Caabuqa cytomegalovirus ee haweeneyda uurka leh waxay keeni kartaa cillado ku dhaca uurjiifka haddii uu qabo. Tani waa sababta ay muhiim u tahay in la ogaado haddii aad halis ugu jirto inaad cudurkan qaaddo iyo inaad naftaada ka ilaaliso sharciyada nadaafadda haddii ay taasi dhacdo.

Cytomegalovirus waa fayras ka tirsan qoyska fayraska herpesHerpesviridae). Waxay ku wasakhaysan tahay taabashada candhuufta, ilmada ama kaadida, ama dheecaanka xubinta taranka, laakiin sidoo kale saadaalinta xilliga qufaca. Fayraskani wuxuu badanaa dhacaa inta lagu jiro caruurnimada.

Caabuqa fayraska cytomegalovirus waa caabuqa fayraska hooyada iyo uurjiifka ee ugu badan.

Inta badan haweenka uurka leh waxaa ku dhacay caabuqa cytomegalovirus xilligii carruurnimada. Waxay soo bandhigaan unugyada ka hortagga fayraska. Waxay dib u kicin karaan fayraska xilliga uurka laakiin khatarta gudbinta uurjiifka aad bay u yar tahay. Hooyooyinka kale ee dhalan doona, fayraskani wuxuu u taagan yahay khatar haddii uu dhaco markii ugu horeysay (infekshanka aasaasiga ah) inta lagu jiro saddexda bilood ee ugu horreeya uurka iyo ilaa 27 toddobaad oo amenorrhea (27 WA ama 25 toddobaad oo uur ah). Marka laga hadlayo caabuqa aasaasiga ah ee hooyada, faddaraynta waxa lagu kala qaadaa dhiiga ilaa uurjiifka kala badh kiisaska. Cytomegalovirus wuxuu sababi karaa dib u dhac korriin, qallafsanaan maskaxeed, ama dhego beel, laakiin badi dhallaanka qaba caabuqa cytomegalovirus ee lagu dhasho ma laha calaamado marka ay dhashaan. Si kastaba ha ahaatee, tiro yar oo dhallaanka ah oo ku dhasha iyaga oo aan waxyeello gaarin ayaa laga yaabaa inay yeeshaan sequelae dareemayaal ka hor inta aysan gaarin da'da 2 sano.

Cytomegalovirus: waa maxay heerkaaga difaaca jirka?

Baaritaanka dhiigga ee bilowga uurka wuxuu ogolaanayaa in la ogaado heerka difaaca jirka ee cytomegalovirus. Haddii serodiagnosis uu muujiyo maqnaanshaha unugyada difaaca jirka, waa inaad raacdaa xaaladaha nadaafadda inta aad uurka leedahay si aad uga fogaato cytomegalovirus.

Dhakhaatiirta haweenka waxay sidoo kale sameeyaan serodiagnoses xilliga uurka si loo eego haddii haweeneyda uurka leh aysan qabin caabuqa cytomegalovirus. Hadday sidaas tahay, waxay dejin karaan la socodka uurjiifka. Baaritaanka joogtada ah ee caabuqyada cytomegalovirus inta aad uurka leedahay, si kastaba ha ahaatee, kuma talinayaan maamulka caafimaadka dadweynaha. Dhab ahaantii ma jirto daaweyn iyo xirfadlayaasha caafimaadku waxay sidoo kale ka baqayaan ogaanshaha dheeraadka ah iyo ku-celinta xad-dhaafka ah ee ikhtiyaariga ah ama joojinta caafimaad ee uurka. Baaritaanka serologic ee CMV waxaa lagula talinayaa haweenka leh calaamadaha hargabka inta ay uurka leeyihiin ama ka dib calaamadaha ultrasound ee soo jeedinaya caabuqa CMV.

Caabuqa CMV ee qofka qaangaarka ah inta badan ma bixiyo wax calaamado ah, laakiin CMV waxay ku siin kartaa cillad fayras ah oo u eg hargabka. Calaamadaha ugu muhiimsan: qandho, madax-xanuun, daal daran, nasopharyngitis, qanjidhada qanjidhada, iwm.

Ma ku qaaday caabuqa cytomegalovirus 27 usbuuc ka hor? Si loo ogaado in uurjiifkaagu uu saameeyey, kormeerka ultrasound ayaa la sameeyay. Muunad dheecaan amniotic ah (amniocentesis) ayaa la qaadi karaa 22 usbuuc si loo ogaado in fayraska ku jiro dheecaanka amniyootiga.

Haddii ultrasoundku uu yahay mid caadi ah oo dheecaanka amniyootiga uusan ku jirin fayrasku, waa niyad-celin! Si kastaba ha ahaatee, la socodka ultrasound ayaa dhici doona inta uurku jiro oo dhan waxaana ilmaha laga baari doonaa CMV marka uu dhasho.

Haddii ultrasound uu muujiyo wax aan caadi ahayn oo tilmaamaya infekshanka CMV (dib u dhac korriin, hydrocephalus (ururitaanka dareeraha gudaha madaxa) iyo fayrasku ku jiro dareeraha amniotic, uurjiifku wuxuu leeyahay dhaawac aad u daran. adiga.

Haddii fayrasku ku jiro dheecaanka amniyootiga laakiin ultrasound-ka caadiga ah, suurtagal maaha in la ogaado in uurjiifku ku dhacay iyo in kale. Uurku wuxuu ku sii socon karaa la socodka ultrasound.

Si loo ilaaliyo dhallaankaaga ilmo-galeenka ku jira, waxaa muhiim ah in la yareeyo khatarta qaadista cytomegalovirus haddii aad halis ugu jirto. Maadaama cytomegalovirus inta badan ay gudbiyaan carruurta da'doodu ka yar tahay 3 sano, haddii aad la kulanto carruurta yaryar inta aad uurka leedahay (ama adiga ama inta aad shaqada ku jirto) hubi inaad si fiican u dhaqdo gacmahaaga ka dib markaad beddesho. xafaayadda ama tirtirka siraha oo ha la wadaagin meelaha aad jarjartey. Waxa kale oo habboon in aan carruurta yaryar afka laga dhunkan.

Ka hortagga iyo daaweynta cytomegalovirus ee ilmo-galeenka?

Laba daaweyn oo loogu talagalay caabuqa CMV ee lagu dhasho ayaa hadda lagu hayaa daraasad:

• daaweynta antiretroviral
• daawaynta ka kooban duritaan gaar ah oo liddi ku ah CMV immunoglobulins

Ujeedada daawayntan ayaa ah in la dhimo heerka gudbinta uurjiifka haddii ay dhacdo infekshanka hooyada iyo in la yareeyo heerka soo noqnoqda haddii ay dhacdo caabuqa uurjiifka.

Tallaalka CMV oo la siin karo xilliga hore ee uurka oo la siinayo haweenka HIV-ga qaba caabuqa CMV ayaa sidoo kale la baarayaa.