Ingabe ingane yakho ingathola i-syphilis? Ake sifunde nge-syphilis yokuzalwa

Uma ungumama okhulelwe, kumele ukuthi ucabanga kakhulu ngempilo yakho neyengane yakho kulezi zinsuku, akunjalo? Ngezinye izikhathi kunezimo esingazazi, kodwa ezingathinta ingane. Esinye sezimo ezinjalo 'yi-Congenital Syphilis'. Ungakhathazeki, ake sixoxe ngalokhu ngokuningiliziwe. Uma ukwazi lokhu, ungagwema izinkinga eziningi.

Iyini i-syphilis yokuzalwa? Kungani iyingozi?

Kalula nje, i-syphilis yokuzalwa yisimo lapho umama edlulisela khona i-syphilis enganeni yakhe ngesikhathi sokuzalwa. Uma une-syphilis ngesikhathi sokukhulelwa, ukutheleleka kungadluliselwa enganeni yakho. Lokhu kungenzeka nge-placenta ngesikhathi sokukhulelwa noma ngesilonda se-syphilis emzimbeni kamama lapho umntwana ezalwa. I-Syphilis iyisifo esithathelwana ngocansi (STI). Kodwa into engcono kakhulu ukuthi ingelashwa ngama-antibiotic. Ungakuthola lokhu kwelashwa noma ngabe ukhulelwe. Uma uthola ukwelashwa okunjalo, ngeke nje ube ngcono, kodwa uzokwazi nokuvikela ingane esibelethweni sakho. Kodwa, ake sithi ukhulelwe, une-syphilis, kodwa awukakayitholi ukwelashwa. Khona-ke lokhu kutheleleka kungalimaza kakhulu ingane yakho. Kungabangela ukuphuphuma kwesisu, ukuzalwa komntwana eshonile, noma ngisho nokufa kwengane ezinsukwini ezimbalwa ngemva kokuzalwa. Ngisho noma ingane isinda, ingase ibe nezinkinga zempilo ezahlukahlukene.

Ngakho-ke uma ukhulelwe futhi usola ngisho nokuncane ukuthi ungase ube ne-syphilis, bona udokotela ngokushesha bese uhlolwa i-syphilis. Ngaleyo ndlela, ungazi ngokuqinisekile ukuthi unalesi sifo noma cha. Uma wenza kanjalo, ungaqala ukwelashwa ngokushesha. Uma uthola ukwelashwa kusenesikhathi sokukhulelwa, ikakhulukazi ngesikhathi sokuqala kwenyanga, i-syphilis yokuzalwa ingavinjelwa kakhulu.

Kubaluleke kakhulu futhi ukukhuluma nabalingani bakho bocansi ngalokhu bese ubahlola. Ngoba nabo bangase babe negciwane futhi bangase badinge ukwelashwa. Uma bengakutholi ukwelashwa, ungase uphinde utheleleke (bese kuzodingeka uqale ukwelashwa kabusha). Eqinisweni, kulezi zinsuku, kokubili i-syphilis yokuzalwa kanye ne-accomplished syphilis iye yanda kancane emhlabeni nasezweni lethu. Lokhu kusho ukuthi abantu abaningi bangase bangazi ukuthi banalesi sifo. Ngakho-ke, ukukhuluma ngokwethembeka kuzokusiza kakhulu wena nokukhulelwa kwakho.

Ingabe zikhona izinhlobo zokuzivikela komzimba ezingokwemvelo?

Yebo, odokotela bahlukanisa i-syphilis yokuzalwa ngokwesikhathi lapho kuvela khona izimpawu:

• I-syphilis yokuzalwa kwasekuqaleni: Izimpawu zivela ngaphambi kokuba umntwana abe neminyaka emibili ubudala (ngokuvamile zingakapheli izinyanga ezintathu zokuzalwa).
• I-syphilis yokuzalwa esanda kuzalwa: Izimpawu ziyavela ngemva kweminyaka emibili.

Yiziphi izimpawu zalesi simo esingavamile sokuzalwa?

Manje ake sibone ukuthi yiziphi izimpawu zalolu hlobo ngalunye.

