Ukungena kwe-CMV ukutheleleka emzimbeni wesifazane ngesikhathi sokukhulelwa kungenziwa kuphela lapho uxhumana nomuntu ogulayo ogama lakhe elise-actomagalovirus lisesiteji esinzima. Kulokhu, izindlela zokudluliselwa kwe-pathogen zingaba kanje:
- umoya wokudonsa;
- iphini;
- ubulili.
Iyini ingozi ye-CMV kwabesifazane abakhulelwe?
Ingozi enkulu le gciwane enesifo ngesikhathi sokukhulelwa i-fetus. Ngakho-ke, uma unesandulela ngowesifazane okhulelwe okwesikhashana, ukukhipha isisu okuzenzakalelayo kungase kuthuthuke. Ngaphezu kwalokho, ingane ivame ukuphawula ukuphulwa kwe-intrauterine yentuthuko, engabonakaliswa ekwakheni izinkinga nokukhubazeka.
Ezimweni lapho ukutheleleka kwenzeka khona ngosuku oluthile, kungase kube nenkinga efana ne-polyhydramnios, ukubeletha ngaphambi kwesikhathi, futhi ngokuvamile izingane zizalwa nge-cytomegaly yokuzalwa.
I-CMV ibonakala kanjani ngesikhathi sokukhulelwa?
Ngenxa yokuthi izimpawu ze-CMV ekukhulelwe zimbalwa, ezimweni eziningi ukuxilongwa kokuphulwa okunzima kunzima kakhulu. Njengoba isesimweni esifushane, igciwane alibonakali nhlobo, kuyilapho kucindezela kulula kakhulu ukudidanisa nesinye isifo. Enye yezibonakaliso zesifo yilona okuthiwa i-mononucleosis-like syndrome. Kubonakala ngokushisa komzimba okuphezulu, ikhanda lokukhwabanisa, i-malaise. Kuqala izinsuku ezingu-20-60 emva kokutheleleka. Konke lokhu lo wesifazane uphethe. Umthwali we-CMV ekukhulelweni akuyona into engekhona nje ekubeni khona kwe-agent causative emzimbeni wesifazane ngendlela evulekile. Ubude bale syndrome bungaba amasonto ayisithupha. Lokhu, mhlawumbe, umehluko kuphela phakathi kwe-CMV ne-banal ARVI.
Ukuhlolwa kwesifo kuyenziwa kanjani?
Uma kucatshangwa nge-CMV ekukhulelweni, ukuhlaziywa kunqunywe. Ukuhlolwa okuphelele kokutheleleka kwe- TORCH. Lolu cwaningo lubonisa nokuba khona emzimbeni wezifo ezifana ne- toxoplasmosis, i- rubella, i-herpes virus.
Ucwaningo ngokwalo luqhutshwa ngendlela ye-polymerase chain reaction, futhi futhi ngosizo lwezinhlelo ze-serological ze-serum yegazi.
I-CMV iphathwa kanjani?
Ukwelashwa kwe-CMV ngesikhathi sokukhulelwa kwenziwa ngenkathi kuvuselelwa igciwane, isb. esiteji sokuqeda amandla. Inhloso yaloluhlobo lwezinyathelo zokwelapha ukuqeda izimpawu zesifo futhi ukudlulisela igciwane endaweni engasebenzi.
Ukufeza izinyathelo ezichazwe ngenhla, imishanguzo ye-immunomodulatory, vitamin complexes, eyenzelwe ukuqinisa izindawo zokuzivikela zezilwane ezibuthakathaka, zimisiwe.