Ukukhulelwa yisikhathi esihle kakhulu nesinethemba empilweni yabo bonke omama, akunjalo? Kumelwe ulinde ngokuphefumula okukhulu ukuthi ingane encane ifike kuleli zwe iphilile. Phakathi nalesi sikhathi, sidinga ukunakekela impilo yethu kanye neyengane yethu. Ngezinye izikhathi, ezinye izifo esizitholayo zingathinta nengane. Namuhla, sizokhuluma ngezinye izifo ezinjalo. Ungakhathazeki, ukuqaphela lokhu kuyindlela engcono kakhulu yokuzivikela.
Iyini i-TORCH Syndrome?
Uma uzwa igama elithi TORCH syndrome, ungase ucabange ukuthi yisifo esisodwa. Kodwa empeleni akusona isifo, kodwa iqoqo lezinhlobo eziningana zokutheleleka. Lokhu ukutheleleka okubangelwa amagciwane amancane njengebhaktheriya, amagciwane noma ama-parasite. Uma umama ekuthola lokhu ngesikhathi sokukhulelwa, kungabangela izinkinga ezithile zempilo enganeni engakazalwa noma enganeni esanda kuzalwa.
Izinhlamvu ezisegameni elithi TORCH zimele lezi zinhlobo zokutheleleka:
- I-T - I-Toxoplasmosis
- O - Ezinye izinto ezibangela lokhu - Leli qembu lihlanganisa izinto ezifana ne-HIV, i-Syphilis, i-Varicella, kanye nesifo sesihlanu.
- R - I-Rubella noma i-German measles
- C - Igciwane le-Cytomegalovirus (CMV)
- H - I-Herpes simplex
Lezi zifo zidluliselwa kanjani ezinganeni?
La magciwane e-TORCH angakuthelela wena, ingane yakho esakhula, noma ingane yakho esanda kuzalwa.
Kodwa kubalulekile ukukhumbula lokhu. Ngisho nochwepheshe bezokwelapha bathi akuzona zonke izikhathi lapho umama ethola ukutheleleka, kuzodluliselwa enganeni yakhe. Ngakho-ke asikho isidingo sokukhathazeka ngokungadingekile.
Kunezindlela ezintathu eziyinhloko izingane ezingazithola ngazo lezi zifo:
1. Nge-placenta: Amanye amagciwane angadlulela enganeni yakho nge-placenta, enikeza umntwana wakho ukudla okunomsoco nomoya-mpilo esibelethweni sakhe.
2. Ngesikhathi sokubeletha: Ngesikhathi sokubeletha, amagciwane avela emgudwini wokubeletha angangena emzimbeni womntwana.
3. Ngesikhathi sokuncelisa: Akuvamile kakhulu ukuthi amanye amagciwane adluliselwe enganeni ngobisi lwebele.
Ngenxa yokuthi amasosha omzimba engane awakhuli ngokugcwele esibelethweni, awakwazi ukumelana nokugula njengomuntu omdala. Uma kuvela ukutheleleka, kungathinta ukukhula kwezinye zezitho zomntwana.
Imininingwane mayelana nezinhlobo zokutheleleka kwe-TORCH
Manje ake sibheke uhlobo ngalunye lwalezi zifo ngokwehlukana.
I-T - I-Toxoplasmosis
Lokhu ukutheleleka okubangelwa yi-parasite ebizwa ngokuthi 'i-Toxoplasma gondii'. Ingena emzimbeni ngomlomo. Ingadluliselwa ngezinto ezifana nenyama nenhlanzi engaphekiwe kahle, imifino engcolile, namanzi angcolile. Ikakhulukazi, le parasite ingatholakala endle yamakati . Ngakho-ke, kudingeka uqaphele kakhulu uma ususa indle yamakati ngesikhathi sokukhulelwa.
O - Amanye Ama-ejenti
Lesi sigaba sihlanganisa izifo eziningana.
- I-HIV: Akuvamile kakhulu ukuthi izingane zidlulisele i-HIV konina. Uma umama ene-HIV, ingozi yokudlulisela lesi sifo enganeni ingancishiswa ibe ngaphansi kuka-1% ngokuthola ukwelashwa okufanele (`Ukwelashwa nge-antiretroviral - ART`).
- I-Syphilis: Lesi yisifo esithathelwana ngocansi. Uma sitholakale ngesikhathi sokukhulelwa, umama kanye nomntwana banganikezwa ama-antibiotic ukuqinisekisa ukuthi balulama ngokugcwele.
- I-Chickenpox (i-Varicella): Lesi yisifo esibangelwa yigciwane le-varicella. Njengoba abantu abaningi bethola i-chickenpox besebancane futhi beba namandla okuzivikela, akuvamile ukuthi umntwana atheleleke ngesikhathi sokukhulelwa.
- Isifo Sesihlanu: Lesi yisifo esibangelwa igciwane elibizwa ngokuthi `i-Parvovirus B19.` Njengoba abantu abadala abaningi bengavikelekile kuso, akuvamile ukuthi izingane zitheleleke.
R - I-Rubella
Ibizwa nangokuthi i-German measles. Uma kwenzeka phakathi namasonto okuqala angu-12 okukhulelwa, kungabangela izinkinga ezinkulu enganeni. Kodwa-ke, ngenxa yomjovo we-MMR, lesi sifo asivamile eSri Lanka nakwamanye amazwe amaningi emhlabeni jikelele.
