Cytomegalovirus: ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Momwe mungadziwire
• Momwe mankhwalawa amachitikira
• Zovuta zazikulu
• Momwe kufalitsa kachilombo kumachitikira
• Momwe mungapewere

Cytomegalovirus, yomwe imadziwikanso kuti CMV, ndi kachilombo koyambitsa matenda a herpes, omwe amatha kuyambitsa matenda monga malungo, malaise ndi kutupa m'mimba. Monga herpes, kachilomboka kamapezekanso mwa anthu ambiri, koma kumangoyambitsa zizindikiritso za chitetezo cha mthupi zikafooka, monga mwa amayi apakati, anthu omwe ali ndi HIV kapena odwala omwe amalandira khansa, mwachitsanzo.

Pakati pa mimba, kachilomboka kamapezeka kudzera m'mayeso a amayi oyembekezera, koma nthawi zambiri imakhala yopanda vuto ndipo siyimayambitsa kusintha kwa mwana, makamaka pamene mayi anali ndi kachiromboko asanakhale ndi pakati. Komabe, mayi akatenga kachilombo panthawi yomwe ali ndi pakati, kachilomboka kangayambitse mavuto monga microcephaly komanso kugontha mwa khanda.

Zizindikiro zazikulu

Nthawi zambiri, matenda a CMV samayambitsa zizindikiro, ndipo ndizofala kuti anthu azindikire kuti ali ndi kachilombo akayezetsa magazi awo ngati ali ndi kachilomboka.

Komabe, zizindikilo zina zimatha kupezeka ngati chitetezo cha mthupi chimachepa, monga:

• Malungo pamwamba 38ºC;
• Kutopa kwambiri;
• Kutupa kwa m'mimba;
• Mimba yowawa;
• Kufalikira kwa malaise;
• Kutupa kwa chiwindi;
• Kuchotsa mowiriza;
• Kwa anthu omwe ali ndi HIV / AIDS, matenda opatsirana m'maso, khungu, encephalitis, chibayo ndi zilonda zam'mimba ndi m'mimba zimatha kuchitika.

Chifukwa choopsa chotenga zofooketsa khanda, amayi onse apakati ayenera kuyezetsa kachilomboka, ngakhale popanda zizindikiro, kuti ayambe kulandira chithandizo, ngati kuli kofunikira, kuti apewe kachilomboka kuti kasakhudze mwanayo. Mvetsetsani zomwe zimachitika mwana wanu akakhala ndi matenda a cytomegalovirus.

Momwe mungadziwire

Kuzindikira kwa matenda a cytomegalovirus kumachitika kudzera m'mayeso amwazi, omwe amawonetsa ngati pali ma antibodies olimbana ndi kachilomboka. Zotsatira zakayeso zikusonyeza zotsatira za reagent za CMV IgM, zikuwonetsa kuti kachiromboka kamakhalabe koyambirira, koma ngati zotsatira zake ndi CMV IgG reagent, zikutanthauza kuti kachilomboko kamakhalapo mthupi nthawi yayitali, kenako amakhalabe moyo wonse, monga nsungu.

Mukakhala ndi pakati, ngati zotsatira zake ndi CMV IgM reagent, mayi wapakati ayenera kuyamba chithandizo ndi ma antivirals kapena ma immunoglobulins, kuti apewe kufalikira kwa mwanayo. Onani momwe mankhwalawa amachitikira pazochitikazi.

Momwe mankhwalawa amachitikira

Chithandizo cha matenda a cytomegalovirus chitha kuchitidwa ndimankhwala osokoneza bongo, monga Ganciclovir ndi Foscarnet, mwachitsanzo, ali ndi poyizoni wam'magazi ndi impso, ndipo chithandizochi sichikulimbikitsidwa ndi adotolo, pokhapokha ngati ali ndi pakati kapena matendawa akayamba kukula, mwachitsanzo.

Chifukwa chake, nthawi zambiri amalimbikitsidwa kuti mugwiritse ntchito mankhwala opha ululu, monga Paracetamol, kuti muchepetse zizindikilo, monga kupweteka mutu ndi malungo, mwachitsanzo. Mankhwalawa nthawi zambiri amakhala pafupifupi masiku 14 ndipo amatha kuchitira kunyumba pogwiritsa ntchito mankhwala omwe dokotala adakupatsani, kupumula komanso kumwa madzi okwanira.

Zovuta zazikulu

Zovuta zamatenda a cytomegalovirus zimachitika makamaka mwa ana omwe ali ndi kachilombo ali ndi pakati, ndipo amaphatikizapo:

• Yaying'onocephaly;
• Kuchedwetsa chitukuko;
• Chorioretinitis ndi khungu;
• Cerebral palsy;
• Zowonongeka pakupanga mano;
• Kufa ziwalo zina za thupi, makamaka miyendo;
• Kugontha kwakumverera.

Kwa achikulire, zovuta zimayamba pamene matenda amakula kwambiri, monga mwa anthu omwe ali ndi chitetezo chamthupi chofooka, zomwe zimayambitsa khungu ndi kusuntha kwa miyendo, mwachitsanzo.

Momwe kufalitsa kachilombo kumachitikira

Kutumiza kwa cytomegalovirus kumatha kuchitika ndikulumikizana ndi zinsinsi za m'thupi, monga chifuwa ndi malovu, kudzera mwa kukhudzana kwambiri ndi munthu yemwe ali ndi kachilomboka kapena mwa kugawana zinthu zowononga, monga magalasi, zodulira ndi matawulo.

Kuphatikiza apo, kachilomboka kangathenso kufalikira kudzera mu kuthiridwa magazi kapena kuchokera kwa mayi kupita kwa mwana, makamaka mayi wapakati akakhala ndi pakati.

Momwe mungapewere

Pofuna kupewa kuipitsidwa ndi cytomegalovirus ndikofunikira kusamba m'manja mokwanira, makamaka musanapite komanso mukapita kubafa ndikusintha thewera la mwana, mwachitsanzo, kuphatikiza pakusamba chakudya bwino mukamaphika.

Kuphatikiza apo, ndikofunikira kugwiritsa ntchito kondomu panthawi yogonana ndikupewa kugawana zinthu zanu ndi anthu ena.