KONJENİTAL TOXOPLASMA GONDİİ ENFEKSİYONU

Abstract

Hamile kadınlar Toxoplasma gondii enfeksiyonunu genellikle asemptomatik olarak geçirmelerine rağmen bebeklerini enfekte ederek onlarda bu enfeksiyona bağlı ciddi sekellere neden olurlar. T. gondii enfeksiyonu fetusda mental retardasyon, havale, körlük ve ölüm gibi ciddi sağlık problemleri ile sonuçlanır. Bu sağlık problemlerinden bazıları 20`li ve 30`lu yaşlara kadar ortaya çıkmayabilir. Gebede akut T. gondii enfeksiyonu tanısında serolojik testler kullanılır. Bu testlerde sıklıkla yalancı pozitif sonuçlara rastlanılır. Bu nedenle potansiyel toksik etkileri olan ilaçlarla tedaviye baslamadan önce mutlaka pozitif serolojik test sonuçları referans laboratuvarında doğrulanmalıdır. Çoğu durumda konjenital toksoplasmosis hamile kadınların ve diğer doğurganlık yaşında olan kadınların çiğ veya pişmemiş et ürünleri tüketmemeleri, bu tür gıdalarla kontaminasyondan kaçınmaları ve kontamine toprak veya enfekte kedilerin dıskı kaplarına maruz kalmaları durumlarında kendilerini korumaları konularında eğitilmeleri ile önlenebilir.

Keywords

• Toxoplasma gondii, Konjenital enfeksiyon, Tanı, Tedavi, İzlem

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