I-blueberry muffin rash yi-rash eqhelekileyo kwiintsana ebonakala ngathi ngamabala aluhlaza okwesibhakabhaka, amfusa, okanye amnyama ebusweni nasemzimbeni. Oku kusenokuba kungenxa ye-rubella okanye esinye isifo.
“I-Blueberry muffin rash” yi-rash ekhula kwiintsana ezine-rubella esibelekweni, ebizwa ngokuba yi-congenital rubella syndrome.
Igama elithi “i-blueberry muffin rash” laqanjwa ngeminyaka yoo-1960. Ngeli xesha, abantwana abaninzi basuleleka yi-rubella esibelekweni.
Kwiintsana ezine-rubella esibelekweni, esi sifo sibangela ukurhawuzelela okubonakalayo okufana namabala amancinci, amfusa, afana namabala esikhumbeni. Ukurhawuzelela kufana nee-muffins ze-blueberry ngembonakalo.
Ukongeza kwi-rubella, ezinye izifo ezininzi kunye neengxaki zempilo nazo zinokubangela irhashalala ye-blueberry muffin.
Umzali okanye umgcini kufuneka athethe nogqirha ukuba umntwana uba nerhashalala yeblueberry muffin okanye naluphi na olunye uhlobo lwerhashalala.
I-Congenital rubella syndrome (CRS) sisifo esidluliselwa kumntwana ongekazalwa esibelekweni. Oku kunokwenzeka ukuba umfazi okhulelweyo ufumana i-rubella ngexesha lokukhulelwa.
Usulelo lweRubella luyingozi kakhulu kumntwana ongekazalwa ngexesha le-trimester yokuqala okanye kwiiveki ezili-12 zokukhulelwa.
Ukuba umntu ufumana i-rubella ngeli xesha, inokubangela iziphene ezinzulu zokuzalwa kwabantwana bakhe, kubandakanya ukulibaziseka kokukhula, isifo sentliziyo sokuzalwa, kunye ne-cataracts. Emva kweeveki ezingama-20, umngcipheko wezi ngxaki wehla.
E-US, usulelo lwe-rubella aluqhelekanga. Ukugonywa ngo-2004 kwaphelisa esi sifo. Nangona kunjalo, iimeko ze-rubella ezingeniswe kwamanye amazwe zisenokubakho ngenxa yokuhamba kwamanye amazwe.
I-Rubella lusulelo olubangelwa yintsholongwane olubangela ukurhawuzelela. Ukurhawuzelela kudla ngokuqala kuvele ebusweni kuze kudlulele nakwezinye iindawo zomzimba.
Kwiintsana ezifumana i-rubella esibelekweni, irhashalala ingabonakala njengamaqhuma amancinci aluhlaza okwesibhakabhaka afana nee-muffins ze-blueberry.
Nangona eli gama lisenokuba laqala ngeminyaka yoo-1960 ukuchaza iimpawu ze-rubella, ezinye iimeko zinokubangela irhashalala ye-blueberry muffin. Oku kuquka:
Ngoko ke, ukuba umntwana unesifo sokurhawuzelela, umzali okanye umntu onyamekela umntwana kufuneka amhlole ukuze afumanise ezinye izizathu ezinokubakho.
Abazali okanye abanakekeli kufuneka baqhagamshelane nogqirha wabo kwakhona ukuba kukho naziphi na iimpawu ezintsha ezibonakala okanye ukuba iimpawu ezikhoyo ziyaqhubeka okanye ziya zisiba mandundu.
Kubantwana abadala nakubantu abadala, irhashalala yerubella ingabonakala njengerhashalala ebomvu, epinki, okanye emnyama eqala ebusweni ize isasazeke kwezinye iindawo zomzimba. Ukuba kurhanelwa ukuba irubella inokuba yingozi, umntu kufuneka aye kugqirha.
Abantu abasandula ukuzala okanye abakhulelweyo nabarhanela ukuba bane-rubella kufuneka babone ugqirha. Banokucebisa ukuba kuvavanywe isigulana, umntwana, okanye zombini i-rubella okanye ezinye izifo ezingabonakaliyo.
Nangona kunjalo, ama-25 ukuya kuma-50% ezigulane ze-rubella azinakuze zibe neempawu zosulelo. Nokuba azinazo iimpawu, umntu unokusasaza i-rubella.
I-Rubella isasazeka emoyeni, oko kuthetha ukuba isasazeka ukusuka komnye umntu ukuya komnye ngamathontsi aphuma emoyeni ngokukhwehlela nokuthimla.
Nangona kunjalo, abafazi abakhulelweyo banokudlulisela intsholongwane kubantwana babo abangekazalwa, nto leyo ebangela i-rubella yokuzalwa. Abantwana abazelwe bene-rubella bathathwa njengabasulelayo unyaka omnye emva kokuzalwa.
Ukuba umntu une-rubella, kufuneka aqhagamshelane nabahlobo bakhe, usapho, isikolo, kunye nendawo yokusebenza ukuze azise abanye ukuba usenokuba une-rubella.
