Ukuthini i-Group B Strep? Izimpawu, Izimbangela, & Ukwelashwa

I-Group B Strep (GBS) uhlobo oluvamile lwabakthriya oluhlala emizimbeni yabantu abaningi ngaphandle kokubangela noma yiziphi izinkinga. Cishe umuntu oyedwa kwaba-4 abadala uthwala le bakthriya ezibindini zabo noma endaweni yabo yokuzala, futhi abaningi abazi ukuthi ikhona ngoba ngokuvamile ayibaphangi.

Cabanga nge-GBS njengebakthriya evamile engonakalisi engaba ukukhathazeka ikakhulukazi ngesikhathi sokukhulelwa nokubeletha. Nakuba ngokuvamile ingabi yingozi kubantu abadala abaphilile, ingabangela ubungozi kubantwana abasanda kuzalwa uma idluliselwa kunina kubantwana ngesikhathi sokubeletha.

Ukuthini i-Group B Strep?

I-Group B Streptococcus uhlobo lwebakthriya ebizwa ngokwesayensi ngokuthi i-Streptococcus agalactiae. Yahlukile ngokuphelele kwi-Group A Strep, ebangela isifo se-strep throat.

Le bakthriya ihlala ngokwemvelo esiswini sakho nasesigabeni sakho sokuzala njengengxenye ye-flora yakho yomzimba evamile. Iza iye futhi ihambe yodwa, futhi ungahlola ube nomphumela omuhle ngolunye usuku bese ube nomphumela omubi ngolunye. Kubantu abadala abaningi abaphilile, i-GBS ayibangeli zimpawu futhi ayidingi ukwelashwa.

Ukukhathazeka okukhulu nge-GBS kwenzeka ngesikhathi sokukhulelwa. Uma uthwala i-GBS uma ubeletha, kunesihloko esincane sokuthi ungayidlulisela kumntanakho ngesikhathi sokubeletha, okungabangela ukutheleleka okukhulu kubantwana abasanda kuzalwa.

Zithini izimpawu ze-Group B Strep?

Abantu abadala abaningi abane-GBS abanawo nhlobo izimpawu. Ibhakthriya nje ihlala ngokuthula emzimbeni wakho ngaphandle kokubangela noma yiziphi izinkinga noma ukungakhululeki okuqaphelekayo.

Kodwa-ke, i-GBS ngezinye izikhathi ingabangela ukutheleleka ezimweni ezithile. Nazi izimpawu ongazihlangabezana nazo uma i-GBS ibingabangela ukutheleleka:

Izimpawu ezivamile kubantu abadala zihlanganisa:

• Izimpawu zokutheleleka kwe-urinary tract njengokushisa ngesikhathi sokuthamba noma ukuthamba njalo
• Ukuqina nomkhuhlane
• Ubuhlungu noma ukushisa ngesikhathi sokuthamba
• Umyisa onamandla noma onencasa
• Ubuhlungu besigabha kwabesifazane

Izimpawu ezinkulu kakhulu ezidinga ukunakekelwa kwezokwelapha ngokushesha:

• Ukuqina okuphezulu ngaphezu kuka-101°F (38.3°C)
• Ubuhlungu obukhulu besisu noma emuva
• Ukuphefumula nokugabha
• Ukushisa okusheshayo kwenhliziyo noma ukuphefumula
• Ukudideka noma ukukhuluphala ukuhlala ulungile

Lezi zimpawu ezinkulu kakhulu zingezona ezivamile kodwa zingabonisa ukutheleleka okukhulu okudingayo ukwelashwa ngokushesha. Uma uhlangabezana nanoma yiluphi kulolu, kubalulekile ukufuna ukunakekelwa kwezokwelapha ngokushesha.

Yini ebangela i-Group B Strep?

I-Group B Strep ayilona into "oyibamba" komunye umuntu ngendlela evamile. Le bakthriya ikhona ngokwemvelo endaweni futhi emizimbeni yabantu abaningi njengengxenye yomphakathi wabo wama-bacterial avamile.

Ungathola i-GBS ngemisebenzi yansuku zonke evamile. Ibhakthriya ingangena emzimbeni wakho ngesistimu yakho yokugaya ukudla, amanzi, noma ukuxhumana nokuthinta izinto ezingcolile. Ingaba khona futhi endaweni yakho yokuzala njengengxenye yokuqina kwakho kwabakthriya evamile.

