Uke wezwa ngaleli gciwane elibizwa ngokuthi i-Group B Strep (GBS) ngesikhathi sokukhulelwa kwakho? Ake sithole ukuthi liyini ngempela!

Njengomama ngesikhathi sokukhulelwa, cishe unemibuzo eminingi nokungabaza, akunjalo? Ikakhulukazi ngempilo yengane yakho. Yilokho esizokhuluma ngakho namuhla. Leyo yi-Group B Strep, noma i-GBS ngamafuphi. Cishe uke wezwa ngaleli gama ngaphambili. Ungakhathazeki, sizokhuluma ngalo kalula, ngendlela ongayiqonda.

Kuyini i-Group B Strep (GBS)? Masiyiqonde kalula!

Kalula nje, i-Group B Strep, noma "i-Group B Streptococcus" luhlobo lwebhaktheriya. Njengezinye izinhlobo zamabhaktheriya atholakala emizimbeni yethu, ngezinye izikhathi emilonyeni nasemathunjini ethu, amagciwane e-GBS angatholakala nasezingxenyeni ezithile zomzimba wethu, ikakhulukazi emgudwini womchamo, ohlelweni lokugaya ukudla (okungukuthi, emathunjini), kanye nasezinhlelweni zokuzala zabesifazane (njengesitho sangasese sowesifazane).

Cabanga ngakho njengesivakashi emizimbeni yethu. Okusho ukuthi, ngezinye izikhathi leli gciwane lingaba semizimbeni yethu, futhi ngezinye izikhathi linganyamalala. Into ebaluleke kakhulu ukuthi yize leli gciwane le-GBS lisemzimbeni, abantu abaningi abanazo izinkinga noma izifo ezivela kulo. Ngakho-ke, abantu abaningi abazi nokuthi banaleli gciwane emizimbeni yabo. Ngakho-ke, ukuba ne-GBS nje akusona isifo esikhulu.

Yiziphi izinkinga ezingabangelwa yi-GBS? Ingabe ithinta wonke umuntu?

I-GBS ayiyona inkinga enkulu yezempilo kubantu abadala abanempilo. Kodwa-ke, abanye abantu, njengabantu asebekhulile, labo abanezinye izifo ezingamahlalakhona (njengesifo sikashukela), noma labo abanezivikeli mzimba ezibuthakathaka, ngezinye izikhathi bangathola izifo ezivela kumagciwane e-GBS. Ukutheleleka okunjalo kungathinta igazi, amaphaphu, isikhumba, noma amathambo.

I-GBS ibathinta kanjani omama abakhulelwe?

Manje ake sibheke ukuthi lokhu kubathinta kanjani abesifazane abakhulelwe. Ucwaningo luthole ukuthi cishe oyedwa kwabesifazane abane abakhulelwe (cishe u-25%) angaba namagciwane e-GBS emizimbeni yabo. Njengoba kushiwo ngaphambili, akuwona wonke umuntu onawo ozogula. Kodwa-ke, abanye omama abane-GBS ngesikhathi sokukhulelwa bangase babe nokutheleleka komgudu womchamo (i-UTIs), ukutheleleka kwe-placenta, ukutheleleka kwesibeletho, noma ukutheleleka kwe-amniotic fluid.

Into ebalulekile ukuthi noma umama okhulelwe engenazo izimpawu zokutheleleka nge-GBS, uma enaleli gciwane emzimbeni wakhe, igciwane lingadluliselwa enganeni ngesikhathi sokubeletha (ngesikhathi sokubeletha kanye nokubeletha), okusho ukuthi ingane nayo ingalithola. Yingakho sikhathazeke kakhulu nge-GBS ngesikhathi sokukhulelwa.

I-GBS ithinta kanjani izingane?

Esikhathini esiningi, uma umama one-GBS enikezwa ama-antibiotic ngesikhathi sokubeletha, ingane yakhe ngeke ibe nezinkinga. Ingane izoba nempilo enhle. Kodwa-ke, ezinye izingane zingaba nesikhathi esinzima kakhulu ngaleli gciwane le-GBS, futhi zingagula kakhulu.

IkakhulukaziIzingane ezizalwa ngaphambi kwesikhathi zisengozini enkulu yokuthola ukutheleleka nge-GBS ngoba izinhlelo zomzimba wazo, ikakhulukazi isimiso somzimba esilwa nezifo, asikakhuli ngokugcwele.

Kunezinhlobo ezimbili eziyinhloko zezimo ezibangelwa yi-GBS ezinganeni:

1. Ukutheleleka kokuqala: Lokhu kwenzeka phakathi nesonto lokuqala lokuphila. Ngokuvamile , izimpawu ziqala ukuvela zingakapheli amahora angama-24 kusukela ekuzalweni.

2. Ukutheleleka okufika sekwephuzile: Lokhu kwenzeka emavikini ambalwa, noma ngisho ezinyangeni, ngemva kokuzalwa komntwana. Odokotela abakaqondi ngokugcwele ukuthi lesi sifo se-GBS esifika sekwephuzile siqala kanjani.

Ziyini izimpawu ze-GBS ezinganeni?

Kungakhathaliseki ukuthi ingane esanda kuzalwa noma ingane enezinyanga ezimbalwa ubudala ine-GBS, ingase ibonise izimpawu ezifana nalezi. Njengomama, kubaluleke kakhulu ukuthi niqaphele lezi:

• Umkhuhlane: Ukushisa komzimba okwenyukayo.
• Ubunzima bokuphuza ubisi: Ingane ayifuni ukuphuza ubisi, futhi ayinceli kahle.
• Ubunzima bokuphefumula: ukuphefumula okusheshayo, ukukhwehlela, ukuzizwa ufuthwe.
• Ukukhala njalo noma ukungahlaliseki: Ingane ithukuthele kakhulu kangangokuthi kunzima ukuyithulisa.
• Ayinampilo noma ibuthakathaka: Ingane ingase ibonakale ingenampilo futhi inemilenze egobile.
• Ubunzima bokulawula izinga lokushisa lomzimba: Umzimba awukwazi ukugcina izinga lokushisa elingaguquki (mhlawumbe umkhuhlane, ngezinye izikhathi ubanda).

Kwenzekani uma i-GBS iba nzima enganeni?

Uma i-GBS iba nkulu enganeni, ingabangela izinkinga ezinkulu kakhulu. Eziyinhloko yilezi:

• I-pneumonia: Ukutheleleka kwamaphaphu.
• I-Sepsis: Ubuthi egazini. Lesi yisimo esibi esithinta umzimba wonke.
• I-Meningitis: Ukutheleleka kwe-membrane kanye noketshezi oluzungeze ubuchopho kanye nomgogodla. Siphinde sikubize ngokuthi "umkhuhlane wobuchopho."

Lesi simo, esibizwa ngokuthi 'i-Meningitis', sivame kakhulu 'nge-GBS eqala sekwephuzile'. Uma 'i-Meningitis' iqala, ezinye izingane zingase zilahlekelwe ukuzwa, zilahlekelwe umbono, zibe nokukhubazeka kokufunda, zibe 'nokuquleka', futhi ngeshwa, ngezinye izikhathi zize zife. Ngakho-ke, i-GBS akuyona into okufanele ithathwe kalula.

I-Group B Strep (GBS) itholakala kanjani?

Ngenhlanhla, manje kunezindlela zokuhlola abesifazane abakhulelwe i-GBS.

Indlela yokuhlola abesifazane abakhulelwe

Abesifazane abakhulelwe bavame ukuhlolwa i-GBS ngasekupheleni kokukhulelwa kwabo, phakathi kwamasonto angu-35 no-37. Lokhu kuhlolwa kulula, akubizi, futhi akubuhlungu. Kubizwa ngokuthi 'ukuhlolwa kwesiko'.

Lokhu kuhilela ukusebenzisa i-swab enkulu ukuqoqa amasampula esithweni sangasese sowesifazane kanye ne-rectum (lapho kuphuma khona indle). Lawa masampula athunyelwa elabhorethri ukuze ahlolwe ukuthi akhona yini amagciwane e-GBS. Imiphumela ivame ukutholakala zingakapheli izinsuku ezintathu.

Uma lokhu kuhlolwa kuthola amagciwane e-GBS, kuthiwa umama "une-GBS-positive." Khumbula, ukuba ne-GBS-positive kusho ukuthi unamagciwane emzimbeni wakho. Akusho ukuthi wena noma ingane yakho nizogula nakanjani. Omama abaningi abane-GBS kanye nezingane zabo baphilile.

Indlela yokuhlola ingane nge-GBS

Ukuze wazi ngokuqinisekile ukuthi ingane inegciwane le-GBS, kungaba isampula yegazi noma isampula yoketshezi lomgogodla (lokhu kuhlolwa okuthatha uketshezi emgogodleni) kudingeka kuhlolwe.

Kodwa-ke, akuwona wonke umntwana ozelwe ngumama one-GBS odinga lezi zivivinyo. Ezimweni eziningi, izingane ezinempilo nezingenazo izimpawu ziqashwe eduze odokotela nabahlengikazi ukuthola izimpawu zokutheleleka nge-GBS.

Iphathwa kanjani i-Group B Strep (GBS)?

Izindaba ezinhle kakhulu ukuthi i-GBS inomuthi.

