Pākuʻi TORCH

Anter

• Nā maʻi i ʻike ʻia e ka pale TORCH
• Toxoplasmosis
• ʻO Rubella
• Cytomegalovirus
• ʻO Herpes simplex
• Nā maʻi ʻē aʻe
• He aha nā pilikia o kahi pale TORCH?
• Pehea wau e hoʻomākaukau ai no kahi pale TORCH?
• Pehea e hana ʻia ai kahi pale TORCH?
• He aha ke ʻano o ka hopena o kaʻu mau pale TORCH?

He aha ka pale TORCH?

ʻO kahi pale TORCH kahi papa o nā hoʻokolohua no ka ʻike ʻana i nā maʻi i nā wahine hāpai. Hiki ke hoʻoili ʻia nā maʻi ʻino i kahi ʻōpū i ka wā hāpai. ʻO ka ʻike mua a me ka mālama ʻana i kahi maʻi hiki ke pale i nā pilikia i loko o nā keiki hānau hou.

ʻO TORCH, i kekahi manawa i kapa ʻia ʻo TORCHS, kahi inoa o nā maʻi i uhi ʻia i ka kānana.

• toxoplasmosis
• ʻē aʻe (HIV, nā maʻi hepatitis, varicella, parvovirus)
• rubella (Kelemānia tigā)
• cytomegalovirus
• · herpes simplex
• syphilis

Hana pinepine ke kauka i kekahi mau mea o ka pale ʻo TORCH i ka manawa maʻamau ke kipa mua ka wahine i ka wahine. Hana paha lākou i nā mea ʻē aʻe inā hōʻike ka wahine i nā hōʻailona o kekahi mau maʻi i ka wā o ka hāpai ʻana. Hiki i kēia mau maʻi keʻaʻa i ka placenta a hōʻeha i nā hānau hānau i ka hānau hou. Loaʻa kēia mau ʻano:

• cataract
• kuli
• kīnā o ka ʻike (ID)
• pilikia puʻuwai
• ka hopu ʻana
• ʻōmaʻomaʻo ʻōiwi
• pae pae haʻahaʻa

ʻO nā pale hoʻāʻo no nā mea ʻino i nā maʻi lele. ʻO nā Antibodies nā protein e hoʻomaopopo a luku hoʻi i nā mea ʻino, e like me nā virus a me nā bacteria.

ʻO ke kikoʻī, nā pale hoʻāʻo no nā mea ʻokoʻa ʻelua: immunoglobulin G (IgG) a me immunoglobulin M (IgM).

• Aia nā mea ʻino IgG ke loaʻa ka maʻi i kekahi ma mua a ʻaʻole maʻi nui.
• Aia nā mea ʻino IgM ke loaʻa ka maʻi maʻi nui i kekahi.

Hiki i ke kauka ke hoʻohana i kēia mau antibodies me ka moʻolelo o ka wahine o nā ʻōuli e nānā inā ua hōʻike ʻia ka ʻōpū i kahi maʻi.

Nā maʻi i ʻike ʻia e ka pale TORCH

Toxoplasmosis

ʻO Toxoplasmosis kahi maʻi i hoʻokumu ʻia kahi parasite (T. gondii) komo i ke kino ma o ka waha. Hiki ke loaʻa ka parasite i ka litter popoki a me nā feces o ka pōpoki, a me ka ʻiʻo moa ʻole a me nā hua maka. ʻAʻole hōʻike pinepine nā pēpē i loaʻa i ka toxoplasmosis i loko o ka ʻōpū i kekahi mau hōʻailona no kekahi mau makahiki. ʻO nā ʻōuli, i kū ma hope o ke ola, hiki ke hoʻopili ʻia:

• nalowale hihiʻo
• hoʻolohi manaʻo
• kuli
• ka hopu ʻana

ʻO Rubella

ʻO Rubella, ka mea i ʻike ʻia ma ka maʻi ʻula Kelemania, he maʻi hoʻomaʻemaʻe ke kumu o ka pehu. Liʻiliʻi nā hopena o kēia maʻi i nā keiki. Eia nō naʻe, inā maʻi ʻo rubella i ka fetus, hiki iā ia ke kumu i nā kīnā hānau koʻikoʻi e like me:

• kīnā o ka naʻau
• pilikia pilikia ʻike
• lohi ka hoʻomohala ʻana

Cytomegalovirus

ʻO Cytomegalovirus (CMV) i loko o ka ʻohana herpes virus. ʻAʻole ia e kumu i nā ʻōuli i ʻike ʻia i nā mākua. Eia nō naʻe, hiki i ka CMV ke hopena i ka nalo ʻana o ka pepeiao, epilepsy, a me ke kīnā ʻole o ka naʻau i kahi fetus e ulu nei.

ʻO Herpes simplex

Hoʻouna pinepine ʻia ka maʻi herpes simplex mai ka makuahine a i ka pēpē i ka puka hānau i ka wā hānau. He mea hiki nō hoʻi i ka pēpē ke maʻi i ka wā e waiho ana i loko o ka ʻōpū. Hiki i ka maʻi ke hōʻeha i nā pilikia koʻikoʻi i nā pēpē, e like me:

• poino lolo
• nā pilikia hanu
• ka hopu ʻana

Hōʻike pinepine ʻia nā ʻōuli ma ka pule o ke ola o ka pēpē.

