Isifo secytomegalovirus

I-cytomegalovirus yokuzalwa yimeko enokuthi yenzeke xa usana lusulelwe yintsholongwane ebizwa ngokuba yi-cytomegalovirus (CMV) ngaphambi kokuzalwa. Ukuzalwa kuthetha ukuba imeko ikhona ngexesha lokuzalwa.

I-cytomegalovirus ye-Congenital yenzeka xa umama osulelekileyo edlulisela i-CMV kwimveku engekazalwa. Umama usenokungabi nazimpawu, ngenxa yoko usenokungazi ukuba une-CMV.

Uninzi lwabantwana abanesifo seCMV ekuzalweni abanazo iimpawu. Abo baneempawu banokuba nazo:

• Ukudumba kweretina
• Isikhumba esimthubi kunye namhlophe ngamehlo (jaundice)
• Udakada enkulu kunye nesibindi
• Ubunzima bokuzalwa obuphantsi
• Iidipozithi ezifakwa kwingqondo
• Ukukhawuleza ekuzalweni
• Ukuxhuzula
• Ubungakanani bentloko encinci

Ngexesha loviwo, umboneleli wezempilo unokufumana:

• Isandi sokuphefumla esingaqhelekanga sibonisa inyumoniya
• Ukwandiswa kwesibindi
• Ipeni eyandisiweyo
• Ukulibaziseka kokuhamba komzimba (ukulibaziseka kwengqondo)

Uvavanyo lubandakanya:

• Isihloko se-Antibody ngokuchasene ne-CMV yomama nosana
• Inqanaba leBilirubin kunye novavanyo lwegazi lokusebenza kwesibindi
• I-CBC
• Ukuskena i-CT okanye i-ultrasound yentloko
• Ingxowa mali
• ITORCH isikrini
• Umchamo wenkcubeko yentsholongwane ye-CMV kwiiveki zokuqala ezi-2 ukuya kwezi-3 zobomi
• X-ray esifubeni

Akukho lonyango luthile lwe-CMV yokuzalwa. Unyango lujolise kwiingxaki ezithile, ezinje ngonyango lomzimba kunye nemfundo efanelekileyo yabantwana abanolibaziseko lokuhamba komzimba.

Unyango ngamayeza antiviral ahlala esetyenziselwa iintsana ezineempawu ze-neurologic (luvo). Olu nyango lunokunciphisa ukulahleka kwendlebe kamva ebomini bomntwana.

Uninzi lweentsana ezineempawu zosulelo lwazo ekuzalweni ziya kuba nokungaqhelekanga kwe-neurologic kamva ebomini. Uninzi lweentsana ngaphandle kweempawu ekuzalweni ALUYA kuba nazo ezi ngxaki.

Abanye abantwana basenokufa beselusana.

Iingxaki zinokubandakanya:

• Ubunzima ngemisebenzi yomzimba kunye nentshukumo
• Iingxaki zombono okanye ukungaboni
• Izithulu

Yenza ukuba umntwana wakho ahlolwe kwangoko ukuba umboneleli akazange ahlolisise umntwana wakho kungekudala emva kokuzalwa, kwaye ukrokrela ukuba umntwana wakho:

• Intloko encinci
• Ezinye iimpawu zeCMV yokuzalwa

Ukuba umntwana wakho une-CMV yokuzalwa, kubalulekile ukuba ulandele iingcebiso zomboneleli wakho kwiimviwo zomntwana osempilweni. Ngale ndlela, nayiphi na ingxaki yokukhula kunye nophuhliso inokuchongwa kwangoko kwaye inyangwe ngokukhawuleza.

ICytomegalovirus phantse kuyo yonke indawo kwindalo esingqongileyo. Amaziko aseMelika oLawulo lweNtsholongwane kunye noThintelo (CDC) acebisa la manyathelo alandelayo ukunciphisa ukusasazeka kweCMV:

• Hlamba izandla ngesepha namanzi emva kokuchukumisa amanabukeni okanye amathe.
• Kuphephe ukwanga abantwana abangaphantsi kweminyaka emi-6 emlonyeni okanye esidleleni.
• Ungabelani ngokutya, iziselo, okanye izinto zokutya nabantwana abancinci.
• Abafazi abakhulelweyo abasebenza kwiziko lokugcina abantwana kufuneka basebenze nabantwana abadala kuneminyaka eyi-2½.

CMV - lokuzalwa; CMV lokuzalwa; ICytomegalovirus - izalwa ngokuzalwa

• Isifo secytomegalovirus
• Iintsholongwane

U-Beckham JD, uSolbrig MV, uTyler KL. I-encephalitis yentsholongwane kunye ne-meningitis. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2016: isahluko 78.

Crumpacker CS. ICytomegalovirus (CMV). Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. UMandell, uDouglas, kunye neMigaqo yeBennett kunye nokuSebenza kwezifo ezosulelayo, uHlelo oluHlaziyiweyo. Ngomhla we-8. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 140.

I-Huang FAS, iBrady RC. Izifo ezizalwe kunye nezifo. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahl. 131.