ʻO Cytomegalovirus Congenital

ʻO ke cytomegalovirus Congenital kahi kūlana i hiki ke hana ʻia i ka wā e maʻi ʻia ai kahi pēpē i ka maʻi i kapa ʻia ʻo cytomegalovirus (CMV) ma mua o ka hānau ʻana. ʻO ke kumu o ka hānau aia aia ke ʻano i ka wā hānau.

Hana ʻia ka cytomegalovirus Congenital ke hele aku kahi makuahine maʻi CMV i ka fetus ma o ka placenta. ʻAʻole loaʻa paha nā ʻōuli i ka makuahine, no laila ʻaʻole paha ia e ʻike he CMV kāna.

ʻO ka hapa nui o nā keiki i loaʻa i ka maʻi CMV i ka wā hānau ʻaʻohe ou ʻōuli. ʻO ka poʻe i loaʻa nā hōʻailona e loaʻa iā:

• Ka hoʻohaunaele o ka retina
• ʻIli melemele a keʻokeʻo o nā maka (jaundice)
• Pākuʻi nui a me ke ake
• Kaumaha hānau haʻahaʻa
• Waihona minerala i ka lolo
• Rash i ka wā hānau
• Ka hopu ʻana i nā maʻi
• Nui poʻo poʻo

I ka wā o ka hoʻokolohua, hiki i ka mea mālama ola ke loaʻa:

• Kani ka hanu maʻamau e hōʻike ana i ka niumonia
• Ake akea
• ʻLepala hoʻonui
• Hoʻoneʻe i nā neʻe kino (psychomotor retardation)

Loaʻa i nā hoʻāʻo:

• ʻO Antibody titer e kūʻē iā CMV no ka makuahine a me ka pēpē
• ʻO ka pae Bilirubin a me nā hoʻokolohua koko no ka hana ate
• CBC
• CT scan a ultrasound paha o ke poʻo
• Pūnaewele kālā
• Pale TORCH
• ʻO ka moʻomeheu mimi no ka maʻi CMV i ka 2 a 3 mau pule o ke ola
• X-ray o ka umauma

ʻAʻohe mālama kūikawā no ka CMV hānau. Nānā nā mālama ʻana i nā pilikia kikoʻī, e like me ka hoʻōla kino a me ka hoʻonaʻauao kūpono no nā keiki me ka neʻe ʻana o ke kino.

Hoʻohana pinepine ʻia ka lāʻau me nā lāʻau antiviral no nā pēpē me nā ʻōuli neurologic (ʻōnaehana). Hiki i kēia lapaʻau ke hōʻemi i ka nalo ʻana o ka lohe ma hope i ke ola o ke keiki.

ʻO ka hapa nui o nā pēpē i loaʻa nā ʻōuli o ko lākou maʻi i ka wā hānau e loaʻa i nā neurologic abnormalities ma hope o ke ola. ʻO ka hapa nui o nā pēpē me ka ʻole o nā ʻōuli i ka wā hānau ʻAole e loaʻa kēia mau pilikia.

Make paha kekahi mau keiki ʻoiai pēpē lākou.

Komo pū nā pilikia:

• Ka paʻakikī me nā hana kino a me ka neʻe
• Nā pilikia o ka hihiʻo a makapō paha
• Kuli ke kuli

E nānā koke kāu pēpē inā ʻaʻole nānā ka mea hāʻawi i kāu pēpē ma hope koke iho o ka hānau ʻana, a manaʻo ʻoe he pēpē kāu:

• ʻO kahi poʻo liʻiliʻi
• Nā ʻōuli ʻē aʻe o ka CMV kūlohelohe

Inā loaʻa ka pēpē CMV i kāu pēpē, he mea nui e hāhai i nā ʻōlelo aʻoaʻo a kāu mea hāʻawi aku no nā hoʻokolohua pēpē maikaʻi. ʻO kēlā ala, hiki ke ʻike koke ʻia nā pilikia ulu a ulu ʻana a mālama koke ʻia.

ʻAneʻane ʻo Cytomegalovirus i nā wahi āpau o ke kaiapuni. Paipai nā US Centres for Disease Control and Prevention (CDC) i kēia mau hana e hōʻemi ai i ka hoʻolaha ʻana o CMV.

• E holoi i nā lima me ke kopa a me ka wai ma hope o ka pā ʻana i nā diapeka a i ʻole ka lawalā.
• Hōʻalo i ka honi ʻana i nā keiki ma lalo o ka makahiki 6 i ka waha a i ʻole ka papalina.
• Mai kaʻana like i ka meaʻai, nā mea inu, a me nā mea ʻai me nā keiki ʻōpio.
• E hana ana nā wahine hāpai ma kahi keʻena mālama lā me nā keiki i ʻoi aku i ka makahiki 2½.

CMV - hānau hānau; CMV hānau; Cytomegalovirus - hānau hānau

• ʻO Cytomegalovirus Congenital
• Nā Antibodies

Beckham JD, Solbrig MV, Tyler KL. Virus encephalitis a me ka meningitis. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 78.

ʻO Crumpacker CS. Cytomegalovirus (CMV). I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principal a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpikipiki, Hoʻopuka Hou. 8th ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 140.

Huang FAS, Brady RC. ʻO nā maʻi Congenital a me perinatal. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 131.