Hōʻike koko Toxoplasma
Ke nānā aku nei ka hōʻoia koko toxoplasma i nā mea ʻino i loko o ke koko i kahi parasite i kapa ʻia Toxoplasma gondii.
Pono kahi laʻana koko.
ʻAʻohe hoʻomākaukau kūikawā no ka hoʻāʻo.
Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo paha kekahi poʻe i ka ʻeha kaulike. ʻIke wale kekahi i kahi ʻōniʻu a i ʻole kui. Ma hope, loaʻa paha i kahi kūpikipiki a i ʻole ka ʻūlū iki. Hele koke kēia.
Hana ʻia ka hoʻāʻo ke manaʻo ka mea mālama ola iā ʻoe he toxoplasmosis ʻoe. He mea weliweli ka maʻi i ke pēpē e ulu ana inā loaʻa ka maʻi i ka wahine hāpai. Hoʻoweliweli pū kekahi ia i ka poʻe me ka maʻi HIV / AIDS.
I nā wahine hāpai, hana ʻia ka hōʻoia iā:
- E nānā inā loaʻa ka maʻi o ka wahine i kēia manawa a i ʻole he maʻi maʻi paha i ka wā ma mua.
- E hōʻoia inā loaʻa ka maʻi i ka pēpē.
Ke pale nei ke alo o nā mea ʻāpili ma mua o ka hāpai ʻana i kahi pēpē e ulu ana i ka toxoplasmosis i ka wā hānau. Akā ʻo nā mea ʻūpili e hoʻomohala i ka wā o ka hāpai ʻana e maʻi paha ka makuahine a me ka pēpē. ʻO kēia maʻi i ka wā o ka hāpai hāpai e hoʻonui i ka makaʻu no ka hānau male a i ʻole hānau kīnā.
E hana ʻia kēia hōʻike inā loaʻa iā ʻoe:
- ʻO ka pehu lymph node ʻaʻole i wehewehe ʻia
- ʻO kahi ala i hōʻike ʻole ʻia i ke kahena keʻokeʻo o ke koko (lymphocyte)
- HIV a loaʻa nā ʻōuli o kahi toxoplasmosis o ka lolo (me ka ʻeha poʻo, ka hopu ʻana, nāwaliwali, a me nā pilikia ʻōlelo a ʻike ʻole paha)
- ʻO ka hoʻohaunaele o ka ʻaoʻao hope o ka maka (chorioretinitis)
ʻO nā hopena maʻamau ʻaʻole paha ʻoe i loaʻa i kahi maʻi toxoplasma.
Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole nā hoʻāʻo i nā laʻana like ʻole. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu hopena hoʻokolohua kikoʻī.
ʻO nā hopena maʻamau ke ʻano ua loaʻa ʻoe i ka maʻi ʻino. Ana ʻia nā ʻano ʻelua o nā mea ʻume, IgM a me IgG:
- Inā piʻi aʻe ka pae o nā mea pale IgM, ua hele a maʻi paha ʻoe i nā wā i hala iho nei.
- Inā piʻi aʻe ka pae o nā mea pale IgG, ua hele a maʻi ʻoe i kekahi manawa i ka wā i hala.
ʻAʻohe pilikia iki i ka lawe ʻia ʻana o kou koko. ʻOkoʻa nā aʻa a me nā aʻa i ka nui mai kekahi kanaka a i kekahi ʻē aʻe a mai kekahi ʻaoʻao o ke kino i kekahi. ʻOi aku ka paʻakikī o ka lawe ʻana i ke koko mai kekahi poʻe ma mua o nā poʻe ʻē aʻe.
ʻO nā pilikia ʻē aʻe e pili ana i ke kau ʻana o ke koko he liʻiliʻi, akā hiki ke hoʻopili ʻia:
- Kahe nui ke koko
- Pāleʻale a ʻoluʻolu paha
- Nā punctures he nui e ʻimi i nā uaua
- Hematoma (hōʻiliʻili koko ma lalo o ka ʻili)
- Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)
Toxoplasma serology; ʻO ka titer antibody Toxoplasma
- Hōʻaʻo koko
ʻO Fritsche TR, Pritt BS. Lapaʻau parasitology. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 63.
Montoya JG, Boothroyd JC, Kovacs JA. Toxoplasma gondii. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 278.