I-CMV pneumonia

I-Cytomegalovirus (CMV) pneumonia ukutheleleka kwamaphaphu okungenzeka kubantu abanamasosha omzimba acindezelwe.

I-CMV pneumonia ibangelwa yilungu leqembu lamagciwane ohlobo lwe-herpes. Ukutheleleka nge-CMV kuvame kakhulu. Abantu abaningi bavezwa yi-CMV empilweni yabo, kepha imvamisa kuphela labo abanamasosha omzimba abuthakathaka abagula ngokutheleleka nge-CMV.

Ukutheleleka okukhulu kwe-CMV kungenzeka kubantu abanamasosha omzimba abuthakathaka ngenxa ye:

• I-HIV / AIDS
• Ukufakelwa komnkantsha wethambo
• I-Chemotherapy noma ezinye izindlela zokwelapha ezicindezela amasosha omzimba
• Ukufakelwa komzimba (ikakhulukazi ukufakelwa kwamaphaphu)

Kubantu abake bafakelwa izitho zomnkantsha nezitho zomnkantsha, ubungozi bokutheleleka bukhulu kakhulu emasontweni ayisi-5 kuya kwayi-13 ngemuva kokufakwa.

Kwabanye abantu abaphilile, i-CMV imvamisa ayivezi zimpawu, noma ikhiqiza ukugula kohlobo lwesikhashana lwe-mononucleosis. Kodwa-ke, labo abanamasosha omzimba abuthakathaka bangaba nezimpawu ezinzima. Izimpawu zingafaka:

• Khwehlela
• Ukukhathala
• Imfiva
• Ukungakhululeki okuvamile, ukungakhululeki, noma ukugula (malaise)
• Ukuphelelwa isifiso sokudla
• Ubuhlungu bemisipha noma izinhlungu ezihlangene
• Ukuphelelwa umoya
• Ukujuluka, ngokweqile (ukujuluka ebusuku)

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba. Ngaphezu kwalokho, izivivinyo ezilandelayo zingenziwa:

• Igazi legazi lomzimba
• Isiko legazi
• Ukuhlolwa kwegazi ukuthola nokukala izinto eziqondene nokutheleleka kwe-CMV
• I-Bronchoscopy (ingafaka i-biopsy)
• I-x-ray yesifuba
• I-CT scan yesifuba
• Isiko le-urine (ukubamba okuhlanzekile)
• Isikhohlela segramu yesikhohlela namasiko

Inhloso yokwelashwa ukusebenzisa imishanguzo yokunqanda leli gciwane ekuzilingiseni emzimbeni. Abanye abantu abane-CMV pneumonia badinga imishanguzo ye-IV (emithanjeni). Abanye abantu bangadinga ukwelashwa komoya-mpilo nokusekelwa kokuphefumula ngomshini wokuphefumula ukuze kugcinwe umoya-mpilo kuze kube yilapho ukutheleleka sekulawulwa.

Izidambisigciwane zivimbela igciwane ekuzikopisheni, kodwa lingaliqedi. I-CMV icindezela amasosha omzimba, futhi ingakhuphula ubungozi bakho kwezinye izifo.

Izinga eliphansi le-oxygen egazini labantu abane-pneumonia ye-CMV livame ukubikezela ukufa, ikakhulukazi kulabo abadinga ukufakwa emshinini wokuphefumula.

Izinkinga zokutheleleka nge-CMV kubantu abane-HIV / AIDS zibandakanya ukusakazeka kwezifo kwezinye izingxenye zomzimba, ezinjenge-esophagus, amathumbu noma iso.

Izinkinga ze-CMV pneumonia zifaka:

• Ukukhubazeka kwezinso (kusuka ezidakamizweni ezisetshenziselwa ukwelapha lesi simo)
• Ukubalwa kwamaseli amhlophe egazi aphansi (kusuka ezidakamizweni ezisetshenziselwa ukwelapha isimo)
• Ukutheleleka okweqile okungaphenduli ekwelashweni
• Ukuphikiswa kwe-CMV ekwelashweni okujwayelekile

Shayela umhlinzeki wakho uma unezimpawu ze-CMV pneumonia.

Okulandelayo kukhonjisiwe ukusiza ukuvimbela inyumoniya ye-CMV kubantu abathile:

• Kusetshenziswa abanikeli bokufakelwa komzimba abangenayo i-CMV
• Usebenzisa imikhiqizo yegazi engenayo i-CMV yokumpontshelwa
• Kusetshenziswa i-CMV-immune globulin kubantu abathile

Ukuvimbela i-HIV / AIDS kugwema ezinye izifo, kubandakanya i-CMV, ezingenzeka kubantu abanamasosha omzimba abuthakathaka.

Inyumoniya - i-cytomegalovirus; Inyumoniya yeCytomegalovirus; I-pneumonia yegciwane

• I-pneumonia kubantu abadala - ukukhipha

• I-CMV pneumonia
• I-CMV (cytomegalovirus)

UBritt WJ. I-Cytomegalovirus. 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.

Crothers K, Morris A, Huang L. Izinkinga zepulmonary zokutheleleka nge-HIV. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, abakwa-eds. Incwadi kaMurray neNadel Yemithi Yokuphefumula. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 90.

USingh N, Haidar G, Limay AP. Ukutheleleka kwabamukeli bokufakelwa komzimba oqinile. Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. IMandell, iDouglas, neBennetts Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 308.