Mimba ndi nsungu

Makanda obadwa kumene amatha kutenga kachilombo ka herpes panthawi yapakati, panthawi yobereka kapena pobereka, kapena atabadwa.

Makanda obadwa kumene amatha kutenga kachilombo ka herpes:

• M'chiberekero (izi ndi zachilendo)
• Kudutsa ngalande yoberekera (nsungu zobadwa nazo, njira yofala kwambiri yothandizira matenda)
• Atangobadwa kumene (postpartum) kuchokera pakupsompsona kapena kulumikizana ndi munthu yemwe ali ndi zilonda zam'kamwa

Ngati mayi waphulika msanga pa nthawi yobereka, mwanayo amatha kutenga kachilomboka panthawi yobadwa. Amayi ena sangadziwe kuti ali ndi zilonda za herpes mkati mwa nyini.

Amayi ena adadwalapo matenda a herpes m'mbuyomu, koma samadziwa, ndipo amatha kupatsira mwana wawo kachilomboka.

Herpes mtundu 2 (maliseche nsungu) ndi omwe amayambitsa matenda a herpes m'makanda obadwa kumene. Koma herpes mtundu 1 (oral herpes) amathanso kuchitika.

Herpes imangowoneka ngati matenda akhungu. Matuza ang'onoang'ono odzaza ndi madzi amatha kuwoneka. Matuzawa amatuluka, amatumphuka, ndipo pamapeto pake amachira. Chilonda chochepa chimatha kutsalira.

Matenda a Herpes amathanso kufalikira mthupi lonse. Izi zimatchedwa kufalitsa herpes. Mu mtundu uwu, kachilombo ka herpes kangakhudze mbali zambiri za thupi.

• Matenda a Herpes mu ubongo amatchedwa herpes encephalitis
• Chiwindi, mapapo, ndi impso zingathenso kutenga nawo mbali
• Pakhoza kukhala kapena pakhale matuza pakhungu

Makanda obadwa kumene omwe ali ndi nsungu zomwe zafalikira kuubongo kapena ziwalo zina za thupi nthawi zambiri zimadwala kwambiri. Zizindikiro zake ndi izi:

• Zilonda pakhungu, zotupa zotuluka madzi
• Kutuluka magazi mosavuta
• Kupuma kwamavuto monga kupuma mwachangu komanso nthawi yayifupi osapuma, zomwe zingayambitse mphuno kuwuluka, kung'ung'udza, kapena mawonekedwe abuluu
• Khungu lachikaso ndi azungu amaso
• Kufooka
• Kutentha kwa thupi (hypothermia)
• Kudya moperewera
• Khunyu, mantha, kapena kukomoka

Herpes omwe amamugwira atangobadwa kumene ali ndi zizindikilo zofananira ndi herpes wobadwa nayo.

Herpes mwana amalowa m'chiberekero angayambitse:

• Matenda amaso, monga kutupa kwa diso (chorioretinitis)
• Kuwonongeka kwakukulu kwa ubongo
• Zilonda za khungu (zotupa)

Mayeso a herpes omwe amabadwa nawo ndi awa:

• Kufufuza kachilomboka pochotsa pachikhalidwe kapena chovalacho
• EEG
• MRI ya mutu
• Chikhalidwe chamadzimadzi

Mayeso owonjezera omwe angachitike ngati mwana akudwala kwambiri ndi awa:

• Kusanthula mpweya wamagazi
• Maphunziro a Coagulation (PT, PTT)
• Kuwerengera kwathunthu kwa magazi
• Miyeso ya Electrolyte
• Kuyesedwa kwa chiwindi kumagwira ntchito

Ndikofunika kuuza wothandizira zaumoyo wanu paulendo wanu woyamba wobadwa ngati muli ndi mbiri yokhudzana ndi ziwalo zoberekera.

• Ngati mwayamba kufalikira kwa herpes, mudzapatsidwa mankhwala oti muzimwa mwezi watha woyembekezera kuti muchepetse kachilomboka. Izi zimathandiza kupewa kuphulika panthawi yobereka.
• Gawo la C limalimbikitsidwa kwa amayi apakati omwe ali ndi zilonda zatsopano za herpes ndipo akugwira ntchito.

Matenda a Herpes virus m'makanda nthawi zambiri amachiritsidwa ndi mankhwala ochepetsa mphamvu ya ma virus omwe amaperekedwa kudzera mumitsempha (intravenous). Mwana angafunikire kukhala pamankhwala kwa milungu ingapo.

Chithandizo chitha kufunikanso pazotsatira za matenda a herpes, monga mantha kapena khunyu. Chifukwa ana awa akudwala kwambiri, nthawi zambiri amalandira chithandizo kuchipatala.

Makanda omwe ali ndi systemic herpes kapena encephalitis nthawi zambiri samachita bwino. Izi zili choncho ngakhale atalandira mankhwala ochepetsa mphamvu ya kachilombo komanso kuchiritsidwa msanga.

Kwa makanda omwe ali ndi matenda akhungu, zotupazo zimatha kubwerera, ngakhale chithandizo chatha.

Ana okhudzidwa atha kukhala ndikuchedwa kukula ndikulephera kuphunzira.

Ngati mwana wanu ali ndi zisonyezo zamatenda obadwa nawo, kuphatikiza matuza a khungu opanda zizindikilo zina, khalani ndi mwanayo nthawi yomweyo.

Kuchita zogonana motetezeka kumathandiza kuteteza mayi kuti asatenge matenda opatsirana pogonana.

Anthu omwe ali ndi zilonda zozizira (oral herpes) sayenera kukhudzana ndi makanda obadwa kumene. Pofuna kupewa kufalitsa kachilomboka, osamalira odwala omwe ali ndi zilonda zozizira ayenera kuvala chigoba ndikusamba m'manja mosamala asanakumane ndi khanda.

Amayi akuyenera kulankhula ndi omwe amawasamalira za njira yabwino yochepetsera chiopsezo chotumiza herpes kwa khanda lawo.

HSV; Nsungu kobadwa nako; Nsungu - kobadwa nako; Herpes wobadwa nawo; Herpes pa mimba

• Matenda obadwa nawo

Dinulos JGH. Matenda opatsirana pogonana. Mu: Dinulos JGH, mkonzi. Chipatala cha Habif's Dermatology. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2021: mutu 11.

Kimberlin DW, Baley J; Komiti yokhudza matenda opatsirana; Komiti yokhudza mwana wosabadwa komanso wakhanda. Chitsogozo pakuwongolera ma neonates omwe sangabadwe omwe amabadwa kwa amayi omwe ali ndi zotupa zakumaliseche. Matenda. 2013; 131 (2): e635-e646. PMID: 23359576 pubed.ncbi.nlm.nih.gov/23359576/.

Kimberlin DW, Gutierrez KM. Matenda a Herpes simplex virus. Mu: Wilson CB, Nizet V, Maldonado YA, Remington JS, Klein JO, olemba. Matenda Opatsirana a mwana wosabadwayo ndi mwana wakhanda a Remington ndi Klein. 8th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 27.

Schiffer JT, Corey L. Herpes simplex kachilombo. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 135.