Chikamu I: Nhanganyaya Kumasangano Akakomberedza Herpes uye Kubereka Mwana
Kutarisana nehepital genital panguva yekuzvitakura kunogona kunyanya kunetsa. Iko kunogona kuva nemigumisiro yakaipa kana mwana akabatwa nehutachiona hwehapepe munguva yebasa kana kuti nguva pfupi mushure mekuberekwa. Uye neonatalatal herpes inogona kuuraya. Nemhaka yeizvi, vakadzi vane chirwere chepabonde chinowanzopiwa zano kune hutano hwakanaka hwekuita kwavo pamuviri uye nekusarudza nzira.
Asi havasi vose vakadzi vane pamuviri vane chirwere chepabonde vaine ngozi yakaenzana yekuendesa hutachiwana kumucheche wavo. Ngozi yeanaonatal herpes yakakwirira, kure, kune vakadzi vanotapukirwa nehepe pavanenge vachiita pamuviri, kunyanya pedyo nekuguma kwepamuviri wavo.
Kuwedzerwa kwehuwandu huri kunyanya kuderera kuvakadzi vane utachiona kwenguva yakareba, kunyange kana vane chirwere chakaoma mukati mekutakura kwavo pamuviri. Pano panewo dambudziko iro vakadzi vane chirwere chepabonde HSV-1 zvirwere zvinogona kuva nemukana mukuru wokupa vana vavo neonatal herpes kupfuura vakadzi vane HSV-2 .
Nzira dzekudzikisa njodzi kune avo vane Genital Herpes
Vanachiremba vanowanzokurudzira kurapwa kwepfungwa kune vose vakadzi vane pamuviri vane HSV zvirwere zvinotanga kumavhiki makumi matatu nemaviri ekuzvimba. A c-chikamu chinokurudzirwa kana vane chirwere chechirwere chinokonzera kusangana pedyo nenguva yavo yekuberekwa.
Izvozvo zvinoderedza chirwere ndechekuderedza njodzi yekudengenyeka uye kupera kwechirwere chetachiona .
I-c-chikamu chinoitwa kuitira kuti kuderedze mukana wekuti mucheche acharatidzwa nehutachiona achipfuura nomugero wekubereka.
Nechikamu chiduku chezana neonatal herpes kutengesa kunoitika panguva yekuzvitakura pachako. Izhinji huzhinji hunoitika panguva yekuzvarwa.
Kusarudza Zvaungaita Nezvekutumira Kwaunoita
Neonatal herpes chinhu chinotyisa, uye vakadzi vazhinji vane pamuviri vanonzwisisika vakabvamburwa pamusoro pokusarudza kwavo kubata pamuviri, kunyanya kana vachida kuva nehutano hwekuberekwa kwepanyama.
Uyezve, vamwe vakadzi vanoshungurudzika nekutapukisa mwana wavo kunyange nekodzero yekurapa. Mushure mezvose, chirwere chinonzi herpes chinogona kuva mumuviri kunyange kana pasina ikozvino kuputika.
Vanachiremba Vanogona Kuongorora Herpes Panguva Yokurara?
Kunyange zvazvo vanachiremba vanogona kuedza kuvhara DNA panguva yepamuviri, pane mubvunzo pamusoro pokuti kuongororwa kunobatsira sei, kunyanya kana vakapedza mazuva mashoma asati aberekwa. Chidzidzo che1999 chemvura yakasangana neyemaperembudzi panguva yekuzvitakura yakawana kuti kunyange makumi matanhatu kubva muzana yevakadzi vakabereka mukati memazuva maviri eine chirongwa chakanaka vakanga vachiri vakanaka munguva yekubereka, kuedza chero kupi zvayo kare kupfuura iyo yakanga isina kunyatsojeka pakufanotaura kupera kwemvura panguva kuberekwa.
Mukuwedzera, ikozvino ACOG mirayiridzo inorayira pamusoro pemaitiro ekuongorora herpes panguva yekuzvitakura.
Ari Kuve Nemazinga Emirwere yeVirus Zviri pachena Yakabatana neNeonatal Herpes Infection?
Chidzidzo chikuru chakaitwa muna 2005 chakawana kuti neonatal herpes yakanga isingawanzoitiki kune vakadzi vakanga vasina tsika dzakanaka panguva yekuberekwa. Apo vakadzi vashanu kubva muzana avo vaiva tsika dzakanaka nokuda kweHSV vakaberekerwa vacheche vane neonatal herpes, chete 0.02 muzana yevakadzi vakanga vasina tsika vakaita tsika.
Kunyange zvazvo zvaizova zvakanaka kudai paive nedzidzo dzakawanda dzichiongorora mubvunzo uyu, zvinoratidzika sokuti maitiro ehutachiona anowanikwa panguva yekuberekwa akabatanidzwa neonatalatal herpes.
Kana, zvakanyatsojeka, zvinoratidzika zvakajeka kuti kusava nehutachiona hwehutachiwana panguva yekubereka kunounza neonatal herpes zvisingaiti.
Inowanzoita sei Vanhu vane Herpes Vakatengesa Virus Kana Vasina Chirwere?
Chirongwa chikuru cha2011, chakabudiswa muJAMA , chakaongorora kuti vanhu vane zvirwere zvakadini zvinokonzera hutachiona uye huwandu hwehutachiona hwavakateura. Vatsvakurudzi vakawana kuti vanhu vane zvirwere zvepabonde HSV-2 vakatevedzwa mazinga ehutachiona 10 muzana yenguva-inenge hafu kakawanda sevanhu vane zvirwere zvechiratidzo. Zvisinei, huwandu hwehutachiona hwavakadurura hwakafanana.
Kuenderera mberi muchikamu chechipiri: Kuongorora nzira dzakasiyana dzekudzivirira neonatal herpes
Sources:
American College yeVachizvidzivirira uye Gynecologists (ACOG). Kutungamirirwa kwehepepes pakuzvitakura. Washington (DC): American College yezvipfeko uye Gynecologists (ACOG); 2007 Jun. 10 p. (ACOG kudzidzira nhamba; kwete 82)
Brown ZA et al. Genital herpes inobata pamuviri. Obstet Gynecol. 2005 Oct; 106 (4): 845-56. R
Brown ZA et al. Migumisiro yenzvimbo ye-serologic uye kuvhara kwemazuva ekutengesa kwehutachiona hwemushonga wehepesomex kubva kuna amai kusvika kumucheche. JAMA. 2003 Jan 8; 289 (2): 203-9.
Garland SM et al. Ko antepartum herpes simplex maitiro ehutachiona anofunga kuti chirwere chinonzi intrapartum chinodururwa chevakadzi vane pamuviri vane zvirwere zvinowanzoitika here? Chakaipa Dis Obstet Gynecol. 1999; 7 (5): 230-6.
Simuka DJ, Stringer JS. Kutaura kweCesarean uye ngozi yehepepe simplex virusi zvirwere. JAMA. 2003 May 7; 289 (17): 2208; munyori achipindura 2208-9.
Sheffield JS et al. Acyclovir prophylaxis kudzivirira herpes simplex chirwere chekudzoka pakuberekwa: kuongorora kunongororwa. Obstet Gynecol. 2003 Dec; 102 (6): 1396-403.
Tronstein E et al. Kurasikirwa kwemahara herpes simplex utachiona pakati pezviratidzo uye zvisingatauriki vanhu vane HSV-2 utachiona. JAMA. 2011 Apr 13; 305 (14): 1441-9.