Ukuhlolwa kwe-Strep B

-Delile

• Kuyini ukuhlolwa kweqembu B?
• Kusetshenziselwa ini?
• Kungani ngidinga ukuhlolwa kweqembu B?
• Kwenzekani ngesikhathi sokuhlolwa kweqembu B?
• Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
• Ingabe zikhona izingozi esivivinyweni?
• Isho ukuthini imiphumela?
• Ngabe kukhona okunye engidinga ukukwazi ngokuhlolwa kweqembu B?
• Izinkomba

Kuyini ukuhlolwa kweqembu B?

I-Strep B, eyaziwa nangokuthi i-group B strep (GBS), uhlobo lwama-bacterium atholakala kakhulu emgudwini wokugaya ukudla, e-urinary tract, nasezitho zangasese. Akuvamile ukuthi kubangele izimpawu noma izinkinga kubantu abadala kepha kungaba yingozi ezinganeni ezisanda kuzalwa.

Kwabesifazane, i-GBS itholakala kakhulu esithweni sangasese nangaphezulu. Ngakho-ke owesifazane okhulelwe othelelekile angadlulisela amagciwane enganeni yakhe ngesikhathi sokubeletha nokubeletha. I-GBS ingadala inyumoniya, i-meningitis, nezinye izifo ezibucayi enganeni. Ukutheleleka nge-GBS kuyimbangela ehamba phambili yokufa nokukhubazeka ezinganeni ezisanda kuzalwa.

Ukuhlolwa kweqembu B ukuhlola amabhaktheriya e-GBS.Uma ukuhlolwa kukhombisa ukuthi owesifazane okhulelwe une-GBS, angathatha ama-antibiotic ngesikhathi sokubeletha ukuvikela ingane yakhe ekuthelelekeni.

Amanye amagama: iqembu B streptococcus, iqembu B beta-hemolytic streptococcus, streptococcus agalactiae, isiko le-beta-hemolytic strep

Kusetshenziselwa ini?

Ukuhlolwa kweqembu B kuvame ukusetshenziselwa ukubheka amabhaktheriya e-GBS kwabesifazane abakhulelwe. Iningi labesifazane abakhulelwe lihlolwe njengengxenye yokuhlolwa kwangaphambi kokubeletha. Ingasetshenziswa futhi ukuhlola izinsana ezibonisa izimpawu zokutheleleka.

Kungani ngidinga ukuhlolwa kweqembu B?

Ungadinga ukuhlolwa kwe-strep B uma ukhulelwe. I-American College of Obstetricians and Gynecologists incoma ukuhlolwa kwe-GBS kubo bonke abesifazane abakhulelwe. Ukuhlolwa kuvame ukwenziwa esontweni lama-36 noma lama-37 lokukhulelwa. Uma uqala ukubeletha ngaphambi kwamasonto angama-36, ungahlolwa ngaleso sikhathi.

Ingane ingadinga ukuhlolwa kweqembu B uma inezimpawu zokutheleleka. Lokhu kufaka phakathi:

• Umkhuhlane omkhulu
• Inkinga yokondla
• Ukuphefumula kanzima
• Ukungabi namandla (kunzima ukuvuka)

Kwenzekani ngesikhathi sokuhlolwa kweqembu B?

Uma ukhulelwe, umhlinzeki wakho wezokunakekelwa kwempilo anga-oda ukuhlolwa kwe-swab noma ukuhlolwa komchamo.

Ukuhlolwa kwe-swab, uzolala ngomhlane etafuleni lezivivinyo. Umhlinzeki wakho wezokunakekelwa kwempilo uzosebenzisa uswabi omncane kakotini ukuthatha isampula lamaseli noketshezi olusuka esithweni sakho sangasese nakunxande.

Ukuhlolwa komchamo, uzotshelwa ukuthi usebenzise "indlela yokubamba ehlanzekile" ukuqinisekisa ukuthi isampula lakho liyinyumba. Kubandakanya lezi zinyathelo ezilandelayo.

• Geza izandla zakho.
• Hlanza isitho sakho sangasese ngephedi yokuhlanza oyinikezwe ngumhlinzeki wakho. Ukuze uhlanze, vula amalebula akho bese usula kusuka ngaphambili kuye emuva.
• Qala ukuchama ungene endlini encane.
• Hambisa isitsha sokuqoqa ngaphansi kokusakaza kwakho komchamo.
• Qoqa okungenani i-ounce noma amabili umchamo ungene esitsheni, okufanele ube nomaka okhombisa amanani.
• Qeda ukuchama ungene endlini encane.
• Buyisela isitsha sesampula njengokuyalelwa ngumhlinzeki wakho wezokunakekelwa kwempilo.

Uma ingane yakho idinga ukuhlolwa, umhlinzeki angenza ukuhlolwa kwegazi noma umpompi womgogodla.

