Uke waphawula amabhamuza amancane emzimbeni wengane yakho esanda kuzalwa akwenza ukhathazeke kancane? Noma uzizwa sengathi ingane yakho inenkinga yokuncelisa noma yokuphefumula? Ngezinye izikhathi, lokhu kungaba izimpawu zesimo esibizwa ngokuthi i-Neonatal Herpes, esingathinta izingane ezisanda kuzalwa. Lokhu kuhluke kakhulu ku-herpes kubantu abadala, futhi kungaba yingozi kakhulu ezinganeni. Ngakho-ke, ngaphandle kokuchitha isikhathi, ake sixoxe ngalokhu ngokuningiliziwe.
Iyini i-Herpes ye-Neonatal?
Kalula nje, i-herpes yezingane ezisanda kuzalwa iyisifo se-herpes esenzeka phakathi kwamasonto ayisithupha okuqala okuzalwa komntwana. Ngokuvamile kwenzeka lapho igciwane le-herpes simplex (HSV) lidluliselwa kusuka kumama kuya enganeni, ikakhulukazi ngesikhathi sokubeletha.
Lokhu akufani ne-herpes (isibonelo, izilonda zomkhuhlane ezindebeni) ezitholwa yizingane ezindala noma abantu abadala. Leli gciwane liyingozi kakhulu ezinganeni ezisanda kuzalwa, futhi ngezinye izikhathi lingasongela impilo. Lokhu kungenxa yokuthi leli gciwane lingathinta izitho ezibalulekile zomntwana, ikakhulukazi ubuchopho . Ngakho-ke, kubaluleke kakhulu ukuqaphela izimpawu bese uzelapha ngokushesha okukhulu. Yilapho kuphela lapho ingane izoba nethuba elingcono lokululama.
Emazweni afana ne-United States, lesi simo sithinta izingane eziphakathi kuka-5 no-33 ezinganeni eziyi-100,000 ezizalwa ziphila. Lokho kusho ukuthi cishe izingane eziyi-1,500 zizalwa zine-herpes ngale ndlela minyaka yonke. Olunye ucwaningo lubonisa ukuthi leli nani likhuphuke kancane muva nje, kodwa isizathu esiqondile salokhu asikacaci.
Yiziphi izinhlobo eziyinhloko zalesi simo?
Odokotela bahlukanisa i-herpes yezingane ezisanda kuzalwa ngokusekelwe ezicini zomzimba wengane igciwane elithinte. Kunezinhlobo ezintathu eziyinhloko:
1. Isifo sesikhumba, amehlo nomlomo (isifo se-SEM): Lokhu kubangela ukwakheka kwamaqhubu agcwele uketshezi esikhumbeni somntwana, ngaphakathi emlonyeni, nasemaceleni kwamehlo .
2. Isifo sesimiso sezinzwa esiyinhloko (isifo se-CNS - isifo sobuchopho): Lapha igciwane liyakhula futhi liphindaphindeke ohlelweni lwezinzwa oluyinhloko lomntwana, okungukuthi, ebuchosheni nasemgogodleni . Ngezinye izikhathi, kungase kungabi nazimpawu ezigabeni zokuqala, futhi kungaveli amabhamuza esikhumba.
3. Isifo esisabalaliswayo: Kulesi simo, igciwane lithinta izingxenye eziningi zomzimba womntwana, okuhlanganisa nezitho ezinkulu njengesibindi namaphaphu . Kwezinye izimo, ubuchopho bungathinteka.
Cabanga ukuthi lokhu kunzima kangakanani enganeni encane. Yingakho kudingeka sikuqaphele lokhu.
Yiziphi izimpawu zokuthi ingane yakho ine-herpes?
Uphawu olusobala kakhulu luvame ukuba amabhamuza agcwele uketshezi avela esikhumbeni somntwana, eduze kwamehlo, nasemlonyeni . Kodwa-ke, akuzona zonke izingane ezithola la mabhamuza. Kuya ngohlobo lwe-herpes umntwana analo.
Lezi zimpawu zingavela noma nini phakathi namasonto ayisithupha okuqala ngemva kokuzalwa komntwana.Kungenzeka, kodwa kungenzeka kakhulu ukuthi kwenzeke phakathi namasonto amane okuqala. Ezinye izinto, njengezimpukane, ukungancelisi ingane, ubunzima bokuphefumula, kanye nezinguquko ekuziphatheni kwengane, ungase uzibone ekhaya. Uma ubona into efana nale, kufanele ubonane nodokotela ngokushesha. Kodwa kunezimpawu ezithile ezingatholakala kuphela ngesikhathi sokuhlolwa kwezokwelapha.
