Fomaʻi cytomegalovirus

Congenital cytomegalovirus o se tulaga e mafai ona tupu pe a aafia se pepe i se siama e taua o le cytomegalovirus (CMV) ae le i fanau. Fanau fanau o lona uiga o le tulaga ua i ai i le taimi fanau.

Congenital cytomegalovirus e tupu pe a pasi e se tina ua afaina le CMV i le fetus e ala ile placenta. O le tina atonu e leai ni faʻailoga, o lea atonu na te le o iloaina o loʻo ia te ia le CMV.

Tele tamaiti e aafia ile CMV ile fanau mai e leai ni auga. O i latou e i ai auga faʻailoga ono i ai:

• Fula o le retina
• Paʻepaʻe samasama ma papaʻe o mata (jaundice)
• Tele lapoʻa ma ate
• Paʻu maualalo ole mamafa
• Minerale teu i le faiʻai
• Le mageso ile fanau mai
• Faoa faamalosi
• Laʻititi ulu

I le taimi o le suʻega, e ono maua e le tausi soifua maloloina:

• Ole manava masani e faʻaalia ai le niumonia
• Faʻateleina le ate
• Faʻalautele pupula
• Tuai gaioiga faʻaletino (psychomotor faʻaletonu)

O suʻega e aofia ai:

• Antibody titer faasaga i le CMV mo le tina ma le pepe
• Maualuga Bilirubin ma suʻega toto mo le aoga ate
• CBC
• CT scan poʻo ultrasound o le ulu
• Faʻasologa tupe
• Pupuni pupuni
• Urine culture mo CMV siama i le muamua 2 i le 3 vaiaso o le olaga
• X-ray o le pusa

E leai se faʻapitoa togafitiga mo CMV fanau mai. Togafitiga taulaʻi i faʻapitoa faʻafitauli, pei o le faʻamalositino togafitiga ma talafeagai aʻoaʻoga mo tamaiti ma tuai tuai faʻagaioiga tino.

Togafitiga ma vailaʻau antiviral e masani ona faʻaaoga mo pepe meʻi ai le faʻamaʻi neula (neula). O lenei togafitiga e ono faʻaititia ai le lagona faʻalogo mulimuli ane i le ola o le tamaititi.

Ole toʻatele o tamaiti ua iai faʻailoga o latou faʻamaʻi i le taimi na fananau ai o le a iai ni faʻaletonu ole neurologic mulimuli ane ile olaga. Ole tele o pepe e leai ni faʻailoga ile fananau mai e L have maua nei faʻafitauli.

O nisi tamaiti e ono feoti a o pepe lava.

Faʻafitauli e ono aofia ai:

• Faigata i faʻagaioiga tino ma gaioiga
• Faʻafitauli vaʻai poʻo le tauaso
• Tutuli

Vaʻai loa lau pepe pe a fai e leʻi suʻesuʻeina e lau tausi pepe lau pepe i se taimi puʻupuʻu, ma e te masalo ua iai lau pepe:

• O se ulu laʻititi
• Isi faʻailoga o le CMV amataina

Afai o lau pepe ua i ai le CMV fanau mai, e taua le mulimuli i fautuaga a lau tautua mo suʻesuʻega lelei a le pepe. I lena auala, soʻo se tuputupu ae ma atinaʻe faʻafitauli mafai ona iloa vave ma togafitia vave.

Cytomegalovirus e toeititi lava i soʻo se mea i le siʻosiʻomaga. O le US Centres for Disease Control and Prevention (CDC) fautuaina laʻasaga ia e faʻaititia ai le sosolo o le CMV:

• Fufulu lima i le fasimoli ma le vai pe a uma ona tago i napekini poʻo faua.
• Aloʻese mai le kisi i tamaiti i lalo o le 6 tausaga i luga o le gutu poʻo le alafau.
• Aua le faʻasoaina atu meaʻai, vai inu, poʻo meaʻai i tamaiti laiti.
• O fafine maʻitaga o loʻo faigaluega i le nofoaga e tausi ai tamaiti e tatau ona galulue faʻatasi ma tamaiti e matutua atu nai lo le 2½ tausaga.

CMV - fanau mai; Fanau CMV; Cytomegalovirus - fanau mai

• Fomaʻi cytomegalovirus
• Antibodies

Beckham JD, Solbrig MV, Tyler KL. Viral encephalitis ma meningitis. I totonu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology i Fomaʻi Faʻataʻitaʻi. 7th ed. Filatelefia, PA: Elsevier; 2016: mata 78.

Crumpacker CS. Cytomegalovirus (CMV). I totonu: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, ma Bennett's Mataupu Faavae ma Faʻataʻitaʻiga o Faamaʻi pipisi, Faʻafouina Lomiga. 8th ed. Filatelefaia, PA: Elsevier Saunders; 2015: mata 140.

Huang FAS, Brady RC. Faʻamaʻi fananau mai ma perinatal. I le: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Tusitusiga o Pediatrics. 21 ed. Filatelefia, PA: Elsevier; 2020: chap 131.