Zibandakanye, Fundisa, (Ngethemba) Goma
Inyanga Kazwelonke Yokuqwashisa Ngokugoma (NIAM) wumkhosi waminyaka yonke ngo-Agasti oqhakambisa ukubaluleka kokugoma kubantu bayo yonke iminyaka. Kubaluleke kakhulu ukuthi iziguli ezinezimo ezithile zempilo zazise ngemigomo enconywayo njengoba zisengozini enkulu yezinkinga zezifo ezithile ezivinjelwa ngokugoma.
Noma yimuphi umhlinzeki wokunakekela oyinhloko ube nesipiliyoni esilandelayo. Weluleka ngokugoma (noma esinye isincomo), futhi isiguli siyenqaba. Lokhu okuhlangenwe nakho kwegumbi lokuhlolwa ngenkathi ngisaqala izinyanga eziningi ezedlule bekungangimangaza. Nakhu engangikuyo, lowo okuthiwa “uchwepheshe” isiguli esasifika sizobona, ukuze sithole iseluleko, noma ukwelashwa...futhi ngezinye izikhathi bathi, “cha ngiyabonga.”
Ukwenqatshwa komgomo we-COVID-19 akuyona into entsha. Sonke siye saba neziguli zenqaba ukuhlolelwa isimo esifana nomdlavuza we-colorectal, umgomo onjenge-HPV (human papillomavirus), noma omunye. Ngicabange ukuthi ngizokwabelana ngendlela odokotela abaningi noma abahlinzeki ababhekana ngayo nalezi zimo. Ngezwa inkulumo emnandi kaJerome Abraham, MD, MPH eyathinta abaningi bethu ezilalelini.
Kunesizathu
Asilokothi sicabange ukuthi umuntu ongabaza umgomo wenza kanjalo ngenxa yokungazi ngamabomu. Ngokuvamile kuba nesizathu. Kukhona futhi i-spectrum ebanzi phakathi kokwenqaba ngokuphelele kanye nokungabaza. Izizathu zingabandakanya ukuntula imfundo noma ulwazi, ukuhlukumezeka ngokwesiko noma okuzuzwa ngofuzo, ukungakwazi ukuya emtholampilo, ukungakwazi ukuthatha ikhefu emsebenzini, noma ingcindezi evela emndenini nakubangane yokuthi bangakwenzi lokho.
Ivamise ukwehlela ekubukeni okwabiwe ngakho ngokuphepha. Wena njengomhlinzeki ufuna into ephephe kunazo zonke esigulini sakho futhi isiguli sakho sifuna into ephephe kunazo zonke kubo. Okubalulekile kwabanye, bakholelwa ukuthi umonakalo ovela emuthini wokugoma mkhulu kunokulimala kwesifo. Ukuze sifeze umsebenzi wethu njengabanakekeli kumele:
- Zinike isikhathi sokuqonda umphakathi wethu nokuthi kungani ungase ube manqikanqika.
- Sonke sidinga ukwazi ukuthi singayiqala kanjani ingxoxo ephumelelayo futhi sibe nezingxoxo ezinzima.
- Abahlinzeki kufanele bafinyelele imiphakathi edinga usizo futhi bakhe ubudlelwano.
- Khumbula ukulwela labo abadinga usizo lwezempilo olungcono.
Ulwazi olungelona iqiniso? Zibandakanye!
Yebo, sikuzwile konke: “uphawu lwesilo,” ama-microchips, shintsha i-DNA yakho, omazibuthe, njll. Ngakho, abahlinzeki abaningi bakubona kanjani lokhu?
- Buza umbuzo. “Ungathanda ukuthola umgomo?”
- Lalela ngesineke. Buza umbuzo olandelayo, "kungani uzizwa ngaleyo ndlela?"
- Qondanisa nesiguli phezu kokuphepha. Lona umgomo wenu ofanayo.
- Buza ngezinye izinjongo: “yini ekugqugquzelayo ukuthi ufune ukubuyisela impilo kwesijwayelekile?” Lalela.