Uma ingane inenkinga yokuphefumula, noma uma ungakwazi ukuvusa ingane, shayela u-1990 ngokushesha noma uye ekamelweni lezimo eziphuthumayo eliseduze.
Izimpawu zesifo sesikhumba, amehlo, nomlomo (isifo se-SEM)
Lokhu kuvame ukuvela phakathi kwezinsuku ezingu-9 kuya kwezingu-11 ngemva kokuzalwa komntwana.
- Ama-blister acacile, agcwele uketshezi esikhumbeni somntwana wakho. Isikhumba esizungeze la ma-blister singase sishintshe umbala. Ama-blister nawo angakha amaqoqo.
- Ama-blister agcwele uketshezi ezinkopheni zengane yakho noma ezizungezile . Amehlo engane yakho angase abe bomvu, abe namanzi, futhi avuvukele.
- Izilonda emlonyeni wengane, olimini nasolwangeni .
Izimpawu zesifo sesimiso sezinzwa esiyinhloko (isifo se-CNS)
Lokhu kuvame ukuvela phakathi kwezinsuku ezingu-16 no-19 ngemva kokuzalwa komntwana.
- Ukulala ngokweqile.
- Ukungahlaliseki nokucasuka njalo.
- Ukuthuthumela.
- Ukungabi nasithakazelo noma ukungabi naso isithakazelo ekuphuzeni ubisi.
- Ukushisa komzimba okungazinzile (okuphezulu kakhulu noma okuphansi kakhulu).
- Izindawo ezithambile ekhanda lomntwana ziyavuvukala.
- Ukuquleka.
- Ama-blister agcwele uketshezi esikhumbeni. Cishe ama-60% - 70% ezinsana ezinalolu hlobo lwesifo athola la ma-blister.
Izimpawu zesifo esisakazekile
Lokhu kuvame ukuvela phakathi kwezinsuku eziyi-10 neziyi-12 ngemva kokuzalwa komntwana. Ungase uqaphele lezi zimpawu ezilandelayo enganeni yakho:
- Ukushisa komzimba okungazinzile (okuphezulu kakhulu noma okuphansi kakhulu).
- Ukungahlaliseki nokucasuka njalo.
- Ukulala ngokweqile.
- Ukungabi nasithakazelo noma ukungabi naso isithakazelo ekuphuzeni ubisi.
- Ukuphefumula okusheshayo kanye nezinguquko endleleni yokuphefumula (ukucindezeleka kokuphefumula).
- Ukuqunjelwa kwesisu.
- Ama-blister agcwele uketshezi esikhumbeni. Cishe ama-60% ezinsana ezinalolu hlobo lwesifo athola la ma-blister, kodwa kuphela ngemva kokuba ukutheleleka sekukubi kakhulu.
Izimpawu ezingatholakala ngokuhlolwa kwezokwelapha:
- Izinkinga zokujiya kwegazi (ukujiya kwegazi okusabalele ngaphakathi kwemithambo yegazi).
- Ukwehluleka kwesibindi.
- Ukuvuvukala kobuchopho (i-encephalitis).
- Ukuvuvukala kwemisipha yenhliziyo (i-myocarditis).
Yini ebangela i-herpes ezinganeni ezisanda kuzalwa?
I-herpes yezingane ezisanda kuzalwa ibangelwa yigciwane le-herpes simplex (HSV) .Ngenxa yokuthi amasosha omzimba wabo awakakhuli ngokugcwele, bangagula kakhulu ngenxa yaleli gciwane le-HSV.
I-herpes idluliselwa kanjani ezinganeni ezisanda kuzalwa?
Ngokuvamile (85%) igciwane lidluliselwa kusuka kumama liye enganeni ngesikhathi sokubeletha . Lokhu kungenzeka uma igciwane lisebenza endaweni yokuzala kamama lapho umntwana ephuma ngomsele wokuzalwa.
