Imiphumela ye-Chicken Pox kumama okhulelwe kanye nengane yakhe engakazalwa
Yini okudingeka ukwazi uma uthola noma uthuthukise inkukhu ngesikhathi ukhulelwe? Ikhukhukazi ingayithinta kanjani ingane yakho futhi ingayithinta kanjani impilo yakho? Ingabe kukhona okunye ongakwenza ukuze uvimbele inkukhu yakho noma ingane yakho?
I-Chickenpox ekukhulelweni
I-chickenpox ivame ukungenwa yi-virus ye-varicella.
Kodwa-ke, isikhwama sezinkukhu esitholakale ngesikhathi sokukhulelwa senza ingozi enkulu yezinkinga kumama nosana. Isikhathi sokutheleleka , kungakhathaliseki ukuthi ngesikhathi sokukhulelwa kokuqala noma esiseduze nokubeletha, sidlala indima ebalulekile engozini kumama nengane.
Abesifazane abakhulelwe bayaboniswa ku-Pox Pox
Abesifazane abakhulelwe abanomlando wesandulela-ngculazi esidlule sezinkukhu noma abaye bagonywa banamagciwane okulwa negciwane. La ma antibodies adluliselwa kosana ngokusebenzisa i-placenta phakathi nokukhulelwa. Ngakho-ke, abesifazane abakhulelwe abavikelekile futhi bavulelwe umuntu onenkomo yenkukhu akudingeki bakhathazeke ngezinkinga zabo noma abantwana babo.
Ngokuphambene nalokho, abesifazane abasengozini yezinkukhu (mhlawumbe ngokungakaze bahlolele noma bangagonywa) basengozini. Uma ukholelwa ukuthi uye wadonsa inkukhu ngenkathi ukhulelwe wambiza udokotela wakho ngokushesha.
Ngaphezu kwalokho abesifazane abangenasifo somzimba ku-varicella, kodwa bavezwa bangase baphathwe nge-varicella-zoster immunoglobulin (i-VZIG), into edala ukumelana nomzimba ngegciwane le-varicella.
Ukuhlolwa kokungakhulelwa emkhunjini
Bonke abesifazane kufanele baxoxwe mayelana nokutheleleka kokukhulelwa kwenkukhu noma ukugoma ngesikhathi sokuqala kokubeletha.
Kulabo besifazane abangakhombisi ukutheleleka noma ukugoma kwangaphambilini, amaphesenti angama-80 kuya kwangu-90 anama-antibodies futhi abhekwa njengamasosha omzimba. Ngenxa yalesi sizathu, ukuhlolwa kwama-antibodies ngokumelene ne-inkukhupox njengobufakazi bokuzivikela kungavumelani, kodwa ochwepheshe abaningi bathola lolu hlelo ngesikhathi sokuvakasha kokuqala kokubeletha.
Ukugonywa ngokumelene nenkukhu ngesikhathi sokukhulelwa akukhuthazwa. Umuthi wokugoma we-chickenpox uyigciwane "eliphila bukhoma" futhi unomthelela wokubeka isifo, ikakhulukazi kulabo abangakhulelwe noma abakhulelwe.
Izinkinga Zomama Zenkukhu Inkukhu Ekukhulelweni
Ukutheleleka okuyinhloko yokukhukhumeza inkukhu kwenzeka kuphela ku-0.05 kuya kumaphesenti angu-0.07 wokukhulelwa ngoba abesifazane abaningi abaneminyaka yobudala yokubeletha banokuzivikela emagciwane e-varicella (ngenxa yokutheleleka kwangaphambilini noma ukugoma.) Abesifazane abathola inkukhu ngesikhathi bekhulelwe, ikakhulukazi emithathu yesithathu , basengozini enkulu yokuthuthukisa i-varicella pneumonia. I-Varicella pneumonia iyisifo esingasongela impilo yamapayipi yi-virus ye-varicella.
Izinkinga Zenganeni Yezinkukhu Ekukhulelweni Kwangaphambi Kokuqala
Ukutheleleka okuyinhloko yokukhukhulwa kwenkukhu e-trimestre yokuqala yokukhulelwa, ikakhulukazi amasonto ayisishiyagalombili kuya ku-12, inomthelela we-2.2% we-congenital varicella syndrome.
Ukubonakaliswa kwe-varicella syndrome ebusweni kwengane kuhlanganisa:
- Ukukhwabanisa kwesikhumba
- I-microcephaly (incane kunekhanda evamile)
- Izinkinga zamehlo
- Isisindo sokuzalwa esincane
- Ukuphuza kwengqondo
Ukuncintisana Kwezingane Zenganekwane Ekukhulelweni
Izibilini ziyisimo esibangelwa ukuvuselelwa kabusha kwegciwane lesikhuhlane nanoma yisiphi isikhathi ngemva kokutheleleka kwangempela. Ngemuva kokutheleleka kokuyinkukhu yenkukhu, igciwane lihlala lingapheli, futhi lingase lisetshenziswe kabusha, ikakhulukazi uma umzimba ungagciniwe. Nakuba singakuzwa okuningi mayelana nomthelela ongase ube nawo wokukhulelwa, ukuhlolwa kuka-2016 kwathola ukuthi kwabangu-130 abesifazane ababeletha izinsana nge-congenital varicella syndrome, 2 amacala ayehlobene nokukhwabanisa esikhundleni sokutheleleka kwezikhukhukazi ezincane.
