IsiXhosa - Treatment Action Campaign

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IZIKHOKELO EZINTSHA NETHENDA 6 Ipilisi enye, kanye ngemini Ngu-Catherine Tomlinson no-Marcus Low Iindibaniselwano zedosi emiselweyo kwenziwa isincomo sayo ngabasebenzi bezempilo kunye nombutho wezoNyango lwe-HIV kumaZantsi e-Afrika. Umthwalo wepilisi osezantsi unxulunyaniswa nobambelelo oluphucukileyo. Ifoto ngu-Roulé le Roux
I-TAC iyakuqhuba ikhankasela ukuba kwenziwe iindibaniselwano zedosi emiselweyo eziqulethe i-tenofovir into enokufezekiswa kwinkqubo yempilo karhulumente. Ipilisi enye kanye ngemini iyafikeleleka, inokwenzeka, kunye nasemdleni womntu ngamnye. Uninzi lwabantu eMzantsi Afrika abathatha unyango lwe-antiretroviral (ART) kufuneka bathathe amachiza amathathu awohlukeneyo yonke imihla. Amanye kufuneka athathwe ngamaxesha athile amanye kufuneka athathwe ngaphambi okanye emva kokutya. Ukuthatha iipilisi ezininzi kangako kunye nokuzithatha ngokwemiyalelo kunganzima kwaye kufuna ukuziqeqesha okukhulu. Esi sesinye isizathu sokuba kutheni ukubambelela kakuhle kunyango kunokuba nzima. Kwiminyaka yakutsha nje oosonzululwazi baye bakwazi ukudibanisa ii-antiretrovirals (ARVs) ezintathu ezohlukeneyo zaba yipilisi enye ekufuneka uyithathe kanye kuphela okanye kabini yonke imihla. Olu hlobo lwendibaniselwano ‘lweepilisi ezintathu kwenye’ kuthiwa yindibaniselwano yedosi emiselweyo (fixed-dose combinations) equka i-tenofovir. Iindaba ezimnandi zezokuba iindibaniselwano zedosi emiselweyo eziqulethe i-tenofovir ziyafikeleleka kwaye azibanjwa yimida ebekwa kwilungelo lomenzi. Kukho imiqobo ngokuphathelene nokubhaliswa kwezi ndibaniselwano zedosi emiselweyo kwiBhunga eliLawula amaYeza (jonga kwiphepha le-12), kodwa ukuba urhulumente uyafuna, unokunika i-FDCs equlethe i-tenofovir kwinkqubo yempilo karhulumente ngasekupheleni kuka-2010. Ubambelelo kunyango oluphuculiweyo olunxulunyaniswa nokuba kufuneke uthathe iipilisi ezimbalwa lusekiwe ngokwenziwa kwenani lamaphononongo. Uhlalutyo lwamaphononongo alithoba luye lwalandelela ubambelelo kunyango kwizigulane ezingama-20,242 – i-11,925 yezigulane ezikwiindibaniselwano zedosi emiselweyo nama- 8,317 ezigulane ezikwiirejimeni zendibaniselwano enechiza – ngaphezulu kwe-avareji yeenyanga ezi-8.6. Uhlalutyo lufumanise ukuba ingozi yobambelelo kunyango olulambathayo yehliswa ngama-26% kwizigulane ezikwi- FDCs. Ubambelo kunyango olulambathayo lukhokelela kuxhathiso kwichiza olunyukayo. Ngenye indlela, uxhathiso olukhulu luthetha ukuba abantu abaninzi kufuneka batshintshele kumgca wesibini nowesithathu wonyango olubiza kakhulu. Ngoko ke, ukwazisa iindibaniselwano zedosi emiselweyo kunye nokwehlisa imfuno yamachiza abizayo omgca wesibini nowesithathu. Ukuthatha ipilisi enye kuphela ngosuku nako kwenza lula ukuba uthathe amayeza akho bucala. Oku kunokufaka isandla ngokungaphaya kubambelelo olulungileyo kunyango kwizimo apho kunzima kuzo ukuxela isimo sakho ngenxa yebala okanye uloyiko lwebala. De zibe iindibaniselwano zedosi emiselelweyo zilungela