I-CMV inyumoniya

I-Cytomegalovirus (CMV) inyumoniya sisifo semiphunga esinokuthi senzeke kubantu abanamajoni omzimba acinezelweyo.

I-CMV pneumonia ibangelwa lilungu leqela leentsholongwane zohlobo lwe-herpes. Usulelo nge-CMV luxhaphake kakhulu. Uninzi lwabantu lubonakaliswe kwi-CMV ebomini babo, kodwa ikakhulu kuphela abo banamajoni omzimba abuthathaka abagulayo kusulelo lweCMV.

Usulelo olubi lweCMV lunokwenzeka kubantu abanamajoni omzimba abuthathaka ngenxa:

• Intsholongwane kaGawulayo / uGawulayo
• Ukutsalwa komongo wethambo
• I-Chemotherapy okanye ezinye iindlela zonyango ezithintela amajoni omzimba
• Ukufakelwa komzimba (ngakumbi ukufakelwa kwemiphunga)

Kubantu abanamalungu omzimba kunye namathambo omzimba, umngcipheko wokusuleleka ngowona mkhulu kwiiveki ezi-5 ukuya kwezi-13 emva kokufakelwa.

Ngolunye uhlobo abantu abasempilweni, i-CMV ihlala ivelisa zimpawu, okanye ivelisa uhlobo lokugula lwethutyana lwe-mononucleosis. Nangona kunjalo, abo banamajoni omzimba abuthathaka banokuba neempawu ezinzima. Iimpawu zingabandakanya:

• Khohlela
• Ukudinwa
• Ifiva
• Ukungakhululeki ngokubanzi, ukungonwabi, okanye ukuziva ungonwabanga (malaise)
• Ukuphelelwa ngumdla wokutya
• Iintlungu zemisipha okanye iintlungu ezidibeneyo
• Ukuqhawukelwa ngumphefumlo
• Ukubila, ukugcwala (ukubila ebusuku)

Umboneleli wezempilo uya kwenza uvavanyo lomzimba. Ukongeza, ezi mvavanyo zilandelayo zinokwenziwa:

• Irhasi yegazi ejikelezayo
• Inkcubeko yegazi
• Uvavanyo lwegazi ukufumana kunye nokulinganisa izinto ezithile kusulelo lweCMV
• I-Bronchoscopy (ingabandakanya i-biopsy)
• I-x-ray yesifuba
• Ukuxilongwa kwesifuba kwe-CT
• Inkcubeko yomchamo (ukubamba okucocekileyo)
• Sputum gram stain kunye nenkcubeko

Injongo yonyango kukusebenzisa amachiza antiviral ukunqanda intsholongwane ekuzilingiseni emzimbeni. Abanye abantu abane-CMV pneumonia bafuna amayeza e-IV (efakwa ngaphakathi). Abanye abantu banokufuna unyango lweoksijini kunye nenkxaso yokuphefumla nge-ventilator ukugcina ioksijini de kube usulelo lulawulwa.

Amachiza okulwa intsholongwane ayayeka ukuzikopa, kodwa ungawutshabalalisi. I-CMV icinezela amajoni omzimba, kwaye inokunyusa umngcipheko wakho kolunye usulelo.

Inqanaba leoksijini eliphantsi egazini labantu abaneCMV pneumonia ihlala iqikelela ukufa, ngakumbi kwabo bafuna ukubekwa kumatshini wokuphefumla.

Iingxaki zosulelo lwe-CMV kubantu abane-HIV / AIDS zibandakanya ukusasazeka kwesifo kwamanye amalungu omzimba, anjenge-esophagus, amathumbu, okanye iliso.

Iingxaki ze-CMV pneumonia zibandakanya:

• Ukuphazamiseka kwezintso (ukusuka kwiziyobisi ezisetyenziselwa ukunyanga imeko)
• Inani leeseli ezimhlophe ezisezantsi (ukusuka kwiziyobisi ezisetyenziselwa ukunyanga imeko)
• Usulelo olugqithisileyo olungaphenduliyo kunyango
• Ukuchasana ne-CMV kunyango oluqhelekileyo

Tsalela umnikezeli wakho ukuba uneempawu zenyumoniya ye-CMV.

Oku kulandelayo kubonisiwe ukunceda ukuthintela inyumoniya ye-CMV kubantu abathile:

• Sebenzisa abanikeli bokufakelwa komzimba abangenayo i-CMV
• Sebenzisa iimveliso zegazi ezingenanto zeCMV kutofelo
• Sebenzisa i-CMV-immune globulin kubantu abathile

Ukuthintela i-HIV / AIDS kuthintela ezinye izifo, kubandakanya i-CMV, ezinokuthi zenzeke kubantu abanamajoni omzimba abuthathaka.

Inyumoniya - icytomegalovirus; Inyumoniya yeCytomegalovirus; Inyumoniya yentsholongwane

• I-pneumonia kubantu abadala - ukukhutshwa

• I-CMV inyumoniya
• I-CMV (icytomegalovirus)

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Crothers K, Morris A, Huang L.Ubunzima beplmonary yosulelo lwe-HIV. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, ii-eds. Incwadi kaMurray kunye neNadel yeyeza lokuphefumla. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 90.

U-Singh N, Haidar G, uLimay AP. Usulelo kulwamkelo lwamalungu afunyanwa emzimbeni. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. IMandell, iDouglas, kunye neMigaqo yeBennett kunye nokuSebenza kwezifo ezosulelayo. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahluko 308.