Izici eziningi zingathinta ukuthi uthwala yini i-GBS:

• Ukushintsha kwabakthriya evamile emzimbeni wakho ngokuhamba kwesikhathi
• Ukushintsha kwamahomoni ngesikhathi sokukhulelwa
• Ukushintsha ohlelweni lwakho lokulwa nezifo
• Ubulili, nakuba kungacatshangelwa njengokutheleleka okuthunyelwa ngocansi
• Ukusetshenziswa kwangaphambili kwe-antibiotic, okungashintsha ukuqina kwakho kwabakthriya evamile

Kubalulekile ukuqonda ukuthi ukuthwala i-GBS akusho ukuthi wenze into engalungile. Le bakthriya iza iye futhi ihambe ngokwemvelo, futhi abantu abaningi abaphilile bayithwala ngaphandle kokuba nezinkinga.

Nini okufanele ubona udokotela nge-Group B Strep?

Kufanele uxhumane nodokotela wakho uma uhlangabezana nezimpawu zokutheleleka kwe-urinary tract noma noma yiziphi izimpawu zokutheleleka, ikakhulukazi uma ukhulelwe.

Nansi lapho kufanele ufuna khona ukunakekelwa kwezokwelapha:

• Uma ukhulelwe futhi unezimpawu zokutheleleka njengokuqina, umkhuhlane, noma ukushisa ngesikhathi sokuthamba
• Uma une-diabetes futhi uthuthukisa noma yiziphi izimpawu zokutheleleka
• Uma une-immune system ebuthakathaka futhi uqaphela noma yiziphi izimpawu ezingavamile
• Uma uhlangabezana nezimpawu ezinkulu njengokuqina okuphezulu, ubuhlungu obukhulu, noma ukudideka
• Uma uneminyaka engaphezu kuka-65 futhi uthuthukisa noma yiziphi izimpawu zokutheleleka

Kwabesifazane abakhulelwe, ukuhlolwa okuvamile kwe-GBS kuyisigaba esivamile sokunakekelwa kokukhulelwa phakathi kwamasonto angu-35-37 okukhulelwa. Lokhu akusona ngoba ugula, kodwa ngoba kusiza udokotela wakho ukuhlela ukubeletha okuvikelekile kuwe nengane yakho.

Zithini izici ezingozi ze-Group B Strep?

Nakuba noma ubani angathwala i-GBS, izici ezithile zingandisa ingozi yakho yokuthuthukisa ukutheleleka noma ukuba nezinkinga ezivela kubhakthriya.

Izici ezingozi ezivamile zihlanganisa:

• Ukukhulelwa (ikakhulukazi eduze nokubeletha)
• Ukuba neminyaka engaphezu kuka-65
• Ukuba ne-diabetes
• Ukuba ne-immune system ebuthakathaka
• Ukuba nezimo zezokwelapha ezingapheli njengesihlalo senhliziyo noma isifo sesibindi
• Ukuhlinzwa kwamuva noma izinqubo zezokwelapha

Izici ezengeziwe ezingozi ezingavamile kodwa eziyigugu:

• Ukuba nomdlavuza noma ukwelashwa komdlavuza
• Ukuthatha imithi ecindezela i-immune system yakho
• Ukuba ne-HIV noma i-AIDS
• Ukuba endlini yokunakekelwa kwabadala noma indawo yokunakekelwa kwesikhathi eside
• Ukuba uke waba nokutheleleka kwe-GBS ngaphambili

Ukuba nalezi zici ezingozi akusho ukuthi uzokuthuthukisa ngokuqinisekile ukutheleleka kwe-GBS. Zisho nje ukuthi udokotela wakho angase afune ukukugcina uqaphele kakhulu noma athathe izinyathelo ezengeziwe uma uthwala ibhakthriya.

Zithini izinhlanganisela ezingaba khona ze-Group B Strep?

Kubantu abadala abaningi abaphilile, i-GBS ayivamile ukubangela izinhlanganisela ezinkulu. Kodwa-ke, uma izinhlanganisela zenzeka, zingaba zinkulu futhi zidinga ukwelashwa kwezokwelapha ngokushesha.

