Unyango lwe-syphilis yokuzalwa

Umxholo

• Unyango lwegcushuwa emntwaneni
• 1. Umngcipheko omkhulu wokuba negcushuwa
• 2. Umngcipheko omkhulu wokuba negcushuwa
• 3. Umngcipheko omncinci wokuba negcushuwa
• 4. Umngcipheko ophantsi kakhulu wokuba negcushuwa
• Unyango lwenziwa njani kumfazi okhulelweyo

Unyango lwe-syphilis yokuzalwa luhlala lucetyiswa xa imeko yonyango lukamama yegcushuwa ingaziwa, xa unyango lowasetyhini okhulelweyo luqaliswe kuphela kwikota yesithathu okanye xa kunzima umntwana ukulandela emva kokuzalwa.

Kungenxa yokuba zonke iintsana ezizalwe ngoomama abosuleleke ngegcushuwa zingabonisa iziphumo ezincumisayo kuvavanyo lwegcushuwa olwenziwe ngexesha lokuzalwa, nokuba alosulelekanga, ngenxa yokudlula kwee-antibodies zoomama nge-placenta.

Ke, ukongeza kuvavanyo lwegazi kubalulekile ukuba uqaphele iimpawu zentsholongwane yokuzalwa evela kusana, ukugqiba olona hlobo lonyango lululo. Jonga ukuba zeziphi ezona mpawu ziphambili ze-syphilis.

Unyango lwegcushuwa emntwaneni

Unyango losana luyahluka ngokobungozi bentsholongwane emva kokuzalwa:

1. Umngcipheko omkhulu wokuba negcushuwa

Lo mngcipheko umiselwa xa umfazi okhulelweyo engakhange afumane unyango lwegcushuwa, uvavanyo lomzimba lomntwana aluqhelekanga, okanye uvavanyo lwegcushuwa lomntwana lunexabiso le-VDRL kumaxesha ama-4 aphezulu kunonina. Kule meko, unyango lwenziwa kwenye yezi ndlela zilandelayo:

• Inaliti ye-50,000 IU / Kg ye-penicillin enamanzi acwecwe rhoqo emva kweeyure ezili-12 iintsuku ezisi-7, kulandelwa ngama-50,000 IU e -quequeous crystalline Penicillin qho kwiiyure ezisi-8 phakathi komhla wesi-7 nowe-10;

okanye

• Ukufakwa kwi-50,000 IU / Kg ye-procaine Penicillin kanye ngemini kangangeentsuku ezili-10.

Kuzo zombini ezi meko, ukuba uthe waphoswa ngaphezulu kosuku olunye lonyango, kuyacetyiswa ukuba uqale ngenaliti kwakhona, ukuphelisa umngcipheko wokungalwi neentsholongwane ngokuchanekileyo okanye wosulelwe kwakhona.

2. Umngcipheko omkhulu wokuba negcushuwa

Kule meko, bonke abantwana abavavanywa ngokwasemzimbeni kunye novavanyo lwegcushuwa enexabiso le-VDRL elilingana okanye elingaphantsi kwamaxesha ama-4 kunina, kodwa abazelwe ngabasetyhini abakhulelweyo abangazange bafumane unyango olwaneleyo lwegcushuwa okanye abo baqala unyango olungaphantsi , Kwiiveki ezi-4 phambi kokuziswa.

Kwezi meko, ukongeza kukhetho lokonyango oluchazwe apha ngasentla, enye indlela inokusetyenziswa, equka inaliti enye ye-50,000 IU / Kg ye-benzathine Penicillin. Nangona kunjalo, olu nyango lunokwenziwa kuphela ukuba kuqinisekile ukuba uvavanyo lomzimba alunalutshintsho kwaye umntwana unokuhamba nodokotela wabantwana ukuya kwenza iimvavanyo zegcushuwa.

