Yu dɔn ɛva tink se ɛnimi dɛn kin de we wi yay nɔ de si? Sɔm sik dɛn de we kin kam bɔku tɛm ɛn pwɛl wi yay. Tide wi go tɔk bɔt wan yay sik we siriɔs smɔl, bɔt if wi no bɔt am bifo tɛm, i kin ɛp wi fɔ kɔntrol am. dis dεn kכl dis Saytomegalovayrus Rεtinayt, כ `(Saytomegalovayrus Rεtinayt)`, כ `(CMV) Rεtinayt` fכ sכt.
Wetin na saytomegalovayrɔs (CMV) rɛtinayt?
Fɔ tɔk am simpul wan, `(CMV) Retinitis` na siriɔs ay infɛkshɔn. I kin apin mɔ pan pipul dɛm wae gɛt wik imyun sistɛm. Yu kin dɔn yɛri bɔt ``Retinitis``. na inflameshn na di ``Retina`` insay di yay. dis ``Rεtina`` na di mכst imכtant pat pan di yay we de εp wi fכ si εn detekt layt.
Naw mek a tɛl una smɔl bɔt dis vayrɔs we dɛn kɔl `(CMV)`. Dis de pan di `(Necrotizing virus)` tayp. Dat min se dis vayrɔs de pwɛl di tisu dɛn na wi bɔdi. fכ bi prεsis, dis na vayrus we de insay di `(Herpes)` vayrus famili. Di wɔndaful tin na dat, bɔku pan wi kin dɔn gɛt dis `(CMV)` vayrɔs na wi bɔdi sɔm tɛm na wi layf, bɔt wi nɔ kin ivin fil am. I de ledɔm slip na di bɔdi. Bɔt we pɔsin in imyun sistɛm wik, da vayrɔs we de slip kin bi aktif bak ɛn mek sik dɛn lɛk `(CMV) Rɛtinitis`.
Udat dɛn kin gɛt dis sik mɔ?
As a bin dɔn tɔk bifo tɛm, pipul dɛm wae gɛt wik imyun sistɛm kin gɛt bɔrku risk fɔ gɛt dis `(CMV) Retinitis`. Dat min se:
- Fɔ di wan dɛn we gɛt `(HIV/AIDS)`: Infakt, `(CMV) Retinitis` na di men tin we kin mek pipul dɛn we gɛt `(HIV/AIDS) blaynd.
- Fɔ di wan dɛn we de du kemotɛrapi fɔ kansa: Dis tritmɛnt de mek di bɔdi nɔ ebul fɔ fɛt di sik.
- Pipul dεm we dεn bin gεt כgan transplant, bon mכro transplant, כ we de tek imyun supεrshכn mεdikeshכn biכs fכ כtoimyun kכndishכn (sik dεm we di bכdi in imyun sistεm de atak in כwn sεl dεm). Dɛn mɛrɛsin ya kin mek di bɔdi in natura difens sistɛm wik.
Jɔs tink, we di gad dɛm na wi bɔdi wik, i izi fɔ mek tifman go insay.We di imyun sistɛm wik, i izi fɔ di ``(CMV)`` vayrɔs fɔ go insay di yay ɛn mek damej.
Wetin na di sayn dɛm fɔ dis sik?
Wan prɔblɛm wit dis na dat, nɔr kin gɛt ɛni simptom na di fɔs stej dɛm fɔ CMV Retinitis. Bɔt wans di sayn dɛm dɔn sho, dɛn kin inklud:
- Flɔta: Fɔ fil lɛk smɔl blak tin, lɛk spayda wɛb, we de flɔt rawnd bifo di yay: Dis na nɔmal tin fɔ bɔku pipul dɛn, bɔt yu fɔ wɔri if i bɔku wantɛm wantɛm.
- Scintillating scotoma: Dis na wan sik we de fil lɛk smɔl smɔl layt ɔ blak spat dɛn we de muv rawnd bifo di yay.
- peripheral vision: Dis min se di amount of tin wae de arawnd yu wae yu kin si wae yu de luk stret bifo de ridyus.
- Metamorphopsia: I kin tan lɛk se tin dɛn de chenj shep, lɛk se yu de luk tru wan glas wata.
- Di vishɔn we nɔ klia.
- Nɔ ebul fɔ fos di yay pan brayt layt, blu yay (Photophobia).
- Rɛd yay.
- Ay pen.
Sɔntɛnde, dɛn sik ya kin bigin na wan yay ɛn afta dat i kin go na di ɔda wan. So if yu gɛt ɛni wan pan dɛn sik ya, mɔ if yu bɔdi nɔ gɛt bɛtɛ trɛnk, i impɔtant fɔ go to dɔktɔ wantɛm wantɛm.
