Chibayo cha CMV

Cytomegalovirus (CMV) chibayo ndimatenda am'mapapo omwe amatha kupezeka mwa anthu omwe ali ndi chitetezo chamthupi.

Chibayo cha CMV chimayambitsidwa ndi membala wa gulu la ma virus amtundu wa herpes. Matenda a CMV ndiofala kwambiri. Anthu ambiri amakhala ndi CMV m'moyo wawo, koma makamaka okhawo omwe ali ndi chitetezo chamthupi chofooka ndi omwe amadwala matenda a CMV.

Matenda akulu a CMV amatha kuchitika mwa anthu omwe ali ndi chitetezo chamthupi chofooka chifukwa cha:

• HIV / Edzi
• Kuika mafuta m'mafupa
• Chemotherapy kapena mankhwala ena omwe amalepheretsa chitetezo cha mthupi
• Kuika thupi (makamaka kumuika m'mapapo)

Kwa anthu omwe adayambitsidwa ziwalo ndi mafupa, chiopsezo chotenga kachilomboka ndi chachikulu masabata 5 mpaka 13 mutangomanga.

Mwa anthu ena athanzi, CMV nthawi zambiri imatulutsa zisonyezo, kapena imabweretsa matenda osakhalitsa amtundu wa mononucleosis. Komabe, omwe ali ndi chitetezo chamthupi chofooka amatha kukhala ndi zizindikilo zowopsa. Zizindikiro zimaphatikizapo:

• Tsokomola
• Kutopa
• Malungo
• Kusapeza bwino, kusakhazikika, kapena kudwala (malaise)
• Kutaya njala
• Kupweteka kwa minofu kapena kupweteka kwamalumikizidwe
• Kupuma pang'ono
• Thukuta, thukuta (usiku thukuta)

Wothandizira zaumoyo adzayesa. Kuphatikiza apo, mayesero otsatirawa atha kuchitika:

• Magazi amitsempha yamagazi
• Chikhalidwe chamagazi
• Kuyesa magazi kuti mupeze ndikuyesa zinthu zomwe zingatenge kachilombo ka CMV
• Bronchoscopy (ingaphatikizepo biopsy)
• X-ray pachifuwa
• Kujambula pachifuwa kwa CT
• Chikhalidwe cha mkodzo (nsomba zoyera)
• Sputum gram banga ndi chikhalidwe

Cholinga cha mankhwalawa ndikugwiritsa ntchito mankhwala ochepetsa ma virus kuti ma viruswo asadzitsatire mthupi. Anthu ena omwe ali ndi chibayo cha CMV amafunikira mankhwala a IV (intravenous). Anthu ena angafunike chithandizo cha oxygen ndi chithandizo chopumira ndi chopumira kuti asunge mpweya mpaka matendawa atakhala m'manja.

Mankhwala ochepetsa mphamvu ya kachilombo amaletsa kachilomboka kuti sikadzitsanzira, koma osawononga. CMV imapondereza chitetezo cha mthupi, ndipo imatha kukulitsa chiopsezo cha matenda ena.

Mpweya wochepa wamagazi m'magazi a anthu omwe ali ndi chibayo cha CMV nthawi zambiri umaneneratu zaimfa, makamaka kwa iwo omwe akuyenera kuyikidwa pamakina opumira.

Zovuta za matenda a CMV mwa anthu omwe ali ndi HIV / AIDS zimaphatikizapo kufalikira kwa matenda kumadera ena a thupi, monga mimba, matumbo, kapena diso.

Zovuta za chibayo cha CMV ndizo:

• Kuwonongeka kwa impso (kuchokera ku mankhwala omwe amagwiritsidwa ntchito pochiza vutoli)
• Kuchuluka kwa maselo oyera a magazi (kuchokera ku mankhwala omwe amagwiritsidwa ntchito pochiza vutoli)
• Matenda opitilira muyeso omwe samayankha chithandizo
• Kukaniza kwa CMV kuchipatala

Itanani omwe akukuthandizani ngati muli ndi zizindikiro za chibayo cha CMV.

Zotsatirazi zawonetsedwa kuti zithandizira kupewa chibayo cha CMV mwa anthu ena:

• Pogwiritsa ntchito operekera ziwalo omwe alibe CMV
• Kugwiritsa ntchito zinthu zamagazi zama CMV zopanda magazi popanga magazi
• Kugwiritsa ntchito CMV-immune globulin mwa anthu ena

Kupewa HIV / AIDS kumapewa matenda ena, kuphatikiza CMV, omwe amatha kuchitika mwa anthu omwe ali ndi chitetezo chamthupi chofooka.

Chibayo - cytomegalovirus; Chibayo cha cytomegalovirus; Chibayo cha virus

• Chibayo mwa akulu - kutulutsa

• Chibayo cha CMV
• CMV (cytomegalovirus)

Britt WJ. Cytomegalovirus. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 137.

Crothers K, Morris A, Huang L. Zovuta zam'mapapo za kachilombo ka HIV. Mu: Broaddus VC, Mason RJ, Ernst JD, et al, olemba. Murray ndi Nadel's Bookbook of Respiratory Medicine. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2016: chap 90.

Singh N, Haidar G, Limay AP. Matenda omwe amalandira opatsirana. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennetts Mfundo ndi Kuchita kwa Matenda Opatsirana. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 308.