Tšoaetso ea Cytomegalovirus (CMV)

Tšoaetso ea Cytomegalovirus (CMV) ke lefu le bakoang ke mofuta oa vaerase ea herpes.

Ho tšoaetsoa ke CMV ho atile haholo. Tšoaetso e hasana ke:

• Litšelo tsa mali
• Liphetoho tsa 'mele
• Marotholi a phefumolohang
• Mate
• Ho kopanela liphate
• Moroto
• Meokho

Batho ba bangata ba kopana le CMV bophelong ba bona. Empa hangata, ke batho ba nang le boits'ireletso ba mmele bo fokolang, joalo ka ba nang le HIV / AIDS, ba kulang ke tšoaetso ea CMV. Batho ba bang ba phetseng hantle ba nang le ts'oaetso ea CMV ba ba le lefu la mononucleosis-like.

CMV ke mofuta oa vaerase ea herpes. Likokoana-hloko tsohle tsa herpes li lula 'meleng oa hau bophelo bohle ba hau kamora tšoaetso. Haeba sesole sa hau sa 'mele se fokola nakong e tlang, vaerase ena e ka ba le monyetla oa ho etsa bocha, e baka matšoao.

Batho ba bangata ba pepesehetse CMV ba sa le banyenyane, empa ha ba elelloe hobane ha ba na matšoao, kapa ba na le matšoao a bobebe a ts'oanang le sefuba. Tsena li ka kenyelletsa:

• Lymph nodes e atolositsoeng, haholo molaleng
• Feberu
• Mokhathala
• Ho felloa ke takatso ea lijo
• Malaise
• Bohloko ba mesifa
• Moferefere
• Metso o bohloko

CMV e ka baka tšoaetso likarolong tse fapaneng tsa 'mele. Matšoao a fapana ho latela sebaka se amehileng. Mehlala ea libaka tsa 'mele tse ka tšoaetsoang ke CMV ke:

• Matšoafo
• Mpa kapa mala
• Ka morao ea leihlo (retina)
• Lesea ha le ntse le le ka popelong (congenital CMV)

Mofani oa hao oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele' me a utloe sebaka sa mpa. Sebete sa hau le spleen li ka ba bonolo ha li hatelloa ka bonolo (palpated). U kanna oa ba le lekhopho letlalong.

Ho ka etsoa liteko tse khethehileng tsa laboratori tse kang CMV DNA serum PCR ho hlahloba boteng ba lintho tse maling a hau tse hlahisitsoeng ke CMV. Liteko, joalo ka tlhahlobo ea antibody ea CMV, li ka etsoa ho lekola karabelo ea 'mele ea ho itšireletsa mafung ho tsoaetso ea CMV.

Liteko tse ling li ka kenyelletsa:

• Liteko tsa mali bakeng sa liplatelete le lisele tse tšoeu tsa mali
• Karolo ea Chemistry
• Liteko tsa ts'ebetso ea sebete
• Teko ea mono ea mono (ho khetholla tšoaetsong ea mono)

Batho ba bangata ba fola libekeng tse 4 ho isa ho tse 6 ntle le meriana. Phomolo ea hlokahala, ka linako tse ling khoeli kapa ho feta ho fumana maemo a felletseng a ts'ebetso. Li-painkiller le likhahla tse futhumetseng tsa metsi a letsoai li ka thusa ho kokobetsa matšoao.

Meriana ea likokoana-hloko hangata ha e sebelisoe ho batho ba nang le boits'ireletso bo botle ba mmele, empa e ka sebelisoa bakeng sa batho ba nang le boits'ireletso ba mmele bo holofetseng.

Sephetho se setle ka kalafo. Matšoao a ka kokobela libekeng tse 'maloa ho isa likhoeling.

Tšoaetso ea 'metso ke bothata bo tloaelehileng ka ho fetisisa. Mathata a tloaelehileng a kenyelletsa:

• Colitis
• Lefu la Guillain-Barré
• Mathata a tsamaiso ea methapo (neurologic)
• Pericarditis kapa myocarditis
• Nyomonea
• Ho phatloha ha spleen
• Ho ruruha ha sebete (hepatitis)

Bitsa kopano le mofani oa hau haeba u na le matšoao a tšoaetso ea CMV.

E-ea kamoreng ea maemo a tšohanyetso kapa u letsetse 911 kapa nomoro ea ts'ohanyetso ea lehae haeba u na le mahlaba a bohale, a bohloko ka tšohanyetso mpeng ea hau e kaholimo ea leqele. Sena e kanna ea ba sesupo sa ho phatloha ha spleen, ho ka hlokang ho buuoa ka tšohanyetso.

Tšoaetso ea CMV e ka tšoaetsana haeba motho ea tšoaelitsoeng a atamela haufi kapa a atamelane le motho e mong. U lokela ho qoba ho aka le ho kopanela liphate le motho ea nang le tšoaetso.

Lefu lena le ka hasana har'a bana ba banyenyane libakeng tsa tlhokomelo ea bana.

Ha u rera ho tšeloa mali kapa ho kenya litho tsa setho, boemo ba mofani ba CMV bo ka hlahlojoa ho qoba ho fetisetsa CMV ho moamoheli ea senang tšoaetso ea CMV.

CMV mononucleosis; Cytomegalovirus; CMV; Cytomegalovirus ea motho; HCMV

• Mononucleosis - photomicrograph ea lisele
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• Mononucleosis e tšoaetsanoang # 3
• Mononucleosis e tšoaetsanoang
• Mononucleosis - photomicrograph ea sele
• Mononucleosis - molomo
• Masole a mmele

Britt WJ. Ka: Bennett JE, Dolin R, Blaser MJ, lingoliloeng. Mandell, Douglas, le Bennett's Principles and Practice of Infectious Diseases. La 9th. Philadelphia, PA: Elsevier; 2020: khaolo ea 137.

Litsi tsa Taolo le Thibelo ea Maloetse. Cytomegalovirus (CMV) le tšoaetso ea congenital CMV: kakaretso ea bongaka. www.cdc.gov/cmv/clinical/overview.html. E ntlafalitsoe ka Phato 18, 2020. E fihlile ka la 1 Tšitoe.

Drew WL, Boivin G. Cytomegalovirus. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 352.