Kodi Mpox ndi chiyani? Tiyeni tikambirane mwatsatanetsatane za kachilombo koopsa aka!

Muyenera kuti mwamva za `Mpox` yatsopano ()

Kodi `Mpox` kwenikweni ndi chiyani?

Mwachidule, `Mpox` ndi matenda omwe amayamba chifukwa cha kachilombo. Kale ankatchedwanso `monkeypox`. Akachitika, makamaka amayamba kutupa ndi matuza pakhungu, limodzi ndi zizindikiro monga malungo ndi kupweteka kwa thupi. Mwina munamvapo za nthomba. `Mpox` imayambitsidwa ndi kachilombo kena komwe kamagwirizana ndi kachilombo komwe kamayambitsa nthomba. Chifukwa chake, zizindikiro zina zitha kukhala zofanana.

M'madera ena a ku Africa, matenda a 'Mpox' amenewa nthawi zambiri amanenedwa. Izi zikutanthauza kuti ndi 'ofala' m'madera amenewo. Koma nthawi zina matendawa amatha kufalikira mwadzidzidzi kumayiko ena padziko lonse lapansi. Kuwonjezeka kwadzidzidzi kwa odwala ndi komwe timatcha 'kufalikira'.

Kodi mitundu ikuluikulu ya `Mpox` ndi iti?

Pali mitundu iwiri ikuluikulu ya kachilombo ka `Mpox` komwe kwadziwika mpaka pano:

• Clade I: Mtundu uwu umachokera ku dera la Central Africa. Ungayambitse matenda oopsa pang'ono kuposa Clade II. Komabe, kufalikira kwaposachedwa kwa Clade I kwanenedwa kuti kuli ndi chiwerengero chochepa cha imfa.
• `Clade II`: Izi zimapezeka kwambiri kudera la East Africa. Ndi mtundu wa `Clade II` womwe umayambitsa mafunde a `Mpox` omwe afalikira padziko lonse lapansi kuyambira 2022. Sizingakhale zoopsa kwambiri ngati `Clade I`.

Tiyeni tiwone kufalikira kwa matenda a `Mpox` padziko lonse lapansi.

Kufalikira kwa matenda a `Clade I` Mpox kwanenedwa ku Central ndi East Africa kuyambira mu 2023.

Komanso, kuyambira mu 2022, kufalikira kwa `Clade II` (Clade II) `Mpox` (Mpox) kwakhala kukuchitika padziko lonse lapansi, ndipo kwakhudza mayiko ambiri. Ku United States kokha, milandu 1,700 yanenedwa mu 2023. Ponseponse, milandu yoposa 102,000 ya `Clade II` (Clade II) `Mpox` (Mpox) yanenedwa padziko lonse lapansi kuyambira mu 2022.

Nthawi yomaliza kufalikira kwa matendawa ku United States inali mu 2003. Panthawiyo, anthu 47 adadwala nthomba kuchokera kwa agalu akutchire. Koma sizinapatsidwe kuchokera kwa munthu wina kupita kwa wina.

Kodi zizindikiro za `Mpox` ndi ziti?

Tsopano tiyeni tiwone zizindikiro zomwe zimaonekera mukalandira `Mpox`. Zizindikirozi sizimawoneka mofanana kwa aliyense, ndipo ndikofunikira kukumbukira zimenezo.

• Zizindikiro zazikulu za kutupa pakhungu, zilonda pakhungu, kapena matuza ndi izi .
• Kudwala malungo .
• Ma lymph nodes otupa. M'malo monga khosi ndi m'khwapa.
• Kumva kuzizira komanso kunjenjemera (Kuzizira).
• Mutu . (Pepani, mawu achi Georgian alowa! Kukonza ku Sinhala: . )
• Kupweteka kwa minofu.
• Kumva kutopa kwambiri (Kutopa).

Chofunika ndichakuti si aliyense amene akudwala chikuku amene angapeze zizindikiro zonsezi. Anthu ena angakumane ndi zizindikiro mosiyana. Mwachitsanzo:

• Ziphuphu pakhungu zingawonekere zokha popanda zizindikiro zina, kapena zizindikiro zina zingawonekere pambuyo pake.
• Zizindikiro monga malungo ndi kupweteka kwa thupi zingayambe kuwonekera, kenako ziphuphu pakhungu.
• Anthu ena akhoza kuyamba kutupa pakhungu kapena sangayambe konse .

