CMV retinitis

Cytomegalovirus (CMV) retinitis ndi matenda opatsirana a diso la diso chifukwa chotupa.

CMV retinitis imayambitsidwa ndi membala wa gulu la ma virus a mtundu 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 afooketsa chitetezo cha mthupi chifukwa cha:

• HIV / Edzi
• Kuika mafuta m'mafupa
• Chemotherapy
• Mankhwala osokoneza bongo
• Kuika thupi

Anthu ena omwe ali ndi CMV retinitis alibe zisonyezo.

Ngati pali zizindikiro, zitha kuphatikiza:

• Mawanga akhungu
• Masomphenya osokonezeka ndi mavuto ena a masomphenya
• Zoyandama

Retinitis nthawi zambiri imayamba m'diso limodzi, koma nthawi zambiri imapita m'diso linalo. Popanda chithandizo, kuwonongeka kwa diso kumatha kubweretsa khungu m'miyezi 4 kapena 6 kapena kuchepera apo.

CMV retinitis imapezeka kudzera mu mayeso a ophthalmologic. Kuchepetsa kwa ophunzira ndi ophthalmoscopy kukuwonetsa zizindikilo za CMV retinitis.

Matenda a CMV amatha kupezeka ndi mayeso amwazi kapena mkodzo omwe amayang'ana zinthu zokhudzana ndi matendawa. Chidziwitso cha minofu chimatha kudziwa kachilombo ka HIV komanso kupezeka kwa ma virus a CMV, koma izi sizichitika kawirikawiri.

Cholinga chamankhwala ndikuletsa kachilomboka kuti asadziwonjezere ndikukhazikitsa kapena kubwezeretsa masomphenya ndikupewa khungu. Chithandizo chanthawi yayitali chimafunikira. Mankhwala atha kuperekedwa pakamwa (pakamwa), kudzera mumitsempha (kudzera m'mitsempha), kapena kubayidwa m'diso (mwamphamvu).

Ngakhale atalandira chithandizo, matendawa amatha kukulira khungu. Kukula kumeneku kumatha kuchitika chifukwa kachilomboka kamayamba kugonjetsedwa ndi maantibayotiki kotero mankhwalawo sagwiranso ntchito, kapena chifukwa chitetezo chamthupi cha munthu chachepa kwambiri.

CMV retinitis itha kupangitsanso gulu la retina, momwe diso limasunthira kumbuyo kwa diso, ndikupangitsa khungu.

Zovuta zomwe zingakhalepo ndi izi:

• 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)

Ngati zizindikiro zikuipiraipira kapena sizikuyenda bwino ndi chithandizo chamankhwala, kapena ngati pali zizindikiro zatsopano, itanani wothandizira zaumoyo wanu.

Anthu omwe ali ndi HIV / Edzi (makamaka omwe ali ndi CD4 yochepa kwambiri) omwe ali ndi vuto la masomphenya ayenera kupita nthawi yomweyo kukayezetsa maso.

Matenda a CMV nthawi zambiri amangoyambitsa zizindikiritso mwa anthu omwe ali ndi chitetezo chamthupi chofooka. Mankhwala ena (monga mankhwala a khansa) ndi matenda (monga HIV / AIDS) amatha kuyambitsa chitetezo chamthupi chofooka.

Anthu omwe ali ndi Edzi omwe ali ndi CD4 yochepera 250 ma cell / microliter kapena ma cell 250 / cubic millimeter amayenera kuwunikidwa pafupipafupi ngati ali ndi vutoli, ngakhale alibe zizindikiro. Mukadakhala ndi CMV retinitis m'mbuyomu, funsani omwe akukuthandizani ngati mukufuna chithandizo kuti musabwerere.

Matenda a cytomegalovirus retinitis

• Diso
• CMV retinitis
• 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.

Freund KB, Sarraf D, Mieler WF, Yannuzzi LA. Matenda. Mu: Freund KB, Sarraf D, Mieler WF, Yannuzzi LA, olemba. Atlas ya Retina. Wachiwiri ed. Philadelphia, PA: Elsevier; 2017: mutu 5.