Cytomegalovirus yobadwa nayo

Congenital cytomegalovirus ndichikhalidwe chomwe chitha kuchitika mwana wakhanda atatenga kachilombo kotchedwa cytomegalovirus (CMV) asanabadwe. Kubadwa kumatanthauza kuti vutoli limakhalapo pakubadwa.

Kubadwa kwa cytomegalovirus kumachitika pamene mayi yemwe ali ndi kachilomboka amapatsira CMV kupita kwa mwana wosabadwayo kudzera pa nsengwa. Mayiyo sangakhale ndi zizindikiro, choncho sangadziwe kuti ali ndi CMV.

Ana ambiri omwe ali ndi CMV pobadwa alibe zisonyezo. Omwe ali ndi zizindikilo atha kukhala ndi:

• Kutupa kwa diso
• Khungu lachikaso ndi azungu amaso (jaundice)
• Ndulu yayikulu ndi chiwindi
• Kulemera kochepa kubadwa
• Maminolo amasungidwa muubongo
• Ziphuphu pakubadwa
• Kugwidwa
• Kukula pang'ono kwa mutu

Pakati pa mayeso, wothandizira zaumoyo atha kupeza:

• Mpweya wosazolowereka umamveka ngati chibayo
• Kukulitsa chiwindi
• Kukula kwa nthata
• Kuchedwa kusuntha kwakuthupi (psychomotor retardation)

Mayeso ndi awa:

• Katemera wotsutsana ndi CMV wa mayi ndi khanda
• Mulingo wa Bilirubin ndi kuyezetsa magazi kwa chiwindi
• Zamgululi
• CT scan kapena ultrasound ya mutu
• Ndalama
• Chithunzi cha TORCH
• Chikhalidwe cha mkodzo cha kachilombo ka CMV m'masabata awiri kapena atatu oyamba amoyo
• X-ray ya chifuwa

Palibe mankhwala enieni obadwa nawo a CMV. Chithandizo chimayang'ana pamavuto ena, monga chithandizo chamankhwala komanso maphunziro oyenera kwa ana omwe akuchedwa kuyenda.

Chithandizo chamankhwala antiviral nthawi zambiri chimagwiritsidwa ntchito kwa makanda omwe ali ndi zizindikiritso zamanjenje. Mankhwalawa amachepetsa kuchepa kwakumva pambuyo pake m'moyo wa mwanayo.

Makanda ambiri omwe ali ndi zizindikilo zakuti ali ndi matenda atabadwa amakhala ndi zovuta zamitsempha pambuyo pake. Makanda ambiri opanda zizindikilo zobadwa sangakhale ndi mavuto awa.

Ana ena amatha kumwalira adakali khanda.

Zovuta zingaphatikizepo:

• Zovuta ndi zochitika zathupi komanso kuyenda
• Mavuto amaso kapena khungu
• Kugontha

Muuzeni mwana wanu nthawi yomweyo ngati wothandizirayo sanamuyese mwana wanu atangobadwa, ndipo mukuganiza kuti mwana wanu ali:

• Kamutu kakang'ono
• Zizindikiro zina zakubadwa kwa CMV

Ngati mwana wanu ali ndi vuto lobadwa nalo la CMV, ndikofunikira kutsatira malingaliro a omwe amakupatsani mayeso oyeserera ana. Mwanjira imeneyi, zovuta zilizonse zakukula ndi chitukuko zitha kuzindikiridwa koyambirira ndikuchiritsidwa mwachangu.

Cytomegalovirus ili pafupifupi kulikonse m'chilengedwe. Bungwe la US Centers for Disease Control and Prevention (CDC) limalimbikitsa njira zotsatirazi zochepetsera kufalikira kwa CMV:

• Sambani m'manja ndi sopo mukakhudza matewera kapena malovu.
• Pewani kupsompsona ana osakwana zaka 6 pakamwa kapena patsaya.
• Osagawana chakudya, zakumwa, kapena ziwiya zodyera ndi ana aang'ono.
• Amayi apakati omwe amagwira ntchito m'malo osamalira ana masana ayenera kugwira ntchito ndi ana okulirapo kuposa zaka 2½.

CMV - kobadwa nako; Kubadwa CMV; Cytomegalovirus - kobadwa nako

• Cytomegalovirus yobadwa nayo
• Ma antibodies

Beckham JD, Solbrig MV, Tyler KL. Vuto la encephalitis ndi meningitis. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 78.

Crumpacker CS. Cytomegalovirus (CMV). Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Mfundo za Bennett ndi Kuchita kwa Matenda Opatsirana, Kusinthidwa. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: chap 140.

Huang FAS, Brady RC. Matenda obadwa nako komanso obadwa nawo. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 131.