Ukuhlola Okuhle Kwamaqembu Eqembu B (GBS) ekukhulelweni

Ukwaziswa kanye Nezinyathelo Ezilandelayo Ngemva kokuhlola Okuhle

Ngesikhathi ukhulelwe, uzothola izivivinyo eziningi ezihlukene zokubeletha ezifana nokuhlolwa ngokomzimba, umsebenzi wegazi, kanye ne- ultrasound . Enye yezivivinyo ozothola ekupheleni kokukhulelwa ukuhlola okuthile okuthiwa u-B weqa (GBS). Nakhu okudingayo ukwazi ngalokhu kuhlola, kusho ukuthini uma ukuhlola kwakho kwe-GBS kulungile ngesikhathi sokukhulelwa, izinyathelo ezilandelayo okufanele uthathe, nokuthi ungaphatha kanjani lokhu okukhathazayo okukhulelwe okuvamile.

Kuyini i-GBS?

I-streptococcus yeqembu B (i-GBS, i-group B i-strep, i-beta strep), uhlobo lwama-bacteria avame ukutholakala emzimbeni wabesilisa nabesifazane. Kulaba besifazane, i-GBS ingaba emgqeni we-urinary, indawo yesisu, namathumbu. Amaphesenti angaba ngu-25 noma owesifazane oyedwa kwabayisishiyagalombili abavivinya ukuthi i-Group B isuka ekukhupheni, kodwa ingathinta amaphesenti angaba ngu-40 abesifazane abakhulelwe. I-GBS ngokuvamile ayilimazi abantu abadala abanempilo nabesifazane abakhulelwe, kodwa kungaba yingozi kwabantwana abasha.

Ukuhlolwa kweqembu le-B

Njengoba abesifazane abangamaphesenti angaba ngu-40 bathatha i-GBS ngesikhathi bekhulelwe, i-American College of Obstetricians kanye neGynecologists (i-ACOG) isincoma ukuhlolwa kokuhlola kwabo bonke abesifazane abakhulelwe ngesikhathi se-trimester yesithathu phakathi kwamaviki angu-35 no-37. Ngesikhathi sokuhlolwa kokubeletha, udokotela uzothatha i-swab ye-vagina ne-rectum, bese uyithumela ebhokisatri ukuze uhlolwe. Ukuhlolwa kwe-swab ye-GBS kuyashesha, kulula, futhi akulimazi.

Ngeke udingeke ukuhlolwa kokuhlolwa kokususa ama-swab emavikini angu-35 kuya kwangu-37 uma:

• Ube nokuhlolwa komchamo kubonisa i-GBS emcimbini wakho ngesikhathi sokukhulelwa
• Uhlangabezane nokutheleleka noma ukuhlukunyezwa kwe-GBS ngesikhathi lokhu kukhulelwa
• Ube nomntwana owadala ukutheleleka kwe-GBS ngaphambi kokukhulelwa

Ukufunda Isivivinyo Sakho Se-GBS Siphezulu

Kungaba ukwesaba ukuthola ukuthi ukuhlolwa kwakho kokuhlola kweqembu B kuqhamuka kubuyile.

Kodwa, ezimweni eziningi, ukuba ne-GBS emzimbeni wakho ngeke kukulimaze. Iningi labesifazane abahle nge-GBS abazi ukuthi banalo. Bangabantu abathwali be-bacteria, futhi abanaso isifo noma yiziphi izimpawu. Nazi amaqiniso ambalwa mayelana ne-GBS:

• Ama-bacteria awahlali njalo futhi ayatholakala emzimbeni. Bangase bahambe bahambe. Ungase uvivinye ubuhle ekukhupheni okulodwa futhi ulahleke kwenye.
• Akufanele uzizwe unecala ngokuhlolwa okuhle. Awutholanga kunoma yini oyenzile. Akuyona isifo esithathelwana ngocansi, awutholanga ngokungahlambi kahle, futhi awuzange uyithole kulokho okuthintele noma okunye okudlile.
• Awukwazi ukunikeza i-GBS kumlingani wakho noma ezinye izingane zakho.
• Akufani ne-streptococcus A, ama-bacteria abangela ukusakazeka komgudu.

Izinyathelo Ezilandelayo Ngemva kokuhlola Okuhle

Manje ukuthi uyazi ukuthi ukuhlolwa kwakho kwakungcono, yini elandelayo? Nakhu ukuthi ungaphila amasonto ambalwa okugcina wokukhulelwa kwakho emva kokuhlolwa kwe-GBS enhle:

1. Zama ukungakhathazeki.
2. Bhala phansi yonke imibuzo yakho bese ukhuluma nodokotela wakho. Ukuqonda i-GBS nokuthola ithuba lokuphendula imibuzo yakho kunganciphisa ezinye izinkathazo ongase uzizwe.
3. Khuluma nodokotela noma umbelethisi wakho mayelana necebo lakho lokuzalwa . Uma uhlela ukuzalwa esibhedlela, ngeke kudingeke ushintshe izinhlelo zakho eziningi. Kodwa, isidingo sama- antibiotic e-IV ngesikhathi sokubeletha singenza kube nzima ukuzalwa ekhaya .