- Thina njengabahlinzeki sidinga ukunamathela olwazini esilwaziyo. Uma singayazi impendulo yombuzo othile, kufanele sisho kanjalo. Izikhathi eziningi, ngangiphendula ngokuthi “ake ngikutholele.”
Fundisa
Isiko liyisihluthulelo. Kufanele sikhumbule kweminye imiphakathi, kwaba nefa lokuhlukumezeka kwezokwelapha okwakuhilela ukuhlola okuyingozi noma okungahleliwe. Namuhla, iziguli eziningi zisashikashikeka ukuze zithole ukufinyelela kudokotela. Ngisho nalapho bethola udokotela, kungase kube nomuzwa wokuthi ukukhathazeka kwabo akunakwa noma kubukelwa phansi. Futhi yebo, abanye besaba ukunikeza ulwazi lomuntu siqu. Ngakho-ke, ngisho namazinga aphezulu okufa kweminye imiphakathi evela ezifweni ezinjenge-COVID-19, kusekhona ukungabaza okuphezulu. Akumele sikhohlwe ukuthi abaningi basenezithiyo zezimali, ukuntuleka kwezinto zokuhamba, abanakho ukufinyelela ku-inthanethi, noma besaba izimpawu zomuthi wokugoma zingase zibangele ukuthi baphuthe emsebenzini.
I-Monkeypox
I-Monkeypox iyigciwane le-"zoonotic". Lokhu kusho ukuthi isuka ezilwaneni iye kubantu. Ezinye izilwane ezingasabalalisa zihlanganisa izinhlobo ezahlukene zezinkawu, amagundane amakhulu anezikhwama, i-African dormice, kanye nezinhlobo ezithile zezingwejeje. Kulokhu kubhalwa, bekunamacala ayi-109 aqinisekisiwe eColorado. Amacala amaningi aseNew York, eCalifornia, eTexas naseChicago.
Lesi sifo singesomndeni ofanayo wamagciwane njengengxibongo. Izimpawu zayo ngokuvamile ziyefana, kodwa azimbi njengengxibongo. Izigameko zokuqala ze-monkeypox zatholwa odokotela bezokwelapha ngo-1958 ngesikhathi sokuqubuka kabili kwezinkawu ezigcinwe ukuze kwenziwe ucwaningo.
Abantu abaningi abangenwa igciwane lemonkeypox banesifo esithambile, esizibekela umkhawulo ngisho kungabikho ukwelashwa okuqondile. Umbono uncike esimweni sempilo yesiguli kanye nesimo sokugoma.
Kukhona okufanele zelashwe, okuhlanganisa nalabo abanesifo esibi kakhulu, amasosha omzimba asengozini kanye nalabo abangaphansi kweminyaka eyisishiyagalombili ubudala. Ezinye iziphathimandla zitusa labo abakhulelwe, noma abancelisayo kufanele belashwe. Okwamanje alukho ukwelashwa okugunyaziwe okuqondene ngqo nokutheleleka ngegciwane lemonkeypox, kodwa ama-antiviral aklanyelwe ukusetshenziswa ezigulini ezinengxibongo angase asebenze ngokumelene nemonkeypox.
Kunenkulumo-mpikiswano mayelana nokuthi i-monkeypox iyisifo esithathelwana ngocansi yini, mhlawumbe ngokunembayo, yisifo esingadluliselwa ngokuthintana ngokocansi. Ngandlela thize kufana ne-herpes esakazwa ngokuthintana kwesikhumba kuya esikhumbeni.
Abantu abaningi bathola amasethi amabili ezimpawu zemonkeypox. Isethi yokuqala yenzeka cishe izinsuku ezinhlanu futhi ihlanganisa imfiva, ikhanda elibuhlungu noma ubuhlungu beqolo, ama-lymph nodes avuvukele namandla aphansi.
Ezinsukwini ezimbalwa ngemva kokuba nomkhuhlane, ngokuvamile kuvame ukuqubuka kumuntu ongenwa upokisi. Ukuqubuka kubukeka njengezinduna noma amabhamuza futhi kungavela ezingxenyeni eziningi zomzimba, okuhlanganisa ubuso, isifuba, izintende zezandla namatheni ezinyawo. Lokhu kungase kuthathe amasonto amabili kuya kwamane.