Kodi ziphuphu za `Mpox` zimawoneka bwanji?

Ziphuphu zomwe zimayambitsidwa ndi `Mpox` (mpox) iyi zitha kuwoneka ngati zilonda pakamwa panu, pankhope, m'manja, miyendo, m'mimba (mbolo, nyini), kapena kumaliseche. Anthu ena akhoza kukhala ndi ziphuphu zomwe zimafalikira thupi lonse, pomwe ena amatha kukhala ndi matuza ochepa chabe.

Ziphuphu za chikuku zimadutsa m'magawo osiyanasiyana, kuyambira milungu iwiri mpaka inayi:

1. Poyamba khungu limatha kuoneka ngati mawanga ofiira komanso athyathyathya. Izi zithanso kupweteka pang'ono.

2. Kenako, madontho awa adzatupa mmwamba.

3. Malo otupa awa amasanduka matuza odzaza ndi madzi.

4. Pakatha masiku angapo, matuza awa adzadzaza ndi mafinya.

5. Pamapeto pake, matuza awa amauma, amapanga kutumphuka, kenako amagwa.

Kodi chimayambitsa `Mpox` nchiyani?

Matenda a `Mpox` amenewa amayamba chifukwa cha kachilombo kotchedwa `monkeypox virus`. Kachilomboka kamatchedwanso `Orthopoxvirus monkeypox`. Monga mukudziwa, kachilomboka ndi kachidutswa kakang'ono kwambiri, kosaoneka ka chidziwitso cha majini chomwe chimaphimbidwa ndi chophimba choteteza. Kachilomboka kamene kamayambitsa `Mpox` ndi kachilombo ka m'banja la `pox virus`, ndipo kali m'gulu la `Orthopoxvirus`.

Kodi Mpox imafalikira bwanji?

Chabwino, tsopano tiyeni tiwone momwe matenda a `Mpox` angafalitsidwire kuchokera kwa munthu wina kupita kwa wina, kapena kuchokera ku nyama kupita kwa munthu. Izi ndizofunikira kwambiri, chifukwa tikadziwa momwe amafalitsidwira, zimakhala zosavuta kuti tidziteteze.

• Mpox imafalikira mwa kukhudzana mwachindunji ndi zilonda kapena ziphuphu.(Kuchokera ku nyama kapena munthu amene ali ndi kachilomboka). Tangoganizirani, khungu lanu likukhudzana ndi chithuza pakhungu la wodwalayo.
• Kudzera mu kukhudzana ndi malovu a wodwalayo, mamina a m'mphuno kapena mkamwa (mafinya), magazi, kapena madzi ena amthupi (ochokera ku nyama kapena munthu).
• Mwa kukhudza zinthu monga zovala, zofunda, kapena matawulo omwe munthu kapena nyama yomwe ili ndi kachilomboka imagwiritsidwa ntchito.
• Kupatsirana kwa mwana kuchokera kwa mayi wapakati panthawi ya mimba kapena pobereka (kufalikira kolunjika).

Kuti tinene momveka bwino, izi ndi zochitika zenizeni zomwe mungathe kutenga `Mpox`:

• Kukhudzana kwambiri. Mwachitsanzo, kukumbatirana, kupsompsonana, kapena kugonana.
• Kukhudzana ndi khungu ndi khungu.
• Kugawana zinthu zanu monga matawulo, machira ogona, ndi zoseweretsa zogonana.
• Mwa kulumidwa kapena kukanda ndi nyama yodwala matendawa.
• Mwa kudya nyama ya chiweto chomwe chili ndi kachilomboka (ngati sichinaphikidwa bwino)
• Ngakhale kuti sizichitika kawirikawiri, amakhulupirira kuti zimatha kufalikiranso mwa kukhala pafupi ndi munthu amene ali ndi kachilomboka, kulankhula, kuyetsemula, kapena kutsokomola , koma izi sizingatheke.

Ndani ali pachiwopsezo chachikulu chotenga `Mpox`?

