Iyini i-Mpox? Ake sixoxe ngaleli gciwane eliyingozi ngokuningiliziwe!

Kumelwe ukuthi uzwile nge-`Mpox` entsha ()

Yini ngempela i-`Mpox`?

Kalula nje, i-'Mpox' yisifo esibangelwa yigciwane. Yayibizwa nangokuthi i-'monkeypox' esikhathini esidlule. Uma ivela, ibangela kakhulu ukuqubuka okunama-blister esikhumbeni, kanye nezimpawu ezifana nomkhuhlane kanye nobuhlungu bomzimba. Kungenzeka ukuthi wake wezwa nge-smallpox. I-'Mpox' ibangelwa elinye igciwane elihlobene negciwane elibangela i-smallpox. Ngakho-ke, ezinye zezimpawu zingase zifane.

Kwezinye izingxenye zase-Afrika, lesi sifo 'se-Mpox' sivame ukubikwa. Lokhu kusho ukuthi 'sivamile' kulezo zifunda. Kodwa ngezinye izikhathi lesi sifo singasakazeka ngokuzumayo kwamanye amazwe omhlaba. Ukwanda okungazelelwe kwenani leziguli yilokho esikubiza ngokuthi 'ukuqubuka'.

Yiziphi izinhlobo eziyinhloko ze-`Mpox`?

Kunezinhlobo ezimbili eziyinhloko zegciwane le-`Mpox` esezitholakale kuze kube manje:

• I-Clade I: Lolu hlobo luvela esifundeni sase-Afrika Ephakathi. Lungabangela isifo esibi kakhulu kune-Clade II. Kodwa-ke, ukuqubuka kwamuva kwe-Clade I kubikwe ukuthi kunezinga eliphansi lokufa.
• `I-Clade II`: Lokhu kutholakala kakhulu esifundeni saseMpumalanga Afrika. Uhlobo lwe-`Clade II` olubangela igagasi le-`Mpox` eliye lasakazeka emhlabeni wonke kusukela ngo-2022. Amathuba amancane okuba yingozi njenge-`Clade I`.

Ake sibheke ukuqubuka kwe-'Mpox' emhlabeni.

Ukuqubuka kwe-'Clade I' Mpox kubikwe e-Afrika Ephakathi naseMpumalanga kusukela ngo-2023.

Futhi, kusukela ngo-2022, ukuqubuka kwe-`Clade II` (Clade II) `Mpox` (Mpox) kuye kwenzeka emhlabeni wonke, kuthinta amazwe amaningi. E-United States kuphela, kubikwe amacala angu-1,700 ngo-2023. Sekukonke, amacala angaphezu kuka-102,000 e-`Clade II` (Clade II) `Mpox` (Mpox) abikwe emhlabeni wonke kusukela ngo-2022.

Isikhathi sokugcina ubhubhane olunjalo lwenzeka e-United States kwakungo-2003. Ngaleso sikhathi, abantu abangu-47 bangenwa yi-smallpox ezinjeni zasezindaweni ezifuywayo. Kodwa ayizange idluliselwe komunye umuntu.

Ziyini izimpawu ze-`Mpox`?

Manje ake sibone ukuthi yiziphi izimpawu eziboniswayo uma uthola i-`Mpox`. Lezi zimpawu azibonakali ngendlela efanayo kuwo wonke umuntu, futhi kubalulekile ukukhumbula lokho.

• Ukuqubuka kwesikhumba, izilonda zesikhumba, noma amabhamuza yizimpawu eziyinhloko.
• Ukuthola umkhuhlane .
• Ama-lymph node avuvukele. Ezindaweni ezifana nentamo nasemakhwapheni.
• Ukuzizwa ubanda futhi uqhaqhazela (Ukugodola).
• Ikhanda elibuhlungu . (Hawu, igama lesiGeorgia lingene! Ukulungisa ngesiSinhala: . )
• Ubuhlungu bemisipha.
• Ukuzizwa ukhathele kakhulu (Ukukhathala).

