Toxoplasmose christmas pregnancy: cliffs, treatment and how to prevent

To toxoplasmose, also known as doena perform cat, a common infectious doena in tropicais countries, caused by intracellular parasitic hair obrigatrium Toxoplasma gondii. In addition, 2 cases do not manifest symptoms, infection is associated with high morbidity during pregnancy.

Due to the prevalence of infectious hair Toxoplasma gondii varivel electronic, in some regies perform Brazil, can reach 65% by uma populao. There are no national data on the incidence of toxoplasmose in pregnancy, but it is estimated that the prevalence of congenital infection varies from 0.1 to 0.3 per 1. 000 born alive.

How does the contaminate happen

Contaminated by toxoplasmose it can occur through a ingestion on cysts present in raw meat (or poorly cooked) from infected animals or hair direct contact with fezes on cats contaminated, perform alone, from uma areia or on cans on lixo.

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Embora seja a contagious doena, a toxoplasmose zero ze transmits on pessoa pra pessoa – com exceo dieses intrauterine infections.

When a pregnant woman presents acute infection during pregnancy, the parasites can infect electronic sony ericsson multiply the placenta, checking fetal circulation, as Isabella Albuquerque, electronic obstetrician gynecologist at Pineapple Integrative Medicine, addresses. Pregnancy does not start frequently to infect less, but it can cause serious complications to the baby.

Symptoms about toxoplasmose Christmas pregnancy

A majority of 2 cases of toxoplasmose asymptomatic or presented nonspecific symptoms, confusing mainly with common symptoms of other diseases, such as influenza, dengue, infectious cytomegalovrus electronic mononucleose, second protocol on electronic notification or investigation of gestational toxoplasmose electronic congnita, perform Ministrio de uma Sade.

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Second Albuquerque electronic Silvana Chedid Grieco, gynecologist perform Medical center Srio-Libans electronic obstetrician, operating system symptoms that I learned to manifest include:

  • Fever
  • Ill-being
  • Dor body hair
  • Dor over head
  • Increased gnglios
  • Skin rash (erupes cutaneous vermelhas).

Cliffs of a toxoplasmose for a baby

To toxoplasmose a doena on nature plot when transmitted to a fetus during pregnancy. Or risk of fetal electronic infection to gravidade perform attack this related gestational age to acute maternal infection.

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Or period between 10 electronic 24 weeks considered on higher cliff for a fetus, with higher probability on complications, on agreed with Isabella Albuquerque. “As the pregnancy evolved, or the risk of transmission increases, the more injuries to children usually become less aggressive”, he explains to a gynecologist.

Second Albuquerque electronic Chedid, h alteraes fetais incluem:

  • Microcephaly
  • Intracranian calcifications
  • Cardiomegaly (large heart)
  • Hepatosplenomegaly (magnification perform fgado electronic bathroom)
  • Ascite (“belly of water”)
  • Cataract
  • Hydropsy
  • Alteraes cerebrais electronic neurologicas
  • Alteraes intestinais.
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“Clinical chart found na um tero 2 electronic cases absent on ultrassonographic alterations zero excluded doena”, Acrescenta Silvana Chedid.

Diagnosis on toxoplasmose at christmas pregnancy

Or diagnosis depends on a performance of a sorology for the infection during a pr-natal. It was carried out with operating system sorological tests for the detection of IgG electronic IgM against Toxoplasma gondii. On according to the results, it is possible to find:

  • Suscetveis pregnant women (IgM and IgG negative)
  • Immune pregnant women (positive IgG and negative IgM)
  • Pregnant women with acute or chronic infection (positive IgM and negative IgG).
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Alm 2 tests on blood, a transmission up and down confirmed transplantation by performed on amniocentesis (point for withdrawal on amniotic fluid) between 17 electronic 32 weeks, performing DNA perform toxoplasma by PCR zero amniotic fluid, as explained by Silvana Chedid.

“Amniocentesis is indicated in all operating system cases on maternal soroconvert or ultrassonographic sinais on fetal infection”, acrescenta.

Treatment on toxoplasmose at christmas pregnancy

Seeing that pregnant women with acute quadro on toxoplasmose, or use of uma spiramycin on prophylactic form can reduce na from 50% the fetal transmission. For pregnant women, you have a clinical picture suggestive of acute pain, or medication must be introduced at or diagnosis. If possible, it is ruled out, prophylaxis can be suspended.

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Therefore, if fetal infection is confirmed, Albuquerque clarifies that a treatment must be initiated with the administration of three electronic medications maintained at delivery. Therefore eles:

  • Sulfadiazine
  • Pyrimethamine
  • folinic acid .

Or contraindicated treatment zero first trimester, must be started from about 15 weeks.

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“Na relao ao fetal accompaniment, it must be carried out with control, with periodic ultrassom, for investigation on alteraes fetais, of an evaluation of a fetal vitality on a weekly basis” alm, explains to electronic obstetrician gynecologist.

Dry them of a toxoplasmose for a baby

A majority of 2 newborns have zero symptoms. Contudo, it is possible to find alterations such as retinochoroidite, hydrocephalus, electronic intracranial calcifications l not born in 10% 2 cases, second Albuquerque.

Na maioria dieses crianas shaved pela toxoplasmose, while sequelae thus late electronic, with adequate treatment, many can solve problems such as:

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  • Neurological complications
  • Surdez
  • Cegueira
  • Zero development delay
  • Renais problems
  • Liver Problems
  • Psychological delay.

How to prevent the toxoplasmose Christmas pregnancy

In anticipation of a maternal infection also possible through habits on electronic hygiene and maintenance on an adequate food. Some of these habits include:

  • Do not eat raw or badly raked meat
  • Give preference to frozen meats
  • Do not eat ovos crus or undercooked
  • Drink filtered gua
  • Use luvas for electronic food handling raw meats
  • Do not use the same faca to cut meats, vegetables, electronic fruits
  • Wash with fruits, vegetables electronic legumes
  • Avoid contact that may be contaminated eat the fezes of a cat, like cans of lixo or areia. Sony ericsson or domestic cat, use on luvas to hand your box on areia
  • Feed domestic cats with raes You trade
  • Always carry out cleaning on containers where cats deposit their fezes.
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    All pregnant women must undergo sorology for toxoplasmose na first consultation on pr-natal. As an early diagnosis, it is possible to initiate the appropriate treatment to avoid fetal infection.

    Immunocompetent pregnant women need to carry out new exams later. The pregnant women must carry out a monthly sorology in order to verify the possibility of soroconverso.

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