Ndipotu, aliyense akhoza kutenga Mpox. Komabe, anthu ena ali pachiwopsezo chachikulu chotenga kapena kukhudzidwa ndi matendawa. Kufalikira kwa matendawa padziko lonse lapansi kukuoneka kuti kwafala kwambiri pakati pa amuna omwe amagonana ndi amuna (MSM). Komabe, ku Democratic Republic of the Congo, komwe Clade I ndiye wofala kwambiri, anthu oposa theka la omwe ali ndi matendawa ndi ana osakwana zaka 15.

M'mayiko ngati United States, mungakhale pachiwopsezo chachikulu chotenga kachilombo ka Mpox ngati:

• Munthu amene mwagonana naye m'masabata awiri apitawa wapezeka ndi matenda a Mpox.
• Mwachitapo zogonana mu kilabu yogonana, bafa, kapena malo ena ochitirako zogonana m'miyezi isanu ndi umodzi yapitayi.
• Munagonana pa phwando kapena malo omwe nthomba inali kufalikira.
• Bwenzi lanu logonana lakumanapo ndi chilichonse mwa zinthu zomwe zili pamwambapa.
• Ngati mwakhala ndi matenda opatsirana pogonana amodzi kapena angapo m'miyezi isanu ndi umodzi yapitayi (monga matenda opatsirana pogonana, chinzonono, syphilis, chancroid, kapena chlamydia).
• Mwagonana ndi anthu oposa m'modzi m'miyezi isanu ndi umodzi yapitayi.

Chofunika: Zinthu zoopsazi sizikutanthauza kuti aliyense m'magulu awa adzadwala nthenda ya nkhuku. Komabe, ndikofunikira kusamala kwambiri pazochitika zotere.

Komanso, ngati anthu ena atenga `Mpox`Matendawa amatha kukulirakulira kwambiri. Izi ndi izi:

• Anthu omwe ali ndi chitetezo chamthupi chofooka, makamaka omwe afooka chifukwa cha kachilombo ka HIV.
• Kwa anthu omwe ali ndi matenda a pakhungu monga eczema.
• Azimayi oyembekezera.
• Makanda osakwana chaka chimodzi nawonso ali pachiwopsezo chachikulu chotenga matenda oopsa.

Kodi ndi mavuto ati omwe angakhalepo chifukwa cha Mpox?

Mukadwala nthenda ya nkhuku, nthawi zina simangochira kokha, komanso ingayambitse mavuto ena. Ndi bwino kudziwa izi:

• Matenda a bakiteriya. Nthawi zina matendawa amatha kukhala matenda oopsa otchedwa sepsis, omwe ndi pamene mabakiteriya amalowa m'magazi ndikukhudza thupi lonse.
• Chikuku chingayambitse matenda a maso, zomwe zimapangitsa kuti maso asaone bwino kapena awonongeke.
• Myopericarditis - Uku ndi kutupa kwa nembanemba yozungulira mtima.
• Encephalitis - kutupa kwa ubongo.
• Chibayo.
• Kuvutika kupuma - Izi zikutanthauza kuti munthu amavutika kupuma komanso amavutika kupeza mpweya wabwino m'thupi.
• Zilonda zoopsa.

Kodi matenda a Mpox amawapeza bwanji?

Ngati muli ndi zizindikiro za Mpox, kodi dokotala angatsimikizire bwanji kuti ndi Mpox? Dokotala nthawi zambiri amatenga chitsanzo (swab) kuchokera ku zilonda ziwiri kapena zitatu pakhungu lanu. Chitsanzochi chimatumizidwa ku labotale kuti akayesedwe ndi polymerase chain reaction (PCR). Mayeso a magazi angachitikenso.

Ngati mukuganiza kuti mwina mwakumanapo ndi munthu amene wakhala ndi nthomba, ndikofunikira kuuza dokotala wanu. Dokotala wanu angayang'anenso matenda ena omwe angayambitse ziphuphu pakhungu, monga chikuku kapena katsabola.

Kodi mankhwala a `Mpox` ndi ati?

Pakadali pano palibe mankhwala ovomerezeka oletsa mavairasi makamaka a chikuku. Komabe, ngati matenda anu ndi aakulu kapena muli ndi pakati, dokotala wanu angasankhe kukupatsani mankhwala oletsa mavairasi monga tecovirimat (TPOXX) kapena cidofovir/brincidofovir, omwe amagwiritsidwa ntchito pochiza matenda ena a mavairasi (monga nthomba). Katemera wa immune globulin (VIG-IV) nthawi zina ndi njira ina.

