Umthelela we-Herpes Simplex Virus kuMama naseNtwaneni
Ngenxa yokuthi owesifazane une-herpes yobulili, akusho ukuthi angeke abe nezingane. Amaphesenti angama-25 kuya ku-25 wamaphesenti abesifazane abakhulelwe banamakhemikhali. Noma kunjalo, igciwane le-herpes simplex libeka ingozi enganeni engakazalwa ezimweni ezithile. Ukwazi okwengeziwe ngezingozi zokutheleleka kwe-herpes ngokocansi ngesikhathi sokukhulelwa kusiza omama ukuba babe nabalingani babo benze izinqumo ezinolwazi ukuze bazivikele bona kanye nengane yabo.
I-Herpes Simplex Virus Infections
I-virus ye-herpes simplex ibangela izifo ezihlukahlukene futhi inezici ezithile. Okulandelayo kunikeza ulwazi oluthe xaxa mayelana nezinsisekelo ze-herpes simplex virus infections:
- Izithombe ze-Herpes Simplex Virus Infections
- Indlela iVirus Simplex Virus esebenza ngayo
- I-Genital Herpes Isiqhumane sokuqala
- Izifo zokwelapha ze-Herpes
- I-Cold Sores - I-Herpes Oral
Izingozi Zengozi Yezinsana Zengane Zomntwana I-Simplex Infections
Ingozi yokudlulisa i-herpes simplex virus kumntwana incike ezintweni eziningana:
- Ukuvezwa kosana ku-herpes izilonda ngesikhathi sokubeletha
- Kungakhathaliseki ukuthi unina unama-antibodies kumgciwane we-herpes simplex
- Kungakhathaliseki ukuthi usana lunezikhathi zokuthola lezi zinselo ngaphambi kokubeletha
Amanani okudluliswa kwamazinga omntwana we-Infants Herpes Simplex Infections
Ukuze sibone ukuthi izinguquko zengozi zengane zisuselwa kanjani kuzo izinto ezingenhla:
- Owesifazane obhekana nokuhlukunyezwa kokuqala kwe-herpes ngokocansi ngesikhathi se-trimester yesithathu futhi engakaze ahlakulele ama-antibodies egazini ngokuqala komsebenzi unethuba elingamaphesenti angu-33 lokudlulisela igciwane entsheni yakhe.
- Ngakolunye uhlangothi, owesifazane obhekene nokuhlukunyezwa okuphindaphindiwe kwe-herpes ngokobulili, ngoba usuvele unezifo ezithathelwanayo kumagciwane we-herpes futhi uye wadlulisela ingane yakhe engakazalwa, unethuba elingamaphesenti angu-3 lokudlulisela ingane yakhe igciwane.
Umphumela we-Herpes Simplex Virus kuMama
Abesifazane abaningi baye bahlonza igciwane le-herpes simplex futhi baye bahlakulela ama-antibodies kulesigciwane, kodwa kungenzeka ukuthi akuzange kube nokuhlukunyezwa kwe-herpes yobulili. Ngesikhathi sokukhulelwa, isimiso somzimba sokuzivikela sisasebenza kangako futhi laba besifazane bangase baqale ukuqubuka. Lolu hlobo lokuqhekeka lufaka ingozi efanayo njengendlela yokutheleleka okuphindaphindiwe yengculazi isifo esincane - esingaphansi kwesifo se-neonatal kunesifo sokutheleleka okuyinhloko. Amaphesenti angaba ngu-80 abesifazane abathintekile ngegciwane le-herpes simplex bazoba nokuphindaphindiwe ngesikhathi bekhulelwe. Abesifazane abakhulelwe ngaphambili abahlolelwe i-herpes bayoba nesilinganiso se-3 recurrences ngesikhathi sokukhulelwa.Umphumela we-Herpes Simplex Virus onsana
