Lesi sifo esithathelwanayo siyinkimbinkimbi ngoba sinokutheleleka okukhulu. Isifo sidluliselwa kusuka komuntu kuya komuntu ngomoya, kumanga, ngenkathi kuxoxwa futhi, ngeshwa, kusuka kumama kuya kumntwana. I-Rubella nayo iyingozi ngoba isikhathi sokukhushulwa isikhathi eside kakhulu - izinsuku ezingu-11-24, ngakho-ke ingane enesifo esithathelelekile noma esinye isihlobo singathintana nokuthula nomuntu okhulelwe futhi ungalokothi ukhohlwe ukuthi uyamthelela ngegciwane eliyingozi.
Izimpawu ze- rubella kubesifazane abakhulelwe azibuhlungu kakhulu:
- ukushisa kuphakama kancane (kuya ku-37.3 ° C);
- Kukhona iziqhumane ngendlela yamabala amancane azungezile, zingakwazi ukuhlangana zibe izindawo ezinkulu; i-rash ihlala izinsuku ezingu-3-4;
- ikhanda, ubuthakathaka;
- ukulala;
- photophobia.
I-Rubella ekukhulelwe ikhohlisayo ngokuthi owesifazane ogulayo kakade uyakwazi ukuzizwa engazi kahle ngaphandle kokwazi ngesifo, futhi ngalesi sikhathi ingane yakhe isivele izwa imiphumela engapheliyo yegciwane.
I-Rubella nokukhulelwa kokuqala
Okubi nakakhulu uma owesifazane eguga ekuseni, okungukuthi. ku-trimester yokuqala. Futhi ngesonto lonke lesi sifo sithinta i-embryo ngokuhlukile.
Cabanga ngendlela igciwane le-rubella elisebenza ngayo ngesikhathi sokukhulelwa ebusweni.
Ngesimiso sezinzwa, lesi sifo sinengozi emasontweni angu-3-11 okukhulelwa, amehlo nenhliziyo ye-crumb bayathinteka yilesi sifo emavikini angu-4-7, futhi ukuzwa okungezansi kungaba emntwaneni uma umama esuselwe emasontweni angu-7-12. Ngakho-ke, i-rubella "ibhontshisi" kulawo malungu akhiwe ku-trimester yokuqala. Babizwa ngokuthi "i-Greta triad", ehlanganisa i-cataract, isithulu nesifo senhliziyo.
Ake sikhulume izibalo ezibuhlungu: 98% yabantwana abane-rubella yokubeletha benesifo senhliziyo, cishe amakati angu-85% anesifo sengqondo, kanti 30% anezimpumputhe kanye nezifo ezibuhlungu.
I-Rubella ekukhulelwe inemiphumela ebuhlungu kunazo zonke esikhathini esingamaviki angu-9-12. I-crumb ingafa esibelethweni, futhi uma ingane isinda, ukungasebenzi kahle ekuthuthukiseni kwayo akunakugwema. I-virus ye-rubella ingabangela ukukhubazeka kokuzalwa okungenasifo. Okuyingozi kakhulu kulokhu kungamaviki amathathu emva kokukhulelwa. Ngalesi sikhathi, lesi sifo siholela ebubini ngamacala angu-60%. Isibonelo, ngo-10-12 ngesonto, lesi sibalo singaphansi - 15% yazo zonke izifo zokutheleleka.
Ngaphandle kweziphambeko ezibalwe ngenhla, i-rubella ingaholela ekuphukeni egazini, ezifweni zesibindi, ubhedu, izitho ze-urogenital, ukuphuza kwengqondo, njll.
Incazelo yokuhlolwa kwe-rubella ngesikhathi ukhulelwe
Uma owesifazane egula i-rubella ngaphambi kokukhulelwa, lokhu kuhle, ngoba ngeke akwazi ukubamba futhi, ngenxa yalokho, ngeke aphazamise impilo kanye nokuphila komntwana osalinde isikhathi eside. Kuthiwani uma lona wesifazane engenalo rubella? Kubalulekile ukugoma ngaleli gciwane ngaphambi kokuhlela ukukhulelwa. Uma nganoma yisiphi isizathu akuzange kwenziwe, khona-ke kukhona ingozi yokutheleleka ngesikhathi sokubeletha.
Yini engingayeluleka ngayo umama wesikhathi esizayo kulokhu? Qaphela abanye, babe nesithakazelo kulokho okwenzeka enkulisa noma esikoleni, lapho ingane ekhulile iya khona. Phela, kubalulekile ukuthi ungaphuthelwa isifo sofuba lesi sifo.
Uma owesifazane ekhuluma nge-rubella egulayo, kuyadingeka ukuba uhlole ngokuphuthumayo ukuhlolwa kwegazi kwamagciwane omzimba we-IgM ne-IgG. Kuhle kakhulu, uma umphumela ubonisa i-IgM engalungile ne-IgG enhle, isb. lona wesifazane ngaphambilini wayenegciwane le-rubella.
Idatha engalungile kuzo zombili izimo ziqinisekisa ukuthi kwakungakaze kube negciwane emzimbeni, noma ukuthi owesifazane utheleleke emavikini angu-1-2 edlule. Ukucacisa umphumela, ukuhlolwa kwegazi kuphindaphindiwe ngemva kwamasonto amabili. Okubi, uma kwakukhona okunamandla, isb. uma kukhona i-rubella, khona-ke kuwesifazane ngesikhathi sokukhulelwa, i-IgM egazini yabe ihle, futhi i-IgG
Ku-trimester yokuqala, ukuze ugweme i-pathologies embi ye-fetus, odokotela batusa ukukhipha ukukhulelwa. Kungcono uma owesifazane ethatha igciwane lesigamu sesibili noma lesithathu - i-rubella kakade ingenamandla okubangela ukulimala okungenakuqhathaniswa nengane.
Esihlokweni esixoxe ngazo ukuthi i-rubella ithinta kanjani ukukhulelwa. Ukuze angabe engozini impilo kanye nokuphila kwengane engakazalwa, kufanele owesifazane kufanele ahlole uhlolo lwezinyanga ezintathu ngaphambi kokukhulelwa. Khona-ke kukhona ithuba lokuthatha izinyathelo zokuvimbela ezifanele, ukudlulisa izivivinyo ezingalinganiswa nemiphumela yezivivinyo ngesikhathi sokukhulelwa.