I-Cytomegalovirus nokukhulelwa

Ukwelashwa ngamagama anzima kangaka kubangelwa igciwane elivela emndenini we-herpes. Lezi zinhlobo ezincane zisakazeka kuwo wonke umzimba, zishiya imikhakha yonke indawo. Uma usulele igciwane, alinakwelashwa, ngoba ukuzivikela kwe-cytomegalovirus akukhiqizwa. Kodwa kungani-ke i-cytomegalovirus ithola ukunakekelwa okunjalo ngesikhathi sokukhulelwa? Lokhu kubakhathaza abaningi omama abalindele. Ake sibone.

Yini eyingozi ku-cytomegalovirus ekukhulelwe?

Iqiniso liwukuthi leli gciwane ngokuvamile liwumphumela wokutheleleka kwe-intrauterine. Kuyingozi kakhulu ukutheleleka komuntu ogulayo onesimo esibi sesifo. Kuleli qophelo, i-microorganism ayithinteki ukukhiqizwa kwama-antibodies. Lokhu kuvumela ukuba angene kalula kusuka egazini likaMama aye e-placenta futhi aphethe ingane. Kulesi simo, ukutheleleka kwenzeka kuma-50% amacala.

Kwenzeka ukuthi owesifazane wayegula ngaphambi kwegciwane. Kodwa ukuzivikela kwakhe ngenxa yokulungiswa kwe-hormonal noma i-ARVI yancipha, futhi yabuyela emuva. Kodwa-ke, lesi simo asiyingozi kakhulu, ngoba umzimba usuvele unamagciwane okulwa ne-cytomegalovirus ngesikhathi ukhulelwe. Amathuba wegciwane angene ngaphakathi kwe-placenta kancane futhi, ngokufanele, futhi aphinde athelele ingane.

Kodwa-ke, asho ukuthi ukutheleleka kwengane nge-cytomegalovirus kwenzeka. Khona-ke yimiphi imiphumela engaba khona? Kungase kube nezinketho eziningana. Ngcono kakhulu, ukutheleleka kuqhubeka kancane. Umonakalo emfubusini awuncane - isethi encane yesisindo. Ingane izalwa futhi iba yithwala yegciwane, ngaphandle kokwazi. Kodwa-ke, kwezinye izimo, i-cytomegalovirus kwabesifazane abakhulelwe ingabangela imiphumela embi. Ngefomu elimangalisayo, ukutheleleka kwe-fetus kwenzeka, futhi ukutheleleka kwe-intrauterine ezinyathelweni zokuqala kungabangela ukukhipha isisu noma ukuthuthukiswa okungavamile kwesisu. Uma, ngosuku oluthile, ukutheleleka nge-cytomegalovirus kwenzeka, ukukhulelwa akuvamile ukulukhuni nokukhubazeka noma ukufa komntwana. Kodwa ama-polyhydramnios angenzeka - ukukhubazeka okuvamile ezinkingeni ze-intrauterine, ukubeletha ngaphambi kwesikhathi kanye ne-cytomegaly esanda kuzalwa. Lesi simo sibonakala ukukhathazeka okukhulu kwesistimu yezinzwa, ukwanda kwesipere, isibindi, ukubukeka kwe "jelly", ukungazithulu.

Ukwelashwa kwe-cytomegalovirus ekukhulelwe

Ifomu elibi legciwane ngokuvamile lifana nomkhuhlane: isimo se-malaise, ukwanda kancane kwezinga lokushisa. Kodwa ngokuvamile ngokuvamile ku-cytomegalovirus ekhulelwe idlula ngokungafani. Ukutholakala kwalo kubonakala kuphela ngokusebenzisa izivivinyo ze-laboratory ngokutholakala kwama-antibodies ku-cytomegalovirus emzimbeni ngencazelo ye-immunoglobulins-IgM ne-IgG. Uma ukuhlolwa kwe-cytomegalovirus IgG kulungile lapho ukhulelwa, kungenzeka ukuthi ukutheleleka kwe-fetus kuzokwenzeka. Kuncike ekutheni lona wesifazane akazange anesifo sengculazi ezinyangeni ezimbalwa ngaphambi kwesimo "esithakazelisayo".

Kodwa-ke, uma ukuhlolwa kwe-cytomegalovirus IgG ngesikhathi sokukhulelwa kuyinto engafanele, kanti nezinye izifo zomzimba - i-IgM ne-IgG engavamile - ayibonakali, amathuba okutheleleka kwe-fetus aphakeme kakhulu uma umama ekhulelwe. Omama abazayo abangenawo ama-antibodies ku-cytomegalovirus basengozini.

Ngokuqondene nokwelashwa kokutheleleka, ayikho imiklamo yanamuhla ayikhiphi ngokuphelele igciwane. Uma i-cytomegalovirus ingenangqondo, akukho ukwelashwa kwezidakamizwa okudingekayo. Abesifazane abane-immunostimulating (tsikloferon) kanye namayeza antiviral (i-foscarnet, ganciclovir, i-cidofovir) inqunywe.

Futhi, owesifazane udinga ukuhlolwa ukuze anqume ukuba khona kwe-cytomegalovirus ekuhleleni ukukhulelwa. Uma ifomu elibi lesi sifo litholakala, ukukhulelwa akukhuthazwa iminyaka emibili, kuze kufinyelele ifomu lanten. Owesifazane ohlaziywa nguye ophikisayo kufanele, uma kungenzeka, wesabe ukutheleleka. Nakuba kunzima ukwenza lokhu - i-cytomegalovirus idluliselwa ngamathe, umchamo, igazi kanye negazi.