Mankhwalawa amavomerezedwa kuti azitha kuchiza matenda ena opatsirana ndi mavairasi, kotero anthu ena omwe ali ndi Mpox angapindule nawo. Komabe, ofufuza akuphunzirabe momwe mankhwalawa alili othandiza pa Mpox.

Kodi mungadziteteze bwanji ku `Mpox`? Ichi ndiye chinthu chofunikira kwambiri!

Njira yabwino yochepetsera chiopsezo chanu chotenga chikuku ndikutenga katemera ngati muli pachiwopsezo chachikulu chotenga kachilomboka. Ndikofunikira kulandira katemera musanayambe kapena mwamsanga mutangoyamba kumwa katemerayu.

Kuwonjezera pa katemera, pali njira zina zingapo zothandizira kupewa kufalikira kwa Mpox:

• Kupewa kukhudzana kwambiri ndi anthu ena (monga makalabu, maphwando), makamaka khungu lanu kapena la ena likaonekera.
• Musakhudze ziphuphu, matuza, kapena ziphuphu za nkhuku.
• Pewani kukhudza zofunda ndi zinthu zina zomwe zingaipitsidwe ndi Mpox.
• Sambani m'manja mwanu nthawi zonse ndi sopo.
• Chitani zogonana zotetezeka, kuphatikizapo kugwiritsa ntchito makondomu ndi madamu a mano.
• Valani chophimba pakamwa ndi mphuno chomwe chimaphimba pakamwa panu ndi mphuno yanu mukakhala pafupi ndi anthu ena.
• Sungani malo omwe amakhudzidwa pafupipafupi (monga zogwirira zitseko, matebulo) oyera ndipo muwaphe tizilombo toyambitsa matenda.
• Gwiritsani ntchito Zipangizo Zodzitetezera (PPE) (monga magolovesi, zophimba nkhope) posamalira odwala omwe ali ndi Mpox .
• Pewani kukhudzana ndi nyama zomwe zili ndi kachilomboka kapena nyama zakuthengo.
• Phikani zakudya zonse zokhala ndi nyama bwino ndipo pewani kudya nyama zakuthengo.

Kumbukirani, mwina muli ndi nthenda ya chickenpox koma simukudziwa. Ngakhale simukuwonetsa zizindikiro zazikulu, mutha kufalitsa matendawa kwa ena mwa kukhudzana kwambiri kwa nthawi yayitali.

Ndani ayenera kulandira katemera wa Mpox?

Pakadali pano, katemera wa Mpox amalimbikitsidwa kokha kwa anthu omwe adakumana ndi Mpox kapena omwe ali pachiwopsezo chachikulu chokumana ndi matendawa. Zinthu zoopsazi zimatha kusiyana kutengera komwe mumakhala komanso komwe mumayenda.

Mwachitsanzo, ku United States, anthu azaka 18 kapena kuposerapo omwe ali ndi zinthu zoopsa amalangizidwa kuti alandire katemera wa JYNNEOS™ kawiri, masiku 28 osiyana. Kawirikawiri, muli pachiwopsezo ngati mwakumana ndi munthu amene ali ndi Mpox, mukuganiza kuti mwakumana ndi munthu amene ali ndi kachilomboka, kapena muli pachiwopsezo chokumana ndi Mpox.

Funsani akuluakulu azaumoyo wa anthu am'deralo kuti akupatseni malangizo aposachedwa (monga Centers for Disease Control and Prevention (CDC) ku United States). Ngati simukudziwa ngati muyenera kulandira katemera, lankhulani ndi dokotala.

Kodi katemera wa `Mpox` amaperekedwa bwanji?

Dokotala kapena katswiri wazaumoyo adzakupatsani mlingo wawiri wa katemera wa Mpox, womwe ungakhale wa masiku osachepera 28. Uwu ndi jakisoni. Ungaperekedwe pamwamba pa khungu (katemera wa intradermal) kapena pansi pa khungu (katemera wa subcutaneous).

Jakisoni wa `intradermal` ungasiye chilonda chaching'ono. Ngati mukufuna kuti jakisoniyo iperekedwe pamalo osaonekera, mutha kupempha kuti iperekedwe kumbuyo kwa phewa (`phewa`) m'malo mwa pamphumi. Kapena mutha kupempha kuti muperekedwe jakisoni wa `subcutaneous`.

