Kuedza Zvakanaka kune Gira B Strep (GBS) muKubata

Mashoko uye Maitiro Anotevera Pashure Pokuedzwa Zvakanaka

Paunenge uri nepamuviri, iwe uchava nematambudziko akawanda akasiyana-siyana asati aberekwa semuviri, kuongorora kwepanyama, nekushandiswa kweropa. Chimwe chezviedzo zvaunenge uine kumagumo ekuzvitakura ndeyekuyera pane chimwe chinonzi boka B rinodzika (GBS). Hezvino izvo zvaunoda kuziva pamusoro peiyi test, zvinorevei kana chirwere chako cheBGS chiri chakanaka munguva yekuzvitakura, nhanho dzinotevera dzinotora, uye kuti unobata sei hutachiwana hunoita hutano hwekusangana.

Chii chinonzi GBS?

Boka B streptococcus (GBS, boka reB B, beta strep), rudzi rwebhakitiriya inowanikwa mumuviri wevarume nevakadzi. Madzimai, GBS inogona kunge iri mumugwagwa wemuguta, nzvimbo yebonde, uye mumatumbo. Inenge 25 kubva muzana kana 1 mu4 vakadzi vanoedza kuonekwa neboka B rinopinda mukudzivirira, asi rinogona kukanganisa kusvika ku40 muzana yevakadzi vane pamuviri. GBS inowanzovhiringidza vanhu vakuru vane hutano uye vakadzi vane pamuviri, asi inogona kuva nengozi kune vacheche.

Kuedzwa kweboka B Strep

Sezvo kusvika ku40 kubva muzana yevakadzi vanotakura GBS munguva yavo yekuzvitakura, American College of Obstetricians uye Gynecologists (ACOG) inokurudzira kuongorora kuongorora kwevakadzi vose vane pamuviri munguva yechitatu chemiti pakati pevhiki makumi matatu nemakumi matatu nemaviri. Paunenge uchitarisa mushure mokunge uchangoberekwa, chiremba achatora swab yevakadzi uye rectum, uye uende nayo kub laboratory kuti uongorore. Shanduko yekuedzwa kweBGS inokurumidza, nyore, uye haina kukuvadza.

Iwe HERE haufaniri kushandiswa kuongorora svondo pamasvondo 35 kusvika ku 37 kana:

• Iwe wakanga uine urine kuenzanisa kuratidza GBS mumuguta wako munguva iyi yekuzvitakura
• Iwe wakatarisana nehutachiona kana kusangana kweBGS munguva iyi yekuzvitakura
• Wakava nemwana akavaka chirwere cheGGS musati mimba iyi

Kudzidza Bvunzo Yako yeBGS Yakanaka

Zvinogona kutyisa kuziva kuti kuongorora kwako kuongorora kweboka B boka rakadzoka rakanaka.

Asi, mumatambudziko mazhinji, kuva neGGM mumuviri wako hakuzoiti kukuvadza. Vazhinji vakadzi vane hutano hweHIV havazivi kuti vane. Vanongova vatakuri vebhakitiriya, uye havana chirwere kana zviratidzo. Heano mhomanana mazviri nezve GBS:

• Iyo bhakitiriya haisi nguva dzose iripo uye inoonekwa mumuviri. Vanogona kuuya nekuenda. Iwe unogona kuedza zvakanaka mukati mechimwechete pamuviri uye usiri mune imwe.
• Iwe haufaniri kunzwa uine mhosva pamusoro pemuedzo wakanaka. Iwe hauna kuitora kubva pane zvawakaita. Haisi chirwere chepabonde, hauna kuchiwana kubva pakusashamba zvakanaka, uye iwe hauna kuchibata pane chimwe chinhu chawakabata kana chimwe chinhu chawakadya.
• Iwe haugone kupa GBS kune waunofambidzana naye kana vamwe vana vako.
• Izvo hazvisi zvakafanana ne streptococcus A, mabhakitiriya anokonzera strep throat.

