I-Cytomegalovirus (CMV) kwaye ukukhulelwa kuvame ukuhamba ngesandla
I-Cytomegalovirus (CMV) kwaye ukukhulelwa kuvame ukuhamba ngesandla. I-CMV iyintsholongwane eqhelekileyo engabangela ukuba iingxaki ezinzulu kubantu abanempilo - ngaphandle kobuhlwempu kubafazi abakhulelweyo kunye neentsana zabo ezingakazalwa. Nangona uninzi lweintsana aluyi kuba neengxaki zexesha elide, i-CMV ngezinye izihlandlo ingabangela iingxaki ezinzulu kwiintsana ezingakazalwa xa ama-moms engenawo umkhuhlane okhoyo ebonakalayo kwi-CMV ekukhulelweni.
Ingaphezulu kwesigamu sabasetyhini abakhulelweyo sele benama-antibodies kwi-CMV (ithetha ukuba baye bavezwa ngaphambili). Phakathi kwama-1 no-4 ekhulwini lokulindela ama-mama bavezwa kwi-CMV okokuqala ngethuba lokukhulelwa, kunye nala mabhinqa, malunga nesithathu kuya kuba nezingane ezizalwe nge-HIVV. Uninzi lweintsana ezizalwe nge-CMV aziyi kuba neengxaki zexesha elide, kodwa iqela elincinane linokuchaphazeleka kakhulu. Ayaziwa isizathu sokuba ezinye iintsana ziphendule ngokwahlukileyo kwintsholongwane ye-CMV kunezinye.
Izingozi ze-CMV Infection kwiintsana ezisandul 'ukuzalwa
Abantwana abangama-40 000 bazalwa ngonyaka ngamnye nge-HIVV. Amaphesenti angama-90 ale ntsana azinayo iimpawu ze-CMV ekuzalweni kodwa angabhekana nengozi eyongezelelweyo yokuphulaphulwa nokukhubazeka okubonakalayo, ngoko kulandelwa ukuhlolwa kokulandelelana. Iipesenti ezili-10 zentsana ezithathelweyo ezinezibonakaliso ekuzalweni (i-jaundice, i-spleen eyandisiweyo, ukuxhwala, iimpawu zesibindi, kunye / okanye ukukhwabanisa okuphawulekayo) kunesifo esingakumbi.
Ukufikelela kuma-20 ekhulwini kwezi ntsana zingasweleka ngenxa yeengxaki ezivela kusulelo, kwaye abasindileyo banokuba neengcipheko ezingama-90 zokuphuculwa kwengqondo, ukukhubazeka kwesibindi, okanye ukukhubazeka okukhulu.
CMV kunye neMiscrareages
Olunye uphando lubonisa ukuba umama ovelele kwi-cytomegalovirus okokuqala ngethuba lokukhulelwa unokuba nomngcipheko ophezulu wokukhulelwa komzimba, kodwa ulwalamano lwe-CMV ekuphumuleni kokungahambi kakuhle alucaci ngokucacileyo kweli nqanaba.
Umngcipheko omkhulu kunzima kubonakala ukuba umntwana unokuzalwa ngesifo sosulelo lwe-CMV.
Izibonakaliso ze-CMV Infection kwiAbasetyhini abakhulelweyo
Ukusuleleka kwe-CMV rhoqo kubangela ukuba kungabikho iimpawu kubantu abadala abasemgangathweni, kodwa abanye abafazi abakhulelwe banokuba nomkhuhlane omncinci, izigulane ezivuvuzayo, kunye neempawu ezifana nezifo.
Ukukhusela i-CMV Infection
Abaphandi bazama ukuphuhlisa isitofu sokukhusela i- CMV kodwa akukho nangoko okwangoku. Intsholongwane iyadluliselwa ngamanzi omzimba, kuquka i-saliva kunye nemigca yamanzi, kwaye i-CMV iqheleke kakhulu kumaziko okunakekela abantwana. I-CDC icebisa ukuba indlela efanelekileyo yokuthintela ukusuleleka kwe-CMV ukuhlamba izandla rhoqo kunye nokunyamekela ekudibanisaneni nabantwana abancinci. AmaMom asebenza kumaziko okunyamekela ngethuba lokukhulelwa kwaye angazi ukuba aphethwe yi-CMV kufuneka asebenzise ulumkiso olungakumbi. Ugqirha wakho unokusebenzisa ukuhlolwa kwegazi kukuxelela ukuba sele usujonge kwi-CMV ukuba unomdla.
Yintoni enokuyenza Ukuba Ucinga ukuba unayo i-CMV
Ingqiqo enhle ukubika nayiphi na imfiva ngexesha lokukhulelwa okanye iimpawu ezinjengomkhuhlane ngexesha lokukhulelwa kudokotela. Ezi zibonakaliso zingabonisa inani lezonyango ezahlukeneyo, ezininzi zazo ezinokuba yingozi xa ukhulelwa, kwaye ugqirha wakho uya kufuna ukuvavanya ukuba ufumane unyango olufanelekileyo.
Ukuba i-CMV iqinisekiswa njengesizathu sempawu zakho, ngelishwa, akukho unyango olukhoyo, kodwa ugqirha wakho unokufuna ukubeka iliso elongezelelweyo kwintsana yakho ukuze ubambe nayiphi na ingxaki ngokukhawuleza.
Kwaye nangona kungenwaba ukufunda malunga nokuba yintoni-ukuba oko kwenzeka emva kokusuleleka kwe-CMV, kubalulekile ukukhumbula ukuba uninzi lwamatyala alubandakanyi izinto ezimbi kakhulu - nangona kungekho ziqinisekiso, iimeko ezingcono kukuba umntwana wakho akayi kuba neengxaki zexesha elide.
Ukuba sele sele ubelethe umntwana obenesifo esinzulu sokukhulelwa kwe-CMV, ukukhulelwa kwakho kwangexesha elizayo kungeyikuchaphazelekayo - ukusuleleka kwe-CMV kudla ngokubakho kwi-CMV ngexesha lokukhulelwa kuphela kwaye kunqabile kakhulu ukukhulelwa okulandelayo kuchatshazelwa.
Iingxelo:
CMV kunye nokukhulelwa. CDC. Kufumaneka: uNgo-3, 2009. http://www.cdc.gov/cmv/pregnancy.htm
I-Cytomegalovirus ekukhulelweni. Matshi weDimes. Ifumaneka: NgoNovemba 3, 2009. https://www.marchofdimes.org/complications/cytomegalovirus-and-pregnancy.aspx
Griffiths, PD kunye neC. Baboonian. "Umntu oza kufundelwa i-cytomegalovirus ephambili yintsholongwane ngexesha lokukhulelwa: ingxelo yokugqibela." I-BJOG Umqulu 91 Issue 4, iphepha 307 - 315.
Tanaka K, Yamada H, Minami M, Kataoka S, Numazaki K, Minakami H, Tsutsumi H. "Ukuhlolwa kwegazi lokukhulelwa kwe-cytomegalovirus kubasetyhini abakhulelweyo abasebenzayo basebenzisa i-PCR yangempela-time: ukulungiswa kwe-CMV kwisisu kunye nemiphumo emibi yokukhulelwa. "J Med Virol. 2006 Juni; 78 (6): 757-9.
Tremblay, Cecile. > UpToDate .