Ukwelashwa kwe-syphilis yokuzalwa

-Delile

• Ukwelashwa kukagcunsula enganeni
• 1. Ingcuphe ephezulu kakhulu yokuba nogcunsula
• 2. Ingcuphe enkulu yokuba nogcunsula
• 3. Ubungozi obuphansi bokuba nogcunsula
• 4. Ubungozi obuphansi kakhulu bokuthola ugcunsula
• Yelashwa kanjani kowesifazane okhulelwe

Ukwelashwa kwe-syphilis yokuzalwa kuhlale kunconywa lapho isimo sokwelashwa kukamama ngogcunsula singaziwa, lapho ukwelashwa kowesifazane okhulelwe kwaqalwa kuphela ku-trimester yesithathu noma lapho kunzima ukulandela ingane ngemuva kokuzalwa.

Lokhu kungenxa yokuthi zonke izingane ezizalwa omama abane-syphilis zingakhombisa imiphumela emihle ekuhloleni ugcunsula olwenziwa lapho luzalwa, noma ngabe aluthelelekile, ngenxa yokudlula kwama-antibody omama nge-placenta.

Ngakho-ke, ngaphezu kokuhlolwa kwegazi kubalulekile futhi ukuqaphela izimpawu zesifo sozalo esizalwa enganeni, ukunquma indlela engcono kakhulu yokwelashwa. Bona ukuthi yiziphi izimpawu eziyinhloko ze-syphilis yokuzalwa.

Ukwelashwa kukagcunsula enganeni

Ukwelashwa kwengane kuyehluka kuye ngobungozi bokutheleleka ngogcunsula ngemuva kokuzalwa:

1. Ingcuphe ephezulu kakhulu yokuba nogcunsula

Le ngozi inqunywa lapho owesifazane okhulelwe engazange elashwe ugcunsula, ukuhlolwa komzimba kwengane akuvamile, noma ukuhlolwa kogcunsula kwengane kunamanani e-VDRL ngokuphindwe kane kunawomama. Kulezi zimo, ukwelashwa kwenziwa ngenye yezindlela ezilandelayo:

• Ukujova i-50,000 IU / Kg ye-aqueous crystalline penicillin njalo emahoreni ayi-12 izinsuku eziyi-7, kulandelwa ama-IU angama-50 000 we-aqueous crystalline Penicillin njalo emahoreni ayisishiyagalombili phakathi kosuku lwesi-7 nolwe-10;

noma

• Ukujova i-50,000 IU / Kg ye-procaine Penicillin kanye ngosuku izinsuku eziyi-10.

Kunoma ikuphi, uma uphuthelwa ukwelashwa okungaphezu kosuku olulodwa, kunconywa ukuqala imijovo futhi, ukuqeda ubungozi bokungalwi namagciwane ngendlela efanele noma ukutheleleka futhi.

2. Ingcuphe enkulu yokuba nogcunsula

Kulokhu, zonke izingane ezinezivivinyo ezijwayelekile zomzimba nohlolo lwegcunsula ngenani le-VDRL elilingana noma elingaphansi kwezikhathi ezi-4 zikanina, kepha abazalwa ngabesifazane abakhulelwe abangazange bathole ukwelashwa okwanele kwegcunsula noma abaqale ukwelashwa okuncane , 4 amasonto ngaphambi kokubeletha.

Kulezi zimo, ngaphezu kwezindlela zokwelashwa eziboniswe ngenhla, enye indlela ingasetshenziswa, equkethe umjovo owodwa we-50,000 IU / Kg we-benzathine Penicillin. Kodwa-ke, le ndlela yokwelashwa ingenziwa kuphela uma kuqinisekile ukuthi ukuhlolwa komzimba akunazinguquko futhi ingane ingahambisana nodokotela wezingane ukuyokwenza izivivinyo ze-syphilis ezijwayelekile.

3. Ubungozi obuphansi bokuba nogcunsula

Izingane ezisengozini ephansi yokuba nogcunsula zihlolwa ngokujwayelekile ngokomzimba, ukuhlolwa kogcunsula ngenani le-VDRL elilingana noma elingaphansi kwezikhathi ezi-4 lapho umama nowesifazane okhulelwe beqala khona ukwelashwa okufanele ngaphezu kwamasonto amane ngaphambi kokubeletha.

Imvamisa, ukwelashwa kwenziwa kuphela ngomjovo owodwa we-benzathine Penicillin ongu-50,000 IU / kg, kepha udokotela angakhetha futhi ukungawenzi umjovo futhi aqhubeke nokuqapha ukukhula kwengane ngokuhlolwa kaningi kwe-syphilis, ukuze ahlole ukuthi ingabe ithelelekile ngempela , bese elashwa.

4. Ubungozi obuphansi kakhulu bokuthola ugcunsula

Kulokhu, ingane ihlolwa ngokwejwayelekile ngokomzimba, ukuhlolwa kwegcunsula ngenani le-VDRL elilingana noma elingaphansi kwezikhathi zikanina ezine, futhi owesifazane okhulelwe wenza ukwelashwa okufanele ngaphambi kokukhulelwa, ethula amanani aphansi e-VDRL phakathi nakho konke ukukhulelwa .

Imvamisa, ukwelashwa akudingeki kulezi zingane, futhi kufanele kulandelwe kuphela ukuhlolwa okuvamile kogcunsula. Uma kwenzeka kungenzeki ukugcina ukubhekwa njalo, udokotela angancoma ukwenza umjovo owodwa we-50,000 IU / Kg we-benzathine Penicillin.

Buka le vidiyo elandelayo futhi ufunde kabanzi mayelana nezimpawu, ukudluliswa nokwelashwa kukagcunsula:

Yelashwa kanjani kowesifazane okhulelwe

Ngesikhathi sokukhulelwa, owesifazane kufanele ahlolwe i-VDRL kuma-trimesters amathathu ukubheka ubukhona noma ukungabikho kwamagciwane emzimbeni. Ukwehla komphumela wokuhlolwa akusho ukuthi lesi sifo selaphekile, ngakho-ke, kubalulekile ukuqhubeka nokwelashwa kuze kube sekupheleni kokukhulelwa.

Ukwelashwa kwabesifazane abakhulelwe ngesikhathi sokukhulelwa kwenzeka kanjena:

• Ku-syphilis eyinhloko: umthamo ophelele we-2,400,000 IU benzathine penicillin;
• Ngo ugcunsula yesibili: umthamo ophelele we-4,800,000 IU benzathine penicillin;
• Ku-syphilis ephakeme: umthamo ophelele we-7,200,000 IU benzathine penicillin;

Ukwenza ukuhlolwa kwe-serological for syphilis ngokuthatha isampula segazi entanjeni kubalulekile ukwazi ukuthi ingane isivele ingenwe yilesi sifo noma cha. Amasampula egazi athathwe enganeni lapho izalwa nawo abalulekile ekuhloleni ukuthi ngabe ungenwe ugcunsula noma cha.

Ku-neurosyphilis, kunconywa ukuthi kwenziwe ama-IU ayi-18 kuya kwangama-24 wezigidi ngosuku lwe-aqueous crystalline penicillin G, ngemithambo yegazi, ehlukaniswe ngemithamo engu-3-4 million U njalo emahoreni amane, izinsuku eziyi-10 kuya kweziyi-14.

Thola kabanzi mayelana nokwelashwa, kufaka phakathi ukuthi ukwelashwa kwenziwa kanjani lapho owesifazane okhulelwe eguliswa yiPenicillin.