Kev xeeb tub yog lub sijhawm zoo nkauj thiab muaj kev cia siab hauv txhua tus niam lub neej, puas yog? Koj yuav tsum tos nrog kev ua pa tsis taus kom tus menyuam yaus los rau hauv lub ntiaj teb no noj qab nyob zoo. Lub sijhawm no, peb yuav tsum saib xyuas peb tus kheej txoj kev noj qab haus huv thiab peb tus menyuam. Qee zaum, qee qhov kev kis kab mob uas peb tau txais tuaj yeem cuam tshuam rau tus menyuam thiab. Hnub no, peb yuav tham txog ob peb qhov kev kis kab mob zoo li no. Tsis txhob txhawj, kev paub txog qhov no yog txoj hauv kev zoo tshaj plaws los tiv thaiv koj tus kheej.
TORCH Syndrome yog dab tsi?
Thaum koj hnov lo lus TORCH syndrome, tej zaum koj yuav xav tias nws yog ib yam kab mob xwb. Tab sis qhov tseeb nws tsis yog ib yam kab mob, tab sis yog kev sib sau ua ke ntawm ntau hom kab mob. Cov no yog cov kab mob uas tshwm sim los ntawm cov kab mob me me xws li cov kab mob bacteria, cov kab mob virus lossis cov kab mob parasitic. Yog tias leej niam kis cov kab mob no thaum cev xeeb tub, lawv tuaj yeem ua rau muaj teeb meem kev noj qab haus huv rau tus menyuam hauv plab lossis tus menyuam mos.
Cov ntawv hauv lo lus TORCH sawv cev rau cov hom kab mob no:
- T - Toxoplasmosis
- O - Lwm yam kab mob - Pawg no suav nrog cov khoom xws li HIV, Syphilis, Varicella, thiab kab mob thib tsib.
- R - Rubella lossis German measles
- C - Cytomegalovirus (CMV)
- H - Kab mob Herpes simplex
Cov kab mob no kis mus rau cov menyuam mos li cas?
Cov kab mob TORCH no tuaj yeem kis rau koj, koj tus menyuam uas tab tom loj hlob, lossis koj tus menyuam mos.
Tiamsis nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov qhov no. Txawm tias cov kws kho mob hais tias tsis yog txhua zaus uas leej niam kis tus kab mob, nws yuav kis mus rau nws tus menyuam. Yog li ntawd, tsis tas yuav txhawj xeeb yam tsis tsim nyog.
Muaj peb txoj kev tseem ceeb uas cov menyuam mos tuaj yeem kis tau cov kab mob no:
1. Los ntawm lub placenta: Qee cov kab mob tuaj yeem kis mus rau koj tus menyuam los ntawm lub placenta, uas muab cov khoom noj khoom haus thiab oxygen rau koj tus menyuam hauv koj lub tsev menyuam.
2. Thaum lub sijhawm yug menyuam: Thaum lub sijhawm yug menyuam, cov kab mob los ntawm qhov chaw yug menyuam tuaj yeem nkag mus rau hauv lub cev ntawm tus menyuam.
3. Thaum pub niam mis: Tsis tshua muaj, qee cov kab mob tuaj yeem kis mus rau tus menyuam los ntawm mis niam.
Vim tias tus menyuam lub cev tiv thaiv kab mob tsis tau loj hlob tag nrho hauv plab, nws thiaj li tiv taus tau kab mob zoo li tus neeg laus. Yog tias muaj kev kis kab mob, nws tuaj yeem cuam tshuam rau kev loj hlob ntawm qee lub cev ntawm tus menyuam.
Cov ntsiab lus hais txog hom kab mob TORCH
Tam sim no cia peb saib txhua hom kev kis kab mob no sib cais.
T - Toxoplasmosis
Qhov no yog ib qho kev kis kab mob los ntawm ib tug kab mob hu ua 'Toxoplasma gondii'. Nws nkag mus rau hauv lub cev los ntawm qhov ncauj. Nws tuaj yeem kis tau los ntawm cov khoom xws li nqaij thiab ntses tsis tau siav, zaub qias neeg, thiab dej tsis huv. Tshwj xeeb, tus kab mob no tuaj yeem pom muaj nyob rau hauv cov quav miv . Yog li ntawd, koj yuav tsum ceev faj heev yog tias koj tshem tawm cov quav miv thaum cev xeeb tub.
