{"id":23778,"date":"2023-07-03T09:00:34","date_gmt":"2023-07-03T07:00:34","guid":{"rendered":"https:\/\/lifelonghearing.com\/?p=23778"},"modified":"2025-04-16T12:21:00","modified_gmt":"2025-04-16T12:21:00","slug":"ccmv-demtimi-i-degjimit-nuk-eshte-problemi-i-vertete","status":"publish","type":"post","link":"https:\/\/lifelonghearing.com\/sq\/ccmv-demtimi-i-degjimit-nuk-eshte-problemi-i-vertete\/","title":{"rendered":"cCMV: \u201cD\u00ebmtimi i d\u00ebgjimit nuk \u00ebsht\u00eb problemi i v\u00ebrtet\u00eb!\u201d"},"content":{"rendered":"

Citomegalovirusi (njohur ndrsyhe CMV) \u00ebsht\u00eb shkaku m\u00eb i zakonsh\u00ebm i humbjes kongjenitale e d\u00ebgjimit, jo e trash\u00ebgueshme dhe progresive.<\/h1><\/div>

Nj\u00eb nga shkaqet e mundshme e d\u00ebmtimit t\u00eb d\u00ebgjimit kongjenital \u00ebsht\u00eb infeksioni para lindjes me citomegalovirusin. Terapia duhet t\u00eb marr\u00eb parasysh simptoma t\u00eb tjera q\u00eb ndikojn\u00eb n\u00eb aft\u00ebsin\u00eb e komunikimit: higjiena parandaluese gjat\u00eb shtat\u00ebzanis\u00eb mund t\u00eb parandaloj\u00eb infeksionet.<\/strong><\/p>\n<\/div>

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Tek f\u00ebmij\u00ebt apo tek t\u00eb rriturit e sh\u00ebndetsh\u00ebm, citomegalovirusi, njohur ndryshe si CMV \u00ebsht\u00eb i pad\u00ebmsh\u00ebm. N\u00ebse fare, patogjeni i familjes s\u00eb herpesviruseve shfaqet n\u00ebp\u00ebrmjet simptomave t\u00eb ngjashme me at\u00eb t\u00eb gripit. Ashtu si me herpesin n\u00eb buz\u00eb, vari\u00e7el\u00ebn ose herpesin zoster, virusi mbetet gjithsesi n\u00eb organiz\u00ebm dhe mund t\u00eb riaktivizohet n\u00ebse sistemi imunitar dob\u00ebsohet. Individ\u00ebt me sistem imunitar delikat mund t\u00eb s\u00ebmuren me pneumoni ose hepatit nga CMV-ja.<\/p>\n

Citomegalovirusi \u00ebsht\u00eb i rreziksh\u00ebm ve\u00e7an\u00ebrisht p\u00ebr fetusin: infeksionet e citomegalovirusit n\u00eb mitr\u00ebn e n\u00ebn\u00ebs s\u00eb bashku me sindrom\u00ebn Down jan\u00eb \u2013 nj\u00eb nga shkaqet m\u00eb t\u00eb p\u00ebrhapura t\u00eb d\u00ebmtimit kongjenital n\u00eb t\u00eb gjith\u00eb bot\u00ebn, p\u00ebrfshir\u00eb d\u00ebmtimin e d\u00ebgjimit dhe shqet\u00ebsime t\u00eb tjera t\u00eb komunikimit. Zhvillimi i d\u00ebgjimit, i t\u00eb folur\u00ebs dhe komunikimit tek f\u00ebmij\u00ebt e prekur duhet t\u00eb monitorohet n\u00eb m\u00ebnyr\u00eb t\u00eb vazhdueshme dhe terapia duhet t\u00eb jet\u00eb e ter\u00ebsishme.<\/p>\n

Aft\u00ebsit\u00eb e kufizuara si pasoj\u00eb e infeksionit t\u00eb till\u00eb konatal (cCMV) jan\u00eb m\u00eb t\u00eb shpeshta sesa aft\u00ebsit\u00eb e kufizuara si pasoj\u00eb e infeksionit t\u00eb rubeol\u00ebs, infeksionit HIV apo abuzimit me alkolin; gjithashtu \u00ebsht\u00eb m\u00eb e shpesht\u00eb se sa sindroma e vdekjes s\u00eb papritur t\u00eb foshnjave. N\u00eb ndryshim me k\u00ebto, virusi dhe pasojat e tij jan\u00eb pak t\u00eb njohura. Edhe higjiena e lart\u00eb gjat\u00eb shtat\u00ebzanis\u00eb mund t\u00eb mbroj\u00eb ndjesh\u00ebm f\u00ebmij\u00ebn akoma i palindur.<\/p>\n

