Togafitiga oona

Congenital toxoplasmosis o se kulupu o faʻailoga e tutupu pe a aʻafia se pepe le fanau mai (pepe) i le siama Toxoplasma gondii.

Ole faʻamaʻi ole Toxoplasmosis e mafai ona pasi ile pepe ua tupu aʻe pe a maua le tina aʻo maʻito. O le faʻamaʻi pipisi atu i le pepe tupu i le isi itu o le placenta. O le tele o taimi, o le faʻamaʻi e agamalu i le tina. Atonu e le o iloa e le fafine o loʻo ia te ia le papala. Peitaʻi, o le faʻamaʻi o le pepe ua tuputupu aʻe e ono mafua ai ni faʻafitauli matuia. O faʻafitauli e sili atu le leaga pe a fai o le siama e tupu i le amataga o maitaga.

E oʻo atu i le 'afa pepe oe ua aʻafia i le toxoplasmosis i le taimi o le maʻito, e fananau mai vave (vave). O le faʻamaʻi pipisi e mafai ona faʻaleagaina mata o le pepe, neula, paʻu ma taliga.

Tele taimi, e i ai faʻailoga o faʻamaʻi i le taimi e fanau ai. Peitaʻi, o pepe e mamaʻi siama atonu e leai ni faʻailoga mo ni masina poʻo ni tausaga talu ona fanau mai. A le togafitia, o le tele o tamaiti e maua i lenei faʻamaʻi pipisi tutupu faafitauli i a latou talavou. O faʻafitauli o mata e masani ai.

Faʻailoga e ono aofia ai:

• Faalauteleina ate ma spleen
• Talosaga
• Faʻaleagaina mata mai le fulafula o le retina poʻo isi vaega o le mata
• Fafagaina faʻafitauli
• Leiloa faʻalogo
• Jaundice (samasama paʻu)
• Paʻu maualalo o le fanau (intrauterine tuputupu aʻe tapulaʻa)
• Paʻu o le paʻu (tamaʻi mumu mumu poʻo le unooa) i le taimi na fanau ai
• Faʻafitauli vaʻai

O le faʻamaʻi o le faiʻai ma le neula e amata mai lava i le agamalu e ogaoga, ma ono aofia ai:

• Faoa faamalosi
• Le atoatoa le malosi o le mafaufau

O le a suʻesuʻe e le tausi soifua maloloina le pepe. Atonu o le pepe maua:

• Fula fulafula ma ate
• Paʻu samasama (jaundice)
• Fula o mata
• Suāvai i le faiʻai (hydrocephalus)
• Fula fulafula nodes (lymphadenopathy)
• Tele ulu lapoʻa (macrocephaly) poʻo laʻititi-nai lo-masani lapoʻa ulu (microcephaly)

O suʻega e mafai ona faia i le taimi o maʻito e aofia ai:

• Amniotic suavai faʻataʻitaʻiga ma fetal toto tofotofoga
• Antibody titer
• Ultrasound o le manava

A maeʻa le fanau mai, o suʻega nei e ono faia i le pepe:

• Antibody suʻesuʻega i le toto toto ma le suavai o le cerebrospinal
• CT faʻataʻitaʻi le faiʻai
• MRI vaʻai ile faiʻai
• Suʻega o neurological
• Suʻega masani mo mata
• Suʻega ole Toxoplasmosis

Spiramycin mafai ona togafitia faʻamaʻi i le maʻitaga tina.

Pyrimethamine ma sulfadiazine mafai togafiti fetal siama (faʻamaonia i le taimi o le maitaga).

Togafitiga o pepe ma masani ai toxoplasmosis masani ona aofia ai pyrimethamine, sulfadiazine, ma leucovorin mo le tausaga e tasi. O tama meamea e ave i isi taimi i le steroid pe a faʻamataʻu le latou vaʻai pe faʻapea e maualuga le polotini i le vaipuna.

O le iʻuga e faʻamoemoe i le tulaga o le tulaga.

Faʻafitauli e ono aofia ai:

• Hydrocephalus
• Tauaso pe ogaoga vaʻaiga vaʻaia
• Matuia tele le le atoatoa le malamalama poʻo isi neula faʻafitauli

Valaʻau i lau fomaʻi pe a fai o oe ma maʻito ma mafaufau o loʻo e ono aʻafia i se faʻamaʻi pipisi. (Mo se faʻataʻitaʻiga, o siama o le toxoplasmosis e mafai ona pasi ese mai pusi pe a e faʻamamaina le pusa lapisi o le pusi.) Valaʻau lau tautua pe a fai o oe o maʻito ma e leʻi i ai se tausiga muamua.

O fafine o loʻo maʻito pe ua fuafuaina e maitaga e mafai ona faʻataʻitaʻia e suʻe ai pe o latou lamatia mo le siama.

O fafine maʻitaga e iai pusi e fai ma fale fagafao atonu e sili atu le aʻafiaga. E tatau ona latou aloese mai le faʻafesoʻotaʻiga o fusi a le pusi, poʻo mea e mafai ona faʻaleagaina e iniseti e faʻaalia i fusi a pusi (e pei o sipi ma lago).

Faʻapea foi, kuka aano o manu seʻia maeʻa lelei, ma fufulu ou lima pe a maeʻa ona tagofia aano o manufasi e aloese mai le mauaina o le papala.

• Togafitiga oona

Duff P, Birsner M. Tina ma perinatal siama i maʻitaga: siama. I: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Faʻafitauli: Masani ma Faʻafitauli Maitaga. 7th ed. Filatelefia, PA: Elsevier; 2017: mata 54.

McLeod R, Boyer KM. Toxoplasmosis (Toxoplasma gondii). I le: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Tusitusiga o Pediatrics. 21 ed. Filatelefia, PA: Elsevier; 2020: mata 316

Montoya JG, Boothroyd JC, Kovacs JA. Toxoplasma gondii. I totonu: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, ma Bennett's Mataupu Faavae ma Faʻataʻitaʻiga o Faamaʻi pipisi, Faʻafouina Lomiga. 8th ed. Filatelefaia, PA: Elsevier Saunders; 2015: mata 280.