I-Cytomegalovirus ikuchaphazela njani ukukhulelwa kunye nosana

Umxholo

• Unyango njani ukunqanda ukosulela
• Uqinisekisa njani ukuba unosulelo lwecytomegalovirus
• Kufuneka wenze ntoni ukuthintela usulelo ekukhulelweni

Ukuba owasetyhini wosulelwe yiCytomegalovirus (CMV) ngexa lokukhulelwa, kubalulekile ukuba unyango lwenziwe ngokukhawuleza ukunqanda ukungcoliseka kosana nge-placenta okanye ngexesha lokubeleka, okunokubangela utshintsho kuphuhliso lomntwana.

Ngokubanzi, umfazi okhulelweyo udibana ne-cytomegalovirus ngaphambi kokukhulelwa kwaye, ke, une-antibodies ezinako ukulwa usulelo kunye nokuthintela usulelo. Nangona kunjalo, xa usulelo lwenzeka nje phambi okanye ngexesha lesiqingatha sokuqala sokukhulelwa, kukho amathuba okudlulisela intsholongwane emntwaneni, enokubangela ukuhanjiswa kwangaphambi kwexesha kunye nokungalunganga kwimveku, njenge-microcephaly, isithulu, ukudodobala kwengqondo okanye isifo sokuwa.

I-Cytomegalovirus ekukhulelweni ayinalo unyango, kodwa kuhlala kunokwenzeka ukuqala unyango ngee-antivirals ukunqanda ukosulela umntwana.

Unyango njani ukunqanda ukosulela

Unyango lweCytomegalovirus xa ukhulelwe kufuneka lwenziwe ngokokuyalelwa ngugqirha, kusetyenziswe amachiza antiviral, njenge-Acyclovir, umzekelo, okanye inaliti ye-immunoglobulins, ejolise ekuvuseleleni amajoni omzimba kunye nokulwa nosulelo, kuthintela ukuhambisa usana .

Ngexesha lonyango, ugqirha kufuneka enze uvavanyo rhoqo ukuze abeke esweni ukukhula komntwana kwaye aqinisekise ukuba intsholongwane ayibangeli lutshintsho. Fumana ezinye iinkcukacha malunga nonyango lwe-cytomegalovirus xa ukhulelwe.

Uqinisekisa njani ukuba unosulelo lwecytomegalovirus

Iimpawu zosulelo lwe-cytomegalovirus azicacanga kakhulu, kubandakanya iintlungu zemisipha, umkhuhlane ongaphezulu kwama-38ºC okanye amanzi abuhlungu. Ukongeza, kwiimeko ezininzi akukho zimpawu, njengoko intsholongwane inokulala ixesha elide. Ngesi sizathu, eyona ndlela yokuqinisekisa ukusuleleka kukwenza ukuba uxilongwe ngugqirha.

Ukuxilongwa kwenziwa ngovavanyo lwegazi lweCMV ngexa lokukhulelwa, isiphumo kukuba:

• I-IgM engasebenziyo okanye engalunganga kunye ne-IgG esebenzayo okanye elungileyo: umfazi sele enonxibelelwano nentsholongwane ixesha elide kwaye umngcipheko wosulelo awuncinci.
• Reagent okanye i-IgM elungileyo kunye ne-non-reactive okanye i-IgG engalunganga: usulelo lwe-cytomegalovirus etsolo, luyakhathaza ngakumbi, ugqirha kufuneka akhokele kunyango.
• Reagent okanye i-IgM elungileyo kunye ne-IgG: kufuneka kwenziwe uvavanyo lokuqina. Ukuba uvavanyo lungaphantsi kwama-30%, kukho umngcipheko omkhulu wosulelo losana ngexesha lokukhulelwa.
• I-IgM engasebenziyo okanye engalunganga kunye ne-IgG: akuzange kubekho ntsholongwane kwaye ke, amanyathelo othintelo kufuneka athathwe ukuthintela usulelo olunokwenzeka.

Xa usulelo lukhankanywa kusana, isampuli ye-amniotic fluid inokuthathwa ukuvavanya ubukho bentsholongwane. Nangona kunjalo, ngokwe-Ofisi yoMphathiswa Wezempilo, uviwo malunga nosana kufuneka lwenziwe kuphela emva kweenyanga ezintlanu zokukhulelwa kunye neeveki ezintlanu emva kosulelo lowasetyhini okhulelweyo.

Jonga kwakhona ukuba yintoni i-IgM kunye ne-IgG.

Kufuneka wenze ntoni ukuthintela usulelo ekukhulelweni

Kuba akukabikho sitofu sokukhusela intsholongwane, kubalulekile ukuba abasetyhini abakhulelweyo balandele iingcebiso ngokubanzi ukunqanda ukosuleleka, ezinje:

• Sebenzisa ikhondom kunxibelelwano olusenyongweni;
• Kulumkele ukuya kwiindawo zikawonke-wonke nabantu abaninzi;
• Hlamba izandla ngoko nangoko emva kokutshintsha ilweyile lomntwana okanye nanini na xa unxibelelana nolusu lomntwana, olufana namathe, umzekelo;
• Musa ukuncamisa abantwana esidleleni okanye emlonyeni;
• Sukusebenzisa izinto zomntwana, ezinjengeiglasi okanye izixhobo zokusika.

Abantwana ikakhulu linoxanduva lokuhambisa i-cytomegalovirus, ke ezi ngcebiso kufuneka zilandelwe ngumfazi okhulelweyo ngalo lonke ixesha lokukhulelwa, ngakumbi ukuba usebenza nabantwana.