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风疹病毒igm阳性怎么治疗?

发布时间:2016-07-31   问大夫  责任编辑:红豆

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说到风疹病毒igm阳性,可能很多人都不太了解这种情况。风疹病毒igm阳性一般出现在孕妇身上。很多人在检查身体的时候,检测结果显示风疹病毒抗体igm为阳性,出现这种情况,自然是人们不希望看到。很多人都想知道风疹病毒igm阳性怎么治疗。那么,当igm为阳性时候,应该怎样治疗呢?下面小编带大家来了解一下。

风疹病毒igm阳性是什么

风疹病毒在人群中感染极为普遍,发达国家由于对学龄前儿童、青少年和育龄妇女广泛接种疫苗,使得风疹的发病率明显降低。而在我国不少地区仍有发生和流行,所以孕前检测都会进行风疹病毒的检测。那么,风疹病毒igm阳性代表什么意思呢?

风疹病毒抗体抗体igg和抗体igm。风疹病毒igg抗体是阳性就没有问题,说明是以前感染过的,现在已在体内有了抗体。可是如果是风疹病毒igm抗体是阳性的就说明是近期感染的病毒,这种情况下最好做羊水穿刺等查明胎儿有没有受到感染。

风疹特异性抗体igm测定一般在皮疹或感冒样症状出现后1~2周进行,igm阳性提示近期有急性风疹病毒感染,需要注意的是igm可以出现假阳性,此时需要进行风疹特异性igg亲和力试验,Igg亲和力高,多提示过去而不是新近感染。

另外,孕妇感染风疹病毒后血清中igm的持续时间短暂,若合并宫内感染,则血清中可持续监测到igm。专家表明,孕妇风疹病毒igm单次阳性应该谨慎对待,因为1此风疹病毒igm阳性难以判断是否有感染,不能作为指导妊娠处理的依据。这种情况下,应该到医院复查,听取医生的建议。

一般认为,风疹病毒igm阳性的孕妇应该进行连续多次检测,对连续3个月以上持续阳性的孕妇可大致确定为风疹病毒宫内感染,并可从优生优育的角度劝其终止妊娠。

风疹病毒igm阳性怎么治疗

风疹病毒igg主要用于诊断风疹病毒的即往感染,而风疹病毒igm主要用于诊断病毒的急性感染。孕妇感染风疹多在怀孕l6周,除可致流产、死亡外,所生婴儿还可发生先天性风疹综合征igm抗体阳性提示有近期感染,必要时应终止妊娠;成人及儿童感染风疹毒会引起皮疹,淋巴结肿大的症状;妊娠期妇女感染风疹病会造成胎儿损伤,如新生儿畸形、肝脾肿大、神经发育障碍、先天性心脏病等。

一般情况下,当检测到风疹病毒igm阳性时候,最好去医院重新复诊进行确认。初次之外,还可以做到以下几点进行风疹病毒igm阳性的改善:

1、积极调动自身本身的免疫防卫体系,人本身是有这个能力的。

2、有必要的话,接种风疹疫苗,那也是帮助或完善自身免疫系统的。

3、注意卧床休息,多喝开水;饮食以流质或半流质,即牛奶、稀粥、蛋羹等。

4、做好五官的护理:可用棉花沾湿生理盐水清洗五官,年龄大的患儿可用盐开水漱口;在清洗完鼻腔分泌物后,可涂以石腊油或金霉素软膏,以保护鼻腔粘膜。

风疹病毒igm阳性可以怀孕

育龄妇女在怀孕前期,都会进行TORCH检测,所以,大家对TORCH的检测结果还是很关心的。TORCH是指可导致先天性宫内感染及围产期感染而引起围产儿畸形的病原体。孕前TORCH的检测就是要了解妇女对这几种病毒的免疫状况,是否需接种风疹疫苗或是否对其他病毒具有一定的免疫力,从而指导孕前妇女怀孕的时间及注意事项,达到优生的目的。

那如果被检测到风疹病毒igm为阳性,是否可以怀孕呢?

TORCH检测包括igmigg两种抗体,前者表示新近1~2月的感染,后者表示既往感染,表示具有一定的免疫力,尤其是风疹病毒igg阳性,认为有终身的免疫力。

风疹病毒igg抗体阳性表示过去感染,有一定的免疫力,但是需要特别注意的是,只检测单项风疹病毒iggigm都不能准确确定其免疫状态和是否存在风疹病毒宫内感染的可能性。

妊娠者igm抗体阳性率会高于初次妊娠者。在风疹病毒igm阳性的情况下,最好到医院进行复诊确定是否有感染,并有针对性接受治疗或终止妊娠。若胎儿未感染,可通过让孕妇接受治疗,避免胎儿感染;若胎儿已感染,并且引起了内脏器官异常,医生通常建议孕妇终止妊娠;若胎儿虽已感染,但未查出内脏异常,可到优生门诊接受规范治疗,有可能会产下健康的婴儿;获知孩子出生后,可能会出现神经和心血管系统等先天性隐形疾病,这些疾病极难治愈,只能采用康复训练等早期干预手段,缓解患儿症状。

孕妇风疹病毒igm检测与分析

一般孕前检查,主要的观察指标为风疹病毒igm抗体的阳性率、igm抗体检测结果与孕次的相关性。

孕妇若被感染后,自身症状轻微,甚至无症状,但可垂直传播给胎儿,造成宫内感染,使胚胎和胎儿呈现严重的症状和体征,甚至导致流产、死胎、死产,即使出生后幸存,也可能遗留中枢神经系统障碍等严重先天缺陷。

风疹病毒感染造成的危害程度与孕龄有关,妊娠2个月内感染,婴儿先天性畸形发生率为11%~58%3个月内为7~15%4个月内为7%以下。另外,孕8周前,胎儿的异常表现为多种器官受累,致畸形为100%;先天性耳聋的婴儿中约1/3发生过风疹病毒宫内感染,且多发生于孕13~16周。因此,对妊娠4个月内,特别是妊娠早期(1~3个月)的孕妇,进行风疹病毒的血清检测十分。

风疹病毒感染的预防主要是免疫预防,应加强和规范风疹疫苗的预防接种,使孕前育龄妇女或孕妇有足够的抗风疹病毒的免疫力,以降低孕前风疹病毒的感染率,建议育龄妇女在孕前进行一次风疹病毒感染的检测。对于igm阴性者,应进行疫苗接种;igm阳性者,标识近期感染,如果感染发生在孕早期(3个月内),应劝说孕妇终止妊娠;对中、晚期孕妇或不愿终止妊娠者,应给予超声检查,羊膜腔穿刺以明确胎儿有没有感染。

所以,孕妇血清风疹病毒igm,特别是联合igg抗体检测,有助于预测妊娠结局和新生儿的普查,对降低先天性畸形患儿的发生率有重要的临床意义,值得进一步推广。

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