Nneɛma a ɛsɛ sɛ wuhu fa GBS yare mmoawa (Group B Strep) ho wɔ nyinsɛn mu!

Sɛ woyɛ maame a, ebia wo ne wo duruyɛfo abɔ nkɔmmɔ pii nnansa yi. Ebia woate asɛmfua ' Kuw B Strep', anaa GBS . Ebia eyi yɛ ade foforo ma wo. Enti, ɛnnɛ yɛbɛka GBS ho asɛm, nkɛntɛnso a ebetumi anya wɔ wo ne wo ba no so, ne ano aduru wɔ ɔkwan a ɛnyɛ den na ɛnyɛ den sɛ wobɛte ase so. Ɛho nhia sɛ wobɛbɔ hu, nea ɛho hia sen biara ne sɛ wobɛma wo ho ada hɔ.

Dɛn ne GBS? Dɛn nti na ɛho hia ma ɛnanom a wɔyem?

Sɛ yɛbɛka no tiawa a, GBS (Group B Strep) yɛ ɔyare mmoawa bi a wɔfrɛ no Group B Streptococcus . Mpɛn pii no, wohu saa mmoawa yi wɔ wo awotwaa anaa wo akyi berɛmo mu. Mma ɛnnyɛ wo nwonwa, mmea a wɔyem bɛyɛ 25% , anaa bɛyɛ baanan biara mu biako, betumi anya saa GBS mmoawa yi wɔ wɔn nipadua mu. Nanso nnipa pii nnim mpo sɛ wɔwɔ bi, efisɛ mpɛn pii no ɛnna sɛnkyerɛnne biara adi .

Enti, sɛ wowɔ GBS a, hokwan wɔ hɔ sɛ saa mmoawa yi betumi afi wo mu akɔ wo ba no mu bere a worewo no wɔ ɔbea no awotwaa mu no. Mmofra a wɔawo wɔn foforo, wɔn a wɔn mfe akɔ anim, anaa wɔn a wɔn nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw anaasɛ ennyaa nkɔso no taa nya nsɛnnennen fi GBS mu.

Nanso kae eyi: Ɛnyɛ nkokoaa a wonya GBS nyinaa na wɔbɛyare. Nanso, nkokoaa ɔha biara mu kakraa bi pɛ betumi anya nyarewa a emu yɛ den a ɛtɔ mmere bi a ɛde nkwa to asiane mu afi ɔyare mmoawa yi mu . Ɛno nti na nnuruyɛfo sɔ wo hwɛ GBS sɛ wo hwɛ a woyɛ daa ansa na woawo bere a wonyinsɛn no fã. Sɛ wosi so dua sɛ wowɔ GBS a, wo duruyɛfo bɛma wo nnuru a ekum ɔyare mmoawa.

Ɔkwan bɛn so na GBS hyɛn nipadua no mu?

GBS yɛ mmoawa bi a wɔte yɛn nipadua mu fi awosu mu , te sɛ yɛn dwensɔtwaa, awotwaa, ne yɛn nsu mu. Ɛntrɛw mfi onipa so nkɔ onipa foforo so anaasɛ ɛnam aduan anaa anonne a wɔne obi a ɔyare no wɔ no kyɛ mu. Abenfo nnim nea enti a ɔyare mmoawa yi trɛw saa no ankasa. Nanso wonim sɛ ebetumi apira nkokoaa ne nnipa a wɔn nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw .

Bere bɛn na wɔsɔ GBS hwɛ?

Centers for Disease Control and Prevention (CDC) kamfo kyerɛ sɛ wɔnyɛ GBS nhwehwɛmu daa wɔ nyinsɛn biara mu. Wɔtaa hwehwɛ eyi mu wɔ nyinsɛn no adapɛn 36 kosi 37 ntam.GBS sɔhwɛ no yɛ mmerɛw yiye. Oduruyɛfo no gye aduru bi fi wo awotwaa anaa wo akyi berɛmo mu na ɔde kɔ lab ma wɔnyɛ mu nhwehwɛmu.

So Kuw B Strep ka akokoaa a ɔwɔ awotwaa mu no?

Nea ɛsɛ sɛ wote ase ni. GBS mmoawa no nnya akokoaa a ɔwɔ w’awotwaa mu no so nkɛntɛnso . Nanso, akokoaa no betumi anya GBS bere a ɔrewo ne bere a ɔrewo . Ɛno nti na wɔde nnuru a ekum ɔyare mmoawa ma de siw GBS ano no. Saa ayaresa yi brɛ asiane a ɛwɔ hɔ sɛ GBS befi wo hɔ akɔ wo ba no nkyɛn no so kɛse.

