Cutar Zika da mata masu juna biyu: shawarwari

Kwayar cutar Zika da ciki: muna yin lissafi

Takaitaccen tunatarwa na gaskiya

Tun 2015, annobar cutar Zika mai karfi ya shafi Amurka ta Tsakiya da Kudancin Amurka. An gano cutar tun 1947 a yankin kudu da hamadar Saharar Afirka, kwayar cutar ta zauna a Polynesia a cikin 2013 kuma da alama ta isa nahiyar Amurka a 2014, a lokacin gasar cin kofin duniya ta kwallon kafa a Brazil. Yanzu an gano shi a wasu ƙasashe na nahiyar kamar Peru, Venezuela, Colombia, Guyana, West Indies har ma da Mexico. A ranar 1 ga Fabrairu, 2016, Hukumar Lafiya ta Duniya (WHO) ta ayyana cutar ta Zika a matsayin " gaggawar lafiyar jama'a ta duniya ".

Lallai ana iya kamuwa da wannan cuta ta hanyar jima'i, ko da ta hanyar miya, musamman mahaifar da lalacewar kwakwalwa a cikin 'yan tayin da suka kamu da kwayar cutars. Mun yi la'akari da halin da ake ciki tare da Dokta Olivier Ami, Sakatare Janar na Ƙungiyar Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwarar kuma (CNPGO).

Ma'anar, watsawa da alamun cutar Zika

Zika cutar flavivirus ne daga iyali guda da ƙwayoyin cuta na dengue da yellow fever. Shi sauro iri daya ne ke dauke da shi, wato damisa sauro (genus Aedes). Cizon cizo guda daya na iya isa ya kamu da wannan kwayar cuta, muddin sauro mai dauke da ita ne.

Abin da ke sa gano kwayar cutar ya fi wahala shi ne cewa yana iya zama asymptomatic (a cikin fiye da 3/4 na lokuta), kuma baya haifar da wata alama ta musamman. Lokacin da alamun bayyanar cututtuka, kwayar cutar ta haifar cututtuka masu kama da mura, kamar zazzabi, tsoka da ciwon haɗin gwiwa, rashin jin daɗi, ciwon kai, raɗaɗin fata ko ma ciwon ido. Mafi sau da yawa masu laushi, waɗannan alamun suna ɓacewa tsakanin kwanaki 2 zuwa 7 bayan kamuwa da cutar. Abin takaici, a cikin mata masu juna biyu, wannan kwayar cutar tana da saukin kamuwa da itashafi ci gaban kwakwalwar tayin, wannan shine dalilin da ya sa ya kamata a kula da mata masu ciki musamman.

A gefen bincike, yana dogara ne akan sauƙi gwajin jini ko a samfurin yau ko fitsari inda za mu nemo burbushin kwayar cutar, daidai gwargwado na gadonta. Amma a fili, kasancewar alamun kawai zai tura kungiyoyin likitocin don zargin kwayar cutar. Idan na karshen yana cikin mutum, to likitoci na iya yanke shawarar al'ada kwayar cutar a cikin dakin gwaje-gwaje don auna yiwuwar kamuwa da cuta da ƙarin koyo game da haɗarinsa.

Zika da ciki: haɗarin rashin lafiyar tayin

A halin yanzu, ba tambaya ba ce ko da gaske cutar Zika ce ke haifar da rashin lafiyar kwakwalwar da aka gani a cikin 'yan tayin da aka fallasa. ” Hukumomin Brazil sun kaddamar da wani shiri, bisa shawarar likitoci, saboda sun bayyana tare da gano adadin wadanda suka kamu da cutar da ba a saba gani ba. ƙaramin kai (microcéphalie) da / ko rashin daidaituwar kwakwalwa da ake iya gani akan duban dan tayi da lokacin haihuwa Inji Dr Ami. A wannan bangaren, " babu tabbas game da adadin da aka tabbatar da microcephaly. Wannan rashin lafiyar kwakwalwa yana da matukar damuwa kamar yadda yake alaka da rashin hankali " Karamin kewayen cranial, mafi girman haɗarin rashin hankali”, in ji Dr Ami.