O - Lwm Tus Neeg Sawv Cev
Pawg no suav nrog ntau yam kab mob.
- HIV: Nws tsis tshua muaj menyuam yaus kis tus kab mob HIV rau lawv niam. Yog tias leej niam muaj tus kab mob HIV, qhov kev pheej hmoo ntawm kev kis tus kab mob rau tus menyuam tuaj yeem txo qis dua 1% los ntawm kev kho mob kom zoo ('Kev kho mob Antiretroviral - ART').
- Kab mob Syphilis: Qhov no yog ib yam kab mob sib kis los ntawm kev sib deev. Yog tias kuaj pom thaum cev xeeb tub, cov tshuaj tua kab mob tuaj yeem muab rau leej niam thiab tus menyuam kom lawv zoo tag nrho.
- Kab mob qhua pias (Varicella): Qhov no yog ib yam kab mob uas tshwm sim los ntawm tus kab mob varicella. Vim tias feem ntau cov neeg mob qhua pias thaum lawv tseem hluas thiab lawv tiv thaiv tau kab mob, yog li ntawd, nws tsis tshua muaj tus menyuam uas yuav kis tau kab mob thaum cev xeeb tub.
- Kab Mob Thib Tsib: Qhov no yog ib yam kab mob uas tshwm sim los ntawm ib hom kab mob hu ua 'Parvovirus B19.' Vim tias feem ntau cov neeg laus tsis muaj zog tiv thaiv kab mob no, nws tsis tshua muaj menyuam yaus raug kab mob no.
R - Rubella
Nws tseem hu ua kab mob qhua pias German. Yog tias nws tshwm sim thaum 12 lub lis piam thawj zaug ntawm cev xeeb tub, nws tuaj yeem ua rau muaj teeb meem loj rau tus menyuam. Txawm li cas los xij, ua tsaug rau koob tshuaj tiv thaiv MMR, tus kab mob no tam sim no tsis tshua muaj nyob hauv Sri Lanka thiab ntau lub tebchaws thoob ntiaj teb.
C - Cytomegalovirus (CMV)
Qhov no yog ib qho kab mob sib kis ntau hauv pawg TORCH. Nws kis tau los ntawm cov kua dej hauv lub cev xws li cov qaub ncaug thiab zis. Tshwj xeeb tshaj yog tias muaj lwm cov menyuam yaus me nyob hauv tsev, koj yuav tsum ceev faj heev thaum hloov lawv cov ntaub qhwv menyuam thiab thaum pub mis thiab da dej rau lawv.
Kab mob Herpes Simplex (HSV)
Qhov no kuj yog ib qho kab mob sib kis los ntawm kev sib deev. HSV-1 ua rau muaj cov pob liab feem ntau nyob ib puag ncig lub qhov ncauj, thaum HSV-2 ua rau muaj cov pob liab lossis mob hauv thaj chaw ntawm lub cev. Txawm tias yog leej niam cev xeeb tub muaj mob herpes, qhov kev pheej hmoo ntawm kev kis tus kab mob mus rau nws tus menyuam yog tsawg heev. Tshwj xeeb tshaj yog tias leej niam muaj mob herpes ua ntej cev xeeb tub, cov tshuaj tiv thaiv kab mob hauv nws lub cev hla dhau lub placenta thiab muab kev tiv thaiv rau tus menyuam.
Yuav ua li cas thiaj kuaj tau cov kab mob no?
Koj tus kws kho mob yuav xa koj mus kuaj mob thaum cev xeeb tub. Qee qhov kev kuaj mob uas feem ntau ua tau teev nyob rau hauv lub rooj hauv qab no.
| Hom kab mob | Qhov kev xeem ib txwm muaj |
|---|---|
| Toxoplasmosis | Txawm hais tias feem ntau tsis ua rau txhua tus neeg, kev kuaj ntshav (rau IgG, IgM antibodies) yog ua yog tias muaj kev pheej hmoo. |
| HIV thiab mob syphilis | Txhua tus niam yuav tsum tau kuaj ntshav rau qhov no thaum ntxov cev xeeb tub. Qhov no yog ib qho kev kuaj uas yuav tsum tau ua. |
| Rubella | Vim tias feem ntau cov neeg tsis muaj zog tiv thaiv kab mob MMR, feem ntau tsis kuaj mob, tab sis kuaj ntshav tau yog tias tsim nyog. |
| CMV thiab herpes | Kev kuaj tshwj xeeb (ntshav, zis, qaub ncaug) tsuas yog ua yog tias muaj cov tsos mob lossis yog tias tus kws kho mob muaj kev tsis ntseeg. |
Ntxiv rau, yog tias koj tus kws kho mob xav tau, nws tuaj yeem xa koj mus rau lwm yam kev kuaj mob, xws li kev kuaj PCR thiab kev ntsuas ultrasound.