Zvinotevera Maitiro Pashure Pokuedzwa Zvakanaka

Zvino iwe unoziva kuti kuedza kwako kwaive kwakanaka, chii chakatevera? Heino nzira yekupedza mavhiki mashomanana apfuura ekutora kwako pamuviri mushure mekutsvaga kweBGS test:

1. Edza kusafunganya.
2. Nyora pasi mibvunzo yako yose uye taura nachiremba wako. Kunzwisisa GBS uye kuva nemukana wekupindura mibvunzo yako kunogona kubvisa zvimwe zvekuzvidya mwoyo iwe unganzwa.
3. Taura nachiremba wako kana muchengeti pamusoro peurongwa hwako hwekuberekwa . Kana uri kuronga pamusoro pokuberekwa kwechipatara, haufaniri kuchinja zvirongwa zvako zvakawanda. Asi, kudiwa kwemishonga inouraya IV panguva yebasa kunogona kuita kuti zvive zvakaoma kuva nekuberekwa kweimba .

1. Sezvo iwe ugova nemishonga inorwisa mabhakitiriya paunenge uchienda kuchipatara mubasa, taurira chiremba kana iwe une chero mishonga yemishonga kunyanya kana iwe uri weergic penicillin kana mamwe maantibioti.
2. Rega chiremba wako azive kana iwe uchikura zviratidzo zvehutachiona hutachiona.
3. Enda pamusoro pehupenyu hwezuva nezuva hwegadziriro yegwayana rako idzva. Iwe haufaniri kuita chero chinhu chakakosha iwe uchimirira kubasa kutanga.
4. Apo mvura yako inopera kana iwe unotanga kunzwa manzwiro ezvinyorwa nguva dzose , dana hofisi yechiremba wako uye enda kuchipatara . Shamwari dzinofunga zvakanaka uye mhuri dzinogona kukuudza kuti umirire uye ushande pamba kwekanguva usati wapinda kuchipatara, asi unoda kuedza kuwana mushonga wako unorwisa maawa anopfuura maviri asati aberekwa mwana wako. Vamwe vana vanosvika nokukurumidza kupfuura vamwe, saka usamirira kuenda kuchipatara.

1. Rega vashandi vezvipatara vazive kuti iwe wakaedzwa zvakanaka kune GBS. Vangatove vane chati yako uye ruzivo asi uvaudze chero zvakadaro kana zvichiitika. Kana uri weergoric kune chero mishonga inorwisa mabhakitiriya, vaudze ivo, zvakare.
2. Kana vashandi vezvipatara vachiona kuti uri mubasa , vanozotanga IV uye vanokupai pekutanga rako penicillin kana mamwe maantibiotic. Iwe uchawana imwe nhamba maawa mana kusvikira mwana wako aberekwa.

Kurapa kweboka B Kurwisana pakuberekwa

Kana uine chirongwa cheBGS chakanaka uye iwe hauna zviratidzo kana zvinetso, kurapwa kunokonzera (IV) mishonga inorwisa mabhakitiriya pakutanga kwebasa kana kuputika kwemukati (apo mvura yako inopera). Mishonga inorwisa mabhakitiriya rudzi rwemishonga inouraya mabhakitiriya. Penicillin kana ampicillin ndiwo mishonga inowanzoitwa navanachiremba iyo vanachiremba vanowanzoshandisa kurapa boka reR streptococcus munguva yebasa nekuendeswa.

Kana uri weergoric penicillin, chiremba wako achakupa mishonga yakasiyana-siyana panzvimbo iyo. Uye, haufaniri kunetseka, mishonga yaunowana panguva yebasa haizokuvadzi mwana wako.

