ʻAʻole paha ʻoe i lohe i kēia maʻi i kapa ʻia ʻo CMV ma mua. ʻAʻole ia he mea kupanaha. No ka mea, he maʻi maʻamau loa ia, akā hiki ke hūnā ʻia i loko o ke kino me ka ʻole o ka hōʻike ʻana i nā hōʻailona nui i kahi pākeke olakino. Eia nō naʻe, inā he makuahine hāpai ʻoe, a inā nāwaliwali kou ʻōnaehana pale, he mea nui loa ia e makaʻala i kēia maʻi CMV. No laila e kamaʻilio maʻalahi kākou e pili ana i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka CMV?
ʻO Cytomegalovirus, a i ʻole CMV no ka pōkole, he virus ia no ka ʻohana virus herpes. E hoʻomanaʻo paha ʻoe ʻo nā virus e hoʻoulu ai i nā maʻi e like me ka chickenpox a me ka herpes no kēia ʻohana nō hoʻi. ʻO kekahi o nā hiʻohiʻona kūikawā o kēia mau virus, ke komo lākou i ke kino, hiki iā lākou ke noho hiamoe i loko o ko mākou mau hunaola kino no ke ola, ʻo ia hoʻi, ʻaʻole hiki iā lākou ke hana ʻino.
Ua like ke ʻano o ka maʻi CMV. Hoʻomohala ka nui o ka poʻe i kēia maʻi me ka ʻike ʻole, a ua kāohi ʻia e ka ʻōnaehana pale o ke kino, a lilo ia i mea hiamoe. No laila, ʻaʻohe ona hopena nui i ke kanaka olakino.
Eia nō naʻe, inā ua nāwaliwali ka ʻōnaehana pale o kekahi, no ka laʻana, kekahi me ka maʻi HIV, kekahi me ke kanesa, a i ʻole kekahi i loaʻa i kahi hoʻoili kino, hiki i ka maʻi CMV hiamoe ke hoʻāla hou , hiki ke hoʻoulu i nā pilikia olakino koʻikoʻi.
ʻEkolu mau ala nui e hiki ai ke hoʻolaha ʻia ka CMV:
E nānā kākou pehea e puka mai ai kēia maʻi.
1. CMV hānau: ʻO kēia kahi e pono ai mākou e kālele nui i ka nānā. Inā loaʻa ka maʻi CMV i ka makuahine i ka wā hāpai, hiki ke laha i ka pēpē i loko o ka ʻōpū.
2. Ka maʻi CMV mua: ʻO kēia ka wā e loaʻa ai i ke kanaka ka CMV no ka manawa mua i ko lākou ola. ʻAʻole ia e hōʻike pinepine i nā hōʻailona nui.
3. Hoʻāla hou ʻana: E like me ka mea i ʻōlelo ʻia ma mua, hana hou ka maʻi i moe i loko o ke kino ke hoʻonāwaliwali ʻia ka ʻōnaehana pale.
He aha nā hōʻailona o CMV?
Pili kēia i ke kūlana olakino o ka mea i loaʻa i ka maʻi.
Nā hōʻailona maʻamau i ke kanaka olakino
Inā loaʻa i kekahi kanaka me ka ʻōnaehana pale ikaika ka CMV, ʻaʻole lākou e hōʻike pinepine i kekahi mau hōʻailona. I kekahi manawa loaʻa iā lākou ke kuni a me nā ʻeha kino e nalowale ana i loko o kekahi mau lā. No laila, ʻaʻole lākou i ʻike he CMV ko lākou. ʻO nā hōʻailona maʻamau:
- Manaʻo luhi loa (Fatigue)
- Kuni a me nā anu
- ʻeha ka ʻāʻī
- ʻEha ʻiʻo
- ʻEha poʻo
- Ka pehu ʻana o ke kuʻekuʻe wāwae
Inā loaʻa ka maʻi CMV i ka pēpē i ka wā hāpai (Congenital CMV)
ʻO kēia ke kūlana koʻikoʻi loa. ʻAʻole nā pēpē a pau i loaʻa i ka CMV i ka wā hānau e hōʻike i nā hōʻailona. Eia nō naʻe, ma kahi o hoʻokahi o ʻelima mau pēpē e loaʻa paha nā hōʻailona i ka wā hānau a ma hope paha.
