ʻO ka puka ʻana o ka monkeypox i kēia manawa i alakaʻi i ka World Health Organization (WHO) e hoʻoholo e haʻi i ka hoʻopaʻa ʻia he "pilikia olakino o ka hopohopo honua" e hōʻike ana i nā hōʻailona, hōʻike, a me nā hoʻopiʻi ʻokoʻa i nā mea i hōʻike mua ʻia ma nā maʻi ʻē aʻe o ka monkeypox. keia pathology.
Pela e pau ai i ka loa exhaustive study sobering monkeypox i laweia a hiki i keia la ma Sepania i hanaia ma na wahi elua loa pilikia o ka aina, Madrid a me Barcelona a paʻi 'ia i loko o ka magazine "The Lancet".
ʻO ka noiʻi, ka hopena o ka hui pū ʻana ma waena o 12 de Octubre University Hospital, ka Germans Trias University Hospital a me ka Fight Against Infections Foundation a me ka Vall d'Hebron University Hospital, me ka hui pū ʻana o ke Kula ʻo London no ka Hygiene and Tropical Medicine (LSHTM). , e hōʻike ana i ka pili ʻana o ka ʻili i ka ʻili i ka wā o ka moekolohe ʻo ia ke kumu nui o ka lawe ʻana i ka maʻi monkey, ma luna o ka lawe ʻana i ka lewa.
ʻO kā mākou haʻawina, kuhikuhi iā ABC Cristina Galván, he dermatologist ma ke Kulanui o Móstoles, ma Madrid, ua ʻike ʻoi aku ka maikaʻi o nā ʻili ʻili a hōʻike i ka nui o ka genome viral ma mua o nā laʻana i lawe ʻia mai nā wahi ʻē aʻe e like me ka puʻu. I loko o ka pōʻaiapili o ka pilina pili wahine, ua hoʻohui ʻo ia, "ʻo kēia pili pili me ka ʻili a i ʻole nā membrane mucous waho o kahi mea i hoʻopilikia ʻia. Ua ʻike ʻia ka PCR maikaʻi no ka maʻi monkeypox i loko o nā huna huna a me ka semen, akā ʻaʻole i hoʻoholo ʻia kona hiki ke hoʻopili ʻia a no laila, hiki ke hoʻoili ʻia ma o kēia mau wai.
I kēia manawa, ʻōlelo ʻo ia, me ka ʻikepili i loaʻa iā mākou, ma mua o ka hōʻoia ʻana he maʻi maʻi i lawe ʻia, "pono mākou e ʻōlelo he maʻi i lawe ʻia i ka wā o ka moekolohe."
ʻO kēia, kākau nā mea noiʻi, he nui nā hopena koʻikoʻi no ka hoʻokokoke ʻana i ka maʻi.
ʻO ka mea mua, e hōʻoia i nā mea kākau, ʻo ka hoʻololi ʻana i ke ala o ka hoʻouna ʻana mai ka hoʻopili ʻana i ka hanu i ka hoʻopili pololei ʻana i ka hoʻohālikelike ʻia me nā maʻi ma mua e hiki ke hoʻolaha i ka hoʻolaha ʻana o ka maʻi ma o nā pūnaewele moe kolohe.
Hōʻike ka maʻi maʻi i kēia manawa i nā hōʻailona, nā hōʻike, a me nā pilikia i ʻokoʻa i nā mea i hōʻike mua ʻia i nā maʻi ʻē aʻe o kēia pathology.
A hiki i kēia manawa, kuhikuhi ʻo Kauka Galván, ua manaʻo ʻia ke ala ea i ke ʻano o ka lawe ʻana i ke ala maʻamau o ka laka ʻana. I ka puka ʻana o kēia manawa, "ʻokoʻa ka wahi o ke komo ʻana o nā germs a hiki iā ia ke hoʻoulu i kahi ʻano kūlohelohe o ka mea i hoʻopilikia ʻia, ʻokoʻa hoʻi, he kiʻi maʻi atypical."
