Ukuqubuka kwamanje kwe-monkeypox okuholele ekutheni i-World Health Organization (WHO) inqume ukumemezela ukuvalelwa "njengesimo esiphuthumayo sezempilo yomphakathi esikhathaza amazwe ngamazwe" kuveza izimpawu, ukubonakaliswa, kanye nezinkinga ezihlukile kulezo ezichazwe ngaphambilini kwezinye ukuqubuka kwe-monkeypox. lesi sifo.
Ngakho uphetha ucwaningo olunzulu kakhulu inkawu esangulukisayo eyenziwa kuze kube manje eSpain eyenziwa ezindaweni ezimbili ezithinteke kakhulu zezwe, Madrid kanye Barcelona futhi yanyatheliswa kumagazini "The Lancet".
Ucwaningo, umphumela wokubambisana phakathi kwe-12 de Octubre University Hospital, i-Germans Trias University Hospital kanye ne-Fight Against Infections Foundation kanye ne-Vall d'Hebron University Hospital, ngokubambisana kwe-London School for Hygiene and Tropical Medicine (LSHTM) , kubonisa ukuthi ukuthintana kwesikhumba nesikhumba phakathi nobuhlobo bobulili kufakazelwa njengesici esiyinhloko ekusakazeni inkawu, ngaphezu kokudluliselwa emoyeni.
Ucwaningo lwethu, lukhomba u-ABC Cristina Galván, udokotela wesikhumba esibhedlela saseNyuvesi yaseMóstoles, eMadrid, uthole ukuthi amasampula esikhumba ahlala elungile futhi abonisa insada enkulu ye-genome yegciwane kunamasampula athathwe kwezinye izindawo ezifana nomphimbo. Esimweni sobuhlobo bobulili, uyanezela, “lokhu kuthintana okuseduze nesikhumba noma ulwelwesi lwamafinyila lwangaphandle lomuntu othintekayo ngokungangabazeki kwenzeka. I-PCR enhle yegciwane lemonkeypox itholwe ekuphumeni kwesitho sangasese sowesifazane kanye nesidoda, kodwa amandla ayo okuthelelanayo, ngakho-ke, ukuthi ingasakazwa yini ngalawa manzi akukakanqunywa.
Ngalesi sikhathi, uyaxwayisa, ngedatha esinayo, kunokuba siqinisekise ukuthi kuyisifo esithathelwana ngocansi, "kumele sisho ukuthi kuyisifo esithathelwana ngesikhathi socansi."
Lokhu, abacwaningi babhala, kunemithelela eminingi ebalulekile endleleni yokubhekana nalesi sifo.
Okokuqala, qinisekisa abalobi, ukuguqulwa kwendlela yokudlulisela kusuka ekuthinteni kokuphefumula kuya ekuxhumaneni okuqondile uma kuqhathaniswa nokuqubuka kwangaphambilini kungase kukhuthaze ukusabalala kwesifo ngokusebenzisa amanethiwekhi ocansi.
Ukuqubuka kwamanje kuveza izimpawu, ukubonakaliswa, kanye nezinkinga ezihlukile kulezo ezichazwe ngaphambilini kwezinye ukuqubuka kwalesi sifo.
Kuze kube manje, uDkt. Galván ubonisa, indlela enomoya ibhekwa njengendlela yokudlulisela ngendlela yakudala yokuvalelwa. Ekuqubukeni kwamanje, "iphuzu lokungena kwamagciwane lihlukile futhi lingakwazi ukukhiqiza ukusabela komzimba womuntu othintekayo futhi okuhlukile, okunesithombe somtholampilo esingabonakali."
Ngokusekelwe emininingwaneni ye-epidemiological yamacala okuqubuka kwamanje, uchwepheshe uyabonisa, "ngoba imigudu yokuphefumula ayidlali indima ebalulekile ekudluliseni. Inani lalabo abathintekile selivele liningi futhi izigameko zokudluliselwa kwezimo ngaphandle kokuthintana ngokocansi cishe azikho.
Kodwa ukhetha ukuqapha. "Ezimeni ze-monkeypox yakudala - esithinte amazwe anesifo noma ekuqubukeni okukhawulelwe emazweni angewona amagciwane ngemuva kohambo noma esinye isiqephu sokutheleleka okungavamile - ukuba khona kwaleli gciwane kungabonakala ku-mucosa yokuphefumula. Njengoba ukutholakala kwayo kutholaka oketshezini lwesitho sangasese kanye namathe, ucwaningo lubaluleke kakhulu, kwenziwa umsebenzi wokunquma ukuthi iyakwazi yini ukudlulisa isifo”.
Ngokombono wethu, incazelo yokuthi ukuhlaziya kwabo kubalulekile “kubalulekile ekunqumeni izinyathelo ezifanele zezempilo zomphakathi. Futhi imiphumela yalabo abathintekile nayo injalo, njengoba imikhawulo kanye nokuhlukaniswa okufanele bakuthumele ngemuva kokutheleleka kungashintshwa kakhulu.
