Kuberekwa njovhera

Congenital syphilis chirwere chakakomba, chinoremadza, uye chinowanzoisa upenyu pangozi chinoonekwa muvacheche. Amai vane nhumbu vane syphilis vanogona kutapurira hutachiona kuburikidza nepacenta kumwana asati azvarwa.

Congenital syphilis inokonzerwa nehutachiona Treponema pallidum, inoendeswa kubva kuna amai kuenda kumwana panguva yekukura kwe fetus kana pakuzvarwa. Kusvikira pahafu yevacheche vese vane hutachiona ne syphilis vachiri mudumbu vanofa nguva pfupi vasati vazvarwa kana mushure mekuberekwa.

Kunyangwe hazvo chokwadi kuti chirwere ichi chinogona kurapwa nemishonga inorwisa mabhakitiriya kana chikabatwa nekukurumidza, kuwedzera kwehuwandu hwe syphilis pakati pevakadzi vane nhumbu muUnited States kwakawedzera huwandu hwevacheche vanozvarwa vaine congenital syphilis kubvira 2013.

Vazhinji vacheche vanotapukirwa vasati vaberekwa vanoita sevakajairika. Nokufamba kwenguva, zviratidzo zvinogona kukura. Muvacheche vari pasi pemakore maviri ekuberekwa, zviratidzo zvinogona kusanganisira:

• Yakawedzera chiropa uye / kana spleen (mashoma mudumbu)
• Kukundikana kuwedzera uremu kana kutadza kubudirira (kusanganisira asati aberekwa, aine huremu hwekuzvarwa)
• Kupindwa nechando
• Kushatirwa
• Kushatirwa uye kutsemuka kweganda rakatenderedza muromo, sikarudzi, uye horo
• Mapundu anotanga semabhuru madiki, kunyanya pamichindwe nepasi, uyezve achichinja kuita eruvara rwemhangura, rakapetana kana rakaputika
• Skeletal (bone) kusagadzikana
• Kutadza kufambisa ruoko kana gumbo rinorwadza
• Mvura inoyerera ichibva mumhino

Zviratidzo muvacheche vakura uye vana vadiki zvinogona kusanganisira:

• Asina kujairika akachekwa uye mazino akafanana nemhezi, anonzi Hutchinson mazino
• Kurwadziwa kwepfupa
• Bofu
• Clouding yeiyo cornea (iyo yekufukidza yeziso reziso)
• Kuderera kwekunzwa kana matsi
• Kuremara kwemhino ine rakapetwa mumhino bhiriji (chigaro chemhino)
• Grey, mamusiki-kunge zvigamba zvakakomberedza anus uye mukadzi
• Joint kuzvimba
• Saber anopenya (dambudziko repfupa regumbo repasi)
• Kupararira kweganda rakakomberedza muromo, sikarudzi, uye horo

Kana hutachiona hunofungidzirwa panguva yekuzvarwa, iyo placenta ichaongororwa zviratidzo zve syphilis. Kuongororwa kwemwana mucheche kunogona kuratidza zviratidzo zvechiropa uye spleen kuzvimba uye kuzvimba kwepfupa.

Kujairidzwa kweropa njovhera kunoitwa panguva yepamuviri. Amai vanogona kugamuchira kuongororwa kweropa kunotevera:

• Fluorescent treponemal antibody yakanyura bvunzo (FTA-ABS)
• Inokurumidza plasma reagin (RPR)
• Venereal chirwere chekuongorora rabhoritari bvunzo (VDRL)

Mucheche kana mwana anogona kunge aine bvunzo dzinotevera:

• Bone x-ray
• Rima-munda kuongororwa kuti uone syphilis mabhakitiriya pasi pe microscope
• Kuongorora kweziso
• Lumbar puncture (spinal tap) - kubvisa mvura yemuzongoza pakuyedzwa
• Kuongororwa kweropa (kwakafanana neakanyorwa pamusoro apa kuna amai)

Penicillin ndiwo mushonga wesarudzo yekurapa dambudziko iri. Inogona kupihwa neIV kana sepfuti kana jekiseni. Mimwe mishonga inorwisa mabhakitiriya inogona kushandiswa kana mwana akanangana nepenicillin.

Vazhinji vacheche vakatapukirwa pakutanga kwepamuviri vanozvarwa vakafa. Kurapa kwaamai vanotarisira kunoderedza njodzi yekuberekwa njovhera mumucheche. Vacheche vanotapukirwa pavanopfuura nemumugwagwa wekuzvarwa vane maonero ari nani pane avo vakatapukirwa kare panguva yekuzvitakura.

Zvinetso zvehutano zvinogona kuitika kana mwana asina kurapwa zvinosanganisira:

• Bofu
• Matsi
• Kuremara kwechiso
• Zvinotyisa system matambudziko

Fonera wako mupi wezvehutano kana mwana wako aine zviratidzo kana zviratidzo zveichi chiitiko.

Kana iwe uchifunga kuti iwe unogona kunge uine syphilis uye uine nhumbu (kana kuronga kuita nhumbu), fonera mupiki wako ipapo ipapo.

Kuita zvepabonde kwakachengeteka kunobatsira kudzivirira kupararira kwesyphilis. Kana iwe uchifungidzira kuti une chirwere chepabonde chakadai sesyphilis, tsvaga kurapwa nekukurumidza kuti udzivise matambudziko sekutapurira mwana wako panguva yekuzvitakura kana pakuzvara.

Kuchengetwa kwepabonde kunokosha zvikuru. Nguva dzose kuongororwa kweropa kwe syphilis kunoitwa panguva yekuzvitakura. Aya anobatsira kuziva vanaamai vane hutachiona kuitira kuti vagone kurapwa kudzikisa njodzi kumucheche uye ivo pachavo. Vacheche vanozvarwa naanaamai vane hutachiona avo vakagamuchira kurapwa kwakakodzera kwemishonga inorwisa mabhakitiriya panguva yekuzvitakura vari panjodzi diki yekuzvarwa syphilis.

Njovhera ye "Fetal"

Dobson SR, Sanchez PJ. Njovhera. Mune: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, eds. Feigin naCherry's Bhuku reBhuku rePediatric Infectious Diseases. 8th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 144.

Kollman TR, Dobson SRM. Njovhera. Mune: Wilson CB, Nizet V, Malonado YA, Remington JS, Klein JO, eds. Remington and Klein's Infectious Diseases of the Fetus uye Achangozvarwa Mucheche. 8th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits.

Michaels MG, Williams JV. Zvirwere zvinotapukira. Zitelli BJ, McIntire SC, Norwalk AJ, eds. Zitelli naDavis 'Atlas yePediatric Panyama Kuongorora. 7th ed. Philadelphia, PA: Elsevier Saunders; 2018: chits.