Toxoplasmosis ea tlhaho

Conxital toxoplasmosis ke sehlopha sa matšoao a hlahang ha lesea le e-s'o hlahe (lesea le ka pōpelong) le tšoaetsoa ke likokoana-hloko. Toxoplasma gondii.

Tšoaetso ea Toxoplasmosis e ka fetisetsoa ho lesea le ntseng le hola haeba mme a ka tšoaetsoa a le moimana. Tšoaetso e namela leseeng le ntseng le hola ho pholletsa le placenta. Boholo ba nako, ts'oaetso e bonolo ho mme. Mohlomong mosali ha a tsebe hore o na le likokoana-hloko. Leha ho le joalo, tšoaetso ea lesea le ntseng le hola e ka baka mathata a tebileng. Mathata a mpefala haeba tšoaetso e hlaha nakong ea bokhachane ba pelehi.

Ho fihlela halofo ea masea a tšoaelitsoeng ke toxoplasmosis nakong ea bokhachane a hlaha kapele (pele ho nako). Tšoaetso e ka senya mahlo a lesea, tsamaiso ea methapo, letlalo le litsebe.

Hangata, ho na le matšoao a tšoaetso nakong ea tsoalo. Leha ho le joalo, masea a nang le tšoaetso e fokolang a kanna a se be le matšoao a likhoeli kapa lilemo kamora ho hlaha. Haeba ba sa phekoloe, bana ba bangata ba nang le ts'oaetso ena ba ba le mathata lilemong tsa bocha. Mathata a mahlo a tloaelehile.

Matšoao a ka kenyelletsa:

• Ho eketsa sebete le spleen
• Ho hlatsa
• Tšenyo ea mahlo ka lebaka la ho ruruha ha retina kapa likarolo tse ling tsa leihlo
• Mathata a ho fepa
• Ho lahleheloa ke kutlo
• Jaundice (letlalo le mosehla)
• Boima ba 'mele bo fokolang (thibelo ea kholo ea intrauterine)
• Ho phatloha ha letlalo (matheba a manyenyane a khubelu kapa ho longoa) nakong ea tsoalo
• Mathata a pono

Tšenyo ea sistimi ea boko le methapo e tloha bobeng haholo ho ea ho e matla, mme e ka kenyelletsa:

• Ho oa
• Bokooa ba kelello

Mofani oa tlhokomelo ea bophelo o tla hlahloba lesea. Lesea le ka ba le:

• Ho ruruha spleen le sebete
• Letlalo le mosehla (jaundice)
• Ho ruruha ha mahlo
• Mokelikeli bokong (hydrocephalus)
• Ho ruruha lymph nodes (lymphadenopathy)
• Boholo ba hlooho (macrocephaly) kapa nyane ho feta e tloaelehileng hlooho (microcephaly)

Liteko tse ka etsoang nakong ea bokhachane li kenyelletsa:

• Ho hlahlojoa ha Amniotic fluid le ho hlahlojoa ha mali a fetal
• Thibelo ea lithibela-mafu
• Ultrasound ea mpa

Kamora ho hlaha, liteko tse latelang li ka etsoa ho lesea:

• Lithuto tsa lithibela mafu ka thapo ea mali le mokelikeli oa cerebrospinal
• Tlhatlhobo ea CT ea boko
• Tlhatlhobo ea MRI ea boko
• Litlhahlobo tsa methapo
• Tekolo e tloaelehileng ea mahlo
• Teko ea Toxoplasmosis

Spiramycin e ka phekola tšoaetso ho mme ea moimana.

Pyrimethamine le sulfadiazine li ka phekola tšoaetso ea lesea (e fumanoeng nakong ea bokhachane).

Kalafo ea masea a nang le toxoplasmosis e tsoaloang hangata e kenyelletsa pyrimethamine, sulfadiazine le leucovorin selemo se le seng. Masea ka linako tse ling a fuoa li-steroid haeba pono ea bona e sokeloa kapa haeba boemo ba protheine bo mokelikeling oa mokokotlo bo phahame.

Sephetho se ipapisitse le boemo ba boemo.

Mathata a ka kenyelletsa:

• Hydrocephalus
• Bofofu kapa bokooa bo boholo ba pono
• Bokooa bo matla ba kelello kapa mathata a mang a methapo

Bitsa mofani oa hao oa tlhokomelo ea bophelo haeba u imme 'me u nahana hore u kotsing ea tšoaetso. (Ka mohlala, tšoaetso ea toxoplasmosis e ka fetisoa ho tloha likatse haeba u hloekisa lebokose la matlakala a kat.) Bitsa mofani oa hau haeba u le moimana 'me u e-s'o be le tlhokomelo ea bakhachane.

Basali ba imeng kapa ba rerileng ho ima ba ka hlahlojoa ho fumana hore na ba kotsing ea tšoaetso.

Bakhachane ba nang le likatse joaloka liphoofolo tse ruuoang lapeng ba ka ba kotsing e kholo. Ba lokela ho qoba ho kopana le mantle a katse, kapa lintho tse ka silafatsoang ke likokoanyana tse pepesitsoeng mantle a katse (joalo ka maphele le lintsintsi).

Hape, pheha nama ho fihlela e felile, 'me u hlatsoe matsoho ka mor'a ho tšoara nama e tala ho qoba ho fumana likokoana-hloko.

• Toxoplasmosis ea tlhaho

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McLeod R, Boyer KM. Toxoplasmosis (Toxoplasma gondii)). Ka: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, bahlophisi. Buka ea Nelson ea Pediatrics. La 21 Ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 316.

Montoya JG, Boothroyd JC, Kovacs JA. Toxoplasma gondii. Ka: Bennett JE, Dolin R, Blaser MJ, bahlophisi. Mandell, Douglas, le Bennett's Principles and Practice of Infectious Diseases, Khatiso e Ntjhafalitsoeng. La 8th. Philadelphia, PA: Elsevier Saunders; 2015: khaolo ea 280.