Ngaba ukhe waphawula amaqhuqhuva amancinci emzimbeni wosana lwakho olusandul’ ukuzalwa akwenza ukhathazeke kancinci? Okanye uvakalelwa kukuba umntwana wakho unengxaki yokutya okanye ukuphefumla? Ngamanye amaxesha, ezi zinokuba ziimpawu zemeko ebizwa ngokuba yiNeonatal Herpes, enokuchaphazela iintsana ezisandul’ ukuzalwa. Oku kwahlukile kakhulu kwi-herpes kubantu abadala, kwaye kunokuba yingozi ngakumbi kwiintsana. Ngoko ke, ngaphandle kokuchitha ixesha, masithethe ngale nto ngokweenkcukacha.
Yintoni i-Neonatal Herpes?
Ngamafutshane, i-herpes yeentsana sisifo se-herpes esenzeka kwiiveki ezintandathu zokuqala zokuzalwa komntwana. Sidla ngokuvela xa intsholongwane ye-herpes simplex (HSV) idluliselwa kumama ukuya kumntwana, ingakumbi ngexesha lokubeleka.
Oku akufani ne-herpes (umzekelo, izilonda zomkhuhlane emilebeni) ezifunyanwa ngabantwana abadala okanye abantu abadala. Le ntsholongwane iyingozi kakhulu kwiintsana ezisandul’ ukuzalwa, kwaye ngamanye amaxesha inokuba yingozi ebomini. Oku kungenxa yokuba le ntsholongwane inokuchaphazela amalungu aphambili omntwana, ingakumbi ingqondo . Kungoko ke, kubaluleke kakhulu ukuqaphela iimpawu nokuzinyanga ngokukhawuleza. Kulapho kuphela apho umntwana enokufumana ithuba elingcono lokuchacha.
Kumazwe afana ne-United States, le meko ichaphazela abantwana abaphakathi kwe-5 kunye ne-33 kwi-100,000 yokuzalwa okuphilayo. Oko kuthetha ukuba malunga ne-1,500 yeentsana zizalwa zine-herpes ngale ndlela minyaka le. Olunye uphando lubonisa ukuba eli nani linyuke kancinci kutshanje, kodwa isizathu esichanekileyo soku asikacaci.
Ziziphi iintlobo eziphambili zale meko?
Oogqirha bahlulahlula i-herpes yeentsana ngokusekwe kwiindawo zomzimba womntwana ezichaphazelekileyo yintsholongwane. Kukho iintlobo ezintathu eziphambili:
1. Isifo solusu, amehlo kunye nomlomo (isifo se-SEM): Oku kubangela ukuba kubekho amaqhuqhuva azele lulwelo eluswini lomntwana, ngaphakathi emlonyeni, nangaphakathi kwamehlo .
2. Isifo senkqubo yemithambo-luvo ephakathi (isifo se-CNS - isifo sobuchopho): Apha intsholongwane ikhula ize iphindaphindeke kwinkqubo yemithambo-luvo ephakathi yomntwana, oko kukuthi, ingqondo kunye nomqolo . Ngamanye amaxesha, kusenokungabikho zimpawu kwizigaba zokuqala, kwaye akukho maqhuqhuva esikhumba anokubonakala.
3. Izifo ezisasazwayo: Kule meko, intsholongwane ichaphazela iindawo ezininzi zomzimba womntwana, kuquka amalungu abalulekileyo anjengesibindi nemiphunga . Kwezinye iimeko, ingqondo nayo ingachaphazeleka.
Khawuthelekelele indlela oku okunokuba nzima ngayo kusana oluncinci. Yiyo loo nto kufuneka sikuqaphele oku.
Ziziphi iimpawu zokuba umntwana wakho une-herpes?
Uphawu olucacileyo ludla ngokuba ngamaqhuqhuva azele lulwelo avela eluswini lomntwana, ajikeleze amehlo, nasemlonyeni . Nangona kunjalo, ayizizo zonke iintsana ezifumana la maqhuqhuva. Kuxhomekeke kuhlobo lwe-herpes umntwana anayo.
Ezi mpawu zinokubonakala nangaliphi na ixesha kwiiveki ezintandathu zokuqala emva kokuba umntwana ezelwe.Inokwenzeka, kodwa inokwenzeka kakhulu kwiiveki ezine zokuqala. Ezinye izinto, ezinje ngamaqhuqhuva, ukungancancisi umntwana, ubunzima bokuphefumla, kunye notshintsho kwindlela aziphethe ngayo umntwana, unokuzibona ekhaya. Ukuba ubona into efana nale, kufuneka ubone ugqirha ngoko nangoko. Kodwa kukho ezinye iimpawu ezinokubonwa kuphela ngexesha lovavanyo lwezonyango.
