I-CMV noma i-cytomegalovirus, igciwane elivamile elisakazeka ngamanzi omzimba njengamathe, izinyembezi, igazi, umchamo, ubisi lwebele, isilwane, kanye noketshezi lwesisu. Uma usulelekile nge-CMV, usulelekile impilo. Ukutheleleka kwe-CMV kwenzeka esiteji esisebenzayo uma uqala ukuyithola bese ufika esigabeni esilandelayo. Ukutheleleka kwakho kwe-CMV kungase kuhlale esiteji esivelele noma kungase kugcine kuvuseleleke, kodwa akukwazi kakhulu ukuthi yini eyenza i-CMV ivuselele.
Izimpawu
Iningi le-CMV ukutheleleka alikho izimpawu. I-Cytomegalovirus ngezinye izikhathi ingaba imbangela yokutheleleka kwesandulela ngculazi okuthiwa i- mononucleosis (i-mono, futhi ngezinye izikhathi ibizwa ngokuthi "izifo zokuwanga"). Uma i-CMV ibangela izimpawu, ngokuvamile uzoba nezimpawu ezilandelayo noma eziningi, ozozibona zingahlotshaniswa nezinye izifo eziningi:
- umkhuhlane
- i- lymph nodes nezigulane ezivuvukile
- Umphimbo obuhlungu
- ukhathala
Ngenxa yokuthi lezi zibonakaliso ezifanayo zingatholakala kwezinye izifo eziningi, ungase ube ne-CMV noma usuleleke ngesikhathi esithile empilweni yakho futhi ungatholakali unesifo. Kubantu abangewona abakhulelwe kanye nabantu abanezifo zomzimba eziphilile, ukutheleleka kwe-CMV ngokuvamile akuyona into ekhathazayo.
Ukuvama
I-CMV ivame ukutholakala ebuntwaneni kuze kube seminyaka yobudala enezingxenye ezingaba ngu-40 kuya kwezingu-100 zabantu abazithola ngokudala. Ngakho-ke ukutheleleka okuvamile kakhulu. Kunzima ukwazi ngokugcwele izinga labantu abathwala igciwane ngenxa yezimpawu ezihlobene nezinye izinto eziningi abantu ababa nazo.
Njengoba kushiwo ngaphambili ingxenye enkulu yabantu abazuza ukutheleleka kwe-CMV akukaze kuhlolwe ngempela.
Bobabili abesilisa nabesifazane bathatha ingozi efanayo yokuthola i-CMV njengoba bonke abantu besengozini. Ngenkathi i-CMV ingenayo inkinga, uma une-immune system (i-HIV, ukufakelwa kabusha, njll.) Uzothola ukwedlula izimpawu zokutheleleka kwe-CMV futhi ezimweni ezimbi kakhulu.
Uma ungowesifazane futhi ukhulelwe isifo esithathelwanayo, ungase ube nengozi yokudlulisela i-CMV ebantwaneni bakho.
I-CMV ye-Congenital
I-CMV ye-Congenital iyenzeka lapho owesifazane okhulelwe egalelwa nge-cytomegalovirus bese edlulisela ukutheleleka kumntanakhe. Lokhu mhlawumbe kuyingozi kakhulu ukutheleleka kwe-CMV. Ngokusho kwe-CDC, cishe izingane ezingu-150 ezizalwa e-United States zizalwa nge-CMV. Ukutheleleka kungabangela ukukhubazeka okwesikhashana nokuhlala njalo kubandakanya:
- izinkinga zesibindi (kubandakanya i- jaundice )
- izinkinga zesipula
- izindawo ezibomvu esikhumbeni
- izinkinga zamaphaphu
- isisindo sokuzalwa esiphansi nosayizi omncane wekhanda
- ukuhlukunyezwa
- ukulahlekelwa kokulalela okuqhubekayo
- ukulahleka kombono unomphela
- ukukhubazeka kwengqondo nokuntuleka kokuxhumana
Cishe amaphesenti angama-33% wabesifazane abakhulelwe abathintekayo nge-CMV badlulisela lesi sifo kumntwana ongakazalwa. Izimpawu zingase zikhona lapho zizalwa noma ngezinye izikhathi zingenzeki kuze kube yilapho ingane ikhulile. Uma wazi ukuthi unesivumelwano se-CMV ngesikhathi sokukhulelwa kwakho, kufanele uhlolwe ingane yakho ngezinkinga ezingenhla, ikakhulukazi ukuzwa nokulahleka kombono.
Ukuhlolwa njalo kwezinsana ze-CMV ku-utero noma ngemuva kokuzalwa akukhuthazwa. I-CMV ye-congenital iyenzeka kuphela uma owesifazane ethonywa ngesikhathi ekhulelwe.
Uma ingane ivumelana ne-CMV ngemuva kokuzalwa ayisekho engozini yokuthuthukisa izinkinga.
Ukuxilongwa
I-Cytomegalovirus ingatholakala ukuthi isebenzisa ukuhlolwa kwegazi okulula okubheka ama-antibodies ngokumelene negciwane noma ngokulinganisa amazinga wangempela wegciwane le-CMV egazini. Yize kulula ukuthola leli gciwane, kunzima ukukhomba isikhathi umuntu asulele ngayo. Uma owesifazane okhulelwe evivinya ama-CMV kungase kube nzima ukunquma ukuthi ngabe ukutheleleka kwakukhona ngaphambi noma kunkontileka ngesikhathi ukhulelwe.
Ukwelapha
Ngeshwa, ayikho ikhambi ye-CMV. Imithi yama-antiviral inobuthi obukhulu ukuze inikwe abesifazane abakhulelwe.
Ucwaningo okwamanje luqhutshwa ngomzamo wokudala umgomo wokuvimbela i-CMV. Kubuye kube nokucwaninga okusekela ukusetshenziswa kwegciwane lesandulela ngculaza ngemuva kokuzalwa kwengane ukuvimbela ukulahlekelwa kwezindlebe.
Umthombo:
I-Cytomegliovirus (CMV) ne-Congenital CMV Infection. Amasevisi Okulawula Nokuvimbela Izifo. Kubuyekezwe u-December 2017.
Qala ukubonisana. (2012). I-Cytomegalovirus. https://www.clinicalkey.com (Okubhaliselwe Kudingeka).