Whakamātautau mō te toxoplasmosis: paerewa mahi. toxoplasmosis ati ki hapu

Toxoplasmosis Ko te hoariri huna mate e he taea ki te mahi i te kino nui ki te wahine hapu, me tona kukune. I roto i te tangata, whakakitea toxoplasmosis te i roto i ngā huarahi rerekē. Tikanga, tātaritanga o mate i hanga e te tikanga taiwhanga. No te mea ko te tino ātete ki ngā pānga taiao, pea contamination whānui te tukumate. I roto i tenei tuhinga, ka whakaaro matou taua mate rite toxoplasmosis, tohu paerewa, tohu me ngā huarahi ki te hamani i te reira.

mōhiohio

I raro i te riri o kirimana te mate i roto i te wahi tuatahi ko nga tama a ahuwhenua kaimahi, mohoao, käinga, māra me horticulturists, me te katoa te hunga e whai i te ngeru i te whare.

take

Toxoplasmosis, tohu o ture e kua kōrerohia i raro, meinga hātare kapo (Toxoplasma), e noho i roto i ngā pūtau tangata. I roto i tenei take, ka taea e te tukumate whakapoke i tetahi okana me te ô i tetahi pūtau, ki te kahore i roto i te pūtau toto whero. Ko te take matua o tenei mate - mate o hātare.

Toxoplasmosis: me pehea ki te tautuhi?

I roto i te tangata, i roto i te nuinga o te wā, toxoplasmosis he tikanga ngawari me te tata e kitea. Heoi, i reira kia kia tohumate pērā i te ngoikore whānui, rohirohi, iti-māka kirika, he hua iti i roto i te taikiri waha, me te kōpako, ānini.

Te huru i runga ake kitea i roto i te take o te matao noa puāwaitanga. Tino maha e kore e te iwi ara i te clue e pā ana ki mate te mea kino pērā i toxoplasmosis. Täkupu o te mate e taea ai maimoatanga wawe.

I roto i te mate nui i te manawanui he tahi, me te uaua mamae, ponana ingoingo, me te kirika. Tino kino ko te hinga o te pūnaha io (te whanaketanga o te meningoencephalitis). He taea te ngeru whakapae toxoplasmosis anake i roto i te wā i reira kua kitea ai he ihu e mātihetihe, kanohi whero, korere, me taikiri tetere. Heoi, i roto i te nuinga o te wā i roto i te ngeru, me i roto i te tangata i te tukanga mate e kore tohu kitea.

hapūtanga

Puta noa i te mea e he mōrearea toxoplasmosis i roto i te hapūtanga. No reira nga tūtohutanga i runga i te āhua o ki te maka i te mōkai tino, me te mau mana'o no ni'ai tetahi wahanga ngeru. He mea nui ki te mohio e te kukune te whakawhanake ko te mōrea ngā te he mate tuatahi o te whaea i mua nei. Nä, ki te mea kua mua i koe mate ki toxoplasmosis, te kukune he kore ki te whai i te pānga kino.

Belgium o te kukune ki mate pērā i toxoplasmosis (tohu täkupu tabulahia i raro nei) me te reira ko te mate tuatahi, me te faaitoitoraa o te tukumate i te tinana o te wahine seropositive.

E tano ia tapao e i roto i te mate tuatahi i roto i hapūtanga ko te tūpono ki te kukune ko 100%. I roto i te huatū tuatahi, ko reira i roto i te whānuitanga o 15-20%, te tuarua - 30%, te tuatoru - 60%. Ahakoa te meka e faarahi te mōrea ki te roanga o te hapūtanga, heke te pakeke o faaiteraa haumanu. I roto i te mau parau te tahi atu, ki te huaketo te wahine e tau ana i roto i te toxoplasmosis huatū tuatahi, na te tamaiti i roto i te nuinga o te wā whakawhanake malformations hotokore ki te ora. Ki te mea kua puta mate i te mutunga o te hapūtanga, he reira kia ngaro tohu korerotia.

I muri i te whakapā atu ki te tukumate i roto i te tinana ake o te whaea ki te 24 wiki, e tohutohu tākuta ki te whakamutu i te hapūtanga. Ki runga ki whakakorenga o te materoto ratou e whakahere maimoatanga. I tua atu, me utu e koe whakarongo ki taua hua kaha wātea i te mate i te mate, na ka anō-farereiraa koutou e kore e te werau kia kino.

ara te tuku

I roto i taua mate rite auau toxoplasmosis whakaritea e te tikanga taiwhanga. Ko te ara e whai ake nei o te tuku:

1. Whakapā - e pā ana ki te ngeru mate, e kua excreted i tütae o Toxoplasma.
2. Food - e pā ana ki te kohi o te kai tukatuka ruarua e kei cysts o te werau.
3. Parenteral - i roto i tenei take e kore e tutakina i te whakawhitinga o te mate i roto i te kopa transplant, whēkau me te huhu toto.
4. Transplacental - kătahi o mate i roto i te kukune me te whanaketanga o te toxoplasmosis fanau muri.

