Toxoplasmosis hānau

Anter

• Nā Hōʻailona a me nā pilikia o ka Congenital Toxoplasmosis
• He aha nā pilikia o kaʻu keiki hānau ʻole e kiʻi nei i ka Toxoplasmosis Congenital?
• He aha ke kumu o ka Toxoplasmosis Congenital?
• E hoʻopau wau i kaʻu pōpoki?
• Pehea e kuhikuhi ʻia ai?
• Pehea e mālama ʻia ai?
• Hāʻawi ʻia nā lāʻau i ka wā o ka hāpai ʻana
• Hāʻawi ʻia nā lāʻau i kahi pēpē ma hope o ka hānau ʻana
• ʻO nā mea i manaʻo ʻia no ka wā lōʻihi
• Kāohi

Hōʻike Overview

ʻO ka maʻi maʻi kūpuna kahi maʻi i kū i nā fetus i hoʻopili ʻia Toxoplasma gondii, he protezoan parasite, i lawe ʻia mai ka makuahine a i ka fetus. Hiki iā ia ke kumu i ka hāʻule ʻole a hānau hānau hou paha. Hiki iā ia ke kumu i ka ʻike nui a me ka holomua o ka ʻike, ka lohe ʻana, ka motika, ka noʻonoʻo, a me nā pilikia ʻē aʻe i kahi keiki.

Aia ma kahi o 400 a 4,000 mau hihia o ka toxoplasmosis congenital i kēlā me kēia makahiki i United States.

Nā Hōʻailona a me nā pilikia o ka Congenital Toxoplasmosis

ʻO ka hapa nui o nā pēpē maʻi i ke olakino ke hānau ʻia. ʻAʻole lākou e hoʻomohala pinepine i nā hōʻailona a hiki i nā mahina, mau makahiki, a i ʻole he mau makahiki he nui i hala i ke ola.

ʻO nā pēpē me nā toxoplasmosis maʻi nui i loaʻa maʻamau nā ʻōuli i ka wā hānau a hoʻomōhala i nā ʻōuli ma loko o nā malama ʻeono o ke ola.

Pākuʻi ʻia paha nā ʻōuli:

• hanau premature - e like me ka hapa o nā pēpē me ka congenital toxoplasmosis hanau prematurely
• kaumaha kaumaha hānau haʻahaʻa
• pōʻino maka
• jaundice, melemele o ka ʻili a keʻokeʻo o nā maka
• pāhoehoe
• ka luaʻi
• anemia
• pilikia hānai ʻana
• pehu lymph node
• hoʻonui ākea a me nā ʻāpala
• macrocephaly, kahi poʻo nunui ʻole
• microcephaly, kahi poʻo liʻiliʻi liʻiliʻi
• ʻāwīwī o ka ʻili
• pilikia pilikia ʻike
• poho lohe
• kaʻa a me nā lohi hoʻomohala
• hydrocephalus, kahi kūkulu wai o ka iwi poʻo
• nā helu kikoʻī intracranial, hōʻike o nā wahi o ka poino o ka lolo i hoʻokumu ʻia e nā parasites
• ka hopu ʻana
• akahai i ka noʻonoʻo retardation

He aha nā pilikia o kaʻu keiki hānau ʻole e kiʻi nei i ka Toxoplasmosis Congenital?

Inā loaʻa ʻoe i maʻi me nā parasites i kou trimester mua o ka hāpai ʻana, he 15-20 pakeneka ka loaʻa o kāu pēpē i ka toxoplasmosis congenital. Eia nō naʻe, inā loaʻa ʻoe i maʻi i loko o ke kolu o ka trimester, loaʻa i kāu keiki i hānau ʻia ma kahi o 60 pākēneka ka manawa e lilo ai i maʻi, e like me nā koho mai ka Hale Haukapila Nā keiki ʻo Boston.

He aha ke kumu o ka Toxoplasmosis Congenital?

Hiki iā ʻoe ke loaʻa ka T. gondii parasites i kekahi mau ʻano:

• e ka ʻai ʻana i ka ʻiʻo kuke a moa ʻole paha
• mai nā huahana i holoi ʻole ʻia
• e ka inu ʻana i ka wai i haumia me nā parasites a i ʻole kā lākou mau hua, ʻoiai he mea maʻamau ka loaʻa ʻana mai o nā parasites mai ka wai i United States.
• ma ka hoʻopā ʻana i ka lepo haumia a i ʻole nā ​​foki popoki a laila pā i kou waha

Inā loaʻa ʻoe i maʻi me nā parasites i kou wā hāpai, hiki iā ʻoe ke hāʻawi iā lākou i kāu keiki i hānau ʻole ʻia i ka wā hāpai a hānau paha.

E hoʻopau wau i kaʻu pōpoki?

Hiki iā ʻoe ke mālama i kāu pōpoki, ʻoiai he parasite kā lākou. ʻO ka makaʻu o ka lawe ʻana i nā parasites mai kāu pōpoki he haʻahaʻa loa ia, e like me ka. Eia nō naʻe, e hōʻoia e loaʻa i kekahi mea ʻē aʻe e hoʻololi i ka pahu litter o kāu pōpoki no ka lōʻihi holoʻokoʻa o kou hāpai ʻana.

