The rubella alguma highly contagious acute doena that can attack adults electronic crianas on any faixa etria, not being considered burial plot. O fator de maior worried to perform vrus da rubola is related Congenital Rubella Syndrome (CRS), when a pregnant woman infected during the first few weeks of pregnancy.
Someone doena extremely agressive nesse period, some time that u vrus can reach the placenta pela maternal circulation electronic prejudice um development perform fetus.
A rubella, caused by hair vrus Rubella Vrus , transmitted on pessoa pra pessoa by meio dieses secrees expelled to or falar, tossir, breathe or expire – electronic ocorre especially when the me zero It is protected by empty skin. Quanto mais precoce for a infeco in relao idade gestacional, mais severe a doena.
On accord with Patrcia Consorte, electronic pediatrician specialist in maternal-infant feeding, when I contracted a vrus zero first trimester on pregnancy, a risk on malformation perform baby older, close on 80% to 90%. No second quarter, or ridge of 54% . L not last quarter, or minor ridge, 25% . Porm, also the period of higher risk of premature labor vrus.
Second dice perform Ministrio da Sade, or vrus can be found in 80% dieses crianas zero first master of life science, 54% perform first year or fourth master of science, 33% perform fifth oitavo year master of science, 11% between nine and twelve months and only 3% zero second year of life.
Fatores on cliff
O primary factor on risco pra the infeco the absence on imunidade prvia pra the doena, acquired mainly through a vaccinao, highlights Isabella Albuquerque, electronic obstetrician gynecologist at Uma Pineapple Integrative Medicine.
“Mulheres na idade fertile must be with their vaccinal calendar one day, on a way to avoid zero rubella as various other potentially more serious doenas zero gestational period”, he explains to a specialist.
Symptoms of a Christmas rubella in pregnancy
O primary symptom of a rubella at Christmas time of pregnancy or arising on erupes vermelhas na pele, which appears firstly zero rosto electronic depois sony ericsson, back, trunk hair, braos electronic legs.
Second Consort, the major part dieses mulheres suscetveis that contraem um vrus also apresentam febre electronic increased on diffuse lymph nodes, mainly zero pescoo. Articular pain and flu symptoms also we can be reminiscent.
“For more than operating system symptoms can last for a few weeks, in adult women operating system symptoms usually be mild, electronic and easy to handle, as soon as you take medication for symptoms,” says Albuquerque.
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Cliffs of a rubola for a baby
Some rubella doena on nature plot when congenital, ou seja, when transmitted to a baby during pregnancy. Pra o feto, operating system riscos therefore greater perform than pra a populao adult.
Or vrus, to or surpasses a barreira of a placenta, invades diverse tissues fetais electronic can compromise several risks, explains Isabella Albuquerque. As alteraes fetais incluem:
- Congenital heart disease
- Alteraes cerebrais
- Restrict intrauterine growth
- Calcificaes abdominais
“The more precocious the infection in the gestao, the higher the operating system risks on fetal compromise electronic maiores seeing that chances on the evolution of severe quadros, including electronic abortion on the fetus”, says the specialist.
Diagnosis of rubella for Christmas
The diagnosis of rubella during pregnancy involves both the investigation of a maternal infection and of possible changes resulting from a fetal infection, as Albuquerque clarifies. A maternal infection verified through the blood queue of specific immunoglobulins for rubola (IgM electronic IgG sorology).
Once the maternal infection is suspended, the specialist explains that it is necessary to investigate the fetal compromise. Isso can be feito for the direct investigation perform vrus in a more invasive way or for the verification of ultrassonographic alterations compatible with Congenital Rubella Syndrome.
Treatment of rubella for Christmas pregnancy
Zero, there is a specific treatment for rubola, as well as for fetal infection.
During this period, the medical operating system can help the pregnant zero control 2 electronic symptoms, when diagnosed with fetal hair involvement or rubella, they should be accompanied by a specialist on Fetal Medicine.
“In some cases, it can be endorsed to an early pregnancy intergroup for support treatment in neonatal ICU,” says a gynecologist Isabelle Albuquerque.
Second or Ministrio da Sade, a birth perform baby aps, or treatment for congenital malformations caused by the syndrome, on com while deficiencies appeared agreed.
In the absence of rubella infection during pregnancy, women should seek a specialist to carry out or laboratory follow-up of infection investigation and fetal assessment examinations. Or primordial pr-natal companion for precocious doena and fetal infection.
A gynecologist Albuquerque also highlights the importance of avoiding or contacting other people, especially other pregnant women and people who are not immunized.
Some care may help during the period, such as:
- Use of prescribed medications Medical hair to alleviate possible discomforts, such as February
- Drink at least 2 liters of water per day.
Can an infected pregnant woman take a vaccine?
Embora studies show that a safe rubella vaccine is applied during pregnancy, or Ministrio da Sade recommends that pregnant women not be immunized.
According to Isabelle, some cows, particularly those with live or attenuated bactrias or viruses, such as viral triplets, are contraindicated due to a theoretical risk of fetal infection.
“A guidance for those women who are fertile that, we will receive the same vaccines, wait for less hair gestao “, explains a gynecologist.
How to prevent rubella at Christmas pregnancy?
A viral triple vaccine, which offers immunity for measles, rubella and caxumba, is the only way to prevent Congenital Rubella Syndrome. It is available in all of Brazil with the Unique System of Sade (SUS).
Or current vaccination scheme of a dose of vaccinated between the two 12 months and 15 months out of and second dose of reform between four and six years. Mulheres em A fertile life that does not receive a vaccine previously must receive an immunizing dose.
“Graas ampla campanha de vacinao available no Servio nico de Sade, or the last case of rubella in a Brazilian was registered in 2008 and, of Congenital Rubella Syndrome in 2009 “, concludes Patrcia Consorte.