Uviwo lweSwab: yeyantoni kwaye yenziwa njani

Umxholo

• Uviwo lwe-swab ekukhulelweni
• Iimpawu zosulelo ngu IStreptococcus Iqela B
• Imiba yomngcipheko

O IStreptococcus iqela B, ekwabizwa ngokuba yi IStreptococcus agalactiae, S. iagalactiae okanye i-GBS, yintsholongwane ebonakalayo ngokwendalo emathunjini, kumchamo nakwilungu lobufazi ngaphandle kokubangela naziphi na iimpawu. Nangona kunjalo, kwezinye iimeko, le bhaktiriya iyakwazi ukwenza ikholoni kwilungu lobufazi, elinokubangela iingxaki ngexesha lokukhulelwa kwaye ngexesha lokuhambisa, umzekelo, kuba njengoko kungekho zimpawu, intsholongwane inokudlula isuke kunina iye emntwaneni, ethi inokuba nzulu kwezinye iimeko.

Njengoko kukho umngcipheko wokungcola kosana, ingcebiso kukuba phakathi kwe-35 neye-37 iveki yokukhulelwa, uvavanyo lwaselabhoratri olwaziwa ngokubanzi njengovavanyo lwe-swab lwenziwa ukujonga ubukho kunye nobungakanani be IStreptococcus B kwaye, ke, kunokubakho ukucwangciswa malunga nokufezekiswa konyango ngexesha lokubeleka.

Uviwo lwe-swab ekukhulelweni

Uviwo lwe-swab luvavanyo ekufuneka lwenziwe phakathi kweeveki ezingama-35 ukuya kwezingama-37 zokumitha kwaye ejolise ekuchongeni ubukho begciwane IStreptococcus agalactiae kunye nobungakanani bayo. Olu vavanyo lwenziwa elebhu kwaye luqulathe ingqokelela, kusetyenziswa i-swab, yeesampulu ezivela kwilungu lobufazi kunye ne-anus, kuba ezi yindawo apho ubukho beli bhaktiriya bunokuqinisekiswa ngokulula.

Emva kokuqokelelwa, ii-swabs zithunyelwa elebhu ukuba zihlolwe kwaye iziphumo zikhutshwe phakathi kwe-24 kunye neeyure ezingama-48. Ukuba ngaba uvavanyo luchanekile, ugqirha ujonga iimpawu zosulelo kwaye, ukuba kukho imfuneko, angabonisa unyango, olwenziwa ngokuluhambisa ngqo kumthambo wokubulala iintsholongwane kwiiyure ezimbalwa ngaphambi nangexesha lokuhanjiswa.

Unyango ngaphambi kokunikezelwa aluboniswa yinto yokuba yintsholongwane efumaneka emzimbeni kwaye, ukuba yenziwa ngaphambi kokubeleka, kunokwenzeka ukuba ibhaktiriya iya kukhula ibuye, ibonisa umngcipheko wosana.

Iimpawu zosulelo ngu IStreptococcus Iqela B

Umfazi unokuba nosulelo ngo S. iagalactiae nangaliphi na ixesha ngexesha lokukhulelwa, njengoko ibhaktiriya ibakho ngokwendalo kwimichamo yokuchama. Xa usulelo lunganyangwa ngokuchanekileyo okanye kuvavanyo lokuchonga alwenziwanga, kunokwenzeka ukuba ibhaktiriya idlulele emntwaneni, ivelise iimpawu kunye neempawu, eziphambili zezi:

• Ifiva;
• Iingxaki zokuphefumla;
• Ukungazinzi kwentliziyo;
• Ukuphazamiseka kwezintso kunye namathumbu;
• Sepsis, ehambelana nobukho bentsholongwane egazini, enzima kakhulu;
• Ukucaphuka
• Ukukrala kwemiphunga;
• Ukudumba kwenwebu yengqondo.

Ngokwexesha leminyaka apho iimpawu kunye neempawu zosulelo ngu IStreptococcus Iqela B kusana, usulelo lunokuhlelwa njenge:

• Usulelo lokuqala kwangoko, apho iimpawu zibonakala kwiiyure zokuqala emva kokuzalwa;
• Usulelo olusemva kwexesha, kum ukuba iimpawu zibonakala phakathi kosuku lwe-8 emva kokuzalwa kunye neenyanga ezi-3 zobomi;
• Usulelo lokuqala ngokukhawuleza kakhulu, kulapho iimpawu zivela khona emva kweenyanga ezi-3 zobomi kwaye zinxulumene kakhulu ne-meningitis kunye ne-sepsis.

Ukuba kukho iimpawu zosulelo kwiitrimester zokuqala ezimbini zokukhulelwa, ugqirha unokucebisa unyango ngamayeza okubulala iintsholongwane, ukuthintela iingxaki ngexesha lokukhulelwa, njengokukhupha isisu ngokuzenzekelayo okanye ukuzalwa kwangaphambi kwexesha, umzekelo. Nangona yenzelwe unyango ukulwa S. iagalactiae Ngexesha lokukhulelwa, kubalulekile ukuba owasetyhini okhulelweyo athathe i-swab yokuchonga ibhaktiriya kwaye ayithintele ukuba idluliselwe emntwaneni.

Funda ukuba ungaziqonda njani iimpawu ze IStreptococcus iqela B nendlela unyango olwenziwa ngayo.

Imiba yomngcipheko

Ezinye iimeko zonyusa umngcipheko wokudluliselwa kwebhaktheriya ukusuka kumama isiya emntwaneni, eyona iphambili yile:

• Ukuchongwa kwebhakteriya kuhanjiso lwangaphambili;
• Usulelo lwe-Urinary tract IStreptococcus agalactiae ngexa lokukhulelwa;
• Umsebenzi ngaphambi kweveki yama-37 yokukhulelwa;
• Umkhuhlane ngexesha lomsebenzi;
• Umntwana odlulileyo kunye Iqela le-streptococcus.

Ukuba kufunyaniswe ukuba kukho umngcipheko omkhulu wokudluliselwa kwebhaktheriya ukusuka kumama isiya emntwaneni, unyango lwenziwa ngexesha lokuhanjiswa ngokuhambisa i-antibiotics ngqo emthanjeni. Ukuthintela iingxaki, jonga ukuba loluphi uvavanyo ekufuneka lwenziwe kwikota yesithathu yokukhulelwa.