Ingabe udokotela wakho ukhulume "ngokuhlolwa kwe-GBS" emasontweni ambalwa okugcina okukhulelwa kwakho? Kungenzeka ukuthi uke wakwenza lokho kuhlolwa wathola ukuthi umphumela "ulungile." Kuvamile ukuzizwa wesaba futhi wethukile uma uzwa lawo mazwi. "Ingabe lokhu kuzongilimaza? Ingabe kukhona okuzokwenzeka enganeni yami?" Ungase uzibuze. Kodwa ungakhathazeki. Ake sixoxe ngokuthi iyini i-Group B Strep, noma i-GBS, ukuthi ingenzani, nokuthi yini esingayenza ukuze sivikele ingane yethu.
Kalula nje, iyini i-Group B Strep (GBS)?
I-Group B Strep (GBS) uhlobo lwebhaktheriya elivame ukuhlala emzimbeni wabantu abadala abanempilo. Ikakhulukazi, lingaphila ngokungenangozi ezindaweni ezifana nesitho sakho sangasese sowesifazane, amathumbu, kanye ne-rectum. Kumuntu omdala onempilo, i-GBS ayibangeli zinkinga.
Kodwa-ke, uma ukhulelwe, isimo sihlukile kancane. Ngesikhathi sokubeletha, okungukuthi, lapho umntwana ezalwa ngesitho sangasese sowesifazane, leli gciwane lingadluliselwa kusuka kuwe liye enganeni, okungukuthi, lingatheleleka. Njengoba umntwana osanda kuzalwa engenawo amasosha omzimba anele okulwa naleli gciwane, lingaba yingozi enganeni.
Yingakho odokotela benza lokhu kuhlolwa kwe-GBS phakathi kwamasonto angu-36 no-37 okukhulelwa kwakho. Cishe owesifazane oyedwa kwabane abakhulelwe utholakala ene-GBS. Lokho kusho ukuthi kuyisimo esivame kakhulu.
Yiziphi izimpawu ingane engazizwa ngenxa ye-GBS?
Uma umntwana osanda kuzalwa ethola i-GBS, izimpawu zingaba zimbi kakhulu ngokushesha, ngakho-ke kubalulekile ukuqaphela lezi zimpawu.
| Isibonakaliso | Incazelo |
|---|---|
| Imfiva | Umzimba womntwana uzizwa ushisa. |
| Ubunzima bokuphuza ubisi | Uma umntwana engancelisi njengenjwayelo noma enqaba ukudla. |
| Ukukhala/ukucasuka njalo | Uma umntwana ekhala njalo futhi engakwazi ukududuzwa. |
| Ubunzima bokuphefumula | Uma wenza umsindo wokuphefumula lapho uphefumula noma uma uphefumula ngokushesha. |
| Ukudinwa/ukozela | Uma ingane kunzima ukuvuka noma ibonakala ingaphili. |
Esikhathini esiningi, lezi zimpawu zivela emahoreni ambalwa okuqala noma ezinsukwini ngemva kokuzalwa komntwana. Lokhu sikubiza ngokuthi "i-GBS yokuqala kwasekuqaleni." Lokhu kuvame kakhulu futhi kungaba kubi kakhulu. Kodwa ezinye izingane zingaba nezimpawu phakathi kwesonto nezinyanga ezintathu. Lokhu kubizwa ngokuthi "i-GBS eqala ngasekupheleni." Akuvamile kakhulu futhi ngokuvamile akubi kubi kangako.
I-GBS idluliselwa kanjani? Ingabe yiphutha lami leli?
Lona umbuzo omkhulu kakhulu omama abaningi abanawo. Abanye bayazibuza, "Ingabe lokhu kungenxa yokuthi bengingcolile?"
Cha. Lutho neze. I-GBS ayibangelwa ukungahlanzeki kwakho, ukwabelana ngokudla noma iziphuzo, noma ukutheleleka ngocansi (STI).
Leli gciwane lihlala ngokwemvelo emizimbeni yethu. Akulona iphutha lakho ukuthi unalo emzimbeni wakho. Futhi ngeke ulisakaze kwabanye abantu ekhaya lakho, noma kwabanye abantwana bakho. Ngakho ungakhathazeki ngakho.
Izinto ezandisa ingozi yokutheleleka nge-GBS enganeni
Ngisho noma une-GBS positive, ingozi kuphela yokuthelela ingane yakho iwukuthi awutholi ukwelashwa. Kunezici eziningana ezandisa leyo ngozi:
- Umntwana ozelwe ngaphambi kwamasonto angu-37: Ingozi iphezulu uma umntwana ezalwa kamuva.
- Ukuzalwa kwakho kwangaphambilini kwakunegciwane le-GBS: Uma kukhona into enjalo emlandweni wakho wezokwelapha odlule.
- Uthola umkhuhlane ngesikhathi sokubeletha: Uma izinga lokushisa lomzimba wakho likhuphuka ngesikhathi sokubeletha.
- Ngemva kwamahora angaphezu kwe-18 amanzi ephumile: Uma amanzi ephumile futhi kuthatha isikhathi eside ukubeletha umntwana.