Duk da haka, Babban Sakatare na CNPGO ya kasance a hankali: yana la'akari da hakankewayen cranial a cikin ƙananan iyaka bai kamata ya haifar da la'akari da cewa yaron dole ne ya sami rashin lafiyar kwakwalwa ba, tun da ainihin ma'anar microcephaly ba a bayyana ba. Hakanan, ba don a mace mai ciki tana da cutar Zika cewa babu makawa za ta mikawa jaririnta. ” A yau, lokacin da mace mai ciki ta kamu da kwayar cutar Zika, babu wanda zai iya faɗi adadin haɗarin da za ta iya yadawa ga jaririnta. Ba wanda zai iya faɗi ko menene haɗarin kashi wanda tayin da ke ɗauke da cutar zai haɓaka microcephaly.. "A zahiri, a halin yanzu," mu dai mun san cewa wani abu yana faruwa da wancandole ne a dauki mataki don rage bayyanar mata masu ciki », Dr Ami ya takaita.

Zika da ciki: matakan kariya don ɗauka

Bisa la'akari da yiwuwar haɗari ga tayin, a bayyane yake cewa ka'idar yin taka tsantsan tana cikin tsari. Don haka mahukuntan Faransa sun shawarci mata masu juna biyu da kada su je wuraren da kwayar cutar ta bulla. Ana kuma shawarci matan da ke zaune a wadannan wuraren da ake kira endemic jinkirta shirinsu na ciki muddin kwayar cutar tana nan. Bugu da kari, kamar yadda yake a duk cututtukan da sauro ke haifarwa an shawarci a yi amfani da gidajen sauro da magunguna idan ka je kasashen da abin ya shafa.

Waɗanne gwaje-gwaje bayan zama a cikin yankin haɗari yayin da ake ciki?

A cewar Dr Ami, kuma dukan National Professional Council of Gynecology da cutukan, shi ne gaye to yi la'akari da duk wanda ya dawo daga yankin da cutar Zika ke fama da ita kamar yadda cutar ta iya shafa.Cibiyar Pasteur tana kan aiwatar da kafa tare da Babban Kwamitin Kiwon Lafiyar Jama'a don taimakawa masu aikin sanin ko za su gwada kasancewar cutar a cikin majiyyatan su ko a'a, ya danganta da kasar da aka ziyarta da ranar dawowa.

Ga mata masu juna biyu da suka dawo daga zama a wani yanki mai cike da cututtuka, CNPGO ya ba da shawarar cewa masu aiki suyi aiki. Zika virus serology kuma saita kula sosai in shakku, in auna kewayen kai na tayin a kowane duban dan tayi. « Wannan ma'auni mai sauƙi zai sa a iya lura ko a'a kasancewar abin da muke tsoro, wato bayyanar rashin lafiya ko, a kowane hali, kada a rasa shi. », Ya jaddada Dr Ami.

Zika da ciki: menene za a yi idan an tabbatar da kamuwa da cuta?

Abin takaici babu babu takamaiman magani akan cutar Zika a halin yanzu. Hakanan, akwai a halin yanzu babu maganin alurar riga kafi don dakile cutar, koda kuwa bincike yana aiki don gano cutar da wuri-wuri.

Hakanan, idan mutum ya kamu da kwayar cutar kuma yana nuna alamun cutar, kawai batun kafawa ne alamun bayyanar cututtuka. Za'a rubuta maganin analgesics don ciwon kai da ciwon kai, magungunan ƙaiƙayi da sauransu. Duk da haka, babu wata hanyar da za ta hana mai ciwon kamuwa da waɗannan alamun. Ga mace mai ciki, yana da kama da haka: a halin yanzu babu wata hanyar da aka sani don hana ta yada cutar Zika ga jaririnta.