Imfundo yasebuntwaneni (kusukela ekuzalweni kuya eminyakeni emi-2)

Phakathi nalesi sikhathi, umntwana angabonisa izimpawu ezifana nalezi:

• Ukukhubazeka kwamathambo: Isibonelo, isimo esifana ne -osteochondritis .
• Ukwanda kwesibindi .
• Ukwanda kobende .
• I-Jaundice : Ukuphuzi kwamehlo nesikhumba.
• Ukwehla kwamaseli abomvu egazi ( i-anemia ) kanye nama-platelet (i-thrombocytopenia).
• Izilonda ezithambile, ezifana nezinsumpa: Lezi zibizwa ngokuthi 'i-condyloma lata'.
• Ukukhuhla isikhumba ezandleni noma ezinyaweni.
• Kuvela ukuqhuma entanyeni, ezandleni, nasemlonyeni.
• Ukuphuma kwamanzi ekhaleni njalo (`syphilitic rhinitis` noma "snuffles"): Lokhu kuvame ukuqhubeka, ngokuvamile kuqala phakathi nesonto lokuzalwa. Lokhu kukhishwa kwamanzi ekhaleni kungaba mhlophe noma kube negazi.

Cishe izingane ezisanda kuzalwa eziyisithupha kweziyi-10 ezine-syphilis yokuzalwa zizoba ne -neurosyphilis, ethinta isimiso sezinzwa . Lokhu kungafaka:

• Ukugeleza kwegazi okuphazamisekile kuya ebuchosheni ( stroke ).
• Ukukhubazeka kwamehlo: Isibonelo, ama-cataract noma ukuvuvukala kwezingqimba zangaphakathi zeso (i-chorioretinitis).
• Izimo ezifana nezimpawu zesifo sokuwa (Ukuquleka).

Ezinye izingane azibonisi zimpawu lapho zizalwa. Kodwa izimpawu zingase zivele ezinsukwini ezimbalwa, amasonto, noma ngisho nezinyanga kamuva. Kodwa uma ukuhlolwa kukhombisa ukuthi kukhona ingozi yokutheleleka, odokotela bazoqala ukwelapha lowo mntwana ngokushesha.

I-anomaly yokuzalwa ephuzile (ngemuva kweminyaka emi-2)

Phakathi nalesi sikhathi, ungabona izimpawu ezifana nalezi:

• Ukukhubazeka ekukhuleni kwamathambo.
• Ukukhubazeka kwamehlo: Isibonelo, ukuvuvukala kwe-cornea.
• Ukulahlekelwa ukuzwa.
• Ukukhubazeka kwamazinyo: Ukusikwa kwamabala emazinyweni noma ezikhaleni phakathi kwamazinyo (`amazinyo kaHutchinson`).

Ungase ukwazi ukubona ezinye zalezi zimpawu ngokwakho, kodwa eziningi zazo zidinga ukuqinisekiswa udokotela.

Kungani kuvela lesi simo sengqondo?

Isizathu esiyinhloko se-syphilis yokuzalwa ukuthi umama une-syphilis.Igama elithi "congenital" lisho "ukuzalwa nalesi sifo". Izingane zizalwa nalesi sifo. Kodwa ngezinye izikhathi, lesi sifo singabulala umbungu ngaphambi kokuba umntwana azalwe ephila. Amagciwane athile abangela i-syphilis (uhlobo lwe-Treponema pallidum) angena embungwini nge-placenta. Amagciwane aya ngqo egazini lombungu, lapho angasakazeka khona emzimbeni wonke, alimaze amathambo nezitho ezibalulekile. Ezinye izingane zingase zithole lesi sifo, nakuba kungavamile, ngokuthinta izilonda ze-syphilis zikanina lapho zizalwa. Kodwa-ke, akuzona zonke izingane ezizalwa omama abane-syphilis ezizoba ne-syphilis yokuzalwa. Ingozi incike ekutheni umama utheleleke nini. Ingozi iphakeme kakhulu yezifo ezintsha eduze noma ngesikhathi sokukhulelwa kunezifo ezitholakale esikhathini esingaphezu konyaka ngaphambi kokukhulelwa.

Yiziphi izinto ezibangela lesi simo?

Esinye sezici ezinkulu ezibangela ingozi yokuthola i-syphilis yokuzalwa ukungayitholi ukunakekelwa okufanele ngaphambi kokubeletha. Lokhu kusho ukungamboni udokotela ngesikhathi sokukhulelwa kwakho, noma ukuya sekwephuzile. Uma ungazitholi lezi zivivinyo, ungase ungazi ukuthi une-syphilis. Uma ingelashwa, ingaholela ku-syphilis yokuzalwa kanye nezinkinga ezihlobene nayo (kufaka phakathi ukuphuphuma kwesisu).

