Chii chinoitika kumwana kana ukabatwa nerubella panguva yekuzvitakura? Ngatizivei nezveCongenital Rubella Syndrome!

Semunhu anotarisira vana, dzimwe nguva unonzwa kutya uye kunetseka here kunyangwe ukabatwa nedzihwa? Zvakajairika. Nekuti unofunga zvakanyanya nezvemwana wako anokosha ari mudumbu mako. Ndosaka, nhasi tichataura nezvekuti zvinogona kukanganisa sei mwana ari mudumbu kana amai vakabatwa nerubella panguva yekuzvitakura. Izvi ndizvo zvinonzi navanachiremba Congenital Rubella Syndrome (CRS) . Kunyangwe zita racho rakareba zvishoma, ngatirinzwisise zviri nyore.

Chii chinonzi Congenital Rubella Syndrome?

Zvichitaurwa zviri nyore, chirwere cherubella chekuzvarwa nacho (CRS) idambudziko rehutano rinowanzoitika muvana vacheche kana amai vane pamuviri vakabatwa nerubella (inozivikanwawo seGerman measles). Izwi rekuti "congenital" pano rinoreva "kuvapo panguva yekuzvarwa."

Kana hutachiona hwerubella hukapinda mumuviri wemwana, hunogona kukanganisa kukura kwemwana ari mudumbu nenzira dzakasiyana-siyana. Izvi zvinogona kukonzera matambudziko kunyangwe mwana aberekwa. Semuenzaniso, cataract kana chirwere chemwoyo chekuzvarwa nacho. Kuoma kweCRS kunogona kusiyana kubva pamunhu kusvika pamunhu. Kazhinji, chirwere ichi chinova chakakomba kana amai vakabatwa nerubella pakutanga kwepamuviri, kunyanya mavhiki gumi nematatu asati asvika.

Dambudziko iri rakajairika zvakadii?

Munyika dzakadai seAmerica, kuwanda kwechirwere cherubella (CRS) kwakaderera zvikuru nekuti mushonga werubella unoshandiswa zvakanyanya. Zvisinei, chinhu chinonetsa ndechekuti, kana tikaongorora pasi rose , vanhu vanosvika zviuru zana vanobatwa nechirwere cheCRS vanoonekwa gore rega rega. Munyika meduwo, mushonga werubella unowanikwawo muchirongwa chenyika chekubaya, saka mamiriro ezvinhu aya akadzorwa. Zvisinei, ruzivo rwakakosha zvikuru.

Ndezvipi zviratidzo zve congenital rubella syndrome?

Zviratidzo nekuoma kwechirwere ichi cheCRS zvinogona kusiyana zvikuru kubva pamunhu kusvika pamunhu, sezvandambotaura. Kana amai vakabata rubella panguva yekutanga pamuviri, mukana wekuti mwana awane zviratidzo zvakakomba ndewekuti mwana awane zviratidzo zvakakomba ndewekuti mwana awane chirwere ichi. Dzimwe nguva, kana chirwere cheCRS chisina kunyanya kuipa, panogona kunge pasina zviratidzo zvakajeka pakuzvarwa.

Izvi ndizvo zvimwe zvezviratidzo zvekutanga zvinogona kuonekwa mwana achangoberekwa:

• Kuberekwa kusina huremu hwakakwana.
• Dzimwe nguva unogona kuona mavanga ebhuruu-pepuru kana maronda paganda remwana wako. Vamwe vanhu vanoti izvi "maronda emumamuffin eblueberry" nekuti zvinoita semavanga ari pamumaffin eblueberry.
• Mavara nemavanga epepuru, matsvuku, kana mashava paganda (Purpura).
• Musoro wemwana mudiki pane zvakajairika (Microcephaly).

Izvi zvimwe zviratidzo zvinogona kuoneka nguva pfupi mushure mekunge mwana aberekwa:

• Makati emudumbu (Congenital cataracts) uye kuwedzera kwe pressure yemaziso (Glaucoma).
• Chirwere chemwoyo chekuzvarwa nacho. Kune mhando dzakasiyana dzeizvi. Semuenzaniso, maburi ari pakati pemakamuri emwoyo (Ventricular Septal Defects, Atrial Septal Defects), matambudziko etsinga dzeropa mumoyo (Patent Ductus Arteriosus, Peripheral Pulmonary Artery Stenosis) nezvimwewo. Vanachiremba vachakutsanangurirai izvi zvakadzama.
• Kunonoka Kukura: Izvi zvinoreva kuti mwana anononoka kukambaira, kugara, kufamba, uye kutaura, zvichienderana nezera rake.
• Kukura kwechiropa kana chiropa (Hepatosplenomegaly).
• Kurasikirwa nekunzwa. Dzimwe nguva izvi zvinogona kusvika pakunzwa zvachose.
• Kushaya ropa kunokonzerwa nekuputsika kwemasero matsvuku eropa.
• Kuremara Kwepfungwa.
• Chirwere chemabayo.
• Kuzvimba kweuropi ne meninges (meningoencephalitis).
• Retinopathy yePigmentary.
• Zvirwere zvemapfupa.
• Manodhi elymph akazvimba.

