Izinto ekufuneka uzazi malunga nosulelo lwe-GBS (iGroup B Strep) ngexesha lokukhulelwa!

Ukuba ungumama oza kuzalwa, mhlawumbi ubusoloko uthetha nogqirha wakho kule mihla. Mhlawumbi ukhe waliva igama elithi ' Group B Strep', okanye i-GBS . Oku kusenokuba yinto entsha kuwe. Ngoko ke, namhlanje siza kuthetha nge-GBS, imiphumo enokuba nayo kuwe nakumntwana wakho, kunye nezisombululo zayo ngendlela elula neqondakalayo. Akukho mfuneko yokoyika, eyona nto ibalulekileyo kukwazi.

Yintoni i-GBS? Kutheni ibalulekile koomama abakhulelweyo?

Ngamafutshane, i-GBS (iGroup B Strep) lusulelo olubangelwa luhlobo lwebhaktheriya ebizwa ngokuba yiGroup B Streptococcus . Le bhaktheriya idla ngokufumaneka kwilungu lakho lobufazi okanye kwindawo engasemva. Ungamangaliswa kukuba, malunga ne-25% yabasetyhini abakhulelweyo, okanye malunga nomnye kwabane, banokuba nale bhaktheriya ye-GBS emizimbeni yabo. Kodwa abantu abaninzi abazi nokuba banayo, kuba uninzi lwexesha ayibonisi zimpawu .

Ngoko ke, ukuba une-GBS, kukho ithuba lokuba le ntsholongwane inokudluliselwa ukusuka kuwe iye kumntwana wakho ngexesha lokubeleka kwilungu lobufazi. Iintsana ezisandul’ ukuzalwa, abantu abadala, okanye abo baneenkqubo zomzimba ezibuthathaka okanye ezingaphuhlanga kakuhle banamathuba amaninzi okufumana iingxaki ezivela kwi-GBS.

Kodwa khumbula oku: Ayizizo zonke iintsana ezine-GBS eziya kugula. Nangona kunjalo, ipesenti encinci kakhulu yeentsana inokufumana usulelo olunzima, ngamanye amaxesha olusongela ubomi oluvela kule ntsholongwane . Yiyo loo nto oogqirha bekuvavanya i-GBS njengenxalenye yokhathalelo lwakho lwemihla ngemihla ngaphambi kokukhulelwa. Ukuba kuqinisekisiwe ukuba une-GBS, ugqirha wakho uya kukunika amayeza okubulala iintsholongwane.

I-GBS ingena njani emzimbeni?

I-GBS luhlobo lwebhaktheriya ehlala ngokwemvelo emizimbeni yethu, njengamathumbu ethu, amalungu esini, kunye nemichamo. Ayisasazeki ukusuka komnye umntu ukuya komnye okanye ngokwabelana ngokutya okanye isiselo nomntu osulelekileyo. Iingcali aziqinisekanga ukuba kutheni le bhaktheriya isasazeka ngolu hlobo. Kodwa bayazi ukuba inokuba yingozi kwiintsana nakubantu abaneenkqubo zomzimba ezibuthathaka .

Ivavanywa nini i-GBS?

IZiko loLawulo nokuThintela izifo (i-CDC) licebisa ukuba uhlolwe rhoqo i-GBS ngexesha lokukhulelwa ngakunye. Uhlala uhlolwa oku phakathi kweeveki ezingama-36 nezingama-37 zokukhulelwa.Uvavanyo lwe-GBS lulula kakhulu. Ugqirha uthatha i-swab kwilungu lakho lobufazi okanye i-rectum aze ayithumele kwilebhu ukuze ivavanywe.

Ngaba iGroup B Strep iyamchaphazela umntwana osesiswini?

Nantsi into ekufuneka uyiqonde. Iibhaktheriya ze-GBS azichaphazeli umntwana ngaphakathi kwesibeleko sakho. Nangona kunjalo, umntwana unokosulelwa yi-GBS ngexesha lokubeleka nokubeletha . Yiyo loo nto kunikwa amayeza okubulala iintsholongwane ukuthintela i-GBS. Olu nyango lunciphisa kakhulu umngcipheko wokudlulisela i-GBS kuwe kumntwana wakho.