Izinhlanganisela ezingaba khona kubantu abadala zihlanganisa:

• Ukutheleleka kwegazi (sepsis)
• I-pneumonia noma ukutheleleka kwamaphaphu
• I-Meningitis (ukutheleleka kwengqondo nomgogodla)
• Ukutheleleka kwesikhumba nezinsimbi ezithambile
• Ukutheleleka kwamathanga namalunga
• Ukutheleleka kwevalvu yenhliziyo (endocarditis)

Izinhlanganisela ngesikhathi sokukhulelwa zingafaka:

• Ukutheleleka kwe-urinary tract
• Ukutheleleka kwamanzi e-amniotic (chorioamnionitis)
• Ukubeletha kwangaphambi kwesikhathi
• Ukufa kwengane esiswini (kungavamile kakhulu)
• Ukutheleleka ngemuva kokubeletha

Izinhlanganisela kubantwana abasanda kuzalwa yiyona inkulu kakhulu ukukhathazeka:

• I-Early-onset GBS disease (ngaphakathi kweviki lokuqala lokuphila)
• I-Late-onset GBS disease (ngemuva kweviki lokuqala lokuphila)
• I-Pneumonia
• I-Meningitis
• I-Sepsis

Kubalulekile ukukhumbula ukuthi ngokuhlolwa okuqondile nokuphathwa ngesikhathi sokukhulelwa, izinhlanganisela ezinkulu kubantwana abasanda kuzalwa zingezona ezivamile. Abantwana abaningi abazalwa kumama ane-GBS baphilile ngokuphelele.

I-Group B Strep ihlonishwa kanjani?

Ukuhlonishwa kwe-GBS kulula futhi kuhilela ukuhlolwa okulula kwelebhu okungathola ibhakthriya emzimbeni wakho.

Ukuhlolwa okuvamile kakhulu yikhalithi, lapho udokotela wakho ethatha isampula esigabeni sakho nasesiswini usebenzisa i-cotton swab. Le sampula bese ithunyelwa kulebhu lapho ihlolwa khona ukuba khona kwebhakthriya ye-GBS. Imivimbo ngokuvamile ithatha izinsuku ezingama-2-3.

Kwabesifazane abakhulelwe, lo mvibo uyenziwa ngokuvamile phakathi kwamasonto angu-35-37 okukhulelwa. Isikhathi sibalulekile ngoba i-GBS ingaza iye futhi ihambe, ngakho ukuhlola ngokushesha kakhulu kungase kungabikezeli ngokuqondile ukuthi uzobe une-GBS uma ubeletha.

Uma unezimpawu zokutheleleka kwe-urinary tract, udokotela wakho angase ahlole umchamo wakho nge-GBS. Ukuhlolwa kwegazi kungathola futhi i-GBS uma udokotela wakho ecindezela ukuthi une-bloodstream infection.

Kukhona futhi ukuhlolwa okusheshayo okusha okungenziwa ngesikhathi sokubeletha uma awukahlatshwa noma uma isimo sakho se-GBS singaziwa. Lokhu kuhlolwa kunikeza imiphumela cishe ngehora elilodwa, nakuba kungelona olunembile njengokuhlolwa okuvamile kwe-culture.

Ukuphathwa kwe-Group B Strep kuyini?

Ukuphathwa kwe-GBS kuncike esimweni sakho nokuthi une-infection esebenzayo noma uyithwali nje.

Uma ukhulelwe futhi uthola i-GBS, uzothola i-antibiotics ngesikhathi sokubeletha. I-antibiotic evamile kakhulu esetshenziswayo yi-penicillin, enikezwa nge-IV. Lokhu kuphathwa kunciphisa kakhulu ingozi yokudlulisela i-GBS engwaneni yakho ngesikhathi sokubeletha.

Ukuphathwa kwe-antibiotic ngesikhathi sokubeletha ngokuvamile kuhlanganisa:

• I-Penicillin G enikezwa nge-IV njalo ngamahora angu-4 ngesikhathi sokubeletha
• I-antibiotics ehlukile njenge-ampicillin uma uqalekile yi-penicillin
• I-Clindamycin noma i-vancomycin kulabo abane-allergies ezinkulu ze-penicillin
• Ukuphathwa okuqala okungenani amahora angu-4 ngaphambi kokubeletha ukuze kube nomphumela omkhulu

Uma une-GBS infection esebenzayo ngaphandle kokukhulelwa, udokotela wakho uzokunikeza i-antibiotics ngokusekelwe ohlotsheni nobunzima bokutheleleka kwakho. Ukutheleleka okuncane njengokutheleleka kwe-urinary tract kuvame ukwelashwa nge-antibiotics yomlomo ekhaya.