Nā maʻi ʻē aʻe

Hiki i ka mahele ʻē aʻe ke hoʻopili i nā maʻi maʻi like ʻole, e like me:

• moaʻi (varicella)
• ʻO Virus Epstein-Barr
• hepatitis B a me C
• HIV
• parvovirus kanaka
• ʻūlaʻi
• puʻupuʻu
• syphilis

Hiki ke hoʻolaha ʻia kēia mau maʻi āpau mai ka makuahine a i ka ʻōpū i ka wā hāpai a hānau paha.

He aha nā pilikia o kahi pale TORCH?

He maʻalahi nā pale viral TORCH, nā hoʻohaʻahaʻa koko haʻahaʻa haʻahaʻa. Hiki paha iā ʻoe ke ʻike i ka palapū, ʻulaʻula, a me ka ʻeha ma ka pūnaewele puncture. I nā hihia maʻamau, hiki i ka ʻeha puncture ke lilo i maʻi. ʻAʻohe makaʻu i ka fetus ke loaʻa i kēia hoʻokolohua.

Pehea wau e hoʻomākaukau ai no kahi pale TORCH?

ʻAʻole koi nā pale o TORCH i kahi hoʻomākaukau kūikawā. Eia nō naʻe, e haʻi i kāu kauka inā manaʻo ʻoe ua maʻi ʻoe i kekahi o nā virus i uhi ʻia i loko o kahi paku TORCH.

Pono ʻoe e ʻōlelo pū kekahi i nā lāʻau lapaʻau a me nā lāʻau lapaʻau āu e lawe nei. E haʻi aku kāu kauka iā ʻoe inā pono ʻoe e haʻalele i ka lawe ʻana i kekahi lāʻau a i ʻole e hōʻalo i ka ʻai ʻana a me ka inu ma mua o ka hoʻāʻo.

Pehea e hana ʻia ai kahi pale TORCH?

Pili kahi pale TORCH i ka lawe ʻana i kahi mea liʻiliʻi o ke koko. Lawe mau ʻia ke koko mai kahi aa i loko o kou lima. E hele ʻoe i kahi keʻena hoʻokolohua a hana kahi phlebotomist i ka huki koko. E hoʻomaʻemaʻe lākou i ka wahi a hoʻohana i kahi nila e huki i ke koko. E hōʻiliʻili lākou i ke koko i ka paipu, a i loko o kahi ipu liʻiliʻi.

ʻIke paha ʻoe i kahi ʻōkuʻu ʻoi aku a i ʻole ke ʻono i ka wā e huki ʻia ai ke koko. Aia kahi maʻamau liʻiliʻi liʻiliʻi loa o ke kahe ma hope. Hoʻopili lākou i kahi kaula kaomi māmā ma luna o ka pūnaewele puncture ke pau ke kaha kiʻi.

He aha ke ʻano o ka hopena o kaʻu mau pale TORCH?

Hōʻike nā hopena o ka TORCH inā he maʻi maʻi paha kāu i kēia manawa. Hiki iā ia ke hōʻike inā loaʻa ka pale ʻana i kekahi mau maʻi, e like me Rubella, mai ke kano ʻana iā ʻoe iho.

Kapa ʻia nā hopena ma muli o ka "maikaʻi" a i ʻole "maikaʻi ʻole." ʻO kahi hopena hōʻike maikaʻi ʻo ia hoʻi nā IgG a i ʻole nā ​​IgM i loaʻa no hoʻokahi a ʻoi paha o nā maʻi i uhi ʻia i ka kānana. Hiki i kēia ke ʻano i loaʻa iā ʻoe i kēia manawa, i loaʻa i ka wā i hala, a i ʻole i pale ʻia i nā lāʻau āpau i mua o ka maʻi. E wehewehe kāu kauka i nā hopena hōʻike a nānā pū me ʻoe i ke ʻano o kēlā me kēia.

ʻO ka hopena hōʻike maikaʻi ʻole e manaʻo ʻia he maʻamau, ke ʻole inā no kahi maʻi e hoʻoʻaʻa ʻia ai ʻoe. ʻO kēia ka manaʻo ʻaʻole i ʻike ʻia nā mea ʻāpala, a ʻaʻohe maʻi o kēia wā a i hala paha.

Aia nā mea ʻiʻo IgM ke loaʻa kahi maʻi ʻino a i ʻole hou. Inā hōʻoia maikaʻi kahi keiki hānau hou no kēia mau mea ʻino, ʻo kahi maʻi i kēia manawa ke kumu nui. Inā loaʻa nā pepelu IgG a me IgM i loko o kahi keiki hānau, e hana ʻia nā hoʻokolohua hou e hōʻoia inā loaʻa ka maʻi maʻi i ka pēpē.

Inā hōʻoia ʻoe i ka maikaʻi no nā mea ʻino IgM i ka wā hāpai, e hana hou ʻia nā hoʻokolohua e hōʻoia i kahi maʻi.

ʻO ke kū ʻana o nā mea ʻino IgG i loko o ka wahine hāpai e hōʻike maʻamau i kahi maʻi i hala a i ʻole ka pale ʻana. Inā he nīnau no ka maʻi ʻino, hana ʻia ka lua o ke koko i kekahi mau pule ma hope e hiki ai ke hoʻohālikelike i nā pae antibody.Inā piʻi nā pae, hiki ke manaʻo i ka maʻi i hala koke a i ʻole ke kū nei i kēia manawa.

Inā loaʻa kahi maʻi, e hana kāu kauka i kahi hoʻolālā lapaʻau me ʻoe kikoʻī no ka hāpai keiki.