Toxoplasmosis in pregnancy - the possible consequences for the fetus
Screening for toxoplasmosis is compulsory, as in the planning stage of pregnancy and during pregnancy.Toxoplasmosis during pregnancy can lead to abnormalities in the developing fetus, or malformations, so treatment of the disease should be carried out before conception.Toxoplasmosis is a parasitic disease, for this reason this issue are engaged in infectious disease doctors.
How do you get tokoplazmozom
Toxoplasmosis is especially dangerous for pregnant women, so you should avoid the risk of possible infection, following certain hygienic requirements.The main source of infection are considered to be pets (cats), but this way is not the only infection.Protozoa Toxoplasma can enter the body in the following ways:
- meat that has undergone heat treatment bad
- fruits and vegetables, poorly washed
- while working with the land, which may be the simplest
cat becomes a source of infection if the animaluses in food infected (usually raw) meat.If the animal is kept in a good home and eats only fodder, there is minimal risk of contamination.For this reason, you should discuss with your doctor the need to remove the animal from the home during pregnancy or leave it.
Blood for toxoplasmosis during pregnancy reveals the level of protective antibodies Antibodies - "soldiers' immunity in the blood of women.If a pregnant woman is in the blood of antibodies or immunoglobulins IgG, it indicates the presence of immunity Immunity - the types and characteristics of children in adult to the disease.In the opposite situation, in the absence of antibodies woman should follow the necessary measures to prevent, limit contact with animals, do not remove the litter box without gloves, since it is there are simple cysts, and thoroughly wash fruits and vegetables.
Clinical manifestations of toxoplasmosis
Signs of toxoplasmosis during pregnancy are different variety.For wide application is considered the most convenient division of the disease for several clinical forms.The most common form of limfoglandulyarnaya (60-90% of clinical cases).This form is characterized lymphadenopathy, primarily increased cervical and occipital, axillary nodes.This condition is called poliadenita.
An objective examination of the initial stage of the disease lymph node will have a soft consistency, painless on palpation.Later node becomes dense and painless, no changes in the surrounding subcutaneous tissue.Often to the fore the complaints of non-specific nature, such as increased fatigue, headache, mood changes (depression), muscle pain.
Chronic toxoplasmosis during pregnancy occurs with damage to internal organs.Affects the liver, spleen and other organs, they significantly increase in size, their structure may vary.
danger of toxoplasmosis is the risk of transmission to the fetus, so it is very important to timely diagnosis and a course of treatment.
toxoplasmosis during pregnancy does not differ in clinical manifestations of the disease is already known pregnancy.The validity of the appointment of specific therapy should be consistent with an infectious diseases physician, who determines the choice of tactics based on clinical data and the results of serological blood tests.
toxoplasmosis Influence on fetal development
speak about what is dangerous toxoplasmosis during pregnancy, it should be in terms of the negative impact on fetal development.Of great importance is the gestational age at which infection occurred.If it was the first trimester, the pregnancy can result in miscarriage Miscarriage - whether it can be insured? , intrauterine fetal death.The most severe consequence is the formation of the fetus malformations incompatible with life:
When infected in the second, the third trimester of pregnancy outcome for the fetus is considered to be the most favorable as possible subclinical manifestations of the disease withthe characteristic appearance of clinical symptoms in a few years.In this situation, the child can be organ damage in the form of retinitis or developing deafness.If the infection occurred in the late stages of pregnancy (24-40 weeks), it will increase the risk of possible infection to 80%.
The appointment of a specific causal treatment is relevant only in the second trimester (after 16 weeks).
If a pregnant woman diagnosed with a chronic form of toxoplasmosis acquired, then there is no need to treat.It recommended dynamic observation while treatment may be imposed only at the stage after the birth, if need be.Special treatment is required only in the acute and subacute forms.Newborn baby after birth should be comprehensively examined, and if it is confirmed the diagnosis of toxoplasmosis, it is necessary to carry out treatment and put the child on a clinical account.For at least five years for him to be active surveillance.
If a woman giving birth to ill toxoplasmosis Toxoplasmosis: pregnant women against cats , during pregnancy, it does not have any complaints, the clinical manifestations of the disease, you should not start the therapy of toxoplasmosis during pregnancy.It is recommended to conduct dynamic observation on the basis of the control antibody titer during all trimesters of pregnancy.The most dangerous in terms of impact on the fetus is considered to be a primary infection of women, so the first plan should go prophylactic measures to prevent infection.If a woman did not pass inspection prior to pregnancy, it is necessary to pass it during pregnancy.