Kobadwa nako Toxoplasmosis

Zamkati

• Zizindikiro ndi Zovuta za kobadwa nako Toxoplasmosis
• Kodi Ndizoopsa Zotani Zomwe Mwana Wanga Wakubadwa Amayamba Kubadwa Toxoplasmosis?
• Kodi chimayambitsa congenital Toxoplasmosis ndi chiyani?
• Kodi Ndiyenera Kutaya Mphaka Wanga?
• Kodi Amachizindikira Bwanji?
• Kodi Zimachitidwa Bwanji?
• Mankhwala Omwe Amalandira Pakati
• Mankhwala Opatsidwa kwa Mwana Atabadwa
• Zoyembekeza Zakale
• Kupewa

Chidule

Congenital toxoplasmosis ndi matenda omwe amapezeka m'matumba omwe ali ndi Toxoplasma gondii, kachilombo ka protozoan, kamene kamafalitsa kuchokera kwa mayi kupita kwa mwana wosabadwayo. Zitha kupangitsa kupita padera kapena kubala mwana. Zitha kupanganso zovuta zowoneka bwino, zakumva, zoyendetsa, kuzindikira, ndi mavuto ena mwa mwana.

Pali milandu pafupifupi 400 mpaka 4,000 yobadwa ndi toxoplasmosis chaka chilichonse ku United States.

Zizindikiro ndi Zovuta za kobadwa nako Toxoplasmosis

Makanda ambiri omwe ali ndi kachilombo amawoneka athanzi akabadwa. Nthawi zambiri samakhala ndi zizindikilo mpaka miyezi, zaka, kapenanso zaka makumi angapo pambuyo pake m'moyo.

Makanda omwe ali ndi vuto lobadwa nako toxoplasmosis nthawi zambiri amakhala ndi zizindikilo pobadwa kapena amakhala ndi zizindikilo m'miyezi isanu ndi umodzi yoyambirira ya moyo wawo.

Zizindikiro zimaphatikizapo:

• kubadwa msanga - theka la makanda omwe ali ndi toxoplasmosis yobadwa amabadwa asanakwane
• kulemera kochepa kwambiri
• kuwonongeka kwa diso
• jaundice, chikasu cha khungu komanso azungu amaso
• kutsegula m'mimba
• kusanza
• kuchepa kwa magazi m'thupi
• kuvuta kudyetsa
• zotupa zam'mimba zotupa
• kukulitsa chiwindi ndi ndulu
• macrocephaly, mutu waukulu modabwitsa
• microcephaly, mutu wawung'ono modabwitsa
• zotupa pakhungu
• mavuto a masomphenya
• kutaya kumva
• Kuchedwa kwamagalimoto ndi chitukuko
• hydrocephalus, kuchuluka kwa madzimadzi mu chigaza
• intracranial calcifications, umboni wa madera kuwonongeka kwa ubongo chifukwa cha tiziromboti
• kugwidwa
• wofatsa mpaka kufooka kwamaganizidwe

Kodi Ndizoopsa Zotani Zomwe Mwana Wanga Wakubadwa Amayamba Kubadwa Toxoplasmosis?

Ngati mutenga kachilombo koyambitsa matendawa panthawi yomwe muli ndi pakati, mwana wanu ali ndi mwayi wokhala ndi kobadwa nako toxoplasmosis. Komabe, ngati mungatenge kachilomboka m'nthawi ya trimester yanu yachitatu, mwana wanu wosabadwa ali ndi mwayi pafupifupi 60 peresenti yotenga kachilomboka, malinga ndi kuyerekezera kochokera ku Boston Children's Hospital.

Kodi chimayambitsa congenital Toxoplasmosis ndi chiyani?

Mutha kupeza T. gondii majeremusi m'njira zosiyanasiyana:

• mwa kudya nyama yosaphika kapena yosaphika
• kuchokera kuzinthu zosasamba
• ndi kumwa madzi omwe ali ndi tizilombo toyambitsa matenda kapena mazira awo, ngakhale kuti ndizovuta kupeza tizilomboti m'madzi ku United States
• mwa kukhudza dothi loipa kapena ndowe za mphaka ndikumakhudza pakamwa panu

Ngati mutenga kachilomboka panthawi yomwe muli ndi pakati, mutha kuzipereka kwa mwana wanu wosabadwa panthawi yapakati kapena yobereka.

Kodi Ndiyenera Kutaya Mphaka Wanga?

Mutha kusunga mphaka wanu, ngakhale atakhala ndi tiziromboti. Chiwopsezo chotenga tizilomboti kuchokera ku mphaka wanu ndi chochepa kwambiri, malinga ndi. Komabe, onetsetsani kuti wina asinthe zinyalala za paka wanu nthawi yonse yomwe muli ndi pakati.

Kodi Amachizindikira Bwanji?

Dokotala wanu akhoza kuyesa magazi kuti adziwe tizilomboto. Mukapezeka kuti muli ndi tiziromboti, atha kuchita mayeso ena ali ndi pakati kuti adziwe ngati mwana wanu wosabadwa alinso ndi kachilombo. Mayesowa akuphatikizapo:

• ultrasound kuti awone zovuta za fetus, monga hydrocephalus
• polymerase chain reaction, kapena PCR, kuyesa amniotic madzimadzi, ngakhale kuyesaku kungabweretse zotsatira zabodza kapena zabodza
• kuyezetsa magazi a fetal

Ngati mwana wanu akuwonetsa zizindikiro za toxoplasmosis yobadwa atabadwa, dokotala akhoza kuyesa chimodzi kapena zingapo zotsatirazi:

• kuyesa kwa antibody pa umbilical cord magazi
• kuyesa kwa antibody pa madzi amadzimadzi a mwana wanu
• kuyesa magazi
• kuyezetsa maso
• kuyesa kwamitsempha
• Kujambula kwa CT kapena MRI kwa ubongo wa mwana wanu

Kodi Zimachitidwa Bwanji?

Mtundu wina wa mankhwala amagwiritsidwa ntchito pochizira toxoplasmosis yobadwa nayo:

Mankhwala Omwe Amalandira Pakati

• spiramycin, kapena Rovamycine, kuti athandize kupewa kufalitsa tizilombo toyambitsa matenda kuchokera kwa inu kupita kwa mwana wanu wosabadwa
• pyrimethamine, kapena Daraprim, ndi sulfadiazine atha kukupatsani itatha itatu yoyamba itatsimikiziridwa kuti mwana wanu ali ndi tiziromboti.
• folic acid yoteteza ku fupa la m'mafupa mwa inu ndi m'mimba mwanu, yoyambitsidwa ndi pyrimethamine ndi sulfadiazine
• pyrimethamine, sulfadiazine, ndi folic acid, omwe amatengedwa chaka chimodzi
• steroids ngati masomphenya a mwana wanu akuwopsyezedwa kapena ngati mwana wanu ali ndi mapuloteni ambiri mumtsempha wawo wamtsempha

Mankhwala Opatsidwa kwa Mwana Atabadwa

Kuphatikiza pa mankhwala, dokotala akhoza kukupatsirani mankhwala ena, kutengera zomwe mwana wanu ali nazo.

Zoyembekeza Zakale

Kuwona kwa nthawi yayitali kwa mwana wanu kumadalira kuopsa kwa zizindikilo zawo. Matendawa amakhala ndi mavuto akuluakulu azaumoyo kwa ana omwe amatenga kachilombo koyambitsa matendawa asanatenge mimba. Akapezeka msanga, akhoza kupatsidwa mankhwala majeremusi asanavulaze mwana wanu. Makanda 80 mwa ana aliwonse omwe ali ndi toxoplasmosis obadwa nawo amakhala ndi zolepheretsa kuwona komanso kuphunzira mtsogolo m'moyo wawo. Ana ena amatha kukhala ndi vuto la masomphenya ndi zilonda m'maso mwawo patadutsa zaka makumi atatu kapena kupitilira pomwe abadwa.

Kupewa

Conxital toxoplasmosis ku United States itha kupewedwa ngati inu, monga mayi woyembekezera:

• kuphika chakudya bwinobwino
• sambani ndi kusenda zipatso zonse ndi ndiwo zamasamba
• sambani m'manja pafupipafupi komanso matabwa aliwonse odulira nyama, zipatso kapena ndiwo zamasamba
• valani magolovesi polima kapena pewani kulima palimodzi kuti mupewe kukhudzana ndi nthaka yomwe ingakhale ndi zinyalala zamphaka
• pewani kusintha bokosi lazinyalala

Kutsatira malangizo osavutawa kudzakuthandizani kuti musatenge kachilomboka ndi tiziromboti tomwe timayambitsa toxoplasmosis motero sitingathe kuzipereka kwa mwana amene sanabadwe.