Iimpembelelo ze-Chicken Pox kumfazi okhulelweyo kunye nomntwana ongakazalwa
Yintoni oyifunayo ukuba uyazi ukuba utyhila okanye ukhuphule inkukhu ngexesha lokukhulelwa? Inkukhu ingayichaphazela njani umntwana wakho kwaye ingazichaphazela njani impilo yakho? Ingaba kukho nto ongayenza ukukhusela inkukhu yakho okanye umntwana wakho?
Inkukhu yokukhulelwa
I-chickenpox ihlala yinto enobungozi, ingabalulekanga, intsholongwane ye-virus eyenziwa yi-virus ye-varicella.
Nangona kunjalo, inkukhu yenkukhu efunyenwe ngexesha lokukhulelwa ibangela umngcipheko ophezulu weengxaki kumama nosana. Ixesha losulelo , nokuba ngaba ekhulelwe ukukhulelwa okanye ekufutshane neenkonzo, idlala indima ebalulekileyo kumngcipheko kumntwana nomntwana.
Abafazi abakhulelweyo baboniswe kwiPox Pox
Abafazi abakhulelweyo abanembali yentsholongwane yesandulela ngculaza okanye abaye banokugonywa banamagciwane okusuleleka kwintsholongwane. Ezi zikhuhlane zihanjiswa kwintsana ngokusebenzisa i-placenta phakathi kokukhulelwa. Ngoko ke, abafazi abakhulelweyo abanamajoni omzimba kwaye bafumana umntu onenkomo yenkukhu akudingeki bakhathazeke malunga neengxaki zabo okanye abantwana babo.
Ngokwahlukileyo, abasetyhini abanomdla wokukhupha inkukhu (mhlawumbi ngokungabikho isifo okanye bengagonywanga) basengozini. Ukuba ukholelwa ukuba uye wahlwayelwa kwinkukhu ngelixa ukhulelwe ugqirha ugqirha wakho ngokukhawuleza.
Ukongeza abesetyhini abangenakuzivikela kumaricella, kodwa bavezwa bangaphathwa nge-varicella-zoster immunoglobulin (VZIG), into eyenza i-immune response response against virus virus.
Ukuvavanywa kweNtsholongwane ekukhulelweni
Bonke abesetyhini kufuneka babuze imibuzo malunga nokusuleleka kwintsholongwane ye-inkukhu okanye ukugonywa kwindwendwe yabo yokuqala.
Kula mabhinqa abangazikhumbuliyo iintsholongwane zangaphambili okanye ukugonywa, ama-80 ukuya kuma-90 ekhulwini anama-antibodies kwaye anqatshelwe ukuba ngumzimba. Ngenxa yalesi sizathu, ukuvavanywa kwama-antibodies malunga nekhukhupox njengobungqina bokungakhuselekanga kuxabana, kodwa oogqirha abaninzi bafumana olu vavanyo ngethuba lokuqala lokutyelela.
Inconywa yokulwa nenkukhu ngexesha lokukhulelwa ayikhuthazwa. Umgomo wokugonywa ngumkhuhlane we-inkukhu "uyigciwane lesandulela ngculaza" kwaye unomngcipheko wokubangela usuleleko, ingakumbi kulabo abangaxilwanga okanye abakhulelweyo.
Iingxaki zoMama zePix Pox ekukhulelweni
Usulelo olusisiseko senkukhu lwe-inkukhu lwenzeka kuphela ngo-0.05 ukuya kwi-0.07 ekhulwini lokukhulelwa kuba abaninzi abafazi abaneminyaka yobudala yokubeletha banokukhuseleka kwintsholongwane ye-varicella (ngenxa yentsholongwane yangaphambili okanye ukugonywa.) Abasetyhini abafumana inkomo yenkukhu ngelixa bekhulelwe, ngakumbi kwi-trimester yesithathu , basengozini enkulu yokuphuhlisa i-varicella pneumonia. I-Varicella pneumonia yintsholongwane ebungozi yobomi bemiphunga yi-virus ye-varicella.
Iingxaki zeintsana ze-Chicken Pox kwi-Early pregnancy
Ukusuleleka kokuqala kwenyanga yokukhulelwa, ngokukodwa iiveki 8 ukuya ku-12, ihamba nengozi ye-2.2 ye-congenital varicella syndrome.
Ukubonakaliswa kwe-varicella syndrome ebantwini kubandakanya:
- Ukuqhekeka kwesikhumba
- I-Microcephaly (incinci ngaphezu kwentloko evamile)
- Iingxaki zamehlo
- Isisindo sokuzalwa esincinane
- Ukulahlwa kwengqondo
Iingxaki zeintsana zeeNgqimba ekukhulelweni
Iingqungquthela yimeko ebangelwa ukuvuselelwa kwakhona kwintsholongwane yenkukhu nangayiphi na ixesha emva kokusuleleka kosulelo. Emva kokusuleleka kwintsholongwane yokukhusela inkukhu, intsholongwane ihlala ilele, kwaye iyakwenza kwakhona, ingakumbi xa umzimba ungagxininiswa. Nangona singalivumi kangako malunga nefuthe lokukhangela ukukhulelwa, uvavanyo lwango-2016 lufumene ukuba ngamabhinqa angama-130 awanikela iintsana nge-congenital varicella syndrome, ii-2 zale matyala zazixhomekeke kwizibhinqa kunokuba zikhuselwe yi-chickenpox.
