I-herpes ye-Neonatal ivela lapho ingane isulelekile nge- HSV-1 noma i- HSV-2 eduze nesikhathi sokuzalwa. Lolu hlobo lokutheleleka luyingozi kakhulu. Kungabangela ukukhubazeka kompilo noma ngisho nokufa. Ngenhlanhla, i-herpes ye-neonatal ayifani neze. Ososayensi balinganisela ukuthi kunamacala angu-1500 kuphela we-herpes neonatal ngonyaka e-United States. Lokho kusebenza ngokuzungeze icala elilodwa kuwo wonke ama-3200 wokudiliva.
Kunezinhlobo ezintathu ze-herpes ze-neonatal:
- Ukusakazwa kwesifo , okubandakanya izitho eziningi Lokhu kuvame ukukhombisa cishe izinsuku ezingu-10-12 zokuphila. Uhlobo oluyingozi kunazo zonke lwe-herpes ye-neonatal. Kungabangela izinkinga eziningi kuhlanganise
- Sepsis
- Ukuhluleka kokuphefumula
- Ukuhluleka kwesibindi
- Ukusatshalaliswa kwe-intravascular coagulation, noma i-DIC, lapho ama-clots egazi akha khona kuwo wonke umzimba womntwana
- I-CNS, noma uhlelo oluyisisekelo senzwa, izifo . Lokhu kubhekisela emayelana ne-1/3 yamacala we-neonatal herpes. Ngokuvamile kubonisa phakathi kwamasonto amabili okuphila. Iningi lalezi zinsana zinezifo zesikhumba ngesikhathi esithile, futhi izimpawu zifaka:
- ukuhlukunyezwa
- ukhathala
- ukucasuka
- ukukhathazeka ukudla noma ukunciphisa ukudla
- izinkinga zokugcina izinga lokushisa komzimba
- ukuvuvukala kuma-fontanelles (izindawo ezithambile)
- Isifo se-SEM, esiphelele esikhumbeni, iso, kanye / noma umlomo. Manje ukuthi i-antiviral iyatholakala, lokhu kwenza cishe isigamu sezo zonke izimo ze-herpes ze-neonatal. Ngisho nangaphezulu kwalezi zinsana zithola ukuhlaselwa kunezinkinga ze-CNS. Lezi zinsana nazo ziba nezimpawu ezinsukwini ezingu-10-12 zokuphila.
Ngenhlanhla, ukwelashwa kwe-herpes okusebenzayo kuyatholakala. I-Acyclovir iboniswe ukuthi iyindlela yokwelapha ephumelelayo ye-herpes neonatal. Kodwa-ke, izingozi zisezingeni eliphezulu. Ngisho nangokwelapha, izingane ezingafika ku-30% ezisakazwa i-herpes ye-neonatal zifa ngaphambi kokuba zifike ngosuku lokuzalwa lwazo lokuqala. Ukufa kunesidingo esinezinhlobo eziphathekayo zezinye izinhlobo ze-herpes ze-neonatal.
Inani lokushona kwe-CNS herpes lingamaphesenti amane kuphela okwelashwa.
Ukwelashwa kunganciphisa ingozi yokukhubazeka kwesikhathi eside. Ucwaningo luye lwabonisa ukuthi izinsana eziphathwe izifo ze-SEM zinezinkinga ezimbalwa zesikhathi eside. Kodwa-ke, ezinye izinhlobo ze-herpes ze-neonatal, noma izifo ze-SEM ngaphandle kokwelashwa okuphumelelayo, zingaholela ezinkingeni eziningi ezingathí sina, ezihlala njalo ezinganeni. Ezinye izinhlobo zomonakalo ezingabangwa yi-neonatal herpes infection zifaka:
- Ukukhubazeka kwengqondo
- Ukukhubazeka kwamalungu amabili noma amane
- Izinkinga zokuziphatha
- Inkulumo echelile
- Izinkinga zokufunda
- Izinkinga zamehlo
Amantombazane Asengozini Engcono Kakhulu I-Heronatal Herpes
Abesifazane abathintekayo nge-genital infections ngesikhathi sokukhulelwa ngokuvamile kubhekwa ukuthi banengozi enkulu yokudlulisela i-herpes emntwaneni wabo. Lokhu kuyiqiniso ikakhulukazi uma benesifo sofuzo nge-HSV-1 kunokuba i-HSV-2. Esinye isici esiyinhloko esicabanga ukuthi sibangele ingozi enkulu yokutheleleka kwe-herpes ye-neonatal kukhona ukutholakala kwe-herpes ngokocansi ngesikhathi sokuzalwa. Abesifazane abanokuhlukunyezwa ngokocansi uma beqala ukusebenza bangase banikezwe iseluleko sokucubungula isigaba se-cearean esikhundleni sokuzalwa kwesisu. Ezinye izinto eziphathelene nokukhulelwa eziphathelene nokukhulelwa kwe-neonatal herpes zihlanganisa ukuqubuka kwesikhathi eside ngaphambi kokuba usana lunikezwe futhi kusetshenziswe ama-electrodes e-fetal fetal
Ngaphezu kwalokho, kunezindlela eziningana ukuthi i-herpes neonatal ingadluliselwa emva kokuzalwa. Isibonelo, ngo-2015 ososayensi babonisa ukuthi ukusoka kwesiko lamaJuda kungase futhi kubeke izinsana engozini ye-herpes ye-neonatal. Lokhu kungukuthi ukusoka okwenkolo kungabandakanya ukuzitholela ngomlomo kwesilonda. Uma umuntu okwenza ukusoka ane-oral herpes infection, ukuxhumana okuqondile kungaholela ekudluliseni i-herpes. Lolu hlobo lokudlulisela olufana nendlela ukudluliswa kwe-herpes kwenzeka ngayo ngesikhathi socansi ngomlomo . Le ngozi ayikho ngesikhathi sokusoka kwezokwelapha. Lezo zinqubo azibandakanyi ukuxhumana ngomlomo phakathi komhlinzeki nosana.
