Kuaj Strep B

Zoo Siab

• Pawg B strep xeem yog dab tsi?
• Nws siv rau dab tsi?
• Vim li cas kuv thiaj xav tau pawg B kuaj pob?
• Muaj dab tsi tshwm sim thaum kuaj pawg B strep?
• Kuv puas yuav tau ua ib yam dab tsi txhawm rau npaj rau qhov kev xeem?
• Puas muaj kev pheej hmoo rau kev kuaj?
• Cov txiaj ntsig li cas?
• Puas muaj lwm yam ntxiv uas kuv xav paub txog kev kuaj mob pawg B strep?
• Ua tim khawv

Pawg B strep xeem yog dab tsi?

Strep B, tseem hu ua pab pawg B strep (GBS), yog ib hom kab mob uas feem ntau pom muaj nyob hauv cov hnyuv, lub plab, thiab thaj chaw hauv lub cev. Nws tsis tshua muaj mob tshwm sim lossis teeb meem hauv cov neeg laus tab sis tuaj yeem tsim kev tuag rau cov menyuam tshiab.

Hauv cov poj niam, tus kab mob GBS feem ntau pom hauv qhov chaw mos thiab lub qhov quav. Yog li tus poj niam cev xeeb tub uas kis tus kab mob tuaj yeem kis tus kab mob mus rau nws tus menyuam thaum lub sijhawm mob plab thiab yug menyuam. GBS tuaj yeem ua rau mob ntsws, mob hlwb, thiab lwm yam mob hnyav ntawm menyuam mos. Cov mob GBS yog lub hauv paus ua rau kev tuag thiab xiam oob qhab rau cov menyuam mos.

Ib pawg B strep kuaj xyuas cov kab mob GBS.Yog tias kuaj pom tias tus poj niam cev xeeb tub muaj tus mob GBS, nws tuaj yeem siv tshuaj tua kab mob lub sijhawm thaum mob plab los tiv thaiv nws tus menyuam los ntawm kev kis mob.

Lwm lub npe: pab pawg B streptococcus, pab pawg B beta-hemolytic streptococcus, streptococcus agalactiae, beta-hemolytic strep culture

Nws siv rau dab tsi?

Ib pawg B kis kab mob feem ntau siv rau nrhiav tus kab mob GBS hauv cov poj niam cev xeeb tub. Cov poj niam cev xeeb tub feem ntau raug kuaj raws li kev kuaj mob ua ntej yug menyuam. Nws kuj tseem siv tau coj los kuaj cov menyuam mos uas pom muaj tus kabmob sib kis.

Vim li cas kuv thiaj xav tau pawg B kuaj pob?

Tej zaum koj yuav xav kuaj ntshav B yog tias koj xeeb tub. Cov American College ntawm Obstetricians thiab Gynecologists pom zoo GBS kuaj rau txhua tus poj niam cev xeeb tub. Kev ntsuas feem ntau yog ua nyob rau 36th lossis 37th lub lim tiam ntawm cev xeeb tub. Yog koj mus ua haujlwm ntxov dua 36 lub limtiam, koj yuav raug sim nyob rau lub sijhawm ntawd.

Tus menyuam mos yuav xav tau kev kuaj mob B B yog tias nws muaj tsos mob kis. Cov no suav nrog:

• Ua npaws kub siab
• Teeb meem nrog kev pub mis
• Teeb meem ua pa
• Tsis muaj lub zog (nyuaj rau sawv)

Muaj dab tsi tshwm sim thaum kuaj pawg B strep?

Yog tias koj xeebtub, koj tus kws khomob yuav hais kom mus kuaj ntshav los yog tso zis.

Rau kev ntsuas pob pa, koj yuav tau pw ntawm koj sab nraum qab ntawm lub rooj kuaj mob. Koj tus kws kho mob yuav siv ib daim ntaub paj rwb me me coj los ntsuas ntawm cov nqaij thiab dej hauv koj lub qhov paum thiab lub qhov quav.

Rau kev kuaj zis, feem ntau koj yuav raug hais kom siv "txoj kev ntes kom huv" kom ntseeg tau tias koj qhov qauv tsis huv. Nws suav nrog cov hauv qab no hauv qab.

• Ntxuav koj ob txhais tes.
• Ntxuav koj lub qhov chaw mos nrog lub ncoo uas muab rau koj los ntawm koj tus kws kho mob. Txhawm rau ntxuav, qhib koj lub labia thiab so ntawm sab xub ntiag mus rau tom qab.
• Pib tso zis rau hauv lub qhov viv.
• Txav mus ntim cov ntim hauv qab koj cov zis.
• Khaws tsawg kawg ib ooj lossis ob mus tso zis rau hauv lub khob, uas yuav tsum muaj cov cim rau taw qhia cov nyiaj.
• Ua kom tso zis rau hauv lub qhov viv.
• Xa lub thawv ntim quav rov qab raws li koj tus kws kho mob qhia.

