Emndenini wamagciwane we-herpes kunommeleli oyedwa okhethekile ongathinta cishe zonke izinhlelo nezinhlaka zomuntu. Ngaphezu kwalokho, unezindlela eziningi zokudlulisela, okubangela ukusabalala kwakhe okubanzi. I-Cytomegalovirus noma ukutheleleka kwe-CMV, ngokusho kocwaningo lwezokwelapha, kuthinta cishe abantu abangamaphesenti angu-100 emhlabeni wonke abaneminyaka engama-50. Ngesikhathi esifanayo ukwelapha ngokuphelele lesi sifo akukakwenzeka.
Ukutheleleka kwe-CMV okungapheli futhi okunzima
Eqinisweni, ngokushesha ngemuva kokutheleleka nge-cytomegalovirus, kungashiwo ukuthi lesi sifo sidlulile esimweni esingapheli. Ngisho nasekusetshenzisweni kwezinyathelo zokwelapha eziphumelelayo, amangqamuzana e-pathological ahlala emzimbeni kuze kube phakade, esesimweni esivamile noma esingasebenzi. Ngesikhathi esifanayo, akukho-symptomatology nhlobo noma ayiyona into ecacile yokuthi umuntu akasoli ukuthi kukhona ukutheleleka embuzweni.
Izimpawu zokutheleleka kwe-CMV esimweni esivamile sokuzivikela:
- ubuthakathaka;
- ubuhlungu emqaleni, pershenia;
- coryza;
- ukwandisa i-lymph nodes;
- ikhanda;
- ukukhwehlela;
- ama-aches emajoyini, ubuhlungu emisipha;
- ukushisa komzimba okwandisiwe;
- ukuphazamiseka kokugaya .
Ngokusobala, isithombe somtholampilo sikhumbuza kakhulu i-SARS noma i-ARI, i- mononucleosis . Ngokuvamile emva kwamasonto amabili kuya ku-5 isimiso somzimba sokuzivikela sisinciphisa ukuphindaphinda kwamaseli amagciwane kanye ne-CMV idlulela esigabeni esilandelayo futhi, ngokufanayo, ifomu elingapheli. Ukubuyela emuva kungahle kwenzeke ngokuwohloka kwesimo sezempilo, ukutheleleka kwezinye izinhlobo ze-herpes.
Inkambo enzima ye-cytomegalovirus iyisici sabantu abanesifo sengculazi, i-hemoblastosis, izifo ze-lymphoproliferative, kanye neziguli ezenziwa ukuhlinzwa komzimba. Ezimweni ezinjalo, ukutheleleka kwe-CMV kujwayelekile, okwenza izilonda ezinzima ze-viscera:
- izigulane eziyingozi;
- i-parenchyma ye-hepatic;
- izinso;
- i-pancreas;
- uhlaka;
- amathumbu;
- amehlo enamahloni;
- amajoyini;
- izinzwa ze-peripheral;
- ubuchopho;
- izigqoko ezithandwayo;
- amaphaphu.
Ukutheleleka kwe-CMV ebusweni nokutholwa
Ukungalungi izifo ezichazwe kungaba yilabo ocansini, abafuywayo, amafecal-oral and vertical way (ngaphakathi kwesibeletho kusuka kumama). Esikhathini esilandelayo, i-cytomegalovirus iholela emiphumeleni enzima. Kuze kube amasonto angu-12 okukhula komntwana, ukutheleleka kubangela ukukhulelwa kwesisu. Ngemuva kwalesi sikhathi, kungenzeka ukuthi umntwana uzozalwa ngesifo sochungechunge sesifo sokubeletha, okungahambi kahle kokuthuthukiswa. Ezinye izimo zokutheleleka kwe-CMV ezitholakalayo zikhona noma zingasebenzi ngendlela engapheli noma ngendlela ejwayelekile, njengoba kuchazwe ngenhla.
Ukuxilongwa kokutheleleka kwe-CMV
Ukusola ukuthi ukutholakala kwalolu hlobo lwe-herpes kungenakwenzeka ngenxa yokungabonakali kwezimpawu zayo. I-dermatovenereologist ingabeka ukuxilongwa okuqondile, kodwa kuphela emva kokucwaninga kwelabhoretri:
- ukuhlaziywa kwama-sampuli we-biological fluids ngokuba khona kwamaseli amakhulu;
- ukutholakala kwe-CMV nge-diagnostic PCR;
- ukutholakala kwe-serum immune antigen antigens ku-cytomegalovirus.
Ukwelashwa kokutheleleka kwe-CMV
Esikhathini esijwayelekile sesifo esibhekwayo esinezibonakaliso ezikhumbuza i-mononucleosis syndrome, ukutheleleka okubangelwa ukuphefumula kwesandulela ngculazi noma i-ARI, kanye nokuhamba kwegciwane, ukwelashwa okukhethekile akudingeki.
Ukwelashwa uma kwenzeka ukukhiqizwa kwenqubo kwenziwa ngosizo lwezidakamizwa zokulwa namagciwane:
- I-Ganciclovir;
- I-Foksarnet;
- Valganciclovir;
- I-Cytotect.
Ngemuva kokuthi ukutheleleka kudlulile ngendlela evulekile, ukwelashwa kuphelile, njengoba lezi zidakamizwa zinobuthi obukhulu kakhulu.
Ukuvimbela ukutheleleka kwe-CMV
Okwamanje, azikho izinyathelo eziphumelelayo ezenzelwe ukuvimbela ukutheleleka ngegciwane. Ngakho-ke, ukuvimbela kwenziwa kuphela kwabesifazane ngesikhathi sokukhulelwa ngokuhlolwa kwegazi njalo ngokuba khona kwamaseli amakhulu.