Ukutheleleka ngeCytomegalovirus (CMV)

Ukutheleleka kweCytomegalovirus (CMV) yisifo esibangelwa uhlobo lwegciwane le-herpes.

Ukutheleleka nge-CMV kuvame kakhulu. Ukutheleleka kusakazwa ngu:

• Ukumpontshelwa igazi
• Ukufakelwa komzimba
• Amaconsi okuphefumula
• Amathe
• Ukuthintana ngokocansi
• Umchamo
• Izinyembezi

Iningi labantu lihlangana ne-CMV empilweni yabo. Kodwa imvamisa, ngabantu abanamasosha omzimba abuthakathaka, njengalabo abane-HIV / AIDS, abaguliswa ukutheleleka nge-CMV. Abanye abantu abaphilile abane-CMV ukutheleleka baba ne-mononucleosis-like syndrome.

I-CMV uhlobo lwegciwane le-herpes. Wonke amagciwane e-herpes ahlala emzimbeni wakho impilo yakho yonke ngemuva kokutheleleka. Uma amasosha akho omzimba eba buthakathaka ngokuzayo, leli gciwane lingaba nethuba lokuphinda lisebenze, libangele izimpawu.

Abantu abaningi bavezwa yi-CMV besebancane, kepha abakuqapheli ngoba abanazimpawu, noma banezimpawu ezincane ezifana nomkhuhlane ovamile. Lokhu kungafaka:

• Ama-lymph node akhulisiwe, ikakhulukazi entanyeni
• Imfiva
• Ukukhathala
• Ukuphelelwa isifiso sokudla
• UMalaise
• Ubuhlungu bemisipha
• I-Rash
• Umphimbo obuhlungu

I-CMV ingadala ukutheleleka ezingxenyeni ezihlukene zomzimba. Izimpawu ziyahlukahluka kuye ngendawo ethintekile. Izibonelo zezindawo zomzimba ezingatheleleka yi-CMV yilezi:

• Amaphaphu
• Isisu noma amathumbu
• Ngemuva kweso (i-retina)
• Ingane isesibelethweni (i-CMV yokuzalwa)

Umhlinzeki wakho wokunakekelwa kwezempilo uzokwenza isivivinyo somzimba futhi ezwe isisu sakho. Isibindi sakho kanye nobende kungahle kube mnene lapho kucindezelwa kahle (kucindezelwe). Ungahle ube nokuqubuka kwesikhumba.

Ukuhlolwa okukhethekile kwelebhu okufana nokuhlolwa kwe-PCR kwe-CMV DNA kungenziwa ukubheka ukutholakala kwezinto ezisegazini lakho ezikhiqizwe yi-CMV. Ukuhlolwa, njengokuhlolwa kwamasosha omzimba kwe-CMV, kungenziwa ukubheka ukuphendula komzimba ekungenweni yi-CMV.

Ezinye izivivinyo zingafaka:

• Ukuhlolwa kwegazi kwama-platelet namaseli amhlophe egazi
• Iphaneli leKhemistry
• Ukuhlolwa kokusebenza kwesibindi
• Ukuhlolwa kwendawo ye-Mono (ukuhlukanisa nokutheleleka nge-mono)

Iningi labantu liyalulama emavikini amane kuya kwayisithupha ngaphandle kwemithi. Kudingeka ukuphumula, kwesinye isikhathi inyanga noma ngaphezulu ukuze uphinde uthole amazinga womsebenzi ogcwele. Ama-painkillers nemifudlana yamanzi afudumele anosawoti angasiza ekunciphiseni izimpawu.

Imithi yokulwa namagciwane imvamisa ayisetshenziswa kubantu abanomzimba wokuzivikela ophilile, kepha ingasetshenziselwa abantu abanamasosha omzimba angasebenzi kahle.

Umphumela muhle ngokwelashwa. Izimpawu zingancishiswa emasontweni ambalwa kuya ezinyangeni.

Ukutheleleka komphimbo kuyinkinga evame kakhulu. Izinkinga ezijwayelekile zifaka:

• I-Colitis
• Isifo se-Guillain-Barré
• Izinkinga zesistimu yezinzwa (i-neurologic)
• I-Pericarditis noma i-myocarditis
• Inyumoniya
• Ukudwengulwa kobende
• Ukuvuvukala kwesibindi (hepatitis)

Shayela i-aphoyintimenti nomhlinzeki wakho uma unezimpawu zokutheleleka nge-CMV.

Iya egumbini labezimo eziphuthumayo noma ushayele ku-911 noma inombolo ephuthumayo yendawo uma unezinhlungu ezingazelelwe ezibukhali, ezinzima ngokuzumayo esiswini sakho sangakwesokunxele. Lokhu kungaba luphawu lwesipenisi esiphukile, okungadinga ukuhlinzwa okuphuthumayo.

Ukutheleleka nge-CMV kungathathelana uma umuntu onegciwane eza ngokusondelana noma ngokusondelana nomunye umuntu. Kufanele ugweme ukuqabulana nokuxhumana ngokocansi nomuntu onegciwane.

Leli gciwane lingabuye lisabalale phakathi kwezingane ezincane ezindaweni zokunakekela izingane.

Lapho uhlela ukumpontshelwa igazi noma ukufakelwa izitho, isimo se-CMV somnikeli singahlolwa ukugwema ukudlulisela i-CMV kumamukeli ongazange angenwe yi-CMV.

CMV mononucleosis; I-Cytomegalovirus; I-CMV; I-cytomegalovirus yomuntu; I-HCMV

• I-Mononucleosis - isithombe se-photomicrograph yamaseli
• I-Mononucleosis - isithombe se-photomicrograph yamaseli
• I-mononucleosis ethathelwanayo # 3
• I-mononucleosis ethathelwanayo
• I-Mononucleosis - i-photomicrograph yeseli
• I-Mononucleosis - umlomo
• Amasosha omzimba

UBritt WJ. Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 137.

Izikhungo Zokulawulwa Nokuvimbelwa Kwezifo iwebhusayithi. I-Cytomegalovirus (CMV) kanye nokutheleleka kokuzalwa kwe-CMV: ukubuka konke komtholampilo. www.cdc.gov/cmv/clinical/overview.html. Kubuyekezwe u-Agasti 18, 2020. Kufinyelelwe kuDisemba 1, 2020.

UDrew WL, uBoivin G. Cytomegalovirus. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 352.