Ua lohe paha ʻoe i ka CMV, a i ʻole Cytomegalovirus? ʻAʻole paha. Akā, he maʻi maʻamau loa kēia i loaʻa i ka hapa nui o kākou i ko kākou ola ʻana, akā, ʻaʻole ia e hōʻike i kekahi mau hōʻailona nui. I ka pololei, he maʻi kēia no ka ʻohana maʻi herpes. Akā no kekahi poʻe, ʻoi aku hoʻi nā makuahine hāpai a me ka poʻe me nā ʻōnaehana pale nāwaliwali, hiki ke lilo i mea weliweli iki. No laila, e kamaʻilio kākou e pili ana i nā mea āpau e pili ana i kēia CMV ma nā ʻōlelo maʻalahi i kēia lā.
ʻO wai ka mea i hoʻopilikia nui ʻia e ka maʻi CMV?
ʻOiai hiki i kekahi ke loaʻa i ka CMV, ʻaʻole hōʻike ka hapa nui o ka poʻe i nā hōʻailona. Eia nō naʻe, aia ʻelua mau pūʻulu kahi e hiki ai ke lilo i mea weliweli loa .
Inā loaʻa iā ʻoe ka CMV i ka wā hāpai ...
Inā loaʻa iā ʻoe ka maʻi CMV i ka wā hāpai a i ʻole ma mua koke o ka hāpai ʻana, hiki ke hoʻoili ʻia ka maʻi i kāu pēpē ma o ka placenta. Ua kapa ʻia kēia he CMV congenital . Hiki i kēia ke hoʻonui i ka pilikia o ka hāʻule ʻana o ka hāpai keiki a hiki ke hana i ka hānau ʻana o ka pēpē me kekahi mau pilikia olakino. No ka laʻana, nā pilikia ʻike a lohe paha a me nā lohi i ka ulu ʻana o ka noʻonoʻo.
Inā loaʻa i kekahi kanaka me ka ʻōnaehana pale nāwaliwali ka CMV ...
Inā he maʻi HIV ʻoe, a i ʻole ua loaʻa iā ʻoe kahi hoʻoili kino a i ʻole nā kelepona kumu a ke lawe nei ʻoe i nā lāʻau immunosuppressive, ʻoi aku ka nāwaliwali o kou ʻōnaehana pale ma mua o ke kanaka maʻamau. Kāhea mākou i kēia kūlana he immunocompromised .
Inā ua loaʻa iā ʻoe ka CMV ma mua, hiki i ka maʻi ke moe i loko o kou kino. Ke nāwaliwali kou ʻōnaehana pale, hiki i ka maʻi ke hana hou a hoʻomaʻi iā ʻoe. ʻOiai ʻaʻole paha kēia he mea nui no ke kanaka olakino, no kekahi me ka ʻōnaehana pale nāwaliwali, ʻo ka hoʻomohala ʻana i kahi maʻi CMV hou a i ʻole ka hoʻoulu hou ʻana i kahi mea kahiko hiki ke hana i nā pilikia koʻikoʻi.
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka CMV?
ʻOi aku ka nui o kou loaʻa ʻana i ka maʻi CMV inā ʻoe no kēia mau hui:
- Inā he keiki ʻoe ma lalo o 5 mau makahiki. Ma ka awelika, ma kahi o 33% o nā keiki i loaʻa iā CMV i ka wā i 5 ai lākou.
- Inā ʻoe e hana a noho paha me nā keiki ma lalo o 5 mau makahiki. (e.g. nā kumu kula kamaliʻi, nā mākua)
- Inā he nāwaliwali kou ʻōnaehana pale kino (e like me nā poʻe maʻi HIV/AIDS, nā mea loaʻa i ka hoʻoili ʻana o nā kino)
- Inā ʻoe e noho kokoke ana i nā kānaka he nui (e.g. nā hale moe)
He maʻi maʻamau loa ka CMV, ʻaʻole wale ma ko mākou ʻāina, akā ma nā ʻāina he nui a puni ka honua. Wahi a nā helu helu ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa, ua loaʻa i ka hapalua o ka heluna kanaka ma ka makahiki 40 a me 90% ma ka makahiki 80 kēia maʻi.
He aha nā hōʻailona o ka maʻi CMV?
