Ngaba ukhe weva ngale ntsholongwane ebizwa ngokuba yiGroup B Strep (GBS) ngexesha lokukhulelwa kwakho? Masifumanise ukuba yintoni kanye kanye!

Njengomama ngexesha lokukhulelwa, mhlawumbi unemibuzo emininzi kunye namathandabuzo, akunjalo? Ingakumbi malunga nempilo yomntwana wakho. Yiloo nto siza kuthetha ngayo namhlanje. Yiyo leyo iGroup B Strep, okanye iGBS ngamafutshane. Mhlawumbi sele uvile ngeli gama ngaphambili. Ungakhathazeki, siza kuthetha ngalo ngokulula, ngendlela onokuyiqonda.

Yintoni iGroup B Strep (GBS)? Masiyiqonde ngokulula!

Ngamafutshane, iGroup B Strep, okanye ``iGroup B Streptococcus``, luhlobo lwebhaktheriya. Njengezinye iintlobo zebhaktheriya ezifumaneka emizimbeni yethu, ngamanye amaxesha emlonyeni nasemathunjini ethu, iibhaktheriya ze-GBS zinokufumaneka nakwiindawo ezithile zomzimba wethu, ngakumbi kwindlela yokuchama, kwinkqubo yokugaya ukutya (oko kukuthi, emathunjini), nakwiinkqubo zokuzala zabasetyhini (njengelungu lobufazi).

Cinga ngayo njengendwendwe emizimbeni yethu. Oko kukuthi, ngamanye amaxesha le ntsholongwane inokuba semizimbeni yethu, kwaye ngamanye amaxesha inganyamalala. Eyona nto ibalulekileyo kukuba nangona le ntsholongwane ye-GBS isemzimbeni, uninzi lwabantu alunazo naziphi na iingxaki okanye izifo ezivela kuyo. Ngenxa yoko, abantu abaninzi abazi nokuba banale ntsholongwane emizimbeni yabo. Ngoko ke, ukuba ne-GBS akusosifo sikhulu.

Zeziphi iingxaki ezinokubangelwa yi-GBS? Ngaba ichaphazela wonke umntu?

I-GBS ayisoloko iyingxaki enkulu yempilo kubantu abadala abasempilweni. Nangona kunjalo, abanye abantu, njengabantu abadala, abo banezinye izifo ezingapheliyo (ezifana nesifo seswekile), okanye abo babuthathaka kwiinkqubo zokuzikhusela zomzimba, ngamanye amaxesha banokufumana usulelo oluvela kwiibhaktheriya ze-GBS. Olu sulelo lunokuchaphazela igazi, imiphunga, ulusu, okanye amathambo.

I-GBS ibachaphazela njani oomama abakhulelweyo?

Ngoku makhe sijonge indlela oku okubachaphazela ngayo abafazi abakhulelweyo. Uphando lufumanise ukuba malunga nomnye kubafazi abane abakhulelweyo (malunga nama-25%) banokuba nebhaktheriya ye-GBS emizimbeni yabo. Njengoko bekutshiwo ngaphambili, ayinguye wonke umntu onayo eya kugula. Nangona kunjalo, abanye oomama abane-GBS ngexesha lokukhulelwa banokufumana usulelo lwendlela yomchamo (UTIs), usulelo lwe-placenta, usulelo lwesibeleko, okanye usulelo lwe-amniotic fluid.

Into ebalulekileyo kukuba nokuba umama okhulelweyo akanazo iimpawu zosulelo lwe-GBS, ukuba unale ntsholongwane emzimbeni wakhe, le ntsholongwane inokudluliselwa kumntwana ngexesha lokubeleka (ngexesha lokubeleka nokuzala), oko kuthetha ukuba nomntwana angayifumana. Yiyo loo nto sixhalabele ngakumbi i-GBS ngexesha lokukhulelwa.

I-GBS ichaphazela njani iintsana?

Ixesha elininzi, ukuba umama one-GBS unikwa amayeza okubulala iintsholongwane ngexesha lokubeleka, umntwana wakhe akayi kuba nangxaki. Umntwana uya kuba sempilweni. Nangona kunjalo, abanye abantwana banokuba nexesha elinzima kakhulu ngale ntsholongwane ye-GBS, baze bagule kakhulu.

IngakumbiIintsana ezisandul’ ukuzalwa zisengozini enkulu yokufumana usulelo lwe-GBS kuba iinkqubo zomzimba wazo, ingakumbi inkqubo yokuzikhusela yomzimba elwa nesifo, azikakhuli ngokupheleleyo.

Kukho iintlobo ezimbini eziphambili zeemeko ezibangelwa yi-GBS kwiintsana:

1. Usulelo oluqala kwangethuba: Olu sulelo luqala kwiveki yokuqala yobomi. Ngokuqhelekileyo , iimpawu ziqala ukubonakala kwiiyure ezingama-24 emva kokuzalwa.

2. Usulelo oluqala emva kwexesha: Olu suleleka luvela emva kweeveki ezimbalwa, okanye iinyanga, emva kokuba umntwana ezelwe. Oogqirha abakayiqondi ngokupheleleyo indlela esi sifo se-GBS esiqala emva kwexesha esikhula ngayo.

Zithini iimpawu ze-GBS kwiintsana?

Nokuba usana olusandul’ ukuzalwa okanye usana oluneenyanga ezimbalwa ubudala lune-GBS, lunokubonisa iimpawu ezifana nezi. Njengomama, kubaluleke kakhulu ukuba nizazi ezi zinto:

• Umkhuhlane: Ubushushu bomzimba obunyukileyo.
• Ubunzima bokusela ubisi: Usana alufuni ukusela ubisi, kwaye aluncancisi kakuhle.
• Ubunzima bokuphefumla: ukuphefumla ngokukhawuleza, ukuphefumla kancinci, ukuziva ufuthanisekile.
• Ukukhala rhoqo okanye ukungazinzi: Umntwana unomsindo kangangokuba kunzima ukumzolisa.
• Ayinabomi okanye iyadinisa: Usana lusenokubonakala lungenabomi kwaye lunemilenze egobileyo.
• Ubunzima bokulawula ubushushu bomzimba: Ukungakwazi ukugcina ubushushu bomzimba buhlala buhleli (mhlawumbi umkhuhlane, ngamanye amaxesha ukubanda).

Kwenzeka ntoni ukuba i-GBS iba qatha kusana?

Ukuba i-GBS iba nkulu kusana, inokubangela iingxaki ezinkulu kakhulu. Ezona ziphambili zezi:

• I-Pneumonia: Usulelo lwemiphunga.
• I-Sepsis: Ityhefu egazini. Le yimeko embi kakhulu echaphazela umzimba wonke.
• I-Meningitis: Usulelo lwe-membranes kunye nolwelo olujikeleze ingqondo kunye nomqolo. Sikwabiza oku ngokuthi "umkhuhlane wobuchopho."

Le meko, ebizwa ngokuba yi-'Meningitis', ixhaphake kakhulu kwi-'GBS' eqala emva kwexesha. Ukuba i-'Meningitis' iyavela, ezinye iintsana zinokulahlekelwa kukuva, zilahlekelwe kukubona, zibe neengxaki zokufunda, zibe 'nokuxhuzula', kwaye ngelishwa, ngamanye amaxesha zide zife. Ke ngoko, i-GBS ayisiyonto ithathwa lula.

Ifunyanwa njani iGroup B Strep (GBS)?

Ngethamsanqa, ngoku kukho iindlela zokuvavanya abafazi abakhulelweyo i-GBS.

Indlela yokujonga abafazi abakhulelweyo

Abafazi abakhulelweyo badla ngokuvavanywa i-GBS ekupheleni kokukhulelwa kwabo, phakathi kweeveki ezingama-35 nezingama-37. Olu vavanyo lulula, alubizi mali ingako, kwaye alunantlungu. Lubizwa ngokuba 'luvavanyo lwenkcubeko'.

Oku kuquka ukusebenzisa i-swab enkulu ukuqokelela iisampuli kwilungu lobufazi nakwi-rectum (apho kuphuma khona ilindle). Ezi sampuli zithunyelwa kwilabhoratri ukuze zivavanyelwe ubukho bebhaktheriya ye-GBS. Iziphumo zihlala zifumaneka kungekapheli usuku okanye ezintathu.

Ukuba olu vavanyo lufumanisa iintsholongwane ze-GBS, kuthiwa umama "une-GBS-positive." Khumbula, ukuba ne-GBS-positive kuthetha ukuba unentsholongwane emzimbeni wakho. Oko akuthethi ukuba wena okanye umntwana wakho uza kugula ngokuqinisekileyo. Oomama abaninzi abane-GBS kunye neentsana zabo basempilweni.

Indlela yokuvavanya umntwana ukuba une-GBS

Ukuze wazi ngokuqinisekileyo ukuba umntwana une-GBS, kufuneka kuvavanywe isampuli yegazi okanye isampuli yolwelo lomqolo (olu luvavanyo oluthatha ulwelo kumqolo).

Nangona kunjalo, ayingomntwana wonke ozelwe ngumama one-GBS ofuna olu vavanyo. Kwiimeko ezininzi, abantwana abasempilweni nabangenazimpawu bajongwa ngononophelo ngoogqirha kunye nabongikazi ukuze babone iimpawu zosulelo lwe-GBS.

Iphathwa njani iGroup B Strep (GBS)?

Iindaba ezimnandi zezokuba i-GBS inonyango.

Unyango loomama abakhulelweyo

Ukuba oogqirha bayavavanya umama okhulelweyo baze bafumanise ukuba une-GBS-positive, umama uya kunikwa amayeza okubulala iintsholongwane (i-IV antibiotics) ngemithambo ngexesha lokubeleka. La mayeza okubulala iintsholongwane ayabulala iintsholongwane ze-GBS. Amaxesha amaninzi, amayeza okubulala iintsholongwane asetyenziswayo yi-penicillin. Nangona kunjalo, ukuba umama une-allergy kwi-penicillin, kuya kunikwa amanye amayeza okubulala iintsholongwane afanelekileyo endaweni yoko.

Kufanelekile kwaye kusebenza kakuhle ukuqalisa la mayeza okubulala iintsholongwane ubuncinane kwiiyure ezi-4 ngaphambi kokuba umntwana azalwe. Eli nyathelo lilula linokuthintela kakhulu ukudluliselwa kwebhaktheriya ye-GBS ukusuka kumama ukuya kumntwana.

Kwezinye iimeko, oogqirha bagqiba ekubeni banike amayeza okubulala iintsholongwane ngexesha lokubeleka, nokuba umama okhulelweyo akakhange avavanyelwe i-GBS. Ezo meko ziquka:

• Ukuba ukuzala kuqala kwangethuba (ukuba umntwana uza kuzalwa inyanga ngaphambi kwexesha) ngaphambi kokuba kwenziwe uvavanyo lwe-GBS.
• Ukuba uvavanyo lwe-GBS alwenziwanga, kwaye amanzi ayaphuka, umntwana ulindeleke ukuba abuye emva kweeyure ezili-18 okanye ngaphezulu .
• Kuthekani ukuba umama uba nomkhuhlane ngexesha lokubeleka ngaphandle kokuvavanywa ukuba une-GBS?
• Ukuba ukhe wasuleleka sisinyi ngenxa ye-GBS ngeli xesha lokukhulelwa.
• Ukuba ukhe waba nomntwana one-GBS ngaphambili.

Okubalulekileyo kukuba, ii-antibiotics ezinikwa ngexesha lokubeleka zinokuthintela kuphela isifo se-GBS esiqala kwangethuba. Isizathu esichanekileyo sesifo se-GBS esiqala emva kwexesha asikaziwa, ngoko ke akukho ndlela yokusithintela. Nangona kunjalo, abaphandi basebenza ekuphuhliseni isitofu esinokuthintela usulelo lwe-GBS.

Unyango losana

Iintsana ezine-GBS nazo zinyangwa ngamayeza okubulala iintsholongwane. Kubalulekile ukuqala la mayeza okubulala iintsholongwane ngokukhawuleza. Oku kunokunceda ekuthinteleni iingxaki ezinzulu ekukhuleni. Ezi ntsana zinokufuna nolunye unyango ukongeza kumayeza okubulala iintsholongwane. Umzekelo, uncedo lokuphefumla kunye nolwelo lwe-IV.

Yintoni onokuyenza ukuthintela ukosuleleka yiGroup B Strep (GBS)? Umyalezo wethu wokugqibela!

Kulungile, ngoko ke sithethe kakhulu nge-GBS. Ndiyathemba ukuba uyaqonda kakuhle ngoku. Okokugqibela, kufanelekile ukukhumbula ezi zinto:

• Ngenxa yokuba iintsholongwane ze-GBS zihlala zingena emizimbeni yethu, kubalulekile ukuba uvavanyelwe i-GBS ngalo lonke ixesha xa ukhulelwe. Ukuba nje ubungenayo i-GBS kukukhulelwa kwangaphambili akuthethi ukuba awuyi kuba nayo ngeli xesha. Kwaye ukuba nje ubunayo ngaphambili akuthethi ukuba ngokuqinisekileyo uza kuba nayo ngeli xesha. Yiyo loo nto kubalulekile ukuba uvavanye.
• Ukuba uvavanywe ukuba une-GBS-positive, ungakhathazeki. Ukuba uthatha amayeza okubulala iintsholongwane ngexesha elifanelekileyo ngexesha lokubeleka, uninzi lwexesha, akuyi kubakho ngxaki kuwe okanye kumntwana wakho. Uninzi loomama aludluliseli usulelo lwe-GBS kwiintsana zabo ngenxa yolu nyango.
• Ukuba une-GBS, yiya esibhedlele ngokukhawuleza emva kokuba uqalile ukuzala, endaweni yokulinda ekhaya. Ukuqala amayeza okubulala iintsholongwane kwi-IV ubuncinane iiyure ezi-4 ngaphambi kokuba umntwana azalwe kunokunceda ukukhusela umntwana wakho kwi-GBS yokuqala kwangethuba.
• Ukuba uneminye imibuzo okanye iinkxalabo malunga ne-GBS, ungathandabuzi ukuthetha nogqirha wakho. Angachaza okungakumbi kuwe aze akunike iingcebiso ozifunayo.

Khumbula, ukuqonda yeyona ndlela ilungileyo yokuzikhusela. Iminqweno yethu kuphela kukuba wena nomntwana wakho nihlale nisempilweni!

Iqela B Strep, ukukhulelwa, uvavanyo lwe-GBS, amayeza okubulala iintsholongwane, impilo yosana olusandul' ukuzalwa