Ukuba umntwana unengxaki yokuphefumla, okanye ukuba awukwazi ukumvusa umntwana, fowunela u-1990 ngoko nangoko okanye uye kwigumbi likaxakeka elikufutshane.
Iimpawu zesifo solusu, amehlo, kunye nomlomo (isifo se-SEM)
Ezi zihlandlo zidla ngokuvela phakathi kweentsuku ezili-9 ukuya kwezili-11 emva kokuba umntwana ezelwe.
- Amadyungudyungu acacileyo, azele lulwelo eluswini lomntwana wakho. Ulusu olujikeleze la madyungudyungu lusenokutshintsha umbala. Amadyungudyungu nawo anokwenza amaqela.
- Amaqhuqhuva azele lulwelo kwiinkophe zomntwana wakho okanye ezijikeleze amehlo akhe . Amehlo omntwana wakho asenokuba bomvu, anamanzi, kwaye adumbile.
- Izilonda emlonyeni womntwana, elulwimini nasenkalakahleni .
Iimpawu zesifo se-central nervous system (isifo se-CNS)
Ezi zihlandlo zidla ngokuvela phakathi kweentsuku ezili-16 ukuya kwezili-19 emva kokuba umntwana ezelwe.
- Ukulala kakhulu.
- Ukungazoli nokucaphuka rhoqo.
- Ukungcangcazela.
- Ukungabi namdla okanye ukungabi namdla wokusela ubisi.
- Ubushushu bomzimba obungaqinisekanga (obuphezulu kakhulu okanye obuphantsi kakhulu).
- Amabala athambileyo ekhakhayini lomntwana ayavuvukala.
- Ukuxhuzula.
- Amadyungudyungu azele lulwelo eluswini. Malunga nama-60% - 70% eentsana ezinesifo esinjalo zikhula la madyungudyungu.
Iimpawu zesifo esisasazekileyo
Ezi zimpawu zihlala zibonakala phakathi kweentsuku ezili-10 ukuya kwezili-12 emva kokuba umntwana ezelwe. Ungazibona ezi mpawu zilandelayo kumntwana wakho:
- Ubushushu bomzimba obungaqinisekanga (obuphezulu kakhulu okanye obuphantsi kakhulu).
- Ukungazoli nokucaphuka rhoqo.
- Ukulala kakhulu.
- Ukungabi namdla okanye ukungabi namdla wokusela ubisi.
- Ukuphefumla ngokukhawuleza kunye notshintsho kwindlela yokuphefumla (uxinzelelo lokuphefumla).
- Ukudumba kwesisu.
- Amadyungudyungu azele lulwelo eluswini. Malunga nama-60% eentsana ezinesifo esinjalo zikhula la madyungudyungu, kodwa kuphela emva kokuba usulelo luye lwaba nzima ngakumbi.
Iimpawu ezinokubonwa ngovavanyo lwezonyango:
- Iingxaki zokujiya kwegazi (ukujiya kwegazi okusasazeka ngaphakathi kwemithambo yegazi).
- Ukungasebenzi kakuhle kwesibindi.
- Ukudumba kobuchopho (encephalitis).
- Ukudumba kwemisipha yentliziyo (myocarditis).
Yintoni ebangela i-herpes kwiintsana ezisandul' ukuzalwa?
I-herpes yosana olusandul’ ukuzalwa ibangelwa yintsholongwane ye-herpes simplex (HSV) .Ngenxa yokuba amajoni abo omzimba awakaphuhli ngokupheleleyo, banokugula kakhulu ngenxa yale ntsholongwane ye-HSV.
I-herpes idluliselwa njani kwiintsana ezisandul' ukuzalwa?
Amaxesha amaninzi (85%) intsholongwane idluliselwa ukusuka kumama ukuya kumntwana ngexesha lokubeleka . Oku kunokwenzeka ukuba intsholongwane isebenza kwindawo yangasese kamama xa umntwana ephuma ngomjelo wokuzalwa.
