Gawo Woyamba: Mau Oyamba Ku Mavuto Am'mimba Ozungulira ndi Kubereka Mwana
Kulimbana ndi zoweta zapakati pa nthawi yoyembekezera zingakhale zovuta kwambiri. Pakhoza kukhala zotsatira zoopsa ngati mwanayo atenga kachilombo ka nthendayi pa nthawi ya kubadwa kapena atangobadwa kumene. Ndipo ziwalo zapadera zosamalidwa zingakhale zakupha. Chifukwa cha ichi, amayi omwe ali ndi ziwalo zowonongeka zimapatsidwa uphungu kuti azisamalira bwino kwambiri mimba yawo komanso yobereka.
Koma si amayi onse omwe ali ndi pakati omwe ali ndi kachilombo koyambitsa matendawa amatha kukhala ndi chiwopsezo chofanana chotumiza kachilombo kwa mwana wawo. Kuopsa kwa mawere a berewa ndi apamwamba kwambiri, makamaka kwa amayi omwe ali ndi kachilombo ka HIV pamene ali ndi mimba, makamaka pafupi kutha kwa mimba.
Mitengo ya kutumiza imakhala yochepa kwambiri kwa amayi omwe ali ndi kachilombo kwa nthawi yaitali, ngakhale atakhala ndi kachilombo ka HIV panthawi yomwe ali ndi mimba. Palinso deta yomwe amayi omwe ali ndi matenda opatsirana pogonana a HSV-1 akhoza kukhala ndi chiopsezo chochulukira kupereka ana awo aakazi osapatsa ana omwe ali ndi HSV-2 .
Njira Zowononga Ngozi kwa Amene Ali ndi Matenda Achilendo
Madokotala ambiri amalimbikitsa chithandizo chopweteka kwa amayi onse apakati omwe ali ndi matenda a HSV kuyambira masabata 36 a mimba. Gawoli limalimbikitsidwanso ngati ali ndi vuto lopatsirana pogonana pafupi ndi nthawi yobereka.
Mankhwala othandizira ndi kuchepetsa chiopsezo chachikulu komanso kuchepetsa kutaya kwa tizilombo .
Gawoli limagwiritsidwa ntchito pofuna kuchepetsa mwayi woti mwanayo adziwone kachilombo pamene akudutsa mumtsinje wobadwa.
Pang'ono pokha pokhapokha patsiku lopatsirana limapezeka panthawi yomwe mayiyo ali ndi mimba. Ambiri amapezeka pakabereka.
Kusankha Zomwe Muyenera Kuchita Pokhudzana ndi Kutumizidwa Kwako
Matenda a nthenda yotchedwa Neonatal herpes ndi chiyembekezo chowopsya, ndipo amayi ambiri omwe ali ndi mimba amamenyedwa chifukwa cha njira zawo zoyendetsera mimba, makamaka ngati ali ndi chidwi chokhala ndi chibadwa chokwanira.
Azimayi ena amadera nkhaŵa za kupha mwana wawo ngakhale mankhwala opatsirana. Ndipotu, kachilombo ka herpes kangakhalepo m'thupi ngakhale pakali pano kusokonekera.
Kodi Madokotala Amatha Kuzindikira Herpes Pakati pa Mimba?
Ngakhale madokotala amatha kuyesa ma ARV pa nthawi yomwe ali ndi mimba, pali funso loti mayeserowa ndi ofunika kwambiri makamaka makamaka atatha masiku angapo asanabadwe. Kafukufuku wina wa 1999 wa herpes omwe ankakhetsa pakati pa nthawi yomwe anali ndi pakati adapeza kuti ngakhale amayi 60 peresenti ya amayi omwe anabala m'masiku awiri kuti akhale ndi mayesero abwino adakali ndi ubwino pa nthawi yobereka, amayesa nthawi iliyonse yoyambirira kusiyana ndi yomwe inali yodalirika pakudziwiratu za mankhwala a herpes nthawi ya kubadwa.
Kuonjezera apo, malangizo a ACOG omwe akutsatira amavomereza kutsutsana ndi kuyesedwa kwa herpes pa nthawi ya mimba.
Kodi Kukhala ndi Mbali Zachilombo Zowonongeka Zowonongeka Moonekeratu ndi Matenda a Kachilombo ka Neonatal?
Kafukufuku wamkulu wa 2005 anapeza kuti herpes ndi amayi omwe sanali achikhalidwe pa nthawi yobereka. Amuna asanu mwa amayi omwe anali ndi chikhalidwe chogwirizana ndi HSV anabereka ana omwe ali ndi herpes, omwe ndi azimayi okha okha omwe anali ndi chikhalidwe chawo.
Ngakhale kuti zikanakhala bwino ngati pakhale maphunziro akuluakulu akuyesa funso ili, zikuwoneka kuti matenda omwe amawoneka pa nthawi yobereka akugwirizana ndi matenda opatsirana pogonana.
Kapena, molondola kwambiri, zikuwoneka bwino kuti kukhalabe ndi kachilombo koyambitsa matendawa pakapita nthawi kumapangitsa kuti asamabereke kwambiri.
Kodi Kawirikawiri Anthu Amene Ali ndi Matenda Akumwa Amayambitsa Vutoli Ngati Alibe Chiwindi?
Kuphunzira kwakukulu kwa 2011, kofalitsidwa ku JAMA , kufufuzira momwe anthu omwe ali ndi matenda opatsirana a herpes amachititsa kachilombo ka HIV ndi ma ARV awo. Ofufuzawa adapeza kuti anthu omwe ali ndi kachilombo koyambitsa matenda a HIV / HSV-2 amatha kutulukira kachilombo ka 10 peresenti ya nthawi-hafu nthawi zambiri monga anthu omwe ali ndi matenda opatsirana. Komabe, kuchuluka kwa kachilombo komwe anakhetsa kunali kofanana.
Kupitiliza ku Gawo II: Kufufuza njira zina zothandizira kuchepetsa matenda opatsirana pogonana
Zotsatira:
Kalasi ya American of Obstetricians ndi Gynecologists (ACOG). Kusamalira herpes mu mimba. Washington (DC): American College of Obstetricians ndi Gynecologists (ACOG); 2007 Jun 10 p. (ACOG zolemba zikalata; no 82)
Brown ZA et al. Mimba ya nthendayi yovutitsa mimba. Choletsa Gynecol. 2005 Oct; 106 (4): 845-56. R
Brown ZA et al. Zotsatira za serologic momwe zilili komanso kutulutsa kachilombo koyambitsa matenda a herpes simplex kuchokera kwa mayi kupita kwa mwana. JAMA. 2003 Jan 8; 289 (2): 203-9.
Garland SM ndi al. Kodi antepartum herpes simplex tizilombo toyambitsa matenda akulosera kuti amayi omwe ali ndi atsikana omwe ali ndi kachilombo ka HIV amatha kutsuka? Glenecol Yopanda Chilema. 1999; 7 (5): 230-6.
Fukani DJ, Stringer JS. Kubereka kwa misala ndi chiopsezo cha matenda a herpes simplex. JAMA. 2003 May 7; 289 (17): 2208; wolemba amayankha 2208-9.
Sheffield JS et al. Acyclovir prophylaxis pofuna kuteteza kachilombo ka herpes simplex panthawi yobereka: ndondomeko yowonongeka. Choletsa Gynecol. 2003 Dec; 102 (6): 1396-403.
Tronstein E et al. Kutaya magazi kwa herpes simplex kachilombo pakati pa anthu omwe ali ndi matenda ndi HSV-2. JAMA. 2011 Apr 13; 305 (14): 1441-9.