Yiziphi izinyathelo okumele zithathwe, uma uhlehlisa ukukhulelwa, futhi yiziphi izingozi?
Esikhathini esiningi, iZika inezimpawu ezincane. Ingozi enkulu kunabafazi abakhulelwe. I-virus yeZika ithathwa ngamangqamuzana. Nokho, kunezimo ezimbalwa zegciwane ezithunyelwa ngezocansi.
Ingabe udinga ukukhathazeka nge- virus ye-Zika uma uzama ukukhulelwa? Impendulo nguyebo, uma wena noma umlingani wakho uhlela ukuya endaweni ethintekile.
(Yebo, noma ngabe umlingani wakho uhlela ukuhamba, kufanele uthathe izinyathelo zokuphepha, ngaphezulu ngalokhu ngezansi.)
Uma owesifazane eshaywa ngenkathi ekhulelwe futhi enkontileka igciwane, ingane yakhe isengozini yokukhubazeka kokuzalwa. Ngokuqondile, ingane yakhe ingase izalwe nge- microcephaly , isici sokuzalwa esiholela entweni encane engavamile nokuthuthukiswa kobuchopho.
Le ngozi iphezulu kakhulu ekukhulelweni kokuqala, okusho ukuthi ungakwazi ukuhamba kalula ezweni elifana nalokhu, ukhulelwe ngenkathi ukhona, futhi unganqamule igciwane, konke ngaphambi kokuthi wazi ukuthi ukhulelwe.
Izindawo zokugwema noma ukuthatha ukuqapha
Ngokusho kwe-CDC, igciwane leZika lisebenza kakhulu ezindaweni ezilandelayo:
- Brazil
- I-Colombia
- El Salvador
- I-French Guiana
- I-Guatemala
- I-Haiti
- I-Honduras
- I-Martinique
- Mexico
- I-Panama
- I-Paraguay
- I-Suriname
- I-Venezuela
- i-Commonwealth yasePuerto Rico
Yini Okufanele Uyenze Uma Wena Noma Ozakwethu Unayo Izinhlelo Zokuhamba?
Njengoba njalo, umthombo wakho wokuqala wokuthola imininingwane kufanele ube udokotela wakho.
Uma wena noma umlingani wakho enamacebo okuhamba, khuluma naye noma okokuqala.
Okufanelekile, kufanele ukhansele noma uhlehlise uhambo.
Uma ungeke ukwazi, cabangela okusikisela okulandelayo:
- Bamba ukuzama kwakho ukukhulelwa amapulani kuze kube ngemva kohambo lwakho. Sebenzisa ukulawulwa kokubeletha noma amakhondomu ukuvimbela ukukhulelwa uze ubuyele.
- Ngemuva kohambo lwakho, linda okungenani amasonto amabili kuya kwamathathu ukuqinisekisa ukuthi awukatholi igciwane. Khuluma nodokotela wakho uma ungaqiniseki.
- Uma uthola igciwane noma unezibonakaliso, khuluma nodokotela wakho ngaphambi kokuqala ukuzama ukukhulelwa futhi.
- Uma umlingani wakho ehamba kwelinye lala mazwe, sebenzisa amakhondomu ukuvimbela ukudluliselwa kwegciwane kuze kube yilapho okungenani amasonto ambalwa adlula, futhi kucacile ukuthi akakatholakali.
- Uma umlingani wakho ethola izimpawu zegciwane, khuluma nodokotela wakho ngaphambi kokuba uphinde uqale ubulili obungavimbelwe.
- Uma ukhulelwa, futhi umlingani wakho ehamba kwelinye lamanye amazwe ashintshiwe, i-CDC ikhombisa ukusebenzisa amakhondomu phakathi nokukhulelwa.
- Uma uthola ukwelashwa kwesibeletho, futhi umlingani wakho uhamba, khuluma nodokotela wakho mayelana nokuthi kungenzeka yini ukuthi u-cryopreserving isisu sakhe ngaphambi kokuba ashiye. Ngale ndlela, ukwelashwa kungase kungadingeki ukuthi kuhlehliswe.