Into ebalulekile ukuthi akuwona wonke umuntu othola isimungumungwane ozoba nazo zonke lezi zimpawu. Abanye abantu bangase babe nezimpawu ngendlela ehlukile. Isibonelo:

• Ukuqubuka kwesikhumba kungase kuvele kodwa ngaphandle kwezinye izimpawu, noma ezinye izimpawu zingase zivele kamuva.
• Izimpawu ezifana nomkhuhlane kanye nobuhlungu bomzimba zingase zivele kuqala, kulandelwe ukuqubuka kwesikhumba.
• Abanye abantu bangase babe nokuqubuka kwesikhumba noma bangase bangakhuli nhlobo .

Ubukeka kanjani ubomvu be-`Mpox`?

Ukuqubuka okubangelwa yi-'Mpox' (mpox) kungabonakala njengezilonda emlonyeni wakho, ebusweni, ezandleni, emilenzeni, ezithweni zangasese (ipenisi, isitho sangasese sowesifazane), noma endunu. Abanye abantu bangase babe nokuqubuka okusakazeke emzimbeni wonke, kanti abanye bangase babe nama-blister ambalwa kuphela.

Ukuqhuma kwesimungumungwane kuhamba ngezigaba eziningana ezahlukene, okuhlala cishe amasonto amabili kuya kwamane:

1. Isikhumba singase siqale sibonakale njengamabala abomvu, asicaba. Lokhu kungase kube buhlungu kancane.

2. Okulandelayo, la mabala azovuvukala phezulu.

3. Lezi zindawo ezivuvukele zibe seziphenduka amabhamuza agcwele amanzi.

4. Ngemva kwezinsuku ezimbalwa, la maqhubu azogcwala ubomvu.

5. Ekugcineni, la maqhubu ayoma, akhe uqweqwe, bese ewa.

Yini ebangela i-`Mpox`?

Lesi sifo 'seMpox' sibangelwa ukutheleleka kwegciwane elibizwa ngokuthi 'igciwane le-monkeypox'. Leli gciwane libizwa nangokuthi 'i-Orthopoxvirus monkeypox'. Njengoba wazi, igciwane liyingcezu encane kakhulu, engabonakali yolwazi lwezakhi zofuzo olumbozwe yingubo evikelayo. Igciwane elibangela 'iMpox' liyigciwane elivela emndenini wegciwane 'le-pox', futhi livela kuhlobo lwegciwane 'le-Orthopoxvirus'.

I-Mpox idluliselwa kanjani?

Kulungile, manje ake sibone ukuthi lesi sifo 'seMpox' singadluliselwa kanjani sisuka komunye umuntu siye komunye, noma sisuka esilwaneni siye kumuntu. Lokhu kubaluleke kakhulu, ngoba uma sazi ukuthi sidluliselwa kanjani, kulula kithi ukuzivikela.

• I-Mpox idluliselwa ngokuthintana ngqo nezilonda noma uqweqwe.(Kusuka esilwaneni noma kumuntu onegciwane). Cabanga nje, isikhumba sakho sithintana ne-blister esikhumbeni sesiguli.
• Ngokuthintana namathe esiguli, uketshezi oluphuma ekhaleni noma emlonyeni (amafinyila), igazi, noma olunye uketshezi lomzimba (oluvela esilwaneni noma kumuntu).
• Ngokuthinta izinto ezifana nezingubo, imibhede, noma amathawula asetshenziswa ngumuntu noma isilwane esinalesi sifo.
• Ukudluliselwa kusuka kumama okhulelwe kuya enganeni yakhe ngesikhathi sokukhulelwa noma sokubeletha (ukudluliselwa okuqondile).

Ukuze sicacise kakhudlwana, lezi yizimo ezithile lapho ungangenwa khona yi-`Mpox`:

• Ukuthintana okusondelene kakhulu ngokomzimba. Isibonelo, ukwanga, ukuqabulana, noma ukwenza ucansi.
• Ukuthintana kwesikhumba nesikhumba.
• Ukwabelana ngezinto zakho siqu, njengamathawula, amashidi okulala, namathoyizi ocansi.
• Ngokulunywa noma ukuklwejwa yisilwane esinalesi sifo.
• Ngokudla inyama yesilwane esinesifo (uma ingaphekwanga kahle)
• Nakuba kungavamile, kukholelwa ukuthi kungadluliselwa nangokuhlala eduze nomuntu onegciwane, ukukhuluma, ukuthimula, noma ukukhwehlela , kodwa lokhu akunakwenzeka.

Ubani osengozini enkulu yokuthola i-`Mpox`?