Kev kho mob thiab kev tiv thaiv cov teeb meem
Qhov xov xwm zoo yog tias muaj kev kho rau ntau yam kab mob no. Kev kho mob nyob ntawm hom kab mob, nws qhov hnyav, thiab theem twg ntawm kev xeeb tub koj nyob hauv. Koj tus kws kho mob yuav sau ntawv kom noj tshuaj tua kab mob, tshuaj tua kab mob, lossis tshuaj tua kab mob.
Qhov tseem ceeb tshaj plaws yog kev tiv thaiv . Raws li cov kws tshaj lij hais, "kev kho mob zoo tshaj plaws yog kev tiv thaiv." Kev txhaj tshuaj tiv thaiv, kev tu cev huv si, thiab kev kuaj mob ua ntej yug menyuam raws sijhawm yog cov riam phom zoo tshaj plaws uas peb muaj los tiv thaiv peb cov menyuam ntawm cov kab mob no.
Qee cov kab mob tuaj yeem ua rau muaj teeb meem rau tus menyuam. Piv txwv li:
- Kab mob syphilis uas tsis kho tuaj yeem cuam tshuam rau kev loj hlob ntawm tus menyuam, kev pom kev, thiab kev hnov lus.
- Rubella tuaj yeem ua rau muaj kab mob plawv thiab teeb meem hlwb.
- Kev kis tus kab mob CMV tuaj yeem ua rau qee tus menyuam hnov lus tsis zoo.
Tiamsis tsis txhob txhawj. Tej yam no tshwm sim tsawg heev. Los ntawm kev ua raws li cov lus qhia kho mob kom zoo thiab mus kuaj mob tsis tu ncua, feem ntau ntawm cov kev pheej hmoo no tuaj yeem zam tau.
Koj yuav tsum ua li cas?
- Tsuas yog noj cov khoom noj uas siav zoo xwb: Tsis txhob noj nqaij nyoos, ntses, thiab qe nyoos.
- Ua tib zoo saib xyuas kev huv: Ntxuav cov zaub thiab txiv hmab txiv ntoo kom huv si ua ntej siv. Ntxuav koj txhais tes kom huv si nrog xab npum tom qab kov cov tsiaj lossis av.
- Xyaum kev sib deev kom muaj kev nyab xeeb: Tsis txhob sib deev tsis muaj kev tiv thaiv. Siv hnab looj tes yog ib qho tseem ceeb heev.
- Txhaj tshuaj tiv thaiv kab mob: Ua ntej koj cev xeeb tub, nrog koj tus kws kho mob tham txog seb koj puas tau txhaj tshuaj tiv thaiv kab mob uas tsim nyog, xws li MMR.
- Nrhiav kev qhia tswv yim kho mob: Yog tias koj muaj cov tsos mob txawv txawv (piv txwv li kub taub hau, tawv nqaij ua pob), mus ntsib koj tus kws kho mob tam sim ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- TORCH yog ib pawg kab mob uas tuaj yeem kis tau los ntawm niam mus rau menyuam thaum cev xeeb tub.
- Kev tiv thaiv cov kab mob no yog kev kho mob zoo tshaj plaws. Kev txhaj tshuaj tiv thaiv kab mob thiab kev tu cev huv si (tshwj xeeb yog ntxuav tes tom qab kov tsiaj txhu thiab nqaij nyoos thiab ntses) yog qhov tseem ceeb heev.
- Yog koj muaj cov tsos mob lossis xav tias koj tau kis tus kab mob, nrog koj tus kws kho mob tham tam sim ntawd.
- Txawm hais tias muaj ntau tus niam tau kab mob los xij, muaj feem ntau uas lawv yuav tsis kis kab mob rau lawv tus menyuam. Yog li ntawd, tsis txhob ntshai tsis tsim nyog thiab ua raws li cov lus qhia kho mob kom raug.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
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