Zibandakanye, Fundisa, (Ngethemba) Gonya
INyanga yeSizwe yoKwazisa ngoGonyo (i-NIAM) sisikhumbuzo esibanjwa minyaka le kweyeThupha esiqaqambisa ukubaluleka kogonyo kubantu bayo yonke iminyaka. Kubaluleke kakhulu kwizigulana ezineemeko zempilo ukuba zihlale zinolwazi malunga nogonyo olucetyiswayo njengoko zisemngciphekweni omkhulu weengxaki ezivela kwizifo ezithile ezinokuthintelwa lugonyo.
Nawuphi na umboneleli wokhathalelo oluphambili uye waba namava alandelayo. Ucebisa ugonyo (okanye enye ingcebiso), kwaye isigulane siyala. La mava egumbi leemviwo xa ndandisaqala iinyanga ezininzi ezidlulileyo aya kundimangalisa. Ndilapha, into ebizwa ngokuba “yingcaphephe” isigulana ebesiza kubona, ukufumana iingcebiso, okanye unyango… kwaye ngamanye amaxesha bathi, “hayi enkosi.”
Ukwaliwa kwesitofu sokugonya i-COVID-19 asiyonto intsha. Sonke siye saba nezigulana ezalayo ukuvavanyelwa imeko efana nomhlaza webala, isitofu sokugonya esinje nge-HPV (i-papillomavirus yabantu), okanye enye. Ndacinga ukuba ndiza kubelana ngendlela oogqirha abaninzi okanye ababoneleli abahlangabezana ngayo nezi meko. Ndive intetho emnandi kaJerome Abraham, MD, MPH eyachukumisa uninzi lwethu kubaphulaphuli.
Kukho isizathu
Asize sicinge ukuba umntu othandabuzayo ukwenza oko ngenxa yokungazi ngabom. Ngokuqhelekileyo kukho isizathu. Kukwakho nenkalo ebanzi phakathi kokwala nokungafuni. Izizathu zinokuquka ukunqongophala kwemfundo okanye ulwazi, ukwenzakala ngokwenkcubeko okanye okufuze ilifa, ukungakwazi ukuya eklinikhi, ukungakwazi ukuthatha ikhefu emsebenzini, okanye uxinzelelo oluvela kusapho nezihlobo lokungathobeli.
Ihlala ihla kwimbono ekwabelwana ngayo yokhuseleko. Wena njengomboneleli ufuna eyona nto ikhuselekileyo kwisigulane sakho kwaye isigulane sakho sifuna eyona nto ikhuselekileyo kubo. Umgca osezantsi kwabanye, bakholelwa ukuba umonakalo ovela kwisitofu sokugonya mkhulu kunokwenzakala kwesi sifo. Ukufezekisa umsebenzi wethu njengabanikezeli benkathalo kufuneka:
- Thatha ixesha lokuqonda uluntu lwethu kunye nokuba kutheni lunokuba mathidala.
- Sonke sifanele siyazi indlela yokuqalisa ingxubusho enemveliso size sibe neencoko ezinzima.
- Ababoneleli kufuneka bafikelele kuluntu oludingayo kwaye bakhe intsebenziswano.
- Khumbula ukulwela abo bafuna unyango olungcono.
Ulwazi olungachananga? Zibandakanye!
Ewe, sikuvile konke oku: “uphawu lwerhamncwa,” iimicrochips, guqula iDNA yakho, iimagnethi, njl.
- Buza umbuzo. "Ungaba nomdla wokufumana isitofu sokugonya?"
- Phulaphula ngomonde. Buza umbuzo olandelayo, "Kutheni uvakalelwa ngolo hlobo?"
- Ukulungelelanisa nesigulane phezu kokhuseleko. Le yinjongo yakho efanayo.
- Buza ngezinye iinjongo: "yintoni ekukhuthazayo ukuba ufune ukubuyisela ubomi kwisiqhelo?" Phulaphula.
- Thina njengababoneleli kufuneka sibambelele kulwazi esilwaziyo. Ukuba asiyazi impendulo yombuzo othile, sifanele sitsho. Amaxesha amaninzi, bendiphendula ngokuthi “makhe ndikufumanele ulwazi.”
Fundisa
Inkcubeko ingundoqo. Kufuneka sikhumbule kwezinye iindawo zoluntu, kukho ilifa lokwenzakala kwezonyango elibandakanya ukulinga okuyingozi okanye okungenakuzithandela. Namhlanje, izigulane ezininzi zisasokola ukufikelela kugqirha. Kwanaxa befumana ugqirha, kusenokubakho ukuvakalelwa kukuba iinkxalabo zabo azihoywa okanye zijongelwa phantsi. Kwaye ewe, abanye bayoyika ukunika ulwazi lomntu siqu. Ke ngoko, nangamazinga aphezulu okusweleka kwezinye iindawo ezisuka kwizigulo ezifana ne-COVID-19, kusekho ukuthandabuza okuphezulu. Akufunekanga silibale ukuba uninzi lusenezithintelo zemali, ukunqongophala kwezothutho, akukho ukufikelela kwi-intanethi, okanye iimpawu zoloyiko oluphuma kwisitofu sokugonya zinokubangela ukuba baphoswe ngumsebenzi.
Iinyani
Imonkeypox yintsholongwane ye "zoonotic". Oku kuthetha ukuba isuka kwizilwanyana iye ebantwini. Ezinye izilwanyana ezinokuthi zisasaze zibandakanya iintlobo ezahlukeneyo zeenkawu, iimpuku ezinkulu, i-African dormice, kunye neentlobo ezithile zoonomatse. Ukuza kuthi ga ngoku kubhalwa, bekukho iimeko ezili-109 eziqinisekisiweyo eColorado. Amatyala amaninzi aseNew York, eCalifornia, eTexas naseChicago.
Isigulo sesosapho olunye lweentsholongwane njengengqakaqha. Iimpawu zayo ziyafana, kodwa azikho qatha njengengqakaqha. Iimeko zokuqala ze-monkeypox zafunyanwa ngabagqirha bezonyango ngo-1958 ngexesha lokuqhambuka kabini kwiinkawu ezigcinwe kuphando.
Uninzi lwabantu abosulelwa yintsholongwane yemonkeypox banesifo esithambileyo, esizithintelayo nokuba akukho nyango lukhethekileyo. Imbonakalo ixhomekeke kwisimo sempilo yesigulane kunye nesimo sokugonywa.
Kukho ezinye ekufuneka zinyangwe, kubandakanywa nezo ziqhambuke kakhulu, amajoni omzimba abuthathaka kunye nabangaphantsi kweminyaka esibhozo ubudala. Abanye abasemagunyeni bacebisa abo bakhulelweyo, okanye abancancisayo bafanele banyangwe. Okwangoku alukho unyango oluvunyiweyo olukhethekileyo losulelo lwentsholongwane yemonkeypox, kodwa ii-antivirals eziphuhliswe ukusetyenziswa kwizigulane ezine-smallpox zinokusebenza ngokuchasene nemonkeypox.
Kukho ingxoxo malunga nokuba i-monkeypox lusulelo oludluliselwa ngesondo, mhlawumbi ngokuthe ngqo, lusulelo olunokudluliselwa ngoqhagamshelwano lwezesondo. Ngandlela-thile kufana ne-herpes kunye nokusabalalisa ngoqhagamshelwano lwesikhumba.
Uninzi lwabantu lufumana iiseti ezimbini zeempawu zemonkeypox. Iseti yokuqala yenzeka malunga neentsuku ezintlanu kwaye ibandakanya umkhuhlane, intloko ebuhlungu okanye iintlungu zomqolo, ii-lymph nodes ezidumbileyo kunye namandla aphantsi.
Kwiintsuku ezimbalwa emva kokuba enomkhuhlane, irhashalala idla ngokuvela kumntu osulelwe yimonkeypox. Irhashalala ibonakala njengamaqhakuva okanye amadyungudyungu kwaye inokuvela kwiindawo ezininzi zomzimba, kubandakanywa ubuso, isifuba, iintende zezandla neenyawo. Oku kungathatha iiveki ezimbini ukuya kwezine.
