01 He aha te GBS?
Ko te Streptococcus Rōpū B (GBS) he streptococcus Gram-pai e noho ana i te ara nakunaku o raro me te ara urogenital o te tinana tangata. He mate huakita whai wāhi. Ko te nuinga o te wā ka pangia e te GBS te kōpū me ngā kiriuhi fetal mā te tara e piki ake ana. Ka taea e te GBS te mate i te ara mimi o te whaea, te mate i roto i te kōpū, te bacteremia me te endometritis postpartum, ā, ka piki ake te mōrearea o te whānautanga wawe, te whānautanga mate rānei.
Ka taea hoki e te GBS te arahi ki te mate pēpi hou, pēpi rānei. Tata ki te 10%-30% o ngā wāhine hāpu e pāngia ana e te mate GBS. E 50% o ēnei ka taea te tuku poutū ki te pēpi hou i te wā e whānau ana, me te kore he wawaotanga, ka hua ake he mate pēpi hou.
E ai ki te wā tīmatanga o te mate GBS, ka taea te wehewehe kia rua ngā momo, ko te tuatahi ko te mate tīmatanga wawe GBS (GBS-EOD), ka puta i ngā rā e 7 i muri i te whānautanga, ka puta i ngā haora 12-48 i muri i te whānautanga, ā, ka puta ko te mate huakita o te pēpi hou, te niumōnia, te meningitis rānei. Ko tētahi atu ko te mate tīmatanga mutunga GBS (GBS-LOD), ka puta mai i ngā rā e 7 ki te 3 marama i muri i te whānautanga, ā, ka puta ko te mate huakita o te pēpi hou/pēpi, te meningitis, te niumōnia, te mate okana me te kiko ngohengohe rānei.
Mā te tirotiro i te GBS i mua i te whānautanga me te wawaotanga paturopi i roto i te whānautanga ka taea te whakaiti i te maha o ngā mate urutā o te pēpi hou, te whakanui ake i te tere oranga o te pēpi hou me te kounga o te oranga.
02 Me pēhea te ārai?
I te tau 2010, i whakatakotohia e te US Centers for Disease Control and Prevention (CDC) ngā "Aratohu mō te Ārai i te GBS Perinatal", e taunaki ana kia tirotirohia te GBS i ia wiki i te 35-37 o te hapūtanga i te toru o ngā marama.
I te tau 2020, e taunaki ana te American College of Obstetricians and Gynecologists (ACOG) "Consensus on the Prevention of Early-onset Group B Streptococcal Disease in Newborns" kia tirotirohia ngā wāhine hapu katoa i waenga i te 36+0-37+6 wiki o te haputanga.
I te tau 2021, ko te "Whakaaetanga Tohunga mō te Ārai i te Mate Streptococcal Rōpū B Perinatal (Haina)" i whakaputaina e te Peka Rongoā Perinatal o te Rōpū Hauora Hainamana e taunaki ana kia tirotirohia te GBS mō ngā wāhine hapu katoa i te 35-37 wiki o te haputanga. E taunaki ana kia whai mana te tirotiro GBS mō ngā wiki e 5. Ā, ki te mea kāore te tangata GBS kino i whānau mō ngā wiki e 5 neke atu, e taunakihia ana kia tuaruatia te tirotiro.
03 Otinga
Kua whakawhanakehia e Macro & Micro-Test te Kete Kimi Waikawa Nucleic Streptococcus Group B (Fluorescence PCR), e kitea ai ngā tauira pēnei i te ara whakaputa uri tangata me ngā wai i roto i te pūkahukahu hei aromatawai i te tūnga o te mate streptococcal rōpū B, me te āwhina i ngā wāhine hapu ki te tautuhi i te mate GBS. Kua whakamanahia te hua e te EU CE me te US FDA, ā, he tino pai te mahi hua me te wheako kaiwhakamahi pai.
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Ngā Painga
Tere: Tauira māmā, tango kotahi-taahiraa, kimi tere
Teitei o te aro: ko te LoD o te kete he 1000 Ngā Tārua/mL
Momo-maha: tae atu ki ngā momo momo 12 pēnei i te la, lb, lc, II, III
Ārai-parahanga: Ka tāpirihia te whākōkī UNG ki te pūnaha hei ārai i te parahanga waikawa karihi i roto i te taiwhanga
| Tau o te Putumōhio | Ingoa Hua | Whakatakotoranga |
| HWTS-UR027A | Kete Kimi Waikawa Nucleic Streptococcus Rōpū B (PCR Fluorescence) | 50 ngā whakamātautau/kete |
| HWTS-UR028A/B | Kete Kimi Waikawa Nucleic Streptococcus Rōpū B kua Maroke-tio (PCR Fluorescence) | 20 ngā whakamātautau/kete50 ngā whakamātautau/kete |
Wā tuku: Hakihea-15-2022