawe ashobora kudakenera kuguma mu bitaro kugira ngo avurwe. Bashobora koherezwa mu rugo bakurikiranwe na muganga, akenshi baterwa urushinge rumwe rwa penicilline. Itsinda ry'abaganga rizakubwira neza icyo ugomba kwitega mu gihe umwana wawe azavurwa.

Bigenda bite iyo umwana wanjye avukanye ubumuga bwo kutumva?

Biterwa n'uburyo iyo ndwara igira ingaruka ku mikurire y'umwana uri mu nda cyangwa ku buzima bw'umwana nyuma yo kuvuka. Antibiyotike zishobora kuvura syphilis, ariko ntizishobora gukuraho ibyangiritse byamaze kubaho. Ibi bivuze ko bamwe mu bana bashobora kugira ingaruka z'igihe kirekire ziturutse ku bwandu (nk'impinduka mu kureba cyangwa kumva). Itsinda ry'abaganga b'umwana wawe rizagusobanurira icyo wakwitega n'uburyo bwo gufasha umwana wawe mu byo akeneye.

Ese abana bafite ibibazo bavukanye bararokoka?

Yego. Amahirwe yabo yo kurokoka ashingira ku bintu byinshi, nko gutangira kuvurwa. Ariko, rimwe na rimwe, syphilis yavutse ishobora kwica. Iyo umwana apfuye nyuma y'ibyumweru 20 atwite, ugomba gupimwa syphilis.

Ese syphilis ivukana ishobora kwirindwa?

Yego rwose urashobora! Dore bimwe mu bintu ushobora gukora kugira ngo wirinde cyangwa ugabanye cyane ibyago by'uko umwana wawe yarwara syphilis yavutse:

• Kora imibonano mpuzabitsina itekanye mbere no mu gihe utwite: Imibonano mpuzabitsina itekanye bivuze gukoresha agakingirizo n'uturindantoki two mu menyo buri gihe ukoze imibonano mpuzabitsina. Saba kandi abo mukorana imibonano mpuzabitsina kwipimisha indwara zandurira mu mibonano mpuzabitsina kandi bakubwize ukuri ku bisubizo. Wibuke ko uburyo bwo kwirinda indwara nka agakingirizo budashobora gukumira burundu indwara zandurira mu mibonano mpuzabitsina, ariko bushobora kugabanya ibyago byo kwandura. Kugira ngo wirinde kwandura syphilis cyangwa izindi ndwara zandurira mu mibonano mpuzabitsina mu gihe utwite, ushobora kandi kwirinda gukora imibonano mpuzabitsina kugeza ubyaye.
• Gusuzuma indwara ya syphilis mu gihe utwite: Nk’uko bigenda mu bihugu byinshi, iki kizamini gikorwa ku ivuriro rya mbere. Hari igihe iki kizamini gikorwa no mu gihembwe cya nyuma cyo gutwita cyangwa igihe cyo kubyara. Niba ufite ibyago byinshi byo kurwara syphilis, muganga wawe ashobora kukugira inama yo kongera gupima.
• Shaka ubuvuzi bwa syphilis: Iyo upimwe indwara ya syphilis mbere cyangwa mu gihe utwite, ubuvuzi bushobora gukiza ubwandu no kugabanya ibyago byo kwanduza umwana wawe syphilis. Uko utangira kuvurwa vuba, niko umusaruro uba mwiza. Ubuvuzi butangira mu minsi 30 nyuma yo kuvuka bushobora kutagira akamaro mu kurinda umwana wawe. Niyo mpamvu ari ngombwa cyane kwipimisha mu gihe utwite.

Niba uhangayikishijwe n'ibyago byawe byo kurwara sirupe cyangwa indi ndwara yandurira mu mibonano mpuzabitsina, vugana na muganga. Bashobora kukubwira ibijyanye n'ibizamini no gusobanura indwara zandurira mu mibonano mpuzabitsina zishobora kugira ingaruka ku gutwita kwawe cyangwa ku mwana wawe. Ushobora kumva utanyuzwe no kuvugana na muganga ku bijyanye n'imibonano mpuzabitsina cyangwa indwara zandurira mu mibonano mpuzabitsina. Ariko wibuke ko akazi kabo ari ukugufasha no gukora ibishoboka byose kugira ngo bagufashe mu buzima bwawe. Shaka umuganga utuma wumva umerewe neza, ufite umutekano kandi wubashywe.

Ni ryari nkwiye gushaka inama kwa muganga?

Niba utwite kandi ukaba ubona ko ushobora kuba ufite syphilis, jya kwa muganga ako kanya. Ni ngombwa cyane kwipimisha no gutangira kuvurwa niba ufite iyi ndwara. Niba udafite umuganga usanzwe wo mu muryango, ushobora kubona ubufasha mu kigo nderabuzima cyangwa umuryango wo mu gace utuyemo. Niba umwana wawe asanzwe afite syphilis yavutse, uzakenera gukomeza gukorerwa ibizamini bya muganga (`ibikurikira`) ndetse no mu gihe ubuvuzi burangiye. Ibi ni ingenzi kugira ngo umenye neza ko ubwandu bwashize koko no kugenzura imikurire y'umwana wawe. Menya neza ko ujyanye umwana wawe ibi bizamini byose kandi ukurikize amabwiriza y'itsinda ry'abaganga bawe. Wenda utwite kandi umaze gusanga ufite syphilis. Ushobora kuba wibaza uti "Nkore iki ubu?" Cyangwa wenda wamaze kubyara kandi umwana wawe arimo kuvurwa syphilis yavutse. Ushobora kumva udafite icyo ukora kandi uremerewe. Ibi si byo wari witeze. Menya ko hari ubufasha, aho waba uri hose. Vugana n'itsinda ry'abaganga bawe uko wiyumva. Bazaguha ubufasha n'ibikoresho ukeneye. Ntabwo ugomba kunyura muri ibi wenyine.

Ubutumwa bwo kujyana mu rugo

Noneho reka tuvuge muri make bimwe mu bintu ugomba kwibuka mu byo twavuze:

• Silifu ivukanwa ni indwara ikomeye yandurira mu gihe umubyeyi avukana n'umwana, ariko ishobora kwirindwa iyo igaragaye kandi ikavurwa hakiri kare.
• Niba utwite, menya neza ko wipimishije syphilis. Ni bwo buryo bwiza bwo kwirinda no kurinda umwana wawe.
• Nusanga urwaye syphilis, ntugatinye ahubwo utangire kuvurwa ako kanya. Hari uburyo bwo kuvura butekanye bushobora gufatwa mu gihe utwite.
• Imibonano mpuzabitsina idakingiye si amagambo make gusa, ni ingenzi cyane ku buzima bwawe n'ubw'umuryango wawe.
• Niba ufite ikibazo cyangwa impungenge, vugana na muganga nta guhisha. Barahari kugira ngo bagufashe.

Ndizera ko aya makuru azagufasha. Uzabona imbaraga zo kuba umubyeyi muzima no kubyara umwana muzima!

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` Sirifi, syphilis y'amavuko, gutwita, ubuzima bw'umwana, indwara zandurira mu mibonano mpuzabitsina, kuvura, kwirinda