Zika virus uye vakadzi vane pamuviri: kurudziro

Zika virus uye nhumbu: tinotora stock

Chiyeuchidzo chipfupi chechokwadi

Kubva 2015, denda rakasimba reZika virus inobata Central neSouth America. Kuzivikanwa kubva 1947 muSub-Saharan Africa, hutachiona hwakagara muPolynesia muna 2013 uye hungadai hwakasvika mukondinendi yeAmerica muna 2014, panguva yemutambo wenhabvu wepasi rose kuBrazil. Izvozvi zvakaonekwa kune dzimwe nyika mukondinendi yakadai sePeru, Venezuela, Colombia, Guyana, West Indies uye kunyange Mexico. Musi waKukadzi 1, 2016, World Health Organisation (WHO) yakazivisa hutachiona hweZika kuti ” dambudziko rehutano hwepasi rose ".

Chirwere ichi zvechokwadi chinogona kutapuriranwa pabonde, kunyangwe kuburikidza nemate, uye kunyanyakukonzera kukanganisa kwehuropi mumafetus akaiswa kuhutachionas. Takaongorora mamiriro acho naDr Olivier Ami, Munyori Mukuru weNational Professional Council yeGynecology uye Obstetrics (CNPGO).

Tsanangudzo, kutapurirana uye zviratidzo zveZika virus

Zika virus inonzi flavivirus kubva kumhuri imwe chete nemavhairasi edengue neyellow fever. Inotakurwa neumhutu humwe chete, kureva kuti tiger mosquito (genus Aedes) Kuruma kamwe chete kunogona kukwana kubata hutachiona uhu, chero mosquito iri inotakura.

Chii chinoita kuti kuonekwa kwehutachiona kuome zvakanyanya ndechekuti inogona kunge isinganzwisisike (mune anopfuura 3/4 ezviitiko), uye kwete kukonzeresa chero chiratidzo. Kana zviratidzo, hutachiona hunokonzera furu-kunge zviratidzo, zvakadai sefivha, kurwadziwa kwemhasuru uye majoini, malaise, kutemwa nemusoro, mapundu eganda kana kunyange conjunctivitis. Kazhinji kazhinji zvinyoro, zviratidzo izvi zvinonyangarika pakati pemazuva maviri kusvika manomwe mushure mekutapurira hutachiona. Zvinosuruvarisa, muvakadzi vane pamuviri, utachiona uhu hunotapukirakukanganisa kukura kwehuropi hwe "fetus"., ndosaka vakadzi vane pamuviri vachifanira kunyanya kutarisirwa.

Padivi rekuongorora, inobva pane iri nyore kuongorora ropa kana mate kana weti muenzaniso umo matinozotsvaga twutanho hwehutachiona, kunyanya genetic nhaka. Asi zviri pachena, kuvapo kwezviratidzo chete ndiko kunosundira zvikwata zvekurapa kufungidzira hutachiona. Kana iyo yekupedzisira iripo mumunhu, saka vanachiremba vanogona kusarudza kutsika hutachiona murabhoritari kuyera kukwanisa kwayo kutapukira uye dzidza zvakawanda nezvengozi yaro.

Zika uye pamuviri: njodzi ye fetus malformation

Parizvino, haisisiri mubvunzo wekuti kana kuti kwete chirwere cheZika ndicho chikonzero chekusagadzikana kwecerebral kunoonekwa mu fetus. ” Zviremera zveBrazil zvakaparura yambiro, maererano nekurudziro yavanachiremba, nekuti vazivisa nekuona huwandu husina kujairika hwenyaya dzevana vane denderedzwa remusoro mudiki (microcephaly) uye / kana huropi husina kunaka hunoonekwa paultrasound uye pakuzvarwa Vanodaro Dr Ami. Pane rimwe divi, " hapana chokwadi pamusoro pehuwandu hwehutachiona hwe microcephaly. Iyi cerebral anomaly ndiyo inonyanya kunetseka sezvairi zvakabatana nekuremara kwepfungwa " Iyo idiki iyo cranial perimeter, inowedzera njodzi yekuremara kwepfungwa ”, vanotsanangura Dr Ami.

