Treatment and nursing of pregnant women infected with Toxoplasma gondii

When a pregnant woman first contracts toxoplasmosis, she does not have any symptoms, or the symptoms are so mild that they cannot be detected at all. Gradually, she will feel that she is prone to diarrhea, vomiting and other symptoms. At this time, she must go to the hospital for a detailed examination, otherwise it will affect her fetus. So what are the treatments and care for toxoplasmosis in pregnant women?

Treatment

The earlier the treatment, the fewer sequelae there will be. Once diagnosed during pregnancy, acetylspiramycin should be used, 0.5g each time, 4 times a day, for 2 weeks as a course of treatment, and then repeated after a 2-week break. It has been reported that it can indeed reduce the incidence of congenital toxoplasmosis. Newborns born to pregnant women with toxoplasmosis should be treated with acetylspiramycin even if they appear normal. Take 30 mg orally 4 times a day for 1 week.

Diet and health care

Do not eat raw or undercooked meat, eggs and dairy products. Avoid contact with animals such as cats and dogs. Pregnant women should not keep cats at home, let alone hold and play with cats or have close contact with them. The placentas of sick patients and animals or aborted or stillborn fetuses should be sterilized, cremated or buried deeply. For susceptible groups, such as slaughterhouse and meat processing workers, personal hygiene should be maintained and serum antibodies should be tested regularly to ensure timely detection and treatment.

Preventive Care

To avoid the occurrence of congenital toxoplasmosis in children, pregnant women with a clear history of animal contact should be tested for Toxoplasma IgM in the early, middle and late stages of pregnancy, so that cases of acute Toxoplasma infection can be detected early, and the pregnancy can be terminated in time or adequate drug treatment can be given as early as possible.

Pathological etiology

There are two types of infection: congenital and acquired. Congenital infection is more serious and is often accompanied by central nervous system symptoms. It is divided into two types: recessive and dominant. The recessive type is also known as the asymptomatic type or latent type. It is the most common clinically. Children are healthy in the first month after birth, with no obvious abnormalities. Most of them develop retinal choroiditis in the 2nd to 7th month after birth. Ocular and central nervous system symptoms can sometimes be delayed for several years, or even in adulthood. The dominant type, also known as the inflammatory type, is less common in clinical practice. The manifestations are typical congenital toxoplasmosis. The acquired infection is mild, with most cases showing no symptoms, and is divided into two types: localized and systemic. The most common localized type is enlargement of the anterior cervical and occipital lymph nodes, often accompanied by low fever, weakness, sore throat, etc. The systemic type may be manifested by high fever, maculopapular rash, headache, vomiting, etc. Whether toxoplasmosis is congenital or acquired, it is mostly a latent infection. Its incidence has obvious regional differences and gradually increases with age.

The above article describes some treatment and care methods for Toxoplasma gondii in pregnant women, so you must go for regular prenatal check-ups, detect it early, and then develop a treatment plan, otherwise it is very likely to cause malformations in your fetus.