Ɔkwan bɛn so na akokoaa nya GBS? Dɛn ne ahorow no?

Akwan titiriw abien na nkokoaa betumi afa so anya GBS:

• Nyarewa a efi ase ntɛm : Nkokoaa dodow no ara (bɛyɛ 75%) a wonya GBS no nya bi wɔ wɔn nkwa nna dapɛn a edi kan no mu . Mpɛn pii no, GBS yare no da adi wɔ nnɔnhwerew kakraa bi akyi wɔ awo akyi. Ɛwom sɛ nkokoaa a wɔawo wɔn ntɛm no wɔ asiane kɛse mu sɛ wobenya ɔyare no de, nanso wɔwo nkokoaa dodow no ara a wonya GBS no bere nyinaa.
• Ɔyare a efi ase akyiri yi: Akokoaa betumi anya GBS yare fi dapɛn biako wɔ n’awo akyi kosi asram abiɛsa. Eyi ntaa mma na ɛnyɛ nea ɛde akokoaa nkwa to asiane mu sen ɔyare mmoawa a efi ase ntɛm no.

GBS abu so dɛn?

Nea eye ne sɛ, ɔyare mmoawa yi a ɛba no so atew kɛse esiane GBS nhwehwɛmu a wɔyɛ bere a wɔyem nti. Sɛnea CDC kyerɛ no, nkokoaa bɛyɛ 930 a wɔwɔ United States nya GBS yare a efi ase ntɛm na bɛyɛ 1,050 nya GBS yare a efi ase akyiri yi afe biara. Nkokoaa a wonya GBS no mu bɛyɛ 4% wuwu . Ɛno nti na nhwehwɛmu ne ayaresa ho hia kɛse no.

Dɛn ne GBS ho sɛnkyerɛnne ahorow?

Mpanyimfo pii a wɔwɔ GBS no nkyerɛ yare no ho sɛnkyerɛnne biara . Ebia nnipa a wɔn mfe akɔ anim ne wɔn a wɔwɔ ayaresa tebea horow bi no ntaa nnya yare no ho sɛnkyerɛnne. Eyinom bi ne:

• Atiridiinini, awɔw, ne ɔbrɛ a ɛtra so.
• Ɔhome a ɛyɛ den.
• Koko mu yaw .
• Ntini a ɛyɛ den.

Nanso, ɛsono GBS yare no ho sɛnkyerɛnne a ɛwɔ mmofra a wɔawo wɔn foforo mu :

• Huraeɛ.
• Ɛyɛ den sɛ wobɛnom nufusu.
• Ahomegye ne osu a ɛkɔ so daa (Irritability).
• Ɔhome a ɛyɛ den.
• Ahoɔden a wonni .

Saa sɛnkyerɛnne ahorow yi betumi ayɛ den ntɛm ara wɔ mmofra a wɔawo wɔn foforo mu efisɛ wɔn nipadua mu tumi a ɛko tia nyarewa no yɛ mmerɛw. GBS yare mmoawa no betumi de ɔhaw ahorow a emu yɛ den aba akokoaa no so, te sɛ sepsis (ɔyare a ɛte sɛ mogya mu awuduru), ahurututu mu yare, ne meningitis (yare a ɛte sɛ amemene mu ɔfe).

So wɔde GBS bɛkɔ me hokafo anaa nnipa afoforo a wɔwɔ fie hɔ nkyɛn?

Dabi, asiane biara nni ho sɛ nnipa afoforo a wɔwɔ wo fie, a wo mma afoforo ka ho, bɛyare afi wo hɔ sɛ wɔkyere GBS a. Ɛnyɛ saa na ɛtrɛw.

So wɔbɛsɔ me ahwɛ sɛ mewɔ GBS anaa?

Yiw, koraa. Wo duruyɛfo bɛsɔ wo ahwɛ sɛ ebia wowɔ GBS wɔ wo nyinsɛn no fã a etwa to, wɔ adapɛn 36 kosi 37 ntam .

Wo awo ho oduruyɛfo de kotoku bedi dwuma de agye nkwammoaa bi afi wo awotwaa ne wo akyi berɛmo mu. Saa sɔhwɛ yi nyɛ yaw na egye nea ennu simma biako . Afei wɔde nhwɛsode no kɔ lab bi kɔhwɛ sɛ ebia GBS anaa. Mpɛn pii no, wonya nea efi mu ba no wɔ nnɔnhwerew 48 ntam. Nhwehwɛmu no mu aba a ɛyɛ papa kyerɛ sɛ woyɛ obi a ɔwɔ GBS. Nanso ɛnkyerɛ sɛ akyinnye biara nni ho sɛ wo anaa wo ba no bɛyare .