Kubaluleke kakhulu ukuqala ukubona udokotela nokuya emtholampilo phakathi nekota yokuqala yokukhulelwa. Kungale mitholampilo lapho udokotela wakho engakwazi khona ukubona noma yiziphi izinkinga zempilo ezingathinta ukukhulelwa kwakho kusenesikhathi.

Kunezinye izici eziningana ezandisa ingozi yokuthola i-syphilis ngesikhathi sokukhulelwa (futhi ngaleyo ndlela i-syphilis yokuzalwa):

• Ukuba nabalingani abaningi bocansi.
• Ukusetshenziswa kwezidakamizwa kanye nomsebenzi wocansi (ngaphandle kwencwadi kadokotela).
• Ucansi ukuze uthole imali noma izinsizakalo (ucansi lwezentengiselwano).

Yiziphi izinkinga zalesi simo?

I-syphilis yokuzalwa ingabangela izinkinga ngesikhathi sokukhulelwa ezifana nalezi:

• Ukuphuphuma kwesisu.
• Ukuzalwa ngaphambi kwesikhathi.
• Isisindo esiphansi sokuzalwa.
• Ukuzalwa kwengane ifile.
• Ingane ishona ezinsukwini ezimbalwa ngemva kokuzalwa.

Uma ingelashwa, izingane ezizalwa zine-syphilis zingaba nezimpawu ezinkulu noma zife.

Ungayibona kanjani i-innate amasosha omzimba?

Odokotela baxilonga lesi simo ngalezi zindlela:

• Ngokukuhlola i-syphilis ngesikhathi sokukhulelwa: Ukuhlolwa kwegazi kungabonisa ukuthi unesifo se-syphilis. Ngokusekelwe kule miphumela, odokotela banquma ingozi yokuthi ingane esanda kuzalwa ibe ne-syphilis.
• I-ultrasound yengane esanda kuzalwa:Ngezinye izikhathi odokotela bangabona izimpawu ze-syphilis yokuzalwa (njengokukhula kwesibindi kanye nokunqwabelana koketshezi) ku-ultrasound. Kodwa-ke, i-syphilis yokuzalwa ayibonakali ngaso sonke isikhathi ku-ultrasound. Ezinye izingane zizalwa zinalesi simo yize zinemiphumela evamile ye-ultrasound.
• Ukuhlolwa ngokomzimba kwezingane ezisanda kuzalwa kanye nezinye izivivinyo: Odokotela bazohlola ngokucophelela izingane ezisanda kuzalwa okusolwa ukuthi zine-syphilis yokuzalwa futhi babheke izimpawu. Bangenza ukuhlolwa okukodwa noma ngaphezulu, njengokuhlolwa kwegazi, ukubhoboza kwe-lumbar, kanye ne-X-ray. Isibonelo, i-X-ray ingathola ukukhubazeka kwamathambo okuvamile ezinganeni ezine-syphilis yokuzalwa.

Ezinye izingane zizalwa ziphilile, kodwa kamuva ziba nezimpawu ze-syphilis yokuzalwa. Lokhu kubizwa ngokuthi i-syphilis yokuzalwa esekupheleni. Ezinganeni ezineminyaka engu-2 noma ngaphezulu, odokotela benza ukuhlolwa okuphelele ngokomzimba ukuze babheke izimpawu ze-syphilis yokuzalwa.

Yiziphi izindlela zokwelapha i-syphilis yokuzalwa?

Odokotela basebenzisa i-antibiotic penicillin ukwelapha i-syphilis yokuzalwa. Basebenzisa eyodwa noma zombili lezi zindlela:

• Ukukwelapha ngenkathi ukhulelwe: Lokhu kuhilela ukukunika umjovo owodwa noma ngaphezulu we-penicillin.
• Ukwelapha umntwana ngemva kokuzalwa: Kulokhu, umntwana unikezwa i-penicillin ngemithambo noma njengomjovo.

Uhlobo oluqondile lokwelashwa olunikezwayo luncike kulezi zici:

• Waqala nini ukubona ukuthi une-syphilis?
• Ukuthi ukwelashwa kwaqalwa ngesikhathi sokukhulelwa, futhi uma kunjalo, nini.
• Ingozi yokuthi umntwana abe ne-syphilis lapho ezalwa.
• Izimpawu eziboniswa yingane ngemva kokuzalwa.