Yog tias koj tus menyuam xav kuaj, tus kws khomob yuav kuaj ntshav lossis nqus dej txha caj qaum.

Rau kev ntsuas ntshav, tus kws saib xyuas kev noj qab haus huv yuav siv rab koob me me los ntsuas cov ntshav ntawm koj tus menyuam pob taws. Tom qab cov koob raug tso nkag, cov ntshav me me yuav raug sau rau hauv lub khob kuaj lossis vial. Koj tus menyuam yuav hnov ​​me ntsis thaum koob nkag lossis tawm.

Tus txha nqaj qaum, kuj tseem hu ua lumbar puncture, yog ib qho kev sim uas khaws thiab saib lub pob txha caj qaum, cov kua ntshiab uas nyob ib puag ncig lub hlwb thiab leeg nrob qaum. Thaum lub sij hawm tus txheej txheem:

• Tus kws tu neeg mob lossis lwm tus kws saib xyuas kev noj qab haus huv yuav puag koj tus menyuam nyob hauv ib qho chaw puag.
• Tus kws kho mob yuav ntxuav koj tus menyuam lub nraub qaum thiab txhaj tshuaj loog rau ntawm daim tawv, yog li koj tus menyuam yuav tsis hnov ​​mob thaum ua haujlwm. Tus kws kho mob yuav muab pleev rau koj tus menyuam daim rov qab ua ntej mus txhaj tshuaj.
• Tus kws kho mob tseem yuav muab tshuaj kom tsaug zog thiab / lossis qhov mob pab kom nws tau zoo zam kev ua.
• Thaum uas thaj chaw nyob sab nraub qaum yog tag nrho loog tag, koj tus kws kho mob yuav muab rab koob me me sib khi ntawm ob txoj leeg txha caj qaum. Tus txha caj qaum yog cov nqaj qaum me me uas tsim los ua tus txha caj qaum.
• Tus kws kho mob yuav tshem tawm me me ntawm cerebrospinal kua rau kev kuaj. Qhov no yuav siv li tsib feeb.

Kuv puas yuav tau ua ib yam dab tsi txhawm rau npaj rau qhov kev xeem?

Koj tsis txhob npaj tshwj xeeb rau kev ntsuam xyuas B pawg B.

Puas muaj kev pheej hmoo rau kev kuaj?

Nws tsis muaj qhov phom sij rau koj los ntawm kev ntuav lossis tso zis. Koj tus menyuam tej zaum yuav mob me lossis tom qab kuaj ntshav, tabsis qhov ntawd yuav tsum ploj mus sai sai. Koj tus menyuam yuav hnov ​​mob tom qab tus txha nqaj qaum, tabsis tsis ntev heev. Kuj tseem muaj kev pheej hmoo me me ntawm kev kis mob lossis los ntshav tom qab txha caj qaum.

Cov txiaj ntsig li cas?

Yog tias koj cev xeeb tub thiab cov txiaj ntsig pom tias koj muaj tus kab mob GBS, koj yuav muab cov tshuaj tua kab mob txhaj tshuaj (los ntawm IV) thaum yug menyuam, tsawg kawg plaub teev ua ntej xa khoom. Qhov no yuav tiv thaiv koj kom tsis txhob kis tus kab mob mus rau koj tus menyuam. Kev noj tshuaj tua kab mob ua ntej koj cev xeeb tub yuav siv tsis tau, vim tias cov kab mob tuaj yeem rov qab sai. Nws tseem zoo dua yog siv cov tshuaj tua kab mob hauv koj txoj hlab ntsha, tsis yog los ntawm qhov ncauj.

Koj yuav tsis xav tau tshuaj tua kab mob yog tias koj tab tom npaj khoom yuav los ntawm Cesarean seem (C-seem). C-section, ib tus menyuam raug xa tawm los ntawm leej niam lub plab ntau dua li tsis muaj chaw mos. Tab sis koj tseem yuav tsum raug kuaj thaum cev xeeb tub vim hais tias tej zaum koj yuav mus ua mob plab ua ntej koj teem C-section.

Yog tias koj tus menyuam cov txiaj ntsig tau pom tus mob GBS, nws yuav kho nrog tshuaj tua kab mob. Yog tias koj tus kws kho mob xav tias muaj tus mob GBS, nws yuav kho koj tus menyuam uantej nws muaj kev kuaj pom. Qhov no vim hais tias GBS tuaj yeem ua rau mob hnyav lossis tuag taus.

Yog tias koj muaj lus nug txog cov txiaj ntsig koj xav tau lossis koj tus menyuam li kev tshwm sim, nrog koj tus kws saib xyuas kev noj qab haus huv tham.

