Undercurrents CMV ngesikhathi sokukhulelwa

Phakathi kwabesifazane abakhulelwe, mayelana 72% ku amasosha omzimba umzimba ukuze cytomegalovirus (CMV), zazo 2% siyenzeka ekuthuthukiseni lesi sifo ngesikhathi sokukhulelwa. Okwamanje, le ukutheleleka lenzelwa ngenxa abampofu yokuphila ukukhetha kanye umthelela izici zendawo ezimbi. Lesifo lokuqala kuthinta umzimba nge encishisiwe ukuzivikela komzimba, abesifazane abakhulelwe ngakho ziyashesha kakhulu ukuba usithonye.

Sicela uqaphele ukuthi cytomegalovirus ngesikhathi ukhulelwe eziyingozi kakhulu kokubili umama ezingenzeka embungwini, kusukela ingane sisuka unina ngokusebenzisa yi-placenta, ngenxa yalokho, kube bantule amasosha sifo. Ngaphezu kwalokho, imiphumela zihlale okunzima ezingenzeka embungwini, ngoba igciwane isatshalaliswa igazi emzimbeni wakhe.

Ngakho, namuhla isifo nendawo ephambili phakathi izimbangela ukutheleleka umbungu esibelethweni sowesifazane. Ukungcola kuyingozi kakhulu ingenye kokuba umuntu ifomu okukhulu CMV ukutheleleka. Nokho, abesifazane uma utheleleke ngaphambi nje ebamba isisu kwesikhathi, umzimba wakhe ukhiqiza amasotsha omzimba okungakwenza buthaka ngegciwane eba khona phakathi nenkathi yokukhulelwa, ngakho nomphumela ongemuhle-fetus kulinganiselwe ziyancipha.

Cytomegalovirus ukutheleleka kungenzeka khona emzimbeni womuntu semali isikhathi kuwo + nangayiphi indlela abonisa ngayo. Lesi sifo kuhambisana izimpawu ezifana imfiva, ubuthakathaka, lakhulisiwe lymph node, ngakho odokotela bavame lokwenza ukuxilongwa okungalungile. Nge ukuthuthukiswa kwaleso sifo kungavuka inyumoniya, isifo sokusha kwesibindi kohlobo noma infarction. Igciwane ngegazi, ngamathe, umchamo kanye nezinye uketshezi ezitholakala emzimbeni womuntu, futhi nabo nesineke futhi amaconsi sisemoyeni.

Uma ucabangela CMV ngesikhathi sokukhulelwa, kungase kuqashelwe ukuthi igciwane Ungathola ingane ngokusebenzisa amniotic fluid, kanye ngesikhathi sokubeletha noma ngokusebenzisa ubisi lwebele, e mBhalo akusiyo kuyingozi kangaka futhi kunomthelela ezincane. Njengoba ingane esizayo kungase bamangala ngesikhathi sokuhlala kwesisu, kusukela Lingadluliselwa eziqukethwe isidoda besilisa. Ngakho, esiphathiswa ka CMV ngesikhathi sokukhulelwa owesifazane kuyingozi hhayi kuphela wakhe, kodwa abantwana bakhe esikhathini esizayo. Ngo izingane emva kokuzalwa bangezwa ukulibaziseka kwamabanga, ubuthulu, i-cerebral palsy, isithuthwane kanye nezinye izifo eziningi.

Ezimweni kaningi CMV ngesikhathi sokukhulelwa kungabangela preterm zabasebenzi noma ukuphuphuma, abruption esinomhlapho nokuthuthukiswa fetus of hypoxia. Kukhona futhi izimo lapho ukutheleleka kwengane akusho ukuzibonakalisa, kodwa ngokuhamba kwesikhathi kungashiwo ukulimala isimiso sezinzwa waphawula, esigabeni sokuqala cerebral palsy, ayeke ukuthuthukiswa ubuchopho, ukulahlekelwa ukuzwa noma umbono, retardation engqondo nezinye izinguquko emzimbeni.

Singasho ukuthi tsitamegalovirus kuthinta cishe 2% zezinsana, zazo% 0.1 kuphela has ukubonakaliswa emitholampilo abalulekile. Ngokuvamile lokhu kuhlanganisa nezingane owathola isandulela ukutheleleka esibelethweni emasontweni nambili yokuthi ukhulelwe kanjani. Abanye ingaqala ngaphandle nemiphumela ukutheleleka emzimbeni.

Ngenxa yokuthi CMV ngesikhathi sokukhulelwa kungabangela ukukhubazeka yemiphumela enjalo edabukisayo ye ekukhuleni kwengane, umbuzo uwukuthi ukuthi ukuqhubeka ukukhulelwa. I obstetricians isinqumo wathola kusekelwe kugcinwa owesifazane okhulelweyo, le Assay umbungu ngoba khona amasosha le virus, isifundo umzanyana kanye amniotic fluid, futhi ngesisekelo US imiphumela ye- khona kombungu. It is lapha futhi nikhumbule ezilandelayo ezibonisa ukutheleleka kwezingane.

Thola tsitamegalovirus emzimbeni kungenzeka kubangelwa igazi, umchamo, swabs, phambi ukutheleleka acute njengoba linqume izidakamizwa ezithuthukisa isimiso somzimba sokuzivikela futhi elwa namagciwane.

Ngakho, CMV ngesikhathi ukhulelwe eziyingozi kakhulu ezingenzeka embungwini esimweni ukutheleleka intrauterine. Udokotela kulezi zimo iphakamisa umbuzo isisu.