Ezinganeni ezisaziwa ukuthi zine-infection ye-herpes simplex, ingaphansi kwengxenye eyodwa kwezintathu kunomama oye waba ne-herpes rash noma umlingani wezocansi nge-herpes rash. Izifo eziningi ze-neonatal zenzeka ngenxa yokuchithwa kwamagciwane kusuka esibelethweni ngaphandle kobufakazi bokushona, ngokuvamile ngemva kokutheleleka okuyinhloko. Amacala amaningi okudluliswa kwe-herpes simplex kwenzeka ngesikhathi sokubeletha nokubeletha. Kuzo zonke izifo ezingu-10 ze-herpes zokubeletha, 6 kuya kwezingu-7 zitholakala ngoba umama uthola ukuhlukunyezwa kokuqala okungenasifo. Ukwedluliselwa kwegciwane le-herpes simplex kumntwana osanda kuzalwa (onesizungu) kungaba nemiphumela emibi kakhulu. Ukulingana kwe-herpes simplex ukutheleleka kungabuka ekugqibeni esikhunjeni kuya ekubandakanyekeni kwamehlo nomlomo, ukutheleleka kobuchopho, ukutheleleka kuwo wonke umzimba. Zonke izingane ezisolwa ukuthi zinegciwane le-herpes simplex kufanele lilashwe nge-IV acyclovir. Ubude bokwelashwa kunqunywa isistimu yomzimba ehilelekile ekutheleleni.Uhlobo lwe-Herpes Simplex
Uhlobo lwe-herpes simplex lunikeza ingozi enganeni. Ukutheleleka okuyinhloko noma okuphindaphindiwe kwe-HSV-1 ngesikhathi sokubeletha kuyadluliselwa kalula kunsana kodwa isifo sinomkhawulo emlonyeni, amehlo, kanye nezibungu. Ukutheleleka okuyinhloko nge-HSV-2 cishe kunomthelela wesistimu yomphakathi oyinhloko obangela ukuhlukunyezwa, ukuguqulwa kwamantombazane, ukubambezeleka kokuthuthukiswa, nokufa.Ukulethwa
Njengamanje, bonke abesifazane abanesifo sokuhlukunyezwa kwe-herpes ngokobulili, okuyisisekelo noma okuphindaphindiwe, kufanele babe nesigaba sokugcina ukunciphisa ukutholakala kwengane kumuthi we-herpes simplex.Ukwelashwa kwe-Herpes ekukhulelweni
Izincomo zamanje ze-American College of Obstetricians and Gynecologists (ACOG) zizophatha zonke iziqhumane eziyinhloko ze-herpes zobulili ngemithi yokuvimbela imishanguzo, kubandakanya ukuqhuma okuyinhloko kwabesifazane abakhulelwe. Imithi yama-antiviral etholakalayo yokwelapha i-herpes yomzimba yi-acyclovir, famciclovir, ne-valacyclovir. I-Acyclovir inedatha kakhulu ekuphepheni kokusetshenziswa kokukhulelwa. Ukubhaliswa kwabesifazane abangaphezu kuka-1000 abakhulelwe abavezwe ku-acyclovir ngesikhathi sokukhulelwa kuqala kubonisa ukuthi i-acyclovir cishe iphephile ngoba kwakungekho ukwanda kokukhubazeka kokuzalwa .Ukuqapha kwabesifazane abakhulelwe ngaphandle kwe-Herpes
Ngesikhathi noma yikuphi owesifazane ongakaze abe ne-herpes kufanele aqaphele ngokulala naye nomuntu ongase abe ne-herpes, abesifazane abakhulelwe kufanele bathathe izinyathelo ezingaphezu kwezingu- trimester zabo ezintathu kubandakanya:- Gwema ukulala ngokobulili nomlomo nabalingani abanakho noma osolwa ukuthi bane-herpes yesisu.
- Cabanga ukubuza isifo sakho sezinkinga ngokuhlolwa kwe-HSV antibody
Imithombo:
I-CDC. "Izifo Ezithathelwana Ngocansi" "Iziqondiso Zokwelashwa, 2006." Ukulimala nokufa Ukubika ngeviki. 55 (2006): 16-20.
UHabif, uTomas. "I-Warts, i-Herpes Simplex, nezinye izifo ezithathelwanayo". Ed. UThomas Habif, MD. ENew York: Mosby, 2004. 381-388.
Vuka, Dwight, MD noJeffrey Stringer, MD. "Ukuhlolisisa ukuhlolisisa uhlobo lwe-herpes simplex virus anti-mother-specific antibodies ukuze kuvikelwe i-herpes ye-neonatal". Journal American of Obstetrics and Gynecology. 183 (2000): 400-6.
URudnick, Caroline, MD, Ph.D., noGrant Hoekzema, MD. "I-neonatal herpes simplex virus infections". I-American Family Physician. 65 (2002): 1138-42.
Yeung-Yue, Kimberly. "I-Herpes simplex virus 1 no-2" I-Dermatologic Clinics 20 (2002): 1-21.