Ngamafuphi, “njengoba igciwane lenkawu lingase libe nokubonakaliswa kwe-atypical, ochwepheshe bezokunakekelwa kwezempilo kufanele babe nenkomba ephezulu yokusola ngalesi sifo, ikakhulukazi kulabo bantu abahlala ezindaweni ezinokutheleleka okuphezulu, noma okungenzeka kube nokuchayeka.
Kulokhu, lo mcwaningi ovela kuLluita Foundation, i-NTD STI Skin Unit ubonisa ukuthi, nakuba kuyiqiniso ukuthi ukwethulwa komtholampilo kwamacala okuqubuka kwamanje akunangqondo ngokuphelele, "kodwa, ngaphandle kodokotela abelapha iziguli ezindaweni ezinesifo sikashukela. futhi kwakudingeka ukuthi sibe nalokhu kuxilongwa phakathi kwalokhu okungenzeka, lesi sifo sasingaziwa kakhulu” futhi ukholelwa ukuthi umphakathi wezokwelapha ufunda nge-monkeypox yakudala ngenxa yalokhu kuqubuka.
UGalván uthi okwamanje, “asikwazi ukwazi ukuthi zingaki iziguli ezingakatholwa, ngenxa yokuthi lokhu kungenzeka akuzange kucatshangelwe noma ngenxa yokuthi ziye zaba nezimpawu ezimbalwa. Kepha sinezifundo eziqhubekayo okuhloswe ngazo ukuphendula lo mbuzo, obaluleke kakhulu ekulawuleni ukubhebhetheka kwalesi sifo. ”
Ukwengeza, uveza, izimpawu ziyi-atypical uma kuqhathaniswa ne-classic, kodwa landela amaphethini enza kube lula ukusola kokuxilonga.
Ngeke sazi amaphesenti eziguli ezitholwe ngaphandle kokutholwa
I-athikili iphinde yachaza ukuthi ngenxa yesikhathi esifushane sokufukamela, "ukugoma ngaphambi kokuchayeka kwamaqembu asengozini kungenzeka kusebenze kangcono kunokugomela ngemuva kokuchayeka ekulawuleni ukutheleleka."
Nokho, njengoba lo mcwaningi evuma, “okwamanje ukutholakala kwemithi yokugoma akwanele. Inqobo nje uma lokhu kunjalo, kufanele sibeke phambili abantu abasengozini enkulu yokutheleleka noma ukugula okubi kakhulu ”.
Kulokhu, ukube besinayo yonke imithamo edingekayo, uyanezela, “bonke abantu abasengozini enkulu yezifo ezithathelwana ngobulili bebezogonywa. Ngamanye amazwi, inani labantu elifana nenkomba yalo ye-HIV pre-exposure prophylaxis. Izophinde igome abantu abasondelene nabo, njengokuxhumana nabo ocansini, komuntu othintekile futhi ikakhulukazi abantu abasengcupheni ngenxa yokushoda komzimba, kungaba seduze nabantu abasengozini noma abake bathintana kakhulu, noma bengasondelene, nomuntu othintekile.
NgoMeyi 2022, kwabhaliswa amacala okuqala e-autochthonous of monkey virus eYurophu, okudale ukuqubuka okusasebenza emazweni angama-27 futhi sekudale amacala angaphezu kwe-11.000 aqinisekisiwe. ISpain iyizwe elithinteke kakhulu ezwenikazi elinamacala angaphezu kuka-5.000 atholakele.
Umphakathi wesayensi uyaqhubeka nokuba nolwazi oluncane mayelana nezici ze-epidemiological, umtholampilo kanye ne-virological yokuqubuka kwamanje kwemonkeypox.
Ochwepheshe bezempilo kumele babe nenkomba ephezulu yokusola ngalesi sifo
Ucwaningo olusesidlangalaleni manje luhlanganisa ukuhlolwa okuphelele kwalezi zici ezifanayo (i-epidemiology, izici zomtholampilo kanye ne-virological) kwabahlanganyeli abangu-181 abatholwe balaliswa esibhedlela ezibhedlela ezinkulu kakhulu eSpain.
Umsebenzi waqinisekisa izici zomtholampilo ezibonwa kwezinye ukuhlaziya okubuyela emuva, kodwa usayizi wesampula omkhulu kanye nokuhlolwa komtholampilo okuhlelekile kwembula ezinye zezinkinga ezingabikwanga ngaphambili, ezihlanganisa i-proctitis, i-tonsillar ulceration, ne-penile edema.
I-athikili iphinde isungule ubudlelwano phakathi kwezinhlobo zemikhuba yocansi nokubonakaliswa komtholampilo. Okunye okutholakele okubaluleke kakhulu umthamo wegciwane egazini otholakala ezilonda zesitho sangasese kanye nomlomo, nomehluko enanini eliphansi kakhulu emgudwini wokuphefumula.
Imiphumela ikhombisa ukuthi emacaleni angu-181 aqinisekisiwe, angu-175 (98%) amadoda, angu-166 kuwo ahlonza amadoda abalala namadoda. Ubude obumaphakathi benkathi yokufaka i-lockdown incubation uzinzile ezinsukwini ezingu-7.
