Usenokuba awuzange uve ngale ntsholongwane ibizwa ngokuba yi-CMV ngaphambili. Oko akumangalisi. Kuba yintsholongwane eqhelekileyo kakhulu, kodwa inokufihlakala ngaphakathi emzimbeni ngaphandle kokubonisa zimpawu zibalulekileyo kumntu omdala osempilweni. Nangona kunjalo, ukuba ungumama okhulelweyo, okanye ukuba inkqubo yakho yomzimba yokuzikhusela ibuthathaka, kubaluleke kakhulu ukuba uqaphele le ntsholongwane ye-CMV. Ngoko masithethe ngayo namhlanje.
Ngamafutshane, yintoni i-CMV?
I-Cytomegalovirus, okanye i-CMV ngamafutshane, yintsholongwane eyinxalenye yosapho lwe-herpes virus. Ungakhumbula ukuba iintsholongwane ezibangela izifo ezifana ne-chickenpox kunye ne-herpes nazo ziyinxalenye yolu sapho. Enye yezinto ezikhethekileyo zezi ntsholongwane kukuba xa zingena emzimbeni, zinokuhlala zilele ngaphakathi kwiiseli zomzimba ubomi bonke, oko kuthetha ukuba azinakwenzakalisa.
Intsholongwane ye-CMV iyafana. Abantu abaninzi bayifumana le ntsholongwane bengazi nokuba ibangelwa yintoni, kwaye ilawulwa yinkqubo yomzimba yokuzikhusela , ize ilale. Ngenxa yoko, ayinampembelelo ingako kumntu ophilileyo.
Nangona kunjalo, ukuba inkqubo yomzimba yokuzikhusela yomntu ibuthathaka, umzekelo, umntu one-HIV, umntu onomhlaza, okanye umntu oye wafakelwa amalungu omzimba, intsholongwane ye-CMV engasebenziyo isenokuphinda ivuseleleke , nto leyo enokubangela iingxaki ezinkulu zempilo.
Kukho iindlela ezintathu eziphambili zokudlulisela i-CMV:
Makhe sibone ukuba olu sulelo lwenzeka njani.
1. I-CMV yokuzalwa: Kulapho kufuneka sigxile khona kakhulu. Ukuba umama wosulelwe yi-CMV ngexesha lokukhulelwa, inokudluliselwa kumntwana osesiswini.
2. Ukosuleleka yi-CMV: Oku kwenzeka xa umntu efumana i-CMV okokuqala ebomini bakhe. Ngokuqhelekileyo ayibangeli zimpawu zinkulu.
3. Ukuvuselelwa: Njengoko bekutshiwo ngaphambili, intsholongwane ebilele emzimbeni iphinda isebenze xa inkqubo yomzimba yokuzikhusela ibuthathaka.
Zithini iimpawu ze-CMV?
Oku kuxhomekeke kwimeko yempilo yomntu osulelekileyo.
Iimpawu eziqhelekileyo kumntu ophilileyo
Ukuba umntu one-immune system eqinileyo ufumana i-CMV, uhlala engabonakalisi zimpawu. Ngamanye amaxesha uba nomkhuhlane kunye neentlungu zomzimba eziphela kwiintsuku ezimbalwa. Ngoko ke abazi nokuba une-CMV. Iimpawu eziqhelekileyo ziquka:
- Ndiziva ndidiniwe kakhulu (Ndidinwe kakhulu)
- Umkhuhlane kunye nokubanda
- Umqala obuhkungu
- Intlungu yemisipha
- Intloko ebuhlungu
- Ukudumba kweqatha
Ukuba umntwana wosulelwe yi-CMV ngexesha lokukhulelwa (Congenital CMV)
Le yeyona meko inzima kakhulu. Ayizizo zonke iintsana ezine-CMV ekuzalweni ezibonisa iimpawu. Nangona kunjalo, malunga nomntwana omnye kwabahlanu unokufumana iimpawu ekuzalweni okanye kamva.
Okubaluleke kakhulu, ukuba umama une-CMV virus yokuqala ngexesha lokukhulelwa, ingakumbi kwiinyanga ezintathu zokuqala, umntwana usengozini enkulu yeengxaki.
| Iimpawu ezinokwenzeka zomntwana osuleleke yi-CMV ekuzalweni kwakhe | |
|---|---|
| Ukuhanjiswa kwangethuba | Ubunzima obuphantsi bokuzalwa |
| Amaqhuqhuva afana nokudumba | Ukutyheli kolusu namehlo (i-Jaundice) |
| Ukudumba kwesibindi kunye nepleen | Intloko encinci (iMicrocephaly) |
| Ukuxhuzula | Ukulahlekelwa kukuva - Le yeyona ngxaki iphambili neyona ixhaphakileyo. |
| Iingxaki zokubona | Ukulibaziseka kophuhliso kunye nentshukumo |
Iimpawu kubantu abane-HIV kunye nabane-immune system ephantsi
Ukuba i-CMV iqala ukusebenza kumntu onesifo se-HIV esiqhubekekayo (inani le-CD4 elingaphantsi kwe-100) okanye inkqubo yomzimba yokuzikhusela ebuthathaka ngenxa yemeko efana nokufakelwa amalungu omzimba, inokuchaphazela iindawo ezahlukeneyo zomzimba.
