Kungenzeka ukuthi awukaze uzwe ngaleli gciwane elibizwa ngokuthi i-CMV ngaphambili. Akumangazi lokho. Ngoba liyigciwane elivame kakhulu, kodwa lingafihlwa ngaphakathi emzimbeni ngaphandle kokubonisa izimpawu ezinkulu kumuntu omdala onempilo. Kodwa-ke, uma ungumama okhulelwe, noma uma amasosha omzimba wakho ebuthaka, kubaluleke kakhulu ukuqaphela leli gciwane le-CMV. Ngakho ake sixoxe ngalo namuhla.
Kalula nje, iyini i-CMV?
I-Cytomegalovirus, noma i-CMV ngamafuphi, igciwane elivela emndenini wegciwane le-herpes. Ungase ukhumbule ukuthi amagciwane abangela izifo ezifana ne-chickenpox kanye ne-herpes nawo angaphansi kwalo mndeni. Esinye sezici ezikhethekile zala magciwane ukuthi uma esengene emzimbeni, angahlala elele ngaphakathi kwamangqamuzana omzimba wethu impilo yonke, okusho ukuthi awakwazi ukulimaza.
Igciwane le-CMV liyafana. Abantu abaningi bathola leli gciwane bengazi, futhi lilawulwa amasosha omzimba, lihlale lingasebenzi. Ngakho-ke, alinawo umphumela omkhulu kumuntu ophilile.
Kodwa-ke, uma amasosha omzimba womuntu ebuthakathaka, isibonelo, umuntu one-HIV, umuntu onomdlavuza, noma umuntu oke wafakelwa isitho, igciwane le-CMV elilele lingaphinde lisebenze , okungadala izinkinga ezinkulu zempilo.
Kunezindlela ezintathu eziyinhloko zokudlulisela i-CMV:
Ake sibone ukuthi lokhu kutheleleka kwenzeka kanjani.
1. I-CMV yokuzalwa: Yilapho sidinga ukugxila khona kakhulu. Uma umama ethelelekile nge-CMV ngesikhathi sokukhulelwa, ingadluliselwa enganeni esibelethweni.
2. Ukutheleleka okuyinhloko kwe-CMV: Lokhu kwenzeka lapho umuntu ethola i-CMV okokuqala empilweni yakhe. Ngokuvamile akubangeli izimpawu ezinkulu.
3. Ukuvuselelwa: Njengoba kushiwo ngaphambili, igciwane elalilele emzimbeni liphinde lisebenze lapho amasosha omzimba ebuthakathaka.
Ziyini izimpawu ze-CMV?
Lokhu kuncike esimweni sempilo somuntu onegciwane.
Izimpawu ezivamile kumuntu ophilile
Uma umuntu onesimiso sokuzivikela somzimba esiqinile ethola i-CMV, ngokuvamile akabonisi zimpawu. Ngezinye izikhathi uba nomkhuhlane kanye nobuhlungu bomzimba obuphela ezinsukwini ezimbalwa. Ngakho abazi nokuthi une-CMV. Izimpawu ezivamile zifaka:
- Ukuzizwa ukhathele kakhulu (Ukukhathala)
- Umkhuhlane kanye nokubanda
- Umphimbo obuhlungu
- Ubuhlungu bemisipha
- Ikhanda elibuhlungu
- Ukuvuvukala kweqakala
Uma ingane itheleleke nge-CMV ngesikhathi sokukhulelwa (Congenital CMV)
Lesi yisimo esibi kakhulu. Akuzona zonke izingane ezine-CMV ekuzalweni ezibonisa izimpawu. Kodwa-ke, cishe ingane eyodwa kwezinhlanu ingaba nezimpawu ekuzalweni noma kamuva.
Okubaluleke kakhulu, uma umama enesifo se-CMV esiyinhloko ngesikhathi sokukhulelwa, ikakhulukazi ezinyangeni ezintathu zokuqala, umntwana usengozini enkulu yezinkinga.
| Izimpawu ezingaba khona zengane etheleleke nge-CMV ngesikhathi sokuzalwa | |
|---|---|
| Ukulethwa ngaphambi kwesikhathi | Isisindo esiphansi sokuzalwa |
| Ukuqubuka okufana nokulimala | Ukuphuzi kwesikhumba namehlo (i-Jaundice) |
| Ukuvuvukala kwesibindi kanye ne-spleen | Ikhanda elincane (i-Microcephaly) |
| Ukuquleka | Ukulahlekelwa ukuzwa - Lena inkinga eyinhloko nevame kakhulu. |
| Izinkinga zokubona | Ukulibaziseka kokuthuthukiswa kanye nokunyakaza |
Izimpawu kubantu abanegciwane le-HIV kanye namasosha omzimba abuthakathaka
Uma i-CMV iqala ukusebenza kumuntu onesifo se-HIV esithuthukile (inani le-CD4 elingaphansi kwe-100) noma umuntu onesimiso somzimba sokuzivikela esibuthakathaka ngenxa yesimo esifana nokufakelwa isitho, ingathinta izingxenye ezahlukene zomzimba.
