I-CMV retinitis

I-Cytomegalovirus (CMV) retinitis igciwane lesandulela ngculaza le-retina yeso eliholela ekuvukeleni.

I-CMV retinitis 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 okungathi sína kwe-CMV kungenzeka kubantu abenze buthaka amasosha omzimba ngenxa yalokhu:

• I-HIV / AIDS
• Ukufakelwa komnkantsha wethambo
• Ukwelashwa ngamakhemikhali
• Izidakamizwa ezicindezela amasosha omzimba
• Ukufakelwa komzimba

Abanye abantu abane-CMV retinitis abanazo izimpawu.

Uma kunezimpawu, zingafaka:

• Amabala angaboni
• Ukubona okungaboni kahle nezinye izinkinga zombono
• Izikhukhula

I-Retinitis ivame ukuqala ngeso elilodwa, kepha ivame ukuqhubekela kwesinye iso. Ngaphandle kokwelashwa, ukulimala kwe-retina kungaholela ekubeni yimpumputhe ezinyangeni ezi-4 kuya kwezi-6 noma ngaphansi.

I-CMV retinitis itholakala ngokuhlolwa kwe-ophthalmologic. Ukwehlukaniswa kwabafundi ne-ophthalmoscopy kuzokhombisa izimpawu ze-CMV retinitis.

Ukutheleleka nge-CMV kungatholakala ngokuhlolwa kwegazi noma komchamo okubheka izinto eziqondene nokutheleleka. I-biopsy yezicubu ingathola ukutheleleka ngegciwane kanye nokuba khona kwezinhlayiya zegciwane le-CMV, kepha lokhu akuvamile ukwenziwa.

Inhloso yokwelashwa ukunqanda igciwane ekuziphindaphindeni nasekuzinziseni noma ekubuyiseleni umbono nokuvikela ukungaboni. Kudingeka ukwelashwa kwesikhathi eside. Imithi inganikezwa ngomlomo (ngomlomo), ngomthambo (ngemithambo yegazi), noma ujovwe ngqo esweni (ngomfutho).

Ngisho nangekwelashwa, lesi sifo singaqhubeka sibe yimpumputhe. Lokhu kuqhubekela phambili kungenzeka ngenxa yokuthi igciwane liyahluleka ukumelana nemithi elwa namagciwane ngakho-ke imishanguzo ayisasebenzi, noma ngenxa yokuthi amasosha omzimba womuntu asewohlokile ngokuqhubekayo.

I-CMV retinitis nayo ingaholela ekutholakaleni kwe-retinal, lapho i-retina isuka khona ngemuva kweso, ibangele ukungaboni.

Izinkinga ezingaba nomphumela zifaka:

• Ukukhubazeka kwezinso (kusuka emithini esetshenziselwa ukwelapha lesi simo)
• Isibalo samaseli amhlophe aphansi (kusuka emithini esetshenziselwa ukwelapha lesi simo)

Uma izimpawu ziba zimbi noma zingathuthuki ngokwelashwa, noma uma kuvela izimpawu ezintsha, shayela umhlinzeki wakho wezokunakekelwa kwempilo.

Abantu abane-HIV / AIDS (ikakhulukazi labo abane-CD4 count ephansi kakhulu) abanezinkinga zokubona kufanele benze i-aphoyintimenti khona manjalo ukuze bahlolwe iso.

Ukutheleleka nge-CMV kuvame ukudala izimpawu kuphela kubantu abanamasosha omzimba abuthakathaka. Imithi ethile (efana nokwelashwa komdlavuza) nezifo (njenge-HIV / AIDS) kungadala amasosha omzimba abe buthakathaka.

Abantu abane-AIDS abanesibalo se-CD4 esingaphansi kwama-250 cell / microliter noma ama-250 cells / cubic millimeter kufanele bahlolwe njalo ngalesi simo, noma bengenazo izimpawu. Uma ngabe ubukade une-CMV retinitis esikhathini esedlule, buza umhlinzeki wakho uma udinga ukwelashwa ukuvimbela ukubuya kwayo.

I-Cytomegalovirus retinitis

• Iso
• I-CMV retinitis
• 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.

I-Freund KB, uSarraf D, uMieler WF, uYannuzzi LA. Ukutheleleka. Ku: Freund KB, Sarraf D, Mieler WF, Yannuzzi LA, eds. I-Retina Atlas. Okwesibili. IPhiladelphia, PA: Elsevier; I-2017: isahluko 5.