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.

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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.