1. Njengoba uzothola ama-antibiotic e-IV uma uya esibhedlela esebenza, tshela udokotela uma unesidakamizwa sokudla izidakamizwa ikakhulukazi uma uthola usizo lwe-penicillin noma amanye ama-antibiotic.
2. Vumela udokotela wakho wazi ukuthi uthuthukisa yini izimpawu zokutheleleka kwamagciwane.
3. Hamba mayelana nempilo yakho yansuku zonke ilungiselela omncane wakho omncane. Akudingeki wenze noma yini ekhethekile ngenkathi ulinda umsebenzi ukuze uqale.
4. Uma amanzi akho ephuka noma uqala ukuzwa ukuphika okuvamile , shayela ihhovisi lakho udokotela bese uya esibhedlela . Abangane nomndeni osho kahle bangase bakutshele ukuthi ulinde futhi usebenze ekhaya isikhashana ngaphambi kokuya esibhedlela, kodwa ufuna ukuzama ukuthola ama-antibiotic akho aqale okungenani amahora amane ngaphambi kokuba ingane yakho izalwe. Ezinye izingane zifika ngokushesha kakhulu kunabanye, ngakho-ke ungalindi ukuya esibhedlela.

1. Vumela abasebenzi besibhedlela bazi ukuthi uhlolwe kahle nge-GBS. Kungenzeka ukuthi kakade baneshadi lakho nolwazi kodwa ubatshele noma kunjalo uma kwenzeka. Uma unesihlungu kunoma yikuphi ukulwa namagciwane, ngitshele ukuthi, futhi.
2. Uma abasebenzi basebhedlela benquma ukuthi usebenza , bazoqala i-IV futhi banikeze umthamo wakho wokuqala we-penicillin noma enye i-antibiotic. Uzothola omunye umthamo njalo amahora amane kuze kuzalwa ingane yakho.

Ukwelashwa kweqembu leqembu B ekukhulelweni

Uma unesifo esihle se-GBS futhi awunazo izimpawu noma izinkinga, ukwelashwa yi-antibiotic (IV) yokuqeda imishanguzo ekuqaleni komsebenzi noma ukuqubuka kwamagundane (uma amanzi akho ephule). Ama-antibiotics uhlobo lomuthi obulala amabhaktheriya. I-penicillin noma i-ampicillin yimithi ye-IV eyenziwa odokotela ukuphatha i-group B streptococcus ngesikhathi sokubeletha nokubeletha.

Uma uthola ukwelapha ku-penicillin, udokotela wakho uzokunika i-antibiotic ehlukile kunalokho. Futhi, akudingeki ukhathazeke, imithi oyitholayo ngesikhathi sokubeletha ngeke ilimaze ingane yakho.

Uma isimo sakho se-GBS singaziwa

Udokotela wakho uveza isikrini se-GBS phakathi kwamaviki angu-35 no-37. Ngakho-ke, uma uqala ukusebenza ekuseni, kungenzeka ukuthi awunakho ukuhlola kwakho okwamanje. Abesifazane abaphuthelwa ukuqashwa kwabo ngaphambi kokubeletha noma abahambanga ukunakekelwa kokubeletha, bangase bangazi ukuthi bahlelekile yini noma bahlelwe yiqembu B. Uma isimo sakho se-GBS singaziwa, uzothola ama-antibiotic uma ufika esibhedlela ekusebenzeni.

Uzothola ama-antibiotic e-IV uma:

• Uya emsebenzini ngaphambi kwamasonto angu-37 .
• Usebenza, futhi sekusele amahora angaphezu kwangu-18 kusukela amanzi akho aphukile.
• Unomkhuhlane (izinga lokushisa elingaphezu kuka-38 degrees C noma i-100.4 degrees F).

Ama-antibiotic omlomo

Abanye besifazane bayazibuza ukuthi kungani bengawutholi imithi yezokwelapha ngomlomo lapho ukuhlolwa kuqala kubuyela emuva. Inkinga yukuthi ngenkathi uthatha ama-antibiotics ngomlomo kunganciphisa amabhaktheriya, ukusakaza kweqembu B kungase kwande ngokushesha futhi kubuye ngaphambi kokuqala komsebenzi, ukubeka ingane yakho engozini. Njengamanje, indlela ephumelela kakhulu yokunciphisa amabhaktheriya nokuyivimbela ekutheni ingene indlela eya emntwaneni ukuthola ama-antibiotic ama-IV ngokushesha nje lapho umsebenzi uqala futhi okungenani amahora amane ngaphambi kokulethwa, uma kunokwenzeka.

Kodwa-ke, uzothola ama-antibiotics omlomo uma i-GBS ibangela ukutheleleka kwamagciwane (UTI) ngesikhathi ukhulelwe. Uzoqhubeka uthole ama-antibiotic e-IV ngesikhathi sokubeletha nokubeletha, futhi.

