Izifo ezibandakanyiweyo kwiqela leZINTSHOLONGWANE zifakwe ngegama kwiLatini: I-TORCH, apho i-toxoplasmosis, uR rubella, i-C yintsholongwane ye-cytomegalovirus, i-H isifo se-herpes simplex, O nezinye izifo. Kodwa ekusebenzeni, izifo ezine kuphela zifakwe kwiqela leTTCH.
Umbuzo wobukho bezi zifo kumfazi uyafaneleka xa lo mbhangqwana ubonakaliswa ngokungahambi kakuhle kwexesha elide, ukuphazamiseka kwamathuba omzimba, ukufa komntwana , ukukhubazeka kokuzalwa komntwana, okwenziwe yi-HIV. Nangona kunjalo, ezinye iimpawu zesifo kungenzeka ukuba zingekho, kwaye unina - umthwali we-tshsu-infection.
Kwiimeko ezinjalo, ugqirha unokumisela ukuhlolwa kwegazi ngentsholongwane yokutshatyalaliswa kokutshatyalaliswa kunye nokunyangwa. Ngaphantsi kaninzi, ukusuleleka kwenzeka ngexesha lokukhulelwa, ngokukodwa ukusuleleka kwe-fetal kwiiveki ezi-12 ziyingozi kakhulu, njengoko kubangela ukukhubazeka okunzulu okanye ukufa komntwana kwangaphakathi.
Yintoni efakwe kwi-TORCH isifo?
Enye yezona zixhaphake kakhulu zi-TB ziyi-toxoplasmosis-usulelo lwebhaktheriya oluthi umntu unentsholongwane kwizilwanyana zasekhaya. Esi sifo senza ngokungaqhelekanga, sishiye isifo esingasigxina, kodwa sisifo xa sisakhulelwe, ukungaphumeleli okukhulu kweenkqubo zesistim kunye nokufa komntwana kwangaphakathi.
URubella udla ngokugula ebuntwaneni. Idluliselwa ngamaconsi aphuma emoyeni, ebonakaliswa yimfiva, i-skin erts pink kwi-body, ayifumanekanga iimeko ezinzima. Kodwa intsholongwane ngexesha lokukhulelwa kwi-trimester yokuqala libonisa ukuphazamiseka kwayo ngenxa yeengxaki ezibangelwa intsholongwane, kwimeko yesibini neyesithathu imiphumo emibi yentsholongwane ayiqhelekanga.
I-Cytomegalovirus inokudluliselwa kokubili ngokwesondo nangokuncelisa ukususela kumama ukuya kumntwana. Isifo esona sifo sisigxina. Kodwa ukuba intsholongwane iyenzeka ngexesha lokukhulelwa, iholele ekusulelekeni kwe-intrauterine yesisu, umonakalo wengqondo kunye nophuhliso lwe-hydrocephalus, umonakalo kwisibindi, izintso, intliziyo nemiphunga, kwanokufa komntwana.
Intsholongwane ye-Herpes simplex, umntu usuleleka ngumntwana, i- herpes yomzimba ingadluliselwa ngesondo kwaye ihlale kwiiseli zomntu wonke ubomi, isebenze ngokunciphisa ukukhuseleka. Xa ukukhulelwa kungabonakali, ukubonakala kweentlungu zomntwana kungenzeka. Ngokuqhelekileyo, umntwana unesifo sengculaza ngexesha lokubeletha.
Indlela yokuthatha uvavanyo lokusuleleka kuTORCH?
Ukuba ugqirha ubeka i-screening for inflammers infections, le ntokazi kufuneka iqonde ukuba yintoni. Ukuxilongwa kwi-TORCH isifo, uvavanyo lwegazi luyenziwa. Uhlalutyo ngokwalo lusekelwe ekuqaliseni izinga le-anti-titers ye-immunoglobulin M, ebonakala ngexesha elibi le sifo.
Ngokuqhelekanga, ukuhlolwa kwegazi malunga nokusuleleka kwe-TORG kusetyenziswa ukucacisa i-immunoglobulin G titer, ebonisa ukugula kwangaphambili.
- Ukungabikho kwe-M kunye ne-G immunoglobulin egazini, akukho ntsholongwane enezifo.
- Ngaphambi kokuphela kwe-immunoglobulin G, kukho ukuxolelwa emva kokudluliselwa kwesifo.
- Ukuba i-titer yegazi ephezulu ye-immunoglobulin M ne-G iyona ntsholongwane ebalulekileyo yentsholongwane.
- Ukuba ngokuchasene nomxholo ophezulu G kwaye uMzantsi ophantsi usulelo oluqhubekayo.
Kwaye emva kokuxilongwa kwe-titer ukugqiba i-algorithms yokunyanga kwezifo ezitshatyalaliswa.
Unyango lwe-HIV
Unyango luxhomekeke kukuphi uhlobo lwesifo sokusuleleka kufumaneka kumfazi. Ukunyangwa kwe-toxoplasmosis, i-antibiotic derivatives ye-spiramycin okanye i-macrolides isetyenziswa. Ukukhusela ii-virus, iziyobisi ezinqanda i-anti-virus ezenza ukunciphisa umsebenzi wazo zichaneke. Ukongeza kwonyango oluthile lokusetyenziswa kweziyobisi ezandisa ukhuselo lomzimba womzimba.