Ukukhulelwa kunye neherpes

Iintsana ezisanda kuzalwa zinokosulelwa yintsholongwane ye-herpes ngexesha lokukhulelwa, ngexesha lokubeleka okanye ukubeleka, okanye emva kokuzalwa.

Iintsana ezisanda kuzalwa zinokosulelwa yintsholongwane ye-herpes:

• Kwisibeleko (oku akuqhelekanga)
• Ukudlula kumjelo wokuzalwa (i-herpes efumene ukuzalwa, eyona ndlela ixhaphakileyo yosulelo)
• Ngokukhawuleza emva kokuzalwa (emva kokubeleka) ukusuka ekumangeni okanye ekudibaneni nomntu onemilonda yomlomo we-herpes

Ukuba umama uqhambuke ngokukhawuleza kwi-herpes yangasese ngexesha lokubeleka, umntwana unokufumana isifo ngexesha lokuzalwa. Abanye oomama banokungazi ukuba banezilonda ze-herpes ngaphakathi kwilungu lobufazi.

Abanye abantu basetyhini banesifo se-herpes ngaphambili, kodwa abayazi loo nto, kwaye banokudlulisela le ntsholongwane emntwaneni wabo.

Uhlobo lwe-Herpes 2 (i-herpes yesini) yeyona nto ixhaphakileyo yosulelo lwe-herpes kwiintsana ezisandul 'ukuzalwa. Kodwa uhlobo lwe-herpes 1 (i-herpes yomlomo) nayo inokwenzeka.

I-Herpes inokuvela kuphela njengosulelo lolusu. Amadyungudyungu amancinci agcwele ulwelo (vesicles) anokuvela. Ezi blister ziyaqhekeka, zikrwele ngaphezulu, kwaye ekugqibeleni ziphilise. Isilonda esincinci sinokuhlala.

Usulelo lwe-Herpes lunokusasazeka emzimbeni wonke. Oku kubizwa ngokuba kukusasazwa kweherpes. Kule hlobo, intsholongwane ye-herpes inokuchaphazela amalungu amaninzi omzimba.

• Usulelo lwe-Herpes kwingqondo lubizwa ngokuba yi-herpes encephalitis
• Isibindi, imiphunga, kunye nezintso nazo zinokubandakanyeka
• Kunokubakho okanye kungabikho blister kulusu

Iintsana ezisandul 'ukuzalwa ezine-herpes ezithe zasasazeka kwingqondo okanye kwamanye amalungu omzimba zihlala zigula kakhulu. Iimpawu zibandakanya:

• Izilonda zolusu, izilonda ezigcwele ulwelo
• Ukopha ngokulula
• Ubunzima bokuphefumla njengokuphefumla ngokukhawuleza kunye namaxesha amafutshane ngaphandle kokuphefumla, oku kungakhokelela ekuphefumlweni kwempumlo, ukugcuma, okanye ukubonakala okuluhlaza okwesibhakabhaka.
• Isikhumba esimthubi kunye namhlophe ngamehlo
• Ubuthathaka
• Ubushushu bomzimba obuphantsi (hypothermia)
• Ukutya okungalunganga
• Ukuxhuzula, ukothuka, okanye isiqaqa

I-Herpes ebanjwa kwakamsinya emva kokuzalwa ineempawu ezifanayo nezo ze-herpes zokuzalwa.

I-Herpes umntwana afumana kwisibeleko inokubangela:

• Isifo samehlo, njengokukrala kweretina (chorioretinitis)
• Umonakalo omkhulu wobuchopho
• Izilonda zolusu (izilonda)

Uvavanyo lwe-herpes olufunyenwe ngokuzalwa lubandakanya:

• Ukujonga intsholongwane ngokukrwela kwi-vesicle okanye kwinkcubeko ye-vesicle
• I-EEG
• I-MRI yentloko
• Inkcubeko yomqolo wamanzi

Iimvavanyo ezongezelelweyo ezinokuthi zenziwe ukuba umntwana uyagula kakhulu zibandakanya:

• Uhlalutyo lwegesi
• Izifundo ze-Coagulation (PT, PTT)
• Gcwalisa ubalo lwegazi
• Imilinganiselo ye-Electrolyte
• Uvavanyo lwesibindi

Kubalulekile ukuxelela umboneleli wakho wezempilo kutyelelo lwakho lokuqala ngaphambi kokubeleka ukuba unembali yeherpes yesini.

• Ukuba uqhamka rhoqo i-herpes, uya kunikwa iyeza oza kulithatha kwinyanga ephelileyo yokukhulelwa ukunyanga intsholongwane. Oku kunceda ukuthintela ukugqabhuka ngexesha lokuhanjiswa.
• Icandelo le-C liyacetyiswa kwabasetyhini abakhulelweyo abanesifo esitsha se-herpes kwaye basebenza.

Usulelo lwe-Herpes yintsholongwane kwiintsana ngokubanzi lunyangwa ngamayeza antiviral anikezwe nge-vein (intravenous). Usana lusenokufuna ukuba kwiyeza iiveki ezininzi.

Unyango lunokufuneka nakwiziphumo zosulelo lwe-herpes, njengothuko okanye ukubanjwa. Ngenxa yokuba ezi ntsana zigula kakhulu, unyango luhlala lusenziwa kwigumbi lonyango olunzulu esibhedlele.

Iintsana ezine-systemic herpes okanye i-encephalitis zihlala zingenzi kakuhle. Oku ngaphandle kwamayeza antiviral kunye nonyango kwangoko.

Kwiintsana ezinesifo solusu, ii-vesicles zinokuhlala zibuya, nasemva kokuba unyango lugqityiwe.

Abantwana abachaphazelekayo banokuba nokulibaziseka ekukhuleni kunye nokukhubazeka ekufundeni.

Ukuba umntwana wakho unayo nayiphi na impawu ye-herpes efumene ukuzalwa, kubandakanya iblister yolusu engenazo ezinye iimpawu, kufuneka umntwana abonwe kwangoko ngumboneleli.

Ukuziqhelanisa nokwabelana ngesondo okukhuselekileyo kunokunceda ukukhusela umama ekufumaneni i-herpes yangasese.

Abantu abanezilonda ezibandayo (i-herpes yomlomo) akufuneki badibane neentsana ezisandul 'ukuzalwa. Ukuthintela ukosulela intsholongwane, abanonopheli abanesifo esibandayo kufuneka banxibe imaski kwaye bahlambe izandla zabo ngononophelo ngaphambi kokudibana nosana.

Oomama kufuneka bathethe nababoneleli babo ngeyona ndlela yokunciphisa umngcipheko wokuhambisa i-herpes kusana lwabo.

HSV; Herpes azalwa nayo; Herpes - azalwe; Ukuzalwa kweherpes; I-Herpes ngexesha lokukhulelwa

• I-herpes yokuzalwa

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