Kusangana-ganda-ku-ganda nebonde ndicho chinhu chikuru pakutapurirana kwemonkeypox

Kubuda kwemonkeypox kwaita kuti World Health Organisation (WHO) isarudze kuzivisa kuvharirwa "hutano hweveruzhinji hwekunetseka kwenyika" hunoratidza zviratidzo, kuratidzwa, uye matambudziko akasiyana neakambotsanangurwa mune kumwe kubuda kwemonkeypox. iyi pathology.

Saka inopedzisa kudzidza kwakanyanyisa kutyisa tsoko yakaitwa kusvika nhasi muSpain yakaitwa munzvimbo mbiri dzakakanganisika kwazvo dzenyika, Madrid neBarcelona uye yakabudiswa mumagazini "The Lancet".

Tsvagiridzo, mhedzisiro yekubatana pakati pe12 de Octubre University Hospital, iyo yeGerman Trias University Hospital uye Kurwisa Kurwisa Utachiona Foundation neVall d'Hebroni University Hospital, pamwe nekubatana kweLondon School for Hygiene uye Tropical Medicine (LSHTM) , inoratidza kuti kusangana kweganda-ku-ganda panguva yepabonde kunoratidzwa sechinhu chikuru mukutapurirwa kwemonkeypox, pamusoro pekutapurirwa kwemhepo.

Chidzidzo chedu, chinonongedza kuna ABC Cristina Galván, chiremba wedermatologist paYunivhesiti Hospital yeMóstoles, kuMadrid, akawana kuti sampuli dzeganda dzinowanzoita zvakanaka uye dzinoratidza huwandu hukuru hwehutachiona hwejenome kupfuura samples dzakatorwa kubva kune dzimwe nzvimbo dzakadai sehuro. Muchirevo chehukama hwepabonde, anowedzera, "iyi kushamwaridzana kwepedyo neganda kana kunze mucous membranes yemunhu akabatwa pasina mubvunzo inoitika. Positive PCR yehutachiona hwemonkeypox yakawanikwa muvaginal secretions uye urume, asi kugona kwayo kwekutapukira uye, saka, kana inogona kutapurirwa kuburikidza nemvura iyi haisati yazivikanwa.

Panguva ino, anonyevera, nemashoko atinawo, pane kusimbisa kuti chirwere chepabonde, "tinofanira kutaura kuti chirwere chinotapurirwa panguva yepabonde."

Izvi, vanoongorora vanonyora, zvine huwandu hwezvakakosha zvinokonzeresa nzira yechirwere.

Kutanga, simbisa vanyori, shanduko yenzira yekutapurirana kubva pakufema kubata kusvika kune yakananga kusangana kana ichienzaniswa nekuputika kwekare kunogona kukurudzira kupararira kwechirwere kuburikidza nepabonde network.

Kubuda kwazvino kunopa zviratidzo, kuratidzwa, uye matambudziko akasiyana neakambotsanangurwa mune kumwe kubuda kwechirwere ichi.

Kusvikira ikozvino, Dr. Galván anotaura, nzira yemhepo yave ichionekwa senzira yekufambisa nenzira yekare yekuvharirwa. Mukuputika kwemazuva ano, "nzvimbo yekupinda kwehutachiona yakasiyana uye inogona kuunza maitiro ekudzivirira ezvirwere zvemunhu akabatwa zvakasiyanawo, ane atypical clinical picture."

Zvichienderana neiyo epidemiological data yenyaya dzekubuda kwazvino, nyanzvi inoratidza, "nekuti turakiti rekufema harina basa rakakura mukutapurirana. Huwandu hweavo vakabatwa hwakatowanda uye nyaya dzekutapurirana mumamiriro ezvinhu kunze kwekusangana pabonde dzinenge dzisipo.

Asi anoda kungwarira. "Munyaya dzemhando yemonkeypox - iyo yakanganisa nyika dzine hutachiona kana kuputika kwakaganhurirwa kune dzisiri magumo mushure merwendo kana chimwe chiitiko chesporadic contagion- kuvapo kwehutachiona kunogona kuratidzwa mukufema mucosa. Sekuonekwa kwayo kunowanikwa mumvura dzesikarudzi nemate, tsvakiridzo yakakosha zvikuru, basa riri kuitwa kuona kugona kwayo kutapurira utachiona”.

Semaonero edu, chirevo chekuti ongororo yavo yakakosha "yakakosha pakutemerwa kwemaitiro ehutano hweveruzhinji. Uye zvinokonzeresa kune avo vakakanganisika ndizvo zvakare, sezvo zvirambidzo uye kuzviparadzanisa kwavanofanira kuendesa mushure mekutapukira kunogona kugadziridzwa zvakanyanya.