Ukuqaphela izibonakaliso zokuqala zesibindi kubalulekile kuwo wonke umuntu, ikakhulukazi abesifazane abakhulelwe, njengoba ukwelashwa kunganciphisa kakhulu ukuqina kwesifo, kodwa kuphela uma kuqalwa phakathi nezinsuku ezimbalwa zokugula.
Izinkinga Zenganeni Yezinkukhu Ezikhulelwe Ngaphambi Kokukhulelwa
Uma owesifazane ethola ukutheleleka okuyinhloko yenkukhu yenkukhu nganoma isiphi isikhathi esikhathini esithatha izinsuku ezingu-5 ngaphambi nangemva kwezinsuku ezimbili ngemuva kokubeletha, ingane yakhe isengozini yokusakazwa kwe-varicella. Ukutheleleka kwe-varicella okusakazwa kwenzeka uma igciwane ligula ingane ngaphambi kokudluliswa kwamagciwane okuvikela omama. Lokhu ukutheleleka kwegciwane lesandulela ngculaza kwaholela ekufeni ezinganeni ezingamaphesenti angu-30 ezathuthukisa izifo, kodwa izinga lokufa liye lahla lafika kuma-7% ngokusetshenziswa kwe-varicella zoster immune globulin.
Ukwelashwa Kwabesifazane abakhulelwe abane-Chicken Pox
Abesifazane abazuza isikhwama esikhulu sokukhukhumeza ngesikhathi sokukhulelwa kufanele baphathwe ngesidakamizwa se-antiviral Zovirax (acyclovir,) imithi ebonakala ibe nephrofayili enhle yokuphepha ekukhulelweni. Abesifazane abakhulelwe nge-varicella pneumonia kufanele baphathwe nge-acyclovir engena-intravenous futhi babone esibhedlela.
Ukwelashwa Kwezingane Nezinkukhu Zezinkukhu
Amantombazane omama abathuthukisa i-varicella izinsuku ezinhlanu ngaphambi kokubeletha noma izinsuku ezimbili emva kokubeletha kufanele bathole i-varicella zoster immunoglobulin (VZIG) ngemuva kokuzalwa.
Izinsana ezihlakulela i-varicella phakathi namasonto amabili okuqala okuphila kufanele ziphathwe nge-acyclovir engenazinhlungu.
Ukugonywa kwe-Postpartum
Bonke abesifazane abatholakale bengena-immune kunkukhukhukhukhu ngesikhathi bekhulelwe, futhi bangahlakuleli lesi sifo ngesikhathi sokukhulelwa, kufanele bagonwe ngesikhathi sokuhamba kwesikhathi sokuvimbela ingozi ekukhulelweni kamuva.
Ngaphansi kwe-Chickenpox noma ukuvezwa kwezinkukhu ngesikhathi sokukhulelwa
Kungaba ukwesabisa kakhulu uma ukhula noma uvezwa ngisho nenkukhu ngesikhathi ukhulelwe. Kungenzeka ukuthi wezwe izindaba mayelana nokuthi inkukhu yezinkukhu ingathinta kanjani izingane ezingakazalwa noma izingane ngemva nje kokuzalwa. Ngenhlanhla, kunezinto eziningi ezingenziwa ukuze unciphise ingozi yezinkukhu zombili wena nomntanakho, noma ukuphatha ukutheleleka kufanele kwenzeke.
Labo abahlela ukukhulelwa kumele bathole ukuthi banezinkukhu yini nokuthi banomuthi wokugoma yini. Uma isimo se-immune singaziwa, ukuhlolwa kwegazi ukuhlola ingculazi kungenziwa futhi umgomo owenziwe uma kudingeka. Uma uhlela ukugonywa, kutuswa ukuba wenze njalo izinyanga ezingu-3 noma ngaphezulu ngaphambi kokukhulelwa.
Uma ukhulelwe futhi ungaqiniseki ngokuzivikela kwakho ku-inkukhu, thintana nodokotela wakho wezifo. Kungenzeka ukuthi uhlolwe ekuvakasheni kwakho kokuqala kokubeletha. Uma ngabe uthola igciwane, shayela udokotela wakho ngokushesha. Izinyathelo ezivimbelayo ziphumelela kakhulu uma ziqashwe ngokushesha ngemuva kokuvezwa futhi isikhathi eside ngaphambi kokuba noma yiziphi izimpawu zakha.
> Imithombo:
> Ahn, K., Park, Y., Hong, S. et al. I-Congenital Varicella Syndrome: Ukubuyekeza Okuhlelekile. I-Journal ye-Obstetrics ne-Gynecology . 2016. 36 (5): 563-6.
> Amasevisi Okulawula Nokuvimbela Izifo. I-Chickenpox (i-Varicella). Abantu Ngengozini Ephezulu Yezinkinga. Kubuyekezwe 07/01/16. https://www.verywell.com/chicken-pox-pictures-4020407
> Cunningham, F. Gary., NoJohn Whitridge Williams. Williams Obstetrics. ENew York: McGraw-Hill Medical Medical, 2014. Phrinta.
> Jespersen, C., Helmuth, I., noT. Krause. Ukwelashwa kwe-Varicella-Zoster Kwabesifazane abakhulelwe eDenmark kusukela ngo-2005 kuya ku-2015: I-Epidemiology ne-Follow-Up echazayo. I-Epidemiology ne-Infection . 2016 Aug 18. (Epub ngaphambi kokuphrinta).