Sɛ wode awogyefo nnwuma redi dwuma a, wobetumi ama wo akwankyerɛ a ɛfa sɛnea wobɛyɛ sɔhwɛ yi wɔ fie ho na wɔaka akyerɛ wo sɛ fa nhwɛsode no kɔ aduruyɛdan mu.

So GBS yɛ nna mu yare (STI)?

Dabi, GBS nyɛ ɔyare mmoawa a wonya fi nna mu (STI) . Mmoawa a wɔde GBS ba no te wo awotwaa mu wɔ wo awotwaa anaa wo akyi berɛmo mu. Ɛmfa sɛnkyerɛnne biara mma nnipa dodow no ara. Enti ɛnyɛ biribi a woayɛ bɔne.

Sɛ woyɛ nhwehwɛmu hu sɛ wowɔ GBS bere a wonyinsɛn a, dɛn na ɛba?

Fa no sɛ woayɛ nhwehwɛmu ahu sɛ wowɔ GBS. Dɛn na woyɛ mprempren? Mma wo ho nnyɛ wo hu. Nnuruyɛfo bɛma wo nnuru a ekum ɔyare mmoawa a wɔde fa ntini mu (IV) bere a worewo ne bere a worewo no na amma wo ba no annya GBS. Nnuru a wɔtaa de sa GBS ne penicillin anaa ampicillin .

Sɛ wode nnuru a ekum ɔyare mmoawa ma wo saa bere yi a, ebetumi aboa ma woasiw GBS a ɛbɛtrɛw akɔ wo ba a wɔawo no foforo no so. GBS a wɔbɛsa ansa na wɔawo no nyɛ nea etu mpɔn kɛse. Saa nnuru a ekum ɔyare mmoawa yi yɛ adwuma yiye sɛ anyɛ yiye koraa no wɔde ma nnɔnhwerew anan ansa na wɔawo a . Wɔka sɛ saa ayaresa yi tumi siw nyarewa 90% ano .

Fa no sɛ, Nimali maa wɔyɛɛ GBS sɔhwɛ wɔ ne dapɛn a ɛto so 36 mu. Amanneɛbɔ no san bae sɛ ‘ɛyɛ papa’ wɔ nna abien akyi. Ná Nimali suro kakra. ‘Oo, so biribi bɛto me ba no?’ Ɔkae. ɔdwenee ho. Nanso oduruyɛfo no kaa sɛ, ‘Nimali, mma ɛnhaw wo. Ɛnanom pii wɔ eyi. Yɛde nnuru a wɔde fa ntini mu ma bere a wɔrewo, enti akokoaa no renhyia ɔhaw biara.’ Saa na ɛte.

Asɛm titiriw biako wɔ hɔ a ɛfa bere a wɔde sa yare ho: Sɛ wohu GBS yare no wɔ nsu mu a, ɛnde wofi ase de nnuru a ekum ɔyare mmoawa a wɔnom sa yare bere a wɔahu GBS ara pɛ, a nyinsɛn no fã biara mfa ho. Nanso, ɛsɛ sɛ wɔde nnuru a ekum ɔyare mmoawa a wɔde fa ntini mu (IV) nso ma bere a wɔrewo .

Afei nso, wɔbɛsa ɔbea a onyinsɛn biara a wadi kan awo akokoaa a ɔwɔ GBS, anaasɛ wanya nsu mu yare (UTI) esiane GBS wɔ nyinsɛn yi mu no nso yare bere a ɔrewo no.

Ɔkwan bɛn so na wɔsa GBS wɔ mmofra a wɔawo wɔn foforo mu?

Ɛtɔ mmere bi a, bere a wɔayɛ nhwehwɛmu ne nnuru a ekum ɔyare mmoawa bere a wɔrewo akyi mpo no, ɛntaa nsi koraa sɛ nkokoaa binom betumi anya GBS . Sɛ eyi ba a, nnuruyɛfo betumi asɔ mogya anaa akyi berɛmo mu nsu ahwɛ sɛ ebia wo ba no wɔ GBS anaa. Sɛ wo ba no wɔ GBS a, wɔde nnuru a ekum ɔyare mmoawa a wɔde fa ntini mu (IV) nso sa no yare .

Ɔkwan bɛn so na wobetumi atew asiane a ɛwɔ GBS mu no so?

Obiara betumi anya GBS. Nanso nnipa binom wɔ asiane kɛse mu, esiane ayaresa tebea horow bi anaa mfe a wɔadi nti. Nneɛma a edidi so yi betumi ama asiane a ɛwɔ hɔ sɛ wobɛwo akokoaa a ɔwɔ GBS no ayɛ kɛse:

• Woyɛ GBS positive.
• Wo nya atiridii bere a worewo.
• Bɛboro nnɔnhwerew 18 twam wɔ wo nsu a ɛbɛbubu ne wo ba no awo ntam.
• Wowɔ ayaresa tebea horow te sɛ asikreyare , komayare anaa kokoram .

