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Umxholo

Yintoni uvavanyo lwe-strep yeqela B?

I-Strep B, ekwabizwa ngokuba yiqela B strep (GBS), luhlobo lweebhaktiriya ezifumaneka ngokufuthi kwindawo yokugaya ukutya, kumchamo nakwindawo yesini. Ayifane ibangele iimpawu okanye iingxaki kubantu abadala kodwa inokubulala iintsana.

Kwabasetyhini, i-GBS ifumaneka ikakhulu kwilungu lobufazi kunye neethanga. Ke umfazi okhulelweyo osulelekileyo angazidlulisela kubantwana bakhe ngexesha lokubeleka nasekubelekeni. I-GBS inokubangela inyumoniya, i-meningitis, kunye nezinye izifo ezinzulu kusana. Usulelo lwe-GBS ngoyena nobangela uphambili wokufa kunye nokukhubazeka kwiintsana.

Uvavanyo lweqela B lokuhlola uvavanyo lweebhakteria ze-GBS.Ukuba uvavanyo lubonisa ukuba umfazi okhulelweyo une-GBS, unokuthatha i-antibiotics ngexesha lokubeleka ukukhusela usana lwakhe kusulelo.

Amanye amagama: iqela B streptococcus, iqela B beta-hemolytic streptococcus, streptococcus agalactiae, beta-hemolytic strep inkcubeko

Isetyenziselwa ntoni?

Uvavanyo lwe-strep yeqela B luhlala lusetyenziselwa ukukhangela i-GBS bacteria kubasetyhini abakhulelweyo. Uninzi lwabasetyhini abakhulelweyo bavavanywa njengenxalenye yovavanyo lwaphambi kokubeleka. Ingasetyenziselwa ukuvavanya iintsana ezibonisa iimpawu zentsholongwane.


Kutheni ndifuna uvavanyo lweqela B?

Unokufuna uvavanyo lwe-strep B ukuba ukhulelwe. IAmerican College of Obstetricians kunye neGynecologists icebisa uvavanyo lwe-GBS kubo bonke abasetyhini abakhulelweyo. Uvavanyo luhlala lwenziwa kwiveki yama-36 okanye engama-37 yokukhulelwa. Ukuba uza kusebenza ngaphambi kweeveki ezingama-36, unokuvavanywa ngelo xesha.

Umntwana unokufuna uvavanyo lweqela B xa eneempawu zosulelo. Oku kubandakanya:

  • Umkhuhlane ophezulu
  • Ingxaki ngokondla
  • Ingxaki yokuphefumla
  • Ukungabikho kwamandla (kunzima ukuvuka)

Yintoni eyenzekayo ngexesha lovavanyo lweqela B?

Ukuba ukhulelwe, umboneleli wakho wezempilo unokuyalela uvavanyo lwe-swab okanye uvavanyo lomchamo.

Uvavanyo lwe-swab, uya kulala ngomqolo kwitafile yeemviwo. Umboneleli wakho wokhathalelo lwempilo uya kusebenzisa iswabi encinci yomqhaphu ukuthatha isampulu yeeseli kunye nolwelo olusuka kwilungu lakho lobufazi kunye nephandle.

Uvavanyo lomchamo, uya kuthi uxelelwe ukuba usebenzise "indlela yokubambisa ecocekileyo" ukuqinisekisa ukuba isampulu yakho ayinazintsholongwane. Ibandakanya la manyathelo alandelayo.


  • Hlamba izandla zakho.
  • Coca indawo yakho yobuni ngesiphedi sokucoca osinikwe ngumboneleli wakho. Ukucoca, vula ilebhu yakho kwaye usule ukusuka ngaphambili ukuya ngasemva.
  • Qalisa ukuchama kwindlu yangasese.
  • Hambisa isitya sokuqokelela phantsi komjelo wakho womchamo.
  • Qokelela ubuncinci i-ounce okanye ezimbini zomchamo kwisitya, ekufuneka sinamanqaku ukubonisa izixa.
  • Gqiba uchama ungene kwindlu yangasese.
  • Buyisela isampulu yesikhongozeli njengoko kuyalelwe ngumboneleli wakho wezempilo.

Ukuba umntwana wakho ufuna ukuvavanywa, umboneleli angenza uvavanyo lwegazi okanye impompo yomqolo.

Uvavanyo lwegazi, Ingcali yezempilo iya kusebenzisa inaliti encinci ukuthatha isampuli yegazi kwisithende somntwana wakho. Emva kokuba inaliti ifakiwe, inani elincinci legazi liya kuqokelelwa kwityhubhu yovavanyo okanye igutyana. Usana lwakho lusenokuziva ngathi lubuhlungu kancinci xa inaliti ingena okanye iphuma.

