วันอาทิตย์ที่ 15 มิถุนายน พ.ศ. 2557

The identification of women that are pregnant who are carriers with the Herpes Simplex Virus type 2 (HSV-2) is a vital concern. Why is genital herpes while pregnant such a worry? Certainly, this STD could cause the mother distressing symptoms. But the real dilemma is for the child she actually is carrying. Infants that are born to females who have ever endured genital herpes are near risk of developing neonatal herpes, a potentially lethal condition.

What is neonatal herpes?

There can be a spectrum of neonatal disease conditions brought on by the herpes virus. This disease spectrum includes:

1. Skin, eye and mouth HSV disease

2. Central nervous system (CNS) HSV disease

3. Disseminated HSV disease

About 45% of infants will build up skin, eye, and mouth herpes lesions. This form of neonatal herpes will be the least severe and will not affect the bodily organs.

30% of infants with neonatal HSV will develop central nervous system (CNS) disease. Neonatal CNS herpes is manifest by:

30% of infants with neonatal HSV will develop central nervous system (CNS) disease. Neonatal CNS herpes is manifest by:

-seizures

-lethargy

-irritability

-tremors

-poor feeding

-poor feeding

-temperature instability

-a bulging fontanelle

Around 25% of neonatal herpes is from the most severe form, disseminated disease. Infants with disseminated herpes infection have multi-organ involvement. These infants can die from severe coagulopathy (defective blood clotting), liver dysfunction, and/or pulmonary failure.

How can expectant women with HSV prevent neonatal herpes of their child?

Guidelines have been established in the management of expectant women who are herpes simplex carriers. These guidelines give you the best odds of preventing neonatal herpes.

Pregnant females who have genital herpes lesions, or prodromal symptoms that suggest a flare is on its way on, before labor will demand a C-section. This is more potent at preventing neonatal herpes in the event the C-section is performed before the membranes have ruptured (water breaking).

A expectant mother may have a known third trimester purchase of genital herpes, put simply, she became have been infected with herpes for the very first time in the third trimester. In this case, most experts recommend a C-section, whether she has signs and symptoms of infection at the time of labor.

A expectant mother may have a known third trimester buying of genital herpes, to put it differently, she became have been infected with herpes to the very first time throughout the third trimester. In this case, most experts recommend a C-section, whether she has warning signs of infection during labor.

An alternate choice is to put mom on suppressive therapy with acyclovir or valacyclovir. Then type-specific antibodies (which cross the placenta to supply protection to the infant) are checked when of delivery.

- If Positive for HSV-2 antibodies a vaginal delivery is possible

- If Negative for HSV-2 antibodies a C-section is required

This alternative option is riskier. The suppressive therapy with acyclovir or valacyclovir might not exactly eliminate viral shedding in the birth canal. Additionally, though antibodies could be present, they may well not provide sufficient passive immunity to the infant in the event the antibody quantities are low.

A mother who has symptomatic genital herpes at 36 weeks gestational age or includes a history of recurrent symptomatic HSV will probably be put on antiviral suppressive medication at 36 weeks before the baby is delivered. Unless essential, your physician will need to avoid invasive obstetrical procedures such as artificial rupture of membranes (AROM), fetal scalp electrode (FSE), and/or Vacuum or Forceps delivery.

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  • 1 ความคิดเห็น:

    1. It was the first time my granddaughter came to me and confided about her battle with oral and genital herpes and her self destructive thoughts.
      A gaping vacuum of fear and love opened inside me. I knew what it felt like for her to be in such a situation. But after hearing how someone I loved so dearly struggled I have no option but to promise her help. I wanted to help in all possible ways. I sought counsels from an old and experienced nurse whom I've known to deal on natural herbs because I believed in nature. After hearing from me she smiled and before I could say another word she replied me there's cure but natural herbs. I don't care as long as my child is cured! I shouted. She told me about a doctor in Africa who has cured people of herpes. She gave me his email drutuherbalcure@gmail.com ,I contacted him immediately and then ordered medicine for my child which he sent through the UPS courier to me. My daughter started medication and the next day her mouth sores were physically healing and she told me it's working and within four weeks she testified to me that she was cured! I've always believed that nature has cure for any diseases and I'm happy to tell everyone my child is cured.
      Six months later we went for another test to be sure and here is the result,
      Six months after medications;
      Her hsv1&2 test results;
      Igm - 1.49
      IgG - 0.36
      She don't have any symptoms again and has moved on happily and is now in a serious relationship with her fiancee

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