Kawm paub ntau ntxiv txog cov kev sim hauv chaw soj ntsuam, cov chaw siv ntsuas, thiab nkag siab cov txiaj ntsig tau.

Puas muaj lwm yam ntxiv uas kuv xav paub txog kev kuaj mob pawg B strep?

Strep B yog ib hom kab mob strep. Lwm hom kab mob sib kis ua rau muaj ntau hom kev sib kis. Cov no suav nrog tus kabmob A, uas ua rau mob caj pas, thiab tus kabmob streptococcus pneumoniae, uas ua rau ntau hom mob ntsws. Tus kab mob Streptococcus mob ntsws muaj peev xwm ua rau mob lub pob ntseg, paug thiab hlab ntshav.

Ua tim khawv

1. ACOG: American College ntawm Obstetricians thiab Gynecologist [Is Taws Nem]. Washington D.C .: American College ntawm Obstetricians thiab Gynecologist; c2019. Pawg B Strep thiab Cev Xeeb Tub; 2019 Jul [hais tawm 2019 Nov 15]; [txog 3 ntxaij]. Muaj los ntawm: https://www.acog.org/Patients/FAQs/Group-B-Strep-and-Pregnancy
2. Cov Chaw Tiv Thaiv thiab Tiv Thaiv Kab Mob [Is Taws Nem]. Atlanta: Asmeskas Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg; Pawg B Strep (GBS): Tiv Thaiv; [hais tawm 2019 Nov 15]; [txog 4 ntxaij]. Muaj los ntawm: https://www.cdc.gov/groupbstrep/about/prevention.html
3. Cov Chaw Tiv Thaiv thiab Tiv Thaiv Kab Mob [Is Taws Nem]. Atlanta: Asmeskas Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg; Pawg B Strep (GBS): Cov cim thiab tsos mob; [hais tawm 2019 Nov 15]; [txog 4 ntxaij]. Muaj los ntawm: https://www.cdc.gov/groupbstrep/about/symhma.html
4. Cov Chaw Tiv Thaiv thiab Tiv Thaiv Kab Mob [Is Taws Nem]. Atlanta: Asmeskas Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg; Kuaj Mob Streptococcus: Cov kab mob Streptococcus pneumoniae; [hais tawm 2019 Nov 15]; [txog 3 ntxaij]. Muaj los ntawm: https://www.cdc.gov/streplab/pneumococcus/index.html
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6. Cov Kev Kho Mob Intermountain: Cov Me Nyuam Thawj Tsev Kho Mob Tsev Kho Mob [Is Taws Nem]. Salt Lake City: Cov Tshuaj Tiv Thaiv Ib Zaug; c2019. Lub Teeb Ntawm Lub Ntsej Muag Rov Los Hauv Tus Menyuam Mos; [hais tawm 2019 Nov 15]; [txog 4 ntxaij]. Muaj los ntawm: https://intermountainhealthcare.org/ext/Dcmnt?ncid=520190573
7. Kev Tshuaj Ntsuam Xyuas online [Internet]. Washington D.C .: Koom Haum Asmeskas Rau Chaw Kuaj Mob; c2001–2019. Ntshav Txiaj Ntsig; [hloov tshiab 2019 Sep 23; hais tawm 2019 Nov 15]; [txog 2 ntxaij]. Muaj Los Ntawm: https://labtestsonline.org/tests/blood-culture
8. Kev Tshuaj Ntsuam Xyuas online [Internet]. Washington D.C .: Koom Haum Asmeskas Rau Chaw Kuaj Mob; c2001–2019. Kev Soj Ntsuam Hauv Pawg B Strep (GBS) Kev Tshuaj Ntsuam Xyuas; [kho tshiab 2019 Tsib Hlis 6; hais tawm 2019 Nov 15]; [txog 2 ntxaij]. Muaj los ntawm: https://labtestsonline.org/tests/prenatal-group-b-strep-gbs-saib
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13. LEEJ TWG Cov Lus Qhia txog Kev Kos Ntshav: Cov Kev Ua Zoo Tshaj Plaws hauv Phlebotomy [Internet]. Geneva (SUI): Lub Koom Haum Ntiaj Teb Kev Noj Qab Haus Huv; c2010. 6. Kev kuaj ntshav thiab yug menyuam ntawm lub cev; [hais tawm 2019 Nov 15]; [txog 3 ntxaij]. Muaj los ntawm: https://www.ncbi.nlm.nih.gov/books/NBK138647

Cov ntaub ntawv ntawm lub xaib no yuav tsum tsis txhob siv los hloov chaw kho mob lossis tswv yim kho mob. Hu rau kws kho mob yog tias koj muaj lus nug txog koj txoj kev noj qab haus huv.