Infakshanka inta lagu jiro uurka waxaa lagu faafi karaa ilmaha aan dhalan
Ku faraxsashada nolol cusub gudaha caloosha sii kordhaysa waxay siisaa hooyooyinka uur-ku-jirta dareenka dabiiciga ah ee dabiiciga ah si ay u ilaaliyaan una bixiyaan ilmaheeda. Dumarka uurka leh waxay ku dhacaan dareeno kala duwan oo ka soo jeeda faragalinta si ay uga soo horjeedaan wanaagooda ilmahooda. Xaaladaha qaarkood, hormoonnada hooyada ayaa mas'uul ka ah isbedelka niyadda. Laakiin sidoo kale waxaa muhiim ah in la xasuusto in uur-qabayaasha ay la socdaan nidaamyada difaaca jirka oo daciif ah oo kordhin kara khatarta cudurada faafa.
Tani waxay ku jiri kartaa infakshannada caamka ah, sida CMV, iyo infekshannada ku jira wararka, sida Zika. CMV, gaar ahaan, waa mid caadi ah.
Maxay yihiin Cudurrada Khatarta badan ee Uurka inta lagu jiro Uurka?
Uurjiifka sii kordhaya ayaa loo arki karaa shey shisheeye ah in jidhku aqbalo hoos u dhigista difaaciisa. Nidaam difaaca oo caadi ah, firfircoon oo firfircoon wuxuu aqoonsadaa walxaha shisheeye oo wuxuu xareeyaa weeraro difaac ah oo ka dhan ah Marka shayga shisheeye uu yahay uur-jiif, is-qorsheeyn isku-dhafan nidaamka difaaca, ama "immunosuppression," waa lagama maarmaan uur qaadka guusha. Hase yeeshee, khatarta ah, waxay tahay in saameynta tallaalka jirka ka baxdo labada hooyo iyo koritaanka uur-jiifka ee u nugulnaanta cudurada faafa iyo dhibaatooyinka aan caadiga ahayn ee ku dhaca carruurta caafimaad qabta. Waxaa sidoo kale jiri kara dib u dhac ku yimaada baarista infakshanka qaar inta lagu jiro dhererka, sida tirooyinka cad cad yihiin, hooyooyinka uurka leh ayaa si dhakhso ah u neefsada, raaxo la'aan iyo daal badan ayaa laga yaabaa in loo maleeyo uurku halkii ay ka dhalan lahaayeen caabuq.
Waa Maxay Halista Ilmaha?
"Gudbinta tooska ah" waa erey ka hadlaysa faafidda infakshanka laga bilaabo hooyada ilaa ilmaha. Infakshankan waxaa laga yaabaa inay dhacaan inta ilmaha caloosha ku jiro uu weli ku jiro ilmo-galeenka ("utero"), inta lagu jiro foosha iyo dhalmada, ama dhalmada ka dib (sida naas nuujinta).
Infakshannada soo socda waxay ku faafi karaan hooyada-ilmo-dhalidda:
Infakshannada caan uurka (ku gudbay utero)
Infakshanka ku dhasha waa cudur keeno mandheerta si uu u qaadsiiyo uur-jiifka. Microbes badan oo faafa ayaa sababi kara infakshanno ku dhasha, oo keena dhibaatooyin horumarinta uurjiifka ah, sida xitaa microcephaly ama waxyeello kale oo ku yimaada horumarka maskaxda, ama xataa dhimasho
- TORCH waa ereyo kooban oo loogu talagalay dhowr infekshanka cudurada dhalada ee caadiga ah. Kuwani waa:
- T oxoplasmosis
- Caabuqyo kale (waraabowga, cagaarshow B, Coxsackie virus , Epstein-Barr virus, viral varicella-zoster (chicken pox), iyo parvovirus-ka dadka )
- Rubella
- Cytomegalovirus (CMV)
- Herpes virus virus
Dhawaan waxaannu ogaanay saameynta Zika inay sababi karto haddii caabuqu dhaco inta uurka leedahay.
Caabuqyada uureysiga dhalmada (inta lagu jiro foosha iyo dhalmada)
Caabuqyada uureysiga dhalmada waxaa loola jeedaa infekshinka dhacaya marka ilmuhu u gudbo xuubka dhalashada. Cuduradaas waxaa ka mid noqon kara, laakiin aan ku xaddidneyn, cudurrada galmada lagu kala qaado . Tusaale ahaan, infekshanku sidoo kale wuxuu ku dhici karaa faddarro leh arrin la xidhiidha wakhtiga dhalmada.
