Mayesero kwa toxoplasmosis: miyezo ntchito. toxoplasmosis pachiswe pakati

Toxoplasmosis ndi matenda zobisika mdani amene angathe kuchita mavuto aakulu kwa mayi woyembekezera ndi mwana wake wosabadwa. Anthu, toxoplasmosis akuwonetseredwa mu njira zosiyanasiyana. Childs, matenda a matenda yotentha ndi njira zasayansi. Chifukwa tizilomboto kugonjetsedwa kwambiri zotsatira zachilengedwe, mwina ambiri kuipitsidwa. M'nkhaniyi, tiona matenda monga toxoplasmosis, zizindikiro mfundo zizindikiro ndi njira zochizira izo.

Information

Atamuopseza kudwala matendawa mu malo oyamba ndi ana a zaulimi antchito, alenje m'mudzimo, wamaluwa ndi horticulturists, komanso anthu onse amene ali ndi mphaka kunyumba.

zifukwa

Toxoplasmosis, zizindikiro malamulo amene zafotokozedwa pansipa, chifukwa osiyanasiyana mogwirizana (Toxoplasma), kuti akakhale ku maselo a anthu. Pankhaniyi, tizilomboto akhoza kupatsira chiwalo chilichonse ndi kudutsa selo lililonse, kupatula mu maselo ofiira. Chifukwa chachikulu cha matenda - matenda a mogwirizana.

Toxoplasmosis: mmene kumasulila?

Anthu, nthawi zambiri, toxoplasmosis ndi wofatsa ndipo pafupifupi wosaoneka unsembe. Komabe, pangakhale zizindikiro monga kufooka ambiri, kutopa, malungo otsika kalasi, kuwonjezereka pang'ono mu khomo lachiberekero ndi occipital mwanabele, kupweteka.

The chikhalidwe pamwamba anamuona pa nkhani ya chakale chimfine. Nthawi zambiri anthu alibe yankho za matenda zimene kudwala monga toxoplasmosis. Wakudziko matendawa amalola kulandira chithandizo mwamsanga.

Mu matenda aakulu wodwalayo olowa ndi minofu ululu, Umboni Wopereŵera totupa ndi malungo. choopsa kwambiri ndi kugonjetsedwa ya ubongo (chitukuko cha meningoencephalitis). The mphaka amaganiziridwa toxoplasmosis n'chotheka milandu kumene waona chimfine, maso ofiira, kutsegula m'mimba ndi kutupa lymph mfundo. Komabe, nthawi zambiri mu amphaka, ndi anthu ndondomeko matenda alibe waledzera.

pregnancy

Kwa kuti toxoplasmosis ndi zoopsa pa mimba. Choncho malangizo a mmene kutaya Pet lapamtima, komanso maganizo za zikande aliyense mphaka. Nkofunika kudziwa kuti mwana wosabadwayo osauka chiopsezo makamaka matenda yaikulu ya amayi m'tsogolo. Choncho, ngati inu kale kudwala toxoplasmosis, ndi mwana wosabadwayo si kungasokoneze.

Infection wa mwana wosabadwayo matenda monga toxoplasmosis (ponseponse zizindikiro m'munsimu) ndipo pali matenda pulayimale ndi reactivation wa tizilomboto mu thupi la akazi seropositive.

Dziwani kuti pa matenda chachikulu pa mimba chiopsezo kwa mwana wosabadwayo ndi 100%. Pa trimester, ndi mu osiyanasiyana 15-20%, wachiwiri - 30%, wachitatu - 60%. Ngakhale kuti chiopsezo kumawonjezera ndi nthawi ya mimba, amachepetsa kukula kwa mawonetseredwe matenda. M'mawu ena, ngati mkazi amakhala matenda pankhondo yoyamba trimester toxoplasmosis, ndiye mwana nthawi zambiri kukhala malformations atakwatirana ndi moyo. Ngati matenda kwachitika ndi mapeto a mimba, ndi zizindikiro kutchulidwa mwina kwina.

Pambuyo kukhudzana ndi tizilomboto mu thupi la mayi kwa masabata 24, madokotala akulangizidwa kutsirizitsa mimba. Pa Kulipira kuchotsa mimba iwo adzadzipereka chithandizo. Komanso, ayenera kulabadira popanga chitetezo chokwanira amphamvu matenda, pamene inu kachiwiri kukumana tiziromboti sadzakhala oopsa.

kufala njira

Mu matenda monga mlingo toxoplasmosis anatsimikiza ndi njira zasayansi. Njirazo otsatirawa a HIV:

1. Contact - kugwirizana ndi amphaka odwala, amene excreted mu ndowe za Toxoplasma.
2. Chakudya - kugwirizana ndi kumwa bwino nyama kukonzedwa kuti lili cysts a tiziromboti lapansi.
3. Parenteral - mu nkhani iyi si kukusalani kulanda matenda kumuika zimakhala, ziwalo ndi magazi.
4. Transplacental - malowedwe a matenda a mwana wosabadwayo ndi chitukuko wotsatira wa toxoplasmosis wakhanda.

Mayi woyembekezera amene ali ndi mlingo mkulu wa toxoplasmosis kapena ogwira ntchito kuchipatala, kapena ena si AIDS ngozi. Ichi chizathandiza mtima kuti asagwidwe mwa chipatala somatic ndi pa outpatient maziko.

pathogenesis

Toyambitsa anamasulidwa ku cysts ndi oocysts, umalowa mu maselo zaminyewa za m'mimba, kumene chulutsa, potero kupanga chachikulu bwanji. Kenako, majeremusi umalowa mu dera lymph mfundo kenako ndi nthenda lymph - magazi.

inafikira

Kusamuka kwa wothandizila zikhoza zimakhala zosiyanasiyana ndipo ziwalo. Kumbali ya chitetezo chokwanira kuchepa komanso woyembekezera, kupatula pamatenda chachikulu, amaona zoopsa ndi reactivation a tiziromboti, amene amasankha njira ndi zotsatira za mimba wotsatira.

Pa exiting ndi cysts amapezeka tizilomboto kufala. Mu zimakhala ndi, ndende ake amagwirizana ndi luso kudutsa transplatsentarno kuti lingachititse pa siteji iliyonse ya mimba chitukuko cha kudwala intrauterine.

Toxoplasmosis: Matendawa

tizilomboto akhoza anatsimikiza mu thupi yekha ndi kukhalapo kwa chitetezo m'magazi. matenda ndi osiyana mu njira iliyonse sangakhoze akudziwikanso monga Toxoplasma pamalo mkati maselo ena. Monga tanena kale, makulitsidwe nyengo ya toxoplasmosis limapezeka pafupifupi asymptomatic. Mogwirizana, mwachitsanzo, angathe kuonedwa mu minofu, ubongo, ndulu, chiwindi ndi lymph mfundo.

Choncho, kutenga nkhani yoganizira n'chotheka opaleshoni. Pochita ndi lumbar puncture ndi meningoencephalitis, madzimadzi cerebrospinal mokakamiza ndisanabadwe kwa Toxoplasma.

chithandizo

Chifukwa chakuti makulitsidwe nyengo ya toxoplasmosis akupezeka ambiri milandu ndi asymptomatic mu magawo oyambirira n'zovuta kudziwa. Choncho, chithandizo cha matenda kwa nthawi yaitali - maphunziro 2 ndi kukonzedwa m'thupi (kuvomerezedwa). Njira yoyamba ya masiku 10, nditafufuza kutulukira chomwecho, ndiponso chithandizo akubwerezedwa (masiku 21 - mu Zikavuta).

zovuta kwambiri chimaposa cha toxoplasmosis ocular. Matendawa mu nkhani iyi ayenera kukhala molondola matenda akhoza kusokonezedwa ndi chifuwa chachikulu. Chithandizo ikuchitika kuyang'aniridwa okhwima TB a. Pamene zotupa ubongo ndi ziwalo toxoplasmosis amaliona n'kupuma yekha. M'chipatala ayenera kukhala osachepera pa mwezi. Pambuyo mankhwala amafuna mobwerezabwereza mayesero zasayansi.

wakudziko

Kukhalapo kwa chitetezo ku magazi a mtundu IgM boma yachibadwa kwathunthu inathetsedwa. Ngati kusanthula inazindikiridwa, tikulankhula za matendawa matenda monga toxoplasmosis. lgG chitetezo opezeka magazi amasonyeza kuti thupi kamodzi chidwi ndi matenda a munthawi akhoza anatambasula kwa zaka 10.

Njira, ngati palibe mitundu ya chitetezo sadzakhala pano m'magazi. inu mukhoza kunena motsimikiza Pankhaniyi kuti thupi sanakhalepo ndi matenda, ndipo pa nthawi inayake, iye ndi kwina. Komabe, izi zikutanthauza kuti mkazi ali mwamtheradi asanazolowere matenda yomwe kuthandiza kupewa matenda. Ife kuchita khama osati kuti matenda amenewa. Ngati toxoplasmosis lgG anapezeka ndi IgM palibe, mkaziyo anakumanapo ndi matenda, koma pa mphindi zilibe zingasokoneze ake. Ndipo Chofunika, chitetezo cha m'thupi kale ntchito kunja, ndi kuthekera kukonzanso matenda ndi kochepa.

Malinga ndi kafukufuku, vuto limeneli ndi ambiri. Choncho, pamene nthenda yotchedwa toxoplasmosis mlingo - ndi kukhalapo ndi kusapezeka kwa IgG IgM.

