Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
UKULWA NE- TB<br />
24<br />
ye-TB enezinguquko kubantu abafayo. Kunezingxoxo<br />
eziningi kangangokuthi kungahlinzekwa kangcono<br />
kakhulu lokhu kufinyelela – ngaphambi nangemuva<br />
kwemvume – nokuthi singaqiniseka kanjani ukuthi<br />
iziguli ziyazuza ezinhlelweni zeqophelo eliphezulu<br />
ezingenayo imingcele engenasidingo. Khona lapho,<br />
kufanele kuthathwe izinyathelo ukubeka umkhawulo<br />
kanye nokuqapha ukuvela kokungazweli emthini.<br />
Kunomsebenzi okubhekenwe nawo wokusebenzisa<br />
ngendlela efanele umuthi omusha okungesiwona nje<br />
Nangale kwenqubekela<br />
phambili esandukwenzeka<br />
ocwaningweni lomuthi we-TB<br />
kufanele sihlale siqaphele<br />
ekwethembeni kwethu. Yize<br />
imithi manje esenziwa kuyiyona<br />
ethembisayo emashumini<br />
eminyaka, ayikakeneli ukuqeda<br />
i-TB njengesabisa izimpilo<br />
Isithombe yi-Jose Cendon/Médecins Sans Frontières.<br />
zomphakathi. Asinalwazi<br />
oluqoqiwe lokuthi le mithi singayisebenzisa kahle kangakanani<br />
ezinganeni nolwazi olunomkhawulo ngokuthi ingahlangana kanjani<br />
nokwelashwa ngezidmbisigciwane. Ngenxa yalokhu, labo bantu<br />
kunokwenzeka ukuthi baguliswe isifo esibi kakhulu kungadingeka<br />
ukuthi balindele imithi emisha. Ukwethembisa ukuthi imithi emisha<br />
isendleleni nokuthi kufanele silungiselele ukuyinikezela ngempumelelo<br />
noma nini uma idingeka.<br />
Umuthi Ukusetshenziswa Isigaba Isimo<br />
Ukwenza izinloso ezintsha zemithi evele ikhona<br />
rifapentine + isoniazid LTBI ukufinyezwa kokwelashwa Isigaba II Uphelile<br />
isoniazid LTBI Isigaba III Ukuhlaziywa kolwazi<br />
rifapentine DS-TB ukufinyezwa kokwelashwa Isigaba II Ukubhalisa<br />
rifapentine + moxifloxacin DS-TB ukufinyezwa kokwelashwa Isigaba II Ukubhalisa<br />
moxifloxacin DS-TB ukufinyezwa kokwelashwa Isigaba III Ukubhalisa<br />
gatifloxacin<br />
Imithi emisha<br />
DS-TB ukufinyezwa kokwelashwa Isigaba III Ukuhlaziya ulwazi<br />
AZD5847 TBA Isigaba II Awukabhaliswa<br />
PNU-100480 DR-TB Isigaba II Awukabhaliswa<br />
SQ 109 DS-TB/ DR-TB Isigaba II Ukubhalisa<br />
PA-824* DS-TB Isigaba II Ukubhalisa<br />
OPC-67683*(delamanid) DR-TB Isigaba IIb Ukuhlaziya ulwazi & Nokulandelela iziguli<br />
TMC207*(bedaquiline) DS-TB Isigaba II Ukubhalisa<br />
DR-TB Isigaba IIb Ukuhlaziya ulwazi & Nokulandelela iziguli<br />
LTBI = Ukutheleleka nge-TB Elele; DS-TB = I-TB Ezwela Emuthini; DR-TB = I-TB Engazweli Emuthini<br />
* Kukhonjiswa ekilasini lomuthi omusha<br />
owabenzi kuphela. Izinhlelo ze-TB kuzwelonke kanye<br />
nabakhankasi bokwelashwa babamba iqhaza elikhulu<br />
ekwethulweni ngempumelelo kwananoma yimuphi<br />
umuthi omusha noma uhlobo olusha. Izinhlelo ze-TB<br />
kufanele ziqinisekise ukunikezela okuthembekile<br />
kwemithi yeqophelo eliqinisekisiwe kanye nokufinyelela<br />
ngesikhathi ekuhlolweni kokungazweli emthini.<br />
Ukusheshe kuxilongwe i-TB kubalulekile ukuze<br />
kufakwe iziguli ekwelashweni okulungile, kuncishiswe<br />
ukuthelelana, kanye nokwenza ngcono imiphumela<br />
yokwelapha. Abakhankasi kufanele bafune ukungenelela<br />
okwethembisayo kwezinhlelo zikazwelonke,<br />
kubandakanya ukwenziwa kwezinqubomgomo<br />
zokuqondisa ukuqala kwazo ukusetshenziswa.<br />
Imithi emisha yezingane<br />
Izingane zenza cishe ama-20 omthwalo we-TB<br />
emhlabeni jikelele. Lokhu mhlawumbe kuwunikeza<br />
izibalo ezincane ngenxa yobunzima bokuqinisekisa<br />
ukuxilogwa kwe-TB ezinganeni. Futhi zisengozini<br />
ekhulile ngokuqhubeka kwesifo ngokushesha. Kodwa<br />
kuze kube manje ayikho kulezi zinhlanganisela ebisike<br />
yahlolwa ezinganeni. Izingane kufanele zisheshe zifakwe<br />
ohlelweni lokwenziwa kwemithi ukuze nazo zizosizakala<br />
emithini emisha. Kunesidingo esisha futhi socwaningo<br />
oluthe xaxa ekuphepheni nasekusebenzeni kahle<br />
ngokusebenzisa imithi ekhona njengamanje ye-NDR-TB<br />
ukwelapha izingane ezinokungazweli emithini ye-TB.<br />
Imithi evele ikhona kanye nemithi emisha ye-TB ezinhlolweni zokwelashwa kusukela ngoJuni 2011