Nakuba kungavamile (cishe u-10%), umntwana angangenwa yileli gciwane ngemva kokuchayeka kuleli gciwane ngemva kokuzalwa. Isibonelo, uma umuntu onezilonda ezibandayo ezindebeni eqabula umntwana . Noma uma umuntu onegciwane le-herpes esikhumbeni (i-herpetic whitlow) ethinta umntwana.
Kunethuba elincane kakhulu (cishe u-5%) lokuthi igciwane lizodlulela embungwini ngesikhathi sokukhulelwa . Odokotela bakubiza lokhu ngokuthi ukutheleleka kwangaphakathi kwesibeletho . Lokhu kusho ukuthi igciwane le-HSV lidlula kwi-placenta liye embungwini. Uma lokhu kwenzeka, izimpawu ezivamile ze-herpes ezinganeni ezisanda kuzalwa zingabonakala zingakapheli amahora angu-48 kusukela umntwana ezelwe. Ngezinye izikhathi, lokhu kutheleleka kwangaphakathi kwesibeletho kungabangela nokuphuphuma kwezisu.
Izici eziyingozi zokudluliselwa ngesikhathi sokubeletha
I-HSV ingadluliselwa kuphela ngesikhathi sokubeletha uma unegciwane le-herpes yobulili elisebenzayo ngaleso sikhathi. Okubalulekile, ungaba negciwane elisebenzayo ngisho noma ungenazo izimpawu. Igciwane lingatholakala emgudwini wakho wobulili (njengesitho sangasese sowesifazane kanye nomlomo wesibeletho) ngisho noma ungenazo izimpawu .
Ucwaningo lubonisa ukuthi ingozi yakho ingahluka kakhulu kuye ngokuthi uqala nini ukuthola ukutheleleka kwe-herpes:
- Ngesikhathi sokukhulelwa (uma ungakaze uvezwe ku-herpes ngaphambilini): Uma uba ne-herpes yobulili okokuqala ngesikhathi sokukhulelwa, ikakhulukazi ku-trimester yesibili, eduze kokubeletha, usengozini enkulu yokudlulisela i-herpes enganeni yakho. Odokotela bakubiza lokhu ngokuthi isiqephu sokuqala esiyinhloko . Yilapho uba ne-herpes yobulili ngesinye sezinhlobo ezimbili ze-HSV (i-HSV-1 noma i-HSV-2), futhi awunawo ukuvezwa ngaphambili kolunye uhlobo. Lokhu kusho ukuthi igciwane le-HSV selingene emzimbeni wakho okokuqala, futhi awunawo ama-antibodies ngokumelene nanoma yiluphi uhlobo. Uma uba nalolu gciwane oluyinhloko ngasekupheleni kokukhulelwa, igciwane lingaba khona kakhulu ezithweni zobulili zengane yakho ngesikhathi sokubeletha.
- Ngesikhathi sokukhulelwa (uma uke wavezwa kwenye i-HSV): Lokhu kusho ukuthi uthola ukutheleleka kwe-herpes yobulili nge-HSV eyodwa okokuqala ngesikhathi sokukhulelwa, kodwa une-antibodies emelene nayo ngenxa yokuvezwa ngaphambilini kwenye i-subtype. Ucwaningo lubonisa ukuthi kusenengozi enkulu yokudlulisela igciwane enganeni yakho, kodwa ingozi ingaba ngaphansi kunomuntu ongakaze avezwe ku-HSV. Lokhu kungenxa yokuthi ama-antibodies akho angaphambilini adlula nge-placenta aye enganeni yakho, enikeza isivikelo esithile.
- Ngaphambi kokukhulelwa: Uma ube ne-herpes yobulili ngaphambi kokuba ukhulelwe, ingozi yokudlulisela igciwane enganeni yakho iphansi. Igciwane kudingeka liphinde livuke ngesikhathi sokubeletha (ukutheleleka okuphindaphindiwe) ukuze lidluliselwe enganeni yakho. Nakuba i-HSV ingaphinde ivuke, ucwaningo lubonisa ukuthi ukutheleleka kabusha ngesikhathi sokukhulelwa cishe akubanga i-herpes yosana olusanda kuzalwa kunokutheleleka kokuqala. Lokhu kungenxa yokuthi ama-antibodies avela ekuthelelekeni kwakho kwangaphambilini adlulela enganeni yakho futhi ayivikele.
Kungani i-herpes ezinganeni ezisanda kuzalwa iyisimo esiyingozi?