Iqembu B Strep neCesarean Section

Isivivinyo sokuhlola ukuhlolwa kwe-GBS enhle akusho ukuthi udinga ukuba nesigaba c . Uma kungekho ezinye izinkinga noma izinkinga ekukhulelwe kwakho, kufanele ukwazi ukuletha ingane yakho ngokoqobo.

Uma une -c-section ehleliwe, ehleliwe , imiphumela yokuhlolwa kwe-GBS yakho isabalulekile. Ungase ungadingi ukwelashwa uma amanzi akho engaphuli futhi ungangeni emisebenzini ngaphambi kwesigaba sakho c esihleliwe. Kodwa, uma amanzi akho ephuka futhi uqala ukusebenza ekuseni, uzothola ukwelashwa kwama-antibiotic ku-IV yakho ukuvimbela ukudlulisela ukutheleleka kumntanakho.

Izinkinga ze-GBS ezingabonwanga ngabesifazane abakhulelwe

Njengoba abesifazane abaningi abavivinya ukuthi bahlelwe yiqembu B abayizinsimbi, abanaso isifo noma yiziphi izimpawu. Kubesifazane abanempilo, amathuba okuthuthukisa ukutheleleka kwamabhaktheriya ngokwemvelo aphansi. Kodwa-ke, yize izinkinga ngenxa ye-GBS zivame kakhulu, uma ukuguqulwa kwe-GBS kungasetshenziswanga, kungabangela izinkinga ngesikhathi sokukhulelwa nangemva kokubeletha okufana nalokhu:

• Ukutheleleka komgudu wamagciwane
• Izinguquko ekukhuleni kwesisu
• Ukutheleleka ku-amniotic fluid (isikhwama samanzi esizungezile umntwana)
• Ukwelashwa kwesibeletho
• Amabhaktheriya egazini
• Ukutheleleka kwisayithi yokuhlinzwa ngemuva kwesigaba c
• Ezimweni ezimbi, ukutheleleka kwe-GBS kungaholela ekuzalweni kwangaphambi kokuzalwa nokubeletha

Izinsana kanye ne-GBS Infection

Iqembu B lisakaza ukutheleleka lingadlulela kumama ukuya kwengane ngesikhathi sokubeletha . Kodwa, nakuba abesifazane abaningi behlola ama-GBS, amathuba okuba ingane igula kakhulu ngenxa yokutheleleka kwe-GBS iphansi. Ngenxa yeziqondiso zamanje zokuhlola kanye nokwelapha, amaphesenti angu-1-2 kuphela ezinsana aphethwe:

• Ngaphandle kokwelashwa, amathuba okubelethwa kwengane ukuthola ukutheleleka kwe-GBS angama-1 kwangu-200.
• Ngokwelashwa, amathuba a-1 ku-4000.

Izinsana eziningi ezigcwele isikhathi esinezingane ezinomama okungenani amahora amane we-antibiotic therapy ngesikhathi sokubeletha ziphilile ekuzalweni. Izingane ezingakazalwa , izingane ezincane zokuzalwa , kanye nalabo abanamasosha omzimba ahlosekile basengcupheni yokuthuthukisa isifo. Izingane ezisanda kuzalwa noma izinsana ezibonisa izimpawu zokugula zizohlala esibhedlela ukuze ziqashwe futhi zithole ukwelashwa . Bayoba nomsebenzi wegazi bese beqala ama-antibiotics, uma kunesidingo.

Ngisho noma iningi labantwana lizoba nokutheleleka kwe-GBS enempilo futhi engathí sina akuvamile, kungaba yingozi uma kwenzeka. Izinsana zangaphambi kokuzalwa kanye nezinsana ezinezifo ezinzima ze-GBS zingakha izinkinga zezokwelapha ezifana nokucindezeleka okuphefumula, ukuphefumula, ukuphefumula, kanye nokwelashwa. Kungabangela izinkinga zesikhathi eside zezinzwa ngisho nokufa.

Izwi elivela ku-Verywell

Kungaba ukwesaba ukuzwa ukuthi uhlolwe ukuthi uhlelekile ekutheni i-group B ivele, noma ngabe yikuphi ukukhishwa, ikakhulukazi uma ukhulelwe. Kungakhathaliseki ukuthi ubukeka kanjani lapho ubheka futhi uqale ukufunda izinkinga ezingabangela. Kodwa, khumbula, i-GBS ijwayelekile futhi itholakala ngamaphesenti angu-40 abesifazane abakhulelwe. Udokotela wakho nabasebenzi besibhedlela bayakubona njalo, futhi bayazi ukuthi benzeni. Ithimba lakho lokunakekelwa kwezempilo ngumthombo wakho owaziwa kakhulu, ngakho qiniseka ukuthi ubuza imibuzo bese ulandela iseluleko sabo. Ngokwelashwa, izinkinga ze-GBS ziphansi. Iningi lezingane ezisanda kuzalwa ezizalwe ngamama omama ezivivinya ama-GBS ziphilile futhi ziya ekhaya nomama ngosuku lokukhishwa okuhleliwe.

> Imithombo:

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