Do you want to do this test during pregnancy?

When preparing for pregnancy, everyone will definitely hear the "4 eugenics" and "5 eugenics" inspections that doctors or friends around them. What exactly is this inspection?Actually, the correct name should be TORCH examination.

When many people see it, they follow the trend to check, but in fact, I do n’t understand what is the use of this test. After seeing the result, seeing “positive” or high and low arrows, I doI was frightened enough.Today, let’s talk about "TORCH" seriously.

"Torch" refers to a group of pathogens that cause fetal malformation and dysfunction during pregnancy. Each letter represents a pathogen: "T" refers to the toxoplasmosis, "O" refers(Others), "R" refers to Rubella, "C" refers to the cytomegalovirus, "H" refers to Herpes Simplex Virus.Other pathogens include syphilis, small virus B19, etc. There are many types. Therefore, in this article, it focuses on bowworms, rubella viruses, giant cytoplasm viruses, and herpes zospellings.

Torch examination is to determine whether these pathogens are infected by drawing blood test.

The maternal and infant transmission will occur after the "TORCH" infection in the pregnant mother, which may cause intrauterine infection in the fetus, leading to abortion, premature birth, dead tires, fetal malformations and newborn infections.Therefore, doing this test is very meaningful.

However, TORCH checks are not everyone must do.It is generally for high -risk groups of infection, it is recommended to check before pregnancy.After pregnancy, if you are highly suspected of "TORCH" infection or people with high risk susceptible people, you can also make up for this examination.

The high -risk factors of TORCH infection include: pets before or during pregnancy; patients with rubella; husband and wife or unilateral skin rash or herpes have been suffered from genitals, lips or other parts; fever and / or upper respiratory tract infection symptoms during pregnancy.

Since TORCH screening has not yet been popularized before pregnancy, most of the tests are performed during pregnancy, that is, Torch screening during early pregnancy to understand the basic immune status of pregnant women.Remedies that have not been checked before pregnancy.

In addition to examination during pregnancy, it is recommended to conduct TORCH infection screening for women who have symptoms of infection and have a close contact with infected persons, and need to indicate the gestational week when conducting TORCH antibody screening, and the significance of different pregnancy weeks is different.

The TORCH test is usually checked by the blood drawing method (IGG, IGM), which detects the immune response generated by the posterior body of the virus stimulating machine. It is related to the immune function of the individual.The

IgG antibody can determine whether the body is immune to a virus;

IGM antibodies can be clear whether it is in the period of acute infection;

IgG antibody affinity can help confirm the infection time, and then judge whether it is primary or infected.

When getting the results of torch testing before pregnancy, look at it like this:

(1) IgG antibody positive, IGM antibody is negative, indicating that infected before, with protective antibodies, but also pay attention to protecting yourself during pregnancy. In a few cases, there is also the risk of infection.

(2) IgG antibody positive, IGM antibody is positive, may be recently infected, or long -term infection. You need to go to the hospital for review according to the doctor’s recommendation.See if you increase.

(3) IgG antibody negative, IGM antibody is positive, may be acute infection, or IGM is a fake positive. It takes 2 weeks to review. If IGG turns to positive, it means an acute infection and delay pregnancy.

(4) IgG antibody negative, IGM antibody is also negative, indicating that it is a susceptible high -risk population, which can be vaccinated with a rubella.Pay attention to protect yourself after pregnancy, and review IgG antibodies, IGM antibodies, and dynamically observe during early pregnancy.

When the Torch screening results are abnormal, and the diagnosis is confirmed to have a recent recent infection, if it is an acute infection found before pregnancy, it should be strictly contraception, postponed pregnancy time, and consult the doctor after healing.

If the recent infection found during pregnancy, the treatment of different pathogens is different:

Gow -shaped infection:

For pregnant mothers with toxoplasma infection, if they are found before 18 weeks of pregnancy, the risk is relatively large, which is likely to cause abortion, premature birth or fetal malformations.Need to do amniotic fluid puncture to determine whether there is an infection in the palace, and whether it affects the growth and development of the fetal baby: if the amniotic fluid hormone DNA is negative, it means that there is no infection in the palace, no treatment is required, but the pregnancy ultrasound monitor the fetus to monitor the fetus.Growth and development, and timely screening of newborns after birth.If the infection of the Toxoplasma is diagnosed, but the fetus has no ultrasound abnormalities, it can be treated with medication, such as ethylene, sulframine, metharochemidate, etc. Doctors will formulate a treatment plan for you.For fetal infection in the infection of the toxoplasma, there is no clear treatment plan at present, and the doctor will discuss with you in detail the possible risks, and the pregnant mother will decide whether to retain the fetus.

Follerella virus and giant cell virus infection:

If the rubella and giant cell virus are infected during pregnancy, don’t worry, it may not have an impact on the fetus, nor is it recommended for antiviral therapy, but you need to observe subsequent dynamic observations.

If the rubella virus infected after 20 weeks of pregnancy, the probability of malformations in the fetus is very small, but there is a possibility of slow development.

The infection of giant cell infections is also a dynamic observation of pregnancy, and there is no necessity.If the newborn has congenital giant cell virus disease after birth after birth, antiviral treatment is performed.

Pure herpes virus infection:

During pregnancy, herpes zosperthyll virus infection is less risk for fetal babies vertically. It is more common in infection during vaginal delivery during vaginal delivery.So don’t stop pregnancy immediately.

Pregnant mothers infected with herpes zosperthyll virus are recommended to detect serum IgM and IgG antibodies at 35-36 weeks of pregnancy, and detect HSV-DNA copies of the reproductive tract skin lesions.Treatment, inhibit virus replication, and reduce the risk of vertical transmission of viruses.If there is no problem, you can do it without treatment.


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