Ziziphi iindleko zokuthatha, xa uyeka ukukhulelwa, kwaye ziziphi iingozi?
Uninzi lwexesha, iZika inezimpawu ezinzima. Ingozi enkulu kubafazi abakhulelweyo. I-virus yeZika iqhutywe ngemiyane. Nangona kunjalo, kukho iimeko ezimbalwa zegciwane lesandulela ngculaza ezithunyelwa ngezocansi.
Ngaba udinga ukuxhalabisa ngegciwane leZika xa uzama ukukhulelwa? Impendulo nguyewe, ukuba wena okanye iqabane lakho liceba ukuhamba kwindawo echaphazelekayo.
(Ewe, nangona iqabane lakho liceba ukuhamba, kufuneka uthathe amanyathelo okucwangcisa, ngaphezulu kule izantsi.)
Ukuba ibhinqa litshatile ngexesha lokukhulelwa kunye neenkontileka zentsholongwane, umntwana wakhe usemngciphekweni weziphene zokuzalwa. Ngokukodwa, umntwana wakhe angabalwa nge- microcephaly , i-defect yokuzalwa ekhokelela entloko encinci kunye nentuthuko yengqondo.
Olu mngcipheko luphezulu kakhulu ekukhulelweni kwangaphambili, oko kuthetha ukuba unokuhamba ngokulula kwilizwe elifana nale, ukhulelwe ngethuba, kwaye unesifo sengculaza, ngaphambi kokuba wazi nokuba ukhulelwe.
Iindawo zokuPhepha okanye ukuthatha ukuqaphela
Ngokutsho kweCDC, i-virus yeZika isebenza kakhulu kule mimandla elandelayo:
- Brazil
- Kholambiya
- El Salvado
- French Guiana
- Guwatamela
- Hayiti
- Honduras
- Martinique
- Mekhsikho
- Phanama
- Pharaguwayi
- Suriname
- Venezuwela
- kwi-Commonwealth yasePuerto Rico
Yintoni Okufanele Uyenze Ukuba Wena okanye Umlingani Wakho Unamalungiselelo Okuhamba?
Njengokuba kunjalo, umthombo wakho wokuqala wolwazi kufuneka ube ngugqirha wakho.
Ukuba wena okanye iqabane lakho uye neendlela zokuhamba, khuluma naye okanye kuqala.
Ngokufanelekileyo, kufuneka ukhansele okanye ulungele ukuhamba.
Ukuba awukwazi, qwalasela oku kulandelayo:
- Gcina ukuzama kwakho ukukhulelwa izicwangciso de emva kokuhamba kwakho. Sebenzisa ulawulo lokuzalwa okanye iikhondom ukukhusela ukukhulelwa uze ubuyele.
- Emva kohambo lwakho, linda ubuncinane ezimbini ukuya kwiiveki ezintathu ukuqinisekisa ukuba awunayo i-virus. Thetha ugqirha ukuba awuqinisekanga.
- Ukuba unesifo okanye unayo nayiphi na impawu, xela ugqirha ngaphambi kokuba uqale ukuzama ukukhulelwa kwakhona.
- Ukuba iqabane lakho lihamba kwelinye lala mazwe, sebenzisa iikhondom ukukhusela ukusatshatyalaliswa kwintsholongwane kude kube ncinane iiveki ezimbalwa zidlulileyo, kwaye kucace ukuba akaphelelwe yintsholongwane.
- Ukuba iqabane lakho lifumana naziphi iimpawu zentsholongwane, xela ugqirha ngaphambi kokuqalisa ukulala ngesondo esingakhuselekanga.
- Ukuba ukhulelwe, kwaye iqabane lakho lihamba kwelinye lamazwe achaphazelekayo, i-CDC ibonisa ukusebenzisa iikhondom ngexesha lokukhulelwa.
- Ukuba uhamba unyango lokuzala, kunye neqabane lakho lihamba, xela ugqirha malunga nokuba unokwenza umlenze wakhe ngaphambi kokushiya. Ngale ndlela, unyango lungenakudinga ukuba luhlehliswe.
- Ukuba unokukhulelwa kwangaphambili kwaye awukwazi ukucima uhambo lwakho, thatha amanyathelo athile okukhusela ukuba ungagqithisi ukutsalwa ngumlingo.
Ngaba kufuneka ukhathazeke ngokufumana i-virus yeZika e-United States? Ngaba kufuneka uphinde ulungele ukuzama ukukhulelwa kwezicwangciso de emva kokukhutshwa kwesitofu?
Ndadliwanisa noDkt. Amanpreet Bhullar, u-OB / GYN we-Orlando Health Physician Associates.
EFlorida, uDkt. Bhullar usemngciphekweni weZika eUnited States.
Nazi iimpendulo kwimibuzo yakho efunwa ngokubanzi kwiZika kwaye uzama ukukhulelwa.
Ingaba isifo se-Zika into eyenza ukukhulelwa kwabasetyhini abahlala eU.SA kufuneka bakhathazeke malunga? (Ngaba kufuneka bakhathazeke ukuba abahambayo?)
Ayikho okwangoku. Abasetyhini abaceba ukukhulelwa baze bahambe kwiindawo ezijongene nobungozi be-virus yeZika kufuneka baqaphele.
Ngokukodwa, ii-CDC zicebisa iingcebiso ezizodwa kubafazi abakhulelweyo nabasetyhini abazama ukukhulelwa, oku kubandakanya ukuhanjiswa kwexesha lokuya kwiindawo apho ukuhanjiswa kwegciwane le-Zika kuqhubeka.
Abo bahamba ukuya kwenye yezi ndawo bafanele bathethe noogqirha babo kuqala baze balandele ngokungqongqo amanyathelo okukhusela umlingo wokuloba ngexesha lohambo. Ezi ziqaphelo ziyabasetyhini abakhulelwe kwiphina i-trimester okanye abazama ukukhulelwa.
Amanye amazwe achaphazeleka ngqo ngentsholongwane yesifo sengculaza icele izibini ukuba zingakhulelwa. T apha ezinye izibini zase-USA ezicinga ukuba zifanele zicime ukuzama ukufumana usana kuze kube yintsholongwane okanye isitofu. Ngaba oku kubizwa ngokwenene kwiindawo ezingaphazamisekiyo?
Umngcipheko kwizibini ziphantsi e-US. Akukho zizathu zeZika ezithunyelwe kwiindawo zasemaphandleni eziye zaxelwa kwilizwekazi laseMerika, kodwa iimeko ziye zabikwa ngokubuya kwabahambi. Amathathu kulawo matyala axelwa kwiFlorida.
I-virus ye-Zika isatshatyalaliswa kwendawo ixelwe kwi-Commonwealth yasePuerto Rico. Ngokuqhambuka kwangoko, inani leZika kwiimeko phakathi kwabahambi abavakatyelayo okanye babuyela eUnited States baya kukwanda. La matyala angeniswayo angakhokelela ekusasazeni kwintsholongwane kwiindawo ezithile zaseUnited States.
Ngokubhekiselele kumntu ngamnye oye waya kwiindawo kwaye usulelekile - indlela kuphela yokudlulisa eso sifo kumntu apha oza kumlunywa yimiyane eyidlula kwaye loo mmiyane uluma umntu ongakhuselekanga. Le nongwane itholakala kulo lonke elaseMntla naseMzantsi Melika (kubandakanywa ne-US).
[Phawula kuRachel: Njengoko le ngxoxo yaqhutyelwa, kuye kwaqinisekiswa ukuba imeko yeZika yayisayinwe nge-sex. I-CDC iyakhuthaza ukuba abafazi basebenzise ukukhuselwa ngokwesondo, ubuncinci ixesha elifutshane ukuba amaqabane abo ahambile kwilizwe elichaphazelekayo.]
