Rubella infection also called as German measles is caused by
Rubella virus.
If this infection occurs in non-pregnant women, usually the
severity will be minimal.
If infection occurs in pregnancy it will present with more
severity and it can cause abortion, severe congenital malformations etc.
Features of maternal infection:
-Usually viremia precedes 1 week to clinical disease.
-Generally 25% of infected women will be asymptomatic.
-Clinical features: lymphadenopathy, fever, malaise, arthralgia
etc.
Maculopapular rash
can occur. It starts on the face and spreads to the trunk and extremities.
Effects on fetus:
With progression of pregnancy the possibility of congenital
malformations will decrease.
Usually most sequelae are seen before 20 weeks.
Congenital rubella syndrome:
It can present with one or more of below findings:
-Eye lesions like cataracts, glaucoma, microphthalmia and
other abnormalities.
-Heart diseases like patent ductus arteriosus, septal
defects and pulmonary artery stenosis.
-Sensorineural deafness.
-Central nervous system defects including meningoencephaliis.
-Fetal growth restriction.
-Thrombocytopenia, anemia
-Hepaitis, hepatosplenomegaly, jaundice
-Chronic diffuse interstitial pneumonitis.
-Osseous changes.
-Chromosomal abnormalities.
Infants born with congenital rubella syndrome may shed the
virus, It can continue for months, other infants and susceptible adults who
came in contact to these infants can get affected with this.
Extended rubella syndrome:
-Progressive panencephalitis.
-Type 1 diabetes mellitus – it may develop clinically in
second and third decades of life.
-One third of asymptomatic infants at birth may manifest
such developmental injury later in life.
-Other later sequalae are : thyroid disease, ocular damage,
mental retardation etc.
Vaccination:
For complete eradication of the disease vaccination is
recommended.
-Health education to all.
-Vaccination of susceptible women.
-Vaccination of unimmunized women immediately after child
birth and abortion.
-Vaccination to unmarried teenage girls.
-Susceptible hospital personnel who might be exposed to
patients with rubella or might have contact with pregnant women.
As vaccine contains attenuated live virus vaccination should
be avoided shortly before or during pregnancy. But there is no evidence that
the vaccine induced malformations.
Treatment:
No effective therapy for maternal infections. Symptomatic
therapy with anti-viral drugs can be given.
Acyclovir 200mg, five times a day for five days can be
given.
( The viewers are invited to post comments and ask questions related to the topic through comment box.)
Human conception requires an egg and sperm. Poor ejaculation ,If you're not ovulating, you won't be able to get pregnant. Anovulation is a common cause of female infertility and it can be triggered by many conditions. PCOS,Over/underweight,primary Ovarian insufficiency,a thyroid dysfunction,.,hyperprolactinemia, irregular cycle, Blockage in the Fallopian Tubes, UTI. when the eggs release from the Ovary did not get to the Fallopian tubes you can not get pregnant Therefore use AGBARA Herbal Cleanser to clean up all this Infertility pains in Your Body and get pregnant easy..drcureherbalhome@gmail.com.. However, regular menstrual cycles don't guarantee that ovulation is occurring.
ReplyDeleteAgbara Herbal Cleanser is rich in fibre that help to remove excessive estrogen that may be stored in your body and prevent your uterus to suffer from fibroids, Pcos, Ovarian Cyst. And regulate your period. Always remember that many people are not eating the right foods like beans, legumes, vegetables, fruits, and whole grain in their diet to keep their uterus and ovaries healthy. Because of this, Agbara herbal cleanser is good for anybody mostly women who want to get pregnant and prevent other infection in their body..