Kodwa-ke, ukusoka kwezokwelapha kungaba yingxabano kwezinye izizathu .
Enye indlela engavamile ukuthi ukubeletha kwe-neonatal herpes kungenzeka ngesikhathi sokuncelisa. I-Herpes ayikwazi ukudluliselwa ngobisi lwebele. Kodwa-ke, abesifazane bangathuthukisa izilonda ze-herpes emabele abo. Uma ingane isetshenziswe ngomlomo nalezi zilonda, ingabangela i-herpes ye-neonatal. Ukudluliselwa okunjalo akuvamile. Lokho kusho ukuthi kuye kwaba nemibiko eminingi emibhalweni. Ngakho-ke, ukuncelisa abesilisa abanezilonda emathunjini kufanele baxoxe nodokotela wabo nganoma iyiphi ingozi yokutheleleka kwe-herpes yamathambo.
Odokotela Bathinteka Kanjani Ingozi Yezinyolo Zengane?
Kunezindlela eziningana ukuthi odokotela banciphise ingozi ye-herpes ye-neonatal. Lokhu kufaka:
- Ukugqugquzela ukusetshenziswa kokwelashwa okucindezelayo ngabesifazane abasanda kutholakala ngesikhathi besakhulelwe noma abathola ukuqubuka okuphawulekayo . Lokhu kunciphisa amathuba okuba owesifazane uzobhekana nesibungu esiseduze nesikhathi sokubeletha. Futhi kunciphisa amathuba okuchithwa okungajwayelekile . Igciwane elincane ohlelweni lwesifazane, ukwehla amathuba okuthi ingane yakhe izovezwa.
- Kunconywa izigaba ezingezansi esikhundleni sokubeletha kwamabhinqa kwabesifazane abanokuhlukunyezwa kwe-herpes ngokocansi eduze nosuku olufanele lomntwana. Lokhu kunciphisa ithuba lokuthi ingane izohlangana nanoma yiziphi izilonda ezisebenzayo kumlonyeni wesifazane noma ebusweni bayo. Izilonda ezinjalo zibeka ingozi enkulu yokudluliselwa kwegciwane le-herpes.
- Ukukhuthaza imibhangqwana ye- serodiscordant ukuba isebenzise ubulili obuvikelekile ngesikhathi sokukhulelwa. Ukwenza lokhu kunciphisa amathuba okuthi owesifazane uzobe esanda kutholakala ngokocansi nge-herpes ngesikhathi sokukhulelwa. Njengoba ukutheleleka okusha kuhlotshaniswa nenengozi enkulu yokudlulisela, lokhu kuyinhloso ebalulekile. (Lokhu kufaka phakathi ubulili bomlomo kusukela ukuhanjiswa kwe-herpes kusuka emlonyeni kuya ezifweni zobulili kungumphumela ovame kakhulu we-herpes wesisu sangasese.)
Imithombo:
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Leas BF, Umscheid CA. I-Neonatal Herpes Simplex I-Virus Type 1 Infection kanye nesiko samaJuda Ukusoka Nge Impumelelo Yomlomo: Ukubuyekezwa Okuhlelekile. J Izingane eziphuthumayo zeDoc Soc. 2015 Jun; 4 (2): 126-31. i-doi: 10.1093 / jpids / piu075.
I-Malm G, i-Forsgren M, i-A Azazi M, i-Persson A. Ukutadisha okulandelwayo kwezingane ezine-infectious herpes simplex virus infections ikakhulukazi ngokubhekene nokuphazamiseka kokuphazamiseka kwesikhathi eside. I-Acta Paediatr Scand. 1991 Feb; 80 (2): 226-34.
Okushiwo SG, Kimberlin DW. Ukuvimbela i-herpes simplex virus enganeni. I-Clin Perinatol. 2014 Dec; 41 (4): 945-55. i-doi: 10.1016 / j.clp.2014.08.012.