Infeksioni konatal nga citomegalovirusi mund t\u00eb shkaktoj\u00eb humbje t\u00eb d\u00ebgjimit!<\/h2>\n

Nj\u00eb grua shtatz\u00ebn\u00eb n\u00eb tre q\u00eb infektohet p\u00ebr her\u00eb t\u00eb par\u00eb nga citomegalovirusi, agjenti patogjen trasmetohet tek fetusi; rreziku \u00ebsht\u00eb disi m\u00eb i ul\u00ebt me infeksionet e reja. F\u00ebmij\u00ebt e prekur mund t\u00eb q\u00ebndrojn\u00eb plot\u00ebsisht asimptomatik\u00eb. Megjithat\u00eb, nj\u00eb n\u00eb 10 t\u00eb foshnja t\u00eb prekura tregojn\u00eb simptoma n\u00eb lindje: verdh\u00ebz, n\u00ebnpesh\u00eb, pneumoni, funksion t\u00eb dob\u00ebt t\u00eb m\u00ebl\u00e7is\u00eb, temperatur\u00eb, inflamacion t\u00eb trurit, konvulsione.<\/p>\n

60% e k\u00ebtyre t\u00eb porsalindurve me simptoma kan\u00eb d\u00ebmtime serioze dhe t\u00eb p\u00ebrhershme mendore ose fizike duke p\u00ebrfshir\u00eb humbjen e d\u00ebgjimit madje edhe shurdh\u00ebsi. Gjithashtu jan\u00eb tipike edhe problemet e ekuilibrit dhe ushqimit. Rreziku p\u00ebr d\u00ebmtime t\u00eb r\u00ebnda dhe t\u00eb p\u00ebrhershme \u00ebsht\u00eb ve\u00e7an\u00ebrisht i lart\u00eb n\u00ebse infeksioni ka ndodhur gjat\u00eb tremujorit t\u00eb par\u00eb t\u00eb shtat\u00ebzanis\u00eb. Megjithat\u00eb, 10 deri n\u00eb 15 % e t\u00eb porsalindurve infektuar me citomegalovirusin por pa paraqitur simptoma humbasin d\u00ebgjimin gjat\u00eb f\u00ebmij\u00ebris\u00eb.<\/p>\n

Humbja e d\u00ebgjimit lidhur me citomegalovirusin mund t\u00eb ndodh\u00eb n\u00eb nj\u00eb an\u00eb ose n\u00eb t\u00eb dyja an\u00ebt e veshit n\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb ose me vones\u00eb n\u00eb an\u00ebn tjet\u00ebr t\u00eb veshit. N\u00ebse n\u00eb vitet e para t\u00eb jet\u00ebs nuk ka asnj\u00eb humbje t\u00eb d\u00ebgjimit, infeksioni nuk do t\u00eb ndikoj\u00eb n\u00eb aft\u00ebsin\u00eb p\u00ebr t\u00eb d\u00ebgjuar edhe n\u00eb vitet e m\u00ebvonshme: megjithat\u00eb, edhe personat e prekur me nj\u00eb nivel d\u00ebgjimi krejt\u00ebsisht normal shpesh kan\u00eb m\u00eb pak shprehje verbale si t\u00eb rritur dhe aft\u00ebsit\u00eb e tyre njoh\u00ebse t\u00eb nevojshme p\u00ebr komunikim shpesh reduktohen.<\/p>\n

D\u00ebmtimi i d\u00ebgjimit r\u00ebndohet edhe nga probleme t\u00eb tjera n\u00eb komunikim.<\/h2>\n