Wetin mek CMV retinitis kin apin?
Fɔ tɔk am simpul wan, CMV Retinitis kin apin we yu gɛt di CMV vayrɔs ɛn di vayrɔs kin afɛkt yu retina. dis nכ de kכz fכ nyu vayrus we de kam insay di bכdi, bכt na we wan vayrus we bin de slip bifo de riaktiv, as di imyun sistεm fכ big pipul dεm de wik.
Aw yu kin fɛn dis? (Diagnosis) .
If yu gɛt dɛn kayn sik ya, yu fɔ go to dɔktɔ we de mɛn yu yay (Ophthalmologist). I go aks yu bɔt yu mɛdikal histri ɛn di sayn dɛm we yu gɛt naw. Dɔn, dɛn go gi yu ay drɔp ɛn du dilayshɔn tɛst.
Wetin mek dɛn yay ya kin big? Dis kin mek di dɔktɔ ebul fɔ si insay di yay fayn fayn wan. I kin chɛk fɔ si if sayn dɛn de fɔ sik na di retina ɛn ɔda pat dɛn na di yay. If dɛn no se yu gɛt retinitis, i kin du lab wok bak, lɛk fɔ du blɔd tɛst fɔ no di rayt tin we kin mek yu gɛt dis sik.
Wetin na di tritmɛnt dɛn?
Antivayral mɛrɛsin dɛn de we kin trit CMV retinitis. Bɔt mɛmba se pan ɔl we dɛn mɛrɛsin ya kin ebul fɔ kɔntrol di sik, dɛn nɔ kin ebul fɔ mɛn am ɔltogɛda.
Yu dɔktɔ kin disayd fɔ gi yu wan ɔ mɔ pan dɛn antivayrɔs mɛrɛsin ya togɛda:
- `(Valganciclovir)`: Dɛn kin gi dis as pil we dɛn kin tek wit mɔt.
- `(Ganciclovir)`: dεn kin gi dis as likwid we dεn gi insay wan vein `(Intravenously - IV)` כ as injεkshכn insay di yay `(Intravitreal injection - IVI)`.
- `(Foscarnet)`: Dɛn kin gi dis bak as `(IV)` ɔ `(IVI)`.
- `(Cidofovir)`: Dɛn kin gi dis bak as `(IV)` ɔ `(IVI)`.
- `(Letermovir)`: Dis na ɔral mɛrɛsin bak.
- `(Fomiversen)`
De tritmɛnt tɛm kin tek sɔm wiks. Bikɔs, fɔs, wan tɛm de fɔ trit yu bad bad wan (`Initial period of therapy`), ɛn afta dat yu fɔ tek mɛrɛsin fɔ kɔntrol di sik (`Maintenance therapy`). So, yu nid fɔ peshɛnt wit dis tritmɛnt.
Ɛni kɔmplikeshɔn de pan di tritmɛnt?
Sɔntɛnde, antivayral tritmɛnt fɔ CMV rɛtinayt kin mek yu imyun sistɛm riak pasmak. Dis kin mek yu gɛt wan sik we dɛn kɔl uveitis. Yuveitis na inflamɛns na ɔda pat na di yay. Dis kin mek di yay rɛd, swel, ɛn pen.
כda tin na, sכmtεm di mεdisin we dεn gi fכ `(CMV) Retinitis` kin bi inefεktiv (`Drug resistance`). If dat apin, ɔda tritmɛnt dɛn de fɔ `(CMV)` we nɔ de gri wit `(Ganciclovir)`, fɔ ɛgzampul. pan dεm na `(Leflunomide)` εn `(T-limfosayt infushכn)`.
Wetin kin apin if yu gɛt CMV retinitis? (Rizɔlt dɛn)
Di bɛst tin kin apin we dɛn no di sik kwik kwik wan ɛn bigin fɔ trit am kwik. If dɛn nɔ trit am, CMV Retinitis kin mek pɔsin nɔ si bɛtɛ ɛn ivin blaynd ɔl.
כda siriכs kכndyushכn we kin apin wit CMV rεtinayt na di rεtina dεtachmεnt. Dis na we yu retina de separet frɔm di tisu we de ol am na in ples. Dis na tin we rili siriɔs, bɔt dɛn kin kɔrɛkt am if dɛn du ɔpreshɔn pan am.
Ustɛm a fɔ go to dɔktɔ?
If yu gɛt chenj dɛn we yu de si wantɛm wantɛm – fɔ ɛgzampul, yu si blak spat bifo yu yay ɔ yu gɛt pen na yu yay – go to dɔktɔ wantɛm wantɛm. Retina detachment na wan mɛdikal imejensi.
