Izimpande ZaseJalimane Ekukhulelweni
I-Rubella, eyaziwa nangokuthi ama-Measles aseJalimane, ngokuvamile isifo sezingane esibucayi. Nokho, ekukhulelwe, uma unina une-rubella, kunezinkinga eziningi ezingase zenzeke.
Uma une-rubella ku-trimester yokuqala, une-25% engozini yokuba nesifo sokuzalwa, esibizwa ngokuthi i-rubella syndrome (congenital rubella syndrome). Lezi ziphutha zingabandakanya:
- ukukhubazeka kwenhliziyo
- ukulahlekelwa ukuzwa
- ukulibaziseka kokuthuthukiswa
- ukukhubazeka kwamehlo
- abanye
Kukhona ingozi eyengeziwe yokwehlukaniswa kwesisu kanye nokubeletha okulandela ukutheleleka kwe-rubella kumama, ne-trimester yokuqala ibe yisikhathi esiphezulu sezinhlekelele.
Uma uthola i-rubella ku-trimester yokuqala, kunengqondo engu-85% ingane yakho izosuleleka. Lokho kwehla ku-50% kuphela ku-trimester yesibili, kanti u-25% amathuba ku-trimester yesithathu. Kwakukhona amacala angaphansi kweyishumi e-rubella ngonyaka e-United States, kodwa abanye abantu bavezwa ngenkathi behamba.
Imishanguzo yeRubella
Izindaba ezinhle ukuthi abesifazane abaningi namuhla baye bagonywa ngokumelene ner rubella. Ngesikhathi sokuqashwa kwakho kokuqala kokubeletha , odokotela abaningi bazohlola isimo sakho se-rubella nomsebenzi wegazi owaziwa njenge-rubella titer. Lokhu kuzokukwazisa uma ungenalo i-rubella. Uma ungenamandla omzimba, uzonikezwa umuthi wokugoma ngo-rubella phakathi nenkathi esheshayo ye-postpartum nge-vaccination MMR (Measles, Mumps, Rubella).
Akufanele ugonywe ngesikhathi ukhulelwe.
Ngenkathi abesifazane abaningi bengama-rubella immune, abesifazane abangabalelwa ku-20 bokubeletha basengozini yokuthola i-rubella. Ekuhleleni kwakho kwangaphambi kokuqala , ungaphinda uhlolele ama-antibodies we-rubella bese ugonywa uma ungenasifo somzimba. Kunconywa ukuba ulinde okungenani inyanga ukuthi ungagonywa ngaphambi kokukhulelwa.
Kungenzeka futhi ukuba nomzimba wokuzivikela futhi ulahlekelwe lokho kuvikela isikhathi eside. Lokhu kuyiqiniso uma unenani elikhulu lokukhulelwa, noma unesikhathi eside phakathi kwesikhathi sokukhulelwa. Ngakho-ke ukuba nesicingo sakho somsebenzi we-rubella antibodies ngaphambi kokuba ukhulelwe ngaso sonke isikhathi umqondo omuhle, noma ngabe ubukade unomzimba omzimba.
Amacala e-rubella asehla ngaphansi kwama-95% kusukela ngo-2000 ngokusho kwe-World Health Organization (WHO). Lokhu kuyingxenye enkulu ekusetshenzisweni okukhudlwana komuthi wokulawula i-rubella emhlabeni jikelele. Manje sezingama-72% amazwe ahlolwe yi-WHO.
Izimpawu zikaRubella ngesikhathi sokukhulelwa
I-Rubella ngokuvamile iveza njengento ephuthumayo. Kungase futhi kube nomkhuhlane njengezimpawu noma kungekho izimpawu. Isivikelo sakho esingcono kakhulu ukugwema ukutheleleka. Inqubo efanele yokuhlanza izandla kufanele. Uma usebenza nezingane noma unezingane ezindala futhi zithola isivumelwano se-rubella, usengozini enkulu yokuthola i-rubella. Isikhathi esiyingozi kunazo zonke sokubamba i-rubella ngesikhatsi sokuqala kwe-trimester lapho ingozi yokukhulelwa kwesisu iphakeme kakhulu. Uma ucabanga ukuthi une-rubella, kufanele uxhumane nodokotela wakho ukuze uthole iseluleko esengeziwe.
Imithombo:
Bouthry E, Picone O, Hamdi G, Grangeot-Keros L, I-Ayoubi JM, Vauloup-I-C. Rubella nokukhulelwa: ukuxilongwa, ukuphathwa kanye nemiphumela. Drenat Diagn. 2014 Dec; 34 (13): 1246-53. i-doi: 10.1002 / pd.4467. Epub 2014 Sep 16. Buyekeza.
Nikeza IG, iReef SE, i-Dabbagh A, i-Gacic-Dobo M, i-Strebel PM. I-MMWR i-MMBR i-Mortality Rep. 2015 Sep 25; 64 (37): 1052-5. i-doi: 10.15585 / mmwr.mm6437a5. Intuthuko Yomhlaba Wonke eya eRubella kanye ne-Congenital Rubella Syndrome Ukulawulwa Nokuqedwa - 2000-201.
I-Rubella nokukhulelwa. March we-Dimes. NgoMashi 2012. Ukugcina Kufinyeleleke kuFebhuwari 24, 2016.
I-Schwartzenburg CJ, uGilmandyar D, uT Thornburg LL, uHackney DN. Imiphumela yokukhulelwa yabesifazane ngokuhluleka ukugcina igciwane le-rubella. I-Matern Fetal Fetal Neonatal Med. 2014 Dec; 27 (18): 1845-8. doi: 10.3109 / 14767058.2014.905768. Epub 2014 Apr 9.