Kutenga ndi mayina ovuta oterewa amayamba ndi kachilombo kochokera ku banja la herpes. Tizilombo ting'onoting'ono timafalikira ponseponse thupi lonse, ndikusiya njira kulikonse. Akadwala kachilomboka, sangachiritsidwe, chifukwa chitetezo cha cytomegalovirus sichingapangidwe. Nanga n'chifukwa chiyani cytomegalovirus imalandira chidwi chowonjezeka pa nthawi ya mimba? Izi zimawadetsa nkhawa amayi ambiri oyembekezera. Tiyeni tiwone izo.
Kodi ndi zotani kwa cytomegalovirus mimba?
Chowonadi ndi chakuti kachilombo ka HIV kaŵirikaŵiri kakuyambitsa matenda a intrauterine. Choopsa kwambiri ndi matenda ochokera kwa munthu wodwala omwe ali ndi matenda aakulu. Panthawi imeneyi, tizilombo toyambitsa matenda sizingawonongeke ndi kupanga ma antibodies. Izi zimamulolera kuti alowe mu magazi a mayi kupita ku pulasitiki ndikupatsira mwanayo. Pankhani imeneyi, matendawa amapezeka 50%.
Izi zimachitika kuti mayi adadwala asanatengere kachilomboka. Koma chitetezo chake chifukwa cha kusintha kwa mahomoni kapena ARVI chinafooketsa, ndipo iye anabwereranso. Komabe, izi sizikhala zoopsa, chifukwa thupi liri kale ndi ma antibodies kwa cytomegalovirus panthawi yoyembekezera. Mavuto a kachilomboka aloŵa mu placenta pang'ono ndipo, motero, akuthanso mwanayo.
Komabe, tiyeni tiwone kuti matenda a mwanayo ndi cytomegalovirus achitika. Ndiye zingakhale zotani? Pakhoza kukhala njira zingapo. Ndibwino kuti kachilombo ka HIV kakula. Kuwonongeka kwa mwana wosabadwa kuli kochepa - kungokhala kolemera pang'ono. Mwana amabadwa ndipo amakhala chonyamulira cha kachilombo, osadziwa ngakhale. Komabe, nthawi zina, cytomegalovirus mwa amayi omwe ali ndi pakati angayambitse mavuto aakulu. Mwachiwopsezo, matenda a fetus amapezeka, ndipo matenda a intrauterine kumayambiriro oyambirira angapangitse mimba yokhazikika kapena kukula kwa mwana wosabadwa. Ngati, patapita nthawi, matenda opatsirana ndi cytomegalovirus amapezeka, kutenga mimba sikungakhale kovuta ndi zovuta kapena imfa ya mwanayo. Koma ma polyhydramnios ndi otheka - mafupipafupi odwala matenda a intrauterine, kubadwa msanga komanso otchedwa cytomegaly. Matendawa ali ndi vuto lalikulu la dongosolo la manjenje, kuwonjezeka kwa nthenda, chiwindi, maonekedwe a "odzola", osamva.
Kuchiza kwa cytomegalovirus mimba
Mtundu wambiri wa kachilombo kawirikawiri umakhala ngati fuluwenza: chikhalidwe cha malaise, kuwonjezeka pang'ono kwa kutentha. Koma kawirikawiri m'mimba ya cytomegalovirus imadutsa mosavuta. Kukhalapo kwake kumazindikiridwa kokha kupyolera mu kuyesa ma laboratory kuti akhalepo ndi ma antibodies ku cytomegalovirus mu thupi ndi kutanthauzira kwa immunoglobulins-IgM ndi IgG. Ngati mayeso a cytomegalovirus IgG ali othandizira pa nthawi yomwe ali ndi pakati, ndiye kuti mwinamwake kuti kachilombo koyambitsa matenda kameneka kadzachitike ndi kosasamala. Pokhapokha ngati mayiyo sanatenge kachilomboka miyezi yochepa musanayambe "zosangalatsa".
Komabe, ngati mayeso a cytomegalovirus IgG panthawi yomwe ali ndi mimba ndi yovuta, ndipo ma antibodies ena - IgM ndi IgG - samawonekera, mwayi wa kachilombo ka fetus ndi wamtali ngati amayi atenga kachilomboka. Amayi amtsogolo omwe alibe ma antibodies a cytomegalovirus ali pangozi.
Ponena za chithandizo cha matenda, palibe njira zamakono zomwe sizichotsa kachilombo ka HIV.
Komanso, mayi ayenera kuyesedwa kuti adziwe kukhalapo kwa cytomegalovirus pokonzekera mimba. Pamene mtundu wodwala wa matendawa ukupezeka, kulera sikuvomerezedwa kwa zaka ziwiri, mpaka mawonekedwe a lanten abwera. Mkazi yemwe ali ndi ndondomeko yotsutsa ayenera, ngati n'kotheka, kuopa matenda. Ngakhale n'zovuta kuchita izi - cytomegalovirus imafalitsidwa kudzera m'matumbo, mkodzo, magazi ndi nyemba.