Impompo yomqolo, ekwabizwa ngokuba kukugqobhoza i-lumbar, luvavanyo oluqokelela kwaye lujonge ulwelo lomqolo, ulwelo olucacileyo olujikeleze ingqondo kunye nentambo yomqolo. Ngexesha lenkqubo:


  • Umongikazi okanye omnye umboneleli wezempilo uya kubamba usana lwakho kwindawo esongiweyo.
  • Umboneleli wezempilo uya kuwucoca umqolo wosana lwakho kwaye afake i-anesthetic kulusu, ukuze umntwana wakho angaziva zintlungu ngexesha lenkqubo. Umboneleli unokubeka ukhilimu obindayo kumqolo wosana lwakho ngaphambi kwale inaliti.
  • Umboneleli unokuphinda anike umntwana wakho isidambisi kunye / okanye isiqabu sentlungu ukumnceda ukuba ayinyamezele ngakumbi le nkqubo.
  • Nje ukuba indawo ngasemva ibe ndindisholo ngokupheleleyo, umboneleli wakho uya kufaka inaliti encinci, engenanto phakathi kwe-vertebrae kumqolo ongezantsi. I-Vertebrae ngamathambo amancinci amancinci enza umqolo.
  • Umboneleli uya kurhola isixa esincinci se-cerebrospinal fluid kuvavanyo. Oku kuya kuthatha malunga nemizuzu emihlanu.

Ngaba kuya kufuneka ndenze nantoni na ukulungiselela uvavanyo?

Awunawo amalungiselelo akhethekileyo kuvavanyo lweqela B.

Ngaba bukhona ubungozi kuvavanyo?

Akukho bungozi kuwe kwi-swab okanye kuvavanyo lomchamo. Umntwana wakho unokuba nentlungu encinci okanye atyumke emva kovavanyo lwegazi, kodwa oko kufanele kumke ngokukhawuleza. Umntwana wakho uya kuziva iintlungu emva kwempompo yomqolo, kodwa oko akufuneki kuhlala ixesha elide. Kukwakho nomngcipheko omncinci wosulelo okanye ukopha emva kwempompo yomqolo.

Zithetha ntoni iziphumo?

Ukuba ukhulelwe kwaye iziphumo zibonisa ukuba uneebhaktheriya ze-GBS, uya kunikwa i-antibiotics ngaphakathi (nge-IV) ngexesha lomsebenzi, ubuncinci iiyure ezine ngaphambi kokuhanjiswa. Oku kuya kukuthintela ukuba ungadlulisi ibhaktheriya usana lwakho. Ukuthatha amayeza okubulala iintsholongwane kwangethuba xa ukhulelwe akusebenzi, kuba iintsholongwane zingakhula ngokukhawuleza. Kukwasebenza ngakumbi ukuthatha ii-antibiotics ngomthambo wakho, kunokuba ube ngomlomo.

Awunakudinga i-antibiotics ukuba unesiqhelo sokuhanjiswa kwecandelo le-Cesarean (C-icandelo). Ngexesha lecandelo le-C, umntwana uhanjiswa ngesisu sikamama kunokuba ubufazi. Kodwa kuya kufuneka uvavanywe ngexesha lokukhulelwa kuba ungaya emsebenzini ngaphambi kwecandelo lakho le-C elimiselweyo.

Ukuba iziphumo zomntwana wakho zibonisa usulelo lwe-GBS, uya kunyangwa ngamayeza okubulala iintsholongwane. Ukuba umboneleli wakho ukrokrela usulelo lwe-GBS, unokulunyanga usana lwakho phambi kokuba iziphumo zovavanyo zibekho. Kungenxa yokuba i-GBS inokubangela ukugula okanye ukufa.

Ukuba unemibuzo malunga neziphumo zakho okanye iziphumo zomntwana wakho, thetha nomboneleli wakho wezempilo.

Funda ngakumbi malunga novavanyo lwelabhoratri, uluhlu lweereferensi, kunye neziphumo zokuqonda.

Ngaba ikhona enye into endifuna ukuyazi malunga novavanyo lweqela B?

I-Strep B luhlobo olunye lwe-strep bacteria. Ezinye iindlela ze-strep zibangela iintlobo ezahlukeneyo zosulelo. Oku kubandakanya i-strep A, ebangela i-strep throat, kunye ne-streptococcus pneumoniae, ebangela olona hlobo luqhelekileyo lwenyumoniya. I-Streptococcus pneumonia bacteria inokubangela nosulelo lwendlebe, i-sinus, kunye negazi.

Izalathiso

  1. I-ACOG: Ikholeji yaseMelika yoNyango kunye neeGynecologists [kwi-Intanethi]. IWashington D.C.: Ikholeji yaseMelika yoNyango kunye neeGynecologists; c2019. Iqela B Ukuqina nokukhulelwa; 2019 Jul [icatshulwe ngo-2019 ngo-Novemba 15]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.acog.org/Patients/FAQs/Group-B-Strep-and-Pregnancy
  2. Amaziko oLawulo noKuthintela iZifo [i-Intanethi]. IAtlanta: iSebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu; Iqela B Strep (GBS): Uthintelo; [icatshulwe ngo-2019 ngo-Novemba 15]; [malunga nezikrini ezi-4]. Ifumaneka kwi: https://www.cdc.gov/groupbstrep/about/prevention.html
  3. Amaziko oLawulo noKuthintela iZifo [i-Intanethi]. IAtlanta: iSebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu; Iqela B Strep (GBS): Iimpawu kunye neMpawu; [icatshulwe ngo-2019 ngo-Novemba 15]; [malunga nezikrini ezi-4]. Ifumaneka kwi: https://www.cdc.gov/groupbstrep/about/symptoms.html
  4. Amaziko oLawulo noKuthintela iZifo [i-Intanethi]. IAtlanta: iSebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu; ILebhu yaseStreptococcus: iStreptococcus pneumoniae; [icatshulwe ngo-2019 ngo-Novemba 15]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.cdc.gov/streplab/pneumococcus/index.html
  5. Amaziko oLawulo noKuthintela iZifo [i-Intanethi]. IAtlanta: iSebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu; Impilo Yabahambi: Isifo sePneumococcal; [ihlaziyiwe ngo-2014 Agasti 5; ikhankanywe ngo-2019 ngo-Novemba 15]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://wwwnc.cdc.gov/travel/diseases/pneumococcal-disease-streptococcus-pneumoniae
  6. Ukhathalelo lwezeMpilo kwi-Intermountain: Isibhedlele saBantwana abaPrayimari [i-Intanethi]. ISalt Lake City: Ukhathalelo lwezeMpilo kwi-Intermountain; c2019. Ukubethelwa kweLumbar kwiNtsana; [icatshulwe ngo-2019 ngo-Novemba 15]; [malunga nezikrini ezi-4]. Ifumaneka kwi: https://intermountainhealthcare.org/ext/Dcmnt?ncid=520190573
  7. Uvavanyo lweLebhu kwi-Intanethi [kwi-Intanethi]. IWashington DC: Umbutho waseMelika weKlinikhi yeKhemistry; c2001–2019. Inkcubeko yegazi; [ihlaziyiwe ngo-2019 Sep 23; ikhankanywe ngo-2019 ngo-Novemba 15] [malunga nezikrini ezi-2]. Ifumaneka kwi: https://labtestsonline.org/tests/blood-culture
  8. Uvavanyo lweLebhu kwi-Intanethi [kwi-Intanethi]. IWashington DC: Umbutho waseMelika weKlinikhi yeKhemistry; c2001–2019. Uvavanyo lwePrenatal Group B Strep (GBS); [ihlaziywe ngo-2019 ngoMeyi 6; ikhankanywe ngo-2019 ngo-Novemba 15] [malunga nezikrini ezi-2]. Ifumaneka kwi: https://labtestsonline.org/tests/prenatal-group-b-strep-gbs-screening
  9. Uvavanyo lweLebhu kwi-Intanethi [kwi-Intanethi]. IWashington DC: Umbutho waseMelika weKlinikhi yeKhemistry; c2001–2019. Umchamo weNkcubeko; [ihlaziywe ngo-2019 Sep 18; ikhankanywe ngo-2019 ngo-Novemba 15]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://labtestsonline.org/tests/urine-culture
  10. IYunivesithi yaseRochester Medical Centre [i-Intanethi]. URochester (NY): KwiYunivesithi yaseRochester Medical Centre; c2019. I-Health Encyclopedia: Iqela le-B iStreptococcus Usulelo kwiintsana; [icatshulwe ngo-2019 ngo-Novemba 15]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=90&contentid=P02363
  11. IYunivesithi yaseRochester Medical Centre [i-Intanethi]. URochester (NY): KwiYunivesithi yaseRochester Medical Centre; c2019. Health Encyclopedia: Unyumoniya; [icatshulwe ngo-2019 ngo-Novemba 15]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=85&contentid=P01321
  12. Ezempilo ze-UW [kwi-Intanethi]. Madison (WI): Izibhedlele zeYunivesithi yaseWisconsin kunye neGunya leKlinikhi; c2019. Ulwazi lwezeMpilo: Iqela B Ukosulelwa yiStreptococcal kwiintsana ezisandul 'ukuzalwa: Isihloko ngokujongwa; [ihlaziywe ngo-2018 Dec 12; ikhankanywe ngo-2019 ngo-Novemba 15] [malunga nezikrini ezi-2]. Ifumaneka kwi: https://www.uwhealth.org/health/topic/special/group-b-streptococcal-infections-in-newborns/zp3014spec.html
  13. Izikhokelo ze-WHO zokuDweba iGazi: Ezona ndlela ziPhambili kuPhlebotomy [kwi-Intanethi]. IGeneva (i-SUI): Umbutho wezeMpilo weHlabathi; c2010. 6. Isampulu yegazi yabantwana kunye neonatal [icatshulwe ngo-2019 ngo-Novemba 15]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.ncbi.nlm.nih.gov/books/NBK138647

Ulwazi olukule ndawo akufuneki lusetyenziswe endaweni yonyango okanye iingcebiso. Nxibelelana nomboneleli wezempilo ukuba unemibuzo malunga nempilo yakho.

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