CMV retinitis

Cytomegalovirus (CMV) retinitis chirwere chetachiona chetina yeziso rinoguma nekuzvimba.

CMV retinitis inokonzerwa 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 muvanhu vakaneta immune system nekuda kwe:

• HIV / AIDS
• Bone marrow kuisazve
• Chemotherapy
• Mishonga inodzvinyirira immune system
• Kuisa muviri

Vamwe vanhu vane CMV retinitis havana zviratidzo.

Kana paine zviratidzo, zvinogona kusanganisira:

• Mavara mapofu
• Kuona kwakashata uye mamwe matambudziko ekuona
• Mafashama

Retinitis inowanzotanga mune rimwe ziso, asi kazhinji inofambira mberi kune rimwe ziso. Pasina kurapwa, kukuvara kune iyo retina kunogona kutungamira kuhupofu mukati memwedzi mina kusvika kumitanhatu kana zvishoma.

CMV retinitis inoonekwa kuburikidza neye ophthalmologic bvunzo. Kugadziriswa kwevadzidzi uye ophthalmoscopy inoratidza zviratidzo zveCMV retinitis.

CMV hutachiona hunogona kuongororwa uine ropa kana weti bvunzo dzinotarisa zvinhu zvakanangana nehutachiona. A tishu biopsy inogona kuona hutachiona hutachiona uye kuvepo kweCMV hutachiona hwezvinhu, asi izvi hazviwanzo kuitwa.

Chinangwa chekurapa ndechekumisa hutachiona kubva mukudzokorora uye kudzikamisa kana kudzorera kuona uye kudzivirira kupofomara. Kurapa kwenguva refu kunowanzodiwa. Mishonga inogona kupihwa nemuromo (nemuromo), kuburikidza netsinga (mukati), kana jekiseni yakananga muziso (intraitreously).

Kunyangwe nekurapwa, chirwere ichi chinogona kuwedzera kusvika pakuva bofu. Kufambira mberi uku kunogona kuitika nekuti hutachiona hunova husingabatiki nemishonga yekudzivirira mishonga saka mishonga yacho haichashandi, kana nekuti immune system yemunhu yaderera zvakanyanya.

CMV retinitis inogona zvakare kutungamira kune retinal detachment, umo iyo retina inosungirirwa kubva kumashure kweziso, ichikonzera upofu.

Matambudziko anogona kuguma anosanganisira:

• Kukanganiswa kweitsvo (kubva kumishonga inoshandiswa kurapa mamiriro acho)
• Yakachena chena masero eropa kuverenga (kubva kumishonga inoshandiswa kurapa mamiriro acho)

Kana zviratidzo zvikawedzera kana kusavandudza nemushonga, kana kana zviratidzo zvitsva zvikatanga, danai mupi wezvehutano.

Vanhu vane hutachiwana hweHIV / AIDS (kunyanya avo vane CD4 count shoma) vane matambudziko ekuona vanofanira kuita musangano panguva imwe chete kuitira kuongororwa maziso.

Utachiona hweCMV hunowanzo kukonzera zviratidzo muvanhu vane immune system isina kusimba. Mimwe mishonga (senge chirwere checancer) nezvirwere (senge HIV / AIDS) zvinogona kukonzera immune system isina simba.

Vanhu vane AIDS vane CD4 count isingasvike mazana maviri nemakumi mashanu emasero / microliter kana mazana maviri nemakumi mashanu emasero / cubic millimeter vanofanirwa kuongororwa nguva dzose nekuda kwechirwere ichi, kunyangwe vasina zviratidzo. Kana iwe uine CMV retinitis munguva yakapfuura, bvunza mupi wako kana iwe uchida kurapwa kuti udzivise kudzoka kwayo.

Cytomegalovirus retinitis

• Ziso
• CMV retinitis
• 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.

Freund KB, Sarraf D, Mieler WF, Yannuzzi LA. Utachiona. Mune: Freund KB, Sarraf D, Mieler WF, Yannuzzi LA, eds. Iyo Retinal Atlas. 2nd ed. Philadelphia, PA: Elsevier; 2017: chits.