Ukuqwalasela iimpawu zokuqala kunye neempawu zokubethelela kubalulekile ukuba wonke umntu, ngakumbi oomama abakhulelweyo, njengonyango kunokunciphisa kakhulu ubunzima besifo, kodwa kuphela xa kuqalwe ngeentsuku zokuqala zokugula.
Iingxaki zeintsana ze-Chicken Pox kwi-pregnancy late
Ukuba ibhinqa ifumana intsholongwane ye-inkukhu ephambili yintsholongwane nayiphi na ixesha kwixesha elithatha iintsuku ezingama-5 ngaphambi kweentsuku ezimbini emva kokusondeza, usana lwakhe lusengozini yokusasazeka kwe-varicella. Ukusasazeka kwintsholongwane ka-varicella kwenzeka xa intsholongwane ichaphazela intsana ngaphambi kokuba kudluliselwe ama-antibodies okukhusela abantwana. Olu tshintsholongwane olunegciwane lesandulela ngculaza lubangele ukufa kuma-30 ekhulwini kwabantwana abaye bahlakulela isifo, kodwa izinga lokufa liye lahla ukuya kuma-7 ekhulwini kunye nokusetyenziswa kwe-varicella zoster immune globulin.
Unyango lwabafazi abakhulelweyo abanePox Pox
Abasetyhini abafumana inkomo yenkukhu ephambili ngexesha lokukhulelwa kufuneka baphathwe ngeyeza lokubulala unqulo lwezilwanyana i-Zovirax (i-acyclovir,) iyezayeza ezibonakalayo zineempembelelo ezifanelekileyo zokukhulelwa. Abafazi abakhulelweyo abane-varicella pneumonia kufuneka baphathwe nge-acyclovir ene-intravenous kwaye babone esibhedlele.
Unyango lweintsana kunye nePox Pox
Iintsana ezinomama abahlakulela i-varicella iintsuku ezingama-5 ngaphambi kokuziswa okanye iintsuku ezilandelayo emva kokuziswa kufuneka bafumane i-varicella zoster immunoglobulin (VZIG) emva kokuzalwa.
Iintsana ezihlakulela i-varicella phakathi kweeveki zokuqala ezimbini zobomi kufuneka ziphathwe nge-acyclovir ene-intraveous acyclovir.
I-Postpartum Vaccination
Bonke abafazi abafunyanwe bengagxininisi kwi-inkukhu ngexesha lokukhulelwa, kwaye abayikuhlakulela isifo ngexesha lokukhulelwa, kufuneka bagonwe kwixesha lokugqibela lokukhusela ukukhusela umngcipheko wokukhulelwa emva koko.
Ngaphantsi kwi-Chickenpox okanye i-Chickenpox Exposure Ngethuba lokukhulelwa
Oku kunokwenkqisayo xa uhlakulela okanye unobonkcox ngexesha lokukhulelwa. Usenokuba ulivile amabali malunga nendlela inkukhu inokuchaphazela ngayo abantwana abangakazalwa okanye abantwana emva nje kokuzalwa. Ngenhlanhla, kukho izinto ezininzi ezinokuthi zinciphise umngcipheko weenkukhu zombini kunye nosana lwakho, okanye ukunyanga ukusuleleka.
Abo baceba ukukhulelwa kufuneka bafumene ukuba babe ne-inkukhu kunye nokuba bafumana isitofu. Ukuba imeko ye-immune ingaziwa, ukuhlolwa kwegazi ukujonga ukhuseleko kungenziwa kunye nesitofu sokugonya xa kunesidingo. Ukuba uceba ukugonywa, kuyacetyiswa ukuba wenze njalo ezinyangeni ezintathu okanye ngaphezulu ngaphambi kokukhulelwa.
Ukuba ukhulelwe kwaye ungaqiniseki ngokukhusela kwakho kwintsholongwane, khuluma nomgqirha wakho. Unokuvavanywa ekutyelelweni kwakho kokuqala kokubeletha. Ukuba ufumaneke kwintsholongwane, biza ugqirha wakho ngokukhawuleza. Amanyathelo okukhusela asebenza kakuhle xa esetyenziswe ngokukhawuleza emva kokubonakala kwithuba kwaye ixesha elide ngaphambi kokuba kukho naziphi iimpawu eziphuhlisayo.
> Imithombo:
> Ahn, K., Park, Y., Hong, S. et al. I-Congenital Varicella Syndrome: Uhlolo lokuHlola. Umbhalo we-Obstetrics kunye neGynecology . 2016. 36 (5): 563-6.
> Amacandelo okuLawula nokuLawula izifo. I-Chickenpox (Varicella). Abantu abakwiNgcipheko ePhakamileyo kwiNkcitho. Ukuhlaziywa 07/01/16. https://www.verywell.com/chicken-pox-pictures-4020407
> Cunningham, F. Gary, noJohn Whitridge Williams. Williams Obstetrics. ENew York: iMicrora-Hill Hill Medical, 2014. Print.
> Jespersen, C., Helmuth, I., noT. Krause. I-Varicella-Zoster I-Immunoglobulin Ukwelashwa kwabasetyhini abakhulelweyo kwiDenmark ukusuka ngo-2005 ukuya ku-2015: Ukuchazwa kwe-Epidemiology nokuLandela. Epidemiology kunye noGawulayo . 2016 Aug 18. (Epub ngaphambi kokuprinta).