CMV retinitis

ʻO Cytomegalovirus (CMV) retinitis kahi maʻi viral o ka retina o ka maka e hopena ai i ka mumū.

Hoʻokumu ʻia ʻo CMV retinitis e kekahi lālā o kahi hui o nā maʻi ʻino herpes. 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 i hoʻonāwaliwali i nā ʻōnaehana pale i ka hopena o:

• HIV / AIDS
• Hoʻoneʻe iwi iwi
• ʻO Chemotherapy
• Nā lāʻau e kāohi i ka ʻōnaehana pale
• Ke kuʻi ʻōhua

ʻAʻohe o kekahi poʻe me ka retinitis CMV.

Inā loaʻa nā ʻōuli, pili pū paha lākou:

• Nā wahi makapō
• ʻIke makapō a me nā pilikia ʻike ʻē aʻe
• Nā Luaʻau

Hoʻomaka ka retinitis i hoʻokahi maka, akā holomua pinepine i kekahi maka. Me ka mālama ʻole ʻia, hiki i ka hōʻino ʻana i ka retina ke alakaʻi i ka makapō i 4 a 6 mau mahina a i ʻole ka liʻiliʻi.

ʻIke ʻia ʻo CMV retinitis ma o ka hōʻike ophthalmologic. ʻO ka dilation o nā haumāna a me nā ophthalmoscopy e hōʻike i nā hōʻailona o ka CMV retinitis.

Hiki ke ʻike ʻia ka maʻi CMV me ke koko a i ʻole nā ​​mimi e nānā i nā mea kikoʻī i ka maʻi. Hiki i kahi biopsy kikoʻī ke huai i ka maʻi viral a me ke kū ʻana o nā huna ʻiʻo CMV, akā ʻaʻole hana iki kēia.

ʻO ka pahuhopu o ka mālama ʻana e hōʻoki i ka maʻi mai ka hana hou ʻana a paʻa a hoʻihoʻi i ka hihiʻo a pale i ka makapō. Pono pinepine ka mālama wā lōʻihi. Hāʻawi ʻia nā lāʻau i ka waha (waha), ma o ke aa (intravenously), a i ʻole injected pololei ʻia i ka maka (intravitreous).

ʻOiai me ka mālama ʻana, hiki i ka maʻi ke hōʻino i ka makapō. Hiki ke hana i kēia holomua ma muli o ke kūpaʻa ʻana o ka maʻi i nā lāʻau antiviral no laila ʻaʻole pono nā lāʻau, a i ʻole no ka mea ua māhuahua hou ka ʻōnaehana pale o ke kanaka.

Hiki i ka CMV retinitis ke alakaʻi i ka detinalment retina, kahi e hemo ai ka retina mai ka hope o ka maka, a makapō.

Nā pilikia e hopena paha me:

• Nā hōʻino kīwī (mai nā lāʻau i hoʻohana ʻia e mālama ai i ke ʻano)
• Helu keʻokeʻo haʻahaʻa keʻokeʻo haʻahaʻa (mai nā lāʻau i hoʻohana ʻia e mālama ai i ke ʻano)

Inā piʻi a maikaʻi ʻole nā ​​ʻōuli me ka lapaʻau, a inā ulu nā ʻōuli hou, kāhea i kāu mea mālama ola.

ʻO ka poʻe me ka maʻi HIV / AIDS (ʻo ia hoʻi ka poʻe me ka helu CD4 haʻahaʻa loa) loaʻa ka pilikia o ka ʻike e pono e hoʻopaʻa i kahi manawa no ka loiloi maka.

ʻO ka maʻi CMV ke kumu maʻamau i nā ʻōuli i ka poʻe me ka ʻōnaehana pale nawaliwali. ʻO kekahi mau lāʻau lapaʻau (e like me ka maʻi ʻaʻai maʻi ʻaʻai) a me nā maʻi (e like me HIV / AIDS) hiki ke hoʻonā i kahi ʻōnaehana pale nāwaliwali.

ʻO nā kānaka me ka maʻi SID nona ka helu CD4 ma lalo o 250 mau hunaola / microliter a i ʻole 250 mau huna / cubic millimeter e nānā pinepine ʻia no kēia ʻano, ʻoiai inā ʻaʻohe o lākou mau ʻōuli. Inā loaʻa iā ʻoe ka CMV retinitis i ka wā ma mua, e noi i kāu mea lawelawe inā pono ʻoe i ka lāʻau e pale ai i kona hoʻi ʻana mai.

ʻO Cytomegalovirus retinitis

• Maka
• CMV retinitis
• 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.

Freund KB, Sarraf D, Mieler WF, Yannuzzi LA. Maʻi kīnā. I: Freund KB, Sarraf D, Mieler WF, Yannuzzi LA, eds. ʻO Retina Atlas. ʻElua ed. Piladelapia, PA: Elsevier; 2017: chap 5.