I-herpes yezingane ezisanda kuzalwa iyisimo esiyingozi ngoba ingalimaza izitho zomntwana, ikakhulukazi ubuchopho . Isibonelo, ingabangela ukuvuvukala kobuchopho bomntwana (i-herpetic encephalitis) . Ngisho noma ingelashwa, i-herpes yezingane ezisanda kuzalwa ngezinye izikhathi ingaba yingozi.
Isifo sesikhumba, iso, nomlomo (i-SEM) ekuqaleni asithinti ubuchopho bomntwana noma izitho zangaphakathi. Kodwa siseyingozi ngoba singabangela umonakalo wamehlo unomphela ngisho nobumpumputhe . Uma singelashwa, i-SEM ingaqhubekela phambili ibe yisifo sobuchopho (isifo se-CNS) noma isifo esisabalele.
Indlela yokuxilonga i-herpes ezinganeni ezisanda kuzalwa?
Odokotela baxilonga i-herpes yezingane ezisanda kuzalwa ngokubukeza izimpawu zengane nokwenza izivivinyo. Bafuna ukuqeda ezinye izimo ezingabangela izimpawu ezifanayo. Isibonelo, kunesimo esivamile (futhi esingenangozi) esibizwa ngokuthi i-erythema toxicum neonatorum , esibangela nokuqubuka kwesikhumba kanye nama-blisters agcwele uketshezi.
Uma odokotela besola ukuthi i-herpes iyatholakala, bahlola umntwana ngokushesha ukuze babone ukuthi igciwane le-herpes simplex likhona yini emzimbeni womntwana.
Yiziphi ezinye izivivinyo okufanele zenziwe kumntwana wami?
Udokotela uzoqoqa amasampula oketshezi emzimbeni wengane yakho. Lokhu kuzobandakanya ukusebenzisa i-swab ukuze kuthathwe amasampula ngokucophelela kulezi zindawo zomzimba wengane yakho:
- Ngomlomo.
- Ngamehlo.
- Kusukela emphinjeni (ingxenye ephezulu ebizwa ngokuthi i-nasopharynx).
- Nge-anus.
- Uma kukhona amabhamuza, avela kulawo mabhamuza.
Udokotela wengane yakho angase futhi aqoqe lawa masampula:
- Igazi.
- Uketshezi lwe-cerebrospinal (CSF) . Lolu uketshezi oluthathwe emgogodleni wengane. Lokhu kudinga ukubhobozwa kwe-lumbar .
Ukuhlolwa kwelebhu
Udokotela womntwana uzothumela la masampula elabhorethri ukuze ahlolwe. Ukuhlolwa okungenziwa kufaka phakathi:
- Ukuhlolwa kokukhuliswa kwegciwane: Lokhu kusebenzisa amasu akhethekile ukukhulisa igciwane le-HSV kusampula yoketshezi. Uma kungekho sibonakaliso sokukhula ngemva kwezinsuku ezinhlanu, odokotela bavame ukucabanga ukuthi ukuhlolwa akunawo umphumela (i-HSV ayikho).
- Ukuhlolwa kwe-PCR (Polymerase Chain Reaction):Lokhu kuhlolwa kubheka i-DNA yegciwane le-herpes simplex oketshezini lomzimba. Odokotela bavame ukusebenzisa amasampula oketshezi lwe-cerebrospinal kulokhu kuhlolwa ukuze babone ukuthi igciwane lithinte yini uhlelo lwezinzwa lomntwana.
Ezinye izinhlobo zokuhlolwa
Uma ukuhlolwa kwelebhu kuqinisekisa ukuthi ingane yakho ine-herpes, ithimba lezokwelapha lengane yakho cishe lizokwenza nalezi zivivinyo:
- Ukuhlolwa kwe-X-ray esifubeni.
- Ukuhlolwa kwe-X-ray yesisu.
- Ukuthwebula izithombe zobuchopho, njenge-MRI scan (i-magnetic resonance imaging scan).
- Ukuhlolwa kwamehlo okuningiliziwe.
Konke lokhu kusiza odokotela ukuthi bafunde kabanzi ngendlela igciwane elithinte ngayo izingxenye ezahlukene zomzimba womntwana. Basebenzisa lolu lwazi ukuthuthukisa uhlelo lokwelapha umntwana.
Yiziphi izindlela zokwelapha i-herpes ezinganeni ezisanda kuzalwa?
