Ukukhulelwa lixesha elihle kakhulu nelinika ithemba kubomi bomama ngamnye, akunjalo? Kufuneka ulinde ngomonde ukuba umntwana afike kweli hlabathi ephilile. Ngeli xesha, kufuneka sikhathalele impilo yethu kunye neyengane yethu. Ngamanye amaxesha, ezinye izifo esizifumanayo zinokuchaphazela nomntwana. Namhlanje, siza kuthetha ngezinye izifo ezinjalo. Ungakhathazeki, ukwazi oku yeyona ndlela ilungileyo yokuzikhusela.
Yintoni i-TORCH Syndrome?
Xa usiva igama elithi TORCH syndrome, ungacinga ukuba sisifo esinye. Kodwa eneneni asisosifo, kodwa yingqokelela yeentlobo ezahlukeneyo zosulelo. Ezi zizifo ezibangelwa ziintsholongwane ezincinci ezifana neebhaktheriya, iintsholongwane okanye iiparasite. Ukuba umama ufumana ezi zifo ngexesha lokukhulelwa, zinokubangela iingxaki ezithile zempilo kumntwana ongakazalwa okanye kusana olusandul’ ukuzalwa.
Oonobumba abakwigama elithi TORCH bamele olu hlobo lwezifo:
- I-T - iToxoplasmosis
- O - Ezinye izinto ezibangela le ngxaki - Eli qela liquka izinto ezifana ne-HIV, iSyphilis, iVaricella, kunye nesifo seFifth.
- R - I-Rubella okanye i-German measles
- C - I-Cytomegalovirus (CMV)
- H - I-Herpes simplex
Ezi zifo zidluliselwa njani ebantwaneni?
Ezi ntsholongwane zeTORCH zinokukosulela wena, umntwana wakho osakhulayo, okanye umntwana wakho osandul’ ukuzalwa.
Kodwa kubalulekile ukukhumbula oku. Kwaneengcali zonyango zithi ayilo lonke ixesha umama efumana usulelo, luya kudluliselwa kumntwana wakhe. Ngoko ke akukho mfuneko yokukhathazeka ngokungeyomfuneko.
Kukho iindlela ezintathu eziphambili abantwana abanokufumana ngazo ezi zifo:
1. Nge-placenta: Ezinye iintsholongwane zinokudlulela kumntwana wakho nge-placenta, enika umntwana wakho isondlo kunye neoksijini esibelekweni.
2. Ngexesha lokubeleka: Ngexesha lokubeleka, iintsholongwane ezivela kumjelo wokuzalwa zinokungena emzimbeni womntwana.
3. Ngexesha lokuncancisa: Kunqabile kakhulu ukuba ezinye iintsholongwane zidluliselwe ebantwaneni ngobisi lwebele.
Ngenxa yokuba inkqubo yokuzikhusela yomzimba yomntwana ayikakhuli ngokupheleleyo esibelekweni, ayinakumelana nokugula njengomntu omdala. Ukuba kukho usulelo, lunokuchaphazela uphuhliso lwezinye zezitho zomntwana.
Iinkcukacha malunga neentlobo zosulelo lwe-TORCH
Ngoku makhe sijonge uhlobo ngalunye lwezi zifo ngokwahlukeneyo.
I-T - iToxoplasmosis
Olu luhlobo losulelo olubangelwa yiparasite ebizwa ngokuba yi-'Toxoplasma gondii'. Lungena emzimbeni ngomlomo. Lunokudluliselwa ngezinto ezifana nenyama neentlanzi ezingaphekwanga kakuhle, imifuno engcolileyo, namanzi angcolileyo. Ngokukodwa, olu gciwane lunokufumaneka kwindle yekati . Ke ngoko, kufuneka ulumke kakhulu xa ususa indle yekati ngexesha lokukhulelwa.
O - Ezinye iiArhente
Olu didi luquka iintlobo ezahlukeneyo zosulelo.
- I-HIV: Kunqabile kakhulu ukuba abantwana badlulisele i-HIV koomama babo. Ukuba umama une-HIV, umngcipheko wokudlulisela esi sifo emntwaneni unokwehliswa ube ngaphantsi kwe-1% ngokufumana unyango olufanelekileyo (`Unyango lwe-antiretroviral - ART`).
- I-Syphilis: Esi sisifo esidluliselwa ngesondo. Ukuba sifunyenwe ngexesha lokukhulelwa, amayeza okubulala iintsholongwane anokunikwa umama nomntwana ukuqinisekisa ukuba bayaphila ngokupheleleyo.
- I-Chickenpox (i-Varicella): Esi sisifo esibangelwa yintsholongwane ye-varicella. Ekubeni uninzi lwabantu lufumana i-chickenpox besebancinci kwaye lufumana amandla okuzikhusela kwizifo, kunqabile ukuba umntwana osuleleke ngexesha lokukhulelwa.
- Isifo sesihlanu: Esi sisifo esibangelwa yintsholongwane ebizwa ngokuba yi-'Parvovirus B19.' Ekubeni uninzi lwabantu abadala lukhuselekile kuso, kunqabile ukuba abantwana bosulelwe.
R - iRubella
Ikwabizwa ngokuba yiGerman measles. Ukuba iyenzeka kwiiveki ezili-12 zokuqala zokukhulelwa, inokubangela iingxaki ezinkulu kumntwana. Nangona kunjalo, ngenxa yokugonyelwa yi-MMR, esi sifo ngoku asiqhelekanga eSri Lanka nakwamanye amazwe amaninzi kwihlabathi liphela.
C - I-Cytomegalovirus (CMV)
Olu luhlobo oluqhelekileyo losulelo kwiqela le-TORCH. Ludluliselwa ngolwelo lomzimba olufana namathe nomchamo. Ingakumbi ukuba kukho abanye abantwana abancinci ekhaya, kufuneka ulumke kakhulu xa utshintsha iinapile zabo naxa ubatyisa kwaye ubahlamba.
