He hoariri puku o ngā kanohi: Me ako tātou mō te mate pukupuku cytomegalovirus (CMV)!

Kua whakaaro koe kei reira pea ngā hoariri e kore e kitea e ō tātou kanohi? Tērā ētahi mate e tino pā mai ana, e kino ana hoki ki tō tātou tirohanga. I tēnei rā ka kōrero tātou mō tētahi mate kanohi he tino kino, engari ki te mōhio tātou ki tēnei mate i mua, ka taea e ia te āwhina i a tātou ki te whakahaere. Ko te ingoa o tēnei mate ko te Cytomegalovirus Retinitis, ko te `(Cytomegalovirus Retinitis)` rānei, ko te `(CMV) Retinitis` rānei.

He aha te mate pūkahukahu cytomegalovirus (CMV)?

Ki te kī ngāwari, he mate kino te `(CMV) Retinitis`. Ko te nuinga o te wā ka pā ki te hunga ngoikore te pūnaha ārai mate. Kua rongo pea koe i te ``Retinitis``. He mumura tēnei o te ``Retina`` i roto i te kanohi. Ko tēnei ``Retina`` te wāhanga tino nui o te kanohi e āwhina ana i a tātou ki te kite me te kite i te mārama.

Nā, me kōrero atu ahau ki a koutou mō tēnei huaketo e kiia nei ko te `(CMV)`. Nō te momo `(Necrotizing virus)` tēnei. Arā, ka whakangaro tēnei huaketo i ngā kiko o te tinana. Hei whakamārama, he huaketo tēnei nō te whānau huaketo `(Herpes)`. Ko te mea whakamiharo, he tokomaha o tātou kua pāngia e tēnei huaketo `(CMV)` i roto i ō tātou tinana i tētahi wā o ō tātou oranga, engari kāore tātou e rongo. Kei te takoto kau i roto i te tinana. Heoi, ina ngoikore te pūnaha ārai mate o te tangata, ka taea e taua huaketo moe te mahi anō, ka puta ai ngā mate pēnei i te `(CMV) Retinitis`.

Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei?

E ai ki taku kōrero i mua, ko te hunga ngoikore te pūnaha ārai mate, he nui ake te tūponotanga ki te pāngia e tēnei `(CMV) Retinitis`. Ko te tikanga:

• Mō te hunga whai `(HIV/AIDS)`: Inaa, ko te `(CMV) Retinitis` te tino take o te matapo i waenga i te hunga whai `(HIV/AIDS).
• Mō te hunga e whiwhi ana i te rongoā matepukupuku mō te mate pukupuku: Ka whakaitihia e tēnei maimoatanga te ārai mate o te tinana.
• Ko te hunga kua whakawhiti okana, kua whakawhiti wheua wheua, kei te tango rānei i ngā rongoā ārai mate nā te mate pūnaha ārai mate (ngā mate e whakaeke ai te pūnaha ārai mate o te tinana i ōna ake pūtau). Ka ngoikore te pūnaha ārai mate tūturu o te tinana i ēnei rongoā.

Whakaarohia, ina ngoikore ngā kaitiaki o roto i ō tātou tinana, he māmā noa iho te uru atu a te tahae. Ina ngoikore te pūnaha ārai mate, he māmā noa iho te uru atu o te huaketo "(CMV)" ki roto i te kanohi, ka pā kino ai.

He aha ngā tohu o tēnei mate?

Ko tētahi raruraru o tēnei , kāore pea he tohu i ngā wāhanga tōmua o te CMV Retinitis. Heoi, ina puta mai ngā tohu, ka uru atu pea ēnei ki:

• Ngā mea e mānu ana: He rite ki ngā mea pango ririki, ki ngā tukutuku pungawerewere, e mānu ana i mua i ngā kanohi: He mea noa tēnei mō te nuinga o te tangata, engari me āwangawanga koe mēnā ka piki haere ohorere.
• Te scotoma kanapa: He āhua tēnei e rite ana ki ngā hihi iti o te mārama, ki ngā ira pango rānei e neke haere ana i mua i ngā kanohi.
• Tirohanga taha: Ko te tikanga tēnei ka whakaitihia te maha o ngā mea e kitea ana e koe i tō taha i a koe e titiro tika ana ki mua.
• Metamorphopsia: Tērā pea ka rerekē te āhua o ngā mea, me te mea kei te titiro koe mā roto i tētahi karāhe wai.
• Te tirohanga pōuri.
• Te kore e taea te arotahi i ngā kanohi ki te mārama kanapa, ki ngā kanohi kikorangi (photophobia).
• Ngā kanohi whero.
• Mamae kanohi.