3. Umngcipheko omncinci wokuba negcushuwa

Iintsana ezisemngciphekweni omncinci wokuba negcushuwa zinokuvavanywa ngokwasemzimbeni okuqhelekileyo, uvavanyo lwegcushuwa elinexabiso le-VDRL elilingana okanye ngaphantsi kwamaxesha ama-4 umama kunye nowasetyhini okhulelweyo baqala unyango olufanelekileyo ngaphezulu kweeveki ezi-4 ngaphambi kokubeleka.

Ngokwesiqhelo, unyango lwenziwa kuphela ngenaliti enye ye-50,000 IU / kg ye-benzathine Penicillin, kodwa ugqirha unokukhetha ukungayenzi inaliti kwaye aqhubeke nokubeka iliso kuphuhliso lomntwana ngovavanyo lwe-syphilis rhoqo, ukuvavanya ukuba ngaba usulelekile , emva koko anyangwe.

4. Umngcipheko ophantsi kakhulu wokuba negcushuwa

Kule meko, umntwana uneemviwo eziqhelekileyo zomzimba, uvavanyo lwegcushuwa enexabiso le-VDRL elilinganayo okanye elingaphantsi kwamaxesha ama-4 kanina, kwaye umfazi okhulelweyo wenza unyango olufanelekileyo ngaphambi kokuba akhulelwe, ebonisa amaxabiso asezantsi e-VDRL ngalo lonke ixesha lokukhulelwa .

Ngokwesiqhelo, unyango aluyomfuneko kwezi ntsana, kwaye kufuneka lulandelwe kuphela kuvavanyo lwegcushuwa. Kwimeko apho kungenakwenzeka ukugcina ukubekwa esweni rhoqo, ugqirha unokucebisa ukuba kwenziwe inaliti enye ye-50,000 IU / Kg ye-benzathine Penicillin.

Bukela le vidiyo ilandelayo kwaye ufunde ngakumbi malunga neempawu, ukuhanjiswa kunye nokunyangwa kwegcushuwa:

Unyango lwenziwa njani kumfazi okhulelweyo

Ngexesha lokukhulelwa, owasetyhini kufuneka enze uvavanyo lwe-VDRL kwezi trimesters zintathu ukujonga ubukho okanye ukungabikho kwebhaktheriya emzimbeni. Ukwehla kwesiphumo kovavanyo akuthethi ukuba isifo siphilisiwe kwaye, ke ngoko, kufuneka ukuba uqhubeke nonyango kude kube sekupheleni kokukhulelwa.

Unyango lwabasetyhini abakhulelweyo ngexesha lokukhulelwa lwenzeka ngolu hlobo lulandelayo:

• Kwi-syphilis ephambili: idosi iyonke ye-2,400,000 IU benzathine penicillin;
• Kwi-syphilis yesibini: idosi iyonke ye-4,800,000 IU benzathine penicillin;
• Kwi-syphilis ephakamileyoidosi iyonke ye-7,200,000 ye-benzathine penicillin;

Ukwenza uvavanyo lwe-serological ye-syphilis ngokuthatha isampuli yegazi kwimbambo kubalulekile ukuba wazi ukuba umntwana sele enesi sifo okanye hayi. Iisampulu zegazi ezithathwe emntwaneni xa ezalwa zikwabalulekile ekuvavanyeni ukuba ngaba ukhe wosulelwe yi-syphilis okanye hayi.

Kwi-neurosyphilis, kuyacetyiswa ukuba kwenziwe i-18 ukuya kwi-24 yezigidi ze-IU ngosuku lwe-crystalline penicillin G, efakwa ngaphakathi, eqhekezwe ngeedosi ze-3-4 yezigidi ze-U rhoqo kwiiyure ezi-4, kwiintsuku ezili-10 ukuya kwezi-14.

Fumanisa okungakumbi malunga nonyango, kubandakanya nokuba lwenziwa njani na unyango xa umfazi okhulelweyo ene aleji kwiPenicillin.