Ukuhlolwa kwegazi, uchwepheshe wezokunakekelwa kwempilo uzosebenzisa inaliti encane ukuthatha isampula yegazi esithendeni sengane yakho. Ngemuva kokuthi kufakwe inaliti, kuzoqoqwa inani elincane legazi kufakwe ithubhu yokuhlola noma isitsha. Ingane yakho ingazizwa iluma kancane lapho inaliti ingena noma iphuma.

Umpompi womgogodla, okwaziwa nangokuthi i-lumbar puncture, isivivinyo esiqoqa futhi sibheke uketshezi lomgogodla, uketshezi olucacile oluzungeze ubuchopho nomgogodla. Ngesikhathi senqubo:

• Umhlengikazi noma omunye umhlinzeki wezokunakekelwa kwempilo uzobamba ingane yakho endaweni esongekile.
• Umhlinzeki wezokunakekelwa kwempilo uzohlanza umqolo wengane yakho bese ejova i-anesthetic esikhunjeni, ukuze ingane yakho ingabuzwa ubuhlungu ngesikhathi senqubo. Umhlinzeki angafaka ukhilimu oyindikindiki emhlane wengane yakho ngaphambi kwalomjovo.
• Umhlinzeki anganikeza nengane yakho umuthi wokuthomalalisa kanye / noma wobuhlungu ukuze umsize abekezelele kangcono inqubo.
• Lapho indawo engemuva isikindiki ngokuphelele, umhlinzeki wakho uzofaka inaliti encane, engenalutho phakathi kwama-vertebrae amabili emgogodleni ophansi. I-Vertebrae yimigogodla emincane eyakha umgogodla.
• Umhlinzeki uzokhipha inani elincane le-cerebrospinal fluid ukuze ihlolwe. Lokhu kuzothatha cishe imizuzu emihlanu.

Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?

Awunawo amalungiselelo akhethekile wokuhlolwa kweqembu B.

Ingabe zikhona izingozi esivivinyweni?

Akunabungozi kuwe kusuka ekuhlolweni kwe-swab noma umchamo. Ingane yakho ingaba nobuhlungu obuncane noma ukulimala ngemuva kokuhlolwa kwegazi, kodwa lokho kufanele kusheshe kusheshe. Ingane yakho kungenzeka izwe ubuhlungu ngemuva kompompi womgogodla, kepha lokho akufanele kuhlale isikhathi eside kakhulu. Kukhona nengozi encane yokutheleleka noma yokopha ngemuva kompompi womgogodla.

Isho ukuthini imiphumela?

Uma ukhulelwe futhi imiphumela ikhombisa ukuthi unamagciwane e-GBS, uzonikezwa ama-antibiotic ngemithambo (ngo-IV) ngesikhathi sokubeletha, okungenani amahora amane ngaphambi kokubeletha. Lokhu kuzokuvimbela ukuthi ungadluliseli amagciwane enganeni yakho. Ukuthatha ama-antibiotic ngaphambi kokukhulelwa kwakho akusebenzi, ngoba amabhaktheriya angakhula ngokushesha okukhulu. Kuyasebenza futhi futhi ukuthatha ama-antibiotic ngomthambo wakho, hhayi ngomlomo.

Ungahle ungawadingi ama-antibiotic uma ngabe uletha ukulethwa okuhleliwe ngesigaba se-Cesarean (C-section). Ngesikhathi sesigaba se-C, ingane ihanjiswa ngesisu sikamama hhayi ngokuya ocansini. Kepha kusamele uhlolwe ngesikhathi ukhulelwe ngoba ungangena ekubelethweni ngaphambi kwesigaba sakho se-C esihleliwe.

Uma imiphumela yengane yakho ikhombisa ukutheleleka nge-GBS, izokwelashwa ngama-antibiotic. Uma umhlinzeki wakho esola ukutheleleka nge-GBS, angayelapha ingane yakho ngaphambi kokuba kutholakale imiphumela yokuhlolwa. Lokhu kungenxa yokuthi i-GBS ingadala ukugula okubi noma ukufa.

Uma unemibuzo ngemiphumela yakho noma ngemiphumela yengane yakho, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.

Funda kabanzi mayelana nokuhlolwa kwelabhorethri, ububanzi bezinkomba, nemiphumela yokuqonda.

Ngabe kukhona okunye engidinga ukukwazi ngokuhlolwa kweqembu B?

I-Strep B wuhlobo olulodwa lwe-strep bacteria. Ezinye izinhlobo ze-strep zidala izinhlobo ezahlukene zezifo. Lokhu kufaka phakathi i-strep A, edala i-strep throat, ne-streptococcus pneumoniae, edala uhlobo lwe-pneumonia oluvame kakhulu. Amabhaktheriya eStreptococcus pneumonia nawo angadala ukutheleleka kwendlebe, amasinusi, nokuhamba kwegazi.

Izinkomba

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Imininingwane ekulesi siza akufanele isetshenziswe esikhundleni sezokunakekelwa kwezokwelapha noma iseluleko. Xhumana nomhlinzeki wezempilo uma unemibuzo ngempilo yakho.