I ētahi wā ka tīmata ēnei tohu i te kanohi kotahi, kātahi ka horapa ki tētahi atu. Nō reira, ki te pā mai ētahi o ēnei tohu ki a koe, inā koa he ngoikore tō pūnaha ārai mate, he mea nui kia kite tonu koe i te tākuta.

He aha te take e puta ai te mate pūkahukahu CMV?

Ki te whakarapopototanga, ka puta te CMV Retinitis ina pangia koe e te huaketo CMV, ā, ka pā te huaketo ki tō retina. Ehara tēnei i te mea nā te urunga mai o tētahi huaketo hou ki te tinana, engari nā te whakaoho anō o tētahi huaketo kua moe i mua, i te mea ka ngoikore te pūnaha ārai mate o ngā pakeke.

Me pēhea te kimi i tēnei? (Tauātanga)

Mena kei a koe ēnei tohu, me toro atu koe ki tētahi tohunga kanohi (Ophthalmologist). Ka pātai atu ia ki a koe mō tō hītori hauora me ngā tohu o nāianei. Kātahi ka hoatu he pata kanohi, ā, ka whakahaerehia he whakamātautau whakawhānui kanohi.

He aha i whānui ai ēnei kanohi? Mā tēnei ka taea e te tākuta te kite pai ake i roto i te kanohi. Ka taea e ia te tirotiro mō ngā tohu o te mate i roto i te retina me ētahi atu wāhanga o te kanohi. Mena ka kitea he retinitis tōu, ka mahi pea ia i ngā mahi taiwhanga, pērā i ngā whakamātautau toto, kia kitea ai te tino take.

He aha ngā maimoatanga?

He rongoā ārai huaketo kei reira hei rongoā i te CMV retinitis. Heoi, kia maumahara ahakoa ka taea e ēnei rongoā te whakahaere i te mate, kāore e taea te whakaora katoa.

Tērā pea ka whakatau tō tākuta ki te hoatu tahi i tētahi, i ētahi rānei o ēnei rongoā ārai huaketo ki a koe:

• `(Valganciclovir)`: Ka hoatu tēnei hei pire mā te waha.
• `(Ganciclovir)`: Ka taea te hoatu hei wai ka tukuna ki roto i te uaua `(Intravenous - IV)`, hei werohanga rānei ki te kanohi `(Intravitreal wereken - IVI)`.
• `(Foscarnet)`: Ka hoatu hoki tēnei hei `(IV)` me `(IVI)` rānei.
• `(Cidofovir)`: Ka hoatu hoki tēnei hei `(IV)` me te `(IVI)` rānei.
• `(Letermovir)`: He rongoā ā-waha anō hoki tēnei.
• `(Fomiversen)`

Ka roa pea te wā maimoatanga mō ētahi wiki. Nā te mea, tuatahi he wā maimoatanga kaha ('Te wā tuatahi o te whakaora'), kātahi ka tango rongoā hei whakahaere i te mate ('Te whakaora tonu'). Nō reira, me manawanui koe ki tēnei maimoatanga.

He raruraru kei roto i te maimoatanga?

I ētahi wā, ka nui rawa te urupare a tō pūnaha ārai mate nā ngā maimoatanga ārai huaketo mō te CMV retinitis. Ka taea e tēnei te arahi ki tētahi āhuatanga e kiia nei ko te uveitis. Ko te uveitis he mumura o tētahi atu wāhanga o te kanohi. Ka taea e tēnei te meinga te kanohi kia whero, kia pupuhi, kia mamae hoki.