Kodwa khumbula, ukwelashwa ngesikhathi sokubeletha kunganciphisa kakhulu le ngozi.
Kwenzekani uma ukutheleleka kwe-GBS kuba kubi kakhulu?
Uma kungelashwa kahle, ukutheleleka nge-GBS kungaba yingozi empilweni yengane. Kungaholela ezimweni ezimbi kakhulu ezifana nalezi:
- I-Sepsis: Lokhu kubizwa ngokuthi "ubuthi egazini." Ukusabalala kokutheleleka emzimbeni wonke.
- I-pneumonia: Ukutheleleka okuthinta amaphaphu, sikubiza ngokuthi "i-pneumonia".
- I-Meningitis: Ukutheleleka kwe-membranes emboza ubuchopho nomgogodla. Siphinde sikubize ngokuthi "umkhuhlane wobuchopho."
Kuvamile ukuzizwa wesaba uma uzwa lezi zinto. Kodwa-ke, lezi zimo azivamile , ikakhulukazi uma uthola ukunakekelwa okufanele ngesikhathi sokubeletha. Ngakho ungakhathazeki. Ukuthola ukwelashwa ngesikhathi esifanele kuyinto ebaluleke kakhulu.
Funda ngokuhlolwa kwe-GBS kanye nokwelashwa
Kwenziwa kanjani ukuhlolwa kwe-GBS?
Udokotela wakho uzokwenza lokhu kuhlolwa phakathi kwamasonto angu-36 no-37 okukhulelwa kwakho. Kuwukuhlolwa okulula kakhulu futhi okungenabuhlungu.
- Kusetshenziswa i-swab ukuthatha isampula esithweni sakho sangasese sowesifazane kanye ne-rectum.
- Lokhu kuthatha isikhathi esingaphansi komzuzu.
- Lesi sampula sibe sesithunyelwa elabhorethri ukuze kuhlolwe ukuthi kukhona yini amagciwane e-GBS.
- Imiphumela iyatholakala zingakapheli amahora angama-48.
Umphumela "oqondile" usho ukuthi unegciwane le-GBS emzimbeni wakho. Akusho ukuthi wena noma ingane yakho nizogula nakanjani. Kusho ukuthi udinga ukwelashwa ngesikhathi sokubeletha.
Iphathwa kanjani?
Uma une-GBS positive, uma uya esibhedlela ukuyobeletha, abasebenzi bezokwelapha bazokunikeza ama-antibiotic e-IV (efakwa emthanjeni) . Lokhu kusho ukuthi umuthi unikezwa emthanjeni osengalweni yakho, njengosawoti.
Into ebaluleke kakhulu ukuthatha lo muthi wokubulala amagciwane okungenani amahora amane ngaphambi kokuba umntwana azalwe. Yilapho umuthi uzosebenza kahle futhi uvimbele ukutheleleka ukuthi kungadluliselwa enganeni.
Ama-antibiotic asetshenziswa kakhulu yi-Penicillin noma i-Ampicillin. Ngale ndlela yokwelapha, ingane eyodwa kuphela kwezingu-4,000 izotheleleka. Kodwa uma ingelashwa, ingozi iphakeme, kanti ingane eyodwa kwezingu-200 itheleleka. Bheka ukuthi ukwelashwa kubaluleke kangakanani.
Ingabe ngidinga ukwelashwa kwe-GBS uma ngihlinzwa ngokuhlinzwa kwe-C?
Lona umbuzo abantu abaningi abawubuzayo. Uma uhlela ukuhlinzwa ngokuhlinzwa kokubeletha , futhi ungakaqali ukubeletha ngaleso sikhathi, noma amanzi akho engakaphuki, ngeke udinge ukwelashwa nge-GBS.
Kodwa-ke, uhlolwa i-GBS ngoba ukubeletha kungase kuqale ngaphambi kosuku lwakho lokubeletha nge-C-Section. Uma amanzi akho ephuka noma ukubeletha kuqala, uzonikezwa ama-antibiotic e-IV ngoba kunengozi yokutheleleka enganeni uma une-GBS positive.
Umlayezo Wokuya Nawe Ekhaya
- I-Group B Strep (GBS) yibhaktheriya etholakala ngokwemvelo emizimbeni eminingi yabesifazane. Akulona iphutha lakho noma ukungcola kwakho.
- Lokhu kungatholakala ngokuhlolwa okulula okwenziwa ngasekupheleni kokukhulelwa.
- Uma kutholakala ukuthi une-GBS, ama-antibiotic e-IV anikezwa ngesikhathi sokubeletha angavikela ingane yakho ekuthelelekeni. Lokhu kwelashwa kusebenza kahle kakhulu.
- Uma ungeniswa esibhedlela ngenxa yokubeletha, khumbuza abasebenzi bezokwelapha ukuthi une-GBS positive. Lokhu kubaluleke kakhulu.
- Uma unemibuzo, ukukhathazeka, noma ukungabaza ngalokhu, xoxa ngakho ngokukhululekile nodokotela wakho. Bazokunikeza lonke ulwazi kanye nokusekelwa okudingayo.
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