Pulmonoma CMV

ʻO ka cytomegalovirus (CMV) pneumonia kahi maʻi o nā akemāmā e hiki ke hana ʻia i ka poʻe i loaʻa kahi ʻōnaehana pale i kāohi ʻia.

Hoʻokumu ʻia ʻo CMV pneumonia e kekahi lālā o kahi hui o nā maʻi ʻano herpes-type. ʻO ka maʻi me CMV ka mea maʻamau. Hōʻike ka hapa nui o ka poʻe i ka CMV i ko lākou ola, akā ʻo ka mea maʻamau nā mea me nā ʻōnaehana pale maʻi nāwaliwali e lilo i maʻi mai ka maʻi CMV.

Hiki i nā maʻi CMV koʻikoʻi ke kū i ka poʻe me nā ʻōnaehana pale nawaliwali ma ke ʻano he:

• HIV / AIDS
• Hoʻoneʻe iwi iwi
• Chemotherapy a i ʻole nā ​​ʻano lāʻau ʻē aʻe e kāohi i ka ʻōnaehana pale
• ʻO ke kanu ʻana o nā ʻokena

I ka poʻe i loaʻa i nā iwi a me nā iwi pūwi, ʻo ka makaʻu no ka maʻi he 5 a 13 mau pule ma hope o ka hoʻoliʻiliʻi.

I nā kānaka olakino ʻē aʻe, ʻaʻole hana ʻo CMV i mau hōʻailona, ​​a i ʻole hana ʻia kahi maʻi ʻano mononucleosis no kekahi manawa. Eia nō naʻe, hiki i ka poʻe me ka ʻōnaehana pale nawaliwali ke hoʻomōhala i nā ʻōuli koʻikoʻi. Pākuʻi ʻia paha nā ʻōuli:

• Cough
• Ka luhi
• Fiva
• General discomfort, uneasiness, a maʻi maʻi paha (malaise)
• Loaʻa ka ʻai ʻole
• ʻEha ʻeha a ʻeha pū paha
• Pokole o ka hanu
• Hoʻoulu, nui (sweats i ka pō)

E hana ka mea mālama ola i kahi hoʻokolohua kino. Hoʻohui ʻia, e hana ʻia nā hōʻike aʻe:

• Ke kinoea koko arterial
• Moʻomeheu Koko
• Nā ho'āʻo koko e ʻike a ana i nā mea kikoʻī i ka maʻi CMV
• ʻO Bronchoscopy (hiki ke hoʻopili ʻia i ka biopsy)
• Pākuʻi x-ray
• CT scan o ka umauma
• Mihi moʻomeheu (maʻemaʻe hopu)
• Pākuʻi sputum gram a me ka moʻomeheu

ʻO ka pahuhopu o ka mālama ʻana e hoʻohana i nā lāʻau antiviral e hōʻoki i ka maʻi mai ke kope ʻana iā ia iho i loko o ke kino. Pono kekahi poʻe me ka CMV pneumonia i nā lāʻau IV (intravenous). Pono paha kekahi poʻe i ka oxygen therapy a me ke kākoʻo hanu me kahi ventilator e mālama ai i ka oxygen a hiki i ka wā e mālama ʻia ai ka maʻi.

Hoʻopau nā lāʻau Antiviral i ka maʻi mai ke kope ʻana iā ia iho, akā mai luku iā ia. Hoʻopau ka CMV i ka ʻōnaehana pale, a hoʻonui paha i kou makaʻi no nā maʻi ʻē aʻe.

ʻO ke kiʻekiʻe o ka oxygen haʻahaʻa i loko o ke koko o nā kānaka me CMV pneumonia wānana pinepine i ka make, keu hoʻi i ka poʻe e pono e kau ʻia ma ka mīkini hanu.

ʻO nā pilikia o ka maʻi CMV i ka poʻe me ka maʻi HIV / AIDS ka hoʻopili ʻana o ka maʻi i nā wahi ʻē aʻe o ke kino, e like me ka esophagus, ʻōpū, a me ka maka.

Nā pilikia o ka CMV pneumonia me:

• ʻO ke kīnā kīnā ʻole (mai nā lāʻau i hoʻohana ʻia e mālama i ke ʻano)
• Helu keʻokeʻo haʻahaʻa keʻokeʻo haʻahaʻa (mai nā lāʻau i hoʻohana ʻia e mālama ai i ke ʻano)
• Ka maʻi ʻoi loa e pane ʻole i ka lāʻau
• Ke kūpaʻa o CMV i ka mālama maʻamau

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o CMV pneumonia.

Ua hōʻike ʻia nā mea aʻe e pale aku ai i ka CMV pneumonia i kekahi mau poʻe:

• Ke hoʻohana nei i nā mea hāʻawi transplant organ i loaʻa ʻole ka CMV
• Ke hoʻohana nei i nā huahana koko CMV-maikaʻi ʻole no ka transfusion
• Ke hoʻohana nei i ka CMV-immune globulin i kekahi mau kānaka

Hōʻalo ka pale ʻana i ka maʻi HIV / AIDS i kekahi mau maʻi ʻē aʻe, me CMV, i hiki i nā poʻe i loaʻa ka ʻōnaehana nāwaliwali nāwaliwali.

Poniaonia - cytomegalovirus; Pneumonia Cytomegalovirus; Pulumonia Viral

• ʻO Ponia i nā mākua - hoʻokuʻu

• Pulmonoma CMV
• CMV (cytomegalovirus)

ʻO Britt WJ. Cytomegalovirus. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 137.

ʻO Crothers K, Morris A, Huang L. Pulmonary kūpilikiʻi o ka maʻi HIV. I: Broaddus VC, Mason RJ, Ernst JD, et al, eds. ʻO Murray a me Nadel's Textbook of Respiratory Medicine. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2016: chap 90.

Singh N, Haidar G, Limay AP. Nā maʻi i nā mea lawe transplant paʻa. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennetts mau loina a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 308.