Xa abantwana befumana i-rubella, oogqirha badla ngokucebisa ukuba baphumle baze basele amanzi amaninzi. Injongo yonyango kukunciphisa iimpawu.
Usulelo ludla ngokuziphelela kwiintsuku ezi-5 ukuya kwezili-10. Abantwana kufuneka baphephe ukudibana nabanye abantwana kangangeentsuku ezisi-7 emva kokuba kuvele irhashalala.
I-CRS inokubangela iingxaki ezingapheliyo zokuzalwa. Ingcali yezempilo ingakunika iingcebiso malunga nokunyanga iingxaki zokuzalwa ebantwaneni.
Ukuba kukho esinye isizathu esibangela ukuba umntwana wakho abe nerhashalala yeblueberry muffin, ugqirha wakho uya kucebisa unyango oluxhomekeke kwisizathu.
E-United States, akunakwenzeka ukuba umntu abe ne-rubella ngenxa yezinga eliphezulu lokugonyelwa olu sulelo. Nangona kunjalo, umntu usenokusuleleka ngelixa ehamba kumazwe ngamazwe ukuba akagonyelwanga.
Iimpawu zeRubella zihlala zincinci ebantwaneni nakubantu abadala. Irhashalala yeRubella kufuneka iphele kwiintsuku ezi-5-10.
Nangona kunjalo, i-rubella iyingozi kumntwana ongekazalwa kwi-trimester yokuqala yokukhulelwa. Ukuba umntu ufumana i-rubella ngeli xesha, inokukhokelela ekuzalweni, ekuzalweni komntwana oswelekileyo, okanye ekuphunyelweni yisisu.
Ukuba abantwana abane-CRS bazalwa beneengxaki zokuzalwa, abazali okanye abanakekeli banokufuna inkxaso yobomi bonke.
Ukunciphisa umngcipheko wokufumana i-rubella, umfazi kufuneka agonywe ngaphambi kokuba akhulelwe kwaye aphephe ukuhamba aye phesheya kwiindawo apho i-rubella isekhona khona.
Eyona ndlela ilungileyo yokuthintela i-rubella kukufumana isitofu sokugonya se-measles, mumps kunye ne-rubella (MMR). Umntu kufuneka axoxe nogqirha ngemigonyo.
Ukuba abantwana baya phesheya, banokufumana ugonyo lwe-MMR ngaphambi kokuba babe neenyanga ezili-12 ubudala, kodwa kufuneka bafumane iidosi ezimbini zogonyo ngexesha eliqhelekileyo xa bebuya.
Abazali okanye abagcini babantwana kufuneka babagcine kude nabantu abosulelwe yi-rubella ubuncinane iintsuku ezisi-7 emva kokuba usulelo luqalile.
Emva kokuphonononga iimpawu zakho kunye nembali yakho yezonyango, ugqirha wakho unokwenza uvavanyo lomzimba. Kwezinye iimeko, banokusebenzisa i-blueberry muffin rash eyahlukileyo ukuxilonga i-rubella yokuzalwa kwiintsana.
Ukuba akunjalo, banokuyalela uvavanyo lwegazi ukuze kuhlolwe i-rubella okanye ezinye izizathu ezinokubakho zokuqhambuka ukuba i-rubella ayikrokrelwa.
Irhashalala yerubella kubantwana abadala nakubantu abadala ingabonakala yahlukile. Umntu ufanele aye kugqirha ukuba kuvela irhashalala ebomvu, epinki, okanye emnyama ebusweni esasazeka emzimbeni. Ugqirha angalihlola irhashalala aze enze uvavanyo.
Igama elithi “Blueberry muffin rash” ligama elaqala ukusetyenziswa ngeminyaka yoo-1960 ukuchaza irhashalala ebangelwa yi-congenital rubella syndrome. I-CRS yenzeka kwiintsana xa umfazi okhulelweyo edlulisela i-rubella kumntwana wakhe esibelekweni.
Olu gonyo luyayiphelisa i-rubella eMelika, kodwa abantu abangagonywanga basenokufumana i-rubella, ngesiqhelo xa besiya kwamanye amazwe.
E-United States, abantwana bafumana iidosi ezimbini zesitofu sokugonya se-MMR. Ukuba abantwana abagonywanga, banokosulelwa yi-rubella ngokudibana nomntu one-rubella.
Irhashalala lidla ngokuziphelela lingadlulanga iveki. Umntu unokosulela umntu kangangeentsuku ezisi-7 emva kokuba irhashalala ivele.
I-Rubella okanye i-rubella lusulelo olusasazeka ukusuka komnye umntu ukuya komnye ngokukhwehlela. Kweli nqaku, siza kujonga iimpawu, ukuxilongwa…
Ukuba umntu ufumana i-rubella ngexesha lokukhulelwa, inokubangela iziphene zokuzalwa kumntwana ongekazalwa. Funda ngakumbi malunga nendlela yokuvavanya i-rubella…
I-Rubella yintsholongwane ebangelwa ngumoya, oko kuthetha ukuba inokusasazwa ngokukhwehlela nokuthimla. Abafazi abakhulelweyo banokuyidlulisela nakwimveku yabo. Fumana okungakumbi apha…