Nangona kungaqhelekanga kangako (malunga ne-10%), umntwana unokosulelwa nasemva kokuba evezwe yile ntsholongwane emva kokuzalwa. Umzekelo, ukuba umntu onezilonda zomkhuhlane emilebeni uyamanga umntwana . Okanye ukuba umntu onosulelo lwe-herpes eluswini (herpetic whitlow) uyamchukumisa umntwana.
Kukho ithuba elincinci kakhulu (malunga ne-5%) lokuba intsholongwane idlulele kwimveku ngexesha lokukhulelwa . Oogqirha bakubiza oku njengosulelo lwangaphakathi kwesibeleko . Oku kuthetha ukuba intsholongwane ye-HSV idlula kwi-placenta iye kwimveku. Ukuba oku kuyenzeka, iimpawu eziqhelekileyo ze-herpes kwiintsana ezisandul’ ukuzalwa zinokubonakala kwiiyure ezingama-48 emva kokuzalwa komntwana. Ngamanye amaxesha, olu sulelo lwangaphakathi kwesibeleko lunokubangela nokuphuphuma kwezisu.
Izinto ezibangela umngcipheko wokosuleleka ngexesha lokubeleka
I-HSV inokudluliselwa kuphela ngexesha lokubeleka ukuba une -herpes yesini esebenzayo ngelo xesha. Okubalulekileyo kukuba, unokuba nosulelo olusebenzayo nokuba awunazo iimpawu . Intsholongwane inokubakho kwindlela yakho yesini (njengesitho sangasese somfazi kunye nomlomo wesibeleko) nokuba awunazo naziphi na iimpawu.
Uphando lubonisa ukuba umngcipheko wakho unokwahluka kakhulu kuxhomekeke ekubeni uqala nini ukusuleleka yi-herpes:
- Ngexesha lokukhulelwa (ukuba awuzange uvelelwe ngaphambili yi-herpes): Ukuba unesifo se-herpes yesini okokuqala ngexesha lokukhulelwa, ingakumbi kwi-trimester yesibini, xa sele usondele ekubelekeni, usemngciphekweni omkhulu wokudlulisela i-herpes kumntwana wakho. Oogqirha bakubiza oku njengesiqendu sokuqala sokuqala . Kulapho unesifo se-herpes yesini ngesinye seentlobo ezimbini ze-HSV (HSV-1 okanye i-HSV-2), kwaye awunayo enye intsholongwane ngaphambili. Oku kuthetha ukuba intsholongwane ye-HSV ingene emzimbeni wakho okokuqala, kwaye awunazo ii-antibodies ezichasene nolunye uhlobo. Ukuba unesifo se-herpes esiyintloko ekupheleni kokukhulelwa, intsholongwane inokuba khona kwizitho zangasese zomntwana wakho ngexesha lokuzala.
- Ngexesha lokukhulelwa (ukuba ukhe wachaphazeleka kolunye uhlobo lwe-HSV): Oku kuthetha ukuba unesifo se-herpes yesini kunye nohlobo olunye lwe-HSV okokuqala ngexesha lokukhulelwa, kodwa une-antibodies ezichasene nayo ngenxa yokubonakaliswa kolunye uhlobo ngaphambili. Uphando lubonisa ukuba kusekho umngcipheko omkhulu wokudlulisela intsholongwane kumntwana wakho, kodwa umngcipheko unokuba uphantsi kunowomntu ongazange abonakaliswe kwi-HSV. Oku kungenxa yokuba ii-antibodies zakho zangaphambili zidlula kwi-placenta ziye kumntwana wakho, zibonelela ngokhuseleko oluthile.
- Ngaphambi kokukhulelwa: Ukuba ubune-herpes yesini ngaphambi kokuba ukhulelwe, umngcipheko wokudlulisela intsholongwane kumntwana wakho uphantsi. Intsholongwane kufuneka iphinde ivele ngexesha lokubeleka (usulelo oluphindaphindayo) ukuze idluliselwe kumntwana wakho. Nangona i-HSV inokuthi iphinde ivele, uphando lubonisa ukuba ukusuleleka kwakhona ngexesha lokukhulelwa akunakwenzeka kakhulu ukuba kubangele i-herpes yosana olusandul’ ukuzalwa kunosulelo lokuqala. Oku kungenxa yokuba ii-antibodies ezivela kusulelo lwakho lwangaphambili zidluliselwa kumntwana wakho kwaye zimkhusele.
Kutheni i-herpes kwiintsana ezisandul' ukuzalwa iyingozi?
