CMV mabayo

Cytomegalovirus (CMV) pneumonia chirwere chemapapu chinogona kuitika muvanhu vane immune system yakadzvanywa.

CMV mabayo anokonzerwa nenhengo yeboka rehutachiona-hwerudzi. Kubatwa neCMV kwakajairika. Vanhu vazhinji vanooneswa kuCMV muhupenyu hwavo, asi kazhinji chete avo vane masimba ekudzivirira immune ndivo vanorwara kubva kuCMV hutachiona.

Zvirwere zvakakomba zveCMV zvinogona kuitika mune vanhu vasina simba immune immune semhedzisiro ye:

• HIV / AIDS
• Bone marrow kuisazve
• Chemotherapy kana kumwe kurapa kunodzvinyirira immune system
• Kuisa muviri (kunyanya kupinza mapapu)

Muvanhu vakave nekushandurwa kwemuviri nemapfupa, njodzi yekutapukirwa yakanyanya mavhiki mashanu kusvika gumi nematanhatu mushure mekuiswazve.

Mune vamwe vanhu vane hutano, CMV kazhinji haina kuburitsa zviratidzo, kana inoburitsa kwechinguva mononucleosis-rudzi chirwere. Nekudaro, avo vane immune system isina kusimba vanogona kukura zviratidzo zvakakomba. Zviratidzo zvinogona kusanganisira:

• Kukosora
• Kuneta
• Kupindwa nechando
• Kazhinji kusagadzikana, kusagadzikana, kana kurwara (malaise)
• Kupererwa nechido
• Tsandanyama aches kana majoini marwadzo
• Kufema kwekufema
• Kudikitira, kunyanyisa (kutuka kweusiku)

Anopa hutano anoita bvunzo dzepanyama. Uye zvakare, bvunzo dzinotevera dzinogona kuitwa:

• Arterial ropa gasi
• Tsika yeropa
• Ropa bvunzo kuona uye kuyera zvinhu zvakanangana neCMV hutachiona
• Bronchoscopy (inogona kusanganisira biopsy)
• Chest x-ray
• CT scan yechifuva
• Urine tsika (yakachena hove)
• Sputum gramu tsvina uye tsika

Chinangwa chekurapa ndechekushandisa maantiviral zvinodhaka kumisa hutachiona kuzvitevedzera mumuviri. Vamwe vanhu vane CMV mabayo vanoda IV (intravenous) mishonga. Vamwe vanhu vangangoda oxygen kurapwa uye kufema rutsigiro nemhepo inofema kuchengetedza oxygen kusvikira hutachiona hwaiswa pasi pesimba.

Mishonga yeAntiviral inomisa hutachiona kubva pakuzvitevedzera, asi usazviparadze. Iyo CMV inodzvinyirira immune immune, uye inogona kuwedzera njodzi yako kune zvimwe hutachiona.

Low oxygen level muropa revanhu vane CMV pneumonia inowanzo fungidzira kufa, kunyanya kune avo vanofanirwa kuiswa pamushini wekufema.

Matambudziko ehutachiona hweCMV muvanhu vane HIV / AIDS anosanganisira kupararira kwechirwere kune dzimwe nhengo dzomuviri, senge dumbu, ura, kana ziso.

Zvinetso zveCMV pneumonia zvinosanganisira:

• Kukanganiswa kweitsvo (kubva kumishonga inoshandiswa kurapa mamiriro acho)
• Yakachena chena masero eropa kuverenga (kubva kumishonga inoshandiswa kurapa mamiriro acho)
• Kukurira hutachiona husingapindure pakurapwa
• Kuramba kweCMV kune yakajairwa kurapwa

Fonera mupiki wako kana iwe uine zviratidzo zveCMV mabayo.

Izvi zvinotevera zvakaratidzwa kubatsira kudzivirira CMV mabayo mune vamwe vanhu:

• Uchishandisa nhengo yekuisa vanopa vasina CMV
• Uchishandisa zvigadzirwa zveCMV-zvisina kunaka kweropa kuwedzerwa
• Uchishandisa CMV-immune globulin mune vamwe vanhu

Kudzivirira HIV / AIDS kunodzivirira zvimwe zvirwere, kusanganisira CMV, zvinogona kuitika kune vanhu vane immune system isina simba.

Mabayo - cytomegalovirus; Cytomegalovirus mabayo; Hutachiona hwemabayo

• Pneumonia muvakuru - kubuda

• CMV mabayo
• CMV (cytomegalovirus)

Britt WJ. Cytomegalovirus. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chits. 137.

Crothers K, Morris A, Huang L. Pulmonary matambudziko ehutachiona hweHIV. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheKufema Kwemishonga. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits 90.

Singh N, Haidar G, Limay AP. Zvirwere mu solid-organ transplant vanogamuchira. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett Misimboti uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 308.