Izifo Ezisanda Kuzalwa Zidinga Wonke Umuntu Okhulelwe Edinga I-Radar Yazo
-Delile
Uma unyaka nohhafu owedlule kufakazele into eyodwa, ukuthi amagciwane angalindeleka kabi. Kwezinye izimo, izifo ze-COVID-19 zikhiqize inqwaba yezimpawu ezimangazayo, ukusuka emkhuhlaneni ophezulu kuye ekulahlekelweni kokunambitha nephunga. Kwezinye izimo, izimpawu zazingatholakali kalula, noma zazingekho nhlobo. Futhi kwabanye abantu, izimpawu "ze-long-haul" ze-COVID-19 zaqhubeka izinsuku, amasonto, ngisho nezinyanga ngemuva kokutheleleka.
Futhi lokho kuhlukahluka kuyindlela amagciwane enziwa ngayo ukuthi asebenze, kusho uSpencer Kroll, M.D., Ph.D., uchwepheshe owaziwa kuzwelonke we-cholesterol kanye ne-lipid disease. "Enye yezimpikiswano ezinkulu kwezokwelapha ukuthi ngabe igciwane liyinto ephilayo yini. Okusobala ukuthi amagciwane amaningi aduna amaseli omzimba, afaka ikhodi yawo ye-DNA lapho engabeka khona ukuthula iminyaka. Angabe esedala inkinga ngemuva kwesikhathi eside lowo muntu usethelelekile." (Okuhlobene: I-Immunologist Iphendula Imibuzo Ejwayelekile Mayelana Nemithi Yokugoma YaseCoronavirus)
Kepha ngenkathi igciwane le-COVID-19 lisakazwa ikakhulukazi ngezinhlayiya ezincane kanye namaconsi aphefumulelwa umuntu onaleli gciwane (ngamanye amagama, ukugqoka imaski kuyisihluthulelo!), Amanye amagciwane adluliswa ngezinye izindlela ezicashile.
Isibonelo: izifo ezingadluliselwa zisuke kumuntu okhulelwe ziye enganeni engakazalwa. Njengoba uDkt. Kroll esho, noma ngabe okwamanje awazi ukuthi unegciwane, futhi lihlala lilele ohlelweni lwakho, lingadluliselwa enganeni yakho engakazalwa ngokungazi.
Nawa amagciwane ambalwa "athule" ukuze uhlale ubhekile uma ungumzali olindele noma uzama ukukhulelwa.
I-Cytomegalovirus (CMV)
I-Cytomegalovirus iwuhlobo lwegciwane le-herpes elivela koyedwa kwabangama-200 abazalwayo okungaholela ekuzalweni okuningi okulimazayo, njengokungezwa, ukukhubazeka kobuchopho, nezinkinga zamehlo. Ukwenza izinto zibe zimbi kakhulu, cishe amaphesenti ayisishiyagalolunye kuphela abesifazane azwile ngaleli gciwane, ngokusho kukaKristen Hutchinson Spytek, umongameli kanye nomsunguli we-National CMV Foundation. I-CMV ingathinta yonke iminyaka, futhi ngaphezu kwengxenye yabo bonke abantu abadala bayobe bengenwe i-CMV ngaphambi kweminyaka yobudala engama-40, uyanezela, nakuba ngokuvamile ingenabungozi kubantu abangenawo amasosha omzimba. (Okuhlobene: Isizathu Esiyinhloko Seziphambeko Zokuzalwa Okungenzeka Ungakaze Uzizwe)
Kodwa lapho igciwane lidluliselwa enganeni livela kumuntu okhulelwe onegciwane, izinto zingaba yinkinga. Kuzo zonke izingane ezizalwa zinokutheleleka kwe-CMV okuzelwe, eyodwa kwezinhlanu iba nokukhubazeka njengokulahleka kombono, ukulahlekelwa ukuzwa, nezinye izindaba zezokwelapha, ngokusho kweNational CMV Foundation. Ngokuvamile bazozabalaza nalezi zifo impilo yabo yonke ngoba okwamanje awukho umuthi wokugoma noma ukwelashwa okujwayelekile noma umuthi wokugomela i-CMV.
Ukusho lokhu, izingane ezisanda kuzalwa zingahlolwa lesi sifo kungakapheli amasonto amathathu zizelwe, kusho uPablo J. Sanchez, MD, uchwepheshe wezifo ezithathelwanayo ezinganeni nomphenyi oyinhloko eCentre for Perinatal Research eThe Research Institute. Futhi uma kutholakala ukuthi i-CMV ingakapheli leyo nkathi, abakwaSpytek bathi imishanguzo ethile yokulwa namagciwane ingahle yehlise ubunzima bokulahleka kokuzwa noma ithuthukise imiphumela yentuthuko. "Umonakalo odalwe yiCMV yokuzalwa awukwazi ukuguqulwa,"
Abantu abakhulelwe bangathatha izinyathelo zokuvimbela ukusabalalisa lesi sifo enganeni engakazalwa, kusho uSpytek. Nawa amathiphu aphezulu eNational CMV Foundation:
- Ungabelani ngokudla, izitsha, iziphuzo, utshani, noma izixubho, futhi ungafaki okokutholisa ingane emlonyeni wakho. Lokhu kuya kunoma ngubani, kepha ikakhulukazi nezingane ezineminyaka ephakathi konyaka owodwa kuya kwemihlanu, njengoba leli gciwane livame kakhulu ezinganeni ezisencane ezikhungweni zokunakekela izingane.
