I-Cytomegalovirus (CMV) nokukhulelwa kuvame ukuhamba ngesandla
I-Cytomegalovirus (CMV) nokukhulelwa kuvame ukuhamba ngesandla. I-CMV yisifo esivamile esingabangela izinkinga ezinkulu kubantu abanempilo - ngokungafani nakakhulu ukuthi abesifazane abakhulelwe nezinsana zabo ezingakazalwa. Nakuba iningi lezingane ngeke libhekane nezinkinga zesikhathi eside, i-CMV ingahle ibangele izinkinga ezingathí sina ezinganeni ezingakazalwa lapho umama engenawo igciwane lesandulela ngculazi ekhona evezwe ku-CMV ekukhulelwe.
Ngaphezulu kwengxenye yabesifazane abakhulelwe kakade banezinhlobo zokulwa namagciwane ku-CMV (okusho ukuthi bevezwe ngaphambili). Phakathi kwamaphesenti angu-1 kuya kwangu-4 okulindela abomama aboniswa kwi-CMV okokuqala ngesikhathi sokukhulelwa, futhi kulaba besifazane, cishe owesithathu uzoba nezinsana ezalwa nokutheleleka kwe-CMV. Iningi lezingane ezizalwa nge-CMV ngeke libhekane nezinkinga zesikhathi eside, kodwa ingxenyana encane ingathinteka kakhulu. Ayaziwa ukuthi kungani ezinye izingane zamukela ngokuhlukile ukutheleleka kwe-CMV kunezinye.
Izingozi ze-CMV Infection Emantfwaneni Asanda kuzalwa
Amantombazane angaba ngu-40,000 azalwa ngonyaka unesifo sohlelo lwe-CMV. Amaphesenti angama-90 alawa bantwana asenayo izimpawu ze-CMV esebenzayo kodwa angabhekana nengozi yokuzwa nokukhubazeka okubukwayo, ngakho-ke ukuhlolwa kokulandelela kunganconywa. Amaphesenti angu-10 ezinsana ezinesifo esinezibonakaliso ekuzalweni (i-jaundice, i-spleen ekhulisiwe, ukugunjwa, izimpawu zesibindi, kanye / noma ukukhwabanisa) kunesifo esibi kakhulu.
Amaphesenti angaba ngu-20 alawa bantwana angase afe ngenxa yezimo ezibangelwa ukutheleleka, futhi abasindile bangase babe nengozi engamaphesenti angama-90 okuthuthukisa ukukhubazeka kwengqondo, ukukhubazeka kwengqondo, noma ukukhubazeka okukhulu.
I-CMV kanye nemikhakha
Olunye ucwaningo lubonisa ukuthi omama abavuleleke ku-cytomegalovirus okokuqala ngesikhathi sokukhulelwa bangase babe nengozi ephezulu yokukhulelwa kwesisu, kodwa ubuhlobo be-CMV ekukhulelweni kwegazi akucaci ngalesi sikhathi.
Ingozi enkulu kunazo zonke kubonakala sengathi ingane ingazalwa ngokutheleleka kwe-CMV.
Izimpawu ze-CMV Infection kwabesifazane abakhulelwe
Ukutheleleka kwe-CMV ngokuvamile kubangela izimpawu kubantu abadala abanempilo, kodwa abanye besifazane abakhulelwe bangase babe nomkhuhlane omncane, izigulane ezivuvukala, nezimpawu ezifana ne-flu.
Ukugwema i-CMV Infection
Abacwaningi bazama ukuthuthukisa umgomo wokulwa no-CMV kodwa akekho okwamanje okwamanje. Igciwane liyadluliselwa ngamanzi asemzimbeni, kufaka hlangana amathanga kanye nemisipha yomzimba, kanti i-CMV ivame kakhulu ezindaweni zokunakekela izingane. I-CDC iluleka ukuthi indlela engcono kakhulu yokuvimbela ukutheleleka kwe-CMV ukugeza izandla njalo nokusebenzisa ukunakekelwa kokuxhumana nezingane ezincane. AmaMama asebenza ezikhungweni zokunakekelwa kwesikhashana ngesikhathi sokukhulelwa futhi angazi ukuthi aphethwe yi-CMV kufanele asebenzise ukuqapha okwengeziwe. Udokotela wakho angasebenzisa ukuhlola kwegazi ukukutshela ukuthi usuvele ukhulelwe kumzimba we-CMV uma ukhathazekile.
Okufanele Ukwenze Uma Ucabanga Unayo CMV
Kungumqondo omuhle ukubika noma imuphi umkhuhlane ngesikhathi sokukhulelwa noma izimpawu ezifana nomkhuhlane ngesikhathi ukhulelwe kudokotela. Lezi zimpawu zingabonisa izifo eziningana ezihlukene, eziningi zazo zingaba yingozi ekukhulelwe, kanti udokotela wakho uzofuna ukukuhlola ukuze anqume ukwelashwa okufanele.
Uma i-CMV iqinisekiswa njengesizathu sezimpawu zakho, kukhona, ngeshwa, akukho ukwelashwa okukhona, kepha udokotela wakho angase afune ukwenza ukuqapha okungaphezulu kwengane yakho ukuze abambe noma yiziphi izinkinga ngokushesha ngangokunokwenzeka.
Futhi nakuba kungesaba ukufunda mayelana nokuthi yini-uma kungenzeka okungenzeka ngemuva kokutheleleka kwe-CMV, kubalulekile ukukhumbula ukuthi iningi lamacala alibandakanyi izimo ezimbi kakhulu - kanti nakuba kungekho ziqinisekiso, izinkinga zingcono ukuthi ingane yakho ngeke ihlupheke isikhathi eside.
Uma usuvele ubelethe ingane enesifo esibucayi sokutheleleka kwe-CMV yokubeletha, ukukhulelwa kwakho esikhathini esizayo ngeke kuphazamiseke kakhulu - Ukutheleleka kwe-CMV ngokuvamile kubangelwa ukuvezwa kokuqala kwe-CMV ngesikhathi sokukhulelwa kuphela futhi kuyinto engavamile kakhulu ukuze ukukhulelwa okulandelayo kuthinteke.
Izinkomba:
CMV nokukhulelwa. I-CDC. Kufinyelelwe: Nov 3, 2009. http://www.cdc.gov/cmv/pregnancy.htm
I-Cytomegalovirus ekukhulelweni. March we-Dimes. Kufinyelelwe: uNgo 3, 2009. https://www.marchofdimes.org/complications/cytomegalovirus-and-pregnancy.aspx
Griffiths, PD kanye noC. Baboonian. "Umuntu ozofunda ukutheleleka kokuqala kwe-cytomegalovirus ngesikhathi sokukhulelwa: umbiko wokugcina." I-BJOG Volume 91 Issue 4, Amakhasi 307 - 315.
Tanaka K, Yamada H, Minami M, Kataoka S, Numazaki K, Minakami H, Tsutsumi H. "Ukuhlolwa kwe-cytomegalovirus kwabesifazane abakhulelwe abasebenzayo besebenzisa i-PCR yangempela-ukulungiswa kwe-CMV esiswini kanye nomphumela omubi wokukhulelwa. "J Med Virol. 2006 Jun; 78 (6): 757-9.
U-Tremblay, uCecile. > UpToDate .