Kodi chimachitika ndi chiyani ngati mutalandira `Mpox`?

Nkhuku nthawi zambiri imatha pakatha milungu iwiri kapena inayi. Dokotala wanu adzakuyang'anirani mpaka ziphuphu zanu za pakhungu zitatha.

`Clade II` Mpox – mtundu wa matenda omwe akufalikira padziko lonse lapansi – nthawi zambiri sapha anthu. Ngakhale kuti chiwerengero cha anthu omwe amwalira ndi `Clade I` chakhala pafupifupi 10% m'mbuyomu, chatsika kufika pa 3.3% m'miliri yaposachedwa. Choncho musachite mantha.

Zinthu zomwe mungachite kunyumba mukakhala ndi Mpox

Ngati muli ndi zizindikiro za `Mpox`, pali zinthu zingapo zomwe mungachite kunyumba kuti zikuthandizeni kuchira:

• Mankhwala operekedwa ndi dokotala ( OTC), monga ibuprofen ndi paracetamol, angathandize kuchepetsa zizindikiro zanu (malungo, kupweteka kwa thupi).
• Sambani ndi oatmeal ya colloidal. Kuviika m'madzi ofunda ndi chisakanizochi kungathandize kuchepetsa kuuma ndi kuyabwa komwe kumachitika chifukwa cha ziphuphu pakhungu.
• Pumulani mokwanira ndipo imwani madzi ambiri. Kupuma kunyumba ndi kumwa madzi ambiri ndikofunikira kwambiri kuti munthu achire msanga.

Komanso, mungachite izi kuti mupewe kufalitsa Mpox kwa ena ndikuteteza ena:

• Ngati muli ndi kachilomboka, dzipatuleni kwa ena. Pewani kukhudzana ndi ena mpaka khungu lanu litachira kwathunthu.
• Valani chigoba. Ngati muyenera kukhala pafupi ndi anthu ena - mwachitsanzo, mukafuna thandizo lachipatala - valani chigoba chomwe chimaphimba pakamwa ndi mphuno yanu bwino, monga `N95` kapena `KN95`.
• Phimbani malo ang'onoang'ono a pakhungu omwe ali ndi zilonda kapena matuza. Gwiritsani ntchito nsalu yopyapyala kapena bandeji kuti muchepetse kufalikira kwa matendawa kwa ena komanso ku zinthu zomwe mumagwira.
• Pewani kukhudzana ndi ziweto (makamaka makoswe). Mpox imatha kufalikira pakati pa anthu ndi nyama.

Kodi muyenera kupita kwa dokotala liti?

Tikukulangizani kuti mukawone dokotala pazochitika zotsatirazi:

• Ngati muli ndi zizindikiro monga malungo, kupweteka kwa thupi, kapena kutupa kwa ma lymph nodes .
• Zilonda zatsopano pakhungu lanuNgati chaonekera.
• Ngati mwakhala mukukumana ndi munthu amene ali ndi Mpox .
• Ngati mukufuna kudziwa zambiri zokhudza katemera wa Mpox kapena komwe mungapeze.

Ngati muli ndi pakati, mwakumanapo ndi Mpox, kapena muli ndi zizindikiro, dziwitsani dokotala wanu wa za mimba nthawi yomweyo. Angakuthandizeni kuchepetsa chiopsezo cha mavuto aakulu ndikuletsa kufalikira kwa Mpox kwa mwana wanu panthawi ya mimba ndi kubereka.

Kodi muyenera kupita ku Chipinda Chothandizira Anthu Odwala Mwadzidzidzi (ETU) liti?

Ngati muli ndi zizindikiro zazikulu zotsatirazi, pitani ku chipinda chodzidzimutsa nthawi yomweyo, kapena imbani 1990 (utumiki wa ambulansi yadzidzidzi ku Sri Lanka):

• Ngati mukuvutika kupuma kapena kupuma movutikira kwambiri .
• Ngati muli ndi ululu watsopano pachifuwa kapena wokulirapo .
• Ngati mukumva kuuma kwa khosi .
• Ngati mukumva kusokonezeka kapena mukuvutika kuganiza bwino .
• Ngati mukuvutika kulankhula kapena kusuntha thupi lanu .
• Ngati chikumbumtima chatayika .
• Ngati chikomokere chachitika.
• Ngati bala silikuchira ndipo likupweteka kwambiri .

