Ngaba ugqirha wakho ukhankanye "uvavanyo lwe-GBS" kwiiveki ezimbalwa zokugqibela zokukhulelwa kwakho? Usenokuba ukhe walwenza olo vavanyo waza wafumanisa ukuba iziphumo "zilungile." Kuqhelekile ukuba uzive usoyika kwaye unexhala xa usiva loo mazwi. "Ngaba oku kuya kundilimaza? Ngaba kukho into enokwenzeka kumntwana wam?" Usenokuba uzibuza. Kodwa ungakhathazeki. Masithethe ngokuba yintoni iGroup B Strep, okanye i-GBS,, into enokuyenza, kunye nento esinokuyenza ukukhusela umntwana wethu.
Ngamafutshane, yintoni iGroup B Strep (GBS)?
I-Group B Strep (GBS) luhlobo lwebhaktheriya ehlala emzimbeni wabantu abadala abasempilweni. Ngokukodwa, inokuphila ngokungenabungozi kwiindawo ezifana nelungu lakho lobufazi, amathumbu, kunye ne-rectum. Kumntu omdala osempilweni, i-GBS ayibangeli ngxaki.
Nangona kunjalo, xa ukhulelwe, imeko ihluke kancinci. Ngexesha lokubeleka, oko kukuthi, xa umntwana ezalwa ngesitho sangasese sowesifazane, le ntsholongwane inokudluliselwa ukusuka kuwe ukuya kumntwana, oko kukuthi, inokosulelwa. Ekubeni umntwana osandul’ ukuzalwa engenawo amandla okuzikhusela aneleyo okulwa nale ntsholongwane, inokuba yingozi kumntwana.
Yiyo loo nto oogqirha besenza olu vavanyo lwe-GBS phakathi kweeveki ezingama-36 nezingama-37 zokukhulelwa kwakho. Malunga nomfazi omnye kwabane abakhulelweyo bavavanywa bene-GBS. Oko kuthetha ukuba yimeko eqhelekileyo kakhulu.
Ziziphi iimpawu umntwana anokuziva ngenxa ye-GBS?
Ukuba usana olusandul’ ukuzalwa lufumana i-GBS, iimpawu zinokuba nzima ngokukhawuleza, ngoko ke kubalulekile ukuba uzazi ezi mpawu.
| Uphawu | Inkcazo |
|---|---|
| Ifiva | Umzimba womntwana uziva ushushu. |
| Ubunzima bokusela ubisi | Ukuba umntwana akancancisi njengesiqhelo okanye uyala ukutya. |
| Ukukhala rhoqo/ukucaphuka | Ukuba umntwana ukhala rhoqo kwaye akanakuthuthuzelwa. |
| Ubunzima bokuphefumla | Ukuba wenza isandi sokuphefumla xa uphefumla okanye ukuba ukuphefumla kwakho kuyakhawuleza. |
| Ukudinwa/ukozela | Ukuba umntwana kunzima ukuvuka okanye ubonakala ngathi akaphili. |
Uninzi lwexesha, ezi mpawu zibonakala kwiiyure ezimbalwa zokuqala okanye kwiintsuku emva kokuba umntwana ezelwe. Oku sikubiza ngokuba yi "GBS yasekuqaleni." Le yeyona ixhaphakileyo kwaye inokuba yingozi kakhulu. Kodwa ezinye iintsana zinokubonakalisa iimpawu phakathi kweveki ukuya kwiinyanga ezintathu. Oku kubizwa ngokuba yi "GBS yasemva kwexesha." Ayiqhelekanga kakhulu kwaye ayidla ngokuba yingozi kangako.
I-GBS idluliselwa njani? Ngaba le yingxaki yam?
Lo ngumbuzo omkhulu obuzwa ngoomama abaninzi. Abanye bayazibuza, "Ingaba oku kungenxa yokuba bendingcolile?"
Hayi. Akunjalo konke konke. I-GBS ayibangelwa kukungcola kwakho, ukwabelana ngokutya okanye iziselo, okanye usulelo oludluliselwa ngesondo (STI).
Le ntsholongwane ihlala ngokwemvelo emizimbeni yethu. Asikuko ukuba unentsholongwane emzimbeni wakho. Kwaye awuyi kuyisasaza kwabanye abantu ekhayeni lakho, okanye kwabanye abantwana bakho. Ngoko ke ungakhathazeki ngayo.
Izinto ezonyusa umngcipheko wokosulelwa yi-GBS kumntwana
Nokuba une-GBS positive, umngcipheko wokosuleleka kumntwana wakho kuphela kukuba awufumani unyango. Kukho izinto ezininzi ezonyusa loo mngcipheko:
- Usana oluzelwe ngaphambi kweeveki ezingama-37: Umngcipheko uphezulu ukuba umntwana uzalwe kamva.
- Ukuzalwa kwakho kwangaphambili kwakunosulelo lwe-GBS: Ukuba kukho into enjalo kwimbali yakho yezonyango yangaphambili.
- Ufumana umkhuhlane ngexesha lokubeleka: Ukuba ubushushu bomzimba wakho buyanyuka ngexesha lokubeleka.
- Emva kweeyure ezingaphezu kwe-18 emva kokuba amanzi ephumile: Ukuba amanzi aphumile kwaye kuthatha ixesha elide ukuzala umntwana.
