Imbangela Ehamba Phambili Yokukhubazeka Kokuzalwa Okungenzeka Awukaze Uzwe Ngayo

-Delile

• Kungani iCMV Ingesinye sezifo Ezinciphisayo Ezixoxwe Kancane
• Ngabe I-CMV Ibukeka Kanjani Enganeni Engenwe Yisibeletho?
• Indlela Yokuvimbela I-CMV Uma Ukhulelwe
• Buyekeza kwe-

Kubazali abalindele, izinyanga eziyisishiyagalolunye ezichithwe zilinde ukufika kwengane zigcwele ukuhlela. Noma ngabe kupenda inkulisa, kuhlunga ama-onesies amahle, noma kupakisha isikhwama sasesibhedlela, ingxenye enkulu yesikhathi esihle, esigcwele injabulo.

Vele, ukuletha ingane emhlabeni nakho kungaba yinto ecindezelayo ikakhulukazi, uma kukhulunywa ngempilo yengane. Futhi nakuba izifo eziningi zingabonwa nge-ultrasound noma zixazululwe ngemva nje kokuzalwa, ezinye izinkinga ezingathi sína azibonisi zimpawu noma izimpawu eziyisixwayiso - noma azaziwa umphakathi jikelele (futhi akuvamile ukuthi zixoxwe odokotela).

Isibonelo esisodwa esivelele yi-cytomegalovirus (CMV), igciwane elenzeka kokuzalwa okukodwa kokungu-200 okungaholela ekukhubazekeni kokuzalwa okuyingozi. (Okuhlobene: Izifo Ezisanda Kuzalwa Wonke Umuntu Okhulelwe Udinga I-Radar Yabo)

"I-CMV inenkinga enkulu yokuqwashisa," kuchaza uKristen Hutchinson Spytek, umongameli nomsunguli weNational CMV Foundation. Uphawula ukuthi bangamaphesenti angama-9 kuphela abesifazane (yebo, nje abayisishiyagalolunye) sebezwile nange-CMV, kepha, "kuyimbangela ethathelana kakhulu yezinkinga zokuzalwa e-United States." (Lokho kuhlanganisa ukuphazamiseka kofuzo njenge-down syndrome kanye ne-cystic fibrosis, kanye namagciwane afana ne-Zika, i-listeriosis, ne-toxoplasmosis, uyanezela.)

I-CMV igciwane le-herpes okuthi, nakuba likwazi ukuthinta abantu bayo yonke iminyaka, ngokuvamile alinangozi futhi alinazimpawu kubantu abadala nasezinganeni ezingavikelekile, kusho uSpytek. "Ngaphezu kwesigamu sabo bonke abantu abadala sebetheleleke nge-CMV ngaphambi kweminyaka engama-40," esho. "Uma i-CMV isemzimbeni womuntu, ingahlala lapho impilo yonke." (Okuhlobene: Ngokuqondile Indlela Amazinga Akho Ehomoni Ashintsha Ngayo Ngesikhathi Sokukhulelwa)

Kepha nakhu lapho kuba nenkinga: Uma umuntu okhulelwe ophethe ingane etheleleke nge-CMV, noma engazi, angadlulisela leli gciwane enganeni yakhe engakazalwa.

Futhi ukudlulisela i-CMV enganeni engakazalwa kungadala umonakalo omkhulu ekukhuleni kwayo. Ngokusho kweNational CMV Foundation, kuzo zonke izingane ezizalwa zinegciwane le-CMV lokuzalwa, eyodwa kwezinhlanu iba nokukhubazeka njengokulahleka kombono, ukulahlekelwa ukuzwa, nezinye izindaba zezokwelapha. Ngokuvamile bazozabalaza nalezi zifo impilo yabo yonke, njengoba okwamanje awukho umuthi wokugoma noma ukwelashwa okujwayelekile kwe-CMV (okwamanje).

"Lokhu kuxilongwa kuyalimaza imindeni, kuthinta izingane ezingaphezu kuka-6,000 [e-United States] ngonyaka," kusho uSpytek.

Nakhu konke odinga ukukwazi nge-CMV, kufaka phakathi ukuthi idluliselwa kanjani nokuthi yini ongayenza ukuzigcina (futhi mhlawumbe nengane entsha) iphephile.

Kungani iCMV Ingesinye sezifo Ezinciphisayo Ezixoxwe Kancane

Nakuba i-National CMV Foundation nezinye izinhlangano zisebenza isikhathi esengeziwe ukuze zifundise umphakathi ngemvelo ye-CMV etholakala yonke indawo (futhi eyingozi), indlela leli gciwane elisakazwa ngayo ingenza kube yindaba engathandeki kodokotela ukuba baxoxe ngayo nabazali abalindele noma abantu abaseminyakeni yokuzala. , kusho uPablo J. Sanchez, MD, uchwepheshe wezifo ezithathelwanayo zezingane kanye nomphenyi oyinhloko eSikhungweni Sokucwaninga Nge-Perinatal e-The Research Institute.

