CMV - ciwon ciki / colitis

CMV gastroenteritis / colitis shine kumburin ciki ko hanji saboda kamuwa da cutar cytomegalovirus.

Wannan kwayar cutar guda ɗaya na iya haifar da:

• Ciwon huhu
• Kamuwa da cuta a bayan ido
• Cututtuka na jariri yayin da suke cikin mahaifa

Cytomegalovirus (CMV) ita ce kwayar cutar ƙwayoyin cuta. Yana da dangantaka da kwayar cutar da ke haifar da kaza.

Kamuwa da cutar ta CMV abu ne gama gari. Ana yada ta ta yau, fitsari, digon numfashi, saduwa da jima'i, da karin jini. Mafi yawan mutane suna fuskantar wani lokaci, amma mafi yawan lokuta, kwayar cutar na samar da sauki ko kuma rashin bayyanar cututtuka ga masu lafiya.

Cututtuka masu tsanani na CMV na iya faruwa a cikin mutane da raunana tsarin garkuwar jiki saboda:

• Cutar kanjamau
• Chemotherapy magani don ciwon daji
• Yayin ko bayan kashin kashi ko dashen sassan jiki
• Ciwan ulcer ko cutar Crohn

Ba da daɗewa ba, kamuwa da cutar ta CMV mai haɗari da ƙwayar GI ta faru a cikin mutane da ke da ƙoshin lafiya.

Cutar ta CMV mai narkewar hanji na iya shafar yanki ɗaya ko duka jiki. Olsa na iya faruwa a cikin hanji, ciki, hanji, ko hanji. Wadannan ulcers suna da alaƙa da alamun bayyanar cututtuka kamar:

• Ciwon ciki
• Matsalar haɗiye ko ciwo tare da haɗiyewa
• Ciwan
• Amai

Lokacin da hanji ya shiga ciki, ulce na iya haifar da:

• Ciwon ciki
• Kujerun jini
• Gudawa
• Zazzaɓi
• Rage nauyi

Infectionsarin cututtuka masu tsanani na iya haifar da zub da jini na ciki ko rami ta bangon hanji (perforation).

Gwajin da za a iya yi sun hada da:

• Barium enema
• Colonoscopy tare da biopsy
• Babban endoscopy (EGD) tare da biopsy
• Al'adar mara da hankali don kawar da wasu dalilai na kamuwa da cuta
• Babban GI da ƙananan jerin hanji

Za'a yi gwaje-gwajen Laboratory akan samfurin nama da aka dauka daga cikinka ko hanjinka. Gwaje-gwajen, kamar su al'adun nama na ciki ko na biopsy, suna tantance idan kwayar ta kasance a cikin ƙwayar.

Ana yin gwajin kimiyar kwari na CMV don neman kwayoyin cuta ga kwayar CMV a cikin jininka.

Hakanan za'a iya yin wani gwajin jini wanda yake neman kasancewar da yawan ƙwayoyin ƙwayoyin cuta a cikin jini.

Ana nufin jiyya don sarrafa kamuwa da cuta da kuma sauƙaƙe alamomin.

An ba da magunguna don yaƙi da ƙwayar cuta (magungunan ƙwayoyin cuta). Ana iya ba da magungunan ta jijiya (IV), wani lokacin kuma ta bakin, tsawon makonni da yawa. Magunguna da akafi amfani dasu sune ganciclovir da valganciclovir, da foscarnet.

A wasu lokuta, ana iya buƙatar magani na dogon lokaci. Ana iya amfani da magani mai suna CMV hyperimmune globulin lokacin da wasu kwayoyi basa aiki.

Sauran magunguna na iya haɗawa da:

• Magunguna don hana ko rage gudawa
• Jin zafi (analgesics)

Za'a iya amfani da kari ko abinci mai gina jiki wanda aka bayar ta jijiya (IV) don magance asarar tsoka saboda cutar.

A cikin mutanen da ke da tsarin rigakafin lafiya, bayyanar cututtuka suna tafi ba tare da magani ba a mafi yawan lokuta.

Kwayar cutar ta fi tsanani a cikin waɗanda ke da rauni a garkuwar jiki. Sakamakon ya dogara da yadda karancin tsarin garkuwar jiki da cutar ta CMV suke.

Mutane masu cutar kanjamau na iya samun mummunan sakamako fiye da waɗanda ke da raunin garkuwar jiki saboda wani dalili.

Kwayar cutar ta CMV yawanci tana shafar dukkan jiki, koda kuwa alamun bayyanar cututtukan ciki ne kawai. Yadda mutum yake da kyau ya dogara da yadda magungunan ƙwayoyin cuta ke aiki.

Magungunan da ake amfani da su don yaƙi da ƙwayar cuta na iya haifar da illa. Nau'in tasirin gefen ya dogara da takamaiman magani da aka yi amfani da shi. Misali, maganin ganciclovir na iya rage yawan kwayar jinin jininka. Wani magani, foscarnet, na iya haifar da matsalolin koda.

Kira mai ba da sabis na kiwon lafiya idan kuna da alamun cutar CMV gastroenteritis / colitis.

Akwai babban haɗarin kamuwa da cutar ta CMV a cikin mutanen da suka karɓi dashen wani ɓangare daga mai bayarwa na tabbatacce. Shan kwayoyin cutar kanjamau ganciclovir (Cytovene) da valganciclovir (Valcyte) da baki kafin dasawar na iya rage damar samun sabon kamuwa ko sake kunna wani tsohon cuta.

Mutanen da ke ɗauke da cutar kanjamau waɗanda ake bi da su yadda ya kamata tare da yin aiki sosai game da cutar kanjamau ba su da saurin kamuwa da cutar ta CMV.

Colitis - cytomegalovirus; Gastroenteritis - cytomegalovirus; Cutar ciki ta CMV

• Girman ciki na ciki
• Ciki da rufin ciki
• CMV (cytomegalovirus)

Britt WJ. Cytomegalovirus. A cikin: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, da Ka'idojin Bennett da Aiwatar da Cututtukan Cutar. 9th ed. Philadelphia, PA: Elsevier; 2020: babi na 137.

Dupont HL, Okhuysen PC. Gabatarwa ga mai haƙuri tare da kamuwa da cutar shigar ciki. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 267.

Larson AM, Issaka RB, Hockenbery DM. Cutar cikin hanji da cututtukan hanta na daskararren mahaifa da dashen dashen hematopoietic. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da Cututtukan Cutar hanta da na Fordtran. 11th ed. Philadelphia, PA: Elsevier; 2021: babi na 36.

Wilcox CM. Sakamakon ciki na kamuwa da cuta tare da kwayar cutar kanjamau. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da Cututtukan Cutar hanta da na Fordtran. 11th ed. Philadelphia, PA: Elsevier; 2021: babi na 35.