Hiki ke ʻokoʻa nā hōʻailona o CMV mai kēlā kanaka a kēia kanaka. Aia nui ia i kekahi mau kumu, e like me ke kūlana o ka ʻōnaehana pale o ka mea i loaʻa i ka maʻi a inā paha he maʻi hānau ʻia a i loaʻa paha.
E nānā kākou i kēia ma kahi papa e hoʻomaopopo pono ai i kēia.
| Pūʻulu i loaʻa i ka maʻi | Nā hōʻailona e ʻike ʻia |
|---|---|
| Nā kānaka me kahi ʻōnaehana pale olakino | ʻAʻohe hōʻailona o ka hapa nui o ka poʻe. Hiki i kekahi ke loaʻa i kahi maʻi i kapa ʻia ʻo mononucleosis . - Luhi - ʻEha ʻiʻo - Ke hou nei - ʻEha poʻo - ʻeha ka ʻāʻī - Nā ʻāpana lymph pehu - ʻŌhūhū ʻili |
| Nā kānaka i hoʻopilikia ʻia e ka pale ʻana o ka maʻi | ʻOkoʻa nā hōʻailona ma muli o ka ʻāpana o ke kino e hoʻopilikia ʻia e ka maʻi. - Kuni - Luhi - CMV pneumonitis: pili i ka māmā (paʻakikī ka hanu ʻana, ka ʻū) - CMV retinitis: pili i ka maka (ʻike maka pōwehiwehi, nalowale o ka ʻike) - CMV gastritis/colitis: ʻōpū/ʻōpū (ʻeha ʻōpū, koko i loko o ka ʻōpala, nausea, luaʻi, diarrhea) - CMV encephalitis: pili i ka lolo ( nā hopu ʻana , nā ʻeha poʻo, ka huikau) |
| Nā pēpē i loaʻa i ka CMV i ka wā hānau (Congenital CMV) | ʻAʻole paha e loaʻa i kekahi mau pēpē nā hōʻailona i ka wā hānau, akā hiki iā lākou ke loaʻa iā lākou ma hope. Nā hōʻailona e ʻike ʻia i ka wā hānau: - Kaumaha hānau haʻahaʻa - Anemia - Melemele o ka ʻili a me nā maka (jaundice) - Nā kiko ʻulaʻula ma lalo o ka ʻili (purpura a i ʻole petechiae) - Ke akepaʻa i hoʻonui ʻia (hepatomegaly) - Ka hoʻonui ʻia ʻana o ka spleen (splenomegaly) - Poʻo liʻiliʻi (microcephaly) - Nā hopu ʻana - Ka pilikia o ka lohe ʻana - Nā lohi i ka ulu ʻana o ke akamai motor |
Pehea e laha ai ka maʻi CMV mai ke kanaka a i ke kanaka?
Hoʻolaha ʻia ka CMV ma o nā wai kino o kahi kanaka i loaʻa i ka maʻi. ʻO kēia ka lawai, ka mimi, ke koko, ka waiū umauma, a me ka semen. ʻO nā ala maʻamau e laha ai:
- Ua manaʻo ʻia e laha ma o ka pili pololei ʻana me ka mimi a me ka lawai, ʻoi aku hoʻi i nā kamaliʻi ʻōpio a me nā wahine hāpai.
- Ma o ka moekolohe. Eia nō naʻe, ʻaʻole i manaʻo nui ʻia ʻo CMV he maʻi i laha ma ke moekolohe (STI).
- Ma o ka hānai waiū (mai kahi makuahine i loaʻa i ka maʻi a i kāna pēpē)
- Mai ke kahe koko a i ʻole ka hoʻoili ʻana o nā ʻōpū.
Pehea e ʻike ai inā loaʻa iā ʻoe ka maʻi CMV?
Hoʻohana nui nā kauka i nā hoʻāʻo koko, mimi, a i ʻole ka lawai e ʻike ai i ka maʻi CMV. ʻOiai ʻaʻole ia e hana i nā hōʻailona nui, ʻaʻole pono nā poʻe olakino e hana i kēia mau hoʻāʻo.
Eia nō naʻe, inā he immunocompromised ʻoe a i ʻole kāu keiki hānau hou i nā hōʻailona CMV congenital i ʻōlelo ʻia ma luna, hiki i kāu kauka ke ʻōlelo i kēia mau hoʻokolohua.
He aha nā lāʻau lapaʻau no CMV?
