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Monkeypox: I received a positive diagnosis. What care should I get? – Health – Estadao

Most people with monkey pox He is likely to have a mild condition and can be treated at home, according to Ministry of Health. However, these patients need to be careful to avoid the spread of the virus and also complications of the drawing. Isolate yourself from family members and pets, do not scratch the rash and avoid contact lens wear, some of which are.

there is nobody treatment or treatment Specific, but some antivirals used to treat smallpox and other diseases may be prescribed to patients with severe cases.

What are the symptoms of monkeypox disease?

to me World Health Organization (WHO), The incubation period – the time between infection and symptoms – for monkeypox is usually 6 to 13 days, but can range from 5 to 21 days. A person cannot transmit the disease during this stage, according to Center for Disease Control and Prevention (CDC) for the United States.

Usually, incubation is followed by a period called prodrome, when the patient presents with an early set of symptoms, such as fever, sweating (sweating), headache, myalgia (muscle aches), and fatigue. The rash appears about one to three days after the onset of the fever.

Specialists direct that when a rash is noticed, a person orders a test, in private laboratories or in public health units. Sometimes the lesions resemble pimples and ingrown hairs. According to the Ministry of Health, Brazil refers only to molecular biology tests to diagnose the disease. The analysis is performed on wound samples collected with a swab (stick).

If the result is positive, the Ministry of Health’s recommendation is that the patient remain in isolation until the lesions are gone. The scab should have fallen off and re-epithelialization (“birth” of “new” skin) had occurred. The main form of disease transmission in the current outbreak, at the moment, appears to be intimate physical contactskin to skin, with a lesion.

According to the CDC, symptoms of the disease may include, in addition to a rash, fever, headache, muscle and back pain, swollen lymph nodes, chills, fatigue, and respiratory manifestations (such as nasal congestion or cough). In most cases, they go away on their own within 2 to 4 weeks (self-healing disease).

According to the Ministry of Health, most cases are mild and can be treated at home. Experts heard before stadium Indicate that these people need to be accompanied by health professionals and receive a continuum of care.

“The picture is rather unpleasant. Some patients have required hospitalization even to receive supportive care. It is not, in most cases, a completely mild disease, but data from the current outbreak show that in patients who have relatively healthy immune systems (healthy), the picture tends to evolve,” says virologist Fernando Spielke.

The World Health Organization states that a patient with the disease should maintain fluids and a good nutritional status. Additionally, it directs them to receive mental health care to manage potential new symptoms of anxiety and depression.

Isolate pets and family members

When treating at home, the indication is that the person is isolated from family members and also from pets, especially mammals. Pet removal is a precautionary measure. This is because any mammal, according to the CDC, can contract the disease, however, it is still unknown whether humans can infect animals. Experts fear that the disease will find an animal host outside Africa. “If this were possible, we would have a very difficult time controlling it,” warns infectious disease specialist Raquel Stucci, of the Brazilian Society of Infectious Diseases (SBI).

The directive of the Ministry of Health is that the isolation does not stop until the wounds are gone. In the event of needing to exit, the patient should cover the eruption with clothing.

Dirty laundry for these patients should not be shaken. Sheets, pillowcases, towels and clothing should be washed separately. Items such as towels, cutlery, and cups should not be shared.

injury care

To prevent the spread of the virus and the spread of wounds, it is necessary to be careful, such as not to scratch the lesions and not to shave the areas of the body that they cover. Therefore, frequent hand hygiene is recommended. “You have to handle it with care and do good hand and nail hygiene, in short, to prevent the pests from spreading further,” says Spilki.

It is also not recommended to use contact lenses. “Because your hand could be contaminated with the secretion that contains the virus, and it will contaminate the lens and eye,” Raquel explains. This could generate a serious eye condition.

In addition to eye infections, according to the World Health Organization, bronchial pneumonia, sepsis (a reaction to a marked inflammatory response) and encephalitis (inflammation of the brain) are some of the possible secondary complications of monkeypox.

What are the signs of severe monkeypox?

According to the World Health Organization, the death rate from the disease ranges between 3% and 6%. Children, pregnant women, and immunocompromised individuals are at increased risk of severe disease.

Patients should receive guidance from their physicians. However, some signs may indicate a serious condition and need hospitalization, such as persistent fever and also a large number of rashes – more than 250 cases are considered, by the World Health Organization, severe, for example.

Is there a cure for monkeypox?

There is no specific treatment for monkeypox. Most patients will only get an indication for the use of medications to treat symptoms (fever, pain).

According to the Department of Health, the antiviral drugs tecovirimat (TPOXX), cidofovir (Vistide) and brincidofovir (Tembexa), which are designed to treat smallpox (smallpox) and other diseases, may be considered. On the first Monday, the Minister of Health, Marcelo Quiroga, informed that the country would receive tecovirimat and that, initially, it would be used for more serious cases.

Raquel says TPOXX is approved in the United States and the European Union, and should be given to people with severe or atypical manifestations of the disease. “It’s not a drug that you’d give, say, to everyone who’s been in contact with them, not even at the beginning of an immunocompetent young person.” There are no data on the use of the drug in the context of the outbreak.


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