ʻO ka mea nui loa, inā loaʻa i ka makuahine kahi maʻi CMV mua i ka wā hāpai, ʻoiai i nā mahina mua ʻekolu, ua nui ka pilikia o ka pēpē i nā pilikia.
| Nā hōʻailona hiki ke loaʻa i kahi pēpē i loaʻa i ka CMV i ka wā hānau | |
|---|---|
| Ka hānau mua ʻana | Kaumaha hānau haʻahaʻa |
| Nā ʻōpala e like me ka palapū | Melemele o ka ʻili a me nā maka (Jaundice) |
| Ka pehu ʻana o ke akepaʻa a me ka spleen | Poʻo liʻiliʻi (Microcephaly) |
| Nā hopu ʻana | ʻO ka nalowale o ka lohe - ʻO kēia ka pilikia nui a maʻamau. |
| Nā pilikia ʻike | Nā lohi o ka ulu ʻana a me ka neʻe ʻana |
Nā hōʻailona i nā poʻe i loaʻa i ka maʻi HIV a me ka immunocompromised
Inā lilo ka CMV i mea hana i loko o kekahi me ka maʻi HIV holomua (helu CD4 ma lalo o 100) a i ʻole kekahi me ka ʻōnaehana pale nawaliwali ma muli o kahi kūlana e like me ka hoʻoili ʻana o ke kino, hiki iā ia ke hoʻopilikia i nā ʻāpana like ʻole o ke kino.
- Nā Maka: ʻIke pōwehiwehi, kahi manaʻo o nā kiko ʻeleʻele e lana ana i mua o nā maka. Ua kapa ʻia kēia maʻi ʻo Retinitis . Inā ʻaʻole mālama ʻia, hiki iā ia ke alakaʻi i ka makapō.
- ʻŌnaehana hoʻoheheʻe: ʻeha ʻōpū, maʻi kahe koko, paʻakikī ke ale.
- Nā māmā: niumonia.
- Lolo: Huikau, pilikia hoʻomanaʻo.
Pehea e laha ai ka maʻi CMV?
Hoʻolaha ʻia ka CMV ma o ka pili pololei ʻana me nā wai o ke kino o kahi kanaka i loaʻa i ka maʻi. ʻAʻole ia e laha ma ka noho kokoke ʻana a i ʻole ke kamaʻilio ʻana.
- Luha
- Mimi
- Koko
- Waiū umauma
- ʻO ka Semen a me nā wai Vaginal
No laila, ʻo ka poʻe e hana pū ana me nā keiki ʻōpio, ʻoiai ka poʻe e hana ana ma ke kula mālama keiki , ua ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka maʻi i ka wā e hoʻololi ai i nā diapers a i ʻole ka holoi ʻana i ka lawai. Hiki ke laha pū ʻia ka CMV ma o ka pili ʻana i ka moekolohe, nā hoʻoili koko, a me nā hoʻoili ʻana o nā kino.
Pehea e ʻike ai i ka maʻi?
Inā loaʻa iā ʻoe nā hōʻailona o CMV a i ʻole ʻoe no kahi hui pilikia, e kauoha kāu kauka i nā hoʻokolohua e pono ai.
- Nā hoʻāʻo koko a me ka mimi: Hiki i kēia ke ʻike pololei i ka maʻi (e like me ka hoʻāʻo PCR) a i ʻole e nānā i ka pae o nā antibodies (IgM, IgG) i hana ʻia e ke kino e kūʻē i ka maʻi.
- Biopsy: Inā pono, e lawe i kahi hāpana liʻiliʻi o nā ʻiʻo i hoʻopilikia ʻia (e.g., ka ʻōpū) no ka hoʻokolokolo ʻana.
- Hoʻokolokolo maka: E nānā inā he retinitis.
He aha nā lāʻau lapaʻau no CMV?
- Poʻe olakino: Inā olakino maikaʻi ʻoe a he ʻōnaehana pale ikaika kou, ʻaʻole pono ka lāʻau lapaʻau no ka maʻi CMV. Na ke kino e hoʻomalu iā ia iho.
- Nā kānaka i ka pilikia: Pono nā pēpē i loaʻa i ka maʻi i ka wā hānau a me ka poʻe me nā ʻōnaehana pale nāwaliwali e mālama ʻia. Hoʻohana ʻia nā lāʻau antiviral no kēia. No ka laʻana, nā lāʻau lapaʻau e like me Ganciclovir lāua ʻo Valganciclovir.
E hoʻomanaʻo, ʻaʻole hiki i kēia mau lāʻau lapaʻau ke hoʻopau loa i ka maʻi CMV mai ke kino. Hiki iā lākou ke kāohi wale i ka hoʻonui ʻia o ka maʻi a hōʻemi i nā hōʻailona a me nā pilikia.
Hiki i kēia mau lāʻau lapaʻau ke hana i kekahi mau hopena ʻaoʻao (e laʻa, ka hōʻino ʻana o nā puʻupaʻa, ka helu haʻahaʻa o nā cell koko), no laila hāʻawi wale ʻia lākou ma lalo o ka mākaʻikaʻi lapaʻau.
Pehea e pale ai iā ʻoe iho mai ka CMV?
ʻAʻohe lāʻau pale no CMV i kēia manawa, no laila ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke pale aku i ka maʻi. No ka hana ʻana i kēia, he mea nui loa ka hahai ʻana i nā hana hoʻomaʻemaʻe maʻalahi.
- E holoi pinepine i kou mau lima me ke kopa: E hōʻoia e holoi pono i kou mau lima no ka liʻiliʻi he 15-20 kekona, ʻoiai ma hope o ka hoʻololi ʻana i nā diaper no nā keiki ʻōpio, a ma hope paha o ka holoi ʻana i ka kuha a i ʻole ka hūpē .
- E pale i ka kaʻana like ʻana i ka meaʻai a me nā mea inu: E pale i ka ʻai ʻana a me ka inu ʻana mai ka pā a i ke aniani hoʻokahi.
- Ke honi ʻana i nā keiki: Inā ʻoe e honi ana i kahi keiki liʻiliʻi, e honi iā lākou ma ka papālina a i ʻole ka lae. E pale i ka honi ʻana iā lākou ma ka waha a puni paha, no ka mea, hiki ke laha maʻalahi ka maʻi ma o ka lawai.
- Nā hana moe kolohe palekana: ʻO ka hoʻohana ʻana i nā condom hiki ke hōʻemi i ka pilikia o ka laha ʻana o CMV.
Pono nā makuahine hāpai a me nā wahine e manaʻo ana e hāpai e makaʻala loa i kēia mau hana hoʻomaʻemaʻe.
Leka Lawe-Home
- He maʻi maʻamau loa ka CMV. ʻAʻole ia e hōʻeha nui i kahi pākeke olakino.
- ʻO ka pilikia nui loa i ka pēpē i loko o ka ʻōpū mai ka makuahine i ka wā hāpai a i ka poʻe me nā ʻōnaehana pale nāwaliwali .
- Hiki i nā pēpē i loaʻa i ka maʻi CMV i ka wā hānau ke loaʻa i nā pilikia olakino lōʻihi, ʻoiai ka nalowale o ka lohe .
- ʻO ke ala maikaʻi loa e pale aku ai iā ʻoe iho mai ka CMV, ʻo ia ke hahai i nā hana hoʻomaʻemaʻe maʻalahi, e like me ka holoi pono ʻana i kou mau lima .
- Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole he nāwaliwali kou ʻōnaehana pale, e kamaʻilio me kāu kauka e pili ana iā CMV no ka ʻōlelo aʻoaʻo hou aku.
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