Eqinisweni, noma ubani angathola i-Mpox. Kodwa-ke, abanye abantu basengozini enkulu yokuthola lesi sifo noma yokuchayeka kuso. Kubonakala sengathi ukuqubuka kwamanje emhlabeni wonke kusakazeke kakhulu phakathi kwabesilisa abalala nabesilisa (MSM). Kodwa-ke, eDemocratic Republic of the Congo, lapho iClade I ivame kakhulu khona, abantu abangaphezu kwengxenye yamacala yizingane ezingaphansi kweminyaka engu-15.

Emazweni afana ne-United States, ungase ube sengozini enkulu yokuchayeka ku-Mpox uma:

• Umuntu oye walala naye emasontweni amabili edlule utholakale ene-Mpox.
• Uke walala ekilabhini yocansi, endlini yokugezela, noma kwenye indawo yocansi yezentengiselwano ezinyangeni eziyisithupha ezedlule.
• Ulale naye emcimbini noma endaweni lapho i-smallpox yayisakazeka khona.
• Umlingani wakho wezocansi uke wabhekana nanoma yisiphi salezi zimo ezingenhla.
• Uma uke waba negciwane elilodwa noma ngaphezulu elidluliselwa ngocansi (ama-STI) ezinyangeni eziyisithupha ezedlule (isib., ukutheleleka nge-HIV okunamandla, i-gonorrhea, i-syphilis, i-chancroid, noma i-chlamydia).
• Uke walala nabantu abangaphezu koyedwa ezinyangeni eziyisithupha ezedlule.

Okubalulekile: Lezi zici eziyingozi azisho ukuthi wonke umuntu kula maqembu uzothola i-chickenpox. Kodwa-ke, kubalulekile ukuqaphela kakhulu ezimweni ezinjalo.

Futhi, uma abanye abantu bethola i-`Mpox`Lesi sifo sinamathuba amaningi okuba sibi kakhulu. Lezi yizi:

• Abantu abanezivikeli mzimba ezibuthakathaka, ikakhulukazi labo asebebuthakathaka ngenxa yokutheleleka yi-HIV.
• Kubantu abanezifo zesikhumba ezifana ne-eczema.
• Abesifazane abakhulelwe.
• Izingane ezingaphansi konyaka owodwa ubudala nazo zisengozini enkulu yokuthola izifo ezingathi sína.

Yiziphi izinkinga ezingaba khona nge-Mpox?

Uma uthola i-chickenpox, ngezinye izikhathi ayigcini nje ngokuba ngcono, ingabangela nezinye izinkinga. Kuhle ukuqaphela lezi:

• Ukutheleleka ngamagciwane. Lokhu ngezinye izikhathi kungaqhubekela esimweni esibi esibizwa ngokuthi i-sepsis, lapho amagciwane engena egazini futhi athinte wonke umzimba.
• Isimungumungwane singadala izifo zamehlo, okuholela ekulahlekelweni umbono noma ekulimaleni kwamehlo.
• I-Myopericarditis - Lokhu ukuvuvukala kwezicubu ezizungeze inhliziyo.
• I-Encephalitis - Ukuvuvukala kobuchopho.
• Inyumoniya.
• Ukucindezeleka kokuphefumula - Lokhu kusho ubunzima obukhulu bokuphefumula kanye nobunzima bokuthola umoya-mpilo emzimbeni.
• Izibazi ezinkulu.

I-Mpox ihlolwa kanjani?

Uma unezimpawu ze-Mpox, udokotela angakuqinisekisa kanjani ukuthi yi-Mpox? Udokotela uvame ukuthatha isampula (i-swab) ezilondeni ezingaba mabili kuya kwamathathu esikhumbeni sakho. Lesi sampula sithunyelwa elabhorethri ukuze kuhlolwe i-polymerase chain reaction (PCR). Ukuhlolwa kwegazi nakho kungenziwa.

Uma ucabanga ukuthi kungenzeka ukuthi uke wahlangana nomuntu oke waba ne-smallpox, kubalulekile ukutshela udokotela wakho. Udokotela wakho angase ahlole nezinye izifo ezingabangela ukuqubuka kwesikhumba, njenge-measles noma i-chickenpox.

Yiziphi izindlela zokwelapha i-`Mpox`?