Kodwa khumbula, unyango ngexesha lokubeleka lungayinciphisa kakhulu le ngozi.
Kuza kwenzeka ntoni ukuba usulelo lwe-GBS luba yingozi kakhulu?
Ukuba ayinyangwa kakuhle, usulelo lwe-GBS lunokuba yingozi kumntwana. Lunokukhokelela kwiimeko ezinzulu ezifana nezi:
- I-Sepsis: Oku kubizwa ngokuba "yityhefu egazini." Ukusasazeka kosulelo emzimbeni wonke.
- I-Pneumonia: Usulelo oluchaphazela imiphunga, esilubiza ngokuba yi-"pneumonia".
- I-Meningitis: Usulelo lwee-membrane ezigubungela ingqondo kunye nomqolo. Sikwabiza oku ngokuthi "umkhuhlane wobuchopho."
Kuqhelekile ukuba uzive usoyika xa usiva ezi zinto. Nangona kunjalo, ezi meko aziqhelekanga , ingakumbi ukuba ufumana unyango olufanelekileyo ngexesha lokubeleka. Ngoko ke ungakhathazeki. Ukufumana unyango ngexesha elifanelekileyo yeyona nto ibalulekileyo.
Funda ngovavanyo lwe-GBS kunye nonyango
Lwenziwa njani uvavanyo lwe-GBS?
Ugqirha wakho uza kwenza olu vavanyo phakathi kweeveki ezingama-36 nezama-37 zokukhulelwa kwakho. Luvavanyo olulula kakhulu nolungenazintlungu.
- Isampuli iya kuthathwa kwilungu lakho lobufazi nakwi-rectum kusetyenziswa i-swab.
- Oku kuthatha ngaphantsi komzuzu.
- Emva koko le sampulu ithunyelwa kwilabhoratri ukuze kuhlolwe ukuba ikhona na intsholongwane ye-GBS.
- Iziphumo ziyafumaneka kwiiyure ezingama-48.
Iziphumo "ezilungileyo" zithetha kuphela ukuba unebhaktheriya ye-GBS emzimbeni wakho. Oku akuthethi ukuba wena okanye umntwana wakho ngokuqinisekileyo uza kugula. Kuthetha nje ukuba kufuneka unyangwe ngexesha lokubeleka.
Iphathwa njani?
Ukuba une-GBS positive, xa usiya esibhedlele ukuze ubeleke, abasebenzi bezonyango baza kukunika amayeza okubulala iintsholongwane nge-IV (efakwa emithanjeni) . Oku kuthetha ukuba iyeza lifakwa emthanjeni osengalweni yakho, njenge-saline.
Eyona nto ibalulekileyo kukuthatha le antibiotic ubuncinane iiyure ezine ngaphambi kokuba umntwana azalwe. Kulapho ke iyeza liza kusebenza kakuhle kwaye lithintele ukuba usulelo lungadluliselwa kumntwana.
Amayeza okubulala iintsholongwane asetyenziswa kakhulu yiPenicillin okanye iAmpicillin. Ngolu nyango, ngumntwana omnye kuphela kwiintsana ezingama-4,000 oya kosulelwa. Kodwa ukuba akanyangwa, umngcipheko uphezulu, kwaye ngumntwana omnye kwiintsana ezingama-200 uya kosulelwa. Jonga ukuba unyango lubaluleke kangakanani.
Ngaba ndifuna unyango lwe-GBS ukuba ndityandwe ngotyando lwe-C-section?
Lo ngumbuzo abantu abaninzi abawubuzayo. Ukuba ucwangciselwe ukuhlinzwa ngotyando , kwaye awukaqali ukuzala ngelo xesha, okanye amanzi akho akakaphuki, akuyi kufuneka unyango lwe-GBS.
Nangona kunjalo, uyavavanywa ukuba awunayo i-GBS kuba ukubeletha kunokuqala ngaphambi kosuku lwakho lokubeletha. Ukuba amanzi akho ayaphuka okanye ukubeletha kuqala, uya kunikwa amayeza okubulala iintsholongwane kwi-IV kuba kukho umngcipheko wokosulela umntwana ukuba une-GBS.
Umyalezo Wokuya Ekhaya
- I-Group B Strep (GBS) yintsholongwane ekhoyo ngokwemvelo kwimizimba yabasetyhini abaninzi. Asikuko ukuba unetyala okanye ukuba awucocekanga.
- Oku kunokubonwa ngovavanyo olulula olwenziwe emva kwexesha lokukhulelwa.
- Ukuba ufunyenwe une-GBS, amayeza okubulala iintsholongwane e-IV anikwa umntwana wakho ngexesha lokubeleka anokumkhusela kwizifo. Olu nyango lusebenza kakuhle kakhulu.
- Xa ungeniswe esibhedlele ngenxa yokubeleka, khumbuza abasebenzi bezonyango ukuba une-GBS positive. Oku kubaluleke kakhulu.
- Ukuba unemibuzo, iinkxalabo, okanye amathandabuzo malunga noku, xoxa ngazo ngokukhululekileyo nogqirha wakho. Baza kukunika lonke ulwazi kunye nenkxaso oyifunayo.
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