Ukutheleleka okukhulu kungadinga ukungena esibhedlela ne-antibiotics ye-IV. Ubude bokwelashwa kuncike ebunzimeni bokutheleleka kwakho nokuthi uphendula kangcono kanjani emithini.

Ungayiphatha kanjani i-Group B Strep ekhaya?

Uma uyithwali ye-GBS ngaphandle kwezimpawu, ngokuvamile akukho lutho okufanele ulikwenze ekhaya. Ibhakthriya ayikulimazi, futhi ukuzama ukuyisusa ngezindlela zokwelapha zasekhaya akuyona into enconywayo.

Kodwa-ke, uma uthola ukwelashwa nge-GBS infection, nazi izinto ezingasiza ekuphulukiseni kwakho:

Izinyathelo zokunakekelwa okuvamile zihlanganisa:

• Ukuthatha i-antibiotics eyalwe ngokuqondile njengoba kuyalwe, ngisho noma uzizwa kangcono
• Ukunatha amanzi amaningi ukuze usize ukususa ibhakthriya esistimwini sakho
• Ukuphumula ngokwanele ukuze usekele i-immune system yakho
• Ukudla ukudla okuqondile ngokudla okune-probiotic ukuze ugcine ama-bacteria aphilile esiswini
• Ukuqeda ubulili kuze kube yilapho ukutheleleka kwakho kuqeda (uma une-urinary tract infection)

Ngokutheleleka kwe-urinary tract ngokukhethekile:

• Ukuthamba njalo futhi ugcwalise isisindo sakho ngokuphelele
• Susa kusuka phambili uye emuva ngemuva kokusebenzisa igumbi lokugezela
• Gwema imikhiqizo ecasulayo njenge-douches noma i-feminine sprays
• Gqoka i-underwear yekotoni nezingubo eziqondile
• Cabanga nge-cranberry juice, nakuba ubufakazi bokusebenza kwayo bukhulu

Khumbula ukuthi ukuba yithwali ye-GBS kuyinto evamile futhi ayidingi noma yiziphi izinguquko ezikhethekile zokuphila. Gxila ekuqondeni impilo enhle ngokujwayelekile nokulandela izincomo zedokotela wakho.

Kufanele uzilungiselele kanjani i-appointment yakho yedokotela?

Ukulungiselela i-appointment yakho kungasiza ukuqinisekisa ukuthi uthola ukuxilongwa okuqondile kakhulu nokuphathwa okuqondile esimweni sakho.

Ngaphambi kwe-appointment yakho, buza lolu lwazi:

• Uhlu lwezipawu zakho zonke ezikhona nangesikhathi ezaqala ngaso
• Umbhalo wakho ophelele wezokwelapha, kuhlanganise noma yikuphi ukutheleleka kwangaphambili
• Yonke imithi oyithathayo njengamanje, kuhlanganise ne-supplements
• Ulwazi mayelana nokukhulelwa kwakho (uma kufanele), kuhlanganise usuku oluqokiwe
• Noma yimiphi imiphumela yokuhlolwa kwe-GBS onayo ngaphambili

Imibuzo yokubuza udokotela wakho:

• Ndingadinga ukuhlolwa kwe-GBS?
• Imivimbo yami isho ukuthini?
• Uma ngikhulelwe futhi ngine-GBS, kwenzekani ngesikhathi sokubeletha?
• Ingabe kunengozi engwaneni yami?
• Ziyini izimpawu zokutheleleka engizibheka?
• Nini okufanele ngikubize ngezinkinga?

Uma ukhulelwe, letha amarekhodi akho okukhulelwa futhi ulungele ukuxoxa ngohlelo lwakho lokubeletha. Udokotela wakho angase adinge ukulungisa izici ezithile zohlelo lwakho lokubeletha uma uthola i-GBS.