E kore te mea te wahine e hapu e he auau tiketike o te toxoplasmosis ranei mo kaimahi hauora, ranei ki ētahi atu i te ati tahumaero. Tenei taea te manawanui ki te kia tukinotia i roto i te hōhipera tinana me ngā runga i te kaupapa tūroro.

pathogenesis

Tukumate e i tukua i te cysts me oocysts, ô i te pūtau epithelial o te piro iti, te wahi i te whakareatanga, reira hanga pā i te tuatahi. I muri iho, te pirinoa ô te taikiri rohe, me te ka ki te rere o te waitinana - i roto i te toto.

horapa

Hekenga o māngai kia meinga ngā kopa, i nga okana. I roto i ngā o te wātea i te mate heke, me te wā hapūtanga, ki te kahore hoki te mate tuatahi, kua whakaaro reira kino, me te faaitoitoraa o te werau, e whakatau i te akoranga me te putanga o hapūtanga muri.

Ki runga ki te putanga atu i te cysts puta tukumate horapa. I roto i te kopa, e hāngai ana tona kukū te ki te kaha ki te tomo transplatsentarno e taea tīmata i tetahi wā o hapū te whanaketanga o te māuiuitanga intrauterine.

Toxoplasmosis: Te tātaritanga

Ka taea te whakaritea te tukumate i roto i te tinana anake i te aroaro o paturopi i roto i te toto. he rerekē i roto i tetahi ara e kore e taea te tāutuhia rite Toxoplasma whitikiria roto atu pūtau te mate. Ka rite ki whakahuatia mua, te wā heki o toxoplasmosis puta tata asymptomatic. Pūtau-, hei tauira, e taea te kitea i roto i te uaua, roro, kōateate, ate me te waitinana kōpuku.

Ko te kupu, ki te tango i te rauemi he taea anake hoki tātari hāparapara. A, no te mahi i te poka lumbar ki meningoencephalitis, inu cerebrospinal tuutika hipoki mo Toxoplasma.

maimoatanga

Nā ki te meka e te wā heki o toxoplasmosis puta i roto i te nuinga o te wā he asymptomatic i te tīmatanga o te wāhanga, ko te reira uaua ki te kitea. Na reira, maimoatanga o te mate mo te roa - 2 akoranga ki te ako ārai (whakahauanga). korerotia te akoranga tuatahi o te 10 nga ra, i muri i te mahi i te whati taua, me te therapy te (21 ra - i roto i ngā take kino).

Tino puta pakeke o toxoplasmosis ocular. kia rite tika tātaritanga i roto i tenei take kia rite ki taea te mate te raruraru ki te mate kohi. kawea maimoatanga i roto i raro i te te tirotiro tino o te TB. A, no te tukinotia pāpaka roro me whēkau o toxoplasmosis te pahoho anake. Ka whai i te hōhipera ki te waiho i te iti rawa he marama. I muri i te maimoatanga titau hia whakamātautau taiwhanga.

täkupu

Ko te aroaro o paturopi i roto i te toto e tino whakakorea o momo IgM i roto i te āhua tonu. Ki te i tāutuhia te tātari, e korero tatou e pā ana ki te mate mate pērā i toxoplasmosis. lgG paturopi kitea i roto i te toto tohu i kotahi patua te tinana i te mate, kia totoro te anga wā ki te 10 tau.

Ko te kōwhiringa pai, ki te kore e waiho tetahi o enei momo o paturopi reira i roto i te toto. koe anake e taea te mea ki te tino i roto i tenei take e kore te tinana i te mate, a i te kau ngā, he ngaro ano hoki ia. Heoi, tenei te tikanga e te wahine kua tino kore mate ki te mate, e pai tauturu i te ape i mate. Ka whai tatou ki pakeke te mahi e kore e ki te tiki pangia ki te mate taua. Ki te i kitea toxoplasmosis lgG, a he ngaro IgM, ka i kotahi te wahine fehangahangai ki te mate, engari i te kau e kore e whakawehi reira ia. Na tino nui, kua kua mahi te pūnaha ārai mate i roto i, me pera he iti te taea o te re-mate.

E ai ki ngā tatauranga, ko te noa tino tenei āhuatanga. Ko te kupu, ka te mate i huaina auau toxoplasmosis - ko te aroaro, me te ngaro o IgG IgM.

Ki te kitea te IgM paturopi toto i a he tino ngaro momo IgG, ka e korero tatou e pā ana ki te mate tata i roto i te ngaro o te wātea i te mate. Ko te riri ki te tamaiti, me tona whaea.

