Hi mbak Susan, Saya coba posting artikel tentang Rubella dari www.babycenter.com (maaf, belum di-translate). Baca e-mail mbak, apa betul memang pemeriksaan igM Rubella mbak yang positif (menunjukkan infeksi aktif). Atau sebaliknya, hanya igG Rubella yang positif (infeksi rubella terjadi di masa lampau, dan tubuh ibu membentuk antibodi terhadap virus ini).
Refer to artikel tsb., memang dengan usia kandungan masih di trimester-1, resiko janin juga terinfeksi rubella cukup besar. Dan resiko tsb. akan terus berkurang seiring dengan usia kandungan. Kalau memang benar infeksi rubella aktif yang berlangsung (igM positif), mungkin mbak perlu konsultasi intens dengan DSOG nya sejalan dengan treatment obat oral yang sedang dijalani sekarang. best wishes untuk kehamilannya ya mbak, Sylvia - mum to Jovan & Rubella. --------------------------------------------------------------------------------------------------------------------------- http://www.babycenter.com/refcap/9527.html RUBELLA (GERMAN MEASLES) DURING PREGNANCY [BabyCenter editorial staff (Approved by the BabyCenter Medical Advisory Board)] WHY DO I NEED TO BE SCREENED FOR IMMUNITY TO RUBELLA ? You need to know if you're immune to rubella because if you came down with this illness during pregnancy, you could have a miscarriage or your baby could end up with multiple birth defects and developmental problems (a condition called congenital rubella syndrome or CRS). So if you weren't screened for rubella immunity before you got pregnant, you'll get this blood test at your first prenatal appointment. The good news is that most adults in the United States are immune to rubella (also called German measles). More important, the infection itself has become quite rare, thanks to childhood vaccinations, so even if you aren't immune, your chances of being exposed to someone with the illness are extremely small. In 2001, there were only 23 reported cases of rubella in people of all ages in the United States and just three reported cases of newborns with congenital rubella syndrome. (Before the vaccine was developed in 1969, a rubella epidemic in 1964 and '65 caused 12.5 million cases of the disease and 20,000 cases ttof CRS in newborns.) However, small-scale rubella outbreaks do continue to occur sporadically in the United States, so it's crucial to have your children vaccinated and to get vaccinated yourself (when you're not pregnant) if you're not already immune. At least 75 percent of adult women are immune to rubella either because they've been immunized against it or because they had a bout of the illness as a child. Women born in countries without rubella vaccination programs are less likely to be immune. Rubella is not the same as regular measles (rubeola) and having immunity from one illness does not protect you from getting the other. WHAT ARE THE SYMPTOMS OF RUBELLA ? The symptoms of rubella can be pretty vague, which makes it hard to distinguish from other illnesses. In up to half of the cases, the symptoms are so mild that you wouldn't know you were infected. If you do have the typical symptoms, they start to show up about 12 to 23 days after you're exposed to the illness. You may first have a low-grade fever, malaise, swollen lymph nodes, joint pain and swelling, reddened eyes, and a runny nose for one to five days before a rash erupts. The rash usually first appears on the face and later spreads to other parts of the body. It lasts just a few days, though the swollen glands and joint pain can last several weeks. You're contagious from one week before until about a week or so after the rash first appears. (The most contagious period is when the rash is erupting.) WHAT SHOULD I DO IF I THINK I'VE BEEN EXPOSED TO RUBELLA DURING PREGNANCY ? Even if you're immune, you should contact your practitioner and let her know you think you've been exposed. (There's a small risk of re-infection, though it rarely results in problems for your baby.) Don't just show up unannounced at your practitioner's office and risk infecting other pregnant women there. If you need to be seen, they'll make special arrangements so that you aren't sitting in a crowded waiting room. You may have a blood test to see if you have rubella, then another test in two weeks and sometimes one more in four weeks. If there's a change in your antibodies from the when you were first tested to see if you were immune, that indicates a recent infection. If you're found to have rubella in early pregnancy, you'll see a genetic counselor about the risks to your baby and you'll be able to decide whether to terminate the pregnancy. There's no known effective treatment for rubella or any way to prevent it after exposure. If you choose not to terminate your pregnancy, your practitioner may give you a shot of immune globulin as soon as possible after exposure in the hope of reducing your baby's risk of defects. However, the shot won't prevent your baby from becoming infected. HOW CAN I LESSEN MY RISK OF GETTING RUBELLA WHILE PREGNANT IF I'M NOT IMMUNE ? Unfortunately, you can't get the rubella vaccine if you're already pregnant. If you're not immune, you'll just need to be careful to avoid anyone with a rash or virus as well as anyone who's recently been exposed to rubella and hasn't had it before. Make sure that your children are up on their vaccinations and that anyone else in the house who's not immune gets the vaccine. If there's even one known case of rubella in your community, you'll be told to avoid contact with other people (stay home from work or school, etc.) during the outbreak if you're in the first half of your pregnancy. You'll also need to postpone travel plans to any part of the world where rubella is still around. Once you give birth, be sure to get vaccinated so that rubella is not a concern for you during your next pregnancy. You can do this while you're breastfeeding, but you'll need to wait at least 28 days after getting the shot before you start trying to conceive again, so make sure you're using birth control during this time. If you do happen to get pregnant within 28 days of the shot, the chances that it will harm your baby are very low, but it's best to be safe. WHAT WOULD HAPPEN TO MY BABY IF I GOT RUBELLA DURING PREGNANCY ? In the extremely unlikely event that you came down with rubella during the first month of your pregnancy (generally before you know you're pregnant), there's a high chance (up to 90 percent) that your baby would become infected. Babies who are infected with rubella during the first twenty weeks of pregnancy develop what's called congenital rubella syndrome, in which they can end up a wide variety of problems including hearing loss, eye problems (including blindness), neurological problems (such as encephalitis and mental retardation), growth problems, and other disorders. These defects may be evident at birth or they may surface later in childhood. Miscarriage, preterm birth, and stillbirth are also common when rubella is contracted in early pregnancy. The risk of defects drops as the pregnancy progresses. During your second month, chance that your baby will develop a rubella-related birth defect drops to about 25 percent; during your third month, it drops to 5 percent. After 20 weeks there is rarely any risk of defects at all. ---------------------------------------------------------------------------------------------------------------------------------- On 2/13/06, Susan <[EMAIL PROTECTED]> wrote: Ada yang punya informasi mengenai virus rubella tidak? usia kandungan ku baru 8 minggu, setelah di periksa ternyata ada virus rubella, walaupun sedikit tapi aktif. pernah ada pengalaman yang sama tidak ? dan bagaimana penanggulangannya. dokter sih sudah kasih obat, cuma ada kemungkinan sembuh ngak ya ? thanks ya susan <deleted>