Umntwana ufumana njani i-GBS? Ziziphi iintlobo zesifo?

Kukho iindlela ezimbini eziphambili ezinokuthi iintsana zosulelwe yi-GBS:

• Usulelo oluqala kwangethuba: Uninzi lweentsana (malunga nama-75%) ezifumana i-GBS zosulelo luqala kwiveki yokuqala yobomi . Usulelo lwe-GBS ludla ngokubonakala kwiiyure ezimbalwa emva kokuzalwa. Nangona iintsana ezisandul’ ukuzalwa zisengozini enkulu yosulelo, uninzi lweentsana ezifumana i-GBS zizalwa ixesha elizeleyo.
• Usulelo oluqala emva kwexesha: Usana lunokufumana usulelo lwe-GBS ukususela kwiveki emva kokuzalwa ukuya kwiinyanga ezintathu. Oku akuvamile kwaye akunakwenzeka ukuba kube yingozi kumntwana njengosulelo oluqala kwangoko.

Ixhaphake kangakanani i-GBS?

Ngethamsanqa, ukwanda kwesi sifo kuye kwehla kakhulu ngenxa yokuhlolwa kwe-GBS ngexesha lokukhulelwa. Ngokutsho kwe-CDC, malunga neentsana ezingama-930 eMelika zifumana usulelo lwe-GBS kwangethuba kwaye malunga ne-1,050 zosulelo lwe-GBS eziqala kamva minyaka le. Malunga ne-4% yeentsana ezifumana i-GBS ziyafa . Yiyo loo nto ukuhlolwa nonyango kubaluleke kangaka.

Zithini iimpawu ze-GBS?

Abantu abadala abaninzi abane-GBS ababonisi zimpawu . Abantu abadala kunye nabo baneengxaki ezithile zempilo basenokungabi nazo iimpawu rhoqo. Ezi ziquka:

• Umkhuhlane, ukubanda, kunye nokudinwa kakhulu.
• Ubunzima bokuphefumla.
• Iintlungu zesifuba .
• Ukuqina kwemisipha.

Nangona kunjalo, iimpawu zosulelo lwe-GBS kwiintsana ezisandula ukuzalwa zahlukile:

• Ifiva.
• Ubunzima bokusela ubisi.
• Ukungazoli rhoqo kunye nokukhala (Ukucaphuka).
• Ubunzima bokuphefumla.
• Ukungabikho kwamandla.

Ezi mpawu zinokuba nzima ngokukhawuleza kwiintsana ezisandul’ ukuzalwa kuba amajoni azo omzimba abuthathaka. Ukosuleleka yi-GBS kunokubangela iingxaki ezinkulu kumntwana, ezifana ne -sepsis (imeko efana netyhefu egazini), i-pneumonia, kunye ne -meningitis (imeko efana nokudumba kobuchopho).

Ngaba i-GBS iza kudluliselwa kwiqabane lam okanye kwabanye abantu abakwikhaya lam?

Hayi. Akukho mngcipheko wokuba abanye abantu ekhayeni lakho, kuquka nabanye abantwana bakho, baza kugula ngenxa yakho ukuba bafumene i-GBS. Le ayisiyondlela esasazeka ngayo.

Ngaba ndiza kuvavanywa i-GBS?

Ewe, ngokuqinisekileyo. Ugqirha wakho uza kukuvavanya i-GBS kwinxalenye yokugqibela yokukhulelwa kwakho, phakathi kweeveki ezingama-36 nezingama-37 .

Ugqirha wakho wokubeletha uza kusebenzisa i-cotton swab ukuthatha isampuli yeeseli ezivela kwilungu lakho lobufazi kunye ne-rectum. Olu vavanyo alunantlungu kwaye luthatha umzuzu omnye . Emva koko isampuli ithunyelwa kwilabhoratri ukuze ivavanywe i-GBS. Iziphumo zihlala zifumaneka kwiiyure ezingama-48. Iziphumo zovavanyo ezibonisa ukuba unesifo se-GBS zithetha ukuba unesifo se-GBS. Kodwa akuthethi ukuba wena okanye umntwana wakho uza kugula ngokuqinisekileyo .