- Amehlo: Ukubona okufipheleyo, ukuziva amabala amnyama edada phambi kwamehlo. Le meko ibizwa ngokuba yi -Retinitis . Ukuba ayinyangwa, inokukhokelela ekubeni yimfama.
- Inkqubo yokugaya ukutya: iintlungu zesisu, urhudo olunegazi, ubunzima bokuginya.
- Imiphunga: i-pneumonia.
- Ingqondo: Ukudideka, iingxaki zenkumbulo.
I-CMV idluliselwa njani?
I-CMV isasazeka ngokudibana ngqo nolwelo lomzimba lomntu osulelekileyo. Ayisasazeki ngokuba kufutshane okanye ukuthetha nje.
- Amathe
- Umchamo
- Igazi
- Ubisi lwebele
- Amadlozi kunye nolwelo lwesisu
Ngoko ke, abo basebenza nabantwana abancinci, ingakumbi abo basebenza kwindawo yokugcina abantwana , basengozini enkulu yokufumana intsholongwane xa betshintsha amanabukeni okanye besula amathe. I-CMV inokudluliselwa nangokunxibelelana ngesondo, utofelo-gazi, kunye nokufakelwa amalungu omzimba.
Indlela yokuxilonga esi sifo?
Ukuba uneempawu ze-CMV okanye ungomnye weqela elinomngcipheko, ugqirha wakho uya kuyalela uvavanyo olufunekayo.
- Uvavanyo lwegazi nomchamo: Olu vavanyo lunokufumanisa ngokuthe ngqo intsholongwane (njengovavanyo lwe-PCR) okanye lujonge inqanaba lee-antibodies (IgM, IgG) eziveliswe ngumzimba ngokuchasene nentsholongwane.
- I-Biopsy: Ukuba kuyimfuneko, kuthathwa isampuli encinci yezicubu ezichaphazelekayo (umz., amathumbu) ize ihlolwe.
- Uvavanyo lwamehlo: Jonga i-retinitis.
Ziziphi iindlela zonyango ze-CMV?
- Abantu abaphilileyo: Ukuba usempilweni kwaye unenkqubo yomzimba yokuzikhusela enamandla, usulelo lwe-CMV aludingi nyango. Umzimba uza kululawula ngokwawo.
- Abantu abasemngciphekweni: Iintsana ezosulelekileyo ngexesha lokuzalwa kunye nabo baneenkqubo zomzimba ezibuthathaka zifuna unyango. Amayeza okulwa neentsholongwane asetyenziselwa oku. Umzekelo, amayeza afana neGanciclovir kunye neValganciclovir.
Khumbula, la mayeza awanakukwazi ukuyisusa ngokupheleleyo intsholongwane ye-CMV emzimbeni. Angalawula kuphela ukwanda kwentsholongwane aze anciphise iimpawu kunye neengxaki.
La mayeza anokubangela ezinye iziphumo ebezingalindelekanga (umz., umonakalo wezintso, inani eliphantsi leeseli zegazi), ngoko ke anikwa kuphela phantsi kweliso likagqirha.
Ungazikhusela njani kwi-CMV?
Okwangoku akukho gonyo lwe-CMV, ngoko ke eyona nto ingcono onokuyenza kukuphepha ukosuleleka. Ukuze wenze oku, kubaluleke kakhulu ukulandela iindlela ezilula zococeko.
- Hlamba izandla zakho rhoqo ngesepha: Qiniseka ukuba uhlamba izandla zakho kakuhle ubuncinane imizuzwana eli-15-20, ingakumbi emva kokutshintsha amanabukeni abantwana abancinci, okanye emva kokucoca amathe okanye i-snot .
- Kuphephe ukwabelana ngokutya neziselo: Kuphephe ukutya nokusela kwisitya esinye okanye kwiglasi enye.
- Ukuqabula abantwana: Ukuba uqabula umntwana omncinci, mqabule esidleleni okanye ebunzini. Kuphephe ukumqabula emlonyeni okanye kufutshane nawo, kuba intsholongwane inokudluliselwa ngokulula ngamathe.
- Iindlela zesondo ezikhuselekileyo: Ukusebenzisa iikhondom kunokunciphisa umngcipheko wokosulelwa yi-CMV.
Oomama abakhulelweyo kunye nabafazi abanethemba lokukhulelwa kufuneka balumke kakhulu ngale ndlela yococeko.
Umyalezo Wokuya Ekhaya
- I-CMV yintsholongwane eqhelekileyo. Ngokuqhelekileyo ayibangeli monakalo mkhulu kumntu omdala osempilweni.
- Eyona ngozi inkulu kumntwana osesiswini esivela kumama ngexesha lokukhulelwa kunye nabo baneenkqubo zomzimba ezibuthathaka .
- Iintsana ezosulelwe yi-CMV ekuzalweni kwazo zinokuba neengxaki zempilo ezihlala ixesha elide, ingakumbi ukulahlekelwa kukuva .
- Eyona ndlela ilungileyo yokuzikhusela kwi-CMV kukulandela iindlela ezilula zococeko, njengokuhlamba izandla zakho kakuhle .
- Ukuba ukhulelwe, uzama ukukhulelwa, okanye unenkqubo yomzimba yokuzikhusela ebuthathaka, thetha nogqirha wakho malunga ne-CMV ukuze ufumane ingcebiso engakumbi.
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