Kuphulika kwaposachedwa kwa nyani komwe kwapangitsa bungwe la World Health Organisation (WHO) kulengeza kuti kutsekeredwaku ndi "zadzidzidzi pazaumoyo wapadziko lonse lapansi" kukuwonetsa zizindikiro, mawonetseredwe ndi zovuta zosiyana ndi zomwe zafotokozedwa kale pakuphulika kwina kwa matendawa.
Izi zikumaliza kafukufuku wotopetsa kwambiri pa nyanipox womwe wachitika ku Spain, womwe unachitika m'malo awiri okhudzidwa kwambiri mdzikolo, Madrid ndi Barcelona, ndipo lofalitsidwa m'magazini ya "Lancet".
Kafukufuku, zotsatira za mgwirizano pakati pa 12 de Octubre University Hospital, Germans Trias University Hospital ndi Fight Against Infections Foundation ndi Vall d'Hebron University Hospital, ndi mgwirizano wa London School for Hygiene and Tropical Medicine (LSHTM) , zimasonyeza kuti kukhudzana kwa khungu ndi khungu panthawi yogonana ndi umboni wakuti ndi chinthu chachikulu chomwe chimayambitsa matenda a monkeypox, pamwamba pa kufalikira kwa mpweya.
Kafukufuku wathu, Cristina Galván, dokotala wa dermatologist ku Hospital Universitario de Móstoles ku Madrid, akuwuza ABC, apeza kuti zitsanzo zapakhungu nthawi zambiri zimakhala zabwino ndipo zimasonyeza kuchuluka kwa majeremusi a ma virus kuposa zitsanzo zochokera kumadera ena monga khosi. Pankhani ya kugonana, iye akuwonjezera kuti, “kukhudzana kwapamtima kumeneku ndi khungu kapena minyewa yakunja ya munthu wokhudzidwayo mosakayikira kumachitika. Positive PCR ya monkeypox virus yapezeka mu nyini ndi umuna, koma matenda ake, choncho, ngati angathe kupatsirana kudzera madzimadzi izi sizikudziwika.
Panthawiyi, akuchenjeza, ndi deta yomwe tili nayo, osati kunena kuti ndi matenda opatsirana pogonana, "tiyenera kunena kuti ndi matenda omwe amafalitsidwa panthawi yogonana."
Izi, ochita kafukufuku alemba, zikuphatikizapo mndandanda wa zofunikira zokhudzana ndi njira ya matendawa.
Choyamba, olemba amatsimikizira, kusintha kwa njira yopatsirana kuchokera ku kupuma kwa kupuma kupita ku kukhudzana kwachindunji poyerekeza ndi kuphulika kwapambuyoku kungalimbikitse kufalikira kwa matendawa kudzera muzogonana.
Kuphulika kwaposachedwa kumapereka zizindikiro, mawonetseredwe ndi zovuta zosiyana ndi zomwe zafotokozedwa kale pakuphulika kwina kwa matendawa.
Mpaka pano, akutero Dr. Galván, njira yodutsa mpweya imatengedwa ngati njira yopatsirana mwachikale kwambiri yotsekeredwa. Pakuphulika kwaposachedwa, "mfundo yolowera majeremusi ndi yosiyana ndipo imatha kupanga chitetezo cha mthupi cha munthu wokhudzidwayo, chomwe chimakhalanso chosiyana, chomwe chimatsogolera ku chithunzi chachipatala cha atypical."
Poganizira za miliri ya milandu yomwe yachitika posachedwa, katswiriyo akuwonetsa, "chifukwa njira yopumira ilibe gawo lalikulu pakufalitsa. Chiwerengero cha okhudzidwa ndi chochuluka kale ndipo milandu yopatsirana pazochitika zina kupatula kugonana ndi pafupifupi kulibe.
Koma amakonda kukhala wosamala. "Nkhani za nyani zachikale - zomwe zakhudza maiko omwe ali ndi kachilomboka kapena kufalikira kwa mayiko omwe sali ofala pambuyo paulendo kapena zochitika zina zopatsirana mwapang'onopang'ono - kukhalapo kwa kachilomboka mu mucous nembanemba yopuma kumatha kuwonetsedwa. Monga momwe kuzindikira kwake kumapezedwa m’madzi akumaliseche ndi m’malovu, kufufuza n’kofunika kwambiri, ntchito ikuchitika kuti izindikire mphamvu yake yopatsira nthendayo.”
M'malingaliro athu, tanthauzo loti kusanthula kwake ndikofunikira "ndikofunikira pakudziwitsa zaumoyo wa anthu. Ndipo zotsatirapo za iwo omwe akhudzidwa nazonso, chifukwa zoletsa ndi kudzipatula zomwe ayenera kugonjera pambuyo pa kupatsirana zitha kusinthidwa kwambiri.
Mwachidule, “popeza kuti kachilombo ka nyani kamakhala ndi mawonekedwe osadziwika bwino, akatswiri azaumoyo ayenera kukhala okayikira kwambiri za matendawa, makamaka kwa anthu omwe amakhala m'malo omwe amapatsirana kwambiri, kapena omwe ali ndi kachilomboka.
Pankhaniyi, wofufuza uyu wa Lluita Foundation, matenda opatsirana pogonana Khungu NTD Unit amanena kuti, ngakhale nzoona kuti chipatala ulaliki wa milandu kuphulika panopa kwathunthu atypical, "komabe, kupatula madokotala amene kuchiza odwala endemic madera. ndipo tinkafunika kuti tipeze matendawa pakati pa omwe angatheke, matendawa sankadziwika kwambiri "ndipo amakhulupirira kuti madokotala akuphunzira za nyani pox chifukwa cha mliriwu.
Pakali pano, akutero Galván, “sitingadziŵe kuchuluka kwa odwala amene sanawazindikire, mwina chifukwa chakuti zimenezi n’zosaganizira kapena chifukwa chakuti anali ndi zizindikiro zochepa. Koma tili ndi maphunziro opitilira omwe cholinga chake ndi kuyankha funsoli, lomwe ndi lofunikira kwambiri poletsa kufalikira kwa matendawa. "
Kuphatikiza apo, akuwonetsa kuti chipatalachi ndi chachilendo poyerekeza ndi chakale, koma chimatsatira machitidwe omwe amathandizira kukayikirana kwa matenda.
Sitingathe kudziwa kuchuluka kwa odwala omwe apezeka popanda kuwazindikira
Komanso, nkhaniyo anafotokoza, kuti chifukwa cha nthawi yaifupi makulitsidwe, "chisanadze kukhudzana katemera wa magulu chiopsezo n'kutheka kuti n'zothandiza kwambiri kuposa pambuyo kukhudzana katemera kupewa matenda."
Komabe, monga momwe wofufuzayu akuvomerezera, “kupezeka kwa katemera, pakali pano, sikukwanira. Malingana ngati zili choncho, tiyenera kuika patsogolo anthu amene ali ndi chiopsezo chachikulu chotenga matenda kapena matenda aakulu.”
Pamenepa, tikanakhala ndi milingo yonse yofunikira, iye akuwonjezera kuti, “anthu onse amene ali ndi chiwopsezo chachikulu cha matenda opatsirana mwakugonana akalandira katemera. Ndiko kuti, chiwerengero cha anthu chofanana ndi chizindikiro cha HIV pre-exposure prophylaxis. Ikaperekanso katemera wa anthu omwe ali pachiwopsezo, monga zogonana, za munthu yemwe wakhudzidwa ndi ngoziyi komanso anthu omwe ali pachiwopsezo chachikulu chifukwa chosatetezedwa bwino, mwina pafupi ndi anthu omwe ali pachiwopsezo kapena omwe adalumikizana kwambiri, ngakhale sakondana, ndi wina yemwe wakhudzidwa. ”
Mu Meyi 2022, milandu yoyamba ya autochthonous ya kachilombo ka nyani idanenedwa ku Europe, zomwe zidayambitsa mliri womwe udakalipobe m'maiko 27 ndipo wadzetsa milandu yopitilira 11.000. Spain ndi dziko lomwe lakhudzidwa kwambiri ndi anthu opitilira 5.000 omwe apezeka ndi matendawa.
Gulu la asayansi likupitirizabe kukhala ndi chidziwitso chochepa pazochitika za miliri, zachipatala komanso za virological za kuphulika kwamakono kwa nyanipox.
Ogwira ntchito zachipatala ayenera kukhala ndi chizoloŵezi chokayikira za matendawa
Kafukufuku waposachedwa wapagulu amaphatikizanso kuwunika kokwanira kwazinthu zomwezi (matenda a miliri, machitidwe azachipatala ndi ma virus) mwa anthu 181 omwe adapezeka ndi zipatala m'zipatala zazikulu kwambiri ku Spain.
Ntchitoyi inatsimikizira zochitika zachipatala zomwe zimawonedwa muzofufuza zina zam'mbuyo, koma kukula kwakukulu kwa chitsanzo ndi kufufuza kwachipatala kunawonetsa zovuta zina zomwe sizinafotokozedwepo kale, kuphatikizapo proctitis, tonsillar ulceration, ndi penile edema.
Nkhaniyi ikukhazikitsanso mgwirizano pakati pa mitundu ya machitidwe ogonana ndi mawonetseredwe azachipatala. Chimodzi mwazofunikira kwambiri ndi kuchuluka kwa ma virus omwe amapezeka m'matumbo am'mimba ndi m'kamwa, ndi kusiyana kwa mtengo wotsika kwambiri m'njira yopuma.
Zotsatira zikuwonetsa kuti mwa milandu 181 yotsimikizika, 175 (98%) ndi amuna, 166 mwa iwo amadziwika kuti ndi amuna omwe amagonana ndi amuna. Kutalika kwapakati kwa nthawi yotsekeredwa m'ndende kumakhala kokhazikika pamasiku 7.