Okwamanje azikho izindlela zokwelapha ezilwa namagciwane ezivunyiwe ikakhulukazi zesimungumungwane. Kodwa-ke, uma ukugula kwakho kukubi kakhulu noma ukhulelwe, udokotela wakho anganquma ukukunikeza imithi yokulwa namagciwane efana ne-tecovirimat (TPOXX) noma i-cidofovir/brincidofovir, esetshenziselwa ukwelapha ezinye izifo ezibangelwa amagciwane (njenge-smallpox). I-vaccinia immune globulin (VIG-IV) nayo ngezinye izikhathi iyindlela yokukhetha.

Le mithi ivunyelwe ukwelapha ezinye izifo ezibangelwa amagciwane, ngakho abanye abantu abane-Mpox bangase bazuze kuyo. Kodwa-ke, abacwaningi basacwaninga ukuthi le mithi isebenza kahle kangakanani ku-Mpox.

Ungazivikela kanjani ku-'Mpox'? Lena yinto ebaluleke kakhulu!

Indlela engcono kakhulu yokunciphisa ingozi yokuthola isimungumungwane ukugonywa uma usengozini enkulu yokuchayeka. Kubalulekile ukugonywa ngaphambi noma ngokushesha ngangokunokwenzeka ngemva kokuchayeka.

Ngaphezu kokugoma, kunezinye izindlela eziningana zokusiza ukuvimbela ukusabalala kwe-Mpox:

• Ukugwema ukuxhumana eduze ezindaweni zomphakathi (isib., amakilabhu, amaphathi), ikakhulukazi lapho isikhumba sakho noma esabanye sibonakala.
• Ungathinti ubomvu benkukhu, amabhamuza, noma amaqhubu.
• Gwema ukuthinta izinto zokulala nezinye izinto ezingase zingcoliswe yi-Mpox.
• Geza izandla zakho kahle ngensipho njalo.
• Yenza ucansi oluphephile, okuhlanganisa nokusebenzisa amakhondomu namadamu amazinyo.
• Gqoka imaski emboza umlomo nekhala lakho uma uphakathi kwabanye abantu.
• Gcina izindawo ezithintwa njalo (isib. izibambo zeminyango, amatafula) zihlanzekile futhi ubulale amagciwane.
• Sebenzisa Izinto Zokuzivikela Zomuntu Siqu (i-PPE) (njengezigqoko, imaski) lapho unakekela iziguli ezine-Mpox .
• Gwema ukuthintana nezilwane ezithelelekile noma izilwane zasendle.
• Pheka kahle konke ukudla okuqukethe inyama futhi ugweme ukudla izilwane zasendle.

Khumbula, ungase ube ne-chickenpox kodwa ungazi. Ngisho noma ungakhombisi zimpawu ezinkulu, usengasabalalisa lesi sifo kwabanye ngokuxhumana isikhathi eside nokuseduze.

Ubani okufanele athole umuthi wokugomela i-Mpox?

Njengamanje, umuthi wokugomela i-Mpox unconywa kuphela kubantu abaye bavezwa yi-Mpox noma abasengozini enkulu yokuvezwa. Lezi zici eziyingozi zingase zihluke kuye ngokuthi uhlala kuphi nokuthi uhamba kuphi.

Isibonelo, e-United States, abantu abaneminyaka engu-18 nangaphezulu abanezici eziyingozi bayanconywa ukuthi bathole imithamo emibili yomjovo we-JYNNEOS™, izinsuku ezingu-28 zihlukene. Ngokuvamile, usengozini uma uke wavezwa kumuntu one-Mpox, usola ukuthi uke wavezwa, noma usengozini yokuvezwa yi-Mpox.

Buza izikhulu zezempilo zomphakathi zasendaweni yakho ukuthola izincomo zakamuva (isib., i-Centers for Disease Control and Prevention (CDC) e-United States). Uma ungaqiniseki ukuthi kufanele yini ugonywe, khuluma nodokotela.

Umuthi wokugomela i-`Mpox` unikezwa kanjani?

Udokotela noma isisebenzi sezempilo esiqeqeshiwe sizokunikeza imithamo emibili yomjovo we-Mpox, okungenani izinsuku ezingu-28 zihlukene. Lona umjovo. Ungafakwa ezingqimbeni eziphezulu zesikhumba (ukugoma ngaphakathi kwesikhumba) noma ongqimbeni olunamafutha ngaphansi kwesikhumba (ukugoma ngaphansi kwesikhumba).

