Oof-wareenka CMV

Oof-wareenka loo yaqaan 'Cytomegalovirus' (CMV) oof wareen waa cudur ku dhaca sambabaha oo ku dhici kara dadka leh nidaamka difaaca jirka oo la xakameynayo.

Oof-wareenka CMV waxaa sababa xubin ka tirsan koox fayrasyada nooca herpes-ka ah. Infekshanka ku dhaca CMV waa mid aad u badan. Dadka badankood waxay ku dhacaan CMV noloshooda, laakiin sida caadiga ah kaliya kuwa leh habdhiska difaaca jirka oo daciifa ayaa u bukooda infakshanka CMV.

Infekshannada halista ah ee loo yaqaan 'CMV' waxay ku dhici karaan dadka qaba daciifnimada habdhiska difaaca natiijada ka dhalatay:

• HIV / AIDS
• Beerista dhuuxa lafta
• Chemotherapy ama daaweyn kale oo xakameynaya nidaamka difaaca jirka
• Xubinta xubinta taranka jirka (gaar ahaan tallaalka sambabka)

Dadka lagu tallaalay xubinta jirka iyo dhuuxa lafta, halista infekshinka ayaa ugu weyn 5 ilaa 13 toddobaad kadib tallaalka.

Dadka kale ee caafimaadka qaba, CMV caadi ahaan ma soo saaraan wax calaamado ah, ama waxay soo saartaa jirro ku meel gaar ah nooca mononucleosis. Si kastaba ha noqotee, kuwa leh habka difaaca jirka oo daciifa waxay yeelan karaan astaamo halis ah. Calaamadaha waxaa ka mid noqon kara:

• Qufac
• Daal
• Qandho
• Raaxo-darrada guud, raaxo-darrada, ama dareen-xanuun (xanuun)
• Cunto xumo
• Muruqyo xanuun ama kalagoysyo xanuun
• Neefta oo kugu yaraata
• Dhidid, xad-dhaaf ah (dhidid habeenkii)

Bixiyaha xanaanada caafimaadka ayaa sameyn doona baaritaan jireed. Intaa waxaa dheer, imtixaannada soo socda ayaa la samayn karaa:

• Gaaska dhiiga halbowlaha
• Dhaqanka dhiigga
• Baadhitaanada dhiiga si loo ogaado loona cabbiro walxaha gaarka u ah infekshanka CMV
• Bronchoscopy (waxaa ku jiri kara biopsy)
• Raajo xabadka ah
• Baadhitaanka CT ee laabta
• Dhaqanka Kaadida (qabashada nadiifta ah)
• Xaako xaako gram iyo dhaqan

Ujeeddada daaweyntu waa in la isticmaalo dawooyinka fayraska looga hortago in fayrasku isku soo koobo jirka. Dadka qaarkiis ee qaba cudurka oof-wareenka ee loo yaqaan 'CMV pneumonia' waxay u baahan yihiin dawooyinka IV (xididka la gasho). Dadka qaarkiis waxay u baahan karaan daaweynta oksijiinta iyo taageerada neefsashada qalabka neefsashada si ay u ilaaliso oksijiinta illaa iyo inta cudurka laga xakameynayo.

Dawooyinka fayraska ka hortaga ayaa fayriska ka joojiya inuu isagu iskobiyo, laakiin ma baabi'inayo. CMV wuxuu xakameynayaa nidaamka difaaca jirka, waxaana laga yaabaa inuu kordhiyo halista aad ugu jirto cudurada kale.

Heerka oksijiin ee ku yar dhiiga dadka qaba cudurka sanbabada ee loo yaqaan 'CMV pneumonia' ayaa inta badan saadaaliya geerida, gaar ahaan kuwa u baahan in la dhigo mashiinka neefsashada.

Dhibaatooyinka infekshinka CMV ee dadka qaba HIV / AIDS waxaa ka mid ah in cudurku ku faafo qaybaha kale ee jirka, sida hunguriga, xiidmaha, ama isha.

Dhibaatooyinka ku dhaca oof-wareenka CMV waxaa ka mid ah:

• Cilad-darrida kelyaha (laga bilaabo dawooyinka loo isticmaalo daaweynta xaaladda)
• Tirinta unugyada dhiigga cad oo hooseeya (laga soo qaatay daawooyinka loo isticmaalo daaweynta xaaladda)
• Infekshan xad dhaaf ah oo aan ka jawaabin daaweynta
• U adkaysiga CMV ee daaweynta caadiga ah

Wac takhtarkaaga haddii aad leedahay astaamaha cudurka oof wareenka ee loo yaqaan 'CMV pneumonia'.

Kuwa soo socda ayaa la muujiyey si looga caawiyo kahortaga cudurka sanbabada ee loo yaqaan 'CMV pneumonia' ee dadka qaarkood:

• Isticmaalka deeq bixiyeyaasha xubnaha jirka ee aan lahayn CMV
• U isticmaalidda wax soo saarka dhiigga ee CMV-taban ee ku-shubista
• U isticmaalida CMV-globulin dad gaar ah

Kahortaga HIV / AIDS waxay kahortagtaa cuduro kale oo gaar ah, oo ay kujirto CMV, oo ku dhici kara dadka difaaca jirkoodu daciifka yahay.

Oof wareenka - cytomegalovirus; Oof-wareenka 'Cytomegalovirus'; Oof wareenka

• Oof wareenka dadka waaweyn - dheecaanka

• Oof-wareenka CMV
• CMV (cytomegalovirus)

Britt WJ. Cytomegalovirus. Gudaha: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, iyo Bennett Mabaadi'da iyo Ku Dhaqanka Cudurada faafa. 9aad. Philadelphia, PA: Elsevier; 2020: cutubka 137.

Crothers K, Morris A, Huang L. Dhibaatooyinka sambabada ee cudurka HIV. Gudaha: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray iyo Nadel Buugga Buugga Caafimaadka Neefsashada. 6aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 90.

Singh N, Haidar G, Limay AP. Cudurrada qaata xubnaha jirka ee xubinta taranka. Gudaha: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, iyo Bennetts Mabaadi'da iyo Tababbarka Cudurada faafa. 9aad. Philadelphia, PA: Elsevier; 2020: cutubka 308.