"I-CMV idluliswa ngalo lonke uketshezi lomzimba, njengobisi lwebele, umchamo namathe, kepha igqame kakhulu ngamathe," kuchaza uDkt Sanchez. Eqinisweni, i-CMV ekuqaleni yayibizwa nge- igciwane lendlala yamathe, futhi ivame kakhulu ezinganeni ezineminyaka engu-1 kuya kwengu-5 - futhi ikakhulukazi ezindaweni zokunakekela izingane. (Okuhlobene: Izinga Lokufa Okuhlobene Nokukhulelwa e-U.S. Liphakeme Ngokushaqisayo)

Kusho ukuthini lokhu: Uma ungumuntu okhulelwe futhi unenye ingane, noma unakekela izingane ezincane, usengozini yokuyidlulisela enganeni yakho.

"Njengoba sazi, izingane ezincane zivame ukubeka cishe yonke into emlonyeni wazo," kusho uDkt. Sanchez. Ngakho-ke uma [umuntu okhulelwe] enakekela ingane encane enegciwane, ehlanganyela izinkomishi nezipuni noma eshintsha amanabukeni, [angase] angenwe yileli gciwane.

Kubalulekile ukuqaphela ukuthi lokhu kudluliselwa ngeke kubangele ncamashi ukulimala kumuntu omdala (ngaphandle uma bengenawo amandla okuzivikela omzimba). Nakulokhu, ingozi ilele ngokuyidlulisela enganeni esanda kuzalwa.

Vele, njengoba noma ngubani onakekelwa ingane encane azi, kukhona ifayela le- okuningi wokukhafula nesichitho okuhilelekile. Futhi ngenkathi ukuqhubeka kokugeza izandla nokugeza izitsha kungelona njalo isu elilula kakhulu lokuvikela abanakekeli abacindezelekile, ngokusho kukaSpytek, izinzuzo zidlula kakhulu izingqinamba - into umphakathi wezokwelapha ongasheshe ukuveza.

"Ochwepheshe bezokwelapha banolwazi oluncane kakhulu nge-CMV, futhi bavame ukubukela phansi izingozi zayo. Alikho izinga lokunakekelwa phakathi kwezinhlangano zezokwelapha zokweluleka abantu abakhulelwe," uyachaza, ephawula ukuthi i-American College of Obstetricians and Gynecologists iphakamisa ukuthi ukwelulekwa kanye ukuphakamisa amasu okungenelela kubantu abakhulelwe abanezingane ezisacathula ekhaya "akunakwenzeka noma kuwumthwalo." Olunye ucwaningo lwathola ukuthi ama-ob-gyns angaphansi kwamaphesenti angama-50 atshela abantu abakhulelwe indlela yokugwema i-CMV.

"Izizathu [zazo] aziqiniseki," kugcizelela uSpytek. "Futhi iqiniso liwukuthi, kunecala elimangalisayo, ukwesaba nokudabuka okuhlobene nomphumela ngamunye ohlobene ne-CMV noma ukuxilongwa okubangelwa abazali - lokhu iqiniso yilo elisindayo. "

Futhi, njengoba uDkt. Sanchez ebonisa, i-CMV ayixhunyanisiwe nanoma yikuphi ukuziphatha okuyingozi ngokukhethekile noma izici ezithile zobungozi - into nje ephathwa abantu. "Yilokho njalo omama abangitshela khona - ukuthi wonke umuntu ubatshele ukuthi mabaqhelelene namakati [angathwala izifo eziyingozi kubazali abalindele], hhayi ezinganeni zabo," uyaphawula.

Okunye ukubuyela emuva okukhulu nge-CMV, ngokusho kukaDkt.Sanchez? Akukho ukwelashwa noma ukwelashwa. "Sidinga umuthi wokugoma," usho njalo. "Kube yinto ehamba phambili ukuthuthukisa eyodwa. Kube nomsebenzi oqhubekayo, kodwa asikakafiki lapho."

Ngabe I-CMV Ibukeka Kanjani Enganeni Engenwe Yisibeletho?

I-CMV ingazibonakalisa ngezindlela ezihlukile (futhi kwabanye, azikho izimpawu nhlobo). Kepha kulabo bantwana abakhombisa izimpawu, babucayi, kusho uDkt Sanchez.