Umjovo we-`intradermal` ungashiya isilonda esincane. Uma ufuna umjovo unikezwe endaweni engabonakali, ungacela ukuthi unikezwe ngemuva kwehlombe (`ihlombe`) esikhundleni sebunzi. Noma ungacela umjovo we-`subcutaneous`.

Kwenzekani uma uthola i-`Mpox`?

I-chickenpox ivame ukuphela emavikini amabili kuya kwamane. Udokotela wakho uzokuqapha kuze kube yilapho ukuqubuka kwesikhumba sakho sekuphelile ngokuphelele.

I-'Clade II' Mpox – uhlobo olusakazeka emhlabeni njengamanje – ayivamile ukubulala. Nakuba izinga lokufa kwe-'Clade I' ngokomlando libe cishe ku-10%, liye lehla laya ngaphansi kuka-3.3% ekuqubukeni kwamuva nje. Ngakho-ke ungesabi.

Izinto ongazenza ekhaya uma une-Mpox

Uma unezimpawu ze-'Mpox', kunezinto ezimbalwa ongazenza ekhaya ukuze zikusize ululame:

• Imithi etholakala ngaphandle kwemithi kadokotela ( OTC), njenge-ibuprofen ne-paracetamol, ingasiza ekunciphiseni izimpawu zakho (umkhuhlane, izinhlungu zomzimba).
• Geza nge-colloidal oatmeal. Ukucwilisa emanzini afudumele ngale ngxube kungasiza ekunciphiseni ukoma nokulunywa okubangelwa ukuqubuka kwesikhumba.
• Phumula ngokwanele futhi uphuze uketshezi oluningi. Ukuphumula ekhaya nokuphuza amanzi amaningi kubaluleke kakhulu ukuze ululame ngokushesha.

Futhi, ungenza okulandelayo ukuvimbela ukusabalalisa i-Mpox kwabanye nokuvikela abanye:

• Uma unegciwane, zihlukanise nabanye. Gwema ukuthintana nabanye kuze kube yilapho isikhumba sakho sesipholile ngokuphelele.
• Gqoka imaski. Uma kufanele ube phakathi kwabanye abantu - isibonelo, lapho ufuna usizo lwezokwelapha - gqoka imaski emboza umlomo nekhala lakho kahle, njenge-`N95` noma i-`KN95`.
• Mboza izindawo ezincane zesikhumba ezinezilonda noma amabhamuza. Sebenzisa i-gauze noma amabhandeji ukuze unciphise ukusabalala kwesifo kwabanye nasezintweni ozithintayo.
• Gwema ukuthintana nezilwane ezifuywayo (ikakhulukazi amagundane). I-Mpox ingadluliselwa phakathi kwabantu nezilwane.

Kufanele ubonane nini nodokotela?

Sikweluleka ukuthi ubonane nodokotela ezimweni ezilandelayo:

• Uma unezimpawu ezifana nomkhuhlane, ubuhlungu bomzimba, noma ama-lymph node avuvukele .
• Ukuqubuka okusha noma isilonda esikhumbeni sakhoUma sekuvele.
• Uma uke waxhumana eduze nomuntu one-Mpox .
• Uma ungathanda ukwazi okwengeziwe ngomuthi wokugomela i-Mpox noma ukuthi ungawuthola kuphi.

Uma ukhulelwe, uke wavezwa yi-Mpox, noma unezimpawu, yazisa udokotela wakho wezifo zabesifazane ngokushesha. Bangakusiza ukunciphisa ingozi yezinkinga ezinkulu futhi bavimbele ukudluliselwa kwe-Mpox enganeni yakho ngesikhathi sokukhulelwa nokubeletha.

Kufanele uye nini e-Emergency Treatment Unit (ETU) ?

Uma unezinye zezimpawu ezilandelayo ezinzima, iya ekamelweni lezimo eziphuthumayo ngokushesha, noma ushayele u-1990 (insizakalo ye-ambulensi ephuthumayo yaseSri Lanka):

• Uma ubhekene nobunzima bokuphefumula noma ukuphefumula kanzima .
• Uma unezinhlungu zesifuba ezintsha noma eziya ziba zimbi kakhulu .
• Uma uzizwa ukuqina kwentamo .
• Uma uzizwa udidekile noma unenkinga yokucabanga kahle .
• Uma unenkinga yokukhuluma noma yokunyakaza komzimba wakho .
• Uma kwenzeka ukulahlekelwa ingqondo .
• Uma kwenzeka ukuxhuzula .
• Uma inxeba lingapholi futhi libuhlungu kakhulu .

