Undercurrents CMV ngexesha lokukhulelwa

Phakathi abasetyhini abakhulelweyo, malunga 72% abo omzimba emzimbeni ukuya cytomegalovirus (CMV), apho 2% uyaqapheleka kuphuhliso sifo ngexesha lokukhulelwa. Okwangoku, le usuleleko isasazeka ngenxa ukhetho yokuphila amahlwempu kunye nemiphumela yeemeko engentle yokusingqongileyo. Usuleleko lokuqala ichaphazela emzimbeni nge ukuncipha omzimba, abasetyhini abakhulelweyo ngoko ezithandwa kakhulu impembelelo yayo.

Nceda lumkela ukuba cytomegalovirus ngexesha ukhulelwe ingozi enkulu ukuba zombini unina kunye ndingekazalwa, ekubeni lo mntwana usasazwa ugqithiselwa ukusuka kumama ngokusebenzisa ngumkhaya, ngenxa yoko, abanalo antibodies sifo. Ukongeza, iziphumo zisoloko ezibi ndingekazalwa, kuba kaloku intsholongwane yaso isasazeka ngalo igazi emzimbeni wakhe.

Ngoko ke, namhlanje sifo kwindawo yokuqala phakathi ezibangela ukuba usulelo osadaleka esizalweni somfazi. Nokungcoliswa kakhulu eyingozi omnye umntu ukuba uhlobo nokoyika yosulelo CMV. Noko ke, abafazi xa abosulelwe phambi ixesha akhulelwe, umzimba wakhe ukhupha izilwa ukuba buthathaka sisifo luphuhlisa ngexesha lokukhulelwa, ngoko nefuthe elibi ekukhuleni kosana olungekazalwa kuyehla.

usuleleko Cytomegalovirus ekhona emzimbeni womntu isixa esikhulu ixesha akukho ndlela kubonakaliswa. Isifo lukhatshwa iimpawu ezifana fever, buthathaka, iindawo ezandisiweyo nkovu, ngoko oogqirha yenza ukuba isifo engalunganga. Zizinto ngakumbi sifo kwenzeka inyumoniya, hepatitis okanye iposi. Le ntsholongwane ngegazi, ngamathe, umchamo kunye nezinye incindi efumaneka umzimba womntu, kwaye kananjalo wadibana isigulane kunye zamathontsana emoyeni.

Ukuqwalasela CMV ngexesha lokukhulelwa, oku ukuze kuqatshelwe ukuba intsholongwane unokulufumana umntwana ngokusebenzisa fluid, kwakunye ngexesha lokubeleka okanye ngobisi lwebele, kwimeko yokugqibela akukho kuyingozi kakhulu kwaye impembelelo encinci. Njengoko umntwana elizayo kumangaliswa ngexesha kwesisu, ekubeni le ntsholongwane okunokuqulathwa ku isidoda eyindoda. Ngoko ke, lo yenethiwekhi ka-CMV ngexesha lokukhulelwa inkazana kuyingozi nje kuphela, kodwa abantwana bakhe elizayo. Xa abantwana emva kokuzalwa bangafumana ukulibaziseka zophuhliso, ukungeva ngeendlebe, Cerebral Palsy sokuwa kunye nezinye izifo ezininzi.

Kwiimeko rhoqo CMV ngexesha lokukhulelwa kungabangela umsebenzi njengokuzalwa okanye ukuphuphuma, abruption placental kunye nophuhliso ezingekazalwa of hypoxia. Kukho iimeko apho usulelo umntwana akabi ukuzibonakalisa, kodwa ngokuhamba kwexesha inokubonakalisa umonakalo kwi-luvo, indlela isigaba sokuqala zedumbe lengqondo, ayeke uphuhliso yobuchopho, ukulahlekelwa ukuva okanye umbono, ukukhubazeka engqondweni kunye nezinye utshintsho emzimbeni.

Esinokubangela ukuba uthi tsitamegalovirus luchaphazela malunga ne-2% zeentsana, apho 0.1% kuphela ibonwa ebalulekileyo clinical. Ngokuqhelekileyo oku kuquka abantwana kwimvumelwano usulelo esibelekweni ngexesha kwiiveki ezilishumi elinesibini lokukhulelwa kwakhe. Abanye ukuphuhlisa akubunandiphi imiphumo zokugula emzimbeni.

Ngenxa yokuba CMV ngexesha ukhulelwe kunokubangela imiphumo ebuhlungu olunjalo uphuhliso umntwana, lo mbuzo ukuba kuqhubeka nokukhulelwa. Isigqibo obstetricians funyenwe isekelwe kokuma umfazi omithiyo, lo kulingwa Umbungu ubukho antibodies yile ntsholongwane, ukufundisisa ngumkhaya kunye fluid, kwaye kwakhona ngokusekelwe US Iziphumo ubukho malformations Palsy. Oku nalapha niwakhumbule ezilandelayo ezibonisa wosulelo ebantwaneni.

Chonga tsitamegalovirus emzimbeni ibe ngenxa igazi, umchamo, ilaphu, phambi usuleleko etsolo njengoko amisele iziyobisi eziphuhlisa amajoni omzimba kwaye antiviral.

Ngenxa yoko, CMV ngexesha ukhulelwe ingozi enkulu kwimveku kwimeko yosulelo intrauterine. Obstetrician kwezi meko baphakamisa umbuzo ngokuqhomfa.