- Yanga ingane esihlathini noma ekhanda, kunasemlonyeni wayo. Ibhonasi: Amakhanda ezingane ayanuka Ah-ukushaya. Kuyiqiniso lesayensi. Futhi zizwe ukhululekile ukunikeza konke ukunganga!
- Geza izandla zakho ngensipho namanzi imizuzwana engu-15 kuya kwengu-20 ngemva kokushintsha amanabukeni, ukondla ingane encane, ukuphatha amathoyizi, nokusula amaconsi, ikhala, noma izinyembezi zengane encane.
I-Toxoplasmosis
Uma unomngane wekati, kunethuba lokuthi uke wezwa ngegciwane elibizwa nge-toxoplasmosis. "Kuyisifo esibangelwa i-parasite," kuchaza uGail J. Harrison, M.D., uprofesa eMnyangweni Wezifo Zezingane Nezifo Nezifo Zomzimba e-Baylor College of Medicine. Kuvame kakhulu ukutholakala endleni yekati, kodwa futhi kungatholakala enyameni engaphekiwe noma engaphekiwe namanzi angcolile, izitsha, amabhodi okusika, njll. Indlela ejwayeleke kakhulu yokufaka lezi zinhlayiya ukuzithola emehlweni akho noma emlonyeni wakho (okwenza njalo ukugeza izandla kubaluleke kakhulu). (Okuhlobene: Kungani Ungafanele Ukhululeke Ngezifo Zekati-Scratch)
Yize abantu abaningi beba nezimpawu zesikhashana zomkhuhlane noma bengenazo nhlobo izimpawu ezivela kulesi sifo, uma sidluliselwe enganeni engakazalwa, kungaholela ezinkingeni eziningi, kusho uDkt Harrison. Izingane ezizalwe zine-toxoplasmosis ezalwe nayo zingakhula ukulahlekelwa ukuzwa, izinkinga zokubona (kufaka phakathi ukungaboni), nokukhubazeka kwengqondo, ngokusho kweMayo Clinic. (Kubalulekile ukuqaphela, noma kunjalo, ukuthi i-toxoplasmosis ngokuvamile ihamba yodwa futhi ingelashwa ngemithi ethile kubantu abadala.)
Uma ungenwe yigciwane ngesikhathi ukhulelwe, kunethuba lokuthi uzolidlulisela enganeni yakho engakazalwa. Ngokusho kweSibhedlela Sezingane saseBoston, lelo thuba lingamaphesenti angaba ngu-15 kuya kwangu-20 uma utheleleke ngesikhathi se-trimester yakho yokuqala, nangaphezulu kwamaphesenti angama-60 phakathi ne-trimester yesithathu.
Kunezinhlobonhlobo zezindlela zokwelashwa ezitholwa yizingane ezizalwe zine-toxoplasmosis ezalwe nayo, kodwa ukubheja kwakho okuhle kakhulu ukuthatha izinyathelo ezinqala zokuvimbela ngesikhathi sokukhulelwa, ngokusho kweMayo Clinic. Lapha, iMayo Clinic inikeza amathiphu ambalwa:
- Zama ukuphuma ngaphandle kwebhokisi lodoti. Awudingi ukulahla uMnu. Muffins ngokuphelele, kepha zama ukuthi elinye ilungu lomndeni lihlanze indle yalo. Ngaphezu kwalokho, uma ikati liyikati elingaphandle, ligcine lingaphakathi ngesikhathi sokukhulelwa kwakho futhi uliphakele kuphela ukudla okusemathinini noma okufakwe esikhwameni (akukho lutho oluluhlaza).
- Ungayidli inyama eluhlaza noma engaphekiwe, futhi ugeze zonke izitsha, amabhodi okusika, nezindawo zokulungiselela kahle. Lokhu kubaluleke kakhulu kumvu, ingulube, nenkomo.
- Gqoka amagilavu lapho usebenza engadini noma uphatha inhlabathi, futhi umboze noma yimaphi amabhokisi esihlabathi. Qiniseka ukuthi ugeza izandla zakho kahle ngemva kokubamba ngasinye.
- Ungaphuzi ubisi olungasetshenziswanga.
