Kuberekwa toxoplasmosis

Congenital toxoplasmosis iboka rezviratidzo zvinoitika kana mwana asati azvarwa (fetus) abatwa nehutachiona. Toxoplasma gondii.

Toxoplasmosis hutachiona hunogona kupfuudzwa kumwana ari kukura kana amai vakatapukirwa vachiri nepamuviri. Hutachiona hunopararira kune mwana ari kukura kuyambuka placenta. Kazhinji yenguva, hutachiona hunyoro muna amai. Mukadzi wacho anogona kunge asingazive kuti ane hutachiona. Nekudaro, hutachiona hwemwana ari kukura hunogona kukonzera matambudziko akakomba. Matambudziko akanyanya kana hutachiona hukaitika mukutanga kwepamuviri.

Kusvika pahafu yevana vanotapukirwa ne toxoplasmosis panguva yekuzvitakura vanozvarwa nekukurumidza (nguva isati yakwana). Utachiona hunogona kukuvadza maziso emwana, huta, ganda, nenzeve.

Kazhinji, pane zviratidzo zvehutachiona pakuzvarwa. Zvisinei, vacheche vane hutachiona hutete vanogona kunge vasina zviratidzo zvemwedzi kana makore mushure mekuberekwa. Kana ikasarapwa, vana vazhinji vane hutachiona uhu vanowana matambudziko muvachiri kuyaruka. Zvinetso zvemaziso zvakajairika.

Zviratidzo zvinogona kusanganisira:

• Yakawedzera chiropa uye spleen
• Kusvipa
• Kukuvara kwemaziso kubva kuzvimba kwetina kana zvimwe zvikamu zveziso
• Matambudziko ekudyisa
• Kunzwa kurasikirwa
• Jaundice (yero ganda)
• Kurema kwekuzvarwa uremu (intrauterine kukura kurambidzwa)
• Kuputika kweganda (madiki matsvuku kana kupwanya) pakuzvarwa
• Matambudziko ekuona

Uropi uye huta hwehurongwa hunokanganisa nhanho kubva pakanyanyisa kusvika kune yakaoma, uye inogona kusanganisira

• Kufenda
• Urema hwekuziva

Anopa hutano anoongorora mwana. Mwana anogona kunge aine:

• Dzimba chiropa uye chiropa
• Ganda jena (jaundice)
• Kuzvimba kwemaziso
• Fluid pane uropi (hydrocephalus)
• Kuzvimba lymph nodes (lymphadenopathy)
• Yakakura misoro saizi (macrocephaly) kana diki-kupfuura-yakajairwa musoro saizi (microcephaly)

Miedzo inogona kuitwa panguva yekuzvitakura inosanganisira:

• Amniotic fluid kuyedza uye fetal kuongororwa ropa
• Antibody titer
• Ultrasound yemudumbu

Mushure mekuzvarwa, bvunzo dzinotevera dzinogona kuitwa pamwana:

• Antibody inoongorora tambo yeropa uye cerebrospinal fluid
• CT scan yehuropi
• MRI scan yehuropi
• Neurological bvunzo
• Yese bvunzo bvunzo
• Toxoplasmosis bvunzo

Spiramycin inogona kubata hutachiona muna amai vane nhumbu.

Pyrimethamine uye sulfadiazine inogona kubata chirwere che "fetus" (chinowanikwa panguva yekuzvitakura).

Kurapa kwevacheche vane congenital toxoplasmosis kazhinji inosanganisira pyrimethamine, sulfadiazine, uye leucovorin kwegore rimwe. Vacheche dzimwe nguva vanopihwa steroid kana chiono chavo chakatyisidzirwa kana kana huwandu hweprotein iri musipinha yemvura iri pamusoro.

Mhedzisiro yacho inoenderana nehukuru hwemamiriro acho.

Zvinetso zvinogona kusanganisira:

• Hydrocephalus
• Kupofu kana kuremara kwakakomba kwekuona
• Kuremara kwakakomba kwepfungwa kana mamwe matambudziko etsinga

Fonera wako mupi wezvehutano kana iwe uri nepamuviri uye uchifunga kuti uri panjodzi yehutachiona. (Semuenzaniso, hutachiona hwe toxoplasmosis hunogona kupfuudzwa kubva kukitsi kana ukachenesa pakagadzika katsi.) Fonera mupi wako kana iwe uri nepamuviri uye usati wawana prenatal care.

Vakadzi vane nhumbu kana kuronga kubata pamuviri vanogona kuongororwa kuti vaone kana vari panjodzi yekutapukirwa.

Vakadzi vane pamuviri vane katsi semhuka dzinovaraidza vanogona kunge vari panjodzi huru. Vanofanirwa kudzivirira kusangana nekatsi tsvina, kana zvinhu zvinogona kusvibiswa nezvipembenene zvinoratidzwa tsvina yemakitsi (semapete nenhunzi).

Zvakare, bika nyama kusvika yapera, uye geza maoko ako mushure mokubata nyama mbishi kuti usabatwe nechirwere ichi.

• Kuberekwa toxoplasmosis

Duff P, Birsner M. Maternal uye hutachiona hwehutachiona mukuzvitakura: hutachiona. Mune: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Obstetrics: Yakajairwa uye Dambudziko Pamuviri. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 54.

McLeod R, Mukomana KM. Toxoplasmosis (Toxoplasma gondii). Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 316.

Montoya JG, Boothroyd JC, Kovacs JA. Toxoplasma gondii. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Principles uye Practice yeInfectious Diseases, Yakagadziridzwa Edhisheni. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: chitsiko 280.