ukufumaneka, ukusebenzisa iblista yamayeza ukulungisa amayeza akho kuyakunceda ukuqinisekisa ukuba uthatha umthamo owaneleyo suku ngalunye. Ifoto ngu-Eric Miller, courtesy MSF. Ii-FDCs kunye nethenda ye-ARV ka-2010 Ithenda ye-ARV ka-2010 lithiuba elichanekileyo lokuba urhulumenteaveze iindidaniselwanozedosi emiselweyo (fixed-dose combinations) (FDCs). Njengomthengi wamazwe ngamazwe omkhulu wonyango lwe-antiretroviral, uMzantsi Afrika kufuneka usebenzise amandla awo okuthenga ngokufuna ukuba iirejimeni zenziwe zifumaneke ngee-FDCs apho kwenzekayo, okanye ngenye indlela zifakwe kwipakethe zeeblista ekulula ukuziseebznisa. Ukufaka kunye kudibanisa onke amachiza kwirejimeni kwipakethe yeblista enye. Iirejimeni kufuneka zipakishwe kwiipakethe zekhalenda eziphakamisa ubambelelo, ezifanayo nezo zisetyenziswa kwizicwangcisi ezithathwa ngomlomo. Oku kunokufuna ukuba iinkampani zoosinga machiza zisebenzisane ekupakisheni amachiza azo. Indibaniselwano yedosi emiselweyo neerejimeni ezifakiweyo ziyakwehlsia umthwalo kubasebenzi bokhathalelo lwempilo. Ziyakwenza lula ulawulo lonikezo kunye namakhonco okufumana kwiSebe lezeMpilo, ngokunjalo. Ukufaka kunye kwakhona kunokwehlisa imiqobo, ingakumbi kwizibonelelo zasemaphandleni, okubangwa kukunqongophala kweekhemisti. UmThetho neMimiselo yeeKhemisti uvumela ukuba umncedisi kaSokhemisti odlulileyo kwisiseko kwisibonelo sempilo esisiseko sikarhulumente okanye nasiphi na isibonelelo esivunywe liBhunga leeKhemisti, akhuphe amayeza phantsi kokonganyelwa okungangqalanga. Oku kunokwenzeka ngaphandle kokuba amayeza akwiipakete zesigulane esele zilungile apakishiwe kwakhona kulungiselelwa le njongo esibhedlele okanye kwindawo yephondo ehlala amayeza. Jonga kwiphepha le-10 ngokungaphaya ngethenda ye-ARV ka-2010. Umthombo: SANAC Technical Task Team on <strong>Treatment</strong>, Care and Support, ‘Building the Capacity of the Primary Health Care System for HIV/AIDS Diagnosis, Care and <strong>Treatment</strong> in EMzantsi Afrika’, May 2009; S. Bangalore et al., ‘Fixed-Dose Combinations Improve Medication Compliance: A Meta- Analysis’, The American Journal of Medicine (2007) 120, 713-719 IZIKHOKELO EZINTSHA NETHENDA 7
Page 1 and 2: Magazine of the Treatment Action Ca
Page 3 and 4: Ifoto ngu-Mara Kardas-Nelson Ndaba
Page 5 and 6: kwaye kwangena i-tenofovir endaeni
Page 7: Izikhokelo ezintsha zonyango lwe-an
Page 11 and 12: Ufikelelo kwi-ART (ipesenti yabo ba
Page 13 and 14: Afrika kufuneka usebenzise amandla
Page 15 and 16: Intlekele yase-Edendale NgoMeyi 200
Page 17 and 18: funeko kwixesha le-hIV 1994 E-Urugu
Page 19 and 20: Igrafu A:Amanqanaba echiza noxhathi
Page 21 and 22: Abantwana Nee-antiretrovirals Ngu-C
Page 23 and 24: USphelele Yende uneminyaka emine uk
Page 25 and 26: Yintoni i-TRIPS? U-TRIPS umele i-Tr
Page 27 and 28: umsebenzi ombi Ngeenyanga nje, ngap
Page 29 and 30: Iindlela zokufumanisa i-TB esebenza
Page 31 and 32: 4 6 0 x 2 7nt f Hlth b dn thrh

IsiXhosa - Treatment Action Campaign

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