I-Congenital Herpes Simplex
I-Herpes igciwane elivame kakhulu - i-World Health Organisation ilinganisela ukuthi abantu abayizigidi eziyizinkulungwane ezingama-3.7 abangaphansi kweminyaka engama-50, cishe ingxenye eyodwa kwezintathu zabantu emhlabeni, bathelelekile. Lokhu kuthiwa, uma ngabe une-herpes ngaphambi kokukhulelwa, usengozini ephansi yokudlulisela lelo gciwane enganeni yakho, kungeza i-WHO.
Kepha uma uthola igciwane okokuqala ngqa emva kwesikhathi sokukhulelwa kwakho, ikakhulukazi uma kusesithweni sakho sangasese (hhayi ngomlomo), ingozi yokudlulisela enganeni iphezulu kakhulu. (Futhi khumbula, awukho umuthi wokugoma noma ikhambi le-herpes yanoma yiluphi uhlobo.) (Okuhlobene: Okudingeka Ukwazi Ngomuthi Wokugoma we-COVID ne-Herpes)
I-Congenital herpes simplex yenzeka cishe ezinganeni ezingu-30 kwezingu-100,000, futhi izimpawu eziningi zivela phakathi nesonto lokuqala nelesibili lengane, ngokusho kweBoston Children's Hospital. Futhi njengoba uDkt. Harrison exwayisa, izimpawu zinkulu. "[I-Congenital herpes simplex] ezinganeni inemiphumela emibi kakhulu, kwesinye isikhathi ifaka nokufa." Uphawula ukuthi ngokuvamile izingane zitheleleka emseleni wokuzalwa ngesikhathi sokubeletha.
Uma ukhulelwe, ukwenza ucansi oluphephile kubalulekile ekugwemeni ukutheleleka. Sebenzisa amakhondomu, futhi uma kukhona omaziyo onezimpawu ezisebenzayo ezihlobene negciwane (ake uthi unokuqubuka komzimba esithweni sangasese noma emlonyeni), geza izandla zakho njalo eduze kwakhe.Uma umuntu enesifo esibandayo (esibhekwa njengegciwane le-herpes), yeka ukumanga lowo muntu noma ukwabelana ngeziphuzo. Okokugcina, uma umlingani wakho ene-herpes, ungayi ocansini uma izimpawu zabo zisebenza. (Okuningi lapha: Konke Okudingeka Ukwazi Nge-Herpes nokuthi Ungayihlola Kanjani)
Zika
Nakuba igama ubhubhane muva nje sekufana nokutheleleka nge-COVID-19, emuva phakathi kuka-2015 no-2017, olunye ubhubhane oluyingozi kakhulu lwaludlange emhlabeni wonke: igciwane leZika. Ngokufana ne-CMV, abantu abadala abanempilo ngokuvamile ababi nazo izimpawu lapho bengenwe yileli gciwane, futhi livame ukuzihlanzela ngokwalo ekugcineni, ngokusho kwe-WHO.
Kepha lapho idluliselwa enganeni ngesibeletho, ingadala izinkinga ezinkulu, kusho uDkt. Kroll. "[I-Zika] ingabangela i-microcephaly, noma ikhanda elincane, nokunye ukukhubazeka kwengqondo ezinganeni ezisanda kuzalwa," echaza. "Kungadala ne-congenital hydrocephalus [inqwaba yoketshezi ebuchosheni], i-chorioretinitis [ukuvuvukala kwe-choroid, ulwelwesi lwe-retina], nezinkinga zokukhula kobuchopho." (Okuhlobene: Ingabe Usafanele Ukhathazeke Nge-Zika Virus?)
Sekushiwo lokho, ukudluliswa kombungu lapho umama enegciwane akunikeziwe. Kubantu abakhulelwe abane-Zika ukutheleleka okusebenzayo, kunamaphesenti ama-5 kuya kwayi-10 amathuba okuthi igciwane lidluliselwe ezinganeni zabo ezisanda kuzalwa, ngokwe-CDC. Iphepha elishicilelwe ku I-New England Journal of Medicine uqaphele ukuthi amaphesenti ama-4 kuye kwayi-6 kuphela kulawo macala abangela ukukhubazeka kwe-microcephaly.
Yize lelo thuba lincane, futhi yize iZika yayisezingeni eliphakeme lokutheleleka eminyakeni engaphezu kwemihlanu eyedlule, kuyasiza ukuthatha izinyathelo zokuphepha ngesikhathi sokukhulelwa. Abesifazane abakhulelwe kufanele bagweme ukuhambela amazwe njengamanje anezigameko zeZika. Futhi njengoba igciwane lidluliselwa ngokuyinhloko ngokulunywa umiyane onaleli gciwane, abesifazane abakhulelwe kufanele futhi bahlale beqaphele ezindaweni ezishisayo noma ezishisayo (ikakhulukazi lapho kunamacala eZika), kuphawula i-WHO. Njengamanje, akukho zibheduka ezinkulu, yize kunamacala angawodwa.