Ko tētahi atu mea, i ētahi wā ka kore e whai hua te rongoā e hoatu ana mō te `(CMV) Retinitis` (`Red resistance`). Mēnā ka tupu tēnā, tera atu ētahi atu maimoatanga mō te `(CMV)` e ātete ana ki te `(Ganciclovir)`, hei tauira. Kei roto i ēnei ko te `(Leflunomide)` me te `(T-lymphocyte infusion)`.

He aha ngā mea ka puta mēnā ka pāngia koe e te mate pūkahukahu CMV? (Ngā Hua)

Ka tutuki ngā hua pai rawa atu ina kitea wawe te mate, ā, ka tīmata wawe te maimoatanga. Ki te kore e rongoatia, ka taea e te CMV Retinitis te arahi ki te tirohanga pōuri, tae atu ki te matapo katoa.

Ko tētahi atu mate kino ka pā ki te CMV retinitis ko te wehenga o te retina. Koinei te wā ka wehea tō retina mai i te kiko e pupuri ana i a ia. He mate tino kino tēnei, engari ka taea te whakatika mā te pokanga.

Āhea ahau me toro atu ki te tākuta?

Ki te pāngia koe e ngā panoni ohorere o tō tirohanga – hei tauira, te kite i ngā ira pango i mua i ō kanohi, te mamae rānei o te kanohi – rapua tonutia he tohutohu hauora. He āhuatanga ohorere hauora te wehenga o te retina.

Mena he ngoikore tō pūnaha ārai mate, he mea nui kia tirotirohia ō kanohi i ia wā, kia taea ai e koe te kite i ngā raruraru i mua i te huri hei tohu.

He aha ngā pātai me pātai atu koe ki te tākuta?

Ka taea e koe te pātai atu ki tō tākuta mō ēnei pātai e pā ana ki te `(CMV) Retinitis`:

• Kia pēhea te roa o taku hokinga mai ki te whakaatu mai ('Ngā Whakaritenga')?
• Me karo ahau i ngā kai, ngā inu, ngā mahi rānei?
• Kia pēhea te roa o te maimoatanga?
• I roto i tēhea āhuatanga ka hiahia ahau ki te kite i a koe i te wā tere, ka hiahia rānei ahau ki te haere ki te rūma whawhati tata?
• He aha ngā rauemi e wātea ana hei āwhina i ahau ki te ora noa me taku ngaronga tirohanga?
• Ka taea hoki e au te whai wāhi atu ki ngā whakamātautau haumanu mō tēnei mate?

He aha te rerekētanga i waenga i te CMV retinitis me te HIV retinopathy?

Ko te "Retinopathy" he mate o te retina. Ka taea e te "(CMV) Retinitis" me te "(HIV) Retinopathy" te kino i tō retina, ā, ka ngaro te tirohanga. Heoi anō,E rua ngā momo huaketo e puta ai ēnei āhuatanga e rua. Ka taea e te huaketo HIV te whakaputa i te HIV retinopathy (e kiia ana ko te HIV microvasculopathy). Ka puta te CMV retinitis i te huaketo CMV.

Mō te maimoatanga, ka hoatu ngā rongoā ārai huaketo mō te `(CMV) Retinitis`. Heoi, ko te `(HIV Retinopathy)` kāore e hiahiatia he maimoatanga motuhake.

Hei whakamutunga, ngā mea hei maumahara

Mena he ngoikore tō pūnaha ārai mate, tera pea kei te whakaaro tonu koe ki ō tohumate, ā, kei te toro atu ki ngā tākuta. Nā ēnei āhuatanga katoa, he uaua pea te haere ki te tākuta kanohi i ia wā, i ia wā.

Engari kia maumahara, ki te pāngia koe e te `(CMV) Retinitis`, ko te wawe o te tātaritanga me te rongoā i a koe, ko te nui ake o te tūponotanga ka angitu koe. Nā te mea kāore pea ngā tohu o te `(CMV) Retinitis` e kitea tae noa ki te ngaronga o tō tirohanga, he mea tino nui kia tirotirohia ō kanohi i ia wā.

Nō reira, kia tiakina ō kanohi, nā te mea koinei te rauemi tino nui mō tātou ki te kite i te ao whānui.

` Cytomegalovirus, CMV, retinitis, mate kanohi, ārai mate, ngoikore o te tirohanga, HIV, AIDS, ngā mate kanohi