Hoʻōla ʻia nā maʻi CMV me nā lāʻau antiviral e like me ganciclovir a i ʻole valganciclovir . Hāʻawi ʻia kēia mau mea ma ke ʻano he inikini intravenous a i ʻole he papa waha.
Akā ʻo ka mea nui loa, ʻo ia ka hāʻawi wale ʻia ʻana o kēia lāʻau lapaʻau i ka poʻe me nā ʻōnaehana pale i nāwaliwali a me nā pēpē i hānau ʻia me nā hōʻailona o CMV. Inā loaʻa i kekahi me kahi ʻōnaehana pale olakino ka CMV, hoʻomaʻemaʻe ke kino iā ia iho me ka ʻole o ka lāʻau lapaʻau.
ʻAʻole hiki i kēia mau lāʻau lapaʻau ke hoʻohuli i ka pōʻino i hana mua ʻia (e.g., ka nalowale o ka lohe). Eia nō naʻe, hiki iā lākou ke pale i ka pōʻino hou aʻe. Hiki ke kōkua ʻia nā keiki i hānau ʻia me CMV me ko lākou ulu ʻana ma o nā lāʻau lapaʻau e like me ka hoʻōla ʻōlelo.
Pehea e hiki ai iā ʻoe ke pale aku i ka CMV?
Inā hāpai ʻoe a nāwaliwali paha kou ʻōnaehana pale, pono ʻoe e makaʻala loa e pale iā ʻoe iho mai ka CMV. ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke pale aku i ka hoʻopili ʻana me nā wai kino o haʻi.
- Mai kaʻana like i ka meaʻai, nā puna, nā ʻō, a me nā kīʻaha me nā keiki ʻōpio.
- Mai hoʻokomo i ka pacifier a ke keiki i loko o kou waha.
- Ma hope o ka hoʻololi ʻana i ka diaper o ke keiki a i ʻole ke kōkua ʻana i ke keiki e hoʻohana i ka lua, e holoi pono i kou mau lima me ke kopa.
- E hoʻohana i ka condom i ka wā e moe ai.
- Inā ua loaʻa iā ʻoe kahi hoʻoili kino, hiki i kāu kauka ke kuhikuhi i nā lāʻau antiviral e pale aku ai iā CMV.
Āhea wau e ʻike ai i ke kauka?
Inā hāʻule ʻoe i kekahi o nā māhele ma lalo nei, he mea nui loa e kamaʻilio me kāu kauka e pili ana iā CMV.
- Inā loaʻa iā ʻoe nā hōʻailona o CMV a ua nāwaliwali kou ʻōnaehana pale maʻi, e ʻike koke i ke kauka.
- Inā manaʻo ʻoe he mau hōʻailona o CMV congenital kāu pēpē hānau hou.
- Inā nāwaliwali kou ʻōnaehana pale maʻi.
- Inā ʻoe e hoʻomākaukau ana no kahi hoʻoili kino a i ʻole ua loaʻa iā ʻoe kahi hoʻoili kino.
- Inā hāpai ʻoe a i ʻole e hoʻolālā ana e hāpai.
I kēia mau hihia, e wehewehe pono kāu kauka iā ʻoe i nā ʻanuʻu e pono ai ʻoe e hana e pale iā ʻoe iho mai CMV.
Leka Lawe-Home
- He maʻi maʻamau ka CMV ʻaʻole ia he mea ʻino i nā kānaka olakino.
- Eia nō naʻe, hiki i kēia maʻi ke hana i nā pilikia weliweli loa no nā makuahine hāpai, nā pēpē i hānau ʻole ʻia, a me ka poʻe me nā ʻōnaehana pale nāwaliwali .
- He mea nui loa ia no nā makuahine hāpai a me nā kamaliʻi ʻōpio e pale i ka pili ʻana me nā wai o ke kino e like me ka lawai a me ka mimi a e hahai i nā hana hoʻomaʻemaʻe maʻalahi e like me ka holoi lima pinepine a me ka holoi pono ʻana.
- Inā ʻoe no kekahi o nā hui pilikia i ʻōlelo ʻia ma luna, mai makaʻu i ka CMV, e kamaʻilio ākea e pili ana i ia mea me kāu kauka a loaʻa i ka ʻōlelo aʻoaʻo e pono ai.











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