Chirwere cheCytomegalovirus mumukadzi ane pamuviri chinogona kukonzera kukanganisa mu fetus kana iine utachiona. Ichi ndicho chikonzero zvakakosha kuziva kana iwe uri panjodzi yekubatwa nechirwere ichi uye kuzvidzivirira nemitemo yehutsanana kana zviri izvo.

Cytomegalovirus hutachiona hwemhuri yeherpesvirus (Herpesviridae) Inosvibiswa nekusangana nemate, misodzi kana weti, kana kubuda kwenhengo dzesikarudzi, asiwo nekufungidzira panguva yekukosora. Utachiona uhu hunoitika kakawanda muhuduku.

Chirwere cheCytomegalovirus ndicho chinowanzozivikanwa nehutachiona hwehutachiona hwemadzimai.

Ruzhinji rwevakadzi vane pamuviri vakave nehutachiona hwe cytomegalovirus panguva yehuduku. Vanopa masoja ekudzivirira chirwere. Vanokwanisa kudzorera hutachiona panguva yekuzvitakura asi njodzi yekutapurirwa kune fetus ishoma kwazvo. Kune vamwe vanaamai, utachiona uhu hunomirira njodzi kana hukaitika kekutanga (primary infection) mukati metrimester yekutanga yekuzvitakura uye kusvika kumasvondo makumi maviri nemanomwe eamenorrhea (27 WA kana mavhiki makumi maviri nemashanu ekuzvitakura). Munyaya yehutachiona hwekutanga hweamai, kusvibiswa kunoparidzirwa kuburikidza neropa kune fetus muhafu yezviitiko. Cytomegalovirus inogona kukonzera kunonoka kukura, kuremara kweuropi, kana kusanzwa, asi vana vakawanda vane congenital cytomegalovirus chirwere havana zviratidzo pavanoberekwa. Nekudaro, nhamba diki yevana vanozvarwa vasina kukuvadzwa vanogona kugadzira sensorineural sequelae vasati vasvika makore maviri.

Cytomegalovirus: chii chinonzi immunological mamiriro ako?

Kuongororwa kweropa kunotorwa pakutanga kwepamuviri kunobvumira kuziva mamiriro ekudzivirira zvirwere maererano ne cytomegalovirus. Kana iyo serodiagnosis ichiratidza kusavapo kwemasoja ekudzivirira chirwere, unofanirwa kutevedzera hutsanana panguva yako yekuzvitakura kudzivirira cytomegalovirus.

Gynecologists vanewo serodiagnoses yakaitwa panguva yekuzvitakura kuti vaone kana mukadzi ane pamuviri asina chirwere checytomegalovirus. Kana zvakadaro, vanogona kuseta fetal monitoring. Kuongororwa kwechirwere che cytomegalovirus panguva yekuzvitakura, zvisinei, hazvikurudzirwe nevakuru vehutano. Iko kune chokwadi hakuna kurapwa uye nyanzvi dzehutano dzinotyawo overdiagnosis uye kunyanyisa kushandisa mukuzvidira kana kurapwa kubvisa pamuviri. Serologic yekuongorora CMV inokurudzirwa kuvakadzi vanoita zviratidzo zvefuruwenza panguva yekuzvitakura kana mushure mezviratidzo zve ultrasound zvinoratidza hutachiona hwe CMV.

Chirwere che CMV mumunhu mukuru kazhinji hachipi zviratidzo, asi CMV inogona kupa chirwere chetachiona chakafanana nefuruu. Zviratidzo zvikuru: fivha, musoro, kuneta kwakanyanya, nasopharyngitis, lymph nodes, nezvimwewo.

Wakambove nechirwere checytomegalovirus pamberi pemavhiki makumi maviri nemanomwe here? Kuti uone kana fetus yako yakakanganiswa, ultrasound monitoring inogadzwa. Sample yeamniotic fluid (amniocentesis) inogona kutorwa kubva kumasvondo makumi maviri nemaviri kuitira kuziva kana hutachiona hurimo muamniotic fluid.

Kana iyo ultrasound yakajairika uye amniotic fluid haina hutachiona, zvinosimbisa! Zvisinei, kuongororwa kwe ultrasound kuchaitika panguva yose yekuzvitakura uye mwana achaongororwa CMV pakuberekwa.

Kana iyo Ultrasound ikaratidza kusarudzika kunoratidza hutachiona hwe CMV (kunonoka kukura, hydrocephalus (kuunganidzwa kwemvura mukati medehenya) uye hutachiona huri muamniotic fluid, fetus inokuvara zvakanyanya. iwe.

Kana hutachiona huripo muamniotic fluid asi iyo yakajairika ultrasound, hazvigoneke kuziva kuti chibereko chatapukirwa here kana kuti kwete. Kubata pamuviri kunogona kuenderera mberi ne ultrasound monitoring.

Kuti udzivirire mwana wako muchibereko, zvakakosha kuderedza dambudziko rekubata cytomegalovirus kana iwe uri pangozi. Sezvo cytomegalovirus inowanzoparidzirwa nevana vari pasi pemakore matatu, kana iwe ukasangana nevana vaduku panguva yekuzvitakura kwako (zvichida iwe pachako kana panguva yebasa rako) iva nechokwadi chekushambidza maoko ako zvakakwana mushure mekuchinja. manapukeni kana kupukuta zvakavanzika uye usagovane chako chekucheka navo. Zvinokurudzirwawo kuti usatsvoda vana vaduku pamuromo.

Kudzivirira uye kurapwa kwe cytomegalovirus mu utero?

Mishonga miviri yecongenital CMV utachiona parizvino iri pasi pekudzidza:

• antiretroviral mushonga
• kurapwa kunosanganisira kubaya majekiseni chaiwo anorwisa CMV immunoglobulins

Chinangwa chemishonga iyi ndechekudzikisa huwandu hwekutapurirwa kumwana mucheche kana hutachiona hwaamai uye kuderedza huwandu hwesequelae muchiitiko chechirwere che "fetus".

Mushonga we CMV unokwanisa kupihwa vakadzi vanenge vasina hutachiwana hwe CMV pavanenge vakazvitakura vari kuongororwawo.