Zvakakosha: Vana vanozvarwa vaine chirwere cheCongenital Rubella Syndrome (CRS) vari panjodzi yakakura yekubatwa nechirwere cheshuga chinokonzerwa neinsulin uye chirwere chethyroid mushure memakore avo ekuberekwa.

Chikonzero cheizvi chii?

Chikonzero chikuru chechirwere cherubella (CRS) ndechekuti kana wava nerubella uri nepamuviri. Utachiona hwerubella hunobva hwabva kuna amai huchienda nepaplacenta hwobva hwatapurira mwana ari mudumbu. Utachiona uhwu hunogona kukuvadza masero emwana ari mudumbu uye kukanganisa kukura kwenhengo dzakasiyana dzemuviri wemwana. Ndokusaka paine matambudziko ehutano anowanikwa pakuzvarwa.

Fungidzira kuti njodzi iyi yakaita sei:

• Kana amai vakabatwa nerubella mukati memavhiki gumi nemaviri ekutanga epamuviri , CRS inogona kukanganisa vana vanosvika 85% vevacheche.
• Kana utachiona hwacho hukapararira pakati pemavhiki gumi nematatu kusvika gumi nematanhatu ekuzvitakura , hunogona kukanganisa kusvika ku50% yevana vachangozvarwa.
• Kana ikabatwa nechirwere ichi muhafu yechipiri yemwedzi mitatu yechipiri , inogona kukanganisa vanenge 25% vevana vachangoberekwa.

Rubella chirwere chinokonzerwa nehutachiona hunonzi `(RuV)`. Chiratidzo chikuru mapundu matsvuku, anokwenya anowanzo tanga pachiso opararira mumuviri wese. Izvi hazvichawanzoitika munyika dzakawanda nekuda kwekubaiwa majekiseni. Zvisinei, rubella ichiripo mune dzimwe nzvimbo dzepasi rose.

Vacheche vane CRS vanogona kuparadzira chirwere ichi here?

Ehe, izvozvo zvakakosha. Vanachiremba vanoona mwana ane chirwere cherubella chekuzvarwa nacho sechinotapukira kweinenge gore. Zvisinei, kana mwana ava nemwedzi mitatu uye bvunzo mbiri dzerubella, mwedzi mumwe chete uchitevera, dzikabuda dzisina hutachiona (zvichireva kuti hutachiona hahupo), saka haachatapukiri. Saka, kungwarira kwakakosha kunofanira kutorwa kudzivirira vamwe panguva iyoyo.

Chirwere ichi cheCRS chinoonekwa sei?

Kune nzira dzakasiyana-siyana dzekuongorora chirwere cherubella chekuzvarwa nacho:

• Kuongororwa pamuviri: Munyika dzakawanda, itsika yakajairika kuongorora rubella nezvimwe zvirwere zvakawanda pakutanga kwekuzvitakura. Kana ukaona zviratidzo zverubella panguva yekuzvitakura, chiremba wako acharaira bvunzo kuti asimbise chirwere chacho. Vachakutsanangurira njodzi yekuti mwana wako awane CRS.
• Kuongororwa kwemwana asati aberekwa: Kana ukabatwa nerubella panguva yekuzvitakura, chiremba wako anogona kukurudzira bvunzo dzakakosha kuti aone kana hutachiona hwapararira kumwana wako. Semuenzaniso, amniocentesis, chorionic villus sampling, uye fetal blood sampling. Idzi bvunzo dzakaoma, uye chiremba wako anongozviita chete kana zvichidikanwa.
• Kuongororwa kwechirwere mushure mekuzvarwa: Mushure mekuzvarwa kwemwana , kuongororwa ropa (ELISA test) kunogona kuitwa kuti kuonekwe kana paine ma antibodies ehutachiona hwerubella muropa remwana. Muenzaniso weti, sample yemate, kana swab yemhino zvinogonawo kuongororwa kuti mwana ane chirwere cherubella here. Chiremba anogona kuraira bvunzo idzi kana amai vachizivikanwa kuti vakambova nerubella panguva yekuzvitakura, kana kana mwana ari kuratidza zviratidzo zveCRS.

Kana mwana wako akaonekwa kuti ane rubella, timu yezvekurapa ichakurudzira kuongororwa kwakawanda kuti vaongorore hutano hwemwana uye kuti vaone kuti ndeapi mamwe matambudziko ehutano angakonzerwa neCRS.

Ndezvipi zvinorapwa izvi?

Zvinosuwisa kuti hapana mushonga kana kurapwa zvakananga kwechirwere cherubella (CRS) chekuzvarwa nacho. Zvakare, zvimwe zvemigumisiro yacho, zvakaita sekurasikirwa nekunzwa uye kuremara kwepfungwa, zvinogara kwenguva refu, zvichireva kuti zvinogara kweupenyu hwese. Zvisinei, zvimwe zviratidzo, zvakaita sehemolytic anemia uye interstitial pneumonia, zvinogona kudzorwa kana kurapwa. Zvimwe zvirwere zvemoyo zvinogonawo kurapwa nekuvhiyiwa.