Apo Nzvimbo Yako ye GBS Isingazivikanwi

Chiremba wako anoyera GBS pakati pevhiki makumi matatu nemakumi matatu nemaviri. Saka, kana iwe ukaenda kunobata mambakwedza, iwe ungangodaro usati wamboona kuongorora kwako zvakadaro. Vakadzi vanorasikirwa nekugadzwa kwepabonde vasati vamboenda kana kuti havaendi kutarisirwa kusununguka, vangasazivawo kuti kana kwete ivo vakanakira kubuda kweboka B. Kana uwandu hweGGS hwako husingazivikanwi, uchawana maantibioti kana uchisvika kuchipatara mubasa.

Iwe uchagamuchira ma antibiotics kana:

• Iwe unoenda kunoshanda musati mavhiki makumi matatu nemaviri .
• Iwe uri mukushanda, uye kwave maawa anopfuura 18 kubva mvura yako ichivhurika.
• Iwe une fivhiri (inotonhora inopfuura 38 degrees C kana 100.4 degrees F).

Oral Antibiotics

Vamwe vakadzi vanoshamisika kuti sei vasingatori mishonga yemishonga inorwisa maantibiotics apo muedzo unodzoka unofadza. Dambudziko nderokuti kana uchingotora ma antibiotics nemuromo kunogona kuderedza mabhakitiriya, kuparadzaniswa kweboka B kunogona kukurumidza kukurumidza uye kudzoka mushure mekutanga kwebasa, kuisa mwana wako pangozi. Parizvino, nzira yakabudirira zvikuru yekudzivisa mabhakitiriya nekudzivirira kuti isati yaita nzira yayo kumwana ndeyokuwana ma antibiotic IV pakarepo basa rinotanga uye kwemaawa mana asati asvika, kana zvichibvira.

Zvisinei, iwe uchawana mishonga inorwisa mishonga kana GBS inokonzera urinary tract infection (UTI) panguva yako yekuzvitakura. Iwe ucharamba uine ma antibiotic maAri munguva yebasa uye kubereka, zvakare.

Boka B Strep neCesarean Chikamu

A positive GBS kuongorora test does not mean you need to have a c-section . Kana pasina mimwe nyaya kana matambudziko muhutano hwako, unofanira kukwanisa kupa mwana wako zvese.

Kana iwe uri kuita urongwa, urongwa hwechikamu chechikamu , migumisiro ye GBS yako yekuongorora inove ichikosha. Iwe unogona kunge usingadi kurapwa kana mvura yako isingaputsi uye iwe usingapindi mubasa zvisati zvatemerwa c-chikamu. Asi, kana mvura yako ichiputsa uye iwe unopinda mukushanda mambakwedza, uchawana kurapwa kwemishonga inowanikwa mukati mako kuti urege kupedza utachiona kumwana wako.

Matambudziko eBGS asina kubvunzwa muVabereki Vakwegura

Sezvo vakadzi vakawanda vanoedza kuti vakagadzikana neboka reB B ndivo vatakuri, havana chirwere kana zviratidzo. Kune vakadzi vane utano, mikana yekudzivirira utachiona kubva kumabhakitiriya anowanzoitika ari pasi. Zvisinei, kunyange zvazvo zvipingamupinyi pamusana peHIV zvisinganyanyi kushandiswa, kana GBS isati yashandurwa isingawedzereki, inogona kukonzera nharo panguva yekuzvitakura uye mushure mekusununguka se:

• A urinary tract infection
• Kuchinja kwechirwere chemukadzi
• Utachiona mumamniotic fluid (bhegi remvura rakakomberedza mwana)
• Kurwara kwechibereko
• Mabhakitiriya muropa
• Utachiona munzvimbo yekuvhiya mushure me c-chikamu
• Mune zviitiko zvakakomba, chirwere cheBGS chinogona kutungamirira pakuberekwa kwekutanga uye kuberekwa

Vacheche neHIV Infection

Boka B rinopararira hutachiona rinogona kubva kubva kune amai kuenda kumwana panguva yekuberekwa . Asi, nepo vakadzi vakawanda vanoedza kuve nehutano hweGGS, mikana yekuti mwana ave kurwara zvikuru kubva kuHIVS utachiona. Nemhaka yezvino mazano ekuongorora nekurapa, 1-2 chete muzana yevana vanenge vachangoberekwa vanotapukirwa:

• Pasina kurapwa, mikana yekuwana mwana kuwana chirwere cheGGS inenge 1 mu2002.
• Nokurapa, mikana iri 1 mu4000.

