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UKULWA NE- TB<br />
18<br />
Ukunakekela<br />
Kwezempilo<br />
Okubalulekile<br />
Cishe ezehlakalweni ezazisiwe ezingu-9,070 ze-TB<br />
engazweli emithini eminingi (MDR-TB) ngonyaka<br />
ka-2009, ezweni lonke iziguli ezingaphansi kwezi-<br />
5000 ezaqala ukwelashwa ngalowo nyaka ofanayo.<br />
Abaphathi beziguli ezine-MDR-TB abasendaweni<br />
ngezindawo (kodwa hhayi i-TB engazweli emthini<br />
ngokuphelele noma i-DR-TB) bazonciphisa<br />
inamba yezinsuku phakathi kokuxilongwa kanye<br />
nokuqala ukwelashwa. Umphumela wokugcina<br />
uzoba ukukhava kokwelashwa okungcono,<br />
ukudluliswa kwe-DR-TB okucishisiwe, kanye nokuthi<br />
kwenzeke ukuthi iziguli zithole ukwelashelwa<br />
eduze nasekhaya. Lokhu futhi kungenza ukuthi<br />
kube nokwanda kokwamukeleka emphkathini<br />
kokwelashwa kwe-MDR-TB.<br />
Ngokwenqubomgomo ewuhlaka ngabaphathi<br />
abasezindaweni ngezindawo be-MDR-TB, indlela<br />
entsha izosiza iziguli:<br />
• Ngokwamukela imisebenzi ebhekene nabo<br />
uqobo kanye nezidingo njengoba bezoba<br />
seduzane namakhaya abo;<br />
• Ukunciphisa ukudluliswa kwe-MDR-TB<br />
ngokusheshe kuqalwe ukwelashwa,<br />
okuzokwenza ukuthi kutholakale imibhede<br />
eminingana ekhona ekugcineni;<br />
Iyunithi<br />
ye-MDR-TB<br />
eyisathelayithi<br />
• Ukwenza ngcono ukubambelela ekwelashweni<br />
kusetshenziswa izinhlelo ezincike emphakathini;<br />
futhi;<br />
• Ukunciphisa izindleko ngokunciphisa ukuhlala<br />
okude ezibhedlela ezikhethekile.<br />
Inqubomgomo ewuhlaka ekwelashweni okwenzelwa<br />
ezindaweni ngezindawo iphakamisa uhlaka<br />
lwezempilo olulandelayo lokuphathwa kweziguli<br />
ze-DR-TB:<br />
Ukuphathwa kwe-DR-TB ezindaweni ngezindawo<br />
kusho ukudlulisela umsebenzi okubhekenwe nawo<br />
weziguli ze-MDR-TB ukwehlisa amazinga ohlelo<br />
lwezempilo kuphela uma behlangabezana nezindlela<br />
zokukhetha ezithize. Kubandakanya ukuphathwa<br />
kwe-DR-TB kumayunithi e-DR-TB asezindaweni<br />
ngezindawo, amayunithi ayisathelayithi e-MDR-TB,<br />
noma emphakathini kusetshenziswa amathimba<br />
angomahamba nendlwana, abanakekeli<br />
bomphakathi kanye nosizo lwasekhaya. Iziqondiso<br />
ze-MDR-TB ze-World Health Organization zichaza<br />
ukunakekelwa okuncike emphakathini kanye nosizo<br />
njengananoma yisiphi isinyathelo noma usizo<br />
oluhlinzekwe ngumphakathi, kubandakanya izimo<br />
lapho iziguli zithola khona ukwelashwa zihlala<br />
ngaphandle kwasesibhedlela.<br />
I-flow chart yohlelo olusha lokwelapha okuhanjiswe kwezinye izindawo<br />
Ithimba<br />
Elingumahamba<br />
nendlwane<br />
Iyunithi ye-DR-<br />
TB ehanjiswe<br />
kwezinye<br />
Ukunakekela<br />
Kwezempilo<br />
Okubalulekile<br />
Iyunithi<br />
ye-MDR-TB<br />
eyisathelayithi<br />
Ithimba<br />
Elingumahamba<br />
nendlwane<br />
Iyinithi ye-DR-<br />
TB enkulu<br />
Ukunakekela<br />
Kwezempilo<br />
Okubalulekile<br />
Iyunithi<br />
ye-MDR-TB<br />
eyisathelayithi<br />
Ithimba<br />
Elingumahamba<br />
nendlwane<br />
Decentralised<br />
DR-TB Unit<br />
Ukunakekela<br />
Kwezempilo<br />
Okubalulekile<br />
Iyunithi<br />
ye-MDR-TB<br />
eyisathelayithi<br />
Ithimba<br />
Elingumahamba<br />
nendlwane
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