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma uvakashela udokotela, kungaba usizo ukubuza imibuzo efana nale:

• Ingabe kufanele ngithole umuthi wokugomela i-Mpox?
• Ingabe kukhona ukwelashwa kwalokhu?
• Ngingazinakekela kanjani ekhaya?
• Yiziphi izimpawu ezinzima okufanele ngiziqaphele?

Kungani manje sibiza lokhu ngokuthi ``monkeypox`` esikhundleni sokuthi ``Mpox``?

I-World Health Organization (WHO) yashintsha igama lalesi sifo laba yi-'Mpox' ngoNovemba 2022. Lokhu kuhambisana nezincomo zakamuva ze-WHO zokugwema ukusebenzisa amagama ahlambalaza noma yiliphi iqembu. Kodwa-ke, igciwane elibangela i-'Mpox' lisabizwa ngokuthi 'igciwane le-monkeypox'.

Umehluko phakathi kwe-'Mpox' nezinye izifo

Isimungumungwane kanye ne-chickenpox

Nakuba kokubili kubangela ukuqubuka kwesikhumba, i-chickenpox kanye ne-mumps kubangelwa amagciwane amabili ahlukene. I-Chickenpox iyi-orthopoxvirus, kanti i-mumps iyigciwane le-herpes. Womabili amagciwane angadluliselwa ngokuxhumana kwesikhumba nesikhumba noma ngokuxhumana ubuso nobuso isikhathi eside. Kodwa-ke, i-mumps iyisifo esithathelwanayo kakhulu futhi sisakazeka kalula kune-chickenpox. Abantu abane-chickenpox banamathuba amaningi okuthola ukuqubuka kunalabo abane-chickenpox.

Ukubonakala kokuqhuma kuyahlukahluka. Ukuqhuma kwe-chickenpox kungavela emagagasini, kodwa izilonda ze-'Mpox' zikhula ngasikhathi sinye. Izimpawu ze-chickenpox - kufaka phakathi ukuqhuma - zivame ukuthuthuka zingakapheli amasonto amabili, kodwa i-'Mpox' ithatha cishe amasonto amabili kuya kwamane ukuphola.

`I-Mpox` kanye ne-smallpox (`i-smallpox`)

I-Smallpox kanye ne-Mpox zombili ziyingxenye yohlobo lwe-Orthopoxvirus, okusho ukuthi zibangelwa amagciwane amabili afanayo kodwa ahlukene. Ngenxa yezinhlelo zokugoma eziphumelelayo, i-smallpox yaqedwa emhlabeni ngo-1980 (okusho ukuthi ayiseyona isifo esisakazekile). I-Smallpox yisifo esithelelanayo kakhulu esisakazeka kalula kune-Mpox. Nakuba izimpawu ze-Mpox zifana neze-smallpox, azinzima njenge-smallpox futhi zithambile.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Izindaba zokuqubuka kwesifo, ngisho negama elithi "ukuqubuka," zingadala ukukhathazeka okukhulu nokwesaba ezingqondweni zethu. Ikakhulukazi njengoba abaningi bethu babengakaze bezwe nge-'Mpox' kuze kube ngu-2022, kungazwakala sengathi kungenye into engeziwe ohlwini lwethu lwezinto ezisikhathazayo.

Kodwa-ke, ucwaningo ngamagciwane afana ne-smallpox seluqhubeke amashumi eminyaka. Ngenxa yalokho, abahlinzeki bezempilo bakwazile ukusebenzisa ngokushesha imijovo kanye nezinye izindlela zokunciphisa ukusabalala kwe-Mpox. Uma ucabanga ukuthi usengozini enkulu yokuchayeka ku-Mpox, kunezindlela zokunciphisa leyo ngozi. Uma unemibuzo noma ukukhathazeka ngalokhu, ungangabazi ukukhuluma nodokotela. Imfundo iyisivikelo esingcono kakhulu!

I - Mpox, i-Mpox, igciwane, amabhamuza esikhumba, izimpawu, ukudluliselwa, ukuvimbela, umjovo