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mukapita kwa dokotala, zingakhale zothandiza kufunsa mafunso monga awa:

• Kodi ndiyenera kulandira katemera wa Mpox?
• Kodi pali mankhwala aliwonse a izi?
• Kodi ndiyenera kudzisamalira bwanji ndili kunyumba?
• Ndi zizindikiro ziti zoopsa zomwe ndiyenera kuyang'anitsitsa?

N’chifukwa chiyani tsopano timatcha izi kuti ``monkeypox`` m’malo mwa ``Mpox``?

Bungwe la World Health Organization (WHO) linasintha dzina la matendawa kukhala `Mpox` mu Novembala 2022. Izi zikugwirizana ndi malangizo aposachedwa a WHO opewera kugwiritsa ntchito mayina omwe amanyoza gulu lililonse. Komabe, kachilombo komwe kamayambitsa `Mpox` kamatchedwabe `monkeypox virus`.

Kusiyana pakati pa `Mpox` ndi matenda ena

Chikuku ndi katsabola

Ngakhale kuti zonsezi zimayambitsa ziphuphu pakhungu, ziphuphu ndi ziphuphu zimayambitsidwa ndi mavairasi awiri osiyana. Chickenpox ndi orthopoxvirus, ndipo ziphuphu ndi kachilombo ka herpes. Mavairasi onsewa amatha kufalikira kudzera mu kukhudzana khungu ndi khungu kapena kukhudzana maso ndi maso kwa nthawi yayitali. Komabe, ziphuphu ndi matenda opatsirana kwambiri ndipo amafalikira mosavuta kuposa ziphuphu. Anthu omwe ali ndi ziphuphu nthawi zambiri amakhala ndi ziphuphu kuposa omwe ali ndi ziphuphu.

Mawonekedwe a ziphuphu zimasiyana. Ziphuphu za nkhuku zimatha kuwoneka ngati mafunde, koma zilonda za `Mpox` zimakula nthawi imodzi. Zizindikiro za chiphuphu - kuphatikizapo ziphuphu - nthawi zambiri zimachepa mkati mwa milungu iwiri, koma `Mpox` imatenga milungu iwiri kapena inayi kuti ichiritse.

`Mpox` ndi nthomba (`nthomba`)

Matenda a nthomba ndi Mpox onse ali m'gulu la matenda a Orthopoxvirus, zomwe zikutanthauza kuti amayamba chifukwa cha mavairasi awiri ofanana koma osiyana. Chifukwa cha mapulogalamu opambana a katemera, nthomba inathetsedwa padziko lonse lapansi pofika mu 1980 (kutanthauza kuti si matenda ofala kwambiri). Matenda a nthomba ndi matenda opatsirana kwambiri omwe amafalikira mosavuta kuposa Mpox. Ngakhale kuti zizindikiro za Mpox ndizofanana ndi za nthomba, sizili zoopsa ngati matenda a nthomba ndipo ndi zochepa.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Nkhani ya kufalikira kwa matenda, ngakhale mawu oti "kufalikira," ingayambitse nkhawa ndi mantha ambiri m'maganizo mwathu. Makamaka popeza ambiri a ife sitinamvepo za 'Mpox' mpaka 2022, zingamveke ngati chinthu china chowonjezera pa mndandanda wathu wa nkhawa.

Komabe, kafukufuku wokhudza mavairasi ofanana ndi nthomba wakhala akuchitika kwa zaka zambiri. Chifukwa cha zimenezi, opereka chithandizo chamankhwala atha kugwiritsa ntchito mwachangu katemera ndi njira zina zochepetsera kufalikira kwa Mpox. Ngati mukuganiza kuti muli pachiwopsezo chachikulu chotenga kachilombo ka Mpox, pali njira zochepetsera chiopsezo chimenecho. Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi izi, musazengereze kulankhula ndi dokotala. Maphunziro ndiye chitetezo chabwino kwambiri!

Mpox , Mpox, Kachirombo, Matuza a Khungu, Zizindikiro, Kufalikira, Kupewa, Katemera