Ngati magazi chitetezo IgM anali wapezeka ndi IgG mtundu palibe kwathunthu, ndiye tikulankhula za matenda posachedwapa, pakalibe chitetezo chokwanira. Ndi kuukira mwana ndi mayi wake.

Ngati onse awiri anapeza chitetezo, izo zikusonyeza kuti pali matenda m'thupi kwa nthawi yaitali. Kumapeto kwa masabata 2-3 kuti adzathe kufunsa katswiri kupereka magazi toxoplasmosis.

kusanthula

Kuti chitukuko cha matenda osati mwachangu anapita, komanso kuteteza ngozi mwana wosabadwayo, m'pofunika kupanga mosamala wapadera pamatenda. Iwo m'pofunika kudziwa mlingo wa toxoplasmosis kapena mapulano ndi pakati, kapena langoyamba. Usaope wa mankhwalawa kudwala ichi - ngati ife titembenukira kwa akatswiri m'njira yake, nkhani ndi chiopsezo kochepa mwana.

Mu matenda monga toxoplasmosis, udindo magazi pochita, kuyambira mabakiteriya zimapezeka ziwalo mkati. Ri kuchuluka kwa oteteza amene amapangidwa ndi thupi. Komanso, anatsimikiza yaitali bwanji matenda wakhala analowa mu thupi, komanso oopsa kwa munthuyo toxoplasmosis. Laboratory magawo Sizotheka kudziwa molondola matenda, kotero masabata 2-3 amagwira ntchito mayeso lachiwiri.

Nthawi zina toxoplasmosis akhoza anapezeka ndi magazi polymerase unyolo anachita (PCR). Nkofunika kuzindikira kuti njira imeneyi akuti ndi zolakwika, chifukwa amalephera kudziwa nthawi imene matenda zinachitika.

Ngati mayi wapakati wakhala anatsimikizira matenda ayenera kukayezetsa ndi kusanthula ofanana mwanayo. Nthawi zambiri, amniocentesis (amniotic madzimadzi zofufuza) zolinga izi. Kuzindikira, osati zikuluzikulu ndulu kapena chiwindi, ngati mmene intracranial calcification ndi ubongo ventricles ntchito bwinobwino, angathe kuchitidwa ultrasound.

Kubereka Pregnancy

Akazi ambiri sadziwa n'komwe kuti iwo akhoza kusamutsa matenda. Popeza matenda nthawi zambiri amapezeka mu mawonekedwe zobisika, izo zikutsimikizira mapangidwe chitetezo chokwanira m'thupi. Mukatero akazi awa, ndiye inu muli mu mwayi - ngati matenda woyembekezera, ndi mwana wosabadwayo sadzakhala chiopsezo chilichonse.

Ngati muli ndi kachilombo kwa nthawi yoyamba, mwana akhoza kwenikweni ndi chimphepochi, makamaka pa trimester lachitatu. Komabe, ndi bwino kusintha moyo wawo, kuthamangitsa ndi mphaka, kusiya mowa nyama. Yesani moyo wonse, koma kucheza ndi nyama, komanso penyani digiri okonzeka nyama. Ngati ukupeza kodi kuvutika, kukaonana ndi katswiri, koma adzatha kuzindikira zizindikiro za toxoplasmosis aakulu.

Pali zina njira asachite kuti matenda izi. Tiyeni tione iwo mwatsatanetsatane.

kupewa

N'zotheka si yeniyeni kupewa matenda. Yesetsani kuthetsa mwa mankhwala, kusunga malamulo a ukhondo, muzisamba m'manja pafupipafupi, kugula nyama ndi ng'ombe m'masitolo kutsimikiziridwa, masamba mosamala agwira ndi zipatso. Ngati pali mphaka, muyenera kugwiritsa ntchito fillers wapadera ndi wosamba thireyi.

Akazi amene akukonzekera kukhala ndi pakati ngakhale pa lingaliro ayenera kuyesedwa kwa toxoplasmosis. Kodi kudziwa ngati nthenda zanenedwa pamwambapa. Ngati zotsatira zake zimakhala zoipa, pa mimba, mayi woyembekezerayo n'kofunika kwambiri pa miyezi 3 mayesero.

Ngati nyumba ali ziweto, muyenera kuyesetsa iwo bwinobwino. Ndi bwino kuchita disinfection zonse mphaka zinyalala. Ngati Pet akudwala Koma zomvetsa chisoni mwina, adzakhala ndi kuchotsa izo. Kupulumutsa mphaka wake wokondedwa, musalole iye yekha pa msewu, musalole nyama yaiwisi, musati mulole kusaka mbalame ndi mbewa. Izo analimbikitsanso amayi apakati si anakumana ndi ziweto za anthu ena, alendo ndi stroking amphaka yosokera.

zonsezi zonse kudzakuthandizani kumlingo kuteteza matenda. Nthawi zambiri, thanzi lathu zimadalira ife.