If yu gɛt wik imyun sistɛm, i impɔtant fɔ de du yu yay ɛgzam ɔltɛm so dat yu go ebul fɔ kech ɛni prɔblɛm bifo i bi di sayn dɛm.
Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?
Yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dis bɔt `(CMV) Retinitis`:
- Aw lɔŋ a fɔ kam bak ɛn sho (`Appointments`)?
- Yu tink se a fɔ avɔyd ɛnitin fɔ it, drink, ɔ du sɔntin?
- Aw lɔng di tritmɛnt go tek?
- Insay us sityueshɔn a go nid fɔ si yu kwik kwik wan, ɔ go na imejensi rum?
- Us tin dɛn de fɔ ɛp mi fɔ liv nɔmal wan wit di we aw a nɔ de si fayn?
- A kin tek pat bak pan klinik trial fɔ dis sik?
Wetin na di difrɛns bitwin CMV retinitis ɛn HIV retinopathy?
"Retinopathy" na wan sik we de na di retina. Ɔl tu di "(CMV) Retinitis" ɛn "(HIV) Retinopathy" kin pwɛl yu retina ɛn mek yu nɔ de si fayn. Bɔt,Dɛn tu kayn vayrɔs ya kin kam wit dɛn tu kayn vayrɔs ya. Di HIV vayrɔs kin mek pɔsin gɛt HIV retinopathy (dɛn kin kɔl am bak HIV maykrovaskulopathy). Di CMV vayrɔs de mek pɔsin gɛt CMV rɛtinayt.
We i kam pan tritmɛnt, dɛn kin gi antivayral drɔgs fɔ `(CMV) Retinitis.` Bɔt, `(HIV Retinopathy)` nɔ kin nid ɛni patikyula tritmɛnt.
Fɔ dɔn, tin dɛn we wi fɔ mɛmba
If yu imyun sistɛm wik, yu kin de tink ɔltɛm bɔt yu sik dɛn ɛn go to dɔktɔ. Wit ɔl dis, fɔ gɛt fɔ go to ay dɔktɔ ɔltɛm kin tan lɛk se na prɔblɛm.
Bɔt mɛmba se, if yu gɛt `(CMV) Retinitis`, di kwik we dɛn no ɛn trit yu, na di mɔ yu chans fɔ gɛt sakrifays go bɛtɛ. Bikɔs di sayn dɛm fɔ `(CMV) Retinitis` nɔ kin notis te yu lɔs yu yay, i rili impɔtant fɔ mek yu de du yu yay ɛgzam ɔltɛm.
So, tek kia ɔf yu yay, bikɔs na wi valyu tin fɔ si di wɔl.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Na Cytomegalovirus Retinitis (CMV Retinitis) na wan kayn blayndnɛs we wan vayrɔs na di yay kin mek?
Yɛs! CMV na wan vayrɔs we de slip na bɔku pipul dɛn bɔdi ɔlsay na di wɔl. As lɔng as wi imyuniti strɔng, i nɔ de kɔz ɛni prɔblɛm. Bɔt we pɔsin in ‘imyuniti drɔp to ziro’ (espɛshali pan pipul dɛn we gɛt siriɔs HIV/AIDS ɛn kansa pasɛnt), dis vayrɔs kin atak di retina na di yay dairekt wan ɛn blaynd di yay kpatakpata.
💬 Wetin na di sayn dɛm fɔ dis sik we i kam pan di yay?
Di denja fɔ dis na dat we i apin, di yay nɔ de at atɔl, ɛn i nɔ de rɛd! Di pɔsin kin fil se dɛn nɔ de si fayn, dɛn kin si bɔku blak spat dɛn we de flɔt na in yay, ɛn dɛn kin lɔs smɔl smɔl fɔ si na di say dɛn we dɛn de si.
💬 Aw yu kin gi mɛrɛsin fɔ protɛkt yusɛf frɔm dis vayrɔs we i hit yu yay?
Dis nid fɔ mek yu go to dɔktɔ we de mɛn yu yay wantɛm wantɛm! Fɔs, di ɔspitul go gi wan ‘antiviral’ injɛkshɔn (Intravitreal Ganciclovir/Foscarnet) insay di yay. Dɔn bak, fɔ mek di pɔsin gɛt in nɔmal layf bak, i impɔtant fɔ mek in imyun sistɛm go bifo (bay we dɛn gi am HIV mɛrɛsin).
` Saytomegalovayrɔs, CMV, rɛtinayt, ay infɛkshɔn, imyuniti, we nɔ de si fayn, HIV, AIDS, yay sik
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt