CMV - gastroenteritis / colitis

CMV gastroenteritis / colitis iko kuzvimba kwemudumbu kana ura nekuda kwehutachiona necytomegalovirus.

Utachiona uhu hunogonawo kukonzera:

• Utachiona hwemapapu
• Utachiona kumashure kweziso
• Zvirwere zvemucheche achiri mudumbu

Cytomegalovirus (CMV) chirwere cheherpes-mhando. Izvo zvine hukama nehutachiona hunokonzera huku.

Kubatwa neCMV kwakajairika. Inoparadzirwa nemate, weti, madonhwe ekufema, kusangana pabonde, uye kuwedzerwa ropa. Vanhu vazhinji vanoburitswa pachena pane imwe nguva, asi kazhinji nguva, hutachiona hunoburitsa zvinyoro kana kusava nezviratidzo muvanhu vane hutano.

Zvirwere zvakakomba zveCMV zvinogona kuitika mune vanhu vasina simba immune immune nekuda kwe:

• AIDS
• Chemotherapy kurapwa kwegomarara
• Munguva kana mushure mekupfupa kwemapfupa kana nhengo yekuisira
• Ulcerative colitis kana chirwere cheCrohn

Kazhinji, chakakomba hutachiona hweCMV hunosanganisira iyo GI turakiti yakaitika kune vanhu vane immune immune system.

Gastrointestinal CMV chirwere chinogona kukanganisa nzvimbo imwe kana muviri wese. Zvironda zvinogona kuitika mukati medu, mudumbu, ura hudiki, kana colon. Izvi maronda zvakabatana nezviratidzo zvakaita se:

• Marwadzo emudumbu
• Zvakaoma kumedza kana kurwadziwa nekumedza
• Nausea
• Kusvipa

Kana ura hwave mukati, maronda anogona kukonzera:

• Marwadzo emudumbu
• Ropa zvigaro
• Manyoka
• Kupindwa nechando
• Kuonda

Humwe hutachiona hwakanyanya hunogona kukonzera kubuda kwemudumbu kana gomba kuburikidza nemadziro emukati (perforation).

Miedzo inogona kuitwa inosanganisira:

• Barium enema
• Colonoscopy ine biopsy
• Kumusoro endoscopy (EGD) ine biopsy
• Stool tsika kutonga kunze zvimwe zvikonzero zvehutachiona
• Kumusoro GI uye mudiki ura akateedzana

Rabhoritari bvunzo dzichaitwa pane imwe sampuro yetishu yakatorwa kubva mudumbu kana ura. Iyo bvunzo, senge gastric kana yemukati matissue tsika kana biopsy, inoona kana hutachiona huri munyama.

Chiyero cheCMV serology chinoitwa kutsvaga masoja ekudzivirira hutachiona hweCMV muropa rako.

Imwe bvunzo yeropa inotarisa huvepo uye huwandu hwehutachiona hutachiona muropa hunogona kuitwawo.

Kurapa kunoitirwa kudzora hutachiona uye kubvisa zviratidzo.

Mishonga yekurwisa hutachiona (mishonga yemishonga inorwisa hutachiona) yakatemwa. Mishonga inogona kupihwa kuburikidza netsinga (IV), uye dzimwe nguva nemuromo, kwevhiki dzinoverengeka. Mishonga inonyanya kushandiswa ndeye ganciclovir uye valganciclovir, uye foscarnet.

Mune zvimwe zviitiko, kurapwa kwenguva refu kunogona kudikanwa. Mushonga unonzi CMV hyperimmune globulin unogona kushandiswa kana mimwe mishonga isingashande.

Mimwe mishonga inogona kusanganisira:

• Mishonga yekudzivirira kana kudzikisa manyoka
• Marwadzo (analgesics)

Zvinovaka muviri zvinovaka muviri kana chikafu chinopihwa kuburikidza netsinga (IV) inogona kushandiswa kurapa kurasikirwa kwemhasuru nekuda kwechirwere.

Muvanhu vane immune system ine hutano, zviratidzo zvinopera pasina kurapwa kazhinji.

Zviratidzo zvakanyanyisa kune avo vane immune system isina kusimba. Mhedzisiro yacho inoenderana nekuti kushomeka kwehutachiona hwehutachiona uye hutachiona hweCMV huri sei.

Vanhu vane AIDS vanogona kuve nemhedzisiro yakaipa kupfuura avo vane immune system isina simba nekuda kwechimwe chikonzero.

Utachiona hweCMV hunowanzo bata muviri wese, kunyangwe kana paine zviratidzo zvemudumbu chete. Kuita zvakanaka kwemunhu kunoenderana nekuti anoshanda sei maantiviral mishonga.

Iyo mishonga inoshandiswa kurwisa hutachiona inogona kukonzera mhedzisiro. Mhando yemhedzisiro inoenderana nechero mushonga unoshandiswa. Semuenzaniso, iyo ganciclovir yemishonga inogona kudzikisira chena yako masero eropa. Mumwe mushonga, foscarnet, inogona kutungamira kumatambudziko eitsvo.

Fonera wako mupi wezvehutano kana iwe uine zviratidzo zveCMV gastroenteritis / colitis.

Kune njodzi huru yekutapukirwa neCMV muvanhu vanogashira chinongedzo kubva kuCMV-yakanaka mupi. Kutora iyo antiviral zvinodhaka ganciclovir (Cytovene) uye valganciclovir (Valcyte) nemuromo kusati kwaiswa kunogona kudzikisira mukana wako wekuwana hutachiona hutsva kana kumutsidzira hutachiona hwekare.

Vanhu vane AIDS vanonyatsorapwa nehutachiona hweantiretroviral vane mikana yekuwana hutachiona hweCMV.

Colitis - cytomegalovirus; Gastroenteritis - cytomegalovirus; Uturu hweCMV chirwere

• Utachiona hwehutachiona
• Dumbu uye mudumbu
• CMV (cytomegalovirus)

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