\u201cD\u00ebmtimi i d\u00ebgjimit nuk \u00ebsht\u00eb problemi i v\u00ebrtet\u00eb\u201d! ankohen prind\u00ebrit i nj\u00eb nx\u00ebn\u00ebsi shkolle, i cili \u00ebsht\u00eb i pajisur me implant d\u00ebgjimi n\u00eb t\u00eb dyja an\u00ebt e veshit dhe ka mbetur i shurdh\u00ebr p\u00ebr shkak t\u00eb nj\u00eb infeksioni nga citomegalovirusi. F\u00ebmij\u00ebt me implante d\u00ebgjimi, shurdhimi i t\u00eb cil\u00ebve shkaktohet nga citomegalovirusi zakonisht zhvillojn\u00eb t\u00eb kuptuarit e t\u00eb folurit m\u00eb ngadal\u00eb. Kjo mund t\u00eb lidhet me simptoma t\u00eb tjera q\u00eb mund t\u00eb verifikohen p\u00ebr shkak t\u00eb citomegalovirusit: vonesa n\u00eb zhvillimin e fjalorit pavarisht nga d\u00ebgjimi, \u00e7rregullim t\u00eb hiperaktivitetit dhe defi\u00e7it t\u00eb v\u00ebm\u00ebndjes (ADHD), reduktim t\u00eb kontrollit t\u00eb impulseve ose aft\u00ebsis\u00eb s\u00eb v\u00ebm\u00ebndjes, vonesa t\u00eb njohjes ose mosfunksionim motorik. Individ\u00ebt e prekur mund t\u00eb ken\u00eb v\u00ebshtir\u00ebsi t\u00eb kuptojn\u00eb fjali t\u00eb gjata ose p\u00ebrb\u00ebrese. E gjitha kjo ka nj\u00eb impakt t\u00eb r\u00ebnd\u00ebsish\u00ebm n\u00eb rrug\u00ebtimin shkollor dhe mbi aft\u00ebsin\u00eb p\u00ebr tu angazhuar n\u00eb komunikimin shoq\u00ebror.<\/p>\n

Sipas nj\u00eb sondazhi suedez, prind\u00ebrit e f\u00ebmij\u00ebve t\u00eb prekur nga citomegalovirusi k\u00ebrkojn\u00eb q\u00eb simptomat individuale t\u00eb mos trajtohen n\u00eb m\u00ebnyr\u00eb t\u00eb pavarur nga nj\u00ebra-tjetra por p\u00ebr infeksionin nga citomegalovirusi si shkaku kryesor, ti jepet v\u00ebm\u00ebndje m\u00eb t\u00eb madhe tek terapia. Tek f\u00ebmij\u00ebt e prekur duhet t\u00eb kryhen kontrolle t\u00eb rregullta p\u00ebr d\u00ebgjimin: duhen t\u00eb v\u00ebzhgohen t\u00eb gjitha simptomat q\u00eb mund t\u00eb ndikojn\u00eb tek komunikimi p\u00ebrfshir\u00eb edhe testin e aft\u00ebsis\u00eb njoh\u00ebse.<\/p>\n

Frekuenza e citomegalovirusit: shum\u00eb e ndryshueshme<\/h2>\n

nfeksionet nga CVM dhe cCVM jan\u00eb m\u00eb t\u00eb p\u00ebrhapura n\u00eb vendet n\u00eb zhvillim sesa n\u00eb vendet e zhvilluara. Shifra t\u00eb larta regjistrohen ve\u00e7an\u00ebrisht n\u00eb Brazil dhe Afrik\u00eb dhe shifra m\u00eb t\u00eb ul\u00ebta n\u00eb Finland\u00eb deklaron Doz. Doktoresha Ulrika L\u00f6fkvist 2022. Ajo drejton k\u00ebrkimet mbi ciromegalovirusin s\u00eb bashku me ekipin e profesoresh\u00ebs Eva Karltorp n\u00eb Universitetin e Uppsal\u00ebs. Megjithat\u00eb, sipas L\u00f6fkvist edhe n\u00eb Zvic\u00ebr 70 % e t\u00eb gjith\u00eb t\u00eb rriturve dhe 0,5 % e t\u00eb gjith\u00eb t\u00eb porsalindurve jan\u00eb t\u00eb infektuar nga CMV-ja.<\/p>\n

N\u00eb disa shtete t\u00eb SHBA-S, p\u00ebrllogaritet se deri m\u00eb 80 % e f\u00ebmij\u00ebve t\u00eb shtruar n\u00eb struktura t\u00eb kujdesit p\u00ebr f\u00ebmij\u00eb jan\u00eb t\u00eb infektuar. Virusi trasmetohet p\u00ebrmes l\u00ebngjeve t\u00eb trupit: p\u00ebrve\u00e7 gjakut, urin\u00ebs, qumshtit t\u00eb gjirit, sperm\u00ebs dhe sekrecioneve vagjinale, trasmetohet edhe nga b\u00ebshtyma, lot\u00ebt dhe sekrecionet e hund\u00ebs. K\u00ebto trasmetohen shum\u00eb shpejt nga f\u00ebmij\u00ebt e vegj\u00ebl tek bashk\u00ebmoshatar\u00ebt e tyre dhe tek kujdestar\u00ebt.<\/p>\n

