Ua hoʻoikaika ka Valencian Community i kēia protocol me kahi hihia i manaʻo ʻia o ka maʻi ʻo Marburg i kahi kanaka 34 makahiki i hōʻike i nā syndromes kūpono me ka hoʻopaʻa ʻana, e like me ka Ebola a me ka 50% lethality.
Aia ka mea maʻi ma Equatorial Guinea no kekahi manawa e like me ka hoʻoulu ʻana a me ka hoʻomohala ʻana o kēia maʻi maʻi i loaʻa ai ka maʻi hemorrhagic koʻikoʻi.
Hāʻawi ʻia kā lākou mau hoʻokolohua olaola i ke keʻena reference o ka Carlos III Health Institute ma Madrid e hōʻoia i kahi i hoʻopau ʻia ai ka maʻi, e like me ka hōʻike ʻana e ka Ministry of Health i kahi ʻōlelo, e lilo ia i mea maʻi mua ma Sepania.
Ua hoʻoneʻe ʻia ke kanaka mai kahi haukapila pilikino a ua hoʻokomo ʻia i ka High Level Isolation Unit o ka Halemai La Fe ma Valencia. Ma kēia ala, ua hōʻike ʻo Health, e hōʻoiaʻiʻo ia i ka palekana o kāna mālama ʻana a me ka pale o nā limahana olakino e mālama iā ia.
Ma Pepeluali 13, ua hōʻike nā luna olakino o Equatorial Guinea a me ka WHO i kahi maʻi maʻi no ka manawa mua ma ka ʻāina ma hope o ka ʻike ʻana i ʻeiwa mau make me nā hōʻailona hemorrhagic ma nā panalāʻau o Kie Ntem a me Wele Nzas. I kēia hihia, ua hoʻopaʻa inoa ʻia nā hihia he 16 a ʻoi aku ma mua o 4.300 poʻe i loko o ka quarantine, me nā mea paʻa i ka palena me Cameroon a me Gabon.
Hoʻouna ʻia ka maʻi maʻi Marburg i nā kānaka ma o nā paia o ka hua a hoʻolaha ʻia ma waena o nā kānaka ma o ka hoʻopili pololei ʻana me nā wai kino mai nā poʻe maʻi, nā ʻili a me nā mea.
Wahi a ka WHO, hiki i ka 88% kona make inā ʻaʻole mālama pono ʻia ka mea maʻi. Ua ʻike mua ʻia ka maʻi ma 1967 ma ke kūlanakauhale Kelemania ʻo ia ka helu. No nā makahiki he mau makahiki, ua hōʻike ʻia nā hihia ma Kelemānia, Serbia, Angola, Kenya, ka Democratic Republic of Congo, South Africa a me Uganda. I ka hapa nui o kēia mau maʻi ʻino, pili ka maʻi kanaka i ka noho lōʻihi i loko o nā mines a i ʻole nā ana i noho ʻia e nā kolone o nā ʻōpeʻa Rousettus a me kā lākou mau pilina ma hope.
Precisely, ka Public Health Commission o ka 'Oihana o ka Ola, a me ka hoike ma Alers, hoomakaukau Plans a me ka 'Apono' ana lakou i keia Poalima i ka 'Protocol o ka hana no ka mua 'ike a me ka hooponopono ana i na hihia o ka maʻi maʻi maʻi Marburg', me nā kuhikuhi i kuhikuhi ʻia i. Oihana ola kino.
Hoʻomanaʻo ka palapala i ka mālama ʻana o Sepania i nā pilina pili me Equatorial Guinea, ma ka ʻoihana a me ka hoʻomohala ʻana. ʻO ka ʻoiaʻiʻo, he mau mokulele pololei me ka ʻāina ʻApelika, ʻoiai e hōʻike ana i ke ala moana.
nā hōʻailona a me ka lāʻau lapaʻau
Aia ka ma'i ma'i i ka manawa incubation ma waena o 'elima a me 'umi lā - 'a'ole ia i ho'ouna 'ia-a ua ho'omaka 'ia ka ma'i febrile hemorrhagic e ho'omaka koke ana me ke kuni, ka 'eha 'i'o, nawaliwali, ka po'o a me ka odynophagia. A laila, i loko o 50-80 pakeneka o nā maʻi, ʻo ka hoʻopau wikiwiki i hele pū ʻia me nā maʻi maʻi gastrointestinal, ʻeha ʻeha o ka ʻōpū, nausea koʻikoʻi, luaʻi, a me ka maʻi maʻi i loko o 5 a XNUMX mau lā.
Hoʻonui ka ikaika o ka maʻi i nā lā 5-7 me ka maculopapular rash a me nā maʻi hemorrhagic e like me petechiae, mucosal bleeding a me ka ʻōpū o ka ʻōpū. Eia hou, a e like me ka mea i hōʻike ʻia ma ka hōʻike, hiki ke loaʻa nā hōʻailona neurological (disorientation, seizure and coma) i nā pae hope.
ʻO ka hoʻomaka ʻana o ka transmissibility e pili ana i ka viremia a me ke ʻano o nā hōʻailona mua, maikaʻi i ka wā incubation, i ka hihia o ka poʻe i maʻi ʻia he asymptomatic, ʻaʻohe virus i ʻike ʻia i loko o ke koko a i ʻole ka wai kino, no laila ʻaʻohe maʻi i lawe ʻia. No laila, hoʻomaka ka kamaʻilio ʻana i ka wā e ulu ai nā hōʻailona a hoʻomau i ka wā e loaʻa ana ka maʻi virus i loko o ke koko.
ʻAʻohe lāʻau lapaʻau kūikawā a i ʻole nā lāʻau lapaʻau i laikini ʻia, koe wale nō ka hiki ke hoʻomaikaʻi maikaʻi i ka hopena lapaʻau (intravenous fluids, oxygen supplemental, electrolytes, etc.). Eia nō naʻe, ke kūkulu ʻia nei kekahi mau huahana lāʻau lapaʻau e like me immunotherapeutics, interferons a i ʻole antivirals e hakakā i ka maʻi.
