Thursday, 29 of July of 2010

analysis toxoplasmosis

Question: Dear doctor, please decode analysis, which my son did for toxoplasmosis. Results of the child IgM 0,068 (at 0,9 + -0,1), IgG <5,0 iu / ml (at 8.0); my results IgM 0,367 (at 0,9 + -0,1), IgG <33 9 iu / ml (at 8.0). Thank you very much for the answer.

Answer: You have a chronic form of the disease found. The son – no. You should visit infectionist personally. Sincerely, Zakharenko SM


staphylococcus – a STI?

Question: Dear doctor. Complaints about the white discharge during sex Prize. No STI is no other than MRSA-rented smear on pathogenic flora in the crop (but which one – "golden" or epidermal – not written) – feelings. to ceftriaxone, rifampin, doxycycline, resistant to azithromycin, erythromycin. I am planning a pregnancy in July. 1. whether the infection was an obstacle? 2. whether the infection of sexually transmitted diseases? 3. Do I need to cure it before planning a pregnancy? 4. Or do I not clog the head, and quietly become pregnant, and I because accusatory in itself infections waste time, but I have 29 years … Best regards, Marina.

Answer: If there are problems – complaints, allocation, and so forth, it is better to deal with them now. Apply to a gynecologist. Sincerely, Zakharenko SM


Detected infection. Is all afraid?

Question: I 20ned. pregnancy. When screening for TORCH-infection have been identified are: CMV: Ig G-22. 7, herpes (I + II): Ig G-19. 8, Toxoplasma gondii: Ig G-negative, Chlamydia: Ig G-negative, rubella virus: Ig g-20. 3 (with norms less than 9-Neg, more 11-pos.) I read about these infections are of course a lot of terrible, but judging by the testimony of any they are all not severe, or no antibodies detected (negative result). The doctor advised once again to pass the same tests. Please tell us if everything terrible for the fetus and whether it makes sense to duplicate the analysis in other honey. center?

Answer: From these results, the analysis should go to infectious disease. After examination and discussion he would make appropriate entries in your medical card and the gynecologist will not chase the lab tests in vain. A terrible and there is nothing. Sincerely, Zakharenko SM


toxoplasmosis

Question: Good day! I have a pregnancy of 12 weeks. on the analysis of blood infection. I got the following results were CMV Ig G positive Ig M negative. Herpes simplex Ig G positive Ig M Negative. IG M Toxoplasma negative, Ig G 105,35 IU / ml. Is it dangerous? and what treatment should be and whether it is during pregnancy? thanks

Answer: You need full-time consulting infectionist. Obvious danger in this analysis no. How to behave with these infections, and why do not excessively tell the doctor to treat them in interpersonal communication. Sincerely, Zakharenko SM


Rubella

Question: Sergei Mikhailovich, I plan a pregnancy, rubella is not sick, the immunity does not (have medical tests). My husband was sick in childhood rubella (this analysis confirmed IgG – 270 (at a rate of 0 -9)). Vaccinated, I do not want. Personally, my colleagues at work are no small children, so by my environment is minimal risk of infection. But my husband at work in almost all of my colleagues, children who go to kindergarten (and as I understand it, these children are the most "dangerous"), respectively, and their parents may become ill with rubella. I'm having 2 questions: 1) Can my husband (in case of illness of his colleagues) to be a carrier of the virus "to me"? Or, if he had so many antibodies, that his body is simply "ignore" Viru rasnuhi, and to convey to me he was not able to. . . 2) What precautions / prevention you advise pregnant women to avoid infection. (except vaccinations) Thank you in advance!

Answer: My husband will not be a source of infection. Do not want to be instilled – pryachtes. The farther away from the people – the better. as possible? Sincerely, Zakharenko SM


antibodies to toxoplasmosis

Question: Tell me, n-ta, the reaction of the organism (in terms of appearance of antibodies) for primary toxoplasmosis infection? In some sense, begins to produce antibodies in the first place: IgG and IgM? As can be seen if: 1) + IgM-IgG2)-IgM + IgGOgromnoe thanks!

Answer: The first always appear antibodies class M. In acute toxoplasmosis will not be M and G. In chronic inactive – will not be G and M.


Cytomegalovirus blood

Question: Good day! I have found in the blood of a cytomegalovirus. We only partner are tested, the virus was not detected. It turns out that it is hereditary. Question: How likely if pregnancy occurs with pathology of the child's birth (my parents, two normal children) and if I can infect a partner? Thanks in advance.

Answer: As an inheritance CMV is passed (it is not included in the human genome). Perhaps only the transmission of the virus through the placenta during pregnancy or after childbirth (from mother, from the pope, from someone else). Chronic CMV infection risk of the child during pregnancy significantly less. than in acute infection. So you're in a better situation. Husband can not infect. While this did not happen, probably will not happen, and more. But 100% guarantee no one will. Sincerely, Zakharenko SM


Cytomegalovirus infection

Question: Doctor, good afternoon. I have 8 weeks of pregnancy. Was tested for infection, the results of the following: CMV IgM-negative, CMV IgG-positive titer of 1.2 (standard put. Titers 1,1); Ureaplasma IgG-doubtful; Mycoplasma IgG-positive titer of 2.4 (standard put. Titers 1 1) The question is: Is it dangerous to these figures for pregnancy and for the fetus, or better to terminate a pregnancy? Waiting for your reply

Answer: Sami hazard analysis did not bear. If pregnancy is desired, occurred and is proceeding well – visit the gynecologist and to clarify the situation with the activity of these infections. Direct testimony to the abortion of your results there. Sincerely, Zakharenko SM


Traveling with chickenpox

Question: Dear Doctor. I would be very grateful for your advice. The problem is this: Two days ago, went with my daughter (6 years) in the Doctor Hospital, and then along a corridor running around the girl dressed in pink spots, (later found out that she had a child. Garden chickenpox). It turns out that we have had contact with her. A whole family six days leave for Spain. Maybe that girl was no longer contagious, once her mother has led to a public place where they were pregnant and babies? Is it not supposed to hold it in quarantine? Worry about her daughter-if you suddenly have the road it turns out that she was getting what to do? THANKS in advance!

Answer: If the spots were pink, the more likely it traces after chickenpox. After the 5-th day from the appearance of the last podsypany man is almost non-contagious. The risk of contracting, in my opinion, if this interpretation of your meetings is minimal. To prevent possible to use acyclovir (valacyclovir), but then need a personal consultation with a children's infectious diseases. Sincerely, Zakharenko SM


What?

Question: Zravstvuyte, doctor! "I have a question. I'm 26 years old. Yesterday 9. 07. in a summer cafe celebrated holiday. When I came home, on the inner side of the forearm revealed a pink spot diameter of 6.8 ml. It has already prohoit (do not know where it came from, seems to be no biting, or about that does not hit…). Into my head bad idea, because on TV and even in the newspaper saying that in a group of young people through all sorts of needles and blades in discos infect people of any contagion from hepatitis to HIV infection. Now very worried about this. Please, help with what to do? I have a family, no infection in the house never had. Own touchiness is haunted. What action is taken?

Answer: Take a bit of valerian, for example. What was not to guess. If you disappeared without a trace – why the thought of injection? You dramatiziruete situation more than necessary. Sincerely, Zakharenko SM