- Amehlo: Ukubona okufiphele, uzizwa sengathi amabala amnyama ayantanta phambi kwamehlo. Lesi simo sibizwa ngokuthi i-Retinitis . Uma singalashwa, singaholela ngisho nasekungabonini.
- Uhlelo lokugaya ukudla: ubuhlungu besisu, uhudo olunegazi, ubunzima bokugwinya.
- Amaphaphu: i-pneumonia.
- Ubuchopho: Ukudideka, izinkinga zenkumbulo.
I-CMV idluliselwa kanjani?
I-CMV isakazeka ngokuxhumana ngqo noketshezi lomzimba lomuntu onegciwane. Ayisakazeki ngokuba seduze noma ngokukhuluma nje.
- Amathe
- Umchamo
- Igazi
- Ubisi lwebele
- Isidoda kanye noketshezi lwesitho sangasese sowesifazane
Ngakho-ke, labo abasebenza nezingane ezincane, ikakhulukazi labo abasebenza enkulisa , basengozini enkulu yokuthola igciwane lapho beshintsha amanabukeni noma besula amathe. I-CMV ingadluliselwa nangokuxhumana ngokocansi, ukumpontshelwa igazi, kanye nokufakelwa izitho zomzimba.
Ungasithola kanjani lesi sifo?
Uma unezimpawu ze-CMV noma ungoweqembu eliyingozi, udokotela wakho uzoyala ukuhlolwa okudingekayo.
- Ukuhlolwa kwegazi nomchamo: Lokhu kungathola ngqo igciwane (njengokuhlolwa kwe-PCR) noma kuhlole izinga lama-antibodies (IgM, IgG) umzimba owakhiqizile ngokumelene negciwane.
- I-Biopsy: Uma kudingeka, kuthathwa isampula encane yezicubu ezithintekile (isib., amathumbu) bese ihlolwa.
- Ukuhlolwa kwamehlo: Hlola i-retinitis.
Yiziphi izindlela zokwelapha i-CMV?
- Abantu abaphilile: Uma unempilo enhle futhi unesimiso somzimba esiqinile sokuzivikela, ukutheleleka kwe-CMV ngokuvamile akudingi ukwelashwa. Umzimba uzokulawula ngokwawo.
- Abantu abasengozini: Izingane ezitheleleka ngesikhathi sokuzalwa kanye nalabo abanezivikeli mzimba ezibuthakathaka badinga ukwelashwa. Kusetshenziswa imithi yokulwa namagciwane kulokhu. Isibonelo, imithi efana neGanciclovir kanye neValganciclovir.
Khumbula, le mithi ayikwazi ukuqeda ngokuphelele igciwane le-CMV emzimbeni. Ingalawula kuphela ukwanda kwegciwane futhi inciphise izimpawu nezinkinga.
Le mithi ingabangela imiphumela emibi (isib. ukulimala kwezinso, inani eliphansi lamaseli egazi), ngakho-ke inikezwa kuphela ngaphansi kokuqashwa ngudokotela.
Ungazivikela kanjani ku-CMV?
Okwamanje akukho muthi wokugomela i-CMV, ngakho-ke into engcono kakhulu ongayenza ukugwema ukutheleleka. Ukuze wenze lokhu, kubaluleke kakhulu ukulandela imikhuba elula yokuhlanzeka.
- Geza izandla zakho njalo ngensipho: Qiniseka ukuthi ugeza izandla zakho kahle okungenani imizuzwana eyi-15-20, ikakhulukazi ngemva kokushintsha amanabukeni ezingane ezincane, noma ngemva kokusula amathe noma amafinyila .
- Gwema ukwabelana ngokudla neziphuzo: Gwema ukudla nokuphuza epuletini noma engilazini efanayo.
- Ukuqabula izingane: Uma uqabula ingane encane, yiqabule esihlathini noma ebunzini. Gwema ukuyiqabula emlonyeni noma eduze kwayo, njengoba igciwane lingadluliselwa kalula ngamathe.
- Imikhuba yocansi ephephile: Ukusebenzisa amakhondomu kunganciphisa ingozi yokudluliselwa kwe-CMV.
Omama abakhulelwe kanye nabesifazane abanethemba lokukhulelwa kufanele baqaphele kakhulu ngalezi zindlela zokuhlanzeka.
Umlayezo Wokuya Nawe Ekhaya
- I-CMV iyigciwane elivame kakhulu. Ngokuvamile ayibangeli umonakalo omkhulu kumuntu omdala onempilo.
- Ingozi enkulu kakhulu ingane esibelethweni kusukela kumama ngesikhathi sokukhulelwa kanye nalabo abanamasosha omzimba abuthakathaka .
- Izingane ezitheleleke nge-CMV ngesikhathi sokuzalwa zingaba nezinkinga zempilo zesikhathi eside, ikakhulukazi ukulahlekelwa ukuzwa .
- Indlela engcono kakhulu yokuzivikela ku-CMV ukulandela imikhuba elula yokuhlanzeka, njengokugeza izandla zakho kahle .
- Uma ukhulelwe, uzama ukukhulelwa, noma unesimiso somzimba esibuthakathaka, khuluma nodokotela wakho nge-CMV ukuze uthole iseluleko esengeziwe.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho