Izifo ezifakwe eqenjini le-TORCH izifo zifakwe ngegama ngeLatin: TORCH, lapho i-T isxoplasmosis, R i-rubella, i-C isifo se-cytomegalovirus, i-H isifo se-herpes simplex, O ezinye izifo. Kodwa ngokwenza, lezi zifo ezine kuphela zifakwe eqenjini le-TORCH lokutheleleka.
Umbuzo wokuba khona kwalezi zifo kumuntu wesifazane usebenza uma umbhangqwana ubhalwa ukungazali isikhathi eside, ukwehlukana okungajwayelekile, ukufelwa komntwana , ukukhubazeka kokuzalwa komntwana, okwenziwe yi-TORCH izifo. Kodwa-ke, ezinye izimpawu zesifo kungenzeka ukuthi azikho, futhi umama - othwala isifo sofuba.
Ezimweni ezinjalo, udokotela angakwazi ukunikeza ukuhlolwa kwegazi ngokutheleleka kwe-torch ukuxilongwa nokuphathwa kwabo. Ngaphansi kokuncane, ukutheleleka kwenzeka ngesikhathi sokukhulelwa, ikakhulukazi ukutheleleka kokubeletha emasontweni okuqala angu-12 kuyingozi kakhulu, njengoba kubangela ukukhubazeka okukhulu okuthuthukayo noma ukufa komntwana ongena emzimbeni.
Yini ehlanganisiwe ekuthelelekeni kwe-TORCH?
Esinye sezifo ezivame kakhulu ze-TORCH yi-toxoplasmosis - ukutheleleka kwebhaktheriya ukuthi umuntu utheleleke ezilwaneni ezifuywayo. Lesi sifo siphumelela ngokungapheli, sishiye isifo sokuzivikela esingapheli, kepha ngokutheleleka ngesikhathi sokukhulelwa, ukukhubazeka okukhulu okuthuthukayo kwesimiso sezinzwa eziphakathi kanye nokufa kwe-intrauterine fetal kungenzeka.
I-Rubella ngokuvamile iguga ebuntwaneni. Idluliselwa ngamaconsi aphuma emoyeni, abonakaliswa ngumkhuhlane, iziqhumane zesikhumba pink emzimbeni wonke, okungajwayelekile ukuthi kubangele izinkinga. Kodwa ukutheleleka ngesikhathi sokukhulelwa ku-trimester yokuqala kuyisibonakaliso sokuphazamiseka kwayo ngenxa yezinkinga ezimbi ezibangelwa igciwane, kumiphumela yesibili neyesithathu imiphumela embi kakhulu ye-fetus ayijwayelekile.
I-Cytomegalovirus ingadluliselwa kokubili ngokobulili nangokuncelisa okusuka kumama kuya komntwana. Isifo esivame kakhulu siyisifo esingenangqondo. Kodwa uma ukutheleleka kwenzeka ngesikhathi sokukhulelwa, kuholela ekutheleleni kwe-intrauterine ye-fetus, ukulimala kwengqondo nokuthuthukiswa kwe-hydrocephalus, ukulimala esibindi, izinso, inhliziyo kanye namaphaphu, ngisho nokufa kwe-fetus.
I-Herpes simplex virus, umuntu usuleleke ingane esemncane, i- herpes yesisu ingasakazwa ngokocansi futhi ihlale emangqamuzaneni omuntu wonke ukuphila, isebenze ngokunciphisa ukuzivikela. Uma ukhulelwe kungavamile, ukubonakala kwezinkinga ze-fetus kungenzeka. Ngokuvamile, ingane igula igciwane ngesikhathi sokubeletha.
Ungathatha kanjani ukuhlolwa kokutheleleka kwe-TORCH?
Uma udokotela ebeka ukuhlolwa kwesifo sofuze, owesifazane udinga ukuqonda ukuthi kuyini. Ukuze uthole ukutheleleka kokutheleleka kwe-TORCH, ukuhlolwa kwegazi kwenziwa. Ukuhlaziywa ngokwawo kusekelwe ekunqumeni izinga lezinhlamvu ze-antibody zomzimba ze-immunoglobulin M, ebonakala ngesikhathi esiyinkinga yesifo.
Ngokuvamile, ukuhlolwa kwegazi ngokutheleleka kwe-TORG kusetshenziselwa ukucacisa isihloko se-immunoglobulin G, esibonisa ukugula kwangaphambilini.
- Uma kungekho M and G immunoglobulin egazini, akukho ukutheleleka ngezifo.
- Lapho kukhona i-immunoglobulin G kuphela, kukhona ukuxolelwa ngemuva kwesifo esidlulisiwe.
- Uma i-titer yegazi ye-immunoglobulin ephezulu ne-G ephansi iyisifo esiyinhloko sokutheleleka.
- Uma ngokuphambene ne-Titer ephezulu ne-M ephansi kuyisifo esiqhubekayo.
Futhi ngemva kokuxilongwa kwe-titer kunqume ukuthi i-algorithms yokwelapha izifo ezithinta izibani.
Ukwelashwa kokutheleleka nge-HIV
Ukwelashwa kuxhomeke kunjani uhlobo lokutheleleka olutholakala kowesifazane. Ukuze ukwelashwa kwe-toxoplasmosis, izakhi zokulwa nama-anti-spiramycin noma ama-macrolide zisetshenziswa. Ukuvimbela amagciwane, izidakamizwa zokulwa namagciwane ezinciphisa umsebenzi wazo zingahle zenziwe. Ngaphandle kokwelashwa okuqondile kokwelashwa ukusetshenziswa kwezidakamizwa okwandisa ukuvikelwa kwesimiso somzimba.