Nekudaro, Secretary General weCPGO anoramba akangwarira: anofunga izvozvocranial perimeter mumuganhu wepasi haifanire kutungamirira kufunga kuti mwana achange aine kushaya pfungwa, sezvo tsanangudzo chaiyo ye microcephaly haina kujeka. Saizvozvowo, hazvisi nokuti a mukadzi ane pamuviri ane Zika virus kuti achazvipfuudza kumwana wake. ” Nhasi, kana mukadzi ane pamuviri akabata utachiona hweZika, hapana anogona kuudza chikamu chengozi yekuti achachipfuudza kumwana wake. Hapana anogona kutaura kuti ndeipi mukana wekuti mwana ane hutachiona aite microcephaly.. "Zviri pachena, panguva ino," isu tinongoziva kuti chimwe chinhu chiri kuitika uye ichochiito chinofanira kutorwa kuderedza kuratidzwa kwevakadzi vane pamuviri », Anopfupisa Dr Ami.

Zika uye pamuviri: matanho ekutora

Nekuona njodzi dzinogona kuitika kumwana ari mudumbu, zviri pachena kuti mutemo wekuchengetedza wakarongeka. Vakuru veFrance nokudaro vanoyambira vakadzi vane pamuviri kuti vasaende kunzvimbo dzine hutachiona. Madzimai anogara munzvimbo dzinonzi endemic dzinoyambirwawo kumbosendeka plan yavo yenhumbu chero hutachiona huripo. Mukuwedzera, sezvakaita muzvirwere zvose zvinotakura umhutu, ndizvo kurairwa kushandisa mambure eumhutu nemishonga inodzinga kana ukaenda kunyika dzine chekuita.

Ndedzipi ongororo mushure mekugara munzvimbo ine njodzi paunenge uine nhumbu?

Sekureva kwaDr Ami neNational Professional Council yeGynecology uye Obstetrics, zvine fashoni funga chero ani zvake ari kudzoka kubva kunzvimbo inopararira kune Zika virus sezvinobvira.Iyo Institut Pasteur iri mushishi yekumisikidza neDare Repamusoro reHutano hweHurumende kubatsira varapi kuziva kana kuti voongorora huvepo hwehutachiona muvarwere vavo, zvichienderana nenyika yakashanyirwa uye zuva rekudzoka.

Kune vakadzi vane pamuviri vanodzoka kubva kunogara munzvimbo ine hutachiona, CNPGO inokurudzira kuti varapi vashande. Zika virus serology uye simuka kutarisisa kwepedyo kana paine kusahadzika, in kuyera denderedzwa remusoro we "fetus" pane yega yega Ultrasound. « Ichi chiyero chakareruka chichaita kuti zvikwanise kuona kana kusavapo kwezvatinotya, ndiko kuti kutaridzika kwekukanganisa kana, chero zvakadaro, kusapotsa. », Inosimbisa Dr Ami.

Zika uye pamuviri: chii chaunofanira kuita kana paine hutachiona hwakaratidzwa?

Sezvineiwo hapana hapana kurapwa kwakanangana neZika virus parizvino. Saizvozvowo, pane ikozvino hapana mushonga kuderedza denda, kunyangwe tsvagiridzo iri kushanda kuti iwane imwe nekukurumidza sezvinobvira.

Zvakare, kana munhu akabata hutachiona uye ari kuratidza zviratidzo, inongove nyaya yekumisikidza symptomatic treatment. Majekiseni achanyorerwa kutemwa nemusoro nemarwadzo, mishonga yekukwenya, nezvimwewo. Zvisinei, hapana nzira yekudzivirira nayo munhu ane utachiona kuti asawane zvese izvi zviratidzo. Kune mukadzi ane pamuviri, zvakangofanana: hapana parizvino nzira inozivikanwa yekumudzivisa kutapurira utachiona hweZika kumucheche wake.