Kungcono ukuqala ukwelashwa ngesikhathi sokukhulelwa, okungenani izinsuku ezingu-30 ngaphambi kokuba ingane yakho izalwe. Lokhu kuzosiza ekuqedeni ukutheleleka kwakho futhi kusize ukutheleleka kwengane yakho. Kodwa-ke, noma umama ethola ukwelashwa ngokushesha, ezinye izingane zingazalwa zine-syphilis yokuzalwa. Odokotela bazohlola ingozi yokuthi ingane yakho ibe ne-syphilis lapho izalwa futhi bahlele ukwelashwa ngokufanele. Le ngozi incike ezintweni eziningi, okuhlanganisa nokuthi ngabe uthole ukwelashwa kanye nemiphumela yokuhlolwa kwegazi okuthile. Uma welashwa i-syphilis ngaphambi kokuba ukhulelwe futhi yelapheka ngokuphelele, ingane yakho inamathuba amancane okuthola i-syphilis. Ezimweni eziningi, ingane yakho ngeke idinge ukwelashwa. Uma une-syphilis ngesikhathi sokukhulelwa, odokotela bazohlola ngokucophelela ingozi yengane yakho. Bazobheka umlando wakho wokwelashwa futhi banqume ingozi yokuthi ingane yakho ibe ne-syphilis yokuzalwa. Izingane ezisengozini enkulu kuzodingeka zihlale esibhedlela futhi zithole i-penicillin. Uma uthola ukwelashwa ekuqaleni kokukhulelwa kwakho, ingane yakho ingase ingadingi ukuhlala esibhedlela ukuze ithole ukwelashwa. Ingathunyelwa ekhaya ngaphansi kokubhekwa okuseduze kwezokwelapha, ngokuvamile ngomjovo owodwa we-penicillin. Ithimba lakho lezokwelapha lizokutshela ngqo ukuthi yini ongayilindela ngesikhathi sokwelashwa kwengane yakho.

Kwenzekani uma ingane yami inesifo sokungezwa esizalwa naso?

Kuncike ekutheni lesi simo sithinta kanjani ukukhula komntwana kanye/noma impilo yomntwana ngemva kokuzalwa. Ama-antibiotic angelapha i-syphilis, kodwa awakwazi ukulungisa umonakalo osuvele wenzeke. Lokhu kusho ukuthi ezinye izingane zingase zibe nemiphumela yesikhathi eside ngenxa yokutheleleka (njengokushintsha kokubona noma ukuzwa). Ithimba lezokwelapha lomntwana wakho lizochaza ukuthi yini ongayilindela nokuthi ungasekela kanjani izidingo zomntwana wakho.

Ingabe izingane ezinezinkinga zokuzalwa zingasinda?

Yebo. Amathuba abo okusinda ancike ezintweni eziningi, njengokuthi ukwelashwa kuqala nini. Kodwa-ke, kwezinye izimo, i-syphilis yokuzalwa ingaba yingozi. Uma kukhona ukufa kombungu ngemva kwamasonto angama-20 okukhulelwa, kufanele uhlolwe i-syphilis.

Ingabe i-syphilis yokuzalwa ingavinjelwa?

Yebo, ungakwenza nakanjani! Nazi ezinye izinto ongazenza ukuze uvimbele noma unciphise kakhulu ingozi yokuba ingane yakho ibe ne-syphilis yokuzalwa:

• Yenza ucansi oluphephile ngaphambi nangesikhathi sokukhulelwa: Ucansi oluphephile lusho ukusebenzisa amakhondomu namadamu amazinyo njalo uma uya ocansini. Futhi, cela abalingani bakho bocansi ukuthi bahlolwe ama-STI futhi bathembeke kuwe ngemiphumela. Khumbula, izindlela zokuvimbela ezifana namakhondomu azikwazi ukuvimbela ngokuphelele ama-STI, kodwa zinganciphisa ingozi. Ukuze ugweme ukuthola i-syphilis noma ezinye izifo ezithathelwana ngocansi ngesikhathi sokukhulelwa, ungagwema nokwenza ucansi kuze kube yilapho usubelethile.
• Ukuhlolwa kwe-syphilis ngesikhathi sokukhulelwa: Njengasemazweni amaningi, lokhu kuhlolwa kwenziwa ekuvakasheni kokuqala emtholampilo. Ngezinye izikhathi, lokhu kuhlolwa kwenziwa nase-trimester yokugcina yokukhulelwa kanye/noma ngesikhathi sokuzalwa. Uma usengozini enkulu yokuthola i-syphilis, udokotela wakho angase akuncome ukuhlolwa okuphindaphindiwe.
• Thola ukwelashwa kwe-syphilis: Uma uhlolwe ukuthi une-syphilis ngaphambi noma ngesikhathi sokukhulelwa, ukwelashwa kungelapha ukutheleleka futhi kunciphise ingozi yokudlulisela i-syphilis enganeni yakho. Uma uqala ukwelashwa ngokushesha, imiphumela iba mihle. Ukwelashwa okuqala zingakapheli izinsuku ezingu-30 kusukela ekuzalweni kungase kungasebenzi kahle ekuvikeleni ingane yakho. Yingakho kubaluleke kangaka ukuhlolwa ngesikhathi sokukhulelwa.