Ki te kitea e rua i paturopi, reira tohu e reira he he mate i roto i te tinana mo te wa roa. I te mutunga o 2-3 wiki ki anō-ui te tohunga ki te hoatu toto mo toxoplasmosis.

tātari

Ki kore te kaha haere te whanaketanga o tenei mate, me te ki te ārai i te ati ki te tamaiti e parauhia, he mea e tika ana ki te hanga i te āta motuhake mo te mate. He mea tika ki te whakatau i te auau o te toxoplasmosis ranei whakamahere hapūtanga, ona tīmatanga ranei. Kaua e wehi o te maimoatanga o tenei māuiuitanga - ki te tahuri tatou ki te ngaio i roto i te wā, mai te reira ki te mōrea iti ki te tamaiti.

I roto i te mate pērā i toxoplasmosis, kaute toto e faufaa, mai e kitea te huakita i roto i te whekau. Tātari te nui o antibody whakaputaina nei e te tinana. I tua atu, ko reira fakapapau'i pehea te roa o te mate i tomo i roto i te tinana, me te kino ki te tangata ia toxoplasmosis. e kore te mea tawhā taiwhanga tonu taea ki te whakatau i te pikitia tika o te mate, na 2-3 wiki faataahia te ki te rua te whakamātautau.

I te tahi taime toxoplasmosis taea te pāngia i te reira na roto i te toto polymerase chain reaction (PCR). He mea nui ki te mōhio e whakaaro tenei tikanga te ki kia hē, mai kore te reira ki te tautuhi i te wā ka puta te mate.

Ki te kua te wahine hapu, kua whakapumautia kia waha mate he tātaritanga rite mo te tamaiti. I roto i te nuinga o te wā, amniocentesis (anga matou waikahu) mo enei take. Ki te tautuhi, e kore kōateate rahi ate ranei, ahakoa, ka taea te kawea te huru o te calcification me roro ventricles intracranial o noa ultrasound.

Risk o Pregnancy

e kore e te nuinga o nga wahine ara ite e taea te whakawhiti ratou i te mate. Mai maha puta te mate i roto i te puka moe, whakarite reira hanganga o te mate i roto i te tinana. Ki te hamani koe enei wahine, ka kei koutou i roto i te waimarie - ki te huaketo i roto i te hapū, e kore te kukune e waiho tetahi mōrea.

Ki te huaketo koe mo te wa tuatahi, kia tino pāngia te tamaiti, tautautefito ki he lolotonga te toru o nga huatū. Otiia, he pai ke e kore e ki te taui i to ratou huru oraraa, ki te maka i te mōkai, e hoatu ake kohi kai. Whakamātauria ki te ora i te ora tonu, engari fakangatangata whakapā ki te kararehe, me te mataara i te tohu o te hihiko o te kai. Ki te ka kē i te āhua o te hauora, kōrero i te tohunga, engari ka taea ki te tāutu i ngā tohu o te toxoplasmosis ma'i ia.

He etahi tikanga whakatūpato ki te ārai i tenei mate. Kia whai whakaaro ano tatou ratou i roto i te kōrero atu.

ārai

Pea ārai kore-motuhake o te mate. Whakamātauria ki te whakakore i te i-hua, kia mau te ture o te akuaku, horoi o koutou ringa pinepine, te hoko kai me te mīti i roto i ngā toa kï, āta whawha huawhenua me hua. Ki te reira te mea he ngeru, kia koutou te whakamahi i taima motuhake, me te horoi wā paepae.

Me whakamatau Women nei e te whakamahere i te hapūtanga, ara i mua i haputanga mō toxoplasmosis. Me pēhea te ki te whakatau i te mea kua mea te mate i runga. Ki te he kino te hua, i roto i te hapūtanga, he tino nui ki nga 3 marama mo whakamātautau te whaea expectant.

Ki te he mōkai te kāinga, kia hanga ano e koe a ratou i te hi'opo'a maitai. E tūtohutia ana ki te kawe i roto i te disinfection auau o te ngeru amo. Ki te he kino te mōkai, ahakoa pouri ai, ka whai i te reira ki te maka o te reira. Hei whakaora i tana ngeru aroha, e kore ia e tukua anake i runga i te huarahi, e kore e tukua kai raw, e kore e tukua te hopu hoki manu me kiore. Kei te tūtohutia hoki te reira no te wahine hapu e kore kei roto i whakapā ki mōkai a atu iwi, manene, me te stroking ngeru kotiti.

ka tauturu i enei mehua katoa ki etahi whānuitanga ki te ārai i te mate. I roto i te nuinga o te wā, tei to tatou hauora ki runga ki a tatou.