I-herpes yosana olusandul’ ukuzalwa yimeko eyingozi kuba ingonakalisa amalungu omzimba osana, ingakumbi ingqondo . Umzekelo, inokubangela ukudumba kwengqondo yosana (herpetic encephalitis) . Nokuba unyango lukhona, i-herpes yosana olusandul’ ukuzalwa ngamanye amaxesha inokubulala.
Isifo solusu, amehlo, nomlomo (SEM) ekuqaleni asiyichaphazeli ingqondo yomntwana okanye amalungu angaphakathi. Kodwa siseyingozi kuba sinokubangela umonakalo osisigxina wamehlo kwanokuba yimfama . Ukuba asinyangwa, i-SEM inokuqhubela phambili ibe sisifo sobuchopho (isifo se-CNS) okanye isifo esisasazekileyo.
Indlela yokuxilonga i-herpes kwiintsana ezisandul 'ukuzalwa?
Oogqirha baxilonga i-herpes yosana olusandula ukuzalwa ngokuphonononga iimpawu zosana nokwenza uvavanyo. Bafuna ukuthintela ezinye iimeko ezinokubangela iimpawu ezifanayo. Umzekelo, kukho imeko eqhelekileyo (nengenabungozi) ebizwa ngokuba yi-erythema toxicum neonatorum , ekwabangela ukurhawuzelela kolusu kunye nama-blisters azele lulwelo.
Ukuba oogqirha barhanela ukuba i-herpes ikhona, bavavanya umntwana ngoko nangoko ukuze babone ukuba intsholongwane ye-herpes simplex ikhona na emzimbeni womntwana.
Zeziphi ezinye iimvavanyo ekufuneka zenziwe kumntwana wam?
Ugqirha uza kuqokelela iisampulu zolwelo emzimbeni womntwana wakho. Oku kuya kubandakanya ukusebenzisa iswab ukuze uthathe iisampulu ngononophelo kwezi ndawo zomzimba womntwana wakho:
- Ngomlomo.
- Ngamehlo.
- Ukusuka emqaleni (inxalenye ephezulu ebizwa ngokuba yi-nasopharynx).
- Ngokusebenzisa i-anus.
- Ukuba kukho amadyungudyungu, avela kuloo madyungudyungu.
Ugqirha womntwana wakho angaqokelela ezi sampuli:
- Igazi.
- Ulwelo lweCerebrospinal (CSF) . Olu lulwelo oluthathwe kumqolo womntwana. Oku kufuna ukubhobozwa kwe-lumbar .
Uvavanyo lwelabhoratri
Ugqirha wosana uza kuthumela ezi sampuli kwilebhu ukuze zivavanywe. Uvavanyo olunokwenziwa luquka:
- Uvavanyo lokukhulisa intsholongwane: Olu vavanyo lusebenzisa iindlela ezikhethekileyo zokukhulisa intsholongwane ye-HSV kwisampulu yolwelo. Ukuba akukho mpawu yokukhula emva kweentsuku ezintlanu, oogqirha badla ngokujonga ukuba uvavanyo alunazo (i-HSV ayikho).
- Uvavanyo lwe-PCR (iPolymerase Chain Reaction):Olu vavanyo lujonga i-DNA yentsholongwane ye-herpes simplex kulwelo lomzimba. Oogqirha badla ngokusebenzisa iisampulu zolwelo lwe-cerebrospinal kolu vavanyo ukuze babone ukuba intsholongwane ayichaphazelekanga na inkqubo yemithambo-luvo yomntwana.
Ezinye iintlobo zovavanyo
Ukuba iimvavanyo zelebhu ziqinisekisa ukuba umntwana wakho une-herpes, iqela lezonyango lomntwana wakho liza kwenza ezi mvavanyo:
- Uvavanyo lwe-X-ray yesifuba.
- Uvavanyo lwe-X-ray esiswini.
- Uvavanyo lobuchopho, njenge-MRI scan (i-magnetic resonance imaging scan).
- Uvavanyo lwamehlo oluneenkcukacha.
Konke oku kunceda oogqirha bafunde ngakumbi ngendlela intsholongwane echaphazele ngayo amalungu ahlukeneyo omzimba womntwana. Basebenzisa olu lwazi ukwenza isicwangciso sonyango lomntwana.
Ziziphi iindlela zonyango lwe-herpes kwiintsana ezisandul' ukuzalwa?
Ukuba oogqirha bacinga ukuba umntwana wakho une-herpes yeentsana ezisandul’ ukuzalwa, kusenokwenzeka ukuba baya kumlalisa esibhedlele umntwana ukuze afumane unyango .
Oogqirha basebenzisa iyeza lokulwa neentsholongwane elibizwa ngokuba yi-acyclovir ukunyanga i-herpes kwiintsana ezisandula ukuzalwa. Umntwana wakho uza kunikwa eli yeza ngemithambo (IV) aze emva koko alinikwe njengolwelo (oluthathwa ngomlomo) . Nantsi into onokuyilindela:
- Ukuba umntwana wakho unesifo sesikhumba, amehlo, kunye nesifo somlomo (SEM) , uya kufuna unyango lweentsuku ezili-14 lwe-IV. Emva koko, kuya kufuneka agqibezele unyango lweenyanga ezintandathu. Oku kuya kunciphisa umngcipheko wokubuya kwamaqhuqhuva esikhumba.
- Ukuba umntwana wakho unesifo se-CNS okanye isifo esisasazekileyo , uya kufuna unyango lwe-IV iintsuku ezingama-21. Emva kokuba unyango lwe-IV lugqityiwe, umntwana wakho kuya kufuneka athathe amayeza okusela kangangeenyanga ezintandathu. Oku kunceda ukuxhasa ukukhula kwemithambo-luvo yomntwana wakho kwaye kunciphisa umngcipheko wemiphumo yexesha elide engqondweni.
Kubalulekile ukwazi ukuba ezinye iintsana ezineengxaki ezinxulumene ne-CNS zinokufuna unyango lwe-IV kangangeentsuku ezingaphezu kwama-21. Imeko enxulumene ne-CNS kuxa uvavanyo lwe-cerebrospinal fluid (CSF) lubonisa ukuba kukho intsholongwane ye-HSV kulwelo lwe-cerebrospinal lomntwana. Oku kusenokubangelwa sisifo se-CNS okanye sisifo esisasazekileyo.
Ukuba kunjalo, umntwana kuya kufuneka aphinde axilongwe umqolo ukuqinisekisa ukuba intsholongwane iphelile ngokupheleleyo engqondweni. Uvavanyo kufuneka lubonise ukuba ayinayo intsholongwane ngaphambi kokuba unyango lwe-IV luyekiswe. Abanye abantwana banokuthatha iveki okanye ngaphezulu ukukhupha intsholongwane engqondweni. Kulapho ke banokuqala khona unyango lomlomo.
Iyintoni imbono yomntwana one-herpes?
Imbono yomntwana wakho ixhomekeke kwizinto ezininzi. Umzekelo, uhlobo lwe-herpes umntwana wakho anayo kunye nendlela unyango oluyilawula ngayo intsholongwane. Iqela lezonyango lomntwana wakho linokukuxelela kanye into omawuyilindele kwixesha elizayo. Uninzi lweentsana ezine-herpes ezisandula ukuzalwa ziyaphila . Nangona kunjalo, kwezinye iimeko, le meko inokubulala.
Ngenxa yamayeza okulwa neentsholongwane, iintsana ezininzi ziyasinda namhlanje kunangaphambili. Namhlanje, ama-71% eentsana ezinezifo ezisasazekileyo kunye nama-96% eentsana ezine-CNS zisinda ubuncinane de zibe neminyaka yazo yokuqala.
I-Herpes kwiintsana ezisandul’ ukuzalwa ngamanye amaxesha inokubangela iziphumo ezinde, kuquka:
- Ukulibaziseka kophuhliso ( ukulibaziseka ekufikeleleni kwimigangatho yophuhliso ngexesha elilindelekileyo).
- Ukukhubazeka kwengqondo.
- I-Cerebral palsy (ubuthathaka kwiintshukumo).
- Isifo sokuwa.
Iindaba ezimnandi zezokuba ukungenelela kwangoko (imisebenzi kunye neenkonzo ezenzelwe iimfuno zomntwana ngamnye) kunye nenkxaso eqhubekayo inokunceda umntwana wakho. Umzekelo, umntwana wakho angazuza kunyango lomzimba, unyango lokuthetha, kunye nobuchwepheshe bokuncedisa (ezifana nezifundi zesikrini).
Ngaba i-herpes kwiintsana ezisandul’ ukuzalwa ingathintelwa?
Oogqirha benza konke okusemandleni abo ukuthintela i-herpes kwiintsana ezisandul’ ukuzalwa. Nantsi into ekufuneka uyazi:
- Amayeza okulwa neentsholongwane anokunceda: Ukuba ukhe waba ne-herpes yesini ngaphambili, ugqirha wakho unokukunika amayeza okulwa neentsholongwane ekufuneka uwasebenzise kwiiveki ezimbalwa zokugqibela zokukhulelwa kwakho. Oku kunokunciphisa umngcipheko wokubuya kosulelo ngexesha lokubeleka kwaye kunokuvumela nokuba ubelekele kwilungu lobufazi elinomngcipheko omncinci.
- Utyando lwebele (C-section) lunokuba lolona lukhuselekileyo: Ngamanye amaxesha oogqirha bacebisa utyando lwebele ukuba iingenelo zingaphezulu kuneengozi. Umzekelo, kusenokwenzeka ukuba baya kwenza utyando lwebele ukuba unosulelo olusebenzayo ngexesha lokubeleka. Kwimeko enjalo, umntwana usemngciphekweni omkhulu wosulelo kunokuba ubuya kubeleka kwilungu lobufazi. Ngoko ke, utyando lwebele lukhuselekile.
- Oogqirha benza utshintsho ngexesha lokubeleka: Ukuba uza kubeleka ngesisu, ugqirha wakho unokutshintsha izixhobo abazisebenzisela umntwana wakho. Umzekelo, basenokungayisebenzisi i-fetal scalp monitor kuba inokubangela ukuqhekeka okuncinci eluswini lomntwana wakho. Xa umntwana wakho eqhekeka eluswini lwakhe, kulula ukuba intsholongwane ye-HSV ingene ize ibangele usulelo. Oogqirha baya kugqiba ukuba zeziphi izixhobo ekufuneka bazisebenzise kwaye zeziphi ekufuneka bangazisebenzisi ngokusekelwe kumngcipheko wosulelo lomntwana wakho.
- Wena nogqirha wakho nikwiqela elinye: Ukuthetha nogqirha wakho ngesondo akusoloko kulula. Kunokuba yinto engathandekiyo, kwaye kunokuvakala ngathi yinto ongafuni ukuyenza. Kodwa ukuthetha nogqirha wakho ngeendlela zokuthintela i-herpes yesini kunokukunceda ukukhusela wena nomntwana wakho. Umzekelo, ukuba usemngciphekweni wosulelo olutsha lwe-herpes, ugqirha wakho unokukucebisa ukuba unciphise okanye uyeke ukwenza isondo kwiinyanga ezintathu zokugqibela zokukhulelwa. Ukuvezwa okokuqala kwi-HSV-1 okanye i-HSV-2 ngexesha lokukhulelwa kokugqibela yeyona nto iphambili ebangela i-herpes esandul’ ukuzalwa.
Ndifanele ndimbone nini ugqirha?
Ukuba umntwana wakho uneempawu ze-herpes ezisandula ukuzalwa, bonana nogqirha ngoko nangoko . I-herpes ezisandula ukuzalwa zifuna unyango olukhawulezileyo. Okukhona umntwana wakho efumana unyango ngokukhawuleza, kokukhona amathuba okusinda nokuchacha angcono kwaye angabi namiphumo mininzi okanye angabikho ixesha elide. Musa ukulinda de umntwana wakho ahlolwe kwakhona.
Ngaba iintsana zinokuba nezilonda zomkhuhlane emilebeni yazo?
Ewe. Iintsana zinokufumana izilonda zomkhuhlane emilebeni yazo ukuba zivezwe kwintsholongwane ye-herpes simplex (HSV). Le ntsholongwane ingenza iintsana ezisandul’ ukuzalwa zigule kakhulu. Ukuba ucinga ukuba umntwana wakho uye wavezwa okanye ukuba ubonisa iimpawu, bona ugqirha.
Ngaba umntu one-herpes angafumana umntwana?
Ngokuqinisekileyo kunjalo. Abantu abanembali ye-herpes yesini bazala abantwana abasempilweni. Enyanisweni, ukuba uxilongiwe ukuba une-herpes yesini, unamathuba amaninzi okuba nomntwana ngaphandle kwentsholongwane ebangela naziphi na iingxaki. Oku kungenxa yokuba usulelo lwe-herpes oluphindaphindayo alunakwenzeka ukuba lubangele i-herpes yosana olusandul’ ukuzalwa kunosulelo lokuqala.
Nangona kunjalo, kubalulekile ukuthetha nogqirha wakho ngembali yakho yezonyango ukuze bakwazi ukuthatha amanyathelo okhuseleko afunekayo ngexesha lokukhulelwa nokubeletha.
Usenokuba uzilungiselele izinto ezininzi, kodwa mhlawumbi ubungalindelanga into efana nale. Ukuxilongwa kwe-herpes kusana olusandul' ukuzalwa kunokuba yinto eyoyikisayo, ingakumbi ukuba ubungacingi ukuba kunokwenzeka. Jongana nale meko imihla ngemihla, mhlawumbi iyure neyure.
Uninzi lweentsana lusabela kakuhle kunyango. Isayensi yezonyango ihambele phambili kakhulu ngokuhamba kwexesha, ngoko ke kukho izizathu ezininzi zokuba nethemba.
Ukuba uziva usoyika okanye uxinezelekile, fumana inkxaso kwiqela lezonyango lomntwana wakho. Banokukunceda uqonde amanyathelo alandelayo kunyango kunye nento onokuyilindela imihla ngemihla.
Masikhumbule ezona zinto zibalulekileyo (Umyalezo Wokuya Ekhaya)
- I-herpes yeentsana ezisandul’ ukuzalwa sisifo esinokuba yingozi kakhulu kwiintsana.
- Idla ngokudluliselwa ukusuka kumama ukuya kusana ngexesha lokubeleka .
- Amadyungudyungu eluswini lomntwana, ukozela kakhulu, ukungancancisi, ubunzima bokuphefumlaUkuba ubona iimpawu ezinje, funa ingcebiso kagqirha ngoko nangoko .
- Unyango olukhawulezileyo lunokusindisa ubomi bomntwana kwaye lunciphise iingxaki ezihlala ixesha elide.
- Ukuba une-herpes, kubaluleke kakhulu ukuthetha nogqirha wakho ngayo ngexesha lokukhulelwa ukuze ukwazi ukuthatha amanyathelo okuthintela ukudluliselwa kwesi sifo kumntwana wakho.
- Ungakhathazeki , ngonyango olufanelekileyo kunye nothando lwakho kunye nenkathalo, iintsana ezininzi ziya kuphila.
Khumbula, awuwedwa. Oogqirha bakhona ukunceda wena nomntwana wakho. Ngoko ke thetha nabo ngayo yonke into.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Ingaba isibeleko esiphumileyo sithetha ukuba isibeleko siphuma kwilungu lobufazi?
Yiloo nto eyenzekayo xa imbi kakhulu! Isibeleko sibanjwe phezulu kwi-pelvic cavity yimisipha kunye ne-ligaments. Xa ezi zihlunu zibuthathaka ngenxa yokuzala, ukwaluphala, okanye ukuphakamisa okunzima, isibeleko siyatyibilika siye kwi-vaginal size siphume/siphume.
💬 Uziva njani umfazi xa isibeleko sakhe sehla ngolu hlobo?
Akukho ntlungu kwizigaba zokuqala. Kodwa kukho 'ubunzima, ukutsalwa' okunganyamezelekiyo kwisisu esisezantsi (ubunzima bepelvic). Baziva ngathi kukho ibhola kwilungu lobufazi okanye baziva ngathi bahleli kwibhola. Kwakhona, ngenxa yokuba isibeleko esiwileyo kwaye sicinezela isinyi, umchamo uyaphuma ngequbuliso xa ukuhleka/ukuthimla kunye nosulelo lomchamo luqhelekile.
💬 Uyifaka njani isibeleko esiphumileyo ukuze usiphilise?
Ukuba i-prolapse ayikude kakhulu (i-prolapse encinci), ukwenza umthambo weKegel ukuqinisa izihlunu zesini kwanele. Nangona kunjalo, ukuba isibeleko siphantsi kakhulu kwaye siyaphuma, oogqirha bafaka iringi yesilicone (i-vaginal pessary) ukuze babambe isibeleko siphakame. Okanye bathunga iindonga ngotyando (utyando), okanye basuse isibeleko ngokupheleleyo (i-hysterectomy).
ii- herpes zeentsana ezisandula ukuzalwa, ii-herpes zeentsana, i-HSV, usulelo lweentsana, amadyungudyungu esikhumba, usulelo lobuchopho, ii-herpes ngexesha lokukhulelwa











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