Unganqikazi ukucela incazelo uma ungaqondi lutho. Udokotela wakho ufuna ukuqinisekisa ukuthi ulwazi ngokuphelele ngesimo sakho nezinketho zokwelashwa.

Iyini into ebalulekile mayelana ne-Group B Strep?

I-Group B Strep ibhakthriya evamile abantu abaningi abaphilile abayithwalayo ngaphandle kwezinkinga. Nakuba ngokuvamile ingonakalisi kubantu abadala, ingabangela ubungozi kubantwana abasanda kuzalwa uma idluliselwa ngesikhathi sokubeletha.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukuhlolwa okuvamile ngesikhathi sokukhulelwa nokuphathwa okuqondile ngesikhathi sokubeletha kwenze izinhlanganisela ezinkulu ze-GBS kubantwana zingezona ezivamile. Uma uthola i-GBS ngesikhathi sokukhulelwa, akusho ukuthi wena noma ingane yakho niyobe nenzinkinga ngokuqinisekile.

Ngokunakekelwa kwezokwelapha okuqondile nokuphathwa kwe-antibiotic uma kudingeka, iningi labantu abane-GBS liyaqhubeka libe nemiphumela enhle. Hlala unolwazi, landela izincomo zedokotela wakho, futhi unganqikazi ukubuza imibuzo mayelana nokunakekelwa kwakho.

Khumbula ukuthi ukuthwala i-GBS akuyona iphutha lakho futhi akubonisi imikhuba yakho yempilo. Kuyinto nje ehlukile evamile kuma-bacteria ahlala emizimbeni yethu ngokwemvelo.

Imibuzo evamile ebuzwayo mayelana ne-Group B Strep

Q1: Ingabe i-Group B Strep ingadluliselwa ngocansi?

Nakuba i-GBS ingatholakala endaweni yokuzala futhi ubulili bungase bube nomthelela ekudluliselweni kwayo, ayibhalwanga njengokutheleleka okuthunyelwa ngocansi. Abantu abaningi abakaze babe nobulili bangathwala i-GBS, futhi ingaza iye futhi ihambe ngokwemvelo ngaphandle kokuxhumana kocansi.

Q2: Uma ngithola i-GBS ngesikhathi sokukhulelwa, ngiyoba nayo njalo?

Akunjalo ngokuqinisekile. I-GBS ingaza iye futhi ihambe yodwa ngokuphila kwakho konke. Ungase uthole i-positive ngesikhathi sokukhulelwa okukodwa bese uthola i-negative ngesinye. Yingakho ukuhlolwa kwenziwa ekupheleni kokukhulelwa, cishe emasontweni angu-35-37, ukuze uthole isithombe esiqondile sesimo sakho se-GBS ngesikhathi sokubeletha.

Q3: Ngingayivimba kanjani ukuthola i-Group B Strep?

Akunandaba yokuthembeka yokuvimba i-GBS ngoba iyisigaba somphakathi wama-bacterial avamile emizimbeni yabantu abaningi. Imikhuba emihle yokuhlanzeka nokugcina impilo enhle ngokujwayelekile kungasekele i-immune system yakho, kodwa i-GBS ayilona into ongayigwema ngokuphelele ngezinguquko zokuphila.

Q4: Kwenzekani uma ngiqalekile yi-penicillin futhi ngidinga ukwelashwa kwe-GBS?

Uma uqalekile yi-penicillin, udokotela wakho uzokunikeza i-antibiotics ehlukile eziphephile futhi ezisebenza kahle ngokumelene ne-GBS. Izinketho zihlanganisa i-clindamycin, i-erythromycin, noma i-vancomycin, kuye ngobunzima be-allergy yakho kanye nohlobo oluthile lwe-GBS oyithwalayo.

Q5: Ingabe i-Group B Strep ingathinta ikhono lami lokuncelisa?

Ukuba ne-GBS noma ukuthola ukwelashwa kwe-antibiotic ngokuvamile akukuthinti ikhono lakho lokuncelisa ngokuphephile. I-antibiotics esetshenziswa ekwelapheni i-GBS ngokuvamile iphephile ngesikhathi sokuncelisa, futhi i-GBS ngokwayo ayikuvimbi ekuphuculeni ingane yakho. Kodwa-ke, hlala uxoxa nanoma yiziphi izinkinga nodokotela wakho.