Uma odokotela besola ukuthi ingane yakho ine-herpes yengane esanda kuzalwa, cishe bazoyilalisa esibhedlela ukuze ithole ukwelashwa .
Odokotela basebenzisa umuthi olwa namagciwane obizwa ngokuthi i-acyclovir ukwelapha i-herpes ezinganeni ezisanda kuzalwa. Ingane yakho izonikezwa lo muthi ngemithambo (IV) bese iwuthatha njengoketshezi (ngomlomo) . Nakhu ongakulindela:
- Uma ingane yakho inesifo sesikhumba, amehlo, nomlomo (SEM) , izodinga ukwelashwa nge-IV izinsuku ezingu-14. Ngemva kwalokho, kuzodingeka iqedele inkambo yezinyanga eziyisithupha yemithi yomlomo. Lokhu kuzonciphisa ingozi yokuthi amabhamuza esikhumba abuye.
- Uma ingane yakho inesifo sesimiso sezinzwa esiyinhloko (CNS) noma isifo esisabalele , izodinga ukwelashwa nge-IV izinsuku ezingu-21. Ngemva kokuqeda ukwelashwa nge-IV, ingane yakho kuzodingeka iphuze imithi yomlomo izinyanga eziyisithupha. Lokhu kusiza ukusekela ukukhula kwemizwa yengane yakho futhi kunciphisa ingozi yemiphumela yesikhathi eside ebuchosheni.
Kubalulekile ukwazi ukuthi ezinye izingane ezinezimo ezihlobene ne-CNS zingadinga ukwelashwa nge-IV izinsuku ezingaphezu kuka-21. Isimo esihlobene ne-CNS yilapho ukuhlolwa kolwelo lomgogodla (i-CSF) kukhombisa ukuba khona kwegciwane le-HSV olwelweni lomgogodla lomntwana. Lokhu kungaba ngenxa yesifo se-CNS noma isifo esisabalele.
Uma kunjalo, ingane kuzodingeka ihlolwe umgogodla ukuze kuqinisekiswe ukuthi igciwane seliphumile ngokuphelele ebuchosheni. Ukuhlolwa kumele kube ne-negative ngaphambi kokuba ukwelashwa nge-IV kumiswe. Ezinye izingane zingathatha elinye isonto noma ngaphezulu ukususa igciwane ebuchosheni. Kungaleso sikhathi kuphela lapho zingaqala khona ukwelashwa ngomlomo.
Iyini iphupho lomntwana one-herpes?
Umbono wengane yakho uncike ezintweni eziningi. Isibonelo, uhlobo lwe-herpes ingane yakho enalo nokuthi ukwelashwa kulilawula kahle kangakanani igciwane. Ithimba lezokwelapha lengane yakho lingakutshela ngqo ukuthi yini ongayilindela esikhathini esiseduze neside. Iningi lezingane ezine-herpes ezisanda kuzalwa liyalulama . Kodwa-ke, kwezinye izimo, lesi simo singaba yingozi.
Ngenxa yemithi yokulwa namagciwane, izingane eziningi ziyasinda namuhla kunanini ngaphambili. Namuhla, ama-71% ezingane ezinezifo ezisakazekile kanye nama-96% ezingane ezine-CNS isifo zisinda okungenani kuze kube usuku lwazo lokuzalwa lokuqala.
I-Herpes ezinganeni ezisanda kuzalwa ngezinye izikhathi ingabangela imiphumela yesikhathi eside, okuhlanganisa:
- Ukulibaziseka kokukhula ( ukubambezeleka kokufinyelela izigaba zokukhula ngesikhathi esilindelwe).
- Ukukhubazeka kwengqondo.
- I-Cerebral palsy (ubuthakathaka ekunyakazeni).
- Isifo sokuwa.
Izindaba ezinhle ukuthi ukungenelela kusenesikhathi (imisebenzi nezinsizakalo ezenzelwe izidingo zengane ngayinye) kanye nokusekelwa okuqhubekayo kungasiza ingane yakho. Isibonelo, ingane yakho ingazuza ekwelashweni ngokomzimba, ekwelashweni kwenkulumo, kanye nobuchwepheshe bokusiza (njengezifundi zesikrini).
Ingabe i-herpes ezinganeni ezisanda kuzalwa ingavinjelwa?