"Kulabo [bantwana] abakhombisa izimpawu zokutheleleka, ezinye zingaba nzima," kuchaza yena. "Lokho kungenxa yokuthi lapho igciwane liwela i-placenta futhi lithelela umbungu ekuqaleni kokukhulelwa, lingathuthela ohlelweni lwezinzwa oluphakathi futhi manje livumele amangqamuzana obuchopho ukuba athuthele ezindaweni ezivamile. Lokhu kubangela izinkinga zemizwa ngoba ubuchopho abukheki kahle. "

Ngokusho kweNational CMV Foundation, uma une-CMV ngesikhathi sokukhulelwa, kunamathuba angamaphesenti angama-33 ukuthi uzoyidlulisela enganeni yakho. Futhi kulezo zingane ezinesifo, amaphesenti angama-90 ezingane ezizalwa zine-CMV azikhombisi izimpawu lapho zizalwa, kanti amaphesenti ayi-10 asele akhombisa uhlobo oluthile lokukhubazeka ngokomzimba. (Ngakho-ke uma ukhulelwe, futhi, kubalulekile ukukhawulela ukuvezwa kwakho ezinganeni ezincane ezingaphatha leli gciwane.) (Okuhlobene: Izeluleko Zokulala Zokukhulelwa Ukukusiza Ekugcineni Uthole Ukuphumula Okuqinile Kwasebusuku)

Ngaphandle kokuphazamiseka kobuchopho, uDkt.Sanchez uphawula ukuthi ukulahlekelwa ukuzwa kuyisifo esivame kakhulu esihlotshaniswa ne-CMV, okuvame ukuvela kamuva ebuntwaneni. "Ngeziguli zami ezisakhula, uma ukulahlekelwa kwezindlebe kungachazwanga, ngivame ukwazi ukuthi [zabanegciwane] nge-CMV ngenkathi ngisesibelethweni."

Futhi ngenkathi kungekho muthi wokugoma noma wokwelapha konke ukwelashwa kwe-CMV, ukuhlolwa kuyatholakala kwezinsana ezisanda kuzalwa, kanti iNational CMV Foundation okwamanje isebenza kuzincomo. "Sikholelwa ukuthi ukuhlolwa kwezingane ezisanda kuzalwa kuyisinyathelo sokuqala esibalulekile ekushayeleni ukuqwashisa nasekushintsheni kokuziphatha, ngethemba lokunciphisa ubungozi bemiphumela emibi ngenxa ye-CMV yokuzalwa," kuchaza uSpytek.

UDkt. Sanchez uphawula ukuthi iwindi lokuhlola lifushane, ngakho-ke kubalulekile ukubeka kuqala ukuhlola ngokushesha ngemva kokuzalwa. "Sinamasonto amathathu lapho singahlola khona i-CMV yokuzalwa futhi sibheke ukuthi kungabonakala yini ubungozi besikhathi eside."

Uma kutholakala ukuthi i-CMV ingakapheli leso sikhathi samasonto amathathu, abakwaSpytek bathi imishanguzo ethile yokulwa namagciwane ingahle inciphise ubunzima bokulahlekelwa ukuzwa noma ithuthukise imiphumela yentuthuko. "Umonakalo obudalwe yiCMV yokuzalwa awukwazi ukuguqulwa," kuchaza yena. (Kuhlobene: Izakhamzimba ezi-4 ezingathuthukisa Impilo Yocansi Yabesifazane)

Ngenkathi kunokuhlolwa kwabantu abadala, uDkt Sanchez akabancomi ezigulini zakhe. "Abantu abaningi emphakathini [we-CMV] bazizwa beqinile ukuthi [abantu abakhulelwe] kufanele bahlolwe, hhayi mina. Noma ngabe bane-CMV noma cha, badinga ukuthatha izinyathelo."

Indlela Yokuvimbela I-CMV Uma Ukhulelwe

Ngenkathi kungekho ukwelashwa kwamanje noma umuthi wokugoma we-CMV, kunezindlela ezimbalwa zokuvimbela abantu abakhulelwe abangazithatha ukuvimbela ukusuleleka nokudlulisela lesi sifo enganeni engakazalwa.

Nawa amathiphu aphezulu kaSpytek avela ku-National CMV Foundation:

1. Ungabelani ngokudla, izitsha, iziphuzo, utshani, noma izixubho. Lokhu kuya kunoma ngubani, kepha ikakhulukazi nezingane ezineminyaka ephakathi konyaka owodwa kuya kwemihlanu.
2. Ungalokothi ufake i-pacifier evela kwenye ingane emlonyeni wakho. Ngokuzimisela, musa nje.
3. Yanga ingane esihlathini noma ekhanda, kunasemlonyeni wayo. Ibhonasi: Amakhanda ezingane ayanuka Ah-ukushaya. Kuyiqiniso lesayensi. Futhi zizwe ukhululekile ukunikeza konke ukunganga!
4. Geza izandla zakho ngensipho namanzi imizuzwana engu-15 kuya kwengu-20 ngemva kokushintsha amanabukeni, ukondla ingane encane, ukuphatha amathoyizi, nokusula amaconsi, ikhala, noma izinyembezi zengane encane.

Buyekeza kwe-