Muchidimbu, “sezvo utachiona hwetsoko huchigona kuoneka nezviratidzo, nyanzvi dzezvehutano dzinofanirwa kuve nekufungira kwakanyanya pamusoro pechirwere ichi, kunyanya muvanhu vanogara munzvimbo dzine kutapuriranwa kwakanyanya, kana kuratidzwa.

Muchiitiko ichi, muongorori weLluita Foundation, NTD STI Skin Unit inotaura kuti, kunyange zvazvo chiri chokwadi kuti kuratidzwa kwekiriniki yezviitiko zvechirwere ichi hahupi hupi, "zvisinei, kunze kwevanachiremba vanorapa varwere munzvimbo dzine chirwere. uye taifanira kuva nechirwere ichi pakati pevanobvira, chirwere ichi hachina kuzivikanwa” uye anotenda kuti vezvekurapa vari kudzidza nezve classical monkeypox nekuda kwedenda iri.

Parizvino, anodaro Galván, “hatigoni kuziva nhamba yevarwere vasati vaonekwa, zvichida nokuti izvi zvingangoitika hazvina kurangarirwa kana kuti vanga vane zviratidzo zvishomanana. Asi tine zvidzidzo zvirikuenderera mberi zvine chinangwa chekupindura mubvunzo uyu, izvo zvakakosha mukudzora kupararira kwechirwere ichi. "

Pamusoro pezvo, anonongedza, zviratidzo zvacho zvisinganzwisisiki kana zvichienzaniswa neyekare, asi tevera mapatani anofambisa kufungidzirwa kwekuongorora.

Hatigone kuziva huwandu hwevarwere vakaonekwa vasina kuona

Chinyorwa ichi chakatsanangurawo kuti nekuda kwenguva pfupi yekudzvanya, "pre-exposure vaccination yemapoka ane njodzi ingangove inoshanda pane post-exposure vaccination yekudzora hutachiona."

Zvisinei, sezvinobvumwa nomutsvakurudzi uyu, “kuvapo kwemishonga, parizvino, hakuna kukwana. Chero bedzi zviri izvo, isu tinofanirwa kuisa pamberi kune vanhu vane njodzi yakanyanya yekutapukira kana kuita chirwere chakakomba ”.

Muchiitiko ichi, kudai taiva nemwero yose inodiwa, anowedzera kuti, “vanhu vose vane ngozi huru yehosha inopfuudzwa muvatano vaizobayiwa majekiseni. Mune mamwe mazwi, huwandu hwevanhu hwakafanana nechiratidzo cheHIV pre-exposure prophylaxis. Yaizobayawo vanhu vepedyo, sekusangana pabonde, kwemunhu abatwa uye kunyanya vanhu vari panjodzi nekuda kwekushomeka kwedziviriro, kungave padyo nevanhu vari panjodzi kana vanga vaine hukama hwepedyo, kunyangwe vasina hukama hwepedyo, nemunhu akabatwa.

Muna Chivabvu 2022, nyaya dzekutanga autochthonous dzehutachiona hwetsoko dzakanyoreswa muEurope, zvichikonzera kubuda kuri kuitika munyika makumi maviri nenomwe uye kwakonzera nyaya dzinopfuura zviuru gumi nembiri dzakasimbiswa. Spain ndiyo nyika yakabatwa zvakanyanya mukondinendi ine vanhu vanopfuura zviuru zvishanu vakabatwa nechirwere ichi.

Nharaunda yesainzi inoramba iine ruzivo rushoma nezve epidemiological, kiriniki uye virological maitiro ezvino kubuda kwemonkeypox.

Vanamazvikokota vezvehutano vanofanirwa kunge vaine index yakakwira yekufungira chirwere ichi

Ikozvino chidzidzo cheveruzhinji chinosanganisira kuongororwa kwakadzama kwezvinhu zvakafanana izvi (epidemiology, kiriniki uye virological maitiro) yevatori vechikamu 181 vakaonekwa vaine chipatara muzvipatara zvakakura kwazvo muSpain.

Basa racho rakasimbisa maitiro ekiriniki akaonekwa mune dzimwe ongororo dzakadzokororwa, asi yakakura sampuli saizi uye systemic kiriniki yekuongorora yakaratidza mamwe matambudziko akange asati ataurwa, anosanganisira proctitis, tonsillar ulceration, uye penile edema.

Chinyorwa chinosimbisawo hukama pakati pemhando dzekuita zvepabonde uye kuratidzwa kwekiriniki. Chimwe chezvinonyanya kukosha ndeyehuwandu hwehutachiwana hunowanikwa mumaronda epabonde uye emuromo, nemusiyano muhuwandu hwakaderera zvikuru mumugwagwa wekufema.

Zvakabuda zvinoratidza kuti panyaya zana nemakumi masere neimwe dzakasimbiswa, zana nemakumi manomwe neshanu (181%) varume, 175 vacho vachizvizivisa sevarume vanorara nevarume. Hurefu hwepakati hwekuvhara incubation nguva yakagadzikana pamazuva manomwe.