Yintoni i-rubella yesibeleko kunye nendlela yokunyanga

Umxholo

• Iimpawu zerubella yokuzalwa
• Uxilongo lwenziwa njani
• Unyango njani

I-rubella syndrome ye-Congenital ivela kwiintsana ezathi oomama banxibelelana nentsholongwane ye-rubella ngexesha lokukhulelwa kwaye ongakhange anyangwe. Ukunxibelelana kosana nentsholongwane ye-rubella kungakhokelela kwiziphumo ezininzi, ngakumbi ngokubhekisele kuphuhliso lwayo, kuba le ntsholongwane inokubangela ukubalwa kweminye imimandla kwingqondo, ukongeza kwimeko yokungeva kunye nembono, umzekelo.

Iintsana ezinesifo sokuzalwa esirhabaxa kufuneka ziye kunyango lwezonyango, ukwenza utyando kunye nokuvuselelwa ebuntwaneni ukuphucula umgangatho wobomi bazo. Ukongeza, njengoko esi sifo sinokudluliselwa sisuka komnye umntu siye emntwini ngokuphefumla kunye nomchamo ukuya kuthi ga kunyaka omnye, kuyacetyiswa ukuba ugcinwe kude nabanye abantwana abangagonywanga kwaye uqalise ukuya kukhathalelo lwemini ukusukela kusuku lokuqala. yobomi okanye xa oogqirha bebonisa ukuba akusekho mngcipheko wokudluliselwa kwezifo.

Eyona ndlela yokuthintela i-rubella kukugonya, kwaye idosi yokuqala kufuneka ilawulwe kwiinyanga ezili-12 ubudala. Kwimeko yabasetyhini abafuna ukukhulelwa kodwa abangakhange bagonyelwe i-rubella, iyeza lingathathwa ngedosi enye, nangona kunjalo, umntu kufuneka alinde malunga nenyanga enye ukuba akhulelwe, kuba iyeza lenziwe ngentsholongwane . Funda ngakumbi malunga nogonyo lwe rubella.

Iimpawu zerubella yokuzalwa

I-rubella ye-Congenital inokuchongwa nangexesha lokukhulelwa okanye emva kokuzalwa ngokubhekisele ekuqwalaselweni kweempawu ezithile zomzimba kunye nezonyango, kuba intsholongwane ye-rubella inokuphazamisa ukukhula komntwana. Ke, imiqondiso ye-rubella yokuzalwa yile:

• Iingxaki zokuva, ezinje ngokungeva, umzekelo, ezinokuthi zichongwe kuvavanyo lwendlebe. Fumanisa ukuba uvavanyo lwendlebe lwenziwa njani;
• Iingxaki zombono, ezinje ngamehlo, glaucoma okanye ubumfama, ezinokufunyanwa ngokujonga iliso. Jonga ukuba yintoni uvavanyo lwamehlo;
• IMeningoencephalitis, ukudumba kwiindawo ezahlukeneyo zobuchopho;
• I-Purpura, amabala amancinci abomvu avela kulusu olunganyamalaliyo xa licinezelwe;
• Utshintsho lwentliziyo, olunokuthi lubonwe yi-ultrasound;
• Thrombocytopenia, ehambelana nokuhla kwesixa seeplatelets.

Ukongeza, intsholongwane ye-rubella inokubangela utshintsho kwi-neuronal, ekhokelela ekubambezelekeni kwengqondo, kunye nokubalwa kwezinye iindawo zobuchopho kunye ne-microcephaly, ezinemida enokuba nzima kakhulu. Umntwana unokuphinda afunyaniswe nolunye utshintsho, olunje ngesifo seswekile kunye ne-autism, kude kube kwiminyaka eyi-4, yiyo loo nto ke kufuneka ukuba ukhatshwe ngoogqirha abaliqela ukuze kusekwe olona nyango lulungileyo.

Ezona ngxaki zinkulu kunye neziphene ziyajongwa kubantwana abanomama abosulelekileyo kwinyanga yokuqala yokukhulelwa, kodwa nokuba umfazi okhulelweyo wosuleleke kwinqanaba lokugqibela lokukhulelwa, intsholongwane ye-rubella inokudibana nosana kwaye ikhokelele kutshintsho kuye uphuhliso.

Uxilongo lwenziwa njani

Ukuchongwa kwe-rubella ye-congenital kusenziwa ngexesha lokukhulelwa, ngokulinganisa ii-antibodies ngokuchasene ne-rubella ekhoyo egazini likanina okanye ngokwahlula intsholongwane kwi-amniotic fluid, engulwelo olukhusela umntwana.

I-rubella serology kufuneka yenziwe kwikota yokuqala yokukhulelwa, kunye nolunye uvavanyo olubalulekileyo, kwaye inokuphindwa ukuba umfazi okhulelweyo uneempawu zikaRubella okanye unxibelelana nabantu abanalesi sifo. Jonga ukuba zeziphi iimviwo ekufuneka azenzile umntu okhulelweyo.

Ukuba ukuxilongwa kwe-rubella ye-congenital akukenziwa okwangoku ngexesha lokukhulelwa kwaye umama wosulelwe yintsholongwane, kubalulekile ukuba ugqirha wabantwana ahambe nomntwana, ejonga ukulibaziseka okunokwenzeka kuphuhliso lwayo.

Unyango njani

Unyango lwe-rubella yokuzalwa luyahluka ukusuka komnye umntwana ukuya komnye, njengoko iimpawu azifani kuzo zonke iintsana ezine-rubella yokuzalwa.

Iingxaki zerubella yokuzalwa azisoloko zinyangeka, kodwa unyango, unyango kunye nonyango kufuneka luqale ngokukhawuleza ukuze umntwana akhule ngcono. Ke, ezi ntsana kufuneka zikhatshwe liqela eliqulunqwe ngugqirha wabantwana, ugqirha wentliziyo, ugqirha wamehlo kunye nesazi ngemithambo-luvo, kwaye kufuneka baye kwiiseshoni ze-physiotherapy ukuphucula iimoto zabo kunye nokukhula kwengqondo, kwaye banokufuna uncedo lokuhamba nokutya, umzekelo.

Ukunciphisa iimpawu, ugqirha usenokucebisa ngokusetyenziswa kwezithomalalisi zintlungu, amayeza omkhuhlane, iziyobisi ezingezizo ezokulwa nokudumba kunye ne-immunoglobulins.