TORCH Check, Here's What You Should Know

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TORCH Check, Here's What You Should Know
TORCH Check, Here's What You Should Know

The TORCH examination is an examination carried out to detect the presence of infection in pregnant women. With this examination, infection can be detected early, so the risk of transmission and complications of infection to the fetus can be prevented

TORCH, sometimes called TORCHS, is an abbreviation of several names for infectious diseases, namely Toxoplasmosis, Rubella, Cytomegalovirus, Herpes simplex virus, and Syphilis.

TORCH Check, Here's What You Should Know - Alodokter

Basically, when the body is attacked by foreign microorganisms, such as viruses or bacteria, the immune system will produce compounds called antibodies. The role of these compounds is to fight and prevent these microorganisms from causing disease.

In this case, the TORCH examination is carried out to detect antibodies produced by the body when attacked by microorganisms that cause the above infectious diseases.

The following is an explanation of the diseases that are classified as TORCH:

  • Toxoplasmosis

    Toxoplasmosis is an infection caused by the parasite Toxoplasma gondii. This parasite can be found in the feces of infected cats and undercooked food. If a pregnant woman has toxoplasmosis, the parasite can be transmitted to the fetus and cause the fetus to be born with he alth problems, such as serious eye infections, hearing loss, or mental disorders.

  • Rubella

    Rubella is also known as German measles. If it occurs in pregnant women, this infection can transmit to the fetus and cause the fetus to be born with heart defects, deafness, visual disturbances, lung infections, blood disorders, or growth delays. In addition, as the baby grows, rubella infection can also cause central nervous disorders, immune system disorders, or thyroid disorders.

  • Cytomegalovirus (CMV)

    Cytomegalovirus (CMV) is a type of virus that generally attacks adults and rarely causes serious he alth problems. However, in fetuses and newborns, the virus can cause deafness, visual impairment, pneumonia, seizures, and growth retardation.

  • Herpes simplex virus (HSV)

    HSV is a virus that can cause herpes, both oral and genital, in adults. Babies can catch the herpes virus from their mother during childbirth, especially if the mother has genital herpes.In infants, herpes virus infection can cause symptoms, such as rashes filled with fluid in the mouth, eyes, and skin, the baby looks lazy, respiratory problems, and seizures.

  • Syphilis

    Pregnant women can get syphilis through sexual intercourse, which can then be transmitted to the fetus they are carrying. This infection, which is often called “lion king disease”, can cause miscarriage, premature birth, and deafness.

TORCH Check Indication

TORCH examination can be performed on pregnant women in the first trimester and newborns who show symptoms of infectious diseases classified as TORCH, such as:

  • Weight and body length are smaller than babies his age
  • Cataract
  • Thrombocytopenia
  • Seizure
  • Heart disorders
  • Deaf
  • Enlargement of liver and spleen
  • Jaundice (jaundice)
  • Delay in growth

TORCH Check Alert

The TORCH test is carried out to detect antibodies that are new or have been produced by the body. The antibodies are IgM and IgG for TORCH. A positive result for the TORCH test does not necessarily mean you are experiencing an infection from a disease that belongs to the TORCH category.

If the IgM result is positive, it means that an infection is currently occurring. If the IgG result is positive, then there can be two possibilities, namely having had an infection or having had a vaccine for TORCH. Meanwhile, if both antibodies are positive, the doctor will perform another examination to confirm the presence or absence of infection.

It's a good idea to consult a doctor for the results of the TORCH examination, so that early treatment to prevent complications can be carried out.

Before TORCH Check

The TORCH check is a simple check, so it generally doesn't require any special preparation. However, the patient needs to tell the doctor if he is suffering from a disease, even if it is not a disease that belongs to the TORCH category.

Patients should also notify their doctor if they are taking certain medications. If needed, the doctor will ask the patient to fast and stop taking medicines for a while.

TORCH Check Procedure

The TORCH examination procedure is quite simple, which focuses on blood sampling and antibody detection. This examination can be done at the nearest clinic or hospital. The stages take place as follows:

  • The doctor will sterilize the body part where the blood sample will be taken. Usually, a blood sample will be taken from a vein in the arm.
  • The doctor will tie the upper arm using a special tool so that the veins in the arm are bulged and clearly visible.
  • The doctor will then insert a needle into the vein and insert a sterile tube to collect the blood sample.
  • The band on the arm will be released so that the blood can flow automatically into the sample tube.
  • Once it is enough, the doctor will remove the needle and put a bandage on the needle puncture point.

Blood samples that have been taken will be taken to the laboratory to be checked for IgM and IgG TORCH. Through the results of the examination, the doctor will assess whether the patient is, has, or does not have an infection.

After TORCH Check

If the patient is suspected to be positive for a disease classified as TORCH, the doctor will recommend the patient to undergo another examination to confirm the diagnosis. Some follow-up examinations that can be carried out after the TORCH examination are:

  • Lumbar puncture test, to detect toxoplasmosis, rubella, and herpes simplex virus infections in the central nervous system
  • Skin lesion culture test, to detect herpes simplex virus infection
  • Urine culture test, to detect c ytomegalovirus infection

If the diagnosis is confirmed, the doctor will determine the appropriate treatment according to the patient's condition.

TORCH Examination Complications

The TORCH check is a simple and generally safe check. However, taking a blood sample in the TORCH examination can still cause a number of complications, such as redness at the blood sampling site, pain, or bruising.

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