Ukutheleleka kwe-Cytomegalovirus kowesifazane okhulelwe kungabangela ukukhubazeka ku-fetus uma ithelelekile. Yingakho kubalulekile ukwazi uma usengozini yokuthola lesi sifo futhi uzivikele ngemithetho yenhlanzeko uma kunje.

I-Cytomegalovirus igciwane lomndeni we-herpesvirus (I-Herpesviridae). Ingcoliswa ukuthintana namathe, izinyembezi noma umchamo, noma ukukhishwa kwezitho zangasese, kodwa futhi nokuqagela ngesikhathi ukhwehlela. Leli gciwane livela kaningi ngesikhathi sobuntwana.

Ukutheleleka nge-Cytomegalovirus yisifo esivame kakhulu somama nengane.

Iningi labesifazane abakhulelwe liye laba nokutheleleka nge-cytomegalovirus ngesikhathi sobuntwana. Zethula amasosha omzimba ngokumelene negciwane. Bangakwazi ukuphinde basebenzise igciwane ngesikhathi sokukhulelwa kodwa ingozi yokudlulisela ku-fetus incane kakhulu. Kwabanye omama abazoba ngumama, leli gciwane limelela ingozi uma livela okokuqala (ukutheleleka okuyinhloko) phakathi nekota yokuqala yokukhulelwa kanye namaviki angama-27 e-amenorrhea (27 WA noma amasonto angama-25 okukhulelwa). Endabeni yokutheleleka okuyinhloko kamama, ukutheleleka kudluliselwa ngegazi ku-fetus engxenyeni yamacala. I-Cytomegalovirus ingabangela ukubambezeleka kokukhula, ukukhubazeka kobuchopho, noma ukungezwa, kodwa izingane eziningi ezinokutheleleka kwe-cytomegalovirus zokuzalwa azinazo izimpawu lapho zizalwa. Kodwa-ke, inani elincane lezingane ezizalwa zingalimele lingase libe ne-sequelae ye-sensorineural ngaphambi kweminyaka yobudala engu-2.

I-Cytomegalovirus: siyini isimo sakho se-immunological?

Ukuhlolwa kwegazi okuthathwe ekuqaleni kokukhulelwa kuvumela ukwazi isimo se-immunological mayelana ne-cytomegalovirus. Uma i-serodiagnosis ibonisa ukungabikho kwamasosha omzimba, kufanele ulandele izimo zokuhlanzeka ngesikhathi sokukhulelwa kwakho ukuze ugweme i-cytomegalovirus.

Odokotela bezifo zabesifazane nabo bane-serodiagnoses eyenziwa ngesikhathi sokukhulelwa ukuze babone ukuthi owesifazane okhulelwe akazange abe nokutheleleka kwe-cytomegalovirus. Uma kunjalo, bangakwazi ukusetha ukuqapha kwe-fetus. Ukuhlolwa okuvamile kwezifo ze-cytomegalovirus ngesikhathi sokukhulelwa, nokho, akunconywa yiziphathimandla zezempilo zomphakathi. Eqinisweni akukho ukwelashwa futhi ochwepheshe bezempilo nabo besaba ukuxilonga ngokweqile kanye nokusebenzisa ngokweqile ekunqanyulweni kokukhulelwa ngokuzithandela noma ngokwezokwelapha. Ukuhlolwa kwe-Serologic kwe-CMV kunconywa kwabesifazane ababa nezimpawu ezinjengomkhuhlane ngesikhathi sokukhulelwa noma ngemva kwezimpawu ze-ultrasound eziphakamisa ukutheleleka kwe-CMV.

Ukutheleleka kwe-CMV kumuntu omdala ngokuvamile akuniki noma yiziphi izimpawu, kodwa i-CMV inganikeza i-viral syndrome efana nomkhuhlane. Izimpawu eziyinhloko: umkhuhlane, ikhanda elibuhlungu, ukukhathala okukhulu, i-nasopharyngitis, i-lymph nodes, njll.

Uke waba nokutheleleka nge-cytomegalovirus ngaphambi kwamaviki angama-27? Ukuze uthole ukuthi i-fetus yakho ithintekile, ukuqapha kwe-ultrasound kuyasethwa. Isampula ye-amniotic fluid (amniocentesis) ingathathwa kusukela emavikini angama-22 ukuze kwaziwe ukuthi ingabe igciwane likhona yini oketshezini lwe-amniotic.

Uma i-ultrasound ijwayelekile futhi i-amniotic fluid ingenalo igciwane, kuyaqinisekisa! Kodwa-ke, ukuqapha kwe-ultrasound kuzokwenzeka ngesikhathi sonke sokukhulelwa futhi ingane izohlolelwa i-CMV lapho izalwa.

Uma i-ultrasound ibonisa ukungavamile okusikisela ukutheleleka kwe-CMV (ukukhubazeka kokukhula, i-hydrocephalus (ukunqwabelana koketshezi ngaphakathi kogebhezi) futhi igciwane likhona ku-amniotic fluid, umbungu uba nomonakalo omkhulu. wena.

Uma igciwane likhona ku-amniotic fluid kodwa ku-ultrasound evamile, akunakwenzeka ukwazi ukuthi umbungu utheleleke yini noma cha. Ukukhulelwa kungaqhubeka ngokuqapha kwe-ultrasound.

Ukuze uvikele ingane yakho esibelethweni, kubalulekile ukunciphisa ingozi yokuthola i-cytomegalovirus uma usengozini. Njengoba i-cytomegalovirus ivame ukudluliselwa ezinganeni ezingaphansi kweminyaka engu-3 ubudala, uma uhlangana nezingane ezincane ngesikhathi sokukhulelwa kwakho (kungaba ngokwakho noma phakathi nomsebenzi wakho) qiniseka ukuthi ugeza izandla zakho kahle ngemva kokushintsha. amanabukeni noma asule okuyimfihlo futhi ungabelani ngesikwe sakho nabo. Kuyalulekwa futhi ukuthi ungaqabuli izingane ezincane emlonyeni.

Ukuvimbela nokwelashwa kwe-cytomegalovirus esibelethweni?

Izindlela zokwelapha ezimbili zokutheleleka kwe-CMV yokuzalwa okwamanje ziyacwaningwa:

• ukwelashwa ngezidambisigciwane
• ukwelashwa okubandakanya ukujova ama-immunoglobulins athile e-CMV

Inhloso yalezi zindlela zokwelapha ukunciphisa izinga lokudlulela ku-fetus uma kwenzeka umama etheleleka kanye nokunciphisa izinga le-sequelae uma kwenzeka umntwana etheleleka.

Umuthi wokugomela i-CMV onganikezwa abesifazane abangenayo i-HIV ngesikhathi bekhulelwe besebancane nawo uyaphenywa.