Pehea e mālama ai i ka pēpē me Cytomegalovirus
Anter
Inā maʻi ka pēpē me ka cytomegalovirus i ka hāpai ʻana, hānau ʻia paha ʻo ia me nā ʻōuli e like me ke kuli a me ka lolo o ka noʻonoʻo. I kēia hihia, hiki ke hana i ka lāʻau no cytomegalovirus i ka pēpē me nā lāʻau antiviral a ʻo ka pahuhopu nui e pale i ka kuli.
ʻOi aku ka maʻi o Cytomegalovirus i ka wā hāpai akā hiki ke hana ʻia i ka wā o ka hānau a ma hope paha o ka hānau ʻana inā maʻi ka poʻe kokoke iā ʻoe.
Nā ʻōuli o ka maʻi cytomegalovirus
ʻO ke pēpē i loaʻa i ka cytomegalovirus i ka hāpai ʻana e loaʻa paha kēia mau ʻōuli:
- Hoemi i ka ulu intrauterine a me ka ulu ʻana;
- Nā kiko ʻulaʻula liʻiliʻi ma ka ʻili;
- Hoʻonui ākea a me ke akepaʻa;
- ʻIli melemele a me nā maka;
- Ka ulu liʻiliʻi o ka lolo (microcephaly);
- Nā helu ma ka lolo;
- ʻO ka haʻahaʻa o nā platelet i ke koko;
- Kuli ke kuli.
ʻO ke kū ʻana o ka cytomegalovirus i loko o ka pēpē hiki ke ʻike ʻia ma o kona kū ʻana i ka lawā a i ʻole ka mimi i nā pule he 3 o ke ola. Inā loaʻa ka maʻi ma hope o ka pule 4 o ke ola, hōʻike ia ua loaʻa ka maʻi ma hope o ka hānau ʻana.
Nā hoʻāʻo pono
ʻO ka pēpē i loaʻa i ka cytomegalovirus pono e hele pū me ka pediatric a pono e nānā pinepine ʻia i hiki ke mālama koke ʻia nā loli. ʻO kekahi mau hoʻāʻo koʻikoʻi ka hoʻolohe hoʻolohe pono e hana ʻia ma ka wā hānau a ma 3, 6, 12, 18, 24, 30 a me 36 mau mahina o ke ola. A laila, pono e loiloi i ka hoʻolohe ʻana i kēlā me kēia 6 mau mahina a hiki i 6 mau makahiki.
Pono e hana i ka tomography compute i ka wā hānau a inā he mau loli, hiki i ka pediatrician ke noi i nā poʻe ʻē aʻe, e like me ka pono o ka loiloi. ʻAʻole pono ka MRI a me nā X-ray.
Pehea e mālama ai i ka cytomegalovirus congenital
ʻO ka mālama ʻana i ka pēpē i hānau ʻia me ka cytomegalovirus hiki ke hana ʻia me ka hoʻohana ʻana i nā lāʻau antiviral e like me Ganciclovir a i ʻole Valganciclovir a pono e hoʻomaka koke ma hope o ka hānau ʻana.
Hoʻohana wale ʻia kēia mau lāʻau i loko o nā pēpē kahi e hōʻoia ai ka maʻi a loaʻa paha nā hōʻailona e pili ana i ka Central Nervous System e like me ka helu helu intracranial, microcephaly, nā loli i ka wai cerebrospinal, kuli a chorioretinitis paha.
ʻO ka manawa lapaʻau me kēia mau lāʻau lapaʻau ma kahi o 6 mau pule a no ka mea hiki iā lākou ke hoʻololi i nā hana like ʻole i ke kino, pono e hana i nā hoʻokolohua e like me ka helu o ke koko a me ka mimi kokoke i kēlā me kēia lā a me ka ninaninau ʻana i ka CSF ma ka lā mua a hope o ka lapaʻau.
Pono kēia mau ho'āʻo e nānā inā pono e hōʻemi i ka lāʻau a i ʻole hoʻokū i ka hoʻohana ʻana o nā lāʻau.