Umuthi wokugomela inkawu?
I-FDA igunyaze umgomo we-JYNNEOS - owaziwa nangokuthi i-Imvanex - ukuvimbela ingxibongo kanye nenkawu. Imithamo eyengeziwe i-odwe. Umuthi wokugomela i-JYNNEOS uhlanganisa amashothi amabili, abantu ababhekwa njengabagonywe ngokugcwele cishe amasonto amabili ngemva kokudubula kwesibili. Umuthi wokugoma wesibili, i-ACAM2000T, unikezwe ukufinyelela okunwetshiwe kwemfene. Lokhu ishothi eyodwa kuphela. Kunconywa kubantu abakhulelwe, izinsana ezingaphansi konyaka owodwa ubudala, abantu abanamasosha omzimba abuthakathaka, abanesifo senhliziyo, nalabo abane-HIV. Uthathwa ngokuthi ugonyiwe emasontweni amane ngemuva kokudutshulwa. Le mithi yokugoma iyashoda futhi umhlinzeki wakho uzodinga ukusebenzisana noMnyango Wezempilo Nezemvelo wase-Colorado (CDPHE) ukuze axhumanise.
Ochwepheshe bezokwelapha baphakamisa ukuthi abantu bathathe lezi zinyathelo ezilandelayo ukusiza ukuvimbela ukusabalala kwe-monkeypox:
- Gwema ukuthintana okusondelene nesikhumba nesikhumba nomuntu onomqubuko ofana nowenkawu. Umuntu uthathwa ngokuthi uyathelelana kuze kuphole ngokuphelele ukuqhuma.
- Zama ukuthi ungathinti okokulala, izingubo zokugqoka, noma ezinye izinto okungenzeka zithinte umuntu onopokisi
- Geza izandla njalo ngensipho namanzi
Imiyalezo eyinhloko
Ngithole ukuthi uma thina njengabahlinzeki nodokotela sigcina imilayezo emihlanu ebalulekile, lena indlela yethu engcono kakhulu:
- Umuthi wokugoma owokugcina uphephile. Umgomo wethu uwukuba ube nempilo yakho engcono kakhulu.
- Imiphumela engemihle ijwayelekile futhi iyalawuleka.
- Imithi yokugoma iyasebenza kakhulu ekukugcineni ungangeni esibhedlela futhi uphila.
- Lezi zincomo zakhelwe phezu kweminyaka yocwaningo oluthembekile, olutholakala esidlangalaleni.
- Ungesabi imibuzo.
Akekho umuntu oyisizathu esilahlekile
Kubaluleke kakhulu ukuthi kungabikho muntu owake wangenwa idemoni ngokwenqaba izincomo zezokwelapha. Zonke iziguli zifuna ukuphepha. Umgomo wethu njengabanakekeli uwukugcina umnyango uvulekile, ngoba njengoba isikhathi siqhubeka, kuningi okuzocabangela. Ezweni lonke, iqembu “nakanjani” mayelana nokugonyelwa i-COVID-19 lehle lisuka ku-20% laya ku-15% ezinyangeni ezintathu ezedlule zika-2021. Umgomo wethu uwukufundisa nokubekezela, neziguli zethu. Siyazi ukuthi zonke iziguli zigqugquzelwa ngendlela ehlukile futhi ehlukile. Ngezinye izikhathi impendulo yami engcono kakhulu lapho ngizwa ukungabaza noma ukukholelwa embonweni engingawujwayele kuwukuvele ngithi “lokho akuhambisani nokuhlangenwe nakho kwami.”
Ekugcineni, njenge eceleni, ngaphezu kwama-96% odokotela ezweni lonke bagonyelwe i-COVID-19. Lokhu kuhlanganisa nami.
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-Clininicians-Need-to-Know-about-Monkeypox-6-21-2022.pdf