GBS a wobɛhwehwɛ mu ne (sɛ woahu sɛ wowɔ bi a) nnuru a ekum ɔyare mmoawa a wobɛnom no ne ɔkwan a eye sen biara a wobɛfa so abɔ wo ba no ho ban afi ɔyare mmoawa ho.

Ɔhaw ahorow bɛn na ɛtra hɔ kyɛ a GBS betumi de aba nkokoaa a wɔawo wɔn foforo so?

Nkokoaa a wɔanya GBS no betumi anya tebea horow te sɛ meningitis , ahurututu mu yare , anaa sepsis . Saa tebea horow yi betumi de nkwa ato asiane mu. Nanso, nkokoaa dodow no ara nni ɔhaw biara a ɛtra hɔ kyɛ . Nanso nkokoaa a wonya adwenemhaw esiane GBS nti no mu bɛyɛ 25% betumi anya ɔhaw ahorow a ɛtra hɔ kyɛ te sɛ amemene mu yare , aso mu haw , adesua mu dɛmdi , anaasɛ akisikuru . Eyi nti na GBS a wobesiw ano na wɔasa no ntɛm ho hia kɛse no.

So wɔbɛsan asɔ me ahwɛ sɛ ebia mewɔ GBS anaa?

Dabi, sɛ woyɛ nhwehwɛmu hu sɛ wowɔ GBS wie a, wobu wo sɛ wowɔ GBS wɔ wo nyinsɛn no nyinaa mu . Wɔrensɔ wo nhwɛ bio.

So mihia GBS ayaresa sɛ wɔyɛ me C-section a?

Mpɛn pii no, sɛ woreyɛ oprehyɛn a wɔayɛ ho nhyehyɛe (C-section) , a, worenhia nnuru a ekum ɔyare mmoawa ma GBS. Eyi te saa efisɛ, sɛ wɔyɛ C-section a, wɔmfa akokoaa no mma awotwaa mu, enti hokwan a ɛwɔ hɔ sɛ GBS bɛkɔ akokoaa no mu no sua.

Nanso, ebia wɔbɛsɔ wo ahwɛ sɛ wowɔ GBS efisɛ awo betumi afi ase ansa na wɔayɛ wo C-section a wɔayɛ ho nhyehyɛe no. Sɛ wo nsu no bubu na wowɔ GBS a, wo ba no wɔ asiane mu sɛ obenya yare no. Wobetumi de nnuru a ekum ɔyare mmoawa ama saa bere no.

Sɛ mewɔ GBS a, bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Wɔ tebea horow bi mu no, GBS betumi ama obi anya ɔyare mmoawa bere a wɔyem no. Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ atiridiinini, ɛyaw, ne koma a ɛbɔ kɛse a, ka kyerɛ wo duruyɛfo ntɛm ara. Eyi betumi ama obi awo ntɛm .

GBS nso betumi ama obi anya nsu mu yare (UTI) , a ebehia sɛ wɔde nnuru a ekum ɔyare mmoawa a wɔnom sa.

Sɛ wowɔ GBS a, wo ne wo duruyɛfo nkasa mfa nea wobɛhwɛ kwan wɔ awo ne awo mu.

Nea etwa to no, ade a ɛho hia sen biara a ɛsɛ sɛ yɛma ɛtra w’adwenem (Take-Home Message) .

Sɛ wo duruyɛfo ka kyerɛ wo sɛ wowɔ GBS wɔ nyinsɛn mu a , nsuro anaasɛ wo ho nnyɛ wo hu . Eyi fi mmoawa bi a ɛwɔ wo nipadua mu fi awosu mu, na ɛnyɛ bɔne biara a woayɛ nti.

Hokwan a ɛwɔ hɔ sɛ GBS bɛfa wo nkyɛn akɔ wo ba no nkyɛn no sua koraa ankasa , titiriw sɛ wonom nnuru a ekum ɔyare mmoawa bere a worewo a.

Wo ne wo duruyɛfo nkasa mfa nsɛmmisa anaa dadwen biara a wowɔ wɔ GBS ho no ho. Kae sɛ mpɛn pii no, sɛ wowɔ GBS mpo a, ɔhaw biara remma na wɔbɛwo wo ba no a ɔwɔ apɔwmuden . Nea ɛho hia sen biara ne sɛ wobɛbɔ wo amanneɛ na woadi wo duruyɛfo afotu akyi.