P\u00ebr shkak se citomegalovirusi trasmetohet p\u00ebrmes kontakteve n\u00ebp\u00ebrmjet l\u00ebngjeve trupore, shp\u00ebrndarja e saj varet ve\u00e7an\u00ebrisht nga densiteti i popullsis\u00eb dhe mund\u00ebsit\u00eb e higjien\u00ebs. Gjithashtu, edhe kushtet e motit ndikojn\u00eb edhe tek koh\u00ebzgjatja e mbijetes\u00ebs dhe p\u00ebrhapjes s\u00eb virusit. \u201cKlima suedeze \u00ebsht\u00eb perfekte p\u00ebr citomegalovirusin\u201d shpjegon specialisti p\u00ebr implantet kokleare profesor Wolf-Dieter Baumgartner. Shefi i CIA (Implanti Koklear Austri) \u00ebsht\u00eb gjithashtu aktiv pran\u00eb Universitetit Spitalor Karolinska n\u00eb Stokholm dhe \u00ebsht\u00eb i njohur mbi k\u00ebrkimet mbi citomegalovirusin n\u00eb k\u00ebt\u00eb shtet.<\/p>\n

Edhe pse p\u00ebrhapja e citomegalovirusit n\u00eb Austri nuk dihet sakt\u00ebsisht, kushtet p\u00ebr virusin k\u00ebtu jan\u00eb t\u00eb ngjashme me ato t\u00eb Gjermanis\u00eb. Sipas Institutit Robert Koch pothuajse gjysma e t\u00eb gjith\u00eb t\u00eb rriturve atje jan\u00eb mbart\u00ebs t\u00eb virusit dhe 0.5 % e grave shtatz\u00ebne jan\u00eb t\u00eb infektuara; n\u00eb nivel global 2 % e grave shtatz\u00ebn\u00eb jan\u00eb t\u00eb infektuara. Profesor Baumgartner, klasifikon edhe ekzaminimin e p\u00ebrgjithsh\u00ebm t\u00eb citomegalovirusit<\/a> n\u00eb Austri si jo e nevojshme p\u00ebr nj\u00eb tjet\u00ebr arsye: sepse nuk ka asnj\u00eb terapi apo pasoj\u00eb q\u00eb ka lidhje me t\u00eb\u201d.<\/p>\n<\/div>

Mbroni f\u00ebmij\u00ebt akoma t\u00eb palindur nga citomegalovirusi, monitoroni f\u00ebmij\u00ebt e prekur<\/strong><\/p>\n

P\u00ebrndryshe, citomegalovirusi i pad\u00ebmsh\u00ebm mund t\u00eb b\u00ebhet nj\u00eb rrezik p\u00ebr n\u00ebnat shtatz\u00ebn\u00eb ose p\u00ebr f\u00ebmij\u00ebt e tyre t\u00eb palindur. Ky \u00ebsht\u00eb rasti kur grat\u00eb shtatz\u00ebna kan\u00eb gjithashtu edhe f\u00ebmij\u00eb m\u00eb t\u00eb rritur, n\u00eb mosh\u00eb t\u00eb vog\u00ebl, i puthin dhe i p\u00ebrqafojn\u00eb: fytyrat e f\u00ebmij\u00ebve t\u00eb vegj\u00ebl shpesh jan\u00eb t\u00eb mbuluara me lot, b\u00ebshtym\u00eb dhe myk. Sipas organizat\u00ebs Stop CM Arizona deri n\u00eb 4 % t\u00eb n\u00ebnave t\u00eb ardhshme preken me virusin gjat\u00eb shtat\u00ebzanis\u00eb.<\/p>\n

Meq\u00ebn\u00ebse aktualisht nuk ekziston nj\u00eb vaksin\u00eb kund\u00ebr k\u00ebtij virusi, mjek\u00ebt k\u00ebshillojn\u00eb rritjen e kujdesit ndaj higjien\u00ebs gjat\u00eb shtat\u00ebzanis\u00eb si mas\u00eb parandaluese:<\/p>\n