Ciwon ciki na haihuwa

Ciwon ciki na haihuwa yana da rauni, nakasawa, kuma galibi kamuwa da barazanar rai da ake gani cikin jarirai. Uwa mai ciki da ke da cutar ta syphilis na iya yada cutar ta wurin mahaifa ga jaririn da ba a haifa ba.

Ciwon ciki na haihuwa yana haifar da kwayoyin cuta Treponema pallidum, wanda ke faruwa daga uwa zuwa jariri yayin ci gaban tayi ko kuma a lokacin haihuwa. Har zuwa rabin dukkan jariran da suka kamu da cutar syphilis yayin da suke cikin mahaifa suna mutuwa jim kadan kafin ko bayan haihuwa.

Duk da cewa ana iya warkar da wannan cutar ta hanyar maganin rigakafi idan an kama shi da wuri, hauhawar cutar sikari a tsakanin mata masu juna biyu a Amurka sun ƙaru da yawan jariran da aka haifa da cututtukan haihuwa tun daga 2013.

Yawancin jariran da ke kamuwa da cutar kafin haihuwa suna bayyana da kyau. Yawancin lokaci, bayyanar cututtuka na iya bunkasa. A cikin jariran da ke ƙasa da shekaru 2, alamomin na iya haɗawa da:

• Liverara hanta da / ko saifa (taro a ciki)
• Rashin samun nauyi ko gazawar bunƙasa (haɗe da kafin haihuwa, tare da ƙananan nauyin haihuwa)
• Zazzaɓi
• Rashin fushi
• Jin haushi da fasa fata a baki, al'aura, da dubura
• Rashi yana farawa kamar ƙananan ƙuruciya, musamman akan tafin hannu da tafin kafa, kuma daga baya ya canza zuwa launin launin jan ƙarfe, lebur ko ƙwanƙwasawa
• Kwarangwal (ƙashi) mahaukaci
• Ba zai iya motsa hannu ko kafa mai zafi ba
• Ruwa mai ruwa daga hanci

Kwayar cututtuka a cikin tsofaffin jarirai da ƙananan yara na iya haɗawa da:

• Abubuwa marasa kyau da haƙori masu kama da juna, waɗanda ake kira Hutchinson hakora
• Ciwon ƙashi
• Makaho
• Girman girji (murfin kwayar ido)
• Rage ji ko rashin ji
• Lalacewar hanci tare da gadaje hanci (sirdi hanci)
• Grey, faci-kamar faci a kusa da dubura da farji
• Kumburin hadin gwiwa
• Sabre shins (matsalar kashi na ƙananan ƙafa)
• Fuskar fata a bakin, al'aura, da dubura

Idan ana zaton kamuwa da cutar a lokacin haihuwa, za a binciko alamun alamomin cutar sikari. Binciken yara na jiki na iya nuna alamun hanta da kumburi da kumburi na ƙashi.

Gwajin jini na yau da kullun don syphilis ana yin shi yayin daukar ciki. Mahaifiyar na iya karɓar gwaje-gwajen jini masu zuwa:

• Fluorescent treponemal antibody tunawa gwajin (FTA-ABS)
• Saurin saurin jini (RPR)
• Gwajin dakin gwaje-gwajen binciken cututtukan mata (VDRL)

Jariri ko yaro na iya samun gwaje-gwaje masu zuwa:

• X-ray
• Binciken filin duhu don gano ƙwayoyin cuta na syphilis ƙarƙashin microscope
• Gwajin ido
• Lumbar puncture (kashin baya) - don cire ruwan kashin baya don gwaji
• Gwajin jini (kwatankwacin waɗanda aka ambata a sama don uwa)

Penicillin magani ne na zaɓi don magance wannan matsalar. Ana iya ba ta ta IV ko azaman harbi ko allura. Ana iya amfani da wasu maganin rigakafi idan jaririn yana rashin lafiyan penicillin.

Yawancin jarirai da suka kamu da cutar a farkon ciki har yanzu ba a haife su ba. Jiyya na uwar mai ciki yana rage haɗarin cututtukan cututtukan ciki na cikin jariri. Yaran da suka kamu da cutar yayin wucewa ta hanyar hanyar haihuwa suna da kyakkyawan hangen nesa fiye da waɗanda suka kamu da cutar a baya yayin ɗaukar ciki.

Matsalolin kiwon lafiya waɗanda zasu iya haifar idan ba a kula da jariri ba sun haɗa da:

• Makaho
• Kurma
• Lalacewar fuska
• Matsalolin tsarin jijiya

Kira mai ba da sabis na kiwon lafiya idan jaririnku yana da alamu ko alamomin wannan yanayin.

Idan kuna tunanin kuna iya kamuwa da cutar sikila kuma kuna da ciki (ko kuna shirin yin juna biyu), kira mai ba ku nan da nan.

Ayyukan jima'i masu aminci suna taimakawa hana yaduwar cutar syphilis. Idan kuna tsammanin kuna da cutar ta hanyar jima'i kamar syphilis, nemi likita nan da nan don kauce wa rikitarwa kamar kamuwa da jaririnku yayin ciki ko haihuwa.

Kulawa da haihuwa yana da matukar mahimmanci. Yin gwajin jini na yau da kullun don cutar syphilis ana yin su yayin daukar ciki. Wadannan suna taimakawa wajen gano iyayen mata da suka kamu da cutar don a basu magani don rage kasada ga jariri da kansu. Yaran da aka haifa wa iyayen da suka kamu da cutar wadanda suka sami maganin rigakafi masu kyau yayin daukar ciki suna cikin hadari mafi karancin kamuwa da cutar ta syphilis.

Ciwon ciki tayi

Dobson SR, Sanchez PJ. Syphilis. A cikin: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, eds. Feigin da Cherry's Littafin rubutu na cututtukan cututtukan yara. 8th ed. Philadelphia, PA: Elsevier; 2019: chap 144.

Kollman TR, Dobson SRM. Syphilis. A cikin: Wilson CB, Nizet V, Malonado YA, Remington JS, Klein JO, eds. Remington da Klein na Cututtukan Cututtuka na Ciwon Jiki da Jariri. 8th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 16.

Michaels MG, Williams JV. Cututtuka masu cututtuka. Zitelli BJ, McIntire SC, Norwalk AJ, eds. Zitelli da Davis 'Atlas na Ciwon Lafiyar Jiki na Yara. 7th ed. Philadelphia, PA: Elsevier Saunders; 2018: babi na 13.