- Uma ungase ukhulelwe futhi ungakwazi ukukhansela uhambo lwakho, thatha izinyathelo ezingaphezulu zokugwema ukuthola kancane umiyane.
Ingabe udinga ukukhathazeka ngokuthola igciwane leZika e-United States? Ingabe kufanele uhlehlise ukuzama kwakho ukukhulelwa amapulani kuze kube yilapho sekugonywe umgomo?
Ngaxoxa noDkt. Amanpreet Bhullar, u-OB / GYN we-Orlando Health Physician Associates.
Etholakala eFlorida, uDkt. Bhullar usezindaweni ezingozini enkulu yeZika e-United States.
Nazi izimpendulo zemibuzo yakho evame ukubuzwa kuZika futhi uzama ukukhulelwa.
Ingabe i-virus yeZika into ezama ukukhulelwa abesifazane abahlala eU.SA kudingeka bakhathazeke? (Ingabe kudingeka bakhathazeke uma behamba?)
Hhayi okwamanje. Abesifazane abahlela ukukhulelwa futhi bazoya ezindaweni ezisengozini ye-Zika virus kumele baqaphele.
Ngokuqondile, i-CDC itusa izinyathelo ezikhethekile zokuqapha abesifazane nabesifazane abakhulelwe abazama ukukhulelwa, lokhu kufaka ukuhamba okuhlehlisayo ezindaweni lapho ukuhanjiswa kwegciwane le-Zika kuqhubeka khona.
Labo abaya kwelinye lalezi zindawo kufanele baxoxe nodokotela wabo kuqala futhi balandele ngokucophelela izinyathelo zokugwema ukulunywa omiyane phakathi nohambo. Lezi zinyathelo zokuzivikela ziqondene nabesifazane abakhulelwe kunoma yiliphi i-trimester noma abazama ukukhulelwa.
Amanye amazwe aphethwe ngokuqondile nokuhlukunyezwa kwegciwane leZika uye wacela imibhangqwana ukuba ingakhulelwe. T lapha kukhona imibhangqwana e-USA ecabanga ukuthi kufanele ibeke ukuzama ukuzala kuze kube yilapho igciwane lidlula noma umgomo udala. Ingabe lokhu kubizwa ngempela ezindaweni ezingathintekile?
Ingozi emibhangqwana iphansi e-US. Ayikho icala leZika elidluliselwe endaweni elalibikiwe kuleli zwekazi e-United States, kodwa amacala abike ekubuyiseni abahambi. Amacala amathathu kulesi sigameko abikwe eFlorida.
I-Zika virus ehanjelwe endaweni yakhona ibike ku-Commonwealth yasePuerto Rico. Ngenkinga yokuvuthwa kwamuva nje, inani leZika elibhekene nabavakashi abavakashele noma elibuyela e-United States cishe liyokhula. Lezi zimo ezingenisiwe zingabangela ukusakazeka kwendawo yegciwane kwezinye izindawo zase-United States.
Ngokuqondene nabantu abaye bahamba ezindaweni futhi batheleleke - indlela kuphela yokudlulisela lesi sifo kumuntu lapha okufanele alunywe yizinyosi ezidlula bese uthola ukuthi lowo mbuzane uluma umuntu ongathintekile. Le mbuyane itholakala kulo lonke elaseNyakatho naseNingizimu Melika (kufaka phakathi ne-US).
[Qaphela kusuka kuRachel: Kusukela lokhu kuxoxwa kwenzeka, sekuqinisekisiwe ukuthi icala likaZika lalingenwe nge-sex. I-CDC manje isincoma ukuthi abesifazane basebenzise ukuvikelwa ngokocansi okungenani isikhathi esifushane uma abalingani babo beye ezweni elichithekile.]
