Usulelo lweCytomegalovirus (CMV)

Usulelo lweCytomegalovirus (CMV) sisifo esibangelwa luhlobo lwentsholongwane ye-herpes.

Usulelo nge-CMV luxhaphake kakhulu. Usulelo lusasazeka ngu:

• Utofelo-gazi
• Ukufakelwa komzimba
• Amaconsi okuphefumla
• Amathe
• Ukuqhagamshelana ngesondo
• Umchamo
• Iinyembezi

Uninzi lwabantu luye lwadibana ne-CMV ebomini babo. Kodwa ngesiqhelo, ngabantu abanamajoni omzimba abuthathaka, afana nalawo ane-HIV / AIDS, athi agule ngenxa yosulelo lwe-CMV. Abanye abantu abasempilweni abane-CMV yosulelo bakhula nesifo se-mononucleosis-like syndrome.

I-CMV luhlobo lwentsholongwane ye-herpes. Zonke iintsholongwane ze-herpes zihlala emzimbeni wakho ubomi bakho bonke emva kosulelo. Ukuba amajoni akho omzimba aba buthathaka kwixa elizayo, le ntsholongwane inokuba nethuba lokuphinda iphinde isebenze, ibangele iimpawu.

Uninzi lwabantu luchanabeke kwi-CMV kwasebutsheni, kodwa abaqondi kuba abanazimpawu, okanye baneempawu ezibuthathaka ezifana nengqele. Oku kunokubandakanya:

• I-lymph nodes ezandisiweyo, ngakumbi entanyeni
• Ifiva
• Ukudinwa
• Ukuphelelwa ngumdla wokutya
• UMalaise
• Ubuhlungu bemisipha
• Irhashalala
• Umqala obuhkungu

I-CMV inokubangela usulelo kwiindawo ezahlukeneyo zomzimba. Iimpawu ziyahluka ngokuxhomekeke kwindawo echaphazelekayo. Imizekelo yeendawo zomzimba ezinokosulelwa yi-CMV zezi:

• Imiphunga
• Isisu okanye amathumbu
• Umva weliso (i-retina)
• Umntwana ngelixa esesibelekweni (i-CMV yokuzalwa)

Umboneleli wakho wezempilo uya kwenza uvavanyo lomzimba kwaye uve indawo yesisu sakho. Isibindi sakho kunye ne-spleen kunokuthamba xa zicinezelwe kakuhle (zivaliwe). Unokuba nokugqithisa kwesikhumba.

Uvavanyo lweelebhu olukhethekileyo njenge-CMV DNA serum test PCR lunokwenziwa ukujonga ubukho bezinto ezisegazini lakho eziveliswe yi-CMV. Uvavanyo, olufana novavanyo lwe-CMV antibody, lunokwenziwa ukujonga ukuphendula komzimba kwi-CMV.

Olunye uvavanyo lunokubandakanya:

• Uvavanyo lwegazi ngeeplatelets kunye neeseli ezimhlophe zegazi
• Iphaneli yeKhemistry
• Uvavanyo lomsebenzi wesibindi
• Uvavanyo lwe-Mono spot (ukwahlula kwi-mono infection)

Uninzi lwabantu luyachacha kwiiveki ezi-4 ukuya kwezi-6 ngaphandle kwamayeza. Ukuphumla kuyafuneka, ngamanye amaxesha kangangenyanga okanye ngaphezulu ukuze uphinde ufumane amanqanaba omsebenzi ogcweleyo. Iipilisi zentlungu kunye nokufudumeza amanzi anetyuwa kunokunceda ekunciphiseni iimpawu.

Amayeza okulwa neentsholongwane awanakusetyenziswa kubantu abanomzimba wokuzivocavoca, kodwa anokusetyenziselwa abantu abanamajoni omzimba angasebenzi kakuhle.

Iziphumo zilungile ngonyango. Iimpawu zinokuncitshiswa kwiiveki ezimbalwa ukuya kwiinyanga.

Usulelo lomqala yeyona nto ixhaphakileyo. Iingxaki eziqhelekileyo zibandakanya:

• Isifo sokukrala kwebele
• Isifo seGuillain-Barré
• Inkqubo yovalo (neurologic) iingxaki
• Pericarditis okanye myocarditis
• Ukukrala kwemiphunga
• Ukuqhekeka kwepeni
• Ukudumba kwesibindi (hepatitis)

Tsalela umnxeba kwindibano kunye nomboneleli wakho ukuba uneempawu zosulelo lwe-CMV.

Yiya kwigumbi likaxakeka okanye fowunela i-911 okanye inombolo yongxamiseko yendawo ukuba unezintlungu ezibukhali, ezibi ngesiquphe esiswini sakho sasekhohlo. Oku kunokuba ngumqondiso wethambo eliphukileyo, elinokufuna utyando olungxamisekileyo.

Usulelo lwe-CMV lunokusasazeka ukuba umntu owosulelekileyo unxibelelana ngokusondeleyo nomnye umntu. Kuya kufuneka uphephe ukwanga kunye nokunxibelelana ngokwesondo nomntu osulelekileyo.

Intsholongwane inokuthi isasaze phakathi kwabantwana abancinci kwiindawo zokugcina abantwana.

Xa ucwangcisa utofelo-gazi okanye ukufakelwa kwamalungu, imeko ye-CMV yomnikeli inokujongwa ukunqanda ukudlulisa i-CMV kumamkeli ongakhange abe nosulelo lwe-CMV.

CMV mononucleosis; Cytomegalovirus; I-CMV; Icytomegalovirus yomntu; HCMV

• Mononucleosis - photomicrograph iiseli
• Mononucleosis - photomicrograph iiseli
• I-mononucleosis echaphazelekayo # 3
• I-mononucleosis echaphazelekayo
• I-Mononucleosis - ifoto yokushicilela iseli
• Mononucleosis - umlomo
• Iintsholongwane

UBritt WJ. ICytomegalovirus. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahl. 137.

Amaziko oLawulo lweNtsholongwane kunye noThintelo lwewebhusayithi. I-Cytomegalovirus (CMV) kunye nosulelo lwe-CMV lokuzalwa: isishwankathelo seklinikhi. www.cdc.gov/cmv/clinical/overview.html. Ukuhlaziywa kwe-18 ka-Agasti ka-2020. Ifikeleleke ngoDisemba 1, 2020.

UDrew WL, uBoivin G. Cytomegalovirus. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 352.