Vana vazhinji venguva yakazara vacheche vane amai vanenge maawa mana ekurapa maantibhakitiriya munguva yebasa vane utano pakuberekwa. Vana vacheche vasati vazvarwa , vashoma kuberekwa kwevana , uye avo vakagadzirisa zvirwere zvekudzivirira zvirwere zvinowanzova pangozi yekuva nehutachiona. Kutanga kuve vacheche kana vacheche vanoratidza zvirwere zvekurwara vachagara muchipatara kuti vaone nekurapa . Vachave nebasa reropa uye vatange ma antibiotic, kana zvichifanira.

Kunyange zvazvo vazhinji vacheche vachave vane hutano hwakanaka uye hutachiona hweHIVS husingawanzoitiki, zvinogona kuva nengozi kana zvichiitika. Vana vasati vamboita uye vacheche vane zvirwere zvakanyanya zveGGS vanogona kukura nenyaya dzezvehutano dzakadai sekupora, kushushikana kwepneumonia, sepsis, uye meningitis. Inogona kutungamirira kumatambudziko kwenguva refu eurouro uye kunyange rufu.

Shoko Rinobva Kunyanya

Zvinogona kuva zvinotyisa kunzwa kuti iwe wakaedzwa zvakanaka kune rutsigiro rweboka B, kana imwe imwe nyaya, kunyanya kana wava nepamuviri. Zvinotyisa kana iwe uchizvitarisa uye uchitanga kuverenga zvinetso zvingakonzera. Asi, yeuka, GBS yakanyatsojairika uye inowanikwa kusvika kusvika ku40 muzana yevakadzi vane pamuviri. Chiremba wako uye vashandi vezvipatara vanozviona nguva dzose, uye vanoziva zvokuita. Nhengo yako yehutano yehutano ndiyo yako yakanakisisa yekupa ruzivo, saka iva nechokwadi chekubvunza mibvunzo uye kutevera mazano avo. Nokurapa, zvinetso zveBGS zvakaderera. Vavengi vanozvarwa patsva vanoberekwa navamadzi vanoedza kuti vawane GBS vane utano uye vanoenda kumusha naamai vavo zuva rakarongwa rokubudiswa.

> Sources:

> American College yeVadzidzi uye Gynecologists. Komiti yeChishanu Nha. 485. Kudzivirira kwekutanga-kutanga kweboka B streptococcal zvirwere muzvitsva. Inotsiva Nha. 279, December 2002, Yakasimbiswa 2016. Obstetrics uye Gynecology. 2011; 117: 1019-27.

> Wellstock JL, Fox HE, Wallach EE, Johnson CT, Hallock JL. Johns Hopkins Manual yeGynecology uye Obstetrics. Lippincott Williams & Wilkins; 2015 Mar 23.

> Lin FY, Weisman LE, Azimi P, Young AE, Chang K, Cielo M, Moyer P, Troendle JF, Schneerson R, Robbins JB. Kuongororwa kwe intrapartum antibiotic prophylaxis yekudzivirira kwekutanga kweboka B Streptococcal disease. Chirwere chepachirwere chepachirwere chinyorwa. 2011 Sep; 30 (9): 759.

> Stupak A, Kwaśniewska AN, Semczuk MA, Zdzienicka GR, MUM AN. Kuenzanisa kwevakadzi vakadzi vebonde ne Streptococcus agalactiae. Arch Perin Med. 2010; 16: 48-50.

> Verani JR, McGee L, Schrag SJ. Kudzivirirwa kweboka revanhu vanopinda muchirwere B streptococcal zvirwere: Zvinyorwa zvakarongedzwa kubva kuCDC, 2010.