CMV - caloosha ku dhaca / colitis

CMV gastroenteritis / colitis waa caabuq ku dhaca caloosha ama xiidmaha sababo la xiriira infekshinka cytomegalovirus.

Fayraskan oo kale wuxuu kaloo sababi karaa:

• Caabuqa sambabka
• Cudur ku dhaca qeybta dambe ee isha
• Caabuqyada cunugga inta uu caloosha kujiro

Cytomegalovirus (CMV) waa fayras nooca herpes-ka ah. Waxay la xiriirtaa fayraska keena busbuska.

Infekshanka ku dhaca CMV waa mid aad u badan. Wuxuu ku faafaa candhuufta, kaadida, dhibcaha neef-mareenka, galmada, iyo dhiig ku shubista. Dadka badankood mar ayey soo gaadhaan, laakiin inta badan, fayrasku wuxuu soo saaraa khafiif ama calaamado kuma laha dadka caafimaadka qaba.

Infekshannada halista ah ee loo yaqaan 'CMV' waxay ku dhici karaan dadka qaba daciifnimada nidaamka jirkooda oo ay ugu wacan tahay:

• AIDS-ka
• Daaweynta kiimikada ee kansarka
• Inta lagu jiro ama kadib dhuuxa lafta ama xubinta xubinta jirka
• Cudurka 'Ulcerative colitis' ama 'Crohn disease'

Marar dhif ah, infekshinka halista ah ee loo yaqaan 'CMV' oo ku lug leh habka 'GI tract' ayaa ku dhacay dadka qaba habka difaaca jirka ee caafimaadka qaba.

Cudurka CMV ee caloosha ku dhaca wuxuu saameyn ku yeelan karaa hal aag ama jirka oo dhan. Boogtu waxay ku dhici kartaa hunguriga, caloosha, xiidmaha yar, ama xiidanka. Boogahaani waxay la xiriiraan astaamo sida:

• Calool xanuun
• Dhibaato liqitaan ama xanuun liqitaan
• Lallabbo
• Matagid

Marka mindhiciradu lug yeeshaan, boogaha ayaa sababi kara:

• Calool xanuun
• Saxaro dhiig leh
• Shuban
• Qandho
• Miisaanka oo yaraada

Infekshanno aad u daran waxay sababi karaan dhiig-mareenka caloosha ama dalool darbiga mindhicirka (dalool).

Tijaabooyinka la qaadi karo waxaa ka mid ah:

• Barium enema
• Colonoscopy oo biopsy laga qaadayo
• Baadhitaanka qaybta kore ee 'endoscopy' (EGD) ee lagu sameeyo cad ka-qaadista
• Dhaqanka saxarada si meesha looga saaro sababaha kale ee cudurka keena
• GI-ga sare iyo taxanaha mindhicirka yar

Tijaabada shaybaarka waxaa lagu sameyn doonaa shaybaarka unug laga soo qaaday calooshaada ama xiidmaha. Baadhitaannada, sida dhaqanka unugyada caloosha ama mindhicirka ama ka-qaadista, ayaa go'aamiya haddii fayrasku ku jiro unugyada.

Baadhitaanka serolojiga ee loo yaqaan 'CMV serology' ayaa loo sameeyaa si loo baaro unugyada difaaca jirka ee fayraska CMV ee dhiiggaaga ku jira.

Baadhitaan kale oo dhiig ah oo lagu eego jiritaanka iyo tirada unugyada fayraska ee dhiigga ku jira ayaa sidoo kale la samayn karaa.

Daaweynta waxaa loola jeedaa in lagu xakameeyo infekshinka iyo in laga yareeyo astaamaha.

Daawooyinka lagula dagaallamayo fayraska (daawooyinka fayraska ka hortagga) ayaa loo qoraa. Daawooyinka waxaa lagu bixin karaa xididka (IV), iyo mararka qaarkood afka, dhowr toddobaad. Daawooyinka ugu badan ee la isticmaalo waa ganciclovir iyo valganciclovir, iyo foscarnet.

Xaaladaha qaarkood, daaweynta muddada-dheer ayaa laga yaabaa in loo baahdo. Daawada loo yaqaan 'CMV hyperimmune globulin' ayaa la isticmaali karaa marka daawooyinka kale aysan shaqeyn.

Daawooyinka kale waxaa ka mid noqon kara:

• Dawooyinka looga hortago ama loo yareeyo shubanka
• Xanuun baabi’iyeyaasha (xanuun baabi’iye)

Cunnooyinka nafaqada ama nafaqada ee laga helo xididka (IV) ayaa loo isticmaali karaa in lagu daaweeyo muruqyada oo lumiya cudurka.

Dadka qaba habdhiska difaaca jirka ee caafimaad, astaamaha ayaa iska taga daaweyn la'aan inta badan kiisaska.

Calaamadaha ayaa aad ugu daran kuwa leh habka difaaca jirka oo daciifa. Natiijadu waxay kuxirantahay sida daran ee u yaraado nidaamka difaaca jirka iyo infekshanka CMV.

Dadka qaba AIDS-ka waxaa laga yaabaa inay yeeshaan natiijo ka xun tan kuwa leh awood daciif ah oo xagga difaaca ah sababo kale awgood.

Infekshanka CMV wuxuu caadi ahaan ku dhacaa jirka oo dhan, xitaa haddii calaamadaha caloosha iyo caloosha ay jiraan oo keliya. Sida wanaagsan ee qofku wax uqabto waxay kuxirantahay sida wanaagsan ee ay u shaqeeyaan dawooyinka fayraska.

Daawooyinka loo isticmaalo in lagula dagaallamo fayrasku waxay sababi karaan waxyeelo. Nooca saameyntu waxay kuxirantahay daroogada qaaska ah ee la isticmaalo. Tusaale ahaan, daroogada ganciclovir ayaa hoos u dhigi karta tirada unugyada dhiigga cad. Daroogo kale, foscarnet, waxay u horseedi kartaa dhibaatooyin kelyaha ah.

Wac daryeel caafimaad bixiyahaaga haddii aad leedahay astaamaha cudurka 'CMV gastroenteritis / colitis'.

Waxaa jira khatar sare oo ah infekshanka CMV ee dadka qaata xubin ku-beddelka deeq bixiyaha wanaagsan ee CMV. Qaadashada dawooyinka ka hortagga fayraska ee ganciclovir (Cytovene) iyo valganciclovir (Valcyte) afka kahor tallaalku wuxuu yareyn karaa fursaddaada qaadista infakshan cusub ama dib u howlgelinta infakshanka hore.

Dadka qaba AIDS-ka ee si wax ku ool ah loogu daweeyo daaweynta antiretroviral-ka ee firfircoon ayaa aad ugu yar inay qaadaan cudurka CMV.

Colitis - cytomegalovirus; Gastroenteritis - cytomegalovirus; Cudurka 'CMV' ee caloosha ku dhaca

• Jirka anatomy
• Caloosha iyo xuubka caloosha
• CMV (cytomegalovirus)

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