Pale TORCH

ʻO ka pale ʻo TORCH kahi hui o nā hoʻokolohua koko. Nānā kēia mau hoʻāʻo no nā maʻi ʻokoʻa i loko o kahi keiki hānau. ʻO ka piha piha o ka TORCH ka toxoplasmosis, rubella cytomegalovirus, herpes simplex, a me HIV. Eia nō naʻe, hiki ke loaʻa pū kekahi i nā maʻi hānau hou.

I kekahi manawa ua pela ʻia ka hoʻāʻo TORCHS, kahi e kū ai ke keu "S" no ka syphilis.

E hoʻomaʻemaʻe ka mea mālama ola i kahi wahi liʻiliʻi (ʻo ka maʻamau ka manamana lima). E hoʻopili lākou iā ia me kahi nila kui a ʻoki paha i kapa ʻia he lancet. Hōʻiliʻili ʻia paha ke koko i loko o kahi pahu aniani liʻiliʻi, ma kahi pāheʻe, i kahi kaha hoʻāʻo, a i loko o kahi ipu liʻiliʻi. Inā loaʻa ke kahe ʻana, ka pulupulu a i ʻole ke kāʻei e hoʻopili ʻia i ka pūnaewele puncture.

No ka ʻike hou aku e pili ana pehea e hiki ai iā ʻoe ke hoʻomākaukau i kāu keiki, e ʻike i ka hoʻāʻo ʻana i nā pēpē a i ʻole ka hoʻomākaukau hoʻomākaukau.

ʻOiai ke lawe ʻia nei ke kaha koko, e manaʻo paha kāu keiki he prick a me kahi naʻau pōkole pōkole.

Inā hele a maʻi ka wahine i kekahi mau mikamina i kona wā hāpai, hiki i ka pēpē ke maʻi pū ʻia i ka wā o ka ʻōpū. ʻOi aku ka maʻalahi o ka pēpē i ka ʻino mai ka maʻi i ka wā o 3 a 4 mau mahina o ka hāpai ʻana.

Hoʻohana ʻia kēia hōʻike e nānā i nā pēpē no nā maʻi TORCH. Hiki i kēia mau maʻi ke alakaʻi i nā pilikia aʻe i loko o ka pēpē.

• Hewa hānau
• Hoopanee ka ulu ana
• Nā pilikia lolo a me nā ʻōnaehana

ʻO ka manaʻo maʻamau, ʻaʻohe hōʻailona o ka maʻi i loko o ke keiki hānau.

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

Inā loaʻa i nā pēpē kiʻekiʻe nā immunoglobulins (IgM) kūʻē i kekahi germ i loko o ka pēpē, aia nō paha kahi maʻi. E kauoha paha kāu mea hāʻawi i nā hoʻokolohua hou aku e hōʻoia i kahi kuhi.

Lawe ke koko i kahi liʻiliʻi o ka kahe ʻana o ke kahe, palu, a me ka maʻi ma ka pūnaewele i pili.

He mea maikaʻi ka pale ʻo TORCH no ka hoʻoholo inā loaʻa paha kahi maʻi. Inā maikaʻi ka hopena, pono nā hoʻokolohua hou e hōʻoia i ka ʻike. Pono e nānā i ka makuahine.

ʻO Harrison GJ. Hiki i nā maʻi i ka fetus a me nā keiki hou. I: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, eds. ʻO Feigin lāua ʻo Cherry's Textbook of Pediatric Infectious Diseases. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 66.

Maldonado YA, Nizet V, Klein JO, Remington JS, Wilson CB. ʻO nā manaʻo o kēia wā o nā maʻi o ke fetus a me ke keiki hānau hou. I: Wilson CB, Nizet V, Maldonado YA, Remington JS, Klein JO, hua. Nā maʻi lele o Remington a me Klein o ka Fetus a me Newborn. 8th ed. Piladelapia, PA: Elsevier Saunders; 2016: chap 1.

ʻO Schleiss MR, Marsh KJ, Nā maʻi Viral o ka fetus a me ka hānau hou. I: Gleason CA, Juul SE, eds. Nā maʻi o Avery o ke keiki hānau. 10 o ka lā. Piladelapia, PA: Elsevier; 2018: chap 37.