C - Igciwane le-Cytomegalovirus (CMV)
Lokhu kuyisifo esivamile eqenjini le-TORCH. Sidluliselwa ngoketshezi lomzimba olufana namathe nomchamo. Ikakhulukazi uma kunezinye izingane ezincane ekhaya, kudingeka uqaphele kakhulu lapho ushintsha amanabukeni azo nalapho uzipha ukudla nokugeza.
Igciwane le-H - Herpes Simplex (HSV)
Lesi futhi yisifo esivamile esidluliselwa ngocansi. I-HSV-1 ibangela amabhamuza azungeze umlomo, kanti i-HSV-2 ibangela amabhamuza noma izilonda endaweni yesitho sangasese sowesifazane. Ngisho noma umama okhulelwe ene-herpes, ingozi yokuyidlulisela enganeni yakhe iphansi kakhulu. Ikakhulukazi uma umama ene-herpes ngaphambi kokukhulelwa, ama-antibodies emzimbeni wakhe adlula ku-placenta futhi ahlinzeke ngesivikelo enganeni.
Kuhlolwa kanjani lokhu kutheleleka?
Udokotela wakho uzokudlulisela ukuhlolwa okudingekayo ngesikhathi sokukhulelwa. Ezinye zezivivinyo ezivame ukwenziwa zibhalwe kuthebula elingezansi.
| Uhlobo lokutheleleka | Ukuhlolwa okuvamile |
|---|---|
| I-Toxoplasmosis | Nakuba kungavamile ukwenziwa kuwo wonke umuntu, ukuhlolwa kwegazi (kwe-IgG, ama-antibodies e-IgM) kwenziwa uma kukhona ingozi. |
| I-HIV kanye ne-syphilis | Wonke umama unikezwa ukuhlolwa kwegazi kwalokhu ekuqaleni kokukhulelwa. Lokhu ukuhlolwa okuyimpoqo. |
| I-Rubella | Njengoba abantu abaningi bengavikelekile emgomeni we-MMR, ukuhlolwa akuvamile ukwenziwa, kodwa ukuhlolwa kwegazi kungenziwa uma kudingeka. |
| I-CMV kanye ne-herpes | Ukuhlolwa okukhethekile (igazi, umchamo, ukuhlolwa kwamathe) kwenziwa kuphela uma kunezimpawu noma uma udokotela enokungabaza. |
Ngaphezu kwalokho, uma udokotela wakho efisa, angakuthumela kwezinye izivivinyo, njengokuhlolwa kwe-PCR kanye nokuskena kwe-ultrasound.
Ukwelashwa nokuvimbela izinkinga
Izindaba ezinhle ukuthi kunezindlela zokwelapha eziningi zalezi zifo. Ukwelashwa kuncike ohlotsheni lokutheleleka, ubukhali balo, kanye nesigaba sokukhulelwa okuso. Udokotela wakho angase akunike imithi yokulwa namagciwane, imithi yokulwa namagciwane, noma imithi yokulwa namagciwane.
Into ebaluleke kakhulu ukuvimbela . Njengoba ochwepheshe besho, "ikhambi elingcono kakhulu ukuvimbela." Ukugoma, inhlanzeko, kanye nokuhlolwa kwangaphambi kokubeletha ngesikhathi esifanele yizona zikhali ezingcono kakhulu esinazo zokuvikela izingane zethu kulezi zifo.
Ezinye izifo zingabangela izinkinga enganeni. Isibonelo:
- I-syphilis engelashwanga ingathinta ukukhula kwengane, ukubona, kanye nokuzwa.
- I-Rubella ingabangela izifo zenhliziyo nezinkinga zobuchopho.
- Ukutheleleka kwe-CMV kungabangela ukulahlekelwa ukuzwa kwezinye izingane.
Kodwa ungakhathazeki. Lezi zinto azenzeki njalo. Ngokulandela iseluleko esifanele sezokwelapha nokuhlolwa njalo, iningi lalezi zingozi lingagwenywa.
Yini okufanele uyenze?
- Yidla ukudla okuphekiwe kahle kuphela: Gwema ukudla inyama eluhlaza, inhlanzi, namaqanda aluhlaza.
- Nakekela ukuhlanzeka: Geza imifino nezithelo kahle ngaphambi kokuzisebenzisa. Geza izandla zakho kahle ngensipho ngemva kokuthinta izilwane noma inhlabathi.
- Yenza ucansi oluphephile: Gwema ucansi olungavikelekile. Ukusebenzisa ikhondomu kubaluleke kakhulu.
- Goma: Ngaphambi kokukhulelwa, khuluma nodokotela wakho mayelana nokuthi ngabe uke wathola noma yimiphi imijovo edingekayo, njenge-MMR.
- Funa iseluleko sezokwelapha: Uma unezimpawu ezingavamile (isib. umkhuhlane, amabhamuza esikhumba), bona udokotela wakho ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- I-TORCH yiqembu lezifo ezingadluliselwa kusuka kumama kuya enganeni ngesikhathi sokukhulelwa.
- Ukuvimbela lezi zifo kuyindlela engcono kakhulu yokwelapha. Ukugonywa kanye nokuzigcina uhlanzekile (ikakhulukazi ukugeza izandla ngemva kokuphatha izilwane kanye nenyama eluhlaza kanye nenhlanzi) kubaluleke kakhulu.
- Uma unezimpawu noma usola ukuthi uke wavezwa ukutheleleka, khuluma nodokotela wakho ngokushesha.
- Nakuba omama abaningi bethola izifo, kunethuba elikhulu lokuthi ngeke bazidlulisele ezinganeni zabo. Ngakho-ke, ungesabi ngokungadingekile futhi ulandele iseluleko sezokwelapha esifanele.
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