Uma ukhathazekile ngengozi yakho yokuthola i-syphilis noma enye i-STI, khuluma nodokotela. Bangakutshela ngokuhlolwa futhi bachaze ukuthi yiziphi izifo ezithathelwana ngocansi ezingathinta ukukhulelwa kwakho noma ingane yakho. Ungase uzizwe ungakhululekile ukukhuluma nodokotela mayelana nocansi noma izifo ezithathelwana ngocansi. Kodwa khumbula, umsebenzi wabo ukukusiza nokwenza konke okusemandleni abo ukusekela impilo yakho. Thola udokotela okwenza uzizwe ukhululekile, uphephile futhi uhlonishwa.

Kufanele ngifune nini iseluleko sezokwelapha?

Uma ukhulelwe futhi ucabanga ukuthi unesifo se-syphilis, bona udokotela ngokushesha. Kubaluleke kakhulu ukuhlolwa bese uqala ukwelashwa uma unesifo. Uma ungenaye udokotela womndeni ojwayelekile, ungathola usizo esikhungweni sezempilo somphakathi noma enhlanganweni endaweni yakini. Uma ingane yakho itholakala ine-syphilis yokuzalwa, kuzodingeka uqhubeke nokuhlolwa kwezokwelapha ('ukulandelwa') ngisho nangemva kokuba ukwelashwa sekuphelile. Lokhu kubalulekile ukuqinisekisa ukuthi ukutheleleka sekuphelile ngempela nokuhlola ukukhula kwengane yakho. Qiniseka ukuthi uyiyisa ingane yakho kuzo zonke lezi zivivinyo futhi ulandele imiyalelo yethimba lakho lezokwelapha. Mhlawumbe ukhulelwe futhi usanda kuthola ukuthi une-syphilis. Ungase uzibuze, "Ngenzenjani manje?" Noma mhlawumbe usuvele ubelethile futhi ingane yakho yelashelwa i-syphilis yokuzalwa. Ungase uzizwe ungenalusizo futhi ukhungathekile. Lokhu akusikho lokho obukulindele. Yazi ukuthi kukhona usizo, kungakhathaliseki ukuthi ukuphi. Khuluma nethimba lakho lezokwelapha ngendlela ozizwa ngayo. Bazokunikeza ukwesekwa nezinsiza ozidingayo. Akudingeki udlule kulokhu wedwa.

Umlayezo Wokuya Nawe Ekhaya

Kulungile, ake sifingqe ezinye zezinto okudingeka uzikhumbule kulokho esikhulume ngakho:

• I-syphilis yokuzalwa iyisifo esibi kakhulu esidluliselwa kusuka kumama kuya enganeni, kodwa singavinjelwa uma sitholakala futhi selashwa kusenesikhathi.
• Uma ukhulelwe, qiniseka ukuthi uhlolelwa i-syphilis. Kuyindlela engcono kakhulu yokuzivikela wena nomntwana wakho.
• Uma uthola ukuthi une-syphilis, ungesabi bese uqala ukwelashwa ngokushesha. Kunezindlela zokwelapha eziphephile ezingathathwa ngesikhathi sokukhulelwa.
• Ucansi oluphephile aluyona nje inkulumo embalwa, lubaluleke kakhulu empilweni yakho kanye neyomndeni wakho.
• Uma unemibuzo noma ukukhathazeka, khuluma nodokotela ngokukhululekile. Bakhona ukuzokusiza.

Ngiyethemba ukuthi lolu lwazi luzokusiza. Kwangathi ungathola amandla okuba ngumama onempilo futhi ube nomntwana onempilo!

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I- Syphilis, i-syphilis yokuzalwa, ukukhulelwa, impilo yengane, izifo ezithathelwana ngocansi, ukwelashwa, ukuvimbela