Hanyar za ta ƙunshi ƙoƙarin tantancewa hadarin microcephaly ga jariri kuma duba alamun wannan rashin daidaituwa. Lokacin da abin ya shafa mai ciki, sai a bi ta a cikin a Multidisciplinary prenatal diagnostic center, Inda ƙungiyar likitocin za su yi gwaje-gwajen bincike na yau da kullun. Lokacin da aka tabbatar da kamuwa da cutar, " ba zagayen kai kawai ake kallo ba »Inji Dr Ami. ” Akwai kuma idanu (gabatar microphtalmie) da kwakwalwa. Za mu duba rashin lissafin, wanda ya riga ya fara lalacewa na kwakwalwa, rashin cysts ko rashin daidaituwa na cortical. Koyaya, waɗannan gwaje-gwajen ba sa cikin waɗanda aka saba yi a ofis. »

Zika da ciki: amniocentesis don bincika kasancewar kwayar cutar

Don ƙarfafa ganewar asali, Dr Ami ya nuna cewa ana iya yin amniocentesis kuma. ” Za mu yi ƙoƙarin nuna cutar Zika a cikin ruwan amniotic ta amniocentesis, amma sai idan ita kanta mai ciki ta kamu da cutar kuma Yaranta yana da rashin daidaituwa a kwakwalwa akan duban dan tayi », Ya bayyana. ” Idan ta watsa wa yaronta, na karshen zai fitar da kwayar cutar a cikin ruwan amniotic, musamman tsakanin rana ta 3 zuwa 5 bayan kamuwa da cutar. Da yake ruwan amniotic wuri ne da ke rufe, za mu iya samun alamun kwayar cutar kwanaki kadan, har ma da makonni kadan. Ya ci gaba. ” Wannan tabbaci zai ba da damar gano adadin abubuwan da ba a taɓa gani ba da kuma alaƙa da wannan ƙwayar cuta. ”, Wanda zai ci gaba da bincike.

Idan ƙungiyar likitocin ta kusan tabbata cewa yaron yana da babban haɗarin rashin tunani, ma'auratan na iya buƙatar a likita ƙarewar ciki, hanya da aka ba da izini a Faransa a ƙarƙashin wasu sharuɗɗa, amma wanda ya kasance haramun a yawancin ƙasashe da abin ya shafa (musamman a Brazil). A Faransa, ya kamata a yarda da wannan ba tare da matsala ba idan an tabbatar da rashin lafiyar tunanin mutum bisa la'akari da rashin lafiyar da aka gani akan duban dan tayi. Dr Ami ya bayyana haka yaran da aka haifa tare da microcephaly” suna da kusan tsawon rayuwa na yau da kullun, kusan hulɗar zamantakewa na yau da kullun, amma jinkirin mota wanda ke dagula, a tsakanin sauran abubuwa, samun tafiya da magana. »

Zika da mace mai ciki: yaya game da shayarwa?

« A halin yanzu akwai babu wani dalili da zai hana mace shayarwa, koda kuwa tana dauke da cutar Inji Dr Ami. ” Har ya zuwa yau, babu wasu lokuta da aka buga na mummunan nau'in kamuwa da cutar Zika a jarirai ko yara ƙanana. Kwayar cutar za ta haifar musu da alamomi iri ɗaya kamar na manya, amma ba matsala tare da tabarbarewar ƙwaƙwalwa tun lokacin an riga an kafa kwakwalwa Ya ci gaba. Bugu da kari, Dokta Ami ya jaddada cewa ba a tabbatar da cewa kwayar cutar Zika ba, idan tana cikin nono, tana da karfin kamuwa da cuta. ” Idan mace ta kamu da cutar bayan ta haihu yayin shayarwa fa? Hadarin da ke tattare da kwakwalwar jaririn ya yi kama da shi, bisa ga abubuwan farko da suka fito daga wallafe-wallafen kimiyya. "Don haka akwai" babu dalilin haramta shayarwa ga mata masu wannan matakin », Dr Ami ya kammala.