Ma muli o ka ʻikepili epidemiological o nā hihia o ka laha o kēia manawa, hōʻike ka loea, "no ka mea, ʻaʻole nui ka hana o ka hanu hanu i ka hoʻouna ʻana. ʻO ka nui o ka poʻe i hoʻopilikia ʻia ua nui a ʻaʻole i loaʻa nā hihia o ka hoʻouna ʻana i nā kūlana ʻē aʻe ma mua o ka pili ʻana i ka moekolohe.
Akā makemake ʻo ia e makaʻala. "I nā hihia o ka monkeypox maʻamau - ka mea i hoʻopilikia i nā ʻāina endemic a i ʻole i nā maʻi ʻino i kaupalena ʻia i nā ʻāina non-endemic ma hope o kahi huakaʻi a i ʻole kahi hanana o ka contagion sporadic - hiki ke hōʻike ʻia ka hele ʻana o ka maʻi i loko o ka mucosa hanu. E like me ka loaʻa ʻana o kāna ʻike ʻana i ka wai o ka genital a me ka saliva, he mea nui ka noiʻi, ke hana ʻia nei ka hana e hoʻoholo ai i kona hiki ke hoʻoili i ka maʻi.
I ko mākou manaʻo, ʻo ka manaʻo he koʻikoʻi kā lākou loiloi "koʻikoʻi i ka hoʻoholo ʻana i nā ʻano olakino olakino pili. A ʻo nā hopena no ka poʻe i hoʻopilikia ʻia, no ka mea hiki ke hoʻololi nui ʻia nā mea paʻa a me ka noho kaʻawale ʻana a lākou e waiho ai ma hope o ka contagion.
I ka pōkole, "no ka mea hiki ke hōʻike ʻia ka maʻi monkey me nā hōʻike atypical, pono e loaʻa i nā limahana mālama ola kahi helu kiʻekiʻe o ka kānalua no ka maʻi, ʻoi aku hoʻi i nā poʻe e noho ana i nā wahi me ka hoʻouna kiʻekiʻe, a i ʻole me ka ʻike.
I kēia hihia, ua hōʻike kēia mea noiʻi mai ka Lluita Foundation, NTD STI Skin Unit, ʻoiai he ʻoiaʻiʻo ʻo ka hōʻike ʻana o nā hihia o ka maʻi i kēia manawa he atypical loa, "akā naʻe, koe naʻe nā kauka e mālama i nā maʻi ma nā wahi endemic. a ua pono mākou e loaʻa i kēia maʻi ma waena o nā mea hiki, ʻaʻole ʻike ʻia kēia maʻi "a ke manaʻoʻiʻo nei ʻo ia ke aʻo nei ke kaiāulu olakino e pili ana i ka monkeypox maʻamau no kēia maʻi.
I kēia manawa, wahi a Galván, "ʻaʻole hiki iā mākou ke ʻike i ka pākēneka o nā maʻi i ʻike ʻole ʻia, no ka mea ʻaʻole i noʻonoʻo ʻia kēia hiki a i ʻole he liʻiliʻi nā hōʻailona. Akā ke hoʻomau nei mākou i nā noiʻi e pili ana i ka pane ʻana i kēia nīnau, he mea nui loa ia no ka pale ʻana i ka laha o ka maʻi. "
Eia kekahi, ua kuhikuhi ʻo ia, ʻaʻole atypical nā hōʻailona i hoʻohālikelike ʻia i ka mea maʻamau, akā e hahai i nā hiʻohiʻona e hoʻomaʻamaʻa i ka kānalua diagnostic.