Kuthiwani uma behlala eTexas noma eFlorida?
Ukukhathazeka kwabantu abahlala eTexas naseFlorida okwamanje kuphakeme ngoba isimo sezulu sibumnene ebusika. Ngakho-ke, ingozi yesifo seZika esitholakale endaweni yangakini, ngokulunywa umiyane, cishe kunamanye amazwe asebusayo.
Noma kunjalo, akuzange kube khona amacala anjalo e-United States, kuphela amacala phakathi kwabantu abaye bahamba kwamanye amazwe futhi bathola igciwane lapho.
Uma othile ehambela ezweni elithintekayo, bese ebuya, angadlulisela yini igciwane kumunye umuntu?
Kusukela kulokho okuqondakalayo ngaleli gciwane kuyasakazwa ngokulunywa kwemiyane.
Kusanda nje, kube nombiko owodwa wokusabalala kwegciwane ngokudluliselwa ngegazi kanye nombiko owodwa wokusabalala kwegciwane ngokuxhumana kocansi.
[Inothi kusuka kuRachel: Ngenxa yesimo esisodwa sokudluliswa ngokocansi, i-CDC manje ikhuthaza ukunciphisa uma umlingani wakho ehamba ezweni elithintekile. Khuluma nodokotela wakho uma ukhathazekile.]
Ingabe labo abasemathunjini okukhulelwa kufanele baqaphe? Noma ingabe lokhu akunandaba ngempela?
Abesifazane ekuthomeni kwabo bokuqala kufanele bakhathazeke kakhulu njengoba kungukuthi ukuthuthukiswa kobuchopho emabhokisini kwenzeka.
Ukukhulelwa kokuqala, i-trimester yokuqala, yisikhathi esiyingozi kakhulu ngoba lokhu kuwukuthi ukuthuthukiswa komzimba kwenzeka emntwaneni.
Kodwa abesifazane abakhulelwe kuzo zonke izigaba kufanele bathathe izinyathelo zokuqapha.
Kuthiwani ngabesifazane abazama ukukhulelwa futhi babe nezinsuku zokuphumula ezihlelwe kwelinye lala mazwe ... kufanele bagweme ukukhulelwa lapho bekhona?
Uma bekhulelwe futhi behamba kufanele bahlehlise uhambo lwabo noma bathathe zonke izinyathelo zokugwema ukugwema izinyosi.
Uma behlela ukukhulelwa, futhi behamba, ngiphakamisa ukuthi bagweme ukukhulelwa njengendlela yokuqapha.
Ingabe kukhona isikhathi esithile okufanele balinde ukuze baqale ukuzama futhi lapho bebuyela e-USA?
Uma bebuya eholidini kufanele baqinisekise ukuthi abanazo izimpawu zamasonto amabili ngaphambi kokuzama ukukhulelwa.
Izimpawu zihlanganisa umkhuhlane, i-conjunctivitis (i-pink eye), nobuhlungu obuhlangene.
Uma zicacile izimpawu zalawo masonto amabili, kungenzeka ukuthi zilungile ukuqala ukuzama.
Uma benesinye salezi zimpawu, kufanele baxoxe nodokotela wabo ngesikhathi esifanele ukulinda.
Kodwa-ke, akucaci kahle ukuthi owesifazane kufanele alinde isikhathi esingakanani ukukhulelwa uma kukholelwa ukuthi unesifo se-Zika virus.
Imithombo:
Amanpreet S Bhullar, OB / GYN. Ingxoxo ye-imeyili eyenziwe ngoJanuwari 29, 2016.
I-CDC ikhuluma ngezinkomba zokuhamba zesikhashana ezihlobene ne-Zika virus kumazwe angu-14 nasezindaweni ezisemaphandleni aseCentral naseNingizimu Melika naseCaribbean. Isikhungo Sokulawula Izifo. http://www.cdc.gov/media/releases/2016/s0315-zika-virus-travel.html