Tusaalooyinka infekshannada uur-qaadiddu waa:
- CMV
- Jabtada
- Chlamydia
- Herpes virus virus
- Human Papilloma Virus (burooyinka xubnaha taranka)
- Group B Streptococci (GBS)
- iyo dhawaan, Chikungunya
Waxa kale oo jira cuduro kale.
Waxaa jira waxyaabo badan oo aan ka baran karno. Si kastaba ha noqotee, iyada oo la adeegsanayo xirfadlayaasha caafimaadka, gudbinta infakshannadan waxaa inta badan laga fogaan karaa (ama khatarta la dhimay). Mararka qaarkood tani macnaheedu waa daaweyn; xaaladaha kale waxaa laga yaabaa in ay isbeddelaan sida canugga loo keeno. Waa muhiim inaad la hadasho takhtar ama xirfadle kale oo daryeel caafimaad wixii ku saabsan calaamadaha walwalsan ama cudurada la yaqaan.
Infekshinada ka dib (ka dib dhalmada)
Infakshannada waxay ku faaftaa hooyada illaa dhalmada kadib waxaa loo yaqaan "infekshanno dhalis ah." Cuduradani waxay ku fidi karaan inta lagu jiro naas nuujinta iyada oo loo marayo maadado faafa oo laga helo caanaha naaska hooyada.
Qaar ka mid ah cudurrada dhalida ka dib ayaa ah:
- CMV
- HIV
- Group B Strep (GBS)
Xanuunada perinatal iyo postnatal labadaba, waxaa jira khatarta ah in cudurku uu noqon karo daawo u adkeysi. Xaaladaha qaarkood, tani waxay noqon kartaa sababtoo ah caabuqyada la helay ka dib markii lala xiriiro xarumaha caafimaadka, laakiin had iyo jeer maahmaahda sababta oo ah waxaa jira sababo kale oo badan oo loo isticmaalo caabbinta daroogada.
Baaritaankee la heli karaa?
Iyada oo ku saleysan taariikhda caafimaadka bukaanka, arrimaha khatarta ah, iyo soo-gaadhista cudurrada qaarkood, iyo sidoo kale natiijooyinka ka imanaya ultrasounds iyo booqashooyinka dhalmada, dhakhtarkaaga ayaa go'aamin doona haddii aad u baahan tahay inaad u baahato inaad baaritaanka shaybaarka ku qaadato infekshannada jirada qaarkood. Inkastoo dhowr imtixaan oo lagu ogaanayo infakshanka ku dhasha, badiba umul-yaqaanka ayaa si ku-meel-gaar ah u baadhaya bukaankooda ku salaysan qiimeyntooda, halkii ay ka heli lahaayeen baaritaanka joogtada ah.
Inta lagu jiro ultrasound, tiknoolajiyaal wanaagsan ayaa awood u yeelan doona in lagu ogaado cillado aan caadi ahayn oo laga yaabo inuu muujiyo infekshanka ku dhasha. Wuxuu raadin doonaa isbeddellada horumarinta, sida cabbirka cunuga, cabbirka madaxa, iyo sidoo kale cillado ama hoos u dhac ku yimaada wadnaha, addimada, sambabada, ama caloosha.
Dhalashada kadib, ilmo cusub oo lagu tuhunsan yahay in uu qabo cudurka ku dhalan waxaa lagu qiimeyn doonaa baaritaanka jirkiisa jirka iyo iyada oo loo marayo baaritaanka shaybaarka ee shaybaarada heerarka beerka, beerka, unugyada, iyo unugyada dhiiga. Haddii cilladaha la ogaado, waxaa dhici karta in dhalaanka cusub lagu baaro jiritaanka jiritaanka microbe gaar ah.
Haddii aad uur leedahay oo aad ka walaacsan tahay infakshanka ku dhasha, waxaad weydiisaa bixiyahaaga daryeelka caafimaadka wixii ku saabsan in lagaa baaro iyo in kale.
> Ilo:
> Ford-Jones, EL iyo Ryan, G. Saamaynta Saacadaha Xanuunada Hooyada ee Uurka. Cudurrada faafa, Koobka 2aad. Cohen J iyo Powder WG, tifaftireyaasha. Elsevier Limited. 2004.
> Mims CA, Playfair JH, Roitt, IM, Wakelin D, Williams R, iyo Anderson RM. Cudurrada Obstetric iyo Perinatal. Caafimaadka Microbiology. Mosby-Year Book Europe Limited. 1993. bogga 26.1-26.8.