I-CMV retinitis

I-Cytomegalovirus (CMV) i-retinitis yintsholongwane yentsholongwane ye-retina yeso ebangela ukuvuvukala.

I-CMV retinitis 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 abaye babuthathaka amajoni omzimba ngenxa:

• Intsholongwane kaGawulayo / uGawulayo
• Ukutsalwa komongo wethambo
• Unyango ngamayeza
• Iziyobisi ezicinezela amajoni omzimba
• Ukufakelwa komzimba

Abanye abantu abane-CMV retinitis abanazimpawu.

Ukuba kukho iimpawu, zinokubandakanya:

• Amabala angaboniyo
• Umbono ongacacanga kunye nezinye iingxaki zombono
• Iiflothi

I-Retinitis ihlala iqala ngeliso elinye, kodwa ihlala iqhubela kwelinye iliso. Ngaphandle konyango, umonakalo kwi-retina unokukhokelela ekungaboniyo kwiinyanga ezi-4 ukuya kwezi-6 okanye ngaphantsi.

I-CMV retinitis ifunyaniswa ngovavanyo lwe-ophthalmologic. Ukuxinaniswa kwabafundi kunye ne-ophthalmoscopy kuya kubonisa iimpawu ze-CMV retinitis.

Usulelo lweCMV lunokuchongwa kuvavanyo lwegazi okanye lomchamo olujonga izinto ezithile kusulelo. I-biopsy yethishu inokufumanisa usulelo lwentsholongwane kunye nobukho be-CMV virus particles, kodwa oku kunqabile ukwenziwa.

Injongo yonyango kukuyekisa intsholongwane ekuziphindaphindeni nasekuzinziseni okanye ekubuyiseleni umbono kunye nokuthintela ukungaboni. Unyango lwexesha elide luyafuneka rhoqo. Amayeza anokunikwa ngomlomo (ngomlomo), ngokusebenzisa umthambo (ngaphakathi), okanye ufakwe ngqo kwiliso (ngokungathandabuzekiyo).

Nokuba kunyango, esi sifo sinokuba sibi ngakumbi kukungaboni. Le nkqubela inokwenzeka ngenxa yokuba intsholongwane iye inganyangeki ngamachiza antiviral ngoko ke amachiza awasasebenzi, okanye ngenxa yokuba amajoni omzimba womntu ewohlokile ngakumbi.

I-CMV retinitis inokukhokelela kwi-retinal detachment, apho i-retina ibambelela ngasemva kweliso, ibangele ubumfama.

Iingxaki ezinokubangela zibandakanya:

• Ukuphazamiseka kwezintso (kumayeza asetyenziselwa ukunyanga imeko)
• Inani leeseli ezimhlophe ezisezantsi (ukusuka kumayeza asetyenziselwa ukunyanga imeko)

Ukuba iimpawu ziba zimbi okanye zingaphuculi ngonyango, okanye ukuba iimpawu ezintsha zikhula, tsalela umnikezeli wakho wezempilo.

Abantu abanentsholongwane kaGawulayo / noGawulayo (ngakumbi abo banesibalo esiphantsi kakhulu se-CD4) abanengxaki yokubona kufuneka benze idinga ngoko nangoko kuvavanyo lwamehlo.

Usulelo lwe-CMV ludla ngokubangela iimpawu kubantu abanamajoni omzimba abuthathaka. Amayeza athile (njengonyango lomhlaza) kunye nezifo (ezinjenge-HIV / AIDS) zinokubangela amajoni omzimba abe buthathaka.

Abantu abanesifo sikagawulayo abanesibalo se-CD4 esingaphantsi kwama-250 eeseli / imicrolita okanye iiseli ezingama-250 / ii-cubic millimeter kufuneka bavavanywe rhoqo kule meko, nokuba abanazo na iimpawu. Ukuba une-CMV retinitis kwixa elidlulileyo, cela umboneleli wakho ukuba ufuna unyango ukuthintela ukubuya kwayo.

ICytomegalovirus retinitis

• Iliso
• I-CMV retinitis
• I-CMV (icytomegalovirus)

UBritt WJ. Cytomegalovirus. 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.

Freund KB, Sarraf D, Mieler WF, Yannuzzi LA. Usulelo. Ku: Freund KB, Sarraf D, Mieler WF, Yannuzzi LA, ii-eds. Iiatlasi zeRetinal. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 5.