Pneumonia ea CMV

Cytomegalovirus (CMV) pneumonia ke tšoaetso ea matšoafo e ka hlahang ho batho ba nang le boits'ireletso ba mmele bo hatelletsoeng.

CMV pneumonia e bakoa ke setho sa sehlopha sa livaerase tsa mofuta oa herpes. Ho tšoaetsoa ke CMV ho atile haholo. Batho ba bangata ba pepesetsoa CMV bophelong ba bona, empa hangata ke ba nang le boits'ireletso ba mmele bo fokolang ba kulang ke tšoaetso ea CMV.

Ts'oaetso e matla ea CMV e ka hlaha ho batho ba nang le boits'ireletso ba mmele bo fokolang ka lebaka la:

• HIV / AIDS
• Ho kenyelletsa masapo a masapo
• Chemotherapy kapa kalafo tse ling tse hatellang sesole sa 'mele
• Ho kenyelletsa 'mele (haholo-holo ho kenyelletsa matšoafo)

Ho batho ba bileng le litho tsa 'mele le masapo, kotsi ea tšoaetso e kholo ho feta libeke tse 5 ho isa ho tse 13 kamora ho kenella.

Ho batho ba bang ba phetseng hantle, CMV hangata ha e hlahise matšoao, kapa e hlahisa bokuli ba nakoana ba mofuta oa mononucleosis. Leha ho le joalo, ba nang le sesole sa 'mele se fokolang ba ka ba le matšoao a tebileng. Matšoao a ka kenyelletsa:

• Khohlela
• Mokhathala
• Feberu
• Ho se utloise bohloko ka kakaretso, ho se ts'oenyehe kapa ho kula (malaise)
• Ho felloa ke takatso ea lijo
• Mahlaba a mesifa kapa bohloko ba manonyeletso
• Phefumoloho e khutšoanyane
• Ho fufuleloa, ho fetella (ho fufuleloa bosiu)

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele. Ntle le moo, ho ka etsoa liteko tse latelang:

• Khase ea mali ea mali
• Tloaelo ea mali
• Liteko tsa mali ho fumana le ho metha lintho tse ikhethileng bakeng sa tšoaetso ea CMV
• Bronchoscopy (e ka kenyelletsa biopsy)
• X-ray sefubeng
• Tlhatlhobo ea sefuba ea CT
• Setso sa moroto (tšoasa tse hloekileng)
• Sekhahla sa gram ea sekhohlela le setso

Morero oa kalafo ke ho sebelisa litlhare tse thibelang vaerase ho emisa vaerase ho itlhahisa 'meleng. Batho ba bang ba nang le pneumonia ea CMV ba hloka meriana ea IV (intravenous). Batho ba bang ba kanna ba hloka kalafo ea oksijene le tšehetso ea ho phefumoloha ka moea o ba thusang ho boloka oksijene ho fihlela tšoaetso e laoloa.

Lithethefatsi tse thibelang likokoana-hloko li thibela vaerase hore e itšepe, empa e se ke ea e senya. CMV e hatella sesole sa 'mele,' me e ka eketsa menyetla ea ho tšoaetsoa ke mafu a mang.

Boemo bo tlase ba oksijene maling a batho ba nang le pneumonia ea CMV hangata bo bolela esale pele lefu, haholo-holo ho ba hlokang ho beoa mochining oa ho hema.

Mathata a tšoaetso ea CMV ho batho ba nang le HIV / AIDS a kenyelletsa ho hasana ha mafu likarolong tse ling tsa 'mele, joalo ka' metso, mala kapa leihlo.

Mathata a pneumonia ea CMV a kenyelletsa:

• Ho holofala ha liphio (ho tsoa lithethefatsi tse sebelisetsoang ho phekola boemo)
• Palo e tlase ea lisele tse tšoeu tsa mali (ho tsoa lithethefatsi tse sebelisetsoang ho phekola boemo)
• Tšoaetso e feteletseng e sa arabeleng kalafo
• Ho hanyetsa CMV kalafo e tloaelehileng

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

Tse latelang li bontšitsoe ho thusa ho thibela pneumonia ea CMV ho batho ba itseng:

• Ho sebelisa bafani ba ho fetisetsa litho ba se nang CMV
• Ho sebelisa lihlahisoa tsa mali tse seng mpe tsa CMV bakeng sa tšelo ea mali
• Ho sebelisa CMV-immune globulin ho batho ba itseng

Ho thibela HIV / AIDS ho qoba maloetse a mang, ho kenyeletsoa le CMV, a ka hlahang ho batho ba nang le boits'ireletso ba mmele bo fokolang.

Pneumonia - cytomegalovirus; Pneumonia ea cytomegalovirus; Pneumonia ea vaerase

• Pneumonia ho batho ba baholo - ho tsoa

• Pneumonia ea CMV
• CMV (cytomegalovirus)

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

Crothers K, Morris A, Huang L. Mathata a pulmonary a tšoaetso ea HIV. Ka: Broaddus VC, Mason RJ, Ernst JD, et al, li-eds. Buka ea Bongaka ea Phefumoloho ea Murray le Nadel. La 6th. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 90.

Singh N, Haidar G, Limay AP. Ts'oaetso ho ba amohelang setho se tiileng. Ka: Bennett JE, Dolin R, Blaser MJ, bahlophisi. Melao-motheo ea Mandell, Douglas, le Bennetts le Tloaelo ea Mafu a tšoaetsanoang. La 9th. Philadelphia, PA: Elsevier; 2020: khaolo ea 308.