CMV kapena cytomegalovirus, ndiwowopsa kwambiri omwe amafalikira kudzera m'madzi amadzi monga misozi, misonzi, magazi, mkodzo, mkaka wa m'mawere, umuna, ndi zamadzi. Mukakhala ndi kachilombo ka HIV, muli ndi kachilombo ka HIV. Matenda a CMV amapezeka panthawi yoyamba pamene mukuyamba kuchipatala ndikupita kumalo osachepera. Matenda anu a CMV angakhalebe pamalo ochepetsera kapena amatha kuyambiranso, koma palibe chomwe chimapangitsa CMV kukhazikitsanso.
Zizindikiro
Matenda ambiri a CMV alibe zizindikiro. Cytomegalovirus nthawi zina imayambitsa matenda ena a tizilombo otchedwa " mononucleosis" (mono, omwe nthawi zina amatchedwanso "kukupsya matenda"). Pamene CMV imayambitsa zizindikiro, nthawi zambiri mumakhala ndi zizindikiro zotsatirazi, zomwe mungazindikire zingathe kugwirizanitsidwa ndi matenda ena ambiri:
- malungo
- Kutupa kwa ma lymph nodes ndi glands
- chikhure
- kutopa
Chifukwa chakuti zizindikiro zomwezo zimapezeka mu matenda ena ambiri, mukhoza kukhala ndi CMV kapena mwapezeka ndi kachilombo ka HIV pa nthawi inayake pamoyo wanu ndipo simunawone kuti muli ndi kachilomboka. Anthu osakhala ndi pakati ndi anthu omwe ali ndi ma chitetezo a chitetezo chamagulu, matenda a CMV nthawi zambiri alibe nkhawa.
Kukula
CMV imapezeka kawirikawiri kuyambira ali mwana mpaka zaka zaunyamata ndi pafupifupi 40 mpaka 100 peresenti ya anthu omwe amaipeza ndi akuluakulu. Kotero ndi matenda ofala kwambiri. Zimakhala zovuta kudziwa bwino momwe anthu omwe ali ndi kachilombo ka HIV amayendera chifukwa cha zizindikiro zokhudzana ndi zinthu zambiri zomwe anthu amakhala nazo.
Monga tafotokozera kale gawo lalikulu la anthu omwe ali ndi matenda a CMV sakhala akuyesedwa.
Amuna ndi akazi ali ndi mwayi wofanana wokhala ndi CMV popeza anthu onse ali pangozi. Ngakhale kuti CMV sichivuta, ngati muli ndi chitetezo cha m'thupi (HIV, kuika, etc.) mutha kukhala ndi zizindikiro za matenda a CMV ndipo mumakhala mavuto ambiri.
Ngati ndinu mayi komanso muli ndi kachilombo koyambitsa matenda, mutha kuika chiopsezo chotengera CMV kwa khanda lanu.
Congenital CMV
Congenital CMV imachitika pamene mayi wapakati ali ndi kachilombo ka cytomegalovirus ndikupatsira mwanayo kachilomboko. Izi mwina ndizoopsa kwambiri kwa matenda a CMV. Malingana ndi CDC, pafupifupi ana 1 mwa ana 150 obadwa ku United States amabadwa ndi CMV. Matendawa angayambitse kulemala kwa kanthawi komanso kosatha kuphatikizapo:
- Matenda a chiwindi (kuphatikizapo jaundice )
- mavuto a malonda
- mawanga ofiirira pakhungu
- mavuto a m'mapapo
- kulemera kwake pang'ono ndi kukula kwake
- kugwidwa
- kupweteka kwakumvetsera kwamuyaya
- chiwonongeko chosatha
- kulemala ndi kusagwirizana
Pafupifupi 33% mwa amayi apakati omwe ali ndi kachilombo ka HIV amapatsira matenda awo kwa mwana wawo wosabadwa. Zizindikiro zingakhalepo pakabereka kapena nthawi zina sizichitika mpaka mwanayo atakula. Ngati mukudziwa kuti mwagwirizanitsa CMV panthawi yomwe muli ndi mimba, muyenera kuti mwana wanu awonetsetse mavuto omwe ali pamwambawa, makamaka kumva ndi kutaya masomphenya.
Kuyesedwa kwa ana kwa CMV mu utero kapena pakangotha kubadwa sikuvomerezedwa. Congenital CMV imangowoneka ngati mayiyo atenga kachilomboka pamene ali ndi mimba.
Ngati mwanayo atagwira CMV atabadwa, sali pachiopsezo chokhala ndi mavuto.
Kudziwa
Cytomegalovirus ikhoza kupezedwa pogwiritsa ntchito njira yosavuta ya magazi yomwe imayang'ana ma antibodies pa kachilomboka kapena poyeza zenizeni zamagulu a CMV m'magazi. Ngakhale n'zosavuta kuzindikira kachilombo ka HIV, zimakhala zovuta kufotokoza nthawi imene munthu wadwala. Ngati mayi wapakati akuyesera zabwino kwa CMV zingakhale zovuta kudziwa ngati kachilomboka kanalipo kale kapena kugwilitsidwa ntchito pamene ali ndi mimba.
Chithandizo
Tsoka ilo, palibe mankhwala a CMV. Mankhwala osokoneza bongo ndi owopsa kwambiri kuti aperekedwe kwa amayi apakati.
Kafukufuku akuchitidwa pofuna kuyambitsa katemera omwe angathandize CMV. Palinso kafukufuku wothandizira kugwiritsira ntchito mankhwala oletsa tizilombo toyambitsa matenda ganciclovir mwana atabadwa kuti atetezedwe kumva.
Chitsime:
Cytomegliovirus (CMV) ndi Congenital CMV Infection. Maofesi a Kuletsa ndi Kuteteza Matenda. Idasinthidwa December 2017.
Choyamba Onaninso. (2012). Cytomegalovirus. https://www.clinicalkey.com (Kuyenera Kulembetsa).