ʻO Zika virus a me nā wāhine hāpai: nā manaʻo

ʻO ka maʻi Zika a me ka hāpai ʻana: mālama mākou

ʻO kahi hoʻomanaʻo pōkole o nā mea maoli

Mai 2015, he maʻi ahulau ikaika o ka maʻi maʻi Zika pili i ʻAmelika Waena a me ʻAmelika Hema. Ua ʻike ʻia mai ka makahiki 1947 ma Sub-Saharan Africa, ua noho ka maʻi ma Polynesia i ka makahiki 2013 a hiki paha i ka ʻāina ʻAmelika i ka makahiki 2014, i ka wā o ke kīʻaha honua pôpeku ma Brazil. Ua ʻike ʻia i kēia manawa ma nā ʻāina ʻē aʻe ma ka ʻāina e like me Peru, Venezuela, Colombia, Guyana, West Indies a me Mexico. Ma Pepeluali 1, 2016, ua haʻi ka World Health Organization (WHO) i ka maʻi Zika " he pilikia olakino lehulehu ".

ʻO kēia maʻi ʻoiaʻiʻo e hoʻoili ʻia ma ka moekolohe, ʻoiai ma o ka huʻu, a ʻoi loahoʻopilikia i ka lolo i nā fetuses i ʻike ʻia i ka maʻi maʻis. Ua ʻike mākou i ke kūlana me Dr Olivier Ami, Kakauolelo Nui o ka National Professional Council of Gynecology and Obstetrics (CNPGO).

Ka wehewehe, ka lawe ʻana a me nā hōʻailona o ka maʻi Zika

ʻO ka maʻi Zika he flavivirus mai ka ʻohana like me ka maʻi dengue a me ka maʻi ʻeleʻele. Lawe ʻia e ka makika hoʻokahi, ʻo ia hoʻi ka namu tiger (genus Aedes). Hiki i ka nahu hoʻokahi ke lawa i ka loaʻa ʻana o kēia maʻi maʻi, inā he mea lawe ka makika.

ʻO ka mea e ʻoi aku ka paʻakikī o ka ʻike ʻana i ka maʻi ʻo ia ka hiki ke asymptomatic (ma mua o 3/4 o nā hihia), a ʻaʻole hoʻomaka i kekahi hōʻailona. Ke hōʻailona ka maʻi maʻi nā ʻōuli like flu, e like me ke kuni, ka ʻiʻo a me ka ʻeha hui, malaise, ʻeha poʻo, ʻili ʻili a i ʻole conjunctivitis. ʻO ka maʻalahi pinepine, nalowale kēia mau hōʻailona ma waena o 2 a 7 mau lā ma hope o ka loaʻa ʻana o ka maʻi. ʻO ka mea pōʻino, i nā wahine hāpai, hiki ke maʻalahi kēia maʻipili i ka ulu o ka lolo o ke keiki, ʻo ia ke kumu e mālama pono ʻia ai nā wahine hāpai.

Ma kaʻaoʻao diagnostics, ua hoʻokumuʻia ma kahi maʻalahi hoʻokahe koko ai ole ia, he kohu a me ka mimi kahi e ʻimi ai mākou i nā ʻāpana o ka maʻi maʻi, ʻoi aku ka pololei o kāna hoʻoilina genetic. Akā ʻo ka mea maopopo, ʻo ka loaʻa ʻana o nā hōʻailona wale nō e koi i nā hui lapaʻau e kānalua i ka maʻi. Inā loaʻa ka mea hope i loko o ke kanaka, a laila hiki i nā kauka ke hoʻoholo e hoʻomaʻamaʻa i ka maʻi i loko o kahi keʻena hana e ana i kona hiki ke ma'i a aʻo hou aʻe e pili ana i kona pōʻino.

ʻO Zika a me ka hāpai ʻana: kahi pilikia o ka malformation fetal

I kēia manawa, ʻaʻole ia he nīnau hou inā ʻo ka maʻi maʻi Zika a ʻaʻole paha ke kumu o nā maʻi cerebral i ʻike ʻia i loko o nā pēpē i hōʻike ʻia. ” Ua hoʻolaha nā luna o Brazil i kahi makaʻala, ma ka ʻōlelo a nā kauka, no ka mea ua haʻi lākou a ʻike i kahi helu maʻamau o nā keiki me pōʻai poʻo liʻiliʻi (microcéphalie) a / a i ʻole ka lolo i ʻike ʻia ma ka ultrasound a i ka hānau ʻana Wahi a Kauka Ami. Ma ka lima 'ē aʻe, " ʻAʻohe mea maopopo e pili ana i ka nui o ka microcephaly i hōʻoia ʻia. ʻOi aku ka hopohopo o kēia anomaly cerebral e like me ia pili i ka lohi o ka noonoo " ʻOi aku ka liʻiliʻi o ka cranial perimeter, ʻoi aku ka nui o ka pilikia o ka noʻonoʻo retardation ", wehewehe ʻo Dr Ami.

Eia nō naʻe, ke mālama nei ke Kakauolelo Nui o ka CNPGO: manaʻo ʻo ia i kēlākahi ʻāpana cranial ma ka palena haʻahaʻa ʻAʻole pono e alakaʻi i ka noʻonoʻo ʻana e loaʻa i ke keiki ka lolo noʻonoʻo, ʻoiai ʻaʻole maopopo ka wehewehe ʻana o ka microcephaly. Pela no, aole no ka a Loaʻa ka maʻi Zika i ka wahine hāpai ʻo ia e hāʻawi i kāna pēpē. ” I kēia lā, ke loaʻa ka wahine hāpai i ka maʻi maʻi Zika, ʻaʻole hiki i kekahi ke haʻi i ka pākēneka o ka pilikia e hoʻouna ʻo ia i kāna pēpē. ʻAʻole hiki i kekahi ke haʻi aʻe he aha ka pākēneka o ka pilikia e ulu ai ka pēpē i loaʻa i ka microcephaly.. "Akaka, i kēia manawa," ʻike wale mākou aia kekahi mea e hana nei a pēlāpono e hana ʻia e hōʻemi i ka ʻike ʻana o nā wahine hāpai », Hōʻuluʻulu ʻo Kauka Ami.

ʻO Zika a me ka hāpaiʻana: nā mea e mālama ai

I ka nānā ʻana i nā pilikia e hiki ai i ka fetus, ʻike ʻia kēlā ua pololei ke kumu hoʻomalu. No laila ke ʻōlelo aku nei nā luna Farani i nā wahine hāpai ʻaʻole e hele i nā wahi i loaʻa ai ka maʻi. ʻO nā wahine e noho ana i kēia mau wahi i kapa ʻia ʻo endemic, ua ʻōlelo pū ʻia hoʻopanee i kā lākou papahana hāpai ʻoiai aia ka maʻi maʻi. Eia kekahi, e like me nā maʻi maʻi namu a pau, ʻo ia nō ʻōlelo ʻia e hoʻohana i nā ʻupena makika a me nā mea hoʻomake inā hele ʻoe i nā ʻāina pili.

He aha nā hoʻokolohua ma hope o ka noho ʻana i kahi wahi pilikia i ka wā hāpai?

Wahi a Dr Ami a me ka National Professional Council of Gynecology and Obstetrics, he mea maʻamau ia E noʻonoʻo i ka mea e hoʻi mai ana mai kahi ʻāpana e pili ana i ka maʻi Zika ma muli o ka hopena.Ke hoʻonohonoho nei ka Institut Pasteur me ke Kōmike Kiʻekiʻe o ka Health Public e kōkua i nā loea e ʻike inā e hoʻāʻo a ʻaʻole paha i ka hele ʻana o ka maʻi i kā lākou mau maʻi. ma muli o ka ʻāina i kipa ʻia a me ka lā hoʻi.

No nā wāhine hāpai e hoʻi mai ana mai kahi noho ʻana ma kahi endemic, paipai ka CNPGO e hana nā loio Zika virus serology a hoʻonohonoho ka nānā pono ʻana ina he kanalua, in ana i ke kaapuni poʻo o ka fetus i kēlā me kēia ultrasound. « ʻO kēia ana maʻalahi e hiki ai ke nānā a ʻaʻole paha i ke alo o ka mea a mākou e makaʻu ai, ʻo ia hoʻi ke ʻano o kahi malformation a i ʻole, ʻaʻole e nalo. », Hoʻoikaika ʻo Dr Ami.

ʻO Zika a me ka hāpai ʻana: he aha ka mea e hana ai inā loaʻa ka maʻi i hōʻoia ʻia?

Minamina ʻaʻohe ʻaʻohe lāʻau lapaʻau kūʻē iā Zika virus i kēia manawa. Pēlā nō, aia i kēia manawa ʻaʻohe lāʻau lapaʻau e pale i ka maʻi maʻi, ʻoiai inā e hana ana ka noiʻi e ʻimi koke i kekahi.

Eia kekahi, inā ua loaʻa ke kanaka i ka maʻi maʻi a ke hōʻike nei i nā hōʻailona, ​​​​ʻo ia ka mea e hoʻonohonoho ai lāʻau hōʻailona. E kuhikuhi ʻia nā analgesics no ka ʻeha poʻo a me ka ʻeha, nā lāʻau no ka ʻūhā, a me nā mea ʻē aʻe. No ka wahine hāpai, ʻano like ia: ʻaʻohe ala i ʻike ʻia i kēia manawa e pale aku iā ia mai ka lawe ʻana i ka maʻi Zika i kāna pēpē.

