Pehea ka hopena o Cytomegalovirus i ka hāpai ʻana a me ka pēpē

Anter
- Pehea e mālama ai e pale ai i ka lawe ʻana
- Pehea e hōʻoia ai inā loaʻa ʻoe i ka maʻi cytomegalovirus
- He aha e hana ai e pale ai i ka maʻi i ka hāpai keiki
Inā loaʻa ka wahine i ka Cytomegalovirus (CMV) i ka wā hāpai, he mea nui ia e mālama koke ʻia e hōʻalo i ka maʻi o ka pēpē ma o ka placenta a i ʻole i ka wā e hānau ai, kahi e hopena ai i nā ulu o ka pēpē.
ʻO ka mea maʻamau, hele a pili ka wahine hāpai me ka cytomegalovirus ma mua o ka hāpai ʻana, a no laila, he mau antibodies hiki ke kaua i ka maʻi a pale i ka lawe. Eia nō naʻe, ke kū koke ka maʻi ma mua a i ʻole ka hapa mua o ka hāpai ʻana, aia nā manawa o ka lawe ʻana i ka maʻi i ka pēpē, hiki ke lawe i ka wā ma mua a me nā malformations i loko o ka pēpē, e like me microcephaly, kuli, retardation a i ʻole epilepsy.
ʻAʻohe lāʻau o Cytomegalovirus i ka hāpai ʻana, akā hiki i ka manawa maʻamau ke hoʻomaka i ka mālama ʻana me nā antivirals e pale i ka lawe ʻana i ka pēpē.

Pehea e mālama ai e pale ai i ka lawe ʻana
ʻO ka mālama ʻana no Cytomegalovirus i ka hāpai hāpai ʻana e pono e hoʻokō ʻia e like me ke alakaʻi a ka obstetrician, me ka hoʻohana ʻana i nā lāʻau antiviral, e like me Acyclovir, no ka laʻana, a i ʻole ka ʻume ʻana o nā immunoglobulins, ka mea e hoʻonāukiuki i ka ʻōnaehana paleʻea a hakakā i ka maʻi, e pale ana i ka lawe ʻana i ka pēpē .
I ka wā o ka mālama ʻana, pono i ke kauka e hana i nā hana maʻamau e nānā i ka ulu ʻana o ka pēpē a hōʻoia i ka hoʻololi ʻole ʻana o ka maʻi. E ʻike i nā kikoʻī e pili ana i ka mālama ʻana i ka cytomegalovirus i ka hāpai ʻana.
Pehea e hōʻoia ai inā loaʻa ʻoe i ka maʻi cytomegalovirus
ʻAʻole kikoʻī nā ʻōuli o kahi maʻi cytomegalovirus, e like me ka ʻeha o ka mākala, ke kuni ma luna o 38ºC a i ʻole nā wai ʻeha. Eia hou, i nā manawa he nui ʻaʻohe ʻōuli, ʻoiai hiki i ka maʻi virus ke hiamoe no ka manawa lōʻihi. No kēia kumu, ʻo ke ala maikaʻi loa e hōʻoia ai i ka maʻi ka hana ʻana i kahi hōʻailona olakino.
Hana ʻia ka hōʻailona me kahi hōʻike koko CMV i ka wā hāpai, ʻo ka hopena:
- IgM non-reactive a maikaʻi ʻole paha a IgG reactive a maikaʻi paha: ua pili ka wahine me ka maʻi no ka manawa lōʻihi a ʻo ka makaʻu o ka lawe ʻana he mea liʻiliʻi.
- Hoʻohui a maikaʻi paha IgM a me IgG non-reactive a maikaʻi ʻole paha: maʻi maʻi cytomegalovirus koʻikoʻi, ʻoi aku ka hopohopo, pono ke kauka e alakaʻi i ka lāʻau.
- ʻO Reagent a maikaʻi paha IgM a me IgG: pono e hoʻokō i kahi hoʻāʻo avidity. Inā emi ka hoʻāʻo ma mua o 30%, ʻoi aku ka nui o ka makaʻu o ka maʻi i ka pēpē i ka wā hāpai.
- Pākuʻi ʻole a maikaʻi ʻole IgM a me IgG: ʻaʻole i pili iki me ka maʻi maʻi a, no laila, pono e hana i nā hana pale e hōʻalo i kahi maʻi hiki ʻole.
Ke kuhi ʻia kahi maʻi i ka pēpē, hiki ke lawe ʻia kahi laʻana o ka wai amniotic e nānā i ke ola o ka maʻi. Eia nō naʻe, e like me ka Ministry of Health, pono e hana i ka ninaninau ʻana i ka pēpē ma hope o 5 mau mahina o ka hāpai ʻana a me 5 mau pule ma hope o ka maʻi o ka wahine hāpai.
E nānā hoʻi he aha IgM a me IgG.
He aha e hana ai e pale ai i ka maʻi i ka hāpai keiki
Ma muli o ka loaʻa ʻole o kahi lāʻau lapaʻau e kōkua ai e pale aku i ka maʻi, he mea nui ia e hāpai nā wahine hāpai i kekahi mau ʻōlelo aʻoaʻo ākea e hōʻalo ai i ka maʻi, e like me:
- E hoʻohana i ka pale pale ma ka pilina pilikino;
- Hōʻalo i ka hele pinepine ʻana i nā wahi lehulehu me nā poʻe he nui;
- E holoi koke i kou mau lima ma hope o ka hoʻololi ʻana i ka diaper o kahi pēpē a i ʻole ke hele pū ʻoe me nā huna a ke keiki, e like me ka lawai, no ka laʻana;
- Mai honi i nā kamaliʻi liʻiliʻi ma ka papalina a me ka waha;
- Mai hoʻohana i nā mea a ke keiki, e like me nā aniani a me nā mea ʻokiʻoki.
ʻO nā kuleana nui o nā keiki no ka lawe ʻia ʻana o cytomegalovirus, no laila pono e ukali ʻia kēia mau ʻōlelo aʻoaʻo e ka wahine hāpai ma loko o ka hāpai ʻana, keu pū me ka hana pū ʻana me nā keiki.