I-rubella yokuzalwa

I-rubella ye-Congenital yimeko eyenzeka kusana olunonina osulelwe yintsholongwane ebangela imasisi yaseJamani. Ukuzalwa kuthetha ukuba imeko ikhona ngexesha lokuzalwa.

I-rubella ye-Congenital yenzeka xa intsholongwane ye-rubella kunina ichaphazela umntwana osakhulayo kwiinyanga ezintathu zokuqala zokukhulelwa. Emva kwenyanga yesine, ukuba umama unesifo se-rubella, kunqabile ukuba wenzakalise umntwana okhulayo.

Inani leentsana ezizalwe ngale meko lincinci kakhulu okoko iyeza lokugonya le-rubella laveliswa.

Abafazi abakhulelweyo kunye neentsana zabo ezingekazalwa basemngciphekweni ukuba:

• Abagonyelwe irubella
• Khange babenaso isifo ngaphambili

Iimpawu kwiintsana zingabandakanya:

• Iimbumbulu ezinamafu okanye imbonakalo emhlophe yomfundi
• Izithulu
• Ukulibaziseka kophuhliso
• Ukulala kakhulu
• Ukucaphuka
• Ubunzima bokuzalwa obuphantsi
• Ngaphantsi komndilili wokusebenza kwengqondo (ukukhubazeka kwengqondo)
• Ukuxhuzula
• Ubungakanani bentloko encinci
• Ukudumba kolusu ekuzalweni

Umboneleli wezempilo wosana uya kuqhuba uvavanyo lwegazi kunye nomchamo ukukhangela intsholongwane.

Akukho nonyango oluthile lwe-rubella yokuzalwa. Unyango lusekelwe kwimpawu.

Iziphumo zomntwana one-rubella yokuzalwa zixhomekeka ekubeni zinzima kangakanani na iingxaki. Iziphene zentliziyo zihlala zilungiswa. Ukonakala kwenkqubo yemithambo-luvo ngokusisigxina.

Iingxaki zinokubandakanya amalungu amaninzi omzimba.

AMEHLO:

• Ifu yelensi yeliso (cataract)
• Umonakalo kwi-optic nerve (glaucoma)
• Ukonakala kwe-retina (retinopathy)

INTLIZIYO:

• Umthambo wegazi odla ngokuvala kungekudala emva kokuzalwa uhlala uvulekile (patent ductus arteriosus)
• Ukucuthwa komthambo omkhulu ohambisa igazi eline-oksijini entliziyweni (pulmonary artery stenosis)
• Ezinye iziphene zentliziyo

INKQUBO EPHAKATHI YAMANZI:

• Ukukhubazeka kwengqondo
• Ubunzima ngokuhamba ngokwasemzimbeni (ukukhubazeka kwemoto)
• Intloko encinci evela ekukhuleni kwengqondo okungalunganga
• Usulelo lobuchopho (encephalitis)
• Usulelo lwekholomu yomgogodla kunye nezicubu ezijikeleze ingqondo (meningitis)

ENYE:

• Izithulu
• Inani eliphantsi leplatelet yegazi
• Ukwandiswa kwesibindi kunye ne-spleen
• Ithoni yemisipha engaqhelekanga
• Isifo samathambo

Fowunela umnikezeli wakho ukuba:

• Unenkxalabo malunga ne-rubella yokuzalwa.
• Awuqinisekanga ukuba unayo iyeza lokuthintela rubella.
• Wena okanye abantwana bakho nifuna isitofu sokugonya se-rubella.

Ukugonywa ngaphambi kokukhulelwa kunokuthintela le meko. Abasetyhini abakhulelweyo abangenalo ugonyo kufuneka baphephe ukunxibelelana nabantu abane-virus ye-rubella.

• URubella kumqolo wosana
• Isifo seRubella

IGershon AA. Intsholongwane yeRubella (imasisi yaseJamani). Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahl. 152.

IMason WH, iiGans HA. URubella. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 274.

Ingxondorha SE. URubella (imasisi yaseJamani). KwiGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl. 344.