I-H - Intsholongwane yeHerpes Simplex (HSV)
Esi sisifo esixhaphakileyo esidluliselwa ngesondo. I-HSV-1 ibangela amaqhuqhuva ajikeleze umlomo, ngelixa i-HSV-2 ibangela amaqhuqhuva okanye izilonda kwindawo yesini. Nokuba umama okhulelweyo une-herpes, umngcipheko wokuyidlulisela kumntwana wakhe uphantsi kakhulu. Ingakumbi ukuba umama wayene-herpes ngaphambi kokukhulelwa, ii-antibodies emzimbeni wakhe zidlula kwi-placenta kwaye zikhusele umntwana.
Kwenziwa njani uvavanyo lwezi zifo?
Ugqirha wakho uza kukuthumela kwiimvavanyo ezifunekayo ngexesha lokukhulelwa. Ezinye zeemvavanyo eziqhele ukwenziwa zidweliswe kwitheyibhile engasezantsi.
| Uhlobo losulelo | Uvavanyo oluqhelekileyo |
|---|---|
| I-Toxoplasmosis | Nangona kungenzeki rhoqo kubo bonke abantu, uvavanyo lwegazi (lwe-IgG, ii-antibodies ze-IgM) lwenziwa ukuba kukho umngcipheko. |
| I-HIV kunye ne-syphilis | Wonke umama unikwa uvavanyo lwegazi kwasekuqaleni kokukhulelwa. Olu luvavanyo oluyimfuneko. |
| I-Rubella | Ekubeni uninzi lwabantu lukhuselekile kwi-MMR vaccine, uvavanyo aluqhelekanga ukwenziwa, kodwa uvavanyo lwegazi lunokwenziwa ukuba kuyimfuneko. |
| I-CMV kunye ne-herpes | Uvavanyo olukhethekileyo (igazi, umchamo, uvavanyo lwamathe) lwenziwa kuphela xa kukho iimpawu okanye ukuba ugqirha unamathandabuzo. |
Ukongeza, ukuba ugqirha wakho unqwenela, unokukuthumela kwezinye iimvavanyo, ezifana novavanyo lwe-PCR kunye nee-ultrasound scans.
Unyango kunye nokuthintela iingxaki
Iindaba ezimnandi zezokuba kukho unyango lwezi zifo. Unyango luxhomekeke kuhlobo losulelo, ubukhali balo, kunye nenqanaba lokukhulelwa okulo. Ugqirha wakho unokukunika amayeza okubulala iintsholongwane, amayeza okubulala iintsholongwane, okanye amayeza okubulala iintsholongwane.
Eyona nto ibalulekileyo kukuthintela . Njengoko iingcali zisitsho, "unyango olungcono kukuthintela." Ukugonywa, ucoceko, kunye nokuhlolwa kwangaphambi kokukhulelwa ngexesha elifanelekileyo zezona zixhobo zibalaseleyo esinazo zokukhusela abantwana bethu kwezi zifo.
Ezinye izifo zingabangela iingxaki emntwaneni. Umzekelo:
- I-syphilis enganyangwanga inokuchaphazela ukukhula komntwana, ukubona, kunye nokuva.
- I-Rubella ingabangela isifo sentliziyo kunye neengxaki zobuchopho.
- Ukosuleleka yi-CMV kunokubangela ukulahlekelwa kukuva kwabanye abantwana.
Kodwa ungakhathazeki. Ezi zinto azifane zenzeke. Ngokulandela iingcebiso zonyango ezifanelekileyo kunye nokuhlolwa rhoqo, uninzi lwale mingcipheko lunokuphetshwa.
Ufanele wenze ntoni?
- Yitya ukutya okuphekiweyo kakuhle kuphela: Kuphephe ukutya inyama eluhlaza, intlanzi, namaqanda aluhlaza.
- Lumka ucoceko: Hlamba imifuno neziqhamo kakuhle phambi kokuba uzisebenzise. Hlamba izandla zakho kakuhle ngesepha emva kokuchukumisa izilwanyana okanye umhlaba.
- Ziqhelise ngesondo elikhuselekileyo: Kuphephe ukulala ngesondo elingakhuselekanga. Ukusebenzisa ikhondom kubaluleke kakhulu.
- Gonyelwa: Ngaphambi kokuba ukhulelwe, thetha nogqirha wakho malunga nokuba ufumene naluphi na ugonyo oluyimfuneko, olufana ne-MMR.
- Funa ingcebiso kagqirha: Ukuba uneempawu ezingaqhelekanga (umz. umkhuhlane, amadyungudyungu eluswini), bona ugqirha wakho ngoko nangoko.
Umyalezo Wokuya Ekhaya
- I-TORCH liqela leentsholongwane ezinokudluliselwa ukusuka kumama ukuya kumntwana ngexesha lokukhulelwa.
- Ukuthintela ezi zifo lolona nyango lubalaseleyo. Ukugonywa kunye nokuzigcina ucoceko oluhle (ingakumbi ukuhlamba izandla emva kokuphatha izilwanyana kunye nenyama eluhlaza kunye neentlanzi) kubaluleke kakhulu.
- Ukuba uneempawu okanye ukrokrela ukuba ukhe wachaphazeleka sisifo, thetha nogqirha wakho ngoko nangoko.
- Nangona oomama abaninzi befumana usulelo, kukho ithuba elikhulu lokuba bangazidluliseli ebantwaneni babo. Ngoko ke, musa ukoyika ngokungeyomfuneko kwaye ulandele iingcebiso zonyango ezifanelekileyo.











💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho