Izinto okudingeka uzazi mayelana nokutheleleka kwe-GBS (i-Group B Strep) ngesikhathi sokukhulelwa!

Uma ungumama okhulelwe, kungenzeka ukuthi ukhuluma nodokotela wakho kakhulu kulezi zinsuku. Kungenzeka ukuthi uzwe igama elithi ' Group B Strep', noma i-GBS . Lokhu kungase kube yinto entsha kuwe. Ngakho-ke, namuhla sizokhuluma nge-GBS, imiphumela engaba nayo kuwe kanye nengane yakho, kanye nezixazululo zayo ngendlela elula neqondakala kalula. Asikho isidingo sokwesaba, into ebaluleke kakhulu ukuqaphela.

Kuyini i-GBS? Kungani ibalulekile komama abakhulelwe?

Kalula nje, i-GBS (i-Group B Strep) igciwane elibangelwa uhlobo lwebhaktheriya elibizwa ngokuthi i-Group B Streptococcus . Leli bhaktheriya livame ukutholakala esithweni sakho sangasese noma endaweni engemuva. Ungamangali, cishe ama-25% abesifazane abakhulelwe, noma cishe oyedwa kwabane, bangase babe naleli bhaktheriya le-GBS emizimbeni yabo. Kodwa abantu abaningi abazi nokuthi banalo, ngoba isikhathi esiningi alibonisi zimpawu .

Ngakho-ke, uma une-GBS, kunethuba lokuthi leli gciwane lingadluliselwa kusuka kuwe liye enganeni yakho ngesikhathi sokubeletha. Izinsana, asebekhulile, noma labo abanezivikeli mzimba ezibuthakathaka noma ezingakathuthuki kahle banamathuba amaningi okuthola izinkinga ezivela ku-GBS.

Kodwa khumbula lokhu: Akuzona zonke izingane ezithola i-GBS ezizogula. Kodwa-ke, inani elincane kakhulu lezingane lingaba nezifo ezingathi sína, ngezinye izikhathi ezisongela ukuphila ezivela kuleli gciwane . Yingakho odokotela bekuhlolela i-GBS njengengxenye yokunakekelwa kwakho kwansuku zonke kwangaphambi kokukhulelwa ngesikhathi sokukhulelwa. Uma kuqinisekiswa ukuthi une-GBS, udokotela wakho uzokunikeza ama-antibiotic.

I-GBS ingena kanjani emzimbeni?

I-GBS uhlobo lwebhaktheriya elihlala ngokwemvelo emizimbeni yethu, njengamathumbu ethu, izitho zangasese, kanye nemigudu yomchamo. Alisabalali lisuka komunye umuntu liye komunye noma ngokwabelana ngokudla noma iziphuzo nomuntu onegciwane. Ochwepheshe abaqiniseki ukuthi kungani leli bhaktheriya lisakazeka kanje. Kodwa bayazi ukuthi lingaba yingozi ezinganeni nakubantu abanamasosha omzimba abuthakathaka .

Ihlolwa nini i-GBS?

I- Centers for Disease Control and Prevention (CDC) incoma ukuhlolwa kwe-GBS okuvamile phakathi nokukhulelwa ngakunye. Ngokuvamile uhlolwa lokhu phakathi kwamasonto angu-36 no-37 okukhulelwa.Ukuhlolwa kwe-GBS kulula kakhulu. Udokotela uthatha i-swab esithweni sakho sangasese sowesifazane noma e-rectum ayithumele elabhorethri ukuze ihlolwe.

Ingabe i-Group B Strep iyamthinta umntwana osesiswini?

Nakhu okudingeka ukuqonde. Amagciwane e-GBS awathinti ingane engaphakathi kwesibeletho sakho. Kodwa-ke, ingane ingangenwa yi-GBS ngesikhathi sokubeletha kanye nokubeletha . Yingakho kunikezwa ama-antibiotic ukuvimbela i-GBS. Lokhu kwelashwa kunciphisa kakhulu ingozi yokudlulisela i-GBS kusuka kuwe iye enganeni yakho.

Umntwana uthola kanjani i-GBS? Yiziphi izinhlobo zayo?

Kunezindlela ezimbili eziyinhloko izingane ezingatheleleka ngazo nge-GBS:

• Ukutheleleka kokuqala: Iningi lezingane (cishe ama-75%) ezithola i-GBS zitheleleka zingakapheli isonto lokuqala lokuphila . Ukutheleleka nge-GBS kuvame ukubonakala zingakapheli amahora ambalwa zizelwe. Nakuba izingane ezizalwa ngaphambi kwesikhathi zisengozini enkulu yokutheleleka, izingane eziningi ezithola i-GBS zizalwa isikhathi esigcwele.
• Ukutheleleka kokuqala sekwephuzile: Ingane ingathola ukutheleleka kwe-GBS kusukela ngesonto ngemva kokuzalwa kuya ezinyangeni ezintathu. Lokhu akuvamile futhi cishe akube yingozi empilweni yengane njengokutheleleka kokuqala kusenesikhathi.

Ivame kangakanani i-GBS?

Ngenhlanhla, ukwanda kwalesi sifo kuye kwehla kakhulu ngenxa yokuhlolwa kwe-GBS ngesikhathi sokukhulelwa. Ngokusho kwe-CDC, cishe izingane ezingu-930 e-United States zithola ukutheleleka kwe-GBS kusenesikhathi kanye nokutheleleka kwe-GBS okungaba ngu-1,050 okutholakala kamuva unyaka ngamunye. Cishe u-4% wezingane ezithola i-GBS ziyafa . Yingakho ukuhlolwa nokwelashwa kubaluleke kakhulu.

Ziyini izimpawu ze-GBS?

Abantu abadala abaningi abane-GBS ababonisi zimpawu . Abantu abadala kanye nalabo abanezimo ezithile zezokwelapha bangase bangabi nezimpawu njalo. Lokhu kufaka phakathi:

• Umkhuhlane, ukubanda, kanye nokukhathala okukhulu.
• Ubunzima bokuphefumula.
• Ubuhlungu besifuba .
• Ukuqina kwemisipha.

Kodwa-ke, izimpawu zokutheleleka kwe-GBS ezinganeni ezisanda kuzalwa zihlukile:

• Imfiva.
• Ubunzima bokuphuza ubisi.
• Ukungahlaliseki nokukhala njalo (Ukucasuka).
• Ubunzima bokuphefumula.
• Ukuntuleka kwamandla.

Lezi zimpawu zingaba zimbi kakhulu ezinganeni ezisanda kuzalwa ngoba amasosha omzimba azo abuthakathaka. Ukutheleleka nge-GBS kungabangela izinkinga ezinkulu enganeni, njenge -sepsis (isimo esifana noshevu wegazi), i-pneumonia, kanye ne -meningitis (isimo esifana nokuvuvukala kobuchopho).

Ingabe i-GBS izodluliselwa kumlingani wami noma kwabanye abantu ekhaya?

Cha. Akukho bungozi bokuthi abanye abantu emndenini wakho, okuhlanganisa nezinye izingane zakho, bazogula ngenxa yakho uma bethola i-GBS. Lena akuyona indlela esakazeka ngayo.

Ingabe ngizohlolwa i-GBS?

Yebo, impela. Udokotela wakho uzokuhlolela i-GBS engxenyeni yokugcina yokukhulelwa kwakho, phakathi kwamasonto angu-36 no-37 .

Udokotela wakho wokubeletha uzosebenzisa i-cotton swab ukuthatha isampula yamaseli esithweni sakho sangasese sowesifazane kanye ne-rectum. Lokhu kuhlolwa akubuhlungu futhi kuthatha isikhathi esingaphansi komzuzu . Isampula bese ithunyelwa elabhorethri ukuze ihlolwe i-GBS. Imiphumela ivame ukutholakala zingakapheli amahora angu-48. Umphumela wokuhlolwa omuhle usho ukuthi unesifo se-GBS. Kodwa akusho ukuthi wena noma ingane yakho nizogula nakanjani .

Uma usebenzisa izinsizakalo zombelethisi, ungase unikezwe imiyalelo yokuthi ungakwenza kanjani lokhu kuhlolwa ekhaya futhi ucelwe ukuthi uthumele isampula elabhorethri.

Ingabe i-GBS iyisifo esithathelwana ngocansi (STI)?

Cha, i-GBS akuyona isifo esithathelwana ngocansi (STI) . Amagciwane abangela i-GBS ahlala ngokwemvelo esithweni sakho sangasese noma endunu. Ayibangeli zimpawu kubantu abaningi. Ngakho-ke akuyona into oyenzile kabi.

Kwenzekani uma uhlolwe watholakala une-GBS ngesikhathi sokukhulelwa?

Ake sithi uhlolwe watholakala une-GBS. Wenzani manje? Ungesabi. Odokotela bazokunikeza ama-antibiotic e-intravenous (IV) ngesikhathi sokubeletha kanye nokubeletha ukuvimbela ingane yakho ekutholeni i-GBS. Ama-antibiotic avame kakhulu asetshenziswa ukwelapha i-GBS yi -penicillin noma i-ampicillin .

Ukukunikeza ama-antibiotic ngalesi sikhathi kungakusiza ekuvimbeleni ukusabalalisa i-GBS enganeni yakho esanda kuzalwa. Ukwelapha i-GBS ngaphambi kokubeletha akusebenzi kahle. Lawa ma-antibiotic asebenza kahle uma enikezwa okungenani amahora amane ngaphambi kokubeletha . Kuthiwa lolu hlobo lokwelashwa lungavimbela ukutheleleka okungu-90% .

Cabanga nje, uNimali wahlolwa i-GBS esontweni lakhe lama-36. Umbiko wabuya 'unethemba' ezinsukwini ezimbili kamuva. UNimali wayesaba kancane. 'O, ingabe kukhona okuzokwenzeka enganeni yami?' wacabanga. Kodwa udokotela wathi, 'Nimali, ungakhathazeki. Omama abaningi banalokhu. Sinikeza umuthi ngemithambo yegazi ngesikhathi sokubeletha, ukuze ingane ingabi nezinkinga.' Kunjalo-ke.

Kukhona icala elilodwa elikhethekile mayelana nesikhathi sokwelashwa: Uma ukutheleleka kwe-GBS kutholakala emchameni, khona-ke ukwelashwa ngama-antibiotic omlomo kuqala ngokushesha nje lapho kutholakala i-GBS, kungakhathaliseki ukuthi ukhulelwe noma cha. Kodwa-ke, ama-antibiotic e-intravenous (IV) kufanele anikezwe ngesikhathi sokubeletha .

Futhi, noma yimuphi owesifazane okhulelwe oke wabeletha umntwana onegciwane le-GBS ngaphambilini, noma oye waba nokutheleleka komgudu womchamo (UTI) ngenxa ye-GBS phakathi nalokhu kukhulelwa, naye uzokwelashwa ngesikhathi sokubeletha.

Iphathwa kanjani i-GBS ezinganeni ezisanda kuzalwa?

Ngezinye izikhathi, ngisho nangemva kokuhlolwa kanye nama-antibiotic ngesikhathi sokubeletha, akuvamile kakhulu, ezinye izingane zingaba ne-GBS . Uma lokhu kwenzeka, odokotela bangase bahlole isampula yegazi noma isampula yoketshezi lomgogodla ukuze babone ukuthi ingane yakho inayo yini i-GBS. Uma ingane yakho ine-GBS, izophinde yelashwe ngama-antibiotic e-intravenous (IV) .

Unganciphisa kanjani ingozi ye-GBS?

Noma ubani angathola i-GBS. Kodwa abanye abantu basengozini enkulu, kungaba ngenxa yezimo ezithile zezokwelapha noma ngenxa yeminyaka yabo. Izici ezilandelayo zingandisa ingozi yakho yokuthola umntwana one-GBS:

• Une-GBS positive.
• Uba nomkhuhlane ngesikhathi sokubeletha.
• Kudlula amahora angaphezu kwe-18 phakathi kokuqhekeka kwamanzi nokuzalwa komntwana wakho.
• Unezinkinga zezokwelapha ezifana nesifo sikashukela , isifo senhliziyo , noma umdlavuza .

Ukuhlolwa kwe-GBS (uma kutholakala ukuthi unegciwane) kanye nokuphuza ama-antibiotic kuyindlela engcono kakhulu yokuvikela ingane yakho ekuthelelekeni.

Yiziphi izinkinga zesikhathi eside ezingabangelwa yi-GBS ezinganeni ezisanda kuzalwa?

Izingane ezinegciwane le-GBS zingaba nezimo ezifana ne -meningitis , i-pneumonia , noma i-sepsis . Lezi zimo zingaba yingozi empilweni. Kodwa-ke, izingane eziningi azinazo izinkinga zesikhathi eside . Kodwa-ke, cishe ama-25% ezinsana eziba ne-meningitis ngenxa ye-GBS zingaba nezinkinga zesikhathi eside ezifana ne-cerebral palsy , izinkinga zokuzwa , ukukhubazeka kokufunda , noma ukuxhuzula . Yingakho ukuvimbela i-GBS nokuyilapha kusenesikhathi kubaluleke kangaka.

Ingabe ngizophinde ngihlolwe i-GBS?

Cha. Uma usuhlolwe ukuthi une-GBS, ubhekwa njengone-HIV kuyo yonke ingxenye yokukhulelwa kwakho . Ngeke uphinde uhlolwe.

Ingabe ngidinga ukwelashwa kwe-GBS uma ngihlinzwa ngokuhlinzwa kwe-C?

Ngokuvamile, uma uhlela ukuhlinzwa ngokuhlinzwa (C-section) , ngeke udinge ama-antibiotic e-GBS. Lokhu kungenxa yokuthi, ngokuhlinzwa ngokuhlinzwa, umntwana akazalwa ngesitho sangasese sowesifazane, ngakho-ke mancane amathuba okudlulisela i-GBS enganeni.

Kodwa-ke, uhlolwa i-GBS . Lokhu kungenxa yokuthi ukubeletha kungase kuqale ngaphambi kokuhlinzwa kwakho kwe-C. Uma amanzi ephuka futhi une-GBS positive, ingane yakho isengozini yokuthola lesi sifo. Ezimweni ezinjalo, ingase inikezwe ama-antibiotic.

Uma ngine-GBS positive, kufanele ngimbone nini udokotela?

Kwezinye izimo, i-GBS ingabangela ukutheleleka ngesikhathi sokukhulelwa. Uma unezimpawu ezifana nomkhuhlane, ubuhlungu, kanye nokushaya kwenhliziyo okwandayo, tshela udokotela wakho ngokushesha. Lokhu kungaholela ekubelethweni kwangaphambi kwesikhathi .

I-GBS ingadala nokutheleleka komgudu womchamo (UTI) , okuzodinga ukwelashwa ngama-antibiotic omlomo.

Uma une-GBS, khuluma nodokotela wakho ngalokho ongakulindela ngesikhathi sokubeletha kanye nokubeletha.

Okokugcina, into ebaluleke kakhulu okufanele uyikhumbule (Umyalezo Wokuya Ekhaya)

Uma udokotela wakho ekutshela ukuthi une-GBS positive ngesikhathi sokukhulelwa , ungesabi noma ukhathazeke . Lokhu kubangelwa yibhaktheriya ekhona ngokwemvelo emzimbeni wakho, futhi akubangelwanga yinoma yini oyenzile kabi.

Amathuba okudlulisela i-GBS kusuka kuwe iye enganeni yakho empeleni aphansi kakhulu , ikakhulukazi uma uthatha ama-antibiotic ngesikhathi sokubeletha.

Khuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka onakho nge-GBS. Khumbula, ezimweni eziningi, noma ngabe une-GBS positive, ngeke kube nezinkinga futhi ingane yakho izozalwa iphilile . Into ebaluleke kakhulu ukwaziswa nokulandela iseluleko sikadokotela wakho.