Cytomegalovirus during pregnancy: risk, symptoms and treatment
Good day, dear readers! If you found herpes cytomegalovirus in pregnancy, do not panic and better understand this issue and find more information about your condition.
Carefully read this article which will tell you what are herpes, cytomegalovirus, the more dangerous it is for the mother and for the child, how to treat it during pregnancy.
What it is and what to expect?
Cytomegalovirus — specific herpes viruses, which infected more than 50% of people over the age of 35 years. It provokes asymptomatic infection, can occasionally deteriorate.
For the average person with a strong immune system the herpes virus is not dangerous, as it will be in his body in sleep and inactive. A strong immune system is able to lull the virus and keep it intact for quite a long time.
But if immune defenses are for some reason weakened, something happens aggravation of the infection, the symptoms of which we will consider later.
How is this infection?
A source or carrier of the virus is infected person. Transmission occurs during close contact with him. Most interesting is that transmitted infection can only in strained condition. When the herpes virus is asleep, the host is not infectious to others.
The advancement of agent provocateur above infection the same as herpes viruses:
- airborne — contamination is enough to communicate with the media, inhaling the air that he breathes, in which there are particles of saliva;
- sex — during sex a provocateur is transmitted through natural biological fluid, and both male and female;
- contact — the use of common household items and personal hygiene may also lead to infection;
- intrauterine — infection of the baby may occur if the period of pregnancy pathology will pick up mummy or she will worsen the existing infection.
How dangerous is herpes cytomegalovirus for the woman who carries the baby, and her fetus
If you are a native and are planning a pregnancy, then you definitely need to know how dangerous this virus for you and for your future baby. It should be noted that especially dangerous is the first infection.
When first infected are observed the most striking symptoms, and since the virus has no immunity, it can very badly affect the development of the fetus. The consequences for the fetus was not a good 50-60% of cases of infection of girls in the state.
There is a second scenario — the infection is already there in a woman who is going to be a mummy. In such situations, it is important not to allow worsening. If the pathology is in sleep mode, almost no threat to the baby is not expected.
Cytomegalovirus herpes pathology in the period of carrying a child may worsen due to certain factors:
- chronic infectious diseases;
- weakened immunity;
- taking drugs that suppress the immune system;
In secondary aggravation of the disease in women in the position were infected only 2% of newborns. Now let’s see how dangerous this pathology is for the child.
What awaits the baby, the infected inside the womb?
Doctors have noticed some connection between the period of exposure of provocateur in the body and consequences.
For example, if the infection happens in the early stages of pregnancy, it can happen in a sudden miscarriage. In addition, with this method the incidence often occur abnormalities in fetal development.
If the infection happens in the later stages, the probability of occurrence of pathologies becomes more low, but pregnant women can happen: polyhydramnios, premature birth, and congenital cytomegalovirus type baby.
What is cytomegalovirus? This can lead to various complications cytomegalovirus herpes infection on the fetus. Cytomegalovirus characteristic of such pathologies as:
- liver failure and enlarged liver;
- the increase in size of the spleen;
- the defeat of the auditory and visual systems.
How does cytomegalovirus herpes pathology?
To be able to suspect the disease, you need to know how it works. After penetration into the human body, the viral pathogen is the incubation, which lasts about 60 days.
Then comes the period of the first symptoms, which many people confuse with the flu. Such symptoms include: weakness and malaise; flu-like effects; low-grade fever; disorder of the digestive tract.
Similar symptoms occur during exacerbation of the disease. Unfortunately, almost all of them confuse with the common cold, so trying to self-treat using conventional standard drugs.
Such treatment will not cure the virus provocateur (to get rid of it completely is impossible) and even will not affect the symptoms. Symptoms may be present in an infected person 2 to 6 weeks, which is much longer than the common cold.
What to do if there is suspected cytomegalovirus herpes?
To determine exactly the pathology by symptoms alone is impossible. In order to accurately find out if virus-provocateur in your body, you can contact any hospital and take the direction for special laboratory tests.
By the way, to pass such tests should be regularly (at least once in 6-12 months) and prior to pregnancy. Moreover, they are included in the list of mandatory tests for women in an «interesting» position.
Diagnose pathology help for the following tests:
- polymerase chain reaction (PCR);
- cytological examination of fluids (sputum, urine or saliva);
- serological study of blood serum (enzyme-linked immunosorbent assay ELISA).
The first analysis looks for deoxyribonucleic acid, which contains information about the virus present inside of it. For the analysis, it will fit any human fluids, namely saliva, urine, sputum, blood.
