Ukuvavanya okufanelekileyo kwiqela B Strep (GBS) ekukhulelweni

Ulwazi kunye neeNtshukumo ezilandelayo emva kokuvavanya

Nangona ukhulelwe, uya kuba neemvavanyo ezininzi zokufunda ngaphambi kokubeletha ezifana nokuhlolwa ngokomzimba, umsebenzi wegazi, kunye ne- ultrasounds . Enye yeemvavanyo oza kuba nayo ekupheleni kokukhulelwa kukukhangela into ethiwa iqela leqela B (GBS). Nakhu okufuneka ukwazi malunga nalo vavanyo, kuthetha ntoni ukuba uvavanyo lwakho lwe-GBS lukhuthaze ngexesha lokukhulelwa, amanyathelo alandelayo anokuthatha, nendlela yokuphatha le nkxalabo yokukhulelwa okuqhelekileyo.

Yintoni i-GBS?

Iqela le-streptococcus (i-GBS, iqela le-B, i-beta strep), luhlobo lweebhaktheriya eziqhelekileyo zitholakala emzimbeni wamadoda nabasetyhini. Kuyabasetyhini, i-GBS ingaba kwiphepha lokucoca, indawo yesini, kunye namathumbu. Iipesenti ezingama-25 okanye i-1 kwi-4 yokuvavanya kwabasetyhini abaneziphumo ezithembekileyo kwiqela B ekukhulelwe, kodwa kunokuchaphazela ukuya kuma-40 ekhulwini kwabasetyhini abakhulelweyo. I-GBS ayinakuyingozi kubantu abadala kunye nabasetyhini abakhulelweyo, kodwa kunokuba yingozi kwiintsana.

Ukuvavanywa kweQela B Strep

Ukususela kuma-40 ekhulwini kwabasetyhini abathwala i-GBS ngexesha lokukhulelwa kwabo, i-American College of Obstetricians kunye ne-Gynecologists (ACOG) icebisa uvavanyo lokuhlola ukuhlolwa kwabo bonke abafazi abakhulelweyo ngelixa lesithathu lesithathu phakathi kwama-35 no-37. Ngexesha lovavanyo lwakho lokubeletha, ugqirha uya kuthatha i-swab ye-vagina ne-rectum, ngoko uyithumele ebhokisatri ukuvavanya. Uvavanyo lwe-swab lwe-GBS lukhawuleza, lulula, kwaye alulimazi.

Awuyi kuyidinga ukuhlolwa kwe-swab ukuhlolwa kwiveki ezingama-35 ukuya kuma-37 ukuba:

• Uvavanyo lweemvini lubonisa i-GBS kumchamo wakho ngexesha lokukhulelwa
• Uye wafumana usulelo okanye ingxaki ye-GBS ngexesha lokukhulelwa
• Unomntwana oye wavelisa intsholongwane ye-GBS ngaphambi kokukhulelwa

Uvavanyo lwakho lwe-GBS Test Test

Kungesabisa ukufumanisa ukuba ukuvavanya kwakho ukuhlolwa kweqela B kuphinda kulungile.

Kodwa, kwiimeko ezininzi, ukuba ne-GBS emzimbeni wakho akuyi kukulimaza. Uninzi lwabasetyhini abanomdla kwi-GBS abazi nokuba banalo. Bathi bangabathwali bebhaktheriya, kwaye abanaso isifo okanye nayiphina impawu. Nazi iinkcukacha ezimbalwa malunga ne-GBS:

• Iibhaktheriya azihlali zikhona kwaye zibonakala emzimbeni. Baya kuza bahambe. Unokuvavanya ukuvavanya ngokukhulelwa omnye kwaye unomnye kwenye.
• Akufanele uzive unetyala malunga novavanyo oluhle. Awuzange uyifumane nantoni na oyenzayo. Akusilo isifo esithathelwana ngesondo, awuzange uyifumane ukungahlambulukanga kakuhle, kwaye awuzange uyifumane kwinto oye wathintela okanye into oyidlayo.
• Awukwazi ukunika i-GBS iqabane lakho okanye abanye abantwana bakho.
• Akunjalo ne-streptococcus A, ibhaktheriya ebangela umgca we-throp.

Ezi Zinyathelo Ezilandelayo Emva kokuvavanya

Ngoku ukuba uyazi ukuba uvavanyo lwakho lwaluhle, yintoni elandelayo? Nantsi indlela yokufikelela kwiiveki ezimbalwa zokugqibela zokukhulelwa kwakho emva kokuvavanya kwe-GBS efanelekileyo:

1. Zama ukungakhathazeki.
2. Bhala yonke imibuzo yakho uze uthethe ugqirha wakho. Ukuqonda i-GBS kunye nokufumana ithuba lokufumana iimpendulo zeempendulo zakho kunokunciphisa ezinye zexhala enokuthi uzive.
3. Thetha ugqirha okanye umbelethisi ngesicwangciso sakho sokuzalwa . Ukuba uceba ukuzalwa esibhedlele, akuyi ku funeka utshintshe izicwangciso zakho. Kodwa, imfuno ye- antibiotic ye- IV ngexesha lomsebenzi ingenza kube nzima ukuzalwa ekhaya .

1. Ekubeni uza kufumana i-antibiotiki ye-IV xa uhamba esibhedlele esebenzayo, xelela ugqirha ukuba unayo nayiphi na inkunkuma yonyango ngokukodwa xa uhlaselwa kwi-penicillin okanye kwenye i-antibiotics.
2. Uvumele ugqirha wakho ukuba wazi ukuba uhlakulela iimpawu zentsholongwane ye-urinary.
3. Hamba malunga nobomi bakho bemihla ngemihla ulungiselela umntwana wakho omtsha. Awunanto yokwenza into ekhethekileyo ngelixa ulinde abasebenzi ukuba uqale.
4. Xa amanzi akho aphuka okanye uqala ukuziva ulwaphulo oluqhelekileyo , biza i-ofisi yakho ugqirha uze esibhedlele . Abahlobo kunye nentsapho enokuthi banokuthi bangalindela kwaye basebenze ekhaya kwithuba elithile ngaphambi kokuya esibhedlele, kodwa ufuna ukuzama ukufumana i-antibiotics yakho iqalile ubuncinane iiyure ezine ngaphambi kokuba umntwana wakho azalwe. Ezinye iintsana zifika ngokukhawuleza kunabanye, ngoko ungalindi ukuya kwisibhedlele.

1. Vumela abasebenzi basebhedlele bazi ukuba uvavanywe kakuhle kwi-GBS. Basenokuba sele benayo ishati kunye nolwazi kodwa baxelele nantoni na ukuba kunjalo. Ukuba unobungozi kunoma yiyiphi i-antibiotics, xelela ukuba, naye.
2. Xa abasebenzi basebhedlele bekhetha ukuba usebenza , baya kuqalisa i-IV baze banike umthamo wokuqala we-penicillin okanye enye i-antibiotics. Uza kufumana enye idosi emva kweeyure ezine ukuya kuzalwa umntwana wakho.

Unyango lweQela B Strep ekukhulelweni

Ukuba unemivavanyo efanelekileyo ye-GBS kwaye awunayo impawu okanye iingxaki, unyango luyi-intraveous (IV) antibiotics ekuqaleni kwezabasebenzi okanye ukugqithwa kweembrane (xa amanzi akho aphuka). I-antibiotics yindlela yamachiza ebulala amagciwane. I-Penicillin okanye i-ampicillin yimiyeza ye-IV oogqirha abasebenzisa ukuphatha i-B B streptococcus ngexesha lobasebenzi kunye nokuhanjiswa.

Ukuba uguqulwa kwi-penicillin, ugqirha wakho uya kukunika i-antibiotics eyahlukileyo. Kwaye, akufanele ukhathazeke, amayeza ofumana ngexesha lomsebenzi awuyi kulimaza umntwana wakho.

Xa imeko yakho ye-GBS ingaziwa

Ugqirha wakho ukhupha i-GBS phakathi kweeveki ezingama-35 neye-37. Ngoko ke, ukuba uya kuvuka ekubambeni, usenokungakhange uhlolwe kwakhona. Abasetyhini abaphosakele ukuqeshwa kwabantwana abangaphantsi kokubeletha okanye abangayi kuba nonyango lokubeleka, abanakho ukuba bangazi ukuba ngaba baxhamle kwiqela B. Ukuba isimo sakho se-GBS singaziwa, uya kufumana ama-antibiotics xa ufika esibhedlele ekusebenzeni.

