Nharaunda yeValencian yakamisa iyi protocol nenyaya inofungidzirwa yehutachiona hweMarburg mune murume ane makore makumi matatu nemana akaburitsa syndromes inoenderana nekuvharirwa, yakafanana neEbola uye ine 34% inouraya.
Murwere akanga ari muEquatorial Guinea kwenguva yakati yaigona kuenderana nekukura uye kukura kweutachiona uhu hwakakonzera kupisa kwakanyanya kweropa.
Bvunzo dzavo dzebhayoloji dzinounzwa kurabhoritari yeCarlos III Health Institute muMadrid kuti vaone kuti hutachiona hunobviswa kupi, sezvakataurwa nebazi rezvehutano mukutaura, inova yekutanga kuongororwa muSpain.
Murume uyu akatamiswa kubva kuchipatara chega uye anoendeswa kuHigh Level Isolation Unit yeLa Fe Hospital muValencia. Nenzira iyi, Hutano hwakaratidza, huchavimbisa kuchengetedzwa kwekuchengeta kwake uye kuchengetedzwa kwevashandi vehutano vanomubata.
Musi waKukadzi 13, zviremera zvehutano zveEquatorial Guinea neWHO zvakashuma kubuda kwekutanga munyika mushure mekuzivisa vapfumbamwe vakafa nezviratidzo zvehemorrhagic mumatunhu eKie Ntem neWele Nzas. Munyaya iyi, gumi nenhanhatu dzinofungidzirwa kuti dzakanyoreswa uye vanhu vanopfuura zviuru zvina nemazana matatu vakavharirwa, nezvirambidzo zvekufamba pamuganho neCameroon neGabon.
Utachiona hweMarburg hunotapurirwa kuvanhu kuburikidza nemadziro emuchero uye hunopararira pakati pevanhu nekusangana zvakananga nemvura yemuviri kubva kuvanhu vane hutachiona, nzvimbo uye zvinhu.
Sekureva kweWHO, hutsinye hwayo hunosvika 88% kana murwere akasachengetwa zvakanaka. Hutachiona hwakatanga kuzivikanwa muna 1967 muguta reGerman sehuwandu. Kwemakumi emakore, kwave kuine nyaya dzenyaya muGermany, Serbia, Angola, Kenya, Democratic Republic of the Congo, South Africa neUganda. Muzvizhinji zvekubuda uku, hutachiona hwevanhu hune hukama nekugara kwenguva refu mumigodhi kana mapako anogarwa nemakoloni eRousettus bats uye avo vanozosangana navo.
Chaizvoizvo, iyo Public Health Commission yeBazi rezvehutano, uye Chirevo pamusoro peZviziviso, Zvirongwa zvekugadzirira uye Kubvumidzwa Vakapindura neChishanu ichi ku 'Protocol yechiito chekuonekwa kwekutanga uye kutonga kwenyaya dzechirwere cheMarburg virus', nemirayiridzo yakanangana Nyanzvi dzehutano.
Gwaro iri rinorangarira kuti Spain inochengetedza hukama hwepedyo neEquatorial Guinea, munyaya dzehupfumi pamwe nekudyidzana kwebudiriro. Muchokwadi, ine ndege dzakananga nenyika yeAfrica, kunyangwe ichiratidzirawo nzira yegungwa.
zviratidzo uye kurapwa
Utachiona hune incubation nguva iri pakati pemazuva mashanu negumi - umo husingatapurirwa- uye hwakakonzera febrile hemorrhagic hosha iyo inotanga kamwe kamwe nefivha, kurwadziwa kwetsandanyama, kupera simba, kutemwa nemusoro uye odynophagia. Zvadaro, mu50-80 muzana yevarwere, kukurumidza kuparara kunoperekedzwa nemudumbu syndromes, kusagadzikana mudumbu, kusvotwa kwakanyanya, kurutsa, uye manyoka kunoitika mukati memazuva maviri kusvika mashanu.
Kusimba kwechirwere kunowedzera mumazuva 5-7 ne maculopapular rash uye hemorrhagic syndromes yakadai se petechiae, mucosal kubuda ropa uye gastrointestinal turakiti. Mukuwedzera, uye sezvinoratidzwa mumushumo, zviratidzo zvetsinga (disorientation, pfari uye coma) zvinogona kuitika mumatanho ekupedzisira.
Kutanga kwekutapurirana kunoenderana neviraemia uye kutaridzika kwezviratidzo zvekutanga, zvakanaka panguva yekuzvitakura, kana iri vanhu vane hutachiona ndeye asymptomatic, hapana hutachiona hunoonekwa muropa kana mvura yemumuviri, saka hapana hutachiona hunotapurirwa. Naizvozvo, kutapurirana kunotanga apo zviratidzo zvinokura uye zvinoramba zviripo chero bedzi muropa muine utachiona.
Parizvino hapana kurapwa kwakananga kana majekiseni ane rezinesi, kunze kwekunge kurapa kunotsigira (zvinoyerera mutsinga, okisijeni yekuwedzera, electrolytes, nezvimwewo) inogona kuvandudza zvakanyanya mhedzisiro yekiriniki. Zvakadaro, zvimwe zvigadzirwa zvemishonga senge immunotherapeutics, interferon kana antivirals zviri kugadzirwa kurwisa chirwere ichi.