The second method of diagnosis is this: take a DAB of any of the human fluids, and then study it under a microscope. In the presence of a cytomegalovirus herpes infection in the smear will be present giant cells.
The most accurate and informative is the serological study of blood serum.
The most popular method for such studies is the ELISA test. In the test searches for antibodies to the provocateur of the disease.
ELISA shows the levels of the IgM antibodies and IgG immunoglobulins. What are these substances? Are proteins that are produced in response to the penetration of the virus into the body.
Originally formed IgM antibodies and then IgG antibodies, which indicate the appearance of antibodies. IgM antibodies appear in the blood after 5-7 weeks after infection.
In the process of increasing the Ig — immunoglobulins which arise later, the level of IgM immunoglobulins is reduced.
Passing the above analysis, you can get several variants of results:
- IgM-antibodies negative IgG immunoglobulins in the normal range;
- IgM-antibodies negative IgG-antibodies higher than normal (or the second option — positive);
- IgM immunoglobulins detected and above the norm.
The first version of the results of the analysis suggests that the woman is absolutely healthy. She can recommend preventive measures, namely to avoid situations leading to infection.
The second option suggests that a woman became infected, but at the moment pathology is dormant. In this case you need to defend against factors that can cause exacerbation. The first incidence while carrying the baby can not be afraid.
The third option shows what happened first the most dangerous infection, and relatively recently. By the way, IgM-proteins are not always manifest, therefore, doctors are paying more attention to IgG proteins.
Each person’s level of these proteins individually, and as a result, the rate may also vary. Therefore, these tests need to pass several times before the child’s conception.
Regular checking allows you to find an individual normal IgG and to detect an exacerbation of the disease, if it occurred. By the way, the aggravation can say, if the level of IgG-protein increased four times or more.
How to treat herpes infection in pregnant women?
Unfortunately, not yet invented means which will be able to completely withdraw the virus from the human body. The treatment is carried out only in case if the infection is acute or primary infection occurs in people with weakened immune systems.
The purpose of this treatment therapy is to eliminate symptoms and sleep provoker. During exacerbation of virus-provocateur should be kept in a sleep state, to avoid infection of the baby inside the womb.
If you have during pregnancy discovered the provocateur of the above infections, then you are likely to prescribe combined therapy, consisting of:
Very often on forums people described in the article herpes infection discuss folk or alternative treatment. It is considered safer for pregnant women, and also versatile and efficient. Folk remedies are effective in strengthen the immune system, but you need to know what to take.
Popular herbal teas with tonic effect (on such drinks often leave positive feedback). Teas can be purchased in any pharmacy, they are available for everyone, as they have a minimal cost.
In the composition of medicinal teas, there are different safe for human herbs. Before you take this tea, make sure no Allergy as a negative reaction can occur to pollen or constituents of some plants.
Not all the herbs you can drink it pregnant! Some are able to cause miscarriage, so before the use of therapeutic teas to strengthen the immune system you should consult with your doctor. He will recommend a tea that is safe for you and your baby.
If the lady in position, the disease will worsen, then it will have to treat more serious medicines, namely, anti-viral.
Antiviral for pregnant women may only advise the treating specialist, as any drugs can harm the fetus. In any case, do not select medicines spontaneously!
Antiviral therapy will help to prevent complications and deliver a healthy baby only if it is conducted under the supervision of a physician.
Do not forget that not every person is a carrier of the dangerous herpes virus. If you are planning a pregnancy or already carrying the baby and not infected, then try not to interact with people who have obvious signs of a cold.
Also, avoid casual sex. Recommend to get checked for infection their regular partner. At casual sexual contacts, be sure to use barrier contraceptives (e.g. condoms).
In addition, to prevent the need to observe personal hygiene and keep the house clean. Do not use other people’s household items: kitchenware, brushes for dental care, washcloths, etc.
After using the toilet (especially public) be sure to wash your hands. After contact with money or other items that are passed from hands to hands, also wash your hands.
Regularly strengthen the immune system. To do this, include in your diet the most useful products containing vitamins. Exercise in the morning or engage in hazardous sports. During outbreaks, take prophylactic antiviral medications.
This prevention will help not only to protect themselves from the virus-provocateur, but also to prevent exacerbation of infection if it is already there.
To avoid complications pathology during pregnancy, be sure to be surveyed in advance (preferably at the planning stage) and, if necessary, complete the treatment.
That’s it, dear readers. Now you know the basic information about cytomegalovirus infection during pregnancy that every woman should know. Read share on social networks with your friends and also subscribe to updates from this website. Up to new meetings!
Author: Victoria Omelchenko (dermatologist)