Iyo nzira ichave nekuyedza kuongorora iyo njodzi ye microcephaly kumwana uye tarisa zviratidzo zvekusagadzikana uku. Kana mukadzi ane pamuviri abatwa, anofanira kuteverwa mu multidisciplinary prenatal diagnostic centre, uko boka rezvokurapa richaita nguva dzose diagnostic ultrasounds. Kana hutachiona hwaonekwa, " haisi kungoita denderedzwa remusoro kuona »Vanodaro Dr Ami. ” Kunewo maziso (kuvapo kwe microphtalmie) uye uropi. Tichatarisa kusavapo kwe kukoshesa, iyo inotangira kutanga kwekukuvara kwehuropi, kusavapo kwema cysts kana cortical abnormalities. Nekudaro, izvi zviratidziro hazvisi pakati peizvo zvinowanzoitwa muhofisi. »

Zika uye pamuviri: amniocentesis kutarisa kuvapo kwehutachiona

Kubatanidza kuongororwa, Dr Ami vanonongedza kuti amniocentesis inogonawo kuitwa. ” Tichaedza kuratidza Zika virus muamniotic fluid neamniocentesis, asi chete kana mukadzi ane pamuviri pachake ane utachiona uye mwana wake ane brain abnormalities paultrasound », Anotsanangura. ” Kana akachipfuudza kumwana wake, wekupedzisira anoburitsa hutachiona muamniotic fluid, kunyanya pakati pezuva re3 ne5 mushure mekutapukirwa. Sezvo amniotic fluid iri nharaunda yakavharwa, tinogona kuwana hutachiona mazuva mashoma, kunyangwe mavhiki mashoma gare gare. Anoenderera mberi. ” Iyi simbiso ichaita kuti zvikwanise kuona mwero weanomalies akaonekwa uye akabatana nehutachiona uhu. ”, Izvo zvichafambisira mberi tsvakiridzo.

Kana vezvechiremba vaine chokwadi chekuti mwana ane njodzi huru yekuremara pfungwa, vaviri vacho vanogona kukumbira rubatsiro. kubviswa kwekurapa kwepamuviri, maitiro anotenderwa muFrance mune mamwe mamiriro, asi ayo anoramba akarambidzwa munyika dzakawanda dzakakanganisika (kunyanya muBrazil). MuFrance, izvi zvinofanirwa kugamuchirwa pasina dambudziko kana kuderera kwepfungwa kuchiratidzwa nekuda kwekukanganisa kunoonekwa paultrasound. Dr Ami vanotsanangura izvozvo vana vanozvarwa vaine microcephaly ” Iva nehupenyu hunenge hwakajairwa, kushamwaridzana kunenge kwakajairika, asi kunonoka kwemota kunonetsa, pakati pezvimwe zvinhu, kuwanikwa kwekufamba nekutaura. »

Zika uye mukadzi ane pamuviri: zvakadini nekuyamwisa?

« Parizvino pane hapana chikonzero chekurambidza kuyamwisa mumukadzi, kunyange kana ane utachiona Vanodaro Dr Ami. ” Kusvika iye zvino, hapana zviitiko zvakadhindwa zvemhando dzakakomba dzehutachiona hweZika mucheche kana vana vaduku. Hutachiona huchavakonzeresa zviratidzo zvakafanana nedzevakuru, asi hapana dambudziko nekukanganisa kwehuropi kubva ipapo uropi hwakatoumbwa Anoenderera mberi. Mukuwedzera, Dr Ami anosimbisa kuti hazvina chokwadi kuti Zika virus, kana iripo mumukaka wezamu, ine simba rinotapukira. ” Ko kana mukadzi akawana utachiona mushure mekusununguka panguva yekuyamwisa, njodzi kuuropi hwomucheche dzinoita sedzisina maturo, maererano nekutanga zvinhu zvinobuda muzvinyorwa zvesainzi. "Saka zviripo" hapana chikonzero chekurambidza kuyamwisa vakadzi vane danho iri », Unopedzisa Dr Ami.