Chikwata chevanachiremba chemwana wako chichagadzira hurongwa hwekurapa hwakanangana nezviratidzo zvemwana wako nezvaanoda. Izvi zvingada rubatsiro rwenyanzvi dzakawanda.

Kana mwana wangu aine CRS, chii chandinofanira kutarisira?

Congenital rubella syndrome haibate mwana wese nenzira imwe chete, uye kuoma kwayo kunogona kusiyana. Zvinotora bvunzo dzakawanda uye kuongororwa kuti unzwisise zvizere kuti CRS yakakanganisa sei mwana wako. Inogona kutora nguva yakawanda. Asi hausi wega parwendo urwu. Chikwata chevanachiremba vemwana wako chichava newe nhanho imwe neimwe yenzira, vachitsanangura kuti CRS chii uye kuti ichakanganisa sei ramangwana remwana wako nemhuri yako.

Ndingadzivirira chirwere ichi cheCRS here?

Ehe! Ichi ndicho chinhu chakakosha. Congenital Rubella Syndrome (CRS) chirwere chinogona kudzivirirwa zvakanyanya!

Nzira yakanakisisa yekuita izvi ndeyekubaiwa nhomba yerubella usati wabata pamuviri. Izvi zvinoreva kuti unofanira kubaiwa nhomba yerubella.

MuSri Lanka, tinopa vana mushonga weMMR, unodzivirira kubva kugwirikwiti, maperembudzi nerubella. Mushonga wekutanga unowanzopihwa pakati pemwedzi 9-12 yekuzvarwa uye wechipiri pazera remakore matatu (nguva idzi dzinogona kusiyana zvishoma zvichienderana nehurongwa hwenyika hwekubaiwa maperembudzi, saka bvunzai mukuru wezvehutano wemuno).

Kana usina kuwana mushonga wekudzivirira chirwere ichi uchiri mwana, kana kuti usina chokwadi nazvo, zvakakosha kutaura nachiremba wako nezvekuwana mushonga uyu izvozvi. Kana ukawana mushonga uyu wakura, yeuka kudzivirira kubata pamuviri kwemazuva makumi maviri nemasere (anenge mwedzi) mushure mekutora mushonga uyu. Iri izano rakakosha zvikuru.

Ndingatarisira sei mwana wangu ane CRS?

Zvichienderana nematambudziko ehutano anosangana nemwana wako neCRS, angangoda kurapwa nguva dzose uye kurapwa sezvaanokura. Zvakakosha kuti utsigire mwana wako uye uve nechokwadi chekuti anowana rubatsiro rwekurapa rwakanakisisa uye rutsigiro rwaanoda. Izvi zvichabatsira mwana wako kurarama hupenyu hwakanakisisa.

Congenital rubella syndrome chirwere chinogona kukanganisa hutano hwemwana zvakanyanya. Asi mashoko akanaka ndeekuti chinogona kudzivirirwa zvakanyanya nekushandisa mushonga werubella (MMR vaccine). Pose pazvinogoneka, ona chiremba wako usati wabata pamuviri kuti uve nechokwadi chekuti wadzivirirwa kubva kurubella nezvimwe zvirwere zvinotapukira. Inobatsira zvikuru iwe nemwana wako.

Zvinhu zvakakosha zvekurangarira (Mharidzo Yekuenda Kumba)

Pane zvinhu zvishoma zvaunofanira kurangarira kubva pane zvatataura nezvazvo:

• Congenital rubella syndrome (CRS) chirwere chakakomba chinogona kuitika mumwana kana amai vane pamuviri vakabatwa nerubella.
• Izvi zvinogona kukonzera kuti mwana ave nematambudziko akasiyana-siyana ehutano (maziso, nzeve, moyo, uropi) kubva pakuzvarwa.
• Chinhu chakakosha ndechekuti izvi zvinogona kudzivirirwa zvakanyanya nekushandisa mushonga weMMR.
• Kana uri kutarisira mwana, bvunza chiremba wako kana wakadzivirirwa kubva kurubella usati wabata pamuviri . Baiwa majekiseni kana zvichidikanwa.
• Kana ukapihwa mushonga weMMR, usaita pamuviri kwemwedzi unosvika mumwe chete.
• Kana watova nepamuviri uye uchifungidzira kuti une rubella, tsvaga rubatsiro rwechiremba nekukasika.

Tinovimba kuti ruzivo urwu ruchakubatsira. Mhuri ine hutano ndiyo mufaro mukuru!

` Congenital Rubella Syndrome, CRS, Rubella, Chirikadzi yeGerman, Pamuviri, mushonga weRubella, mushonga weMMR, Hutano hwevana, Zvirwere zveCongenital