Odokotela benza konke okusemandleni abo ukuvimbela i-herpes ezinganeni ezisanda kuzalwa. Nakhu okudingeka ukwazi:
- Imithi yokulwa namagciwane ingasiza: Uma uke waba ne-herpes yobulili ngaphambilini, udokotela wakho angase akunikeze imithi yokulwa namagciwane okufanele uyithathe emasontweni ambalwa okugcina okukhulelwa kwakho. Lokhu kunganciphisa ingozi yokutheleleka okubuya ngesikhathi sokubeletha futhi kungavumela nokubeletha kwesitho sangasese sowesifazane okunengozi encane.
- Ukuhlinzwa ngokuhlinzwa (C-section) kungaba okuphephile: Ngezinye izikhathi odokotela batusa ukuhlinzwa ngokuhlinzwa uma izinzuzo zidlula izingozi. Isibonelo, cishe bazokwenza ukuhlinzwa ngokuhlinzwa uma unegciwane elisebenzayo ngesikhathi sokubeletha. Kuleso simo, ingane isengozini enkulu yokutheleleka kunalapho ubungabeletha ngesitho sangasese sowesifazane. Ngakho-ke, ukuhlinzwa ngokuhlinzwa kuphephile.
- Odokotela benza izinguquko ngesikhathi sokubeletha: Uma ubeletha ngesitho sangasese sowesifazane, udokotela wakho angashintsha ukuthi yimiphi imishini abayisebenzisela ingane yakho. Isibonelo, bangase bangasebenzisi i-fetal scalp monitor ngoba ingabangela ukuphuka okuncane esikhumbeni somntwana wakho. Uma ingane yakho iphuka esikhumbeni sayo, kulula ukuthi igciwane le-HSV lingene futhi libangele ukutheleleka. Odokotela bazonquma ukuthi yimiphi imishini okufanele bayisebenzise nokuthi yimiphi okungafanele bayisebenzise ngokusekelwe engcupheni yokutheleleka kwengane yakho.
- Wena nodokotela wakho niseqenjini elifanayo: Ukukhuluma nodokotela wakho ngocansi akulula ngaso sonke isikhathi. Kungaba yinto engakhululekile, futhi kungazwakala njengento ongafuni ukuyenza. Kodwa ukukhuluma nodokotela wakho ngezindlela zokuvimbela i-herpes yobulili kungasiza ekuvikeleni wena nomntwana wakho. Isibonelo, uma usengozini yokutheleleka okusha kwe-herpes, udokotela wakho angakweluleka ukuthi unciphise noma uyeke ukwenza ucansi phakathi nezinyanga ezintathu zokugcina zokukhulelwa. Ukuchayeka kokuqala ku-HSV-1 noma i-HSV-2 ngesikhathi sokukhulelwa sekwephuzile kuyisici esiyinhloko sengozi ye-herpes esanda kuzalwa.
Kufanele ngimbone nini udokotela?
Uma ingane yakho inezimpawu ze-herpes ye-neonatal, bheka udokotela ngokushesha . I-herpes ye-neonatal idinga ukwelashwa okusheshayo. Uma ingane yakho isheshe ithole ukwelashwa, amathuba okusinda nokululama ayanda ngemiphumela emincane noma engekho yesikhathi eside. Ungalindi kuze kube yilapho ingane yakho ihlolwa kabusha.
Ingabe izingane zingaba nezilonda zomkhuhlane ezindebeni zazo?
Yebo. Izingane zingaba nezilonda zomkhuhlane ezindebeni zazo uma zivezwa kugciwane le-herpes simplex (HSV). Leli gciwane lingenza izingane ezisanda kuzalwa zigule kakhulu. Uma ucabanga ukuthi ingane yakho ivezwe noma uma ibonisa izimpawu, bona udokotela.
Ingabe umuntu one-herpes angaba nomntwana?
Kunjalo impela. Abantu abanomlando we-herpes yobulili bazala izingane ezinempilo. Eqinisweni, uma utholakale une-herpes yobulili, kungenzeka kakhulu ukuthi ube nomntwana ngaphandle kwegciwane elibangela izinkinga. Lokhu kungenxa yokuthi ukutheleleka kwe-herpes okuphindaphindiwe cishe akubanga i-herpes yosana olusanda kuzalwa kunokutheleleka kokuqala.