Isitofu sokugonya inkawu?
I-FDA yamkele isitofu sokugonya i-JYNNEOS - ekwaziwa njenge-Imvanex - yokuthintela i-smallpox kunye ne-monkeypox. Iidosi ezongezelelweyo zi-odolwe. Isitofu sokugonya se-JYNNEOS sibandakanya izitofu ezimbini, nabantu abajongwa ukuba bagonywe ngokupheleleyo malunga neeveki ezimbini emva kokudubula okwesibini. Isitofu sokugonya sesibini, i-ACAM2000T, sinikwe ukufikelela okwandisiweyo kwimonkeypox. Le yintsini enye kuphela. Kwenziwa isincomo kubantu abakhulelweyo, iintsana ezingaphantsi konyaka omnye ubudala, abantu abanamajoni omzimba abuthathaka, abo banesifo sentliziyo, kunye nabo bane-HIV. Uthathwa ngokuba ugonywe kwiiveki ezine emva kokuba udutyulwe. Ezi zitofu zinqongophele kwaye umboneleli wakho uya kufuna ukusebenzisana neSebe lezeMpilo laseColorado kunye neNdalo (CDPHE) ukulungelelanisa.
Iingcali zonyango zicebisa ukuba abantu bathathe la manyathelo alandelayo ukunceda ukuthintela ukusasazeka kwemonkeypox:
- Kulumkele ukunxulumana ngokusondeleyo kunye nolusu nolusu nomntu onerhashalala elifana nelenkawu. Umntu ujongwa njengosulelo de irhashalala liphole ngokupheleleyo.
- Zama ukuba ungachukumisi ibhedi, impahla, okanye ezinye izinto ezinokuthi zichukumise umntu onerhashalala
- Hlamba izandla rhoqo ngesepha namanzi
Imiyalezo ebalulekileyo
Ndifumanise ukuba ukuba thina njengababoneleli kunye noogqirha sigcina imiyalezo emihlanu ephambili, le yeyona ndlela yethu ilungileyo:
- Ugonyo kukugcina ukhuselekile. Injongo yethu kukuba ube nobomi bakho obungcono.
- Iziphumo ebezingalindelekanga ziqhelekile kwaye ziyalawuleka.
- Ugonyo lusebenza kakhulu ekukugcineni ungekho esibhedlele kwaye uphila.
- Ezi ngcebiso zakhelwe kwiminyaka yophando oluthembekileyo, olufumaneka esidlangalaleni.
- Musa ukoyika imibuzo.
Akukho mntu ungunobangela olahlekileyo
Kubaluleke kakhulu ukuba kungabikho mntu ukhe wademoni ngenxa yokwala isincomo sezonyango. Zonke izigulana zifuna ukukhuseleka. Usukelo lwethu njengabanyamekeli kukugcina ucango luvulekile, kuba njengoko ixesha lihamba, kuya kuqwalaselwa ngakumbi. Kwilizwe liphela, iqela “ngokuqinisekileyo akunjalo” ngokumalunga nogonyo lwe-COVID-19 lehle ukusuka kwi-20% ukuya kwi-15% kwezi nyanga zintathu zidlulileyo zika-2021. Injongo yethu kukufundisa nokuba nomonde, kunye nezigulana zethu. Siyazi ukuba zonke izigulane zikhuthazwa ngokwahlukileyo kwaye zikhethekileyo. Ngamanye amaxesha impendulo yam ingcono xa ndisiva ukungafuni okanye ukukholelwa kwimbono engaqhelekanga kukutsho nje "oko akuhambelani namava am."
Okokugqibela, njengecala, ngaphezulu kwe-96% yoogqirha kwilizwe liphela bagonyelwe i-COVID-19. Oku kuquka nam.
Resources
cdc.gov/vaccines/covid-19/hcp/index.html
cdc.gov/vaccines/events/niam/parents/communication-toolkit.html
cdphe.colorado.gov/diseases-a-to-z/monkeypox
cdc.gov/poxvirus/monkeypox/pdf/What-Clinicians-Need-to-Know-about-Monkeypox-6-21-2022.pdf