Ukuhlolwa kweSwab: kwenzelwa ini nokuthi kwenziwa kanjani

-Delile

• Ukuhlolwa kwe-swab ekukhulelweni
• Izimpawu zokutheleleka ngo I-Streptococcus iqembu B
• Izici zobungozi

O I-Streptococcus iqembu B, elaziwa nangokuthi I-Streptococcus agalactiae, S. agalactiae noma i-GBS, ibhaktheriya elikhona ngokwemvelo emathunjini, emgodini wokuchama nasesitho sangasese sowesifazane ngaphandle kokubangela izimpawu. Kodwa-ke, kwezinye izimo, leli bhaktheriya liyakwazi ukwenza ikholoni isitho sangasese, esingadala izinkinga ngesikhathi sokukhulelwa nangesikhathi sokubeletha, ngokwesibonelo, njengoba kungekho zimpawu, amabhaktheriya angadlula asuke kumama aye enganeni, okuyinto kungaba kubucayi kwezinye izimo.

Njengoba kunengozi yokungcola kwengane, isincomo ukuthi phakathi kwesonto lama-35 nelama-37 lokukhulelwa, kwenziwa ukuhlolwa kwelabhorathri okwaziwa kakhulu ngokuthi ukuhlolwa kwe-swab ukuhlola ubungako nobungako I-Streptococcus B futhi, ngakho-ke, kungahle kube nokuhlela maqondana nokufezeka kokwelashwa ngesikhathi sokubeletha.

Ukuhlolwa kwe-swab ekukhulelweni

Ukuhlolwa kwe-swab wuhlolo okufanele lwenziwe phakathi kwamaviki angama-35 nama-37 okukhulelwa futhi okuhlose ukukhomba ubukhona begciwane I-Streptococcus agalactiae nobuningi bayo. Lokhu kuhlolwa kwenziwa elabhorethri futhi kuqukethe ukuqoqwa, kusetshenziswa i-swab, yamasampuli avela esithweni sangasese sowesifazane kanye nakwindunu, ngoba lezi yizindawo lapho ubukhona baleli gciwane bungaqinisekiswa khona kalula.

Ngemuva kokuqoqwa, ama-swabs athunyelwa elabhorethri ayohlaziywa futhi umphumela ukhishwe phakathi kwamahora angama-24 kuya kwangu-48. Uma ukuhlolwa kutholile, udokotela ubheka izimpawu zokutheleleka futhi, uma kunesidingo, angakhombisa ukwelashwa, okwenziwa ngokukufaka ngqo emthanjeni wama-antibiotic emahoreni ambalwa ngaphambi nangesikhathi sokubeletha.

Ukwelashwa ngaphambi kokubeletha akuboniswa yiqiniso lokuthi yigciwane elivame ukutholakala emzimbeni futhi, uma lenziwa ngaphambi kokubeletha, kungenzeka ukuthi amabhaktheriya azokhula abuyele emuva, amele ubungozi enganeni.

Izimpawu zokutheleleka ngo I-Streptococcus iqembu B

Owesifazane angatheleleka ngo S. agalactiae nganoma yisiphi isikhathi ngesikhathi sokukhulelwa, njengoba amagciwane ekhona ngokwemvelo endaweni yokuchama. Lapho ukutheleleka kungelashwa kahle noma ukuhlolwa kokuhlonza kungenziwanga, kungenzeka ukuthi amabhaktheriya adlulele enganeni, okwenza izimpawu nezimpawu, okuyizona eziyinhloko:

• Imfiva;
• Izinkinga zokuphefumula;
• Ukungazinzi kwenhliziyo;
• Ukuphazamiseka kwezinso kanye namathumbu;
• I-Sepsis, ehambelana nokuba khona kwamagciwane egazini, okuyingozi kakhulu;
• Ukuthukuthela;
• Inyumoniya;
• I-Meningitis.

Ngokuya ngeminyaka lapho izimpawu nezimpawu zokutheleleka ngo I-Streptococcus Iqembu B enganeni, ukutheleleka kungahlukaniswa njenge:

• Ukutheleleka kokuqala, lapho izimpawu zivela khona emahoreni okuqala emva kokuzalwa;
• Ukutheleleka ngemuva kwesikhathi, kimi ukuthi izimpawu zivela phakathi kosuku lwe-8 ngemuva kokuzalwa nezinyanga ezi-3 zokuphila;
• Ukutheleleka kokufika sekwephuze kakhulu, okuyilapho izimpawu zivela khona ngemuva kwezinyanga ezintathu zokuphila futhi zihlobene kakhulu ne-meningitis ne-sepsis.

Uma kunezimpawu zokutheleleka kuma-trimesters amabili okuqala okukhulelwa, udokotela angancoma ukwelashwa ngama-antibiotic, ukugwema izinkinga ngesikhathi sokukhulelwa, njengokukhipha isisu okuzenzakalelayo noma ukuzalwa ngaphambi kwesikhathi, ngokwesibonelo. Noma kwenzelwa ukwelashwa ukulwa ne- S. agalactiae Ngesikhathi sokukhulelwa, kubalulekile ukuthi owesifazane okhulelwe athathe i-swab ukukhomba amabhaktheriya nokuvimbela ukuthi angadluliselwa enganeni.

Funda ukuthi ungazibona kanjani izimpawu ze- I-Streptococcus iqembu B nokuthi ukwelashwa kwenziwa kanjani.

Izici zobungozi

Ezinye izimo zandisa ubungozi bokudluliswa kwamagciwane kusuka kumama kuya enganeni, okuyizona eziyinhloko:

• Ukukhonjwa kwamagciwane ekudilivweni kwangaphambilini;
• Ukutheleleka ngomgudu womchamo I-Streptococcus agalactiae ngesikhathi sokukhulelwa;
• Sebenza ngaphambi kwesonto lama-37 lokukhulelwa;
• Imfiva ngesikhathi sokubeletha;
• Ingane edlule nge I-streptococcus yeqembu B.

Uma kutholakala ukuthi kunengozi enkulu yokudlulisa amagciwane kusuka kumama kuya enganeni, ukwelashwa kwenziwa ngesikhathi sokubeletha ngokufaka ama-antibiotic ngqo emthanjeni. Ukuze ugweme izinkinga, bheka ukuthi yiziphi izivivinyo okufanele zenziwe phakathi ne-trimester yesithathu yokukhulelwa.