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Toxoplazma Negatif Ve Pozitif Olmasının Etkileri

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Toksoplazma, toksoplazma gondii ismi verilen parazitin yaptığı bir enfeksiyondur. Bu parazitlerin bulaşması çiğ et yenmesi e kedi dışkısı ile temas eden eşyanın ellenmesiyle ağız yoluyla olur. Köpeklerle bu hastalığın etkisi yoktur. Gebe kişiler enfeksiyonu alırlarsa plasenta yoluyla enfeksiyon fetüse de geçebilir.

Kediler bu parazitlerin ana konağı ve taşıyıcısıdır. Kedi bağırsağında parazitin sporozoit denilen formları bölünür ve çoğalır. Ookist olarak dışkıyla dışarı atılır. Dış ortamda bulunana her şeye bulaşabilir ve oradan da birşekilde ağız yoluyla kişiye bulaşır. Bu enfeksiyon 5-18 gün süren kuluçka döneminin ardından çocuklarda veya yetişkinlerde farkedilmeden geçirilir ve tedavi gerektirmez. Aıds gibi bağışıklık sistemini bozan hastalığı olan kişilerdeve gebelerde sıkıntı yaratabilir. Genellikle grip benzeri ateş, halsizlik ve kaslarda, eklemlerde ağrı gibi belirtilerle kendiliğinden iyileşir.

Bebeğe ne gibi zararları vardır?

Gebelik olmadan geçirilen toksoplazma enfeksiyonu gebeliği etkilemez. Bebeğe geçen bu enfeksiyon, düşük riski, rahim içi ölüm, hidrosefali, beyin hasarı, zeka geriliği, görme problemi, işitme problemi, serebral kalsifikasyon, karaciğerde ve dalakta büyüme, myokardit ve pnömoni gibi problemlere neden olabilir. Hastalığın klasik üçlü hasarı 1. hidrosefali, 2. intrakranial kalsifikasyonlar (beyinde hasar), 3. koryoretinit (göz hasarı)’dır.

Annede toksoplazma enfeksiyonu tanısı

Anne adayında parazitin kendisinin veya parazite karşı oluşmuş antikorların tespiti için bazı yöntemler mevcuttur. Bu yöntemler ile tespit edilen antikorlardan IgM enfeksiyonun yeni geçirildiğini gösterir. IgG ise eskiden geçirilen ve bağışıklık kazanılmış enfeksiyonun göstergesidir. Fakat bu antikorlar her zaman çok doğru sonuçlar vermeyebilir. Toksoplazma IgG avidite testi ile enfeksiyonun ne kadar zaman önce geçirildiği tespit edilir. Adivitenin yüksek olması enfeksiyonun son 3 ayda geçirildiğini söyler. IgM pozitif ve IgG negatif ise enfeksiyonun yeni geçirilmiş olduğu anlaşılır.

Gebelikte enfeksiyon geçiriliyorsa ne yapmalı?

Gebelikte geçirilen toksoplazma enfeksiyonunun bebeğe kesin zarar vereceği söylenemez. Ancak tabiki risk büyüktür. Bu risk aileye anlatılır ve aile gebeliğin sonlandırılmasını isterse gebelik sonlandırılır. Aile gebeliği sonlandırmak istemezse antibiyotik başlanılır ve doğumdan sonra bebeğe de antibiyotik verilir. Antibiyotik bebeğin etkilenmesini önlemez fakat bebekte oluşan şiddeti azaltır.

Toksoplazma enfeksiyonundan korunmak için neler yapmalı?

Gebelik döneminde evde kedi besleyenler kedinin dışkısı ile temas etmemeliler. Kediye dokunduktan sonra eller güzelce yıkanmalıdır. Çiğ et veya az pişmiş etten uzak durulmalıdır. Çiğ ete çıplak elle dokunulduğunda eller sabunla yıkanmalıdır. Meyve ve sebzeler bol su ile yıkanmalıdır. Kediler dışarı çıkarılmamalıdır ve konserve besinlerle beslenilmelidir. Eller ağıza ve göze sürülmemlidir.

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