ʻO ke kaʻina hana e hoʻāʻo e loiloi i ka ka pilikia o ka microcephaly no ka pēpē a nānā i nā hōʻailona o kēia ʻano ʻino. Ke pilikia ka wahine hāpai, pono e hahai ʻia ma a multidisciplinary prenatal diagnostic center, kahi e hana ai ka hui lapaʻau i nā ultrasound diagnostic maʻamau. Ke hōʻoia ʻia ka maʻi, " ʻaʻole ʻo ke poʻo wale nō e nānā » Wahi a Kauka Ami. ” Aia kekahi mau maka (ke alo o microphtalmie) a me ka lolo. E nānā mākou i ka nele o helu helu, ka mea ma mua o ka hoʻomaka ʻana o ka pōʻino lolo, ka nele o nā cysts a i ʻole nā ​​​​mea ʻino cortical. Eia naʻe, ʻaʻole kēia mau hōʻike ʻana i waena o nā mea maʻamau i hana ʻia ma ke keʻena. »

ʻO Zika a me ka hāpai ʻana: he amniocentesis e nānā i ka hele ʻana o ka maʻi

No ka hoʻohui ʻana i ka maʻi maʻi, kuhikuhi ʻo Dr Ami e hiki nō ke hana i kahi amniocentesis. ” E ho'āʻo mākou e hōʻike i ka maʻi Zika i loko o ka wai amniotic ma ka amniocentesis, akā ina wale no ka wahine hapai i ka ma'i a he lolo kona keiki ma ka ultrasound », wehewehe ʻo ia. ” Inā hoʻouna ʻo ia i kāna keiki, e hoʻokuʻu ka mea hope i ka maʻi i loko o ka wai amniotic, ʻoi aku ma waena o ka lā 3 a me 5 ma hope o ka maʻi. No ka mea he wahi paʻa ka wai amniotic, hiki iā mākou ke ʻike i nā ʻāpana o ka maʻi i kekahi mau lā, ʻoiai he mau pule ma hope. Ke hoʻomau nei ʻo ia. ” ʻO kēia hōʻoia e hiki ai ke ʻike i ka helu o nā anomalies i ʻike ʻia a pili i kēia maʻi. ”, E holomua ana ka noiʻi.

Inā ʻike maopopo ka hui lapaʻau he nui ka pilikia o ke keiki no ka lohi o ka noʻonoʻo, hiki i nā kāne ke noi a hoʻopau lāʻau o ka hāpai ʻana, he kaʻina hana i ʻae ʻia ma Palani ma lalo o kekahi mau kūlana, akā ʻaʻole i pāpā ʻia ma nā ʻāina i hoʻopilikia ʻia (ʻo ia hoʻi ma Brazil). Ma Palani, pono e ʻae ʻia kēia me ka pilikia ʻole inā hōʻike ʻia ka lohi o ka noʻonoʻo ma muli o nā mea ʻino i ʻike ʻia ma ka ultrasound. Ua ʻōlelo ʻo Dr Ami i kēlā nā keiki i hānau ʻia me ka microcephaly ” Loaʻa ka manaʻolana o ke ola maʻamau, kokoke i nā pilina pili maʻamau, akā he lohi kaʻa kaʻa e paʻakikī, ma waena o nā mea ʻē aʻe, ka loaʻa ʻana o ka hele a me ka ʻōlelo. »

Zika a me ka wahine hāpai: pehea e pili ana i ka hānai?

« I kēia manawa aia ʻaʻohe kumu e pāpā ai i ka hānai ʻana i ka wahine, ʻoiai inā ua maʻi ʻo ia Wahi a Kauka Ami. ” I kēia lā, ʻaʻohe paʻi paʻi ʻia o nā ʻano koʻikoʻi o ka maʻi maʻi Zika i nā pēpē a i ʻole nā ​​​​keiki liʻiliʻi. ʻO ka maʻi maʻi e hoʻokau iā lākou i nā hōʻailona like e like me nā pākeke, akā ʻaʻohe pilikia me ka lolo malformation mai ia manawa ua hana mua ka lolo Ke hoʻomau nei ʻo ia. Eia hou, ua hoʻoikaika ʻo Kauka Ami ʻaʻole maopopo i ka Zika virus, inā aia i loko o ka waiū umauma, he mana maʻi maʻi. ” He aha inā loaʻa i ka wahine ka maʻi ma hope o ka hānau ʻana i ka wā e hānai ai, ʻaneʻane ʻaneʻe nā pilikia i ka lolo o ke pēpē, e like me nā mea mua e puka mai ana mai ka palapala ʻepekema. "No laila aia" ʻaʻohe kumu e pāpā ai i ka hānai ʻana i nā wahine me kēia pae », Hoʻopau ʻo Kauka Ami.