Ukwelashwa komama abakhulelwe

Uma odokotela behlola umama okhulelwe futhi bethola ukuthi une-GBS-positive, umama uzonikezwa ama-antibiotic e-intravenous (ama-antibiotic e-IV) ngesikhathi sokubeletha. Lawa ma-antibiotic abulala amagciwane e-GBS. Ngokuvamile, i-antibiotic esetshenziswayo yi-penicillin. Kodwa-ke, uma umama ene-allergy ku-penicillin, kuzonikezwa amanye ama-antibiotic afanele esikhundleni salokho.

Kungcono kakhulu futhi kusebenza kahle ukuqala la ma-antibiotic okungenani amahora ama-4 ngaphambi kokuba umntwana azalwe. Lesi sinyathelo esilula singavimbela kakhulu ukudluliselwa kwamagciwane e-GBS kusuka kumama kuya enganeni.

Kwezinye izimo, odokotela banquma ukunikeza ama-antibiotic ngesikhathi sokubeletha, noma ngabe umama okhulelwe akahlolwanga i-GBS. Amacala anjalo afaka:

• Uma ukubeletha kuqala kusenesikhathi (uma umntwana ekhulelwe inyanga eyodwa ngaphambi kwesikhathi) ngaphambi kokuba kwenziwe ukuhlolwa kwe-GBS.
• Uma ukuhlolwa kwe-GBS kungenziwanga, futhi amanzi ephuka, umntwana kufanele aphuze amahora angu-18 noma ngaphezulu .
• Kuthiwani uma umama eba nomkhuhlane ngesikhathi sokubeletha ngaphandle kokuhlolwa i-GBS?
• Uma uke waba nokutheleleka kwesinye ngenxa ye-GBS phakathi nalokhu kukhulelwa.
• Uma uke waba nomntwana one-GBS ngaphambilini.

Okubalulekile, ama-antibiotic anikezwa ngesikhathi sokubeletha angavimbela kuphela isifo se-GBS esiqala kusenesikhathi. Imbangela eqondile yesifo se-GBS esiqala sekwephuzile ayaziwa, ngakho-ke ayikho indlela yokusivimbela. Kodwa-ke, abacwaningi basebenza ukuthuthukisa umuthi wokugomela ongavimbela ukutheleleka kwe-GBS.

Ukwelashwa kwengane

Izingane ezine-GBS nazo zelashwa ngama-antibiotic. Kubalulekile ukuqala la ma-antibiotic ngokushesha okukhulu. Lokhu kungasiza ekuvimbeleni ukwakheka kwezinkinga ezinkulu. Lezi zingane zingadinga nezinye izindlela zokwelapha ngaphezu kwama-antibiotic. Isibonelo, usizo lokuphefumula kanye noketshezi lwe-IV.

Yini ongayenza ukuze uvimbele ukutheleleka kwe-Group B Strep (GBS)? Umyalezo wethu wokugcina!

Kulungile, ngakho-ke sesikhulume kakhulu nge-GBS. Ngithemba ukuthi usunokuqonda okuhle manje. Okokugcina, kufanelekile ukukhumbula lezi zinto:

• Ngenxa yokuthi amagciwane e-GBS ahlala engena emizimbeni yethu, kubalulekile ukuthi uhlolwe i-GBS njalo uma ukhulelwa. Ukuthi nje awuzange ube ne-GBS ekukhulelweni kwangaphambilini akusho ukuthi ngeke ube nayo kulokhu. Futhi ukuthi nje wawunayo esikhathini esidlule akusho ukuthi nakanjani uzoba nayo kulokhu. Yingakho kubalulekile ukuthi uhlolwe.
• Uma kutholakala ukuthi une-GBS, ungakhathazeki. Uma uthatha ama-antibiotic ngesikhathi esifanele ngesikhathi sokubeletha, isikhathi esiningi, ngeke kube nezinkinga kuwe noma enganeni yakho. Iningi lomama alidluliseli ukutheleleka kwe-GBS ezinganeni zabo ngenxa yalolu hlobo lokwelashwa.
• Uma une-GBS, iya esibhedlela ngokushesha okukhulu ngemva kokuqala kokubeletha, kunokulinda ekhaya. Ukuqala ama-antibiotic e-IV okungenani amahora ama-4 ngaphambi kokuba ingane yakho izalwe kungasiza ekuvikeleni ingane yakho ekuqaliseni i-GBS kusenesikhathi.
• Uma uneminye imibuzo noma ukukhathazeka nge-GBS, ungangabazi ukukhuluma nodokotela wakho. Angachaza okwengeziwe kuwe futhi akunike iseluleko osidingayo.

Khumbula, ukuqaphela kuyindlela engcono kakhulu yokuzivikela. Isifiso sethu kuphela ukuthi wena nomntwana wakho nihlale niphilile!

I - Group B Strep, ukukhulelwa, ukuhlolwa kwe-GBS, ama-antibiotic, impilo yosana olusanda kuzalwa