Ikuthinta kanjani iCytomegalovirus Ukukhulelwa kanye nengane

-Delile

• Ukwelapha kanjani ukuvimbela ukudluliselwa
• Ungaqinisekisa kanjani ukuthi une-cytomegalovirus infection
• Okufanele ukwenze ukuvimbela ukutheleleka ekukhulelweni

Uma owesifazane etheleleka nge-Cytomegalovirus (CMV) ngesikhathi ekhulelwe, kubalulekile ukuthi ukwelashwa kwenziwe ngokushesha ukugwema ukungcoliswa kwengane nge-placenta noma ngesikhathi sokubeletha, okungadala ushintsho ekukhuleni kwengane.

Ngokuvamile, owesifazane okhulelwe uhlangana ne-cytomegalovirus ngaphambi kokukhulelwa, ngakho-ke, unamasosha omzimba akwazi ukulwa nokutheleleka nokuvimbela ukudluliswa. Kodwa-ke, lapho ukutheleleka kwenzeka ngaphambi nje noma phakathi nengxenye yokuqala yokukhulelwa, kunamathuba okudlulisela leli gciwane enganeni, elingadala ukubeletha ngaphambi kwesikhathi ngisho nokukhubazeka embungwini, njenge-microcephaly, isithulu, ukubambezeleka kwengqondo noma isithuthwane.

I-Cytomegalovirus ekukhulelweni ayinayo ikhambi, kepha imvamisa kungenzeka ukwelashwa ngama-antivirals ukuvimbela ukudluliselwa enganeni.

Ukwelapha kanjani ukuvimbela ukudluliselwa

Ukwelashwa kweCytomegalovirus ekukhulelweni kufanele kwenziwe ngokuyalelwa ngudokotela wokubelethisa, kusetshenziswa imishanguzo yokulwa namagciwane, njenge-Acyclovir, ngokwesibonelo, noma umjovo wama-immunoglobulin, ohlose ukukhuthaza amasosha omzimba nokulwa nokutheleleka, ukugwema ukudluliselwa kwengane .

Ngesikhathi sokwelashwa, udokotela kufanele ahlole njalo ukubheka ukukhula kwengane futhi aqinisekise ukuthi igciwane alibangeli zinguquko. Thola imininingwane eminingi mayelana nokwelashwa kwe-cytomegalovirus lapho ukhulelwe.

Ungaqinisekisa kanjani ukuthi une-cytomegalovirus infection

Izimpawu zokutheleleka nge-cytomegalovirus azicacanga kakhulu, kufaka phakathi ubuhlungu bemisipha, umkhuhlane ongaphezu kuka-38ºC noma amanzi abuhlungu. Ngaphezu kwalokho, ezimweni eziningi azikho izimpawu nhlobo, njengoba igciwane lingahlala lilele isikhathi eside. Ngalesi sizathu, indlela engcono yokuqinisekisa ukutheleleka ukwenza ukuxilongwa kwezokwelapha.

Ukuxilongwa kwenziwa ngokuhlolwa kwegazi kwe-CMV ngesikhathi sokukhulelwa, umphumela kuba:

• I-IgM engasebenzi noma engeyinhle ne-IgG iyasebenza noma iyakhayo: owesifazane ube nokuthintana naleli gciwane isikhathi eside futhi ingozi yokudluliswa incane.
• I-IgM esebenzayo noma enhle ne-IgG engasebenzi noma engemihle: ukutheleleka okunamandla kwe-cytomegalovirus, kuyakhathaza kakhulu, udokotela kufanele aqondise ukwelashwa.
• I-Reagent noma i-IgM enhle ne-IgG: kufanele kwenziwe ukuhlolwa kokuqina. Uma ukuhlolwa kungaphansi kwama-30%, kunengozi enkulu yokutheleleka kwengane ngesikhathi sokukhulelwa.
• I-IgM engasebenzi noma engeyinhle ne-IgG: akukaze kube nokuthintana naleli gciwane, ngakho-ke, kufanele kuthathwe izinyathelo zokuvimbela ukutheleleka okungenzeka kube khona.

Lapho kusolwa ukutheleleka enganeni, isampula ye-amniotic fluid ingathathwa ukuhlola ubukhona begciwane. Kodwa-ke, ngokusho koMnyango Wezempilo, ukuhlolwa kwengane kufanele kwenziwe kuphela ngemuva kwezinyanga ezinhlanu zokukhulelwa kanye namasonto ama-5 ngemuva kokutheleleka kowesifazane okhulelwe.

Bona nokuthi yini i-IgM ne-IgG.

Okufanele ukwenze ukuvimbela ukutheleleka ekukhulelweni

Njengoba ungekho umuthi wokugoma wokusiza ukuvikela igciwane, kubalulekile ukuthi abesifazane abakhulelwe balandele izincomo ezijwayelekile ukugwema ukutheleleka, okufana nalokhu:

• Sebenzisa ikhondomu lapho usondelana;
• Gwema ukuya ezindaweni zomphakathi nabantu abaningi;
• Geza izandla zakho ngokushesha ngemuva kokushintsha inabukeni lengane noma noma nini lapho uhlangana nezimfihlo zengane, njengamathe, isibonelo;
• Musa ukuqabula izingane ezincane kakhulu esihlathini noma emlonyeni;
• Ungasebenzisi izinto okungezengane, njengezibuko noma ukusika.

Izingane ngokuyinhloko zinesibopho sokudluliswa kwe-cytomegalovirus, ngakho-ke lezi zincomo kufanele zilandelwe ngowesifazane okhulelwe phakathi nokukhulelwa, ikakhulukazi uma esebenza nezingane.