Pehea e kuhikuhi ʻia ai?

Hana paha kāu kauka i kahi hoʻokolohua koko e ʻike i nā parasites. Inā hōʻoia ʻoe i ka maikaʻi no nā parasites, hana paha lākou i nā hoʻokolohua hou aʻe i kou wā hāpai e hoʻoholo inā maʻi pū kāu pēpē i hānau ʻole ʻia. Aia kēia mau hoʻāʻo:

• ultrasound e nānā i nā fetal abnormalities, e like me hydrocephalus
• ka hopena polymerase chain, a i ʻole PCR, ka hoʻāʻo wai amniotic, ʻoiai e hana paha kēia hōʻike i nā hopena maikaʻi ʻole maikaʻi ʻole a maikaʻi ʻole paha
• hoʻāʻo koko fetal

Inā hōʻike kāu pēpē i nā ʻōuli o ka toxoplasmosis congenital ma hope o ka hānau ʻana, hana paha kāu kauka i hoʻokahi a ʻoi paha o nā hōʻike aʻe:

• hoʻāʻo antibody ma ke koko umbilical cord
• hoʻāʻo antibody ma ka wai cerebrospinal o kāu pēpē
• hoʻāʻo koko
• hoʻokolohua maka
• hoʻāʻo neurological
• Scan CT a MRI paha i ka lolo o kāu pēpē

Pehea e mālama ʻia ai?

Hoʻohana ʻia kekahi ʻano o ka lāʻau e mālama i ka toxoplasmosis congenital:

Hāʻawi ʻia nā lāʻau i ka wā o ka hāpai ʻana

• spiramycin, a i ʻole Rovamycine, e kōkua i ka pale ʻana i ka lawe ʻia ʻana o nā parasites mai iā ʻoe i kāu fetus
• Hiki ke hāʻawi ʻia iā ʻoe ka pyrimethamine, a i ʻole ʻo Daraprim, a me ka sulfadiazine ma hope o ka trimester mua inā ua hōʻoia ʻia ua maʻi kāu fetus me nā parasites
• pale aku ʻo folic acid i ka nalowale ʻana o ka iwi iwi i loko ou a me kāu fetus, i hoʻokumu ʻia e pyrimethamine a me sulfadiazine
• pyrimethamine, sulfadiazine, a me folic acid, lawe mau ʻia no hoʻokahi makahiki
• nā steroid inā hoʻoweliweli ka hihi o kāu pēpē a i ʻole he kiʻekiʻe nā protein i loko o kāu pēpē i loko o kā lākou wai o ka iwi

Hāʻawi ʻia nā lāʻau i kahi pēpē ma hope o ka hānau ʻana

Ma waho aʻe o ka lāʻau lapaʻau, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau ʻē aʻe, kaukaʻi ʻia i nā ʻōuli o kāu pēpē.

ʻO nā mea i manaʻo ʻia no ka wā lōʻihi

ʻO ka nānā lōʻihi o kāu pēpē e pili ana i ke koʻikoʻi o kā lākou mau hōʻailona. Hoʻokumu pinepine ka maʻi parasite i nā pilikia olakino koʻikoʻi hou aʻe i nā fetus e ʻaelike iā ia i ka hāpai mua ma mua o ka hāpai mua ʻana. Inā ʻike koke ʻia, hiki i nā lāʻau ke hāʻawi ʻia ma mua o ka hōʻeha ʻana o nā parasites i kāu ʻōpū. Hiki i ka 80 pākēneka o nā pēpē me nā toxoplasmosis hānau e hoʻomohala i nā kino kīnā a me ke aʻo ʻana ma hope i ko lākou ola. ʻIke paha kekahi mau pēpē i ka nalo ʻana o ka hihi a me nā leona i ko lākou mau maka kanakolukū a ʻoi paha mau makahiki ma hope o ka hānau ʻana.

Kāohi

Hiki ke pale ʻia ka toxoplasmosis kūpona maʻAmelika Hui Pū ʻIa inā ʻoe, ma ke ʻano he makuahine e manaʻo ana:

• kuke pono i ka meaʻai
• holoi a ihi i nā huaʻai a me nā mea kanu
• holoi pinepine i kou mau lima a me nā papa ʻoki i hoʻohana ʻia e hoʻomākaukau i kaʻiʻo, nā hua a me nā mea ʻai
• komo i nā mīkina lima i ka wā e mahi ʻai a hōʻalo paha i ka māla ʻana e hōʻalo loa i ka pili ʻana me ka lepo i loaʻa ka ʻōpala o ka pōpoki
• pale i ka hoʻololi ʻana i ka pahu ʻōpala

Ma hope o kēia mau kulekele maʻalahi e kōkua iā ʻoe e hōʻalo i ka maʻi e nā parasites i kumu i ka toxoplasmosis a no laila ʻaʻole hiki ke hoʻoili iā lākou i kāu keiki i hānau ʻole ʻia.