Uya kufumana i-antibiotics ye-IV ukuba:

• Uya emsebenzini ngaphambi kweiveki ezingama-37 .
• Usebenze, kwaye sele ibe ngaphezu kweeyure eziyi-18 ukususela kwamanzi akho.
• Unomkhuhlane (ubushushu obuphezulu kune-38 degrees C okanye i-100.4 degrees F).

Antibiotic zomlomo

Abanye besetyhini bayazibuza ukuba kutheni abafumani imithi ye-antibiotiki yomlomo xa uvavanyo lokuqala lubuya luhle. Ingxaki kukuba ngelixa uthabatha ama-antibiotics ngomlomo unganciphisa ibhaktheriya, ukusasazwa kweqela B kungandisa ngokukhawuleza kwaye buyele ngaphambi kokuba uqale umsebenzi, ubeke umntwana wakho engozini. Okwangoku, indlela ephumelele kakhulu yokukhusela iibhaktheriya kwaye ikukhusele ekubeni yenze indlela yayo eya kumntwana kukufumana ii-antibiotiki ze-IV ngokukhawuleza xa abasebenzi beqala kwaye ubuncinane ubuncinane iiyure ngaphambi kokunikezelwa, ukuba kunokwenzeka.

Nangona kunjalo, uya kufumana i-antibiotic yomlomo ukuba i-GBS ibangela ukusuleleka kwe-urinary tract (UTI) ngexesha lokukhulelwa. Uyakufumana ii-antibiotic ze-IV ngexesha lobasebenzi kunye nokunikezelwa, kwakhona.

Iqela B Strep kunye neCesarean Section

Uvavanyo lwe-GBS oluchanekileyo lokuvavanya aluthetha ukuba ufuna ukuba nec -c kwicandelo . Ukuba akukho minye imiba okanye iingxaki ekukhulelweni kwakho, kufuneka ukwazi ukuhambisa umntwana wakho ngesondo.

Ukuba unesigaba esicwangcisiweyo, esicwangcisiweyo c-c , iziphumo ze-GBS zokukhenkcela zisabalulekile. Akunakudingi unyango ukuba amanzi akho aphuli kwaye awuhambi emsebenzini ngaphambi kokuba kwicandelo le-c elicwangcisiweyo. Kodwa, ukuba amanzi akho aphule uze usebenze ngokukhawuleza, uya kufumana unyango lwe-antibiotics kwi-IV yakho ukukhusela ukusulela intsholongwane kumntwana wakho.

Iingxaki ze-GBS ezingabonakaliyo kwabasetyhini abakhulelweyo

Ekubeni abaninzi abafazi abavavanyayo ukuba baxhamle kwiqela B bahambisa, abanaso isifo okanye naziphi na iimpawu. Kubafazi abasempilweni, amathuba okuphuhlisa isifo kwi-bhakteria engokwemvelo iphantsi. Nangona kunjalo, nangona iingxaki ngenxa ye-GBS ziqhelekanga kakhulu, xa i-GBS engaphendulwanga ingagqithanga, ingabangela imiba ngexesha lokukhulelwa kwaye emva kokunikezelwa njengale:

• Usulelo lwe-urinary tract
• Utshintsho lokukhutshwa kwesisu
• Usulelo kwi-amniotic fluid (isikhwama samanzi esijikeleze umntwana)
• Usulelo lwesisu
• Ibhaktheriya egazini
• Usulelo kwisayithi yokuhlinzwa emva kwecandelo le-c
• Kwiimeko ezinzima, ukusuleleka kwe-GBS kunokukhokelela ekuzalweni kokuzalwa ngaphambi kokuzalwa

Iintsana kunye ne-GBS Infection

Iqela B lisenza isifo sosulelo singadlulela kumama ukuya kumntwana ngexesha lokubeleka . Kodwa, ngelixa abaninzi abafazi bavavanya i-GBS, amathuba okuba umntwana agule kakhulu ngenxa yokusuleleka kwe-GBS aphantsi. Ngenxa yezikhokelo zangoku zokuhlola kunye nonyango, kuphela iipesenti ezi-1-2 zentsana zisuleleke:

• Ngaphandle kokonyango, amathuba omntwana ofumana unyango lwe-GBS yi-1 ngo-200.
• Ngonyango, amathuba anoku-1 kwi-4000.

Uninzi lweentsana ezizalisekileyo ezinomama abanomntwana ubuncinane kwiiyure ezine zonyango lokulwa neengxaki ngexesha lobasebenzi ziphilile ekuzalweni. Iintsana ezisemgangathweni , isisindo sokuzalwa esincinane , kunye nabantwana abanesistim sokuzivivinya umzimba basengozini yokusulela isifo. Iintsana ezisengaphambili okanye iintsana ezibonisa iimpawu zokugula ziza kuhlala esibhedlele ukuze zibekwe iliso kunye nonyango . Baya kuba nomsebenzi wegazi kwaye baqale amayeza, ukuba kuyimfuneko.

Nangona ininzi iintsana ziya kuba neentsholongwane zezempilo ze-GBS eziqhelekileyo, ziyakwazi ukuba yingozi xa kwenzeka. Iintsana zokuqala kunye nosana oluneentsholongwane ezinzulu ze-GBS zingakha imicimbi yonyango njengengcinezelo yokuphefumula, i-pneumonia, i-sepsis kunye ne-meningitis. Ingakhokelela kwiingxaki zexesha elide kunye nokufa.

Igama elivela kwi-Verywell

Kungesabisa ukuva ukuba uvavanywe kakuhle kwiqela B, okanye nayiphi na into, ngakumbi xa ukhulelwe. Kuye kukhwankqisa xa ukhangele kwaye uqale ufunde iingxaki ezinokubangela. Kodwa, khumbula, i-GBS iqhelekileyo kwaye ifunyenwe kuma-40 ekhulwini kwabasetyhini abakhulelweyo. Ugqirha bakho kunye nabasebenzi basezibhedlele bazibona rhoqo, kwaye bayazi ukuba benzani. Iqela lakho lononophelo lwempilo liyimvelaphi yakho eyona nto ingcono yolwazi, ngoko qiniseka ukuba ubuze imibuzo uze ulandele iingcebiso zabo. Ngonyango, iingxaki ze-GBS ziphantsi. Uninzi olusandul 'ukuzalwa olutsha oluzelwe ngumama oluvakalayo olulungileyo kwi-GBS luyimpilo kwaye luya ekhaya kunye nonina ngomhla wokukhutshwa komhla.

> Imithombo:

> Ikholeji yase-American College of Obstetricians and Gynecologists. Iingxelo zeKomiti No. 485. Ukuthintela isifo se-B e-streptococcal kwiintsana ezisanda kuzalwa. Iindwendwe ezingama-279, ngoDisemba 2002, ziqinisekisiwe ngo-2016. I- Obstetrics kunye ne-Gynecology. 2011; 117: 1019-27.

> JL, Fox HE, Wallach EE, Johnson CT, Hallock JL. Umqulu kaJohn Hopkins we-Gynecology kunye ne-Obstetrics. Lippincott Williams & Wilkins; 2015 uMatshi 23.

> Lin FY, Weisman LE, Azimi P, Young AE, Chang K, Cielo M, Moyer P, Troendle JF, Schneerson R, uRobbins JB. Uvavanyo lwe-intrapartum antibiotic prophylaxis yokuthintela iqela lokuqala lokuqala lwezityalo ze-Streptococcal. Iphepha lezonyango ezithathelwanayo. 2011 Sep; 30 (9): 759.

> Stupak A, Kwaśniewska AN, Semczuk MA, Zdzienicka GR, uMalm AN. Ukoloni lweendlela zesini somzimba ngo-Streptococcus agalactiae. Arch Perin Med. 2010; 16: 48-50.

> Verani JR, McGee L, Schrag SJ. Ukuthintela izifo ze-B-streptococcal ze-B yangaphandle kwezilwanyana: Izikhokelo ezihlaziyiweyo ezivela kwi-CDC, ngo-2010.