Kuthekani ukuba bahlala eTexas okanye eFlorida?
Ukuxhalabisa abantu abahlala eTexas naseFlorida okwangoku kuphakamileyo kuba imeko yemozulu ithambile ebusika. Ngako oko, ingozi yentsholongwane yeZika efumanekayo yendawo, ngokuluma ummi, kunokwenzeka ngaphezu kweendawo ezinzima.
Sekunjalo, akuzange kubekho iimeko ezinjalo eUnited States, ziimeko kuphela kubantu abaye bahamba kwamanye amazwe baza bafumana intsholongwane apho.
Ukuba umntu uhamba kwilizwe elichaphazelekayo, aze abuyele, ngaba bayagqithisa intsholongwane kumnye umntu?
Ukususela kwizinto eziqondwa ngentsholongwane le ntsholongwane, isasazeka ngokubetha umiyane.
Kungekudala, kukho ingxelo enye yokusasazeka kwintsholongwane ngenxa yokumpontshelwa igazi kunye nengxelo enye yokusasazeka kwintsholongwane ngoqhagamshelwano lwezesondo.
[Phawula kuRakeli: Ngenxa yecala elinye lokudluliselwa ngesondo, i-CDC iyakhuthaza ukuba usebenzise ingqalelo xa iqabane lakho lihamba kwilizwe elichaphazelekayo. Thetha ugqirha ukuba unomdla.]
Ngaba abo baqala ukukhulelwa baqaphele? Okanye ngaba oku akunjalo ngokwenene?
Abasetyhini kwi-trimester yabo yokuqala kufuneka baxhatyatheke kakhulu ngolo hlobo xa kuphuhliso lobuchopho kumntwana.
Ukukhulelwa kwangaphambili, i-trimester yokuqala, yithuba eliyingozi kakhulu kuba yilapho kuphuhliso lombutho lwenzeka kwindawo yokuzalwa.
Kodwa abafazi abakhulelweyo kwinqanaba ngalinye kufuneka bathathe amanyathelo okuqapha.
Kuthiwani ngabasetyhini abazama ukukhulelwa kunye neendawo zokuphumla ezicetywe kwelinye lala mazwe ... kufuneka ziphephe ukukhulelwa xa zilapho?
Ukuba bekhulelwe kwaye bahamba bafanele bahlehlise uhambo lwabo okanye bathathe onke amanyathelo okukhusela ukukhupha umlingo.
Ukuba baceba ukukhulelwa, kwaye bahamba, ndingabacebisa ukuba baphephe ukukhulelwa nje ngokukhusela.
Ngaba kukho ixesha elithile kufuneka balinde ukuqala ukuzama kwakhona xa babuyela e-USA?
Ukuba babuya eholidini kufuneka baqinisekise ukuba abanalo iimpawu kwiiveki ezimbini ngaphambi kokuzama ukukhulelwa.
Iimpawu ziquka umkhuhlane, i-conjunctivitis (iso lesipinki), kunye nentlungu edibeneyo.
Ukuba zicacile kwiimpawu zeeveki ezimbini, mhlawumbi zilungile ukuqala ukuzama.
Ukuba banayo nayiphi na le mpawu, kufuneka bathethe nodokotela wabo ngexesha elifanelekileyo lokulinda.
Nangona kunjalo, akucaci ngokucacileyo ukuba umfazi kufuneka alinde ixesha elingakanani ukuba aqikelele ukuba kukholelwa ukuba unesifo se-Zika virus.
Imithombo:
Amanpreet S Bhullar, OB / GYN. Udliwano lwama-imeyile olwenziwa ngoJanuwari 29, 2016.
Imiba ye-CDC ihamba ngesikhokelo sokuhamba esikhathelene nesifo sengculaza seZika kumazwe angama-14 nakwiindawo ezikuMbindi naseMzantsi Melika naseCaribbean. Isiko soLawulo lweZifo. http://www.cdc.gov/media/releases/2016/s0315-zika-virus-travel.html