Ukuba usebenzisa iinkonzo zombelethisi, unganikwa imiyalelo yokwenza olu vavanyo ekhaya kwaye ucelwe ukuba uthumele isampulu kwilebhu.

Ngaba i-GBS sisifo esidluliselwa ngesondo (STI)?

Hayi, i-GBS ayilosulelo oludluliselwa ngesondo (STI) . Iibhaktheriya ezibangela i-GBS zihlala ngokwemvelo kwilungu lakho lobufazi okanye i-rectum. Ayibangeli zimpawu kubantu abaninzi. Ngoko ke asikuko into oyenzileyo kakubi.

Kuza kwenzeka ntoni ukuba uvavanyo lwakho lubonise ukuba une-GBS ngexesha lokukhulelwa?

Khawucinge ukuba ufunyenwe une-GBS. Wenza ntoni ngoku? Sukoyika. Oogqirha baza kukunika amayeza okubulala iintsholongwane (IV) ngemithambo ngexesha lokubeleka nokubeletha ukuthintela umntwana wakho ukuba angabi ne-GBS. Amayeza okubulala iintsholongwane aqhelekileyo asetyenziswa ukunyanga i-GBS yi -penicillin okanye i-ampicillin .

Ukukunika amayeza okubulala iintsholongwane ngeli xesha kunokukunceda ekuthinteleni ukusasaza i-GBS kusana lwakho olusandul’ ukuzalwa. Ukunyanga i-GBS ngaphambi kokuba ubeleke akusebenzi kakuhle. La mayeza okubulala iintsholongwane asebenza kakuhle ukuba anikwe ubuncinane iiyure ezine ngaphambi kokuba abelekwe . Kuthiwa olu hlobo lonyango lunokuthintela i-90% yosulelo.

Khawucinge nje, uNimali wenziwa uvavanyo lwe-GBS kwiiveki zakhe ezingama-36. Ingxelo yabuya 'ilungile' emva kweentsuku ezimbini. UNimali wayesoyika kancinci. 'Owu, ngaba kukho into enokwenzeka kumntwana wam?' wacinga. Kodwa ugqirha wathi, 'Nimali, ungakhathazeki. Oomama abaninzi banale nto. Sinika amayeza emithanjeni ngexesha lokubeleka, ukuze umntwana angabi nangxaki.' Yiyo loo nto kunjalo.

Kukho ityala elinye elikhethekileyo malunga nexesha lonyango: Ukuba usulelo lwe-GBS lufunyenwe kumchamo, unyango ngee-antibiotics zomlomo luqalwa kwangoko emva kokuba i-GBS ifunyenwe, nokuba ukhulelwe kwinqanaba lini na. Nangona kunjalo, ii-antibiotics ze-intravenous (IV) nazo kufuneka zinikwe ngexesha lokubeleka .

Kwakhona, nawuphi na umfazi okhulelweyo oye wazala umntwana osulelwe yi-GBS ngaphambili, okanye oye waba nosulelo lwendlela yomchamo (UTI) ngenxa ye-GBS ngeli xesha lokukhulelwa, naye uya kunyangwa ngexesha lokubeleka.

Iphathwa njani i-GBS kwiintsana ezisandul' ukuzalwa?

Ngamanye amaxesha, nokuba emva kovavanyo kunye nee-antibiotics ngexesha lokubeleka, kunqabile kakhulu ukuba ezinye iintsana zifumane i-GBS . Ukuba oku kuyenzeka, oogqirha banokuvavanya isampuli yegazi okanye isampuli yolwelo lomqolo ukuze babone ukuba umntwana wakho unayo na i-GBS. Ukuba umntwana wakho une-GBS, uya kunyangwa ngee-antibiotics ze-intravenous (IV) .

Ungayinciphisa njani ingozi ye-GBS?

Nabani na unokufumana i-GBS. Kodwa abanye abantu basengozini enkulu, nokuba kungenxa yeemeko ezithile zempilo okanye ngenxa yobudala babo. Ezi zinto zilandelayo zinokunyusa umngcipheko wokuba nomntwana one-GBS:

• Une-GBS positive.
• Uba nomkhuhlane ngexesha lokubeleka.
• Kudlula iiyure ezingaphezu kwe-18 phakathi kokuqhekeka kwamanzi nokuzalwa komntwana wakho.
• Uneengxaki zempilo ezifana nesifo seswekile , isifo sentliziyo , okanye umhlaza .