Kodwa-ke, kubalulekile ukukhuluma nodokotela wakho ngomlando wakho wezokwelapha ukuze bakwazi ukuthatha izinyathelo zokuphepha ezidingekayo ngesikhathi sokukhulelwa nokubeletha.
Kungenzeka ukuthi ulungiselele izinto eziningi, kodwa cishe awulindelanga into efana nale. Ukuxilongwa kwe-herpes kumntwana osanda kuzalwa kungaba yinto eshaqisayo, ikakhulukazi uma ungacabangi ukuthi kungenzeka. Bhekana nalesi simo usuku nosuku, mhlawumbe ihora nehora.
Iningi lezinsana lisabela kahle ekwelashweni. Isayensi yezokwelapha isithuthuke kakhulu ngokuhamba kwesikhathi, ngakho-ke kunesizathu esiningi sokuba nethemba.
Uma uzizwa wesaba noma ukhungathekile, thola ukwesekwa eqenjini lezokwelapha lengane yakho. Bangakusiza uqonde izinyathelo ezilandelayo zokwelashwa nokuthi yini ongayilindela usuku nosuku.
Masikhumbule izinto ezibaluleke kakhulu (Umyalezo Wokuya Ekhaya)
- I-herpes yezingane ezisanda kuzalwa iyisifo esingaba yingozi kakhulu ezinganeni.
- Ngokuvamile idluliselwa kusuka kumama iye enganeni ngesikhathi sokubeletha .
- Amaqhubu esikhumba somntwana, ukozela ngokweqile, ukungancelisi, ubunzima bokuphefumulaUma ubona izimpawu ezinjengalezi, funa iseluleko sezokwelapha ngokushesha .
- Ukwelashwa okusheshayo kungasindisa impilo yengane futhi kunciphise izinkinga zesikhathi eside.
- Uma une-herpes, kubaluleke kakhulu ukukhuluma nodokotela wakho ngakho ngesikhathi sokukhulelwa ukuze ukwazi ukuthatha izinyathelo zokuvimbela ukudlulisela lesi sifo enganeni yakho.
- Ungakhathazeki , ngokwelashwa okufanele kanye nothando lwakho nokunakekela, izingane eziningi ziyalulama.
Khumbula, awuwedwa. Odokotela bakhona ukukusiza wena nomntwana wakho. Ngakho khuluma nabo nganoma yini.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Ingabe isibeletho esiphumile sisho ukuthi isibeletho siphuma esithweni sangasese sowesifazane?
Yilokho okwenzekayo lapho isimo sibi kakhulu! Isibeletho sibanjwe phezulu emgodini we-pelvic yimisipha nemisipha. Lapho le misipha iba buthaka ngenxa yokubeletha, ukuguga, noma ukuphakamisa okunzima, isibeletho siyashelela phansi esithweni sangasese sowesifazane bese siphuma/siphuma.
💬 Owesifazane uzizwa kanjani uma isibeletho sakhe sehla kanje?
Akukho buhlungu ezigabeni zokuqala. Kodwa kukhona 'ubunzima, umuzwa wokudonsa' ongabekezeleleki esiswini esingezansi (ubunzima be-pelvic). Bazizwa sengathi kukhona ibhola esithweni sangasese sowesifazane noma bazizwa sengathi bahleli ebholeni. Futhi, ngenxa yokuthi isibeletho esiwile phansi futhi sicindezela esinyeni, umchamo uyavuza ngokuzumayo lapho ukuhleka/ukuthimula kanye nokutheleleka komgudu womchamo kuvamile.
💬 Uyifaka kanjani isibeletho bese usiphulukisa ngemva kokuba siphume kanje?
Uma i-prolapse ingaphansi kakhulu (i-prolapse encane), ukwenza izivivinyo ze-Kegel ukuqinisa imisipha yesitho sangasese sowesifazane kwanele. Kodwa-ke, uma isibeletho siphansi kakhulu futhi siphuma, odokotela bafaka indandatho ye-silicone (i-vaginal pessary) ukuze babambe isibeletho siphakame. Noma bathunga izindonga ngokuhlinzwa (ukuhlinzwa), noma basuse isibeletho ngokuphelele (i-hysterectomy).
i- herpes yezingane ezisanda kuzalwa, i-herpes yezingane, i-HSV, ukutheleleka kwezingane, amabhamuza esikhumba, ukutheleleka kobuchopho, i-herpes ngesikhathi sokukhulelwa











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