ʻAʻole hiki iā mākou ke ʻike i ka pakeneka o nā maʻi i ʻike ʻia me ka ʻike ʻole
Ua wehewehe pū ka ʻatikala ma muli o ka manawa pōkole o ka incubation, "ʻoi aku ka maikaʻi o ka hoʻomaʻamaʻa mua ʻana o nā pūʻulu pilikia ma mua o ka hoʻomaʻamaʻa ʻana ma hope o ka wehe ʻana no ka mālama ʻana i ka maʻi."
Eia nō naʻe, e like me ka ʻike ʻana o kēia mea noiʻi, "ʻaʻole lawa ka loaʻa ʻana o nā kano i kēia manawa. ʻOiai ʻo kēia ka hihia, pono mākou e hāʻawi i ka mea nui i ka poʻe me ka pilikia kiʻekiʻe o ka contagion a i ʻole ka hoʻomohala ʻana i kahi maʻi koʻikoʻi ".
I kēia hihia, inā loaʻa iā mākou nā mea e pono ai, hoʻohui ʻo ia, "ʻo nā poʻe āpau me ka maʻi kiʻekiʻe o ka maʻi maʻi maʻi e hoʻopaʻa ʻia. I nā huaʻōlelo ʻē aʻe, he heluna kanaka e like me kā lākou hōʻailona no ka prophylaxis pre-exposure HIV. E hoʻopaʻa ʻia nō hoʻi ia i nā pilina pili, e like me ka pili ʻana i ka moekolohe, o kahi mea i hoʻopilikia ʻia a ʻoi aku ka poʻe palupalu ma muli o ka hemahema o ka pale ʻana, kokoke paha i ka poʻe i pilikia a i ʻole i pili kokoke, ʻoiai inā ʻaʻole pili, me kahi mea i hoʻopilikia ʻia.
I Mei 2022, ua hoʻopaʻa inoa ʻia nā hihia autochthonous mua o ka maʻi monkey ma ʻEulopa, e hāʻawi ana i kahi maʻi maʻi a hiki i kēia lā ke hana nei ma 27 mau ʻāina a ua ʻoi aku ma mua o 11.000 mau hihia i hoʻopaʻa ʻia. ʻO Sepania ka ʻāina i hoʻopilikia nui ʻia ma ka ʻāina me ka ʻoi aku o 5.000 mau maʻi maʻi.
Ke hoʻomau nei ka ʻepekema ʻepekema i nā ʻike liʻiliʻi e pili ana i nā ʻano epidemiological, clinical a me virological o ka laha ʻana o ka monkeypox i kēia manawa.
Pono ka poʻe ʻoihana olakino i ka helu kiʻekiʻe o ka kānalua o ka maʻi
ʻO ka noiʻi lehulehu i kēia manawa he loiloi piha o kēia mau ʻano like (epidemiology, clinical and virological features) o 181 mau mea i loaʻa i ka maʻi maʻi ma nā halemai nui loa ma Sepania.
Ua hōʻoia ka hana i nā hiʻohiʻona lapaʻau i ʻike ʻia ma nā loiloi retrospective ʻē aʻe, akā ʻo ka nui o ka nui o ka laʻana a me ka hoʻokolohua ʻōnaehana systemic i hōʻike i kekahi mau pilikia i hōʻike ʻole ʻia ma mua, me ka proctitis, tonsillar ulceration, a me penile edema.
Hoʻokumu pū ka ʻatikala i ka pilina ma waena o nā ʻano hana moekolohe a me nā hōʻike lapaʻau. ʻO kekahi o nā mea koʻikoʻi i ʻike ʻia ʻo ka loaʻa ʻana o ka viral load i loaʻa i nā maʻi genital a me ka waha, me ka ʻokoʻa i ka waiwai haʻahaʻa loa i ka ʻōpū hanu.
Hōʻike nā hopena i ka 181 mau hihia i hoʻopaʻa ʻia, 175 (98%) he kāne, ʻo 166 o lākou i ʻike ʻia he kāne moe kāne. ʻO ka lōʻihi waena o ka manawa hoʻopaʻa paʻa paʻa i 7 mau lā.