Ukuvavanya i-GBS (ukuba ufunyenwe une-HIV) kunye nokuthatha amayeza okubulala iintsholongwane yeyona ndlela ilungileyo yokukhusela umntwana wakho kwizifo.

Ziziphi iingxaki ezihlala ixesha elide ezinokubangela i-GBS kwiintsana ezisandul' ukuzalwa?

Iintsana ezosulelwe yi-GBS zinokuba neemeko ezifana ne -meningitis , i-pneumonia , okanye i-sepsis . Ezi meko zinokuba yingozi ebomini. Nangona kunjalo, uninzi lweentsana azinazo iingxaki ezihlala ixesha elide . Nangona kunjalo, malunga ne-25% yeentsana eziba ne-meningitis ngenxa ye-GBS zinokuba neengxaki ezihlala ixesha elide ezifana ne-cerebral palsy , iingxaki zokuva , ukukhubazeka kokufunda , okanye ukuxhuzula . Yingakho ukuthintela i-GBS kunye nokunyanga kwangethuba kubaluleke kangaka.

Ngaba ndiza kuphinda ndivavanyelwe i-GBS?

Hayi. Wakuba ufunyenwe une-GBS, uthathwa njengonayo yonke imihla yokukhulelwa kwakho . Awuyi kuphinda uvavanywe.

Ngaba ndifuna unyango lwe-GBS ukuba ndityandwa utyando lwe-C-section?

Ngokwesiqhelo, ukuba ucwangciselwe ukwenza utyando (C-section) , akuyi kufuneka amayeza okubulala iintsholongwane kwi-GBS. Oku kungenxa yokuba, ngotyando lwe-C, umntwana akazalwa ngesisu, ngoko ke amathuba okudlulisela i-GBS kumntwana mancinci.

Nangona kunjalo, uvavanywa i-GBS . Oku kungenxa yokuba ukubeletha kunokuqala ngaphambi kotyando lwakho lwe-C-section olucwangcisiweyo. Ukuba amanzi akho aqhekekile kwaye une-GBS positive, umntwana wakho usengozini yokufumana esi sifo. Kwiimeko ezinjalo, unokunikwa amayeza okubulala iintsholongwane.

Ukuba ndine-GBS positive, ndifanele ndidibane nogqirha nini?

Kwezinye iimeko, i-GBS inokubangela usulelo ngexesha lokukhulelwa. Ukuba uneempawu ezinje ngomkhuhlane, iintlungu, kunye nokubetha kwentliziyo okuphezulu, xelela ugqirha wakho ngoko nangoko. Oku kunokukhokelela ekubelekeni ngaphambi kwexesha .

I-GBS inokubangela usulelo lwendlela yomchamo (UTI) , oluya kufuneka lunyangwe ngee-antibiotics zomlomo.

Ukuba une-GBS, thetha nogqirha wakho malunga noko unokukulindela ngexesha lokubeleka nokubeleka.

Okokugqibela, eyona nto ibalulekileyo ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

Ukuba ugqirha wakho ukuxelela ukuba une-GBS positive ngexesha lokukhulelwa , musa ukoyika okanye uxhalabe . Oku kubangelwa yintsholongwane ekhoyo ngokwemvelo emzimbeni wakho, kwaye ayibangelwanga yinto oyenzileyo engalunganga.

Amathuba okudlulisela i-GBS ukusuka kuwe ukuya kumntwana wakho aphantsi kakhulu , ingakumbi ukuba uthatha amayeza okubulala iintsholongwane ngexesha lokubeleka.

Thetha nogqirha wakho malunga nemibuzo okanye izinto ezikuxhalabisayo malunga ne-GBS. Khumbula, kwiimeko ezininzi, nokuba une-GBS positive, akuyi kubakho ngxaki kwaye umntwana wakho uza kuzalwa esempilweni . Eyona nto ibalulekileyo kukwaziswa nokulandela icebiso likagqirha wakho.