TORCH is a term to describe the combination of four types of infectious diseases that Toxoplasma, Rubella, Cytomegalovirus and Herpes. The four types of defect infection, equally harmful to the fetus if a pregnant woman suffered an infection.
Now, for the diagnosis of infectious diseases has been growing among other toward immunological examination.
The principle of this examination is the detection of the existence of an anti-(antibody) specific taerhadap germs that cause infections such as the body’s response to foreign bodies (germs, antibodies may be the worst immunoglobulin M (IgM) and immunoglobulin G (IgG).
Toxoplasma infection is caused by a parasite called Toxoplasma gondi.
In general, Toxoplasma infections occur without specific symptoms. Approximately only 10-20% of cases of infection.
Toxoplasma were accompanied by mild symptoms, influenza-like symptoms, may develop fatigue, malaise, fever, and generally do not cause problems.
Toxoplasma infection occurs when harmful when the mother is pregnant or in people with compromised immune systems (such as people with AIDS, organ transplantation patients who received the drug suppressing the immune response).
If a pregnant woman infected with Toxoplasma, the consequences that can happen is spontaneous abortion or miscarriage (4%), stillbirth (3%) or infants suffering from congenital toxoplasmosis. on congenital toxoplasmosis, symptoms may appear as an adult, for example kelinan eyes and ears, mental retardation, seizures and encephalitis.
Toxoplasmosis diagnosis is clinically difficult to determine because the symptoms are not specific or even no symptoms (sub-clinical). Therefore, laboratory tests are absolutely necessary to get the right diagnosis. Examinations are commonly performed anti-Toxoplasma IgG, IgM and IgA, and IgG avidity anti-Toxoplasma.
Inspection must be carried on the person suspected of being infected with Toxoplasma, mothers before or during pregnancy (if the result is negative should be repeated once a month especially on pertma trimester, then each trimeter), and newborns of mothers infected with Toxoplasma.
Rubella infection is characterized by acute fever, skin rash and enlarged lymph nodes. The infection is caused by the Rubella virus, can attack children and young adults.
Rubella infection dangerous place in the young pregnant women, because it can cause abnormalities in the baby. If infection occurs in the first month of pregnancy, the risk of abnormalities was 50%, whereas if infection occurs first trimester then the risk to 25% (according to the America College of Obstatrician and Gynecologists, 1981).
Signs and symptoms of rubella infection varies for each individual, even in some patients are not recognized, especially when red rash appears. Hence, the exact diagnosis of rubella infection need to be enforced with the aid of laboratory examinations.
Laboratory examination was conducted on the examination of Anti-Rubella IgG IgM funds.
Examination of Anti-rubella IgG can be used to detect the presence of immunity at the time before pregnancy. If it does not have immunity, it is recommended to be vaccinated.
Examination of Anti-rubella IgG and IgM is particularly useful for the diagnosis of acute infection in pregnancy <18 weeks and the risk of congenital rubella infection.
CMV infections are caused by viruses Cytomegalo, and this virus group of viruses including the herpes family. As with other herpes family, CMV virus can stay latent in the body and CMV infection is one cause that is harmful to the fetus if a dangerous infection to the fetus when infection occurred when the mother was pregnant.
If pregnant women are infected. the fetus are at risk of contracting that such impaired liver enlargement, yellow, ekapuran brain, deafness, mental retardation, and others.
Laboratory tests are useful to determine the acute or recurrent infeski, where acute infection have a higher risk. Laboratory tests were conducted on the Anti-CMV IgG and IgM, and anti-CMV IgG avidity.
HERPES SIMPLEX TYPE II
Genital herpes infections (genital) is caused by herpes simplex virus type II (HSV II). This virus can be present in a latent form, propagates through sensory nerve fibers and autonomic nervous system diganglion silent.
Babies born to mothers infected with HSV II usually showed blisters on the porters, but this does not always appear so it may not be known. HSV II infection in newborns can be fatal (In more than 50 cases)
Laboratory tests, namely Anti-HSV II IgG and IgM is essential for early detection of possible infection by HSV II and mencaegah further danger to the baby when infection occurs during pregnancy.
TORCH infections that occur during pregnancy can harm the fetus. TORCH infection, clinical symptoms exist Searing indistinguishable from other diseases because the symptoms are not specific. Although no one gave these symptoms do not appear so difficult for doctors to make a diagnosis. Therefore, the laboratory is needed to help determine the TORCH infections that doctors can provide treatment or therapies.
- Anti-Toxoplasma IgG and IgM
- Anti-Rubella IgG and IgM
- Anti-CMV IgG and IgM
- Anti HSV II IgG and IgM
Given the dangers of TORCH for pregnant women, those of you who are planning a pregnancy or who are currently pregnant, consider the following suggestions so that your baby can be born with good and perfect.
Eating a nutritious diet
When pregnant, you should eat plenty of nutritious foods. In addition to good fetal development, as well as adequate nutrition will make the body healthy and strong. When the body is healthy, the body can fight various diseases including TORCH so it will not infect the body.
Perform tests before pregnancy
There are good, your body check before planning a pregnancy. You can check if the body contained a virus or bacteria that can cause infections TORCH. If you are already infected, follow the doctor’s advice to treat and delay pregnancy until they are completely healed.
Vaccination to prevent the entry of the parasite that causes TORCH. As rubella vaccine can be done before pregnancy. Only, you can not get pregnant until 2 months ago.
Eating foods that are cooked
Avoid eating food is not overcooked or undercooked. TORCH viruses or parasites cause can be found on the food and will not die if food is not cooked until done. To prevent that possibility, always consume cooked foods in your daily life.
Check the contents in manageable units
During pregnancy, be sure that you check the content routinely and regularly. The point is to be done immediately if the action in your body was infected with TORCH. Rough handling can quickly help the baby’s condition does not become worse.
Keep your body
Take care of your body hygiene. Basic hygiene procedures, such as hand washing is very important.
Avoid contact with disease
A pregnant woman should avoid contact with anyone suffering from a viral infection, such as rubella, also called German measles.
In seeking more information about pregnancy and care for him before and during pregnancy and to think carefully in advance about the various aspects of childbirth, a woman will do our utmost to ensure a safer pregnancy. So, for a pregnant woman, try to always be vigilant against various diseases such as TORCH for your baby is born healthy.